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2023-08-16 Final Packet' NOTICE OF MEETING — 8/16/2023 August 16, 2023 MEETING MINUTES OF CALHOUN COUNTY COMMISSIONERS' COURT MET IN A REGULAR MEETING AT 10:00 A.M. IN THE COMMISSIONERS' COURTROOM IN THE COUNTY COURTHOUSE AT 211 S. ANN STREET SUITE 104 PORT LAVACA, CALHOUN COUNTY, TEXAS. THE FOLLOWING MEMBERS WERE PRESENT: (ABSENT) Richard Meyer CountyJudge David Hall Commissioner Pct 1 Vern Lyssy Commissioner Pct 2 Joel Behrens Commissioner Pct 3 (ABSENT) Gary Reese Commissioner Pct 4 (ABSENT) Anna Goodman County Clerk By: Kaddie Smith Deputy Clerk The subject matter of such meeting is as follows: 1. Call meeting to order. Meeting was called to order at 10:00am by Commissioner David Hall, interim County Judge. 2. Invocation. Commissioner David Hall 3. Pledges of Allegiance. US Flag: Commissioner Joel Behrens Texas Flag: Commissioner Vern Lyssy 4. General Discussion of Public Matters and Public Participation. Commissioner Vern Lyssy let the public know Gary Weaver's funeral arrangements. Page 1 of 6 ' NOTICE OF MELTING — 8/16/202:3 5. Public Hearing regarding a Petition to Vacate Lots 1, 2, the west 1/2 of Lot 3, and lots 12, 13, 14, 15, and 16, Block 3, and a portion of an abandoned alley according to the established map or plat of the Alamo Beach Townsite recorded in volume Z, Page 13, of the Plat Records of Calhoun County, Texas and a called 0.26-acre portion of a Public Road described in Order Declaring Closure of Public Road from Calhoun County, Texas to CMP Development. (DEH) Opened public hearing at 10:01am Terry Ruddick explained petition to vacate. Closed public hearing at 10:03am 6. Consider and take necessary action to approve the Memorandum of Understanding between Calhoun County and the Calhoun Port Authority in reference to their support of erosion control projects and placing fill upon their submerged lands and authorize the County Judge to sign. (DEH) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Commissioner Hall, Lyssy, Behrens 7. Consider and take necessary action to amend the Contract for Professional Services between Calhoun County and G&W Engineers, Inc. for Engineering, Architectural and Surveying Services for the Combined Dispatch Facility. The changes being made are referenced in Attachment B in the amended contract. (DEH) Scott Mason read Attachment B and explained amendment. RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Joel Behrens, Commissioner Pct 3' AYES:. Commissioner Hall, Lyssy, Behrens 8. Public Hearing regarding a Petition to Vacate a 0.264-acre tract of land situated in the William Arnold League, Abstract 2, Calhoun County, Texas and being a portion of the 100 foot -wide channel of the Sunilandings Phase 1 Subdivision according to the established map or plat thereof recorded in volume Z, page 527 of the Plat Records of Calhoun County, Texas. (JMB) Opened public hearing at 10:07am Terry Ruddick explained petition to vacate. Closed public hearing at 10:08am Page 2 of 6 ' NOTICE OF MEET ING — 8/16/2023 9. Consider and take necessary action on a Petition to Vacate a 0.264-acre tract of land situated in the William Arnold League, Abstract 2, Calhoun County, Texas and being a portion of the 100 foot -wide channel of the Sunilandings Phase 1 Subdivision according to the established map or plat thereof recorded in volume Z, page 527 of the Plat Records of Calhoun County, Texas. (JMB) pass 10. Consider and take necessary action to approve the Preliminary Plat of the Replat of Lots 12 and 13 in Block 1 of the Espiritu Santo Bay Resort recorded in Slide No. 680 A & B of the Calhoun County Plat Records. (GDR) Henry Danysh explained the preliminary plat. RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Commissioner Hall, Lyssy, Behrens 11. Consider and take necessary action to approve the Preliminary Plat of the Replat of Lot 1514 of the American Townsite Company Subdivision recorded in Volume Z, Page 2 of the Calhoun County Plat Records. (GDR) Henry Danysh explained the preliminary plat. RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct2 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Commissioner Hall, Lyssy, Behrens , 12. Consider and take necessary action to authorize the County Judge to sign the Order and Notice of the November 7, 2023 Special Election pertaining to the Constitutional Amendments. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct `1 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Commissioner Hall, Lyssy, Behrens Page 3 of 6 NOTICE OF MEETING — 8/16/2023 13. Consider and take necessary action to approve the Specifications and Invitation to Bid Packet for the Calhoun County Combined Dispatch Facility Structured Date Cabling, Bid Number 2023.08, and authorize the County Auditor to advertise for bids. A pre -bid conference will be held at 10:00 a.m., Thursday, September 7, 2023 in the Commissioners' Courtroom, Suite 104, Calhoun County Courthouse. Bids will be due before 2:00:00 p.m. Thursday, September 21, 2023. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Commissioner Hall, Lyssy, Behrens 14. Consider and take necessary action to authorize the County Auditor to release, if applicable, any addenda to the bidding documents, approved by Commissioner David Hall and IT Coordinator Ron Reger, that is related to the Calhoun County Combined Dispatch Facility Structured Date Cabling. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Joel Behrens, Commissioner Pct 3 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Commissioner Hall, Lyssy, Behrens 15. Consider and take necessary action to remove a 2009 Ford 4D VIN # 2FAHP71V99X142482 from the Calhoun County Sheriff's Office fleet and send to auction. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Commissioner Hall, Lyssy, Behrens 16. Consider and take necessary action to transfer a 2015 Toyota Tundra, VIN # 5TFDW5F10FX440751 inventory # 22-0287, to the Extension Service to be surplus/salvaged and remove from Road & Bridge, Precinct 2's Fixed Asset inventory. (VLL) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Joel Behrens, Commissioner Pct,3 AYES: Commissioner Hall, Lyssy, Behrens Page 4 of 6 ' NOTICE OF MEETING — 8/16/2023 17. Consider and take necessary action to declare the attached list of equipment from Memorial Medical Center as Waste. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER:' David Hall, Commissioner Pct 1 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Commissioner Hall, Lyssy, Behrens 18. Approve the minutes of the August 2, 2023 meeting. RESULT:e APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Commissioner Hail, Lyssy, Behrens 19. Accept Monthly Reports from the following County Offices: i. County Treasurer — April 2023 ii. Sheriff's Office — February 2023, Corrected iii. Texas Agrilife Extension — July 2023 1. Travel Report 2. 4-H and Youth Development 3. Agriculture and Natural Resources 4. Family and Community Health 5. Coastal and Marine RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct l AYES: Commissioner Hall ' Lyssy, Behrens 20. Consider and take necessary action on any necessary budget adjustments. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Commissioner Hall, Lyssy, Behrens Page 5 of 6 ' NOTICE OF MEETING — 8/16/202.3 21. Approval of bills and Davroll. (RHM) MMC RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Commissioner Hall, Lyssy, Behrens County Bills RESULT: APPROVED [UNANIMOUS] MOVER; Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Commissioner Hall. Lvssv. Behrens Adjourned 10:19am Page 6 of 6 I��.AI.III��I.AI�I,MMI I".liffiI6,11,I Of NEW013111"I.IM�INI s).A MaiE;11:IviIW % All Agenda Items Properly Numbered Contracts Completed and Signed All 1295's Flagged for Acceptance (number of 1295's ) All Documents for Clerk Signature Flagged (All documents needing to be attested to need to be signed day of Commissioner's Court.) On this oJ AIII day of ez �L 2023, the packet for the of LryV 2023 Commissioners Court Regular Session was submilod from the Calhoun County Judge's office to the Calhoun County Clerk's Office. QV14L �Wvtd on , Calhoun County Judge/Assistant ql o3 arVW/'v C:\Users\Maebelle.Cassel\Desktop\Agenda Templates\PACKET COMPLETION SHEET.Docx AGENDA NOTICE OF MEETING -- 8/16/202�3 Richard H. Meyer County, judge. David Hall, Commissioner, Precinct 1 Vern Lyssy, Commissioner, Precinct 2. Joel Behrens, Commissioner, Precinct 3 Crary Reese, Commissioner, Precinct 4 NOTICE OF MEETING The Commissioners' Court of Calhoun County, Texas will. meet on Wednesday, August 16, 2023 at 10:00 a.m. in the Commissioners' Courtroom in the. County Courthouse at 211 S. Ann Street, Suite 104, Port Lavaca, Calhoun County,, Texas, ,AGENDA The subject matter of such meeting is as follows: • � Call meeting to order. C' Invocation. qPledges of Allegiance. AW 1123 NNv c,P,ray co r r o rExas sY:— UE RY 4. General Discussion of Public. Matters and Public Participation., Clpse- Public Hearing regarding a Petition to Vacate Lots 1, 2, the west 1/2 of Lot 3, and lots 12„ 3, 14, 15,, and 16, Block 3, and a portion of an abandoned alley according to the. established map or plat of the Alamo Beach Townsite recorded in volume Z, Page 13, of the Plat Records of Calhoun County, Texas and a called 0.26-acre portion of. a Public Road described in Order Declaring Closure of Public Road from Calhoun County; Texas �tos�o CMP Development.. (DEH) T%efra RSa- � d g Consider and take necessary action to approve the Memorandum of Understanding, between Calhoun County and the Calhoun Port Authority in reference to their support of erosion control projects and placing fill upon their submerged lands and authorize the County Judge to sign. (DEH) 7. Consider and take necessary action to amend the Contract for Professional Services between Calhoun County and G8&W Engineers, Inc. for Engineering, Architectural and Surveying Services for the. Combined Dispatch Facility. The changes being made are referenced: in Attachment B in the amended contract. (DEH) G105e- Page 1. of 3 I N(_7rin 01 IVILERING-8/16/2U23 Oi&A 8. Public Hearing regarding a Petition to Vacate a 0.264-acre tract. of land situated in the William Arnold League, Abstract 2, Calhoun County, Texas and being a portion of the. 100 foot -wide channel of the Sunilandings Phase I Subdivision according to the established, map or plat thereof recorded in volume Z, page 527 of the Plat Records of Calhoun County, Texas. (JMB) C(0Sppe- 9 PConsider and take necessary action on a Petition to Vacate a 0.264-acre tract of land 0c.? situated in the William Arnold League, Abstract 2, Calhoun County, Texas and being a portion of the 100 foot -wide channel of the. Sunilandings Phase 1 Subdivision according to the established map or plat. thereof recorded in volume Z, page 527 of. the Plat Records: of Calhoun County, Texas. (JMB) 10. Consider and take necessary action to, approve the Preliminary Plat of the Replat of Lots 12 and 13 in Block 1 of the Espiritu Santo Bay Resort recorded in Slide No. 680 A &. B of the Calhoun. County Plat Records. (GDR) \j I1., Consider and take necessary action to approve the Preliminary. Plat of the Replat of Lot v 1514 of th.e. American Townsite Company Subdivision recorded in Volume. Z, Page 2, of the Calhoun County Plat Records. (GDR) ��12. Consider and take necessary action to authorize the County Judge to sign the Order and qNotice of the November T, 2023 Special Election pertaining to the Constitutional Amendments. (RHM) 13. Consider and take necessary action to approve the Specifications and Invitation to Bid Packet for the Calhoun County Combined Dispatch Facility Structured Date Cabling, Biid! Number 2023.08, and authorize the: County Auditor to advertise for bids. A pre -bid. conference will be held at 10:00 a.m., Thursday, September 7, 2023 in the Commissioners' Courtroom, Suite 104; Calhoun County Courthouse, Bids will, be due before 2:OO:00 p.m. Thursday, September 21, 2023. (RHM) 14. Consider and take necessary action to authorize the County Auditor to release, if applicable, any addenda to the bidding documents, approved by Commissioner David Half and IT Coordinator Ron Reger, that is related to the Calhoun County Combined Dispatch Facility Structured Date Cabling. (RHM) 15'. Consider and take necessary action to remove a 2009 Ford 4D VIN. # V 2FAHP71V99X142482 from the Calhoun County Sheriff's Office fleet and send to auction. (RHM) 16. Consider and take necessary action to transfer a, 2015 Toyota Tundra, VIN. # 5TFDW5FIOFX440751 inventory # 22-0287, to the Extension Service to be Y surplus salvaged and remove from Road & Bridge, Precinct 2's Fixed Asset inventory. (VLL) 17. Consider and take necessary action to declare the attached list of equipment from `l Memorial. Medical Center as Waste. (RHM) Page 2 of 3 I NO"(IC:E OF MEETING - 8,/16/2013 A19 18. Approve the minutes of the August 2, 2023 meeting 19. Accept Monthly Reports from the following County Offices: i. County Treasurer —April 2023 ii. Sheriffs Office February 2023, Corrected \v� iii. Texas Agri Iife Extension —July 2023 1. Travel Report 2. 4-H and Youth Development 3. Agriculture and Natural Resources 4. Family and Community Health 5. Coastal. and Marine J1920.. Consider and take necessary action on any necessary budget adjustments. (RHM) 21_ Approval of bills and payroll. (RHM) r Richard H. Meyer; County j6d6e 1 Calhoun County, Texas A. copy of this Notice has been placed on the outside bulletin board of the Cal hour County Courthouse,; 211. South Ann. Street,. Port Lavaca, Texas, which Is readily accessible to thegeneral public at all times -This Notice shall remain. posted contin:uousiyfor at least 72hours preceding the scheduled meeting time.. For your convenience, you may visit the county's website at www.calhouncctx ora under "Commissioners' Court Agenda" for any official. court postings. Page 3 of 3 � � Z CA w N ? 0 1 V P UI A W N O O O O O O O N W V P N A W O O O O O O O O O O O O O 0 # 05 NOTICE OF MEE FIN<i — 8/16/2023 5. Public Hearing regarding a Petition to Vacate Lots 1, 2, the west 1/2 of Lot 3, and lots 12, 13, 14, 15, and 16, Block 3, and a portion of an abandoned alley according to the established map or plat of the Alamo Beach Townsite recorded in volume Z, Page 13, of the Plat Records of Calhoun County, Texas and a called 0.26-acre portion of a Public Road described in Order Declaring Closure of Public Road from Calhoun County, Texas to CMP Development. (DEH) Opened public hearing at 10:01am Terry Ruddick explained petition to vacate. Closed public hearing at 10:03am Page 2 of 18 i Richard H. Meyer County judge David Hall, Commissioner, Precinct I. Vern Lyssy, Commissioner, Precinct 2 Joel ]Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4- NOTICE OF PUBLIC HEARING The Commissioners' Court of Calhoun County, Texas will meet on Wednesday„ — August 16, 2023 at 10:00 a.m. in the Commissioners, Courtrooms in the County Courthouse', 211 S. Ann. Street, Suite 104, Port Lavaca„ Calhoun County, Texas. NOTICE IS HEREBY GIVEN that the Calhoun County Commissioners" Court will. hold a. Public Hearing regarding a Petition to Vacate Lots 1, 2, the west '/2 of Lot 3, and lots 12,13, 14,15, and.16r, Block 3, and a portion of an abandoned alley according to the established map or plat of the Alamo Beach. Townsite recorded in volume Z, Page 13, of the Plat Records of Calhoun County; Texas and a. called 0.26-acre portion of a. Public Road described. in. Order Declaring Closure of Public Road from Calhoun County„ Texas to CMP Development.. The public shall have the right to be present and participate in such hearing. JP Rlchard H. Me er, County`ludge Calhoun County, Texas A copy of this Notice has been placed. on the outside bulletin board of the. Calhoun County Courthouse, 211 South Ann Street„ Port. Lavaca, Texas.. This Notice shall remain. posted' conti n uously for at least 72 hours preceding the scheduled meeting tame: For your convenience; you may visit the county'swebsfteat www.calhouncotx.oraunder"Commissioners'Court .Agenda' for any official: court post ngs. ��, 3 D Is -1—hi 1 i 207-10 P NA s 1AN gY I G t e17GNTY, TEXTS Page 1 of 1 U81 Land Surveying+Aerial Imaging since18B1 August 8, 2023 David Hall County Commissioner Precinct #1 305 Henry Barber Way Port Lavaca, TX 77979 RE: Alamo Beach Townsite Block 3, Resubdivision No. 1 Dear Commissioner Hall, Please consider this letter as my request to have the following item placed on the August 16, 2023 Commissioner's Court agenda: Public Hearing concerning Petition to Vacate Lots 1, 2, the west M of lot 3, and lots 12, 13, 14, 15 and 16, Block 3, and a portion of an abandoned alley according to the established map or plat of the Alamo Beach Townsite recorded in Volume Z, Page 13, of the Plat Records of Calhoun County, Texas and a called 0.26 acre portion of a Public Road described in Order Declaring Closure of Public Road from Calhoun County, Texas to CMP Development. If I can provide additional information, please do not hesitate to contact me. Sincerely, Terry T. Rud i' k, R.P.L.S. C.E.O. (S25764.01) Victoria San Antonio Cuero 2004N.Commerce Victoria, TX 77901 12661 Silicon Drive San Antonio, TX 78249 104 E. French Street Cuero, TX 77964 urbansurveying.com 361-578-9837 210-207-8654 361-277-9061 Firm It: 10021100 Firm 9: 10193843 Firm it: 10021101 PETITION TO VACATE THE STATE OF TEXAS} THE COUNTY OF CALHOUN} KNOW ALL MEN BY THESE PRESENTS: That the undersigned being the designated agent of the owners of the property described as Lots 1, 2, the west '% of Lot 3, 12, 13, 14, 15 and 16, Block 3, and a portion of an abandoned alley according to the established map or plat of the Alamo Beach Townsite recorded in Volume Z, Page 13, of the Plat Records of Calhoun County, Texas and a called 0.26 acre portion of a Public Road described in Order Declaring. Closure of Public Road from Calhoun County, Texas to CMP Development recorded as instrument number 2019- 02110 in the Official Public Records of Calhoun County, Texas, do hereby petition the Calhoun County Commissioner's Court to Vacate said tract of land, in accordance with Sections 206 and 207 of the Subdivision Regulations and Recreational Vehicle Park Regulations Adopted by Calhoun County Commissioner's Court on November 29, 2004 and amended on December 13, 2007. The property is proposed to be re -platted in accordance with a plat submitted to the Calhoun County Commissioner's Court. The petition will be considered by the Calhoun County Commissioner's Court on August 16, 2023, at 10:00 am. TerrAT. RuddiA R.P.L.S. Urban Surveyi Inc. 2004 N. Commerce Victoria, TX 77901 361-578-9837 S25764.01 # 06 I NOTICE OE MEETING - 8/16/2023 6. Consider and take necessary action to approve the Memorandum of Understanding between Calhoun County and the Calhoun Port Authority in reference to their support of erosion control projects and placing fill upon their submerged lands and authorize the County Judge to sign. (DEH) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Commissioner Hall, Lyssy, Behrens Page 3 of 18 David E. Hall Calhoun County Commissioner, Precinct #1 202 S. Ann Port Lavaca, TX 77979 Honorable Richard Meyer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Meyer, (361)552-9242 Fax (361)553-8734 Please place the following item on the Commissioners' Court Agenda for August 9th, 2023. • Consider and take necessary action to the Memorandum of Understanding between Calhoun County and the Calhoun Port Authority in reference to their support of erosion control projects and placing fill upon their submerged lands and authorize the County Judge to sign. Sincer I David . Hall DEH/apt MEMORANDUM OF UNDERSTANDING BY AND BETWEEN CALHOUN PORT AUTHORITY KMLI CALHOUN COUNTY, TEXAS REGARDING EROSION CONTROL PROJECT UPON CALHOUN PORT AUTHORITY SUBMERGED LANDS WHEREAS, 'Calhoun Port Authority, previously known as the Calhoun County Navigation District, a political subdivision of the State of Texas ("Port"), and the County of Calhoun, State of Texas ("County") (hereinafter collectively referred to as the "Parties" and separately as a "Party"), both have one of their multiple public purposes the environmentally responsible stewardship and management of public lands and resources that are within their respective jurisdictional control; and WHEREAS, the Parties have determined that construction, maintenance, repair and/or replacement of one or more facilities, structures, or configurations of erosion control mechanisms on certain submerged land owned by the Port (the "Erosion Control Project") is consistent with and in furtherance of each of the Parties' public purposes; and WHEREAS, the respective governing bodies of the Parties have agreed that the County, in conjunction and cooperation with, and pursuant to one or more grants, financial assistance programs, or other regulatory initiatives, with one or more other public authorities, such as the Texas General Land Office, may implement the Erosion Control Project with administrative, equipment, engineering, maintenance, repair and replacement costs to be borne, as between the Port and the County, solely by the County and not by the Port. Nothing herein shall be construed as constituting the Port as a party, or as an interested third -party, to any grant, contract, or other undertaking by the County with respect to the Project in the absence of a separate, express, written, executed and delivered consent by the Port to become a party or interested third -party, following due proceedings by and authorization of the Port's governing body. IT IS, THEREFORE, FOLLOWING DUE MOTION, SECOND AND DELIBERATION, RESOLVED AS FOLLOWS: I. This Memorandum of Understanding is approved by the respective governing bodies of the Parties. 2. The recitals above are approved and adopted by the respective governing bodies of the Parties. 3. The Port agrees that the County may undertake the Project, in accordance with this instrument including its recitals, to be conducted on submerged lands owned by the Port and Page 1 of 5; Memorandum of Understanding Between Calhoun Port Authority And County of Calhoun, State of Texas, Regarding Erosion Control Project Upon Calhoun Port Authority Submerged Lands identified by the highlighted areas on the aerial images, plats or diagrams attached hereto as Exhibit "A" and adopted herein by reference (the "Port Property" to be affected by the Project). 4. The executive and administrative staff of the Port and the County, and the Parties' respective legal counsel, are authorized and directed to take such additional, alternative or further action as may reasonably and lawfully permitted or required by applicable law, practice, or procedure of the Parties to give effect to this Memorandum of Agreement. 5. This Memorandum of Understanding shall be governed by and construed solely in accordance with the laws of the State of Texas, including but not limited to all provisions related to dispute resolution between units of Texas local government, without regard to its conflicts of laws, rules, statutes, decisions, or principles that would lead to the application of the law of any other state, country, or jurisdiction. To the extent, and only to the extent, required by applicable Texas law or mandatory federal law, federal law governs this Memorandum of Understanding to the extent but only to the extent required by such mandatory federal law. 6. Jurisdiction and venue for any judicial action brought hereunder or related hereto, whether by way of an action for enforcement, interpretation, breach, or otherwise, shall lie exclusively in the State District Courts of Calhoun County, Texas. Notwithstanding the foregoing specification of exclusive mandatory jurisdiction and venue, neither Party waives, and both of the Parties expressly reserve, to the fullest extent available under Governing Law, its immunity from or its requirement of the satisfaction of all requirements or conditions of Governing Law with respect to the execution, levy, garnishment, or any other manner of seizure of or lien upon the Party's real or personal property whether tangible, intangible or interests therein for any action or proceeding or judgment or order from litigation brought hereunder or related hereto. Notwithstanding the foregoing specification of exclusive mandatory jurisdiction and venue, neither Party waives, and both of the Parties expressly reserve, to the fullest extent available under Governing Law, its immunity from suit, liability, or proceedings in, orjudgment by, any federal court whether located in Texas or elsewhere and whether by way of initial proceeding or by removal, or by third -party joinder, or otherwise. To the extent that Governing Law requires that any such action must be brought or may properly be brought in a federal court, then the Parties expressly agree that venue of any such federal court action shall lie exclusively in the United States District Court for the Southern District of Texas, Victoria Division. 7. This Memorandum of Understanding may only be amended or supplemented by the written agreement of the Parties. 8. This Memorandum of Understanding expires or terminates the earliest to occur of the delivery of not less than one hundred eighty (180) days' prior written notice by one Party to the other Party, or the tenth (10`h) calendar year anniversary of the Effective Date of this Memorandum of Agreement. Provided, that prior to or within one (1) calendar year after the expiration or termination of this Memorandum of Understanding, the Parties may by written agreement extend Page 2 of 5; Memorandum of Understanding Between Calhoun Port Authority And County of Calhoun, State of Texas, Regarding Erosion Control Project Upon Calhoun Port Authority Submerged Lands the duration hereof by one or more additional time periods, each of them being not more than an additional ten (10) calendar years as stated in such written extension agreement. 9. This Memorandum of Understanding does not become effective unless it has been executed by an authorized representative of both Parties, and such executed instrument is delivered by each Party to the other Party. This Memorandum of Understanding may be executed and delivered in multiple counterparts, and delivery may be accomplished by hand delivery, postal service, commercial document delivery service, or by email attachment with receipt confirmed by a reply email. If this Memorandum of Understanding becomes effective, it shall be deemed to be effective as of August I, 2023 (the "Effective Date"). [Signature Page to Follow] Page 3 of 5; Memorandum of Understanding Between Calhoun Port Authority And County of Calhoun, State of Texas, Regarding Erosion Control Project Upon Calhoun Port Authority Submerged Lands PASSED, ADOPTED AND APPROVED, by a vote of (0 "for" and "against" on August 9, 2023. CALHOUN UN PORT AU tTi�ORITY: By:of joh,14 J. Perez; 136drd Chair Calhoun Port Authority ATTEST: uis De La Ga1!Board)Sitary Calhoun Port Authority STATE OF TEXAS COUNTY OF CALHOUN Acknowledged before me, Notary Public, by Johnny J. Perez, in his capacity as Board Chairman of, and as the act and deed of, Calhoun Port Authority, on August 9, 2023. ,.•' �� MIRANDA MARIE MALEM Notary 10 0126860441 ++, My Commission Expires April 11, 2025 STATE' OF TEXAS COUNTY OF CALHOUN iik y a to &, kikah Notary Public, State of Texas CALHOUN TY: By: RicharZy'�cr, Co uri Judge Calhoun County Acknowledged before are, Notary Public, by Rich d Meyer, i his capacity as County .lodge of', and a IiGI on li�Ai (�_ 2, 2023j� •• AE NotISELLECASSEL My Notary ID # 132012524 "•#, . Rt" Expires May 14, 2027 Notary Public, State of Texas Page 4 of 5; Memorandum of Understanding Between Calhoun Part Authority And County of Calhoun, State of Texas, Regarding Erosion Control Project Upon Calhoun Port Authority Submerged Lands Page 5 of 5; Memorandum of Understanding Behveen Calhoun Port Authority And County of Calhoun, State of Texas, Regarding Erosion Control Project Upon Calhoun Port Authority Submerged Lands # 07 N01ICE OF MEETING -- 8/1G/2023 7. Consider and take necessary action to amend the Contract for Professional Services between Calhoun County and G&W Engineers, Inc. for Engineering, Architectural and Surveying Services for the Combined Dispatch Facility. The changes being made are referenced in Attachment B in the amended contract. (DEH) Scott Mason readAttachment Band explained amendment. RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Joel Behrens, Commissioner Pct 3 I� AYES: Commissioner Hall, Lyssy, Behrens Page 4 of 18 Mae Belle Cassel From: Sent: To: Subject: Attachments: Sent from David's iPhone David Hall Commissioner Precinct 1 Calhoun County Office 361-552-9242 Cell 361-220-1751 Begin forwarded message: David.HalI@calhouncotx.org (David Hall) <David.Hall@calhouncotx.org> Tuesday, August 8, 2023 3:41 PM Mae Belle Cassel Fwd: Request for Agenda Item - Amend G&W Contract for Dispatch Untitled attachment 00041.pdf From: smason@gwengineers.com Date: August 8, 2023 at 3:24:55 PM CDT To: David Hall <david.hall@calhouncotx.org> Cc: Arnold Hayden<Arnold.Hayden @calhouncotx.org>, demi.cabrera@calhouncotx.org, Anthony Gohlke <anthonyg@gwengineers.com>, angela.torres@calhouncotx.org, Brian Novian <novian@gwengineers.com> Subject: Request for Agenda Item - Amend G&W Contract for Dispatch CAUTION: This email originated from outside of the organization. Do not click links or open attachments unless you reco nine the sender and know the content is safe. 7 David, Please see the attached. We are requesting the following be placed on the agenda for August 16, 2023: Consider and take necessary action to amend the Contract for Professional Services between Calhoun County and G&W Engineers, Inc. for Engineering, Architectural and Surveying Services for the Combined Dispatch Building. The changes being made are referenced in Attachment B in the amended contract. Thank you, Scoff-P. Magxrv, P.E. Lead Project Engineer AMENDED CONTRACT FOR PROFESSIONAL SERVICES BETWEEN CALHOUN COUNTY AND G&W ENGINEERS, INC. FOR Engineering, Architectural and Surveying Services for the Combined Dispatch Facility Original Contract Approved December 7, 2022 Amended Contract Approved January 18, 2023 2nd Amended Contract Approved August _, 2023 THIS CONTRACT is entered into by and between CALHOUN COUNTY, 211 South Ann Street, Suite 301, Port Lavaca, Texas 77979, hereinafter called the "COUNTY", acting herein by Richard H. Meyer, County Judge, hereunto duly authorized, and G&W ENGINEERS, INC., 205 West Live Oak, Port Lavaca, TX, 77979, hereinafter called "FIRM", acting herein by Brian P. Novian P.E., President, procured in conformance with Texas Government Code Chapter 2254, Subchapter A, "Professional Services" and 2 C.F.R. 200 regulations. WITNESSETH THAT: WHEREAS, COUNTY desires to implement an Engineer, Architectural and Surveying Services Contract in conformance with its Request for Qualification 2022.08 of October 19, 2022 for the Combined Dispatch Building; and WHEREAS, COUNTY desires to engage FIRM to render certain services in connection with the above solicitation in relation to American Rescue Plan project awarded to COUNTY. NOW THEREFORE, the parties do mutually agree as follows: 1. Scooe of Services Part I, Scope of Services, is hereby incorporated by reference into this Contract. 2. Time of Performance - The services of FIRM shall commence on the date above first given for the execution of this Contract. In any event, all of the services required and performed hereunder shall be completed no later than November 01, 2024. 3. Access to Information - It is agreed that all information, data, reports and records and maps as are existing, available and necessary for the carrying out of the work outlined above shall be furnished to FIRM by COUNTY and its agencies. No charge will be made to FIRM for such information and COUNTY and its agencies will cooperate with FIRM in every way possible to facilitate the performance of the work described in the Contract. 4. Compensation and Method of Payment - The maximum amount of compensation and reimbursement to be paid hereunder shall conform to Part II of this Contract. Payment to FIRM shall be based on satisfactory completion of identified milestones in Part II - Payment Schedule of this Contract. 5. Indemnification a. FIRM agrees to indemnify, save and hold harmless COUNTY from and against all claims, demands, suits, judgements, liabilities, costs and reasonable attorney fees, to the extent caused by the negligent errors or omissions in the performance of the services provided hereunder. b. COUNTY agrees to indemnify, save and hold harmless FIRM from and against all claims, demands, suits, judgements, liabilities, costs and reasonably attorney fees, to the extent caused by the negligent errors or omissions of the COUNTY, in the performance of their services and obligations under this Contract. 6. Miscellaneous Provisions a. This Contract shall be construed under and in accord with the laws of the State of Texas, and all obligations of the parties created hereunder are performable in Calhoun County, Texas. b. This Contract shall be binding upon and inure to the benefit of the parties hereto and their respective heirs, executors, administrators, legal representatives, successors and assigns where permitted by this Contract. c. In any case one or more of the provisions contained in this Contract shall for any reason be held to be invalid, illegal or unenforceable in any respect, such invalidity, illegality, or unenforceability shall not affect any other provision thereof and this Contract shall not be construed as if such invalid, illegal, or unenforceable provision had never been contained herein. d. If any action at law or in equity is necessary to enforce or interpret the terms of this Contract, the prevailing party shall be entitled to reasonable attorney's fees, costs, and necessary disbursements in addition to any other relief to which such party may be entitled. e. This Contract may be amended by mutual agreement of the parties hereto and a writing to be attached to and incorporated into this Contract. Local Proaram Liaison - For purposes of this Contract, the Precinct 1 Commissioner, David Hall, will serve as the Local Program Liaison and primary point of contact for FIRM. All required progress reports and communication regarding the project shall be directed to this liaison and other local personnel as appropriate. 8. Termination of Contract for Cause. If, through any cause, FIRM shall fail to fulfill in a timely and proper manner its obligations under this Contract, or if FIRM shall violate any of the covenants, agreements, or stipulations of this Contract, COUNTY shall thereupon have the right to terminate this Contract by giving written notice to FIRM of such termination and specifying the effective date thereof, at least five days before the effective date of such termination. In such event, all finished or unfinished documents, data, studies, surveys, drawings, maps, models, photographs and reports prepared by FIRM under this Contract shall, at the option of COUNTY, become its property and FIRM shall be entitled to receive just and equitable compensation for any work satisfactorily completed hereunder. Notwithstanding the above, FIRM shall not be relieved of liability to COUNTY for damages sustained by COUNTY by virtue of any breach of the Contract by FIRM, and COUNTY may withhold any payments to FIRM for the purpose of set-off until such time as the exact amount of damages due COUNTY from FIRM is determined. 9. Termination for Convenience of COUNTY. C O U N T Y may terminate this Contract at any time by giving at least ten (10) days' notice in writing to FIRM. If the Contract is terminated by COUNTY as provided herein, FIRM will be paid for the time provided and expenses incurred up to the termination date. If this Contract is terminated due to the fault of FIRM, Paragraph 8 above relative to termination shall apply. 10. Remedies. In the event of any dispute, claim, question, or disagreement arising from or relating to determining the party responsible for any disallowed costs as a result of non-compliance with federal, state, or program requirements, the parties hereto shall use their best efforts to settle the dispute, claim, question, or disagreement. To this effect, they shall consult and negotiate with each other in good faith and, recognizing their mutual interests, attempt to reach a just and equitable solution satisfactory to both parties. If they do not reach such solution within a period of 60 days, then, upon notice by either party to the other, all disputes, claims, questions, or differences shall be finally settled by arbitration administered by the American Arbitration Association in accordance with the provisions of its Commercial Arbitration Rules. 11. Chanoes. COUNTY may, from time to time, request changes in the scope of the services of FIRM to be performed hereunder. Such changes, including any increase or decrease in the amount of FIRM's compensation, which are mutually agreed upon by and between COUNTY and FIRM, shall be incorporated in written amendments to this Contract. 12. Personnel. a. FIRM represents that he/she has, or will secure at his own expense, all personnel required in performing the services under this Contract. Such personnel shall not be employees of or have any contractual relationship with COUNTY. b. All of the services required hereunder will be performed by FIRM or under his/her supervision and all personnel engaged in the work shall be fully qualified and shall be authorized or permitted under State and Local law to perform such services. c. None of the work or services covered by this Contract shall be subcontracted without the prior written approval of COUNTY. Any work or services subcontracted hereunder shall be specified by written contract or agreement and shall be subject to each provision of this Contract. 13. Assionability. FIRM shall not assign any interest on this Contract, and shall not transfer any interest in the same (whether by assignment or novation), without the prior written consent of COUNTY thereto: Provided, however, that claims for money by FIRM from COUNTY under this Contract may be assigned to a bank, trust company, or other financial institution without such approval. Written notice of any such assignment or transfer shall be furnished promptly to COUNTY. 14. Reports and Information. FIRM, at such times and in such forms as COUNTY may require, shall furnish COUNTY such periodic reports as it may request pertaining to the work or services undertaken pursuant to this Contract, the costs and obligations incurred or to be incurred in connection therewith, and any other matters covered by this Contract. 15. Records and Audits. Access to Records. The following access to records requirements apply to this contract: a. FIRM agrees to provide the State of Texas, the Grant Administrator, the Comptroller General of the United States, or any of their authorized representatives access to any books, documents, papers, and records of FIRM which are directly pertinent to this Contract for the purposes of making audits, examinations, excerpts, and transcriptions. b. FIRM agrees to permit any of the foregoing parties to reproduce by any means whatsoever or to copy excerpts and transcriptions as reasonably needed. c. FIRM agrees to provide the Grant Administrator or his authorized representatives access to construction or other work sites pertaining to the work being completed under the Contract. 16. Findings Confidential. All of the reports, information, data, etc., prepared or assembled by FIRM under this Contract are confidential and FIRM agrees that they shall not be made available to any individual or organization without the prior written approval of COUNTY. 17. Copvriaht. No report, maps, or other documents produced in whole or in part under this Contract shall be the subject of an application for copyright by or on behalf of FIRM. 18. Compliance with Local Laws. FIRM shall comply with all applicable laws, ordinances and codes of the State and local governments, and FIRM shall save COUNTY harmless with respect to any damages arising from any tort done in performing any of the work embraced by this Contract. a. Verification of No Boycott Israel. As required by Chapter 2270, Texas Government Code, the FIRM hereby verifies that it does not boycott Israel and will not boycott Israel through the term of this Agreement. For purposes of this verification, "boycott Israel' means refusing to deal with, terminating business activities with, or otherwise taking any action that is intended to penalize, inflict economic harm on, or limit commercial relations specifically with Israel or with a person or entity doing business in Israel or in an Israeli -controlled territory, but does not include an action made for ordinary business purposes. b. Foreign Terrorist Organizations. Pursuant to Chapter 2252, Texas Government Code, The FIRM represents and certifies that, at the time of execution of this Agreement neither the FIRM , nor any wholly owned subsidiary, majority -owned subsidiary, parent company or affiliate of the same (i) engages in business with Iran, Sudan, or any foreign terrorist organization as described in Chapter 806 and 807 of the Texas Government Code, of Subchapter F of Chapter 2252 of the Texas Government Code or (ii) is a company listed by the Texas Comptroller of Public Accounts under Sections 806.051. 807.051 or 2252.153 of the Texas Government Code. The term "foreign terrorist organization" in this paragraph has the meaning assigned to such term in Section 2252.151 of the Texas Government Code. 20. Compliance with Federal Law. Reaulations. and Executive Orders. FIRM acknowledges that funds from the American Rescue Plan will be used to fund the Contract and FIRM agrees it will comply with all applicable federal law, regulations, executive orders, and federal policies, procedures, and directives. 21. No Obligation by Federal Government. FIRM acknowledges and agrees that the Federal Government is not a party to the Contract and is not subject to any obligations or liabilities to COUNTY, Contractor, or any other party pertaining to any matter resulting from the Contract. 22. Proaram Fraud and False or Fraudulent Statements or Related Acts. FIRM acknowledges that 31 U.S.C. Chap. 38 (Administrative Remedies for False Claims and Statements) applies to its actions pertaining to the Contract. 