2010-10-14
Regular October Term
Held October 14, 2010
THE STATE OF TEXAS
COUNTY OF CALHOUN
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BE IT REMEMBERED, that on this 14th day of October, A.D., 2010 there was begun and holden in the
Commissioners' Courtroom in the County Courthouse in the City of Port Lavaca, said County and State, at
10:00 a.m., a Regular Term of the Commissioners' Court within said County and State, and there were
present on this date the following members of the Court, to-wit:
Michael J. Pfeifer
Roger C. Galvan
Vern Lyssy
Neil E. Fritsch
Kenneth W. Finster
Wendy Marvin
County Judge
Commissioner, Precinct #1
Commissioner, Precinct #2
Commissioner, Precinct #3
Commissioner, Precinct #4
Deputy County Clerk
Thereupon the following proceedings were had:
Commissioner Galvan gave the Invocation and Commissioner Finster led the Pledge to the US Flag and
Commissioner Fritsch led the Pledge to the Texas Flag.
APPROVE MINUTES OF SEPTEMBER 9, 2010, SEPTEMBER 21, 2010 AND SEPTEMBER 23,
2010 MEETINGS:
A Motion was made by Commissioner Lyssy and seconded by Commissioner Fritsch to approve minutes of
September 9, 2010, September 21, 2010 and September 23, 2010 meetings. Commissioners Galvan,
Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor.
MEMORIAL MEDICAL CENTER REPORT:
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Jason Anglin presented the Memorial Medical Center Financial Report for the month of August 2010.
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Interim CFO Report
August, 2010
Statistics (Volume)
Volume for August was the highest for any month yet this year. Total admissions, Acute, Swing Bed,
ICU, Pediatric, and DB for August were 206, and Total Days for the same group were 655. Both are the
highest for the year. Volume in most other departments was also strong. ER visits were 890 and Clinic
visits were 1391. Total Pharmacy was 16999.
Balance Sheet
MMC received $277,932 from Texas Medicaid for the 2009 Medicaid Cost Report. The amount expected
from the Cost Report filing was $315,666, and the difference of $37,734 was the result of an 8%
reduction enacted by the Texas Legislature. The difference was booked as a loss in August. MMC
received $50,000 from the sale of Home Health which was booked in August. The actual cash was
received 9/10 in a check from Calhoun County.
Income Statement
In summary, volume was up, gross revenue was up, contractual deductions were up significantly,
expenses were down, and the loss from operations was $24K. Part of the deductions increase was from
the $38K reduction in the amount Medicaid paid for the 2009 Cost Report settlement. Contractual
Adjustments are also up significantly due to the correction of the booking entries for disproportionate
share payments and the bookings for the public upper payment limit program. The expenses are down
in the employment benefits area due to the correction of the accruals for health insurance. In total, net
revenue for August was $1,515 and total expenses were $1,538. The operating loss for August was
$24K, and the year to date loss from operations was $303K.
Subsequent Events
MMC repaid the $500K loan from Calhoun County 9/9/10.
MMC paid CMS (Medicare) $321,279 from the 2007 Cost Report Audit on 9/7/10. Part of this will show
as a loss in September. MMC received $81K on 9/3 for the 1998 Medicaid Cost Report. This will show
as a decrease to contractual adjustments (increase to bottom line) during September.
MMC paid Texas Medicaid $25,804 for the 2008 Medicaid Cost Report Audit on 9/13.
~P?-- d
Duane P 'Doc' Coulter, FHFMA
Interim CFO
9/20/10
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MEMORIAL MEDICAL CENTER
CAPITAL ACQUISITIONS
FOR PERIOD ENDED 08/31/10
MONTH DESCRIPTION DEPT BUILDING EQUIPMENT TOTAL
01/10 BI-DIRECTIONAL INTERFACE ER $ 8,100
NEOTOOL INTERFACE ENGINE IT 20,700
SUB-TOTAL - 28,800 $ 28,800
02/10 OILLESS COMPRESSOR PLANT 9,710
SUB-TOTAL - 9,710 $ 9,710
03/10 KARL STORZ ENDOSCOPY SURGERY 5,846
.
BEDSIDE MONITORS (2) ER 14,802
SUB-TOTAL - 20,648 $ . 20,648
" $
04/10 NA - - -
05/10 N/A - - $ -
06/10 N/A - - $ -
07/10 N/A .. - $ -
08/10 N/A - - $ -
TOTAL - $ 59,157.76 $ 59,157.76
4
MEMORIAL MEDICAL CENTER
PATIENT STATISTICS
AUGUST 2010
THIS MONTH THIS YEAR LAST YEAR
THIS MONTH LAST YEAR TO DATE TO DATE
PATIENTS ADMITTED 127 112 843 902
ADMISSIONS FROM ER 32 25 170 186
AVERAGE LENGTH OF STAY 3.68 3.46 4.09 3.81
PATIENT DAYS OF SERVICE 467 388 3.450 3,433
PERCENT OF OCCUPANCY* 60.26% 50.06% 56.56% 56.28%
AVERAGE DAILY CENSUS 15.06 12.52 14.14 14.07
, MAXIMUM ON ANY ONE DAY 20 21 22 23
MINIMUM ON ANY ONE DAY 9 7 5 6
ADJUSTED PATIENT DAYS 1,294 1,358 10,310 11,271
SWING BED ADMISSIONS 13 2 57 26
SWING BED DAYS 91 18 447 328
ICU PATIENTS ADMITTED 22 19 143 199
ICU PATIENT DAYS 58 48 360 488
OB'S ADMITTED 6 20 83 91
OB DAYS OF SERVICE 15 51 212 205
PEDIATRIC ADMISSIONS 6 2 31 24
PEDIATRIC DAYS OF SERVICE 24 5 '101 56
NEWBORNS FOR MONTH 6 19 80 85
AVERA.GE LENGTH OF STAY 1,83 2.05 2.11 1.88
DAYS OF SERVICE 11 39 '169 160
MEDICARE PATIENTS ADMITTED 66 49 442 474
AVERAGE LENGTH OF STAY 3.91 4.16 4.67 4.41
DAYS OF SERVICE 258 204 2,066 2,091
MEDICAID PATIENTS ADMITTED 18 25 124 140
DAYS OF SERVICE 53 80 410 434
DEATHS 3 5 23 25
AUTOPSIES 0 0 0 0
SURGf;RY:
INPATIENT PROCEDURES 13 8 96 88
OUTPATIENT PROCEDURES 68 105 540 670
CESAREAN SECTIONS** 2 5 30 23
TOTALS 83 118 666 781
*Based on 25 beds
5
THIS MONTH THIS YEAR LAST YEAR
THIS MONTH LAST YEAR TO DATE TO DATE
OUTPATIENT VISITS 1,391 1,410 10,369 11,281
EMERGENCY ROOM VISITS 890 895 6,630 6,886
TOTALS 2,281 2,305 16,999 18,167
LABORATORY:
INPATIENT PROCEDURES 6,818 5,560 42,998 47,704
OUTPATIENT PROCEDURES 18,282 21,965 130,768 182,981
TOTALS 25,100 27,525 173,766 230,685
RADIOLOGY:
INPATIENT PROCEDURES 156 99 819 833
OUTPATIENT PROCEDURES 761 775 5,973 6,802
BONE DENSITY 13 14 110 102
NUCLEAR MEDICINE 70 81 619 653
UL TRASOUNDS 160 162 1,263 1,309
CT SCANS 248 247 2,019 2,118
MAMMOGRAPHY 86 114 656 784
MRI 130 138 891 944
TOTA.LS ~ 1,624 1,630 12,350 13,545
PHARMACY:
IV SOLUTIONS DISPENSED 1.235 1,093 9,055 9,527
DRUGS DISPENSED 14.272 8,995 100,073 88,644
HIGH COST DRUGS DISPENSED 1,492 1,501 10,883 12,097
TOTALS 16,999 --------11',589 120,011 110,268
RESPIRATORY THERAPY:
INPATIENT PROCEDURES 766 448 7,985 7,528
OUTPATIENT PROCEDURES 191 167 1,902 1,842
STRESS TESTS 3 7 56 46
EKGS 230 227 1,584 1,702
EEGS 2 3 23 14
TOTALS 1,192 ------- 852 11 ,550 11 ,132
PHYSICAL THERAPY:
INPATIENT PROCEDURES 607 203 3.620 3,232
OUTPATIENT PROCEDURES 1,010 1,267 10,042 12,525
HOME HEAL TH VISITS 0 91 379 936
TOTALS 1.617 1,561 14,041 16,693
6
THIS MONTH THIS YEAR LAST YEAR
THIS MONTH LAST YEAR TO DATE TO DATE
HOME HEALTH CARE:
MEDICARE VISITS 12 624 3,744 5,265
OTHER VISITS 0 41 202 393
ST/SS 0 0 1 6
TOTALS 12 665 3,947 5,664
DIETARY:
MEALS SERVED TO PATIENTS 1,683 1,230 11 ,963 11,884
MEALS SERVED IN CAFETERIA 3,948 4.427 35,050 33,962
TOTALS 5,631 5,657 47,013 45,846
7
RUN D.1I'1'1;;:09/13/10
TIME: 14 : 36
l1E~lORr.1\L I~EDrCAlJ CENTEH
CHECK REGISTER
09/01/10 THRU 08/31/10
llANK~ "ClfECK- -..""..-...,.. --.. - - ....... -.. _..... -...- - -....' -.. -- - .... .-.. -... _. ___.._
CODE NUMBER Oll.'!:E MlOmi'I' PAYEE
PltGE 1
GY"CKREG
-._~_____________W______~M~______~_~~_'__~___M__...___-----M_..~_..~____M_~__~_____M_~..___~~__ 'N_'.~_.'_'.__"_W__~_____M"_'.___.'____"____M___
A/P 140107 08/05/10 26,666.00 WILLIAM MCFARLAND
A/P 140108 08/05/10 58.88 GREG CO~IART , CRNA
A/P 140109 08/05/l0 70,00 JENISE SVE'rLIK
It/P 140110 08/0S/10 107,50 DYNAMIC DIAGNOS'l'ICS me
MP 140111 08/05/10 485 ,00 WILLIA!1 E HEUKlIJ1P, TRU
A/P 140112 08/05/10 3,415.15 DUANE p COULTER
AlP 140113 08/05/10 17,377.42 M11C EHPLOYEE BENEFITS
AlP 140114 08/05/10 32.00 TAHI MALDONADO
A/P 140115 08/05/10 2,000.00 RHINO !1EDICAL SERVICES
AlP 140116 08/05/10 11,375.00 MARK GORMAN, CRNA
A/F 1.40117 08/05/10 1.77 ,,69 LESLIE ANN SOLIS
AlP 140118 08/05/10 2,272.40 GE HEAL'1'HCll.RE OEe
AlP 140119 08/05/10 1,800.00 ACRS
AlP 140120 08/05/10 656.78 AMERISOURCEBERGEN DRUG
A./P 1401.21 08/05/10 1,967.23 CARDINAL HEALTH
'A/P 140122 OB/051l0 37,,36 AU'J.'O PJI..H'J.'fi I< MACHINE CO
AlP 140123 08/05/.10 20.00 J~i\.NE B1l.!lNETI'
AII' 140124 08/05/.1.0 52.50 BRUCE'S Au're REP1UR
.l.../P 1.40.125 OS/()51l0 5,9/17.00 BECKMAN COUI/fER J:FIC
A/P l~,O 126 08/05/10 '190,00 HBST WE S':rEiThl POR'r I,IWAC
All' 1401.27 Oll/OS!:l!) ZUlO OJ, C0i1:! li'EDBRll.L, CREDtl,f
Ail' 1401211 08/05/10 ,,4.S(L, ?~1 CALHOUN COtJliI1'Y
'AlP J.40129 08/05/J.0 G"t21..J6 GREGORY vi COHln;:~tf'
AlP 14iJUO 08/05/tO 2l0.00 C:PII'hE.:~W Mi!:rnCAL CF:N'r'H;H
X=.J'fj '1.4\01:31 ')8/0';/1.0 i05,,22 (PHI
].l;.'/P 1M U 2 oa/osn.!) 1.0'1. :1.2 S:f.BMENf:i HEAI/rHc.AJ03 XHAl:1
AlP 140133 08/05/1.0 '1,0;10.00 F .iUlN.41~ S'I'lUiiET fINll.11Cli\.I,
AlP 1.40134 OH/OS/:lO ;J3 ~ 10 l":rsm~f( SCJ.EN'l'U'lC; COfilPA
AlP 140J.35 08/05/1.0 48,00 SOYCE li'LAl\ry,n G.il.N
tl.!P 1.4013(\ 08/05/10 450,00 FOR'!' BEND BEftVrCIt8,< I~JC
!;/}} 1.40137 08/05!10 '1(1)99,76 GE Hli:JiJ~TXf.CAI{E
A/P 1401.38 08/05/:IO 175.00 GUllr-i COAST DELJ:vgRY
A./P 1.40139 08/05/10 38,89:1.f35 !{OBERTS, ROBBRTS &: ODE:f
AlP 140140 08/05/10 48,29 11. E BO~''I' GROCEHY
AiP i40:l4J. 08/05/10 $3,80 f!UBER'l' C01<!PllJ'f,/
AlP i40142 01l/05/iO 4'7.75 IN'1'ERME'l'RO iNDUSTRIES C
'AI? 104 0 j.43 Oa/05/10 29,558.00 ITA RF.SOURCES, rNC
AlP 140144 as/OS/10 925.00 ,JOHNSON Ii JOHNSON
AlP 140145 08/05/10 91. 00 KIl1BER1Y, CI,Z,.RK INC
AlP 140146 DS/OS/iO 551.81 LANDAUER :mc
AlP 140147 08/0S/10 1.20.88 TERRY ~I. Ml\.DDUX
A/P 1.40148 08/0!5/10 170,00 !11ERRY X-RAY..' SAN ANTOm
A.!p 140149 as/05/10 22.16 MMC AUXILIARY
AlP 14 0 150 08/0S/10 no.oo PJl.TRICIA OWEN
AlP 140 151 08/aS/10 1,000.00 U S POSTAL SERVICE
:4./P 140152 08/05/10 21.09 POWER EUC'l'RIC
A/P 140153 OS/05/l0 25.00 RADIOLOGY UNLIMITED, PA.
AlP 140154 08/05/10 166,15 MARIA D RESENDEZ
AlP 140155 08/05/10 121.90 SIEMENS ~JATER TECHlvOLOG
A/P 140156 08/05/10 67.06 SHERWIN NILL!AI~S
I
I
I
I 8
I
l
RUN DA'rbi:09/DIlO
~1~U1g; 14: 36
HE1~()Rl1!L HEnle.1\!:, CB1~ER
CHECK REGIS'rER
OB/DiIlO 7.'HRU 08/31/10
13.i\.NK- -CHECK -.. '- - ".,. -
CODE NUl4BER DATE
....._.y..._~.'---------------~----~~~.~.._-,--,-'.
AMOUNT PAYEE
'-.'~.'-__~~~____~~W~..~__~'..~___~M_____~___~____~_~_~__~_~____~A______~'~~_._,~~_,. ._w____.__~_~___.,___~__~.w_~_.~__w_..______..__._..~..__~_____
AlP 140157 08/05/10 697.58 SIEMENS MEDICAL SOLUTIO
AlP 1.40158 08/05/10 3,992.00 SO TEX BLOOD I< 'rISStJE C
AlP 140159 08/05/10 74.60 STRICTLY BUSINESS
'AlP 140160 08/05/10 10,000.00 'rEAM REHM
A/P 140161 08/05/10 23,984.00 'rOSHlBA AMERICA l'lEDICAL
A/P 140162 08/05/10 150.00 DEBRA TRAMMELL
'il./P 140163 08/05110 27.50 UNIVERSAL HOSPI'rAL SERV
AlP 140164 OS/05/10 14 '7.50 UNITED WAY OF CALHOUN C
AlP 1.40165 08/05/11) 32.00 ELVA VELA
liP 140166 08/0511.0 37.2.0 THE VICTORIA ADVOCATE
All? 1.4 0 167 08/05/10 1;264.79 WASTE rWJAGEMENT
'A/l! 140168 08/05/10 3,.749.l6 US FOOD SERVICE
AlP 140169 DB/OSIIO 5,4'73.00 'rue
A./P 140170 08/05/l0 209.78 HEALTH CARE LOGIS'.rICS I
AII' 140171 08/05/10 2,596.1,2 CENTURION MEmC11L FRODU
All! 140172" 08/05/10 .00 VOIDED
All' 140173 08/05/10 .00 VOnlED
AlP 140174 08/05/10 1..679,65 DEWITT PO'l,'ll f~ gor~J
A/P 140175 00/05/10 '11 J 600,. 9:J. GKitA ENERGY
It/I' 140176 08/05!:tO 6;fn~L51 ,i';J.!ERISOtJRC'EBE:!\GEN n:a)JG
A/P 1401'7'7 OR/OS/Ill 1,564. 50 p,LCON 1ABORA'.rOlm~8 INC
AlP 1401'78 08/0W.0 2.23J~3 ALP11P.. 1]:EC H'Y~Sryn~;l}1S XNC
~fJJ 140:L'i9 OU/D;)/:>! 3:1L.12 ARROW XN'l'FJl1.H1V1.'IOI\fAI, I,NC
Air 1.40180 OH/OS/to 192&;)7 hl,r&'ll' t~{OBrlJ1.f2'y'
A/P JAO:l.81 f)8/()!>! :1.0 l6'~1 J~8 BAiUJ l<1KtrCCAi.,
i'/P :).401.82 08/05/1,0 165.26 BECKjJIr\lv COUUtE!'. :wc
.AlP lA01.S3 08!O!~/:l.O f:!.6,.22 BRtGGB CORl'ORA;!'JO))J
hiP 1401H4 OB!O~;/:LG 00 'i)'():rogJ)
,(::,/:P M,Olf)!j 08/05/10 l'll"gg :rm~ COUl~C:r.L, COHPANY
AlP iA o:L86 08/0'inu .,735, ;,;9 H:n~~1.~1ENS HgA.I,,~!:HC.p.lt~: n:Lt\G
11'/P 14018'7 08/0'1/:LO lS$,.3'J nr,E; P1IPEI1 &', PXlCKA(iIW':1
A/:(? 1401.88 G8/0'J/:l() 1.9 !}V t,1j~:!r8;RA.i.! EXPHeSH CORP ~
'~ r'o 1.101H9 t18/0S/:i.(j iiU VO:WIW
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A!P 140190 () 8 / D 5!:LO ,U(i,'~8 J"Isrn~n. BCl::mnn'IC CO!,~PA
l..../Xi 1-,\0191 08/0')/:1.:) 1..97:L80 GRBA'l' Af!i}~R:r C.fl, IIEASJNG C
AlP 1401.92 il8/05/HI ;;29.01.1 GBn\INGm USA
.'A/P 14!i193 08/05/10 1:1,4 19 elF,E' COAS'I' J?~.PER CO!')PAU
A/I' 140194 08/05/10 29,21 :rN))FJPE~JI)EilIC:ii; MmrClH,
.A/,P HOB'} 08/0S/iO 1, 27'i.76 IUk'OrJl.t! I1!iC
AlP 1.403.96 08/05/10 ;i3.96 iJIlCK I,. rii&RCUS., I!i!C
AlP 1.4019'1 08/05/:LO 36,00 KEY 8URCJICi,.L :nJC
liP 140198 M/OS/IO 4,241U5 MEDRAD nIC
A/P 140199 08/05/10 210.00 l~ERRY if.,.RAY- SAN Mj~WN:r
'It/'E 140200 08/05/10 354,33 ON-SITE ~rESTING SPECI1lL
AlP 140201 08/05/10 2,73.9.41 OWENS I< MINOR
AlP 140202 08/05/10 2,752.20 PC ~!ALL
AlP. 140203 08/05/10 3,185.00 PHILIPS MEDICAL SYS'I'E!'lS
AlP 140204 OB/05/10 254.40 R G &: ,i\SSOCIA':r:es INC
AI)? 140205 08/05/10 440.00 RED HAw];
A/P 140206 08/05/10 941. 58 SlEt1ENS MEDICAL SOLUTIO
A/P 140207 08/05/10 4,269.00 so 'rEX BLOOD S: 'tISSUE C
P!\,Uli :),
GIICKREG
0; 9
RUN DllTli:09i:t.3/10
'm!l1::.1.4:36
rn!iMORIA.L l~E!iICAT.' CENTBil
CHECK !lEGIS',VEn
08/01/10 'l'HRU OHm./l0
BANK'-CHECK- - ..-, -- .....--- _n -..... -- .... --..- -...... -.,
CODE NUMBER DATE MIOUNT PAYEE
A/'!:! 140208 08/05/10 278.48 THE ST JOliN COMPANIES,
AlP 140209 08/05/10 551.87 STRYKER SALES CORP
A/P 140210 08/05/10 85,741.97 TEXAS CO & DISTRICT RET
AlP 140211 08/05/10 7,438.00 '1'EXAS ~lUTUAL INStJR1l.NCE
AlP 140212 08/05/10 26.48 UNIFIRST HOLDINGS
A/P 140213 08/05/10 159.86 UNIFORM ADVAlffAGE
A/P 140214 08/05/10 2,748.93 UNIFIRST HOLDINGS INC
A/P 140215 08/05/10 191. 48 UN1:TED PARCEL SERVICE
AlP 140216 08/05/1.0 43.43 VERIZON SOUTHWEST
A/P 140217 08/05/10 59.57 GP.AINGER
A/F 140218 08/05/10 195.00 X-RITE :me
AlP 140219 08/05/1.0 41. 73 ZIMi~ER US, INC.
A/P 140220 08/05/10 50,00 RJi.MSEY RODY
A/P 140221 08/05/10 208.55 ZHANG SHUXIA
A/P 140222 08/05/10 61. 87 DICKEY ELLA 'KAy
'AlP 140223 OS/05/10 533,80 PETERSON HAROLD
F:.iP 140224 08/05/10 208,55 CHEN r,lEI lJ<1~
A/!' " 1.40225 08/05/10 l?n BRINKLEY ItA GAIL
A.J? 14.0251 08/J.2/10 96,720,00 VJCT01UlI EI'jF;:tlGE:Ney }\.H BO
A/? 140262 08/1.2!10 5" il~~ 189 PA.R'fSSOU:R.CE, LI,('
A/P :140263 0811.2110 !ff 1.66 .67 HI'i'l,ClU ~J:@lC?.I, {{YI~V.1lEr1B
A/? 1.402.64 03/12/:i,O -330.24 CENl'lfinON jx(EDJ:CA:LJ PRODO
A./P H026!! 08/U(10 31'l,61 DE1!JI1.rI): J.'o'rH ," SON
j~/P 140266 08/:L2/10 J.:~8, 41 Gli::KA r;m~RG~
~Ji' lA0267 08/:L2n.O SlOOO,OO LOll.RA.!N'!;; fl, !?QXi CnJ\fl~ "!::(:
A/P 140268 08/l2/1i) 'l i 3.:S4, 1.~. 1/i.MC Br.fP)~{)'xl~T~ BgNEk"1I~F8
iln JA0269 OH!l~;j1.n ~~O~}({~~.~ r;N,!,){:?,p,Rr.SK f{BNf'.~ J"::. ,d C.i1.H
AlP J4.0270 on/l:J/:i.O "1,850 00 HK1\.L'!.'H :OI)m!:;~iSIOjSJS GnOtiP
A/P 140271 08/J.2/10 ?O '. 00 LESLE't H \JONj~!3
All' i.M2'12 08/12/10 7(;,00 \!JlIM.A ~;Sc.iU\1n
ll/f: 1402'13 OBi.l2/1G ,(;(: vOWED
iliP ],40274 OB/12/10 .t3,36G,;O:?' .A1.1.gR:rBOURC1~BEHm~N .DR(H..:~
A/P 140275 08/12/10 308,66 APP.LtBD ~\jmD I ellt,
A/P 140276 08/i2!J.O 80.00 .i\NUJ. FRICKE: . COl.iN'rY ,,,
All' 14027'7 08!l2/10 209,21 CARDINAL HEllJJrH
All' 140278 OB/1Z/10 246.50 AWESONEi PAGING UK
A/P 1.40279 08/12110 3&312.21 BAXTER HEAJRHCARE COE)'
AlP 140280 08/12/10 ::i, 382.:1.3 BECKt<1A..l>J couurER INC
AlP HOZ8l 08/12/10 207,99 BECKWrf.'H ELEC'l'RO!.HC gl\fG
'AiP 1.~0282 08/12/1(1 70.00 VIC'I'ORIJl. BROOME
AlP HOm OS/U/lO 20.00 Cl,LHOUN COUN'J.'Y \iiAS'l'E NG
AI? 140284 08/12/10 439.38 Cl?SI
A/P 140285 oe/U/IO 70.00 TRACY DUNWOODY
A/P 140286 08/12/10 3,020,33 ENTEX
A/P 140287 08/12/10 50, :35 FEDERAL EXPRESS CORP,
'A/P 140288 08/12110 571,71 FIRESTONE OF PORT LAVAC
A/P 140289 08/12/10 3,443.09 FISHER SCIEN'I'IFIC em!p!;.
AlP 14 0 290 08/12/10 30.20 il E Bu'rT GROCERY
AlP 140291 08/12/10 28.24 INDEPEl-JllENCE ll\ED ICA.L
AlP 140292 08/12/10 4,'794.42 IKON F'mANCIAL SERVICES
A/P 140293 08/12/10 2,715.00 INFOLAB mc
PAGm
mJCKl~.EG
10
RUN DAT~:a9!13!10
TIi'lE:.14: 36
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CODE Ntn~BER DATE
1jE~!OlU.i\.r, 1'fEDJ:CA.L CEN~L'ER
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aB/OJ./lO 'mRU 08/31/10
AMOUNT PAYEE
~J~GI~
GLICK.Hl~G
______N____~_W..__~___~________._.~_~_________U~_____MM_'___'._____.'______~~_... ..._'~..n'....___..._..'A'._'N__.__...__~..__~,._,.._,__M,.._.__M..._.___
A!P 140294 08/12/10
AlP 140295 08/12/10
AlP 140296 08/12110
A/P 140297 08/12/10
AlP 140298 osmiJ.O
A/P 140299 08/12/10
A/P 140300 08/12/1.0
'A/P 140301 08/l.2/10
AlP 140302 08/12/10
A/P 140303 08/12/10
AlP 1.40304 08/12/10
AlP .140305 08/12/10
A/I! 140306 08/12/10
AlP 140307 08/12/10
A/P 140308 08/12/J.0
AlP H0309 08/12/10
A/P 140310 08/12/10
1!./P 140311 il8/l.2/10
AlP 1.40312 08112/10
A/'!! 140313 OB!l2!10
AlP 140314 08/U/:J.o
AlP 140JEi 08/:1.2/10
A./l' 140315 OB/J.-2/tO
A/P 14.0::m 08j12/tO
AlP '~40,~:L8 08 !.1...~; /:1 (J
Alp 140319 08/12/10
h/P JAOnO OS/!.2/l.0
!.~i i! 1-10321 :)8/11./1.0
A/I' 140322 OBI12/10
!+Ii' 140323 08ij,2/iO
AlP 1.40324 08/.'L2/:1.0
.t/:~ 140:m n8/:i.2/.1..0
?~./P 1403;)6 OHiJ..2/1.n
AlP HO:!2? iJ8n2/1 0
AiP 14032[1 O()!1.i)/J.O
,A.iP 140329 08/:1.2/10
AiP :140330 08/12/1.0
~.,JP 140333 08!:t2/l0
A/P 140334 OBi12/1.0
AlP 140335 08/12/10
.!lIP 140336 08/12/10
l../l? 140337 08/12/10
l~./P 140338 08/12/:i.O
A/P 140339 08/12/10
A/P 140340 08/12/10
AlP 1.403.41 08/12/10
~JP 140342 08/12/10
AlP 140343 08/12/10
AlP 140344 08/12/10
A/P 140345 08/12/10
AlP 140346 08/12/10
1,078.62
307.09
1,056.16
49.65
3,750.00
2,887.17
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4,3'72.60
12,484.17
70.00
427.79
:[56.00
144.68
31.50
25.00
1,610.00
2:13,40
l'7 Ul8
t, 085,1.14.
6 9.() 0
:<',265,95
40<00
'i,026,;;:6
9:.:rL52,
28,. :~2
:n'r 52.6" 25
3.>' 9'l:{,. 60
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2;'.78,6:1
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26 ,~8
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115,,67
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8J.6.00
23, u3
78 ,1,\7
256.00
1.8.29
197.60
'1.45.60
145.60
9.65
150.00
92.20
J.8,24
50.00
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I'IEDELA INC
1,lERRY X-RAY. SAN ANTONI
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11
Rln~ DATE:09/i3iiO
~r:mE: 1.4 d 6
L\~EL~ORr.0.}J r~~EDICA.L CE:i~Tg.R
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CODE NUMBER DATE AMOUNT PAYEE
CHECK REGIS'rER
08/01/iO UIRU' OI.l/3.1./10
A!P 140347 08/12/10
AlP 140348 OB/19110
AlP 140349 08/19/10
AlP 140350 08/19/11l
A/P 140351 08/19/10
A/P 140352 08/19/10
A/P 140353 08/19/10
AlP. 140354 08/19/10
AlP 140355 08/19/10
, ,..
AlP 140356 08/19110
AlP. 140357 08/19/10
'AlP 140358 08/19/10
lI!P 140359 08/19/10
MP 140360 09/19/10
A/iI :140361 08/19/10
A/P 140362 08/19/10
A/P 14.0363 OB/lS/iO
AlP 140364 08/19/10
A/P. 1.40365 08/19/10
AlP WJ:J6 6 0&/1.9/10
A/P 14036'7 !)8/:L9/J.O
A/P 1403GlJ 08/19/10
A/P 1~~u~;~69 1)8/19/1.0
At? .'JA0370 08/19/10
x~. il~i .LMl:3'i:i 08/1WO
f(.JP 1403'72 OB/i9/iO
T~jP '1.4.0373 OB/:t9/l0
AlP t4037~1 OB/t9/:Ln
A/IJ 140:3'r, OH/19/J.O
l~./lf :L40376 Qll/i.9!iO
?l.i:Q 1403Tf OgIJJ/W
Ato 1..10378 08'/.1.9/10
A/l) lA03'l9 08/1,9/10
b./P 140380 08/BfJ,O
AlP 1403(l:!. 08/.19/10
UP 1403H2 08/j,9/iO
A/P ).40383 OS/19/in
AlP 140384 08119/10
P,Jf' 140:lf.1!: OS/19/I0
AlP 140la6 08/19/10
AlP 14038'7 08/19/10
AlP :140388 08/H/ll)
AlP 140389 OS/191I0
AlP 140390 08/19/10
AlP 140391 08/19/10
A/P 140~92 08/1.9/10
A/P 14039:1 08mm
AlP 140394 08/19/10
AlP 140395 08/19/10
A/P 140396 08/19/10
AlP 140397 08/19/10
150.00
112.69
10,320.10
1,975.28
976.00
7 r 591.94
2,000.80
7,401.63
750.00
6,371.46
83.91
946.95
295.04
12,931. 08
5,410.44
495,00
'),.380,88
3;1; ;~28~ 70
7,901, :10
:3,61:1. 14
.'J,tDOO<00
11,100.00
LONDON RQBER'r
FILTER TECffi10LOGY CO, I
Ol>lNJ:'.PORT liAVACA 07, fJ.
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CENTURION l1EDICAI, PRODO
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WILLIAM E REITKPJ1P, TRU
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?O~94
J 't! ~ G9 :L~gSLJ:Ji; ,n.NI';! HOLIS
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r~/,., 10
2:i4. 00
too 110
6"4, DO
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16;,BOO"OO
?.. ?:}.6 ,.00
9 f 885" 97
:j .' 349 " :(.,;!.
18,< 9;,~O c. 15
;;,306, :)4
169,'70
362,51
l,n:l.65
92.7:!
1;/'05,(;1
13.25
492.91
1.6,960.47
294.00
30.00
25.00
84.41
500.00
137.27
8,12U.6
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AUTO PiI.R'ri3 &, rvj.ACHHrg co
B.i!.X'l'ER HEALTHC.A.RE CORP
BECKMAN COULTER rNC
BOB :BONAR
ANGIE BURGIN
CAL COM FEDERAL CREDIT
CAROLINA LIQUID CHEMIST
MICHAEL CAUGHRON
CERTIFIED LABORATORIES
GREGORY W COWART
PAGB
Gl,CKH)~~G
12
mm DATE:09/13/l0
nr1E;:14:J6
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CODE NUMBER DATE AMOUNT
t"n\iWHI.IIL iVii~JJICA.L CEN;r']i;i.1
CHECK REGISTER
03/01/10 THRD 08/31/10
PAYEE
.. -- - - '- ..... -- - - -r--" - - --..".." -- _.- -"" '.' -- ,,- - -.." -- --".." -"""" -.-" .....".. -"...
~./r: 140398 01l/19/10 58.11 COOK MEDICJl.!, llifCORPORAT
A/P 140399 08/19/10 13,014.00 CPSI
A/P 140400 08/19/10 168.88 h\URA DAVILA
A/P 140401 08/19/10 68.00 DLE PAPER & PACKAGING
A/P 140402 08/19/10 86.42 DYNATRON!C8 CORPORATION
A/P 140403 08/19/10 11.14 FAS'rE~lA1J COMPAlifY
A/P 140404 08/19/10 3,130.00 F~4 STREET FINANCIAL
A/P 140405 08/19/1.0 1,636.85 FISHER SCIENTIFIC COI.IFA
A/P 140406 08/19/10 450.00 F'ORT llEND SERVICES, INC
A/P 140407 08/19/10 302.92 GULF COAST PAPER COMPAN
AlP 1.40408 08/19/10 73.30 l{ E BUT'r GROCERY
A/P 140Q09 08/19/10 28.87 HUBERT COMPANY
A/P 140410 08/19/10 41.6.00 IKON FINANCIAL SERVICES
A/P 140411 08/19/10 825.95 INFOLAB INC
AiP 140412 OSi19/10 1,268.54 INSTRUMEN'.rATION IJV30RA'f
All' 140413 08/19/10 300.00 INTERi~L REVENUE SERVle
AlP 1404.14 08/J.9/1C 232.99 I"ABCORP OF AMERIC.A HO:W
Pe/?' 14041.5 08/19/10 807.08 1'1lH,IPS 1.,J:F'ELnm
A./P 140416 OB/l9/1D 4.7.74 TERRY. \q, l'!.1UlDl1X
'AiP JAO,H7 03/:l9/10UHL9J. MiiliKETLA.l3, lNC
i\/P 1404:([1 08/19/10 :\, 112.00 )YJ)~D11AD me
1,/)1 140419 08/19/10 mUG ~lERRY X-HAY.. ElM!) i\N'I'CNT
A/P 140~20 03/19/10 8.5,(jO ;')NiC AUXnI1J.l1Y
A.f1~
14042). 08!:[,9/10
14042.2 011/19/10
140423 OW.SilO
(\./P
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14nJ12(~ GB/1..9i:1,O
J404:~r~ 08/19/10
14042ii OB/:I.9l:i.O
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1(-!;Q.12'7 OS/:.i..~l!10
AlP
lA042B 08/19/1-0
:1.40429 OH/t9/iO
140430 OB!J9/:li1
140431 (lH/uno
140432 OW.9/H)
1404.3:l OH/l9/10
:1.40434 08/19/10
140435 Oli/H/1.1J
1.40436 08/:i.9J,tO
HO(Ll'l 08/:l9/:LO
140438 iJ SJJ.9 /10
140439 08/19/10
140440 08/19/10
140441 08/19/10
140442 08/19/10
140443 08/19/10
140444 0.8/19/10
140445 Oa/J.9/i0
140446 Oa/l9/10
.14044'7 08/19/10
140448 08/19/10
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320.00
66'7.83
399.25
191. 05
442.00
466.80
23,984.00
904.96
150.00
3,336,96
26.48
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CODE NUMBER DATE ~~OUNT PAYEE
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A/P
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140449 08/19/10
140450 08/19/10
140451 08/19/1-0
140452 08/19/10
140453 08/19110
14045.1 08/19/10
140455 08/19/10
140456 08/19/10
140457 08/19/10
140458 08/19/10
140459 08/1.9/10
140460 08/26/10
140461 08/26/10
140462 08/26/l0
140463 08/26/10
140464 08/26/10
140465 08/26/10
140465 08/26/J.0
140467 08126/J.O
140468 08/26/10
14046Si n8/26/l0
1\Jt'
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1401:~?{) Oai2'6/10
1{10471 08125jJ.(!
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;\!P
:L40(\7~1 08/26/10
1401'/6 OB/:J6/1C
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1404'J8 08/26/:1.0
:\.40479 CHi/2G/tO
l40MH} 08/26/10
j.40481 ()AnG/IO
J.40482 08/26110
1..40433 OnFJ6/10
140484 08/26/10
140485 08/26/).0
140486 08/26/10
140487 08/26/10
140488 08/26/1.0
140489 08/26/10
140490 08/26/10
140491 08/26110
140492 08/26/J,0
140493 08/26/10
140494 08/26/3.0
:.40495 08/26/10
140496 08/26/10
140497 08/26/10
14049B 08/26/10
140499 08/26/10
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92,94
2,909.67
152.50
50.00
1, '721.10
63.00
8,001. 00
450.00
145.66
124.20
106.11
525.87
362.00
169.00
tJ,087,B4
342.24
6,147.88
2,146.09
2,126..33
25,49
10;616..%
11,249,30
~14:..52a,- 99
29,82
6()(::,OO
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308,23
259.01
631. 62
322,95
7,050.00
1, 6:l6, 42
3,751.9B
1'15.21
49.15
650.49
CAHDlHAL HEA:G'L!
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'l'HE COUX~CU, COl~l?~.J.\iY
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08/01/10 'i'HRrJ 08/31/10
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A/P
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A/P
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A!P
140500 08/26/10
140501 08/26/10
140502 08/26/10
140503 08/26/10
140504 08/26/10
140505 08/26/10
140506 08/26/10
140507 08/26/10
140508 08/26/10
140509 08/26/10
140510 08/26/10
140511 08/26/10
1.40512 08/26/10
140513 08/26/10
140514 08/26/10
140515 08/26110
1405J.6 08/26/10
140517 08/26/10
:1.40518 08/26/J.()
L40519 08/26/10
1.40';20 08/26/:(0
1.40521 08/26/10
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140542 OB/26/10
140543 08/26/10
140544 08/26/10
140545 08/26/10
140546 08/26/10
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1,067.00
1,2613.09
25.00
170.00
110.17
29,558.00
261.12
300.00
70.00
325,00
71.02
374,61
531. 57
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46,20
31.:32
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116.81
542 .10
38,40
1,100.00
267.20
HUBERT COMPANY
IKON FINANCIAl, SERVICES
INFOIJ.B INC
:rNSTRm~ENTATION l.JI.tlORAT
INTOlCI!1ETERS me
lVANS
ITA RESOURCES, INC
LANGUAGE LINE SERVICES
MEt10RIAL HEDlCAL CENTER
DAWN MCCLELhA.ND
REBECCA MALONE
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GOODEN ELDON
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15
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AlP 140551 08/26/10
AlP 140552 08/26/10
AlP 140553 08/26/10
To;rALS:
18,'79
27.82
106.50
1.230,029.62
nOYD FRANCES
FLOYD F'RANCES
BOLLETER ROBERT 1
16
RUN DATE: 09/22110
TUftE: 10: 13
PRTit1e
DIR KG CARE!AP/CIHCP
SUPERVISOR-PURCH/CS
REGISTERED NURSE
REGISTERED NURSE
DEPl'.RT11EN'fAL J\SSIST
CS TECH
CENTRAL ,:;TEf{.T.LE L bl;j"j
l.)~L~GING TECH
eJIREcroR PFS
ES )\IDE
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REGISTERED NURSE
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HEI10RI]I,L HEDICAIJ CENTER
DEFAULT FORHAT FROH DB019
PAGE 1
PRTotGross
(\, .',' .,.
l 1 '.'" :j '{ ~:o I
! .
'..:).. '
3513.60
3137.50
::,)02.05
4616.96
2359.12
1848.61
27t,9.2S
918.06
4670.68
1592.00
1924.80
1813.36
2142.40
';297.19
1378.53
1517.89
1388.82
1299.38
1765.70
3696.32
5385.67
806.19
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1960.1'7
2507.03
2327.71
3J50.40
i32'j4.72
216.00
3051.60
3156.50
6039.14
5317.26
328U9
102.00
5491..10
17
f""
I
EUN bNl'E: 091!;;~/10
:rTEE: ,', 0 : 't 3
F'RTitlE.:
PEGISTERED NURSE
iV\DIOLOGIC~L TECH
RJ::J) TECH
HLT
LAB DIRECTOR
Lld3 A.sSIST;~NT
j\EDIC\~L LAB TECH
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REGISTERED NUHSE
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REGISTEHED NUrSE
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t~i'J
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RN
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MEMORIAL MEDICAL CENTER
DEFAULT FORMAT FROM DB019
PAGE :2
PRTotGross
4878.84
4884.03
887.04
1189.88
4843.02
2222.26
:3965.04
1991.69
5212,80
1527,28
1570,69
483,48
4022.57
355.25
2511.32
2126,10
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1'~i<~6.Ba
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28'jlj.04
1859,40
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458,25
6800.39
2622.57
2818.69
022.82
105.88
1894,86
4477. 27
4575.35
427.81
18
~"'"
,
FUN DNrE: 09/22/10
Tj:~1E: 10: 1:3
MEMORIAL MEDICAL CENTER
DEFp'[)LT FORMAT FROH DB019
PAGE 3
FEGI.S'IEEED NURSE
PH.T:L t Ie PR1'ot.Gross
4946.13
I.'VN
K TECH
OR SU,PEHVISCF
RN
T;:.i\!\JSCEI FTION I ST
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FECISTERED NOFSE
REGISTERED NURSE
ls,rSTANT BUYER
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REGISTERED NURSE
REGIS7.'ERED NORSE
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OUPl\TIEN'l' CODER /ROI
P. T. ASSISTI\N'T
.i\SST NURSE ADI'UNI3TR
FJ>i COOy,
4114.28
2654.34
5S93.7'7
1774.8J
1968.28
117.68
1473.39
422.19
3576.00
1680.00
3664.80
1889.69
6354.69
466.69
419.25
860.32
.581.) .j,;
3906,60
3860.14
3804.80
3213.05
3600.10
2098. .~R
420/1. '~E:
~.~ ] '::: :') , ;~ E,
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:,~g3:),8B
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2982,J.2
2847.3'7
104(;0,00
2853.00
1289.44
3814.13
1836.15
164.43
1847.52
~;742...JG
~~796, 'II
3208. on
795.08
2201.60
3822.50
126.00
1408.11
19
I
eUN !)liTE: 09/22/10
TIHE: 1 n: 13
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B T C- j'U~D TECHNIC I ,i\N
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j~ .s AIDE
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!\IIi!:
t;S J:, IDE
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:;r\}m.l:~rY OF"FTC,E;H
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FEGTSTHATION CLERK
HEGISTRATION CLERK
HECTST'RZi,'I'TON ('LEFK
UNIT CLEHK
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i. ii
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DEFl>.l1LT FaRHAT FROM D8019
PAGE 4
PR'I'otGxlJss
1594,';0
1215,39
2229,05
1004.55
937.95
123:,20
346C.80
4329 85
23 77 88
2518.40
223.92
'11 r. ') ,.")
-'-_..,.it...O,)
1531.:;16
2176.75
4646.40
1208,00
1348,45
1221. 06
1480,00
J347.31
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12~){J .0/1
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9'1,63
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1. ::_12 3 , iJ .~~
2132,52
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1134.13
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13/4, 06
1008.79
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11888,46
3769,60
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Cr.::nd t.c~ta1.t.: :/;;(;'78] .51
20
CIHCP MONTHLY FINANCIAL/ACTIVITY REPORT
COUNTY NAME
Calhoun
REPORT MONTH/YEAR August-2010
I. Application / Case Data
CASES
12
24
11
II. Creditable Expenditures During Report Month
1. Physician Services $ 11,914.54
2. Prescription Drugs $ 16,893.93
-
3. Hospital, Inpatient Services $ 18,229.21
~_ Hospital, Outpatient Services .__.____.__________ $ 48,21 ~.28
1--3--.__._....____._.___.____.....__.__.
5.. Laboratory / X-Ray Services .-..------------ ~___________________..__.__~4.60. 56
6. Skilled Nursing Facility Services $ --
_.~-_.._--_......_-- -'-----.--.--.--------..--.----
7. Family Planning $ -
.- -- ---'-------------.-.----.----
-
-.-.-.-.------------------------ -.---------
------------------------- --.---------.
1-- Subtotal $ 96,712.52
..............-...'"-~ --- --.....
CIHCP Refund $ (99.55)
f--- ---- -
Equals (=) REPORT MONTH TOTAL $ 96,612.97
FISCAL YEAR
TOTAL $
741,229.00_
~~~~
Signature of Person Submitting Report
9/15/2010
Date
Monica Escalante
CIHCP Coordinator!
21
FUEL BIDS:
The County Auditor read the following fuel bids, which were opened by Peggy Hall and Susan Riley for
the period beginning October 16, 2010 and ending November 15, 2010. After reviewing said bids, a
Motion was made by Commissioner Fritsch and seconded by Commissioner Lyssy to accept the bid
submitted by Sun Coast Resources for the automated card system fuel and Diebel Oil Co. for fuel to be
delivered. Commissioners Galvan, Lyssy, Fritsch, Finster and'Judge Pfeifer all voted in favor.
202 S ANN ST, STE B
PORT LAVACA. TEXAS 77979
Phone:351~5~610
Fax: 361-653-4614
CALHOUN COUNTY
AUDITORwS OFFICE
Fax
To: COUNTY JUDGE, COMMISSIONERS & Prom: PEGGY HALL
VARIOUS OEPTS. ASSISTANT AUDITOR
Fax: NA
Date: Ocrober14.2010
Phone: NA
Pag.. 3 Inoluding this page
Re: AWARD OF FUEL BIDS cc.
PERIOD 10/1812010 TO 11/15/2010
CJ Urgent CI For Review C Pi..... Comment Cl Ple..e Repl, J:I Plea.e Recycle
.Message:
THE FOllOWING BIDS WERE AWARDED IN COMMISSIONERS' COURT ON
THURSDAY, OCTOBER 14,2010.
FUEL Blga
PERlQD BEGINNfNG OCTOBER 16. 2010
AND ENQING NOVEMBER 15. 2010
· Fuel-Bul~ Delivered - Awarded to Diebel Oil Co.
· Fuel-Automated Card System - Awarded to Sun Coa$t Resources
Bid Prices INCLUDE all taxes and fees the County I. not exempt from. In the event of Tie
Bids, the winning bid ;s determined per the Texas Local Government Code 262.027(bl
)
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10/08/2010 10:13 Calhoun County Treasurer/Auditor
UlIJ/(flitU1U w:n (;lIInoun ~OLllt)llre~surer/AUCltOr
(fAX)3615534614
'AX>3615534814
P.004/005
P .0021004
CAlIIIJN IDINTY. TEXAS -lEI. ..~~ _____...~~"...~ ,- __ _~ .J
INVlTADON TO DI
BIDDU DBa -CO.
lAM DBB.
PO."
POIl'LAVAU IX 77811
811 ITEM IIlIVERBJ ~fIIM: OCTOBER 16, 2010 ...11: NOVeMBER 18,2010
'Y'OU AA! INVITeD TO eUlMlT A Illg eN THI! ABOVE ITStl TO: MICHA& J mrFlR, CALHOUN COUNTY JUDG~ .11 . ANN 8T.
,ltfJ","OO1t, f<<)O"'~01. IDORT&.AVACA nc 71''''
,IOG SMOUU;l 'leUIMITT", 'N A 8eAL!D INVlLCPE PLAINLY MARKeD: ..AUfl) 1I1Q. ~~ ,,_'-tV" T ~~~ ')
.,01 Nt! DUE AT THe JUDGE'S 0"101 ON OR IIFORE: to:oo AM, THUMM Y, OCTO.It', 20fO
111(;1$ WII.1. &Ii AWARDID AT THI COMMl8elC)NfiRS' COUJitT M!eTlNQ ON; rHuR'My. OCf'OUR 14, 1010
TMIi Ol...OCK IN THe COI.lHTY JUDGE'S OFt:lOE 18 THI Ol'l'ICIAI. CLOCK THAT WILL. H ueeo IN OETlRMININca Tl11 TIME THAT A BID IS
R&OEIWD AND THE TIME '..-.T IIOS WILL II OPiNilJ. BIOS RECEIV!D AFTE~ THIi OPiNING 11MI WILl. IE RiTURNiW UNOPENED TO
BIDDElR. THE 00w.41nION~" COURT "1!8!I\VI!' THE AI"HT TO WAIVI TlQHNleALmE8, FlEJiCT ANY 0" ALL 8106, TO AOOEP'r THB DID
ClSeMIl:) MOST AOVANT.AO!Oue"O CAI.HOUN COUNTY AND ;'0 BE THIS $OI.E .IUI)Q! IN OI!T!AMININO WHIOH 1108 WILL SE MOST
AOVANTACJIOU8 TO THe COUNTY. TME COUNTY O~ CAt.HOUN, TliXA8 18 AN !QUAL EMPLO'fMiNT OPPORTUNITY IMPI.OYI!fII. THe OOUNTv'
COIl NOT tJlSORIMINATI! ON THe BASIS OF RACE, co..~. NATIONAL. OAIOIN. sal(. RELIGION. "elE OR HANDlCAJIl".1) eTI\TllSl IN
BMPI..OYM!NT OR THE! PROVISION 01= SERVICES.
11m "... .U......VLK DIUVlRlD
~ VA_lOUt
DI'tVILlX PO. COUNTY 'UIL "MICa
,1I~NAr'1tJN VAIIIOU8
~-~-~~-~~~~-----~~~~----~~-~-~~~---~~~---~~~~~~
$~JIf.I~ 'I'IOIlI., DlmBBL I'UBI.
,.ItloO!L1V1FW MUtt be mad. within ~ hOllrtllftat ~lvl"g orcl.r from the Coimty b.pa"ment In the qlJc.nUty
Clrclt~d. If vendor annot Ciellv.r within a.t houl'8 6r """'1' to dttlwf, the. County OIl*tmtrlt wDl CH'der from the next
bIN,.t bfdd,r, ,
"~PRIOE Per GIIIOI"l MUST INOLUDE all reo. arid Gharg..lnoIudlng -'I TIUllf:7"'eou II not extmpt from (fOr
~~.ao 51.tt Exol.. rID(, &tate Dellllory/Envlronmtntll Fee.. Ftdtr.1 on 'plll R. IY. !l''''liU1d Federal
;.)oFAEIi FROM WAT~ AND eV.PENDle MATIER
--------~------_...:_----~~~--------------- '"
IQt:JPIaA_a UGO'LAIl "O'ffLBAnBD GAIOLDrB
"~DEUVERY mutt be mad. wlthln 24 hc:Iu... .tWr reotlvlnu DrcHIr fl'orn the OounlY Dep8J1mtl1t 11'1 Ult quanllty
ordered. It vlndor oal'll'Jet dtllvtl. WIthin 24 hOUl't 01' t'8fWSH to deliver, ih, Coumy D.p.rtnMnt WIll ordtr froWI tI'le n.l<t.
lovVeet bidder.
~f''''O! Per G.llQn MUST INeUJoe .11 ,... and on.l" InClluclll'l9 ..II TaxMlF... th. Cc>unty 1* not ..mpt 11'01',( <for
Olt8MpIe: eQ.20 Stilt. be... Tel, state DeIIv.rylEnYlronMenftl f1tlil', PllIaral OU Spill RecoveJy Fe.. net Federal
LU$T TD)
....",.18 FROM WAf!A AND eUSlDiNOiO MATTE~ ANO A MINIMUM OCTANE OF 87 (A
:=N ~(p1Nn~~~: .
=~.; ~ID bm;-o~ro~~:_n=:YR1DnDJ .
__~~S!~~ --_:::_~S'~-~~--ct
PlDUUIT AlVEUIPJ.1I111JIIVEIIRRA_i
Mol'1dly, '.D~ 21,2010
....
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.. ...11.
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10/08/2010 10:13 Calhoun County Treasurer/Auditor
09/2712010 09:1 B calhoun county Treasurer/Auditor
(fAX)3615534614
(FAX)3615534614
P .005/005
P .0031005
CAlHOUN COUNTY, TEXAS BID BHEET- IIia-AUT_TED CARD IYBTEM
INVII A liON TO BID
BIDDER IUN IDAIT -CES
I
1118 8 WELlI
EDNA TX 77867
BllTEMl.-AUTOMATED CAID SYSTEM 'PERIOIIRIDM OOT08ER 16,2010 PDlDDTO: NOVliMBER 16.2010
yoU ME INVITED TO SUBMIT A BID ON THE ABove ITEM TO: MlCHA&1. of F'FIlI,./t. CALHOUN COUNrY JUlJ~ af1 $ ANN sr,
IRQ R.OOR, ROOM 'D1, "OM t.AVAOA 7'X ",.,11
81DS SHOULD BE SUBMITTED IN A SEALED ElNVELOPE PLAINI.. Y MARkSD: 8Dt.m) 8/". ~TQMA~ C)ARO Br!'fEfrf .
.IDa AFtIDUe Ai THE JUDGE" OFFICii ON OR BEPOR.: 1DJDO AM, 'fHU~SbA Y, OCtOBER 7, 2010
BIOS WILL BE AWARtlEC AT THIS OOMMIB810NI!"8' ooUI\T MEET[NG ON: THURSDA Vi OQTO..R '14, 2010
THI! QLOOK IN THl! OOUNTY JUDGE'S OFFICI5IS THE OFFICIAl. CLOCK THAT WlI.L IE USED IN CIT!"M1NINC3 THE TIME THAT A BIO IS
REOiMiC AND THI!I TIM! THAT BIOS WILL BE OPENED. B[08 AIiCilVlig AJlTIfIl TH! OP!NING TIME WILL BE! RETURNeD UNOPENED TO
BIDDER. THE COMMISSIONEFtS' OOURT ~9I!ftVI!$ THIllI\IQHT TO WAIVE TECHNICAl.1l1118. IlU!!Jl!OT NN OR ALL BIOS, TO AOOEf:'T THii SID
DEiMiD MOST APV.NT A080ue TO OALHOUN COUNTY ANO TO BE THEi SOLE JlJDGE IN DETEJlIMINING \MIIOlol aiDS WILL BE MOlT
AOVANTAQEOUe TO TM! OOUNTY, THi OOUNTV OJ!' OALHOUN, TEXAS IS AN EQUAl. FiMPl.OYMIlNT OPPORTUNITY I!!M~LOYl!ft, THE COUNTY
DOli; NOT DISORIMINATE ON TH! IASIS OP RAOIE, OOLOR, NATIONAl. ORIGIN, filEX. REL.llaION, AGE OR HANDICAPPED STATue IN
EiMPLOYMENT OR Tt11 PROVISION OF sliFtVICl!e.
.t1l17WM1 PUIEl..,.AUTOMATED CARD SV8T&M
" DItP14R'l'M1!Nf'l VARJOUa
DEUVERV POg aIDDU'. PUI.. PUMP IoOGATION.pOR,. LAVACAJ TX
IlEqn7NlI.rltlN VAlUOU8
_________.......,....IIIIIlIII....~,................~~______~.....__~_____....___............_____....__
."SClt=leAnON1:: DIJDSIDL J"O'IDL
~~ ~~IOe Per GaRon MUST INOLUl:>E .n f... and ~r9.. II'l00ut.![l'IQ ell TexeeIFee& the County i. ngt exempt fl'Ort1
(for example: $0.20 St,t. Exc;:fq Tax, State Oeliv.rylEnvironmental Fe.s. Federal 011 spur Recovery F... end F.f;ferlll
LUST TAX) V/,.
"~FREE FROM WATER AND SUSPENDED MA'Jl1!" ,
G~':.:N ~~T ;r:eE
--~--~~-~~----~--~--~~---~-----,--~-~----~~---~~
SPECIFJeATlONt:, RBGl1LA.R 'UNLEADED GASOLINE
IJoIJo PFuoe Per Osllon MUST INOL.UOc all fee. and Qh-rg.. Including .11 Te.ealFeel tke OcunW Is not exempt from
(for example: $0.20 State EXlOise TlilX, Stste Oenv$rylEnvll'Onm.nt.IP.lte. Federal OllTPD1 R vary Fees and Fed.rill
LUST TAX)
>>FR5E FROM WATER AND eU9PliiiNDED MATTER ANO A MINIMUM OOTANE OF S7 :ViRAGIi MeTHOt))
UJ:JJI. UNIT PRICE
l)ALJ.ON .fl. 6 ~
=_ii'~ ~~mp(pMP~BY~~ .
I'lIIlTIlR ~~ = TIIBUE~-~..fjJ~
PlUIEUIT BY flCfPTI8RS T8111 ABDVE IPECllCATIIIR
Mondlfl S.ptlmbw 27,201 0
III&Il IUlIlOUf....
I
l,
REQUEST FROM PRECINCT #1 TO LEASE/PURCHASE FROM JOHN DEERE CREDIT A 2005,
672D MOTOR GRADER, SERIAL #601167 TO BE PAID OVER A PERIOD OF FIVE YEARS @
$26,114.91 WITH FEES AND INTEREST TO TOTAL $130,575.55 AND AUTHORIZE
COMMISSIONER GALVAN TO SIGN:
A Motion was made by Commissioner Galvan and seconded by Commissioner Fritsch to approve the
request form Precinct #1 to Lease/Purchase form John Deere Credit a 2005 672 D Motor Grader, Serial
#601167 and to be paid over a period of five years @ $26,114.91 with fees and interest to total
$130,575.55 and authorize Commissioner Galvan to sign. Commissioners Galvan, Lyssy, Fritsch, Finster
and Judge Pfeifer all voted in favor.
Form 8038.G
1 Issuer's name
Information Return for Tax-Exempt Governmental Obligations
~ Under Internal Revenue Code section 149(e)
~ See separate instructions.
Caution: If the issue price is uncler $100,000, use Form B03B-GC.
If Amended Return, check here ~ 0
2 Issuer's errpIoyer idenIificalIon rurber (BN)
74 6001923
4 Report number (For IRS Use Only)
OMB No. 1545-0720
Calhoun Coun
3 Number and street (or P.O. box if mail is not delivered to street address)
Room/suite
202 S. Ann B
5 City, town, or post office, state, and ZIP code 6 Date of Issue
Port Lavaca, Texas 77979 10/14/2010
7 Name of Issue 8 CUSIP number
Lease-Purchase A reement - Used Motor Grader for Precinct 1 None
9 Name .and title of officer of the issuer or other person whom the IRS may call for more Information 10 Telephone number of officer or other person
( 361 )
rice See instructions and attach schedule
553-4610
11
12
13
14
15
16
17
18 121324 60
11 Education .
12 Health and hospital
13 Transportation, .
14 Public safety . .
15 Environment Qncluding sewage bonds}.
16 Housing. .
17 Utilities . .. . . . . . , . . . . . . . . . . . . .
18 Other. Describe ~ Lease-purchase agreement with~$1 purchase option at end of lease term
19 If obligations are TANs or RANs, check only box 19a . . . . II>- 0
If obligations are BANs, check only box 19b . . . . ~ 0
20 If obUgations are in the form of a lease or installment sale, check box ... I2J
lete for the entire issue for which this form is beiri
(c) Stated redemption'
price at maturity
(d) Weighted
average maturity
(e) Yield
22
23
24
25
26
27
28
29
30
24
25
26
27
28
3.75 %
N/A
N/A 4.17
underwriters' discount
31 Enter the remaining weighted average maturity of the. bonds to be currently refunded.
32 Enter the remaining weighted average maturity of the bonds to be advance refunded.
33 Enter the last date on which the refunded bonds will be called (MM/DD/YYYY) .
34 Enter the date(s) the refunded bonds were issued ~ (MM/DD/YYYY)
For Privacy Act and Paperwork Reduction Act Notice, see separate instructions. Cat. No. 63773S
bonds.
~
~
~
years
years
Form 8038-G (Rev. 5-2010)
Form 8038-G (Rev. 5-2010)
Miscellaneous
35 Enter the amount of the state volume cap allocated to the issue under section 141 (b)(5) .
36a Enter the amount of gross proceeds invested or to be invested in a guaranteed investment contract
(GIG) (see instructions) .
b Enter the final maturity date of the GIC ....
37 Pooled financings: a Proceeds of this issue that are to be used to make loans to other
governmental units . 37a
b If this issue is a loan made from the proceeds of another tax-exempt issue, check box.... 0 and enter the name of the
issuer.... and the date of the issue ....
If the issuer has designated the issue under section 265(b)(3)(B)(i){lIl) (small issuer exception), check box
If the issuer has elected to penalty in lieu of arbitrage rebate, check box .
If the issuer has identifi a he ge, check box .
38
39
40
Signature
and
Consent
10/14/2010
Page 2
....0
....0
....0
Date
~ Roger Galvan, Commissioner Pet 1
r Type or print name and title
Preparer's SSN or PTIN
Paid
Preparer's
Use Only
~
( )
Form 8038-G (Rev. 5-2010)
CALHo.UNCOUNTY
CR 101, ,PORT LAVACA, TX 77979
OEERECREDIT, INC.
6400 NW 86THST, PO BOX 6600, JOHNSTON, IA 50131-6600
This Master Lease-Purchase Agreement ("Master Agreement") is entered into between Deere Credit, Inc., as Lessor ("we", "us" or "our"), and the lessee
identified above ("you" or "your'} ~Schedule" shall mean any Lease Schedule signed by you and us, which incorporates the terms of this Master Agreement.
:Leilse" shall mean )his Ma~ter Agreement_and any Schedule.
JOHN DEERE
.CREDIT
Lessee:
Lessor:
,~:~: TER.MS AND CONDITIONS ,y
1.LllaseTerm;Pavments:You agree to lease from us the property
("Equipment") described in each Schedule for the Lease Term. The Lease,
Term will begin on the Lease Term Start Date and end on the Lease Term
End Date. All attachments and accessories itemized on the Schedule and
all replacements, parts and repairs to the Equipment shall form part of the
Equipment. A Schedule is not accepted by us until we sign it, even if you
have made a payment to us. You agree to remit to us the Lease Payments
indicated in the Schedule and all other amounts when due and payable
each Billing Period, even if we do not send you a bill or an invoice. Except
as ,otherwise provided in Section 2 of this Master Agreement, YOUR
PAYMENT OBLIGATIONS ARE ABSOLUTE AND UNCONDITIONAL,
AND ARE NOT SUBJECT TO CANCELLATION, REDUCTION OR
SETOFF FOR ANY REASON WHATSOEVER. For any payment which is
not received by its due date, you agree to pay a late charge equal to 5% of
the past due amount (not to exceed the maximum amount permitted by law)
as reasonable collection costs, plus interest from the due date until paid at
a rate of 1.5% per month, but in no event more than the maximum lawful
rate. "
2. Non-Appropriation of Funds, You intend to remit to us all Lease
Payments and other payments for the full Lease Term if funds are legally
available, In the event you are not granted an appropriation of funds at any
time during the Lease Term for the Equipment or for equipment which is
functionally similar to the Equipment and operating funds are not otherwise
available to you to remit f-ease Payments and other payments due and to
become due under the Lease, and there is no other legal procedure or
available funds by or with which payment can be made to us, and the non-
appropriation did not result from an act or omission by you, you shall have
the right to return the Equipment in accordance with Section 8, of this
Master Agreement and, terminate the Lease on the last day of the fiscal
period for which appropriations were received without penalty or expen,seto
you, except as to the portion of the Lease Payments for which funds shall
have been appropriated and budgeted. At least thirty (30) days prior to the
end of your fiscal period, your chief executive officer (or legal counsel) shall
certify in writing that (a) funds have not been appropriated for the fiscal,
period, (b) such non-appropriation did not result from any act or failure to
act by you, and (c) you have exhausted all funds legally available to pay
Lease Payments. If you terminate the Lease because of a non-
appropriation of funds, you may not, to the extent permitted by applicable
law, purchase, lease, or rent, during the subsequent fiscal period,
equipment performing the same functions as, or functions taking the place
of, those performed by the Equipment. This Section 2 shall not permil you
to terminate the Lease in order to acquire any other equipment or to
allocate funds directly or indirectly to perform essentially the application for
which the Equipment is intended. ,
3. Taxes. Although you may be exempt from the payment of certain
taxes, you agree to pay us when invoiced (a) all sales, use, rental. gross
receipts and all other taxes which may be imposed on the Equipment or its
use, and (b) all taxes and governmental charges associated with the
ownership, use or possession of the Equipment including, but r\otlimited to,
personal property and ad valorem taxes ("Taxes"). Taxes do not include
those measured by our net income. If applicable law requires tax returns or
reports to be filed by you, you agree to promptly file such tax returns and
reports and deliver copies to us. You agree to keep and make available t,6
us all tax returns and reports for Taxes paid by you. " .
4. Security Interest: MissinQ Information. You shall have title to the
Equipment immediately upon delivery and shall be the owner of the
Equipment. You (a) grant us a security interest in the Equipment (and all
proceeds) to secure all of your obligations under the Lease, and (b) authorize
us to file financing statements naming you as debtor. You agree to keep the
Equipment free and clear of all liens and encumbrances, except those in our
favor, and promptly notify us if a lien or encumbrance is placed or threatened
against the Equipment. You irrevocably authorize us, at any time, to (1)
insert or correct infonnation on Schedules, including your correct legal .name,
serial numbers and Equipment descriptions; (2) submit notices and pr.oofl? of
loss for any required insurance; and (3) endorse your name on remittances
for insurance and Equipment sale or lease proceeds.
5. Equipment Maintenance. Operation and Use. You agree to '(a) not
move the Equipment to another county or state without notifying us within
30 days; (b) operate and maintain the Equipment in accordance with all (1)
., '." '::YE:.V;:::! !\li I..:.. ~Y",j!,;:: G~V2GDS
Pa:.if:'"j of:~
Master Lease-Purchase A
reement
Agreement No,
0061291
laws, ordinances and regulations, (2) manuals and other instructions issued by
.the manufacturer(s) and supplier(s), and (3) insurance policy terms and
requirements; (c) perform (at your expense) all maintenance and repairs
necessary to keep the Equipment in as good a condition as when delivered to
you, reasonable' wear excepted; (d) not install any accessory or device on the
Equipment which affects the value, useful life or the originally intended
function or use of the Equipment in any way, unless it can be removed without
damaging the Equipment; (e) allow us and our agent(s) to inspect the
Equipment and. all of your records related to its use, maintenance and repair,
at any reasonable time; (I) keep any metering device installed on the
Equipment connected and in good working condition at all times; (g) affix and
maintain, in a prominent place on the Equipment, any labels, plates or other
markings we may provide to you; and (h) not permit the Equipment to be ,used
by, or to be in the possession of, anyone other than you or your empioyees.
6. Insurance. You agree, at your cost. to (a) keep the Equipment insured
against all risks of physical damage for no less than the Principal Balance (as
indicated in the Amortization Schedule attached to and made a part of the
SchedLile), naming us as sole loss payee; and (b) maintain public liability
insurance, covering personal. injury and property damage for not less than
$1,000,000 per occurrence, naming us as additional insured. All insurance must
be with companies and policies acceptable to us, Your obligation to insure the
Equipment continues until you return the Equipment to us and we accept it.
Each insurance policy must provide that (A) our interest in thepoli,cy will not be
invalidated by any act, omission, breach or neglect of anyone other than us;
and (B) the insurer will give us at least 30 days' prior written notice before any
cancellation of, or material change to, the policy. .. .
Unless you provide us with evidence of the required insurance coverages,
we may purchase insurance, at your expense, to protect our interests in the
Equipment. This insurancelTlay not (1) protect your interests; or (2) pay any
,'''Claim that you make or any claim that is made against you .in connection with
Ih\l'Equipment. You may later Cfncel any insurance purchased by us, but only
aIter providing us with evidence that you have obtained the insurance r13quired
by the Lease. The cost of the insurance may be more than the. cost of
insurance you may be able to obtain on your own. . . '
7. Loss or DamaQe. Until the Equipment is returned to us in satisfactory
condition, you are responsible for all risk of loss and damage, loss, theft,
destruction or seizure of the Equipment (an "Event of Loss"). You must
promptly notify us of any Event of Loss. If the Equipment can be repaired or
replaced, you agree to promptly repair or replace the Equipment, at your cost,
and the terms of the Lease will continue to apply, If the Equipment cannot be
repaired or replaced, you agree to immediately pay us the pro rata portion of the
Principal Balance, as determined by us as of the day before such Event of Loss
occurred. Upon receipt of the pro rata portion of the Principal Balance, we will
transfer to you (or the insurance company) all of our right, title and interest in
s~ch item(s) of Equipment (each, an "Item") AS-IS, WHERE-IS, WITHOUT ANY
WARRANTY AS TO CONDITION OR VALUE. All insurance proceeds must be
paid directly to us, and we may apply any excess insurance proceeds to any
other amounts you owe us.
8. Return of Equipment. If a Schedule is terminated for any reason
including, but not limited to, a non-appropriation of funds p~rsuant to Section 2
of this Master Agreement, you agree to return all Equipment to the place
designated by us, at your expense and ,in satisfactory condition, along with all
use, maintenance and repair records. Equipment is in satisfactory condition if
it is;in as good a condition as when the Equipment was delivered to you,
reasonable wear excepted, and conforms to the standards of any Maintenance
Addendum incorporated into the Lease.
9. Default. You will be in default if: ,(a) you fail to remit to us any Lease
Payment or other payment when due; (b) you breach any other provision of
the Lease and such default continues for 10 days; (c) a default occurs under
any other agreement between you and us (or any of our affiliates); or (d) you
fail to maintain the insurance required by Section 6. Time is of the essence
under tl')e Lease.
."0, Remedies. If a defaull occurs, we may do one or more of the following:
(a}.recover from you, AS LIQUIDATED DAMAGES FOR LOSS OF BARGAIN
AKlP NOT AS A PENALTY, the Principal Balance as of the date of such
default; (b) declare any other agreements between you and us in default; (c)
terminate any of your rights (but none of your obligations) under any
Lease and any other agreement between you and us; (d) require you to return
fhe Equipment in the manner outlined in Section 8, or take possession of the
E' ui ment; e iease or sell the E ui ment or an ortion thereof at a ublic or
App10997482
)
ADDITIONAL TERMS AND CONDITIONS OF AGREEMENT
private sale; (f) apply the net proceeds we receive from any sale" lease or.,".13. Indemnltv. You are responsible for all losses, damage, claims,
other disposition of t~e Equipment (after deducting all of our costs .and: . infringement claims, injuries to or the death of an individual, and attorneys'
expenses) to your obligahons under the Lease, With you remalOlng liable for fees and costs ("Claims"), incurred or asserted by any person, in any
any deficiency; (g) charge you for expenses incurred in connection with the manner related to the Equipment or the lease thereof, including its use,
enforcement of our remedies including, without limitation, repossession, repair' condition or possession. To the extent permitted under applicable law, you
and collection costs, attorneys' fees and court costs; (h) exercise any other agree to defend and indemnify us, and hold us harmless, against all Claims,
remedy available at law or inequity; and (i) take on your behalf (at your although we reserve the right to control the defense and to seleel or
expense) any action required by the Lease which you fail to take. These approve defense counsel. You agree to not bring any action for Claims
remedies are cumulative, are in addition to any other remedies provided for by against us. You will promptly notify us of all Claims made. Your liability
law, and may be exercised concurrently or separately. Any failure or delay by under this Section is not limited to the amounts of insurance required under
us to exercise any right shall not operate as a waiver of any other right or the Lease. This indemnity continues beyond the termination of a Schedule,
future right. for acts or omissions, which occurred during the Lease Term.
11. Asslqnment. You will not assign, pledge or otherwise transfer any of 14, Time Price. You understand that the Equipment may be purchased
your rights or interests in the Lease or any Equipment without our prior written for cash or it may be purchased pursuant to the .terms of the Lease for a
.consent. Any assignment without our consent will be void. We may assign Time Price equal to the sum of (1) all Lease Payments due and to become
the Lease or our interest in the Equipment at any time without notice to you due thereunder, and (2) the Documentation Fees. By executing the Lease,
and without your consent. We may provide information about you to any you have chosen to purchase the Equipment for that Time Price. You and
prospeelive assignee or participant. You agree not to assert against our we intend to comply with all applicable laws. In no event will we charge or
assignee any claims, offsets or defenses which you may have against us. collect any amounts in excess of those allowed by applicable law. In the
12. Representations and Warranties. You represent and warrant to us, as event any amount in excess of that allowed by law is charged or recovered,
of the date of this Master Agreement and of each Schedule, and covenant to any such charge will be deemed limited by the amount legally allowed and
us so long as the Lease is in effect, that: (a) you are a State, or a political any amount received by us in excess of that legally allowed will be applied
subdivision thereof, for purposes of Section 103 of the Internal Revenue Gode by us to the payment of amounts legally allowed under the Lease, or
of 1986, as amended (the "Code"); (b) any documents required to be delivered refunded to you. . ., .
in connection with the Lease (collectively, the "Documents") have been duly 15. Miscellaneous. WE HAVE NOT MADE, AND DO NOT MAKE, ANY
authorized by you in accordance with all applicable laws, rules, ordinances, REPRESENTATION OR WARRANTY, EXPRESS OR IMPLIED, AS TO
and regulations; (c) the Documents are valid, legal, binding agreements, THEEQUtPMENTS MERCHANTABILITY, FITNESS FOR A
enforceable in accordance with their terms and the person(s) signing the PARTICULAR PURPOSE, SUITABILITY, OR OTHERWISE. WE ARE
Documents have the authority to do so, are acting with the full authorization of NOT LIABLE FOR CONSEQUENTIAL OR SPECIAL DAMAGES. You
your governing body, and hold the offices indicated below their signatures; (d) acknowledge that no supplier or dealer of the Equipment is an agent of ours,
the Equipment is essential to the immediate performance of a governmental or or authorized to act for or bind us. You agree not to withhoid any amount
proprietary function by you within the scope of your authority and shall be' you owe us if you believe you have a claim against us, or any Equipment
used during the Lease Term only by you and only to perform 5uch function;.(e)';supplier(s) or manufacturer(s), but to pursue that claim independently. Any
you intend to use the Equipment for the entire Lease Term and shalUake'qll .'.' c1aim,you have against us must be made within two years after the event
necessary action to include in your annual budget any funds required to: fulfill: 'that caused it. All notices must be in writing and will be deemed given 5 days
your obligations each fiscal period during the Lease Term; (f) you 'have' after mailing to the intended recipient at its address indicated above, unlesS
complied fully with all applicable law governing open meetings, public biddirig changed by a notice given in accordance with this Seelion. Each Lease
and appropriations, required in connection with .the Lease and the debt ul!d~r supersedes and replaces all prior understandings and communications (oral
applicable state law; (g) your obligations to remit Lease Payments an.d cUier or written) conceming the subject matter thereof. No part of any Lease can
amounts due and to become due under the Lease constitute a current be amended, waived or terminated except by a writing signed by both you
expense and not a debt under applicable state law; (h) all financial information and us. Any part of this Master Agreement may be signed in separate
you have provided is true and a reasonable representation of your financial counterparts that, together, will constitute one document. If a court finds any
condition; (i) you shall not do or cause to be done any act which shall cause, part of this MasterAgreement to be invalid or unenforceable. the remainder of
or by omission of any act allow the interest portion of any Lease Payment to this Master Agreement will remain in effect. You permit us to monitor and
become includible in our gross income for Federal income taxation purposes record telephone conversations between you and us. All of our rights under
under the Code; 0) you shall maintain a complete and accurate account of all each Lease shall remain in effect after the expiration of the Lease Term or
assignments of the Lease in the form sufficient to comply with book e,ntry termination of the Schedule. .
requirements of Section 149(a) of the Code and the regulations prescribed
thereunder from time to time; and (k) you shall comply with the information
reporting requirements of Section 149(e) of the Code. Such compliance 'shall
include, but not be limited to, the execution of 8038-G or 8038-GC Infonnation
Returns.' .'
Date:
Date:
L} " 'Y C.\ ,: C>-:Ef./;:~T r,:lLPi'J. {f\:1ut'r: G4i;::GG~j
Pw:::.>; Z or ).
App109974B2
JOHN DEERE
CREDIT
Lease Schedule
Lease Schedule No. 030-0061291-000
Master Lease Agreement No.
0061291
Lessee: CALHOlJN COUNTY
(Name & Address) CR 101, ,PORT LAVACA, TX 77979
,PEERE CREDIT, INC.
!349P/'olVv8.6Ih~T,f'O<B9)( 13600, JqHNSTON, IA 50131,6600
2005
JD
6720
MOTOR GRADER
DW672DX601167
4125
$121,314.60
'Ad\l'llnc,e Lease
'Pa ment
'~Advance Lease Payment includes the first
1 and last 0 Lease Payment(s)
"Master Agreement" shall mean the above referenced Master Lease-Pl!rc:hase Agreement. "Schedule" shall mean this Lease Schedule. "Lease" shall mean
this Schedule and the Master Agreement. All of the terms and conditions set forth in the Master A9reement and any amendment, addendum, schedule or
attachment thereto or hereto including, but not limited to, the Maintenance Addendum are hereby incorporated into and made a part of this Schedule.
Lease Pavments. You agree to remit the Lease Payments (and you; (4) you received the written warranty applicable to the Equipment and
applicable sales, use and property taxes) on the dates noted above and understand that your rights under the written warranty may be limited; (5) the
all other amounts when due to: DEERE CREDIT, INC" P.O. Box 4450, Equipment is unconditionally and irrevocably accepted by you as being suitable
Carol Stream, IL 60197-4450. " for its intended use; (6) the Equipment is in good condition and repair
Purchase Option, You may purchase the Equipment at the end of the (operating and otherwise); (7) the Equipment shall be used only for the purpose
Lease Term for $1, provided (1) you are not in default, and (2) we receive indicated herein; (8) all information provided to us by you is true and correct.
all amounts you owe us on or before the Lease Term End Date (the" ',', You acknowledge and agree that: (1) we did not select, manufacture or
"Purchase Option"), Upon exercise of the Purchase Option, we will (a) supply any of the Equipment; (2) we acquired the Equipment at your direction;
transfer to you all of our right, title and interest in such Item(s) of Equipment (3) you selected the supplier of the Equipment; (4) you are entitled to all
AS,IS, WHERE.IS, WITHOUT ANY WARRANTY AS TO CONDITION OR manufactLlrer warranties ("Warranty R'ights") and we assign all Warranty Rights
VALUE, and (b) release our security interest in the Equipment. to you, to the extent assignable; (5) you may request an accurate and complete
Representations and Warranties. You represent and warrant to us,a~ , ,statement of the Warranty Rights, including any disclaimers and limitations,
of the date you signed this Schedule, that (1) the Equipment was selected directly from the manufacturer; and (6) you assign to us all your rights (but none
by you; (2) the Equipmer,1 'ncluding all manufacturer manuals and of your obligations) under all purchase orders, purchase agreements or similar
instructions) has been de,li\1ere to, and examined by, you; (3) the safe documents relating to the Equipment. You waive all rights and remedies
o eration and the ro er' servic n of the E ui ment were ex lained to conferred upon a lessee under Article 2A of the Uniform Commercial Code,
10/14/2010
o Monthly 0 Quarterly DSef1'1i~Annual It! Annual
DEERE CREDIT, INC.
6400 NW 86'h ST, PO BOX 6600
JOHNSTON, IA 50131-6600
By:
By:
Date:
Ti.t1e:
Date:
.~~ :'. ~')(.d; t,:': nA. -;1<<; :;~
F:,nw:: '; of' .2
App 10997482
","':",'
JOHN DEERE
CREDIT
..
Amortization Schedule
LeaseSctiedule No.
.
030-0061291-000
Master Lease-Purchase Agreement No. 0061291
Lessor:
CALHOUN COUNTY
CR 101, PORT LAVACA, TX 77979
DEERE CREDIT, INC.
6400 NW 86'h ST, PO BOX 6600, JOHNSTON, IA 50131-6600
3.75%
.
Lessee:
(Name & Address)
Nominal Annual
Rate:
Remaining
Balance:
Lease 10/14/2010 121,324.60
1- ------107141201o 26,114.91 0.00 26,114.91 95,2~~
------.---..~._-----.----2-.-- 11/14/2010 0.00 ---- 297.53 297.53w 95,507.22
-----------..-------....-y ------.--....TI7f4/2fiTo-- -------- O,OCf:-----298.46- -- 298.46- 95,805.68
~=-.==-~=:=-.=::~~=:-.~~~- ======:~I~: :;;~-: - ~.~~ ~---;~~:~~- ,------ ;~~:~~: ~~:~~~:~~
-----------..----~- :=-'-===::=:~~7T-~;~ j-~- ==-=::==-.-%:-~~- =-- ... -----------~~HT--=_~-----m-..-------~~+iF~__~==_--~4~~~~;[
--.-----.------8 ---- 051(4'72OTT 1---- 0.00 303.15 303.]5: 97,312.03
r------- 9' -- 06/14/2011 0.00 304.10 --- 304.10- 97,616.13
--------.-TO--. 07/14/2011 0.00 305.05 305.05- 97,921.18
------------.----TT. --------- 08/1412011" ---------- 0.00,__ . 306.00 306.00- 98,227.18
f------------12- - 09/14/2011 o.OO~-~ 306.96 --"306.96- 98,534.14-
f--- 13 10/14/2011 26_114.91 307.92 25,806.99 72.727.15
----14 11/]4/201] . o.od 227.27 227.27- ---72,95_~
t---..--------.------15-------r211412011-----. 0.00' 227.98 227.98- 73,182.40
-
-------.-----16 01/14/2012 0.00 228.70 228.70- 73,4] 1.10
-----
17 02114/2012 0.00 229.41 229.41- 73,640.51
--. -
---------uf - 03/14/2012 0.00 230.13 230.13- 73,870.64
-----------------r<.)~--.----- 04!l4/2012 - 0.00 - 230.85 230.85- 74,101.49
--'20'-- 05!l4/20 12 0.00 231.57 231.57- 74,333.06
-----21 06!l4/2012 ' o.o.li .... .' 232.29 232.29- 74,565.35'
------.--OM---n- --"----_.. 07/14/2012 O~OO~- 233.02 - 233,02- __.______. 74}9~~Z-
-- -2'3r----:---68Ti"4/20TI- . 0:6(r1~---23I74 233.74- 75,032.11
-- 24 09!l4/20] 2 it&H 234.48 234.48- 75,266.59
25 10/14/2012 26,114."911 235.21 25,879.70 49,386.89
------ 26-- 11114/2012 -----------..9.:Q.~E 154.33 -- 154.33- -- 49,541.22
----------."27 12!l4/2012 0.00 154.82 154.82- 49,696.Q~
28 01/1412013 0.00 155.30 155.30- 49,851.34
---------29-I---~- 02114/2013 ~ 155.79 155.79- 5000713
==------~=-~~~==----~~ -==~~%~::~;~:1-- ---- ----- --=~~-~}~=~--=_=~- - \~~[:=: __ :~~~ ~--~=- ~~:~~~~
-----.--~----32f----------05/14/2013 0.00 157.25 157.25- 50,477.41
---------3'3. 06114/2013 -. 0.00 157.74 157.74- 50,635.15
-----------------34 07!l 4/20 1 3 0.00 ______-,-___ 158.~l..+_ 158.23- 50,793.38
=~=~::::::::=::==.=::=-----35-=::::=-_~.:::::=~@_~!20 !t ====~~_____J!.:QQ... _c'-._____~8 .73 158. 73- 50,?~
36 09114/2013 . O~OO' 159.23 159.23- 51,1]1.34
-----------.-.j"7--- 1011412013 26,114.91- . 159.72 25,955.19- ----- 25,156.T5
----------------------38- .---- 11114/2013 0.00 78.61 78.61- 25,234.76
----------------.- 39 f---"--12!l4/20l3 0.00...1...._---- 78.86-' 78.86- 25,313.62
..------------------.{Oc-- 01114/2014 -- ooo"T 79]1 7911 2539273
~=_=-=:=_____.___ 41 02!l4/2014 0:00 ....---- 79:35 79:35~ 25:472:08
42 03!l4/20 14 0.00 79.60 79.60- 25,551.68
-------------.-----;U+----- 04114/2014 -- 0.00 79.85 79.85- 25,631.53
---------~----. 05/14/2014 0.00 80.10 I 80.10- 25,711.63
______~~I--___ 06/]4/20]4 0.00 80.35 J 80.35- 25,791.98
~___. 46 07/14/2014 _.__ 0.00 80.60 J 80.60- 25,872.58
Payment Number:
Date:
Lease Payment:
Interest:
Principal:
i.'''_.'
~2,,:J,;:~:;tiok (;.i.:~::'j:)D
f':"a~?~f of 2
App 10997482
Payment Number:
47
------.--------"-
48
Date:
By:
Dale:
{}::';i ~~i~A(:>fC.i.?/,T10N Si~~HEl':;Ut.E f.>t.:~:'GC:~
Lease Payment:
0.00
0.00
26,] 14.91
1.00
130,575.55
Principal:
80.85-
81.10-
26,033.55
0.98
121,324.60
Interest:
80.85
8J.l0
81.36
0.02
},250.95_ __
DEERE CREDIT, INC.
:.6400 NW.86'" STREET. PO BOX 6600
JOHNSTON, IA 50131-6600
/
By:
Title:
.:.i
':<\(1;:~ :; . .,' ;
Remaining
Balance:
25,953.43
26,034.53
0.98
0.00
Dale:
App 10997482
(LETTERHEAD OF LESSEE'S COUNSEL)
(Date)
)p-/f> 1.~ 10
, '-"
Deere Credit, Inc.
PO Box 6600
Johnston, IA 50131-6600
RE: Master Lease-Purchase Agreement No. 0061291 dated 10/14/2010 (the "Master Lease") and Lease Schedule
No. 030-0061291-000 dated 10/14/2010 (the "Lease Schedule"), and entered into between CALHOUN COUNTY
("LeSsee") and Deere Credit, Inc., its successors and assigns ("Lessor") (The Master Lease and the Lease Schedule are
hereinafter collectively referred to as the "Lease").
Gentlemen and Ladies:
I have acted as counsel to Lessee in connection with the execution and delivery of the Lease by Lessee and, in this
capacity, I have reviewed a duplicate original or certified copy of the Lease and such other documents and instruments as
I have deemed necessary or appropriate. As counsel for Lessee, I have made such factual inquiries, and have examined
or caused to be examined such questions of law as I have considered necessary or appropriate for the purposes of this
opinion. Based upon such inquiries, examination and review, I am of the opinion that:
(a) Lessee is the entity indicated on the face of the Lease and is a political subdivision of the state in which it
is located. Lessee is duly organized and existing under the Constitution and laws of said state, and is authorized to enter
into and to carry out its obligations under the Lease.
(b) Lessee has complied fully with all applicable law governing open meetings, public bidding and
appropriations required in connection with the Lease and the acquisition of the Equipment.
(c) The Lease has been duly authorized, executed and delivered by Lessee in accordance with all applicable
laws, rules and regulations. The Lease is a valid, legal, binding agreement, enforceable in accordance with its terms,
except as limited by laws of general application affecting the enforcement of creditors' rights.
(d) The person signing the Lease (1) has the authority to do so, (2) is acting with the full authorization of
Lessee's governing body, and (3) holds the office indicateq below their signature. The signature of the person signing the
Lease is genuine. . ~>',' :,<: -
(e) The execution of the Lease and the appropriation of funds to meet its obligations thereunder do not result
in the violation of any constitutional, statutory or other limitation relating to the manner, form or amount of indebtedness
which may be incurred by Lessee,
(f) The Lease does not constitute a debt of Lessee U~Aplicable state law or a pledge of the tax or
general revenues of Lessee. .
::-'. f
By:
R/
,=:.:':r,! ".>
'>;1.:;(:,: '... h!O~.
App
10997482
;.,. .
JOHN DEERE
CREDIT
Physical Damage/Liability Insurance
Lease Schedule No.
030-0061291-000
Master Lease Agreement No.
0061291
Lessor:
CALHOUN COUNTY
CR 101" PORT LAVACA, TX 77979
DEERE CREDIT, INC.
6400 NW 86'h ST, PO BOX 6600. JOHNSTON. IA 50131-6t>oO
Lessee:
(Name & Address)
LIABILITY INSURANCE on the above referenced Lease Schedule (the "Schedule") to the above referenced Master Lease
Agreement will be provided by the following insurance agency: _____________.____
.NS~o~.A~,nc...\L1--~,-^-~.,- " 1..... -- J-.....-~ ....---- "'::--- Or. '~'\ ('\,\ ,.... J"^^ ,'~,..fo..-.~^.) Phone Number of Agency: .....' A 4
t:'~ ....) t V \ ~ v v.....'^"'''---' I...JI.d./ v""'" 'I vv y v' \...~ ~ v '""v.....- ,--" .... -3eo \ ...-'{ ',;)..0\ _. ~,;,!'i: 1 .~
Mailing Address of Agency . \} ..-- Fax Number of Agency .----.--
C;; \ ~_.. k C ->.,.. 0,' ~~-oj...., -g,'-:z. Q ""3'(01- -7~O\ ~ ~<:( (--1..
\ \ D'J-. (..,. h.LW0--\..Q..JL/ ~'Y\ '. (vf.X). i.i LA [\ I 'b ..) ~ 0'.. ~ ",)
PHYSICAL DAMAGE INSURANCE on the Schedule will be provided by the following ~ ency: .
-Name of Age!nc, y: , rr " Phone Number of Agency:
.fja..IVY\JL~ (.-:t..L?___~:Q'l)-r<..~-____________.._~____.___
-Mailing-Address of Agency . Fax Number of Agency
"'If an insurance certificate is available, it should be provided in place of the above information
ADDITIONAL INSURED and LOSS PAYEE:
Deere Credit, Inc.
It's Successors &/or Assigns
22408 Network Place
Chicago, IL 60673-1224
Date:
Contact Date(s):
Office Use Onl
Contact Name:
liability Insurance Company Policy #:
LIability Insurance Expiration Date
Liability limits:
Notes:
Physical Damage Insurance Company and Policy #
Physical Damage Insurance Expiration Date
Insured Value:
Notes:
Loss Payee Deere Credit, Inc.?
DYes OWiIl Be Added
. Verified By:
~.):':;unt.r,:,..: ."e>,",,".",
App 10997482
e JOHN DEERE
CREDIT
Advance Lease Payment Invoice
; ;, ,Due Date: 10/14/2010
:'\'-
Total Due: $26,114.91
Billing Address: Updated Billing Information:
CALHOUN COUNTY
202 S ANN
PORT LA V ACA, TX 77979
Please Note: All future invoices will be sent to the billing addr.ess shown unless you update your billing information above.
App#
Mfg.
Model # Serial Number
Due Date
RentallTax
Amount
Security
Deposit
Processing
Fees
Total Due
..... ....:.....:,..,-'......, .: .', ...:-:...:.:' ",":'. . < .... ,
Corr~sp()ncfenceOnly:
John Deere Credit
Attn: Lease Administration
PO Box 6600
Johnston, IA 50131-6600
John Deere Credit
Attn: Acct. Dept, - ALP Processing
PO Box 6600
Johnston, IA 50131-6600
Phone: (800) 771-0681 - select "lease" prompt"
Fax: 800 254-0020 Lease issues onl
TO ENSURE PROPER CREDIT, STAPLE CHECK AND REtURN THIS INVOICE WITH THE LEASE DOCUMENTS.
:'[1'
STAPLE ADVANCE LEASE PAYMENT CHECK HERE
Every Dishonored Check will result in a fee of $20.00 or arfamount not to exceed the highest amount permitted by law.
l)(;) ,\j)VJ~NCf: LE)~,SE F'.>'\V~{if:MT fNV{)lCF 'n;',~!){}-1
10997482
:l~;_~;j'2"~ c/-j
App
: . ". ~'.
)
JOHN DEERE CREDIT DIRECT PAY-RECURRING ENROLLMENT
Eligibility
Your account with John Deere Credit must be current in ord~rtoeJ1F~!!f?rthe Direct-Pay Recurring payment option
. .
Your account with your financial institution must allow automatic withdrawals
How to Enroll
Complete and sign the authorization form below. Please be sure to provide all information requested.
Bank and account information, Le., whether it is a saving or checking account. For the typical checking accounts, the account information is located
similar to the sample business or personal checks below:
Sample Personal Check
i,;i;;;"} l
. ,..",,,,1,'. [I.'.
'''t:;, ~;;:~\l' !
. .
.';~~'[:~1:::~1~::~=~)J
,~," :~; ~'4
;:.~jouw
Sample Business Check
f;;;~;';~-'~'-----~~~);~~"---'-''-'-_.^V_''~---~':;;''1
l"',t:::::,;:';t' . :>Olii.~\!lpany 'I.
t ' ',' .......~, N'o,o~"'ee~QlJ .'
J ~.,~._ ._~........~ ," .j
ffiJf~l~ .~;::;:::m~~rtL. '~~~~?:I
I I~:).;W' 'NI\V~,
i . "'''''"' .
~. _ ~1...1.... ~~, 1
t rl1iln-_.i~ '1fI#.Jti~..tt' 1
6",.....~.._....:::.~..~~'!_~.!~..._,E?.~.:~~~.~~,:,_..~"~~!,~, ~~.~~~:H_N"_~~.__~,...._;o:J
" ,h:<lli) E.fhil\tM-~.
i 1$lH! (:",I<<m ;\'t"unll~'
l.nllrWil!t'. 'Jo.:t'nIIJ...-k,- .jflU,S
.p)l,Illnc; ,_Ind ('h~~br..it
~he(s.: .. 1:r~~Hit II .~...<:(ql,",l{ tt
Fax Number for Direct Pay-Recurring Enrollment: 1-800-826-9527
Mailing Address for Loans or Leases (Agricultural, Lawn and Grounds G.<I;e.. and Construction and Forestry equipment)
John Deere Credit, Alln: Customer Service, PO Box 6600, Johnstbn;'IA 50131-6600
Mailing Address for Credit Card accounts (John Deere Lawn and Grounds Care credit card equipment)
John Deere Credit Revolving Product, Alln: Customer Service; PO Box 5327, Madison, WI 53705
JOHN DEERE CREDIT DIRECT PAY-RECURRING AUTHORIZATION FORM
My signature below authorizes Deere Credit Services, Inc. and its affiliates, (the Company), to initiate debit entries to the
checking/savings account below for the regularly scheduled payments or other amounts that I may owe the Company. This
authorization is to remain in full force and effect until canceled by the Company, or by written notification from me, given in such
time and manner as to allow the Company a reasonable opportljnity to act upon it.
Bank Name
John Deere Credit Account #
Sank City & State
Name on John Deere Credit Account
Name on Bank Account
.Social Security Number/Federal Tax 10
Sank Routing and Transit #
I request Direct Pay Recurring to begin with my payment due
the month of
Bank Account Number
Type of Account: _Checking
_Savings
I understand any payment due prior to the month I requested above, must be made in order to be eligible for
Direct Pay Recurring.
Bank Account Owner Signature
Date
Bank Account Owner Phone #
II JOHN DEERE
Lease Settlement & Bill of Sale
CREDIT Lea.se Schedule No. 030-0061291-000
Master Lease Agreement No. 0061291
Lessee: CALHOUN COUNTY
(Name & Address) CR 101" PORT LAVACA, TX 77979
, . DOGGETT MACHINERY SERVICES, GP 117-7166
Supplier: 705 E NOLANA LOOP, PHARR, TX 78577 Dealer No:
. .' DEERE CREDIT,INC.
Lesspr: . 6400 NW 86th ST, PO BOX 6600, JOHNSTON, IA .50131-6600
* Please review the following information carefully: This information reflects the credit to your dealership.*
1. SellinQ Price $121,314.60
2. Trade - In - $0.00
3. Up-front Sales Tax - Financed + $0.00
4. Preventative Maintenance - Financed + $0.00
5. Secure/Power Guard - Financed + $0.00
6. Insurance Premium - Financed + $0.00
7. Processing/Origination Fee - Financed + $0.00
,
8. Official/UCC Fees Financed + $10.00
9. Amount Financed (Purchase Price) .' ,.:,'" $121,324.60
10. Less: Up-Front Sales Tax Remitted by JDC ,-"',,. - $0.00
11. Less: Insurance Premium Submitted by JDC ....-. . - $0.00
12. Less: ProcessinQ/Oriqination Fees for JDC - $0.00
13. Less: Official/UCC Fees for JDC - $10.00
14. Less: Dealer Reserve (Aq only) - $0.00
15. Less Dealer Subsidy (mandatory program charge) - $0.00
16, Less: Dealer Buy Down (optional) - $0,00
17, Add: Dealer Participation + $0,00
18. Credit to Dealer for Lease $121,314.60
Subject to acceptance of the above referenced Schedule by Deere Credit, Inc. ("Deere Credit"), Dealer hereby sells, transfers and assigns to
Deere Credit all of Dealer's right, title and interest in and to the Schedule and the equipment described' in the Schedule (the "Equipment") for
the Purchase Price shown on Line 9. .Dealer represents and warrants that (1) the Equipment is free from all security interests, liens, and
encumbrances (except those held by Deere & Company or subsidiaries), and (2) the safe operation and proper servicing of the Equipment and.
the importance of following the instructions in the Operator's Manual'were explained to Lessee. All risk of loss to the Equipment shall remain
with Dealer until the Equipment is delivered to and accepted by Lessee under the terms of the Schedule. Dealer acknowledges and agrees that
(1) Deere Credit's rights, as described in the John Deere Agricultural Dealer Leasing Agreement or the John Deere Construction Dealer Leasing
Agreement, to purchase the Equipment may be assigned to John Deere Exchange, Inc. or such other parties as Deere Credit may identify from
time to time, and (2) regardless of whether Deere Credit assigns these rights, Dealer acknowledges and agrees that the prOVisions of Section
1.4 of the John Deere Agricultural Dealer Leasing Agreement or the John Deere Construction Dealer Leasing Agreement shall govern Deere
Credit's payment of the Purchase Price to Dealer.
By signing below I agree that the proceeds from this lease transaction
are accurate and reflect the appropriate credit to my dealership.
DOGGETT MACHINERY SERVICES, GP
. 705 E NOLANA LOOP, '. .:
PHARR, TX 78577
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AUTHORIZED SIGNERfTlTLE
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, Name: CALHOUN COUNTY
Address: 202 S ANN, PORT LA V ACA, TX 77979
ID Number (If Applicable):
Seller
Name: DEERE CREDIT, INC.
Address: 6400 NW 86TH ST JOHNSTON IA 50131
Description of Item Being Purchased:
U JD 672D GRDR SN: DW672DX601167
By signing bpi ,:UCChaser c,rtit:t the items being p~rchased are exempt from state and local sales tax.
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AGREEMENT FOR AMBULANCE SERVICES BETWEEN MEMORIAL MEDICAL CENTER AND
CALHOUN COUNTY EMERGENCY MEDICAL SERVICES AND AUTHORIZE COUNTY JUDGE TO
SIGN:
A Motion was made by Commissioner Lyssy and seconded by Commissioner Fritsch to approve the
Agreement for Ambulance Services between Memorial Medical Center and Calhoun County Emergency
Medical Services and authorize Judge Pfeifer to sign the agreement. Commissioners Galvan, Lyssy,
Fritsch, Finster and Judge Pfeifer all voted in favor.
1..
Serving all of Calhoun County
* Calhoun County *
Emergency Medical Services
705 County Road 101 · Port Lavaca, Texas 77979 · www.calhouncountyems.com
361-552-1140 · 361-552-6552 Fax
Established 1980
September 9,2010
Mr. Jason Anglin
Chief Executive Officer
Memorial Medical Center
815 N. Virginia
Port Lavaca, Texas 77979
Ref; EMS Contract Renewal
Dear Mr. Anglin,
Attached you will find the new contract for EMS services for 2011. The only change in
the contract from 2010 is a ten percent increase in our contract rate. The change keeps us
at or near Medicare's lowest allowable rate which is required by law. I would welcome
the opportunity to meet with you and explain how we determine if MMC is to be billed
per the contract. The contract has to be approved by the board and signed by you before I
can take it to Commissioners Court for approval. That is why I am forwarding the
contract to you now so you may get it on your agenda as early as possible. Again, I would
be happy to come to your office and meet with you. I also would like to invite you to
come visit me at our new facility on County Road 101.
~
Final 20 I I
AGREEMENT FOR AMBULANCE SERVICES
BETWEEN
MEMORIAL MEDICAL CENTER
AND
CALHOUN COUNTY EMERGENCY MEDICAL SERVICES
THIS AGREEMENT, made and entered into by and between the following MEMORIAL MEDICAL CENTER (hereinafter
referred to as "FACILITY") and CALHOUN COUNTY EMERGENCY MEDICAL SERVICES. (hereinafter referred to as
"PROVIDER"), provides as follows:
WHEREAS, FACILITY desires to maximize efficiency and service levels for medical transportation and has conducted an analysis of
its medical transportation needs. Through this analysis, FACILITY has determined that such needs will best be met through a
preferred coordinated medical transportation system agreement with the PROVIDER; and
WHEREAS, PROVIDER is in the business of providing medical and ambulance transportation and advanced life support professional
services; and
WHEREAS, FACILITY and PROVIDER recognize that the ground ambulance transportation needs of FACILITY will be evolving
and therefore, it is not possible to define all of the terms of the specific services required by FACILITY, which may be provided by
the PROVIDER. The parties desire at this time to define the transportation services to be provided by PROVIDER and to establish
mechanisms under which PROVIDER may provide future services to FACILITY related to ambulance transportation services,
including services to be developed through prioritization of pre-planned, scheduled, emergent and non-emergent ambulance calls
initiated by FACILITY. The parties intend that if the future services outlined in this AGREEMENT are expanded, the parties will
execute addenda, further defining the services to be provided; and
WHEREAS, FACILITY and PROVIDER desire to enter into a long-term, agreement under which FACILITY and PROVIDER will
jointly develop and PROVIDER will operate and/or coordinate a turn-key coordinated medical transportation system to serve all of
FACILITY'S ambulance transportation needs utilizing existing reimbursement sources which maximizes the benefits of a coordinated
network; and
NOW, THEREFORE, FACILITY and PROVIDER do hereby agree as follows:
1. SERVICES AND RESPONSIBILITIES OF PROVIDER
FACILITY has selected PROVIDER as its "preferred provider of medical transportation" services within the primary
service area as defined by Section VIII below, through an analysis of the quality of ground ambulance transportation services
that PROVIDER provides. Accordingly, during the term of this AGREEMENT and extensions hereto, PROVIDER agrees
as follows:
A. Services Provided
PROVIDER agrees to provide appropriate ambulance transportation and related services to FACILITY in
accordance with the terms of this AGREEMENT and all addenda hereto. Requests by FACILITY for services
which originate and lor terminate outside the boundaries of the primary service area as defined in Section VIII
below may by referred by provider to another licensed ground or air ambulance provider after appropriate
coordination with and approved by Facility.
(In this circumstance, PROVIDER will not be liable to the alternative ambulance provider for the payment of any
charges, fees or professional service charges rendered in association with such transport.)
Final 20 I I
B. Emergency and Non Emergency lines
Provider agrees to provide and maintain a telephone number for FACILITY to access PROVIDER for all
FACILITY ambulance transportation requests covered by this AGREEMENT. This number is intended as a public
number. PROVIDER will provide sufficient telephone lines and communication technicians to assure prompt
answering of all incoming calls from FACILITY. PROVIDER'S telecommunication personnel will coordinate the
required transportation services.
PROVIDER will provide a listing of emergency numbers, non-emergency numbers that can be utilized to contact
the PROVIDER 24 hours per day seven days a week.
C. Inter-facility Ambulance Transportation Services
Provider will provide inter-facility ambulance transportation services and such other ambulance ground
transportation services at the request of the FACILITY. Inter-facility ambulance transportation services shall be
defined as ground ambulance transports originating at FACILITY and other facilities as FACILITY and
PROVIDER may mutually agree upon in writing. Inter-facility transportation services ordered by FACILITY shall
be ordered through the Emergency and Non Emergency lines described in the preceding paragraph. Compensation
rates for each facility shall be listed in ADDENDUM A below.
D. Applicable Standards
PROVIDER agrees in the performance of the services, to be bound by, and comply with, (i) by the bylaws, policies,
rules and regulations of FACILITY and the medical staff of the FACILITY facilities, as each may be amended from
time to time (provided that such amendments do not materially increase PROVIDER's obligation hereunder or
materially affect the fmancial or economic interests hereunder of PROVIDER), and (ii) the standards, rules and
regulations of the United States Department of Health and Human Services (hereinafter referred to as "HHS"), the
Texas Department of Health, the Joint Commission on the Accreditation of Healthcare Organizations (hereinafter
referred to as "JCAHO"), Medicare, Medicaid, and any other federal, state or local governmental agency or third-
party payor, exercising authority with respect to, accrediting or providing reimbursement for FACILITY.
E. Etiquette
PROVIDER, through its employees, shall treat all FACILITY staff and employees with proper respect, courtesy and
professionalism. PROVIDER's employee's conduct shall at all times be appropriate and conductive to effective
patient care and consistent with prevailing norms recognized and accepted throughout the community.
F. Licensure
PROVIDER covenants, represents and warrants to FACILITY that: (i) it and its employees are, as appropriate, duly
licensed, certified, registered and in good standing under the laws of the State of Texas and the county(s) outlined in
Section VIII below to provide the services under this AGREEMENT, and agrees that they shall retain such
licensure, certification, registration and good standing status during the term of this AGREEMENT; (ii) each
ambulance vehicle shall be registered and licensed according to state and local rules, regulations and laws; and (iii)
each ambulance vehicle shall be staffed with certified and/or licensed personnel in accordance with state and local
rules and regulations.
G. Experience and Training
PROVIDER represents and warrants to FACILITY that its employees are professionally trained in emergency
medical technician practice and will, during the term ofthis AGREEMENT, take all actions necessary to maintain
such training.
Final 20 II
H. Training
Provider agrees to conduct an in-house training program for field employees that significantly supplements the
training that they received in their EMT training courses that meets or exceeds TDH standards.
I. Vehicle Maintenance
PROVIDER agrees that its fleet will be well maintained and response ready to provide services under this
AGREEMENT.
J. Access to Records
Provider shall maintain a medical [ecord, known as a "Patient Care Report," for each patient receiving services
under this AGREEMENT. Said medical record shall be in such form and containing such information as required
by the laws, ruled and regulations of the State of Texas and JACHO.
K. Good Faith
PROVIDER agrees to act in good faith at all time in performing its obligations and implementing the provisions of
this AGREEMENT, including negotiating alternate reimbursement practices and the terms of any addenda.
L. Services Excluded
Transports of a distance greater than 150 miles
II. RESPONSIBILITIES OF FACILITY
During the term of this Agreement and extensions hereto, FACILITY agrees as follows:
A. Promotion of AGREEMENT
F ACIL TIY will conduct an internal and promotional campaign to educate its medical staff members, employees and
others making arrangements for ambulance transportation about the general terms of this AGREEMENT, including
periodic updates and reminder notices. Specifically, FACILITY will use its best efforts to ensure that employees
who requests ambulance transportation services are informed of and utilize the Emergency and Non Emergency
lines and have been made aware of the preferred nature of this AGREEMENT.
B. Promotion to Medical Staff Members
FACILITY and F ACIL TIY'S medical staff members, including physicians providing services under managed care
arrangements, are accountable under Federal COBRA regulations for the selection of an appropriate medical
transportation provider. FACILITY shall communicate in a reasonable manner the general terms of this
AGREEMENT to said medical staff members.
C. Access to records
FACILITY shall provide necessary records and information about patients to PROVIDER to facilitate the provision
of appropriate services and data collection. This information shall include the provision of a face sheet if available
and substantially complete at the time of PROVIDER'S services hereunder, on each patient transported at the time
the transport is initiated. When face sheets are not available or are not substantially complete at such time,
FACILITY shall designate a liaison who will be responsible for obtaining and forwarding face sheets for the
PROVIDER upon request.
Final 2011
The parties herein mutually agree that in the event that FACILITY'S billing procedures and/or files will allow
PROVIDERS access to the patient database in such manner that is acceptable to both the FACILITY and
PROVIDER.
D. Good Faith
FACILITY agrees to act in good faith at all times in performing its obligations and implementing the provisions of
this AGREEMENT, including negotiating alternate reimbursement practices and the terms of any addenda.
E. Patient Tracking
FACILITY agrees to provide reasonable assistance to PROVIDER in the completion of PROVIDER'S authorization
or utilization forms, as appropriate, and to provide access to face sheets in accordance with Section II(D) above.
III. INSURANCE
PROVIDER shall, at no cost to or expense to FACILITY, carry a policy or policies of professional liability insurance,
comprehensive general insurance, and medical malpractice insurance issued by an insurance carrier.
IV. COMPENSATION
A. Except as provided for in this AGREEMENT, neither FACILITY nor PROVIDER shall charge the other for
services provider pursuant to this AGREEMENT, without mutual assent.
B. The rate schedule in ADDENDUM A herein shall represent PROVIDER'S full compensation for services provided
under this AGREEMENT. Such charges must, at all times, comply with applicable laws, rules and regulations.
V. TERMINATION OR AMENDMENT AS THE RESULT OF GOVERNMENTAL REGULATIONS
FACILITY and PROVIDER shall each have the right to terminate or unilaterally amend this AGREEMENT, without
liability, in order to comply with any order issued by any federal or state department, agency or commission, or any provision
oflaw or of the JCAHO or other accreditation organization which invalidates or is inconsistent with the terms of this
AGREEMENT or which would cause one of the parties to be in violation oflaw. In the event FACILITY or PROVIDER is
required to amend this AGREEMENT pursuant to this Section and the amendment is unacceptable to the other party, such
party may choose to terminate this AGREEMENT immediately without liability.
VI. Term
A. Term and Termination
Subject to each party's right of termination as set forth in the preceding paragraph and below, this AGREEMENT
shall be for a term of one year commencing at midnight on 01/01/2011 and terminating at midnight on
01/01/2012(hereinafter referred to as "INITIAL TERM").
I. FACILITY or PROVIDER may mutually agree to terminate this AGREEMENT in writing, with or without
cause upon 30 days written notice; or
2. Except as provided for elsewhere in this AGREEMENT, with cause by either party upon default by the
other party of any material term, covenant or condition of this AGREEMENT, where such default
continues for a period of (30) days after the defaulting party receives written notice thereof from the other
party specifYing the existence of default: or
3 Immediately if PROVIDER fails to maintain licensure as required in Section I, Paragraph G (ii) or (iii)
herein, or fails to maintain insurance as required in Section III herein.
Final 20 II
B. Re-negotiation
During the sixty (60) day periqd or prior to the end of the INITIAL TERM or any RENEWAL TERM, this
AGREEMENT shall be subject to the review by the parties. During this 60-day period, the parties agree to use their
best efforts to meet together at mutually agreeable times to review and if appropriate to re-negotiate the terms of this
AGREEMENT. If the parties agree to modify this AGREEMENT, such modifications shall be in writing and
executed in accordance with Section XVII here of.
VII. FORCE MAJEURE
Provider shall be excused from performance under this AGREEMENT iffor any period PROVIDER is prevented from
performing any obligations pursuant hereto, in whole or in part, as a result of an Act of God, war, civil disturbance,
catastrophe, court order, labor dispute or cause beyond its reasonable control, including shortages or fluctuations in electrical
power, heat, light, air conditioning or fuel shortages, and such non-performance shall not be a ground for termination or
default.
PROVIDER will use its reasonable efforts under such circumstance to ensure that alternate services be made available should
any ofthese conditions arise. In the event PROVIDER cannot obtain alternate services, FACILITY may exercise its right to
contract temporarily with another service until PROVIDER is once again able to meet the needs ofF ACILITY.
VIII. AREAS OF SEVICE
PROVIDER will provide the services described herein to FACILITY anywhere within Calhoun and adjacent surrounding
Counties and any other areas within the State of Texas up to 150 miles, as mutually agreed upon by both parties hereto.
IX. INDEPENDENT CONTRACTOR
The relationship between the parties shall at all times be that of an independent contractor. No provision of this
AGREEMENT is intended to, or shall be construed to, render one party an agent, employee, servant, or partner of the other.
Neither party shall represent to any third party or entity that is authorized to enter into any contract for or on behalf of the
other party. Neither party shall execute any contract for or on the behalf of the other, nor attempt to bind the other to any
obligation, without the other party's written consent. FACILITY and PROVIDER shall not combine their business
operations in any way, but instead shall maintain their operations as separate and distinct entities.
PROVIDER'S employees shall not have any claim under this AGREEMENT or otherwise FACILITY for vacation pay, sick
leave, retirement benefits, Social Security, worker's compensations, disability or unemployment insurance benefits of any
kind. PROVIDER'S employees shall not be entitled to any rights or privileges established for employees of FACILITY, such
as vacation, sick leave, paid holidays, or severance pay upon termination of this AGREEMENT.
FACILITY shall neither have nor exercise any control or direction over the method by which PROVIDER performs its work
or functions; the sole interest and responsibility of FACILITY is to assure that their services contemplated by this
AGREEMENT will be performed in accordance with the terms hereof.
X. SUCCESSORS AND ASSIGNS
FACILITY and PROVIDER shall have the right to assign this AGREEMENT and to delegate all rights, duties and
obligations hereunder, whether in whole or part, to any parent, affiliate, successor or subsidiary organization or company of
FACILITY or PROVIDER only with consent of other party, which consent shall not be unreasonably withheld. Subject to
the foregoing, this AGREEMENT shall be binding upon the parties hereto and their successors and assigns.
I "
Final 20 II
XI. PREFERRED STATUS
FACILITY and PROVIDER agree and acknowledge that in order for PROVIDER to PROVIDE the most timely, efficient
and responsive inter-facility ambulance transportation services, and for PROVIDER and FACILITY to provide the safest and
most efficient care, that the inter-facility ambulance transportation services under this AGREEMENT shall be on the
preferred basis as set forth here in. Except as set for herein, the inter-facility ambulance transportation services provided by
PROVIDER hereunder are provided on a preferred basis and FACILITY agrees not to contract with any other companies,
organizations or agencies for such services during the term of this AGREEMENT. This preferred status shall not apply if
this patient, the patient's guardian, third party payor, or the attending physician requests another ambulance service.
XII. FIRST RIGHT OF REFUSAL
In the event FACILITY desires to evaluate or implement developing a system for critical care ground transportation services,
wheelchair transportation service, or other programs relating to ambulance ground transportation services, then FACILITY
shall give PROVIDER written notice of such desire. Following such notice, FACILITY and PROVIDER agree to negotiate
for a period of 30 days, on a preferred basis, for PROVIDER to perform such services for FACILITY and its patients.
XIIi. NOTICES
Any notice required to be given pursuant to the terms and provisions hereof shall be in writing and shall be sent certified or
registered mail or by hand delivery to the parties at the addresses set forth below or to such address which a party may
designate by notice.
PROVIDER:
Calhoun County
Emergency Medical Services
705 County Road 101
Port Lavaca, Texas 77979
FACILITY:
Memorial Medical Center
815 N. Virginia Street
Port Lavaca, Texas 77979
Either party may change its address to which notices are sent by a notice similarly sent.
XIV. SEVERABILITY
In the event that any part, term of provision of this AGREEMENT is, by any arbitrator or court of competent jurisdiction,
held to be illegal, unconscionable, in conflict with any law of state where enforcement of this AGREEMENT is sought, or
any public policy thereof, the validity ofthe remaining portion or provisions shall be construed and enforced as if the
AGREEMENT did not contain the particular part, term or provision to be invalid.
XV. CONTROLLING LAW
The interpretation and enforcement of this AGREEMENT shall be consistent with the laws of the State of Texas. In addition,
the parties agree that if any legal action is commenced for enforcement of any term of provision of, or arising under or related
to, this AGREEMENT, said action shall be preferably commenced on the state or federal courts located within the State of
Texas, and the parties consent to the jurisdiction and venue of such courts.
XVI. MODI FICA nON
This AGREEMENT constitutes the entire understanding of the parties hereto and no changes, amendments, or alterations
shall be effective unless signed by both parties. That is, any increase or decrease in services must be mutually agreed upon in
writing.
~
Final2011
XVII. COMPLETE AGREEMENT
This AGREEMENT contains the complete AGREEMENT concerning the subject matter of this AGREEMENT between the
parties and shall as of the effective date hereof, supersede all agreements between the parties pertaining to the same subject
matter.
The parties stipulate that neither ofthem has made any representation with respect to the subject matter ofthis
AGREEMENT, except as set forth herein. The parties further acknowledge that any statement or representation that may
have heretofore been made by either party to the other is of no effect, and that neither of them has relied thereon on
connection with its dealings with the other.
XVIII. EXECUTION OF ADDITIONAL INSTRUMENTS
Each party shall at any time, and from time to time, at the other's request execute, ackno~ledge and deliver any reasonable
instruction, instrument or acknowledgment that may be necessary or proper to carry out the provision s and intent of this
AGREEMENT.
XIX. WAIVER AND SURVIVAL
The failure of either party to insist upon strict compliance by the other with respect to any of the terms and conditions of this
AGREEMENT shall not be construed as a waiver, nor shall such course of action deprive such party of the right thereafter to
require strict adherence to the terms and provisions of this AGREEMENT.
XX. NON-DISCLOSURE
FACILITY and PROVIDER agree to treat the pricing contained within this AGREEMENT as CONFIDENTIAL
INFORMATION and as PROVIDER'S CONFIDENTIAL INFORMATION pursuant to the provisions of Section XXIII.
XXI. NO INFLUENCE ON REFERRALS
It is not the intent of either the FACILITY or PROVIDER of this AGREEMENT that any remuneration, benefit or privilege
provided for under this AGREEMENT shall influence or in any way be based on the referral or recommended referral by
either party or patients to the other party or its affiliated providers, if any, or the purchasing, leasing, or ordering of any
services other that specific services described in this AGREEMENT. Any payments specified in this AGREEMENT are
consistent with what the parties reasonably believe to be fair market value for the services provided.
XXII. THIRD PARTY BENEFICIARY
The parties to this AGREEMENT do not intend to confer any benefits hereunder n any person or other legal entity other that
the parties hereto, including without limitation any patients of PROVIDER or FACILITY, and no third-party beneficiary
rights are intended to be created hereby.
XXIII. NAME OR TRADEMARK
Nothing contained herein shall confer upon either party hereto a license to use, or ownership of (i) the name of the other party
hereto or any name under which a party operates, or (ii) any trade name, service mark or trademark owned by such party.
XXIV. THIRD PARTY PAYOR CONTRACTS
PROVIDER will cooperate with FACILITY with respect to all programs established between FACILITY and health
maintenance organizations, exclusive provider organizations and other managed care programs.
Final 20 II
xxv. NOTICE OF LITIGATION
PROVIDER and F ACILlTY shaH promptly notify the other in the event that any party learns of any threatened or actual
litigation in which it is a party defendant in a case which involves serviced provided under this AGREEMENT. Within five
(5) calendar days after being served with a summons, complaint or other pleading which has been filed in any federal or state
court or with any administrative or regulatory agency or after receiving notice of threatened litigation, the party so served or
notified shaH deliver copies of such document(s) to the other party.
XXVI. HEADINGS AND CAPTIONS
The headings and captions used in this AGREEMENT are for the convenience of reference only, and to not for a part of this
AGREEMENT.
XIX. BINDING EFFECT
The parties agree that this AGREEMENT shaH not be binding upon either party unless and until it is executed by an
authorized representative of each party. F ACILlTY and PROVIDER represent that their representative signatory, whose
signature appears below, has been and is, as of the date first written above, duly authorized by aH necessary, appropriate and
applicable corporate legal action to execute this agreement.
XXVII. AGREEMENT READ AND UNDERSTOOD
The parties hereto have read and understand this entire instrument and acknowledge that they both have had competent legal
counsel available to them in their review and execution of said AGREEMENT.
IN WITNESS WHEREOF, the parties hereto have executed this AGREEMENT Effective 01/01/2011.
F ACILlTY PROVIDER
By: ~ By: ('MdtJ 9- ff-r
Title: Administrator Title: Calhoun County Judge
Date: 7- ') <] -/0 Date: If) -)II-It)
Final 20 II
ADDENDUM A
COMPENSA TON SCHEDULE AND BILLING PRACTICES
1. A. Provider will bill its customary rates pursuant to this AGREEMENT.
B. Where patients have third party coverage, including Medicare, Medicaid, and private insurance, PROVIDER
will bill said insurance and accept as payments in full the amounts allowed by said third party coverage. In such
cases, patients will only be billed for:
(a) their co-insurance and deductible as determined by their third party coverage or where mandated by
federal or local government: and
(b) any services which said third party insurer determines are not covered by the terms ofthe patient's
policy.