23. Interest of Members of a County. No member of the governing body of COUNTY and no other public official, officer, employee, or agent of COUNTY, who exercises any functions or responsibilities in connection with the planning and carrying out of the program, shall have any personal financial interest, direct or indirect, in this Contract and COUNTY shall take appropriate steps to assure compliance. 24. Interest of FIRM and Employees. FIRM covenants that it presently has no interest and shall not acquire interest, director indirect, in the study area or any parcels therein or any other interest which would conflict in any manner or degree with the performance of its services hereunder. FIRM further covenants that in the performance of this Contract, no person having any such interest shall be employed. 25. Primary Contact. County contact person with FIRM shall be the Principal in Charge, Brian Novian, P.E., President, 205 West Like Oak, Port Lavaca, Texas 77979, (361)552-4509. County Contact shall be David Hall, Commissioner, 202 South Ann Street, Suite B, Port Lavaca, Texas 77979, (361) 552-9242. 26. This Contract represents the entire and integrated Contract between COUNTY and FIRM and supersedes all prior negotiations, representations or agreements, eitherwritten ororal. This Contract may be amended only by written instrument signed by authorized representatives of both COUNTY and FIRM. 27. Assurances: FIRM affirms compliance by executing this Contract with Assurances included in the COUNTY Award Letter attached as Attachment A of this Contract. IN WITNESSETH HEREOF, the parties have hereunto set their hands and seals. G&W ENGINEERING, INC. BY: 424, , NAME: Brian P. Novian, P.E. TITLE: President DATE: 8'le/ZP Z3 COUNTY OF CALHOUN, TEXAS M NAME: Richard H. Meyer TITLE: County Judge DATE: PART SCOPE OF SERVICES Note, this Scope of Services is for this Contract only and may not reflect all services described in the Request for Qualifications under which these services were procured. As stated in the RFQ, other Contracts may be entered into between COUNTY and FIRM that cover additional services, or other services may be added to this Contract at a later date if amended by both parties. COUNTY intends that this Contract cover a scope of services in its project implementation of a Combined Dispatch Building. Scope of work will include, but is not limited to, initial engineering and design support, engineering, and final design support, bid and award support, contract management and construction oversight and specialized services. Calhoun County will utilize funds from the American Rescue Plan and/or other local funding sources to support Critical Infrastructure activities in Calhoun County. FIRM shall perform the following tasks: All project -related engineering, architectural, and surveying services to Calhoun County under its Combined Dispatch Building project including, but not limited to, the following: • Initial Engineering and Design Support • Engineering and Final Design Support • Bid and Award Support • Contract Management and Construction Oversight including windstorm inspections and submissions to TDI • Specialized Services which may include Geotechnical Investigations, Detailed Surveying, Site Specific Testing, Planning Studies, Feasibility Studies, Legal documentation for property and/or easements, and Phase I and Phase II environmental site assessments. Additional Amended Scope: • Construction Testing (Subgrade Fill, Concrete Piers, Concrete Slab and Beams, Special Inspections for Welds and Anchor Bolts, Masonry, Site Work Paving) Standard of Performance 1. All services of FIRM and its independent professional associates, consultants and subcontractors will be performed in a professional, reasonable and prudent manner in accordance with generally accepted professional practice. The Firm represents that it has the required skills and capacity to perform work and services to be provided under this Contract. 2. FIRM represents that services provided under this Contract shall be performed within the limits prescribed by COUNTY in a manner consistent with that level of care and skill ordinarily exercised by other professional consultants under similar circumstances. 3. Any deficiency in FIRM's work and services performed under this Contract shall be subject to the provisions of applicable state and federal law. Any deficiency discovered shall be corrected upon notice from COUNTY and at FIRM's expense if the deficiency is due to FIRM's negligence. COUNTY shall notify FIRM in writing of any such deficiency and provide an opportunity for mutual investigation and resolution of the problem prior to pursuit of any judicial remedy. In any case, this provision shall in no way limit the judicial remedies available to COUNTY under applicable state or federal law. 4. FIRM agrees to and shall hold harmless COUNTY, its officers, employees, and agents from all claims and liability of whatsoever kind or character due to or arising solely out of the negligent acts or omissions of FIRM, its officers, agents, employees, subcontractors, and others acting for or under the direction of FIRM doing the work herein contracted for or by or in consequence of any negligence in the performance of this Contract, or by or on account of any omission in the performance of this Contract. Exclusions: a. Re -bidding of project due to economy, material prices or overbudget project bids in general out of FIRM control are not included within the scope of work. b. Re -design services if requested or required as a result of "a" above or at the Counties request are not included within the scope of work. PART II -- PAYMENT SCHEDULE The compensation paid to FIRM for the described Scope of Work is $300,000.00 and will be disbursed according to the following milestones: Initial Engineering 12.5% 37,500.00 Final Engineering Design 65% 195,000.00 Bid Phase Services 5% 15,000.00 Construction Phase Services 10% 30,000.00 Windstorm Inspections and WPI 5% 15,000.00 Contract Close Out 2.5% 7,500.00 TOTAL 100% $300,000.00 Additional Scope Milestones: Time and Material Basis with the following Not -To -Exceed Amounts Construction Testing $20 000.00 ATTACHMENT A ASSURANCES OMB Approved No. 1505-0271 Expiration Date: 11/30/2021 U.S. DEPARTMENT OF THE TREASURY CORONAVIRUS STATE FISCAL RECOVERY FUND Recipient name and address: DUNS Number: 087309324 Calhoun County Taxpayer Identification Number: 746001923 211 S. Ann Assistance Listing Number and Title: 2I.027 Port Lavaca, Texas 77979 Sections 602(b)(2) and 603(b) of the Social Security Act (the Act) as added by section 9901:of the American Rescue Plan Act, Pub. L. No. 117-2 (March 11,2021) authorizes the Department of the Treasury (Treasury) to make payments to certain recipients from the Coronavirus State Fiscal Recovery Fund and the Coronavirus Local Fiscal Recovery Fund. Recipients hereby agrees, as a condition to receiving such payment from Treasury, agrees to the terms attached hereto. Recipient: Authorized Representative Name: Richard Meyer Authorized Representative Title: County Judge Date Signed: / 2 ,3 U.S. Department of the Treasury:. Authorized Representative Signature (above) Authorized Representative Name: Authorized Representative Title: Date Signed: PAPERWORK REDUCTION ACT NOTICE The information collected will be used for the U.S. Oovcmmmt to Process requests for support. The estimated burden associated with this collection of Information is IS minutes per response. Comments concerning the accuracy of this burdcn estimate and suggestions for reducing this burden shouldbe directed to the Office of Privacy, Transparency and Records, Department of the Treasury, 1500 Pennsylvania Ave., NM., Washington, D.C. 20220. DO NOT send the form to this address. An agency may not. conduct or: sponsor, and apersoa is not required to respond to, a collection of informationunlessit displays a valid .control number assigned by OMB. U.S. DEPARTMENT OF THE TREASURY CORONAVIRUS STATE FISCAL RECOVERY FUND AWARD TERMS AND CONDITIONS a. Recipient understands and agrees that the funds disbursed under this award may only be used in compliance with sections 602(c) and 603(c) of the Social Security Act (the Act) and Treasury's regulations implementing that section and guidance. b. Recipient will determine prior to engaging in any project using this assistance that it has the institutional, managerial, and financial capability to ensure proper planning, management, and completion of such project. 2 PPr,od of Performaum The period of performance for this award begins on the date hereof and ends on December 31, 2026. As set forth in Treasury's implementing regulations, Recipient may use award funds to cover eligible costs incurred during the period that begins on March 3, 2021 and ends on December 31, 2024. 3. Reporting.Recipient agrees to comply with any reporting obligations established by Treasury, as it relates to this award. 4. Maintenance of acid Access to Records a. Recipient shall maintain records and financial documents sufficient to evidence compliance with sections 602(c) and 603(c), Treasury's regulations implementing those sections, and guidance regarding the eligible uses of funds. b. The Treasury Office of Inspector General and the Government Accountability Office, or their authorized representatives, shall have the right of access to records (electronic and otherwise) of Recipient in order to conduct audits or other investigations. c. Records shall be maintained by Recipient for a period of five (5) years after all funds have been expended or returned to Treasury, whichever is later. 5. Pre -award Costs. Pre -award costs, as defined in 2 C.F.R. § 200.458, may not be paid with funding from this award. 6 Administrative Costs Recipient: may use funds provided under this award to cover both direct and indirect costs. 7. Cost Sharin& Cost sharing or matching funds are not required to be provided by Recipient. , or interest. xeciprentunderstands and agrees it must maintain a conflict of interest policy consistent with 2 C.F.R. § and that such conflict of interest policy is applicable to each activity funded under this award. Recipient and its must disclose in writing to Treasury or the pass -through entity, as appropriate, any potential conflict of interest Le awarded funds in accordance with 2 C.F.R. § 200.112. a. Recipient agrees to comply with the requirements of sections 602 and 603 of the Act, regulations adopted by Treasury pursuant to sections 602(i) and 603(f) of the Act, and guidance issued by Treasury regarding, the foregoing. Recipient also agrees to comply with all other applicable federal statutes, regulations, and executive orders, and Recipient shall provide for such compliance by other parties in any agreements it enters into with other parties relating to this award. b. Federal regulations applicable to this award include, without limitation, the following: i. Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards, 2 C.F.R. Part 200, other than such provisions as Treasury may determine are inapplicable to this Award and subject to such exceptions as may be otherwise provided by Treasury. Subpart F — Audit Requirementsof the Uniform Guidance, implementing the Single Audit Act, shall apply to this award. ii. Universal Identifier and System for Award Management (SAM), 2 C.F.R. Part25, pursuant to which the award term set forth in Appendix A to 2 C:F.R. Part25 is hereby incorporatedby reference. iii. Reporting Subaward and Executive Compensation Information, 2 C.F.R. Part 170;.pursuant to which the award term set forth in Appendix A to 2 C.F.R. Part 170 is hereby incorporated by reference. iv. OMB Guidelines to Agencies on Governmentwide Debarment and Suspension (Nonprocurement), 2 C.F.R. Part 180, including the requirement to include a term or condition in all lower tier covered transactions (contracts and subcontracts described in 2 C.F.R. Part 180, subpart B) that the award is subject to 2 C.F.R. Part 180 and Treasury's implementing regulation at 31 C.F.R. Part 19. v. Recipient Integrity and Performance Matters, pursuant to which the award term set forth in 2 C.F.R. Part 200, Appendix XII to Part 200 is hereby incorporated by reference. vi. Govemmentwide Requirements for Drug -Free Workplace, 31 C.F.R. Part 20. vii. New Restrictions on Lobbying, 31 C.F.R. Part 21. viii. Uniform Relocation Assistance and Real Property Acquisitions Act of 1970 (42 U.S.C. §§ 4601-4655) and implementing regulations. ix. Generally applicable federal environmental laws and regulations. c. Statutes and regulations prohibiting discrimination applicable to this award, include, without limitation, the following: i. Title VI of the Civil Rights Act of 1964 (42 U.S.C. §§ 2000d et seq.) and Treasury's implementing regulations at 31 C.F.R. Part 22, which prohibit discrimination on the basis of race, color, or national origin under programs or activities receiving federal financial assistance; ii. The Fair Housing Act, Title VIII of the Civil Rights Act of 1968 (42 U.S.C. §§ 3601 et seq.), which prohibits discrimination in housing on the basis of race, color, religion, national origin, sex, familial status, or disability; iii. Section 504 of the Rehabilitation Act of 1973, as amended (29 U.S,C. § 794), which prohibits discrimination on the basis of disability under any program or activity receiving federal financial assistance; iv. The Age Discrimination Act of 1975, as amended (42 U.S.C. §§ 6101 et seq.), and Treasury's implementing regulations at 31 C.F.R. Part 23, which prohibit discriminationonthe basis of age in programs or activities receiving federal financial assistance; and v. Title Il of the Americans with Disabilities Act of 1990, as amended (42 U.S.C. §§ 12101 et seq.), which prohibits discrimination on the basis of disability under programs, activities, and services provided or made available by state and local governments or instrumentalities or agencies thereto. 10. Remedial Actions. In the event of Recipient's noncompliance with sections 6.02 and603 ofthe Act, other applicable laws, Treasury's implementing regulations, guidance, or any reporting or other program requirements, Treasury may impose additional conditions on the receipt of a subsequent tranche of future award funds, if any, or take other available remedies as set forth in 2 C.F.R. § 200.339. In the case of a violation of sections 602(c) or 603(c) of the Act regarding the use of funds, previous payments shall be subject to recoupment as provided in sections 602(e) and 603(e) of the Act. 11. Hatch Act. Recipient agrees to comply; as applicable, with requirements of the Hatch Act (5 U.S.C. §§ 1501-1508 and 7324-7328), which limit certain political activities of State or local government employees whose principal employment is in connection with an activity financed in whole or in part by this federal assistance; 12. False Slatoments. Recipient understands that making false statements or claims in connection with this award is a violation of federal law and may result in criminal, civil, or administrative sanctions, including fines, imprisonment, civil damages and penalties, debarment from participating in federal awards or contracts, and/or any other remedy available by law. 13. Publication. Any publications produced with funds from this award must display the following language: "This project [is being] [was] supported, in whole or in part, by federal award number (enter project FAIN] awarded to Calhoun County by the U.S. Department of the Treasury." t a. Any funds paid to Recipient (1) in excess of the amount to which Recipient is finally determined to be authorized to retain under the terms of this award; (2) that are determined by the Treasury Office of Inspector General to have been misused; or (3) that are determined by Treasury to be subject to a repayment obligation pursuant to sections 602(e) and 603(e) of the Act and have not been repaid by Recipient shall constitute a debt to the federal government. b. Any debts determined to be owed the federal government must be paid promptly by Recipient. A debt is delinquent if it has not been paid by the date specified in Treasury's initial written demand for payment, unless other satisfactory arrangements have been made or if the Recipient knowingly or improperly retains funds that are a debt as defined in paragraph 14(a). Treasury will take any actions available to it to collect such a debt. a. The United States expressly disclaims any and all responsibility or liability to Recipient or third persons for the actions of Recipient or third persons resulting in death, bodily injury, property damages, or any other losses resulting in any way from the performance of this award or any other losses resulting in any way from the performance of this award or any contract, or subcontract under this award. b. The acceptance of this award by Recipient does not in any way establish an agency relationship between the United States and Recipient. t 6 Protections for Mistleblow rs a. In accordance with 41 U.S.C. § 4712, Recipient may not discharge, demote, or otherwise discriminate against an employee in reprisal for disclosing to any of the list of persons or entitles provided below, information that the employee reasonably believes is evidence of gross mismanagement of federal contract or grant, a gross waste of federal funds, an abuse of authority relating to a federal contractor grant, a substantial and specific danger to public health or safety, or aviolation of law, rule, or regulation related to a federal contract (including the competition for or negotiation of a contract) or grant. b. The list of persons and entities referenced in the paragraph above includes the following: L A member of Congress or representative of a committee of Congress; I An Inspector General; iii. The Government Accountability Office; iv, A Treasury employee responsible for contract or grant oversight or management; v. An authorized official of the Department of Justice or other law enforcement agency; vi. A court or grand jury; or vii. A management official or other employee of Recipient, contractor,. or subcontractor who has the responsibility to investigate, discover, or address misconduct.. c. Recipient shall inform its employees in writing of the rights and remedies provided under this section, in the predominant native language of the workforce. IT increasing Seat t3elt Ilse in the United States Pursuant to Executive Order 13043, 62 FR 19217'(Apr. 18, 1997), Recipient should encourage its contractors to adopt and enforce on-the-job seat belt policies and programs for their employees when. operating company -owned, rented or personally owned vehicles. t B. Reducing, ext Messaging Mile Driving- pursuant to. Executive Order 13513, 74 FR 51225 (Oct. 6, 2009), Recipient should encourage its employees, subrecipients, and contractors to adopt and enforce policies that ban text messaging while driving, and Recipient should establish workplace safety policies to decrease accidents caused by distracted drivers. OMB Approved No. 1505-0271 Expiration Date: 11/30/2021 ASSURANCE OF COMPLIANCE WITH CIVIL RIGHTS REQUIREMENTS ASSURANCE OF COMPLIANCE WITH TITLE VI OF THE CIVIL RIGHTS ACT OF 1964 As a condition of receipt of federal financial assistance from the Department of the Treasury, the Calhoun County (hereinafter referred to as "the Recipient") provides the assurances stated herein. The federal financial assistance may include federal grants, loans and contracts to provide assistance to the recipient's beneficiaries, the use or rent of Federal land or property at below market value, Federal training, a loan of Federal; personnel, subsidies, and other arrangements with the intention of providing assistance. Federal financial assistance does not encompass contracts of guarantee or insurance, regulated programs, licenses, procurement contracts by the Federal government at market value, or programs that provide direct benefits. This assurance applies to all federal financial assistance from or funds made available through the Department of the Treasury, including any assistance that the Recipient may request in the future. The Civil Rights Restoration Act of 1987 provides that the provisions of this assurance apply to all of the recipient's programs, services and activities, so long as any portion of the recipient's program(s) is federally assisted in the manner proscribed above. 1. Recipient ensures its current and future compliance with Title VI of the Civil Rights Act of 1964, as amended, which prohibits exclusion from participation; denial of the benefits of, or subjection to discrimination under programs and activities receiving federal funds, of any person in the United States on the ground of race, color, or national origin (42 U S,C. § 2000d at seq.), as implemented by the Department of the Treasury Title VI regulations at 34 CFR Part 22 and other pertinent executive orders such as Executive Order 13166; directives; circulars; policies; memoranda and/or guidance documents. 2. Recipient acknowledges that Executive Order 13166, "Improving Access to Services for Persons with Limited English Proficiency," seeks to improve access to federally assisted programs and activities for individuals who, because of national. origin, have Limited English proficiency (LEP): Recipient understands that denying a person access to its programs, services, and activities because of LEP is form of national origin discrimination prohibited under Title VI of the Civil Rights Act of 1964 and the Department of the Treasury's implementing regulations. Accordingly, Recipient shall initiate reasonable steps, or comply with the Department of the Treasury's directives, to ensure that LEP persons have meaningful access to its programs, services, and activities. Recipient understands and agrees that meaningful access may entail providing language assistance services, including oral interpretation and written translation where necessary, to ensure effective communication in the Recipient's programs, services, and activities. 3. Recipient agrees to consider the need for language services for LEP persons during, development of applicable budgets and when conducting programs, services and activities. As a resource, the Department of the Treasury has published its LEP guidance at 70 FR 6067. For more information on LEP, please visit ht ; ffi n M lop gov, 4. Recipient acknowledges and agrees that compliance with this assurance constitutes a condition of continued receipt of federal financial assistance and is binding upon Recipient and Recipient's successors, transferees and assignees for the period in which such assistance is provided. 5. Recipient acknowledges and agrees that it must require any sub -grantees, contractors, subcontractors, successors, transferees, and assignees to comply with assurances 1-4 above, and agrees to incorporate the following language in every contract or agreement subject to Title VI and its regulations between the Recipient and the Recipient's sub -grantees, contractors, subcontractors, successors, transferees, and assignees: The sub -grantee, contractor, subcontractor, successor, transferee, and assignee shall comply with Title VI of the Civil Rights Act of 1964, which prohibits recipients offederal financial assistance from excluding from a program or activity, denying benefits of, or otherwise discriminating against a person on the basis of race, color, or national origin (42 U.S.0 § 2000d et seq), as implemented by the Department of the Treasury's Title V1 regulations, 31 CFR Part 22, which are herein incorporated by reference and made apart of this contract (or agreement). Title W also includes protection to persons with "Limited English Proficiency" in any program or activity receiving federal ftnancial assistance, 42 U.S.C. § 2000d et seq., as implemented by the Department of the Treasury's Title W regulations, 31 CFR Part 22, and herein incorporated by reference and made apart ofthis contract or agreement 6. Recipient understands and agrees that if any real property or structure is provided or improved with the aid of federal financial assistance by the Department of the Treasury, this assurance obligates the Recipient, or in the case of a subsequent transfer, the transferee, for the period during which the real property or structure is used for a purpose for which the federal financial assistance is extended or for another purpose involving the provision of similar services or benefits. If any personal property is provided, this assurance obligates the Recipient for the period during which it retains ownership or possession of the property; 7. Recipient shall cooperate in any enforcement or compliance review activities by the Department of the Treasury of the aforementioned obligations. Enforcement may include investigation, arbitration, mediation, litigation, and monitoring of any settlement agreements that may result from these actions: That is, the Recipient shall comply with information requests, on -site compliance reviews, and reporting requirements. 8. Recipient shall maintain a complaint log and inform the Department of the Treasury of any complaints of discrimination on the grounds of race, color, or national origin, and limited English proficiency covered by Title VI of Civil Rights Act of 1964 and implementing regulations and provide, upon request, a list of all such reviews or proceedings based on the complaint, pending or completed, including outcome. Recipient also must inform the Department of the Treasury if Recipient has received no complaints under Title VL. RM Recipient must provide documentation of an administrative agency's or court's findings of non-compliance of Title VI and efforts to address the non-compliance, including any voluntary compliance or other agreements between the Recipient and the administrative agency that made the finding. If the Recipient settles a case or matter alleging such discrimination, the Recipient must provide documentation of the settlement. If Recipient has not been the subject of any court or administrative agency finding of discrimination, please so state. 10. If the Recipient makes sub -awards to other agencies or other entities, the Recipient is responsible for ensuring that sub -recipients also comply with Title VI and other applicable, authorities covered in this document State agencies that make. sub -awards must have in place standard grant assurances and review procedures to demonstrate that that they are effectively monitoring the civil rights compliance of sub -recipients. The United States of America has the right to seekjudicial enforcement of the terms of this assurances document and nothing in this document alters or limits the federal enforcement measures that the United States may take in order to address violations of this document or applicable federal law. Under penalty of perjury, the undersigned official(s) certifies that he/she has read and understood its obligations as herein described, that any information submitted in conjunction with this assurance document is accurate and complete, and that the Recipient >is -in compliance with the aforementioned nondiscrimination requirements. wn 6/0 u Reci i ntr' �- Date Siknature of Authorized CIIc PAPERWORK REDUCTION ACT NOTICE The information collected will be used for the U.S. Government to process r information is 15 minutes per response. Comments concerning the accuracy to the Office of Privacy, Transparency. and Records, Department of the Trea form to this address. An agency may not conduct or sponsor, and person is control number assigned -bvOMB. . with this collection of ATTACHMENT B SUMMARY OF AMENDMENTS G&WENGINEERS, INC. 205 W. Live Oak • Port Lavaca, TX 77979 • p: (361)552-4509 • f: (361)552-4987 Texas Firm Registration No. F04188 ATTACHMENT B SUMMARY OF AMENDMENTS 1. Amendment 1: Approved and executed on January 18, 2023. Error on original contract under section "2." In which the time of performance was set to February 01, 2023. This amendment corrected the date to February 01, 2024. 2. Amendment 2: Due to long construction lead time, other bid and contract phase delays, and material lead times, the time of performance is in need of updating. The amendment changes the date for the time of performance to November 01, 2024. Part I, "Scope of Services" is updated to include additional scope (construction testing). As this is a professional service, it was excluded out of the contractor's construction contract to ensure professional engineering practice act compliance and solicitation requirements for governmental agencies. Part II, " Payment Schedule" is updated to include the professional fees associated with additional scope. Lastly, "Attachment B" was formed and inserted to track the amendments. Engineering Consulting 0 Planning Surveying NOTICE OF MEETING - 8/16/2023 8. Public Hearing regarding a Petition to Vacate a 0.264-acre tract of land situated in the William Arnold League, Abstract 2, Calhoun County, Texas and being a portion of the 100 foot -wide channel of the Sunilandings Phase 1 Subdivision according to the established map or plat thereof recorded in volume Z, page 527 of the Plat Records of Calhoun County, Texas. (JMB) Opened public hearing at 10:07am Terry Ruddick explained petition to vacate. Closed public hearing at 10:08arn Page 5 of 18 Richard H. Meyer County judge David Hall, Commissioner, Precinct: l Vern. Lyssy, Commissioner, Precinct 2' Joel Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4- NOTICE OF PUBLIC HEARING ING The Commissioners' Court of. Calhoun County, Texas will meet on Wednesday, August 16, 2023 at 10:00 a.m. in the Commissioners' Courtroom in the County Courthouse„ 211 S. Ann Street, Suite 104, Port Lavaca, Calhoun County, Texas. NOTICE IS HEREBY GIVEN that the Calhoun County Commissioners' Court will hold a, Public Hearing regarding a Petition to Vacate a 0.264-acre tract of land situated in the William Arnold League; Abstract 2, Calhoun County, Texas and being a portion of the 100' foot -wide channel of the Sunilandings Phase 1 Subdivision according to the established map or plat thereof recorded in volume Z, page 527 of the Plat Records of Calhoun County, Texas. The public, shall have the right to be present and participate in such hearing. a 44e . Richard H. Meyer, Cou2oirdge Calhoun County, Texas A copy of this Notice has been placed on theoutsidebulletin board. of the. Calhoun County Courthouse, 211 South. Ann Street;, Port Lavaca, Texas. This. Notice shall remain posted continuously for at Ieast72. hours preceding the scheduledmeeb:ng time, For your convenience, you may visit the county's websrte at'. www.calhouncctx.orgunder "Commissioners' Court Agenda' for any official' court postings. t� V :rILW ._.- O'CLOCK ' ...iJc Aids 1 202 Go L hCl tii�ip�r ;r. By:— _ _ _ Pagel of 1. Joel Behrens Calhoun County Commissioner, Precinct 3 24627 State Hwy. 172—Olivia, Port Lavaca, Texas 77979 — Office (361) 893-5346 — Fax (361) 893-5309 Email: ioeI.behrensAcalhouncotx.org Honorable Richard Meyer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: Agenda Item Dear Judge Meyer: Please place the following item on the Commissioner's Court Agenda for August 16, 2023. Consider and take necessary action on public hearing concerning petition to vacate a 0.264 acre tract of land situated in the William Arnold League, abstract 2, Calhoun County, TX and being a portion of the 100 foot wide channel of the Sunilandings Phase 1 subdivision according to the established map or plat thereof recorded in volume Z, page 527 of the plat records of Calhoun County, TX Sincerely, qa,n'l & Joel Behrens Commissioner Pct. 3 1& 0 Land Surveyi981 i V ..1001 August 8,2023 Joel Behrens County Commissioner Precinct #3 24627 State Highway 172 Port Lavaca, TX 77979 RE: 0.264 acres, William Arnold League, Abstract 2, Calhoun County (Port Alto) Dear Commissioner Behrens, Please consider this letter as my request to have the following item placed on the August 16, 2023 Commissioner's Court agenda: Public Hearing concerning Petition to Vacate a 0.264 acre tract of land situated in the William Arnold League, abstract 2, Calhoun County, Texas and being a portion of a 100 foot wide channel of the Sunilandings Phase 1 Subdivision according to the established map or plat thereof recorded in Volume Z, Page 527 of the Plat Records of Calhoun County, Texas. If I can provide additional information, please do not hesitate to contact me. Sincerely, TerI ry T. R dick, R.P.L.S. C.E.O. (S25835.01) Victoria San Antonlo Cuero 2004 N. Commerce 12681 Silicon Drive 104 E. French Street Victoria, TX 77901 San Antonio, TX 78249 7. Cuero, TX 77954 urbalnurveying,com 361-578-9837 210-267-8654 361-277-8081 Firm 9: 10021100 Firm it: 10193843 Firm II: 10021101 # 09 NOTICE OF MEETINC, — 8/16/2023 9. Consider and take necessary action on a Petition to Vacate a 0.264-acre tract of land situated in the William Arnold League, Abstract 2, Calhoun County, Texas and being a portion of the 100 foot -wide channel of the Sunilandings Phase 1 Subdivision according to the established map or plat thereof recorded in volume Z, page 527 of the Plat Records of Calhoun County, Texas. (JMB) pass Page 6 of 18 Joel Behrens Calhoun County. Commissioner, Precinct 3 24627 State Hwy. 172—Olivia, Port Lavaca, Texas 77979 —Office (361) 893-5346 —Fax (361) 893-5309 Email: ioel.hehrensQcalhotmcotx org Honorable Richard Meyer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: Agenda Item Dear Judge Meyer: Please place the following item on the Commissioner's Court Agenda for August 16, 2023 Consider and take necessary action on petition to vacate a 0.264 acre tract of land situated in the William Arnold League, abstract 2, Calhoun County, TX and being a portion of the 100 foot wide channel of the Sunilandings Phase 1 subdivision according to the established map or plat thereof recorded in volume Z, page 527 of the plat records of Calhoun County, TX Sincerely, Joel Behrens Commissioner Pct. 3 PETITION TO VACATE 0.264 Acre William Arnold League, A-2 Calhoun County, Texas THE STATE OF TEXAS} THE COUNTY OF CALHOUN} KNOW ALL MEN BY THESE PRESENTS: That the undersigned being the designated agent of the owners of the property described as a 0.264 acre tract of land situated in the William Arnold League, Abstract 2, Calhoun County, Texas and being a portion of a 100 foot wide channel of the Sunilandings Phase 1 Subdivision according to the established map or plat thereof recorded in Volume Z, Page 627 of the Plat Records of said County, do hereby petition the Calhoun County Commissioner's Court to Vacate said tract of land, in accordance with Sections 206 and 207 of the Subdivision Regulations and Recreational Vehicle Park Regulations Adopted by Calhoun County Commissioner's Court on November 29, 2004 and amended on December 13, 2007, The property is proposed to be re -platted in accordance with a plat submitted to the Calhoun County Commissioner's Court. The petition will be considered by the Calhoun County Commissioner's Court on August 16, 2023, at 10:00 am. 2004 N. Commerce Victoria, TX 77901 361-578-9837 S25835.01 #10 N0110E OF MEETING — 8/16/2023 10. Consider and take necessary action to approve the Preliminary Plat of the Replat of Lots 12 and 13 in Block 1 of the Espiritu Santo Bay Resort recorded in Slide No. 680 A & B of the Calhoun County Plat Records. (GDR) Henry Danysh explained the preliminary plat. RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Commissioner Hall, Lyssy, Behrens' Page 7of18 Gary D. Reese County Commissioner County of Calhoun Precinct 4 August 10, 2023 Honorable Richard Meyer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Meyer: Please place the following item on the Commissioners' Court Agenda for August 16, 2023. • Consider and take necessary action to approve the Preliminary Plat of the Replat of Lots 12 and 13 in Block 1 of the Espiritu Santo Bay Resort recorded in Slide No. 680 A & B of the Calhoun County Plat Records. Sincerely, 1) -)� Gary D. Reese GDR/at P.O. Box 177 - Seadrift. Texas 77983 - email: Sarv.reesena.calhouncomom - (361) 785.3141 - Fax (361) 785.5602 € a@8 AF�4 Rmg� x 39 �3 r i H N2x'Z'a 'JSkB29 n�orl n Yp [, 2S SI q P fi 'W r C i Sze 1/ �--Ixv w..¢umwrl H� m ty y W y R A __—__—__—__ � x R OO 0_________ _ ' [ C.1 p 9 ggm i i --r-------------------� end C � TS � g gg SG 1P...��..II �I 5 �Qg pjRqq 3q p � Aj N 3 pp A, S'•`' o Fa o O X 4 rl ,j o a � 88i '•�• L>:f 7tl E9 ygPg !•' �•• +° H Otto gg983�3 H td 1-4 gg tl x lit g s a pp l 1� B Do y R.3 9� Rg 2o . rn v Bi a 8v& 4oko q kill m �Oy 2. G & W ENGINEERS, INC. _ F • ENGINEERING • SURVEYING • PLANNING • Ii P °n Y m i s 205 W. LIYE ONE STREET. PORT UVACA, MXAS ]]9M O o p g MPIS PIRN NO.: IM10100 PRELIMINARY PLAT (J51) 552-4509: PORT LAVAW (979) 095-7100. SAY CITY #11 NOTICE OF MEETING -- 8/16/2023 11. Consider and take necessary action to approve the Preliminary Plat of the Replat of Lot 1514 of the American Townsite Company Subdivision recorded in Volume Z, Page 2 of the Calhoun County Plat Records. (GDR) Henry Danysh explained the preliminary plat. RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Commissioner Hall, Lyssy, Behrens Page 8 of 18 Gary D. Reese County Commissioner County of Calhoun Precinct 4 August 10, 2023 Honorable Richard Meyer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Meyer: Please place the following item on the Commissioners' Court Agenda for August 16, 2023. • Consider and take necessary action to approve the Preliminary Plat of the Replat of Lot 1514 of the American Townsite Company Subdivision recorded in Volume Z, Page 2 of the Calhoun County Plat Records. Sincerely, r Iry . Reese GDR/at P.O. Box 177 - Seadrift, Texas 77983 - email: aary.reesentkalhouncotx.or8 - (361) 785-3141 - Fax (361) 785.5602 aF ea @ SEy�"jpjp 9k"R p{ 5w� � l J 4 4 p a m g€ r y -3co s gEg CA: m rP E R9 " R CARABAJAL Nza'zs'as•w o r O E 9 E b 264.00' 86.00' m 0o xi or s T g? og' mm,.q S 20 a= cl ell R p6� -q-7y04 cn \ 1 E� A zmz [ g Ot nDODO LI °gg '°3Ha t r t" o ° bdb pEa O 00'Y9L O R 1 i A h� 3.66,CG9ZS a F+ R' f0 'O ty O 9 ,��g cn ncn c Z 2 ��sB n ro � ill pg g I --I o aK r a�8 off .Cmz gg�9 o 'g.$A mUT $ Kr ron L�I�—I §$fi B a2pp!! @ - ,00'49Z 00,99 @g " g� gqg 3,BiTESLS sgg 1 C e� m 9 a :m: a A R Z G & W ENGINEERS, INC. x 7 mie � • ENGINEERING • SURVEYING • PLANNING • ii n s y `m' i O g p 205 w LRE OAK STREET, PORT LAVACA. TEXAS 77979TBPL PRELIMINARY PLAT m Ro9x RN Ro.: Ioo , �" (Bst) ssx-awa: PORT roxT FIRM (97323-0100: 6nr att i #12 NOTICE OF MEETING— 8/1.6/2023 12. Consider and take necessary action to authorize the County Judge to sign the Order and Notice of the November 7, 2023 Special Election pertaining to the Constitutional Amendments. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Commissioner Hall, Lyssy,'Behrens Page 9 of 18 CALHOUN COUNTY ELECTIONS DEPARTMENT 211 S. AKIN ST, PORT LAVACA, TX 77979 • PH: 361-553-4440 • FAX 361-553-4443 August 07, 2023 Honorable Richard Meyer Calhoun County Judge 211 S. Ann St. Port Lavaca, Texas 77979 RE: AGENDA ITEM Dear Judge Meyer: Please place the following item on the Commissioner's Court Agenda for August 16, 2023. * Consider and take necessary action to Sign the Order and Notice of the November 07, 2023 Special Elec- tion pertaining to the Constitutional Amendments. t Thank You,,� Mary Ann Orta Calhoun County Elections Administrator 1-10 Prescribed by Secretary of Slate Sections 4.004, 83,010, 85.004. 