C. Where patients have no third party coverage, PROVIDER will bill the patients directly. In the event the patient
refuses to pay for provider service, the FACILITY will be responsible for payment.
D. FACILITY will only be responsible for ambulance services which:
(a) are pre-approved and authorized by FACILITY (a request for ambulance transport by a hospital
employee, will be considered as pre-approved and authorized by the FACILITY)
(b) where FACILITY is legally responsible
(c) where transport is requested by the. FACILITY because patient has no other means of transportation or
payment.
II. For Ground Transports that are the legal responsibility of the FACILITY, the FACILITY will pay:
Transports within the Calhoun and Surrounding Counties from one (1) through one hundred fifty
150 miles:
Current Rate Contract Rate I 0 Contract Rate 11
BLS Non-emergency Base Rate: 399.00
218.00
7.00
239.00
Mileage per Loaded Mile: 12.10
7.80
This payment schedule will be all inclusive of supplies and equipment and accepted as payment in full for any and
all transports that are the legal responsibility of the FACILITY or third party. Payment shall be received as defined
in section IV. It is understood that these patients shall meet the existing Medicare guidelines for medical necessity
for ambulance transportation and have the Certification of Medical Necessity completed by the facility for the
Provider. It is also understood, that for all non-emergency ambulance services where Medicaid is the primary payor,
a Prior Authorization number will be obtained by the FACILITY.
III. PROVIDER guarantees that the above contracted rates shall be effective for the duration this AGREEMENT.
Thereafter, the rates shall be evaluated upon renewal of said AGREEMENT.
IV. PROVIDER shall submit invoices to FACILITY on a per call basis for the services provided under the
AGREEMENT.
PLANNED MAINTENANCE AGREEMENT BETWEEN WAUKESHA-PEARSE INDUSTRIES, INC.
AND EMERGENCY MEDICAL SERVICES IN THE AMOUNT OF $2,227.28 AND AUTHORIZE
HENRY BARBER TO SIGN:
A Motion was made by Commissioner Galvan and seconded by Commissioner Fritsch to approve the
Planned Maintenance Agreement between Waukesha-Pearse Industries, Inc. and Emergency Medical
Services in the amount of $2,227.28 and authorize Henry Barber to sign the agreement. Commissioners
Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor.
'!~
~
'WAUKE'S'HA-PEARCE INDUSTRIES, INC
9000 N IH 35
New Braunfels, TX. 78130
(512) 353-5595 Office
(512) 353-5599 FAX
PLANNED MAINTENANCE AGREEMENT
DATE: 19 May 2010
AGREEMENT AMOUNT $2227.28 (plus applicable taxes)
This Planned Maintenance Agreement ("Agreement") is entered into by Waukesha-Pearce Industries. Inc.
("WPI") and Calhoun County EMS ("Owner") for the purpose of performing planned maintenance on equipment
listed below. The purpose of the Agreement is to obtain the best possible operation of the equipment and lessen the
possibility of breakdown and emergency maintenance/repair service. Upon acceptance of this Agreement, WPI
will render the services and furnish the products outlined below. The services will be rendered during normal
business hours of 7:30 a.m. and 4:30 p.m. Monday through Friday, excluding holidays. The number of regularly
scheduled maintenance trips in a calendar year will be (2) Two.
1. SERVICES TO BE PERFORMED AND PRODUCTS FURNISHED BY WPI:
a. Visually inspect the site and equipment
b. Gas Engine - inspect and adjust ignition system, and plugs
c. Diesel Engine - inspect injection system and pump
d. Inspect fuel system including day tank, (if applicable)
e. Replace (standby applications only) engine fuel filters annually, (if applicable)
f. Inspect, clean and/or replace dry type air cleaner element, or clean and refill oil bath type air
cleaner.
g. Check block heater operation
h. Inspect cooling system for pressure leaks, verify antifreeze protection to a strength of 50%
antifreeze and 50% water
1. Replace coolant filter, (if applicable)
j. Grease accessory drives and/or generator as necessary
k. Inspect and adjust engine fan belts as necessary
1. Inspect engine exhaust system for leaks ,or corrosion; check condensation trap and muffler
condition
m. Check oil level, start unit, warm up and,check and record oil pressure
n. Inspect starting system including batteries; cables, battery charger, alternator and record battery
specific gravity reading
o. Inspect engine and generator control functions and time delays as applicable
p. Inspect all instruments for proper operation "'\
q. Adjust frequency and voltage as required
r. Inspect and clean, (if applicable) generator slip rings and brushes
s. Inspect automatic switch(s) for proper operation which includes: time delays and exercisers
where possible
1. Test run generator, loaded where possible and record readings
u. Change all lube oil and applicable filter elements (X ) Annually: ( ) Semi-annually:
( ) Quarterly:
Lube oil furnished at location by (X) WPI: ( ) Owner:
1
"
Fill antifreeze, change as needed, furnished at location by (X) WPI:
( ) Owner:
v. Provide a written report after each inspection or repair call detailing any conditions found and
advising further service required, in any, to promote operating dependability of the system
2. SERVICES TO BE PERFORMED BY OWNER,:
The Owner shall maintairi a regular recommended service procedure as listed below and further described
in the system's Owner-Operator Manual. These procedures should be followed to assure minimum
maintenance costs and to minimize emergency service. A record of these maintenance procedures should ~
be maintained for reference.
a. For Standby Systems only, semi-annual services should be performed no earlier than Five (5)
months and no later than Seven (7) months from the initial service
b. Inspect batteries and connections, check fluid levels and corrosion weekly
c. Exercise system weekly, manually or automatically
d. Check for fuel, oil or coolant leaks
e. Check lube oil, fuel and coolant level weekly on standby systems and daily on continuous duty
systems
f. Oil changes should be done in accordance with the published recommendations in the Owners
Manual issued with the generator system
The Owner will provide access to the equipment under this Agreement without unnecessary delay. Any waiting
time for access to the equipment could be invoiced at the current published rates (see attached WPI
published Labor Rate Sheet, Note: Published Labor Rates are subject to change without prior written
notification).
3. CHARGES FOR SERVICES BY WPI:
a. The Owner agrees to pay WPI an annual fee of $2227.28 for the above listed services and
products provided by WPI
b. Planned Maintenance fees shall be paid by the Owner on a per visit basis at $1113.64per visit
c. Required parts not included in the quoted price and referenced in paragraph 1, will be billed to
the Owner at the prices current at the time they are used/installed
d. Hourly rates, mileage and miscellaneous charges will be billed to the Owner for repairs required
during scheduled maintenance trips and also for emergency repairs done by WPI, when called to
the location by the Owner at the current published rates (see attached Published Labor Rate
Sheet) Note: Published Rates are subject to change without prior written notification
e. Terms of payment are Net-30 from date ofInvoice, subject toWPI's Credit Department approval
4. 24-HOUREMERGENCY SERVICE:
WPI will provide 24-hour emergency service in addition to regularly schedule service. Charges for
emergency service will be billed to the Owner at the then published rates (see attached Published Labor
Rate Sheet) Note: Published Rates are subject to change without prior written notification.
Please note, that during times of hurricanes or other major disasters or events, emergency response
services by WPI will be prioritized in such a manner that could cause a delay in our ability to
respond promptly to Owner's request for service, as our first priority for service will be to hospitals,
emergency care centers, nursing homes, fire and rescue facilities, and police stations. All requests
2
.1
f! .
for emergency services will be honored and we will make every effort to respond, but some delay in
responding could and will likely occur. We offer our apology in advance for any inconvenience this
policy might subject Owner to, but due to the nature of our work during major storms or events,
certain facilities must take precedence for service.
5. 1ERM OF THE AGREEMENT:
The ternl of this agreement will be one year and shall renew automatically for successive terms of one year
each, until cancelled in writing by either party. The pricing contained in this Agreement will be review
annually and if increased, WPI will provide written notification to Owner 30 days prior to the annual
renewal date. This Agreement may be terminated at any time by either party upon thirty (30) days written
notice to the other party at the address listed below and neither party shall assert a claim against the other
party as a result of such termination.
6. WPI RESPONSIBILITY LIMITATIONS:
a. WPI shall assume no liability for damage(s) to the generator or building electrical, mechanical or
structural systems arising from Owner's or any third party's misuse, negligence or alterations
b. WPI shall have no obligation to repair damage caused by Owner's or any third party's accident(s)
or failure to provide a suitable installation as specified in the installation manual(s) furnished
with the generator system
c. WPI shall assume no liability for damage(s) caused in part or in whole as a result of civil strife,
vandalism, catastrophe, Act of God, improper use of the system by the Owner or any third party
or by other external causes to the system
d. . WPI, nor Owner, shall in any event or under any circumstances arising from this
agreement be liable to each other for lost profits or special, consequential or exemplary
damages
e. WPI shall not in any event or under any circumstances arising from this agreement be liable to
the Owner for any acts, conditions, or circumstances wherein Owner or any third party is
negligent, whether or not caused by the joint, concurrent, or partial negligence of the Owner, or
third party
f. WPI shall not be liable for failure to perform any of its obligations under this Agreement if such
failure is due to Acts of God, war or government in either its sovereign or contractual capacity,
critical materials shortages, fires, floods, strikes, lockouts, freight embargoes, inclement weather,
errors or defects in the data supplied by Owner, or by any other cause or condition beyond WPI's
control
7. GENERAL:
a. In the event any of the equipment covered by this Agreement is sold or moved, Owner must
notify WPI in writing and cancellation will take place thirty (30) days after WPI's receipt of
Owner's written notification
b. The waiver by WPI of any breach of any provision of this Agreement to the Owner shall not
constitute a waiver of any subsequent breach by the Owner
c. This Agreement has been entered into and shall be governed and construed under the laws of the
State of Texas
d. This agreement contains the entire understanding of the parties and is intended as a final
expression of their Agreement and a complete statement of terms thereof
e. No representation or statement not expressly contained in the Agreement or incorporated herein
by reference shall be binding upon WPI as a warranty or otherwise
3
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.,. ~ 1
f. This Agreement is not subject to alternation except as mutually agreed in writing by the parties
g. Owner acknowledges that it has read this Agreement and agrees to all terms and conditions
herein.
h. A Certification of Insurance by WPI will be mailed to the Owner upon request
. .
ATTACHMENT - LIST OF OWNER EQUIPMENT TO BE SERVICED AND LOCATION OF EQUIPMENT:
Generator Set Model: Generac 11140740100 SIN 2103107
705 CR 101 Port Lavaca, Tx 77979
Generator Set Model: Generac Mitsubishi 1.5L
Rav Strinham Blvd. Port Lavaca. Tx 77979
ACCEPTED:
DATED: 19 Mav 2010
W AUKESHA-PEARCE INDUSTRIES. INe
BY: ~/:;;1-~
ADDRESS: 9000 North IH-35 New Braunfels. Texas 78130
PHONE: (512) 353-5595
FAX: (512) 353-5599
ACCEPTED:
PRINT NAME: f.I J 13rrobey
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p((),u LIHI~11 . 'h '17,77
PHo~/-~2- IltfO FAX: '3~f- 5r3- tff()O
E-MAIL ADDRESS:l1b().....r..1i] (!/Jble.,1 file ' ~
DATED: /a!r~o ra
4
AGREEMENT FOR AMBULANCE SERVICES BETWEEN PORT LAVACA NURSING AND
REHABILITATION CENTER AND CALHOUN COUNTY EMERGENCY MEDICAL SERVICES AND
AUTHORIZE HENRY BARBER TO SIGN:
A Motion was made by Commissioner Fritsch and seconded by Commissioner Lyssy to approve the
Agreement for Ambulance Services between Port Lavaca Nursing and Rehabilitation Center and Calhoun
County Emergency Medical Services and authorize Henry Barber to sign the agreement. Commissioners
Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all. voted in favor.
....",.,.,.
Final 2010
AGREEMENT FOR AMBULANCE SERVICES
BETWEEN
PORT LA V ACA NURSING AND REHABILITATION CENTER
AND
CALHOUN COUNTY EMERGENCY MEDICAL SERVICES
THIS AGREEMENT, made and entered into by and between the following PORT LA V ACA NURSING AND
REHABILITATION CENTER (hereinafter referred to as "FACILITY") and CALHOUN COUNTY EMERGENCY MEDICAL
SERVICES. (hereinafter referred to as "PROVIDER"), provides as follows:
WHEREAS, FACILITY desires to maximize efficiency and service levels for medical transportation and has conducted an analysis of
its medical transportation needs. Through this analysis, FACILITY has determined that such needs will best be met through a
preferred coordinated medical transportation system agreement with the PROVIDER; and
WHEREAS, PROVIDER is in the business of providing medical and ambulance transportation and advanced life support professional
services; and
WHEREAS, FACILITY and PROVIDER recognize that the ground ambulance transportation needs of FACILITY will be evolving
and therefore, it is not possible to define all of the terms of the specific services required by FACILITY, which may be provided by
the PROVIDER. The parties desire at this time to define the transportation services to be provided by PROVIDER and to establish
mechanisms under which PROVIDER may provide future services to FACILITY related to ambulance transportation services,
including services to be developed through prioritization of pre-planned, scheduled, emergent and non-emergent ambulance calls
initiated by FACILITY. The parties intend that if the future services outlined in this AGREEMENT are expanded, the parties will
execute addenda, further defining the services to be provided; and
WHEREAS, FACILITY and PROVIDER desire to enter into a long-term, agreement under which FACILITY and PROVIDER will
jointly develop and PROVIDER will operate and/or coordinate a turn-key coordinated medical transportation system to serve all of
FACILITY'S ambulance transportation needs utilizing existing reimbursement sources which maximizes the benefits of a coordinated
network; and
NOW, THEREFORE, FACILITY and PROVIDER do hereby agree as follows:
1. SERVICES AND RESPONSIBILITIES OF PROVIDER
FACILITY has selected PROVIDER as its "preferred provider of medical transportation" services within the primary
service area as defined by Section VIII below, through an analysis of the quality of ground ambulance transportation services
that PROVIDER provides. Accordingly, during the term of this AGREEMENT and extensions hereto, PROVIDER agrees
as follows:
A. Services Provided
PROVIDER agrees to provide appropriate ambulance transportation and related services to FACILITY in
accordance with the terms of this AGREEMENT and all addenda hereto. Requests by FACILITY for services
which originate and lor terminate outside the boundaries of the primary service area as defined in Section VIII
below may by referred by provider to another licensed ground or air ambulance provider after appropriate
coordination with and approved by Facility.
(In this circumstance, PROVIDER will not be liable to the alternative ambulance provider for the payment of any
charges, fees or professional service charges r~ndered in association with such transport.)
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B. Emergency and Non Emergency lines
Provider agrees to provide and maintain a telephone number for FACILITY to access PROVIDER for all
FACILITY ambulance transportation requests covered by this AGREEMENT. This number is intended as a public
number. PROVIDER will provide sufficient telephone lines and communication technicians to assure prompt
answering of all incoming calls from FACILITY. PROVIDER'S telecommunication personnel will coordinate the
required transportation services.
PROVIDER will provide a listing of emergency numbers, non-emergency numbers and pager numbers that can be
utilized to contact the PROVIDER 24 hours per day seven days a week.
C. Inter-facility Ambulance Transportation Services
Provider will provide inter-facility ambulance transportation services and such other ambulance ground
transportation services at the request of the FACILITY. Inter-facility ambulance transportation services shall be
defined as ground ambulance transports originating at FACILITY and other facilities as FACILITY and
PROVIDER may mutually agree upon in writing. Inter-facility transportation services ordered by FACILITY shall
be ordered through the Emergency and Non Emergency lines described in the preceding paragraph. Compensation
rates for each facility shall be listed in ADDENDUM A below.
D. Applicable Standards
PROVIDER agrees in the performance of the services, to be bound by, and comply with, (i) by the bylaws, policies,
rules and regulations ofF ACILITY and the medical staff of the FACILITY facilities, as each may be amended from
time to time (provided that such amendments do not materially increase PROVIDER's obligation hereunder or
materially affect the financial or economic interests hereunder of PROVIDER), and (ii) the standards, rules and
regulations of the United States Department of Health and Human Services (hereinafter referred to as "HHS"), the
Texas Department of Health, the Joint Commission on the Accreditation of Health care Organizations (hereinafter
referred to as "JCAHO"), Medicare, Medicaid, and any other federal, state or local governmental agency or third-
party payor, exercising authority with respect to, accrediting or providing reimbursement for FACILITY.
E. Etiquette
PROVIDER, through its employees, shall treat all FACILITY staff and employees with proper respect, courtesy and
professionalism. PROVIDER's employee's conduct shall at all times be appropriate and conductive to effective
patient care and consistent with prevailing norms recognized and accepted throughout the community.
F. Licensure
PROVIDER covenants, represents and warrants to FACILITY that: (i) it and its employees are, as appropriate, duly
licensed, certified, registered' and in good standing under the laws of the State of Texas and the county(s) outlined in
Section VIII below to provide the services under this AGREEMENT, and agrees that they shall retain such
licensure, certification, registration and good standing status during the term of this AGREEMENT; (ii) each
ambulance vehicle shall be registered and licensed according to state and local rules, regulations and laws; and (iii)
each ambulance vehicle shall be staffed with certified and/or licensed personnel in accordance with state and local
rules and regulations.
G. Experience and Training
PROVIDER represents and warrants to FACILITY that its employees are professionally trained in emergency
medical technician practice and will, during the term of this AGREEMENT, take all actions necessary to maintain
such training.
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Final 2010
H. Training
Provider agrees to conduct an in-house training program for field employees that significantly supplements the
training that they received in their EMT training courses that meets or exceeds TDH standards.
I. Vehicle Maintenance
PROVIDER agrees that its fleet will be well maintained and response ready to provide services under this
AGREEMENT.
J. Access to Records
Provider shall maintain a medical record, known as a "Patient Care Report," for each patient receiving services
under this AGREEMENT. Said medical record shall be in such form and containing such information as required
by the laws, ruled and regulations of the State of Texas and JACHO.
K. Good Faith
PROVIDER agrees to act in good faith at all time in performing its obligations and implementing the provisions of
this AGREEMENT, including negotiating alternate reimbursement practices and the terms of any addenda.
L. Services Excluded
Transports ofa distance greater than 150 miles
II. RESPONSIBILITIES OF FACILITY
During the term of this Agreement and extensions hereto, FACILITY agrees as follows:
A. Promotion of AGREEMENT
.F ACIL TIY will conduct an internal and promotional campaign to educate its medical staff members, employees and
others making arrangements for ambulance transportation about the general terms of this AGREEMENT, including
periodic updates and reminder notices. Specifically, FACILITY will use its best efforts to ensure that employees
who requests ambulance transportation services are informed of and utilize the Emergency and Non Emergency
lines and have been made aware of the preferred nature of this AGREEMENT.
B. Promotion to Medical Staff Members
FACILITY and FACILTIY'S medical staff members, including physicians providing services under managed care
arrangements, are accountable under Federal COBRA regulations for the selection of an appropriate medical
transportation provider. FACILITY shall communicate in a reasonable manner the general terms of this
AGREEMENT to said medical staff members.
C. Access to records
FACILITY shall provide necessary records and information about patients to PROVIDER to facilitate the provision
of appropriate services and data collection. This information shall include the provision of a face sheet if available
and substantially complete at the time of PROVIDER'S services hereunder, on each patient transported at the time
the transport is initiated. When face sheets are not available or are not substantially complete at such time,
FACILITY shall designate a liaison who will be responsible for obtaining and forwarding face sheets for the
PROVIDER upon request.
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Final 2010
The parties herein mutually agree that in the event that FACILITY'S billing procedures and/or files will allow
PROVIDERS access to the patient database in such manner that is acceptable to both the FACILITY and
PROVIDER.
D. Good Faith
FACILITY agrees to act in good faith at all times in performing its obligations and implementing the provisions of
this AGREEMENT, including negotiating alternate reimbursement practices and the terms of any addenda.
E. Patient Tracking
FACILITY agrees to provide reasonable assistance to PROVIDER in the completion of PROVIDER'S authorization
or utilization forms, as appropriate, and to providy access to face sheets n accordance with Section II(D) above.
III. INSURANCE
PROVIDER shall, at no cost to or expense to FACILITY, carry a policy or policies of professional liability insurance,
comprehensive general insurance, and medical malpractice insurance issued by an insurance carrier.
IV. COMPENSATION
A. Except as provided for in this AGREEMENT, neither FACILITY nor PROVIDER shall charge the other for
services provider pursuant to this AGREEMENT, without mutual assent.
B. The rate schedule in ADDENDUM A herein shall represent PROVIDER'S full compensation for services provided
under this AGREEMENT. Such charges must, at all times, comply with applicable laws, rul~s and regulations.
V. TERMINATION OR AMENDMENT AS THE RESULT OF GOVERNMENTAL REGULATIONS
FACILITY and PROVIDER shall each have the right to terminate or unilaterally amend this AGREEMENT, without
liability, in order to comply with any order issued by any federal or state department, agency or commission, or any provision
oflaw or of the JCAHO or other accreditation organization which invalidates or is inconsistent with the terms of this
AGREEMENT or which would cause one of the parties to be in violation of law. In the event FACILITY or PROVIDER is
required to amend this AGREEMENT pursuant to this Section and the amendment is unacceptable to the other party, such
party may choose to terminate this AGREEMENT immediately without liability. '
VI. Term
A. Term and Termination
Subject to each party's right oftermination as set forth in the preceding paragraph and below, this AGREEMENT
shall be for a term of one year commencing at midnight on 09/01/2010 and terminating at
midnight on 12/31/2010 (hereinafter referred to as "INITIAL TERM").
1. FACILITY or PROVIDER may mutually agree to terminate this AGREEMENT in writing, with or without
cause upon 30 days written notice; or
2. Except as provided for elsewhere in this AGREEMENT, with cause by either party upon default by the
other party of any material term, covenant or condition of this AGREEMENT, where such default
continues for a period of (30) days after the defaulting party receives written notice thereof from the other
party specifYing the existence of default: or
3 Immediately if PROVIDER fails to maintain licensure as required in Section I, Paragraph G (ii) or (iii)
herein, or fails to maintain insurance as required in Section III herein.
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B. Re-negotiation
During the sixty (60) day period of prior to the end of the INITIAL TERM or any RENEWAL TERM, this
AGREEMENT shall be subject to the review by the parties. During this 60-day period, the parties agree to use their
best efforts to meet together at mutually agreeable times to review and if appropriate to re-negotiate the terms of this
AGREEMENT. If the parties agree to modify this AGREEMENT, such modifications shall be in writing and
executed in accordance with Section XVII here of.
VII. FORCE MAJEURE
Provider shall be excused from performance under this AGREEMENT if for any period PROVIDER is prevented from
performing any obligations pursuant hereto, in whole or in part, as a result of an Act of God, war, civil disturbance,
catastrophe, court order, labor dispute or cause beyond its reasonable control, including shortages or fluctuations in electrical
power, heat, light, air conditioning or fuel shortages, and such non-performance shall not be a ground for termination or
default.
PROVIDER will use its reasonable efforts under such circumstance to ensure that alternate services be made available should
any of these conditions arise. In the event PROVIDER cannot obtain alternate services, FACILITY may exercise its right to
contract temporarily with another service until PROVIDER is once again able to meet the needs of FACILITY.
VIII. AREAS OF SEVICE
PROVIDER will provide the services described herein to FACILITY anywhere within Calhoun and adjacent surrounding
Counties and any other areas within the State of Texas up to 50 miles, as mutually agreed upon by both parties hereto.
Transport from the FACILITY greater than 50 miles shall be agreed upon by both parties at the time of service.
IX. INDEPENDENT CONTRACTOR
The relationship between the parties shall at all times be that of an independent contractors. No provision of this
AGREEMENT is intendedto, or shall be construed to, render one party an agent, employee, servant, or partner of the other.
Neither party shall represent to any third party or entity that is authorized to enter into any contract for or on behalf of the
other party. Neither party shall execute any contract for or on the behalf of the other, nor attempt to bind the other to any
obligation, without the other party's written consent. FACILITY and PROVIDER shall not combine their business
operations in any way, but instead shall maintain their operations as separate and distinct entities.
PROVIDER'S employees shall not have any claim under this AGREEMENT or otherwise FACILITY for vacation pay, sick
leave, retirement benefits, Social Security, worker's compensations, disability or unemployment insurance benefits of any
kind. PROVIDER'S employees shall not be entitled to any rights or privileges established for employees of FACILITY, such
as vacation, sick leave, paid holidays, or severance pay upon termination of this AGREEMENT.
FACILITY shall neither have nor exercise any control or direction over the method by which PROVIDER performs its work
or functions; the sole interest and responsibility ofF ACILITY is to assure that their services contemplated by this
AGREEMENT will be performed in accordance with the terms hereof.
X. SUCCESSORS AND ASSIGNS
FACILITY and PROVIDER shall have the right to assign this AGREEMENT and to delegate all rights, duties and
obligations hereunder, whether in whole or part, to any parent, affiliate, successor or subsidiary organization or company of
FACILITY or PROVIDER only with consent of other party, which consent shall not be unreasonably withheld. Subject to
the foregoing, this AGREEMENT shall be binding upon the partJes hereto and their successors and assigns.
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XI. PREFERRED STATUS
FACILITY and PROVIDER agree and acknowledge that in order for PROVIDER to PROVIDE the most timely, efficient
and responsive inter-facility ambulance transportation services, and for PROVIDER and FACILITY to provide the safest and
most efficient care, that the inter-facility ambulance transportation services under this AGREEMENT shall be on the
preferred basis as set forth here in. Except as set for herein, the inter-facility ambulance transportation services provided by
PROVIDER hereunder are provided on a preferred basis and FACILITY agrees not to contract with any other companies,
organizations or agencies for such services during the term of this AGREEMENT. This preferred status shall not apply if
this patient, the patient's guardian, third party payor, or the attending physician requests another ambulance service.
XII. FIRST RIGHT OF REFUSAL
In the event FACILITY desires to evaluate or implement developing a system for critical care ground transportation services,
wheelchair transportation service, or other programs relating to ambulance ground transportation services, then FACILITY
shall give PROVIDER written notice of such desire. Following such notice, FACILITY and PROVIDER agree to negotiate
for a period of 30 days, on a preferred basis, for PROVIDER to perform such services for FACILITY and its patients.
XIII. NOTICES
Any notice required to be given pursuant to the terms and provisions hereof shall be in writing and shall be sent certified or
registered mail or by hand delivery to the parties at the addresses set forth below or to such address which a party may
designate by notice.
PROVIDER:
Calhoun County
Emergency Medical Services
705 County Road 10 1
Port Lavaca, Texas 77979
FACILITY:
Port Lavaca Nursing and Rehabilitation Center
524 Village Road
Port Lavaca, Texas 77979
Either party may change its address to which notices are sent by a notice similarly sent.
XIV. SEVERABILITY
In the event that any part, term of provision of this AGREEMENT is, by any arbitrator or court of competent jurisdiction,
held to be illegal, unconscionable, in conflict with any law of state where enforcement of this AGREEMENT is sought, or
any public policy thereof, the validity of the remaining portion or provisions shall be construed and enforced as if the
AGREEMENT did not contain the particular part, term or provision to be invalid.
XV. CONTROLLING LAW
The interpretation and enforcement of this AGREEMENT shall be consistent with the laws of the State of Texas. In addition,
the parties agree that if any legal action is commenced for enforcement of any term of provision of, or arising under or related
to, this AGREEMENT, said action shall be preferably commenced on the state or federal courts located within the State of
Texas, and the parties consent to the jurisdiction and venue of such courts.
XVI. MODIFICATION
This AGREEMENT constitutes the entire understanding of the parties hereto and no changes, amendments, or alterations
shall be effective unless signed by both parties. That is, any increase or decrease in services must be mutually agreed upon in
writing.
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XVII. HOLD HARMLESS CLAUSE
Each party to this AGREEMENT shall defend, hold harmless and indemnify the other party and its commissioners,
manager~, affiliates, shareholders, directors, trustees, officers, employees, and agents against all claims demands, suits
judgments, expenses and costs of any and all kinds arising as a result of damages or injuries caused through the performance
or failure of performance of this AGREEMENT by said party.
XVIII. COMPLETE AGREEMENT
This AGREEMENT contains the complete AGREEMENT concerning the subject matter ofthis AGREEMENT between the
parties and shall as of the effective date hereof, supersede all agreements between the parties pertaining'to the same subject
matter.
The parties stipulate that neither of them has made any representation with respect to the subject matter of this
AGREEMENT, except as set forth herein. The parties further acknowledge that any statement or representation that may
have heretofore been made by either party to the other is of no effect, and that neither of them has relied thereon on
connection with its dealings with the other.
XIX. EXECUTION OF ADDITIONAL INSTRUMENTS
Each party shall at any time, and from time to time, at the other's request execute, acknowledge and deliver any reasonable
instruction, instrument or acknowledgment that may be necessary or proper to carry out the provision s and intent of this
AGREEMENT.
XX. WAIVER AND SURVIVAL
The failure of either party to insist upon strict compliance by the other with respect to any of the terms and conditions of this
AGREEMENT shall not be construed as a waiver, nor shall such course of action deprive such party of the right thereafter to
require strict adherence to the terms and provisions of this AGREEMENT.
XXI. NON-DISCLOSURE
FACILITY and PROVIDER agree to treat the pricing contained within this AGREEMENT as CONFIDENTIAL
INFORMATION and as PROVIDER'S CONFIDENTIAL INFORMATION pursuant to the provisions of Section XXIII.
XXII. CONFIDENTIALITY
PROVIDER acknowledges that in connection with entering into this AGREEMENT and the services provided by
PROVIDER pursuant to it, it will be acquiring and making use of confidential information and trade secrets (hereinafter
referred to as the "CONFIDENTIAL INFORMATION") of FACILITY, which include, but are not limited to, management
reports, marketing studies, marketing plans, financial statements, internal memoranda, reports, patient lists and other material
or records of confidential information. PROVIDER agrees that it will not, after the date hereof, and for so long as any such
CONFIDENTIAL INFORMATION may remain confidential, secret or otherwise wholly or partially, use such information
except in connection with the performance of the duties pursuant to this AGREEMENT.
PROVIDER will not use or divulge the CONFIDENTIAL INFORMATION to any third party, unless: (i) FACILITY
consents in writing to such use or divulgence; (ii) PROVIDER is under legal obligation to disclose such CONFIDENTIAL
INFORMATION; or (iii) such CONFIDENTIAL INFORMATION becomes available to the public by a reason other than a
PROVIDER'S breach of this Section.
PROVIDER acknowledges that a breach of this section would result in irreparable damage to FACILITY, and, without
limiting other remedies which may exist for a breach of this Section, PROVIDER agrees that this Section hereof may be
enforced by temporary restraining order, temporary injunction, or following a trial on the merits. PROVIDER hereby waives
the claim or defense that an adequate remedy at law for such a breach exists. The covenants contained in this Section shall
survive any termination of this AGREEMENT for two years.
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FACILITY acknowledges that in connection with entering into this AGREEMENT and the services provided by PROVIDER
pursuant to it, it will be acquiring and making use of confidential information and trade secrets (hereinafter referred to as the
"PROVIDER'S CONFIDENTIAL INFORMATION") which include, but are not limited to, management reports, marketing
studies, marketing plans, financial statements, internal memoranda, reports, patient lists and other material or records of
confidential information. FACILITY agrees that it will not, after the date hereof, and for so long as any such PROVIDER'S
CONFIDENTIAL INFORMATION may remain confidential, secret or otherwise wholly or partially, use such information
except in connection with the performance of the duties pursuant to this AGREEMENT.
FACILITY will not use or divulge the PROVIDER'S CONFIDENTIAL INFORMATION to any third party, unless: (i)
PROVIDER consents in writing to such use or divulgence; (ii) FACILITY is under legal obligation to disclose such
PROVIDER'S CONFIDENTIAL INFORMATION; or (iii) such PROVIDER'S CONFIDENTIAL INFORM A TION
becomes available to the public by a reason other than a PROVIDER'S breach of this Section.
FACILITY acknowledges that a breach of this section would result in irreparable damage to PROVIDER, and, without
limiting other remedies which may exist for a breach ofthis Section, FACILITY agrees that this Section hereof may be
enforced by temporary restraining order, temporary injunction, or following a trial on the merits. FACILITY hereby waives
the claim or defense that an adequate remedy at law for such a breach exists. The covenants contained in this Section shall
survive any termination of this AGREEMENT for two years.
XXIII. NO INFLUENCE ON REFERRALS
It is not the intent of either the FACILITY or PROVIDER of this AGREEMENT that any remuneration, benefit or privilege
provided for under this AGREEMENT shall influence or in any way be based on the referral or recommended referral by
either party or patients to the other party or its affiliated providers, if any, or the purchasing, leasing, or ordering of any
services other that specific services described in this AGREEMENT. Any payments specified in this AGREEMENT are
consistent with what the parties reasonably believe to be fair market value for the services provided.
XXIV. THIRD PARTY BENEFICIARY
The parties to this AGREEMENT do not intend to confer any benefits hereunder n any person or other legal entity other that
the parties hereto, including without limitation any patients of PROVIDER or FACILITY, and no third-party beneficiary
rights are intended to be created hereby.
XXV. NAME OR TRADEMARK
Nothing contained herein shall confer upon either party hereto a license to use, or ownership of (i) the name of the other party
hereto or any name under which a party operates, or (ii) any trade name, service mark or trademark owned by such party.
XXVI. THIRD PARTY PAYOR CONTRACTS
PROVIDER will cooperate with FACILITY with respect to all programs established between FACILITY and health
maintenance organizations, exclusive provider organizations and other managed care programs.
XXVII. NOTICE OF LITIGATION
PROVIDER and FACILITY shall promptly notify the other in the event that any party learns of any threatened or actual
litigation in which it is a party defendant in a case which involves serviced provided under this AGREEMENT. Within five
(5) calendar days after being served with a summons, complaint or other pleading which has been filed in any federal or state
court or with any administrative or regulatory agency or after receiving notice of threatened litigation, the party so served or
notified shall deliver copies of such document(s) to the other party.
XXVIII. HEADINGS AND CAPTIONS
The headings and captions used in this AGREEMENT are for the convenience of reference only, and to not for a part ofthis
AGREEMENT.
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Final 2010
XIX. BINDING EFFECT
The parties agree that this AGREEMENT shall not be binding upon either party unless and until it is executed by an
authorized representative of each party. FACILITY and PROVIDER represent that their representative signatory, whose
signature appears below, has been and is, as of the date first written above, duly authorized by all necessary, appropriate and
applicable corporate legal action to execute this agreement.
XXIX. AGREEMENT READ AND UNDERSTOOD
The parties hereto have read and understand this entire :instrument and acknowledge that they both have had competent legal
counsel available to them in their review and execution of said AGREEMENT.
IN WITNESS WHEREOF, the parties hereto have executed this AGREEMENT Effective
09/01/2010.
FACILITY
PROVI~DER ~ ()
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Title: (tld-,/ v() E;f/A.$
Date: 10 ('tJ 20(0
By:
Title:
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Date:
Final 03/20/2006 Final 06 p0l1. lavaca nursing and rehabilitation center AGREEMENT FOR AMBULANCE SERVICES 201O.doc
Final 2010
ADDENDUM A
COMPENSA TON SCHEDULE AND BILLING PRACTICES
I. A. Provider will bilI its customary rates pursuant to this AGREEMENT.
B. Where patients have third party coverage, including Medicare, Medicaid, and private insurance, PROVIDER
wilI bill said insurance and accept as payments in full the amounts allowed by said third party coverage. In such
cases, patients wilI only be billed for:
(a) their co-insurance and deductible as determined by their third party coverage or where mandated by
federal or local government: and
(b) any services which said third party insurer determines are not covered by the terms of the patient's
policy.
C. Where patients have no third party coverage, PROVIDER will bill the patients directly. In the event the patient
refuses to pay for provider service, the FACILITY wilJ be responsible for payment.
D. FACILITY wilI only be responsible for ambulance services which:
(a) are pre-approved and authorized by FACILITY (a request for ambulance transport by a facility
employee, wilJ be considered as pre-approved and authorized by the FACILITY)
(b) where FACILITY is legally responsible
(c) where transport is requested by the FACILITY because patient has no other means of transportation or
payment
(d) where the FACILITY request transport due to the FACILITY transport unit being out of service.
(e) where the patient is being discharged from the hospital and is returning to the FACILITY.
II. For Ground Transports that are the legal responsibility of the FACILITY, the FACILITY will pay:
Transports within the Calhoun and Surrounding Counties from one (1) through one hundred fifty
miles:
Current Rate Contract Rate I 0
BLS Non-emergency Base Rate: 345.00
218.00
Mileage per Loaded Mile: 9.60
7.00
This payment schedule will be all inclusive of supplies and equipment and accepted as payment in full for any and
all transports that are the legal responsibility of the FACILITY or third party. Payment shall be received as defined
in section IV. It is understood that these patients shall meet the existing Medicare guidelines for medical necessity
for ambulance transportation and have the Certification of Medical Necessity completed for Provider. It is also
understood, that for all non-emergency ambulance services where Medicaid is the primary payor, a Prior
Authorization number wilJ be obtained by the FACILITY.
III. PROVIDER guarantees that the above contracted rates shall be effective for the duration this AGREEMENT.
Thereafter, the rates shall be evaluated upon renewal of said AGREEMENT.
IV. PROVIDER shall submit invoices to FACILITY on a per call basis for the services provided under the
AGREEMENT.
FinaI03/20/2006 Final 06 pOlt lavaca nursing and rehabilitation center AGREEMENT FOR AMBULANCE SERVICES 2010.doc
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SEE "SCHEDULE 2" A TT ACHED TO THIS AGREEMENT
11
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AGREEMENT FOR AMBULANCE SERVICES
BETWEEN
PORT LA V ACA NURSING AND REHABILITATION CENTER
AND
CALHOUN COUNTY EMERGENCY MEDICAL SERVICES
THIS AGREEMENT, made and entered into by and between the following PORT LA V ACA NURSING AND
REHABILITATION CENTER (hereinafter referred to as "F AGILITY") and CALHOUN COUNTY EMERGENCY MEDICAL
SERVICES. (hereinafter referred to as "PROVIDER"), provides as follows:
WHEREAS, F AGILITY desires to maximize efficiency and service levels for medical transportation and has conducted an analysis of
its medical transportation needs. Through this analysis, F AGILITY has determined that such needs will best be met through a
preferred coordinated medical transportation system agreement with the PROVIDER; and
WHEREAS, PROVIDER is in the business of providing medical and ambulance transportation and advanced life support professional
services; and
WHEREAS, F AGILITY and PROVIDER recognize that the ground ambulance transportation needs of F AGILITY will be evolving
and therefore, it is not possible to defme all of the terms of the specific services required by FAGILlTY, which may be provided by
the PROVIDER. The parties desire at this time to define the transportation services to be provided by PROVIDER and to establish
mechanisms under which PROVIDER may provide future services to F AGILITY related to ambulance transportation services,
including services to be developed through prioritization of pre-planned, scheduled, emergent and non-emergent ambulance calls
initiated by F AGILITY. The parties intend that if the future services outlined in this AGREEMENT are expanded, the parties will
execute addenda, further defining the services to be provided; and
WHEREAS, F AGILITY and PROVIDER desire to enter into a long-term, agreement under which F AGILITY and PROVIDER will
jointly develop and PROVIDER will operate and/or coordinate a turn-key coordinated medical transportation system to serve all of
F AGILITY'S ambulance transportation needs utilizing existing reimbursement sources which maximizes the benefits of a coordinated
network; and
NOW, THEREFORE, F AGILITY and PROVIDER do hereby agree as follows:
1. SERVICES AND RESPONSIBILITIES OF PROVIDER
F AGILITY has selected PROVIDER as its "preferred provider of medical transportation" services within the primary
service area as defined by Section VIII below, through an analysis of the quality of ground ambulance transportation services
that PROVIDER provides. Accordingly, during the term of this AGREEMENT and extensions hereto, PROVIDER agrees
as follows:
A. Services Provided
PROVIDER agrees to provide appropriate ambulance transportation and related services to F AGILITY in
accordance with the terms of this AGREEMENT and all addenda hereto. Requests by FAGILlTY for services
which originate and lor terminate outside the boundaries of the primary service area as defined in Section VIII
below may by referred by provider to another licensed ground or air ambulance provider after appropriate
coordination with and approved by Facility.
(In this circumstance, PROVIDER will not be liable to the alternative ambulance provider for the payment of any
charges, fees or professional service charges rendered in association with such transport.)
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B. Emergency and Non Emergency lines
Provider agrees to provide and maintain a telephone number for FACILITY to access PROVIDER for all
FACILITY ambulance transportation requests covered by this AGREEMENT. This number is intended as a public
number. PROVIDER will provide sufficient telephone lines and communication technicians to assure prompt
answering of all incoming calls from FACILITY. PROVIDER'S telecommunication personnel will coordinate the
required transportation services.
PROVIDER will provide a listing of emergency numbers, non-emergency numbers and pager numbers that can be
utilized to contact the PROVIDER 24 hours per day seven days a week.
C. Inter-facility Ambulance Transportation Services
Provider will provide inter-facility ambulance transportation services and such other ambulance ground
transportation services at the request of the FACILITY. Inter-facility ambulance transportation services shall be
defined as ground ambulance transports originating at FACILITY and other facilities as FACILITY and
PROVIDER may mutually agree upon in writing. Inter-facility transportation services ordered by FACILITY shall
be ordered through the Emergency and Non Emergency lines described in the preceding paragraph. Compensation
rates for each facility shall be listed in ADDENDUM A below.
D. Applicable Standards
PROVIDER agrees in the performance of the services, to be bound by, and comply with, (i) by the bylaws, policies,
rules and regulations of FACILITY and the medical staff of the FACILITY facilities, as each may be amended from
time to time (provided that such amendments do not materially increase PROVIDER's obligation hereunder or
materially affect the financial or economic interests hereunder of PROVIDER), and (ii) the standards, rules and
regulations of the United States Department of Health and Human Services (hereinafter referred to as "HHS"), the
Texas Department of Health, the Joint Commission on the Accreditation of Healthcare Organizations (hereinafter
referred to as "JCAHO"), Medicare, Medicaid, and any other federal, state or local governmental agency or third-
party payor; exercising authority with respect to, accrediting or providing reimbursement for FACILITY.
E. Etiquette
PROVIDER, through its employees, shall treat all FACILITY staff and employees with proper respect, courtesy and
professionalism. PROVIDER's employee's conduct shall at all times be appropriate and conductive to effective
patient care and consistent with prevailing norms recognized and accepted throughout the community.
F. Licensure
PROVIDER covenants, represents and warrants to FACILITY that: (i) it and its employees are, as appropriate, duly
licensed, certified, registered and in good standing under the laws of the State of Texas and the county(s) outlined in
Section VIII below to provide the services under this AGREEMENT, and agrees that they shall retain such
licensure, certification, registration and good standing status during the term ofthis AGREEMENT; (H) each
ambulance vehicle shall be registered and licensed according to state and local rules, regulations and laws; and (Hi)
each ambulance vehicle shall be staffed with certified and/or licensed personnel in accordance with state and local
rules and regulations.
G. Experience and Training
PROVIDER represents and warrants to FACILITY that its employees are professionally trained in emergency
medical technician practice and will, during the term of this AGREEMENT, take all actions necessary to maintain
such training.
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H. Training
Provider agrees to conduct an in-house training program for field employees that significantly supplements the
training that they received in their EMT training courses that meets or exceeds TDH standards.
I. Vehicle Maintenance
PROVIDER agrees that its fleet will be well maintained and response ready to provide services under this
AGREEMENT.
J. Access to Records
Provider shall maintain a medical record, known as a "Patient Care Report," for each patient receiving services
under this AGREEMENT. Said medical record shall be in such form and containing such information as required
by the laws, ruled and regulations of the State of Texas and JACHO.
K. Good Faith
PROVIDER agrees to act in good faith at all time in performing its obligations and implementing the provisions of
this AGREEMENT, including negotiating alternate reimbursement practices and the terms of any addenda.
L. Services Excluded
Transports of a distance greater than 150 miles
II. RESPONSIBILITIES OF FACILITY
During the term of this Agreement and extensions hereto, FACILITY agrees as follows:
A. Promotion of AGREEMENT
F ACIL TIY will conduct an internal and promotional campaign to educate its medical staff members, employees and
others making arrangements for ambulance transportation about the general terms of this AGREEMENT, ineIuding
periodic updates and reminder notices. Specifically, FACILITY will use its best efforts to ensure that employees
who requests ambulance transportation services are informed of and utilize the Emergency and Non Emergency
lines and have been made aware of the preferred nature of this AGREEMENT.
B. Promotion to Medical Staff Members
FACILITY and F ACIL TIY'S medical staff members, including physicians providing services under managed care
arrangements, are accountable under Federal COBRA regulations for the selection of an appropriate medical
transportation provider. FACILITY shall communicate in a reasonable manner the general terms of this
AGREEMENT to said medical staff members.
C. Access to records
FACILITY shall provide necessary records and information about patients to PROVIDER to facilitate the provision
of appropriate services and data collection. This information shall include the provision of a face sheet if available
and substantially complete at the time of PROVIDER'S services hereunder, on each patient transported at the time
the transport is initiated. When face sheets are not available or are not substantially complete at such time,
FACILITY shall designate a liaison who will be responsible for obtaining and forwarding face sheets for the
PROVIDER upon request.
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The parties herein mutually agree that in the event that FACILITY'S billing procedures and/or files will allow
PROVIDERS access to the patient database in such manner that is acceptable to both the FACILITY and
PROVIDER.
D. Good Faith
FACILITY agrees to act in good faith at all times in performing its obligations and implementing the provisions of
this AGREEMENT, including negotiating alternate reimbursement practices and the terms of any addenda.
E. Patient Tracking
FACILITY agrees to provide reasonable assistance to PROVIDER in the completion of PROVIDER'S authorization
or utilization forms, as appropriate, and to provide access to face sheets n accordance with Section II(D) above.
III. INSURANCE
PROVIDER shall, at no cost to or expense to FACILITY, carry a policy or policies of professional liability insurance,
comprehensive general insurance, and medical malpractice insurance issued by an insurance carrier.
IV. COMPENSA nON
A. Except as provided for in this AGREEMENT, neither FACILITY nor PROVIDER shall charge the other for
services provider pursuant to this AGREEMENT, without mutual assent.
B. The rate schedule in ADDENDUM A herein shall represent PROVIDER'S full compensation for services provided
under this AGREEMENT. Such charges must, at all times, comply with applicable laws, rules and regulations.
V. TERMINA nON OR AMENDMENT AS THE RESULT OF GOVERNMENTAL REGULA nONS
FACILITY and PROVIDER shall each have the right to terminate or unilaterally amend this AGREEMENT, without
liability, in order to comply with any order issued by any federal or state department, agency or commission, or any provision
of law or of the JCAHO or other accreditation organization which invalidates or is inconsistent with the terms of this
AGREEMENT or which would cause one of the parties to be in violation of law. In the event FACILITY or PROVIDER is
required to amend this AGREEMENT pursuant to this Section and the amendment is unacceptable to the other party, such
party may choose to terminate this AGREEMENT immediately without liability.
VI. Term
A. Term and Termination
Subject to each party's right of termination as set forth in the preceding paragraph and below, this AGREEMENT
shall be for a term of one year commencing at midnight on 01/01/2011 and terminating at
midnight on 12/31/2011 (hereinafter referred to as "INITIAL TERM").
1. FACILITY or PROVIDER may mutually agree to terminate this AGREEMENT in writing, with or without
cause upon 30 days written notice; or
2. Except as provided for elsewhere in this AGREEMENT, with cause by either party upon default by the
other party of any material term, covenant or condition of this AGREEMENT, where such default
continues for a period of (30) days after the defaulting party receives written notice thereof from the other
party specifying the existence of default: or
3 Immediately if PROVIDER fails to maintain licensure as required in Section I, Paragraph G (ii) or (iii)
herein, or fails to maintain insurance as required in Section III herein.
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B. Re-negotiation
During the sixty (60) day period of prior to the end of the INITIAL TERM or any RENEWAL TERM, this
AGREEMENT shall be subject to the review by the parties. During this 60-day period, the parties agree to use their
best efforts to meet together at mutually agreeable times to review and if appropriate to re-negotiate the tenns of this
AGREEMENT. If the parties agree to modify this AGREEMENT, such modifications shall be in writing and
executed in accordance with Section XVII here of.
VII. FORCE MAJEURE
Provider shall be excused from perfonnance under this AGREEMENT if for any period PROVIDER is prevented from
perfonning any obligations pursuant hereto, in whole orin part, as a result of an Act of God, war, civil disturbance,
catastrophe, court order, labor dispute or cause beyond its reasonable control, including shortages or fluctuations in electrical
power, heat, light, air conditioning or fuel shortages, and such non-perfonnance shall not be a ground for tennination or
default.
PROVIDER will use its reasonable efforts under such circumstance to ensure that alternate services be made available should
any of these conditions arise. In the event PROVIDER cannot obtain alternate services, FACILITY may exercise its right to
contract temporarily with another service until PROVIDER is once again able to meet the needs of FACILITY.
VIII. AREAS OF SEVICE
PROVIDER will provide the services described herein to FACILITY anywhere within Calhoun and adjacent surrounding
Counties and any other areas within the State of Texas up to 50 miles, as mutually agreed upon by both parties hereto.
Transport from the FACILITY greater than 50 miles shall be agreed upon by both parties at the time of service.
IX. INDEPENDENT CONTRACTOR
The relationship between the parties shall at all times be that of an independent contractors. No provision of this
AGREEMENT is intended to, or shall be construed to, render one party an agent, employee, servant, or partner of the other.
Neither party shall represent to any third party or entity that is authorized to enter into any contract for or on behalf of the
other party. Neither party shall execute any contract for or on the behalf of the other, nor attempt to bind the other to any
obligation, without the other party's written consent. FACILITY and PROVIDER shall not combine their business
operations in any way, but instead shall maintain their operations as separate and distinct entities.
PROVIDER'S employees shall not have any claim under this AGREEMENT or otherwise FACILITY for vacation pay, sick
leave, retirement benefits, Social Security, worker's compensations, disability or unemployment insurance benefits of any
kind. PROVIDER'S employees shall not be entitled to any rights or privileges established for employees of FACILITY, such
as vacation, sick leave, paid holidays, or severance pay upon tennination of this AGREEMENT.
FACILITY shall neither have nor exercise any control or direction over the method by which PROVIDER perfonns its work
or functions; the sole interest and responsibility of FACILITY is to assure that their services contemplated by this
AGREEMENT will be perfonned in accordance with the tenns hereof.
X. SUCCESSORS AND ASSIGNS
FACILITY and PROVIDER shall have the right to assign this AGREEMENT and to delegate all rights, duties and
obligations hereunder, whether in whole or part, to any parent, affiliate, successor or subsidiary organization or company of
FACILITY or PROVIDER only with consent of other party, which consent shall not be unreasonably withheld. Subject to
the foregoing, this AGREEMENT shall be binding upon the parties hereto and their successors and assigns.
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XI. PREFERRED STATUS
FACILITY and PROVIDER agree and acknowledge that in order for PROVIDER to PROVIDE the most timely, efficient
and responsive inter-facility ambulance transportation services, and for PROVIDER and FACILITY to provide the safest and
most efficient care, that the inter-facility ambulance transportation services under this AGREEMENT shaH be on the
preferred basis as set forth here in. Except as set for herein, the inter-facility ambulance transportation services provided by
PROVIDER hereunder are provided on a preferred basis and FACILITY agrees not to contract with any other companies,
organizations or agencies for such services during the tenn of this AGREEMENT. This preferred status shaH not apply if
this patient, the patient's guardian, third party payor, or the attending physician requests another ambulance service.
XII. FIRST RIGHT OF REFUSAL
In the event FACILITY desires to evaluate or implement developing a system for critical care ground transportation services,
wheelchair transportation service, or other programs relating to ambulance ground transportation services, then FACILITY
shaH give PROVIDER written notice of such desire. FoHowing such notice, FACILITY and PROVIDER agree to negotiate
for a period of 30 days, on a preferred basis, for PROVIDER to perfonn such services for FACILITY and its patients.
XIII. NOTICES
Any notice required to be given pursuant to the tenns and provisions hereof shaH be in writing and shall be sent certified or
registered mail or by hand delivery to the parties at the addresses set forth below or to such address which a party may
designate by notice.
PROVIDER:
Calhoun County
Emergency Medical Services
705 County Road 101
Port Lavaca, Texas 77979
FACILITY:
Port Lavaca Nursing and Rehabilitation Center
524 Village Road
Port Lavaca, Texas 77979
Either party may change its address to which notices are sent by a notice similarly sent.
XIV. SEVERABILITY
In the event that any part, tenn of provision of this AGREEMENT is, by any arbitrator or court of competent jurisdiction,
held to be illegal, unconscionable, in conflict with any law of state where enforcement of this AGREEMENT is sought, or
any public policy thereof, the validity ofthe remaining portion or provisions shaH be construed and enforced as if the
AGREEMENT did not contain the particular part, tenn or provision to be invalid.
XV. CONTROLLING LAW
The interpretation and enforcement of this AGREEMENT shall be consistent with the laws of the State of Texas. In addition,
the parties agree that if any legal action is commenced for enforcement of any tenn of provision of, or arising under or related
to, this AGREEMENT, said action shaH be preferably commenced on the state or federal courts located within the State of
Texas, and the parties consent to the jurisdiction and venue of such courts.
XVI. MODI FICA TlON
This AGREEMENT constitutes the entire understanding of the parties hereto and no changes, amendments, or alterations
shaH be effective unless signed by both parties. That is, any increase or decrease in services must be mutuaHy agreed upon in
writing.
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XVII. HOLD HARMLESS CLAUSE
Each party to this AGREEMENT shall defend, hold harmless and indemnify the other party and its commissioners,
managers, affiliates, shareholders, directors, trustees, officers, employees, and agents against all claims demands, suits
judgments, expenses and costs of any and all kinds arising as a result of damages or injuries caused through the performance
or failure of performance of this AGREEMENT by said party.
XVIII. COMPLETE AGREEMENT
This AGREEMENT contains the complete AGREEMENT concerning the subject matter of this AGREEMENT between the
parties and shall as of the effective date hereof, supersede all agreements between the parties pertaining to the same subject
matter.
The parties stipulate that neither of them has made any representation with respect to the subject matter of this
AGREEMENT, except as set forth herein. The parties further acknowledge that any statement or representation that may
have heretofore been made by either party to the other is of no effect, and that neither of them has relied thereon on
connection with its dealings with the other.
XIX. EXECUTION OF ADDITIONAL INSTRUMENTS
Each party shall at any time, and from time to time, at the other's request execute, acknowledge and deliver any reasonable
instruction, instrument or acknowledgment that may be necessary or proper to carry out the provision s and intent of this
AGREEMENT.
XX. WAIVER AND SURVIVAL
The failure of either party to insist upon strict compliance by the other with respect to any of the terms and conditions of this
AG REEMENT shall not be construed as a waiver, nor shall such course of action deprive such party of the right thereafter to
require strict adherence to the terms and provisions of this AGREEMENT.
XXI. NON-DISCLOSURE
FACILITY and PROVIDER agree to treat the pricing contained within this AGREEMENT as CONFIDENTIAL
INFORMATION and as PROVIDER'S CONFIDENTIAL INFORMATION pursuant to the provisions of Section XXIII.
XXII. CONFIDENTIALITY
PROVIDER acknowledges that in connection with entering into this AGREEMENT and the services provided by
PROVIDER pursuant to it, it will be acquiring and making use of confidential information and trade secrets (hereinafter
referred to as the "CONFIDENTIAL INFORMATION") of FACILITY, which include, but are not limited to, management
reports, marketing studies, marketing plans, financial statements, internal memoranda, reports, patient lists and other material
or records of confidential information. PROVIDER agrees that it will not, after the date hereof, and for so long as any such
CONFIDENTIAL INFORMATION may remain confidential, secret or otherwise wholly or partially, use such information
except in connection with the performance of the duties pursuant to this AGREEMENT.
PROVIDER will not use or divulge the CONFIDENTIAL INFORMATION to any third party, unless: (i) FACILITY
consents in writing to such use or divulgence; (ii) PROVIDER is under legal obligation to disclose such CONFIDENTIAL
INFORMATION; or (iii) such CONFIDENTIAL INFORMATION becomes available to the public by a reason other than a
PROVIDER'S breach of this Section.
PROVIDER acknowledges that a breach of this section would result in irreparable damage to FACILITY, and, without
limiting other remedies which may exist for a breach of this Section, PROVIDER agrees that this Section hereof may be
enforced by temporary restraining order, temporary injunction, or following a trial on the merits. PROVIDER hereby waives
the claim or defense that an adequate remedy at law for such a breach exists. The covenants contained in this Section shall
survive any termination of this AGREEMENT for two years.
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FACILITY acknowledges that in connection with entering into this AGREEMENT and the services provided by PROVIDER
pursuant to it, it will be acquiring and making use of confidential information and trade secrets (hereinafter referred to as the
"PROVIDER'S CONFIDENTIAL INFORMATION") which include, but are not limited to, management reports, marketing
studies, marketing plans, financial statements, internal memoranda, reports, patient lists and other material or records of
confidential information. FACILITY agrees that it will not, after the date hereof, and for so long as any such PROVIDER'S
CONFIDENTIAL INFORMATION may remain confidential, secret or otherwise wholly or partially, use such information
except in connection with the performance of the duties pursuant to this AGREEMENT.
FACILITY will not use or divulge the PROVIDER'S CONFIDENTIAL INFORMATION to any third party, unless: (i)
PROVIDER consents in writing to such use or divulgence; (ii) FACILITY is under legal obligation to disclose such
PROVIDER'S CONFIDENTIAL INFORMATION; or (iii) such PROVIDER'S CONFIDENTIAL INFORMATION
becomes available to the public by a reason other than a PROVIDER'S breach of this Section.
FACILITY acknowledges that a breach of this section would result in irreparable damage to PROVIDER, and, without
limiting other remedies which may exist for a breach of this Section, FACILITY agrees that this Section hereof may be
enforced by temporary restraining order, temporary injunction, or following a trial on the merits. FACILITY hereby waives
the claim or defense that an adequate remedy at law for such a breach exists. The covenants contained in this Section shall
survive any termination of this AGREEMENT for two years.
XXIII. NO INFLUENCE ON REFERRALS
It is not the intent of either the FACILITY or PROVIDER of this AGREEMENT that any remuneration, benefit or privilege
provided for under this AGREEMENT shall influence or in any way be based on the referral or recommended referral by
either party or patients to the other party or its affiliated providers, if any, or the purchasing, leasing, or ordering of any
services other that specific services described in this AGREEMENT. Any payments specified in this AGREEMENT are
consistent with what the parties reasonably believe to be fair market value for the services provided.
XXIV. THIRD PARTY BENEFICIARY
The parties to this AGREEMENT do not intend to confer any benefits hereunder n any person or other legal entity other that
the parties hereto, including without limitation any patients of PROVIDER or FACILITY, and no third-party beneficiary
rights are intended to be created hereby.
xxv. NAME OR TRADEMARK
Nothing contained herein shall confer upon either party hereto a license to use, or ownership of (i) the name ofthe other party
hereto or any name under which a party operates, or (ii) any trade name, service mark or trademark owned by such party.
XXVI. THIRD PARTY PAYOR CONTRACTS
PROVIDER will cooperate with FACILITY with respect to all programs established between FACILITY and health
maintenance organizations, exclusive provider organizations and other managed care programs.
XXVII. NOTICE OF LITIGATION
PROVIDER and FACILITY shall promptly notify the other in the event that any party learns of any threatened or actual
litigation in which it is a party defendant in a case which involves serviced provided under this AGREEMENT. Within five
(5) calendar days after being served with a summons, complaint or other pleading which has been filed in any federal or state
court or with any administrative or regulatory agency or after receiving notice of threatened litigation, the party so served or
notified shall deliver copies of such document(s) to the other party.
XXVIII.HEADlNGS AND CAPTIONS
The headings and captions used in this AGREEMENT are for the convenience of reference only, and to not for a part of this
AGREEMENT.
lined O~: .:0 :?OO(1 Fill;t1 06 purt 1,1\ ilca nursillg alld r..:Il:lhi I it,llilHl cl.'lller ,:\C 1< LL!'.I L NT lOR .'\ r-.mu LA Nt" L SU{ V ICTS '::0 I I.duc
~
Final 201 I
XIX. BINDING EFFECT
The parties agree that this AGREEMENT shall not be binding upon either party unless and until it is executed by an
authorized representative of each party. FACILITY and PROVIDER represent that their representative signatory, whose
signature appears below, has been and is, as of the date first written above, duly authorized by all necessary, appropriate and
applicable corporate legal action to execute this agreement.
XXIX. AGREEMENT READ AND UNDERSTOOD
The parties hereto have read and understand this entire instrument and acknowledge that they both have had competent legal
counsel available to them in their review and execution of said AGREEMENT.
IN WITNESS WHEREOF, the parties hereto have executed this AGREEMENT Effective
01/0 1/20 11.
FACILITY
By: By:
Title: Title: ~.5
Date: Date:
r:in<ll 03:;0 ~OO(J FilIal 06 pun 1<1\:lC<I nllf-;ing and n:lwhililalilJll CenllT ;\CIIU:L,\H:i'H lOR /\MnULANCf SERVIC'IS ~()ll.do('
..
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Final 20 II
ADDENDUM A
COMPENSATON SCHEDULE AND BILLING PRACTICES
I. A. Provider will bill its customary rates pursuant to this AGREEMENT.
B. Where patients have third party coverage, including Medicare, Medicaid, and private insurance, PROVIDER
will bill said insurance and accept as payments in full the amounts allowed by said third party coverage. In such
cases, patients will only be billed for:
(a) their co-insurance and deductible as detennined by their third party coverage or where mandated by
federal or local government: and
(b) any services which said third party insurer detennines are not covered by the tenns of the patient's
policy.
C. Where patients have no third party coverage, PROVIDER will bill the patients directly. In the event the patient
refuses to pay for provider service, the FACILITY will be responsible for payment.
D. FACILITY will only be responsible for ambulance services which:
(a) are pre-approved and authorized by FACILITY (a request for ambulance transport by a facility
employee, will be considered as pre-approved and authorized by the FACILITY)
(b) where FACILITY is legally responsible
( c) where transport is requested by the FACILITY because patient has no other means of transportation or
payment.
(d) where the FACILITY request transport due to the FACILITY transport unit being out of service.
(e) where the patient is being discharged from the hospital and is returning to the FACILITY.
II. For Ground Transports that are the legal responsibility of the FACILITY, the FACILITY will pay:
Transports within the Calhoun and Surrounding Counties from one (1) through one hundred fifty
miles:
Current Rate Contract Rate 10 Contract Rate 11
BLS Non-emergency Base Rate: 399.00
118.00
139.00
Mileage per Loaded Mile: 12.10
7.00
7.80
This payment schedule will be all inclusive of supplies and equipment and accepted as payment in full for any and
all transports that are the legal responsibility of the FACILITY or third party. Payment shall be received as defined
in section IV. It is understood that these patients shall meet the existing Medicare guidelines for medical necessity
for ambulance transportation and have the Certification of Medical Necessity completed for Provider. It is also
understood, that for all non-emergency ambulance services where Medicaid is the primary payor, a Prior
Authorization number will be obtained by the FACILITY.
III. PROVIDER guarantees that the above contracted rates shall be effective for the duration this AGREEMENT.
Thereafter, the rates shall be evaluated upon renewal of said AGREEMENT.
IV. PROVIDER shall submit invoices to FACILITY on a per call basis for the services provided under the
AGREEMENT.
hn;tI 03 ~I) 2UO(, Final 06 pOl"lla\ilCa 11lIr.~ing and r~l1,jbilil;Jli(\n (l~ntn ,ViRLL,\If:Nl FelR AtvlBUL..,\NCI: Sf:RVICFS 201 I.doc
CONTRACT WITH. NIUSA, INC. AND CALHOUN COUNTY DISTRICT CLERK'S OFFICE FOR E-
FILING AND AUTHORIZE COUNTY JUDGE TO SIGN:
A Motion was made by and seconded by to approve the Contract with NIUSA, Inc. and Calhoun County
District Clerk's Office for E-FiHng and authorize Judge Pfeifer all voted in favor. Commissioners Galvan,
Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor.
Passed on this Agenda Item at this time.
ACCEPT A REFUND FOR CAPITAL CREDITS FOR THE YEARS 1977 THROUGH 1983 FROM
JACKSON ELECTRIC COOPERATIVE IN THE AMOUNT OF $85.98 AND ALLOW COMMISSIONER
PRECINCT #3 TO DEPOSIT INTO HIS BUDGET I ACCOUNT:
A Motion was made by Commissioner Finster and seconded by Commissioner Lyssy to accept a refund for
Capital Credits for the years of 1977 through 1983 from Jackson Electric Cooperative in the amount of
$85.98 and allow Commissioner Precinct #3 to deposit into his budget/account. Commissioners Galvan,
Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor.
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RENEWAL OF COASTAL PUBLIC LANDS EASEMENT NO. CL200000005, APPROVE RENEWAL
PAYMENT OF $25.00 AND AUTHORIZE COMMISSIONER LYSSY TO SIGN ALL NECESSARY
DOCUMENTS:
A Motion was made by Commissioner Lyssy and seconded by Commissioner Galvan to approve the
Renewal of Coastal Public Lands Easement No. CL2000000005, approve renewal payment of $25.00 and
authorize Commissioner Lyssy to sign all necessary documents. Commissioners Galvan, Lyssy, Fritsch,
Finster and Judge Pfeifer all voted in favor.
\
Oct0810 10:53a
p.2
TEXAS GENERAL LAND OFFICE
COASTAL LEASE NO. CL20000005
i
By virtue of the authority granted by Chapter 33 of the Texas Natural Resource Code, Title 3] of the Texas
Administrative Code, all amendments thereto, all other applicable statutes, and subject to all rules and
reguJations promulgated pursuant thereto, the State of Texas (the "'Grantor"), acting by and through the
Commissioner of the General Land Office (the "OLO") as Chairman of the School Land Board (the "Board) on
behalf of the Permanent School Fund (the "PSF"), hereby grants to the grantee (the "Grantee") named under
the "Grantee Name" section of Attachment A, the, Control Page, tbe right to use a tract of state-owned real
property (the "Premises"), which property is described in the "Premises" section of Attachment A and
further depicted in Attachment B, for the purposes described in this agreement (the "Agreement").
I
ARTICLE I: INTERPRETIVE PROVISIONS
I
(a) The meanings of defined terms are equally applicable to the singular and plural forms of the defmed
i terms;
(b) i The words "hereof," "berein,'~ "hereunder," and similar words refer to this Agreement as a whole
. and not to any particular provision, section, Attachment, or schedule, unless otherwise specified;
(c) I The term "including" is not limiting and means "including without limitation" and, unless otherwise
expressly provided in this Agreement, (i) references to agreements (including this Agreement) and
: other contractual instruments shall be deemed to include all subsequent amendments aDd other
, modifications thereto, but only to the extent that such amendments and other modifications are not
, prohibited by the terms of this Agreement; and (ii) references to any statute or regulation are to be
: construed as including all statutory and regulatory provisions consolidating, amending, replacing,
supplementing, or interpreting the statute or regulation;
(d) The captions and headings of this Agreement are for convenience of reference only and shall not
; affect the interpretation of tbis Agreement;
(e) 'All attachments within this Agreement, including those referenced by incorporation, and any
. amendments are considered part of the terms of this Agreement;
CL2QOooOOS
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00t0810 10:53a
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(f)
, This Agreement may use several different limitations, regulations, or policies to regulate the same or
similar matters. All such limitations, regulations, and policies are cumulative and each shall be
, performed in accordance '.\:ith its terms;
(g)
Unless otherwise expressly provided, reference to any action of the Grantor or by the Grantor by
way of consent, approval, or waiver shall be deemed modified by the phrase "in its/their sole
discretion." Notwithstanding the preceding sentence, any approval, consent, or waiver required by,
or requested of, the Grantor shall not be unreasonabLy \vithheld or delayed;
. .
(h)
All due dates and/or deadlines referenced in this Agreement that occur on a weekend or holiday shall
: be considered as if occurring on the next business day;
I
, All time periods in this Agreement shall commence on the day after the date on which the applicable
. event occurred, report is submitted, or request is received; and
(i)
G)
,
. Time is of the essence in this Agreement.
,
ARTICLE II GRANTING CLAUSE
2.01 GRANTING CLAUSE
: In consideration of the payments stated ih Article IV of this Agreement and other consideration
. stated therein, the receipt and sufficiency of "vhich are hereby acknowledged, and according to the
i covenants and commitments herein agreed to be kept and performed by the Grantee, the Grantor
: grants to the Grantee the right to use the Premises for the purposes and under the conditions and
: obligations described in the following section of this Agreement.
I
2.02 I SCOPE OF GRANTING CLAUSE
The Grantee's. use of the Premises is subject to compliance with the following covenants,
: obligations, and conditions:
I
i (a) Use
The Premises may be used by the Grantee solely for those uses specified under the "Use(s) of
Premises" section of Attachment A and for no other purpose. Except as otherwise provided
in this Agreement, the Premises are to remain in their current topographical and hydrologic
condition during the term of the Agreement. The Grantee is specifically prohibited from
modifying the Premises in any manner not authorized in this Agreement and from using, or
allov.ing the use by others, of the Premises for any other purpose.
, (b) Trash
The Grantee shall be responsible for the removal and disposal of all trash at the Premises,
whether or not such trash is generated by the Grantee or its guests and invitees.
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Oct 08 10 10:53a
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(c)
Improvements
i) The Grantee's right to use the Premises is exclusive as to those alterations, additions.
and/or improvements located, or to be located, on the Premises (collectively the
.'Improvements"), as more specifically described under the "Use(s) of Premises"
section of Attachment A and further depicted on Attachment B, and non-exclusive
as to the remainder. The location of the Improvements shall become fixed as
specified under Attachment B and shall n01 be changed except by a written
amendment to this Agreement. Improvements existing prior to the execution of this
Agreement are and shall remain the property of the Grantor;
Except as otherwise allowed in this Agreement, no construction, land modifications
or excavation, or permanent property improvemerits may be allowed or undertaken
without the Grantor's prior express written consent. The Grantee may not maintain
or allow any nuisances or public hazards on the Premises, and shall be under a duty to
abate or remove any activity or property constituting or contributing to a hazard or
nuisance. The Grantee may.file a criminal complaint or institute civil proceedings to
protect his right of possession and leasehold interest in the Premises against trespass
of other infringement of the Grantee's rights by third parties. The Grantee is
specifically prohibited from using or ano~ing the use by others of the Premises for
any purpose not stated herein, including, but not limited to: mining, hauling, or
otherwise removing rock, sand, gravel, aggregate, or other such materials, without the
Grantor's prior express VYTitten approval;
ii)
I
!
i
I
I
.1
i
Prior to undertaking construction or installation of Improvements on the Premises, the
Grantee shall provide written notice of the terms of this Agreement to each person or
entity authorized by the Grantee to perform any such activity on its behalf. If a
dispute arises concerning construction 'or installation of the Improvements, the
Grantee shall provide the Grantor with a copy of all applicable notices within ten (10)
days of the Grantor's \\.Titten'request;
Hi)
.1
The Grantee, in its sole cost and expense, shall make, and be solely responsible for,
any repairs. maintenance, or replacements to the Improvements that the Grantor
considers necessary or as required by this Agreement. If the Grantee fails or refuses
to honor such a request, or in case of an emergency. the Grantor may make such
repairs, maintenance, renewals, or replacements. THE GRANTEE WAIVES ANY CLAIM
FOR DAMAGE CAUSED THEREBY AND IS LIABLE TO THE GRANTOR FOR ANY COSTS
INCURRED;
iv)
I
Prior to expiration of this Agreement or upon notice of termination. the Grantee shall
remove all of the Improvements, remove any resulting debris, and pay Grantor an
monies due. The grantee shall take whatever measures are necessary to restore the
area involved as nearly as practicable to the same condition that existed prior to
placement of any Improvements. If the Grantee fails to comply with this provision,
the Grantor shall have the right to perform the work; in which event the Grantee shall
be liable to the Grantor for all cost, loss, and damage incurred by the Grantor;
v)
.1
vi) Notwithstanding the preceding, pursuant to Title 31 of the Texas Administrative
Code, the Grantor may waive the removal/restoration requirements in this Section if,
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Oct 08 10 10:54a
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in the Grantor's sole opinion and discretion, such waiver is in the best interest of the
State. Any such waiver shall be in ~'fiting and may be conditioned upon factors
including the nature and sensitivity of the natural resources in the area, potential
damage to or destruction of property, beneficial uses of the existing improvement(s),
and other factors considered to be in the best interest of the State; and
viii) Grantee shall insure that all Improvements constructed, placed, or operated by it on
the Premises are visible to operators of marine craft at all times. Grantee shall further
take any and all steps necessary to insure that Improvements constructed, placed, or
operated by it on the Premises do not constitute a hazard to operators of marine craft.
Grantee may not restrict or prevent other persons [rom access to navigating open,
navigable waters.
: (d) Special conditions
The Grantee shan adhere to the special conditions, if any, listed under the "Special
Conditions" section of Attachment A.
2.03 . As [s
I
. THE GRANTEE HAS INSPECTED THE PHYSICAL AND TOPOGRAPHIC CONDITION OF THE PREMISES
I AND ACCEPTS THE SAME "AS IS," IN ITS EXISTING PHYSICAL AND TOPOGRAPHIC CONDITION. THE
I GRAJ\TEE ACKNOWLEDGES THAT IT IS NOT RELYII\G ON ANY REPRESENTATION, STATEMENT, OR
OTHER ASSERTION OF THE GRANTOR WITH RESPECT TO THE CONDITION OF THE PREMISES, B VT IS
RELYING ON THE GRANTEE'S OWN Il\'"SPECTlON OF THE PREMISES. THE GRANTOR DlSCLAIMS ANY
. AND ALL WARRANTIES OF HABITABILITY, MERCHANTABILITY, SUITABILITY, FITJ\ESS FOR ANY
PURrOSE, AND ANY OTHER EXPRESS OR IMPLIED WARRAI\TY NOT EXPRESSLY SETFORTH IN THIS
AGREEMENT. THE USE OF THE TERM "GRANT" IN NO WAY IMPLIES THAT THIS AGREEMENT IS
FREE OF LIENS, ENCUMBRANCES, AND/OR PRIOR RIGHTS. THE GRANTEE IS peT ON NOTICE THAT
OTHER GRANT AND/OR ENCUMBRANCE 1\-1 A Y BE OF RECORD, AND THE GRANTEE IS ADVISED TO
EXAMINE THE RECORDS IN THE ARCHIVES AND RECORDS DIVISION OF THE GLO AND RECORDS OF
. THE COUNTY IN WHICH THE PREMISES ARE LOCATED.
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2.04 . RESERVATIONS
The Grantor reserves the full use of the Premises and all rights with respect to its surface and
. subsurface for any and all purposes except for those granted to the Grantee. The aforementioned
. reserved full use of the Premises by the Grantor includes the right of ingress, egress, and use of the
Premises by the Grantor, its officers, agents, representatives, employees, and other authorized users
for any authorized purpose.
2.05 ,RIGHT OF ENTRY
, (a) In any circumstances where the Grantor is granted a right of entry on the Premises during the
term of the Agreement, no such entry shall constitute an eviction or disturbance of the
Grantee's use and possession of the Premises, a breach by the Grantor of any of its
obligations hereunder, render the Grantor liable fOT damages for loss of business or
otherwise, entitle the Grantee to be relieved from any of its obligations hereunder, grant the
Grantee any right of off-set or recoupment, or other remedy.
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(b)
(c)
(d)
(e)
In exercising any right of enlry, the Grantor agrees to exercise its right of entry only at
reasonable times (except in an emergency) for purposes of inspection, repair, and as
necessary to protect the State's interests, and the Grantor agrees not to unreasonably interfere
with the Grantee's authorized use of the Premises. The Grantee shall provide the Grantor
with keys or combinations to all locks that may limit access to the Premises.
Further, the Grantee authorizes the State, its officers, agents, representatives, and employees
to access the Premises over and across Grantee's Adjacent Property. Grantor agrees to use
the Adjacent Property only to the extent and for the length of time necessary to provide
access to and from the Premises. The foregoing authori7..ation creates a license only, and
docs not create an easement over the Adjacent Property.
Grantee acknO\vledges that Grantor's right of ingress and egress shall remain in effect as
long as any improvements placed on the Premises by Grantee remain on the Premises and/or
as necessary for Grantor to confirm the removal (in whole or in part) of those improvements.
Any aforementioned right of entry shall survive the termination of this Contract.
2.06 DA\fAGE OR DESTRUCTION OF PREMISES AND/OR IMPROVEMENTS
~ No damage to the Premises, or damage to or destruction of any Improvements, shall in any way
~ alter, affect, or modify the Grantee's obligations under this Agreement. In the event any such
. damage or destruction exceeds the cost listed under the "Cost of Damage" section of Attachment A
; per event to repair, the Grantee shall give 'WTitten notice to Grantor within seven (7) calendar days of
: the damage or destruction, including a description of the damage or destruction and, as far as known
; to the Grantee, the cause of the damage or destruction. The Grantee shall immediately remove all
I debris resulting from such damage or destruction and take such action as is necessary to place the
Premises in a neat, safe condition. Within 90 days of the event causing the damage or destruction,
~ the Grantee must either repair or replace the Improvements, if pennitted by law, or return the
Premises to their natural condition. The Grantor may make repairs or replacements pursuant to this
: section, whereupon the Grantee shall be liable to pay the Grantor, upon demand, the cost and
: expense incurred in accomplishing such action. Any failure by the Grantee to make such payment to
the Grantor ~ay be treated by the Grantor as an Event of Default.
ARTICLE III:
TERM
I
The effective date and termination date of this Agreement are specified under the "Effective and
Termination Dates" section of Attachment A, unless renewed or earlier terminated as provided herein.
Unless otherwise specified herein, renewal of this Agreement is at the sole discretion of the Grantor.
ARTICLE IV:
CONSIDERA TION
The Grantee shall pay, in consideration of the mutual covenants and agreements set forth in this Agreement,
the payment(s) and/or fee(s) listed under the "Payment(s) and/or Fee(s)" section of Attachment A on or
before the due date.
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ARTICLE V: EVENTS OF DEFAULT
S.Ot EVEl'iTSOF DEFAl!LT
(a)
(b)
r
I (c)
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: (d)
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i (e)
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With respect to the Grantee, it shall be an event of default hereunder (HEvent of Default") if:
the Grantee fails or refuse~ to timely pay Consideration or any other payments required by
this Agreement after it becomes due;
the Grantee fails or refuses to comply, timely perform, or observe any of the covenants,
duties, obligations, andlor conditions under this Agreement;
the Grantee abandons or vacates the Improvements, the Premises, or any significant portion
thereof;
there is an entry of a court order requiring the dissolution, winding up, or termination of the
Grantee's business affairs; or
the Grantee fails to materially comply with rules and regulations in the Texas Administrative
Code, the Texas Natural Resources Code, or any other rules or regulations promulgated by
any state or federal governmental entity with proper jurisdiction over any of the uses
permitted under this Agreement unless such a failure to comply is redressed through an
enforcement action by an applicable state agency with proper jurisdiction.
I
5.02 I NOTICE AND CURE
: There shall be no consequences for an Evel1t of Default under this Agreement, unless the defaulting
. party receives VoTitten notice of the Event of Default and such Event of Default continues for a
I period of 30 days after the defaulting party receives the notice. A notice of Event of Default shall
! specify the event or events constituting the default. This 30 day period shall be extended if the act,
i evt:nt, or condition is one that by its natur~ or circumstances reasonably requires more than 30 days
i to cure; provided, however, the defaulting party shall promptly and in good faith initiate and
. diligently pursue measures that are expected to cure or eLiminate the Event of Default in a reasonable
period of time. If either party fails to cure an Event of Default, the non-defaulting party shall be
i entitled to terminate this Agreement by written notice. This notice and cure provision does not
: apply to an Event of Default under provision 5.01(a) or any emergency situations that affect public
i health or safety.
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5.03 ,CI:MULATlVE RIGHTS AND REMEDIES; No WAIVER
; If an Event of Default occurs and the Grantee fails to cure \\oithin the period provided above, the
: Grantor may, at its option, do anyone or more of the following:
; (a) terminate this Agreement by sending written notice of such termination, in which event the
I Grantee shall immediately surrender possession of the Premises to the Grantor (such
termination shall not prejudice the rights of the Grantor for any claim of payments due);
(b) enter upon and take possession of the Premises and expel or remove the Grantee and any other
occupant. with or without having terminated the Agreement; or
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,(c) alter locks and other security devices, if any, at the Premises.
The failure of either the Grantee or the Grantor to insist at any time upon the strict observance or
performance of any of the provisions of this Agreement or to exercise any right or remedy as
, provided in this Agreement shall not impair any other right or remedy or be construed as a waiver or
: relinquishment thereof with respect to subsequent defaults. Every right and remedy given by this
I Agreement to the Grantee or the Grantor may be exercised from time-to-time and as often as may be
deemed expedient by the Grantee or the Grantor, as the case may be. In an Event of Default, the
, Grantor shall have the option, but not the obligation, to mitigate its damages.
ARTICLE VI:
GENERAL TERMS. CONDITIONS. AND EXCEPTIONS
i
6.01 ASSIGNMENT
The Grantee shall not assign or otherwise dispose of an interest in this Agreement or the Premises
'without the express prior written consent of the Grantor; and any attempt to assign Of otherwise
: dispose without consent shall be void and of no effect. This prohibition against assigning or
disposition shall be construed to include a prohibition against any assignment or disposition by
operation of law. If this Agreement is assigned, or if an interest in this Agreement or the Premises is
. disposed of, the Grantor may nevertheless collect Consideration from the assignee and apply the net
amount collected to the Consideration payable hereunder. No such transaction or collection of
Consideration shall release the Grantee from the further performance of its covenants, duties, and
obligations.
6.02
,
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INDEMNITY
: EXCEPT i''"OR DAMAGES DIRECTLY OR PROXIMATELY CAUSED BY THE GROSS NEGLIGENCE OF THE
GRANTOR, THE GRANTEE SHALL INDEMNIFY AND HOLD HARMLESS THE GRANTOR AND THE
GRANTOR'S OFFICERS, REPRESENTATIVES, AGENTS, AND EMPLOYEES FROM ANY LOSSES, CLAIMS,
, SUITS, ACTIONS, DAMAGES, OR LIABILITY (INCLUDING ALL COSTS AND EXPENSES OF DEFENDING
, AGAINST ALL OFTHE AFOREMENTIONED) ARISING IN CON~ECTION WITH:
.
THIS AGREEMENT;
THE USE OR OCCUPANCY OF THE PREMISES;
ANY NEGLIGENCE, ACT, OMISSI01\", NEGLECT, OR MISCONDUCT OCCURRING IN, ON, OR
ABOUT THE PREMISES; OR
ANY CLAIMS OR AMOUNTS ARISING OR RECOVERABLE U~DER FEDERAL OR STATE
WORKERS' COMPENSATION LAWS, THE TEXAS TORT CLAIMS ACT, OR ANY OTHER SUCH
LAWS.
i.
'.
.
THE GRANTEE ASSUMES RESPONSIBILITY FOR THE CO~DlTION OF THE PREMISES. THE GRANTEE
EXPRESSL Y AGREES TO USE AND OCCUpy THE PREMISES AND PLACE ANY IMPROVEMENTS ON THE
PREMISES AT ITS OW~ RISK. THE GRANTEE SHALL BE RESPONSIBLE FOR THE SAFETY AND WELL
BEING OF ITS EMPLOYEES, CUSTOMERS, AND INVITEES. THESE REQUIREMENTS SHALL SURVIVE
i THE TERM OF THIS AGREEMENT UNTIL ALL CLAIMS HAVE BEE~ SETTLED OR RESOLVED AND
I
! SUITABLE EVIDENCE TO THAT EFFECT HAS BEEN FURNISHED TO THE GRANTOR.
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6.03 . PROTECfION OF NATURAL AND HISTORICAL RESOURCES
, (a) l:nauthorized Discharge
The Grantee shall use the highest degree of care and all appropriate safeguards to prevent
pollution of air, ground, or water in, on, or about the Premises through an unauthorized
discharge, and to protect and preserve natural resources and wildlife habitat. In the event of
such discharge or damage to natural resources in, on, or about the Premises that is tbe result
of an act or omission of the Grantee, its officers, employees, agents, representatives,
contractors, and lor invitees, the Grantee shaH immediately notify appropriate agencies of the
State of Texas and the Grantor and undertake all required and appropriate action to remedy
the same. The Grantee shall be liable for all damages to the Premises, public lands, and
waters as a result of such act or omission and for mitigation of any such damages.
(b) Natural Historical Preservation Act and Antiquities Code of Texas
THE GRANTEE IS EXPRESSLY PLACED ON NOTICE OF THE NA TlONAL HISTORICAL
PRESERVATION ACT OF 1966 AND THE ANTIQUITIES CODE OF TEXAS. Il\' THE EVENT THAT
Al\'Y SITE, OBJECf, LOCATION, ARTIFACT, OR OTHER FEATURE OF ARCHEOLOGICAL,
SCIENTIFIC, EDUCATIONAL, CULTURAL, OR HISTORIC INTEREST IS EI"COUl'TERED DURING
THE ACTIVITIES AUTHORIZED BY THIS AGREEMENT, THE GRANTEE SHALL IMMEDIATELY
CEASE SUCH ACTIVITIES AND SHALL IMMEDIATELY NOTIFY THE GRANTOR Al\'D THE TEXAS
HISTORICAL COMMISSION, SO THAT ADEQUATE MEASURES MAY BE UNDERTAKEN TO
PROTECT OR RECOVER SUCH DISCOVERIES OR FINDINGS, AS APPROPRIATE.
6.04 . COMPLIANCE WITH OTHER LAWS; NUISANCE
. The Grantee, at its own expense, vviU comply with all federal, state, municipal, and other laws,
. codes, ordinances, rules, and regulations applicable to the Premises; and will install, remove, and
. alter such equipment and facilities in, and make such alterations to, the Premises as may be
. necessary to comply. The Grantee will 110t make any unla\'Vful use of the Premises or permit any
, unlawful use thereof; and will not commit, or permit anyone else to commit, any act that is a
nuisance or annoyance to the Grantor or adjacent property owners or tenants, or which might, in the
exclusive judgment of the Grantor, damage the Grantor's goodwill or reputation, or tend to injure or
depreciate the value of the Premises and/or any Improvements located thereon. The obligations of
. the Grantee under this Section shall survive any termination of this Agreement.
6.05 NOTICE
(a)
The Grantee shall provide written notice to the Grantor of any change in the Grantee's name,
address, corporate structure, legal status or any other information relevant to this Agreement.
The Grantee shall provide to the Grantor any other information reasonably requested by the
Grantor in writing within 30 days following such request.
! (b)
Any payments and required written notices under this Agreement shall be delivered by hand,
facsimile, or United States Registered or Certified MaiJ, adequate postage prepaid, to the
addressees) listed under the "Address(es) for Notification" section of Attachment A. A
party may change its address by giving notice as provided above. No change of address shall
be binding until notice of such change of address is given as required.
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6.06 : SEVERABILITY
i If any provision contained in this Agreement is held to be unenforceable by a court of law or equity, .
! this Agreement shall be construed as if such provision did not exist and the non-enforceability of
i such provision shall not be held to render any other provision or provisions of this Agreement
: unenforceabLe.
6.07 · EJ\TIRE AGREEMENT
I This Agreement and its attachments constitute the entire agreement of the parties and such are intended
: as a complete and exclusive statement of the promises, representations, negotiations, discussions,
: and other agreements that may have been made in cOlmection with the subject matter hereof. Unless
an attachment to this Agreement specifically dispLays a mutual intent to amend a partie-ular part of
this Agreement, general conflicts in language between any such attachment and this Agreement shall
be construed consistently with the terms of this Agreement. Unless otherwise expressly authorized
I by the terms of this Agreement, no modification, renewal, extension, or amendment to this
Agreement shall be binding upon the parties unless the same is in writing and signed by the
respective parties hereto.
6.08 TAXES
: The Grantee shall, as further consideration for this Agreement, pay and discharge all '"Taxes" (as
hereinafter defined) properly assessed in any calendar year (or portion thereof) during the term of
; this Agreement. For the purposes oftrus Agreement, the term "Taxes" me.ans all taxes, assessments,
: impositions, levies, charges, excises, fees, licenses, and other sums (whether now existing or
. hereafter arising, whether foreseen or unforeseen, and whether under the present system of taxation
or some other system), that during the term of this Agreement may be levied, assessed, charged, or
: imposed by any governmental authority or other taxing authority or accrue on the Premises and any
, Improvements or other property thereon, whether belonging to the Grantor or the Grantee, or to
: which either of them may become liable in relation thereto. The term "Taxes" shall also include all
, penalties, interest, and other charges payable by reason of any delay or failure or refusal of the
. Grantee to make timely payments as required pursuant to this provision. THE GRA~TEE AGREES TO
· AND SHALL INDEMNIFY AND HOLD THE GRANTOR HARMLESS FROM LIABILITY FOR ANY AND ALL
. TAXES, TOGETHER WITH ANY Il'\TEREST, PENALTIES, OR OTHER SUMS IMPOSED, AND FROM ANY
I
, SALE OR OTHER PROCEEDING TO ENFORCE PAYMENT THEREOF.
, .
6.09 : ENCUMBRANCE OF INTEREST
! The Grantee may not mortgage, hypothecate. encumber, or grant any deed of trust or security
i interest that encumbers the Premises. Further, the Grantee may not collaterally assign any rent or
i other income generated from the Premises. Prior to expiration or termination of this Agreement, the
! Grantee will provide the Grantor with documentation sufficient to evidence the Grantor's ownership
I of the Improvements not required to be removed per Article II.
6.10 PROPER ALTHORITY
Each party hereto represents and warrants that the person executing this Agreement on its behalf has
full power and authority to enter into this Agreement.
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6.11
I RELATIONSHIP OF THE PARTIES
I ,
Nothing contained in this Contract shall be deemed or construed to create a partnership or joint
venture, to create relationships of an employer~employee or principal-agent, or to otherwise create
for the Grantor any liability whatsoever with respect to the indebtedness, liabilities, and obligations
of the Grantee or any other party.
6.12
GRANTEE'S WAIVER OF CERTAIN RIGHTS AND ASSERTIONS
The Grantee waives and relinquishes all rights that the Grantee might have to claim any nature of
lien against the Grantor and the Premises, or withhold or deduct from or offset against any
Consideration or other sums provided hereunder to be paid to the Grantor by the Grantee. The
I Grantee waives and relinquishes any right, either as a claim or as a defense, that the Grantor is
; bound to perform or is liable for the nonperformance of any implied covenant or implied duty of the
I Grantor not expressly set forth in this Agreement.
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IN TE*TJMONY WHEREOF, witness my hand and the Seal orOffice.
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GRANTOR:
THE Sf A TE OF TEXAS
I
By: I
mkRY E. PATIERSON
C~h,mjSSiOner, General Land Office
Chrirman, School Land Board
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Date: I
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AP PROVE DU
Contents: '/1t:I,
Legal: br3'--'
~
Deputy:
Executive:
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GRANTEE:
C~lhoun CO,nty 4
By: {j~
(Signature)
l) -e rrJ . L'I 6 Sl}
(Printed Name)
C f) .\--tF}
~ N\ (6 ~ I CY--~;- K:..--I (7'-
(Title)
Date: /0 - tcj-/D
ACKNO\VLEDGMENT
STATEOF T€-~~s
COUNTY OF CC J h.o <A-wV
~
9
S
. This instrument was acknowledged before me on the \ '-t
day of 0 G..\o b~
20~, by \J ~'\;LN L'f ssy
(r.,-r(1.i.~;.t~..~.c (}r ,,4~~,~'e;lt j.:cl'r.(}.~'enTi.l{rl\:;).
~.
r~V?~' ,
\i"Cotmy Stgnatul";';}
Notary Public, State of '"\e ')CcL <;
My commission expires: lj -I 8 - 2..-' ''''2-
INFORl'dATlON COLLECTED BY ELECTRONIC NIAlL AND BY WEB FORJt..11S SUBJECT TO THE PUBLIC
INFOR..HATlON ACT, CHAPTER 552, GOVERN1\lfEl'vT CODE.
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ATTACHMENT A: CONTROL PAGE
C~RANTF.E'S NAME
( alhoun County
J REMISES
'1\ ponion of State Tract Number 2-A, LavacaBay, Calhoun County, Texas (the "Premises"). The
I remises are further described and depicted on Attachment B attached hereto and incorporated
1 erein by reference.
~SE(S) OF PREMISES
j\.uthorized Use(s) ofthe Premises: a public park construction of a 2.05 acre (89,280 square feet)
, rea of fill, a I' x ] 74' concrete bulkhead, a I' x 190' wooden bulkhead, an 8' x 200' wooden
~alkway with an 8' x 100' T-head, a 4' x 14' platform, a 4' x 50' wooden walkway, a 6' x 25'
(oncrete shoreline stabilization, a ] 5' x 75' concrete boat ramp, a 25' x 25' concrete boat ramp,
t~o areas of concrete rubble rip-rap encumbering an additional 15,900 square feet, and a dredged
(hannel (25' x 200') encumbering 5,000 feet, for a total project encumbrance of 115,100 square
eet.
PECIAL CONDITIONS
1. Grantee is specifically prohibited from using or permitting the use of the Premises for any
commercial or illegal purpose. Provided the Grantor does not unreasonably interfere
with Grantee's use of the Premises, the Grantor may use or permit the use of the Premises
for any purpose consistent with Grantee's use of the Premises.
~OST OFDAMAGE
ive Thousand and No/IOO Dollars ($5,000) per event.
:..FFECTIVE AND TERMINATION DATES
. his Agreement is for a total period of ten (10) years, effective on December t, 2010, and
tpnninating on November 30, 2020.
I A YMENT(S) AND/OR FEE(S)
l ~rantee and Grantor acknowledge that no rental fees shall be assessed for the described use of
1 ~e premises, while Grantee is not in default of the terms agreed upon herein. Grantor further
i cknowledges the receipt of the appropriate contract application and processing fees.
. ilDDRESS(ES) FOR NOTIFICATION
Grantor's Contact Information
Name: . Texas General Land Office
Title: Deputy Commissioner, Professional Services
Address: 1700 N. Congress Ave.
Address: Austin, Texas 7870].1495
Grantee's Contact Information
Name: Calhoun County
Address: 5812 FM 1090
Address: Port Lavaca, TX 77979-5168
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ATTACHMENT B:
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vaca Bay
Tide: Normal
Visibility: l'
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350 ft Natural Sand Beach
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Private land
DATE OF INSPECTION: 07-28-2010
CREATOR: mharding
MODIFIED BY: KTunnell
I
Attachment B-':
.' \ -.:
GENERAL LAND OFFICE (GLO) CONTRACT NO. 11-023-000-4321 CMP CYCLE 15 AND
AUTHORIZE COUNTY JUDGE TO SIGN:
A Motion was made by Judge Pfeifer and seconded by Commissioner Lyssy to approve the General Land
Office (GLO) Contract No. 11-023-000-4321 CMP Cycle 15 and authorize Judge Pfeifer to sign the
contract. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor.
SUBRECIPIENT GRANT AGREEMENT
GLO CONTRACT No.11-023-000~4321
COASTAL MANAGEMENT PROGRAM - CYCLE 15
This subrecipient grant agreement ("Contract") is entered into by and between the GENERAL
LAND OFFICE ("OLO"), a State agency, and CALHOUN COUNTY, TEXAS ("Subrecipient"). to
provide financial assistance with funds received under the Texas Coastal Management Program
("CMP") Cycle 15 grant funds, to be made available to the State of Texas by the U.S.
Department of Commerce, National Oceanic and Atmospheric Administration ("NOAA"),
pursuant to the Federal Coastal Zone Management Act of 1972, 16 United States Code Section
1451, et seq., NOAA Award No. NAlONOS4190207 ("Grant"). The Grant funds are limited to
use for implementation of a coastal zone management project under the CMP, administered by
the OLO (as Coastal Zone Management Awards, CFDA #11.419) and as approved by the Coastal
Coordination Council under Chapter 33, Subchapter C of the Texas Natural Resources Code.
ARTICLE 1- GENERAL PROVISIONS
1.01 PURPOSE
The purpose of this Contract is to set forth the terms and conditions of a Subgrant from the
OLO to the Subrecipient under CMP Cycle 15.
1.02 CONTRACT DOCUMENTS
The OLO and Subrecipient hereby agree that this document and the following
Attachments, which are incorporated herein in their entirety for all purposes, shall govern
this. Contract:
ATTACHMENT A:
ATTACHMENT A-I: Final, Actual Budget (To be Submitted)
Project Work Plan and Budget
ATTACHMENT B:
ATTACHMENT C:
/
ATTACHMENT D:
ATTACHMENT E:
CMP Supplemental Terms and Conditions
Federal Assurances - Construction (SF-424D) INon-Construction
(SF-424B); Certification Regarding Lobbying Lower Tier Covered
Transactions (Form CD-512); and Disclosure of Lobbying .
Activities Form (SF-LLL)
Oeneral Affirmations
Sample Additional Required Forms: Progress Report Form;
Invoice for Federal Expenditures; Monthly Grant Project
. !
GLO Contract No. 11-023-000-4321
Pa~e I of 15
ATTACHMENTF:
Equipment Sheet; Monthly Grant Project Timesheet; Budget
Amendment Form; Audit Reporting Form; and Historically
Underutilized Businesses (HUB) Expense Report Form
Grant Closeout Form
1.03 DEFINITIONS
"Administrative and Audit Regulations" means the regulationsinchided in Title 43, Code
of Federal Regulations, Part 12, Chapter 321 of the Texas Government Code; Subchapter
F of Chapter 2155 of the Texas Government Code, and any other federal or state
regulation applicable to. the administration and audit of this Contract and. the activities
authorized by it
. "Budget" means the budget for the Project funded by the Contract, a copy of which is
included in Attachment A.
"CMP Rules" means the rules set forth in Chapters 501 through 506 of Title 31 of the
Texas Administrative Code for the Texas Coastal Management Program, authorized by
statute in Chapter 33, Subchapter C of the Texas Natural Resources Code.
"Compliant Format" means the format for electronically stored information that complies
with the standards set forth in Section 2.4 of Attachment B.
"Deliverable(s)" means the work product(s} required to be submitted to the GLO as set
forth in the Work Plan.
"Equipment" means tangible personal property have a useful life of more than one (1)
year and an acquisition cost of FIVE THOUSAND DOLLARS ($5,000.00) or more per unit.
"Event of Default" means the occurrence of any of the events set forth in Section 8.01
herein.
"Federal Assurances and Certifications" means federal (i) Standard Form 424B (Rev. 7-
97); or (ii) Standard Form 424D (Rev. 7-97), as applicable to the Project; and Form CD-
512 (Rev. 12-04), in Attachment C, which must be executed by Subrecipient
"Final Report" means a written report that mustbe received by the GLO upon completion
of the Work Plan, as set forth in Section 4.02 herein.
"Fiscal Year" means the period beginning September 1 and ending August 31 each year,
which is the annual accounting period for the State of Texas.
"GAAP" means "generally accepted accounting principles".as applicable.
"GASB" means accounting principals as defined by the Governmental Accounting
Standards Board.
"General Affirmations" means the affirmations in Attachment D, attached hereto and
incorporated herein for all purposes,. to which Subrecipientcertifies by the signing of this
Contract.
!
GLO Contract No. 11-023-000-4321
Page 2 of 15
"Grant Administrator" means the GLO staff member responsible for administering the
Grant, Melissa Porter, GLO Coastal Resources Division (512.475.1393 or
.; .
Melissa.porter@glo.state.tx.us) or her designee.
"HUB" means Historically Underutilized Business as defmed by Chapter 2161 of the
Texas Government Code.
. .
"Mentor Protege" means the Comptroller of Public Accounts' leadership program found
at: http://www.window.state.tx.us/procurement/proglhub/mentorprotege/.
"Plans" mean the engineering specifications, construction plans, and/or architectural
plans for the construction of improvements approved by the GLO for the Project, if any.
"Progress Reports" . means written progress reports that must be received by the .GLO
monthly or quarterly, as set forth in Section 4.02 herein.
"Project" means the activities involved in "Calhoun County Master Plan," described in
Section 2.01, and detailed in the Work Plan in Attachment A of this Contract.
. .
"Prompt Pay Act" means Chapter 2251, Subtitle F of Title 10 of the Texas Government
Code.
"Public Information Act" means Chapter 552 of the Texas Government Code.
"State of Texas Textravel" means Texas Administrative Code, Title 34, Part 1, Chapter 5,
Subchapter C, Section 5.22, relative to travel reimbursements under this Contract, if any.
"Subgrant" means the pass-through grant funds received through the Grant and approved
for use by Subrecipient in accordance With the terms of this Contract.
"Subrecipient" means Calhoun County, selected to accomplish the Project under this
Contract.
"Subcontractor" means an individual or business that signs a contract to perform part or
all of the obligations of Subrecipient under this Contract.
"Work Plan" means the statement of work and special conditions, if any, contained ii1
Attachment A.
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GLO Contract No. 11-023-000-4321
Page 3 of 15
1.04 INTERPRETIVE PROVISIONS
(a) The meanings of defined terms are equally applicable to the singular and plural
forms of the defined terms;
(b) The words "hereof," "herein," "hereunder," and similar words refer to this
Contract as a whole and not to any particular provision, section, attachment, work
order, or schedule of this Contract unless otherwise specified;
(c) The term "including" is not limiting, and means "including without limitation"
and, unless otherwise expressly provided in this Contract,
(i) references to contracts (including this Contract) and other contractual
instruments shall be deemed to include all subsequent amendments and
other modifications thereto, but only to the extent that such amendments
and other modifications are not prohibited by the terms of this Contract,
and
(ii) references to any statute or regulation are to be construed as including all
statutory and regulatory provisions consolidating, amending, replacing,
supplementing, or interpreting the statute or regulation;
(d) The captions and headings of this Contract are for convenience of reference only
and shall not affect the interpretation of this Contract;
(e) All attachments within this Contract, including those incorporated by reference,
and any amendments, are considered part of the terms of this Contract;
(f) This Contract may use several different limitations, regulations, or policies to
regulate the same or similar matters. All such limitations, regulations, and
policies are cumulative and each shall be performed in accordance with its terms;
(g) Unless otherwise expressly provided, reference to any action of the GLO or by the
GLO by way of consent, approval, or waiver shall be deemed modified by the
phrase "in its/their sole discretion."
Notwithstanding the preceding sentence, any approval, consent, or waiver
required by, or requested of, the GLO shall not be unreasonably withheld or
delayed;
(h) All due dates and/or deadlines referenced in this Contract that occur on a weekend
or holiday shall be considered as if occurring on the next business day;
(i) All time periods in this Contract shall commence on the day after the date on
which the applicable event occurred, report is submitted, or request is received;
and
U) Time is of the essence in this Contract.
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GLO Contract No. 11-023-000-4321
Page 4 of 15
ARTICLE 2. CMP SUBGRANT AWARD AND SCOPE OF PROJECT
2.01 CMPGRANT AWARD
Subrecipient submitted an application for Subgrant funds under CMP Cycle 15. The
Coastal Coordination Council has approved the Sub grant Award to Recipient based on
Subrecipient's application.
Subject to the terms and conditions of this Contract, the GLO agrees to make a Subgrant
to Subrecipient in an amount not to exceed NINETY-EIGHT THOUSAND FOUR HUNDRED
ELEVEN DOLLARS ($98,411.00), payable in installments as reimbursement of allowable
expenses incurred by Subrecipient, to be used in strict conformance with the Budget in
Attachment A hereto.
It is expressly understood and agreed by Subrecipient that the GLO shall have the right to
recapture, and to be reimbursed for, any payments made by the GLO under this Contract
that Subrecipient has not used in strict accordance with the terms and conditions of this
Contract and the Grant Award Agreement. THIS RECAPTURE .PROVISION SHALL SURVIVE
THE TERMINATION OR EXPIRATION OF TillS CONTRACT.
11
THE GLO IS NOT LIABLE TO 8UBRECIPIENT FOR ANY COSTS INCURRED BY
SUBRECIPIENT BEFORE THE EFFECTIVE DATE OF THIS CONTRACT OR AFTER
TERMINATION OF THIS CONTRACT.
ii 2.02 PROJECT AND WORK PLAN
The Project shall be performed in accordance with the Work Plan and Budget in
Attachment A; the Supplemental Terms and Conditions in Attachment B; the Federal
Assurances and Certifications in Attachment C; and the General Affirmations in
Attachment D.
The Work Plan or the scope of the Project may be amended by the Grant Administrator
upon submission of a written request: and detailed justification by Subrecipient. Some
modifications may require the approval of NOAA, which may cause significant delays.
ANY COSTS INCURRED WHILE WAITING FOR APPROVAL OF THE REQUESTED CHANGES
ARE THE RESPONSIBILITY OF SUBRECIPIENT. THE GRANT ADMINISTRATOR WILL
INFORM SUBRECIPIENT IF THE REQUEST IS APPROVED.
2.03 REAL ESTATE IMPROVEMENTS AND LAND ACQUISITION REQUIREMENTS
If applicable, Subrecipient should ensure compliance with Supplement Article 4,
Special Conditions Applicable to Real Estate Improvements and Land Acquisitions,
in Attachment B.
GLO Contract No. 11-023-000-4321
Page 5 of 15
ARTICLE 3. TERM
3.01 DURATION AND EXTENSION OF TERM "
(a) This Contract shall be effective as of the date signed by the last party, and shall
terminate upon completion of the Project or on March 31, 2012, whichever is
earlier. Upon receipt of a written' request and acceptable justification from
Subrecipient, the GLO may extend this Contract for a period not to exceed three
(3) months. Any request for extension must be received by the GLO at least
forty-five (45) days before the Contract's original termination date.
(b) HOWEVER, NOTWITHSTANDING THE PRECEDING SECTION 3.01(a), NO WORK
MAY BEGIN AND NO COSTS WILL BE REIMBURSED FOR WORK UNDERTAKEN
PRIOR TO OCTOBER 1, 2010.
3.02 EARLY TERMINATION
I
The GLO may terminate this Contract by giving written notice specifying a termination
date at least thirty (30) days subsequent to the date of the notice. Upon receipt of any
such notice, Subrecipient shall cease work, undertake to terminate any relevant
subcontracts, and incur no further 'expense related to this Contract. Such early
termination shall be subject to the equitable settlement of the respective interests of the
parties, accrued up to the date of termination.
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GLO Contract No. 11-023-000-4321
Page 6 of 15
,
'.i
ARTICLE 4. GRANT ADMINISTRATION
4.01 SUBMISSIONS
Except for legal notices that must b'e sent by specific instructions under Section 9.07
below, any written report, form, or request required to be submitted to the Grant
Administrator under this Contract shall be sent in Compliant Format via email to the
following email address:
http://www~!!~o.state.tx~us/coastal/!!rants/subrecipient.html
4.02 PROGRESS REpORTS
Subrecipient shall submit monthly / quarterly progress reports and a Final Report, as
required in the Work Plan, in Compliant Format to the Grant Administrator at the time
and in the manner prescribed in Supplement Article 1, Grant Administration, in
Attachment B.
4.03 DELIVERABLES
Subrecipient shall submit each of the Deliverables, as required in the Work Plan, in
Compliant Format to the Grant Admiriistrator at the time and in the manner prescribed in
Supplement Article 1, Grant Administration, in AttachmentB.
The GLO may require Subrecipient to conform any data presentation or products funded
under this Contract to reflect OLO comments.
Deliverable due dates may be aniended by the Grant Administrator upon submission of a
written request and detailed justification by Subrecipient. Modifications may require the
approval of NOAA, which may cause significant delays. THE GRANT ADMINISTRATOR
WILL INFORM SUBRECIPIENT IF THE REQUEST IS APPROVED.
4.04 REIMBURSEMENT REQUESTS
Subrecipient shall submit requests for reimbursement for costs allowed under this Contract
at the time and in the manner prescribed in Supplement Article 1,.Grant Administration,
in AttachmentB.
Sub recipient may not charge "other operating costs" (i.e., administrative costs,
computer usage fees, etc.) in addition to indirect costs, if such costs are already
included in the calculation to determine Subrecipient's indirect cost rate.
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GLO Contract No. 11-023-000-4321..
Pag~ 7 of 15
ARTICLE 5 -STATE FUNDING
5.01 STATE FUNDING
This Contract shall not be construed as creating any debt on behalf of the State of Texas'
and/or the OLO in violation of Texas Constitution, Article ill, Section 49. In compliance
with Texas Constitution, Article VITI, Section 6, it is understood that all obligations of the
OLO hereunder are subject to the availability of state funds. If such funds are not
appropriated or become unavailable, this Contract may be terminated. In that event, the
parties shall be discharged from further obligations, subject to the equitable settlement of
their respective interests, accrued up to the date of termination.
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GLO Contract No. 11-023-000-4321
. Page 8 of 15
:1.
ARTICLE 6. INTELLECTUAL PROPERTY
6.01 OWNERSHIP AND USE
(a) . The parties to this Contract expressly agree that all right, title, and interest in, and to,
all reports, drafts of reports, or other material, data, drawings, computer programs
and codes associated with this Contract, and/or any copyright or other intellectual
property rights, and any material or information developed and/or required to be
delivered under this Contract shall be jointly owned by the parties with each party
having the right to use, reproduce, or publish ,any or all of such information and .
other materials without the necessity of obtaining permission from the other party
and without expense or charge. ,
(b) The United States Government is granted Ii royalty free, non-exclusive, and
irrevocable license to reproduce, publish, or otherwise use, and to authorize others
to use, for U.S. Government purPoses, all reports, drafts of reports, or other material,
data, drawings, computer programs, and codes associated with this Contract, and/or
any copyright or other intellectual property rights, and any material or information
developed and/or required to be delivered under this Contract.
6.02 NONENDORSEMENT BY THE STATE AND THE UNITED STATES
Subrecipient shall not publicize or otherwise circulate promotional material (such as
advertisements, sales brochures, press releases, speeches, still and motion pictures,
articles, manuscripts, or other publications) that states or implies State of Texas or U.S.
Government, or government employee, endorsement of a product, service, or position that
the Subrecipient represents. No release of information relating to this Grant may state or
imply that the State of Texas or the U.S. Government approves of Subrecipient's work
products, or considers Subrecipient's work product to be superior to other products or
servIces.
6.03 PUBLICATION DISCLAIMERS REQUIRED
The specific acknowledgements and funding statements that must' be included in certain
publications funded by the Subrecipient are set forth in Article 3 of Attachment B.
6.04 SURVIVAL
THE PROVISIONS OF THIS ARTICLE 6 SHALL SURVIVE THE TERMINATION OR
EXPIRATION OF THIS CONTRACT.
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GLO Contract No. 11-023-000-4321
Page 9 of 15
~ -:: <0... ff- r
I
ARTICLE 7 -RECORDS / AUDITS / RETENTION / PUBLIC RECORDS
7.01 BOOKS AND RECORDS AND AUDITS
Subrecipient shall keep and maintain full, true, and complete records in a9cordance with
GAAP or GASB, whichever is applicable, necessary to fully disclose to the GLO, the
Texas State Auditor's Office, the United States Government, and/or their authorized
representatives sufficient information to determine compliance with the terms and
conditions of this Contract and all state and federal rules, regulations, and statutes.
7.02 PERIOD OF RETENTION
Subrecipient shall retain all records relevant to this Contract for a minimum of four (4)
years. If any federal funds are used in the Contract, Subrecipient shall retain said records
for a minimum of five (5) years. The period of retention begins at the date of payment by
the GLO for the goods or services or from the date of termination of the Contract,
whichever is later. The period of retention shall be extended for a period reasonably
necessary to complete an audit and/or to complete any administrative proceeding or
litigation that may ensue.
7.03 PUBLIC RECORDS
Pursuant to the Public Information Act, records received from Subrecipient may be open to
public inspection and copying. The GLO will have the duty to disclose such records, unless
a particular record is made confidential by law or excepted from the Act. Subrecipient may
clearly label any individual records as a "trade secret," provided that Subrecipient thereby
agrees to indemnify and defend the GLO for honoring such designation. The failure to so
label any record shall constitute a complete waiver of any and all claims for damages caused
by release of the records. If a request for a labeled record is received by the GLO, the GLO
will notify Subrecipient of the request ~ accordance with the Public Information Act.
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GLO Contract No. 11-023-000-4321
Page 10 of 15
ARTICLE 8. EVENTS OF DEFAULT AND REMEDIES
8.01 EVENTS OF DEFAULT
Each of the following events shall constitute an Event of Default under this Contract: (i)
Subrecipient's failure to comply with any term, covenant, or provision contained in this
Contract; (ii) Subrecipient makes a general assignment for the benefit of creditors or takes
any similar action for the protection or benefit of creditors; or (iii) if at any time,
Subrecipient makes any representation or warranty that is incorrect in any material respect
to the Work Plan, any request for payrvent submitted to the GLO, or any report submitted
to the GLO related to the Contract. "
8.02 REMEDIES; No WAIVER
Upon the occurrence of any such Event of Default, the GLO shall be entitled to avail itself
of any legal remedy. A right or remedy conferred by this Contract upon either Party is not
intended to be exclusive of any other right or remedy, 'and each and )every right and remedy
shall be cumulative and in addition to any other right or remedy given under this Contract,
or hereafter legally existing upon the occurrence of an Event of Default. The failure of the
GLO either to insist at any time upon the strict observance or performance of any of the
provisions of this Contract, or to exerci,se any right or remedy as provided in this Contract,
shall not impair any such right or remedy or be construed as a waiver or relinquishment
thereof with respect to subsequent defaults.
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GLO Contract No. 11-023-000-4321
Page 11 of15
ARTICLE 9. MISCELLANEOUS PROVISIONS
9.01 CONTRACT AMENDMENT
Unless otherwise provided herein, any amendment to this Contract must be made by formal
Contract amendment, executed by both parties and, if required by federal law, approved by
NOAA.
9.02 LEGAL OBLIGATIONS
Subrecipient shall procure and maintain for the duration of this Contract any state, county,
city, or federal license, authorization, insurance, waiver, permit, qualification or
certification required by statute, ordinance, law, or regulation to be held by Subrecipient
to provide the goods or services required by this Contract., Subrecipient will be
responsible for payment of all taxes, assessments, fees, premiums, permits, and licenses
required by law. Subrecipient agrees to be responsible for payment of any such
government obligations not paid by its Subcontractors during performance of this
Contract. Subrecipient shall not commence construction of the Project until it has
obtained the requisite licenses and/or permits. COPIES OF SUCH LICENSES 'AND PERMITS
SHALL BE INCLUDED AS A PART OF THE PROGRESS REpORT, AS DEFINED IN THIS
CONTRACT, FOR THE PERIOD DURING WHICH THEY ARE OBTAINED.
.9.03 INDEMNITY
As GOVERNMENTAL ENTITIES AND AS REQUIRED UNDER THE CONSTITUTION AND LAWS
OF THE STATE OF TEXAS, EACH PARTY UNDERSTANDS THAT THEY ARE LIABLE FOR ANY
PERSONAL INJURIES, PROPERTY DAMAGE, OR DEATH RESULTING FROM THE ACTS OR
OMISSIONS OF SUCH PARTY. IN THE EVENT THAT THE GLO IS NAMED AS A PARTY
DEFENDANT IN ANY LITIGATION ARISING OUT OF ALLEGATIONS OF PERSONAL INJURY,
DEATH, OR PROPERTY DAMAGE RESULTING FROM THE ACTS OR OMISSIONS OF
SUBRECIPIENT, AND FOR WHICH THE;GLO IS LIABLE, IF AT ALL, ONLY THROUGH THE
VICARIOUS LIABILITY OF SUBRECIPIENT, THEN, IN SUCH EVENT, SUBRECIPIENT AGREES
THAT IT WILL PAY, ON BEHALF OF THE GLO, ALL COSTS AND EXPENSES OF LITIGATION
(INCLUDING ANY COURT COSTS, REASONABLE ATTORNEYS' FEES, FEES OF ATTORNEYS
APPROVED BY THE OFFICE OF THE TEXAS ATTORNEY GENERAL) AS WELL AS ALL
AMOUNTS PAID IN SETTLEMENT OF ANY CLAIM, ACTION, OR SUIT, INCLUDING
JUDGMENT OR VERDICT, ARISING OUT OF OR IN CONNECTION WITH THIS CONTRACT. IN
THE EVENT THAT SUBRECIPIENT IS NAMED AS A PARTY DEFENDANT IN ANY LITIGATION
SEEKING ANY DAMAGES FOR ANY PROPERTY DAMAGE, PERSONAL INJURY, OR DEATH
RESULTING OUT OF THE GLO's ACTIONS OR OMISSIONS, AND SUBRECIPIENT'S SOLE
LIABILITY, IF ANY, IS ONLY VICARIOUSLY THROUGH THE GLO, THEN, IN SUCH EVENT,
THE GLO AGREES TO PAY ANY AND ALL CLAIMS, DEMANDS, OR LOSSES, INCLUDING
EXPENSES OF LITIGATION (INCLUDING REASONABLE ATTORNEYS' FEES AND COURT
COSTS) INCURRED BY SUBRECIPIENT, INCLUDING ANY VERDICTS OR JUDGMENTS OR
AMOUNTS PAID IN SETTLEMENT OF ANY CLAIM ARISING OUT OF, OR IN CONNECTION
WITH THIS CONTRACT. ANY ATTORNEYS RETAINED BY SUBRECIPIENT TO REPRESENT
GLO Contract No. 11-023-000-4321
Page 12 of 15
ANY INTEREST OF THE GLO MUST BE APPROVED BY THE GLO AND BY THE OFFICE OF
THE TEXAS ATTORNEY GENERAL. ANY ATTORNEYS RETAINED BY T~E GLO TO
REPRESENT THE INTEREST OF SUBRECIPIENT MUST BE APPROVED BY SUBRECIPIENT.
9.04 AsSIGNMENT AND SUBCONTRACTS
(a) Subrecipient shall not assign, transfer, or delegate any rights, obligations, or duties
under this Contract not encompassed within the Work Plan without the prior
written consent of the GLO. Notwithstanding this provision, it is mutually
understood and agreed that Subrecipient may subcontract with others for some or
all of the services or work to be performed. In no event may Subrecipient delegate
or transfer its responsibility for use of the funds under this Contract.
(b) In any approved subcontracts, Subrecipient shall legally bind any such
subcontractors to perform, and make such subcontractors subject to, all the duties,
requirements, and obligations of Subrecipient specified herein. Nothing in this
Contract shall be construed to relieve Subrecipient of the responsibility for
ensuring that that the goods delivered and/or the services rendered by Subrecipient
and/or any of its subcontractors comply with all the terms and provisions of this
Contract. Subrecipient will provide written notification to the GLO of any such
subcontractor performing fifteen percent (15%) or more of the work under this
~ontract, including the name and taxpayer identification number of subcontractor,
the task(s) being performed, and the number of subcontractor employees expected
to work on the task.
(c) The GLO and NOAA shall have the right to initiate communications with any
subcontractor, and may request access to any books, documents, papers, and
records of a subcontractor directly pertinent to this grant. Such communications
may be required to conduct audits and examinations and gather additional
information.
: 9.05 RELATIONSHIP OF THE PARTIES
Subrecipient is associated with the GLO only for the purposes and to the extent specified
in this Contract, and, in respect to Subrecipient's performance pursuant to this Contract,
Subrecipient shall have the sole right to supervise, manage, operate, control, and direct
performance of the details incident to its duties under this Contract. Nothing contained in
this Contract shall be deemed or construed to create a partnership or joint venture, to
create relationships of an employer-employee or principal-agent, or to otherwise create
for the GLO any liability whatsoever with respect to the indebtedness, liabilities, and
obligations of Sub recipient or any other party.
9.06 COMPLIANCE WITH OTHER LAWS
In the performance of this Contract, Subrecipient shall comply with all applicable federal,
state, and local laws, ordinances, and regulations. Subrecipient shall make itself familiar
with and at all times shall observe and comply with all federal, state, and local laws,
ordinances, and regulations that in any manner affect performance under this Contract.
GLO Contract No. 11-023-000-4321
Page 13 of 15
9.07 NOTICES
Any notices required under this Contract shall be deemed delivered when deposited either
in the United States mail, postage paid, certified, re'tuffi receipt requested; or with a
common carrier, overnight, signature required, to the appropriate address below:
GLO
Texas General Land Office
1700 N. Congress Avenue, Room 910
Austin, TX 78701
Attention: Legal Services Divis~on
Subrecipient
Calhoun County
211 S. Ann Street, Suite 301
Port Lavaca,TX 77979
Attention: The Honorable Judge Mike Pfifer
Notice given in any other manner shall be deemed effective only if and when received by
the party to be notified. Either party may change its address for notice by written notice to
the other party as herein provided.