85.007, Texas Electlon Code 1112021 NOTICE OF SPECIAL ELECTION (COUNTY) AVISO DE ELECC16N ESPECIAL (CONDADO) To the registered voters of the County of Calhoun Texas: (A los votantes registrados del Condado de Calhoun Texas) Notice is hereby given that the polling places listed below will be open from 7:00 a.m. to 7:00 p.m., 11 / 07 / 2023 for voting in a special election to elect: Constitutional Amendments (Notifiquese ports presente, quo los sitios de votaci6n citadas abajo se abrir3n desde las T00 a.m. haste las 7:00 p.m. el 11 / 07 / 2023 pare voter an la elecci6n especial pars elegir to reforma constitucional On Election Day, voters must vote In the precinct where registered to vote, unless the countywide polling place program is being used In the election. (El Dia de Elecci6n, los votantes deberdn voter an el precinto donde estdn inscritos pare voter, a menos que el programa de sitlos de votacl6n del condado se estd utllizando an la elecci6n.) Location of Election Day Polling Places Include Name of Building and Address (Sitios de votaci6n el DIa de Elecci6n) Incluir Nombre del Edificlo.Z Direcci6n Precinct Number(s) (Nlimem de precinto) Calhoun County Libra - 200 W. Main St. Port Lavaca, TX 77979 Precinct # 1 Bauer Exhibit Center -186 HenryBarber Way Port Lavaca TX 77979 Precinct # 2 Magnolia Beach Vol. Fire Dept - 873 Margie Tewmey Rd. Port Lavaca, TX 77979 Precinct # 3 Calhoun County Annex - 201 W. Austin St. Port Lavaca, TX 77979 Precinct # 4 Six Mlle Vol. Fire Dept, 34 Royal Rd. Port Lavaca TX 77979 Precinct # 5 Port Lavaca City Hall - 202 N. Virginia St. Port Lavaca, TX 77979 Precinct # 6 Bauer Community Center - 2300 N. H 35 Port Lavaca TX 77979 Precinct # 7 Olivia Fire Station - 61 Co. Rd. 318 Olivia Area Port Lavaca, TX 77979 Precinct # 8 Calhoun County EMS Station - 705 Henry Barber Way Port Lavaca, TX 77979 Precinct # 9 Seadrift City Hall - 501 S. Main St. Seadrift, TX 77983 Precinct # 10 Port O'Connor Library - 506 W. Main St., Port O'Connor TX 77982 Precinct # 11 During early voting, a voter may vote at any of the locations listed below: (Durante Votacl6n Adelantada, los votantes podrdn voter an cualquiera de los sitios de votacl6n nombradas abajo.) Location of Main Early Voting Polling Place Days and Hours of Operation Include Name of Building and Address Dias y Horas 1-16biles (Sitio principal de votaci6n adelantada) Incluir Nombre del Edificio y Direcci6n Calhoun County Courthouse See below Locations for Early Voting Polling Places Include Name of Building and Address (Sitios de votacl6n adelantada) Incluir Nombre del Edificio y Direcci6n Days and Hours of Operation Dias y Horas Hfibiles Calhoun County Courthouse October 23 - October 27 2023 8:00am - 5:00 m 211 S. Ann St. Port Lavaca TX 77979 Saturday October 28 2023 giWam -1:00 m October 30 thru November 01 2023 8:00am - 5:00 m November 02 & 03 2023 7:00am - 7:00pm Applications for ballot by mail shall be mailed to: (Las solicitudes pare boletas qua se votaran adelantada por correo deber6n enviarse a.) Mary Ann Orta Name of Early Voting Clerk (Nombre del Secretario/a de la Votaci6n Adelantada) 211 S. Ann St. Suite 103 Address (Direcci6n) Port Lavaca Texas 77979 City (Ciudad) Zip Code (C6d1go Postal) 361-553-4440 Telephone Number (Ndmero de tel6fono) mary.orta@calhouncotx.org Email Address (Direcci6n de Correo Electr6nico) Website: calhouncoeiections.org Early Voting Clerk's Website (Sitio web del Secretario/a de Votaci6n Adelantada) Applications for Ballots by Mail (ABBMs) must be received no later than the close of business on: (Las solicitudes para boletas que se votardn adelantada por correo debeMn recibirse no mas tardar de las horas de negocio el:) 10 / 27 12023 (date)(fecha) Federal Post Card Applications (FPCAs) must be received no later than the close of business on: (La Tarjeta Federal Postal de Solicitud debeMn recibirse no mds tardar de las horas de negocio el:) Issued this I LP 1 day of 20 ryl-). (day) (mei th) (year) (Emitada este dia� de�f� 20_.) ildfe) ges) W70 i� �-�--% Signature of Cou ty Judge (Fir del Juez del Condado) ORDER OF SPECIAL ELECTION (ORDEN DE ELECCION ESPECIAL) November 7, 2023 (07 de noviembre de 2023) An Election is hereby ordered to be held on November 7, 2023, in Calhoun County, Texas for the purpose of voting in a Special Election to adopt or reject the proposed Constitutional Amendments as submitted by the 88`" Legislature (see Exhibit A), Regular Session and a Second Special Session of the State of Texas. (Par la presente se ordena que se celebre una elecci6n el 7 de noviembre de 2023, en el Condado de Calhoun, Texas, con el prop6sito de votar en una Elecci6n Especial para adaptor o rechazar las enmiendas constitucionales propuestas presentadas par la Legislatura 882 (ver Anexo A), sesi6n Ordinaria y Segundo Sesi6n Especial del Estado de Texas.) For Early Voting, a voter may vote at any of the location listed below: (Para Votaci6n Adelantada, los votantes podr6n votar en cualquiera de las ubicaciones nombradas abajo.) Early voting will be Mondav through Friday starting Monday October 23, 2023 until Friday, November 3, 2023 NotingLocatiiom :iAddress.' Calhoun County Courthouse 211 S. Ann St. Port Lavaca, Texas 77979 Monday Tuesday z-gdnes0ay Thursday; ?Friday '` Saturday, 10/23/2023 10/24/2023 10/25/2023 10/26/2023 10/27/2023 10/28/2023 8:00am-5:00pm 8:00am-5:00pm 8:00am-5:00pm 8:00am-5:00pm 8:00am-5:00pm 9:00am-1:00pm 10/30/2023 10/31/2023 11/01/2023 11/02/2023 7:Open 11/03/2023 pm 7:Open 8:00am-5:00pm 8:00am-5:00pm 8:00am-5:00pm 12O hrs. Open 12 hrs. 12O hrs. Open 12 hrs. Applications for ballot by mail shall be mailed to: (Las solicitudes para boletas que se votarbn adelantada par correo deberbn enviarse a:) Mary Ann Orta, Early Voting Clerk (Nombre del Secretario/a de la Votaci6n Adelantada) 211 S. An n St, Port Lavaca, Texas 77979 (Direccidn) 361-553-4440 (Nbmero de teldfono) marv.orta@calhouncotxM (Direccidn de CorreaElectr6nico) his://www.calhouncoelections.o[g (Sitio web del Secretario/a de Votacibn Adelantada) Applications for Ballots by Mail (ABBMs) must be received no later than the close of business on October 27, 2023. (Las solicitudes para boletas que se votorcin adelantada par correo deberbn recibirse no m6s tardar de los horas de negocio el 10/27/2023.) Federal Post Card Applications (FPCAs) must be received no later than the close of business on October 27, 2023. (Lo Tarjeta Federal Postal de Solicitud deberbn recibirse no mBs tardar de Ins horas de negocio el 10/18/2023.) Issued this the day of August, 2023 (Emitida este dia de agosto, 2023) David Hull, Commissioner, Precinct 1 1 ichard Mey6r6alhoun County Judge Vern Lyssy, Commissioner, Precinct 2 _ fA 4 0 Joe Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 EXHIBIT A I Anew A Proposition 1—HJR 126 "The constitutional amendment protecting the right to engage in farming, ranching, timber production, horticulture, and wildlife management." N6mero de propuesta 1- HJR 126 "La enmienda constitucional que protege el derecho a dedicarse a la ogricultura, to ganaderla, la produccion de madera, la horticulture y la gesti6n de la vida silvestre". Proposition 2—SIR 64 "The constitutional amendment authorizing a local option exemption from ad valorem taxation by a county or municipality of all or part of the appraised value of real property used to operate a child-care facility." Numero de propuesta 2 -SIR 64 "La enmienda constitutional que autoriza una exenci6n opcional a nivel local de Impuestos ad valorem par un condado a municipio sabre to totalidad a parte del valor tosado de los bienes Inmuebles utilizados pars operar una instalacidn de cuidado infantil". Proposition 3—HJR 132 "The constitutional amendment prohibiting the imposition of an individual wealth or net worth tax, Including a tax on the difference between the assets and liabilities of an individual or family." N6mero de propuesta 3 - HJR 132 "La enmienda constitucional que prohibe la aplicaci6n de un impuesto sabre to riqueza o el patrimonio neto individual, to -que incluye un impuesto basodo en la diferencia entre los activos y posivos de una persona o fomilia". Proposition 4—HJR 2from the second special session "The constitutional amendment to authorize the legislature to establish a temporary limit on the maximum appraised value of real property other than a residence homestead for ad valorem tax purposes; to increase the amount of the exemption from ad valorem taxation by a school district applicable to residence homesteads from $40,000 to $100,000; to adjust the amount of the limitation on school district ad valorem taxes imposed on the residence homesteads of the elderly or disabled to reflect increases in certain exemption amounts; to except certain appropriations to pay for ad valorem tax relief from the constitutional limitation on the rate of growth of appropriations; and to authorize the legislature to provide for a four-year term of office for a member of the board of directors of certain appraisal districts." N6mero de propuesta 4 - HJR 2 (Segundo Sesidn Especial) "La enmienda constitucional para outorizar a la legislatura a establecer un Ilmite temporal sabre el valor mdxlmo de tasacidn de los bienes Inmuebles que no sean residencias familiares a efectos de impuestos ad valorem; a aumentar el man to de la exenci6n de impuestos ad valorem par un distrito escolar aplicable a las residencias familiares de $40,000 a $100,000,• a ajustar el man to de la limitacion de los impuestos ad valorem del distrito escolar oplicados a las residencias familiares de personas mayores o discapacitadas para reflejor los aumentos en ciertos montas de exenci6n; a exceptuar ciertas asignaciones de pagar para el alivio del impuesto ad valorem de la limitaci6n constitucional sabre la tasa de crecimiento de las asignaciones; y a autorizar a la legislatura a prever un mandato de cuatro anos de cargo para un miembro de la junta directiva de ciertos distritos de tasaci6n." Proposition 5—HJR 3 "The constitutional amendment relating to the Texas University Fund, which provides funding to certain institutions of higher education to achieve national prominence as major research universities and drive the state economy." N6mero de propuesta 5 - HJR 3 "La enmienda constitucional relacionada con el Fondo Universitarlo de Texas (Texas University Fund), que establece financiamiento para dertas instituciones de educati6n superior con el fln de lograr renombre nacional coma importantes universidades de investlgoci6n a impulsar to economla estatal". Proposition 6 —SJR 75 "The constitutional amendment creating the Texas water fund to assist in financing water projects in this state." N6mero de propuesta 6 - SJR 75 "La enmienda constitucional que crew el fondo de agua de Texas con elfin de facilltar el financiamiento de proyectos hidricos en este estado". Proposition 7 — SJR 93 "The constitutional amendment providing for the creation of the Texas energy fund to support the construction, maintenance, modernization, and operation of electric generating facilities." N6mero de propuesta 7 -SJR 93 "La enmienda constitucional que establece la creacibn del fondo de energia de Texas con el fin de apoyar la construccion, mantenimiento, modernizatidn y operacl6n de instalaciones generadoras de energia elcctrica". Proposition 8—HJR 12S "The constitutional amendment creating the broadband infrastructure fund to expand high-speed broadband access and assist in the financing of connectivity projects." N6mero de propuesta 8 - HJR 115 "La enmienda constitucional que crea el fondo pars infraestructura de bands ancha con elfin de expandir el acceso a la banda ancha de alto velocidad y facilitar el financiamiento de proyectos de conectividad". Proposition 9—HJR 2 "The constitutional amendment authorizing the 88th Legislature to provide a cost -of -living adjustment to certain annuitants of the Teacher Retirement System of Texas." N6mero de propuesta 9 - HJR 2 "La enmienda constitucional que autoriza a la 88a Legislatura a proporcionar un ajuste par costo de vide a ciertos beneficiarios del Sistema de Jubilacidn de Maestros de Texas". Proposition 30—SJR 87 "The constitutional amendment to authorize the legislature to exempt from ad valorem taxation equipment or inventory held by a manufacturer of medical or biomedical products to protect the Texas healthcare network and strengthen our medical supply chain." N6mero de propuesta 10 - SIR 87 "La enmienda constitucional que autoriza a la legislatura a eximir de impuestos ad valorem los equipos a inventarios pertenecientes a un fabricante de productos m6dicos a biomcdicos, con elfin de proteger a la red de otencidn m@dica de Texas y fortalecer nuestra cadena de suministro m6dico". Proposition 11—SJR 32 "The constitutional amendment authorizing the legislature to permit conservation and reclamation districts in El Paso County to issue bonds supported by ad valorem taxes to fund the development and maintenance of parks and recreational facilities." Ndmero de propuesta 11-SLR 32 "La enmienda constitucional que autoriza a la legislatura a permitir que los distritos de conservocibn y reclamaci6n en el Condado de El Paso emitan bonos respaldados por impuestos ad valorem pars financiar el desarrollo y mantenimiento de parques e instalaciones recreativas". Proposition 12 — HJR 134 "The constitutional amendment providing for the abolition of the office of county treasurer in Galveston County." Ndmero de propuesta 12 - HJR 134 "La enmienda constitucional que establece In abolicidn del cargo de tesorero del condado en el Condado de Galveston", Proposition 13—HJR 107 "The constitutional amendment to increase the mandatory age of retirement for state justices and judges." Ndmero de propuesta 13 - HJR 107Io enmienda constitucional para aumentar la edad obligatoria de jubilacidn para los magistrados y jueces estatales". Proposition 14— SJR 74 "The constitutional amendment providing for the creation of the centennial parks conservation fund to be used for the creation and improvement of state parks." Ndmero de propuesta 14 -5JR74 "l a enmienda constitucional que establece la creacidn del fondo de conservaci6n de los parques centenarios que se utilizar6 para la creaci6n y mejora de los parques estatales". #13 NOTICE OF MEETING 8/16/2023 13. Consider and take necessary action to approve the Specifications and Invitation to Bid Packet for the Calhoun County Combined Dispatch Facility Structured Date Cabling, Bid Number 2023.08, and authorize the County Auditor to advertise for bids. A pre -bid conference will be held at 10:00 a.m., Thursday, September 7, 2023 in the Commissioners' Courtroom, Suite 104, Calhoun County Courthouse. Bids will be due before 2:00:00 p.m. Thursday, September 21, 2023. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: - Commissioner Hall, Lyssy,;Behrens Page 10 of 18 Mae Belle Cassel From: demi.cabrera@calhouncotx.org (demi.cabrera) <demi.cabrera@calhouncotx.org> Sent: Thursday, August 10, 2023 3:14 PM To: MaeBelle.Cassel@calhouncotx.org Cc: ron.reger@calhouncotx.org; David Hall Subject: Agenda Item MaeBelle, Can you please place the following items on the agenda for Wednesday, August 16, 2023 court: Consider and take necessary action to approve the Specifications and Invitation to Bid Packet for the Calhoun County Combined Dispatch Facility Structured Data Cabling, Bid Number 2023.08, and authorize the County Auditor to advertise for bids. A pre -bid conference will be held at 10:00 am, Thursday, September 7, 2023 in the Commissioners Court Room, Calhoun County Courthouse. Bids will be due before 2:00:00 pm, Thursday, September 21, 2023. • Consider and take necessary action to authorize the County Auditor, to release, if applicable, any addenda's to the bidding documents, approved by Commissioner David Hall and IT Coordinator Ron Reger, that is related to the Calhoun County Combined Dispatch Facility Structured Data Cabling. V¢mi Cabrua Calhoun Counlg ��i�lanl oudilor .361 .553-4613 561-553-4614 U'nx) Calhoun County Texas CALHOUN COUNTY, TEXAS INVITATION TO BID CALHOUN COUNTY COMBINED DISPATCH FACILITY STRUCTURED DATA CABLING BID NUMBER: 2023.08 SEALED BIDS ARE DUE BEFORE: 2:00:00 PM, SEPTEMBER 21, 2023 AT THE OFFICE OF: Honorable Richard H. Meyer Calhoun County Judge Calhoun County Courthouse 211 South Ann Street 3rd Floor, Suite 301 Port Lavaca, Texas 77979 Public Opening of the Bids will be conducted immediately after the closing of the 2:00:00 PM deadline, September 21, 2023 in the County Judge's office, Calhoun County Courthouse, 211 South Ann Street, 3rd Floor, Suite 301, Port Lavaca, Texas 77979. Bids will be considered for award at a future meeting of the Calhoun County Commissioners Court. Award information will be sent to all vendors that submitted a Bid and, as time permits, will be posted on the County's website (www.calhouncotx.org) under Public Notices, Bid Notices and Results, Results, 2023. Page 1 of 54 CONTENTS • Invitation to Bid Letter • Return Instructions • General Conditions • Specifications for Calhoun County Combined Dispatch Facility Structured Data Cabling • Invitation to Bid Form • Exhibit 1— Calhoun County Dispatch Facility Plans • Exhibit 2 —Calhoun County Adult Detention Center Service Personnel Application • Additional Required Forms o Bidder Information Form o Affidavit o Conflict of Interest Questionnaire, Form CIQ o Certification Regarding Debarment & Suspension and Other Responsibility Matters o Certification Regarding Lobbying Activities o House Bill 89 Verification o Residence Certification o System for Award Management (SAM) Record Search (printout of search result) Page 2 of 54 INVITATION TO BID Notice is hereby given that the Commissioners Court of Calhoun County, Texas, will receive SEALED BIDS for: CALHOUN COUNTY COMBINED DISPATCH FACILITY STRUCTURED DATA CABLING BID NUMBER 2023.08 The project consists of installing fiber optic cabling and installing low voltage structured data cabling for the new Calhoun County Dispatch Facility that will be located at 312 West Live Oak Street, Port Lavaca, Texas 77979. This project is being supported, in whole or in part, by the Coronavirus State Fiscal Recovery Fund and Coronavirus Local Fiscal Recovery Fund, Assistance Listing 21.027 awarded to Calhoun County by the U.S. Department of the Treasury. The bidder may submit a bid for both parts or just one. The complete Invitation to Bid Packet can be downloaded from the County's website, www.calhouncotx.org (under Public Notices, Bid Notices and Results, Bid Notices, 2023) or by contacting Demi Cabrera, Assistant Auditor, at demi.cabrera@calhouncotx.org or 361-553-4613. A Pre -Bid Conference will be held at 10:00 am local time, September 7, 2023. Meeting location will start in the Commissioners Courtroom, Calhoun County Courthouse, 211 South Ann Street, 1" Floor, Suite 104, Port Lavaca, Texas 77979. Potential bidders are strongly urged to attend. Due to part of the meeting being held inside the Adult Detention Center, it is recommended ALL BIDDERS attending the meeting fill out the Calhoun County Adult Detention Center Service Personnel Application Form and return the form to each (all) of the following by Wednesday, September 6, 2023 so that background checks may be completed before the meeting. 1. Rachel Martinez, Jail Administrator, rachel.martinezCc calhouncotx.ore 2. Philip Dennis, Assistant Jail Administrator, philio.dennisPcalhouncotx.ore 3. Katie Dennis, katie.dennis@calhouncotx.org 4. Bobbie Vickery, Sheriff, bobbie.vickerv@calhouncotx.org Bidders must submit with their bid, a bid bond, issued by an acceptable surety, or a certified check, payable to Calhoun County, in the amount of not less than five percent (5%) of the total bid submitted. Bids submitted without the required security will not be considered. All contractors and subcontractors must be cleared (not suspended or debarred) prior to any formal action authorizing the award of a contract to the contractor and for the duration of the project. SEALED BIDS MAY BE HAND DELIVERED OR MAILED TO: Honorable Richard H. Meyer Calhoun County Judge Calhoun County Courthouse 211 South Ann Street 3' Floor, Suite 301 Port Lavaca, TX 77979 Page 3 of 54 All bids must be delivered to the Office of the Calhoun County Judge in a sealed 9x12 or larger envelope and clearly marked on the outside of the envelope, or the UPS/Fed Ex/other Delivery Service envelope: Sealed Bid: Calhoun County Combined Dispatch Facility Structured Data Cabling, Bid Number 2023.08 Sealed bids consisting of one (1) original and three (3) printed copies of the complete bid and required forms are DUE BEFORE 2:00:00 PM local time, September 21, 2023 in the County Judge's office, Calhoun County Courthouse, 211 South Ann Street, 3rd floor, Suite 301, Port Lavaca, Texas. At this time, all bids will be publicly opened and read aloud in the conference room located in the County Judge's office. It is the responsibility of the submitting bidder to ensure that the sealed Bid is received in a timely manner. Calhoun County does not accept faxed or emailed Bids. Calhoun County accepts no financial responsibility for any cost incurred by any entity in the course of responding to the Bid. Bids received after the deadline will not be opened and will not be considered for award, regardless of whether or not the delay was outside of the control of the submitting bidder. The cell phone in the County Judge's office or the cell phone of the County Auditor's Representative will be the official clock that shall be used in determining the time the Bid is received and the 2:00:00 PM deadline. Calhoun County reserves the right to reject any or all bids or to waive any informalities in the bidding and to award to the responsible bidder submitting the best qualified acceptable bid who, in the opinion of Calhoun County, offers the bid in the best interest of the County. Bids may be held by Calhoun County for a period not to exceed sixty (60) days from the date of the bid opening for the purpose of reviewing the bids and investigating the bidder's qualifications prior to the contract award. The successful bidder will be required to purchase and furnish a Performance Bond and a Payment Bond, each in the full amount of the contract, written by a responsible surety company authorized to do business in the State of Texas, as required by Article 5160, V.A.T.C.S., as amended by H.B. 344, passed by the Legislature, Regular Session, 1959. Attention is called to the fact that not less than, the federally determined prevailing (Davis -Bacon and Related Acts) wage rates, as issued by the Department of Labor and contained in the contract documents, must be paid on this project. In addition, the successful bidder must ensure that employees and applicants for employment are not discriminated against because of age, race, color, religion, sex, sexual orientation, gender identity, national origin, handicapped status or limited English proficiency. Adherence to the grant recipient's Section 3 Policy is required for contracts and subcontracts in excess of $100,000.00. Calhoun County, Texas is an Affirmative Action/Equal Opportunity Employer. The County does not discriminate on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age or handicapped status in employment or the provision of services. Section 3 Residents, Minority Business Enterprises, Small Business Enterprises, Women Business Enterprises, and Labor Surplus Area Firms are encouraged to submit Bids. Cindy Mueller County Auditor Calhoun County, Texas Page 4 of 54 RETURN INSTRUCTIONS For Submitting a Bid for the Calhoun County Combined Dispatch Facility Structured Data Cabling Bid Number: 2023.08 Return the following BEFORE 2:00:00 PM. SEPTEMBER 21, 2023 Return One (1) Original and three (3) printed copies of the following: Invitation to Bid Form Bidder Information Form Affidavit Conflict of Interest Questionnaire, Form CIO Certification Regarding Debarment & Suspension and Other Responsibility Matters Certification Regarding Lobbying Activities House Bill 89 Verification Residence Certification M11 System for Award Management (SAM) Record Search (print out of search results) Do Not Fold any of the above information. Bid must be returned in a sealed 9 x 12 or larger envelope clearly marked: SEALED BID - CALHOUN COUNTY COMBINED DISPATCH FACILITY STRUCTURED DATA CABLING, BID NUMBER: 2023.08 If you send your bid by UPS, FeclEx or other delivery service, the outside of this sealed envelope must be clearly marked: SEALED BID - CALHOUN COUNTY COMBINED DISPATCH FACILITY STRUCTURED DATA CABLING, BID NUMBER: 2023.08 Submit Sealed Bid to: Honorable Richard H. Meyer, County Judge Calhoun County Courthouse 211 S. Ann St., 3rd Floor, Suite 301 Port Lavaca, TX 77979 Bid must be sealed (with the glue on the envelope or tape) Page 5 of 54 CALHOUN COUNTY, TEXAS GENERAL CONDITIONS General Conditions apply to all advertised Invitations to Bid (hereinafter called Bid), Request for Proposals (hereinafter called RFP), Request for Qualifications (hereinafter called RFQ), Contracts/Agreements/Leases (hereinafter called Contract); however these may be superseded in whole or in part by the scope, special requirements, specifications or special sections of Texas Government Code and/or Texas Local Government Code. Governing Law: Bidder/Vendor is advised that the Bid, RFP, RFQ and/or Contract shall be fully governed by the laws of the State of Texas and that Calhoun County may request and rely on advice, decisions and opinions of the Attorney General of Texas and the County Attorney concerning any portion of the Bid, RFP, RFQ and/or Contract. All parties agree thatthe venue for any litigation arising from this Bid, RFP, RFQ and/or Contract shall be held in Port Lavaca, Calhoun County, Texas. Completion of Bid, RFP, RFQ, and/or Contract Forms: Once the Bid, RFP, RFQ and/or Contract is released for bidding, Calhoun County will not answer any questions except through an addendum that has been approved by Calhoun County Commissioners Court or at a mandatory pre -bid meeting. Complete, sign, and return to the Calhoun County Judge's Office the required number of Bid forms, RFP forms, RFQ forms, and/or Contracts, and any other required information by the day and time the Bid, RFP, RFQ, and/or Contract is due. The Bid, RFP, RFQ, and/or Contract must be signed and dated by an officer, employee or agent who is duly authorized to execute this Bid, RFP, RFQ, and/or Contract, and affirms that this company, corporation, firm, partnership or individual has not prepared this Bid, RFP, RFQ, and/or Contract in collusion with any other bidder/vendor or any official or employee of Calhoun County, and that the contents of this Bid, RFP, RFQ and/or Contract as to prices, terms or conditions of said Bid, RFP, RFQ and/or Contract have not been communicated by the individual signing nor by any employee or agent to any other person engaged in this type of business or to any official or employee of Calhoun County prior to the official opening of this Bid, RFP, RFQ, and/or Contract. The use of liquid paper or white out is not acceptable and may result in the disqualification of the bidders/vendor's Bid, RFP, RFQ and/or Contract. If an error is made, the bidder/vendor must draw a line through the error and initial each change. All responses typed or handwritten in ink must be clear and legible. Submission of Sealed Bid, RFP, RFQ, and/or Contract: All Bids, RFPs, RFQs, and/or Contracts must be delivered to the County Judge's Office in a SEALED envelope. When submitting a SEALED Bid, RFP, RFQ, and/or Contract the envelope must be taped and/or glued closed in order for it to be accepted as a SEALED Bid, RFP, RFQ, and/or Contract. The bidder/vendor must submit the original and required number of copies of their completed Bid, RFP, RFQ and/or Contract and any additional required information/forms in a SEALED envelope to the Calhoun County Judge's Office, Calhoun County Courthouse, 211 South Ann Street, 3rd Floor, Suite301, Port Lavaca, Texas. The Bid, RFP, RFQ, and/or Contract will specify the date and time due. Page 6 of 54 The cell phone in the County Judge's office or the cell phone of the County Auditor's Representative is the official clock that will be used in determining the time the Bid, RFP, RFC, and/or Contract is received and the time deadline that the Bid, RFP, RFQ, and/or Contract will be opened. A late delivery with an early postmark or delivery of the Bid, RFP, RFQ and/or Contract to the wrong office will not suffice. Bids, RFPs, RFQs, and/or Contracts received after the deadline will not be considered for award, regardless of whether or not the delay was outside of the control of the submitting bidder/vendor. The door to the County Judge's office will be closed once the due date and time has been reached and no other bids will be accepted. Calhoun County will not be responsible for the delivery of your Bid, RFP, RFQ, and/or Contract to the office of the Calhoun County Judge. Calhoun County is not responsible for late deliveries due to postal mail or other mail delivery services delays. Calhoun County is not responsible for the delivery of the Bid, RFP, RFQ and/or Contract to the wrong office. Calhoun County does not accept faxed or emailed Bids, RFPs, RFQs, and/or Contracts. If the bidder/vendor would like to confirm the delivery of their Bid, RFP, RFQ, and/or Contract, the bidder/vendor may call the Calhoun County Judge's office at 361-553-4600. Late Bids, RFPs, RFQs, and/or Contracts will not be accepted. Bids, RFPs, RFQs, and/or Contracts received after the deadline will not be opened and shall be considered void and unacceptable. Bids, RFPs, RFQs, and/or Contracts must be submitted in a SEALED 9 x 12 or larger envelope, addressed as follows: Richard H. Meyer, County Judge, Calhoun County Courthouse, 211 S. Ann St., Suite 301, Port Lavaca, TX 77979. The outside of the SEALED envelope must be clearly marked: SEALED BID (RFP, RFQ, or Contract) and the name of the Bid, RFP, RFQ or Contract. If the Bid, RFP, RFQ, and/or Contract is sent by UPS, FeclEx or other delivery service, the outside of this envelope must be clearly marked: SEALED Bid (RFP, RFQ or Contract) and the name of the Bid, RFP, RFQ or Contract. Withdrawal of Bid. RFP, RFQ. and/or Contract: A bidder/vendor may withdraw their Bid, RFP, RFC, and/or Contract before Calhoun County's acceptance of the Bid, RFP, RFQ and/or Contract without prejudice to the bidder/vendor, by submitting a written request for its withdrawal to the Calhoun County Judge and mail or hand deliver to the address the Bid, RFP, RFQ and/or Contract was submitted to. A Bid, RFP, RFQ and/or Contract that was opened are not subject to amendment, alteration, or change for the purpose of correcting an error in the Bid, RFP, RFQ and/or Contract price. Bids, RFPs, RFQs, and/or Contracts containing an error may be offered "as is" or withdrawn by the bidder/vendor in accordance with applicable State Laws. Opening and Award of Bid. RFP, RFCL and/or Contract: Bidders/vendors are invited to be present at the opening and awarding of the Bid, RFP, RFQ and/or Contract. Governing Forms: In the event of any conflict between the terms and provisions of these conditions, the Bid, RFP or RFQ specifications or contract, if applicable, shall govern. In the event of any conflict of interpretation of any part of this overall document, Calhoun County's interpretation shall govern. Addendums: When specifications are revised, the Calhoun County Auditor's Office will send each bidder/vendor that received a Bid, RFP, RFQ and/or Contract packet the addendum once it has been approved by Calhoun County Commissioners Court. No addendum can be sent out until Calhoun County Commissioners Court has approved the addendum or approved the addendum to be sent out by the Engineer with the approval from the County Commissioner or County Department in charge of the project. Page 7 of 54 Indemnification/Hold Harmless: The successful bidder/vendor shall defend, indemnify and hold Calhoun County and its officials, agents, and employees harmless from all suits, actions, orfor personal injury, death and/or property damage arisingfrom any cause whatsoever, resulting directly or indirectly from bidder's/vendor's performance. Bidder/vendor shall procure and maintain, with respect to the subject matter of this Bid, RFP, RFC, and/or Contract, appropriate insurance coverage including, as a minimum, general liability and property damage, workers' compensation, employer's liability and auto insurance with adequate limits to cover bidder's/vendor's liability as may arise directly or indirectly from work performed under terms of this Bid, RFP, RFC, and/or Contract. Certification of such coverage shall name, by policy endorsement, Calhoun County as an additional insured and be provided to Calhoun County upon request. Waiver of Subrogation: Bidder/vendor and bidder's/vendor's insurance carrier shall waive any and all rights whatsoever with regard to subrogation against Calhoun County and its respective officials, employees, and insurers as an indirect party to any suit arising out of personal or property damages resulting from bidder's/vendor's performance under this Bid, RFP, RFC, and/or Contract. Insurers and all policies of insurance provided shall contain a provision and/or endorsement stating that the insurance carriers and underwriters waive all rights of subrogation in favor of Calhoun County and its respective officiafs, employees, and insurers. Bonds: If the Bid, or RFP, requires submission of bid or proposal guarantee and performance bond, there will be a separate page explaining those requirements. Bids or RFPs submitted without the required bid bond or cashier's checks are not acceptable. Taxes: Calhoun County is exempt from all sales tax (state, city and county sales tax) and federal excise taxes under Section 151.309 of the Texas Tax Code. Tax exempt forms will be furnished upon request to the bidder/vendor. Tax exempt forms can be obtained from the Calhoun County Auditor's Office. Bidder/vendor is to issue its Texas Resale Certificate to vendors and subcontractors for such items qualifying for this exemption, and further, bidder/vendor should state these items at cost. Pricing: Prices for all products/goods, services, and/or contracts shall be firm for the duration of the Bid, RFP, and/or Contract and shall be stated on the Bid, RFP, and/or Contract form. Prices shall be all inclusive. All prices must be written in ink or typewritten and must be legible. Pricing on all transportation, freight, and other charges are to be prepaid by the bidder/vendor and included in the Bid, RFP, and/or Contract prices. If there are any additional charges of any kind, other than those mentioned above, specified or unspecified, bidder/vendor must indicate the items required and their costs or forfeit the right to payment for such items. Additional charges added to the Bid, RFP, and/or Contract prices may void the Bid, RFP, and/or Contract. Where unit pricing and extended pricing differ, unit pricing prevails. Inspections: Calhoun County reserves the right to inspect any products/goods or service location for compliance with specifications and requirements and needs of the using department before accepting them. When applicable, Calhoun County reserves the right to enter upon any County leased premises at any time to inspect said premises. Page 8 of 54 Testing: Calhoun County reserves the right to test equipment, supplies, materials, and products/goods bid, proposed, and/or agreed upon for quality, compliance with specifications and ability to meet the needs of the user. Should the equipment, supplies, materials, products/goods and/or services fail to meet requirements and/or be unavailable for evaluation, the Bid, RFP, and/or Contract is subject to rejection. Material Safety Data Sheets: Under the "Hazardous Communications Act", commonly known as the "Texas Right To Know Act", a bidder/vendor must provide to Calhoun County with each delivery, material safety data sheets which are applicable to hazardous substances defined in the Act. Failure of the bidder/vendor to furnish this documentation will be cause to reject any Bid, RFP, and/or Contract applying thereto. Awards: Calhoun County reserves the right to award this Bid, RFP, RFQ, and/or Contract on the basis of lowest and/or best Bid, RFP, RFQ and/or Contract that met specifications in accordance with the laws of the State of Texas, to waive any formality or irregularity, to make awards to more than one bidder/vendor, to reject any or all Bids, RFPs, RFQs, and/or Contracts and to be the sole judge in determining which Bid, RFP, RFC, and/or Contract will be most advantageous to Calhoun County. Calhoun County will evaluate and may award a Bid, RFP, RFC, and/or Contract based on lowest and/or best Bid, RFP, RFQ and/or Contract meeting specifications. "Lowest and/or best Bid, RFP, RFQ, and/or Contract" means a bid or offer providing the best value considering associated direct and indirect costs, including transport, maintenance, reliability, life cycle, warranties, the county's past experience with the bidder/vendor and customer service after a sale. Calhoun County reserves the right to accept and/or reject any/all of the options Bid, any/all of the RFPs, any/all of the RFQs, and/or any/all of the Contracts as it deems to be in the best interest of the County. An award is final only upon formal execution by Calhoun County Commissioners Court. Per Local Government Code, Sec. 262.027, Calhoun County reserves the right to reject all Bids, RFPs, RFQs, and/or Contracts and to go out for new Bids, RFPs, RFQs, and/or Contracts. In the event of tie Bids, RFPs, RFQs, and/or Contracts, the winning Bid, RFP, RFC, and/or Contract is determined per the Texas Local Governmental Code 262.027(b). Calhoun County, Texas is an Affirmative Action/Equal Opportunity Employer. The County does not discriminate on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age or handicapped status in employment or the provision of services. Section 3 Residents, Minority Business Enterprises, Small Business Enterprises, Women Business Enterprises, and labor surplus area firms are encouraged to submit Bids, RFPs, RFQs, and/or Contracts. Assignment: The successful bidder/vendor may not assign, sell, sublease or otherwise transfer the Bid, RFP, RFC, and/or Contract without first obtaining the written approval of Calhoun County Commissioners Court. A change in ownership or management shall cancel the Bid, RFP, RFQ and/or Contract unless a mutual agreement is reached with the new owner or manager to continue the Bid, RFP, RFC, and/or Contract under the awarded provisions and approved by Calhoun County Commissioners Court. Term of the Bid. RFP. RFQ. and/or Contract: If the Bid, RFP, RFQ, and/or Contract is intended to cover a specific time period, said time will be given in the specifications, instructions, and/or contracts. Page 9 of 54 Obligation of the Bid, RFP, RFQ, and/or Contract: Bids, RFPs, RFQs, and/or Contracts are awarded only upon formal execution by Calhoun County Commissioners Court. If a contract is required, the Calhoun County Judge or other person authorized by Calhoun County Commissioners Court must sign the contract before it becomes binding on Calhoun County. No person is authorized to sign contracts until authorized by Calhoun County Commissioners Court. Calhoun County is not responsible for any contract signed without Commissioners Court approval. Delivery: All items shall be shipped F.O.B. inside (or site location) delivery unless otherwise stated in the specifications. Default in promised delivery (without accepted reasons) or failure to meet specifications, authorizes Calhoun County to purchase supplies from the next lowest bidder/vendor that met specifications. Resections: Articles not in accordance with samples and specifications must be removed by the bidder/vendor at the bidder's/vendor's expense. All disputes concerning quality of equipment, supplies, materials, products/goods, and/or services delivered under this Bid, RFP, RFQ, and/or contract will be determined by Calhoun County Commissioners Court or their designated representative. Termination: Calhoun County reserves the right to terminate the Bid, RFP, RFQ, and/or Contract for default if the bidder/vendor breaches any of the terms therein, including warranties of bidder/vendor or if the bidder/vendor becomes insolvent or commits acts of bankruptcy. Such right of termination is in addition to and not in lieu of any other remedies, which Calhoun County may have in law or equity. Default may be construed as, but not limited to, failure to deliver the proper products/goods and/or services within the proper amount of time, and/or to properly perform any and all services required to Calhoun County's satisfaction and/or to meet all other obligations and requirements. Bids, RFPs, RFQs, and/or Contracts may be terminated without cause upon thirty (30) days written notice to either party unless otherwise specified. The bidder/vendor or Calhoun County must state therein the reasons for such cancellation. Calhoun County reserves the right to award cancelled Bid, RFP, RFQ, and/or Contract to the next lowest and best bidder/vendor that met specifications and is deemed to be in the best interest of Calhoun County. Delinquent Property Taxes: Calhoun County reserves the right to reject any Bid, RFP, RFQ, and/or Contract submitted by a bidder/vendor owing delinquent property taxes to Calhoun County, Texas. If the bidder/vendor subsequently becomes delinquent in the payment of Calhoun County taxes this may be grounds for cancellation of the Bid, RFP, RFQ, and/or Contract. Despite anything to the contrary, if the bidder/vendor is delinquent in payment of Calhoun County taxes at the time of invoicing, bidder/vendor assigns any payments to be made under this Bid, RFP, RFQ, and/or Contract to the Calhoun County Tax Assessor Collector for the payment of delinquent taxes. Certificate of Interested Parties — Form 1295 Section 2252.908 was added to the Government Code by the 80 Texas Legislature through adoption of House Bill 1295. Senate Bill 255 adopted by the 85th Legislature Regular Session amended the law effective for contracts entered into or amended on or after January 1, 2018. Page 10 of 54 Additional exemptions from Form 1295 requirement were added for 1) a contract with a publicly traded business entity, including a wholly owned subsidiary of the business entity, 2) a contract with an electric utility as defined by Section 31.002 of the Utilities Code, or3) a contractwith a gas utility as defined by Section 121.001 of the Utilities Code. Notarization of Form 1295 has been replaced by an unsworn statement under penalty of perjury by an authorized representative of the business entity. The Texas Ethics Commission promulgated rules to implement the law and established an online portal: https://www.ethics.state.tx.us/whatsnew/elf—info—forml295.htm. The law states that a County may not enter into a contract with a business entity unless a Certificate of Interested Parties (Form 1295) has been completed and provided to the County at the time the contract is considered for action by Commissioners Court. The term "business entity" includes a sole proprietorship, partnership or corporation (whether for -profit or non-profit). The term "contract" includes amendment, extension or renewal of an existing contract (Bids, RFPs, and/or RFQs also require Form 1295). The law does not apply to a Bid, RFP, RFQ, and/or Contract between the County and another governmental entity or state agency. The county is required to file Form 1295 with the state within thirty (30) days of approving a contract, and/or awarding a Bid, RFP, RFQ and/or Contract with a business entity. Governmental transparency is the objective ofthelaw. A business entity must generate Form 1295 online. A business entity must use the application at the Texas Ethics Commission website to enter the required information on Form 1295 and print a copy of the completed form, which will include a certification of filing that will contain a unique certification number and date filed in the box marked "Office Use Only" located at the top right hand corner of the form. An authorized agent of the business entity must sign and complete the bottom portion of the printed copy of the form affirming under the penalty of perjury that the completed form is true and correct. Calhoun County Commissioners Court will not consider for action any Contract with a business entity unless it is accompanied by a completed and signed Form 1295 or a signed statement declaring the provision of the law under which the business entity is exempt. A business entity will generate Form 1295 online after notification of award and submit with their signed contract. (See Attachment A to General Conditions) No later than thirty (30) days after Calhoun County Commissioners Court approves a contract with a business entity, the Calhoun County Clerk will file acknowledgement of receipt of the Form 1295 with the Texas Ethics Commission. The Texas Ethics Commission will post the completed Form 1295 to its website within seven (7) business days after Calhoun County acknowledges receipt of the form. Debarment: Bidder/vendor certifies that at the time of submission of its (their) Bid, RFP, RFC, and/or Contract, the bidder/vendor, as