': 9.08 GOVERNING LAW AND VENUE
This Contract and the rights and obligations of the parties hereto shall be governed by,
and construed according to, the laws of the State of Texas, exclusive of conflicts of law
provisions. Venue of any suit brought under this Contract shall be in a court of
competent jurisdiction in Travis County, Texas. Subrecipient irrevocably waives any
objection, including any objection to personal jurisdiction or the laying of venue or based
on the grounds of forum non conveniens, which it may now or hereafter have to the
bringing of any action or proceeding in such jurisdiction in respect of this Contract or any
document related hereto. NOTHING IN THIS SECTION SHALL BE CONSTRUED AS A
W AlYER OF SOVEREIGN IMMUNITY BY THE GLO.
9.09 SEVERABILITY
If any provision contained in this Contract is held to be unenforceable by a court of law,
this Contract shall be construed as if such provision did not exist and the non-
enforceability of such provision shall not be held to render any other provision or
provisions of this Contract unenforceable.
9.10 DISPUTE RESOLUTION
If a Contract dispute arises that cannot be resolved to the satisfaction of the parties,either
party may notify the other party in ~ting of the dispute. If the parties are unable to
satisfactorily resolve the dispute within fourteen (14) days of the written notification, the
GLO Contract No. 11-023-000-4321
Page 14 of 15
parties must use the dispute resolution process provided for in Chapter 2260 of the Texas
Government Code to attempt to resolv~ the dispute. This provision shall not apply to any
, matter with respect to which either party may make a decision within its respective sole
discretion.
I
. I
!
9.11 PROPER AUTHORITY
Each party hereto represents and warrants that the person executing this Contract on its
behalf has full power and authority to enter into this Contract. Subrecipient acknowledges
that this Contract is effective for the period of time specified in the Contract. Any services
performed by Subrecipient before this Contract is effective or after it ceases to be effective
are performed at the sole risk of Subrecipient.
9.12 ENTIRE CONTRACT AND MODIFICATIONS
This Contract, its integrated attachment(s), and any purchase order issued in conjunction
with this Contract constitute the entire agreement of the parties and are intended as a
complete and exclusive statement ': of the promises, representations, negotiations,
discussions, and other agreements that may have been made in connection with the subject
matter hereof. Any additional or conflicting terms in such attachment(s) and/or purchase
order shall be harmonized with this Contract to the extent possible. Unless such integrated
attachment or purchase order specifically displays a mutual intent to amend a particular part
of this Contract, general conflicts in language shall be construed consistently with the terms
of this Contract.
9.13 COUNTERPARTS
This Contract may be executed in any number of counterparts, each of which shall be an
original, and all such counterparts shall together constitute but one and the same Contract.
If the Contract is not executed by the GLO within thirty (30) days of execution by the
other party, this Contract shall be null and void.
SIGNATURE PAGE FOLLOWS
GLO Contract No. 11-023-000-4321
Page 15 of 15
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SIGNATURE PAGE FOR GLO CONTRACT No. 11-023-000-4321'
GENERAL LAND OFFICE
CALHOUN COUNTY
LmTy~lerW .
Deputy Land Commissioner
Calhoun County
By: fW,t ,U ~ !fd-
Title: County J dge
Date of execution:
(oJ U II?
Date of execution: 10-14-10
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9. Will comply, as applicable, with the provisions of the Davis-
Bacon Act (40 U.S.C. 99276a to 276a-7), the Copeland Act
(40 U.S.C. 9276c and 18 U.S.C. 9874), and the Contract
Work Hours and Safety Standards Act (40 U.S.C. 99327-
333), regarding labor standards for federally-assisted
construction subagreements.
10. Will comply, if applicable, with flood insurance purchase
requirements of Section 102(a) of the Flood Disaster
Protection Act of 1973 (P.L. 93-234) which requires
recipients in a special flood hazard area to participate in the
program and to purchase flood insurance if the total cost of
insurable construction and acquisition is $10,000 or more.
11. Will comply with environmental standards which may be
prescribed pursuant to the following: (a) institution of
environmental quality control measures under the National
Environmental Policy Act of 1969 (P.L. 91-190) and
Executive Order (EO) 11514; (b) notification of violating
facilities pursuant to EO 11738; (c) protection of wetlands
pursuant to EO 11990; (d) evaluation of flood hazards in
floodplains in accordance with EO 11988; (e) assurance of
project consistency with the approved State management
program developed undar the Coastal Zone Management
Act of 1972 (16 U.S.C. ~91451 et seq.); (f) conformity of
Federal actions to State (Clean Air) Implementation Plans
under Section 176(c) of the Clean Air Act of 1955, as
amended (42 U.S.C. ~97401 et seq.); (g) protection of
underground sources of drinking water under the Safe
Drinking Water Act of 1974, as amended (P.L. 93-523);
and, (h) protection of endangered species under the
Endangered Species Act of 1973, as amended (P.L. 93-
205).
SIGNATURE OF AUTHORIZED CERTIFYING OFFICIAL
Calhoun County
THIS FORM MUST BE EXECUTED
Attachment C
Page 2 of 5
12. Will comply with the Wild and Scenic Rivers Act of
1968 (16 U.S.C. 991271 et saq.) ralated to protecting
components or potential components of the national
wild and scenic rivers system.
13. Will assist the awarding agency in assuring compliance
with Section 106 of the National Historic Preservation
Act of 1966, as amended (16 U.S.C. 9470), EO 11593
(identification and protection of historic properties), and
the Archaeological and Historic Preservation Act of
1974 (16 U.S.C. 99469a-1 at seq.).
14. Will comply with P.L. 93-348 regarding the protection of
human subjects involved in research, development, and
related activities supported by this award of assistance.
15. Will comply with the Laboratory Animal Welfare Act of
1966 (P.L. 89-544, as amended, 7 U.S.C. 992131 et
seq.) pertaining to the care, handling, and treatment of
warm blooded animals held for research, teaching, or
other activities supported by this award of assistance.
16. Will comply with the Lead-Based Paint Poisoning
Prevention Act (42 U.S.C. 994801 et seq.) which
prohibits the use of lead-based paint in construction or
rehabilitation of residence structures.
17. Will cause to be performed the required financial and
compliance audits in accordance with the Single Audit
Act Amendments of 1996 and OMB Circular No. A-133,
"Audits of States, Local Governments, and Non-Profit
Organizations. ..
18. Will comply with all applicable requirements of all other
Federal laws, executive orders, regulations, and policies
governing this program.
TITLE
Calhoun County Judge
DATE SUBMITTED
October 14, 2010
Standard Form 424B (Rev. 7-97) Back
FORM CD-S12
(REV 12-04)
Attachment C
Page 3 of 5
U.S. DEPARTMENT OF COMMERCE
CERTIFICATION REGARDING LOBBYING
LOWER TIER COVERED TRANSACTIONS
Applicants should review the instructions for certification included in the regulations before completing ~hi.s form. Sign~tur:
on this form provides for compliance with certification requirements under 15 CFR Part 28, "New Restnctlons on Lobbymg.
LOBBYING
As required by Section 1352, Tille 31 of the U.S. Code, and
implemented at 15 CFR Part 28, for persons entering into a grant,
cooperative agreement or contract over $100,000 or a loan or loan
guarantee over $150,000 as defined at 15 CFR Part 28, Sections
28.105 and 28.110, the applicant certifies that to the best of his or her
knowledge and belief, that
(1) No Federal appropriated funds have been paid or will be paid,
by or on behalf of the undersigned, to any person for influencing or
attempting to influence an officer or employee of any agency, a
Member of Congress in connection with the awarding of any
Federal contract, the making of any Federal gran~ the making of
any Federal loan, the entering into of any cooperative agreement,
and the extension, continuation, renewal, amendment, or
modification of any Federal contract, grant, loan, or cooperative
agreemenl
(2) If any funds other than Federal appropriated funds have been
paid or will be paid to any person for influencing or attempting to
influence an officer or employee of any agency, a Member of
Congress, an ollicer or employee of Congress, or an employee of a
member of Congress in connection with this Federal contract, gran~
loan, or cooperative agreement, the undersigned shall complete and
submit Standard Form-ill, "Disclosure Form to Report Lobbying,"
in accordance with its instructions.
(3) The undersigned shall require that the language of this
certification be included in the award documents for all subawards at
all tiers (including subcontracts, subgrants, and contracts under
grants, loans, and cooperative agreements) and that all subrecipients
shall certify and disclose accordingly.
This certification is a material representation of fact upon which
reliance was placed when this transaction was made or entered into.
Submission of this certification is a prerequisite for making or
entering into this transaction imposed by section 1352, title 31, U.S.
Code. Any person who fails to file the required certification shall be
subject to a civil penalty of not Jess than $10,000 and not more
than $100,000 for each such failure occurring on or before
October 23, 1996, and of not less than $11,000 and not more
than $110,000 for each such failure occurring after October 23,
1996.
Statement for Loan Guarantees and Loan Insurance
The undersigned states, to the best of his or her knowledge
and belief, that:
In any funds have been paid or will be paid to any person for
influencing or attempting to influence an officer or employee
of any agency, a Member of Congress, an officer or employee
of Congress, or an employee of a Member of Congress in
connection with this commitment providing for the United
States to insure or guarantee a loan, the undersigned shall
complete and submit Standard Form-lLL, "Disclosure Form
to Report Lobbying," in accordance with its instructions.
Submission of this statement is a prerequisite for making or
entering into this transaction imposed by section 1352, title
31, U.S. Code. Any person who fails to file the required state-
ment shall be subject to a civil penalty of not less than $10,000
and not more than $100,000 for each such failure occurring
on or before October 23, 1996, and of not less than $11,000
and not more than $110,000 for each such failure occurring
after October 23, 1996.
As the duly authorized representative of the applicant, I hereby certify that the applicant will comply with the
above applicable certification.
NAME OF APPLICANT
Calhoun County
PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE
Michael J. Pfeifer, Calhoun County Judge
AWARD NUMBER AND/OR PROJECT NAME
11-023-000-4321
DATE
October 14, 2010
ATTACHMENTS FOR GLO CONTRACT No. 11-023-000-4321
ATTACHMENTF:
PROJECT WORK PLAN AND BUDGET
FINAL, ACTUAL BUDGET (To BE SUBMITTED)
CMP SUPPLEMENTAL TERMS AND CONDITIONS
FEDERAL ASSURANCES - CONSTRUCTION OR NON-
CONSTRUCTION PROGRAMS AND CERTIFICATIONS REGARDING
LOBBYING
GENERAL AFFIRMATIONS
SAMPLE ADDITIONAL REQUIRED FORMS: Progress Report Form;
Invoice for Federal Expenditures; Monthly Grant Project
Equipment Sheet; Monthly Grant Project Timesheet; Budget
Amendment F,orm; Audit Reporting Form; and Historically
Underutilized Businesses (HUB) Expense Report Form
GRANT CLOSEOUT FORM
ATTACHMENT A
ATTACHMENT A-I
ATTACHMENT B
ATTACHMENT C
ATTACHMENT D
ATTACHMENT E:
~,
Attachment A
GLO Contract No. 11-023-000-4321
page 1 of 4
Attachment A - Work Plan and Budget
Contract Number: 11-023-000-4321
" Project Name: Calhoun County Master Plan
Entity: Calhoun County
Project Description:
Like all Texas coastal counties, Calhoun County is experiencing rapid and dramatic changes
in its economic base, land use and in shoreline development. Within the last ten years,
commercial fishing has dwindled to a trickle of economic activity and the economic base of
Seadrift-Port O'Connor corridor has largely shifted away from an extraction economy to a
, recreation-based economy. The accompanying land development and shift in recreational
:: activities has brought the natural resources of the county face to face with two substantial
issues, (1) lack of access to the bays and (2) threats to the county's extensive wetlands.
L~ck of public access to the bays surrounding the county has become a serious problem. For
example (according to Texas Parks and Wildlife Department surveys) three of the top 10
most actively used saltwater boat ramps are in southern Calhoun County. These ramps are
terribly congested and that congestion brings with it issues of inadequate public access,
litter, pollution and public safety. Of these three ramps, two are privately owned and the
third (the only remaining public ramp) lacks adequate parking for the traffic it harbors.
Not only is it of importance to provide access, such access must be located and developed
with an eye turned to maintaining the county's wetland resources. For example, the lack of
public access in the Port O'Connor and Seadrift areas has resulted in significant
environmental damage to public wetlands, which are not currently designated as public
access points. Users often operate vehicles or launch boats in wetland areas because these
are the only access points near desired recreational destinations. This activity is widespread
and particularly troublesome in that it occurs along shorelines near to areas designated as
il 'critical whooping crane habitat."
Although growth is occurring and certainly will accelerate, there is still time to fully catalog
and protect the county's natural assets and to describe its infrastructure needs. Bay access in
the future must not only be available, it must meet the needs of citizens that are currently not
being served. For example, there is no bay access from the shoreline within 20 miles of
Seadrift and access to the bays using personal paddle craft-the fastest growing outdoor
recreational activity in saltwater-holds tremendous possibilities and potential economic
benefits.
'; In 2006, the Westside Calhoun County Navigation District contracted development of a plan
for the southern parts of Calhoun County. The county leadership envisions this project as
both an extension to that plan and a comprehensive description of how the county can
address issues of bay access. The County will contract with a qualified consulting firm to
create this access master plan. County leadership envisions using these funds to develop a
Attachment A
GLO Contract No. 11-023-000-4321
page 2 of 4
Attachment A - Work Plan and Budget
plan that would:
- Identify and catalog current and potential bay access sites;
- Develop strategies and recommendations for improving existing access points and for
increasing low-impact, low-cost bay access (for,example, kayaking trails and fishing pier(s)
" that is correctly placed for the greatest social and environmental benefit).
'___....._..............__M..__
,".'.'" ..--,..v"....__.___.."," .,.-......."...._' .. --..---, " ._ - _"
.....-.--....--..----..-...----.-..------........---.--..--.-...
.. po-", "
Project Budget:
CMP
Salaries $0.00
Fringe $0.00
Travel $0.00
Supplies $0.00
Equipment $0.00
Contractual $98,411.00
Other $0.00
.. Subtotal: $98,411.00
Indirect $0.00
Total: $98,411.00
..:.....;.;......:,,~~~..;;,;.-.;-::;.::..,:~:...~.._....J.:.~:.....;._.:;~...,....
Subrecipient 'I Third Party Project Total
$0.00 $0.00 $0.00
$0.00 $0.00 $0.00
$0.00 $0.00 $0.00
$0.00 $0.00 $0.00
$0.00 $0.00 $0.00
$0.00 $0.00 $98,411.00
$0.00 $0.00 $0.00
$0.00 $0.00 $98,411.00
$0.00 $0.00 $0.00
$0.00 $0.00 $98,411.00
Attachment A
GLO Contract No. 11-023-000-4321
page 3 of 4
Attachment A - Work Plan and Budget
Special Award Conditions:
1. This project must be completed as described in this work plan. 2. The OLD and/or
NOAA must approve any changes in the scope of work or budget requests that change the
total project cost. 3. CMP and NOAA logos, including appropriate acknowledgment
statement, must be printed on education/outreach materials, signs, and final reports and/or
publications.
,Task 1 Description:
Asset Assessment
,: The contractor will develop a comprehensive catalog of existing bay and estuary access
'!Points in Calhoun County. Calhoun County has the longest shoreline of any county in
i[Texas and the catalog will assist integrating existing assets into a more broadly based
!~bay access strategy and plan.
Deliverable(s )/Milestone( s):
1. Preliminary asset assessment will be completed within 120 days of contract award.
This assessment will be a central part of the overall master plan and will include
mapping of existing and potential bay access points.
2. Presentation of findings to Commissioners' Court at 120 days post contract award.
Deliverable Due Date(s): 2/28/2011
Task 2 Description:
Develop Strategies and Recommendations for Innovative, Cost Effective, and
Environmentally Sound Bay Access.
Contractor will provide strategies and recommendations that, upon implementation, will
provide more acc<?ss, better access and socially relevant access. In addition to the classic
"boat ramp" access points, recommendations may include such strategies as carefully
considered fishing piers near Seadrift or kayak fishing/paddling trails throughout the bay
systems.
Delivera ble( s )/Milestone( s):
1. Completed asset assessment and inventory of existing and potential bay and estuary
access sites.
2. Strategy for best utilizing existing and potential bay and estuary access sites.
3. Preliminary recommendations will be required within 240 days of contract award.
4. Presentation of findings to Commissioners' Court at 120 days post contract award.
Deliverable Due Date(s): 6/30/2011
Attachment A
GLO Contract No. 11-023-0QO-4321
page 4 of 4
Attachment A - Work Plan and Budget
Task 3 Description:
Final Plan Submission.
A completed final plan, which will include final'asset assessment and recommendations,
will be submitted to the Calhoun County Commissioners' Court.
Delivera ble(s )/Milestone( s):
1. Final plan would be completed within one year of contract award.
2. Final report findings and recommendations to Commissioners' Court.
Deliverable Due Date(s): 10/31/2011
AttachmentB
Page 1 of 13
CMP SUBGRANT SUPPLEMENTAL TERMS AND CONDITIONS
ARTICLE 1 - GRANT ADMINISTRATION
1.1 GENERAL REQUESTS
I!
Subrecipient may submit requests provided for in the ContraCt, in writing via
email, in Compliant Format. Requests must cite the nature of the request, the
section of the Contract that authorizes' the request,' and a detailed justification for
the request. A request is granted only upon receipt by Subrecipient of written
approval from the Grant Administrator.
"
1.2 GRANT ADMINISTRATION FORMS
, I ' ' , ,
(a) Recurring forms that must be submitted to the GLO Grant Administrator
can be downloaded at the following web address:
httu:/ /www.e:lo.state.n.us/coastalle:rants/subreciuient.html
A copy of the current version of each recurring form required is included
in Attachment E, for convenience. However, as these forms are updated
from time to time, Subrecipientshould periodically check the web site for
updated forms. Subrecipient is responsible for using the proper'forms.
(b)
Subrecipient must submit certain additional forms required by the Contract
or the Grant to show that Subrecipient has complied with required state and
federal laws applicable to the Grant. The forms and certifications described
below are found in Attachment C.
II
(i) Either the federal Assurances for Construction Programs (Standard
Form 424D) or ,Assurances for Non-Construction Programs
(Standard Form 424B), as applicable to the Project, 'is found at
Page 1 of Attachment C, and must be executed by Subrecipient.
(ii) Certifications Regarding Lobbying Lower Tier Covered
Transactions (Form CD-512) is found at Page 3 of Attachment D,
and must be executed by Subrecipient;
Subrecipient may check for vendor debarment at the Federal
General Services Administration's Excluded Parties List System
at:
www.enls.e:ov.
(iii) Disclosure of Lobbying Activities Form (Standard, Form-LLL) is
found at Page 4 of Attachment E, and must be submitted by
CMP Subgrant Supple~enta1 Terms and Conditions
Attachment B
. Page 2 of13
Subrecipient ifrequired by Section 5.5 of the Supplemental Terms
and Conditions, relating to Lobbying Disclosure. .
1.3 PROGRESS REpORTS
Subrecipient shall submit monthly progress reports that must be received by the
GLO on or before the 10th day. of each calendar month during the term of this
Contract, commencing January 10, 2011 ("Progress Reports"). Progress Reports
must be submitted electronically in Compliant Formatto the Grant Administrator on
the Progress Report form, a sample of which is attached hereto in Attachment E.
The Progress Report form may be downloaded at:
httu://www.f.do.state.tx.us/coastallf.!:rants/subreciuient.html
All Progress Reports shall include:
(a) a brief statement of the overall progress of each task identified on the.
Work Plan since the last progress report;
(b) a brief description of any problems that have been encountered during the
previous reporting period that will affect the Work Plan, delay the
completion of any portion of this Contract, or inhibit.thecompletion of or
cause a change in any of the Work Plan objectives;
(c) a description of any action Subrecipient.plans to undertake to correct any
problems that have been encountered; and
(d) a status report on the Budget, as defmed in this Contract.
In addition, Sub recipient must submit a Project closeout form to the GLO
Grants Administrator upon completion of the Project. The closeout form
may be found at: : .
httu://www.f.!:lo.state.tx.us/coastallf.!:rants/subreciuient.html.
1.4 DELIVERABLES
Subrecipieht shall submit electrorllcally each of the Deliverables set forth in the
Work. Plan in Attachment A, in Compliant Format, and in the time and manner
prescribed therein, to the Grant Administrator.
1.5 REIMBURSEMENT REQUESTS
Each request for reimbursement shall:
(a) prominently display "GLOContract No. 11-023-000';4321," the failure of
which may significantly delay payment under the Contract;
(b) be on the approved GLOforms, which maybe downloaded at:
bUu :lLwvnY...21~.state.tx.'UsLcoastaIl2rants/subrecipient.html;
provided, however, that auniversity or university system may submit its
standard invoice in lieu of a GLO invoice form.
CMP Subgrant Supplemental Terms and Conditions
Attachment B
Page 3 of 13
(c) be supported by an invoice detailing each expense by Budget category in
accordance with the Project Budget in Attacb!llent A;
(d) include a timesheet or a payroll clearing account spreadsheet; and
(e) provide such other information as theGLO may request.
Each invoice shall be supported by actualreceipts,cancelled checks, and/or such
other documentation that, in. the judgment of the GLO, allows for full
substantiation of the costs incurred. Requests for payment must be submitted in'
Compliant Format via email to the Grants Administrator quarterly, on or before the
10th day of calendar quarter.
REQUESTS FOR REIMBURSEMENT UNDER TIDS CONTRACT MUST BE RECEIVED
BY THE GLO NOT LATER THAN SIXTY (60) DAYS FROM THE DATE SUBRECIPIENT
INCURS THE EXPENSE. NOTWITHSTANDING THE PRECEDING, REQUESTS FOR
REIMBURSEMENT FOR EXPENSES INCURRED. BY ANY SUBCONTRACTOR. MUST BE
RECEIVED BY THE GLO NOT LATER THAN TllIRTY (30) DAYS FROM THE DATE THE
SUBRECIPIENT RECEIVES THAT INVOICE FROM A SUBCONTRACTOR. FAILURE BY
SUBRECIPIENT TO COMPLY IN A TIMELY. MANNER WITH THESE TWO
REQUIREMENTS MAY, AT THE GLO's SOLE DISCRETION, RESULT IN DENIAL OF
THE REQUEST FOR REIMBURSEMENT.
1.6 BUDGET VARIANCE
Upon written request and justification byStibrecipient to the Grants
Administrator, reallocation among budget . categories may be allowed.
Subrecipient must use the GLO :Budget Amendment Form. This form may be
downloaded at:
http://www.2:lo.state.n.us/coastal/2:rants/subrecipient.htmL
Such reallocations may not increase the amount of the grant or total Budget; may
not total more than fifteen percent (15%), in the aggregate, of the totalProject
Budget; and shall be effective only after approval by the GLO. Any request for a
variance that changes the total budget amount or the Project scope or outcome
may be allowed only through the formal, written Contract amendment process. A
FINAL, ACTUAL BUDGET, TO BE ATTACHED. HERETO AS ATTACHMENT A-I,
SHALL BE SUBSTITUTED FOR THE EXISTING BUDGET IN ATTACHMENT A, AND
SHOULD BE SUBMITTED NO LATER THAN THIRTY (30) DAYS FROM THE
.EXPIRATION OR TERMINATION DATE OF THE CONTRACT.
1. 7 RETAINAGE ApPLICABLE TO CONSTRUCTION PROJECTS
To ensure full performance, the GLO may retain an amount equal to thirty-three
percent (33%) of Subrecipient's gnint amount until Subrecipient's delivery, and
GLO's approval, of all Deliverables required herein. The GLOshall make a final
disbursement only upon receipt. of documentation sufficient to determine that
Subrecipient has completed the Project in accordance with the Work Plan, and
CMP Subgrant Supplemental Terms and Conditions
Attachment B
Page 4 of 13
that all requirements of the Contract and the relevant provisions of the Grant have
been fulfilled by Subrecipient.
1.8 PURCHASES
Subrecipient shall not purchase any equipment and/or computer software not
included as a reimbursable item shown on the Budget in Attachment A. Title
and possession of any Equipment will remain the property of Subrecipient unless
and until transferred to the OLO, upon written request by the OLO. Subrecipient
shall furnish, with its final reque,st for reimbursement, a list of all Equipment
purchased with grant funds under the Contract, including the name of the
manufacturer, the model number, and serial number. The disposition of any
Equipment shall follow the Administrative and Audit Regulations.
1.09 AUDIT REQUIREMENTS
(a) The OLO, as a pass-through entity, has the responsibility to ensure that .,
Subrecipients expending FIVE HUNDRED THOUSAND DOLLARS
($500,000.00) or more in federal awards during each of the Subrecipient's
fiscal years of funding have met audit requirements in accordance with
U.S. Office of Management and Budget Circular A-133. If applicable,
Subrecipient shall complete and return the Audit Reporting Form no later
than September 10f each year until the Contract is terminated. The Audit
Reporting Form may be downloaded at:
http://www.glo.state.tx.us/coastal/grants/subrecipient.html.
(b) In addition, Subrecipient agrees that all relevant records related to this
Contract and any Deliverables produced in relation to this Contract,
including the records and Deliverables of its Subcontractors, shall be
subject to the Administrative and Audit Regulations. Accordingly, such
records and Deliverables shall be subject, at any time, to inspection,
examination, audit, and copying at any location where such records and .
Deliverables may be found, with or without notice from the OLO or other
government entity with necessary legal authority. Subrecipient agrees to
cooperate fully with any federal or state entity in the conduct of
inspection, examination, i audit, and copying, including providing all
information requested. Subrecipient will ensure that this clause
concerning federal and state entities' authority to inspect, examine, audit,
and copy records and Deliverables, and the requirement to fully cooperate
with the federal and state entities, is included in any subcontract it awards.
REMAINDER OF PAGE INTENTIONALLY LEFT BLANK
"
CMP Subgrant Supplemental Terms and Conditions
Attachment B
Page 5 of 13
ARTICLE 2 - GLO ELECTRONICALLY STORED INFORMATION
STANDARDS
2.1 GEOGRAPHIC INFORMATION SYSTEMS. Data, databases, and products
associated with electronic Geographic Information Systems (GIS) that have been
collected, manipulated, or purchased with CMP grant funds and/or local match
funds will be subject to all applicable terms of the Texas Geographic Information
Standards of the Texas Geographic Information Council (TGIC) and Texas
Administrative Code (TAC) ~20L6, Planning and Management of Information
Resources Technologies, Geographic Information Standards. The Geographic
Information Standards Rule is available on the World Wide Web at
www2.dir.state.tx.us/sponsored/tgic/Pages/standards.aspx, or by writing to the
Department of Information Resources (DIR), TGIC Administrative Chairperson,
P.O. Box 13564, Austin, Texas, 78711-3564, email: rob.aanstoos@dir.state.tx.us.
or phone:' 512-463-7314.
2.2 TRANSFER OF DATA. Any GIS data to be transferred or exchanged that is
collected, manipulated, or purchased with funds from this contract MUST be
documented as specified in the Federal Geographic Data Committee (FGDC)
document Content Standard for Digital Geospatial Metadata, version 2 (FGDC-
STD-OOI-1998) or later. The federal metadata standard is available on the World
Wide Web at www.fgdc.gov/metadata/csdgm. Metadata must be submitted in
HTML, XML or ASCII text formats.
2.3 FORMAT. Although many Texas state agencies, including the GLO, have
adopted Environmental Systems Research Institute, Inc. (ESRI) software products
as in-house GIS software, this is NOT an endorsement of these, or any other,
products. However, any electronic spatial data collected, manipulated, or
purchased with CMP grant funds 'and/or local match funds shall be transferred in
a mutually-acceptable GIS format, along with corresponding metadata (see
above). Non-spatial data deliverables (reports, tables, databases, spreadshe~ts,
images) must be delivered in Acrobat PDF, MS Office, WordPerfect, dBase
(.dbf), ASCII, or standard image formats (JPEG, TIFF, GIF, etc.). Acceptable
media for delivery include DVD, CD-ROM, flash drive, and external hard drive.
Subrecipient is expected to comply with these guidelines. If Subrecipient cannot
comply with these guidelines, then Subrecipient must provide a written
justification detailing why an exception is warranted.
2.4 COMPLIANT FORMAT FOR GRANT ADMINISTRATION
Subrecipients should submit written reports, requests in Word format; invoices
and supporting documentation in pdf format; and photographs in .jpg format and
form unless otherwise agreed by the Grant Administrator.
CMP Subgrant Supplemental Terms and Conditions
Attachment B
Page 6 of 13
,I
ARTICLE 3 - PuBLICATION AND ACKNOWLEDGEMENT OF SOURCE OF
CMP FUNDS
3.1 PUBLICATION
(a) If Subrecipient or its employee(s) use NOAA financial assistance to
publish reports and other materials completed as a result of this Contract,
the author shall assure that the paper bears the following statement as well
as the NOAA and CMP logos on the front cover or title page of such
document and other materials:
A PUBLICATION" (OR REPORT) OF THE COASTAL
COORDINATION COUNCIL PURSUANT TO NATIONAL
OCEANIC AND ATMOSPHERIC ADMINISTRATION AWARD
No. NAI0NOS4190207.
(b) IfSubrecipient or its employee(s) use NOAA financial assistance to publish
a paper based in whole or in part on the work funded by this Contract, the
author shall assure that the paper bears the following statement as well as the
NOAA and CMP logos on the front cover or title page of the paper:
THIS PAPER IS FUNDED ("IN PART" IF APPROPRIATE) BY A
GRANT/COOPERATIVE AGREEMENT FROM THE NATIONAL
OCEANIC AND ATMOSPHERIC ADMINISTRATION. THE
VIEWS EXPRESSED HEREIN ARE THOSE OF THE AUTHOR(S)
AND DO NOT NECESSARILY REFLECT THE VIEWS OF NOAA
OR ANY OF ITS SUB-AGENCIES.
(c) If the Subrecipient or its employee(s) use NOAA financial assistance to
produce signage, the Subrecipient shall assure that the signage bears the
following statement as well as the NOAA and CMP logos on all signs:
THIS PROJECT IS FUNDED ("IN PART" IF APPROPRIATE) BY A
GRANT FROM THE COASTAL COORDINATION COUNCIL
PURSUANT TO NATIONAL OCEANIC AND ATMOSPHERIC
ADMINISTRATION AWARD No. NAI0NOS4190207.
(d) When issuing statements, press releases, requests for proposals, bid
solicitations, and other documents describing projects or programs funded
in whole or in part with federal funds, including, but not limited to, state
and local governments and recipients of federal research grants, the
Subrecipient shall clearly state (i) the percentage of the total costs of the
project or program which will be financed with federal money; (ii) the
dollar amount of federal funds for the project of program; and (iii)
percentage and dollar amount of the total costs of the project or program
that will be financed by nongovernmental sources. ALL DOCUMENTS AND
MATERIALS MUST CONTAIN THE NOAA AND CMP LOGOS ON THE FRONT
OR TITLE PAGE.
(e) THIS PROVISION SHALL SURVIVE THE TERMINATION OR EXPIRATION OF
THIS CONTRACT.
CMP Subgrant Supplemental Terms and Conditions
3.2
3.3
...
Attachment B
Page 7 of 13
SIGNAGE
If facilities or other permanent improvements are constructed, Subrecipient shall
provide and erect temporary signs d~g the construction phase of such projects that
contain the following language:
CONSTRUCTION OF TillS FACILITY WAS MADE POSSffiLE BY A
GRANT UNDER THE COASTAL ZoNE MANAGEMENT ACT OF 1972,
AS AMENDED, AND AWARDED BY THE OFFICE OF OCEAN AND
COASTAL RESOURCE MANAGEMENT, NATIONAL OCEANIC AND
ATMOSPHERIC ADMINISTRATION, U.S. DEPARTMENT OF
COMMERCE, AND ADMINISTERED THROUGH THE COASTAL
COORDINATION COUNCIL AND THE TEXAS COASTAL
MANAGEMENT PROGRAM.
At the completion of the aforementioned projects, Subrycipient shall replace the
temporary signs with permanent signs, to be provided by the GLO. Permanent
signs must also be erected for projects that include land acquisition.
SURVIVAL
THE PROVISIONS OF THIS ARTICLE 3 SHALL SURVIVE THE TERMINATION OR
EXPIRATION OF THE CONTRACT.
"
REMAINDER OF PAGE INTENTIONALLY LEFT BLANK
CMP Subgrant Supple,mental Terms and Conditions
Attachment B
Page 8 of 13
ARTICLE 4 - SPECIAL CONDITIONS APPLICABLE ONLY TO REAL ESTATE
IMPROVEMENTS AND LAND ACQUISITIONS
4.1 LAND ACQUISITIONS
(a) In the event that private land is to be acquired with grant funds, Subrecipient
shall have such land surveyed in the following manner:
(1) any parcel of land that (i) does not abut any waters and (ii) is
acquired by lot and block may be surveyed by a Registered
Professional Land Surveyor. Any survey conducted by a
Registered Professional Land Surveyor under this section must be
accompanied by certified copies of each subdivision block in
which the acquisitions will be located. Subrecipient shall record
any and all surveys required under this subsection in the records of
the County Surveyor (or the records of the County Clerk if there is
no County Surveyor) of the county in which the land is located;
and
(c)
(2) any other parcel of land must be surveyed by a Licensed State Land
Surveyor.
(b) In the event that a coastal boundary survey is required for the Project,
Subrecipient must conduct the coastal boundary survey for the Project site
in accordance with Section 33.136 of the Texas Natural Resources Code.
For surveys of tracts on or adjacent to Gulfbeaches, maps, surveys, and/or
profiles shall not delineate or map vegetation, the line of vegetation, or the
landward boundary of the public beach. Such maps, surveys, and/or
profiles shall also not include any mention of the location of the line of
vegetation or the boundary of the public beach. For any work funded in
whole or part by CMP funds, vegetation, the line of vegetation, and/or the
landward boundary of the public beach can only be mapped, delineated, or
described with specific written authorization from the GLO. The coastal
boundary survey must contain the following statement:
THIS SURVEY DOES NOT, NOR IS IT INTENDED TO BE
USED TO, IDENTIFY, DELINEATE, OR FIX THE LINE
OF VEGETATION OR THE LANDWARD BOUNDARY OF
THE PUBLIC BEACH.
In addition, Subrecipient shall encumber the land with a conservation
easement or a deed restriction, in a form acceptable to the GLO, that will
protect the land and its natural resources and preserve the public use and
benefit of the land. If Subrecipient chooses to encumber the land with a deed
restriction, it must read as follows:
ij
"
THIS PROPERTY MUST BE USED IN PERPETUITY FOR
THE PURPOSES FOR WHICH IT WAS ACQUIRED
UNDER THE COASTAL MANAGEMENT PROGRAM.
IF THE PROPERTY IS EVER SOLD OR USED FOR
.
CMP Subgrant Suppl~mental Terms and Conditions
Attachment B
Page 9 of 13
PURPOSES CONTRARY TO THOSE .FOR WHICH IT
WAS ACQUIRED, THE FEDERAL AWARDING AGENCY
MUST BE COMPENSATED IN ACCORDANCE WITH
THE UNIFORM ADMINISTRATIVE REQUIREMENTS
FOR GRANTS AND COOPERATIVE AGREEMENTS TO
STATE AND LOCAL GOVERNMENTS (15 C.F.R.
PART 24).
(d) All appraisals performed in connection with the acquisition of land under
this section shall be completed in accordance with the Uniform Appraisal
Standards for Federal Land Acquisitions and the provisions of the CMP
attached Work Plan concerning .land acquisitions. THE SURVEY,
APPRAISAL, CONSERVATION EASEMENT (IF ANY), AND DEED MUST BE
APPROVED BY THE GLO. THE GLO,WILL NOT "HOLD" AN EASEMENT
OR ACCEPT A THIRD-PARTY RIGHT OF ENFORCEMENT.
4.2 IMPROVEMENTS
(a) Prior to any construction undertaken under this Contract, Subrecipient"
shall deliver to the GLO one (1) copy of the final construction contract
documents, including the Project manual containing the technical
specifications, and the drawings (collectively the "Contract Documents").
Any construction that will be undertaken with funding from this Contract
shall be completed in compliance with the final Contract Documents
approved by the GLO, and all applicable codes and standards. Upon
completion of construction, Subrecipient shall submit a set of record ("as-
built") drawings to document the fmal construction, as well as
photographs of the completed construction, in the final report.
Subrecipient may not remove any improvements constructed with funds
provided under this Contract, unless the federal awarding agency is
compensated in accordance with the Uniform Administrative
Requirements for Grants and Cooperative Agreements to State and Local .
Governments (15 C.F.R. Part 24).
(b) If funds under the Contract are used to improve real property, Subrecipient
must file a memorandum of agreement in the county records where the
property is located notifying third parties as follows:
THIS PROPERTY MUST BE USED IN PERPETUITY FOR
THE PURPOSES FOR WHICH IT WAS ACQUIRED
UNDER THE COASTAL IMPACT ASSISTANCE
PROGRAM. IF THE PROPERTY IS EVER SOLD OR
USED FOR PURPOSES CONTRARY TO THOSE FOR
WHICH IT WAS ACQUIRED, THE U.S. DEPARTMENT
OF THE INTERIOR, MINERALS MANAGEMENT
SERVICE, MUST BE COMPENSATED IN ACCORDANCE
WITH FEDERAL LAW (43 C.F .R. PART 12).
(c) Prior to any construction undertaken under the Contract, Subrecipient shall
deliver to the GLO one (1) copy of Plans to be used for the Project. Any
CMP Subgrant Supplemental Terms and Conditions
Attachment B
Page 10 of 13
construction to be undertaken with funding from the Contract shall be
completed in compliance with final Plans approved by the GLO:
(d) UPON COMPLETION OF CONSTRUCTION, SUBRECIPIENT SHALL SUBMIT A
FINAL "AS BUILT" DESIGN, IF REQUIRED BY THE LOCAL BUILDING CODE
OR LOCAL BUILDING OFFICIAL, AS WELL AS PHOTOGRAPHS OF THE
CONSTRUCTION IN THE FINAL REpORT.
( e) Subrecipient may not remove any improvements constructed with funds
provided under the Contract, unless the United States Government is
compensated in accordance with the Administrative and Audit
Regulations.
4.3 SURVEYS REQUIRED
(a) Inland Survey. In the event that land is to be acquired with funds under the
Contract, any parcel of land that (1) does not abut any waters and (2) is
acquired by lot and block may be surveyed by a "registered professional land
surveyor" or "RPLS" as that term is defined in Chapter 1071 of the Texas
Occupations Code. Any survey conducted by an RPLS under this section
must be accompanied by :'certified copies of each subdivision block in
which the acquisitions will be located. Subrecipient shall record any and
all surveys required under this subsection in the records of the County
Surveyor (or the records of the County Clerk if there is no County
Surveyor) of the county in which the land is located.
(b) Survey of Land Abutting Water. Any parcel of land to be acquired with
funds under the Contract other than land described in Section 4.4(a), above,
must be surveyed by a "licensed state land surveyor" or "LSLS" as that term
is defined in Chapter 1071 of the Texas Occupations Code.
(c) Coastal Boundary Survey. In the event that a coastal boundary survey is
required for the Project, Subrecipient must conduct the coastal boundary
survey for the Project site in accordance with Section 33.136 of the Texas
Natural Resources Code., For surveys of tracts on or adjacent to Gulf
beaches, maps, surveys," and/or profiles shall not delineate or map
vegetation, the line of vegetation, or the landward boundary of the public
beach. Such maps, surveys, and/or profiles shall also not include any
mention of the location of the line of vegetation or the boundary of the
public beach. F or any work funded in whole or part by funds under the
Contract, vegetation, the line of vegetation, and/or the landward boundary
of the public beach can only be mapped, delineated, or described with
specific written authorization from the OLO. The coastal boundary survey
must contain the following statement:
"THIS SURVEY DOES NOT, NOR IS IT INTENDED TO
BE USED TO, IDENTIFY, DELINEATE, OR FIX THE
LINE OF VEGETATION OR THE LANDWARD
BOUNDARY OF THE PUBLIC BEACH."
CMP Subgrant Supplemental Terms and Conditions
Attachment B
Page 11 of13
4.5
(d) REQUIRED DEED LANGUAGE AND RESTRICTIONS. If funds under the
Contract are used to acquire real property, the acquisition deed must.
contain the following language:
THIS PROPERTY MUST BE USED IN PERPETUITY FOR
THE PURPOSES FOR WHICH IT WAS ACQUIRED
UNDER THE COASTAL MANAGEMENT PROGRAM.
IF THE PROPERTY'. IS EVER SOLD OR USED FOR
PURPOSES CONTRARY TO THOSE FOR WHICH IT
WAS ACQUIRED, THE FEDERAL AWARDING AGENCY
MUST BE COMPENSATED IN ACCORDANCE WITH
THE UNIFORM ADMINISTRATIVE REQUIREMENTS
FOR GRANTS AND COOPERATIVE AGREEMENTS TO
STATE AND LOCAL GOVERNMENTS (15 C.F.:R
PART 24). .; .
If grant funds under the COIltract are used to improve public or private real
property, Subrecipient must file in the real property records of the county
where the property is located, a memorandum of restriction, conservation
servitudes or easements affecting the real property, ina form acceptable to
the GLO, that will protect the land and its natural resources and preserve
the public use and benefit of the land.
4.4 ApPRAISALS
All appraisals performed in connection with the acquisition of land and/or
easement under this section shall be completed in accordance with the
Uniform Appraisal.. .Standards for Federal Land Acquisitions. These
standards can be found at:
www.usdoioe:ov/enrd/land-acklvb2001.pdf.
GLO ApPROVAL OF REAL ESTATE DOCUMENTS
I
The survey, appraisal, and the memorandum of restrictions, conservation
servitudes, easement, or deed must be approved by the GLO. A recorded
copy of the memorandupl. of restrictions, conservation servitudes,
easement, or deed must be submitted to the Grant Administer.
The GLO will not "hold" an easement or accept a third-party right of
enforcement.'
II
REMAINDER OF PAGE INTENTIONALLY LEFT BLANK
,
I
" ~
I
CMP Subgrant Supplemental Terms and Conditions
. the GLO with~ertinent d~tails of any participation by a HUB in fulfilling
Subrecipient's performance under the Contract.
CMP Subgrant Supplemental Terms and Conditions
Attachment B
Page 12 of13
ARTICLE 5 - MISCELLANEOUS TERMS AND CONDITIONS
5.1 FEDERAL REGULATORY REQUIREMENTS
.Subrecipient . carries the responsibility to be aware of arid comply with the federal
regulatory requirements for federal financial assistance awards included in the Code
of Federal Regulations.
5.2 COMPLIANCE WITH TEXAS COASTAL MANAGEMENT PROGRAM (CMP)
If the Project is located within a coaStal management zone established by Chapter 33
of the Texas Natural Resources Code, Subrecipient shall complete the requirements
of the Contract in compliance with the CMP Rules, and shall ensure that the
performance of all subcontractors is in compliance. therewith.
5.3 FEDERAL AsSURANCES
Subrecipient shall execute the Assurances-ConstructionINon-Construction Programs
Form, attached to the. Contract atPae:e 1 . of Attachment C, and. submit ~t with the
signed Contract, assuring that it will comply with all federal statutes listed thereon
and, when applicable, shall obtain and return completed assurance of compliance
forms from its subcontractors..
5.4 LOBBYING CERTIFICATION
(a) Subrecipient, shall, by executing Standard Form CD-SI2, included at
Pae:e 3 of Attachment C, certify hat no federal funds have been or
will be paid to any person for influencing or attempting to influence
any party named therein.
Prior to engaging any contractor or subcontractor, Subrecipient shall
verify the contractor's or subcontractor's eligibility for receiving state
or federal funds, using: the Federal General Services Administration's
Excluded Parties List System located at:
www.epls.e:ov
5.5 LOBBYING DISCLOSURE
If at any time any non-federal funds have been paid for such purposes,
Subrecipient shall complete and submit the Disclosure of. Lobbying ACtivities
Form (Standard Form-LLL), included at Page 4 of Attachment C.
. 5.6 HISTORICALLY UNDERUTILIZED BUSINESSES
(a) In accordance with State law, it is the GLO's policy to assist HUBs
whenever possible, to participate in providing goods and services to the
GLO. The GLO encourages Subrecipient to adhere to this same
philosophy in selecting subcontractors to assist in fulfilling Subrecipient's
performance under the Contract. In addition to other information required
by the Contract, Subrecipient will provide the Purchasing Department of
the GLOwith pertinent details of any participation bya HUB in fulfilling
Subrecipient's performance under the Contract.
CMP Subgrant Supplemental Terms and Conditions
(b)
(c)
i)
II
J~
ij
Attachment B
Page 13 of13
The GLO encourages Subrecipients to partner with certified HUBs that
participate in the Comptroller's Mentor Protege Program. For more'
information on the program, and how it can assist your firm in meeting good
faith effort goals please visit:
www.window.state.tx.us/Drocurement/Drol!lhub/mentorDrotelZe.
Subrecipient shall submit annually the HUB expense report included in
Attachment E.
REMAINDER OF PAGE INTENTIONALLY LEFT BLANK
"
CMP SubgrantSupplemental Terms and Conditions
Attachment C
Page 1 of 5
OMS Approval No. 0348-0040
ASSURANCES - NON-CONSTRUCTION PROGRAMS
Public reporting burden for this collection of information is estimated to average 15 minutes per response, including time for reviewing
instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of
information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for
reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (0348-0040), Washington, DC 20503.
PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT AND BUDGET.
SEND IT TO THE ADDRESS PROVIDED BY THE SPONSORING AGENCY.
NOTE: Certain of these assurances may not be applicable to your project or program. If you have questions, please contact the
awarding agency. Further, certain Federal awarding agencies may require applicants to certify to additional assurances. If such
is the case, you will be notified.
As the duly authorized representative of the applicant, I certify that the applicant:
1. Has the legal authority to apply for Federal assistance
and the institutional, managerial and financial capability
(including funds sufficient to pay the non-Federal share
of project cost) to ensure proper planning, management
and completion of the project described in this
application.
Act of 1973, as amended (29 U.S.C. 9794), which
prohibits discrimination on the basis of handicaps; (d)
the Age Discrimination Act of 1975, as amended (42
U.S.C. 996101-6107), which prohibits discrimination
on the basis of age; (e) the Drug Abuse Office and
Treatment Act of 1972 (P.l. 92-255), as amended,
relating to nondiscrimination on the basis of drug
abuse; (f) the Comprehensive Alcohol Abuse and
Alcoholism Prevention, Treatment and Rehabilitation
Act of 1970 (P.L. 91-616), as amended, relating to
nondiscrimination on the basis of alcohol abuse or
alcoholism; (g) 99523 and 527 of the Public Health
Service Act of 1912 (42 U.S.C. 99290 dd-3 and 290 ee-
3), as amended, relating to confidentiality of alcohol
and drug abuse patient records; (h) Title VIII of the
Civil Rights Act of 1968 (42 U.S.C. 993601 et seq.), as
amended, relating to nondiscrimination in the sale,
rental or financing of housing; (i) any other
nondiscrimination provisions in the specific statute(s)
under which application for Federal assistance is being
made; and, (j) the requirements of any other
nondiscrimination statute(s) which may apply to the
application.
2. Will give the awarding agency, the Comptroller General
of the United States and, jf appropriate, the State,
through any authorized representative, access to and
the right to examine all records, books, papers, or
documents related to the award; and will establish a
proper accounting system in accordance with generally
accepted accounting standards or agency directives.
3. Will establish safeguards to prohibit employees from
using their positions for a purpose that constitutes or
presents the appearance of personal or organizational
conflict of interest, or personal gain.
4. Will initiate and complete the work within the applicable
time frame after receipt of approval of the awarding
agency.
5. Will comply with the Intergovernmental Personnel Act of
1970 (42 U.S.C. 994728-4763) relating to prescribed
standards for merit systems for programs funded under
one of the 19 statutes or regulations specified in
Appendix A of OPM's Standards for a Merit System of
Personnel Administration (5 C.F.R. 900. Subpart F).
7. Will comply, or has already complied, with the
requirements of Titles II and III of the Uniform
Relocation Assistance and Real Property Acquisition
Policies Act of 1970 (P.L. 91-646) which provide for
fair and equitable treatment of persons displaced or
whose property is acquired as a result of Federal or
federally-.assisted programs. These requirements apply
to all interests in real property acquired for project
purposes regardless of Federal participation in
purchases.
6. Will comply with all Federal statutes relating to
nondiscrimination. These include but are not limited to:
(a) Title VI of the Civil Rights Act of 1964 (P.L. 88-352)
which prohibits discrimination on the basis of race, color
or national origin; (b) Tille IX of the Education
Amendments of 1972, as amended (20 U.S.C. ~91681-
1683, and 1685-1686), which prohibits discrimination on
the basis of sex; (c) Section 504 of the Rehabilitation
8. Will comply, as applicable, with prOVISions of the
Hatch Act (5 U.S.C. ~91501-1508 and 7324-7328)
which limit the political activities of employees whose
principal employment activities are funded in whole or
in part with Federal funds.
Previous Edition Usable
Authorized for Local Reproduction
Standard Form 424B (Rev. 1-91)
Prescribed by OMB Circular A.102
SIGNATURE PAGE FOR GLO CONTRACT No. 11-023-000-4321
GENERAL LAND OFFICE
CALHOUN COUNTY
Calhoun coun~
By:-tn~~.. ~ ~L--
" r
Title: County Ju ge
Larry L. Laine, Chief Clerk!
Deputy Land Commissioner
Date of execution:
Date of execution: 10 -14 -10
~.C ~ ,/
G.C =1iJ
REMAINDER OF PAGE INTENTIONALLY LEFT BLANK
_I
9. Will comply, as applicable, with the provisions of the Davis-
Bacon Act (40 U.S.C. ~~276a to 276a-7), the Copeland Act,
(40 U.S.C. ~276c and 18 U.S.C. ~874), and the Contract
Work Hours and Safety Standards Act (40 U.S.C. ~~327-
333), regarding labor standards for federally-assisted
construction subagreements.
10. Will comply, if applicable, with flood insurance purchase
requirements of Section 102(a) of the Flood Disaster
Protection Act of 1973 (P.L. 93-234) which requires
recipients in a special flood hazard area to participate in the
program and to purchase flood insurance if the total cost of
insurable construction and acquisition is $10,000 or more.
11. Will comply with environmental standards which may be
prescribed pursuant to the following: (a) institution of
environmental quality control measures under the National
Environmental Policy Act of 1969 (P.L. 91-190) and
Executive Order (EO) 11514; (b) notification of violating.
facilities pursuant to EO 11738; (c) protection of wetlands
pursuant to EO 11990; (d) evaluation of flood hazards in
floodplains in accordance with EO 11988; (e) assurance of
project consistency with the approved State management
program developed under the Coastal Zone Management
Act of 1972 (16 U.S.C. ~~1451 et seq.); (f) conformity of
Federal actions to State (Clean Air) Implementation Plans'
under Section 176(c) of the Clean Air Act of 1955, as
amended (42 U.S.C. ~~7401 et seq.); (g) protection of
underground sources of drinking water under the Safe
Drinking Water Act of 1974, as amended (P.L. 93-523);
and, (h) protection of endangered species under the
Endangered Species Act of 1973, as amended (P.L. 93-
205).
SIGNATURE OF AUTHORIZED CERTIFYING OFFICIAL
Calhoun County
Attachment C
Page 2 of 5
12. Will comply with the Wild and Scenic Rivers Act of
1968 (16 U.S.C. ~~1271 et seq.) related to protecting
components or potential components of the national
wild and scenic rivers system.
13. Will assist the awarding agency in assuring compliance
with Section 106 of the National Historic Preservation
Act of 1966, as amended (16 U.S.C. ~470), EO 11593
(identification and protection of historic properties), and
the Archaeological and Historic Preservation Act of
1974 (16 U.S.C. ~~69a-1 et seq.).
14. Will comply with P.L. 93-348 regarding the protection of
human subjects involved in research, development, and
related activities supported by this award of assistance.
15. Will comply with the Laboratory Animal Welfare Act of
1966 (P.L. 89-544, as amended, 7 U.S.C. ~~2131 et
seq.) pertaining to the care, handling, and treatment of
warm blooded animals held for research, teaching, or
other activities supported by this award of assistance.
16. Will comply with the Lead-Based Paint Poisoning
Prevention Act (42 U.S.C. ~~4801 et seq.) which
prohibits the use of lead-based paint in construction or
rehabilitation of residence structures.
17. Will cause to be performed the required financial and
compliance audits in accordance with the Single Audit
Act Amendments of 1996 and OMB Circular No. A-133,
"Audits of States, Local Governments, and Non-Profit
Organizations. "
18. Will comply with all applicable requirements of all other
Federal laws, executive orders, regulations, and policies
governing this program.
TITLE
Calhoun County Judge
DATE SUBMITTED
October 14, 2010
THIS FORM MUST BE EXECUTED
Standard Form 424B (Rev. 7-97) Back
FORM COOS12
(REII12-04)
Attachment C
Page 3 of 5
U.S. DEPARTMENT OF COMMERCE
CERTIFICATION REGARDING LOBBYING
LOWER TIER COVERED TRANSACTIONS
Applicants should review the instructions for certification included in the regulations before completing this form. Signature
on this form provides for compliance with certification requirements under 15 CFR Part 28, "New Restrictions on Lobbying."
LOBBYING
As required by Section 1352, Title 31 of the U.S. Code, and
implemented at 15 CFR Part 28. for persons entering into a grant,
cooperative agreement or contract over $100,000 or a loan or loan
guarantee over $150,000 as defined at 15 CFR Part 28, Sections
28.105 and 28.110, the applicant certifies that to the best of his or her
knowledge and belief, that
(1) No Federal appropriated funds have been paid or will be paid,
by or on behalf of the undersigned, to any person for influencing or
attempting to influence an officer or employee of any agency, a
Member of Congress in connection with the awarding of any
Federal contract, the making of any Federal grant, the making of
any Federal loan, the entering into of any cooperative agreement,
and the extension, continuation, renewal, amendment, or
modification of any Federal contract, grant, loan, or cooperative
agreement
(2) If any funds other than Federal appropriated funds have been
paid or will be paid to any person for influencing or attempting to
influence an officer or employee of any agency, a Member of
Congress, an officer or employee of Congress, or an employee of a
member of Congress in connection with this Federal contract, gran~
loan, or cooperative agreement, the undersigned shall complete and
submit Standard Form-ill, "Disclosure Form to Report Lobbying,"
in accordance with its instructions.
(3) The undersigned shall require that the language of this
certification be included in the award documents for all subawards at
all tiers (including subcontracts, subgrants, and contracts under
grants, loans, and cooperative agreements) and that all subrecipients
shall certify and disclose accordingly.
This certification is a material representation of fact upon which
reliance was placed when this transaction was made or entered into.
Submission of this certification is a prerequisite for making or
entering into this transaction imposed by section 1352, title 31, U.S.
Code. Any person who fails to file the required certification shall be
subject to a civil penalty of not less than $10,000 and not more
than $100,000 for each such failure occurring on or before
October 23, 1996, and of not less than $11,000 and not more
than $110,000 for each such failure occurring after October 23,
1996.
Statement for Loan Guarantees and Loan Insurance
The undersigned states, to the best of his or her knowledge
and belief, that:
In any funds have been paid or will be paid to any person for
influencing or attempting to influence an officer or employee
of any agency. a Member of Congress. an officer or employee
of Congress, or an employee of a Member of Congress in
connection with this commitment providing for the United
States to insure or guarantee a loan, the undersigned shall
complete and submit Standard Form-LLL, "Disclosure Form
to Report Lobbying," in accordance with its instructions.
Submission of this statement is a prerequisite for making or
entering into this transaction imposed by section 1352, title
31, U.S. Code. Any person who fails to file the required state-
ment shall be subject to a civil penalty of not less than $10,000
and not more than $100,000 for each such failure occurring
on or before October 23,1996, and of not less than $11,000
and not more than $110,000 for each such failure occurring
after October 23, 1996.
'As the duly authorized representative of the applicant, I hereby certify that the applicant will comply with the
above applicable certification.
NAME OF APPLICANT
Calhoun County
iPRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE
Michael J. Pfeifer, Calhoun County Judge
AWARD NUMBER AND/OR PROJECT NAME
11-023-000-4321
DATE
October 14, 2010
FORM CD~12
(REV 12-04)
Attachment C
Page 3 of 5
U.S. DEPARTMENT OF COMMERCE
CERTIFICATION RE~,ARDING LOBBYING
LOWER TIER COVERED TRANSACTIONS
i1
Applicants should review the instructions for certification included in the regulations before completing this form. Signature
on this form provides for compliance with certification requirements under 15 CFR Part 28, "New Restrictions on Lobbying."
LOBBYING
As required by Section 1352, Tille 31 of the U.S. Code, and
implemented at 15 CFR Part 28, for persons entering into a grant,
cooperative agreement or contract over $100,000 or a loan or loan
guarantee over $150,000 as defined at 15 CFR Part 28, Sections
28.105 and 28.110, the applicant certifies that to the best of his or her
knowledge and belief, that
(1) No Federal appropriated funds have been paid or will be paid,
by or on behalf of the undersigned, to any person for influencing or
attempting to influence an officer or employee of any agency, a
Member of Congress in connection with the awarding of any
Federal contract, the making of any Federal grant, the making of
any Federal loan, the entering into of any cooperative agreem,ent,
and the extension, continuation, renewal, amendment: or
modification of any Federal contract, grant, loan, or cooperative
agreemenl !
(2) If any funds other than Federal appropriated funds have been
paid or will be paid to any person for influencing or attempting to
influence an officer or employee of any agency, a Member of
Congress, an officer or employee of Congress, or an employee of a
member of Congress in connection with this Federal contract, grant,
loan, or cooperative agreement, the undersigned shall complete and
submit Standard Fonn-LU, "Disclosure Form to Report Lobbying,"
in accordance with its instructions.
(3) The undersigned shall require that the language of this
certification be included in the award documents for all subawards at
all tiers (including subcontracts, subgrants, and contracts under
grants, loans, and cooperative agreements) and that all subrecipients
shall certify and disclose accordingly.
This certification is a material representation of fact upon which
reliance was placed when this transaction was made or entered into.
Submission of this certification is a prerequisite for making or
entering into this transaction imposed by section 1352, title 31, U.S.
Code. Any person who fails to file the required certification shall be
subject to a civil penalty of not less than $10,000 and not more
than $100,000 for each such failure occurring on or before
October 23, 1996, and of not less than $11,000 and not more
than $110,000 for each such failure occurring after October 23,
1996.
Statement for Loan Guarantees and Loan Insurance
The undersigned states, to the best of his or her knowledge
and belief, that:
In any funds have been paid or will be paid to any person for
influencing or attempting to influence an officer or employee
of any agency, a Member of Congress, an officer or employee
of Congress, or an employee of a Member of Congress in
connection with this commitment providing for the United
States to insure or guarantee a loan, the undersigned shall
complete and submit Standard Form-LLL, "Disclosure Form
to Report Lobbying," in accordance with its instructions.
Submission of this statement is a prerequisite for making or
entering into this transaction imposed by section 1352, title
31, U.S. Code. Any person who fails to file the required state-
ment shall be subject to a civil penalty of not less than $10,000
and not more than $100,000 for each such failure occurring
on or before October 23, 1996, and of not less than $11,000
and not more than $110,000 for each such failure occurring
after October 23, 1996.
As the duly authorized representative of the applicant, I hereby certify that the applicant will comply with the
above applicable certification.
NAME OF APPLICANT
Calhoun County
PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE
Michael J. Pfeifer, Calhoun County Judge
SIGNATURE
AWARD NUMBER AND/OR PROJECT NAME
11-023-000-4321
DATE
October 14, 2010
Attachment C
Page 4 of 5
1. Type of Federal Action:
D a. contract
b. grant
c. cooperative agreement
d.loan
e. loan guarantee
f. loan insurance
4. Name and Address of Reporting Entity:
o Prime 0 Subawardee
Tier , if known:
DISCLOSURE OF LOBBYING ACTIVITIES
Complete this form to disclose lobbying activities pursuant to 31 U.S.C. 1352
See reverse for ublic burden disclosure.