well as the bidder's/vendor's principals, are not on the federal government's list of suspended, ineligible or debarred bidders/vendors and that the bidder/vendor and its (their) principals have not been placed on this list between the time of the Bid, RFP, RFQ, and/or Contract submission and the time of execution of the Bid, RFP, RFC, and/or Contract. A print out of the search results that includes the record date showing that the Company, and its Principals, if any, have an active registration with the System for Award Management (www.SAM.gov) AND are not Page 11 of 54 debarred or suspended nor otherwise on the Excluded Parties List System (EPLS) in the System for Award Management (SAM) must be included with the bidder's/vendor's Bid, RFP, RFQ, and/or Contract. If bidder/vendor or its (their) principals are placed on this list during the term of the Bid, RFP, RFC, and/or Contract, the bidder/vendor shall notify the Calhoun County Auditor. False certification or failure to notify may result in termination of the Bid, RFP, RFQ and/or Contract for default. Invoices and Payments: All invoices are subject to approval by the Calhoun County Auditor's Office. Invoices shall be billed to Calhoun Countyto the attention of the County Department thatthe invoice pertains to and, if applicable, have all necessary backup information needed. Invoices shall be itemized (detailed) and free of sales tax (state, city and county sales tax) and federal excise taxes, if applicable. Invoices that are not billed to Calhoun County to the attention of the County Department that the invoice pertains to, not itemized (detailed) and/orfree of sales tax (state, city and county sales tax) and federal excise taxes, if applicable, may be returned to the bidder/vendor for corrections. Calhoun County will not incur any fees and/or charges for this request and/or delay in payment of the invoice(s) that was originally submitted incorrectly. Approval of payment of all invoices will be made once the purchase order and invoice(s) are properly and timely submitted to the Calhoun County Treasurer's Office by the appropriate County department. Each County department is responsible for submitting their purchase orders for payment to the Calhoun County Treasurer's Office by the deadline time and date set forth by the Treasurer's office. No payment can be made or mailed out until approved by Calhoun County Commissioners Court. Purchase order due dates/times and Commissioners Court dates/times are subject to change. Calhoun County's obligation is payable only and solely from funds available forthe purpose of this purchase. Lack of funds shall render the order null and void to the extent funds are not available and any delivered but unpaid goods will be returned to the seller by the county. Gratuities: Calhoun County may, by written notice to the bidder/vendor, cancel any order and/or service without liability, if it is determined by Calhoun Countythat gratuities, in the form of entertainment, gifts, or otherwise were offered or given by the bidder/vendor, or any agent or representative of the bidder/vendor to any official, employee, or agent of Calhoun County with a view toward securing a Bid, RFP, RFQ Contract, order, and/or service. In the event a Bid, RFP, RFC, Contract, order, and/or service is canceled by Calhoun County pursuant to this provision, the County shall be entitled, in addition to any other rights and remedies, to recover or withhold the amount of the cost incurred by bidder/vendor in providing such gratuities. Warranty Product: Bidder/vendor warrants that products/goods sold to and/or services provided to Calhoun County shall conform to the highest commercial and/or professional standards in the industry and laws established by the U.S. Department of Labor, U.S. Department of Homeland Security, Occupational Safety and Health Administration and OSHA Act of 1970. In the event products/goods sold and/or services provided do not conform to OSHA Standards, where applicable, Calhoun County shall return the product/item for correction or replacement at the bidder's/vendor's expense. In the event that services do not conform to OSHA Standards, Calhoun County Page 12 of 54 may immediately stop the services and seek reimbursement for said services at the bidder's/vendor's expense. In the event the bidder/vendor fails to make the appropriate correction within a reasonable time, correction made by Calhoun County shall be at the bidder's/vendor's expense. Bidder/vendor shall not limit or exclude any implied warranties and any attempt to do so shall render this Bid, RFP, RFQ and/or Contract voidable at the option of Calhoun County. Bidder/vendor warrants that the products/goods and/or services furnished and/or performed will conform to the specifications, scope of work, general conditions, drawings, and/or descriptions listed in the Bid, RFP, RFQ and/or Contract and to the sample(s) furnished by bidder/vendor, if any. In the event of a conflict between the specifications, scope of work, general conditions, drawings, and/or descriptions, the specifications shall govern. All products/goods must be new, in first class condition, unless otherwise specified. The design, strength and quality of materials must conform to the highest standards of manufacturing practice. Products/goods, and/or services supplied and/or performed under this Bid, RFP, RFC, and/or Contract shall be subject to Calhoun County's approval. Successful bidder/vendor shall warrant that all products/goods and/or services shall conform to the proposed specifications and/or all warranties as stated in the Uniform Commercial Code and be free from all defects in material, workmanship and title. Any products/goods and are services found defective or not meeting specifications shall be picked up and promptly replaced or corrected to Calhoun County's satisfaction by the successful bidder/vendor at no expense to Calhoun County. Cancellation: Calhoun County shall have the right to cancel for default all or any part of the undelivered portion of an order and/or services if bidder/vendor breaches any of the terms hereof including warranties of bidder/vendor, or if the bidder/vendor becomes insolvent or files for protection under the bankruptcy laws. Such rights of cancellation are in addition to and not in lieu of any other remedies, which Calhoun County may have in law or equity. Calhoun County shall not incur any fees and/or charges related to the cancellation. The bidder/vendor shall be responsible for any fees and/or charges that are related to the cancellation. Force Maieure: Force Majeure means a delay encountered by a party in the performance of its obligations under this Bid, RFP, RFQ, and/or Contract, which is caused by an event beyond the reasonable control of that party. Without limiting the generality of the foregoing, "Force Majeure" shall include but not be restricted to the following types of events: acts of God or public enemy; acts of governmental or regulatory authorities; fires, floods, epidemics or serious accidents; unusually severe weather conditions; strikes, lockouts, or other labor disputes; and defaults by subcontractors. In the event of a Force Majeure, the affected party shall not be deemed to have violated its obligations under this Bid, RFP, RFQ, and/or Contract, and the time for performance of any obligations of that party shall be extended by a period of time necessary to overcome the effects of the Force Majeure, provided that the foregoing shall not prevent this Bid, RFP, RFC, and/or Contract from terminating in accordance with the termination provisions. If any event constituting a Force Majeure occurs, the affected party shall notify the other parties in writing, within twenty-four (24) hours, and disclose the estimated length of delay, and cause of the delay. Page 13 of 54 Waiver: No claim or right arising out of a breach of any Bid, RFP, RFC, and/or Contract can be discharged in whole or in part by a waiver or renunciation of the claim or right unless the waiver or renunciation is supported by consideration and is in writing signed by the aggrieved party. Applicable Law: To the extent it is applicable, this Bid, RFP, RFQ, and/or Contract shall be governed by the Uniform Commercial Code. Whenever the term "Uniform Commercial Code" is used it shall be construed as meaning the "Uniform Commercial Code" as adopted in the State of Texas as effective and in force on the date of this Bid, RFP, RFC, and/or Contract. Otherwise, Texas state and federal law shall apply. Prohibition against Personal Interest in Bids. RFPs, RFQs, and/or Contracts: No official, employee, or agent of Calhoun County shall have financial interest, direct or indirect, in any Bid, RFP, RFQ and/or Contract with Calhoun County, or shall be financially interested, directly or indirectly, in the sale/lease to Calhoun County of any land, materials, supplies, or service, except on behalf of Calhoun County as an official, employee, or agent. Any willful violation of this section shall constitute malfeasance in office, and any official, employee, or agent guilty thereof shall be subject to disciplinary action under applicable laws, statutes and codes of the State of Texas. Any violation of this section, with the knowledge, expressed or implied of the company, corporation, firm, partnership, or individual contractingwith Calhoun Countyshall render the Bid, RFP, RFQ and/or Contract involved voidable by the Calhoun County Commissioners Court. Insurance: Proof (copy of bidder's/vendor's current insurance) of the below listed insurance may be required to be returned with the Bid, RFP, RFQ and/or Contract. As additional security for Calhoun County and as separate obligations of bidder/vendor not in conjunction with any other provisions of the Bid, RFP, RFQ and/or Contract, bidder/vendor agrees to carry and maintain during the term of the Bid, RFP, RFQ and/or Contract the minimum insurance coverages stated below. Before commencing work, the successful bidder/vendor shall be required, at his own expense, to furnish the Calhoun County Auditor within ten (10) days of notification of award with a certificate(s) of liability insurance (Form ACORD 25 or equivalent) showing, at least, the following minimum insurance coverage to be in force throughout the term of the Bid, RFP, RFQ and/or Contract. Higher rates and/or additional coverage may apply depending upon type of Bid, RFP, RFQ and/or Contract. o General Liability ($100,000/$300,OOOorgreater) o Workers' Compensation (at Statutory Limits) o Employer's Liability ($1,000,000 or greater) o Auto Insurance ($100,000 BIPP/$300,000 BIPO/$100,000 PD or greater) c Professional Liability Insurance (if applicable) o Farm Liability Insurance (if applicable) Coverages shall apply on an occurrence basis. The certificate(s) must reflect, by policy endorsement, that Calhoun County, Texas is an additional insured on all required policies. Each certificate of liability insurance (Form ACORD 25 or equivalent) to be furnished by successful bidder's/vendor's insurance agent shall include, by endorsement to the policy, a statement that a notice shall Page 14 of 54 be given to the Calhoun County Auditor by certified mail thirty (30) days prior to cancellation, material change, or non -renewal in coverage. Calhoun County's receipt of or failure to object to any insurance certificates or policies submitted by the bidder/vendor does not release or diminish in any manner the liability or obligations of the bidder/vendor or constitute a waiver of any of the insurance requirements for the Bid, RFP, RFQ and/or Contract. Replacement certificate(s) of liability insurance (Form ACORD 25 or equivalent) evidencing continuation of such coverage and naming, by policy endorsement, Calhoun County as an additional insured, shall be furnished to the Calhoun County Auditor's office prior to the expiration of the current policies. Should bidder/vendor at any time neglect, refuse to provide, or cancel the insurance required, Calhoun County shall have the right to terminate the Bid, RFP, RFQ and/or Contract or pursue any remedy available by law. The insurance coverage requirements in the Bid, RFP, RFQ and/or contract will in no way be construed as limiting the scope of indemnification. OSHA Requirements: Bidder/vendor must meet all Federal and State OSHA requirements. The bidder/vendor hereby guarantees to Calhoun County that all materials, supplies, equipment and/or services listed on the Bid, RFP, RFC, Contract, Purchase Order or Invoice shall conform to the requirements, specifications and standards promulgated by the U.S. Department of Labor under the Occupational Safety and Health Act of 1970, as amended and in force at the date hereof. Protest Procedures: All protests and disputes will be held in Port Lavaca, Calhoun County, Texas. Any actual or prospective bidder/vendor who believes they are aggrieved in connection with or pertaining to a Bid, RFP, RFQ, and/or Contract may file a protest. The protest must be delivered in writing to the Calhoun County Auditor's Office, in person or by certified mail return receipt requested prior to award. The written protest must include: o Name, mailing address and business phone number of the protesting party; o Appropriate identification of the Bid, RFP, RFQ, and/or Contract being protested; o A precise statement of the reasons forthe protest; and o Any documentation or other evidence supporting the protest and any alleged claims. The Calhoun County Auditor's Office will attempt to resolve the protest, including at the County Auditor's option, meeting with the protesting party. If the protest is successfully resolved by mutual agreement, written verification of the resolution, with specifics on each point addressed in the protest, will be forwarded to Calhoun County Commissioners Court. If the Calhoun County Auditor's Office is not successful in resolving the protest, the protesting party may request in writing that the protest be considered by Calhoun County Commissioners Court. Applicable documentation and other information applying to the protest will be forwarded to Calhoun County Commissioners Court, who will promptly review such documentation and information. If additional information is required, Calhoun County Commissioners Court will notify the protesting party to provide such information. The decision of Calhoun County Commissioners Court will be final. Page 15 of 54 Public Information Act: All governmental information is presumed to be available to the public. Certain exceptions may apply to the disclosure of the information. Bidder/Vendor waives any obligation to the release to the public of any documents submitted in accordance with the Bid, RFP, RFQ, and/or Contract. Governmental bodies shall promptly release requested information that is not confidential by law, either constitutional, statutory, or by judicial decision, or information for which an exception to disclosure has not been sought. CALHOUN COUNTY AUDITOR To request information from Calhoun County, please contact: Calhoun County Auditor Calhoun County Courthouse Annex II 202 s Ann St, Suite B Port Lavaca, TX 77979 Phone: 361-553-4610 Fax: 361-553-4614 The Packet, Invitation for Bids, Request for Proposals and/or Request for Qualifications are posted on Calhoun County's website, www.calhouncotx.org, under Public Notices, Bid Notices and Results. Page 16 of 64 ATTACHMENT A CALHOUN COUNTY, TEXAS GENERAL CONDITIONS CERTIFICATE OF INTERESTED PARTIES FORM 1295 A business entity will generate Form 1295 online after notification of award and submit with their signed contract. Form 1295 must be filled out and submitted online, printed, complete #6, signed and returned with the Agreement, Contract, or Lease. See Calhoun County, Texas — Policy of Compliance TO FILL OUT FORM 1295: Goto: https://www.ethics.state.tx.us/File 1. If you have an account, log in and proceed with the process or if you do not have an account, follow the instructions to set up an account and then proceed with the process. 2. Submit and print a copy of the form which will contain a unique certification number and date submitted in the upper right hand box that is marked "Office Use Only". 3. The Respondent or an authorized agent of the Respondent must sign and date the printed copy of the form (making sure all of #6 is completed). 4. The completed Form 1295 must be included with your Agreement, Contract or Lease, when it is submitted to Calhoun County. For help in filling out the form: #1 Name of Business Entity filing the form, and the City, State and Country of the Entity's place of business #2 Calhoun County, Texas (Also, if applicable, insert name of County Department) #3 • Contract number, if not given, can be the year or dates associated with the Agreement, Contract, Lease or if for a Bid, RFP, or RFQ, the Bid, RFP, RFQ number and dates the Bid, RFP, RFQ pertains to • Description is description of Agreement, Contract, Lease or name of Bid, RFP, RFQ On #4 and #5, complete only the one that applies to you #4 Fill in the correct information if this applies OR #5 Mark an X in the Box if this applies #6 Fill in the correct information, submit and print After printing, the respondent or an authorized agent of the respondent must sign and date (making sure all of #6 is completed) When you print you should see a Certificate Number and Date in the upper right hand box that is marked "Office Use Only'. Page 17 of 54 CERTIFICATE OF INTERESTED PARTIES FORM 1295 OFFICE USE ONLY Complete Nos. 1 - 4 and 6 if there are interested parties. Complete Nos. 1, 2, 3, 5, and 6 if there are no interested parties. t Name of business entity filing form, and the city, state and country of the business entity's place of business. 2 Name of governmental entity or state agency that is a party to the contract for which the form is being filed. 3 Provide the identification number used by the governmental entity or state agency to tfff��111��kp Identify the contract, and provide a description of the services, goods, or other property to be provided` uA� a contract. V 4 City, State, Country ature of Interest (check applicable) Name of Interested Party � ♦ (place of business) � Controlling Intermediary ltsr 5 Check only if thereCIMterGsled. Party. s UNSWORN DE`CLtt� N My name is s , and my date of birth is My addrel� , (street) (city) (state) (zip code) (country) edn�de,penalty of perjury that the foregoing is true and correct. Executed in County, State of , on the day of , 20_ (month) (year) Signature of authorized agent of contracting business entity (Declarant) ADD ADDITIONAL PAGES AS NECESSARY Form provided by Texas Ethics Commission w ethics.state.tx.us Revised 12/22/2017 Page 18 of 54 Calhoun County, Texas POLICY OF COMPLIANCE SECTION 2252.908 TEXAS GOVERNMENT CODE Approved by Commissioners Court January 28, 2016 Amended by Commissioners Court January 31, 2018 and September 14, 2022 BACKGROUND Section 2252.908 was added to the Government Code by the 841h Texas Legislature through the adoption of House Bill 1295. The law states that the County may not enter into a contract with a business entity unless a Certificate of Interested Parties (Form 1295) is provided to the county at the time the contract is considered for action by Commissioner's Court. The term "business entity' includes a sole proprietorship, partnership or corporation (whether for -profit or non-profit). The term "contract" includes amendment, extension or renewal of an existing contract. The law does not apply to a contract between the County and another governmental entity or state agency. The county is required to file Form 1295 with the state within 30 days of approving a contract with a business entity. Governmental transparency is the objective of the law. Senate Bill 255 adopted by the 85'h Legislature Regular Session amended the law effective for contracts entered into or amended on or after January 1, 2018. Additional exemptions from Form 1295 requirement were added for 1) a contract with a publicly traded business entity, including a wholly owned subsidiary of the business entity, 2) a contract with an electric utility as defined by Section 31.002 of the Utilities Code, or 3) a contract with a gas utility as defined by Section 121.001 of the Utilities Code. Notarization of Form 1295 has been replaced by an unsworn statement under penalty of perjury by an authorized representative of the business entity. The Texas Ethics Commission promulgated rules to implement the law and established an online portal https://www.ethics.state.tx.us/whatsnew/elf_ info _form1295.htm. A business entity will generate Form 1295 online. Calhoun County will acknowledge online the receipt of Form 1295 after a contract is executed. Within seven business days, Form 1295 will be available for public viewing on the Commission's website. COMPLAINCE Calhoun County Commissioners Court will not consider for action any contract with a business entity unless it is accompanied by a completed, signed Form 1295 or a signed statement declaring the provision of the law under which the business entity is exempt. No later than 30 days after Commissioner's Court approves a contract with a non-exempt business entity, the County Clerk will file acknowledgement of receipt of the Form 1295 with the Texas Ethics Commission. Page 19 of 54 SPECIFICATIONS FOR CALHOUN COUNTY COMBINED DISPATCH FACILITY STRUCTURED DATA CABLING BID NUMBER: 2023.08 PART 1: SPECIFICATIONS FOR FIBER OPTIC CABLE INSTALLATION • Cut a trench from a new hand hole (to be placed by others) at the northeast corner of the proposed new building, then directly south, to the exterior wall of the Adult Detention Center Building. • Place one (1) 3" PVC conduit in said trench and stub up each end of the conduit segment — one, in the hand hole and one, at the exterior wall of the Adult Detention Center Building. • Back -fill said trench with trench spoil. • At the Adult Detention Center wall, transition the 3" PVC to 3" EMT and route up to the 2nd level of the building. • Penetrate the wall to provide a building entry for conduit into the building. Seal said building entry. • Furnish and install a MAXCELL 3-cell/detectable/textile inner -duct in the underground section of conduit. • Install one (1) RM Fiber Optic enclosure at equipment rack. Install Fiber Optic adapter panel in said enclosure. • Provide Fiber Optic components for terminating the new Fiber Optic cable in the Adult Detention Center Building. • Install one (1) SM/12-strand Fiber Optic cable from the existing Adult Detention Center Building tothe Server Room in the Combined Dispatch Facility, utilizingthe proposed underground conduit and inner -duct. • Terminate each strand of Fiber Optic cable at each end of the cable segment (total of 24 terminations). Page 20 of 64 PART 2: SPECIFICATIONS FOR LOW VOLTAGE STRUCTURED DATA CABLING • In the interior of the Combined Dispatch Facility, install !-hooks in the above -ceiling areas to route network cabling. • Install ladder tray, equipment rack(s), wire management, MTGI3, RM Buss, and associated brackets and hardware in the Server Room to support all proposed network cabling and components to be utilized. • Install one (1) RM buss bar at equipment rack, connect to MTGI3 using AWG #6 Sollgreen-jacketed wire. • Install Cat 6 UTP patch panels at the equipment rack to support the quantity of Cat 6 duplex outlets depicted on the provided project drawing, plus 20% spare. • Install all required Cat 6 plenum -rated data cable segments (drops) from the network equipment rack in the Server Room to each of said outlet locations, depicted on the drawings (2 drops per outlet depicted as CB and AB on page 39). • Install one (1) Cat 6 plenum -rated data cable segment (drop), from the network equipment rack in the Server Room to a ceiling location in each of the following rooms, to support a Wireless Access Point; Dispatch Control Room, Meeting & Training Room, Computer Staging Area (total of 3 drops). • Install four (4) Cat 6 plenum -rated data cable segments (drops), from the network equipment rack in the Server Room to each of two (2) floor pockets, located in the Dispatch Control Room (total of 8 drops). See page 37 for details. • Terminate each network drop installed. Test each installed drop, post -termination, with a Cat 6 cable tester. • Furnish Cat 6/1ft. patch cables at rack & Cat 6/10 ft. device cables at devices — for all active ports. • Label network outlet, per Calhoun County Representative. Page 21 of 54 INVITATION TO BID FORM BID NUMBER: 2023.08 List Price for Part 1 and Part 2 and attach Your detailed bid for each. Bids can be submitted for both parts or lust one. PART 1: INSTALLATION OF FIBER OPTIC CABLE Provide Manufacture of Materials (ex. Cable) Cost of Materials: Labor Cost: $ TOTALCOST PART 2: INSTALLATION OF LOW VOLTAGE STRUCTURED DATA CABLING Provide Manufacture of Materials (ex. Cable) Cost of Materials: $ Labor Cost: TOTALCOST In submitting this BID, BIDDER had examined and carefully studied the Bidding Documents and the following Addenda (if applicable), receipt of all which is hereby acknowledged: (List Addenda by Addendum Number and Date): Addendum No Date Received The undersigned affirms that they are duly authorized to execute this bid and that this company, corporation, firm, partnership, or individual has not prepared this bid in collusion with any other proposer or bidder, and that the contents of this bid as to prices, terms, or conditions of said bid have not been communicated by the undersigned nor by any employee or agent to any other person engaged in this type of business prior to the official opening of this bid. Furthermore, this company, corporation, firm, partnership, or individual affirms that they have read the entire bid package and fully understands and has followed and will follow all specifications and general conditions. Submitted this day of 2023. Authorized Signature: Name: Title: Business Name: Page 22 of 54 EXHIBIT 1 Calhoun County Dispatch Facility Plans "These plans are for reference only. There are no specific set of plans detailing the network/cabling" Page 23 of 54 $MIA 5yifIP $$,OSS- SC..A&E$e u I COMSINEDDISPATCHEUILDING b _ 5 e �,.ia'q - CALHOUN COUNTY, TEXAS G �W INis 312 West Llve Oak 5l Pon Lavaca U � INDEX OF DRAWINGS �c*m y. P., 24 0( 54 gb � R96g � �%ge.6�n€ 3 $ i¢ad�63sg6'�3§se3�z�_�F@'s�e�'6€e�iE3 �@�6gseaaaE ��5� sA3� �Se�@ 3 9gg��9�9-� €N g �I aipa - _ $4ee° a°a^aag. gAa a x p€�$ §€iz� Y3 s;E.gg 8 �ss�sg2§s§�ssR2�j$az�R.z.'sW�pz�^ �AAA 3 a; gg y °ea§n a n6= E E�z3 I.k . 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' .-i +; r:✓, a, :.�,'a - c• Gb y "uyat' 66 2 t; InceQcatad &ATX was COMBINED DISPATCH BUILDING CALHODN CODNTY, TEAS 312 WesLLiva Oak Sf,Port Lavaea G &W ' ygp"p,„„-,, WALL SECTIONS Page 34 of 5 a g. 3 c.. e: 5'a ees'fi'Bg%a "5e� p¢ pi Q §.........ax.- §��444§44§§v4�§agg4§§4§§4§4§§§8 ow 99. T 1�� I' � � �xxxxxxxx�xxxx xxx xxxx xxx.= m Im li� p rn11(50 a€cFcc Rz`c�€€s€ z e €€.5 a€ '- - g /sl v4FFiC g € 8 5 F a222 , 1.8 s, €. m I0 ��OW � �8 s IN MAIN � g A A 0 0 e hp m SIR � III i i I COMBINED DISPATCH BUILDING i t 8 W mgoateBCALHOUN COUNTY, TEXAS d j Sveh lMrcLlveOak 51 PON LeVeca G &W of o.SSme'."e..„„, DOOR SCNED, DOOR lo' TYPEB,B FRAME TYPES "e"ee FF Page F�F ee F�FFF veeee've &FF ee= �FF! _ .. FS�yFF FFFbg aa y�&FyFF�FFFFS 35 oI54 Page 36 of 54 u s » 9m;G© t ©»?� BHq. , § \w ]eu` !|•`iq !( q7 »2)� \ƒfH:;;/ !®f(!D `}\`\ k\7i!\ )) ]• {� �` :5,!® I§� §`] COMBINED DISPATCH BUILDING CALHOUN COUNTY, TEXAS ELECTRICAL POWER PLAN x Page 37 of 54 z 4G) z z u, a S k _ e � � S � COMBINED DISPATCH BUILDING CALHOUN COUNTY, TEXAS 312 West Live Oak St, Pvt Lavaca x IIF-' II IF' II �' II I�' W. 5_'� 4a s oq Pape 38 of 54 0 0 COMBINED DISPATCH BUILDING CALHOUN COUNTY, TEXAS 312 West Live Oak St, PoR Lavaca COMMUNICATIONS PLAN Page 39 of 64 EXHIBIT 2 Calhoun County Adult Detention Center Service Personnel Application Page 40 of 54 Calhoun County Adult Detention Center Service Personnel Application Name: Primary Phone: Emergency Contact (Name/Number): Mailing Address: Email Address Sanondaiy Phone: Street City Stale Zip SSN: Drivei License:Slato # DOB; Place of Birth: City Slate Sex: F or M Other names used (ako's, maiden,etc.) Race; Foreign Languages: Current Employment: -T_ Title: Have you ever been employed by a correction facility? If yes, give division, department, locallon, title & dates of employment: Are you a victim of, related to, or a friend of any offender or releases now supervised by CCADC? Yes No If yes, Name of Offender _ Facility: _ , _ Relation; Are you related to a victim or a friend of a victim of any offender or releasee now Supervised by CCADC? Yes No If yes Name of Offender Facility: _ Relation List inmate(s) that you are. visiting in unit visitation1 knew prior to incarceration: Name of Offender: Facility: Relation: 1. Applicant Initials Page 41 of 54 " Please indicate program area(s) of interest for vou,r volunteer services Church: ___ Alcoholics Anonymous: GEDClasses: __ Other: If other, Please specify: Criminal Histo Have you ever served time in any adult correctional facility? Yes No If Yes, Years served: State; .... _ IDjt Have you ever been a member of a gang? Yes No' If yes, name and description of gang: Do you have any criminal charges currently panding? Yes .__.___......____. No ~ If yes, please explain: Are you now or have you ever been on parole or probation? Yes No if yes, please explain: Ever forfeited properly/bond resumes from being charged with a oriminni act? Yes No if yes, please explain: Have you aver been convicted or a crime? Felony: _---------- Misdemeanor When: --------------- Where: ---------- - Charges: ..�—�__--,.. --- Disposition----------'------- a ----------^--------- Signature: Date; CCADC Admin, Approved Declined Signature; Date: _ I understand and agree to speak with inmates, only if required, on the area that I am working on. I will not solicit mine or anyone else's personal or professional business services to any inmate while they are in custody. All persons entering are expected to be ethical, respectful and trustworthy. Inappropriate contact, gestures, behavior, verbal comments or lack of professionalism will not be tolerated with inmates or staff and may cause denial of work in this facility. 2' Applicant Initials Page 42 of 54 BIDDER INFORMATION Please Type. If handwritten, must be in ink and legible Bidder's Name: Address: Remittance Address: Telephone: Fax: Email: Signature of Authorized Representative: Printed name of Authorized Rep: Contact Name & Title: Contact Telephone: Contact Fax: Contact Email: CONTACT INFORMATION INVOICES — CONTACT INFORMATION For Invoice Inquiries: Contact Name & Title: Contact Telephone: _ Contact Fax: Contact Email: Page 43 of 54 STATE OF TEXAS {} COUNTY OF 0 (Type or Print Name) the (Type or Print Tide) AFFIDAVIT being first duly sworn, deposes and says: that he or she is of having its (Type or Print Name of Company/Firm) principal address at (Type or Print Physical and Mailing Address) who submits herewith to Calhoun Countythe attached bid/proposal; that he orshe is the person whose name is signed to the attached bid/proposal; that said bid/proposal is genuine; that the same is not sham or collusive; that all statements of fact herein are true; and that such bid/proposal was not made in the interest or behalf of any person, partnership, company, association, organization or corporation not herein named or disclosed. Affiant further deposes and says: that the bidder/proposer has not directly or indirectly by agreement, communication or conference with anyone, attempted to induce action prejudicial to the interests of Calhoun County, or of any other bidder/proposer, or anyone else interested in the bid/proposal contract; and that the bidder/proposer has not in any manner sought by collusion to secure for himself/herself/itself/themselves an advantage over any other bidder/proposer. Affiant further deposes and says: that prior to the public opening and reading of bids/proposals, said bidder/proposer: a) did not, directly or indirectly, induce or solicit anyone else to submit a false or sham bid/proposal; b) did not, directly or indirectly, collude, conspire, connive or agree with anyone else that said bidder/proposer or anyone else would submit a false or sham bid/proposal, or that anyone should refrain from submitting a bid/proposal or withdraw their bid/proposal; c) did not, in any manner, directly or indirectly, seek by agreement, communication or conference with anyone to raise or fix the bid price/proposal of said bidder/proposer or of anyone else, or to raise or fix any overhead, profit or cost element of their price/fee or of that of anyone else; d) did not give, offer to give, nor intends to give at any time hereafter any economic opportunity, future employment, gift, loan, gratuity, special discount, trip, favor, or service to any official, employee or agent of Calhoun County in connection with the submitted bid/proposal; and e) did not, directly or indirectly, submit their bid/proposal price or any breakdown thereof, or the contents thereof, or divulge information or data relative hereto, to any corporation, partnership, company, association, organization, bid depository, or to any member or agent, thereof, to any individual or group of individuals, or to any official, employee or agent of Calhoun County prior to the official opening of this bid/proposal. Affiant further deposes and says: that the bid price(s) or proposed fees contained in this bid/proposal have been carefully checked and is submitted as true and correct, agrees to furnish any and/or all items/services upon which bid prices or proposed fees are awarded and upon the conditions and requirements contained in the bid/proposal. Signature of Affiant Printed Name and Title of Affiant SWORN TO AND SUBSCRIBED BEFORE ME by the above Affiant, who, on oath, states that the facts contained in the above are true and correct, this day of , 20_ Signature of Notary Public Notary Stamp/Seal Page 44 of 54 CONFLICT OF INTEREST QUESTIONNAIRE For vendor doing business with local governmental entity A complete copy of Chapter 176 of the Local Government Code maybe found at http://www.statutes.legis.state.tx.us/ Docs/LG/htm/LG.176.htm. For easy reference, below are some of the sections cited on this form. Local Government Code 4 176.0010 -a): "Business relationship" means a connection between two or more parties based on commercial activity of one of the parties. The term does not include a connection based on: (A) a transaction that is subject to rate or fee regulation by a federal, state, or local governmental entity or an agency of a federal, state, or local governmental entity; (B) a transaction conducted at a price and subject to terms available to the public; or (C) a purchase or lease of goods or services from a person that is chartered by a state or federal agency and that is subject to regular examination by, and reporting to, that agency. Local Government Code 4176.003(a)(2)(A) and (B): (a) A local government officer shall file a conflicts disclosure statement with respect to a vendor if: (2) the vendor: (A) has an employment or other business relationship with the local government officer or a family member of the officer that results in the officer or family member receiving taxable income, other than investment income, that exceeds $2,500 during the 12-month period preceding the date that the officer becomes aware that (1) a contract between the local governmental entity and vendor has been executed; or (ii) the local governmental entity is considering entering into a contract with the vendor; (B) has given to the local government officer or a family member of the officer one or more gifts that have an aggregate value of more than $100 in the 12-month period preceding the date the officer becomes aware that: (i) a contract between the local governmental entity and vendor has been executed; or (ii) the local governmental entity is considering entering into a contract with the vendor. Local Government Code 4176.006(a) and (a-1) (a) Avendor shall file a completed conflict of interest questionnaire if the vendor has a business relationship with a local governmental entity and: (1) has an employment or other business relationship with a local government officer of that local governmental entity, or a family member of the officer, described by Section 176.003(a)(2)(A); (2) has given a local government officer of that local governmental entity, or a family member of the officer, one or more gifts with the aggregate value specified by Section 176.003(a)(2)(B), excluding any gift described by Section 176.003(a-1); or (3) has a family relationship with a local government officer of that local governmental entity. (a-1) The completed conflict of interest questionnaire must be filed with the appropriate records administrator not later than the seventh business day after the later of: (1) the date that the vendor: (A) begins discussions or negotiations to enter into a contract with the local governmental entity; or (B) submits to the local governmental entity an application, response to a request for proposals or bids, correspondence, or another writing related to a potential contract with the local governmental entity; or (2) the date the vendor becomes aware: (A) of an employment or other business relationship with a local government officer, or a family member of the officer, described by Subsection (a); (B) that the vendor has given one or more gifts described by Subsection (a); or (C) of a family relationship with a local government officer. Form provided by Texas Ethics Commission www.eth ics.state.tx.us Revised 11/30/2015 Page 45 of 54 CONFLICT OF INTEREST QUESTIONNAIRE FORM CIQ For vendor doing business with local governmental entity This questionnaire reflects changes made to the law by H.B. 23, 84th Leg., Regular Session. OFFICE USE ONLY This questionnaire is being filed in accordance with Chapter 176, Local Government Code, by a vendor who Date Received has a business relationship as defined by Section 176,001(1-a) with a local governmental entity and the vendor meets requirements under Section 176.006(a). By law this questionnaire must be filed with the records administrator of the local governmental entity not later than the 7th business day after the date the vendor becomes aware of facts that require the statement to be filed. See Section 176.006(a-1), Local Government Code. A vendor commits an offense if the vendor knowingly violates Section 176.006, Local Government Code. An offense under this section is a misdemeanor. IJ Name of vendor who has a business relationship with local governmental entity. 2 Check this box if you are filing an update to a previously filed questionnaire. (The law requires that you file an updated completed questionnaire with the appropriate filing authority not later than the 7th business day after the date on which you became aware that the originally filed questionnaire was incomplete or inaccurate.) 