2. Status of Federal Action: 3. Report Type:
Da. bid/offer/application D a. initial filing
-...--- b. initial award .-...... b. material change
c. post-award For Material Change Only:
year quarter
date of last report
Approved by OMB
0348-0046
5. If Reporting Entity in No.4 is a Subawardee, Enter Name
and Address of Prime:
Con ressional District, if known: 4c
6. Federal Department/Agency:
Con ressional District, if known:
7. Federal Program NamelDescription:
CFDA Number, if applicable:
8. Federal Action Number, if known:
10. a. Name and Address of Lobbying Registrant
(if individual, last name, first name, M/):
9. Award Amount, if known:
$
b. Individuals Performing Services (including address if
different from No. 10a)
(last name, first name, M/):
11 Information requesled through this ronn is authorized by UUe 31 U.S.C. section
. 1352. This disclosure of lobbying activiUes is a malerial represenlaUon of rael
upon which reliance was placed by the lier above when this transaction was made
or anlered inlo. This disclosure is required pu~uanl to 31 U.S.C. 1352. This
infonnaUon will be ava"able lor public inspection. Any person who falls to file the
,.required disclosure shall be subjeello a civil penalty of nolle.. than $10.000 and
not more than $100,000 for each such (allure.
Signature:
Print Name:
Title:
Date:
Authorized for Local Reproduction
Standard Form LLL (Rev. 7-97)
Attachment C
Page 5 of 5
INSTRUCTIONS FOR COMPLETION OF SF-LLL, DISCLOSURE OF LOBBYING ACTIVITIES
This disclosure form shall be completed by the reporting entity, whether subawardeeor prime Federal recipienl, al the initiation or receipt of a covered Federal
action, or a malerialchange 10 a previous filing, pursuanlto Ii lie 31 U.S.C. section 1352. The filing of a fonm is required for each payment or agreemenlto make
payment to any lobbying entity for influencing or allempling to influence an officer or employee of any agency, a Member of Congress, an officer or employee of
Congress, or an employeeof a Memberof Congress in connection with a covered Federalaction. Compleleall ilems lhat apply for bolh the initial filing and material
change report. Refer to the implementing guidance published by the Office of Management and Budget for additional information.
1. Identify the lype of covered Federal action for which lobbying activity is and/or has been secured to influence the outcome of a covered Federal action.
2. Identify the status of the covered Federal action.
3. Identify the appropriate classification of this report. If this is a followup report caused by a material change to the information previously reported, enter
the year and quarter in which the change occurred. Enter the date of the last previously submilled report by this reporting entity for this covered Federal
action.
4. Enter the full name, address, city, State and zip code of the reporting enlily. Include Congressional District, if known. Check the appropriate classification
of the reporting entity that designates if it is, or expects to be, a prime or subaward recipienl.ldentify the tier of the subawardee, e.g., the first subawardee
of the prime is the 1 st tier. Subawards include but are not limited 10 subcontracts, subgrants and contract awards under grants.
5. If the organization filing the report in item 4 checks "Subawardee," then enter the full name, address, city, State and zip code of lhe prime Federal
recipient Include Congressional DislriCt, if known.
6. Enterlhe name of the Federal agency making the award or loan commitment. Include at least one organizationallevel below agency name, if known. For
example, Departmenl of Transportation, United States Coast Guard.
7. Enter the Federal program name or description for the covered Federal action (ilem 1). If known, enter the full Catalog of Federal Domeslic Assistance
(CFDA) number for grants, cooperative agreements, Joans, and loan commitments.
8. Enter lhe most appropriate Federal identifying number available for the Federal action idenlified in item 1 (e.g., Request for Proposal (RFP) number;
Invitation for Bid (IFB) number; grant announcement number; the contract, grant, or loan award number; the application/proposal control number
assigned by the Federal agency). Include prefixes, e.g., "RFP-DE-90-001."
g. For a covered Federal action where there has been an award or loan commitment by the Federal agency, enter the Federal amount of the award/loan
commitment for the prime entity identified in item 4 or 5.
1 O. (a) Enter the full name, address, city, State and zip code of the lobbying registrant under the Lobbying Disclosure Act of 1995 engaged by the reporting
entity identified in item 4to influence the covered Federal action.
(b) Enter the full names of the individual(s) performing services, and include full address if different from 10 (a). Enter Last Name, Firsl Name, and
Middle Initial (MI).
11. The certifying official shall sign and date the form, print his/her nam'e, title, and telephone number.
According to the Paperwork Reduction Act, as amended, no persons are required to respond to a collection of information unless it displays a valid OMB Control
Number. The valid OMB control number for this information collection is OMB No. 0348-0046. Public reporting burden for this collection of information is
estirpated to average 10 minutes per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data
needed, and completing and reviewing the collection of information, Send comments regarding the burden estimate or any other aspect of this collection of
information, including suggestions for reducing this burden, to the Office of Managementand Budget, Paperwork Reduction Project (0348-0046), Washington,
DC 20503.
Attachment D
Page 1 of 2
GENERAL AFFIRMATIONS
Provider agrees with~ut exception to the following affirmations:
1. The Provider has not given, offered to give, nor intends to give at anytime
hereafter any economic opportunity, future employment, gift, loan, gratuity,
special discount, trip, favor, or service to a public servant in connection with this
Contract.
2. Pursuant to Title 10, Section 2155.004 of the Texas Government Code, the
Provider has not received compensation from the GLD for preparing any part of
this Contract.
3. Under Section 231.006, Family Code, the vendor or applicant certifies that the
individual or business entity named in this contract, bid, or application is not
ineligible to receive the specified grant, loan, or payment and acknowledges that
this contract may be terminated and payment may be withheld if this certification
is inaccurate. Any Provider subject to this section must include names and Social
Security numbers of each person with at least twenty-five percent (25%)
ownership in the business entity named in this Contract. This information must
be provided prior to execution of any offer.
4. Provider certifies that the individual or business entity named in this Contract: i)
has not been subjected to suspension, debarment, or similar ineligibility to receive
the specified contract as determined by any federal, state, or local governmental
entity; ii) is in compliance with the State of Texas statutes and rules relating to
procurement; and iii) is not listed on the federal government's terrorism watch list
as described in executive order 13224. Entities ineligible for federal procurement
are listed at http://www.epls.gov. Provider acknowledges that this contract may
be terminated and payment withheld if this certification is inaccurate.
5. Provider agrees that any payments due under this Contract will be applied towards
any debt, including, but not limited to, delinquent taxes and child support that is
owed to the State of Texas.
6. Provider certifies that they are in compliance with Texas Government Code, Title
6, Subtitle B, Section 669.003, relating to contracting with the executive head of a
state agency. If this section applies, Provider will complete the following
information in order for the bid to be evaluated:
Name of Former Executive:
Name of State Agency:
Date of Separation from State Agency:
Position with Provider:
Date of Employment with Provider:
7. Provider agrees to comply with Texas Govenunent Code, Title 10, Subtitle D,
Section 2155.4441, relating to the purchase of products produced in the State of
Texas under service contracts.
Provider understands that acceptance of funds under this Contract acts as
acceptance of the authority of the State Auditor's Office, or any successor agency,
to conduct an audit or investigation in connection with those funds. Provider
further agrees to cooperate fully with the State Auditor's Office, or its successor,
in conducting the audit or investigation, including providing all records requested.
Provider will ensure that this clause is included in any subcontract it awards.
Provider certifies that if it employs any former employee of the GLO, such
employee will perform no work in connection with this Contract during the
twelve (12) month period immediately following the employee's last date of
employment at the GLO.
The Provider shall not discriminate against any employee or applicant for
employment because of race, disability, color, religion, sex, age, or national
origin. The Provider shall take affirmative action to ensure that applicants are
employed and that employees are treated without regard to their race, color, sex,
religion, age, disability, or national origin. Such action shall include, but is not be
limited to, the following: employment, upgrading, demotion, or transfer;
recruitment or recruitment advertising; layoff or termination; rates of payor other
forms of compensation; and selection for training, including apprenticeship. The
Provider agrees to post notices, which set forth the provisions of this non-
discrimination article, in conspicuous places available to employees or applicants
for employment. The Provider shall include the above provisions in all
subcontracts pertaining to the work.
Provider understands that the GLO does not tolerate any type of fraud. The
agency's policy is to promote consistent, legal, and ethical organizational
behavior by assigning responsibilities and providing guidelines to enforce
controls. Any violations of law, agency policies, or standards of ethical conduct
will be investigated, and appropriate actions will be taken. Providers are expected
to report any possible fraudulent or dishonest acts, waste, or abuse affecting any
transaction with the OLD to the GLO's Internal Audit Director at 512.463.5338 or
tracey .hall@glo.state.tx.us
NOTE: Information, documentation, and other material in connection with this
Contract may be subject to public disclosure pursuant to the "Public
Information Act," Chapter 552 of the Texas Government Code.
Attachment D
Page 2 of 2
8.
9.
10.
I
11.
REMAINDER OF PAGE INTENTIONALLY LEFT BLANK
Attachment E
Page 1 of 9
PROGRESS REPORT
(Project Name)
(GlO Contract No.)
(Reporting Period)
Task 1: (Name of task as identified in Attachment A 0" your contract)
. Status of the task during this reporting period: Din progress Dcompleted
· Briefly describe major accomplishments for this reporting period.
· List the deliverable(s)/milestone(s) completed during this reporting period. (Submit a copy of your
completed deliverable (s) /milestone(s) with this report.J
. Were there any problems or obstacles encountered during this reporting period (e.g., delays, remedial
action taken, schedule revision). DYes uNo If yes, please explain:
. Briefly describe plans for the next reporting period.
(Repeat for each task, if necessary. If work on a particular task has not begun or has been completed, do not
. include in progress report.)
Page 1 of2
Attaclunent E
Page 2 of 9
,
Please provide a current budget breakdown. (Double Click on budget tables to activate Excel.)
Current Billed to Date Obligated* CMP Remaining
Federal! CMP Budget CMP Budget
Budaet
Personnel $ - $ - $ - $ -
Fringe $ - $ - $ - $ -
Travel $ - $ - $ - $ -
Supplies $ - $ - $ - $ -
Equipment $ - $ - $ - $ -
Contractual $ - $ - $ - $ -
Other $ - $ - $ - $ -
Subtotal $ - $ - $ II - $ -
Indirect Costs $ - $ - $ - $ -
Totals $ - $ - $ - $ -
Current Local Billed to Date Obligatedt Remaining
Budget Local Budget Local Budget
Personnel $ - $ - $ - $ -
Fringe $ - $ - $ - $ -
Travel $ - $ - $ - $ -
Supplies $ - $ - $ - $ -
Equipment $ - $ - $ - $ -
Contractual $ - $ - $ - $ -
; Other $ - $ - $ - $ -
Subtotal $ - $ - $ - $ -
Indirect Costs $ - $ - $ - $ -
Totals $ - $ - $ - $ -
Current 3rd Billed to Date, Obligated* 3rd Remaining 3rd
Party Budget Party Budget Party Budget
Personnel $ - $ - $ , - $ -
Fri nge $ - $ - $ - $ -
Travel $ - $ - $ - $ -
Supplies $ - $ - $ - $ -
Equipment $ - $ - $ - $ -
Contractual $ - . $ - $ - $ -
Other $ - $ - $ - $ -
Subtotal $ - $ - $ - $ -
Indirect Costs $ - $ - $ - $ -
*Obligated includes. funds that have been incurred by the recipient but have not been paid by the recipient,
such as executed contract agreements or acquired supplies/materials/equipment.
Page 2 of2
Attachment E
Page 3 of 9
INVOICE FOR CMP FEDERAL EXPENDITURES *
Invoice Date:
Invoice No.:
GLO Contract No.:
Project Title:
Federal ID No.:
Billing Period:
Subrecipient:
Phone:
Email Address:
Submitted by:
Signature:
Printed Name:
/
/
Date
*Universities may submit their standard invoice in lieu of this documentation.
Amount
CMP Amount Expenditures this Previously Amount
Budget Category Budgeted Ii . Invoiced Remaining
InvOIce
Personnel $0.00 $0.00 $0.00 $0.00
Fringe $0.00 $0.00 $0.00 $0.00
Travel $0.00 $0.00 $0.00 $0.00
Supplies $0.00 $0.00 $0.00 $0.00
Equipment $0.00 $0.00 $0.00 $0.00
Contractual $0.00 $0.00 $0.00 $0.00
Other $0.00 $0.00 $0.00 $0.00
Subtotal $0.00 $0.00 $0.00 $0.00
Indirect Costs $0.00 $0.00 $0.00 $0.00
Totals $0.00 $0.00 $0.00 $0.00
Attach receipts/cancelled checks for all expenditures.
For GLO Use Only:
Date Final Documentation Received:
GLO Contract #:
Requisition # :
Requisition # :
Billing Period:
Invoice Arnt : $
Invoice Amt : $
Approved by Contract Specialist:
Approved by Project Manager:
Invoice approved for reimbursement:
Grant Manager:
Date:
Date:
Date:
Attachment E
Page 4 of 9
MONTHLY GRANT PROJECT EQUIPMENT SHEET FOR DAilY/HOURLY RATES
Project Name:
Employee Name:
Month and Year:
Equipment Used:
PLEASE PROVIDE # OF HOURS OF DAIL Y EQUIPMENT USE rovlde co of established roles used
Da Da Da Da
1 2 3 4
hrs hrs hrs hrs hrs hrs
8 9 10 11 12 13 14
hrs hrs hrs hrs hrs hrs hrs
15 16 17 18 19 20 21
hrs hrs hrs hrs hrs hrs hrs
22 23 24 25 26 27 28
hrs hrs hrs hrs hrs hrs hrs
29 30
hrs hrs hrs
CALCULATION OF DAYS/HOURS:
o X
TOTAL # DAYS/HOURS
o
DAIL Y/HOURL Y RATE
I certify thallhis information IS correct
Prinled Name of
Project Manager:
Project Manager
Signature
Date
CALCULATION FOR SALARY/HOURLY:
o X
TOTAL # HOURS
o X
TOTAL SALARY/HOURL Y
WAGE FOR MONTH
I certify thai this mformallon is correct
Employee Signature:
Project Manager
Signature
Attachment E
Page 5 of 9
hrs
13 14
hrs hrs
20 21
hrs hrs
27 28
hrs hrs
o
HOURL Y RATE
o
FRINGE BENEFIT RATE/
HOURLY FRINGE BENEFIT RATE
(Nolto exceed 35%)
Dale'
Dale
I
!
Ii
I'
! I
Attachment E
Page 6 of 9
BUDGET AMENDMENT REQUEST
Subrecipienl
Department
Address
City, Stale Zip
Contact Name
Phone
Fax
GLO Contract #
FederallD#
Req uesled Revised
Currenl CMP Current Local Curr.ent Requested Requested Olher Revised CMP Revised Local Other
Budget Category Budget Budget Other Budget CMP Changes Local Changes Changes Budl(et Budl(el Budl(el
Personnel SO.OO SO.OO SO.OO 'iSO.OO SO.OO 510.00 510.00 SO.OO SO.OO
Fringe SO.OO SO.OO SO.OO .$0.00 $0.00 SO.OO SO.OO SO.OO SO.OO
Trnvel SO.OO SO.OO SO.OO SO.OO SO.OO 510.00 SO.OO SO.OO SO.OO
Supplies SO.OO SO.OO SO.OO SO.OO SO.OO SO.OO 510.00 SO.OO SO.OO
Equipmenl SO.OO SO.OO SO.OO I SO.OO SO.OO SO.OO SO.OO SO.OO SO.OO
Contractual SO.OO SO.OO SO.OO SO.OO SO.OO 510.00 SO.OO SO.OO SO.OO
Other SO.OO SO.OO SO.OO SO.OO $0.00 SO.OO 510.00 SO.OO SO.OO
Subtotnl SO.OO SO.OO SO.OO 1'$0.00 SO.OO SO.OO SO.OO SO.OO SO.OO
Indirect Cosls SO.OO SO.OO SO.OO SO.OO SO.OO SO.OO SO.OO 50.00 SO.OO
Tolals SO.OO SO.OO SO.OO SO.OO SO.OO SO.OO SO.OO SO.OO SO.OO
Ple'lse juslify )'our reqllest below (include addilional sheels, as necessary).
Signature of Authorizing Official
Date
For GLO U.<e Ollly:
Your informal blldgetalllendment is approved. Please retain a copy of this form with )'ollr project file.
Informal Blldget Amendment Allproved by:
Date:
Contract Specialist
NOle: This copy of this form will heeome pari of YOllr permanenl GLO legallile.
Attachment E
Page 7 of 9
Audit Reporting Form
Subrecipients receiving (granted/awarded) federal funds, through the General Land Office (GLO), are subject to the requirements of the
Single Audit Act of 1996, Office of Management and Budget (()MB) Circular No. A-133, (http://www.omb.gov/grants). Subrecipients
expending (spending/reimbursed) federal funds totaling $500,000 or more in a fiscal year are required to conduct an audit in accordance
with the Single Audit Act.
Please complete this questionnaire and send by facsimile to 512;475-0680 alln: Coastal Management Program or mail to:
"
General Land Office
Attn: Coastal Management Program
Coastal Resources Division
P.O. Box 12873
Austin, Texas 7871 1-2873
Section 1: Entitv Information
Name of Entity (Subrecipient)
What is your entity's fiscal year?
Project Title and GLO Contract Number
(additional grants may be listed on a separate page)
through
I,
i I
! i
: I
.1
I
Month / Vear Month / Vear
Section 2: Sinl!le Audit ReQuirement
For your most recently completed fiscal year, account for al! fedc::ral funds (awards/grants) expended (spent/reimbursed) regardless of
the source. (Provide your most recently completed fiscal year below)
For Fiscal Year 20_:
What was the total amount of federal funds (awards/grants) ~xpended (spent/reimbursed)? $
o If less than $500,000 in total federal funds (awards/grarits) were expended: Your entity is exempt from further audit
requirements for the reporting period. Complete Sections 4 and 5 (Federal Awards Information and Signature Sections).
o 1f$500,000 or more in total federal funds (awards/grants) were expended: Complete all remaining sections.
Section 3: Audit Information
. Date of your Entity's last completed audit:
. Period Covered by Audit:
(Date)
through
Month/Vear MonthlYear
. Audit Findings: 0 No Findings (it is not necessary to submit a copy of your audit report package)
o Findings (provide a copy of your audit reporting package if findings were related to funds issued through the GLO.
If findings were unrelated to GLO issued funds submit the schedule of findings and questioned costs.)
· Next audit scheduled for:
(MonthNear)
. Period to be covered by next scheduled audit:
through
MonthlVear
MonthlVear
Section 4: Federal Awards Information I
For the fiscal year provided, account for all federal funds (awards/grants) recei ved (granted/awarded) regardless of the source.
For Fiscal Year 20_: (fiscal year must match fiscal year provided in section 2)
What was the total amount of federal funds (awards/grants) received(granted/awarded)? $
(For the fiscal year listed, use'the following table to list the federal funds (awards/grants) your entity received)
Name of federal award(s) granted Period of Award Amount CFDA Number
(month/vr - month/vr)
._-
Section 5: Sil!nature Section
Dale.
Preparer's Contact Information:
Emai/:
Signature of Preparer
Printed Name of Preparer and Title
Phone:!
Ii
ext.
Attachment E
Page 8 of 9
Instruction Sheet for the Audit Reporting Form
The purpose of the Audit Reporting (AR) Form is to assist the General land Office (GLO) in its obligations to adhere to
federal guidelines for pass through entities issuing federal funds. The AR Form is equally beneficial in assisting entities
receiving federal funds, through the GlO, to meet their audit reporting requirement. Federal guidelines for pass through
agencies issuing federal awards and the subrecipients ofth9se funds are set forth in the Single Audit Act of J 996, Office of
Management and Budget (OMB) Circular No. A-133. The OMB's website, http://www.omb.gov/grants, contains information
regarding the Single Audit Act and its requirements.
Review the following instructions for assistance in completing the Audit Reporting Form.
Section 1: Entity Information.
Name of Entity - The "Name of Entity" should match the name on the grant contract.
Proiect Title and GLO Contract Number - Provide the "Project Title and GLO Contract Number" for your entity's grant.
The project title must match the title of the project found in "Attachment A" of the grant contract. A separate sheet
listing additional project titles and contract numbers may be attached if necessary.
Entitv's Fiscal Year - Provide the period covered by your entity's fiscal year. (i.e. Jan. '06 through Dec. '06)
Section 2: Single Audit Requirement.
Following the text "For Fiscal Year 20_", insert your entity's fiscal year end for the reporting period (the most recently
complete fiscal year). For the fiscal year listed, provide the total amount of federal funds (awards/grants) expended
(spent/reimbursed). Account for all federal funds expended, regardless of the source.
Choose one of the following options:
I. Mark the first box, if your entity has expended less tlian $500,000 in total federal funds. Your entity is exempt from
further audit requirements for the rep0l1ing period, but must complete Sections 4 and 5.
2. Mark the second box, if your entity has expended $500,000 or more in total federal funds. Your entity is not exempt
from further audit requirements and must complete all remaining sections of the form.
Section 3: Audit Information.
Date of Last Comoleted Audit - Indicate the date of your entity's last completed audit.
Period Covered bv Audit - Provide the period covered by your entity's last completed audit. This period should
correspond to the audit indicated on the previous line.
Audit Findings - Choose one of the following options:
I. Mark the box before "No findings" if your entity's l~t completed audit disclosed no findings. If there ~
findings, it is not necessary to provide a copy of your 'aud it reporting package.
2. Mark the box before "Findings" if your entity's last completed audit disclosed findings. If there were findings, submit
a copy of the audit reporting package, if the findings were related to GlO issued funds. If the findings were unrelated
to GlO issued funds submit a copy of the schedule of findings and questioned costs.
Next Audit Scheduled for - Provide the month and year of your entity's next scheduled audit.
Period Covered bv Next Audit - Indicate the period to be covered by your entity's next scheduled audit.
Section 4: Federal Awards Information.
Following the text "For Fiscal Year 20_", insert your entity's fiscal year end for the current reporting period (should
match the fiscal year provided in Section 2). For the fiscal year listed, provide the total amount of federal funds
(awards/grants) your entity has received (granted/awarded). Account for all federal funds received, regardless of the
source. It is possible for the amount of federal funds rec~ived/awarded to not agree to the amount expended/spent.
Federal Grants Table - For the fiscal year listed, use the table to provide: 1) the grants/awards that comprise the total amount
of federal funds your entity received; 2) the period of awards (i.e. May '06 - May '08): 3) amount of awards; and, 4) the
Catalog of Federal Domestic Assistance (CFDA) numbers for each award. If the CFDA number is unknown, you may contact
the issuing agency. If additional space is needed, attach a separate sheet listing the abovementioned federal grant information.
Section 5: Signature Section.
SignatureofP..reparer - The person who prepared the AR form must sign and date the form.
Printed Name of PrepareI' - Print the name and title of the person who prepared the AR Form.
Preparer's Contact Information - Provide an email address and phone number for the preparer.
Form Return Information - Use the return information near the top of the Audit Reporting Form.
For additional assistance contact Melissa Porter. CM? Team leader, at 5J 2-475-1393 or by email at melissa.porter<g;,glo.state.tx.us.
I,'
Attacmnent E
Page 9 of 9
HISTORICALLY UNDERUTILIZED BUSINESSES (HUB)
EXPENSE REPORT
(Project Name)
(Subrecipient Name)
(GLO Contract No.)
(Reporting Period)
In accordance with state law, it is the General Land Office's (GLO) policy to assist Historically
Underutilized Businesses (HUBs), whether 'minority or women-owned, whenever possible in
providing goods and services to the GLO. The GLO encourages you to adhere to this same
policy when selecting subcontractors to assist your organization in fulfilling its contractual
obligations with the GLO.
In that regard, please provide us with the estimated amount of project funds your organization
paid to HUB vendors during the FY 20_ (the state's fiscal year is September I to August
31).
PROJECT AMOUNT PAID: VENDOR NAME:
TYPE OF HUB VENDOR:
American Women (WO)
Hispanic Americans (HI)
Black Americans (BL)
Asian Pacific Americans (AS)
Native Americans (NA)
Other
I am not sure if the following vendor is a HUB:
Vendor's name
I'
I
Amount paid: $
or
_ No project funds were paid to a HUB vendor during the stated time period.
! !
I,
j I
Please fax this page to Ms. Monica Simien, Contract Specialist, fax number: (512) 475-0680.
II
If you have questions, please contact Ms. Simien at (512) 463-5187, or via electronic mail at:
monic a.simi en@glo.state.tx.us.
Rel'isef:! /2/4/2IJIJ8
, ~---"'''QFr m7-1 -'i''''~''''''fIllItli!':1fj n .... ~~''l
--I ~i~~'1"'. . "-~--" :'rniill'Ol ~ .--'-' ., "
n'.'j"'"'I "" ~'V~~'* [:?"""""""'''''f''
Attachment F
Page 1 of 13
Texas Coastal Management Program
Grant Closeout Form
For more information, please contact Melissa Porter at
Phone: 1(800) 998-4GLO or (512) 475-1393
Fax: (512) 475-0680
Email: Melissa.Porter@glo.state.tx.us
CMP website: http://www.glo.state.tx.us/coastalfgrants/subrecipient.html
This form is intended to aid the Texas Coastal Management Program in its ability to quantify management
outcomes and report the success of the Texas Coastal Management Grant Program to its federal partner,
the National Oceanic and Atmospheric Administratio~. Office of Ocean and Coastal Resource Management.
SECTION 1: GRANTEE INFORMATION
Project Name:
GLO Contract Number:
NOAA Award Number:
Contract Period:
to
Organization Name:
Organization Type:Select Organization Type
Project Managerl
Principal Investigator:
Address:
Phone:
Email:
County(ies):Select County(ies) where project is located
;.
'1'~........~~~~~~~"",.~~~>.ol~-
-,~~~~~
'\~
Attachment F
Page 2 of 13
SECTION 2: FINANCIAL MEASURES
,
~~~ ....
...
Please quantify the total amount of received. matched: and leveraged dollars applied toward your project
~', > ' '. . ' (... " .,J;
during the grant contract period. " '.... ",' '. ," "
~_..,... ... __ ,", ' , "r - . , ". . t 'I .~ ft.
r ' DEFINITIONS
. "",_.:!,', .. ., .," ", Ill' '1-" .
RECEIVED dollars are funds awarded by CMP minus any dollars returned toCMP.
'; '. ......, ,. .' . l' ,,:',"." ""p~~ '".' :"~ '.
_ ',','" IK ." . . .
MATCHED dollars are funds used to match received dottars. '
It .' '
LEVERAGED dollars are ful1dsin addition to receiv~~ and matdhed dollars ,that are spent om ,a eMP 'funded",
pfoject For example. a 9'rantee may partner wi~h se~eral entities to acquire land; funds inadditiolll to eMP ~.
ot matctltng dollars spent to acquir~ the lapd would be considered leveraged dollars. ,
~riother, example is a prOjed, Wl:1ere'~. ~rantee partiiJ~ Wit~, ~ citY's planning department to develop a "
gr,eenway plan for a coastal\ coimnunity ,. The' citY pla~ning department provides the required CMP match.
DurhlQl the project., the citY's, recreation department cOntributes staff time to conduct visioning and iPlIblic
outreach; fortbe gr::eenway pIOject. The cost to the recreation department to conduct the visioning and
outteach. activities call, be, ccMmidered' lev8t;ag$d1pr;oject doBars_ "'.. ,": f, .' ,-
Ini"kihd fljfld~ an~1 servrc~ thaf; qualify" wnder OfficeJ~ ManSg~ment and '~~~get Ci;~ula~ A 11~'(See sect. 23 '
"Cost sharing or matching" http://www.whitehouse.gQv/omb/circular/a110/a110.html#~3) can be included as
leveraged dollars. Sour~s o~.Ieveraged dolla~$.can:lbefecl~ral,~tate. or local govemmenlagencies or
other organ~ations such as non-profits or foun(jation,s. ' I.' ," -,' ,.
."
.~<
. 1'~ ""\1 <'
~ I>- ~
:..,;r Y,
_ Project Category
Please choose the project category that most appropriately describes your project, even if multiple categories
-are addressed.
D GOVERNMENT COORDINATION: Grant activities that improve government coordination and efficiency in
coastal management while supporting active stakeholder and publiC participation.
, D PUBLIC ACCESS: Grant activities that create publiC access sites by acquisition or easement and/or
enhance public access for recreational purposes in the coastal zone.
D COASTAL HABITAT: Grant activities that protect coastal habitat by acquisition or easement and/or
restore previously degraded or altered coastal habitat in the coastal zone.
D COASTAL WATER QUALITY: Grant activities that protect, restore. enhance, and/or monitor water quality
in the coastal zone. '
D COASTAL HAZARDS: Grant activities that reduce damage from future hazards and/or increase public
awareness of hazards in the coastal zone.
COASTAL DEPENDENT USES AND COMMUNITY DEVELOPMENT: Grant activities that help coastal
D communities develop and/or implement sustainable development ordinances. policies, or plans and/or
update port or waterfront ordinances, policies, or plans.
1. Amount of CMP dollars received
2. Amount of nonfederal matched dollars applied
3. Amount of leveraged dollars applied
Texas GLO coastal Management Program - Grant aoseout Form,
Page 2
~ ~.."
'.
.'.
.~ .._.~~~'
Attachment F
Page 3 of 13
I
SECTION 2: FINANCIAL MEASURES
. ~ ...-......n,.. ~
"'~~'\~"~."'
Please:quantifyl.!~~otal,~~p~~f,,-ecei~~~a,nd .'!l~9,~h~d ~21~hnical rassistanCEfto'local
gO,,"!=lmmentS:-dunng~~~g!'8nt con~~p~oct " ,-;~, " . ''/'
4. Amount of CMP dollars spent on technical assistance to local governments with
assistance from CMP funds.
5. Amount of matched dollars spent on technical assistance to local governments with
assistance from CMP funds.
, I
Texas GLO Coastal Management Program.. Grant aoseout Form
Page 3
I ~
: 2.
6.
-;~!
~......~-
f".'l
Attachment F
Page 4 of 13
~ ''"''''''~
'"'"'-"T."'.... 'p"-'
SECTION 3: EDUCATIONAL ACTIVITY MEASURES
Please quantify'the total number of educational activities'offered'by your projectandthe total number of
participants for each activity during the g~llt contracfperio~, by Category, ( ,.~;' ; ,.',
.<~,.:;~ -, " OEFiNITfoNS, ,- , ':" - ,f>' ,
. ..... ..._::... ." ~'. .,.s....~,_ .. ,,~:,...
EOUCA TlONAL ACTIVITIES inclu~e presentati(Jns;i:seminars;stewardshlp or field events where the public
p~rticipates in activities such as the removal of i1wasive species; and other activities that provide non-
technical information about environmental or soci~onomic conditions, coastal management issues and
policies, coastal resources, and the role of planning,~~' "', . .; ,- . \ .
. .(:~_' .~,.~.r.~.t.. - .. .J ," 1 .~
'." ."......L. :~_. ,l~..... .. _,<,._,'~ . ~,' '..,'
~ARtICIPANTS'are the people that participatedin~~e' ieportediducationaiac~vity. You shoUld dOCUment J,
the number of participants for each educational actiVity reported at the time the activity is conducted. If a
sign-in sheet or registration is not possible, theproQram should' ~nsure that the person conducting the
activity records a count of particlpantsafthe time pf the actiVitY. . - -. , . - . , .
:.,. -'.... '.<4:' ~~..' , ,', .. _ I,.., ,J ','
PLEASE NOTE: Tne f~liowing educational activities1/shol:Jld NOT be'included: publications (l.e: br~churesl'
gui~es, etc.), internet materials or web sites; m~Ss media cainpaignsr interpretive kiosks or signage, un-
staffed conference booths or displays, or other effotts that' provide education: through indirect methods.
Staffed conference booths or displays that. provide e(!ucatronal! opportunities and can be paired with the
nurn'ber of visitors or recipients' oil the educationprd~ided can: belTepolited:~' " " ,--': ,..~, .:..
Edu~~tio~~i ~ctiv-iti~s should, be ca~~~orized. biUsl,~nthe' dO~inant topic area 'a~dr~s~e~~ Only
report each educational activity once, even'if-multiple topics are covered by that activity.
. ~ ... c .... ~ ,'''' . - '" '"' . .. ~ ":J;t:'",- . . ,- ~. , ....- ' .
See SeCtion 2 for categ()ry definitions.
l..;' r
, ~ """t :.
0
0
0
0
0
0
4... '~..
1.
Number of Government Coordination educational activities offered with
assistance from CMP funds.'
Number of Public Access educational activitieS offered with assistance from
CMP funds. Ij"
3.
Number of Coastal Habitat educational activities with assistance from CMP
funds.
4.
Number of Coastal Water Quality educational activities offered with
assistance from CMP funds. '
Number of Coastal Hazards educational activities offered with assistance
from CMP funds, '
Number of Coastal Dependent Uses and ComimuniW Development
educational activities offered with assistance from CMP funds.
5.
Texas GLO Coastal Management Program - Grant Closeout Forni ·
Page 4
i.~~"".l>\i.;:'
<r~Jf
_....~."',~,~ '--.-..... ..
'--~h.w""'-~-
Attachment F
Page 5 of 13
_~ ~'P-'"l,_~.;.....
. ~ _~ __-........ ,....;it.,;!.,,_h- ....'..,.
SECTION 4: TRAINING OR OUTREACH EVENT MEASURES
, "~"'_'. ,('""'_''''''''1':''1l
Please quantify the totaJ" number of training or outreactl events offered by your project and the total number of
participants for each event for the grant contraCt period, by category. :1; "..I ' "
," J ,> "DEFINri'lON,$':, , ;. ~', '
TRAINING or OUTREACH EVEN1S incr\ldeevents for publici officials, government agencies,~takeholders,
non-governmental oliganizations, and industry or professional audiences that focus on more techric~C'..
subject maUer than th~e providedJthrough educational activities. Training or outreach events canfn~lude
a~vitiest~~t are tailored! to a specific audience, suc~,as Wetlan~ regulators or a local agency permitting
PlJog,raIJlr- ~ 1"-' ,
. ' j' ,
..,~ ., . ,.. ~. ,- "') . . , . " '
PARTICIPANTS are the people that participated in tile reported training or outreach activity. Grantees
should document the number of participants for eacH' educational activity reported at thetirne it is
conducted. If.a sign-in sheet or registration is not possible, the program should ensure that the person
conducting the event records a count of participants'~t the time ofthe event.'~' -. ".;
PlE~SE N~tE: fh; following training orbutreach J~ents.shoUId ~OT be i~~iudect: ~~~i~ti~'ri~:~~:~.
ma~nuals) or other materials that are distributed withoutariassociatedand targeted training program.
Training opportunities can be provided through the i~tern~~ tc)proyide remote access to specific training
topics. Internet training that does, not requireregistration6r cfsign-up process to track users should only be
reported if user tr~cking is possibi$. "11 ' . ~, ., :; " ' "", '.' 'r ,: ",' , .'"
1"rai~ing activities sho~.id b~ categorized 'based In the domina~t topic are~ 'addressed.:'it an
o~treach event Is primarily held to address management needs or coordination on a range of
categories" the event may be best categorized under Government Coordination. Only record each
event once, even if multiple topics are covered. Do not include an event that was reported under
edl!ca!ional ~ctivl;~ies., "' . \, "l~ ," -', ,", .~ ' "" "," " '
se~ s~~i<?~;2 f~~ categ~ d~finItions. 1- ~ ~: .
,
,'t.
"
1.
Number of Government Coordination training or outreach events offered
with assistance from CMP funds.
Number of Public Access training or outreach events offered with assistance
from CMP funds.
o
o
2.
3.
Number of Coastal Habitat training or outreach events offered with
assistance from CMP funds.
o
4.
Number of Coastal Water Quality training or outreach events offered with
assistance from CMP funds. '
Number of Coastal Hazards training or outreach events offered with
assistance from CMP funds. '
Number of Coastal Dependent Uses and Comrhunit,y Development training or
outi'eacheverits offered With assistance from dMP funds.
o
5.
o
6.
Texas GLO Coastal Management Program - Grant aoseout Form
Page 5
'i !"
U' "''f
~~~~.-.........,~~~-:,
'~~~"'---~~~.>~~~~~~~"
Attachment F
Page 6 of 13
SECTION 5: PUBLIC ACCESS MEASURES
. _ _'4-.____,:,;.' '.~' ~~
~ '" :-_.~ -'-\J" '.
Please' quantify,the total number of public access sites created and/or enhanced by your' project (juring the
grant ~ntract period. . " . -, ::.,
- " DEFINITIONS 1 ' " ,', ","
. ".A,_ ',' ~'l....J ~ . " _' '., ilIo-. f,.', ~j, ' ~-'''''....;- f .
CREA TED public access sites are properties acquired for public access through fee simple ownership or
through an easement. There may be instances where a,property has been in public ownership but not open
to the public. 'In this case, the property can be count~d as a new site if it has not been counted previously
and it is openect to the public during the grant contratt peMod." . '
,-"," "-.,',, '1..' ,,' ji' ',' ,:(: .. "'" '. '
ENHANCED public access sites are properties previously open to the public Where recreational facilities
ha\;e been added or improved. Examples include: tria 'addition of educational signage, fish cleaning
stations, parking, or bathroom facilities; trail, walkover, or boardwalk construction or renovation; boat or
kayak launches; piers (if an easement wCis not required); and other Iow-cost construction to improve
recreational facilities. - """, " l. .: ",....,
, . -
1.
Number of public access sites created through acquisition or easement with
assistance from CMP funds.
o
2.
Number of public access sites enhanced with assistance from CMP funds.
o
Texas GLO COIIstal Management Prograni - Grant Coseout Fonni
Page 6
= c::::::::: - :: ."'" ~:.... ",J""":-""'~--~":''''f''' ....-,,~~---;-~-~
.... ..,.,:....;.,t~ ~ ",","""",",,,,
Attachment F
Page 7 of 13
~.k, #!;&..i.;!~~'\ji~*:"k~~~""
SECTION 6: COASTAL HABITAT MEASURES
-"'...~. ~ ,~..~, ~ ,
Ci'''.." .,~, 0' """'.. .. /0 .. "'~.. -,.,Ai :~" '.
Please quantifyttle total'nurnber of acres ofcoast81. hlilbitat. prote~ed' by .acquisitionoreasement or restored
by"yo~rproject during the granf~ntract peri~)(U)y,'ca~egor~C > ':';;! , ,~,:;.. f ",' ~;'i";. '
, ~,-,.' f ,.,,""""~, " ;,' DEFI~ITIONS' . '-'t'
,..11.: '_ ''<>....:",_ ' _ .,!-.,;.'., ~1"'T~'-'.,><. ,.i'"' '~"",,,
PROTECTED coastal habitat 'refers to properties acquired ,.for their habitat values through fee simple
': _ ~ ~f' .. ' ~;\!>'" .. ,. - , , :. ,~,- ; ;".cl'i--
ownership or through a conservation easement. ' ,,~i;.l','
~~~:: ' .' .:.'~ ,~ <'. . ..";>;: ,r,~~' .' '. .,; . . ....
RESTORED coastal habitat'refers to previously degFadedoralte.red ;h.abitattfilat 'has been rehabilitated:and 'j
oft,en involves reestablishing native vegetation and i~~turalhydrology. }:' ,,~ ...... '
',,;' , '. ,t "., ..... ..~' I.",;'l:'j' .' .i~I' .l'.; ,i. f
TIDAL WETLANDS are wetiands that are inundated' byti<:lal waters. Definitions of wetlands 'and tidalwaleT$ "
:f '. . . . '''',1"' -~ ,- -j!' "0_ "\ .,"-, .",.:
can be found', at 33CFR 32.8.3(b) and 33 CFR 32.8.3(f), ,respectively. Tidal weflandscaJ'iI 'Include salt 'and
brackishmar.shes (tidaD'~ flooded grassfands) , and mangrove swamps (salty shrub thickets and forests).. ,
Tldar. wetlallds in saline andl brackish areas' or estuarine'i,vetlands, which are part of the estuary where salt
water miXes with freshwaterrtl'nning otftheland viarriver~.,arealso included~'~. '. ' . ,\.
,', ,-.~. . "'::. .... '. '. ~ ,,,,~i'.'" . .:it ..:,'-l~;
BE'ACftl istnez0:ne.lbcafed inland from the mes/il,lo&tiOe. totfle natural ii~e o{vegetation bordering the
s-eaward.snors:Qftlite GllIlfofMexico~ ..... ,.". it ''f,'h .', ,~" " ,,' "',. ;'; oJ;
;'j{, ,.:,.., ":. >: ':;1+'4 ,\..::, , . .
DONE is: a~willd' formed) hiOi Gr' rid~e: of/ saAdl ,! . \
:.;" \1 "f", ~"~ .~,,:<.~~ - ...~. ~:.~ I;T ".ct'-;".! !~.; _', ,V'~ ~ . .~ ';" '. ~
"._~' _,:{~" 1- ',J, "'''~''''.'' ~ ,,' .'. ~ - ,1~ ~""',. . _,_ ~ ii,', . ,," '.' '.l..
NEARSHORE (intertidal, subtidal or submerged) habitatslnclude'lntertidal rocky areas and pools; mud . '!
flats,. coral reefs, shellfish beds,'submerged.aquaticvegeta1i()n~uch as seagrass beds, rocky hard bottom,
habitat, and other nearshore. benthic habitat: ",'" )i-: r, .. . ,,;:' , ,:
,f~' "'~,:'.:~',,':",,,.' '.' '" ....:r"ih:L.,,: "~.: >::;; . '." " A,';'
PLEASE NOTE (AcreS of habitiltshould'only be reported if the protection arrestoration activities
were completed during the grant contract pe~iod. DO,n,otreport acres of habitat If the project Is stili
1,,~~~~~~a~."I~~~rd~!5I~~,.~t1!s!t; '.. "';i['. .' ,. .;: '. ", '.~ ,>,,'-
1.
Number of tidal wetlands sites protected by acquisition or easement with
assistance from CMPfunds.
o
2.
3.
Number of tidal wetlands sites restored with assistance from CMP funds.
o
Number of beach and dune habitat sites .prot~ted by acquisition or
easement with assistance from CMP funds.
Number of beach and dune habitat sites restored with assistance from CMP
funds.
Number of nearshore habitat sites protected by acquisition or easement with
assistance from CMP funds.
Number of nearshore habitat sites restored with assistance from CMP funds.
o
4.
o
5.
o
6.
o
7.
Number of other habitat sites (e.g.nontidal w~tlands, coastal prairie, riparian
forest, etc.) protected by acquisition or easement with assistance from CMP
funds.
o
Texas GLO coastal Management Program - Grant Ooseolll: Form
Page 7 .
8.
Number.of other habitat sites (e.g. nontidal we1lands. coastal prairie, riparian
forest, etc.) restored with assistance from eMR funds.
Texas GLO coastal Management Progl'llm . Grant Closeout Form
Page 8
Attachment F
Page 8 of 13
o
Attachment F
Page 9 of 13
SECTION 7: MARINE DEBRIS MEASURES
.- - - -
,......i......"t~.'!,;.d~r"lt;io.,..'."'n'...;
~, .... oiru,~,+~~.,iltk,,~~. M","~"<h:~~'''''''''h'''.
!l.~,~i;"""-'''''W
" ..,~" '0 ....{'~..',.." '''''J''1.~' ,~ .~'. <, <" -'.
Pleaseq\,lantify the totall1un1l:ierof marine debris rernPv@1 activities and the total number of pounds'"collected,.
"\,;,: :':,.:~;;r,r_;'~\(,"."", ..', '. .......';. ..,'.........'..'.:-'. -'lI, ':~,l'" '..Ii-" ,',-' ,". ......... .......'..... .l'.l"-"'~, 'j" ....- . "'--,<A"',:';';>" .~
by your project for. each. activity 'during the grant cont...,ct periOd. ': ~';;' ',. ',.,',
. V' .~"':. . iOEFIll4ITIONS .. )<' ' .. -,
~A~~!~~~!~~REMOVAL~~9!I"iTIES ~nclude~ctivit!;S (either vOlu~taiY or non~voluntary) to remove .
manne'debrls from the coastal system. ; ,,'le'. . .~, ..' ,..l .
:! ' . . " . ":\r .. .1'/ "',,,;, , 1>. J' ,~;;.,,~,.?
ESTIM~TED POUNDS OF DEBRIS caiibe based on.reports from volunteer groups, non.;.volunteerremoval
.~.. ':, . .'....,,>.'.:.<,..:.... "." . ....,. . . . .... '.......".......:.. :.... . _' ....__.. '?f ,':.. . ............. j....: :Ii" ,'-..' .... .: ::" ,.-",c... >~L>""\"i'-.",' ...':..'.:,;....'.:.:......... ::. ' ,'" , ,;'::'" <,..: . . :.::..--:. .~'''.' ....,...':<:i...;:.:--:,..::.'.G;1'--::{::;.F:':::::,:'.;:;:~,..:.... -::' :.,>./,::)
pre>grams,or the averlige weight of commonly removecj'objects by the estimated number removed (e.g.
average crab trap weighs 5 pounds andt25,were ren)ov'ed): ,..z:""> r,.
':;);,;,; .,_' _:, 't;'.- .. -'}" 'f'-".;""~'''':~ '",'h:t,.. ~
1.
Number of marine debris removal activities completed with assistance from
CMP funds.
o
Texas GLO Coastal Management Program - Grant Closeout Fonn"
Page 9
tt.'1'~~
Attachment F
Page 10 .of 13
SECTION 8: COASTAL WATER QUALITY MEASURES
_"";,,,:;"'~,"'1-~
on... ,.p._j,~""'t~' .~' "'l',_.,~ ..,.
o ~~,.:,. '", t.
P.:.l&ase quantify the t.otalnumb..er of sites where watenquality wa.s mon.itor..e.dby your project and theto..t.a.1
. . .... "'. . J,:-:-:.....:_',. . .' I. .":' Ii '''.. '. ".' ' . '.' " .....;.,:'..;:.,:<>'i:.(,.,. . '. . .... .' .... . .. ...:.... ,.
number'of coastal communities that developed or uPd.ated;polluted runoff management ordinances, pO,I.i.cie. s,
.~ '.'_":_ ._, <','" ','" . '.. . .:t-.','" -'.' . ...... ',......,"".,.~:......,> ~;'~'" .' ." '._:.:~'<i';"\, .'.." . . . . :" .... . ."'. ,:~f'"""""
an. d, plans a. nd/or completed pro.~.'ect. s. to implement polluted. runoff manageme., n. t ordinances, po. licie. s, al'ldplans
. . ...... . ..::. ." "':rJ: '., r. -. .... . . " --.;........'.-"". .-~." '> ....,,~.:. "''''''~.'.' .'.-' -," "~" .
with assistance from your project during the grant contractperiod. " . " " · ; r, ': :: ~'~ . ~I' '
Jl' . .,:. '.," 'DEFINITIONS".....'''.~,i/,.b ,';,;j.
b.".trlI.::;.. '01..... "-"+''''''';.'-:~ . ;:,. ~ . .."'.-,:.:.... t.-.., ". . - -.'. . ';~.A,' ..' ..',
WATER QUALITY MONITORING includes watefqLjality and aquatic habitat monitoring an,dasse~s'!l~nt
activitieseonductedby the public; universities, arid ~ther non-govemmental agencies. It does notlnclude
rlJonitoring conducted bytheS~atEf'or local agencl~~:,to!neet federalCle~n '!"~ter ~ct requirements or ,~:
monitoring conducted as part of permit review or,eriforcement activities."'."','.; '"lI' ,0..., . ".
^ . ,.< - .I.,f','. ... "I .::..,',.'. . ,/ " \',. "<
COAST ALCOMMUNITY is '8 unit .of I~cal go~emment (municipality or countY) or ~ special unit of
government such as a storm watlkdistrict or planning district.'
)" '" ' '" :,,,"'''' . "",,'" .... . ~. ,
_ELlGII~g~O~DINANCES, POL.,ICIES, and PLANStshould bedevelopedor adopted bya..'ocal unit of ' ,
govern~nt and can Include State l1landated programs. '. Ordinances, policies; and plans developed by a
non-governmental organization in cqoperationwith'~ gOvernmental entity can be included. " '.
,~!_': . _ ,,, ". /', . ~ 'i~'~i:~ "',t ~'.. ~~'. . _ "~..,.,~, :;t,~ji:,'~!~ f~,.'..}"~.:t'_~, ":'. .
COMP4=TED PROJECTSindude:activities to prevent or"control pollutedhinoff such as the implementation'
of best management practice~ 'odhe construction of a wetland retention svstf)rn. Projects completed by a
non-goverrimental organization for El coastal community can be reported:';"'" ":,' F' '~", ,
. " ."" , "",'~""':I' .",.,,;: .'.
3.
Number of sites where water quality was monitored with assistance from
CMP funds.
Number of coastal communities that developed or updated polluted runoff
management ordinances, policies, and plans with 8ssistancefrom CMP
funds
Number of coastal communities that complet~d projects to implement
polluted runoff management ordinances, policies, and plans with assistance
fromCMP funds. .
o
1.
2.
o
o
, Texas GLO Coastal Management Program - Grant Closeout Form
Page 10
.:
: -;" .
, ,:
<~-;<i_;"~":"'-.I~-Y_;,"::f~t.;,-,~ .. ~'~~~~~;_,.l-r"r = ~~:~,-:--iv:;-" _ ,,~-,-~~~:__~..~,.,t~~~'-'::"~';
Attachment F
Page 11 of 13
SECTION 9: COASTAL HAZARDS MEASURES
~""'--~...
Please quantify the totalnurnberof coastal communities in the coastal zone that completed projectsto'reduce
." _". _""'.~' ',_ _.~..\: )h" -."," "':>~;_--'_" :~_':_'v.':__ _ _ - -', -; _.,~_.:~ ":F..j',~,:,,<:-_;':'
future damage from hazards a'nd/or increase public awarenes~ of hazards wi~h assistance from your project
during the grant contracfperiod. ,. ,0" ',;, '~, :.. \'
~t_: -~ ..' DEFINITIONS
COASTAL COMMUNITY, is a 'unit of loCal government '(municipality or county) or a special unit of
government such as astorm'water'district or planning district.: '. 0
. .~',,/'~'. '.. '.',.'~.- .0.0 0 '. . L:''', . ',- o' '. . 0 !
COMPLETED PROJECtS include: the development ,of or update of local coastal haz,ar~.J?lans, il.oca1'cpastal
hazard mitigation polices, ordinances or codes, techAlcal assistance, education and outreach, :and on.:.the-
grouJ'i1d projects fo, reduce future ~amage from haZards;' Projects completed by.a non-governmental
Qfiganizatiof;l,fofia:coastai commu~rtycanb~r,eporte4:, 0 .' , I ; " . {,", . <,<,>;' ~l
_ ~ ,~. It, .. I
'. ~ _ . -t \. _ 'jl... _ . _~ .~ -4' "" "
IN'CREASED pUBLic AWARENESS may result from hand~n educational events, educational si9r:!~gE:l or
kiosks, and informational materials such as brochures and websites. They may be on-goingefforts, but the
community must have completed an activity or component oUhe project during the grant contract period. ..
Websites should.only be reportediUhey are first made available during the grant contract period. ~,. :;"';'"
'-':-;'~{;j1k, * ~_ . ~ . . ,-' Y"-. ,.,J .'it .-" t- '- r- '-'';i- f ~:A''''''':>'''''': '_'-'-r-~.i"'T- ~ <;' ".-",~ "!:.,,,'~
1.
o Number of coastal communities that completed a project to re~uce future
damage from hazards with assistance from CMP funds.
Number of coastal communities that completed a project to increase public
awareness of hazards with assistance from CMP funds.
o
2.
o
Texas GLO Coastal Management Program' Grant Coseout Form
Page 11
'_..~~_'t:.l~..".
l'-""-'l:-~~'
~~:;""'--.,.k~<#-J.,.j~~~~
Attachment F
Page 12 of 13
SECTION 10: COASTAL DEPENDENT USES AND COMMUNITY DEVELOPMENT MEASURES
- ~~"'.._."~j'''~'''''- ~
Please quantify the totalnurilberof coastal communities that developed or updated sustainable development
ordinances, polices. and plans; completed a project ioimplement a sustainable development plan; developed
or updated port or waterffont redevelopment ordinances;' pplicies, and plans; and/or completed a project to
irripfe~.nt a redevelopmeilt plan with a~sistan~e from"your project during .th~. g~nt contract period. ,'J ,J',.,
. . ,'DEFINITIONS. ?
. . ',.,-' ... ., '., ,,-'.' . - 'f'
COASTAL COMMUNITY Is a unit of local governmel1t(municipality or county) or a special unit of
government such as, a redevelopment commission, harbor management board, port commission; or
i . . .' .... it' .
regional board or commission;' ',",' '0,". .. ,
,J ' J,:,::;' ~., .~~;.' . " . .,", ' ~,' ". ... . J ;~ J ) \. ? .~~> . '. .' c'.
,EUGIBLE ORDINANCES, POLICIES, and PLANS should be developed or adopted by a 'local unit of
government and can include State mandated progra~s. Ordinances, policies, and plans developed by a
non-govemmentalorganization in cooperation With ~ governmental entity can be included.
--'. " ...' ,'. .. -. .c. Ii ~ ..... . ~ '"":- . ' "
," '
'COMPLETED PROJECTS shoulCl impleri1ent actions called for in a'su~tai~able de~elop~ent' or port or
. ;:'tl'". . . ., . ;;" . ,.' .. ". ... ' '.. ..' , ~':'~","'" ..' '.'~
;waterfront redevelopment plan. '.- . '. '. '~' ,.,.; "
~ ,I'., .~ ,'..., ,._..",:\. ""i>' --, .:.'.; ." t ;i ;'
.SUSTAINABLE DEVELOPMENT PRACTICES can include mixed land uses, compact building design, and
walkable neighborhoods; preservation of open space! farmland. natural beauty, and critical environmental
areas; dir.ectlng, development tOWBJids existi'ng communities; and collaboration in developmentdecisions by
. tlile; community aljldlstakeholders. . ~., '. 1f .," ~'" ,'. ',,' ,:
J !. :,ll". ~- . J
'oJ~' . '".". .L ....., ""~:. '.. . 1 IV;' '. ;",: '''.'~:, ,:,': ,',.' " "-..
PORT OR WATERFRONT REDEVELOPMENT can' include economic development; land acquisition or
; protection through easement; ret\abllitation or acquisition of piers for public use; rehabilitation of bulkheads
I for improved public safetY or access: removal or ~eplcieement of pilings to provide increased recreational
. use; zoning or other development ordinances to supp~rt redevelopment; and visioning and other public
'involvement proce~s~s. - . . . :: . ~ . ': " . " '
1.
Number of coastal communities tha~developed or updated sustainable
development ordinances, policies, and plans with assistance from CMP
funds.
o
2.
Number of coastal communities that ~mpleted a project to implement a
sustainable development ordinance, policy I or plan with assistance from
CMP funds.
o
3.
Number of coastal communities that developed or updated port or waterfront
redevelopment ordinances, polices. and plans with assistance from CMP
funds.
Number of coastal communities that completed a project to implement a port
or waterfront redevelopment ordinance, policy, 'or plan with assistance from
CMP funds.
o
4.
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I Submit by Email 1 Print Form I
Texas GLO CoastiII Management Prognm - Grant aoseout Fonn ..
Page 12
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SECTION 11: GLO STAFF ONLY
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Texas GLO Coastal Management Progl'llm - Grant Closeout Form
Page 13
RESOLUTION TO TEXAS DEPARTMENT OF TRANSPORTATION (TXDOT) ANO US CORPS OF
ENGINEERS FOR. UTILIZATION OF EXISTING SPOIL DISPOSAL AREAS:
A Motion was made by Commissioner Finster and seconded by Commissioner Galvan to Sign the
Resolution to Texas Department of Transportation (TxDOT) and US Corps of Engineers for utilization of
existing spoil disposal areas. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in
favor.
.
.~r---~.~
. ..... '. .
.,.. .,', ':'. r",'
. WHEREAS;,'- .', Calhoull 'CotintY Cotnrilissioners': C8Urtrec6gnli~s the ne~d, and importance .
of having usable harbors ill Port ,6'Connor;.T~~a8; <md" '
WHEREAS, .
--
, '" thes~harb~tsareinAeed'bfmaiIiteriarice;'and ."
.' .., ".- . .,', ," .' ,".
. ,
WHEREAS, ,. .
c01TI1p.unity;art4:
-' ~ . . ",. - , ".. .' -, . . '.' . ' ~-" - :.' .. . . . '_ ,I
Thcidoss,6ftheuse,Of:[thesehatbors:w'ouldcrea:tean economic loss to the .
. ,
WHEREA.S, ,:,'., ...The~orpofEngltteer~al1dTex~s'Depart,lllentdfTran~portationhas, '
available placem:el1tareasayaiiablefor:t~e maiiltena,uceof the Intercoastal Water. Way; and
WHEREAS,
and" .
,Th~seharborsareadjac.~nt ,andcbnnected to the .IntercoastalW aterWay; .' .
. '. . ',', . ~ . , .' . .'. . " .' , . .... , '",
THEREFOREBE.rf ro:SOLVEt);that tl1e'Calh()hnC6unty' Commissioners'! . Court
':'c', ", ,'.':~.,: ....'_ '. ..-,..,....:,' ,", ...),..~:...:':'...,..,..:,:,....-:<_:,: ":" .: :,-,:,' "-',",,',', :".,':, I
requests,the. Corp of EngineersandT exasj)eP<lltlTIeiltofTransportation allow the dredged'
.... .,... '. '.' ....' . II.,., ..' . ...'. ...... '
'materialfrom the~e. harbors to be pl~6ed'in.sai(placernentare.a:':" '. .
, '. . ~
, ,.,", . . '.. .' , .. " . . ,.' th'<: .,:." .". ".. ..:
....' A])OPTED-TIDSTHE.-:1. 4.DAYOFOCTOBER,)OlO.'
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:ii,.~",,',........,........,..".
';VemLyssy..>.' . ......
Commissioner,' Pet: -2 .
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Roger." . Galvay .'
. COlnmis$ionerpC1., 1."
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Attest: Anita'Fricke; Co'untYClerk ....
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.' '.' . By:Depuly l"rk. < ...i.
SELECT PAYING AGENT REGISTRAR AND ESCROW AGENT FOR PROPOSED REFUNDING
OON~: "
A Motion was made by Judge Pfeifer and seconded by Commissioner Lyssy to award the Bank of Texas
as the low bidder for the Paying Agent Registrar and Escrow Agent for Proposed Refunding Bonds.
Commissioners Galvan, Lyssy, Fritsch, Finster and1iJudge Pfeifer all voted in favor.
II
Susan Riley
From:
Sent:
To:
Subject:
Attachments:
Cindy Mueller [cindy.mueller@calhouncotx.org]
Thursday, September 30,201010:18 AM
'Susan Riley'
Agenda item request
Binder1_Agenda Item 10-14-10_paying agent.pdf
Please place the following on the agenda for October 14, 2010:
. Consider and take necessary action to select paying agent registrar and escrow agent for proposed refunding
bonds.
Cindy Mueller
County Auditor
Calhoun County
202 S. Ann St., Suite B
Port Lavaca, TX 77979
361.553.4610 Phone
361.553.4614 Fax
1
From:
To:
Cc:
Subject:
Date:
Attachments:
Lizzeth Gamboa
Cindy Mueller
Anne Buraer Entrekin; Ginaer Mann
Paying Agent Registrar Bids Results
Tuesday, September 28,20102:11:11 PM
orintmon@firstsw.com 20100928 130412.odf
PaYina Aaent Reaistrar Bid TallY.odf
Ms. Mueller, per our conversation attached please find the summary results of the bids for Paying Agent
Registrar and Escrow Agent as well as an attachment containing the bids received in no particular
order.
Upon your review please let us know which entity should we include in the documents.
Thanks,
Lizzeth
Lizzeth Gamboa
Analyst
First Southwest Company
70 NE. Loop 410, Suite 710
San Antonio, TX 78216
Phone: (210) 308-2219
-----Original Message-----
From: Print Monitor On Behalf Of printmon@
Sent: Tuesday, September 28, 2010 1:04 PM
To: Lizzeth Gamboa
Subject: Scanned image from SAN-SHARP MX-4101N
Reply to: printmon@firstsw.com <printmon@firstsw.com> Device Name: SAN-SHARP MX-4101N Device
Model: MX-4101N
Location: San Antonio Copyroom
File Format: PDF MMR(G4)
Resolution: 200dpi x 200dpi
Attached file is scanned image in PDF format.
Use Acrobat(R)Reader(R) or Adobe(R)Reader(R) of Adobe Systems Incorporated to view the document.