3 Name of local government officer about whom the information is being disclosed. Name of Officer 4 Describe each employment or other business relationship with the local government officer, or a family member of the officer, as described by Section 176.003(a)(2)(A). Also describe any family relationship with the local government officer. Complete subparts A and B for each employment or business relationship described. Attach additional pages to this Form CIO as necessary. A. Is the local government officer or a family member of the officer receiving or likely to receive taxable income, other than investment income, from the vendor? Yes E� No B. Is the vendor receiving or likely to receive taxable income, other than investment income, from or at the direction of the local government officer or a family member of the officer AND the taxable income is not received from the local governmental entity? Yes F� No 5 Describe each employment or business relationship that the vendor named in Section 1 maintains with a corporation or other business entity with respect to which the local government officer serves as an officer or director, or holds an ownership interest of one percent or more. 6 ❑Check this box if the vendor has given the local government officer or a family member of the officer one or more gifts as described in Section 176.003(a)(2)(B), excluding gifts described in Section 176.003(a-1). Signature of vendor doing business with the governmental entity Date r Form provided by Texas Ethics Commission www.ethics.state.tx.us Revised 11/30/2015 Page 46 of 54 DEBARMENT & SUSPENSION Executive Order 12549--Debarment and Suspension Source: The provisions of Executive Order 12549 of Feb. 18, 1986, appear at 51 FR 6370, 3 CFR, 1986 Comp., p. 189, unless otherwise noted. By the authority vested in me as President by the Constitution and laws of the United States of America, and in order to curb fraud, waste, and abuse in Federal programs, increase agency accountability, and ensure consistency among agency regulations concerning debarment and suspension of participants in Federal programs, it is hereby ordered that: Section 1. (a) To the extent permitted by law and subject to the limitations in Section 1(c), Executive departments and agencies shall participate in a system for debarment and suspension from programs and activities involving Federal financial and nonfinancial assistance and benefits. Debarment or suspension of a participant in a program by one agency shall have government -wide effect. (b) Activities covered by this Order include but are not limited to: grants, cooperative agreements, contracts of assistance, loans, and loan guarantees. (c) This Order does not cover procurement programs and activities, direct Federal statutory entitlements or mandatory awards, direct awards to foreign governments or public international organizations, benefits to an individual as a personal entitlement, or Federal employment. Sec. 2. To the extent permitted by law, Executive departments and agencies shall: (a) Follow government -wide criteria and government -wide minimum due process procedures when they act to debar or suspend participants in affected programs. (b) Send to the agency designated pursuant to Section 5 identifying information concerning debarred and suspended participants in affected programs, participants who have agreed to exclusion from participation, and participants declared ineligible under applicable law, including Executive Orders. This information shall be included in the list to be maintained pursuant to Section 5. (c) Not allow a party to participate in any affected program if any Executive department or agency has debarred, suspended, or otherwise excluded (to the extent specified in the exclusion agreement) that party from participation in an affected program. An agency may grant an exception permitting a debarred, suspended, or excluded party to participate in a particular transaction upon a written determination by the agency head or authorized designee stating the reason(s) for deviating from this Presidential policy. However, I intend that exceptions to this policy should be granted only infrequently. Sec. 3. Executive departments and agencies shall issue regulations governing their implementation of this Order that shall be consistent with the guidelines issued under Section 6. Proposed regulations shall be submitted to the Office of Management and Budget for review within four months of the date of the guidelines issued under Section 6. The Director of the Office of Management and Budget may return for reconsideration proposed regulations that the Director believes are inconsistent with the guidelines. Final regulations shall be published within twelve months of the date of the guidelines. Page 47 of 54 Sec. 4. There is hereby constituted the Interagency Committee on Debarment and Suspension, which shall monitor implementation of this Order. The Committee shall consist of representatives of agencies designated by the Director of the Office of Management and Budget. Sec. 5. The Director of the Office of Management and Budget shall designate a Federal agency to perform the following functions: maintain a current list of all individuals and organizations excluded from program participation under this Order, periodically distribute the list to Federal agencies, and study the feasibility of automating the list; coordinate with the lead agency responsible for government -wide debarment and suspension of contractors; chair the Interagency Committee established by Section 4; and report periodically to the Director on implementation of this Order, with the first report due within two years of the date of the Order. Sec. 6. The Director of the Office of Management and Budget is authorized to issue guidelines to Executive departments and agencies that govern which programs and activities are covered by this Order, prescribe government -wide criteria and government -wide minimum due process procedures, and set forth other related details for the effective administration of the guidelines. Sec. 7. The Director of the Office of Management and Budget shall report to the President within three years of the date of this Order on Federal agency compliance with the Order, including the number of exceptions made under Section 2(c), and shall make recommendations as are appropriate further to curb fraud, waste, and abuse. Implementation in the SRF Programs A company or individual who is debarred or suspended cannot participate in primary and lower -tiered covered transactions. These transactions include SRF loans and contracts and subcontracts awarded with SRF loan funds. Under 40 C.F.R. 32.510, the SRF agency must submit a certification stating that it shall not knowingly enter into any transaction with a person who is proposed for debarment, suspended, declared ineligible, or voluntarily excluded from participation in the SRF program. This certification is reviewed by the EPA regional office before the capitalization grant is awarded. A recipient of SRF assistance directly made available by capitalization grants must provide a certification that it will not knowingly enter into a contract with anyone who is ineligible under the regulations to participate in the project. Contractors on the project have to provide a similar certification prior to the award of a contract and subcontractors on the project have to provide the general contractor with the certification prior to the award of any subcontract. In addition to actions taken under 40 C.F.R. Part 32, there are a wide range of other sanctions that can render a party ineligible to participate in the SRF program. Lists of debarred, suspended and otherwise ineligible parties are maintained by the General Services Administration and should be checked by the SRF agency and all recipients of funds directly made available by capitalization grants to ensure the accuracy of certifications. Additional References C 40 C.F.R. Part 32: EPA Regulations on Debarment and Suspension. Page 48 of 54 CERTIFICATION REGARDING DEBARMENT & SUSPENSION AND OTHER RESPONSIBILITY MATTERS In accordance with the Executive Order 12549, the prospective primary participant certifies to the best of his / her knowledge and belief, that its principals: a. Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by any federal department or agency; b. Have not within a three-year period preceding this proposal been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offence in connection with obtaining, attempting to obtain, or performing a public (federal, state, or local) transaction or contract under a public transaction; violation of federal or state antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction or records, making false statements, or receiving stolen property; c. Are not presently indicted for or otherwise criminally or civilly charged by a governmental entity (federal, state, or local) with commission of any of the offenses enumerated in paragraph (1) (b) of this certification. d. Have not within a three-year period preceding this application / proposal had one or more public transactions (federal, state, or local) terminated for cause of default. e. Acknowledge that all sub -contractors selected for this project must be in compliance with paragraphs (1) (a — d) of this certification. Name and Title of Authorized Agent Signature of Authorized Agent I am unable to certify to the above statements. My explanation is attached. Date Page 49 of 54 Certification Regarding Lobbying (To be submitted with each bid or offer exceeding $100,000) The undersigned certifies, to the best of his or her knowledge and belief, that (a) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of an agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement. (b) If any funds other than Federal appropriated funds have been paid or will be paid to any person for Influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, "Disclosure Form to Report Lobbying; in accordance with its instructions. (c) The undersigned shall require that the language paragraph 1 and 2 of this anti -lobbying certification be included in the award documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements) and that all subrecipients shall certify and disclose accordingly. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by 31, U.S.C. § 1352 (as amended by the Lobbying Disclosure Act of 1995). The Contractor, , certifies or affirms the truthfulness and accuracy of each statement of its certification and disclosure, if any. In addition, the Contractor understands and agrees that the provisions of 31 U.S.C. § 3801 at seq., apply to this certification and disclosure, if any. Signature of Contractors Authorized Printed Name and Title of Contractor's Authorized Official Date Page 50 of 54 HOUSE BILL 89 VERIFICATION FORM Certification Required by Texas Government Code Section 2270.001 The BY' Texas Legislature approved new legislation, effective September 1, 2017, which amends Texas Local Government Code Section 1, Subtitle F, Title 10, Government Code by adding Chapter 2270 which states that a government entity may not enter into a contract (which includes contracts formed through purchase orders) with a company for goods or services unless the contract contains a written verification from the company that it: 1) Does not boycott Israel; and 2) Will not boycott Israel during the term of the contract Pursuant to Section 2270.001, Texas Government Code: 1. "Boycott Israel" means refusing to deal with, terminating business activities with, or otherwise taking any action that is intended to penalize, inflict economic harm on, or limit commercial relations specifically with Israel, or with a person or entity doing business in Israel or in an Israeli - controlled territory, but does not include an action made for ordinary business purposes; and 2. "Company" means a for profit sole proprietorship, organization, association, corporation, partnership, joint venture, limited partnership, limited liability partnership, or any limited liability company, including a wholly owned subsidiary, majority -owned subsidiary, parent company or affiliate of those entities or business associations that exist to make a profit. I, (authorized official) do herebyverify the truthfulness and accuracy of the contents of the statements submitted on this certification under the provisions of Subtitle F, Title 10, Government Code Chapter 2270 and that the company named below: 1) Does not boycott Israel currently; 2) Will not boycott Israel during the term of the contract; and 3) Is not currently listed on the State of Texas Comptroller's Companies that Boycott Israel List located at htti)s://comptroller.texas.gov/purchasing/publications/divestment.pho Company Name Signature of Authorized Official Printed Name of Authorized Official Title of Authorized Official Date Page 51 of 64 RESIDENCE CERTIFICATION Pursuant to Texas Government Code §2252.001 et seq., as amended, Calhoun County requests Residence Certification. §2252.001 et seq. of the Government Code provides some restrictions on the awarding of governmental contract; pertinent provisions of §2252.001 are stated below: Sec. 2252.001(3) "Nonresident bidder" refers to a person who is not a resident. (4) "Resident bidder" refers to a person whose principal place of business is in this state, including a contractor whose ultimate parent company or majority owner has its principal place of business in this state. ❑ I certify that is a "Nonresident Bidder" of Texas (Company Name) as defined in Government Code §2252.001 and our principal place of business is ❑ Icertify that (City and State) (Company Name) defined in Government Code §2252.001. Signature of Authorized Agent Printed Name and Title of Authorized Agent Date is a "Resident Bidder" of Texas as Page 52 of 54 Request for Taxpayer Give Form to the Fa m (Rey.Omaber2me) Identification Number and Certlflcatton requester. Do not Oepwnem came Treasury send to the IRS. Internal Revenue Service ►Go to www.In.govyFomryni for instructions and the latest Information. t Name(asshown on your Income ten return). Name is required on Mis line: do not leave this line blank. 2 Businers namerdlae ardad onfiy name, if dtifamntfrom above m 3 Check appropriate box for federal tan classification of Me person when name Is entered on line 1. Check only one of Me 4 Exemptions (codes apply only to following seven hazes. cedahi entices, rim IndyiEuais; see o ❑ CCo ❑ Individushole proprietor or Mormon ❑ SCorporation ❑ Partnership ❑ Tma9estate Instructions an page 3): singlo-member LLA Exempt paves code Of any)_ ❑ Limited liability company. Enter the tan classification(C-0 corporation, S=S corporation, P=Partnership)►_ `a Nme: Check Me appropriate box In the line above for the tan classification of the ainue-member owner. Do net check Exemption from FATCA reporting d LLC if Me LLsdrsd C is choe as a ainglo-member LLC that is disregarded tram the owner unless Me owner of Me LLC he another LLC Mar is net dkregarded ham Me owner far U.S. federal tax purposes. Olherwlse, a single -member LLC that cam, any) Isdlaregardedfromthe ownershould chmktheappropriateboxiorthetasmm mflonof Itsowner. other I. Intrusions). famw.neem,wmm.u.s uu. usl E( 5Atltl. fremi moot. and apt, or suite no.) See loseumlona. Requeslm's name and address(oplbeap CALHOUN COUNTY 202 S ANN ST, PORT LAVACA TX 77979 e Coy, arms, and ZIP code 361-553-4610 FAX: 361-553.4614 7 Ust occount numbe ts) as (options? Tax a er Identirication Number (TIN) EnteryourTIN in the appropriate box. The TIN provided must match the name given on line l to avoid I social saouriy number I backup wren, sol g. For Individuals, this Is general, your social saeudy number (,lath• However, for a - m -� resident alien, sole proprietor, u ls, this Is g settle sea the social for Part I, Inver. For other Ne ents, it is your employer Identification number (EIN). If you do not have a number, sea How to get a 77N, later. or Note: lithe accountis In morethan one name, seethe inabuctlonsfor line 1. Nsosae WhttNeme and I employer identification number Number To Give the Requester for guidelines on whose numbertoenter. rF-1 F-1 1. The number shown on this form Is my correct taxpayer identification number (or I am waiting for a number to be Issued to me); and 2.1 am not subject to backup withholding because: (a) I she exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I ern subject to backup withholding es a result of a failure to report all Interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and 3.1 am a U.S. citizen or other U.S. person (defined below); and 4. The FATCA codes) entered on this form if any) Indicating that I am exempt from FATCA reporting is correct. Certification Instrudgons. You must cross out Item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have felled to report all interest and dividends on your tax return. For real estate transactions, Item 2 does net apply. For mortgage Interest paid, acqubltion or abandonment of secured properly, cancellation of debt, contributions to an Individual retirement arrangement (IRA), and generally, payments other than Interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. Sea the instructions for Part II, later. sign 319neNre of - Hereperson. fate. General Instructions Section references are to the Internal Revenue Code unless otherwise noted. Future developments. For the latest information about developments related to Form W-9 and Its Instructions, such Me legislation enacted after they were published, go to www1rs.gov/FonntN9. Purpose of Form An Individual or entity (Form W-9 requester) who Is required to file an Information return with the IRS must obtain your correct taxpayer Identification number TIN) which may be your social security number (SSN), Individual taxpayer IderRMcation number finl adoption taxpayer Identification number (ATIN), or employer Identification number (EIN), to report an an Information return the amount paid to you, or other amount reportable on an information return. Examples of information returns include, but are not limited to, the following. • Forre 1099-INT (Interest earned or paid) Cat No.1023iX • Farm 1099-01V (dividends, including those from stacks or mutual funds) • Forn 1099-MISO (various types of Income, adzes, awards, or gross proceeds) • Form 1099-5 (stack or mutual fund sales and certain other transactions by brokers) • Form 1099-5 (proceeds from real estate transactions) • Form 1099-K (merchant card and third parry network transactions) • Form 1098 (home mortgage Interest), 1098-E (student loan Interest), 109B-T(tuftion) • Form 1099-C (canceled debt) • Form 1099-A (acquisition or abandonment of secured property) Use Form W-9 only If you are a U.S. person (including a resident alien), to provide your correct TIN. ffyou do not return Form W-9 to the requester with a TIN, you might be subject to backup withholding. See What Is backup withholding, later. Form fig-9 fit.. 10.2018) Page 53 of 54 INSERT SYSTEM FOR AWARD MANAGEMENT (SAM) RECORD SEARCH FOR COMPANY AND COMPANY'S PRINCIPAL(S), IF ANY • Must include a printout of the search results that includes the record date showing that the Company, and its Principals, if any, have an active registration with the System for Award Management (www.SAM.gov) AND are not debarred or suspended nor otherwise on the Excluded Parties List System (EPLS) in the System forAward Management (SAM). Page 54 of 54 CALHOUN COUNTY, TEXAS INVITATION TO BID CALHOUN COUNTY COMBINED DISPATCH FACILITY STRUCTURED DATA CABLING BID NUMBER: 2023.08 SEALED BIDS ARE DUE BEFORE: 2:00:00 PM, SEPTEMBER 21, 2023 AT THE OFFICE OF: Honorable Richard H. Meyer Calhoun County Judge Calhoun County Courthouse 211 South Ann Street 31d Floor, Suite 301 Port Lavaca, Texas 77979 Public Opening of the Bids will be conducted immediately after the closing of the 2:00:00 PM deadline, September 21, 2023 in the County Judge's office, Calhoun County Courthouse, 211 South Ann Street, 31d Floor, Suite 301, Port Lavaca, Texas 77979. Bids will be considered for award at a future meeting of the Calhoun County Commissioners Court. Award information will be sent to all vendors that submitted a Bid and, as time permits, will be posted on the County's website (www.calhouncotx.org) under Public Notices, Bid Notices and Results, Results, 2023. Page 1 of 54 CONTENTS • Invitation to Bid Letter • Return Instructions • General Conditions Specifications for Calhoun County Combined Dispatch Facility Structured Data Cabling • Invitation to Bid Form • Exhibit 1—Calhoun County Dispatch Facility Plans • Exhibit 2 — Calhoun County Adult Detention Center Service Personnel Application • Additional Required Forms o Bidder Information Form o Affidavit o Conflict of Interest Questionnaire, Form CIQ o Certification Regarding Debarment & Suspension and Other Responsibility Matters o Certification Regarding Lobbying Activities o House Bill 89 Verification o Residence Certification o W9 o System for Award Management (SAM) Record Search (printout of search result) Page 2 of 54 INVITATION TO BID Notice is hereby given that the Commissioners Court of Calhoun County, Texas, will receive SEALED BIDS for: CALHOUN COUNTY COMBINED DISPATCH FACILITY STRUCTURED DATA CABLING BID NUMBER 2023.08 The project consists of installing fiber optic cabling and installing low voltage structured data cabling for the new Calhoun County Dispatch Facility that will be located at 312 West Live Oak Street, Port Lavaca, Texas 77979. This project is being supported, in whole or in part, by the Coronavirus State Fiscal Recovery Fund and Coronavirus Local Fiscal Recovery Fund, Assistance Listing 21.027 awarded to Calhoun County by the U.S. Department of the Treasury. The bidder may submit a bid for both parts or just one. The complete Invitation to Bid Packet can be downloaded from the County's website, www.calhouncotx.org (under Public Notices, Bid Notices and Results, Bid Notices, 2023) or by contacting Demi Cabrera, Assistant Auditor, at demi.cabrera@calhouncotx.org or 361-553-4613. A Pre -Bid Conference will be held at 10:00 am local time, September 7, 2023. Meeting location will start in the Commissioners Courtroom, Calhoun County Courthouse, 211 South Ann Street, 1" Floor, Suite 104, Port Lavaca, Texas 77979. Potential bidders are strongly urged to attend. Due to part of the meeting being held inside the Adult Detention Center, it is recommended ALL BIDDERS attending the meeting fill out the Calhoun County Adult Detention Center Service Personnel Application Form and return the form to each (all) of the following by Wednesday, September 6, 2023 so that background checks may be completed before the meeting. 1. Rachel Martinez, Jail Administrator, rachel.martinezkacalhouncotx ore 2. Philip Dennis, Assistant Jail Administrator, philil2.dennis@calhouncotx.org 3. Katie Dennis, katie.dennis@calhouncotx.org 4. Bobbie Vickery, Sheriff, bobbie.vickervPcalhouncotx.ore Bidders must submit with their bid, a bid bond, issued by an acceptable surety, or a certified check, Payable to Calhoun County, in the amount of not less than five percent (5'Y) of the total bid submitted. Bids submitted without the required security will not be considered. All contractors and subcontractors must be cleared (not suspended or debarred) prior to any formal action authorizing the award of a contract to the contractor and for the duration of the project. SEALED BIDS MAY BE HAND DELIVERED OR MAILED TO: Honorable Richard H. Meyer Calhoun County Judge Calhoun County Courthouse 211 South Ann Street 3rd Floor, Suite 301 Port Lavaca, TX 77979 Page 3 of 54 All bids must be delivered to the Office of the Calhoun County Judge in a sealed 9x12 or larger envelope and clearly marked on the outside of the envelope, or the UPS/FedEx/other Delivery Service envelope: Sealed Bid: Calhoun County Combined Dispatch Facility Structured Data Cabling, Bid Number 2023.08 Sealed bids consisting of one (1) original and three (3) printed copies of the complete bid and required forms are DUE BEFORE 2:00:00 PM local time, September 21, 2023 in the County Judge's office, Calhoun County Courthouse, 211 South Ann Street, 3'd floor, Suite 301, Port Lavaca, Texas. At this time, all bids will be publicly opened and read aloud in the conference room located in the County Judge's office. It is the responsibility of the submitting bidder to ensure that the sealed Bid is received in a timely manner. Calhoun County does not accept faxed or emailed Bids. Calhoun County accepts no financial responsibility for any cost incurred by any entity in the course of responding to the Bid. Bids received after the deadline will not be opened and will not be considered for award, regardless of whether or not the delay was outside of the control of the submitting bidder. The cell phone in the County Judge's office or the cell phone of the County Auditor's Representative will be the official clock that shall be used in determining the time the Bid is received and the 2:00:00 PM deadline. Calhoun County reserves the right to reject any or all bids or to waive any informalities in the bidding and to award to the responsible bidder submitting the best qualified acceptable bid who, in the opinion of Calhoun County, offers the bid in the best interest of the County. Bids may be held by Calhoun County for a period not to exceed sixty (60) days from the date of the bid opening for the purpose of reviewing the bids and investigating the bidder's qualifications prior to the contract award. The successful bidder will be required to purchase and furnish a Performance Bond and a Payment Bond, each in the full amount of the contract, written by a responsible surety company authorized to do business in the State of Texas, as required by Article 5160, V.A.T.C.S., as amended by H.B. 344, passed by the Legislature, Regular Session,1959. Attention is called to the fact that not less than, the federally determined prevailing (Davis -Bacon and Related Acts) wage rates, as issued by the Department of Labor and contained in the contract documents, must be paid on this project. In addition, the successful bidder must ensure that employees and applicants for employment are not discriminated against because of age, race, color, religion, sex, sexual orientation, gender identity, national origin, handicapped status or limited English proficiency. Adherence to the grant recipient's Section 3 Policy is required for contracts and subcontracts in excess of $100,000.00. Calhoun County, Texas is an Affirmative Action/Equal Opportunity Employer. The County does not discriminate on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age or handicapped status in employment or the provision of services. Section 3 Residents, Minority Business Enterprises, Small Business Enterprises, Women Business Enterprises, and Labor Surplus Area Firms areencouraged to submit Bids. Cindy Mueller County Auditor Calhoun County, Texas Page 4 of 54 RETURN INSTRUCTIONS For Submitting a Bid for the Calhoun County Combined Dispatch Facility Structured Data Cabling Bid Number: 2023.08 Return the following BEFORE 2:00:00 PM, SEPTEMBER 21, 2023 Return One (1) Original and three (3) printed copies of the following: Invitation to Bid Form Bidder Information Form Affidavit Conflict of Interest Questionnaire, Form CIQ Certification Regarding Debarment & Suspension and Other Responsibility Matters Certification Regarding Lobbying Activities House Bill 89 Verification Residence Certification W-9 System for Award Management (SAM) Record Search (print out of search results) Do Not Fold any of the above information. Bid must be returned in a sealed 9 x 12 or larger envelope clearly marked: SEALED BID - CALHOUN COUNTY COMBINED DISPATCH FACILITY STRUCTURED DATA CABLING, BID NUMBER: 2023.08 If you send your bid by UPS, FedEx or other delivery service, the outside of this sealed envelope must be clearly marked: SEALED BID - CALHOUN COUNTY COMBINED DISPATCH FACILITY STRUCTURED DATA CABLING, BID NUMBER: 2023.08 Submit Sealed Bid to: Honorable Richard H. Meyer, County Judge Calhoun County Courthouse 211 S. Ann St., 3rd Floor, Suite 301 Port Lavaca, TX 77979 Bid must be sealed (with the glue on the envelope or tape) Page 5 of 54 CALHOUN COUNTY, TEXAS GENERAL CONDITIONS General Conditions apply to all advertised Invitations to Bid (hereinafter called Bid), Request for Proposals (hereinafter called RFP), Request for Qualifications (hereinafter called RFQ), Contracts/Agreements/Leases (hereinafter called Contract); however these may be superseded in whole or in part by the scope, special requirements, specifications or special sections of Texas Government Code and/or Texas Local Government Code. Governing Law: Bidder/Vendor is advised that the Bid, RFP, RFQ, and/or Contract shall be fully governed by the laws of the State of Texas and that Calhoun County may request and rely on advice, decisions and opinions of the Attorney General of Texas and the County Attorney concerning any portion of the Bid, RFP, RFQ and/or Contract. All parties agree that the venue for any litigation arising from this Bid, RFP, RFQ and/or Contract shall be held in Port Lavaca, Calhoun County, Texas. Completion of Bid. RFP, RFQ. and/or Contract Forms: Once the Bid, RFP, RFQ and/or Contract is released for bidding, Calhoun County will not answer any questions except through an addendum that has been approved by Calhoun County Commissioners Court or at a mandatory pre -bid meeting. Complete, sign, and return to the Calhoun County Judge's Office the required number of Bid forms, RFP forms, RFQ forms, and/or Contracts, and any other required information by the day and time the Bid, RFP, RFQ and/or Contract is due. The Bid, RFP, RFQ and/or Contract must be signed and dated by an officer, employee or agent who is duly authorized torexecute this Bid, RFP, RFQ and/or Contract, and affirms that this company, corporation, firm, partnership or individual has not prepared this Bid, RFP, RFQ and/or Contract in collusion with any other bidder/vendor or any official or employee of Calhoun County, and that the contents of this Bid, RFP, RFQ and/or Contract as to prices, terms or conditions of said Bid, RFP, RFQ and/or Contract have not been communicated by the individual signing nor by any employee or agent to any other person engaged in this type of business orto any official or employee of Calhoun County priorto the official opening of this Bid, RFP, RFQ and/or Contract. The use of liquid paper or white out is not acceptable and may result in the disqualification of the bidders/vendors Bid, RFP, RFQ and/or Contract. if an error is made, the bidder/vendor must draw a line through the error and initial each change. All responses typed or handwritten in ink must be clear and legible. Submission of Sealed Bid, RFP, RFQ. and/or Contract: All Bids, RFPs, RFQs, and/or Contracts must be delivered to the County Judge's Office in a SEALED envelope. When submitting a SEALED Bid, RFP, RFQ and/or Contract the envelope must be taped and/or glued closed in order for it to be accepted as a SEALED Bid, RFP, RFQ and/or Contract. The bidder/vendor must submit the original and required number of copies of their completed Bid, RFP, RFQ and/or Contract and any additional required information/forms in a SEALED envelope to the Calhoun County Judge's Office, Calhoun County Courthouse, 211 South Ann Street, 3rd Floor, Suite 301, Port Lavaca, Texas. The Bid, RFP, RFQ and/or Contract will specify the date and time due. Page 6 of 54 The cell phone in the County Judge's office or the cell phone of the County Auditor's Representative is the official clock that will be used in determining the time the Bid, RFP, RFQ and/or Contract is received and the time deadline that the Bid, RFP, RFQ and/or Contract will be opened. A late delivery with an early postmark or delivery of the Bid, RFP, RFC, and/or Contract to the wrong office will not suffice. Bids, RFPs, RFQs, and/or Contracts received after the deadline will not be considered for award, regardless of whether or not the delay was outside of the control of the submitting bidder/vendor. The door to the County Judge's office will be closed once the due date and time has been reached and no other bids will be accepted. Calhoun County will not be responsible for the delivery of your Bid, RFP, RFQ, and/or Contract to the office of the Calhoun Countyludge. Calhoun County is not responsible for late deliveries due to postal mail or other mail delivery services delays. Calhoun County is not responsible for the delivery of the Bid, RFP, RFQ and/or Contract to the wrong office. Calhoun County does not accept faxed or emailed Bids, RFPs, RFQs, and/or Contracts. If the bidder/vendor would like to confirm the delivery of their Bid, RFP, RFQ, and/or Contract, the bidder/vendor may call the Calhoun CountyJudge's office at 361-553-4600. Late Bids, RFPs, RFQs, and/or Contracts will not be accepted. Bids, RFPs, RFQs, and/or Contracts received after the deadline will not be opened and shall be considered void and unacceptable. Bids, RFPs, RFQs, and/or Contracts must be submitted in a SEALED 9 x 12 or larger envelope, addressed as follows: Richard H. Meyer, County Judge, Calhoun County Courthouse, 211 S. Ann St., Suite 301, Port Lavaca, TX 77979. The outside of the SEALED envelope must be clearly marked: SEALED BID (RFP, RFQ or Contract) and the name of the Bid, RFP, RFQ, or Contract. If the Bid, RFP, RFQ and/or Contract is sent by UPS, FedEx or other delivery service, the outside of this envelope must be clearly marked: SEALED Bid (RFP, RFQ or Contract) and the name of the Bid, RFP, RFQ or Contract. Withdrawal of Bid. RFP. RFQ. and/or Contract: A bidder/vendor may withdraw their Bid, RFP, RFQ and/or Contract before Calhoun County's acceptance of the Bid, RFP, RFQ and/or Contract without prejudice to the bidder/vendor, by submitting a written request for its withdrawal to the Calhoun County Judge and mail or hand deliver to the address the Bid, RFP, RFQ and/or Contract was submitted to. A Bid, RFP, RFQ and/or Contract that was opened are not subject to amendment, alteration, or change for the purpose of correcting an error in the Bid, RFP, RFQ and/or Contract price. Bids, RFPs, RFQs, and/or Contracts containing an error may be offered "as is" or withdrawn by the bidder/vendor in accordance with applicable State Laws. Opening and Award of Bid. RFP. RFQ. and/or Contract: Bidders/vendors are invited to be present at the opening and awarding of the Bid, RFP, RFQ and/or Contract. Governing Forms: In the event of any conflict between the terms and provisions of these conditions, the Bid, RFP or RFQ specifications or contract, if applicable, shall govern. In the event of any conflict of interpretation of any part of this overall document, Calhoun County's interpretation shall govern. Addendums: When specifications are revised, the Calhoun County Auditor's Office will send each bidder/vendor that received a Bid, RFP, RFQ and/or Contract packet the addendum once it has been approved by Calhoun County Commissioners Court. No addendum can be sent out until Calhoun County Commissioners Court has approved the addendum or approved the addendum to be sent out by the Engineer with the approval from the County Commissioner or County Department in charge of the project. Page 7 of 54 Indemnification/Hold Harmless: The successful bidder/vendor shall defend, indemnify and hold Calhoun County and its officials, agents, and employees harmless from all suits, actions, or for personal injury, death and/or property damage arising from any cause whatsoever, resulting directly or indirectly from bidder's/vendor's performance. Bidder/vendor shall procure and maintain, with respect to the subject matter of this Bid, RFP, RFO, and/or Contract, appropriate insurance coverage including, as a minimum, general liability and property damage, workers' compensation, employer's liability and auto insurance with adequate limits to cover bidder's/vendor's liability as may arise directly or indirectly from work performed under terms of this Bid, RFP, RFO, and/or Contract. Certification of such coverage shall name, by policy endorsement, Calhoun County as an additional insured and be provided to Calhoun County upon request. Waiver of Subrogation: Bidder/vendor and bidder's/vendor's insurance carrier shall waive any and all rights whatsoever with regard to subrogation against Calhoun County and its respective officials, employees, and insurers as an indirect party to any suit arising out of personal or property damages resulting from bidder's/vendor's performance under this Bid, RFP, RFC, and/or Contract. Insurers and all policies of insurance provided shall contain a provision and/or endorsement stating that the insurance carriers and underwriters waive all rights of subrogation in favor of Calhoun County and its respective officials, employees, and insurers. Bonds: If the Bid, or RFP, requires submission of bid or proposal guarantee and performance bond, there will be a separate page explaining those requirements. Bids or RFPs submitted without the required bid bond or cashier's checks are not acceptable. Taxes: Calhoun County is exempt from all sales tax (state, city and county sales tax) and federal excise taxes under Section 151.309 of the Texas Tax Code. Tax exempt forms will be furnished upon request to the bidder/vendor. Tax exempt forms can be obtained from the Calhoun County Auditor's Office. Bidder/vendor is to issue its Texas Resale Certificate to vendors and subcontractors for such items qualifying for this exemption, and further, bidder/vendor should state these items at cost. Pricing: Prices for all products/goods, services, and/or contracts shall be firm for the duration of the Bid, RFP, and/or Contract and shall be stated on the Bid, RFP, and/or Contract form. Prices shall be all inclusive. All prices must be written in ink or typewritten and must be legible. Pricing on all transportation, freight, and other charges are to be prepaid by the bidder/vendor and included in the Bid, RFP, and/or Contract prices. If there are any additional charges of any kind, other than those mentioned above, specified or unspecified, bidder/vendor must indicate the items required and their costs or forfeit the right to payment for such items. Additional charges added to the Bid, RFP, and/or Contract prices may void the Bid, RFP, and/or Contract. Where unit pricing and extended pricing differ, unit pricing prevails. Inspections: Calhoun County reserves the right to inspect any products/goods or service location for compliance with specifications and requirements and needs of the using department before accepting them. When applicable, Calhoun County reserves the right to enter upon any County leased premises at any time to inspect said premises. Page 8 of 54 Testing: Calhoun County reserves the right to test equipment, supplies, materials, and products/goods bid, proposed, and/or agreed upon for quality, compliance with specifications and ability to meet the needs of the user. Should the equipment, supplies, materials, products/goods and/or services fail to meet requirements and/or be unavailable for evaluation, the Bid, RFP, and/or Contract is subject to rejection. Material Safety Data Sheets: Under the "Hazardous Communications Act", commonly known as the 'Texas Right To Know Act", a bidder/vendor must provide to Calhoun County with each delivery, material safety data sheets which are applicable to hazardous substances defined in the Act. Failure of the bidder/vendor to furnish this documentation will be cause to reject any Bid, RFP, and/or Contract applying thereto. Awards: Calhoun County reserves the right to award this Bid, RFP, RFQ and/or Contract on the basis of lowest and/or best Bid, RFP, RFQ, and/or Contract that met specifications in accordance with the laws of the State of Texas, to waive any formality or irregularity, to make awards to more than one bidder/vendor, to reject any or all Bids, RFPs, RFQs, and/or Contracts and to be the sole judge in determining which Bid, RFP, RFQ and/or Contract will be most advantageous to Calhoun County. Calhoun County will evaluate and may award a Bid, RFP, RFQ and/or Contract based on lowest and/or best Bid, RFP, RFQ and/or Contract meeting specifications. "Lowest and/or best Bid, RFP, RFQ and/or Contract" means a bid or offer providing the best value considering associated direct and indirect costs, including transport, maintenance, reliability, life cycle, warranties, the county's past experience with the bidder/vendor and customer service after a sale. Calhoun County reserves the right to accept and/or reject any/all of the options Bid, any/all of the RFPs, any/all of the RFQs, and/or any/all of the Contracts as it deems to be in the best interest of the County. An award is final only upon formal execution by Calhoun County Commissioners Court. Per Local Government Code, Sec. 262.027, Calhoun County reserves the right to reject all Bids, RFPs, RFQs, and/or Contracts and to go out for new Bids, RFPs, RFQs, and/or Contracts. In the event of tie Bids, RFPs, RFQs, and/or Contracts, the winning Bid, RFP, RFQ and/or Contract is determined per the Texas Local Governmental Code 262.027(b). Calhoun County, Texas is an Affirmative Action/Equal Opportunity Employer. The County does not discrimfnate on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age or handicapped status in employment or the provision of services. Section 3 Residents, Minority Business Enterprises, Small Business Enterprises, Women Business Enterprises, and labor surplus area firms are encouraged to submit Bids, RFPs, RFQs, and/or Contracts. Assignment: The successful bidder/vendor may not assign, sell, sublease or otherwise transfer the Bid, RFP, RFQ and/or Contract without first obtaining the written approval of Calhoun County Commissioners Court. A change in ownership or management shall cancel the Bid, RFP, RFQ and/or Contract unless a mutual agreement is reached with the new owner or manager to continue the Bid, RFP, RFQ and/or Contract under the awarded provisions and approved by Calhoun County Commissioners Court. Term of the Bid. RFP, RFQ. and/or Contract: If the Bid, RFP, RFQ and/or Contract is intended to cover a specific time period, said time will be given in the specifications, instructions, and/or contracts. Page 9 of 54 Obligation of the Bid. RFP. RFQ. and/or Contract: Bids, RFPs, RFQs, and/or Contracts are awarded only upon formal execution by Calhoun County Commissioners Court. If a contract is required, the Calhoun County Judge or other person authorized by Calhoun County Commissioners Court must sign the contract before it becomes binding on Calhoun County. No person is authorized to sign contracts until authorized by Calhoun County Commissioners Court. Calhoun County is not responsible for any contract signed without Commissioners Court approval. Delivery All items shall be shipped F.O.B. inside (or site location) delivery unless otherwise stated in the specifications. Default in promised delivery (without accepted reasons) or failure to meet specifications, authorizes Calhoun County to purchase supplies from the next lowest bidder/vendor that met specifications. Resections: Articles not in accordance with samples and specifications must be removed by the bidder/vendor at the bidder's/vendor's expense. All disputes concerning quality of equipment, supplies, materials, products/goods, and/or services delivered under this Bid, RFP, RFQ, and/or contract will be determined by Calhoun County Commissioners Court or their designated representative. Termination: Calhoun County reserves the right to terminate the Bid, RFP, RFQ, and/or Contract for default if the bidder/vendor breaches any of the terms therein, including warranties of bidder/vendor or if the bidder/vendor becomes insolvent or commits acts of bankruptcy. Such right of termination is in addition to and not in lieu of any other remedies, which Calhoun County may have in law or equity. Default may be construed as, but not limited to, failure to deliver the proper products/goods and/or services within the proper amount of time, and/or to properly perform any and all services required to Calhoun County's satisfaction and/or to meet all other obligations and requirements. Bids, RFPs, RFQs, and/or Contracts may be terminated without cause upon thirty (30) days written notice to either parry unless otherwise specified. The bidder/vendor or Calhoun County must state therein the reasons for such cancellation. Calhoun County reserves the right to award cancelled Bid, RFP, RFQ, and/or Contract to the next lowest and best bidder/vendor that met specifications and is deemed to be in the best interest of Calhoun County. Delinquent Property Taxes: Calhoun County reserves the right to reject any Bid, RFP, RFQ, and/or Contract submitted by a bidder/vendor owing delinquent property taxes to Calhoun County, Texas. If the bidder/vendor subsequently becomes delinquent in the payment of Calhoun County taxes this may be grounds for cancellation of the Bid, RFP, RFC, and/or Contract. Despite anything to the contrary, if the bidder/vendor is delinquent in payment of Calhoun County taxes at the time of invoicing, bidder/vendor assigns any payments to be made under this Bid, RFP, RFQ and/or Contract to the Calhoun County Tax Assessor Collector for the payment of delinquent taxes. Certificate of Interested Parties— Form 1295 Section 2252.908 was added to the Government Code by the 84" Texas Legislature through adoption of House Bill 1295. Senate Bill 255 adopted by the 851h Legislature Regular Session amended the law effective for contracts entered into or amended on or after January 1, 2018. Page 10 of 54 Additional exemptions from Form 1295 requirement were added for 1) a contract with a publicly