Adobe(R)Reader(R) can be downloaded from the following URL:
Adobe, the Adobe logo, Acrobat, the Adobe PDF logo, and Reader are registered trademarks or
trademarks of Adobe Systems Incorporated in, the United States and other countries.
http://www.adobe.com/
Neither First Southwest Company nor any of its affiliates (collectively, "First Southwest") is responSible
for any recommendation, solicitation, offer or agreement or any information about any transactions,
customer account or account activity in this cqmmunication. Confidential or time-sensitive security-
related communications should not be transmitted to First Southwest via the Internet as there can be
no assurance of actual or timely delivery, receipt and/or confidentiality. Neither can there be any
assurance that messages transmitted by electronic mail will not be corrupted, lost, deleted or modified.
First Southwest reserves the right to refrain from processing or executing electronic mail until verification
of the information is obtained in another format acceptable to First Southwest.
#269,997
PAYING AND ESCROW AGENT
BIDS FOR
CALHOUN COUNTY, TEXAS
APPROXIMATELY $5,260,000 GENERAL OBLIGATION REFUNDING BONDS, SERIES 2010
Bank.
Regions Bank
Pavina Aaent Reaistrar
$250
The Bank of New York $250
US Bank $300
Wells Fargo $400
Bank of Texas $200 per series or one-time upfront fee of $2,500
per series
Bank Escrow Aaent
Regions Bank $250
The Bank of New York $750
US Bank $500
Wells Fargo $500
Bank of Texas $250
~!:lcm~@
Corporate Trust Services
142410allas Parkway, Suite 490
Dallas, TX 75254
Schedule of Fees for Services as
Paying Agent/Registrar and Refunding Escrow Agent
For
Calhoun County Texas General Obligation. Refunding Bonds, Series 2010
04120
Paying Agent
One time fee for performance of the toutine duties of the agent in administration of
the defeasance escrow. Administration fees are payable in advance.
$300.00
04160
Refunding _ Escrow Agent, One Time (11/23/10-8/15/2011)
One time fee for performance of the routine duties of the agent in
administration of the defeasance escrow. Administration fees are payable in
advance. (Note: If maturities are partially redeemed and require new
CUS/PS, add $250 to Escrow Agent fee.)
$500.00
Direct Out of Pocket Expenses
Reimbursement of expenses associated with the performance of our duties, including
but not limited to publications, legal counsel after the initial close, travel expenses
and filing fees.
At Cost
Extraordinary Services
Extraordinary services are duties or responsibilities of an unusual nature, including
termination, but not provided for in the governing documents or otherwise set forth in
this schedule. A reasonable charge will be assessed based on the nature of the
service and the responsibility involved. At our option, these charges will be billed at a
flat fee or at our hourly rate then in effect. A $300 fee will be charged on optional
redemptions.
Account approval Is subject to review and qualification. Fees are subject to change at our discretion and upon written notice. Fees
paid in advance will not be prorated. The fees set forth above and any subsequent modlflcattons thereof are part of your
agreement. Finalization of the transaction constitutes'! agreement to the above fee schedule, Including agreement to any
. subsequent changes upon proper written notice. In thee\lent your transaction Is not finalized, any related out-of-pocket expenses
will be billed to you directly. Absent your written Instructions to sweep or otherwise Invest. all sums In your account will remain
uninvested and no accrued interest or other compensation will be credited to the account. Payment of fees constitutes acceptance
of the terms and conditions set forth.
IMPORTANT INFORMATION ABOUT PROCEDURES FOR OPENING A NEW ACCOUNT:
To help the government fight the funding of terrorism and money laundering activities, Federal law requires all financial Institutions
to obtain, verify and record Information thatidentilles each person who opens an account.
For a non-lndivldual person such as a business entity, a charity, a Trust or other legal entity we will ask for documentation to verify
its formation and existence as a legal entity. We may also ask to see financial statements, licenses, identification arid authorization
documents from Individuals claiming authority to represent the entity or other relevant documentation.
Dated: September 23, 2010
I
L
o BANK OF TEXAS".
1401 McKinney, Suite 100
Houston, Texas 77010
Phone: 713.289.5883
Fax: 713.260.5623
September 24,2010
Lizzeth Gamboa
First Southwest Company
70 NE Loop 410, Suite 710
San Antonio, TX 78216
Re: $5,260,000 Calhoun County, TX General Obligation Refunding Bonds,
Series 2010
Dear Lizzeth:
It is my pleasure to submit our proposal to serve as Paying Agent, Registrar and Escrow
Agent for the referenced bonds. It is our desire to establish Bank of Texas as the premier
provider to local clients and our pricing is as follows:
UpfrontAcceptance Fee Waived
Annual Administration Fee $200 per Series'
Or One-time Upfront Fee $2,500 per Series /
Escrow Agent Fee (one time to 8/15/2011) $250 /
No fees for reports and no legal fees anticipated. Annual fees will be billed in advance and
other fees and expenses, if any, will be billed annually in arrears. The first year
Administration and Escrow Agent fees will be due and payable at clOSing.
Should Bank of Texas be appointed, the relationship with the County will be handled by me
and Maria (Coki) Barrera. Coki can be reached at 713.206.5622 or bye-mail at
mbarrera@bankoftexas.com.
If you have any questions or I can provide any additional information, please feel free to
contact me.
~r;t:~'
Ronoa L. Parman
Vice President & Business Development Officer
rparman@bankoftexas.com
R':EGIONS
Paying Agent/Registrar Services for
Calhoun County, Texas
GO Refunding Bonds,
Series 2010
Schedule of Fees
Paying AgentlRegistrar:
Acceptance Fee: .... ................... .......... .. Waived
Paying Agentl Registrar: ...................... $250 Annually in Advance
Escrow Agent: ...................................... $250 AIIDually in Advance
Fees are payable at the closing of this transaction. Thereafter, Fees and any expenses will be billed on the
anniversary date of the closing.
Charges for performing extraordinary or other services. not contemplated auhe time of the execution of the
transaction or not specifically covered elsewhere in this schedule will be determined by appraisal in
amounts commensurate with the service to be provided. Counsel fees, ifever retained as a result of default
or other extraordinary occurrence on behalf of the bondholders or Regions will be billed at cost. Quote
does not include legal fees for trustee counsel opinions.
Services not included in this Fee Schedule, but deemed necessary or desirable by you, may be subject to
additional charges based on a mutually agreed upon fee schedule.
Our proposal is subject in all aspects to Regions' review. and acceptance of the final financing documents,
which set forth our duties and responsibilities.
By: Isl Mark Dault
Mark Dault
Vice President
Date: September 21,2010
September17.2010
Greg Stites
Wells Fargo Bank
, Corporate Trust Services
400 W. 15th Street, Ste.lSo
Austin, Texas 78701
Tel: 512.344.8640
greg.l.stites@wellsfargo.com
Fee Proposal for Paying Agent, Registrar and Refunding Escrow Agent Services
$5,260,000
Calhoun County, Texas
General Obligation Refunding Bonds,
Series 2010
A' ce trin' 'e ''G'e' , "',,:l:n,7'[1<]),.,
,C', ,'Q' C, 'I;" " i "h:,LcV,;n " ,;}
Initial Fees as they relate to Wells Fargo Bank acting in the capacity of Paying Agent/Registrar - includes creation and
examination of the Paying Agent/Registrar Agreement; acceptance of the appointment; setting up of Paying
Agent/Registrar records and accounting records; and coordination of closing. The Acceptance Fee is payable at time of
Paying Agent/Registrar Agreement execution.
D ~~, "Ari\l'M~~\i~!<l:.~l"i\\:~-~~' "'_' "i"ftEl ' ro< .~J&t'"
!l'~.Q:~~J!gr~en,t~~i,~4~.1~~\UiS,Yi;@;~ :~:1' i4n()~~,~;",y.~~
For ordinary administration services by Paying Agent/Registrar - includes daily routine account management; cash
transaction processing in accordance with the agreement; and mailing of trust account statements to all applicable parties.
Float credit received by the bank for receiving funds that remain un-invested are deemed part of the Paying Agent's
compensation. The Annual Administration fees are payable in advance, with the first installment due at closing.
, 'A"il4l!.l>%1;:. ~1i:C"""";IY,*~~ fAi~.';';'" ',Ji:i':lit. '~'~""'l'~\."ij'" "''>.!;l''rM.~;'iL,' ..~.-' ..''''';\!~:>i>' ".l<4;~,I&. 'rn'~
&(Jf6J;Uiliuin:5"nl~br'o:w';\~i.~'I,I!i~~i.\ta ~~W;J,~Jn!t~,~i,3;>>~,,;.o!;~~~
For ordinary administration services by Escrow Agent; includes daily routine account management; investment
transactions; cash transaction processing in accordance with the agreement; and mailing of trust account statements to all
applicable parties, Float credit received by the bank for receiving funds that remain un-invested is deemed part of the
Paying Agent's compensation. The Administration fees are payable in advance, with the first installment due at closing.
'!@'1;t~,~~:Rl');qk~~~'-~ ,<~g..$~"
We only charge for out of pocket expenses in response to specific tasks assigned by the client. Therefore, we cannot
anticipate what specific out of pocket items will be needed or what corresponding expenses will be incurred. Possible
expenses would be, but are not limited to, tax reporting, establishment of trust accounts, express mail and messenger
charges, travel expenses to attend closing or other meetings. There are no charges for indirect out of pocket expenses.
This fee schedule is based upon the asslImptions listed above which peJ.tuin to the J'esponsibiZities and 1'is/(s
involved in Wells Fargo undertaking the J'ole of Paying Agent/Regisn'aJ'. These assumptions aJ'e based on
illformation pJ'ovided to us a... of the date ofthisfee schedule. OW' fee schedule is subject to J'eview and acceptance
ofthejinal documents. Should any of the assumptions, duties 01' J'esponsibilities change, we reser've the J'ight to
ajfiJ'm, modify 01' rescind ouJ'fee sc/tedule.
PAR: 76618
ESe: 76619
Together we'll go far
BNY MEl.LON
CORPORATETRlJST
Fee Schedule
Calhoun County, Texas approximately $5,260,000 General Obligation Refunding
Bonds, Series 2010
.. AGc~JI"Qte~~:ee\~t~J;~lj;;~~1~4': . .~ .
A one-time charge covering the Bank Officer's review of governing documents, communication with members
of tile closing party, including representatives of the issuer, investmentbanker(s) and attorney(s), establishment
of procedures and controls, set-up of trust accounts and tickler suspense items and the receipt and
disbursement/investment of bond proceeds. This fee is payable on the closing date.
tration Fee : .~~> 0 .
An annual charge covering the normal paying agent duties related to account administration alld bondholder
services. Our pricing is based on the assumption that the bonds are DTC-eligible/book-entry only. If the bonds
are certificated or physical, then we will have to charge an additional $1000 per year as a paying agent. This
fee is payable annually, in advance.
ow Agent Fee: .
The Escrow Agent Fee covers the consideration of documents and the normal administrative duties of the
escrow agent according to the governing documents. For a fult year or partial year escrow the fee is $750 per
year. Should the escrow account or depository account be open for less than two months, then we will reduce
our fee to $375. Should we not open an escrow, depository or similar account, we will not charge for such
services. This fee is payable on the closing date.
. . , .
traordinary Servlces/Mise. FeeS:is~lI .'
The charges for performing extmordinary or other services not contemplated at the time of the execution of the
transaction or not specifically covered elsewhere in this schedule will be commensurate with the service to be
provided and may be charged in BNY Mellon's sole discretion. If it is contemplated that the Trustee hold
and/or value collateral or enter into any investment contract, forward purchase or similar or ether agreement,
additional acceptance, administration and counsel review fees will be applicable to the agreement governing
such services. If the bonds are converted to certificated form, additional annual fees will be charged for any
applicable tender agent and/or registrar/paying agent services, Additional information will be provided at such
time, Should this transaction terminate prior to closing, all out-of-pocket expenses incurred, including legal
fees, will be billed at cost. If all outstanding bonds of a series are defeased or called in full prior to their
maturity, a termination fee may be assessed at that time.
These extraordinary services may include, but are 110Uimited to, supplemental agreements, corisent operations,
unusual releases, tender processing, sinking fund redemptions, failed remal'keting processing, the preparation
of special or interim reports, custody of collateral, a one-time fee to be charged upon termination of an
engagement. Counsel, accountants, special agents and others will be chat'ged at the actual amount of fees and
expenses billed, DCC filing fees, money market sweep fees, auditor confirmation fees, wire transfer fees,
transaction fees to settle third-party trades and reconcilement fees to balance trust account balances to third-
party investment provider statements
200] Bryan - n III Floor Dallas, TX 75201
BNY MELLON
CORPORATE TRUST
Annual fees include one standard audit confirmation per year without charge. Standard audit confirmations
include the final maturity date. principal paid. principal outstanding. interest cycle. interest paid. cash and asset
infol1natiol1. interest rate. and asset statement information. Non~standard audit confirmation requests may be
assessed an additional fee. Periodic tenders. sinking fund. optional or extraordinary call redemptions will be
assessed at $300 per event. FDIC or other governmental charges will be passed along to you as incurred.
Terms and Disclosures
Terms of Proposal
Final acceptance of the appointment under the Indenture is subject to approval of authorized officers of BNYM
and full review and execution of all documentation related hereto. Please note that if this transaction does not
close. you will be responsible for paying any expenses incurred, including Counsel Fees. We reserve the right
to terminate this offer if we do not enter into final written documents within three months from the date this
document is first transmitted to you. Fees may be subject to adjustment during the life of the engagement.
Customer Notice Required by the USA Patriot Act
To help the US government fight the funding of terrorism and money laundering activities, US Federal law
requires all financial institutions to obtain. verify. and record information that identifies each person (whether
an individual or organization) for which a relationship is established.
What this means to you: When you establish a relationship with BNYM. we will ask you to provide certain
information (and documents) that will help us to identify you. We will ask for your organization's name.
physical address, tax identification or other government registration number and other information that will
help us to identify you. We may also ask for a Certificate of Incorporation or similar document or other
pertinent identifying documentation for your type of organization.
We thank you for your assistance.
200 I Bryan - 11111 Floor Dallas, TX 7520 I
ANNUAL RENEWAL OF THE COUNTYCHOICE ~ILVER PACKAGE OFFERED TO RETIREES AND
THE NEW PLAN UNDER UNITED HEAL THCARE. (THIS IS OF NO COST TO THE COUNTY. IT IS
A MEDICARE SUPPLEMENT POLICY OFFERED TO THOSE ENROLLED IN MEDICARE PART A &.
B ONLY THROUGH THE TEXAS ASSOCIATION OF TEXAS):
A Motion was made by Commissioner Finster and seconded by Commissioner Galvan to approve the
Annual Renewal of the CountyChoice Silver Package offered to retirees and the new plan under United
Healthcare. (This is of no cost to the County. It is a Medicare Supplement Policy offered to those
enrolled in Medicare Part A and B only through the'Texas Association of Texas). Commissioners Galvan,
Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor.
Susan Riley
Ii
From:
Sent:
To:
Subject:
rhonda kokena[rhonda. kokena@calhouncotx.org]
Wednesday, October 06, 2010 2:55 PM
susan riley
AGENDA 10-14-10
Susan -
Can you please post thefollowing on the next agenda:
Accept and Approval of the annual renewal of the CountyChoi~ Silver package offered to retirees and
to accept the new plan under United Healthcare.
(this is of no costs to the county. it is a medicare supplement policy offered to those that are enrolled
in Medicare Part A & B only through Texas Asso9iation of Counties)
RHONDA S. KOKENA
CALHOUN COUNTY TREASURER
202 S. ANN ST.
PORT LA V ACA, TX. 77979
361-553-4619 phone
361-553-4614fax
Enjoy the little things....For one day you will look back and realize
they were the big things.
1
. .-,._~-,--_~__.____.___-------'L_~____ _ __
ACCEPT FROM THE DISTRICT COURT THE SALARIES FOR THE COUNTY AUDITOR AND
ASSISTANT AUDITOR'S FOR THE FISCAL YEAR 2011:
'I
A Motion was made by Commissioner Fritsch and seconded by Commissioner Galvan to accept from the
District Court the salaries for the County Auditor and Assistant Auditor's for the Fiscal Year 2011.
Commissioners Galvan, Lyssy, Fritsch, Finsterand Judge Pfeifer all voted in favor.
STATE OF TEXAS
IN THE DISTRICT COURT OF
COUNTY OF CALHOUN
CALHOUN COUNTY, TEXAS
WHEREAS, on August 20, 2010 at a public hearing held for the purpose of setting the salaries of the County
Auditor and Assistants for fiscal year 2011, and for the purpose of approving the number of assistants for the
Auditor's Office for fiscal year 2011; and
WHEREAS, the following base salary amounts were approved for fiscal year 2011 at the close of the public
hearing:
County Auditor $ 55,443
First Assistant Auditor $ 42,256
Assistant Auditor $ 32,527
Assistant Auditor $ 32,527
Assistant Auditor $ 32,527
FURTHER, any fiscal year 2011 salary increases and longevity approved by Commissioners Court for County
Officials and Employees are approved for the Co,!nty Auditor and Assistant Auditors in like percent and
amount and upgrades or reclassifications of job graoes and/or clusters approved by Commissioners Court for
other County Employees are approved for such like and similar jobs for assistant auditors and the filling of
vacant positions and those becoming vacant are approved at the rates and levels consistent with personnel
policies and guidelines adopted by Commissioners Court for other County Employees.
'I
We, the undersigned, being a majority of the District Judges of Calhoun County, Texas do hereby ratify the
approval action on August 20,2010 by the District Judges at the close of the public hearing held for the purpose
of setting salaries and approving the number of assist1ffits for the County Auditor's Office for fiscal year 2011.
Stephen Williams, Judge, 135t Judicial District
sg~~~iCiaIDistrict
AT
It!)! 15
PILED
O'CLOCK:d-M
,
ACCEPT THE DISTRICT SALARIES FOR THE OFFICIAL COURT REPORTER OF THE 24TH, 13STH
AND 267TH JUDICIAL DISTRICT AND THE OFFICIAL ALTERNATE COURT REPORTER OF THE
24TH, 13STHAND 267TH JUDICIAL DISTRICT FOR THE CALENDAR YEAR 2011:
A Motion was made by Commissioner Lyssy and seconded Commissioner Fritsch by to accept the Order
from the District Court allocating the Salaries of the Official and Official Alternate Court Reporters of the
24th, 13Sth and 26ih Judicial District for the Calendar Year 2011. Commissioners Galvan, Lyssy, Fritsch,
Finster and Judge Pfeifer all voted in favor. "
QrRDER
On this the _ day of September. 2010, came on to be considered setting and
allocating the salary of the Official Court Reporter of the 24th Judicial District for the
calendar year 2011, and the salary is hekby set at $64,876.00 for the year 2011, and in
.1.
additio~ the Oflida1 Court Reporter shatJ. receive any longevity compensation to which
she is entitled and is hereby allocated to the counties comprising the Judicial District in
proportion to the population of the Judicial District according to the 2000 Census as
"
I
follows:
COUNTY PERCENT AMOUNT
Calhoun 13.40 8693.00
DeWitt ;13.00 8434.00
Goliad 4.50 2920.00
Jackson 9.50 6163.00
Refugio 5.00 3244.00
Victoria 54.60 35422.00
$64,876.00
This action was taken at a public hearing held in accordance with the provisions
, of Section 152.905 of the Local Government Code.
SIGNED TIllS the
&' ofS~temher, 2010.
1:Jv
AT FILED
-_O'CLOCKA-M
~~
,STRICT CLERK CALHO'JN COUNTY, TEXAS
Jos, h Patrick Kelly, Judge
24th Judicial District Court
O'RDER
On this the L day of September. 2010, came on to be considered setting and
allocating the salary of the Official Court Reporter of the '135th Judicial District for the
calendar year 2011, and the salary is hereby set at $64,876.00 for the year 2011, and in
ii
addition, the Official Court Reporter sh~l receive any longevity compensation to which
she is entitled and is hereby allocated to ,the counties comprising the Judicial District in
proportion to the population of the Judicial District according to the 2000 Census as
follows:
COUNTY. PERCENT AMOUNT
Calhoun 13 .40 8693.00
DeWitt . 13.00 8434.00
Goliad 4.50 2920.00
Jackson 9.50 6163.00
Refugio 5.00 3244.00
Victoria 54.60 35422.00
$64,876.00
"
This action was taken at a public l:1earing held in accordance with the provisions
of Section 152.905 of the Local Government Code.
SIGNED TIllS theY,I of September, 2010.
Cf~ 3D
FILED
AT_ O'CLOCK 4- _M
~~~
!STRICT CLERK, CALHOUN COUNTY, TEXAS
~ ~ C".' ~.'. P ie-' '~. -'I-I""''''
I ;i 'I I ' "
f~"'~ : , ~- h ~~
J" .~. ..;:/" ,.....'0>
....--...
Q1RDER
"
On this the L day of Seotember. 2010, came on tQ be considered setting and
allocating the salary of the official Co~ Reporter of the 267th Judicial District for the
calendar year 2011, and the salary is hereby set at $64,876.00 for the year 2011, and in
addition, the. Official Court Reporter shall receive any longevity compensation to which
'I
she is entitled and is hereby allocated ~ the counties comprising the Judicial District in
proportion to the population of the Judicial District according to the 2000 Census as
follows:
COUNTY PERCENT AMOUNT
Calhoun 13.40 8693.00
DeWitt 13.00 8434.00
Goliad 4.50 2920.00
Jackson 9.50 6163.00
Refuglo 5.00 3244.00
. Victoria 54.60 35422.00
$64,876.00
This action was taken at a publi,? hearing held in accordance with the provisions
of Section 152.905 of the LoCal Goverrlment Code.
. .
SIGNEDTIDSthe ?S
OfS~ ~
~. etter. Judge .
,26itii Judicial District Court
!j
1-'3 D
FILED
O'ClOCKA-M
AT
rLh~~Xl_6 2010
-<1rF~:~~
JISTRICT CLERK, CALHOUN COUNTY, TEXAS
ORDER
On this the .3,-R day of September. 2010, came on to be considered setting and
allocating the salary of the Official Alternate Court Reporter of the 24th, 135th,
and 377th Judicial District for the calendar year 2011, and the salary is hereby set at
$64,876.00 for the year 2011, and in addition, the Official Court Reporter shall receive
any longevity compensation to which sheis entitled and is hereby allocated to the
counties comprising the Judicial District in proportion to the population of the Judicial
District according to the 2000 Census as follows: .
COUNTY PERCENT AMOUNT
Calhoun 13.40 8693.00
DeWitt 13.00 8434.00
Goliad 4.50 2920.00
Jackson 9.50 6163.00
Refugio 5.00 3244.00
Victoria 54.60 35422.00
$64,876.00
This action was taken at a public hearing held on September 3rd, 2010, in
'!
accordance with the provisions ofSection'152.905 of the Local Government Code, as
amended hereby.
SIGNED TInS the 3.R
Of~
Y
.2010.
Stephen Williams, Judge
135di Judicial district Court
~
Robert C. Cheshire, Judge. q
377th Judicial District Court ' ! J ~'LED
AT O'CLOCK--A-M
~~}~
DISTRICT CLERK, CALHOUN COUNlY, TEXAS
t:-- .,~ ~ ~ ~ i f~"'" /\
lJ! I I i ~ f-:\
t 't....l ~..-. ( ,,~..~:' t.
COUNTY REPORTS:
The County Treasurer, County Tax Assessor/Collector and JP 1 presented their monthly reports for the
month of August 2010 and JP 2, 3 & 4 presented their reports for the month of September 2010 after
reading and verifying same, a Motion was made by Judge Pfeifer and seconded by Commissioner Fritsch
to accept said reports as presented. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all
voted in favor.
""
~
( 'A I ,HI III "I ~ '1I11~TY, T~''1( A.~
CALHOUN COUNTY TREASURER'S REP@RT MONTH OF: AUGUST 2010
BEGINNING ENDING
" FUND BALANCE
FUND FUND BALANCE RECEIPTS DISBURSEMENTS
GENERAL $ 23,637,058.07 $ 797,175.88 $ 1,469,422.27 $ 22,964,81 ]68
AIRPORT MAINTENANCE 74,901.73 1,08895 393]6 75,597.52
APPELLA TE JUDICIAL SYSTEM ] ,110.25 ] 51.24 0.00 ],261.49
ANIMAL CONTROL-CAWS 162.86 0.19 000 163.05
CHAMBER TOURISM CENTER 1 261.71 0.31 0.00 262.02
COASTAL PROTECTION FUND PI,6]0.]3 37.54 0.00 3] ,647.67
COUNTY CHILD WELFARE BOARD FUND I 51879 ]46.62 000 665.4]
COURTHOUSE SECURITY 172,954.24 1,469.43 000 174,423.67
DONATIONS ]45,625.60 2,496.38 2,368.61 145,753.37
FAMILY PROTECT]ON FUND 3,614.43 19.29 000 3,633.72
JUVENILE DELINQUENCY PREVENTION FUND " 8,405.24 9.98 0.00 8,4] 5.22
GRANTS 196,035.67 61.53 3675 196,060.45
HWY 87/FM1090 208,86250 24805 000 209,1 ] 0.55
JUSTICE COURT TECHNOLOGY 50,278.90 575.84 0.00 50,854.74
JUSTICE COURT BUILDING SECURITY FUND 9,957.37 ] 32.58 0.00 ] 0,089.95
LA TERAL ROAD PRECINCT #] 4,293.87 5.]0 0.00 4,298.97
LA TERAL ROAD PRECINCT #2 , 4,293.87 5.]0 000 4,298.97
LATERAL ROAD PRECINCT #3 II 4,293.87 5.10 000 4,298.97
LA TERAL ROAD PRECINCT #4 4,293.87 5.10 0.00 4,298.97
PRETRIAL SERVICES FUND 54,55062 6478 0.00 54,615.40
LAW LIBRARY ] 63,312.89 1,247.36 000 164,560.25
LAW ENF OFFICERS STD. EDUC (LEOSE) 15,] 62.22 180] 367.29 ]4,812.94
POC COMMUNITY CENTER 1126,876.42 981.92 2,096.04 25,762.30
RECORDS MANAGEMENT-DISTRICT CLERK 5,472. 1 5 ]25.94 0.00 5,598.09
RECORDS MANAGEMENT-COUNTY CLERK 122,521.79 4,432.03 0.00 ] 26,953.82
RECORDS MGMT & PRESER V A nON 50,233.07 845.]5 000 51,078.22
ROAD & BRIDGE GENERAL 1,215,348.42 24,589.15 000 1,239,937.57
ROAD & BRIDGE PRECINCT #3 13,374.80 15.88 0.00 13,390.68
ROAD MAINTENANCE PRECINCT #4 'I 635.34 0.75 0.00 636.09
SHERIFF FORFEITED PROPERTY I ] ,254.59 ].49 000 1,256.08
6MILE PIER/BOAT RAMP INSUR/MAINT 64,308.50 76.37 000 64,384.87
CAPITAL PROJ-NEW EMS BLDG 91,035.94 000 3,990.25 87,045.69
CAP]TAL PROJ-NEW JAIL BLDG 000 0.00 000 0.00
CAPITAL PROJ-OLlV/PT ALTO FD BLDG I 2,00] .75 0.00 0.00 2,00] .75
CAP]T AL PRO.l-P ARKING LOT I 80,543.8] 000 0.00 80,543.81
CAP PROJ-PCT 2 - STORM REPAIRS 17,796.13 0.00 0.00 17,796.13
CAPITAL PRO.l-RB INFRASTRUCTURE ] 23,000.48 0.00 0.00 ] 23,000.48
CAPITAL PRO.l-SWAN POINT PARK 5,096.40 0.00 0.00 5,096.40
CAPITAL PRO.l-AIRPORT IMPROVEMENT II 0.00 000 0.00 0.00
CAPITAL PRO.l-AIRPORT RUNWAY IMPROV 158,167.80 0.00 53,630.00 104,537.80
CAPITAL PRO.l-EMER COMM SYS II 39,397.16 0.00 0.00 39,397.] 6
CAP PROJ-HA TERIUS PRK BOAT RAMP-STRM REP 0.25 0.00 0.00 0.25
CAP PRO.l-PORT ALTO PUBL BEACH-STORM REP 30,38478 0.00 0.00 30,384.78
CAP PRO.l- PORT O'CONNOR FIRE TRUCK 50,000.00 0.00 0.00 50,000.00
CAP PRO.l- CO CLERK'S RECORDS ] 9,4] 3.78 000 000 ]9,413.78
CAP PRO.l-DlSTRICT CLERK'S RECORDS . 62,758.75 000 000 62,758.75
CAPITAL IMPROVEMENT PROJECTS 11434,43900 0.00 000 434,439.00
CAP PROJ- COURTHOUSE ANNEX II I 47,487.3 ] 000 0.00 47,487.31
CAP PRO.l-ANNEX RENOVATION 45,746.00 0.00 8,824.00 36,92200
CAP PRO.l-HEAL TH DEPT RENOVATIONS ] ] 6,438.08 0.00 000 116,438.08
ARREST FEES 2,143.93 369.89 1,765.87 747.95
BAIL BOND FEES (HB ] 940) ; 2,48 I .00 930.00 2,046.00 1,365.00
CONSOLIDATED COURT COSTS (NEW) il 4] ,898.96 8,490.46 3] ,907.35 18,482.07
DRUG COURT PROGRAM FUND 373.64 494.88 000 86852
SUBTOTALS $ 27662 ]88.73 '\; 846 318.27 $ I 576 84759 $ 26931 659.41
Page] of3
Jl
~:r,
,...-
. -
COUNTY TREASURER'S REPORT MONTH OF: AUGUST 2010
BEGINNING ENDING
II
FUND FUND BALANCE RECEIPTS DISBURSEMENTS FUND BALANCE
OPERA TlNG FUND - BALANCE FORWARD $ 27,662,188.73 $ 846,31827 $ 1,576,847.59 $ 26,931,659.41
ELECTIONS CONTRACT SERVICE .38,49031 2435 0.00 38,514.66
FINES AND COURT COSTS HOLDING FUND 8,45531 0.00 0.00 8,45531
INDIGENT CIVIL LEGAL SERVICE 665.70 185.00 518.70 332.00
JUDICIAL FUND (ST COURT COSTS) 111,172.32 289.13 92939 53206
JUDICAL PERSONNEL TRAINING 8,842.30 2,14237 6,815.74 4,168.93
JUROR DONA TION-TX CRIME VICTIMS FUND 1800 6.00 1800 6.00
JUVENILE PROBATION RESTITUTION 34500 950.00 0.00 1,295.00
LIBRARY G]FT AND MEMORIAL 43,175.89 186.28 000 43,362.17
MISCELLANEOUS CLEARING 6,995.79 11,835.16 17,997.44 833.51
REFUNDABLE DEPOSITS 2,000.00 000 0.00 2,000.00
STATE CIVIL FEE FUND 9,401.42 2,482.07 7,019.56 4,863.93
CIVIL JUSTICE DATA REPOSITORY FUND il 4899 6.41 19.74 35.66
JURY REIMBURSEMENT FEE . 2,400.99 447.92 1,787.41 1,061.50
SUBTITLE C FUND 10,496.89 2,151.31 7,72734 4,92086
SUPP OF CRIM INDIGENT DEFENSE ] ,295.27 235.47 957.16 573.58
TIME PA YMENTS 4,984.71 1,362.92 3,367.54 2,98009
TRAFF]C LA WI' AlLURE TO APPEAR 4,26636 92383 3,15039 2,039.80
UNCLAIMED PROPERTY . 2,647.54 3.14 000 2,650.68
BOOT CAMP/J.lAEP i170,46169 83.68 5,995.62 64,549.75
JUVENILE PROBATION 16577914 10392.16 42300.11 133871.19
SUBTOTALS $ 28,044,132.35 $ 880,025.47 $ 1,675,451.73 $ 27,248,706.09
TAXES IN ESCROW - 0.00
TOTAL OPERATING FUNDS $ 28 044 132.35 $ 880.025.47 $ 1675451.73 $ 27.248706.09
,
D A FORFEITED PROPERTY FUND 1119,555.10 1561 1,740.35 ] 7,83036
SHERIFF NARCOTIC FORFEITURES , 1,835.76 156 0.00 1,837.32
CONSTRUCTION (JAIL) 222,998.40 189.48 0.00 223,187.88
CONSTRUCTION (JAIL) SERIES 2003 - I & S 1,092,206.49 5,732.53 98 1,981.87 I] 5,957.15
CERT OF OB-CRTHSE REN. I&S FUND SERIES 2004 242,008.28 1,657.44 206,509.99 37,155.73
CAt. CO. FEES & FINES 85,620.04 81,277.43 84,634.53 82,262.94
OCEAN DRIVE IMPROVEMENTS , 100 000 0.00 100
TOTAL OTHER CO. FIINDS .'1: 1 664 225.07 'I: 88 874.05 $ 1274866.74 ~ 478 232 38
il
MEMORIAL MEDICAL CENTER:
OPERATING $ 2,892,873.59 $ 1,814,03903 $ 1,794,371.15 $ 2,912,54147
REFUND IMPREST ACCOUNT 5,029.62 303.06 300.00 5,032.68
INDIGENT HEALTHCARE 196.23 9439104 94.28481 302.46
TOTALS $ 2898099.44 $ 1908733.13 $ I 888955.96 $ 2917876.61
"
DRAINAGE DISTRICTS
NO.6 $ 14,179.17 $ 92.60 $ 50.60 $ 14,22117
NO.8 86,89638 7379 6009 86,91008
NO. 10-MAINTENANCE 177,827.]5 8534 0.00 77,912.49
NO. II-MAINTENANCE/OPERATING I 92,417.79 4,002.20 9,527.60 86,89239
NO. J I-RESERVE 128 329.17 108.99 000 ]28438.16
TOTALS $ 399 64966 $ 436292 $ 9638.29 $ 394374.29
CALHOUN COUNTY WClD #1
OPERA TING ACCOUNT $ 39] 995.81 455.55 6361.0] $ 386090.35
!I
CALHOUN COUNTY NA VIGA nON DIST.
MAINTENANCE AND OPERA TING $ 21519867 $ 34 J 226 $ 9669.73 $ 208 94 1.20
TOTAL MMC, DR DIST., NA V. DIST & WCID 'I: 3904 943.58 $ 1.916963.86 $ I 914 624.99 'I: 3.907282.45
TOTAL ALL FUNDS Ii $ 3 I 634 220.92
"
Page 2 of3
-J
..$.
..,.. ,,~
~... ....J
COUNTY TREASURER'S REPORT Ii MONTH OF: AUGUST 2010
Ii
~ BANK RECONCILIATION
LESS: CERT.OF DEP/
FUND OUTSTNDG DEP/ PLUS: CHECKS BANK
FUND BALANCE OTHER ITEMS OUTSTANDING BALANCE
II $ 351,761.39 $ ] ,163,298.18
OPERA TING · $ 27,248,706.09 $ 26,437,169.30
II
D A FORFEITED PROPERTY FUND ; 17,830.36 000 0.00 17,830.36
SHERIFF NARCOTIC FORFEITURES 1,837.32 0.00 0.00 1,837.32
CONSTRUCTION (JAIL) .. 223,187.88 175,000.00 0.00 48,187.88
CONSTRUCTION (JAIL) SERIES 2003 -I & S ! 15,95715 000 0.00 115,95715
CERT. OF OB-CRTHSE REN. I&S FUND SERIES 2004 1137,155.73 20.00 0.00 37,135.73
CAL. CO FEES & FINES : 82,262.94 13,630.18 88,704.04 157,336.80
OCEAN DRIVE IMPROVEMENTS- CAP PROJ 100 0.00 0.00 100
MEMORIAL MEDICAL CENTER:
OPERA T1NG :t: 2,912,541.47 500,002. I 5 231,199.22 2,643,738.54
REFUND IMPREST ACCOUNT I! 5,032.68 0.00 0.00 5,032.68
INDIGENT HEALTHCARE ;j 302.46 93,82166 140,138.94 46,619.74
DRAINAGE DISTRICT:
NO. 6 14,22117 0.00 0.00 14,221.17
NO.8 86,910.08 081 0.00 86,909.27
NO. 10 MAINTENANCE 77,912.49 000 000 77,912.49
NO. II MAINTENANCE/OPERATING i 86,892.39 0.00 0.00 86,892.39
NO. II RESERVE 1128,438.16 0.00 0.00 128,438.16
i[ ,
CALHOUN CO WCID # I "
OPERA TING ACCOUNT 386,090.35 0.00 0.00 386,090.35
CALHOUN CO NA VIGA TION DIST
MAINTENANCE/OPERA T1NG .... 208,941.20 0.00 0.00 208,94120
TOTALS $ 31 634220.92 $ 27219 644.10 $ 811 803.59 $ 5226380.41
CDs - OPERA T]NG FUND $26,346,889.03
.. CD - CONSTRUCTION (JA]L) $] 75,000.00
CDs - MMC OPERATING FUND #7005736]9 - $250,000.00 & #700057513] - $250,000.00
CD -70005 73775 - CALHOUN COUNTY I DIANNA STANGER (A]RPORT)- $5],100.00
.... THE DEPOSITORY FOR CALHOUN CO. NA V]GA TION DISTR]CT IS F]RST NATIONAL BANK - PORT LA V ACA
II
THE DEPOS]TORY FOR ALL OTHER COUNTY FUNDS IS INTERNATIONAL BANK OF COMMERCE - PORT LA V ACA
.
:j:
~
~~~~
COUNTY TREASURER
P~ge 3 of3
SUMMARY
TAX ASSESSOR-COLLECTOR'S MONTHLY REPORT
FOR: AUGUST 2010
Title Certificate Fees
Title Fees Paid TXDOl
Title Fees Paid County Treasurer Salary Fund
Motor Vehicle Registration Collec;tions
Disabled Person Fees
'Postage
FD ADDITIONAL COLLECTIONS
FD Fees In Excess of Collections
Paid TXDOT
Paid TXDOT SP
Paid County Treasurer
Paid County Treasurer Salary Fund
DMV CCARDTRNSFEE $ 353.81
FD Additonal Collections $ I 5.00
First Data (IBC) Credit/Debit Card Fee's
FD Fees In Excess of Colle6tions
':
Ii
Motor Vehicle Sales & Use Tax Collections
Paid State Treasurer Ii
,
h
Special Road/Bridge Fees ColI$cted
Paid TXDOT - R:B Fees 'i
Paid County Treasurer - RIB Fees
Texas Parks & Wildlife Collections
FD ADDITIONAL COLLECTIONS
FD Fees In Excess of Collectiohs
Paid Texas Pa'rks & Wildlife:
Paid County Treasurer Salary Fund
FD Additonal Co lections
FD Fees In Excess of Collections
State Beer & Wine Collections Month of August
State Beer & Wine Collections
Paid Tx Alcoholic Beverage Commission
Paid County Treasurer, Salary Fund
County Beer & Wine Collections
Paid County Treasurer, County Beer & Wine
Paid County Treasurer, Salary Fund
Renewal Fees for County Beer & Wine
Paid County Treasurer - Renewal Fe.
Additional Postage - Vehicle Registration
Paid County Treasurer - Additional Postage
Interest earned on P&W $ 8.21 and
Refund $ Accounts
Paid County Treasurer - Int. on P&W & Ref
Interest earned on Office Account
Paid county Treasurer - Nav. East
Paid County Treasurer - all other districts
Business Personal Property - Misc. Fees
Paid County Treasurer
EXCESS FUNDS
Paid County Treasurer
Overpayments
Current Tax Collections
Penalty and Interest - Current Roll
Discount for early payment of taxes
COLLECTIONS
$
7,371.00
$
$
$
$
95,893.62
30.00
173.00
5.00
$
436,400.04
$
13,752.00
$
3,298.00
$
0.49
$
997.00
$
$
$
$
8.75
$
8.21
$
175.93
$
84.27
$
$
$
$
6.40
32,612.66
6,018.01
DISBURSEMENTS
$
$
4,661.00
2,710.00
$
$
$
$
$
$
$
$
90,599.86
698.50
4,444.45
197.31
161.50
$
436,400.04
$
$
412.56
13,339.44
$
$
$
$
2,968.20
329.80
0.49
$
$
1,386.50
23.50
$
$
223.25
11.75
$
4.00
$
8.75
$
8.21
$
$
0.30
175.63
$
84.27
$
$
MICHAEL J. PFEIFER
County Judge
.~
~$
'1-
.
'"
ENTER COURT NAME: ....'
ENTER MONTH 'OF REPORT
ENTER YEAR OF REPORT .
CODE.
..CASH BONDS
ADMINISTRAT10t-l. FEE-ADIv1F,
BREATHALCOHOLTESTINI3- BA"'(
CONSOLlDATEDCO!-lRTiCOSTp~ CCe:
. ..COURTHpU~ESECU~ITX"GH$
.c': .'" . d." ....... .CJp,
CNll.JUS.TICE.DAT AREPQSIT()RY>FEE{CJ,l:>,R
CORRECTiONAlMAf:'lAGEMENTI~STITUTECCMI
.. . . .. '." ,,' ". .,' d < 'CR
. .-' . .
.'. '. ,'. CHiLDSAFEn(>,c,~
CHILDs!=A TBELtF~E'CS,!:lF;
CRIME,.VI,CT1Ms .COMPENSATION'-pVC
DPSC/FAllURETbAPPEAR"OMN,L:' .8PS<:;
FUGITliJEAPPREHENSION ,FA
GENERALREVENl.IE'i3R
CRIM -IND lEGAL,SVCSSUPPORr~.IDF
JUVENilE CRIME&PELlNQUE:Nc:;YC JCb
. JUVENILE CASEMAt-J.A.GERFl!ND,JCIv1F
JUSTICE COU~rPERSONNEl TRAllIIl.NG '.JCPf
JUSTICE COURT SECURITY .FUND.~ :jCS~
"JURORSERVICE .FEE~JSF.
.' LOCAL ARREST FEE:S'LAF,
....lEMI
. iLEPA
LEOt
"OCl
PARKS & WilDLIFE ARRESTFEES,PWAF
.STATE.ARREST'F,EES,~SAF
SCHOOL CROSSING/CHlmSAF~TYFEe: ,StF
'<SUBTI-r:lEC~SUBC,
TABCARRESTFEES,TAr
.,'TECHNOLOGYFUN[).,:TF
'.' ..~TRAFFIC:~:t~c
".". ".:UIvlEPAYMEI'iiT~lNE
lOCAL & STATE WARAANT FEES ;'WRNT
COLLECTION .SER'ilICE'.fEE,r;.,VB~.<,CS,i;iV
, DEFENSliJE[j~I\lING:C(:)URSEi,;:bDC;
, .,....:i,DEFER~ED FEE , PFF
DRIViNG EXAMFEE,Pf'iPV'DL
"FILlNGFEE,FFEE
FILlNGFEESMAL~CLAIMS- FFSC
COPIES/CEF{fiFE[j'COPIe:S',CC
.IND,IGENT 'FEE"GIFF,or'lNDF,
. JUDGEPj\YRAISe:FEE.jf?f\Y
. ,.. .,SE:R\lIC.E,J;'Ee:'~,$~E:E
. OUT,OF'COUNTXSE~iJICEFEE
. e:XPUr-JGEMENTFEe:,cEXpG
: .' EXPIREDRENEVvAL~E)"<PR
ABSTRACT OF JUDGEMEt-lTcAOJ
ALLIiv~rr:s:wpp,(lI)IqE
DpSFTp;'FINE,-Dp$F
'. . LOCAq'INES:cFINE
LICENSE ,&VIJEIGfiT:fEE$-LVVJ;
PARKS&'WILi)LIFEFINES/pVVF;
SEA TBEl T/UNRESTRAINED 'CHiLD F.INE- ,S.EAT
. OVERPA'(MENT{$fO&bVER)'~PVER
. OVERPAYMENT (LESS:THAN~1 ojc'9\j~~
.' ... i<Re:StfTUTIOi\l?RE~T
PARKS & WilDLIFE-WATER SAFETY FiNES,vvSF
. .. .'. .. m" .. \/VCR
TOT At ACTUAL MONE:XRECEIVED
TYPE:
TOTAL WARRANT FEES. .,,'" ....... .
ENTER..LOCAlVV"'~R.jl.~,TF~ES,I.,ii:'
STATE WARRANT. FEe:S
DUE mOTHERS:
DUE TO'CCISD -50% of Fine on)V cases
DUE TO ~A RESTITUJIONFU~Q
REFUND qF'OVER,PA'y'MEt-JTS'
OUT-OF-COUNTYSERiJICEI'E:E '.'
CASH BONDS
PLEASE INCLUDE p, 0, REaUESTING DISBURSEMENT
PLEASE INCLUDE p, 0, REQUESTING DISBURSEMENT
PLEASE INCLUDE p, 0, REQUESTING DISBURSEMENT
PLEASE INCLUDE p, 0, REQUESTING DISBURSEMENT
PLEASE INCLUDE p, 0, REQUESTING DISBURSEMENT (IF REQUIRED)
. . .... '".
. .. --, .
.. ...
. . ..
TREASURERS RECEIPTSI'ORMONTH: .... .
CASH;CHEC~~;M:Cl;~'~ C:RE:plriiC:Ai;iQ~,il'i "i"::':"; ;:,i
. TOTALTREAS..RECEiPTS
:...
MONTHL Y REPORT OF COLLECTIONS AND DISTRIBUTIONS
-j!
10/7/2010
ACCOUNT NUMBER
CR 1000-001-45011
CR 1000-001-44190
CR 1000-001-44361
CR 1000-001-44010
CR 1000-001-44061
CR 1000-001-44090
CR 1000-001-49110
CR 1000-001-44145
CR 1000-999-20741
CR 1000-999-20744
CR 1000-999-20745
CR 1000-999-20746
CR 1000-999-20770
CR 2670-001-44061
CR 2720-001-44061
CR 2719-001-44061
CR 2699-001-44061
CR 7020-999-20740
CR 7070-999-20610
CR 7070-999-20740
CR 7860-999-20610
CR 7860-999-20740
CR 7950-999-20610
CR 7950-999-20740
CR 7480-999-20610
CR 7480-999-20740
COURT NAME: JUSTICE OF PEACE NO.1
MONTH OF REPORT: AUGUST!
YEAR OF REPORT: 2010
i:
A DMINISTRA TlVE FEES:
DEFENSIVE DRIVING
CHILD SAFETY
TRAFFIC
ADMINISTRATIVE FEES
EXPUNGEMENT FEES
MISCELLANEOUS
STA TE ARREST FEES
DPS FEES
P&W FEES
T ABC FEES
DR 7070-999-10010
DR 7860-999-10010
DR 7950-999-10010
DR 7480-999-10010
ACCOUNT NAME
FINES I
SHERIFF'S FEES
29.70
0.00
64.19
246.90
0.00
0.00
TOTAL ADMINISTRATIVE FEES
CONSTABLE FEES-SERVICE
I
JP FILING FEES
COPIES /iCERTIFIED COPIES
OVERPAYMENTS (LESS THAN $10)
SCHOOLjCROSSING/CHILD SAFETY FEE
DUE TO STATE-DRIVING EXAM FEE
I
DUE TO STATE-SEA TBEL T FINES
I
DUE TO STATE-CHILD SEATBEL T FEE
DUE TO ~TATE-OVERWEIGHT FINES
DUE TO JP COLLECTIONS ATTORNEY
TOTAL FIN~S. ADMIN. FEES & DUE TO STATE
COURTHbuSE SECURITY FUND
JUSTICE ICOURT SECURITY FUND
JUSTICE COURT TECHNOLOGY FUND
JUVENILi CASE MANAGER FUND
66.47
0.00
0.00
I TOTAL STATE ARREST FEES
CCC-GENERAL FUND
I
CCC-ST AifE
I 1,397.70
STF/SUB<C-GENERAL FUND
I
STF/SU8<L:-STATE
I ~1.%
TP-GENERAL FUND
TP-ST ATE
305.55
CIVIL INDIIGENT LEGAL-GEN. FUND
I
CIVIL IND.IGENT LEGAL-STATE
54.00
P~ge 1 of2
"
I!
AMOUNT
4,005.15
350.60
340.79
375.00
225.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
484.50
$5,781.04
$139.01
$32.99
$141.35
$0.00
66.47
139.77
1,257.93
32.10
609.85
152.78
152.77
2.70
51.30
I
MONTHL Y REPORT OF COLLECTIONS AND DISTRIBUTIONS
COURT NAME: JUSTICE [OF PEACE NO.1
MONTH OF REPORT: AUGUST!
YEAR OF REPORT: 2010 I
CRIM-SUPP OF IND lEG SVCS-GEN FUND
I
CRIM-SUPP OF IND lEG SVCS-STATE
I 65.99
TUFTA-GENERAl FUND
I
TUFT A-Sir A TE
I
JPAY - GENERAL FUND
I
JPAY - STATE
I
JURY RE'IMB. FUND- GEN. FUND
JURY RE:IMB. FUND- STATE
I 98.98
CIVil JUSTICE DATA REPOS.- GEN FUND
CIVil JU~3TICE DATA REPOS.- STATE
I
'l!ol: .......-~
j
101712010
CR 7865-999-20610
CR 7865-999-20740
CR 7970-999-20610
CR 7970-999-20740
CR 7505-999-20610
CR 7505-999-20740
CR 7857-999-20610
CR 7857-999-20740
CR 7856-999-20610
CR 7856-999-20740
Revised 10/1/2010
DR 7865-999-10010
DR 7970-999-10010
DR 7505-999-10010
DR 7857-999-10010
DR 7856-999-10010
151.28
197.00
TOTAL (Distrib Req to Oper Acct)
DUE TO OTHERS (Distrib Re9 Affchd)
CALHOUN COUNTY ISO ..
DA - RESTITUTION
REFUND OF OVERPAYMENTS
OUT-OF-COUNTY SERVICE PEE
CASH BONDS
PARKS & WilDLIFE FINES
WATER SAFETY FINES
0.00
50.54
745.50
0.00
0.00
0.00
16.15
i TOTAL DUE TO OTHERS
TOTAL COLLECTED-ALL FUNDS
I
LESS:: TOTAL TREASUER'S RECEIPTS
I OVER/(SHORT)
Page 2 of 2
2.14
6.60
59.39
50.43
100.85
29.55
167.45
9.90
89.08
0.21
1.93
$9,075.45
$812.19
$9,887.64
$9,887.64
$0.00
I
,
MONTHL Y REPORT OF COLLECTIONS AND DISTRIBUTIONS
COURT NAME: JUSTICEloF PEACE NO.2
I
MONTH OF REPORT: SEPTEMBER
YEAR OF REPORT: 2010 I
"
10/5/2010
ACCOUNT NUMBER
CR 1000-001-45012
CR 1000-001-44190
CR 1000-001-44362
CR 1000-001-44010
CR 1000-001-44062
CR 1000-001-44090
CR 1000-001-49110
CR 1000-001-44145
CR 1000-999-20741
CR 1000-999-20744
CR 1000-999-20745
CR 1000-999-20746
CR 1000-999-20770
CR 2670-001-44062
CR 2720-001-44062
CR 2719-001-44062
CR 2699-001-44062
CR 7020-999-20740
CR 7070-999-20610
CR 7070-999-20740
CR 7860-999-20610
CR 7860-999-20740
CR 7950-999-20610
CR 7950-999-20740
CR 7480-999-20610
CR 7480-999-20740
ADMINISTRA TIVE FEES:
DEFENSIVE DRIVING
CHILD SAFETY
TRAFFIC
ADMINISTRATIVE FEES
EXPUNGEMENT FEES
MISCELLANEOUS
STA TE ARREST FEES
DPS FEES
P&W FEES
TABC FEES
DR 7070-999-10010
DR 7860-999-10010
DR 7950-999-10010
DR 7480-999-10010
I
ACCOUNT NAME
FINES I
SHERIFF'S FEES
49.50
0.00
89.06
239.90
0.00
, 0.00
i TOTAL ADMINISTRATIVE FEES
CONSTABLE FEES-SERVICE
JP FILING FEES
COPIES [/ CERTIFIED COPIES
OVERPAYMENTS (LESS THAN $10)
SCHOO~ CROSSING/CHILD SAFETY FEE
I
DUE TOiSTATE-DRIVING EXAM FEE
DUE TOISTATE-SEATBEL T FINES
DUE TO STATE-CHILD SEATBEL T FEE
DUE TO STATE-OVERWEIGHT FINES
DUE TO:JP COLLECTIONS ATTORNEY
TOTAL FINES, ADMIN. FEES & DUE TO STATE
I
COURTHOUSE SECURITY FUND
I
JUSTICE COURT SECURITY FUND
I
JUSTICE COURT TECHNOLOGY FUND
I
JUVENILE CASE MANAGER FUND
164.51
3.23
0.00
TOTAL STATE ARREST FEES
CCC-GENERAL FUND
I
CCC-SliA TE
I 2,221.11
STF/SUBC-GENERAL FUND
I
STF/SUBC-STATE
I
TP-GENERAL FUND
I
TP-ST ATE
I 350.67
CIVIL INDIGENT LEGAL-GEN. FUND
I
CIVIL II':JDIGENT LEGAL-STATE
I 30.00
890.93
Page 1 of2
AMOUNT
5,629.30
938.40
378.46
375.00
125.00
0.00
4.00
33.74
0.00
0.00
0.00
0.00
1,428.30
$8,912.20
$209.11
$49.54
$214.11
$0.00
167.74
222.11
1,999.00
44.55
846.38
175.34
175.33
1.50
28.50
I
MONTHL Y REPORT OF COLLECTIONS AND DISTRIBUTIONS
I
COURT NAME: JUSTICE OF PEACE NO.2
I
MONTH OF REPORT: SEPTEMBER
YEAR OF REPORT: 2010 I
I
CRIM-SUPP OF IND LEG SVCS-GEN FUND
I
CRIM-SUPP OF IND LEG SVCS-STATE
I 95.05
TUFTA-GENERAL FUND
TUFT A-5T A TE
I
JPAY - GENERAL FUND
JPAY - S,l-ATE
I
JURY REIMB. FUND- GEN. FUND
I
JURY RIEIMB. FUND- STATE
10/5/2010
CR 7865-999-20610
CR 7865-999-20740
CR 7970-999-20610
CR 7970-999-20740
CR 7505-999-20610
CR 7505-999-20740
CR 7857-999-20610
CR 7857-999-20740
CR 7856-999-20610
CR 7856-999-20740
Revised 10/1/2010
DR 7865-999-10010
DR 7970-999-10010
429.89
DR 7505-999-10010
293.18
9.51
85.54
143.30
286.59
43.98
249.20
DR 7857-999-10010
14.96
134.65
I 149.61
CIVIL JqSTICE DATA REPOS.- GEN FUND
CIVIL JUSTICE DATA REPOS.- STATE
DR 7856-999-10010
2.66
0.27
2.39
TOTAL (Distrib Req to Oper Acct)
$14,015.80
DUE TO OTHERS (Distrib Req Attchd)
CALHOUN COUNTY ISD
DA - RESTITUTION
REFUND OF OVERPAYMENTS
OUT-OF-COUNTY SERVICE FEE
CASH BONDS
PARKS & WILDLIFE FINES
WATER SAFETY FINES
0.00
62.75
385.00
0.00
0.00
624.75
21.25
I
I TOTAL DUE TO OTHERS
TOTAL COLLECTED-ALL FUNDS
i
LESS: TOTAL TREASUER'S RECEIPTS
I OVER/(SHORT)
I
I
$1,093.75
$15,109.55
$15,109.55
$0.00
Page 2 of2 !
.& ~
09/30/2010 Page 3
-----------------------------------.--------------------------------------- ------------------------------------------------------
The following totals represent - Cash and Checks Collected
Type Code Description Count Retained Disbursed Money-Totals
The following totals represent - Cash and Checks Collected
COST CCC CONSOLIDATED COURT COSTS 14 51.51 463.62 515.13 + 40,00.::5'5'5, \3
COST CHS COURTHOUSE SECURITY 14 51.51 0.00 51.51 +- ~.()()~ ~$.51
COST CJDD CIVIL JUSTICE DATA DEPOSITORY FEE 10 0.09 0.80 o . 89 +- . IO~ ,9Q
COST CMI CORRECTIONAL MANAGEMENT INSTITUTE 0 0.00 0.00 0.00
COST CVC COMPENSATION TO VICTIMS OF CRIME 0 0.00 0.00 0.00
COST DPSC OMNI 1 9.90 20.10 30.00
COST FA FUGITIVE APPREHENSION 0 0.00 0.00 0.00 ~7 .7 S-
COST IDF INDIGENT DEFENSE FUND 14 2.57 23.18 25 .7ST C? 00 ::.
COST JCD JUVENILE CRIME AND DELINQUENCY 0 0.00 0.00 0.00
COST JCPT JUDICIAL AND COURT PERSONNEL TRAINING 0 0.00 0.00 0.00 13.8~
COST JCSF JUSTICE COURT SECURITY FUND 14 12.88 0.00 12.88 +- I .'00 :;
COST JPAY JPAY DISTRICT JUDGE PAY RAISE FEE 14 11.59 65.67 77.26 + ~.eo::: ~~.~~
COST JSF JUROR SERVICE FUND 14 3.86 34.79 38.65 + 3.Q \:)~ 41.(Qtl
COST LAF SHERIFF'S FEE 7 31. 95 0.00 31.95 3.&0 =- 3 ,,?li II
COST SAF DPS 6 21.95 5.49 27.44 + 30 .CO':: ,;:,5"~. 3'-/
COST SUBC SUBTITLE C 12 16.32 310.02 326.34 +
COST TF TECHNOLOGY FUND 14 51.51 0.00 51.51 + . 4 00':: S5". S" I
COST TFC TFC 12 32.63 0.00 32.63 ... 3'.'V 'b=. 35'./.,;3
COST TIME TIME PAYMENT FEE 5 48.48 48.48 96.96
COST WRNT WARRANT FEE 3 150.00 0.00 150.00
FEES CIFF CIVIL INDIGENT FILING FEE 7 2.10 39.90 42.00
FEES CSRV COLLECTION SERVICE FEE 2 136.60 0.00 136.60
FEES CVFF CIVAL FILING FEE 3 75.00 0.00 75.00
FEES DFF DEFERRED FEE 0 0.00 0.00 0.00
FEES FFEE FI LI NG FEE 4 100.00 0.00 100.00
FEES SF SERVICE FEE 6 450.00 0.00 450.00
FINE DPSF DPS FTA FINE 0 0.00 0.00 0.00 M./lO~lj ~4.?SO
FINE FINE FINE 13 1,615.60 0.00 1,615.60 +
Money Totals 21 2,876.05 1,012.05 3,888.10 + 1/5.0'0 =- 4jDc>3./0
The following totals represent - Transfers Collected
COST CCC CONSOLIDATED COURT COSTS 0 0.00 0.00 0.00
COST CHS COURTHOUSE SECURITY 0 0.00 0.00 0.00
COST CJDD CIVIL JUSTICE DATA DEPOSITORY FEE 0 0.00 0.00 0.00
COST CMI CORRECTIONAL MANAGEMENT INSTITUTE 0 0.00 0.00 0.00
COST CVC COMPENSATION TO VICTIMS OF CRIME 0 0.00 0.00 0.00
COST DPSC OMNI 0 0.00 0.00 0.00
COST FA FUGITIVE APPREHENSION 0 0.00 0.00 0.00
COST IDF INDIGENT DEFENSE FUND 0 0.00 0.00 0.00
COST JCD JUVENILE CRIME AND DELINQUENCY 0 0.00 0.00 0.00
COST JCPT JUDICIAL AND COURT PERSONNEL TRAINING 0 0.00 0.00 0.00
COST JCSF JUSTICE COURT SECURITY FUND 0 0.00 0.00 0.00
COST JPAY JPAY DISTRICT JUDGE PAY RAISE FEE 0 0.00 0.00 0.00
COST JSF JUROR SERVICE FUND 0 0.00 0.00 0.00
COST LAF SHERIFF'S FEE 0 0.00 0.00 0.00
I
Ii
. [I
09/30/2010 Money Distribution Report
_________________________________________~~:~~_~~~~_~~_~~~~_~~~~_~~~~~~~~~j~~~THLY REPORT Page 4
~ -----------------------------------------------------
The following totals represent - Transfers Collected I
Type Code Description Count Retained I Disbursed Money-Totals
COST SAF DPS 0 0.00 0.00
0.00
COST SUBC SUBTITLE C 0 0.00 0.00 0.00
COST TF TECHNOLOGY FUND 0 0.00 0.00 0.00
COST TFC TFC 0 0.00 0.00 0.00
COST TIME TIME PAYMENT FEE 0 0.00 0.00 0.00
COST IJRNT IJARRANT FEE 0 0.00 0.00 0.00
FEES CIFF CIVIL INDIGENT FILING FEE 0 0.00 0.00 D.OO
FEES CSRV COLLECTION SERVICE FEE 0 0.00 0.00 0.00
FEES CVFF CIVAL FILING FEE 0 0.00 0.00 0.00
FEES DFF DEFERRED FEE 0 0.00 0.00 0.00
FEES FFEE FILING FEE 0 0.00 0.00 0.00
FEES SF SERVICE FEE 0 0.00 0.00 0.00
FINE DPSF DPS FTA FINE 0 0.00 0.00 0.00
FINE FINE FINE 0 0.00 0.00 0.00
Transfer Totals 0 0.00 0.00 0.00
The following totals represent - Jail Credit and Community Service
COST CCC CONSOLIDATED COURT COSTS 7 25.70 231.30 257.00
COST CHS COURTHOUSE SECURITY 7 27.00 0.00 27.00
COST CJDD CIVIL JUSTICE DATA DEPOSITORY FEE 5 0.05 0.45 0.50
COST CMI CORRECTIONAL MANAGEMENT INSTITUTE 1 0.05 0.45 0.50
COST CVC COMPENSATION TO VICTIMS OF CRIME 1 1.50 13.50 15.00
COST DPSC OMNI 1 9.90 20.10 30.00
COST FA FUGITIVE APPREHENSION 1 0.50 4.50 5.00
COST IDF INDIGENT DEFENSE FUND 6 1.20 10.80 12.00
COST JCD JUVENILE CRIME AND DELINQUENCY 1 0.05 0.45 0.50
COST JCPT JUDICIAL AND COURT PERSONNEL TRAINING 1 0.20 1.80 2.00
COST JCSF JUSTICE COURT SECURITY FUND 6 6.00 0.00 6.00
COST JPAY JPAY DISTRICT JUDGE PAY RAISE FEE 6 5.40 30.60 36.00.