traded business entity, including a wholly owned subsidiary of the business entity, 2) a contract with an electric utility as defined by Section 31.002 of the Utilities Code, or 3) a contract with a gas utility as defined by Section 121.001 of the Utilities Code. Notarization of Form 1295 has been replaced by an unsworn statement under penalty of perjury by an authorized representative of the business entity. The Texas Ethics Commission promulgated rules to implement the law and established an online portal: https://www.ethics.state.tx.us/whatsnew/elf—info—forml295.htm. The law states that a County may not enter into a contract with a business entity unless a Certificate of Interested Parties (Form 1295) has been completed and provided to the County at the time the contract is considered for action by Commissioners Court. The term "business entity" includes a sole proprietorship, partnership or corporation (whether for -profit or non-profit). The term "contract" includes amendment, extension or renewal of an existing contract (Bids, RFPs, and/or RFQs also require Form 1295). The law does not apply to a Bid, RFP, RFQ and/or Contract between the County and another governmental entity or state agency. The county is required to file Form 1295 with the state within thirty (30) days of approving a contract, and/or awarding a Bid, RFP, RFQ, and/or Contract with a business entity. Governmental transparency is the objective of the law. A business entity must generate Form 1295 online. A business entity must use the application at the Texas Ethics Commission websiteto enterthe required information on Form 1295 and print a copy of the completed form, which will include a certification of filing that will contain a unique certification number and date filed in the box marked "Office Use Only" located at the top right hand corner of the form. An authorized agent of the business entity must sign and complete the bottom portion of the printed copy of the form affirming under the penalty of perjury that the completed form is true and correct. Calhoun County Commissioners Court will not consider for action any Contract with a business entity unless it is accompanied by a completed and signed Form 1295 or a signed statement declaring the provision of the law under which the business entity is exempt. A business entity will generate Form 1295 online after notification of award and submit with their signed contract. (See Attachment A to General Conditions) No later than thirty (30) days after Calhoun County Commissioners Court approves a contract with a business entity, the Calhoun County Clerk will file acknowledgement of receipt of the Form 1295 with the Texas Ethics Commission. The Texas Ethics Commission will post the completed Form 1295 to its website within seven (7) business days after Calhoun County acknowledges receipt of the form. Debarment: Bidder/vendor certifies that at the time of submission of its (their) Bid, RFP, RFQ and/or Contract, the bidder/vendor, as well as the bidder's/vendor's principals, are not on the federal government's list of suspended, ineligible or debarred bidders/vendors and that the bidder/vendor and its (their) principals have not been placed on this list between the time of the Bid, RFP, RFQ and/or Contract submission and the time of execution of the Bid, RFP, RFQ and/or Contract. A print out of the search results that includes the record date showing that the Company, and its Principals, if any, have an active registration with the System for Award Management (www.SAM.gov) AND are not Page 11 of 54 debarred or suspended nor otherwise on the Excluded Parties List System (EPLS) in the System for Award Management (SAM) must be included with the bidder's/vendors Bid, RFP, RFQ and/or Contract. If bidder/vendor or its (their) principals are placed on this list during the term of the Bid, RFP, RFQ and/or Contract, the bidder/vendor shall notify the Calhoun County Auditor. False certification or failure to notify may result in termination of the Bid, RFP, RFQ and/or Contract for default. Invoices and Payments: All invoices are subject to approval by the Calhoun County Auditor's Office. Invoices shall be billed to Calhoun County to the attention of the County Department that the invoice pertains to and, if applicable, have all necessary backup information needed. Invoices shall be itemized (detailed) and free of sales tax (state, city and county sales tax) and federal excise taxes, if applicable. Invoices that are not billed to Calhoun County to the attention of the County Department that the invoice pertains to, not itemized (detailed) and/or free of sales tax (state, city and county sales tax) and federal excise taxes, if applicable, may be returned to the bidder/vendor for corrections. Calhoun County will not incur any fees and/or charges for this request and/or delay in payment of the invoice(s) that was originally submitted incorrectly. Approval of payment of all invoices will be made once the purchase order and invoice(s) are properly and timely submitted to the Calhoun County Treasurer's Office by the appropriate County department. Each County department is responsible for submitting their purchase orders for payment to the Calhoun County Treasurer's Office by the deadline time and date set forth by the Treasurer's office. No payment can be made or mailed out until approved by Calhoun County Commissioners Court. Purchase order due dates/times and Commissioners Court dates/times are subject to change. Calhoun County's obligation is payable only and solely from funds available for the purpose of this purchase. Lack of funds shall render the order null and void to the extent funds are not available and any delivered but unpaid goods will be returned to the seller by the county. Gratuities: Calhoun County may, by written notice to the bidder/vendor, cancel any order and/or service without liability, if it is determined by Calhoun County that gratuities, in the form of entertainment, gifts, or otherwise were offered or given by the bidder/vendor, or any agent or representative of the bidder/vendor to any official, employee, or agent of Calhoun County with a view toward securing a Bid, RFP, RFQ Contract, order, and/or service. In the event a Bid, RFP, RFQ Contract, order, and/or service is canceled by Calhoun County pursuant to this provision, the County shall be entitled, in addition to any other rights and remedies, to recover or withhold the amount of the cost incurred by bidder/vendor in providing such gratuities. Warranty Product: Bidder/vendor warrants that products/goods sold to and/or services provided to Calhoun County shall conform to the highest commercial and/or professional standards in the industry and laws established bythe U.S. Department of Labor, U.S. Department of Homeland Security, Occupational Safety and Health Administration and OSHA Act of 1970. In the event products/goods sold and/or services provided do not conform to OSHA Standards, where applicable, Calhoun County shall return the product/item for correction or replacement at the bidders/vendor's expense. In the event that services do not conform to OSHA Standards, Calhoun County Page 12 of 54 may immediately stop the services and seek reimbursement for said services at the bidder's/vendor's expense. In the event the bidder/vendor fails to make the appropriate correction within a reasonable time, correction made by Calhoun County shall be at the bidder's/vendors expense. Bidder/vendor shall not limit or exclude any implied warranties and any attempt to do so shall render this Bid, RFP, RFQ and/or Contract voidable at the option of Calhoun County. Bidder/vendor warrants that the products/goods and/or services furnished and/or performed will conform to the specifications, scope of work, general conditions, drawings, and/or descriptions listed in the Bid, RFP, RFQ and/or Contract and to the sample(s) furnished by bidder/vendor, if any. In the event of a conflict between the specifications, scope of work, general conditions, drawings, and/or descriptions, the specifications shall govern. All products/goods must be new, in first class condition, unless otherwise specified. The design, strength and quality of materials must conform to the highest standards of manufacturing practice. Products/goods, and/or services supplied and/or performed under this Bid, RFP, RFQ and/or Contract shall be subject to Calhoun County's approval. Successful bidder/vendor shall warrant that all products/goods and/or services shall conform to the proposed specifications and/or all warranties as stated in the Uniform Commercial Code and be free from all defects in material, workmanship and title. Any products/goods and are services found defective or not meeting specifications shall be picked up and promptly replaced or corrected to Calhoun County's satisfaction by the successful bidder/vendor at no expense to Calhoun County. Cancellation: Calhoun County shall have the right to cancel for default all or any part of the undelivered portion of an order and/or services if bidder/vendor breaches any of the terms hereof including warranties of bidder/vendor, or if the bidder/vendor becomes insolvent or files for protection under the bankruptcy laws. Such rights of cancellation are in addition to and not in lieu of any other remedies, which Calhoun County may have in law or equity. Calhoun County shall not incur any fees and/or charges related to the cancellation. The bidder/vendor shall be responsible for any fees and/or charges that are related to the cancellation. Force Maieure• Force Majeure means a delay encountered by a party in the performance of its obligations under this Bid, RFP, RFC, and/or Contract, which is caused by an event beyond the reasonable control of that party. Without limiting the generality of the foregoing, "Force Majeure" shall include but not be restricted to the following types of events: acts of God or public enemy; ads of governmental or regulatory authorities; fires, floods, epidemics or serious accidents; unusually severe weather conditions; strikes, lockouts, or other labor disputes; and defaults by subcontractors. In the event of a Force Majeure, the affected party shall not be deemed to have violated its obligations under this Bid, RFP, RFQ and/or Contract, and the time for performance of any obligations of that party shall be extended by a period of time necessary to overcome the effects of the Force Majeure, provided that the foregoing shall not prevent this Bid, RFP, RFQ and/or Contract from terminating in accordance with the termination provisions. If any event constituting a Force Majeure occurs, the affected party shall notify the other parties in writing, within twenty-four (24) hours, and disclose the estimated length of delay, and cause of the delay. Page 13 of 54 Waiver: No claim or right arising out of a breach of any Bid, RFP, RFQ and/or Contract can be discharged in whole or in part by a waiver or renunciation of the claim or right unless the waiver or renunciation is supported by consideration and is in writing signed by the aggrieved party. Applicable Law: To the extent it is applicable, this Bid, RFP, RFQ and/or Contract shall be governed by the Uniform Commercial Code. Whenever the term "Uniform Commercial Code" is used it shall be construed as meaning the "Uniform Commercial Code" as adopted in the State of Texas as effective and in force on the date of this Bid, RFP, RFQ and/or Contract. Otherwise, Texas state and federal law shall apply. Prohibition aeainst Personal Interest in Bids. RFPs, RFQs, and/or Contracts: No official, employee, or agent of Calhoun County shall have financial interest, direct or indirect, in any Bid, RFP, RFQ and/or Contract with Calhoun County, or shall be financially interested, directly or indirectly, in the sale/lease to Calhoun County of any land, materials, supplies, or service, except on behalf of Calhoun County as an official, employee, or agent. Any willful violation of this section shall constitute malfeasance in office, and any official, employee, or agent guilty thereof shall be subject to disciplinary action under applicable laws, statutes and codes of the State of Texas. Any violation of this section, with the knowledge, expressed or implied of the company, corporation, firm, partnership, or individual contracting with Calhoun County shall render the Bid, RFP, RFQ and/or Contract involved voidable by the Calhoun County Commissioners Court. Insurance: Proof (copy of bidder's/vendor's current insurance) of the below listed insurance may be required to be returned with the Bid, RFP, RFQ and/or Contract. As additional security for Calhoun County and as separate obligations of bidder/vendor not in conjunction with any other provisions of the Bid, RFP, RFQ and/or Contract, bidder/vendor agrees to carry and maintain during the term of the Bid, RFP, RFQ and/or Contract the minimum insurance coverages stated below. Before commencing work, the successful bidder/vendor shall be required, at his own expense, to furnish the Calhoun County Auditor within ten (10) days of notification of award with a certificate(s) of liability insurance (Form ACORD 25 or equivalent) showing, at least, the following minimum insurance coverage to be in force throughout the term of the Bid, RFP, RFQ and/or Contract. Higher rates and/or additional coverage may apply depending upon type of Bid, RFP, RFQ and/or Contract. o General Liability ($100,000/$300,000 or greater) o Workers' Compensation (at Statutory Limits) o Employer's Liability ($1,000,000 or greater) o Auto Insurance ($100,000 BIPP/$300,000 BIPO/$100,000 PD or greater) o Professional Liability Insurance (if applicable) o Farm Liability Insurance (if applicable) Coverages shall apply on an occurrence basis. The certificate(s) must reflect, by policy endorsement, that Calhoun County, Texas is an additional insured on all required policies. Each certificate of liability insurance (Form ACORD 25 or equivalent) to be furnished by successful bidder's/vendor's insurance agent shall include, by endorsement to the policy, a statement that a notice shall Page 14 of 54 be given to the Calhoun County Auditor by certified mail thirty (30) days prior to cancellation, material change, or non -renewal in coverage. Calhoun County's receipt of or failure to object to any insurance certificates or policies submitted by the bidder/vendor does not release or diminish in any mannerthe liability or obligations of the bidder/vendor or constitute a waiver of any of the insurance requirements for the Bid, RFP, RFQ and/or Contract. Replacement certificate(s) of liability insurance (Form ACORD 25 or equivalent) evidencing continuation of such coverage and naming, by policy endorsement, Calhoun County as an additional insured, shall be furnished to the Calhoun County Auditor's office prior to the expiration of the current policies. Should bidder/vendor at any time neglect, refuse to provide, or cancel the insurance required, Calhoun County shall have the right to terminate the Bid, RFP, RFQ and/or Contract or pursue any remedy available by law. The insurance coverage requirements in the Bid, RFP, RFQ and/or contract will in no way be construed as limiting the scope of indemnification. OSHA Requirements: Bidder/vendor must meet all Federal and State OSHA requirements The bidder/vendor hereby guarantees to Calhoun County that all materials, supplies, equipment and/or services listed on the Bid, RFP, RFQ Contract, Purchase Order or Invoice shall conform to the requirements, specifications and standards promulgated by the U.S. Department of Labor under the Occupational Safety and Health Act of 1970, as amended and in force at the date hereof. Protest Procedures: All protests and disputes will be held in Port Lavaca, Calhoun County, Texas. Any actual or prospective bidder/vendor who believes they are aggrieved in connection with or pertaining to a Bid, RFP, RFQ and/or Contract may file a protest. The protest must be delivered in writing to the Calhoun County Auditor's Office, in person or by certified mail return receipt requested prior to award. The written protest must include: o Name, mailing address and business phone number of the protesting party; o Appropriate identification of the Bid, RFP, RFQ and/or Contract being protested; o A precise statement of the reasons for the protest; and o Any documentation or other evidence supporting the protest and any alleged claims. The Calhoun County Auditor's Office will attempt to resolve the protest, including at the County Auditor's option, meeting with the protesting party. If the protest is successfully resolved by mutual agreement, written verification of the resolution, with specifics on each point addressed in the protest, will be forwarded to Calhoun County Commissioners Court. If the Calhoun County Auditor's Office is not successful in resolving the protest, the protesting party may request in writing that the protest be considered by Calhoun County Commissioners Court. Applicable documentation and other information applying to the protest will be forwarded to Calhoun County Commissioners Court, who will promptly review such documentation and Information. If additional information is required, Calhoun County Commissioners Court will notify the protesting party to provide such information. The decision of Calhoun County Commissioners Court will be final. Page 15 of 54 Public Information Act: All governmental information is presumed to be available to the public. Certain exceptions may apply to the disclosure of the information. Bidder/Vendor waives any obligation to the release to the public of any documents submitted in accordance with the Bid, RFP, RFO, and/or Contract. Governmental bodies shall promptly release requested information that is not confidential by law, either constitutional, statutory, or by judicial decision, or information for which an exception to disclosure has not been sought. CALHOUN COUNTY AUDITOR To request information from Calhoun County, please contact: Calhoun County Auditor Calhoun County Courthouse Annex II 202 S Ann St, Suite B Port Lavaca, TX 77979 Phone: 361-553-4610 Fax: 361-553-4614 The Packet, Invitation for Bids, Request for Proposals and/or Request for Qualifications are posted on Calhoun County's website, www.calhouncotx.org, under Public Notices, Bid Notices and Results. Page 16 of 54 ATTACHMENT A CALHOUN COUNTY, TEXAS GENERAL CONDITIONS CERTIFICATE OF INTERESTED PARTIES FORM 1295 A business entity will generate Form 1295 online after notification of award and submit with their signed contract. Form 1295 must be filled out and submitted online, printed, complete #6, signed and returned with the Agreement, Contract, or Lease. See Calhoun County, Texas— Policy of Compliance TO FILL OUT FORM 1295: Go to: https,//www.ethics.state.tx.us/File 1. If you have an account, log in and proceed with the process or if you do not have an account, follow the instructions to set up an account and then proceed with the process. 2. Submit and print a copy of the form which will contain a unique certification number and date submitted in the upper right hand box that is marked "Office Use Only". 3. The Respondent or an authorized agent of the Respondent must sign and date the printed copy of the form (making sure all of #6 is completed). 4. The completed Form 1295 must be included with your Agreement, Contract or Lease, when it is submitted to Calhoun County. For help in filling out the form: #1 Name of Business Entity filing the form, and the City, State and Country of the Entity's place of business #2 Calhoun County, Texas (Also, if applicable, insert name of County Department) #3 • Contract number, if not given, can be the year or dates associated with the Agreement,' Contract, Lease or if for a Bid, RFP, or RFQ the Bid, RFP, RFC number and dates the Bid; RFP, RFQ pertains to • Description is description of Agreement, Contract, Lease or name of Bid, RFP, RFQ On #4 and #5, complete only the one that aoolies to you #4 Fill in the correct information if this applies OR #5 Mark an X in the Box if this applies #6 Fill in the correct information, submit and print After printing, the respondent or an authorized agent of the respondent must sign and date (making sure all of #6 is completed) When you print you should see a Certificate Number and Date in the upper right hand box that is marked "Office Use Only". Page 17 of 54 CERTIFICATE OF INTERESTED PARTIES FORM 1295 OFFICE USE ONLY Complete Nos. 1 - 4 and 6 if there are interested parties. Complete Nos. 1, 2, 3, 5, and 6 if there are no interested parties. 1 Name of business entity filing form, and the city, state and country of the business.` entity's place of business. 2 Name of governmental entity or state agency that is a party to the contract for which the form Is being filed. ♦ 3 Provide the identification number used by the governmental entity or state agency to tJJJJJJ333...�� ic,'J identify the contract, and provide a description of the services, goods, or other property to be provided ue contract. V 4 Name of Interested Party City, State, Country Nature of Interest (check applicable) Ic (place of business) �J Controlling Intermediary r 5 Check onlyif ther0 terested Party.El l�N!\ s UNSWORN DEC♦I]� My name is �` , and my date of birth is My addre%.�Sv , -�`J'✓ (street) (city) (state) (zip code) (country) under penalty of perjury that the foregoing is true and correct. ,,dk(� Executed In County, State of on the day of , 20_ (month) (year) Signature of authorized agent of contracting business entity (Declarant) ADD ADDITIONAL PAGES AS NECESSARY Form provided by Texas Ethics Commission vrv✓w.ethics.state.tx.us Revised 12/22/2017 Page 18 of 54 Calhoun County, Texas POLICY OF COMPLIANCE SECTION 2252.908 TEXAS GOVERNMENT CODE Approved by Commissioners Court January 28, 2016 Amended by Commissioners Court January 31, 2018 and September 14, 2022 BACKGROUND Section 2252.908 was added to the Government Code by the 84th Texas Legislature through the adoption of House Bill 1295. The law states that the County may not enter into a contract with a business entity unless a Certificate of Interested Parties (Form 1295) is provided to the county at the time the contract is considered for action by Commissioner's Court. The term "business entity" includes a sole proprietorship, partnership or corporation (whether for -profit or non-profit). The term "contract" includes amendment, extension or renewal of an existing contract. The law does not apply to a contract between the County and another governmental entity or state agency. The county is required to file Form 1295 with the state within 30 days of approving a contract with a business entity. Governmental transparency is the objective of the law. Senate Bill 255 adopted by the 851h Legislature Regular Session amended the law effective for contracts entered into or amended on or after January 1, 2018. Additional exemptions from Form 1295 requirement were added for 1) a contract with a publicly traded business entity, including a wholly owned subsidiary of the business entity, 2) a contract with an electric utility as defined by Section 31.002 of the Utilities Code, or 3) a contract with a gas utility as defined by Section 121.001 of the Utilities Code. Notarization of Form 1295 has been replaced by an unsworn statement under penalty of perjury by an authorized representative of the business entity. The Texas Ethics Commission promulgated rules to implement the law and established an online portal https://www.ethics.state.tx.us/whatsnew/elf—info—forml295.htm. A,business entity will generate Form 1295 online. Calhoun Countywill acknowledge online the receipt of Form 1295 after a contract is executed. Within seven business days, Form 1295 will be available for public viewing on the Commission's website. COMPLAINCE Calhoun County Commissioners Court will not consider for action any contract with a business entity unless it is accompanied by a completed, signed Form 1295 or a signed statement declaring the provision of the law under which the business entity is exempt. No later than 30 days after Commissioner's Court approves a contract with a non-exempt business entity, the County Clerk will file acknowledgement of receipt of the Form 1295 with the Texas Ethics Commission. Page 19 of 54 SPECIFICATIONS FOR CALHOUN COUNTY COMBINED DISPATCH FACILITY STRUCTURED DATA CABLING BID NUMBER: 2023.08 PART 1: SPECIFICATIONS FOR FIBER OPTIC CABLE INSTALLATION • Cut a trench from a new hand hole (to be placed by others) at the northeast corner of the proposed new building, then directly south, to the exterior wall of the Adult Detention Center Building. • Place one (1) 3" PVC conduit in said trench and stub up each end of the conduit segment — one, in the hand hole and one, at the exterior wall of the Adult Detention Center Building. • Back -fill said trench with trench spoil. • At the Adult Detention Center wall, transition the 3" PVC to 3" EMT and route up to the 2nd level of the building. • Penetrate the wall to provide a building entry for conduit into the building. Seal said building entry. • Furnish and install a MAXCELL 3-cell/detectable/textile inner -dud in the underground section of conduit. • Install one (1) RM Fiber Optic enclosure at equipment rack. Install Fiber Optic adapter panel in said enclosure. • Provide Fiber Optic components forterminating the new Fiber Optic cable in the Adult Detention, Center Building. • Install one (1) SM/12-strand Fiber Optic cable from the existing Adult Detention Center Building to the Server Room in the Combined Dispatch Facility, utilizing the proposed underground conduit and inner -duct. • Terminate each strand of Fiber Optic cable at each end of the cable segment (total of 24 terminations). Page 20 of 64 PART 2: SPECIFICATIONS FOR LOW VOLTAGE STRUCTURED DATA CABLING • In the interior of the Combined Dispatch Facility, install J-hooks in the above -ceiling areas to route network cabling. • Install ladder tray, equipment rack(s), wire management, MTGI3, RM Buss, and associated brackets and hardware in the Server Room to support all proposed network cabling and components to be utilized. • Install one (1) RM buss bar at equipment rack, connect to MTGI3 using AWG #6 Sollgreen jacketed wire. • Install Cat 6 UTP patch panels at the equipment rack to support the quantity of Cat 6 duplex outlets depicted on the provided project drawing, plus 20%spare. • Install all required Cat 6 plenum -rated data cable segments (drops) from the network equipment rack in the Server Room to each of said outlet locations, depicted on the drawings (2 drops per outlet depicted as CB and AB on page 39). • Install one (1) Cat 6 plenum -rated data cable segment (drop), from the network equipment rack in the Server Room to a ceiling location in each of the following rooms, to support a Wireless Access Point; Dispatch Control Room, Meeting & Training Room, Computer Staging Area (total of 3 drops). • Install four (4) Cat 6 plenum -rated data cable segments (drops), from the network equipment rack in the Server Room to each of two (2) floor pockets, located in the Dispatch Control Room (total of 8 drops). See page 37 for details. • Terminate each network drop installed. Test each installed drop, post -termination, with a Cat 6 cable tester. • Furnish Cat 6/1ft. patch cables at rack & Cat 6/10 ft. device cables at devices — for all active ports. • Label network outlet, per Calhoun County Representative. Page 21 of 64 INVITATION TO BID FORM BID NUMBER: 2023.08 List Price for Part 1 and Part 2 and attach your detailed bid for each Bids can be submitted for both Parts or lust one. PART 1: INSTALLATION OF FIBER OPTIC CABLE Provide Manufacture of Materials (ex. Cable) Cost of Materials: Labor Cost: TOTALCOST PART 2: INSTALLATION OF LOW VOLTAGE STRUCTURED DATA CABLING Provide Manufacture of Materials (ex. Cost of Materials: $ Labor Cost: TOTALCOST In submitting this BID, BIDDER had examined and carefully studied the Bidding Documents and the following Addenda (if applicable), receipt of all which is hereby acknowledged: (List Addenda by Addendum Number and Date): Addendum No: Date Received The undersigned affirms that they ore duly authorized to execute this bid and that this company, corporation, firm, partnership, or individual has not prepared this bid in collusion with any other proposer or bidder, and that the contents of this bid as to prices, terms, or conditions of said bid have not been communicated by the undersigned nor by any�employee or agent to any other person engaged in this type of business prior to the official opening of this bid. Furthermore, this company, corporation, firm, partnership, or individual affirms that they hove read the entire bid package and fully understands and has followed and will follow all specifications and general conditions. Submitted this day of 2023. Authorized Signature: Title: Business Name: Page 22 of 54 EXHIBIT 1 Calhoun County Dispatch Facility Plans **These plans are for reference only. There are no specific set of plans detailing the network/cabling** Page 23 of 54 azm mI APe�m'...A =8 mv888iFF;;jB€8'P4 g$s„`=Fmnav, c g`cAs25�8 ��' �° 4444 g HUI € is "�w! €s� c z;�oa �° ° "s_ ��oo�� g ��=8 rn�-_ 1' €<,: € ,� I, i 's 2 �e S'l: 2 �£i��i gl =?_ma wm31 I s� m 3 Gw �ijf; fljiil(�iF IiI i(�ma�i'm'B�gi!� cl !!!P�1!I� 1!ij�ii!� ' 1 -Hit 2 N I COMBINED DISPATCH BUILDING '^'•'•••'°•^^v"^'-eux CALHOUN COUNTY, TE%AG BiZ West LireOak St, Fort Lavaca INDE%OF D(tAWINGS ,•°m vsux -- P.l.V.IS4 « . , 3 ; p % a c P P J , , r, . , I - , w e w p - r . . . , . -miI PegBaWU I ---------- El, - J. 41 z Et - — -- — -- — -- — -- — -- MMRWBOO MY 312.00- OOMBINED DISPATCH BUILDING c OUN coum, T s IS &W a........ . P.,.2a.lu sax wnromo sr 41 �; 2 11 J f 2a He 4 C 313.00' COMBINED DISPATCH BUILDING CALHOUN COUNTY, TEXAS 312 Went1N.O.k St.P.d L... . n,. Pi au I 3 �I � I ,III ,I I I I€ 12 lyi': i i X '31 aaxamxes ar ,2 5 Page 27 of56 PageM d54 GlF �mr U a;- m0 a-n Vim' �D z 0 v D Z IM"o lE3 }�9�C off a ? ski 63 ??g s:s3te X�iays fT' (w1(idj .Y X XYu�e � q� mi P GF I u r. I X. . TT, _a I a 5 � g s-£a Ilb P i 1 8ob P •�m� 7m��m) j� (=j ROOF FfL1MING PI P S Page 20 of 54 Pepe 0U orU i M j 5� �!g$!FF@E!�t1 IL1 Fl! t ! �i�! Epil1F3€'F i,fi!!F eFiiiitF€ij,(ltsilUlii�j�lqrs�E{!l�E!f.� €�k p€€W ?YE p, -ii! � !� 9 ��51tiF I" II.iFFFIli[!Ek! �IFE..ii I4�� !I � FI@g�i§� F lf3 Eil ili iE��glx 1�I ' q � �'G yu`. �� S � �F i s@✓/x3 z . ° n 3� � � � 's G i .� �� i \ zit y a v'� I✓< ,r.� \ F? k a II II I LJ U S f \ h ti„' w y' J j�yj{rjr/ tN IG x 4 '� $ _`•, COMBINED DISPATCH BUILDING `. ;,fr W\y '� inteNanrl CALHOUNCOUNTY,TE S &D.],,ULC rc 312Weat LNe Oak SL,PoALa. G &W LIFE SAFETYPIAN Page 31 of Be Page32ofS,I m z I:OE m z z IN A ED W,'771 'J q,o 0 0 0 C 111104, PHI 0 ag w mh 0 LL VIE lid 0 11 7(ah I I 0 0 0 0 It I -M.01 1 N, gml it 0 H COMBINED DISPATCH BUILDING G W m z I:OE m z z IN A ED W,'771 'J q,o 0 0 0 C 111104, PHI 0 ag w mh 0 LL VIE lid 0 11 7(ah I I 0 0 0 0 It I -M.01 1 N, gml it 0 H COMBINED DISPATCH BUILDING G W -pig - MI I gill IIIIIIJ11 1"11 I MmW :irimp. RT al 06111 .1 1 lit J�� EIL ai�lp��,,pl'�` ��'� m.�Ujim. 11.111.6.U115 fill no MAN" MR, OEM E "It'l � P... 33 WN 'Hi hill=llil-I''111 %ff € 6d •F11Sfe fupfay lot 5a €Ff€�eEi 1i� YD ILII''III111�111 �) IFIII 11al EI �I P EvEi�� WE FE - F a � , i arml—r i rl.- Z ,II IT I III if s 34 fv11 gF vSSE " fE ff ��'� 6€vE5 gg p444 i 1@`€i� I i J ilpl, S�E��f{E�f 1 ii fEa� aE�39 =1I;-1.-. �-1II— . !� f9 ... g� ;4 n;fa^!•Ef `a•" E .F:°!;4 E 3 +f(iaf D I—L IIL= 5'-Efa=fipf�Rki:� 9 IE fe 5, P f � TIIIIII �F• !— f63P! 6 r Z IIIIIiI{ — _ —__ r e cr,: •ii2 ai °fill i4 {i L._ 1 _ .fMill 11114 if a M HIM °aa¢IM C2� Ep e4 SHIP 4dg e {i IE CII—II III'. �� F• a € `1 ' F°iv _..{.. l 11 LI- — p. II 1.111'.. iF Efa F E? ` E erFa fd3 iw ;fE gf° € 5 FE M i (N} LL7,w I1=�- —tI—IIL=III—I:i i fF affpF 2 f' ^a as Pf 'ffta a of f f 3!E F C � II`:�= f ;vpg�a z F P 'l FF�f154 gill f mill 4�i`4{a1�ai i , 11 °fg35'€- a{8 s4a a. E{al YY56 1 p 5 €:91 EE i s a$ i 4 ' F:Ci g�'S ele ip R f°3" �l�e km I'd p N II IIH=11-I�I I Z F °€ a` HIM fE Ill „TCri,Jlr i&E fvE 9� 695FF e4 F �= g j inmgruud i.ADeWsis .IlplL COMBINED DISPATCH INJILDING CALHOUN COUNTY, TEXAS 312 West We Oak SI.,PaC Levaw '- G &W - F� .�....e WALL SECTIONS Page u of S 1. N(s it CC" W o YI ,P 50 °�! m `� \� so y p 4 IA $E`riV' ^ € ssssssss -sssssssssoass=oos- Paga 35 of 54 SPNM NIOSf °es w "/ I la Ili €lie I CALHOUN COUNTY,i S 312 Wnt U,. Oak St, Pml Leve°a 9 P,.36.fu � M m � em\9/�\q /j!) ,!!,a! )4)k§!\/' ]§§ �� !•/|$!|;%� ` •. F� �`!'!|e : § !F .@ !\Qk/liQ §|( R)§E!09 |#(\§||k`I\ !!�\ )§|k§7 d | Page 37 of 54 s m N 9 ll ljljj!fR E qu 5 � ? S `v COMBINED DISPATCH BUILDING CALHOUN COUNTY, TEXAS 312 West Live Oak St. Part Lavaca rs �FFF 4 Fr1—Fr m I1r' o Page 38 of 31 g @ a SE 8gep ag3s 19 i $ d "aH s. a s� E 1 � G y g EE R^ CALHOUN COUNTY, TEXAS 312Wea1 Live Oak S4 Port Lavaca COMMUNICATIONS PLAN PdEa3Ea(3a EXHIBIT 2 Calhoun County Adult Detention Center Service Personnel Application Page 40 of 54 _Calhoun County Adult Detention Center Service Personnel A [!cation Name: Worldn On: Primary Phone: _ Secondary Phone Emergency Contact (Name/Number): Mailing Address: ---`_-Street City State -- Zip Email Address: SSN: Driver License:Stale # DOB: Place of Birth: City State Sex: F or M Other names used (aka's, maiden,etc.) Race: _ Foreign Languages: _ Current Employment: -__ _ _ Title: Have you ever been employed by a correction facility? If yes, give division, department, location, title & dates of employment:^ Are you a victim of, related to, or a friend of any offender or releases now supervised by CCADC?Yes No If yes, Name of Offender Facility: Are you related to a victim or a friend of a victim of any offender or releases now Supervised by CCAOC? Yes No _ If yes Name of Offender _ Facility: List inmate(s) that you are. visiting in unit visitation/ knew prior to incarceration: Name of Offender: _ _ _ Facility: _. 1. Applicant Relation: Relation: Relation: Initials Page 41 of 54 • " Please indicate program area(s) of interest for your volunteer services Church Alcoholics Anonymous: GED Classes: Other: If other, Please specify: ` Oriminal Histgrs Have you ever served time in any adult correctional facility? Yes No If Yes, Years served: .__------------ State: IDy< Have you ever been a member of a gang? Yes No If yes, name and description of gang: _ Do you have any criminal charges currently pending? Yes .___._._. y No If yes, please explain: Are you now or have you ever been on parole or probation? Yes-- ----- N0 if yes, please explain: `Yes Ever fodaftod prapertyroond resulting from being rhargod with a criminal act? No if yes, please explain: Have you ever been convicted of a crime? felony: -- Misdemeanor _ When: -------. ---- Where: Charges: ,Disposition — —' Signature: Date: CCADC Admin. Approved Declined Signature: •—_._...-----------.�.—.__. Date: _ I understand and agree to speak with inmates, only if required, on the area that I am working on. I will not solicit mine or anyone else's personal or professional business services to any inmate while they are in custody. All persons entering are expected to be ethical, respectful and trustworthy. Inappropriate contact, gestures, behavior, verbal comments or lack of professionalism will not be tolerated with inmates or staff and may cause denial of work in this facility. 2• Applicant Initials Page 42 of 54 BIDDER INFORMATION Please Type. If handwritten, must be in ink and legible Bidder's Name: Address: Remittance Address: Telephone: Fax: Email: Signature of Authorized Representative: Printed name of Authorized Rep: Contact Name & Title: Contact Telephone: Contact Fax: Contact Email: CONTACT INFORMATION INVOICES — CONTACT INFORMATION For Invoice Inquiries: Contact Name & Title: Contact Telephone: _ Contact Fax: Contact Email: Page 43 of 54 STATE OF TEXAS {} AFFIDAVIT COUNTY OF {} being first duly sworn, deposes and says: that he or she is (Type or Print Name) the of having its (Type or Print Title) (Type or Print Name of Company/firm) principal address at (Type or Print Physical and Mailing Address) who submits herewith to Calhoun County the attached bid/proposal; that he or she is the person whose name is signed to the attached bid/proposal; that said bid/proposal is genuine; that the same is not sham or collusive; that all statements of fact herein are true; and that such bid/proposal was not made in the interest or behalf of any person, partnership, company,. association, organization or corporation not herein named or disclosed. Affiant further deposes and says: that the bidder/proposer has not directly or indirectly by agreement, communication or conference with anyone, attempted to induce action prejudicial to the interests of Calhoun County, or of any other bidder/proposer, or anyone else interested in the bid/proposal contract; and that the bidder/proposer has not in any manner sought by collusion to secure for himself/herself/itself/themselves an advantage over any other bidder/proposer. Affiant further deposes and says: that prior to the public opening and reading of bids/proposals, said bidder/proposer: a) did not, directly or indirectly, induce or solicit anyone else to submit a false or sham bid/proposal; b) did not, directly or indirectly, collude, conspire, connive or agree with anyone else that said bidder/proposer or anyone else would submit a false or sham bid/proposal, or that anyone should refrain from submitting a bid/proposal or withdraw their bid/proposal; c) did not, in any manner, directly or indirectly, seek by agreement, communication or conference with anyone to raise or fix the bid price/proposal of said bidder/proposer or of anyone else, or to raise or fix any overhead, profit or cost element of their price/fee or of that of anyone else; d) did not give, offer to give, nor intends to give at any time hereafter any economic opportunity, future employment, gift, loan, gratuity, special discount, trip, favor, or service to any official, employee or agent of Calhoun County in connection with the submitted bid/proposal; and e) did not, directly or indirectly, submit their bid/proposal price or any breakdown thereof, or the contents thereof, or divulge information or data relative hereto, to any corporation, partnership, company, association, organization, bid depository, or to any member or agent, thereof, to any individual or group of individuals, or to any official, employee or agent of Calhoun County prior to the official opening of this bid/proposal. Affiant further deposes and says: that the bid price(s) or proposed fees contained in this bid/proposal have been carefully checked and is submitted as true and correct, agrees to furnish any and/or all items/services upon which bid prices or proposed fees are awarded and upon the conditions and requirements contained in the bid/proposal. Signature of Affiant Printed Name and Title of Affiant SWORN TO AND SUBSCRIBED BEFORE ME by the above Affiant, who, on oath, states that the facts contained in the above are true and correct, this day of 20_. Signature of Notary Public Notary Stamp/Seal Page 44 of 54 CONFLICT OF INTEREST QUESTIONNAIRE For vendor doing business with local governmental entity Acomplete copy of Chapter 176 of the Local Government Code maybe found at http://www.statutes.legis.state.tx.us/ Docs/LG/htm/LG.176.htm. For easy reference, below are some of the sections cited on this form. Local Government Code 4 176.0010 -a): "Business relationship" means a connection between two or more parties based on commercial activity of one of the parties. The term does not include a connection based on: (A) a transaction that is subject to rate or fee regulation by a federal, state, or local governmental entity or an agency of a federal, state, or local governmental entity; (B) a transaction conducted at a price and subject to terms available to the public; or (C) a purchase or lease of goods or services from a person that is chartered by a state or federal agency and that is subject to regular examination by, and reporting to, that agency. Local Government Code 4176.003(a)(2)(A) and (B): (a) A local government officer shall file a conflicts disclosure statement with respect to a vendor if: (2) the vendor: (A) has an employment or other business relationship with the local government officer or a family member of the officer that results in the officer or family member receiving taxable income, other than investment income, that exceeds $2,500 during the 12-month period preceding the date that the officer becomes aware that (1) a contract between the local governmental entity and vendor has been executed; or (ii) the local governmental entity is considering entering into a contract with the vendor; (B) has given to the local government officer or a family member of the officer one or more gifts that have an aggregate value of more than $100 in the 12-month period preceding the date the officer becomes aware that: (1) a contract between the local governmental entity and vendor has been executed; or (11) the local governmental entity is considering entering into a contract with the vendor. Local Government Code 4176.006(a) and (a-1) (a) Avendor shall file a completed conflict of interest questionnaire If the vendor has a business relationship with a local governmental entity and: (1) has an employment or other business relationship with a local government officer of that local governmental entity, or a family member of the officer, described by Section 176.003(a)(2)(A); (2) has given a local government officer of that local governmental entity, or a family member of the officer, one or more gifts with the aggregate value specified by Section 176.003(a)(2)(B), excluding any gift described by Section 176.003(a-1); or (3) has a family relationship with a local government officer of that local governmental entity. (a-1) The completed conflict of interest questionnaire must be filed with the appropriate records administrator not later than the seventh business day after the later of: (1) the date that the vendor: (A) begins discussions or negotiations to enter into a contract with the local governmental entity; or (B) submits to the local governmental entity an application, response to a request for proposals or bids, correspondence, or another writing related to a potential contract with the local governmental entity; or (2) the date the vendor becomes aware: (A) of an employment or other business relationship with a local government officer, or a family member of the officer, described by Subsection (a); (B) that the vendor has given one or more gifts described by Subsection (a); or (C) of a family relationship with a local government officer. Form provided by Texas Ethics Commission www.ethics.state.tx.us Revised 11/30/2015 Page 45 of 54 CONFLICT OF INTEREST QUESTIONNAIRE FORM CIQ For vendor doing business with local governmental entity This questionnaire reflects changes made to the law by H.B. 23, 84th Leg., Regular Session. OFFICEUSEONLY This questionnaire Is being filed in accordance with Chapter 176, Local Government Code, by a vendor who has a business relationship as defined by Section 176.001(1-a) with a local governmental entity and the Date Received vendor meets requirements under Section 176.006(a). By law this questionnaire must be filed with the records administrator of the local governmental entity not later than the An business day after the date the vendor becomes aware of facts that require the statement to be filed. See Section 176.006(a-1), Local Government Code. A vendor commits an offense if the vendor knowingly violates Section 176.006, Local Government Code. An offense under this section Is a misdemeanor. !J Name of vendor who has a business relationship with local governmental entity. 