COST JSF JUROR SERVICE FUND 6 1.80 16.20 18.00
COST LAF SHERIFF I S FEE 3 15.00 0.00 15.00
COST SAF DPS 2 8.00 2.00 10.00
COST SUBC SUBTITLE C 5 7.50 142.50 150.00
COST TF TECHNOLOGY FUND 7 28.00 0.00 28.00
COST TFC TFC 5 15.00 0.00 15.00
COST TIME TIME PAYMENT FEE 2 25.00 25.00 50.00
COST IJRNT IJARRANT FEE 4 200.00 0.00 200.00
FEES CIFF CIVIL INDIGENT FILING FEE 0 0.00 0.00 0.00
FEES CSRV COLLECTION SERVICE FEE 6 578.00 0.00 578.00
FEES CVFF CIVAL FILING FEE 0 0.00 0.00 0.00
FEES OFF DEFERRED FEE 3 299.70 0.00 299.70
FEES FFEE FILING FEE 0 0.00 0.00 0.00
FEES SF SERVICE FEE 0 0.00 0.00 0.00
FINE DPSF DPS FTA FINE 1 295.00 0.00 295.00
FINE FINE FINE 4 549.30 0.00 549.30
Credit Totals 9 2,099.85 499.65 2,599.50
.'
09/30/2010 Money Disthbution Report Page 5
I
JUDGE GARY Y. NOSKA JP3- SEPT.2010 MONTHLY REPORT
----------------------------------------------------------------------------l-------------------------------------------------------
The following totals represent - Credit Card Payments
Type Code Description Count Retained Disbursed Money-Totals
The following totals represent - Credit Card Payments
COST CCC CONSOLIDATED COURT COSTS 1 4.00 36.00 40.00
COST CHS COURTHOUSE SECURITY 1 4.00 0.00 4.00
COST CJDD CIVIL JUSTICE DATA DEPOSITORY FEE 1 0.01 0.09 0.10
COST CMI CORRECTIONAL MANAGEMENT INSTITUTE 0 0.00 0.00 0.00
COST CVC COMPENSATION TO VICTIMS OF CRIME 0 0.00 0.00 0.00
COST DPSC OMNI 0 0.00 0.00 0.00
COST FA FUGITIVE APPREHENSION 0 0.00 0.00 0.00
COST IDF INDIGENT DEFENSE FUND 1 0.20 1.80 2.00
COST JCD JUVENILE CRIME AND DELINQUENCY 0 0.00 0.00 0.00
COST JCPT JUDICIAL AND COURT PERSONNEL TRAINING 0 0.00 0.00 0.00
COST JCSF JUSTICE COURT SECURITY FUND 1 / 1.00 0.00 1.00
COST JPAY JPAY DISTRICT JUDGE PAY RAISE FEE 1 0.90 5.10 6.00
COST JSF JUROR SERVICE FUND 1 0.30 2.70 3.00
COST LAF SHERIFF'S FEE 0 0.00 0.00 0.00
COST SAF DPS 1 4.00 1.00 5.00
COST SUBC SUBTITLE C 1 1.50 28.50 30.00
COST TF TECHNOLOGY FUND 1 4.00 0.00 4.00
COST TFC TFC 1 3.00 0.00 3.00
COST TIME TIME PAYMENT FEE 0 0.00 0.00 0.00
COST YRNT YARRANT FEE 0 0.00 0.00 0.00
FEES CIFF CIVIL INDIGENT FILING FEE 0 0.00 0.00 0.00
FEES CSRV COLLECTION SERVICE FEE 0 0.00 0.00 0.00
FEES CVFF CIVAL FILING FEE 0 0.00 0.00 0.00
FEES OFF DEFERRED FEE 0 0.00 0.00 0.00
FEES FFEE FI LING FEE 0 0.00 0.00 0.00
FEES SF SERVICE FEE 0 0.00 0.00 0.00
FINE DPSF DPS FTA FINE 0 0.00 0.00 0.00
FINE FINE FINE 1 16.90 0.00 16.90
Credit Totals 39.81 75.19 115.00
The following totals represent - Combined Money and Credits
COST CCC CONSOLIDATED COURT COSTS 22 81.21 730.92 812.13
COST CHS COURTHOUSE SECURITY 22 82.51 0.00 82.51
COST CJDD CIVIL JUSTICE DATA DEPOSITORY FEE 16 0.15 1.34 1.49
COST CMI CORRECTIONAL MANAGEMENT INSTITUTE 1 0.05 0.45 0.50
COST CVC COMPENSATION TO VICTIMS OF CRIME 1 1.50 13.50 15.00
COST DPSC OMNI 2 19.80 40.20 60.00
COST FA FUGITIVE APPREHENSION 1 0.50 4.50 5.00
COST IDF INDIGENT DEFENSE FUND 21 3.97 35.78 39.75
COST JCD JUVENILE CRIME AND DELINQUENCY 1 0.05 0.45 0.50
COST JCPT JUDICIAL AND COURT PERSONNEL TRAINING 1 0.20 1.80 2.00
COST JCSF JUSTICE COURT SECURITY FUND 21 19.88 0.00 19.88
COST JPAY JPAY DISTRICT JUDGE PAY RAISE FEE 21 17.89 101.37 119.26
COST JSF JUROR SERVICE FUND 21 5.96 53.69 59.65
COST LAF SHERIFF'S FEE 10 46.95 0.00 46.95
09/30/2010
M DO."b. I
oney lstrl utlon Repor~
JUDGE GARY W. NOSKA JP3- SEPT.2010 MONTHLY REPORT
Page
6
The following totals represent - Combined Money and Credits
Type Code Description Count Retained Disbursed Money-Totals
COST SAF DPS 9 33.95 8.49 42.44
COST SUBC SUBTITLE C 18 25.32 481.02 506.34
COST TF TECHNOLOGY FUND 22 83.51 0.00 83.51
COST TFC TFC 18 50.63 0.00 50.63
COST TIME TIME PAYMENT FEE 7 73.48 73.48 146.96
COST WRNT WARRANT FEE 7 350.00 I 0.00 350.00
FEES CIFF CIVIL INDIGENT FILING FEE 7 2.10 I 39.90 42.00
FEES CSRV COLLECTION SERVICE FEE 8 714.60 0.00 714.60
FEES CVFF CIVAL FILING FEE 3 75.00 0.00 75.00
FEES DFF DEFERRED FEE 3 299.70 0.00 299.70
FEES FFEE FILING FEE 4 100.00 0.00 100.00
FEES SF SERVICE FEE 6 450.00 0.00 450.00
FINE DPSF DPS FTA FINE 1 295.00 0.00 295.00
FINE FINE FINE 18 2,181.80 0.00 2,181.80
Report Totals 31 5,015.71 1,586.89 6,602.60
"
. ,
09/30/2010 Money Distribution Report Page 7
JUDGE GARY W. NOSKA JP3- SEPT.2010 MONTHLY REPORT
----------------------------------------------------------------------------~-------------------------------------------------------
II
DATE PAYMENT-TYPE FINES COURT-COSTS FEES BONDS REST! TUT! ON OTHER TOTAL
00-00-0000 Cash & Checks Collected 0.00 0.00 oloo 0.00 0.00 0.00 0.00
Jail Credits & Comm Service 0.00 0.00 oloo 0.00 0.00 0.00 0.00
Credit Cards & Transfers 0.00 0.00 oJoo 0.00 0.00 0.00 0.00
Total of all Collections 0.00 0.00 0:00 0.00 0.00 0.00 0.00
"
09-01-1991 Cash & Checks Collected 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Jail Credits & Comm Service 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Credit Cards & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Total of all Collections 0.00 0.00 0.00 0.00 0.00 0.00 0.00
09-01-1993 Cash & Checks Collected 0.00 0.00 I
0.00 0.00 0.00 0.00 0.00
Jail Credits & Comm Service 0.00 0.00 I
0.00 0.00 0.00 0.00 0.00
Credit Cards & Transfers 0.00 0:00 I
O.()O 0.00 0.00 0.00 0.00
Total of all Collections 0.00 0')00 0.00 0.00 0.00 0.00 0.00
09-01-1995 Cash & Checks Collected 0.00 I
0.00 0.00 0.00 0.00 0.00 0.00
Jail Credits & Comm Service 0.00 0.00 I
0.00 0.00 0.00 0.00 0.00
Credit Cards & Transfers 0.00 I
0.00 0.00 0.00 0.00 0.00 0.00
Total of all Collections 0.00 01'00 0.00 0.00 0.00 0.00 0.00
09-01-1997 Cash & Checks Collected I
0.00 0.00 0.00 0.00 0.00 0.00 0.00
Jail Credits &, Comm Service 0.00 0.00 I
0.00 0.00 0.00 0.00 0.00
Credit Cards & Transfers 0.00 0.00 I
0.00 0.00 0.00 0.00 0.00
0.'00 I
Total of all Collections 0.00 0.00 0.00 0.00 0.00 0.00
09-01-1999 Cash & Checks Collected 0.00 0.00 I 0.00 0.00
0.0,0 0.00 0.00
Jail Credits & Comm Service 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Credit Cards & Transfers 0.00 0.00 I 0.00 0.00
0.00 0.00 0.00
Total of all Collections 0.00 0.00 0.00 0.00 0.00 0.00 0.00
I
09-01-2001 Cash & Checks Collected 0.00 0.00 0.00 0.00 0.00 0.00 0.00
I
Jail Credits & Comm Service 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 I
Credit Cards & Transfers 0.00 0.00 0.00 0.00 0.00 0.00
Total of all Collections 0.00 0.00 0.00 0.00 0.00 0.00 0.00
I
09-01-2003 Cash & Checks Collected 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00' I
Jail Credits & Comm Service 0.00 0.00 0.00 0.00 0.00 0.00
I
Credit Cards & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Total of all Collections 0.00 0.00 0.00 0.00 0.00 0.00 0.00
1,468.90 I
01-01-2004 Cash & Checks Collected 1,615.60 803.60 0.00 0.00 0.00 3,888.10
I
Jail Credits & Comm Service 844.30 877.50 877.7q 0.00 0.00 0.00 2,599.50
Credit Cards & Transfers 16.90 98.10 0.00 0.00 0.00 0.00 115.00
Total of all Collections 2,476.80 2,444.50 1,681.31 0.00 0.00 0.00 6,602.60
TOTALS Cash & Checks Collected 1,615.60 1,468.90 803.601 0.00 0.00 0.00 3,888.10
Jail Credits & Comm Service 844.30 877.50 877.70, 0.00 0.00 0.00 2,599.50
Credit Cards & Transfers 16.90 98.10 0.001 0.00 0.00 0.00 115.00
Total of all Collections 2,476.80 2,444.50 1,681.30 0.00 0.00 0.00 6,602.60
.
~ .. ,."
I
09/30/2010
Money Distribution Reporlt
JUDGE GARY Y. NOSKA JP3- SEPT.2010 MONTHLY REPORT
I
--------------------------------------------------------------~-------------I-------------------------------------------------------
::::e of Tex::':-'::::::: Repo,t;n, Tot.L. 'INES COURT-COsTS 'iES OONOS RESTITUTION OTNER TOTAL
Page
8
Description
Count
Collected
Retained
Disbursed
State Comptroller Cost and Fees Report
Section I: Report for Offenses Committed
01-01-04 Forward 15 555.13 55.51 499.62
09-01-01 - 12-31-03 0 0.00 0.00 0.00
08-31-99 - 08-31-01 0 0.00 0.00 0.00
09-01-97 - 08-30-99 0 0.00 0.00 0.00
09-01-91 - 08-31-97 0 0.00 0.00 0.00
Bail Bond Fee 0 0.00 0.00 0.00
DNA Testing Fee - Convictions 0 0.00 0.00 0.00
DNA Testing Fee - Comm Supvn 0 0.00 0.00 0.00
DNA Testing Fee - Juvenile 0 0.00 0.00 0.00
EMS Trauma Fund (EMS) 0 0.00 0.00 0.00
Juvenile Probation Diversion Fees 0 0.00 0.00 0.00
Jury Reimbursement Fee 15 41.65 4..16 37.49
Indigent Defense Fund 15 27.75 2.77 24.98
Moving Violation Fees 11 0.99 0.10 0.89
State Traffic Fine 13 356.34 17.82 338.52
Section II: As Applicable
Peace Officer Fees 7 32.44 25.95 6.49
Failure to Appear/Pay Fees 1 30.00 9.90 20.10
Judicial Fund - Const County Court 0 0.00 0.00 0.00
Judicial Fund - Statutory County Court 0 0.00 0.00 0.00
Motor Carrier Yeight Violations 0 0.00 0.00 0.00
Time Payment Fees 5 96.96 48.48 48.48
Driving Record Fee 0 0.00 0.00 0.00
Judicial Support Fee 15 83.26 12.49 70.77
Report Sub Total 97 1,224.52 177 .18 1,047.34
State Comptroller Civil Fees Report
CF: Birth Certificate Fees 0 0.00 0.00 0.00
CF: Marriage license Fees 0 0.00 0.00 0.00
CF: Declaration of Informal Marri age 0 0.00 0.00 0.00
CF: Nondisclosure Fees 0 0.00 0.00 0.00
CF: Juror Donations 0 0.00 0.00 0.00
CF: Justice Court Indig Filing Fees 7 42.00 2.10 39.90
CF: Stat Prob Court Indig F il i ng Fees 0 0.00 0.00 0.00
CF: Stat Prob Court Judic F il i ng Fees 0 0.00 0.00 0.00
.CF: Stat Cnty Court Indig F il i ng Fees 0 0.00 0.00 0.00
CF: Stat Cnty Court Judic Filing Fees 0 0.00 0.00 0.00
CF: Cnst Cnty Court Indig Filing Fees 0 0.00 0.00 0.00
CF: Cnst Cnty Court Judic Filing Fees 0 0.00 0.00 0.00
CF: Dist Court Divorce & Family law 0 0.00 0.00 0.00
CF: Dist Court Other Divorce/Family law 0 0.00 0.00 0.00
CF: Dist Court Indig Legal Services 0 0.00 0.00 0.00
CF: Judicial Support Fee 0 0.00 0.00 0.00
Report Sub Total 7 42.00 2.10 39.90
Total Due For This Period 104 1,266.52 179.28 1,087.24
~~, .
ii'
I-
i
-:;
10/5/2010
ACCOUNT NUMBER
CR 1000-001-45014
CR 1000-001-44190
CR 1000-001-44364
CR 1000-001-44010
CR 1000-001-44064
CR 1000-001-44090
CR 1000-001-49110
CR 1000-001-44145
CR 1000-999-20741
CR 1000-999-20744
CR 1000-999-20745
CR 1000-999-20746
CR 1000-999-20770
CR 2670-001-44064
CR 2720-001-44064
CR 2719-001-44064
CR 2699-001-44064
CR 7020-999-20740
CR 7070-999-20610
CR 7070-999-20740
CR 7860-999-20610
CR 7860-999-20740
CR 7950-999-20610
CR 7950-999-20740
CR 7480-999-20610
CR 7480-999-20740
ADMINISTRA T1VE FEES:
DEFENSIVE DRIVING
CHILD SAFETY
TRAFFIC
ADMINISTRATIVE FEES
EXPUNGEMENT FEES
MISCELLANEOUS
STATE ARREST FEES
DPS FEES
P&W FEES
T ABC FEES
DR 7070-999-10010
DR 7860-999-10010
DR 7950-999-10010
DR 7480-999-10010
r
I
ACCOUNT N,AME
FINES
SHERIFr FEES
29.70
0.00
27.00
182.90
0.00
0.00
I TOTAL ADMINISTRATIVE FEES
CONSTABLE FEES-SERVICE
I
JP FILING FEES
COPIES I CERTIFIED COPIES
OVERPAr' MENTS (LESS THAN $10)
SCHOOL CROSSING/CHILD SAFETY FEE
I
DUE TO STATE-DRIVING EXAM FEE
DUE TO STATE-SEATBELT FINES
I
DUE TO STATE-CHILD SEATBELT FEE
I
DUE TO STATE-OVERWEIGHT FINES
DUE TO JP COLLECTIONS ATTORNEY
TOTAL FINES, ADMIN. FEES & DUE TO STATE
COURTHbuSE SECURITY FUND
JUSTICE ICOURT SECURITY FUND
JUSTICE \COURT TECHNOLOGY FUND
JUVENILE CASE MANAGER FUND
I
1
32.46
5.75
0.00
TOTAL STATE ARREST FEES
CCC-GENERAL FUND
I
CCC-ST AifE
I
709.83
STF/SUB([;-GENERAL FUND
I
STF/SUB([;-STATE
I
TP-GENERAL FUND
TP-ST A TEE
I
CIVIL INDiGENT LEGAL-GEN. FUND
CIVIL IND!GENT LEGAL-STATE
I
270.00
68.66
0.00
Page 1 of 2
AMOUNT
752.50
187.84
239.60
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
$1,179.94
$70.99
$17.75
$70.99
$0.00
38.21
70.98
638.85
13.50
256.50
34.33
34.33
0.00
0.00
MONTHL Y REPORT OF COLLECTlbNS AND DISTRIBUTIONS
I
10/5/2010 COURT NAME: JUSTICE OF PEACE NO.4
I'i i
MONTH OF REPORT: SEPTEMBER
YEAR OF REPORT: 2010
CR 7865-999-20610
CR 7865-999-20740
CR 7970-999-20610
CR 7970-999-20740
CR 7505-999-20610
CR 7505-999-20740
CR 7857-999-20610
CR 7857-999-20740
CR 7856-999-20610
CR 7856-999-20740
Revised 10/01/10
DR 7865-999-10010
DR 7970-999-10010
DR 7505-999-10010
DR 7857-999-10010
DR 7856-999-10010
CRIM-SUPP OF IND LEG SVCS-GEN FUND
CRIM-SU,PP OF IND LEG SVCS-STATE
I 35.49
TUFTA-GENERAL FUND
TUFT A-~T A TE
JPAY-GkNERALFUND
I
JPAY - STATE
84.00
I
JURY REIMB. FUND- GEN. FUND
I
JURY REIMB. FUND- STATE
I 53.24
CIVIL JUSTICE DATA REPOS.- GEN FUND
I
CIVIL JUSTICE DATA REPOS.- STATE
I 0.90
TOTAL (Distrib Req to Oper Acct)
DUE TO OTHERS (Distrib Req Attchd)
CALHOUN COUNTY ISD
DA - RESTITUTION
REFUND OF OVERPAYMENTS
OUT-OF-COUNTY SERVICE FEE
CASH BONDS
PARKS & WILDLIFE FINES
WATER SAFETY FINES
0.00
0.00
0.00
0.00
0.00
765.00
0.00
,
,
,
I
TOTAL DUE TO OTHERS
I
TOTAL COLLECTED-ALL FUNDS
I
LESS: TOTAL TREASUER'S RECEIPTS
I
OVER/(SHORT)
Page 2 of 2
0.00
3.55
31.94
0.00
0.00
12.60
71.40
5.32
47.92
0.09
0.81
$2,600.00
$765.00
$3,365.00
$3,365.00
, $0.00
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,
:.~..:..~:.+~~\:1<>i~~4~...,................ CALHOU N COl;l.. NTY
(' ~ I: ) 201 West Austin
'~~.,.,,,.......,,,.<,../-l1J{~;. Port Lavaca, Texas 77979
~...
DISTRIBUTION
REQUEST ,-
"
DR# 480 A 40456
PAYEE
Name:
Address:
City:
State:
Calhoun County Oper. Acct.
I
PAYlOR
Official:
,
Title:
James Dworaczyk
Justice of the Peace, Pet. 4
Zip:
Phone:
.,
f:!1'!I."> . ''''e ,.;:"t}?;. '.... ;;,>
::":.,' '{'.X ~.jl
I
7544.999.20759.999 JP4 Monthly Collections - Distribution I $2,600.00
I
I
SEPTEMBER I
2010 I
I
i
I
I
I
I
:
I
I
V# 967 I
I I
I
I
TOTAL 2,600.00
CALHOUN COUNTY
: 201 West Austin
Port Lavaca, Texas 77979
DISTRIBUTION
REQUEST
DR# 480 B 40456
PAYEE
Name: Texas Parks & Wildlife
Address:
City:
State:
Zip:
Phone:
I
PAYPR
Official:
Titl~:
I
James Dworaczyk
Justice of the Peace, Pct. 4
_M~rI~~MB!~~. ~tRI~TibN.~~~ .~~,
."................... -,-.,..., .,.,-'" '-'. , --_;~"--*:.a.:_J,'''"''''''''.;"' r' ,,~,*~.. . "":""':".__ .... ';,~i:;.' ',.,c,' .',. ,~4~:',
I
7544-999-20759-999 JP4 . Parks & Wildlife Fines I $ 599.25
SEPTEMBER I
2010 I
I
I
Ii
V# 7603 . il
TOTAL 599.25
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...., lLUI
10/05/2010 Money Distribution Report Page
, I
------------------------------------ --------------------------- --------------------------- --------------------------- -----------
Receipt Cause/Defendant Code Amount Code Amount Code Amount Code Amount Code Amount Code Amount Total
I
3928505 2010-302 09-01-2010 TFC 3.00 CCC 40.00 CHS 4.00 LAF 5.00 TF 4.00 SUBC 30.00 199.00
I
MARTINEZ, SUANN JCSF 1.00 JSF 3.00 IDF 2.0q CJDR 0.10 OFF 100.90 JPAY 6.00
Cash
3928506 2010-081 09-01-2010 CCC 40.00 CHS 4.00 PWAF 5.00 WRNT 50.00 TIME 25.00 TF 4.00 475.00
I
SHERRELL, IAN ANTHONY JCSF 1.00 JSF 3.00 IDF 2.00 PWF 335.00 JPAY 6.00
CC S/O Personal Check I
3928507 2010-296 09-02-2010 TFC 3.00 CCC 40.00 CHS 4.00 SAF 5.00 TF 4.00 SUBC 30.00 180.00
HERNANDEZ, AZAEL SALINAS JCSF 1.00 JSF 3.00 IDF 2.00 CJDR 0.10 FINE 81.90 JPAY 6.00
Money Order I
3928508 2010-326 09-02-2010 TFC 3.00 CCC 40.00 CHS 4.00 SAF 5.00 TF 4.00 SUBC 30.00 108.00
1.00 1
DENTON, DANIEL ALEXANDER JCSF JSF 3.00 IDF 2.00 CJDR 0..10 DOC 9.90 JPAY 6.00
Cash :1 I
,
3928509 2010-330 09-02-2010 TFC 3.00 CCC 40.00 CHS 4.od LAF 5.00 TF 4.00 SUBC 30.00 108.00
1.00 3.00 I I
KISIAH, JOHN THOMAS IV JCSF JSF IDF 2.00 CJDR 0.10 DOC 9.90 JPAY 6.00
Money Order I
3928511 2010-238 09-07-2010 OFF 72.00 1 72.00
ERWIN, SPENCER WAYNE 4.00[
Money Order
3928512 2010-293 09-07-2010 TFC 3.00 CCC 40.00 CHS SAF 5.00 TF 4.00 SUBC 30.00 300.00
ROCHA, VICTOR ALFONSO JCSF 1.00 JSF 3.00' IDF 2.001 CJDR 0.10 FINE 201.90 JPAY 6.00
Cash
3928513 2010-205 09-07-2010 WRNT 50.00 FINE 5.00'1 55.00
MCCREE, KATHI SCHMECKPEPER
Money Order
3928516 2010060141 09-08-2010 CCC 40.00 CHS 4.00,1 LAF 5.00 TF 4.00 JCSF 1.00 JSF 3.00 310.00
BROWN, CHARLES WADE IDF 2.00 FINE 245.00,! JPAY 6.00
Jail Credit
3928517 2010-324 09-14-2010 CCC 40.00 CHS 4.00 PWAF 5.00 TF 4.00 JCSF 1.00 JSF 3.00 165.00
NGUYEN, LINH ANH IDF 2.00 JPAY 6.00 PWF 100.00
Personal Check i
II
3928518 2010-339 09-14-2010 CCC 40.00 CHS 4.001! PWAF 5.00! TF 4.00 JCSF 1.00 JSF 3.00 260.00
NGUYEN, LINH ANH IDF 2.00 PWF 195.00 JPAY 6.00
Personal Check
3928519 2010-272 09-16-2010 CCC 40.00 CHS 4.00 SAF 5.00 TIME 25.00 TF 4.00 JCSF 1.00 205.00
.DELOSSANTOS, GREGORIO JSF 3.00 IDF 2.00" FINE 115.00, JPAY 6.00
Cash
3928520 2010-334 09-16-2010 CCC 40.00 CHS 4.00 LAF 5.00 TF 4.00 JCSF 1.00 JSF 3.00 160.00
BRYAN, GEORGE ALLEN IDF 2.00 FINE 95.00 JPAY 6.00
Cash
3928521 2010-301 09-16-2010 TFC 3.00 CCC 4o.001il CHS 4.00. LAF 5.00 TF 4.00 SUBC 30.00 100.00
NORMAN, BRANDON DAWAYNE JCSF 1.00 JSF 3.00 I IDF 2.00 CJDR 0.10 FINE 7.90
Money Order I
3928522 2010-341 09-20-2010 TFC 3.00 CCC 40.00 I CHS 4.00 LAF 5.00 TF 4.00 SUBC 30.00 100.00
TALBOTT, WENDY MIDDAUGH JCSF 1.00 JSF 3.00d IDF 2.00 CJDR 0.10 FINE 7.90
Cash I
3928523 2010-325 09-20-2010 CCC 40.00 CHS 4.00 I PWAF 5.00 I TF 4.00 JCSF 1.00 JSF 3.00 165.00
NGUYEN, HUY BENJAMIN IDF 2.00 JPAY 6.00 I PWF 100.00 I
Cash I I
3928524 2010-263 09-22-2010 CCC 40.00 CHS 4.00,iI SAF 5.00 I WRNT 50.00 TIME 25.00 TF 4.00 375.00
HARTMAN, JAMIE RENNE JCSF 1.00 JSF 3.00 I IDF 2.00 i I FINE 235.00 JPAY 6.00
Jail Credit I I
3928525 2010-259 09-22-2010 CCC 40.00 CHS 4.00 I SAF 5.00 I WRNT 50.00 TIME 25.00 TF 4.00 195.00
DEAN, SHAWN EDGAR JCSF 1.00 JSF 3.00 ,I IDF 2.00.1 FINE 55.00 JPAY 6.00
Jail Credit ij 'I
,',
10/05/2010 _______________~~~~~_::::~:~~::~~_:~~~~l_______________ Page 2
--.--------------------------------- ----------...-- -....._----_...-...- -_...._..-...-....
I
Receipt Cause/Defendant Code Amount Code Amount Code Amount Code Amount Code Amount Code Amount Total
,! !
3928526 2010-259A 09-22-2010 CCC 40.00 CHS 4.00 SAF 5.00 WRNT 50.00 TF 4.00 JCSF 1.00 392.00
I
DEAN, SHAWN EDGAR JSF 3.00 IDF 2.00 FINE 277.00 JPAY 6.00
Jail Credit I
3928527 2010-236 09-22-2010 CCC 29.83 CHS 2.99 PWAF 3.73 WRNT 37.32 TIME 18.66 TF 2.99 100.00
I
CARRILES, PAUL JCSF 0.75 JSF 2.24 IDF 1.49
Money Order I
3928528 2010-345 09-28-2010 EXRF 10.00 ! 10.00
COLLINS, JIMMY CHRISTOPHER
Money Order i
3928529 2010-342 09-28-2010 TFC 3.00 CCC 40.00 CHS 4.00 LAF 5.00 TF 4.00 SUBC 30.00 108.00
I
COLLINS, JIMMY CHRISTOPHER JCSF 1.00 JSF 3.00 IDF 2.00 CJDR 0.10 DDC 9.90 JPAY 6.00
Money Order I
3928530 2010-328 09-28-2010 CCC 40.00 CHS 4.00 SAF 5.00 TF 4.00 JCSF 1.00 JSF 3.00 160.00
I
FOGLEMAN, CLAY THOMPSON IDF 2.00 FINE 95.00 JPAY 6.00
Money Order i
3928531 2010-311 09-28-2010 TFC 3.00 CCC 40.00 CHS 4.00 LAF 5.00 TF 4.00 SUBC 30.00 100.00
MYERS, JOSEPH MICHAEL JCSF 1.00 JSF 3.00 IDF 2.00 CJDR 0.10 FINE 7.90
Money Order i
3928532 2010-335 09-29-2010 CCC 40.00 CHS 4.00 PWAF 5.00 TF 4.00 JCSF 1.00 JSF 3.00 235.00
I
NGUYEN, LINH ANH IDF 2.00 PWF 170.00 JPAY 6.0ll
Personal Check
10/05/2010 Money Dist;ibution Reporlt Page 3
I
---------------------------------------.----------------------~-------------i--------------------------------------------------------
The following totals represent - Cash and Checks Collected
Type Code Description Count Retained Disbursed Money-Totals
COST CCC CONSOLIDATED COURT COSTS 18 70.98 638.85 709.83
COST CHS COURT HOUSE SECURITY 18 70.99 0.00 70.99
COST CJDR CIVIL JUSTICE DATA RES\POSITORY FEE 9 0.09 0.81 0.90
COST IDF INDIGENT DEFENSE FUND 18 3.55 31. 94 35.49
COST JCSF JUSTICE COURT SECURITY FUND 18 17.75 0.00 17.75
COST JSF JUROR SERVICE FUND 18 5.32 47.92 53.24
COST LAF SHERIFF'S FEE 7 35.00 0.00 35.00
COST PWAF TEXAS PARKS & WILDLIFE 6 22.98 5.75 28.73
COST SAF DPS 5 20.00 5.00 25.00
COST SUBC SUBTITLE C 9 13.50 256.50 270.00
COST TF TECHNOLOGY FUND 18 70.99 0.00 70.99
COST TFC TFC 9 27.00 0.00 27.00
COST TIME TIME PAYMENT FEE 3 34.33 34.33 68.66
COST WRNT WARRANT FEE 3 137.32 0.00 137.32
FEES DDC DEFENSIVE DRIVING 3 29.70 0.00 29.70
FEES DFF DEFERRED FEE 2 172.90 0.00 172.90
FEES EXRF EXPIRATION RENEWAL FEE 1 10.00 0.00 10.00
FEES JPAY JUDGE PAY RAISE FEE 14 12.60 71.40 84.00
FINE FINE FINE 9 617.50 0.00 617.50
FINE PWF PARKS & WILDLIFE FINE 5 135.00 765.00 900.00
Money Totals 21 1,507.50 1,857.50 3,365.00
The following totals represent - Transfers Collected
COST CCC CONSOLIDATED COURT COSTS 0 0.00 0.00 0.00
COST CHS COURT HOUSE SECURITY 0 0.00 0.00 0.00
COST CJDR CIVIL JUSTICE DATA RES\POSITORY FEE 0 0.00 0.00 0.00
COST IDF INDIGENT DEFENSE FUND 0 0.00 0.00 0.00
COST JCSF JUSTICE COURT SECURITY FUND 0 0.00 0.00 0.00
COST JSF JUROR SERVICE FUND 0 0.00 0.00 0.00
COST LAF SHERIFF'S FEE 0 0.00 0.00 0.00
COST PWAF TEXAS PARKS & WILDLIFE 0 0.00 0.00 0.00
COST SAF DPS 0 0.00 0.00 0.00
COST SUBC SUBTITLE C 0 0.00 0.00 0.00
COST TF TECHNOLOGY FUND 0 0.00 0.00 0.00
COST TFC TFC 0 0.00 0.00 0.00
COST TIME TIME PAYMENT FEE 0 0.00 0.00 0.00
COST WRNT WARRANT FEE 0 0.00 0.00 0.00
FEES DDC DEFENSIVE DRIVING 0 0.00 0.00 0.00
FEES DFF DEFERRED FEE 0 0.00 , 0.00 0.00
FEES EXRF EXPIRATION RENEWAL FEE 0 0.00 0.00 0.00
FEES JPAY JUDGE PAY RAISE FEE 0 0.00 0.00 0.00
FINE FINE FINE 0 0.00 0.00 0.00
FINE PWF PARKS & WILDLIFE FINE 0 0.00 0.00 0.00
Transfer Totals 0 0.00 0.00 0.00
The following totals represent - Ja it Credi t and Community Service
10/05/2010 .,ooy ""r""';oo R,p'''r Page 4
---------------------------------------------~----------------~-------------i~---------.---------------------------------------------
The following totals represent - Jail Credit and Community Service
Type Code Description Count Retained Disbursed Money-Totals
COST CCC CONSOLIDATED COURT COSTS 4 16.00 144.00 160.00
COST CHS COURT HOUSE SECURITY 4 16.00 0.00 16.00
COST CJDR CIVIL JUSTICE DATA RES\POSITORY FEE 0 0.00 0.00 0.00
COST IDF INDIGENT DEFENSE FUND 4 0.80 7.20 8.00
COST JCSF JUSTICE COURT SECURITY FUND 4 4.00 0.00 4.00
COST JSF JUROR SERVICE FUND 4 1.20 10.80 12.00
COST LAF SHERIFF'S FEE 1 5.00 0.00 5.00
COST PWAF TEXAS PARKS & WILDLIFE 0 0.00 0.00 0.00
COST SAF DPS 3 12.00 3.00 15.00
COST SUBC SUBTITLE C 0 0.00 0.00 0.00
COST TF TECHNOLOGY FUND 4 16.00 0.00 16.00
COST TFC TFC 0 0.00 0.00 0.00
COST TIME TIME PAYMENT FEE 2 25.00 25.00 50.00
COST WRNT WARRANT FEE 3 150.00 0.00 150.00
FEES DDC DEFENSIVE DRIVING 0 0.00 0.00 0.00
FEES DFF DEFERRED FEE 0 0.00 0.00 0.00
FEES EXRF EXPIRATION RENEWAL FEE 0 0.00 , 0.00 0.00
FEES JPAY JUDGE PAY RAISE FEE 4 3.60 20.40 24.00
FINE FINE FINE 4 812.00 0.00 812.00
FINE PWF PARKS & WILDLIFE FINE 0 0.00 0.00 0.00
Credit Totals 4 1,061.60 210.40 1,272.00
The following totals represent - Credit Card Payments
COST CCC CONSOLIDATED COURT COSTS 0 0.00 0.00 0.00
COST CHS COURT HOUSE SECURITY 0 0.00 0.00 0.00
COST CJDR CIVIL JUSTICE DATA RES\POSITORY FEE 0 0.00 0.00 0.00
COST IDF INDIGENT DEFENSE FUND 0 0.00 0.00 0.00
COST JCSF JUSTICE COURT SECURITY FUND 0 0.00 I 0.00 0.00
COST JSF JUROR SERVICE FUND 0 0.00 0.00 0.00
COST LAF SHERIFF'S FEE 0 0.00 0.00 0.00
COST PWAF TEXAS PARKS & WILDLIFE 0 0.00 0.00 0.00
COST SAF DPS 0 0.00 0.00 0.00
COST SUBC SUBTITLE C 0 0.00 0.00 0.00
COST TF TECHNOLOGY FUND 0 0.00 0.00 0.00
COST TFC TFC 0 0.00 0.00 0.00
COST TIME TIME PAYMENT FEE 0 0.00 0.00 0.00
COST WRNT WARRANT FEE 0 0.00 0.00 0.00
FEES DDC DEFENSIVE DRIVING 0 0.00 0.00 0.00
FEES DFF DEFERRED FEE 0 0.00 0.00 0.00
FEES EXRF EXPIRATION RENEWAL FEE 0 0.00 0.00 0.00
FEES JPAY JUDGE PAY RAISE FEE 0 0.00 0.00 0.00
FINE FINE FINE 0 0.00 0.00 0.00
FINE PWF PARKS & WILDLIFE FINE 0 0.00 0.00 0.00
Credit Totals 0 0.00 0.00 0.00
The fOllowing totals represent - Combined Money and Credits
10/05/2010 Money Distribution Report Page 5
-------------------------------------------------------------- ---------------------------------------------------------------------
The following totals represent - Combined Money and Credits
Type Code Description Count Retained Disbursed Money-Totals
COST CCC CONSOLIDATED COURT COSTS 22 86.98 782.85 869.83
COST CHS COURT HOUSE SECURITY 22 86.99 0.00 86.99
COST CJDR CIVIL JUSTICE DATA RES\POSITORY FEE 9 0.09 0.81 0.90
COST IDF INDIGENT DEFENSE FUND 22 4.35 39.14 43.49
COST JCSF JUSTICE COURT SECURITY FUND 22 21.75 0.00 21. 75
COST JSF JUROR SERVICE FUND 22 6.52 58.72 65.24
COST LAF SHERIFF'S FEE 8 40.00 0.00 40.00
COST PIJAF TEXAS PARKS & IJILDLIFE 6 22.98 5.75 28.73
COST SAF DPS 8 32.00 8.00 40.00
COST SUBC SUBTITLE C 9 13.50 256.50 270.00
COST TF TECHNOLOGY FUND 22 86.99 0.00 86.99
COST TFC TFC 9 27.00 0.00 27.00
COST TIME TIME PAYMENT FEE 5 59.33 59.33 118.66
COST IJRNT "'ARRANT FEE 6 287.32 0.00 287.32
FEES DDC DEFENSIVE DRIVING 3 29.70 0.00 29.70
FEES DFF DEFERRED FEE 2 172.90 0.00 172.90
FEES EXRF EXPIRATION RENEIJAL FEE 1 10.00 0.00 10.00
FEES JPAY JUDGE PAY RAISE FEE 18 16.20 91.80 108.00
FINE FINE FINE 13 1,429.50 0.00 1,429.50
FINE PIJF PARKS & "'ILDLIFE FINE 5 135.00 765.00 900.00
Report Totals 25 2,569.10 2,067.90 4,637.00
.1
11
10/05/2010 Money Distribution Report Page 6
------------------------------------------------------------------------------------------------------------------------------------
DATE PAYMENT-TYPE FINES COURT-COSTS FEES BONDS RESTITUTION OTHER TOTAL
00-00-0000 Cash & Checks Collected 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Jail Credits & Comm Service 0.00 0.00 0.00 0.00 ,0.00 0.00 0.00
Credit Cards & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Total of all Collections 0.00 0.00 0.00 0.00 0.00 0.00 0.00
i
09-01-1991 Cash & Checks Collected 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Jail Credits & Comm Service 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Credit Cards & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Total of all Collections 0.00 0.00 0.00 0.00 0.00 0.00 0.00
09-01-1993 Cash & Checks Collected 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Jail Credits & Comm Service 0.00 0.00 0.00 0.00 0.00 0:00 0.00
Credit Cards & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Total of all Collections 0.00 0.00 0.00 0.00 0.00 0.00 0.00
09-01-1995 Cash & Checks Collected 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Jail Credits & Comm Service 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Credit Cards & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Total of all Collections 0.00 0.00 0.00 0.00 0.00 0.00 0.00
09-01-1997 Cash & Checks Collected 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Jail Credits & Comm Service 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Credit Cards & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Total of all Collections 0.00 0.00 0.00 0.00 0.00 0.00 0.00
09-01-1999 Cash & Checks Collected 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Jail Credits & Comm Service 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Credit Cards & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Total of all Collections 0.00 0.00 0.00 0.00 0.00 0.00 0.00
09-0.1 -2001 Cash & Checks Collected 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Jail Credits & Comm Service 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Credit Cards & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Total of all Collections 0.00 0.00 0.00 0.00 0.00 0.00 0.00
09-01-2003 Cash & Checks Collected 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Jail Credi ts & Comm Servi ce 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Credit Cards & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Total of all Collections 0.00 0.00 0.00 0.00 0.00 0.00 0.00
01-01-2004 Cash & Checks Collected 1,517.50 1,550.90 296.60 0.00 0.00 0.00 3,365.00
Jail Credits & Comm Service 812.00 436.00 24.00 0.00 0.00 0.00 1,272.00
Credit Cards & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Total of all Collections 2,329.50 1,98~.90 320.60 0.00 0.00 0.00 4,637.00
TOTALS Cash & Checks Collected 1,517.50 1,550.90 296.60 0.00 0.00 0.00 3,365.00
Jail Credits & Comm Service 812.00 436.00 24.00 0.00 0.00 0.00 1,272.00
Credit Cards & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Total of all Collections 2,329.50 1,986.90 320.60 0.00 0.00 0.00 4,637.00
10/05/2010
Money Distribution Report
Page
7
------------------------------------------------------------------------------------------------------------------------------------
i1
DATE PAYMENT-TYPE FINES COURT-COSTS FEES BONDS RESTITUTION OTHER TOTAL
State of Texas Quarterly Reporting Totals
Description
Count
State Comptroller Cost and Fees Report
Section I: Report for Offenses Committed
01-01-04 Forward
09-01-01 - 12-31-03
08-31-99 - 08-31-01
09-01-97 - 08-30-99
09-01-91 - 08-31-97
Bail Bond Fee
DNA Testing Fee - Convictions
DNA Testing Fee - Comm Supvn
DNA Testing Fee - Juvenile
EMS Trauma Fund (EMS)
Juvenile Probation Diversion Fees
Jury Reimbursement Fee
Indigent Defense Fund
Moving Violation Fees
State Traffic Fine
18
o
o
o
o
o
o
o
o
o
o
18
18
9
9
Section II: As Applicable
Peace Officer Fees
Failure to Appear/Pay Fees
Judicial Fund - Const County Court
Judicial Fund - Statutory County Court
Motor Carrier Weight Violations
Time Payment Fees
Driving Record Fee
Judicial Support Fee
Report Sub Total
11
o
o
o
o
3
o
14
100
State Comptroller Civil Fees Report
CF: Birth Certificate Fees
CF: Marriage License Fees
CF: Declaration of Informal Marriage
CF: Nondisclosure Fees
CF: Juror Donations
CF: Justice Court Indig Filing Fees
CF: Stat Prob Court Indig Filing Fees
CF: Stat Prob Court Judic Filing Fees
CF: Stat Cnty Court Indig Filing Fees
Cf: Stat Cnty Court Judic Filing Fees
CF: Cnst Cnty Court Indig Filing Fees
CF: Cnst Cnty Court Judic Filing Fees
CF: Dist Court Divorce & Family Law
CF: Dist Court Other Divorce/Family Law
CF: Dist Court Indig Legal Services
CF: Judicial Support Fee
Report Sub Total
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
Total Due For This Period
100
Collected
Retained
709.83
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
53.24
35.49
0.90
270.00
70.98
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
5.32
3.55
0.09
13.50
53.73
0.00
0.00
0.00
0.00
68.66
0.00
84.00
1 ,275 .85
42.98
0.00
0.00
0.00
0.00
34.33
0.00
12.60
183.35
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
1,275.85
183.35
Disbursed
638.85
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
47.92
31. 94
0.81
256.50
10.75
0.00
0.00
0.00
0.00
34.33
0.00
71.40
1,092.50
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
1,092.50
APPROVAL OF PAYROLL:
A Motion was made by Commissioner Fritsch and seconded by Commissioner Lyssy to approve the payroll
dated September 3,2010 in the amount of $227,136.87 and September 17, 2010 in the amount of
$219,974.35. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor.
CALHOUN COUNTY
:1
PAYROLL 2010
MONTH / SEPTEMBER
Payroll dated 09-03-10
$ 227,136.81
Payroll dated 09-17-10
$ 219,974.35
I APPROVED TOTAL PAYROLL
:1
$ 447,111.22
The items listed above have been pre-approved by all Department Heads and I certify that funds are
available to pay the obligations. I ~~~ify Ih~~ ~he above is true and correct to the best of my
knowledge this the ~ day of U;tt)\Jer CTO. '
II
Acu.EPTED AND APPROVED THIS THE IJfr DAY OF
:low ,2010 IN THEllcALHOUN--ctuNTY
COMMISSIONERS' COURT, PORT LA V ACA, TEXAS 77979.
ACCOUNTS ALLOWED - COUNTY:
Claims totaling $923,319.40 were presented by the County Treasurer and after reading and verifying
same; a Motion was made by Commissioner Fritsch and seconded by Commissioner Lyssy that said claims
be approved for payment. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in
favor.
DECLARE THE 1983 JEEP KAISER BRUSH TR~CK, ASSET #545-0048 AS SURPLUS/SALVAGE
AND REMOVE IT FROM THE EMERGENCY FL~ET INSURANCE POLICY:
'I
'I
A Motion was made by Commissioner Fritsch and seconded by Commissioner Lyssy to declare the 1983
Jeep Kaiser Brush Truck, Asset #545-0048 as Surplus/Salvage and remove it from the Emergency Fleet
Insurance Policy. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor.
.
Susan Riley
From:
Sent:
To:
Cc:
Subject:
Attachments:
Lucy Dio [Iucy.dio@calhouncotx.org]
Thursday, October07, 2010 10:42 AM
'Susan Riley'; neil.fritsch@calhouncotx.org; Kenny.Finster@calhouncotx.org
'April May'; Sonia Downs
AGENDA ITEM
doc20101007103714.pdf
Importance:
High
. Susan,
Please put the following as an agenda item for the 10/14/10 Comm. Court meeting:
"Consider and take necessary action to declare the 1983 Jeep Kaiser Brush Truck, Asset #545-0048, as
Surplus/Salvage, and remove it from the Emergency Fleet Insurance Policy."
This vehicle was transferred from Pt. Comfort VFD to POCVFD to be used as parts at the 2/15/10 Cc. The
vehicle has finally been relocated and needs to be declared salvage so it can be taken off the fleet insurance.
See attached for supporting documentation. <<...>>
(I don't know why the attachment is located in the body of the email!! Just let me know if you don't receive
the attachment. Geesh!!)
Lucy
1
,615534444 . ,,_'I'\;..;...~t~ ~~f -~~~t -~~d8:59:43 a.m. 02-12-2010
~~N""''''''''\' \'.......- () ,~__~_.
~ I] \._- - " --~ -
@ -~ "'<~~~~~'~'<t.~ "0... -'"
~ 12 ~~n~~det.~{rt7ik~?ecessar~ ~~~~~~~[?f1[r2m\~~irrorht~rtN'~~lt~U!~~_
~_:0Tonnor~V;ED'one:1983..IeepKatser,.h!ventory #545...0048, SCl'I.aL#M2930. (~f?
~nsider and Ulke necess~ ",:tion to transfer Calhoun CounJy Juvenile Pro~ation Asser
#5650417, Ford Crown Vlctona, VIN#2F AFP71 W3X:X 149697 to Calhoun Coullty
. . Sheriff s Department. (LL) :1
v(~\onSider and take necessary action to trJ,~sfer Office Motorola. Maratrac lOOWatt
f"-.../ltemote Mount Radio Serial #776TYEO~ 112 Asset #565-0370, and two self contained
strobes serial #'s P957186 and 1>957253;1 removed from Unit #4~2000 Ford Crown
Victoria VIN #2FAFP71 W7YXl 74104-Asset #565-0470 to Calhoun COUllty Precinct #4
Constable. (BB)
v"~onsider and take neeessOTy action to I"insfer Calhoun County Sheriffs OftIce Asset
,-.J#565-0583,Ford Crown Victoria, VIN#2FAFP71 W16X126J26 to Calhoun County
Juvenile Probation. (BB) II
30. Consider and take necessary action on n~atter of transferring certain items of County
property from one County department toil another C<)unty Depaxtment. (See List)
\,/~onSider and take action on any necessary budget adjustments.
'v . !:
, Ii
32. Consider and tak.e necessary actiolloll single source, emergency and public welfare
purchases and bills. I! .
1
'I
33. Public discussion of County matters.
I'
The above is a true and correct copy of the OrigiL, notice, which original notice was posted by
me at a place convenient and readily accessible to the general public at all times, to~wit: on a
bulletin board by the front door in th~.C.~nty Courthouse iil Port Lavac~ Calhoun County,
Texas on FeblUary 12, 2010 at 5-. . 'l '). . a.m.
Anita Fricke, County Clerk
. ! (.--.....k!.. .: . r'\ 'y\ \ ..'
By: \.,.''-.-, \'jV ,A. \ I ~1.,U/lo....-.:~
Deputy Cle'
Page 3 of3
3/3
. t'.~8';.~....~~.
,..~~~
"'- .,
~...~.
,.,.~.,.
Lucy Dio
From:
Sent:
To:
Subject:
if
Lucy Dio [Iucy.dio@calhouncotx.org]
Wednesday, October 06,201010:54 AM
'neil. fritsch@calhouncotx;org'; 'April May'
RE: Re: jeep from Point Comfort
.
Importance:
High
.Any word if the Jeep has made it to the POCVFD?
Follow up ii
~~~~:~' October 11, 2010 9fO AM , h - - ~ - / 0!)(,,'/1 ~ --- ~
4. ~~~i!J1Ji . ,.--. L --- . '
~~ ._~,~ ,-c~
.~~~~-r~
I'. . ~." ~'Yu ,~ .fl._L~
II ~
~----_._--_..__..._.__.._~--_._---_._~
From.: neil. fritsch@calhouncotx.org [mailto: neil. fritsch@~
Sent: Mon?ay, April 19, 2010 9:22 AM I
To: Lucy 010 .."
Subject: Re: Re: jeep from Point Comfort . ._
:l _
Good Morning L)lcy, . t '.. .' .
Not yet, as of last Saturday when I talked WIth the Pomt Comfort ChIef. More to come as It develops.
Follow Up Flag:
DOe By:
Flag Status:
Neil and April,
Tharlks"
Lucy
WL~
M ~'_4' q_io -5~~lp -- - _
Neil
Neil E. Fritsch. Commissioner. Calhoun County, Precinct 3.
361-893-5346-phone.
361-893-5309-fax.
From: "Lucy Dio" <lucy.dio@calhouncotx.org>
Date: Mon, 19 Apr 201009:01:46 -0500
To: 'Neil Fritsch'<nei1.fritsch@calhouncotx.org>; Steve Lambden<slred3@cableone.net>
Cc: April May- Townsend<Apri1.May@calhounco~.org>
Subject: RE: Re: jeep from Point Comfort
Good Monday Morning!
.
.,
Just checking on the status of the truck. Do you know if'it's been moved?
--'''-~.,...,.-....._........------------,..,............._._.,..~-,~_._-,--._.-...~."'-"~'-----._,._,....,._-_..._,--,............_,~._-"..........,_...._~-,~~,.-~"---
- F,rom:fNeIT:Erltsch'[maiito: neiJ .fritsdi@calhoupcot;.org]
lsiii-':(Wednesday,,:MarchlO3t-iOio 3:24 PM" .c'i..:J'
....._~. . .,~ . .......':-~.... '.;, ....,. - -'.- . <.- - ~
To: 'L~~~;!~W!I !MaY@GC1IhC?un.c.<?tx~brg
C<::Steve.Lambden ..
}~~,.,.....,l:,-~ ~. _ , .",- ,'_.._.-.....,.... _.'- __c-~___
ubjeCt: iRE :-' Re: jeep from Point ComforLl
1
.... .....
Good Afternoon,
- ....~. ':" '"'S' --:. ~ 1r'~.""" . - --:-. ""..... _ ____..... _
~,',c". ;1.~.a...'.llie.'.'.,d..~W,.i.t.'~.' steVe. ',La,-m.i>den'tif.p<;:VFD and, to.l9 ~...~. (.h,..~..~?,.,~. ,Z~g~[..n:!~g~r~o.,~"X~p. ,~"ep}lrt. me.;... ht',S..;.When.. "th.e.'Y..;',F.P..__.Q1.f1j
f< ~hencale and POCVFDls ready to declarethe"truck'saJvage;heneedsto:n'otlfy,Kennyprme,sot~at,we can'have,an
' i 'ag~~d~tetn t~~decl~resurpIYs/salvage~ AftenNedeclareit surpl~~/s~I~~ge,v';ecan then discontinu^~jr;~u~a~The
- ",gCk\wiU b?ritTrfueto'h'ave~in5urari,ce until 'we' hear frormCale'anatne':PD'c:WD:::::-.~
- -"'-0 .. ,.- ,.-- If' -.-
II
II
Ii
II
Ii
.il
II
Any questions, please ask.
Thank you and have a great day!'!
Neil E. Fritsch
Commissioner
.
Calhoun County, Precinct 3
24627 State Highway 172
Port Lavaca, TX 77979
361-893-5346-Phone
361-893-5309-Fax
From: Lucy Dio [mailto:lucy.dio@calhouncotx.org]
Sent: Tuesday, March 02, 2010 3:34 PM
To: joyce.dorsett@calhouncotx.org; neil. fritsch@calhoulilcotx.org
Subject: RE: Re: jeep from Point Comfort
Sorry-in case it wasn't clear, this is about the 1983 Jeep Kaiser brush truck that was transferred from the Pt. Comfort
VFD to the pac VFDas approved at the 2/15/10 Comm: Court meeting. POCVFD will use the vehicle for parts.
I I can't remove the vehicle from the insurance policy until it :is in POCVFD's possession and it's been declared
surplus/salvage.
Just thought I'd keep youin the loop I!
Lucy
.
From: Lucy Dio [mailto:lucy.dio@calhouncotx.org]
Sent: Tuesday,March 02, 2010 3:30 PM
To: 'April May' II
Cc: Cale Hummel - POCVFD; joyce.dorsett@calhouncotx~org; neil.fritsch@calhouncotx.org
Subject: RE: Re: jeep from Point Comfort
April
As soon as the truck is in POCVFD's possession, please send Susan the info for the agenda item, Once Comm. Court
declares it Surplus/Salvage, then it can be removed from the insurance policy.
I ' .
Does that sound good for everyone? Thanks for your help!!
Lucy
.
2
~ ) ._~.
r=rom: April May [mailto:ApriI.May@calhouncotx.org]
sent: Tuesday, March 02, 2010 3:00 PM
To: lucy dio
Subject: Fwd: Re: jeep from Point Comfort
.
according to the Fire Chief in POC, they have -not received the jeep.
Thank you,
April May-Townsend
Calhoun County, Pet. 4
361.785.3141
361.785.5602 (fax)
april.may@ealhouneotx.org
-----Original Message-----
From: Cale Hummel <calehummel@vahoo;com>
To: April May <Apri1.May@ealhouncotx.org>
Date: Tue,2 Mar 2010 12:52:24 -0800 (PST)
Subject: Re: jeep from Point Comfort
no not yet
.
From: April May <April.May@calhouncotx.org>
To: Cale Hummel <calehummel@yahoo.com>
Sent: Tue, March 2, 2010 2:40:35 PM
Subject: jeep from Point Comfort
Have you received the jeep from the Point Comfort VFD?
Thank you,
April May-Townsend
Calhoun County, Pet. 4
361.785.3141
361.785.5602 (fax)
april.may@calhouncotx.org
.
3
DECLARE CERTAIN ITEMS OF COUNTY PROPERTY IN THE CALHOUN COUNTY HEALTH
DEPARTMENT AS SURPLUS/SALVAGE AND REMOVE FROM INVENTORY (SEE ATTACHED
U~: 1
A Motion was made by Commissioner Fritsch and seconded by Commissioner Lyssy to declare certain
items of County Property in the Calhoun County Health Department as surplus/salvage and remove from
Inventory. Commissioners Galvan, Lyssy, Fritsch, ~inster and Judge Pfeifer all voted in favor.
. . -
I': ILl. I ,.." . : ". '.1' - I ."j,;',' :ri '. . f
, ....j . ;.';
· .', .. V ._ " 4= ,'...' _.,$
117 WAsh St
Port Lavaca, TX 77979
Bain C. Cate, M. D., Medical Director
Phone (361) 552-9721
Fax (361) 552-9722
www.cchealthdept.com
September 28, 2010
Judge Mike Pfeifer
County Commissioners
c/o Susan Riley
Dear Susan,
I would like to request that the items listed below be removed from our office. Not all of these items are on our
"Fixed Assets Inventory Report". Please have the Commissioner's Court declare these items salvage/surplus.
Thank you for your consideration and assistance.
Item Name Serial Number
HP PSC 110 all-in-one printer.mm......m.m.m..mm............MY39IFB1ZB
Canon Bubblejet printer BJ-30..................................:.........K1 0152
Inv. Number
Respectfully submitted,
W/n~ MJ&rJ
Dana Nichols, RN, BSN
i
DECLARE CERTAIN ITEMS OF COUNTY PROPERTY IN THE COUNTY AUDITOR'S OFFICE AS
SURPLUS/SALVAGE:
A Motion was made by Commissioner Fritsch and seconded by Commissioner Finster to declare certain
items of County Property in the County Auditor's Office as surplus/salvage. Commissioners Galvan,
Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor.
E, _ \..
'-,
Calhoun County, Texas
SURPLUS/SALVAGE DECLARATION REQUEST FORM
Department Name: County Auditor
Requested By:
Cindy Mueller
Reason for Surplus/Salvage
Declaration
nla
Scanner-hp scanjet 5590
digital flatbed scanner
Printer-hp laserjet 1320
Miscellaneous office
su lies (2 boxes)
Portable heater
No longer needed (still works)
nla
nla
No longer needed (still works but noisy)
Obsolete-no longer needed
nla
No longer needed (no thermostatic control
but still works)
'I
Jl
DECLARE ITEMS OF PROPERTY IN THE CALHOUN COUNTY JJAEP AND THE PROBATION
DEPARTMENT AS SURPLUS/SALVAGE AND REMOVE FROM INVENTORY (SEE ATTACHED
LIST):
A Motion was made by Commissioner Finster and seconded by Commissioner Fritsch to declare items of
property in the Calhoun County JJAEP and the Probation Department as surplus/salvage and remove from
inventory. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor:
i .
Calhoun County, Texas
SURPLUS/SALVAGE DE~LARATION REQUEST FORM
Department Name: ::r;.'f!"': ~ tJ I)~ -/-C' ()Y\
Requested By: lCA.(s Le{j~
Reason for Surplus/Salvage
Declaration
I
Calhoun County, Texas
SURPLUS/SALVAGE DECLARATION REQUEST FORM
Department Name: Ii e Y5 Ii E I
Requested By: 1-1/(5 !-err A
Reason for Surplus/Salvage
Declaration
TRANSFER CERTAIN ITEMS FROM THE PROBATION DEPARTMENT TO THE CALHOUN COUNTY
JJAEP AND FROM THE JJAEP TO THE PROBATION DEPARTMENT (SEE ATTACHED LIST):
I
A Motion was made by Commissioner Fritsch and seconded by Commissioner Lyssy to transfer certain
items from the Probation Department to the Calhoun County JJAEP and form the JJAEP to the Probation
Department. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor.
I
I
Calhoun County, Texas
DEPARTMENTAL INVENTORY TRANSFER REQUEST FORM
Requested By:
'\
Calhoun County, Texas
DEPARTMENTAL INVENTORY TRANSFER REQUEST FORM
Requested By:
BUDGET ADJUSTMENTS:
A Motion was made by Commissioner Finster and seconded by Commissioner Lyssy that the following
Budget Adjustments be approved. Commissioners' Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all
voted in favor.
Court was adjourned at 10:30 am
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