2 Check this box if you are filing an update to a previously filed questionnaire. (The law requires that you file an updated completed questionnaire with the appropriate filing authority not later than the 7th business day after the date on which you became aware that the originally filed questionnaire was incomplete or inaccurate.) 3 Name of local government officer about whom the information is being disclosed. Name of Officer 11 Describe each employment or other business relationship with the local government officer, or a family member of the officer, as described by Section 176.003(a)(2)(A). Also describe any family relationship with the local government officer. Complete subparts A and B for each employment or business relationship described. Attach additional pages to this Form CIO as necessary. A. Is the local government officer or a family member of the officer receiving or likely to receive taxable income, other than investment income, from the vendor? F]Yes FIND B. Is the vendor receiving or likely to receive taxable income, other than investment income, from or at the direction of the local government officer or a family member of the officer AND the taxable income is not received from, the local governmental entity? ElYes FIND 6 Describe each employment or business relationship that the vendor named in Section 1 maintains with a corporation or other business entity with respect to which the local government officer serves as an officer or director, or holds an ownership interest of one percent or more. 6 ❑Check this box if the vendor has given the local government officer or a family member of the officer one or more gifts as described in Section. 176.003(a)(2)(B), excluding gifts described in Section 176.003(a-1). 7 Signature of vendor doing business with the governmental entity Date Form provided by Texas Ethics Commission www.ethics.state.tx.us Revised 11/30/2015 Page 46 of 54 DEBARMENT & SUSPENSION Executive Order 12549--Debarment and Suspension Source: The provisions of Executive Order 12549 of Feb. 18, 1986, appear at 51 FR 6370, 3 CFR, 1986 Comp., p. 189, unless otherwise noted. By the authority vested in me as President by the Constitution and laws of the United States of America, and in order to curb fraud, waste, and abuse in Federal programs, increase agency accountability, and ensure consistency among agency regulations concerning debarment and suspension of participants in Federal programs, it is hereby ordered that: Section 1. (a) To the extent permitted by law and subject to the limitations in Section 1(c), Executive departments and agencies shall participate in a system for debarment and suspension from programs and activities involving Federal financial and nonfinancial assistance and benefits. Debarment or suspension of a participant in a program by one agency shall have government -wide effect. (b) Activities covered by this Order include but are not limited to: grants, cooperative agreements, contracts of assistance, loans, and loan guarantees. (c) This Order does not cover procurement programs and activities, direct Federal statutory entitlements or mandatory awards, direct awards to foreign governments or public international organizations, benefits to an individual as a personal entitlement, or Federal employment. Sec. 2. To the extent permitted by law, Executive departments and agencies shall: (a) Follow government -wide criteria and government -wide minimum due process procedures when they act to debar or suspend participants in affected programs. (b) Send to the agency designated pursuant to Section 5 identifying information concerning debarred and suspended participants in affected programs, participants who have agreed to exclusion from participation, and participants declared ineligible under applicable law, including Executive Orders. This information shall be included in the list to be maintained pursuant to Section 5. (c) Not allow a party to participate in any affected program if any Executive department or agency has debarred, suspended, or otherwise excluded (to the extent specified in the exclusion agreement) that party from participation in an affected program. An agency may grant an exception permitting a debarred, suspended, or excluded party to participate in a particular transaction upon a written determination by the agency head or authorized designee stating the reason(s) for deviating from this Presidential policy. However, I intend that exceptions to this policy should be granted only infrequently. Sec. 3. Executive departments and agencies shall issue regulations governing their implementation of this Order that shall be consistent with the guidelines issued under Section 6. Proposed regulations shall be submitted to the Office of Management and Budget for review within four months of the date of the guidelines issued under Section 6. The Director of the Office of Management and Budget may return for reconsideration proposed regulations that the Director believes are inconsistent with the guidelines. Final regulations shall be published within twelve months of the date of the guidelines. Page 47 of 54 Sec. 4. There is hereby constituted the Interagency Committee on Debarment and Suspension, which shall monitor implementation of this Order. The Committee shall consist of representatives of agencies designated by the Director of the Office of Management and Budget. Sec. 5. The Director of the Office of Management and Budget shall designate a Federal agency to perform the following functions: maintain a current list of all individuals and organizations excluded from program participation under this Order, periodically distribute the list to Federal agencies, and study the feasibility of automating the list; coordinate with the lead agency responsible for government -wide debarment and suspension of contractors; chair the Interagency Committee established by Section 4; and report periodically to the Director on implementation of this Order, with the first report due within two years of the date of the Order. See. 6. The Director of the Office of Management and Budget is authorized to issue guidelines to Executive departments and agencies that govern which programs and activities are covered by this Order, prescribe government -wide criteria and government -wide minimum due process procedures, and set forth other related details for the effective administration of the guidelines. Sec. 7. The Director of the Office of Management and Budget shall report to the President within three years of the date of this Order on Federal agency compliance with the Order, including the number of exceptions made under Section 2(c), and shall make recommendations as are appropriate further to curb fraud, waste, and abuse. Implementation in the SRF Programs A company or individual who is debarred or suspended cannot participate in primary and lower -tiered covered transactions. These transactions include SRF loans and contracts and subcontracts awarded with SRF loan funds. Under 40 C.F.R. 32.510, the SRF agency must submit a certification stating that it shall not knowingly enter into any transaction with a person who is proposed for debarment, suspended, declared ineligible, or voluntarily excluded from participation in the SRF program. This certification is reviewed by the EPA regional office before the capitalization grant is awarded. A recipient of SRF assistance directly made available by capitalization grants must provide a certification that it will not knowingly enter into a contract with anyone who is ineligible under the regulations to participate in the project. Contractors on the project have to provide a similar certification prior to the award of a contract and subcontractors on the project have to provide the general contractor with the certification prior to the award of any subcontract. In addition to actions taken under 40 C.F.R. Part 32, there are a wide range of other sanctions that can render a party ineligible to participate in the SRF program. Lists of debarred, suspended and otherwise ineligible parties are maintained by the General Services Administration and should be checked by the SRF agency and all recipients of funds directly made available by capitalization grants to ensure the accuracy of certifications. Additional References C 40 C.F.R. Part 32: EPA Regulations on Debarment and Suspension. Page 48 of 64 CERTIFICATION REGARDING DEBARMENT & SUSPENSION AND OTHER RESPONSIBILITY MATTERS In accordance with the Executive Order 12549, the prospective primary participant certifies to the best of his / her knowledge and belief, that its principals: a. Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by any federal department or agency; b. Have not within a three-year period preceding this proposal been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offence in connection with obtaining, attempting to obtain, or performing a public (federal, state, or local) transaction or contract under a public transaction; violation of federal or state antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction or records, making false statements, or receiving stolen property; c. Are not presently indicted for or otherwise criminally or civilly charged by a governmental entity (federal, state, or local) with commission of any of the offenses enumerated in paragraph (1) (b) of this certification. d. Have not within a three-year period preceding this application / proposal had one or more public transactions (federal, state, or local) terminated for cause of default. e. Acknowledge that all sub -contractors selected for this project must be in compliance with paragraphs (1) (a —d) of this certification. Name and Title of Authorized Agent Signature of Authorized Agent I am unable to certify to the above statements. My explanation is attached. Date Page 49 of 54 Certification Regarding Lobbying (To be submitted with each bid or offer exceeding $100,000) The undersigned certifies, to the best of his or her knowledge and belief, that (a) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of an agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement. (b) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, "Disclosure Form to Report Lobbying," In accordance with its instructions. (c) The undersigned shall require that the language paragraph 1 and 2 of this anti -lobbying certification be included in the award documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements) and that all subrecipients shall certify and disclose accordingly. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by 31, U.S.C. § 1352 (as amended by the Lobbying Disclosure Act of 1995). The Contractor, certifies or affirms the truthfulness and accuracy of each statement of its certification and disclosure, if any. In addition, the Contractor understands and agrees that the provisions of 31 U.S.C. § 3801 at seq., apply to this certification and disclosure, if any. Signature of Contractor's Authorized Official Printed Name and Title of Contractor's Au orized Official uate Page 50 of 54 HOUSE BILL 89 VERIFICATION FORM Certification Required by Texas Government Code Section 2270.001 The 85`^ Texas Legislature approved new legislation, effective September 1, 2017, which amends Texas Local Government Code Section 1, Subtitle F, Title 10, Government Code by adding Chapter 2270 which states that a government entity may not enter into a contract (which includes contracts formed through purchase orders) with a company for goods or services unless the contract contains a written verification from the company that it: 1) Does not boycott Israel; and 2) Will not boycott Israel during the term of the contract Pursuant to Section 2270.001, Texas Government Code: 1. "Boycott Israel" means refusing to deal with, terminating business activities with, or otherwise taking any action that is intended to penalize, inflict economic harm on, or limit commercial relations specifically with Israel, or with a person or entity doing business in Israel or in an Israeli - controlled territory, but does not include an action made for ordinary business purposes; and 2. "Company" means a for profit sole proprietorship, organization, association, corporation, partnership, joint venture, limited partnership, limited liability partnership, or any limited liability company, including a wholly owned subsidiary, majority -owned subsidiary, parent company or affiliate of those entities or business associations that exist to make a profit. I, (authorized official) . do hereby verify the truthfulness and accuracy of the contents of the statements submitted on this certification under the provisions of Subtitle F, Title 10, Government Code Chapter 2270 and that the company named below: 1) Does not boycott Israel currently; 2) Will not boycott Israel during the term of the contract; and 3) Is not currently listed on the State of Texas Comptroller's Companies that Boycott Israel List located at https://comptroller.texas.gov/purchasing/publications/divestment.t)hr) Company Name Signature of Authorized Official Printed Name of Authorized Official Title of Authorized Official Date Page 51 of 54 RESIDENCE CERTIFICATION Pursuant to Texas Government Code §2252.001 et seq., as amended, Calhoun County requests Residence Certification. §2252.001 et seq. of the Government Code provides some restrictions on the awarding of governmental contract; pertinent provisions of §2252.001 are stated below: Sec. 2252.001 (3) "Nonresident bidder" refers to a person who is not a resident. ❑ Icertifythat (4) "Resident bidder" refers to a person whose principal place of business is in this state, including a contractor whose ultimate parent company or majority owner has its principal place of business in this state. is a "Nonresident Bidder" of Texas (Company Name) as defined in Government Code §2252.001 and our principal place of business is (City and State) ❑ I certify that (Company Name) defined in Government Code §2252.001. Signature of Authorized Agent Printed Name and Title of Authorized Agent Date is a "Resident Bidder" of Texas as Page 52 of 54 � Request for Taxpayer Give to Farm (Rew Ochiner2ais) Identification Number and Certification Form the requester. Do not Oapartmem fiber New Intemd Revanue3awice ►Go to www.hsg0V1FmmW9 for instructions and the latest Information. send to the IRS. 1 Nama(az shown on yourincomehax mtum). Namsis recomet an thle One; do not leave%ts line blank 2 Business nemerdisregardoel entry name, if diderent from above of 3 CheakappmpdateboxforfederallexelassMmUonofthapenonwhasenemalsenlemdonlinal.Chmkonlyamofthe 4 Examptians(.adee sppty any to m fallowing .,an boxes. certain entities, not IntlNltluals; an n e ❑ Intlivlduaysoie proprietor or ❑ ry CCoore❑ bon SCogEl Partnership ❑Tmsgedate inelmdtow an page3): ai a aingle,member LLC ExemPl PeYee rsda (dcoY) ❑ Limited! E liability company. uvthe texclacoifimm tion (C=C coomgon, S=S cwpareOon, P=PadnerdW g* `a Note: Cheek the appropriate box in the line she" for the tax daedfication of the sin le-membwn er oer Do not check Exemption from FATCArepoNnp �ee t LLC If the LLC ha daveified u a slegha-membor LLC that is disregarded tram the owner unless Ma owner ofthe LLCls another LLC that Is net disregarded been run owner for U.S. federal tax pumoess. Clhwwise, a sing le -member LLC that codegfeny) Is disregarded from the owner should chock the spin ratchets, box for the tax classification of Us owner. o ❑ Other (coo inerections)� Wenem.e.nemvwnw.0 n.usl rq- 5Addrace,gomberstreet, and apt or suite no.) Sea Instructions. Requester. name and addr.(optiona) H CALHOUN COUNTY 6 City, •hate, and ZIP coda 202 S ANN ST. PORT LAVACA TX 77979 361-5534610 FAX: 361.553-4614 7 Uatsccountnumber(e)here(optionag backup withholding. For Individuals, this Is gonerallyyoursoclal security number(SSM. However, for a resident alien, sole proprietor, ardisregarded entity, sea the Instructions for Peril, later. Far other entities, it is your employer Identification number (EIM- If you do not have a number, sae How to gets 71N, later. Note: If the account Is In more than one time, see the Instructions for line 1. Also see "atAfeme and Number To Give the Requasrarfor guidelines on whose number enter. Under penalties of perjury. I certify that: 1. The number shown an this form Is my comet taxpayer Identification number (or I am wailing for a number to be Issued to me); and 2.1 am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b)1 have not been Implied by the Internal Revenue Servies (IRS) that I am subject to backup withholding as a result of afailure to report all Interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and S.1 am a U.S. citizen or other U.S. person (defined below); and 4. The FATCA code(s) entered on this form Of any) indicating that I am exempt from FATCA reporting Is correct. Certification instructions. You must cross out item 2 above If you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all Interest and dividends on vour tax return. For met estate transedimns. item 2 does not ennly. Fnr mndnaea mt—t a=Id. Sign Here sia..Nreot U&.person► Data► General Instructions • Form 1 099-DIV (dividends, Including those from stocks or mutual funds) Section references are to the Internal Revenue Code unless otherwise noted. • Form 1099-MISO (various types of Income, prizes, awards, or gross proceeds) Future developments. For the latest information about developments related to Form W-9 and Its instructions, such as legislation enacted a Farm 1099-5 (stock or mutual fund sales and certain other after they were published, go to www.1m.govybirri 9. transactions by brokere) •Farm 1099-8(proceeds from real estate transactions) Purpose of Form • Form 1099-K (marchant card and third party network transactions) An Individual or entity ffam, W-9 requester) who is required to file an •Form 1098(home mortgage Interest). 1098-E(student loan interest), Information return with the IRS must obtain your correct taxpayer 1098-T(tuhion) Identification number MN) which may be your social security number • Form 1099-0 (canceled debt) (SSM, Individual taxpayer Identification number (RIM, adoption taxpayer Identification number(ATIM, or employer identification number a 1099-A .Form (acquisition or abandonment of secured property) (EIM. to report on an Information return the amount paid to you, or other Use Farm W-9 only Ifyou are a U.S. person (Including a resident amount reportable on an Information return. Examples of Information alien), to provide your eorectTIN. returns Include, but are not limited to, the following. Ifycu do not refum Fom, W-9 to the requester with a7IN, you might • Form 1099-INT (Interest earned or paid) be subject to backup withholding. Sae What Is backup withholding, later. Cat No. 10231X Fomr W-9 (Ray. 10-2018) Page 53 of 54 INSERT SYSTEM FOR AWARD MANAGEMENT (SAM) RECORD SEARCH FOR COMPANY AND COMPANY'S PRINCIPAL(S), IF ANY • Must include a printout of the search results that includes the record date showing that the Company, and its Principals, if any, have an active registration with the System for Award Management (www.SAM.gov) AND are not debarred or suspended nor otherwise on the Excluded Parties List System (EPLS) in the System for Award Management (SAM). Page 54 of 54 #14 ' NO I ICE OF MEETING — 8/16/2023 14. Consider and take necessary action to authorize the County Auditor to release, if applicable, any addenda to the bidding documents, approved by Commissioner David Hall and IT Coordinator Ron Reger, that is related to the Calhoun County Combined Dispatch Facility Structured Date Cabling. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Joel Behrens, Commissioner Pct 3 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Commissioner Hall, Lyssy, Behrens Page 11 of 18 Mae Belle Cassel From: demi.cabrera@calhouncotx.org (demi.cabrera) <demi.cabrera@calhouncotx.org> Sent: Thursday, August 10, 2023 3:14 PM To: MaeBelle.Cassel@calhouncotx.org Cc: ron.reger@calhouncotx.org; David Hall Subject: Agenda Item MaeBelle, Can you please place the following items on the agenda for Wednesday, August 16, 2023 court: Consider and take necessary action to approve the Specifications and Invitation to Bid Packet for the Calhoun County Combined Dispatch Facility Structured Data Cabling, Bid Number 2023.08, and authorize the County Auditor to advertise for bids. A pre -bid conference will be held at 10:00 am, Thursday, September 7, 2023 in the Commissioners Court Room, Calhoun County Courthouse. Bids will be due before 2:00:00 pm, Thursday, September 21, 2023. • Consider and take necessary action to authorize the County Auditor, to release, if applicable, any addenda's to the bidding documents, approved by Commissioner David Hall and IT Coordinator Ron Reger, that is related to the Calhoun County Combined Dispatch Facility Structured Data Cabling. Vfzmi Cabrizra Calhoun County ,Nmi6tant °Juditor 361-553-4k613 361-553-4614 (fax) Calhoun County Texas #15 NOTICE OF MEETING - 8/1.6/2023 15. Consider and take necessary action to remove a 2009 Ford 4D VIN # 2FAHP71V99X142482 from the Calhoun County Sheriffs Office fleet and send to auction. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Commissioner Hall, Lyssy, Behrens Page 12 of 18 CALHOUN COUNTY, TEXAS COUNTY SHERIFF'S OFFICE 211 SOUTH ANN STREET PORT LAVACA, TEXAS 77979 PHONE NUMBER (361) 553-4646 FAX NUMBER (361) 553-4668 MEMO TO: RICHARD MEYER, COUNTY JUDGE SUBJECT: VEHICLES FOR AUCTION DATE: FEBRUARY 8, 2023 Please place the following item(s) on the Commissioner's Court agenda for the date(s) indicated: AGENDA FOR FEBRUARY 8, 2023 * Consider and take necessary action for the Calhoun County Sheriff's Office to remove 1 vehicle from fleet and send to auction. 2009 FORD 4D VIN#2FAHP71 V99X142482 (OLD UNIT 6) Sincerely, Bob e Vickery Calhoun County Sheriff #16 NOTICE OF MEETING-8/16/2023 16. Consider and take necessary action to transfer a 2015 Toyota Tundra, VIN # 5TFDW5F10FX440751 inventory # 22-0287, to the Extension Service to be surplus/salvaged and remove from Road & Bridge, Precinct 2's Fixed Asset inventory. (VLL) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Commissioner Hall, Lyssy,`Behrens Page 13 of 18 Vern Lyssy Calhoun County Commissioner, Precinct #2 5812 FM logo S Axt pr% Port Lavaca, TX 77979 j �oGry ��a TY Oi f.A� August 10, 2023 Honorable Richard Meyer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Meyer: Please place the following item on the next Commissioners' Court Agenda Vern VL/Ij (361) 552-9656 Fax (361) 553-6664 Consider and take necessary to transfer 2015 Toyota Tundra, VIN 5TFDW5F10FX440751 inventory # 22-0287, to the Extension Service to be surplus/salvaged and remove from Road & Bridge, Pct. 2's Fixed Asset inventory. ner, Pct. 2 #17 NOTICE OF MEETING — 8/16/2023 17. Consider and take necessary action to declare the attached list of equipment from Memorial Medical Center as Waste. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Commissioner Hall, Lyssy, Behrens Page 14 of 18 Calhoun County, Texas Waste Declaration Request Form Department Name: Memorial Medical Cenntterrgorage Units— nt r Month acnldl year page 1 Requested By: Roshanda Thomascai;: 2DOORS FOR WASTE BROKEN 1 METAL SHELVES BROKEN 1 LEATHER BROWN CHAIR BROKEN 4 GRAY CHAIRS DAMAGED 1 LEATHER TABLE BROKEN 1 ROLLING STOOL BROKEN 1 LEATHER BROWN COUCH BROKEN 4 SINKS BROKEN 1 IV POLE BROKEN 1 SMALL REFRIGERATOR DAMAGED 1 SMALL REFRIGERATOR DAMAGED 1 ICE MACHINE DAMAGED 1 MEDICAL EQUIPMENT DAMAGED - 1 MEDICAL EQUIPMENT DAMAGED 1SCALE BROKEN 1 TABLE FRAME BROKEN 1OFFICE CHAIR BROKEN Virginia Bernardino From: Edwin Alan Knight Sent: Tuesday, August 8, 2023 11:08 AM To: Virginia Bernardino Subject: FW: Disposal list From: Edwin Alan Knight <aknight@mmcportlavaca.com> Sent: Tuesday, August 8, 2023 11:07 AM To: Edwin Alan Knight <aknight@mmcportlavaca.com> Subject: Disposal list �„ .'__ _. - . �, i ' r! I j;, IN 6 /'<;,; 12 Sent from my Whone 13 ��: \ \ va w f � ` Virginia Bernardino From: Edwin Alan Knight Sent: Wednesday, August 9, 2023 2:44 PM To: Virginia Bernardino; Nazario Hernandez Subject: FW: Disposal list From: Edwin Alan Knight <aknight@mmcportlavaca.com> Sent: Wednesday, August 9, 2023 2:44 PM To: Edwin Alan Knight <a knight@ mmcportlavaca.com> Subject: #18 N01-10E OF MEETING ..- 8/16/2023 18. Approve the minutes of the August 2, 2023 meeting. RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Commissioner Hall, Lyssy, Behrens Page 15 of 18 Richard H. Meyer County judge ][David Hall, Commissioner, Precinct 1 Vern ]Lyssy, Commissioner, Precinct 2 Joel Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 The Commissioners' Court of Calhoun County, Texas met on Wednesday, August 2, 2023, at 10:00 a.m. in the Commissioners' Courtroom in the County Courthouse at 211 S. Ann Street, Suite 104, Port ]Lavaca, Calhoun County, Texas. Attached are the true and correct minutes of the above referenced meeting. Richard H. Meyer, County Judge Calhoun County Texas Anna Goodman, County Clerk • l� .t�.' ill , il�/� Deputy 2, — / v "' � Date Date klvfq'5 Page 1 of 1 NOTICE OF MEETING-8/2/2023 August 2, 2023 MEETING MINUTES OF CALHOUN COUNTY COMMISSIONERS' COURT MET IN A REGULAR MEETING AT 10:00 A.M. IN THE COMMISSIONERS` COURTROOM IN THE COUNTY COURTHOUSE AT 211 S. ANN STREET SUITE 104 PORT LAVACA, CALHOUN COUNTY, TEXAS. THE FOLLOWING MEMBERS WERE PRESENT: Richard Meyer David Hall Vern Lyssy Joel Behrens Gary Reese Anna Goodman By: Kaddie Smith The subject matter of such meeting is as follows: 1. Call meeting to order. Countyludge Commissioner Pct 1 Commissioner Pct 2 Commissioner Pct 3 Commissioner Pct 4 County Clerk Deputy Clerk Meeting was called to order at loam by Judge Richard Meyer 2. Invocation. Commissioner David Hall 3. Pledges of Allegiance. US Flag: Commissioner Gary Reese Texas Flag: Commissioner Vern Lyssy 4. General Discussion of Public Matters and Public Participation. Shannon Parker with the Texas Division of Emergency Management introduced herself and gave a brief explanation on her duties to the community. Page 1 of 5 NOTICE OF MEETING — 8/2/2023 5. Consider and take necessary action on the Texas Department of Motor Vehicles Imposition of Optional County Fees for CY 2024. (RHM) 6. Consider and take necessary action to approve a resolution appointing Calhoun County representatives to the Golden Crescent Regional Planning Committee. (RHM) 7. Consider and take necessary action to execute the contract with BLS Construction, Inc. for the Calhoun County Combined Dispatch Facility and authorize the County Judge to sign all relevant documents. (DEH) 8. Consider and take necessary action to approve the rental agreement with Anderson Machinery for an K pad foot roller and authorize Commissioner Behrens to sign the agreement. (JMB) RESULT: .` APPROVED [UNAI9TMOUSj MiDVER: Yern,Lyssy; Commissioner Pet 2 SECONOER• David`Hall, Commissioner Pct 1 AYES Judge Meyer, Commissioner:Hall, Lyssy, Behrens, Reese'` Page 2 of 5 NOTICE OF MEETING — 8/2/2023 9. Consider and take necessary action to authorize B & A Ag & Land Services to excavate crossings on Marshall Johnson Avenue South at three locations and install sleeves for future utilities. (JMB) mmissionelr 7iiel_ Behrens abstained frornvoting 'SULT: APPROVED [UN 10. Consider and take necessary action to approve granting the variance from subdivision regulations for Lot 22, Block 1, Espiritu Santo Bay Resort, Port O'Connor, Texas. Property owner is Coastal Rayne Investments, LLC. (GDR) ]ohn Viliafranca explained the variance. RESULT: APPROVED [iJNANIMOU^s] " MdVER- Gary Reese, Commissioner Pct 4 SECQNDER: Joel Behrens; Commissioner Pct 3 AYE$ Judge Meyer, Commissioner_Hall, Lyssy, Behrens, Reese 11. Consider and take necessary action to authorize the Friends of the Port O'Connor Library to add on to the current POC Library building. (RHM) Dlna Sen j*z explained they arewanting to add to`the building. RESULT APPROVED [UNANIMOUS.] MOVER Vern Lyssy,,Commi5sioner Pet 2 SECONDER_ T7avid Half Commissioner Pct 1 AYES Judge"Meyer, Gorn ! ioner_Hall, Lyssy, Behrens, Reese 12. Consider and take necessary action to authorize the Friends of the Port O'Connor Library to raise funds to add on to the current POC Library building. (RHM) RESULT _ APPROVED[UNICNxMOUS] MOVER• Gary Reese; Commissioner Pct 4 SECONDER. llern.Lyssy, Commissioner.P..cf 2 AYES: Judge Meyer, Commissioner Hall, Ly&sy, Behrens, Reese. Page 3 of 5 I NOTICE OFMEETING —8/2/2023 13. Consider and take necessary action to authorize Dina Sanchez, Library Director, to purchase and place a new storage building outside the Port Lavaca Library. (RHM) j vdtedto.approve4s o Ul long as b Idlin 6WInten approves Plans. . _ _ NEWLT, APPROVED PPROVED [UNANIMOUS] MOVER S9CONDERt Joelz' Behrens,Comf issioner 13 _AYE; J..'iHk judge Meyer,Commissioner iee��,yReese `Behrens, I.q. Lonsiaer ana taKe necessary action to accept an anonymous donation in the amount Of $75.00 to the Sheriffs Office to be deposited into the Motivation account (2697-001- 49082-679). (RHM) d oo T 00k i&iUNANIMOUS3: MOVER Dtivid"Hill CommissionerRct I- GiryReese,..Commi5sionerP.6t,.4 -Meyer, �COmrnl�slon Judge, Commissioner H611, Lys sy., Behriens, Rjeese;: iD. 1-onsiaer ano TaKe necessary action to issue a creair cars ror bgt. Juan uoregon who replaced Sgt. Nathan Lapham. (RHM) APPROVED [UNANIMOUS.] MOVER, Vern LVSSY, txmmisslonef Pict".2 SEC NbEllt,jDavid` :A.8ll,.C6mt.nlssl6h ;P Meyer,m C g myer "3Ud em er Hall Ly'ssy.%Beh-r. h5l'Reese' _ 16. ADDrove the minutes of the Julv 19. 2023 meeting. RESULT APPROVEO!1*1060sl -`MOVER 06vld,Hall CommissionerTct 1, , N I SEC-_O DERI66ry Reese,..Cdmmjsd6fi0rPct'4 ... AI S Judge Meyer, ConimNsloner.H011 Lyis y- _Behrens,% Page 4 of 5 NOTICE OF MEETING — 8/2/2023 17. Accept Monthly Reports from the following County Offices: i. Tax Assessor -Collector —June 2023 ii. Texas Agrilife Extension — June 2023 1. Travel Report 2. 4-H and Youth Development 3. Agriculture and Natural Resources 4. Family and Community Health 5. Coastal and Marine RESULT. '. APPROViD [UNANIMOUS] MOVER , Vern Lyssy, Cornet s9ioner Pet 2 SECONDER 'David Hall, Commissioner Pct 1 . AYES Judge Meyer, Commissiorrei'.Hall, Lyssy, Behrens, Reese 18. Consider and take necessary action on any necessary budget adjustments. (RHM) RESULT APPROVER [UN.ANZMOt1S] MOVER " Gary. Reese, Commissioner Pct 4 .5ECONDER: Joel Behrens, Coh i lssioner:.Pct ]i .AYES. Judge Meyer, Comrmssioner Hall„ Lyssy, Behrens, Reese 70 A,n ...I nP hfllc .nA nevrnll (DUM\ MMC Biils. RESULT: ': APPROVED [UNANIMOUS.] MOVER: David Hell, Comrriiss1oner Pct 1 SECONDER., Vern Lyssy, CommissionerTkt 2 AYES: Judge Meyer, ComrnissionerHaA, Lyssy, Behrens, Reese'` Coun#y.Bills RESULY APPROVED [UNANIMOUS} 1�LOVER: David Hall, Commissioner Pet 1 SECONDER;. verntyssy, Commissioner: Pct 2 AYES 'JudgeMeyer, Commissioner`H811, Gq§sy, Behrens, Reese` Adjourned 10:35am Page 5 of 5 NOTICE OF MEETING 8/2/2023 August 2, 2023 MEETING MINUTES OF CALHOUN COUNTY COMMISSIONERS' COURT MET IN A REGULAR MEETING AT 10:00 A.M. IN THE COMMISSIONERS' COURTROOM IN THE COUNTY COURTHOUSE AT 211 S. ANN STREET SUITE 104 PORT LAVACA, CALHOUN COUNTY, TEXAS. THE FOLLOWING MEMBERS WERE PRESENT: Richard Meyer David Hall Vern Lyssy Joel Behrens Gary Reese Anna Goodman By: Kaddie Smith CountyJudge Commissioner Pct 1 Commissioner Pct 2 Commissioner Pct 3 Commissioner Pct 4 County Clerk Deputy Clerk SUPPLEMENTAL AGENDA: The subject matter of such meeting is as follows: 20. Consider and take necessary action to approve the revisions to the contract with AmTech for roof repairs on the Calhoun County Agriculture Building and the additional costs associated with the revisions. These revisions were necessary to meet windstorm requirements. James with AmTOO explained the change, order. RESULT APPROVED [UNANIMOUS] , MOVER Vern Lyssy,:Commissioner Pet 2 SECONDER. David Hall, Commissioner Rc. 1 AYES ]iddge Meyer, Commissioner;Hall, Lyssy, Behrens, Reese' Page 1 of 1 #19 ' NOIICF..OFMEETING —8/16/2023 19. Accept Monthly Reports from the following County Offices: I. County Treasurer — April 2023 ii. Sheriff's Office — February 2023, Corrected iii. Texas Agrilife Extension — July 2023 1. Travel Report 2. 4-H and Youth Development 3. Agriculture and Natural Resources 4. Family and Community Health 5. Coastal and Marine RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Commissioner Hall, Lyssy, Behrens Page 16 of 18 CALHOUN COUNTY, TEXAS COUNTY TREASURER'S REPORT MONTH OF: APIUL2023 BEGINNING ENDING FUND FUNDBALLNCE RECEIPTS DISBURSEMENTS FUNDBAJANCE OPERATING FUNDS: GENERAL $ 42,024,453.15 $ 2,389,94053 $ 3,655,953.37 S 40758,440.31 AIRPORT MAINTENANCE 64,059.72 39.64 9,739.04 S 54,360.32 APPEIATEJUDICIAL SYSTEM 278.48 140.17 $ 418.65 COURT FACILITY FEE FUND 7,661.50 564.74 $ 9,226.24 COASTAL PROTECTION FUND 3,229,374.86 1.998.23 14,200.00 $ 3,217,17109 COUNTY AND DIST COURT TECH FUND 9,281.90 81.78 $ 9,363.69 COUNTY CHILD ABUSE PREVENTION FUND 843.65 0.74 S 844.39 COUNTY CHILD WELFARE BOARD FUND 1,650.12 25.02 $ 1,675.14 COUNTYJURYFUND 2,570.25 162.41 $ 2,732.66 COURTHOUSE SECURITY 262,337.25 2,056.36 1,486.30 $ 262,907.31 COURT INITIATED GUARDIANSHIP FUND 16,039.30 249.92 $ 16,289.22 DIST CLK RECORD PRESERVATION FUND 42,337.80 36.20 $ 42,374.00 COURT REPORTERS SERVICE FOND 1.126.18 33.62 $ 1,159.80 CO CLK RECORDS ARCHIVE FUND 343,600.34 3,802.61 $ 347,402.95 COUNTY SPECIALTY COURT FUND 9,993.05 361.37 $ 10,354.42 COUNTY DISPUTE RESOLUTION FUND 7.527.06 599.66 $ 8,126.72 DONATIONS 123,709.70 1,570.86 732.57 S 124,547.99 DRUGIDWI COURT PROGRAM FUND -LOCAL 26,925.46 22.89 $ 26,948.35 JUVENILE CASE MANAGER FUND 11,037.39 75.02 382AO $ 10,730.01 FAMILY PROTECTION FUND 14,555AI 9.01 S 14,564.42 JUVENILE DELINQUENCY PREVENTION FUND 9,314.77 5.76 $ 9,320.53 GRANTS 595,343.12 1&112.11 11.306.62 S 596,148.61 JUSMCECOURTTECHNOLOGY 89,470A4 715.99 S 90,186.43 JUSTICE COURT BUILDING SECURITY FOND 5.044.66 24.25 275.00 $ 4,793.91 LATERAL ROAD PRECINCT#1 4.310.19 - 2.67 S 4.312.86 LATERAL. ROAD PRECINCT#2 4,310.19 2.67 $ 4,312.86 LATERAL ROAD PRECINCT 03 4,310.20 2.67 S 4.312.87 LATERAL ROAD PRECINCT 04 4,310.20 2.67 S 4,312.87 LANUAGE ACCESS FUND 2,217.79 190.37 $ 2,408.16 JUROR DONATIONS -HUMANE SOCIETY 2,260.56 573.40 $ 2,833.96 JUROR DONATIONS VETERANS SERVICES 985.74 188,61 $ 1,174.35 JUSTICE COURT SUPPORTFUND 8,904.70 880.51 $ 9,785.21 PRETRIAL SERVICES FUND 98,53958 254.79 S 88.794.37 LOCAL TRUANCY PREVENT70WDIVERSION FUND 24,506.31 736.19 $ 25,24150 LAW LIBRARY 209,482.54 1.109.62 1,206.61 $ 209,385.55 LAW ENF OFFICERS STD. EDUC. (LEASE) 30,168.31 18.67 $ 30,186.98 POC COMMUNITY CENTER 28,048.04 217,36 19,048.40 $ 9,217.00 RECORDS MANAGEMENT -DISTRICT CLERK 34.02 $ 34.02 RECORDS MANAGEMENT- COUNTY CLERK 233,903.44 3,837.23 5.575.50 $ 232,165.17 RECORDS MGMT & PRESERVATION 56,867.28 1,343.88 - $ 58,211.16 ROAD &BRIDGE GENERAL 1,461,427.41 45.82356 $ 1.507,250.97 OPIOD REMEDIATION FUND 40.158.67 24.85 $ 40,183.52 6MILE PJERIBOAT RAMP INSURIMAINT 20,574.99 12.73 $ 20,387.72 CAPITAL PROD- BOGGY BAYOU NATURE PARK 205,137.83 58,668.12 $ 146,469.71 CAPITAL PROJ - AMERICAN RESCUE PLAN ACT 2021 1.915,406.19 20.500.00 $ 1,894,906.19 CAPITAL PROD- KING FISHER BEACH PARK 48.615.00 $ 48,6I5.00 CAPITAL PROJ MAG_INDIANOLA BEACH PAVILIONS 363,087.18 13,725.41 $ 376,812.59 CAPITAL PRO)- CORO DR INFRASTRUCTURE 575,477.26 - 90.246.19 $ 485,231.07 CAPITALPROJ:=CUBOMITINPRA.STRUCTURE 377.703.74 S 377,703.74 CAPITAL PROI CHOCOLATE BAYOU BOAT RAMP S 108.042.41 7,425.00 $ 115,467.41 CAPITAL PRO)- ELECTION MACHINES (0.00) $ (0.00) CAPITAL PRO) -LOCAL ASSISTANCBRRIBAL CONSISTENCY 87,904.87 $ 87,904.87 CAPITAL PROJ -RB INFRASTRUCTURE 2M,245.44 $ 2M.245.0 CAPITAL PROD ENERGY TRZ#1 149,841.30 $ 149,841.30 CAPITAL ERIN AIRPORT RUNWAY IMPROVEMENTS 77,461.35 $ 77,461.35 CAPITAL PROJ MAGNOLIA BEACH EROSION CONT 175,000.00 105,000.00 S 70,000.00 CAPITALPROIEVFNf CENTER 125.927.09 $ 125,927.09 CAPITAL PRO) FIRE TRUCKS & SAFETY EQUIP 6,448.68 S 6,448.68 CAPITAL PROD - GREEN LAKE PARK 8.984.79 S 8,984.79 CAPITAL PROD HATERNS PARKIBOAT RAMP $ CAPITAL PRO HOG BAYOU IMPROVEMENTS 6,000.00 $ 6,000DO CAPITAL PROJ PORT ALTO PUBLIC BEACH 0.00 $ 0.00 CPRJ- SWAN POINT SHOREINERE$TORATION 98,776.00 $ 98,776.00 CAPITAL PROD HURRICANE HARVEY FEMA $ CAPITAL PROJ IMPROVEMENTS PROJECTS 292,041.30 $ 292,041.30 CPRJ- SWAN POINT BULKHEAD IMPROVEMENT 15,000.00 S 15,000.00 CAPITAL PRO] HOSPITAL IMPROVEMENTS 2,339,602.66 $ 2,339,602.66 CAPITAL PROJ-MMC LOANS 1,000.000.00 $ 1.000,000.00 ARREST FEES 897.12 230.69 536.23 S 591.58 BAIL BOND FEES HIS 1940) 1,035.00 615,00 1,485.00 $ 165.00 CONSOLIDATED COURT COSTS (NEW) 1,022.05 1,253.17 2.020.66 $ 254.56 CONSOLIDATED COURT COSTS 2020 17,877.59 11,223.05 26,190.36 $ 2,910.29 DNATESTINGFUND 251.58 2.96 4.07 $ 250.47 DRUG COURT PROGRAM FUND -STATE 61.76 . 1 3.83 S 5 2SO4.3625 $ 4,024,65068S 26.I6 SUBTOTALS Page I of 3 COUNTY TREASURER'S REPORT MONTH OF: APIUL2023 BEGINNING ENDING FUND FUNDRALINCE RECEIPTS DISBURSEMENTS FUNDBAIANCE OPERATING FUNDS -BALANCE FORWARD S 57,345,669.89 $ 2,504,366.89 $ 4,024,610.62 $ 55,825,426.16 ELECTION SERVICES CONTRACT $ 77.599.14 48.01 $ 77,647.15 ELECTRONIC FILING FEE FUND S 43.30 43.01 86.31 $ - EMSTRAUMAFUND 1,071.56 690.00 1,471,50 $ 290.06 FINES AND COURTCOSTS HOLDINGFUND 7.847.31 $ 7,847.31 INDIGENT CIVIL LEGALSERVICE 57.30 $ 57.30 JUDICIAL FUND(ST. COURT COSTS) 0.00 15.00 15.00 $ JUDICIAL& COURTPERSONNELTRAINING FUND 14.22 5.00 14.73 $ 4.49 JUDICIAL SALARIES FUND 209.19 198.35 368.71 S 38.83 JUROR DONATION -TX CRIME VICTIMS FUND 432.00 524.00 48.00 $ 908.00 JUVENILE PROBATION RESTITUTION 55&57 223.00 - $ 781.57 LIBRARY GIFT AND MEMORIAL 41,552.47 150.71 $ 41,703.18 MISCELLANEOUS CLEARING 12.027.92 259.66 345.65 S 11,941.93 STATE CRIMINAL NON DISCLOSURE FEE FUND 28.00 28.00 REFUNDABLE DEPOSITS 4000.00 S 2,000.00 STATECIVILFFE FUND 917.02 598.60 1,471.13 $ 44.49 CIVIL JUSTICE DATA REPOSITORY FUND 1A3 1.09 1.96 S 0.16 JURY REIMBURSEMENT FEE 99.98 92.09 164.36 $ 16.71 STATE CONSOLIDATED CIVIL FEE FUND 3,307.94 11881100 5.020.94 $ 168.00 SUBTITLE C FUND 5.243.28 31606.96 8,358.30 S 491.94 SUPP OF CRIM INDIGENT DEFENSE 44.95 65.13 98.35 S 11.73 TIME PAYMENTS 21.99 262.60 189.26 $ 95.33 TRAFFIC LAW FAILURE TO APPEAR 241.26 693.17 647.01 S 287.42 UNCLAIMED PROPERTY 16.695.43 0.66 $ 16,696.09 TRUANCY PREVENTION AND DIVERSION FUND 149.71 38.53 37.57 $ 150.67 BOOT CAMPJIJAEP 147.43 $ 147.43 JUVENILE PROBATION 452.206.32 29726.81 56273.66 S 425659.47 SUBTOTALS S 57,968,149.21 S 2.543,518.27 $ 4,099,251.06 S 56.412,415-42 TAXES IN ESCROW 0.00 0.00 S S1968141L21 S 2343,518.27 S 4099251.06 56Al2AIS.42 TOTAL OPERATING FUNDS OTHERFUNDS D A FORFEITED PROPERTY FUND 28.211.73 5.79 200.00 28.017.52 SHERIFF NARCOTIC FORFEITURES 42.843.18 194.24 168.00 42,869.42 CERT OFOB-CRTHSE REF SERIFS 2010 517,557.67 3.168.72 520,726.39 CERT OF OB-CRTHOUSE I&S SERIFS 2012 130,326.88 696.62 131,023.50 CAL, 00. FEES &FINES 126837.91 86.496.63 100,439.25 112.895.29 c MEMORIAL MEDICAL CENTER OPERATING 4,110,164.21 $ 4,049,062.68 $ 3.578,788.17 S 4,580,438.72 MONEY MARKET 2,055,592.31 S 5,237.54 $ Z060,829.85 INDIGENT HEALTHCARE 9,247.27 4,681.66 4.227.17 9,701.76 PRIVATE WAIVER CLEARING FUND 432.58 0.09 432.67 CLINIC CONSTRUCTION SERIFS 2014 537.33 0.11 537.44 NH ASFORD 308.419.76 564,515.24 612,053.48 260,881.52 NHBROADMOOR 136.007.70 551,192.27 399,443.04 287.756.93 NH CRESCENT 125,935.36 661,872.37 428,201.13 359,606.60 NH FORT BEND 130,556.65 252,285.33 229,857.12 152,984.86 NH SOLERA 156.316.85 704,450.68 496,827.44 363,940.09 NH GOLDEN CREEK 166.519.60 549,144.90 453,413.71 262,250.79 NH SOLERA DACA 0.00 0.00 NH ASHFORD DACA 0.00 0.00 NH BROADMOOR DACA 0.00 0.00 NH GULF POINTE- PRIVATE PAY 48.567.01 168,24255 112,177.89 104.631.67 NH GULF POINT PLAZA MEDICARE I MEDICAID 59,145.81 318,272.45 246.900.71 130,617.55 NH BETHANY SENIOR LIVING 521,429.88 953,798.43 973,702.75 502,525.56 NHTUSCANY VILLAGE 455.470.22 777 892.80 803 291.17 430.071.85 8 85 42.M S 9.560.649.10 $ 8.338.783.78 S 950] 07.96 TOTAL MEMORIAL MEDICAL CENTER FUNDS DRAINAGEDISTRICfS NO.6 38,341.49 27.15 S 38.368.64 NO.8 138,500.01 28.50 138,528.51 NO. 10-MAINTENANCE 203,535.65 97.78 203,633.43 NO. 11-MAINTENANCF20PERATING 327,752.87 5,221.47 2.182.16 330,792.18 NO. 11-RESERVE 226.170.88 46.47 226. 17.35 S 934 00.90 5.421.37 S 2182.16 B 937 0.11 TOTAL DRAINAGE DISTRICT FUNDS CALHOUN COUNTY WCID Rl OPERATING ACCOUNT $ 365,001.12 114.91 16,544.70 S 348,571.33 PAYROLLTAX S 793.99 187.92 S 606.0 TOTAL WCID FUNDS 365795.11 114.91 16732.62 S 349177.40 CALHOUN COUNTY PORT AUTHORITY MAINTENANCE AND OPERATING 85903.35 208.65 S 86112,00 CALHOUN COUNTY FROSTBANK S 1930.87 S 5 5.00 S 1925.87 9 673 72.7] 9 S66 94.03 8,357,703.56 10981963.24 TOTAL MMC. DR. DIST., NAV. DIST, WCN & FROST S 68,487.198.35 $ 12,200,474.30 $ 12,557,761.87 $ 68,129,910.78 TOTAL ALL FUNDS Paee 2 of3 COUNTY TREASURER'S REPORT MONTH OF; APRIL 2023 BANK RECONCILIATION LESS: CEREOF DEN FUND OUTSTNDG DEN PLUS: CHECKS BANK FUND BALANCE OTHERIrEUS OUTSTANDING BALANCE OPERATING • $ 56,412,415.42 10,968.18 586,308.10 $ IZ487,755.34 44,500,000.00 OTHER D A FORFEITED PROPERTY FUND 28,017.52 28,017.52 SHERIFF NARCOTIC FORFEITURES 42,869.42 220.00 43,089.42 CERT OF OB-CRTHSE REF SERIFS 2010 520.726.39 - - 520,726.39 CERT OF OB CRTHOUSE I&S SERIES 2012 131,023.50 U1,023.50 CAL. CO FEES & FINES 112,895.29 12.257.00 5,249.24 105,886.53 MEMORIAL MEDICAL CENTER OPERATING$ 4,580,438.72 1284,146.72 5,864,58SA4 MONEY MARKET 2.060.829.95 2,060,829.85 INDIGENT HEALTHCARE 9,701.76 4,669.72 476.88 5,508.92 PRIVATE WAIVER CLEARING FUND 432.67 432.67 CLINIC CONSTRUCTION SERIFS 2014 537.44 537A4 NH ASFORD 260,991.52 260,88152 NH BROADMOOR 287,756.93 287,756.93 NH CRESCENT 359,606.60 359,606.60 NH FORT REND 152,984.86 152,984.86 NH SOIFRA 363,940.09 363,940.09 NH GOLDEN CREEK 262.250.79 262,250.79 NH SOLERA DACA 0.00 0.00 NH ASHFORD DACA 0.00 0.00 NH BROADMOOR DACA 0.00 0.00 NH GULF POINT PRIVATE PAY 104,631.67 104,631.67 NH GULF POINTE PLAZA MEDICARE/MEDICAID 130,617.55 130,617.55 NH BEIHAN SENIOR LIVING 502.525.56 502,52556 NH TUSCANY VILLAGE 430,071.85 430,071.85 DRAINAGE DISTRICT: NO.6 38,368.64 39,368.64 NO.8 138,528.51 - 138,528.51 NO, 10 MAINTENANCE 203,633.43 - 203,633A3 NO. 11 MAINTENANCE/OPERATING 330.792.18 - 923.50 331,715.68 NO. Il RESERVE 226,217.35 226,217.35 CALHOUN COUNTY WCID u1 OPERATING ACCOUNT 348,571.33 348,571.33 PAYROLL TAX 606.07 606.07 CALHOUN COUNTY PORT AUTHORITY MAINTENANCFIOPERATING "" 86.112,00 86,112.00 CALHOUN COUNTY FROST BANK 1,925.87 1,925.87 A 68,129,910.79 52 77+ 4 ------------- 4 ssxs THE DEPOSITORYFOR CALHOUN COUNTY WCID IS INTERNATIONAL BANK OF COMMERCE -PORT LAVACA •"" THE DEPOSITORY FOR CALHOUN CO. NAVIGATION DISTRICTIS FIRSTNATIONALBANK-PORTLAVACA ssx " THE DEPOSITORY FOR CALHOUN COUNTY FROST IS FROST BANK -AUSTIN, TEXAS xna EASTWEXHANKCDs- OPERATING FUND,'$25,013,941..28 ssxx-TEXASbAPITALBANKCD-$Si102,561.09 iNEXBANkMONEYMKTAccr DALLAS.TFAAS -$ 15,350,810.46 THE DEPOSITORY FOR ALL OTHER COUNTY FUNDS IS PROSPERITY BANK, PORT LAVACA Court costs and fees collected and reported may not be current up -to- a due to n-co liahce y other county fices. herebycertifythat the current balances are correct to all monies at hav nlreceiv b th Coun as ofn th date of this report. Any I� ty ,j�l�I ld Page 3 of 3 SHERIFF'S OFFICE MONTHLY REPORT Feb-23 BAIL BOND FEE $ 495.00 CIVIL FEE $ 516.10 CASH BOND $ 1,600.00 JP#1 $ 2,777.20 JP#2 $ 641.40 JP#3 $ 734.50 JP#4 JP#5 SEADRIFT MUN. PC MUN $ 2,315.60 OTHER TOTAL: 1 $ 9,079.80 Wt v1jw 46��11 A-t-� d� r i I 3 y P O 0p N 44 n �• N W A �.14y3 W U U d O ... O �'00:0100 00 -4 7 Q+ 4 N-7 N \O N %O �o 4 �D %D cV c+1 O to N O 'It'.�10* �D .•+ Ir to In: fV C N qif -. O v) W 0 O Ai C M '.,. M N V C y N d E u Y La vt W U w ni .N T � r� U D F .0 O !. pC CU X' E� � U y O 0 ICL� 'CIO m d O V F o . o V IVY' �;aUU �,> ICs 6 U: v r� o p' E xU E O U, F. U�U U o a .� U �I q y F,' OBI' p' o •o x w -Ilf i' I U l U�IdkUga N c V� m > >. � a o R to l�C a y d d Ir'tF �f o , 8U IYO lr! o O y�s O U O P > a'O UUIF a l >Ci aA $aX' .i$ a o mm, b Sup Im _E ,f- 0. O..s. o I �i"C o a° ❑ ova a x E- '4U ° �.UU a x w u, �Ix w z v W v DIW o ol-• �� d � �..i y�d�'��i ❑�❑��..��. q° - O� �I"N: j I, O bD aOi .7"i'zI. m Ui'>IZ M'W'It 'y '>r K .2 U a U'� a Q o'd;Q rnl d 3 �'IQ, ,, vi' Q Q w .Z I10 F•I� d O g T 2 O:u � UsU v U a U U � � U'� g d c m� 14 'boCL M MM N NIN M M.M N N:N M N M M N,N M M. N!N' N ^ M MI N N N M-M M;M N-.NIN'N'. w g �, as+ 2 C n y r O O N ,N1 O O O N N N:c O O y O O N.N O 10 NON. cV ` O O N �1 N ` O O O' O N.. S,V N N; h y� O 'O 2 X I= ,� A b b r O. M,, m a r' O r` 7.v`1 r GO' O a rrrrr,rrrrrr 00000000000 0 rr 0;o v Corr o000 <, -- Eo= Fa v �F 0 0 *'w s 4-H and Youth Development EXTENSION ACTIVITY REPORT TO COUNTY COMMISSIONERS COURT July 2023 Miles traveled: County Vehicle 627; Personal Vehicle 0 Selected maior activities since last report July 5 — Commissioners Court July 6-7 — YMCA Stream Trailer July 7 — Coastal Bend 4-H Sportfishing Day Planning Meeting (virtual) July 11 — Dl 1 4-H Jr Leadership Lab (Lake Texana) CCF Steer/Heifer Progress Show July 12 — Teacher Professional Development July 13 —Dl1 4-H Record Book Judging (Victoria) July 18 — Coastal Bend 4-H Sportfishing Day (Rockport) July 20-21 — 4-H Prestige Leadership Conference (Huntsville) July 26 — 4-H Clover Kids Camp July 27 — YMCA Kayaking July 28 — 4-H Achievement Banquet Set -Up 4-H Club Officer/Leadership Camp July 30 — 4-H Achievement Banquet Direct Contacts by: Office: 6 E-mail: 115 Facebook Posts/Followers: 9 posts/620 followers Site: 2 Newsletters: 1 Instagram Posts/Followers: 3 posts/227 followers Phone/Texts: 12 4-H Enrollment: 192 youth; 25 adult volunteers Maior events for next month— August 2023 August 1-3 — TAE4-HYDP State Conference (Kemah) August 5 — CCF Poultry Clinic August 10-11, 14 —Out of Office August 20 — CCF Rabbit Clinic August 22 — CCF Sheep/Goat Clinic/Progress Show August 25 — CCF Roaster Pick Up (College Station) August 28 — County 4-H Council Meeting Emilee S. DeForest CEA — 4-H and Youth Development July 2023 Texas A&M AgriLife Extension • The Texas A&M t. ersity System • College Station, Texas t Agriculture and Natural Resources EXTENSION ACTIVITY REPORT TO COUNTY COMMISSIONERS COURT July 2023 Miles traveled: County Vehicle 120: Personal Vehicle:0, Selected major activities since last report July 5-7 : Dedicated time for Program Plans July 12- Teacher Staff Development Water Shread July 13- Record bookjudging July 17- Dr. Shackleford visit. July 19-28: Texas Farm Bureau Ag Lead International Trip to Ecuador Direct Contacts by: Office: 5 E-mail: 32 Facebook Posts/Followers: 3 posts/601 followers Site: 3 Newsletters: 0 Instagram Posts/Followers: 0 Post/ 0 followers Phone/Texts: 16 Maior events for next month — August 2023 August 9- Hunters Education Training August 15- POC Garden Program August 29- Garden Fall Program Calhoun CEA — Agriculture and Natural Resources March 30 Texas A&M AgriLife Extension • The Texas A&M University System • College Station, Texas Family and Community Health EXTENSION ACTIVITY REPORT TO COUNTY COMMISSIONERS COURT July 2023 Miles traveled: 477 County Vehicle 48 Personal Vehicle Selected major activities since last report ➢ July Meetings 7, 11, 13, 18, 19, & 20 Pasta Program Planning, Court Budget, Library Board, United Way Board, Lunch and Learn at the Hospital, Senior Citizen's Board ➢ July 5, 7, 10, 12, 14, 17, 19, 21, 24, 28 & 31 Strong People Strong Bodies Morning only ➢ July 5 & 6 Noodle Program at Calhoun County Libraries (Port Lavaca, Seadrift, and Port O'Connor) ➢ July 5, 12, 19 & 26 Walk Across Texas/ Walk and Talk In the Pool (Apples, Cherries, Peppers and Aerobics) ➢ July 6 Cooking Competition Planning Meeting with YMCA and Hospital ➢ July 7 Interview on WAT and WNT in the pool and Cooking Camp Competition with Port Lavaca Wave ➢ July 10-13 Cooking Camp with YMCA Advanced Camp ➢ July 11 Budget Request Meeting with Court ➢ July 15 Calhoun County YMCA/ Hospital AgriLife Youth Cooking Competition - Cancelled -Can't cook outside of Kitchen in Bauer ➢ July 17 Food Handler Class ➢ July 18 Sport Fishing Day -Multi County Event Lead by Calhoun and Aransas County in Aransas ➢ July 24-27 Texas Extension Association Family and Consumer Sciences Conference ➢ July 25 Early Childhood Educators Monthly Training ➢ July 30 4-H Achievement Banquet Direct Contacts by Office: 2 E-mail/Letters: 456 Facebook Page Post 17 Followers 652 Site: 2 Newsletters: 0 Facebook profile 1017+Friends 5 posts Phone/Texts: 43 Volunteers: 3 In Person Participant Contacts - 371 Maior events for next month -August 2023 ➢ August Meetings 1, 11, 15, 16, & 17 District 11, Volunteer Steering Committee, United Way Board, Lunch and Learn at the Hospital, Senior Citizen's Board ➢ August 2, 4, 7, 9, 11, 14, 16, 18,21, 23, 25, 28 & 30 Strong People Strong Bodies Morning only ➢ August 2, 9, 16, & 23 Walk Across Texas/Walk and Talk in the Pool (Onion, Beans, Aerobics & Potatoes) ➢ August 4 Born Learning Trail with United Way and other Partners at City Park ➢ August 5 Hard Head Derby ➢ August 16-18 District 11 EAFCS Retreat in Port Aransas ➢ August 21 A Matter of Balance Training in College Station ➢ August 22 Early Childhood Educators Monthly Training ➢ August 23 & 24 Food Manager's Class with Victoria County Agent in Victoria Karen P. Lyssy Calhoun Name County �11 CEA - Family and Community Health July 2023 Title Date (Month -Year) Texas A&M AgriLife Extension • Texas A&M University System - College Station, Texas Coastal and Marine EXTENSION ACTIVITY REPORT TO COUNTY COMMISSIONERS COURT July 2023 Miles traveled: County Vehicle 665 Personal Vehicle 380 Selected major activities since last report. 7/5 — TAMUCC TXGLO Beach Survey with Coral Lozada 7/6 — YMCA Camp Watershed Education Program 8-9 and 10-14 yr old groups 7/6 — TX Sea Grant Water Level Sensor Meeting 7/7 - YMCA Camp Watershed Education Program 6-7 yr old group 7/8 —Fishermen Cooperative Meeting 7/10 — YMCA Camp Nature Trail Program at Palacios Marine Education Center 7/11— YMCA Camp Seining Program 7/12 — Teacher Professional Development Program on Watershed Education 7/13 — Texas Brigade Waterfowl Brigade Camp 7/14 — YMCA Camp to State Aquarium 7/19 — YMCA Camp to Redfish Farm and Aquatic Plant Nursery 7/20 — YMCA Camp Watershed Education Program 7/21 —YMCA Camp Trip to Sea Center Texas —Lake Jackson 7/24 — MBMT Trustee Tour of Calhoun County 7/25 — Specialist Meeting Awards Dinner at South Shore Harbor Convention Center 7/27 — YMCA Camp Kayaking Tip to Boggy Nature Park 7/28 — TXGLO Clean Coast Texas Tour of City of Port Lavaca to scope future project areas Direct Contacts by: Office: 11 E-mail/Letters: 173 Instagram Posts/Followers: 51410 Site:8 Newsletters: 0 Phone/Texts:187 Volunteers:0 Maior events for next month— Au2ust2023 8/1 to 8/3 — TEA4H Meeting at South Shore Harbor to put on workshop 8/9 — TP WD Hunters Education Program at Calhoun 4-11 Shooting Range 8/24 — Conrad Blucher Institute NSF Reviewer Meeting on Calhoun Water Sensor — Al Modeling Project Name County Coastal and Marine Agent July 2023 Title Date (Me -Year) Texas A&M AgriLife Extension • The Texas A&M Univer ' S tem College Station, Texas # zo N011C:E OF MEETING -- 8/16/202i3 20. Consider and take necessary action on any necessary budget adjustments. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Commissioner Hall, Lyssy, Behrens Page 17 of 18 ) % 2 2 k k (D q 7 2 / ■■§\ MEN §�� \ § � / §a a j ■ a 2 ■®® ,LLI . _ § ■ § ®&& §. \\ ■ mmU. §lu $ § § ■ k ■ ;; § 3 �\ �2 � @ ■ (/ & § \) IL ■ z LU W k k � MEN . §�}; '° ■w®§ :z :z �§__ :w § ■ :L :o kw2; §§ ; ■ ; � § � `B \§ 2; | § § a ; | 2 | LU � §k (/ B $ / 0\ |- L 2) ■ 12 � LU m � 19 !| 01 21 ■ §w§§ ) §§© 7 =c §■ $ |0 w§ 2 Bz § �� 2 =z )§ ■w� \� § ] §§ B ■ § §§ ■ � © § � � o ) L kS k § § § §. 2 � �■ � �� )Lu § \ )Z ° Mgt k §� ■8 U. 2LLI � ■q k a B 2 q )z § z o R k E§LU k (� 2 \ k § §� lu � . « § z � 0 z L z z w z z � . . ) z § & ■ I I Z000 lild 21� a ( 15 IL z #21 NOTICE OF MEETING — 8/16/2023 21. Approval of bills and payroll. (RHM) MC :SULT: APPROVED [UNAP OVER: Vern Lyssy, Commis! XONDER: David Hall, Commiss (ES: Commissioner Hall, I County Bills RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Commissioner Hall. Lvssv. Behrens' Adjourned 10:19am Page 18 of 18 MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR ---August 16, 2023 TOTALS TO BE APPROVED - TRANSFERRED FROM ATTACHED PAGES TOTAL PAYABLE., PAYROLL AND ELECTRONIC -.BANK PAVAAENTS S t,1t9,fi68 54 TOTALTRANSFERSBgNV FUNDS' S 54,354,89' TOTAL.NURSING HOME UPL EXPENSES ¢ iyU81;9QS,9U TOTAL INTER GOVERNMENTTRANsFERS GRAND TOTAL DISBURSEMENTS APPROVEDAuguatig, 2023 S 2,266t3S:38 MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR ---August 16, 2023 PAYABLES AND PAYROLL 8/10/2023 Weekly Payables 399,664.71 8/1012023 Citibank Credit Card -see attached 5,602.42 8/15/2023 McKesson340B Prescription Expense 7,824.45 811512023 Amerisource Bergen-3408 Prescription Expense 1,408.50 8/15/2023 Payroll Liabilities -Payroll Taxes 123,220.81 8/15/2023 Payroll 380,387.84 all5/2023 Health Equity -Wage works employee FSA 9,242.98 Prosperity Electronic Bank Payments 877-8I10/23 Credit Card & Lease Fees 5,251.30 8120/2023 TCDRS July Retirement 187,071.85 8/912023 Cleargage,Patient Financing Service 117.37 817-8/11123 Pay Plus -Patient Claims Processing Fee 76.36 TAL PAYABLES� PAYROLL AND ELEGTE{ON[C;SAW PAYMENTS: $ E;td8,1485:59 TRANSFER BETWEEN FUNDS FROM MMC TO NURSING HOMES 8110/2023 MMC Operating to Sclera -correction of NH. insurance payment deposited into 3,000.00 MMC Operating 8/10/2023 MMC Operating. to Fort bend -correction of NH insurance payment deposited into 8,400.00 MMC Operating 8/10/2023 MMC Operating to Crescent -correction of NH insurance payment deposited. into 4,800,00 MMC Operating in error 811012023 MMC Operating. to Golden Creek -correction of NH insurance payment deposited.. 1,862.60 into MMC Operating in error 8/10/2023 MMC Operating to Gulf Pointe Plaza -correction of NH insurance payment 1,200.00 deposited into MMC Operating 8110/2023 MMC Operating: to Tuscany Village -correction of NH insurance payment 13,000.00 deposited into MMC Operating 811012023 MMC Operating to Bethany -correction of NH insurance payment deposited into 22,09729 MMC Operating MMC. Operating to Bethany DACA-Opening deposit for new account TOTALT[2A[JSFEt25B.TWEEN FUNDS'- ra4,35;&S' NURSING HOME UPL EXPENSES 8/1512023 Nursing Home UPL-Cantex Transfer 608,892,92 811512023 Nursing Home UPL-Nexion Transfer 80,321_67 8/15/2023 Nursing Home UPL-HMG Transfer 96,468,433 811612023 Nursing Home UPL-Tuscany Transfer 106,775A6 811512023. Nursing Home UPL-HSL Transfer 186,314.16 Nursing Home Electronic Bank Payments 8111/2023 Bethany -returned check 1.000.00 QIPP CHECKS TO MMC 811512023 Ashford 8115/2023 Sroadmoor 8/15/2023 Crescent 8/15/2023 Fort Bend 811512023 Solera 8/15/2023 Tuscany TOTAL, NURSING HOME UPL;EXPENSES 657.41 269.35 205,74 276.66 270.43 457,47 $ rt,osAr 04.00 TOTAL INTER -GOVERNMENT TRANSFERS: &' Page 1 of 11 RECEWD BYTHE COUNTY A1.1100R CIO AUG 10 2023 MEMORIAL MEDICAL CENTER 08/10/2023 0 �AL)'3�DUNt('f^-tENA'S< AP Open Invoice List ap_open_Invoice.template Due Dates Through: 09/07/2023 Vendor# Vendor Name Class Pay Code T2900 3M COMPANY f M Invoice# Comment Tran Dt Inv Dt Due Dt Check D, Pay Gross Discount No -Pay Net SCO0113328 ✓ 07/31/20 06/16/20 07/11/20 16.984.51 0.00 0.00 16,984.51 SOFTWARE RENEWAL Vendor Totals Number Name Grass Discount No -Pay Net T2900 3M COMPANY 16,984.51 0.00 0.00 16,984.51 Vendor# Vendor Name Class Pay Code 11283 ACE HARDWARE 15521 f Invoice# Comment Tran or Inv Dt Due Dt Check 0 Pay Grass Discount No -Pay Net 073123 07/31/20 07/31/20 08125/20 1,623.39 0.00 0.00 1,623.39 f SUPPPLIES , Vendor Totals Number Name Gross Discount No -Pay Net. 11283 ACE HARDWARE 15521 1,623.39 0.00 0.00 1,623.39 Vendor# Vendor Name Class Pay Code 10950 ACUTE CARE INC wel Invoice# Comment Tian or Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net, y INV1393✓ 08/09120 08104120 08/20/20 1,400.00 0.00 0.00 1,400.001/ RFID FEE. Vendor Totals Number Name Gross Discount No -Pay Net. 10950 ACUTE CARE INC 1,400.00 0.00 0.00 1,400.00 Vendor#. Vendor Name Class Pay Code A1680 AIRGAS USA, LLC - CENTRAL DIV f M Invoice# Comment Tran Dt Inv Dt Due Ot Check D Pay Gross, Discount No -Pay Net 5501217141 07/31@0 07131/20 00/25/20 239.10 0.00 0.00 239.10 OXYGEN 5501217140./ 07/31120 07/31120 08/25/20 1,112.73 0.00 0= 1,1.12.73 ✓� OXYGEN Vendor Total: Number Name Gross Discount No -Pay Net A1680 AIRGAS USA, LLC -CENTRAL DIV 1,351.83 0.00 0.00 1,351.83 Vendor# Vendor Name / Class Pay Code A1360 AMERISOURCEBERGEN DRUG CORP ,f W Invoice# Comment Tran Dt Inv of Due Dt Check. D Pay Gross Discount No -Pay Net 3142119409,/ 08102/20 081OV20 08/08/20 292.48 0.00 0.00 292.48 INVENTORY , Vendor Totals Number Name Gross. Discount No -Pay Net A1360 AMERISOURCEBERGEN DRUG CORP 292.48 0.00 0.00 292.48 Vendor# Vendor Name Class Pay Code A2218 AQUA BEVERAGE COMPANY „% M Invoice# / .Comment Tran Dt Inv Dt Due or Check 0 Pay Grass Discount No -Pay Net 103683 ✓ 07/31/20 07/31/20 08/25/20 26.98 0.00 0.00 / 26.98 w- WATER f 103686 f 07/31/20 07/31/20 08/25/20 76.93 0.00 0.00 76.93 ✓'"F WATER Vendor Totals Number Name Gross Discount No -Pay Net A2218 AQUA BEVERAGE COMPANY 103.91 0.00 0.00 103.91.. Vendor# Vendor Name Class Pay Code ` 12800 AUTHORITYRX ,f file:///C:/Users/ltrevino/cpsi/memmed.cpsinet,com/u88125/data_5/tmp_cw5reportl63654... 8/ 10/2023 Page 2 of 11 Invoice#/ Comment Tran Dt Inv Dt Due Dt Check D Pay Grass Discount No -Pay Net , 1878 ✓ 08/00/20 08/04120 05/05/20 51990.00 0.00 0.00 51990.00 +'`f 340B 1897 �„� 08/09120 08/06/20 06/07/20 912.00 0.00 0100 / 912.00 CVS 340E Vendor Totals Number Name Gross Discount No -Pay Net 12800 AUTHORITYRX 6,902.00 0.00 0.00 6,902.00 Vendor# Vendor Name I Class Pay Code A2600 AUTO PARTS & MACHINE GO. / W Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 010171 t//08/10/20 07/03/20 07/18/20 29,38 0.00 0.00 / 29.38 V SUPPLIES 010216 ✓ 08/10/20 07/05/20 07/20/20 124.12 0.00 0.00 124.12 V' SUPPLIER ✓ 010833 08/10/20 07/14/20 07129/20 143.07 0.00 0,00 143.07 ✓ SUPPLIES Vendor TatalsNumber Name Gross Discount No -Pay Net A2600 AUTO PARTS & MACHINE CO. 296.57 0.00 0.00 296.57 Vendor# Vendor Name Class Pay Code 11756 AYA HEALTHCARE INC Invoice# Comment Tran Dt. Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 3380242 08108/20 08/03120 09101/20 3,969.00 0.00 0.00 3,969.00 t KARIANNDUNN cL414-7124--1'f2'111-S-) Vendor Total€Number Name Gross. Discount No -Pay Net 11756 AYA HEALTHCARE INC 3,969.00 0.00 0.00. 3,969.00 Vendor# Vendor Name Class Pay Code 14088 AZALEA HEALTH ✓f Invoice#,r Comment Tran Dt Inv Dt Due. Dt Check D Pay Gross Discount No -Pay Net 92347 ✓ 08/01/20 08/01/20 08/02/20 594.00 0.00 0.00 594.00 MONTLY PROCESSING FEES Vendor TotalsNumber Name Gross Discount. No -Pay Net 14088 AZALEA HEALTH 594.00 0.00 0= 594.00 Vendor# Vendor Name Class Pay Code B1220 BECKMAN COULTER INC M Invoice#Comment Tran Dt Inv Dt Due Dt Check 0, Pay Gross Discount No -Pay Net / 110017022 ✓ 08/10/20 07/13/20 0SID7/20 67.93 0.00 0.00 67,93 ✓' SUPPLIES 110016530 N`08/10/20 07/13/20 08/07/20 46.00 0.00 0.00 46.00 ✓ SUPPLIES 110013198 08/10/20 07/13/20 08/07/20 21.32 0.00 0.00. 21,32 u'`R SUPPLIES , 109941930 ✓/08/10120 06/08/20 07/03/20 11..4.97 0.00 0.00 114.97 f SUPPLIES Vendor Totals Number Name. Grass Discount No -Pay Net 61220 BECKMAN COULTER INC 250.22 0.00. 0.00 250,22 Vendor# Vendor Name Class Pay Code 11072 BIO-RAD LABORATORIES, INC r% Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 906490269v/ 07131/20 07/25120 08125/20 11030,60 0.00 0.00 f 1,030.60. V SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Not file:///C:/Users/ltrevino/cpsi/memmed.cpsinet.com/u88125/data_5/tmp_aw5report163654... 8/10/2023 Page 3 of 11 11072 BIO-RAD LABORATORIES, INC 11030,60 0.00 0.00 1,030.60 Vendor# Vendor Name Class Pay Code 81680 BOUND TREE MEDICAL, LLC ✓/ M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net / 85043785 08/08/20 08/02/20 08/31/20 184.68 0.00 0.00 1 B4.68 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net B1680 BOUND TREE MEDICAL, LLC 184.6E 0.00 100 184,68 Vendor# Vendor Name Class Pay Code / C1048 CALHOUN COUNTY ✓ W Invoice# Comment Tran or Inv Or Due Dt Check D Pay Gross Discount ND -Pay Net 080423 08108/20 08/04/20 08/15/20 150,000.00 0.00 0.00 150,000.00 LOAN PMT 2 of- t$ Vendor TotaleNumber Name Gross Discount No -Pay Net C104B CALHOUN COUNTY 150,000.00 0.00 0.00 150,000.01) Vendor# Vendor Name Class Pay Code C1992 COW GOVERNMENT, INC. ✓ M Invoice# Comment Tran Dt Inv Dt Due Dt Check D- Pay Gross Discount No -Pay Net KWO3596✓ 07/31/20 OW/24/2008/23/20 19B.33 0.00 0100 198.33 SUPPLIES .. Vendor Total -Number Name Gross Discount No -Pay Net C1992 CDW GOVERNMENT, INC. 198.$3 0.00 0.00 198.33 Vendor# Vendor Name Class Pay Cade 13264 CERVEY, LLC yr Invoice# Comment Tran Ot Inv Ot Due Dt Check D Pay Grass Discount No -Pay Net 23646/' 08/09/20 08/05/20 08130/20 1,699.00 0.00 0.00 1,699.00 ✓� MONTHLY LICENSE VendorTotats Number Name Gross Discount Na-Pay Net 13264 CERVEY, LLC 11699.00 0.00 0100 1,699.00 Vendor* Vendor Name Class Pay Code C1600 CITIZENS MEDICAL CENTER ✓/ W Invoice# Comment Tran Ot Inv Dt Due Dt Check D Pay Gross Discount ND -Pay Net 073123 07/31/200713119008131120 61,011.48 0.00 0.00 61,011.48 CRNA COVERAGE JULY 23 .. Vendor Totals Number Name Gross Discount No -Pay Net C1600 CITIZENS MEDICAL CENTER 61,011,48 0.00 0.00 61,011All Vendor# Vendor Name Class Pay Code C1166 COASTAL OFFICE SOLUTONS v'� W Invoice# Comment Tran Dt. Inv Dt Due Ot Check 0Pay Gross Discount No -Pay Net OE.QT-23933-1 ✓ 08/01120 07198/20 08/05/20 3,505.50 0.00 0.00 3,505.50 .!"r DESK Vendor Totals. Number Name Gross Discount No -Pay Net - C1166 COASTAL OFFICE SOLUTONS 3,505.50 0.00 0.00 3.505.50 Vendor# Vendor Name Class Pay Code 13572 COMMUNITY INFUSION SOLUTIONS t/,/ Invoice# Tran Dt Inv Ot Due or Check U Pay Gross Discount No -Pay Net /Comment 202308-16 08/08/20 08/03/20 08/13/20 13,155.05 0.00 0.00 1.3,166.05 v`{ INFUSION SERV Vendor Total- Number Name Gross Discount No -Pay Net 13572 COMMUNITY INFUSION SOLUTIONS 13,155.05 0.00 0.00 13,155.05 Vendor# Vendor Name Class Pay Code file:/!!C:/Users/ltrevino/cpsi/memmed.cpsinet.com/u88125/data 5/tmp_cw5report163654... 8/10/2023 Page 4 of 11 11368 CYRACOM LLC ✓ Invoice# Ce menl Tran Dt Inv Dt DueDt Check D Pay Grass Discount No -Pay Net 2023007079 08108/2001101/2.001/31/20. 257.54 0.00 0.00. 257.54 ✓ INTERPRETATION SRV ( i jEjZ3- d31123) 2023015886 y 08/08/20 02/28/20 03/30/20 235,42: 0.00 0.00 235.42 i INTERPRETATION SERV (Zlp M'p3-7.`24kg3,�, / 2023022657✓ 0810812003/31/2004/30/20 267.81 0.00 0.00 267,81 INJERPRETATIONSERV (3�t�23-3�3pM,23 ✓ 2023032113 08/08/20 04/01/20 05/01120 247.59 0.00 0.00 247,59 y INTERPRETATION SERV `1111 ZI-g13ut 33) 2.023036467 v'7 08/08/20 05/31/20 06/30120 443.19 0.00 0100 443.19 INTERPRETATION SERV (,Fit 113- 6 111111$), .. Vendor Total$ Number Name Gross Discount No -Pay Net 11368 CYRACOM LLC 1,451.55 0.00 0.00. 1,451.55 Vendor# Vendor Name Class Pay Code 10368 DEWITT POTH & SON t// Invoice# Comment Tran Dt Inv Dt Due Dt Check DPay Gross. Discount No -Pay Net 725618.Or/ 07/31/20 07128120 08/22120 52.50 0.00 0,00 �. 52.50 /SUPPLIES 725969-0✓ 07B1/200010212008127/20 457.81 0.00 0,00 457.81 SUPPLIES 726085.0 ✓/08/08/20 08/03/20 08/28/20 91.23 0.00 .0.00 91.23. yr"` ,SUPPLIES 726346.0 Y(' 08/0812008/04/2008/29/20 127.43 0,00 0.00 421.43 ✓`- /SUPPLIES 726351-0 08/08/20 08/04/20 08/29/20 83.24 0.00 0.00 53.24 611�n UPPLIES 724913-0 08/10/2007/2012006114/20 361.13 0.00 0.00 361,13 1Z SUPLIES Vendor Total$ Number Name Gross Discount No -Pay Net 10368 DEWtTTPOTH&SON 1,137.34 0.00 0.00 1,137.34 Vendor#Vendor Name Class Pay Code 10842 DOOR CONTROL SERVICES, INC y� Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross. Discount No -Pay Net SMINV348377✓f 07/31/2006/08/2007/08/20 3,084.54 0.00 0.00 3,084.54 ✓f FRONT DOOR ft:fgr , Vendor Total, Number Name Gross Discount No -Pay Net 10842 DOOR CONTROL SERVICES; INC 3,084.54 0.00 0.00 3,084.54 Vendor# Vendor Name Class Pay Code 12044 DRIESSEN WATER INC, (CULLIGAN) Invoice# Comment Tran Dt Inv Dt Due Dt Check ErPay Gross Discount No -Pay Net 1�30T�O�'.t1y�ili�t%iA53t23 08/10/20 05/31/20 06/30120 375.10 0.00 0.00 375.101/ WATER 4)?St2M. 08f10/20 07/31/20 08/22/20 34.65 0.00 0.00 34.65 `/" t�tila i U'�' U'09E'Wb'� WATER Vendor Totals Number Name Gross Discount No -Pay Net 12044 DRIESSEN WATER INC. (CULLIGAN) 409.75. 0100 0.00 409.75 Vendor# Vendor Name Class Pay Code 11284 EMERGENCY STAFFING SOLUTIONS Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 42861A f 07/31/20 06130/20 07110/20 200.00 0.00 0.00 200.00 file:IIIC:I Userslitrevinolepsilmemmed.cpsinet. com/u8 8125/data_5/tmp_cw5 reportl 63654... 8/ 10/2023 Pale 5 of 11 CAPEYQ7HOMPSON REVISED 42425-/ 07/31/200713112008/10/20 11,182.50 0.00 0.00 11,182.501 CAPEWTHOMPSON Vendor Totals Number Name Gross Discount No -Pay Net 11284 EMERGENCY STAFFING SOLUTIONS 11.382.60 0.00 0.00 11,382.50 Vendor# Vendor Name f Class Pay Code F1400 FISHER HEALTHCARE M Invoice# / Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 4869800 ✓ 07/31/20 07/26/20 08/20120 171.04 0.00 0.00 171.04 ✓ SUPPLIES 4908847d 07/3112007/27/2008/21/20 112.59 0.00 OA0 112.59 1% SUPPLIES 4944615 ✓ 07/31,20 07/28/20 08/22/20 378.90 0.00 0.00 378.90 ✓f SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net F1400 FISHER HEALTHCARE 662.53 0.00 0.00 662,53 Vendor# Vendor Name Class Pay Code 11183 FRONTIER f Invoice# Comment Tran Dt Inv Dt Due Ot Check 0 Pay Gross Discount No -Pay Net 080223 08109/2008/02/2008/28/20 11150.20 0.00 0.00 1,150.20 PHONE Vendor Totals Number Name Gross Discount No -Pay Net 11183 FRONTIER. 1,150.20 0,00 0.00 1,150.20 Vendor# Vendor Name Class Pay Code 12404 GE PRECISION'. HEALTHCARE, LLC ✓/ Invoice# Comment Tran Dt Inv DI Due Dt Check 0 Pay Gross Discount No -Pay Net 6002460684t✓ 08/09/20 08/01/20 08131/20 3,588.58 0,00 0.00 3,588.58 CONTRACT 6002460685a/ 08/09120 08101120 08131/20 86.67 0.00 0.00 86.67 ✓' CONTRACT , 6002460686 V 08/09/20 08/01/20 08/31/20 2,422.50 0.00 0.00 2,422.50 CONTRACT 6002460687 �/ 08/09/20 08/01/20 08131 /20 61.67 0.00 0.00 61.67 1/ CgNTRAC7 ,. 6002460702 �,•/ 08/09/20 08/01/20 08/31/20 5.665.83 0.00 0.00 5,665.83 ✓ CONTRACT .f 6002460820 ✓ 08/09/20 08/01/20 08/31/20 868.16 0.00 0.00 668.16 ✓ CONTRACT VendorTotals Number Name Grass Discount No -Pay Net 12404 GE. PRECISION HEALTHCARE, LLC 12,693.41 0.00 0.00 12.693.41 Vendor# Vendor Name Class Pay Code W1300 GRAINGER I/ M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net. 8752518432 �/ 07/31/20 06/26/20 07/21/20 219.60 0.00 0.00 f 219.60 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net W1300 GRAINGER 219.60 0.00 0.00 219.60 Vendor# VendorName Class Pay Code / G1210 GULF COAST PAPER COMPANY V' M Invoice# Comment Tran Dt Inv Dt Due Dt Check 0, Pay Gross Discount No -Pay Net 2421537 08/08/20 08/01/20 08/31/20 194.98 0.00 0.00 194.98 file:(!/C:/Users/ltrevino/cpsi/memmed.cpsinet.com/u88125/data 5/tmp_cw5report163654.., 8/10/2023 Page 6 of 11 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net G1210 GULF COAST PAPER COMPANY 194.98 0.00 0.00 194.98 Vendor# Vendor Name / Class Pay Code 12380 HEALTH SOLUTIONS DIETETICS ✓ Irwoice# Comment Tran Dt Inv Dt Due Dt Check 0 Pay Grass Discount No -Pay Net 073123 07/31l2007/31/2008115/20 3,400,00 0.00 0.00 / 3,400.00 r/ DIETICIAN SERVICES VendorTotals Number Name. Gross Discount No -Pay Net 12380 HEALTH SOLUTIONS DIETETICS 3,400.00 0.00 0.00 3,400.00 Vendor# Vendor Name Class Pay Code H0031 HEB CREDIT RECEIVABLES DEPT308 Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 3987 07131/2007131/2008/25/20. S&,y,�88/.79 0.00 0.00 C. 884,0,9 � 3I 6,,s SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net H0031 HEB CREDIT RECEIVABLES DEPT308 884rPS 0.00 0.00 894.79i�- Vendor# Vendor Name Class Pay Code", QF7.'•` 10922 HUNTER PHARMACY SERVICES .*,- Invoice# Comment Tran Ot Inv Dt Due Dt Check D Pay Grass Discount No -Pay Net 5583 08/10/20 07/31/20 D8/20/20 14,730.00 0.00 0.00 14,730.00 PHARMACIST SALARY Vendor Totals Number Name Gross Discount No -Pay Net 10922 HUNTER PHARMACY SERVICES 14,730.00 0.00 0.00. 14,730.00 Vendor# Vendor Name Class Pay Code 11200 IRON MOUNTAIN / tnvoice# Tran Dt Inv Dt Due Dt Check D Pay Gross Discount. No -Pay Net /Comment HSTG460ur' 07/31/2007/31/2008/30120. 1,031.84 0.00 0.00 f 1,031.84 vr` SHREDDING Vendor TotaleNumber Name Gross Discount No -Pay Net 11200 IRONMOUNTAIN 1,031.84 0.00 0.00 1,031.84 Vendor# Vendor Name Class Pay Cade 11285 ITA RESOURCES INC �/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D-Pay Gross Discount No -Pay Net. MMC082023 rf"t08/10/20 08/07/20 08/27/20 28,207.23 0.00 0A0 28,207.23. .,,,✓" tREP1RATORY SERV Vendor Totals Number Name Gross Discount No -Pay Net 11285 ITA RESOURCES INC 28,207.23 0.00 0.00 28,207.23 Vendor# Vendor Name Class Pay Code 14540 JINDAL XLLCf Invoice# Comment Tran Dt Inv Dt Due Dt. Check D Pay Gross Discount No -Pay Net 2023-24.013. ,,r 07131/20 07/31/20 08/19/20 9,000.00 0.00 0.00 9,000.00 REVENUE CYCLE MGT Vendor Total; Number Name Gross Discount No -Pay Net 14540 ANDALXLLC 9,000.00 0.00 0.00 9,000.00 Vendor# Vendor Name Class Pay Code L1640 LOWE'S BUSINESS ACCT/SYNCS r/ W Invoice# Comment Tran Dt Inv Dt Due Dt Check D, Pay Gross Discount No -Pay Net 080223 08/09/20 08/02120 08128/20 246.61 0.00 0.00 246.61 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net tile:f//C:lUserslltrevinolcpsilmemmed.cpsinet.comlu88125/data 51tmp_cw5reportl63654,,. 8/1012023 Page 7 of i I L1640 LOWE'S BUSINESS ACCT/SYNCB 246.61 0.00 0.00 246.61 Vendor# Vendor Name Class Pay Cade M2470 MEDLINE INDUSTRIES INC ✓/ M Invoice# Comment Tram Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 2275289788 % 07126/2007/11120 08105120 294.37 0.00 0.00 i 294.37 ✓ SUPPLIES 2275573547 ✓ 07/26/20 07/1 PJ20 08/06/20 1,895.20 0.00 0.00 1,895,20 uY�F SUPPLIES .. Vendor Totals Number Name Gross Discount No -Pay Net M2470 MEDLINE INDUSTRIES INC 2,169.57 0.00 0.00 2,189.57 Vendor# Vendor Name / Class Pay Code 14860 MOBIMEDICAL.f Invoice# Tran Ot Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net (Comment INVO43837 v' 08/10/2008/10/2006/10/20 147.90 0.00 0.00 ,r 147.90 ✓ Vendor Totals Number Name Gross Discount No -Pay Net 14860 MOBIMEDICAL 147,90 0.00 0.00 147.90 Vendor# Vendor Name Class Pay Code 10538 MORRIS & DICKSON CO, LLC Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Grass Discount No -Pay Net f CM48805 07/31120 07/27/20 08/06/20 60.26 0.00 0.00 -60.26 ✓ CREDIT 9882990 ✓ 08/02/20 08/02/20 08/12/20 411.12 0.00 0.00 411 A2 ✓� INVENTORY 9EI82989 r✓ 08/02l20 08/02/20 08/12/20 56.18 0.00 0.00 56,18 ✓� INVENTORY 9879900 «'' 08/02/20 08/02/20 08/12/20 3,611.54 0.00. 0.00 3,611.54 /INVENTORY CM50068 ✓ 08/02/20 08102/20 08/12/20 -55.22 0.00 0.00 -W22 f CREDIT 98B0027 08102/2008103/2008/13/20 217.81 0.00 0.00 217.81 a✓ INVENTORY 988902"a 08/02/20 08/03/20 08/13/20 25.97 0.00 0.00 25.97 /IINVENTORY CM50480 y' 08/02/20 08/03/20 08/13/20 -328.82 0.00 0.00 .328.82 f CREDIT ✓ 9895813✓ 08/08120 08/06120 08/16/20 670.17 0A0 0.00 670.47 INVENTORY f 9895812✓ 08/08/2008/0512008/16/20 1,154.28 0.00 0.00 , 1,1.54.28 ✓'F /INVENTORY 9900087 ✓ 08/08/20 08/07/20 08/17/20 95.74 0.00 0.00 95.74 1_/ / INVENTORY 9897263✓ 08/08/20 08/07/20 08/17/20 1,022.25 0.00 0.00 1,022.25 611� INVENTORY 9900086 0810MO 08/07/2008/17/20 1,284.22 0.00. 0.00 1,284,22 ✓ INVENTORY / 9897262 v� 08/08/20 08/07/20 08/17/20 1.167.26 0100 OAO 1,167.26 /INVENTORY 9905489 v` 08/09/20 08/0&20 08/18/20 373.85 0.00 0.00 373.85 v�`f INVENTORY 9905488 ✓ 08/09120 08108/20 08/18/20 1,103.23 0.00 0.00 1, 103.23 file:///C:/Userslltrevinolepsi/memmed.cpsinet.com/u88125/data_5/tmp_cw5report163654... 8/10/2023 Page 8 of 11 / INVENTORY i 9EI02037 ✓ 08/09/20 08/08/20 08/18/20 3,351.75 0.00 0.00 3,351.75 INVENTORY .. Vendor Totals Number Name Gross Discount No -Pay Net 10536 MORRIS & DICKSON CO, LLC 14,101.07 0.00 0.00 14,101.07 Vendor#Vendor Name Class Pay Code N1235 NFPA PROFESSIONAL DEVELOPMENT .✓/ Involce# Comment Tran Ot Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 080723 08/08/20 08/07/20 08115/20. 175.00 0.00 0.00 175.00 1 YEAR MEMBERSHIP Vendor Totals Number Name Gross Discount No -Pay Net N1235 NFPA PROFESSIONAL DEVELOPMENT 175.00 0.00 0.00 175.00 Vendor# Vendor Name Class Pay Cade / 01416 ORTHO CLINICAL DIAGNOSTICS ✓ Involce# Comment Tran Dt Inv Dt Due Ot Check D` Pay Gross Discount No -Pay Net 1853064714 ✓ 07/31/20 07/30120 08/29/20 205.13 0.00. 0.00 205.13 ,! SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 01416 ORTHO CLINICAL DIAGNOSTICS 205.13 0.00 0.00 205.13 Vendor# Vendor Name Class Pay Code 11155 PARAREV Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 905389�/ 08109/2008/0ll2008131120 3,084.00 0.00 0,00 3,084.00✓`� REVENUE INT PROGRAM. Vendor Tolale Number Name Gross Discount No -Pay Net 11155 PARAREV 3.084.00 0.00 0.00 3,084.00 Vendor# Vendor Name Class Pay Code. P2200 POWER HARDWARE./ W Invoice# Comment Tran Dt Inv Dt Due Ot Check D, Pay Gross Discount No -Pay Net 073123 07/31/2007/31/2008/10120 103.72 0.00 0.00 �. 103.72. u+ SUPPLIES Vendor TotalsNumber Name Gross Discount No -Pay Net P2200 POWER HARDWARE 103.72 0.00 0.00 103.72. Vendor# Vendor Name Class Pay Code / 11932 PRESS GANEY ASSOCIATES, INC. y/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount. No -Pay Net IN000601319�/ 07/3l/200713112008130/20 2,729.72 0.00 0.00 2,72972 CONTRACTFEES Vendor Totals Number Name Gross Discount No -Pay .Net 11932 PRESS GANEY ASSOCIATES, INC. 2,729.72 0.00 0.00 2.729.72 Vendor#Vendor Name Class Pay Code 12480 PRO ENERGY PARTNERS LLC „% Invoice# Comment Tran Ot Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 2307.0600 r,/t 08110/2007/31/2008/15/20 1,775.54 0.00 0.00 F 1,775.54 GAS Vendor Totals Number Name Gross Discount No -Pay Net 12480 PRO ENERGY PARTNERS LLC 1,775.54 0.00 0.00 1,775.64 Vendor# Vendor Name Class Pay Code / 10896 OIAGEN INC J Invoice# Comment Tran Dt Inv Dt Due Ot Check D Pay Gross Discount No -Pay Net 998893876„C07/31/20 07128120 08/27120 1,609.93 0.00 0.00 1,609.93 r✓f file:/!/C:/Userslltrevino/cpsi/memmed.cpsinet.comlu881251data_5/tmp_cw5report 163654... 8/10/2023 Page 9 of 11 SUPPLIES Vendor Totale Number Name Gross 10896 QIAGEN INC 1,609.93 Vendor# Vendor Name Class Pay Code 14060 RADCOM ASSOCIATES, LLC ✓/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross INVO02428 07131120 07/31120 08/30120 900.00 NUC MED Vendor Totale Number Name Gross 14060 RADCOM ASSOCIATES, LLC 900.00 Vendor# Vendor Name Class Pay Code 11764 ROBERT RODRIQUF7 Invoice# Comment Tran Ot Inv Ot Due Dt Check D Pay Gross 080423 03/04/20 08/15/20 45.78 `08/09/20 TRAVEL Q TpW'$y bAINS Ci4ia Vendor Total Number Name Grass 11764 ROBERT RODRIQUEZ 45.78 Vendor# Vendor Name Class Pay Code 82270 SMILE MAKERS ✓ M Invoice# Comment. Tran Dt Inv Dt Due Ot Check D Pay Gross 9397440 08/08/20 08/03/20 08/16/20 107.10 SUPPLIES Vendor Totale Number Name Gross S2270 SMILE MAKERS 107.10. Vendor# Vendor Name Class Pay Code ,r 10094 ST DAVIDS HEALTHCARE „/ Invoice# Comment Tran. Dt Inv Dt Due Ot Check O Pay Gross MMCPL2023-06 ✓ 08/08/20 08/03/20 09/01/20 420.00 JUNE 23 CONNECTIVITY Vendor Totals Number Name Gross 10094 ST DAVIDS HEALTHCARE 420.00 Vendor# Vendor Name Class Pay Code 10845 STAPLES Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross 3544007366 ✓ 07/31/20 07/31/20 08/08/20 59.00 SUPLIES 35444007367 f 07/31/20 07/31 /20 05/08/20 53.1.9 SUPPLIES 3544007368d,r07/31/2007/31/2008/08/20 59.10 SUPPLIES Vendor Totals Number Name Gross 10845 STAPLES 171.29 Vendor# Vendor Name Class Pay Cade 14524 SYSMEX AMERICA, INC./ Invoice# Comment Tran Dt Inv Dt Due Dt Check D, Pay Gross 94866408 vf� 07/31/2007/2412008/0a/20 527.44 REMOTE Vendor Total -Number Name Grass 14524 SYSMEX AMERICA, INC. 527,44 Vendor# Vendor Name Class Pay Code / T2539 T-SYSTEM, INC r/ w Discount No -Pay Net 0.00 0,00 1,609,93 Discount No -Pay Net 0.00 0.00 900.00 v' Discount No -Pay Net 0.00 0.00 900.00 Discount No -Pay Net / 0.00 0.00 45.78 Discount No -Pay Net 0,00 0.00 45.78 Discount No -Pay Net 0,00 0.00 1.07.10 ;/'"F Discount No -Pay Net 0.00 0.00 107.10 Discount No -Pay Net 0.00 0.00 420.00„ / Discount No -Pay Net 0.00 0.00 420.00 Discount No -Pay Net 0.00 0.00 59.00 V OAO 0.00 53.19 n 0.00 0.00. 59.1.0 Discount No -Pay Net 0.00 0.00 171.29 Discount No -Pay Net 0,00 0.00 527.44 Discount No -Pay Net 0.00 0.00 527.44 file://fC:/Userslltrevinolepsi/memmed.epsinet.com/u881251data_5/tmp_cw5reportl63654... 8/10/2023 Page 10 of 11 Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 904754,,,,E 07/31/20 07/31/20 08/30/20 6,130.42 0.00 0.00 6,130.42 PHYSICIAN TRACKING Vendor Total_ Number Name Gross Discount No -Pay Net T2539 TSYSTEM, INC 6,130.42 0.00 0.00 6,130.42 Vendor# Vendor Name Class Pay Code / 10758 TEXAS SELECT STAFFING, LLC ✓ Invoice# Comment Tian or Inv or Due Dt Check or Pay Grass Discount No -Pay Net 0022611-51-079 b 08/09/20 08/03/20 08/04/20 4,125.00 0.00 0.00 4.125,00 v'`r BRANDON BATES WE 7/29M3 Vendor Totals Number Name Gross Discount No -Pay Net 10758 TEXAS SELECT STAFFING, LLC 4,125.00 0.00 0.00 4.125.00 Vendor# Vendor Name Class Pay Code / U1064 UNIFIRST HOLDINGS. INC ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check 0-Pay Gross Discount No -Pay Net 2921010577 / 08/09/20 08/03/20 08/28/20 1.765,11 0.00 0.00 1.765.11 11` LAUNDRY / 2921010582 „f 0810=0 08/03/20 08/28/20 81.77 0.00 0.00 81.77 ✓" LAUNDRY 2921010583 J 08/09/20 08/03/20 08/28/20 183.42 0.00 0.00 183.42 LAUNDRY 2921010806 ✓ 08/09/20 08/03/20 08/28/20 2,396.47 0.00 0.00 2.396.47✓� LAUNDRY 2921010581 J 08/09/20 08/03/20 06/28/20 199.27 0.00 0.00 199.2.7 LAUNDRY 29210105791/ 08/09/20 08/03/20 08/28/20 223.43 0.00 0.00 223.43 LAUNDRY 2921010580 08/09/20 08/03/20 08/28/20 213.06 0100 0.00 213.06 "'F^ LAUNDRY 2921010576 Z 08/09/20 08/03/20 08/28/20 94.84 0.00. D.00 94.84 ✓� LAUNDRY 292101 967 08109MO 08/03/20 08/28/20 63.85 0.00 0.00 63.85 L� LUNDRY 2921010042.E 0811012007/27/2008/21120: 205.41 0.00 0,000 205.411'°e LAUNDRY Vendor Totals Number Name Gross Discount No -Pay Net U1064 UNIFIRST HOLDINGS INC 5,426.63 0.00 0.00 5,426.63 Vendor# Vendor Name ,. Class Pay Cade 10768 VICTORIA MEDICAL FOUNDATION Invoice# /: Comment Tran Dt Inv Dt Due Dt Check Dr Pay Gross Discount No -Pay Net 14-2183 1` 08/08/20 0810112D 0810P/20 725.00 0.00 0.00 725-00 23 MEMBERSHIP HOBSON Vendor Totals Number Name Gross Discount No -Pay Net 10768 VICTORIA MEDICAL FOUNDATION 725.00 0.00 0,00 725.00 Vendor#Vendor Name Class Pay Code 14624 WELLMED MEDICAL MANAGEMENT Invoice# %Comment Tian Dt Inv Dt Due Dt Check D Pay Grass Discount No -Pay Net 233076 J 07131/20 07/26/20 08/15/20 117,60 0.00 0,00 117.60 Le - PT REFUND F - 236429 ✓ 07/31/20 07/26/20 08115/20 94,79 0.00 0.0D 94.79 PT REFUND file:/f/C:/Usersfltrevinolepsilmemmed.cpsinet.coralu881251data_5Amp_cw5reportl63654.., 8/10/2023 Page 11 of 11 238142 07/31/20 07/26/20 08/15/20 87,88 0.00 0.00 87.88 tf PT REFUND 224260 „� 07/31/20 07/26/210 08115120. 112.70 0.00 0.00 112.70 ✓/ PT REFUND / 210560 07/31/20 07/26/20 08/i 5/20 113.85 0.00 0.00 113.85 Vf, PT REFUNC Vendor Total: Number Name Gross Discount No -Pay Net 14624 WELLMED MEDICAL MANAGEMENT 526.62 0.00 0.00 526.82 Report Summary Grand Totals: Gross Discount No -Pay Net 399,666.48 0.00 0.00 399,666.48 m. "InT ?b 4 6elvLe.+1 _ /f 0•C 399+66c'4b T $84°e 883•02 + 599�664.71 * APPROVED ON AUG 10 2023 CAP4.0% TRINI&S file:(//C:/Users/ltrevino/cpsi/memmed.cpsinet.com/u88125/data 5/tmp_cw5report163654... 8/10/2023 iifLleq ;'Ef' IF- i Account Statement Comm¢eelaf Gd Account ROSHAMM37HOMAS o Account ?nqui'es� Ta: F:ee� 1•(800)•248.4553 :nte.natanv 1(904)-954-7314 Account Number: XXXX-XXXX-XXXX-9457 TDDITTY' 1-(877)•505-7276 SummaryofAccount Activity —� Not an invoice: Foryourrecords only Tais: Act, ty $S,60T.42 Ged'L L'ml 815,000. Send Nofce or BTn9 Errors and Customer Service inquYes to' C{TIBANK,ALA. PO BOX 6125• SiOUX FALLS S057117.8125 Cash Advance LImY $0.. Statement Cioeng Date 0110312023. Oaya'n. B'4'ng Pared 31 Transactions Port Oate Trans Oat¢ MCC Reference Number OesePpEoalLaeaEOn ArnOWI '-'---- `------ —"- NOTICE MEMO:TEM(S). LiSTEO BELOW =^-=-^^ ^=•••••=•`• 07104 07/03 9399. 05134373185600036093972 i NPDB NPDB.HRSR GOV FAIRFAX VA 22033 USA 250'g� N95795787 07104 07/03 9399 05134373185600036094053 2 NPOS NPOB.HR5AGOV FAIRFAX VA 22033 USA 1000.. of j N98796086 ' WIN 07103 9399 05134373165600036024137 3 NPDBNPDB.HRSAGOV FAIRFAX VA 22033 USA 57.90 N967963C6 / OWN 07103 9399 05134373185500030094210 4 NPOS NPDB.HRSAGOV FAIRFAX VA 22033 USA 1S0f 07104 07104 $999 55432863185200522395074 5 N96797395 // 07106 07105 9399 05134373187600034161167 6 AMA-CREDENT�ALNG NPOS NPDB.HRSAGOV 600.621.83351 FAIRFAX VA 6CS11 22033 USA USA 44.00d , 2,50,/ N96883636 /� 071CS 07105 9399 05134373187600034161241 7 NPOBNPOS.HRSAG0V FAIRFAX VA 22033 USA 1.50of 07106 07106 8999 56432853187201091749871 8 1496884147 AMA`CREDENTIALING 6DO-621.8335IL 60611 USA / 6300,/ 1 07113 07112 305 55438873194101948227768 9 HAMPTONINNS PORT LAVACA TX 77919 USA 134.47 /• 00935759 'r CHECK d•1.07/11/2023 ' 00935759 j 07n4 07110 3509 56432863204209587092816 10 JWMARRIOTTAUSTIN AUSTiN TX 78701 USA .r 954,15Y M20521 CHECK N. 07/1912023 3319654 SIDE FOR'MPORTANT INFORMATION ✓to•POBCITO 5:N.A. f��Yee'np llLrr PO BOX 6125 SiOUX FALLS SO 57117-6125 ROSHANDA S THOMAS 202 S ANN ST PORT LAVACA TX 77979-4204 Page 1 of 4 Account Number XXXX-XXXX-XXXX-9457 Statement C!os'ng Date August 03. 2023 00007405040 Notan'wo'ce. For yourrecordson y Account., XXXX-)=-XXXX•9457 Transactions (con't) Post Tmn5 Oat. Date MCC. R4mmnee Number 0es'.TWONLocarnn Amount 0724 07119 3509 55432863204206587092230 11 JW MARR`.OTT AUSTIN AU$7,N TX 78701 USA 963.35 M20511 CHECK N 07H92023 3406055 0724 07120 350E 55432863203208307336363 12 JW MARR'OTT AUSTN AUST'N TX 78701 USA 53868 M20464 CHECK IN: 07/20/2023 3345818 0724 0720 3609 554326632042065870928CO 13 JWMARROTTAUST'N AUSTIN TX 78701 USA 883.80 +✓ M20520 CHECK iW 07120,7023 3387370 ' 0724 07/21 3509 65432863204206687092826. 14 JWMARR--DTTAUST•N AUST.N TX 78701 USA 636.10 M20530 CHECK N07/212023 0724 0722 3509 55432863204206587092180 15 3411634 JW MARR'OTT AUST'N AUSTN TX 787M USA 37.90 M20595 CHECK;W071222023 34698t4 / 0727 0726 3666 55436873208172080590925 16 HAMPTCN INNS PORT LAVACA TX 77979 USA 13447 V C0912170 CHECKIN-071252023 00912170 08101 07131 5047 55432893213209143109448 17 CBR MOM, ;NC 805-08441985 CA 93012. USA 1,110.00 J� ------ "A ---- - --- TOTAL AMOUNT OP MEMO:TEM(S) $5.60242 APPROVED ON WG 1 0 2023 US 1010�s Page 3 of 4 F ell IpfPl =1y=:. - ye'a - eZtral4 • Rapod aLeitar5Odn COW mmad Way, cu a:epeCas memo SPAS every daa. • Seynmem. Yau may MOM a Pennon myou ndvdua Tb ttm Wood `nay 21boas a day CA !he Cus,a+no-5eva'aeWMAoOdU,-S,Ch,dm,A Ian` usng C"Manpga Pexa nPAlha Mamaganea. ana do m Mahe C"Alxagc hose'... oMe, oa a'aaenC cw,.aCad We Faymen Mo u'e emab ad 'a' ca'one do a "pay ng by me - p'easa a"my SY"e era rap'+nU M. Pease M:e you socava- nYmbe2 a he Park. a, he onum FW ben. -ay b SUICOMma,Wade be a'e'a meet a Company wine As Paymen, L •Can(ho:do, CredI'nCe Each Cxdhodor has an ad Ydua 00 LPC(a pa ana' Fs!A Cabo'del ba'anml..'wa.G6pve yau- ma Ad paymem,pope b m A on, Met, may be aped a+Coal Admnmg( Whbb a:he ma%mum amoum 'ha ho ,Meru no -aC')y by 500 pm Ease•n Tme, yr be CFO Ad as 0— be do Cotlho d0' can ChagP a eny-me. 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You ma a :a Ya an a Y ert a. boh'nOdeWtadd'tlpapea"'.etl vn:Mo pon!.a' hoammmen, A'png WA he spy a' he pod i P P Oaae MCA* a e W (egnea by he 6epa-a a Pear: S.:M up AQ:a 8PM"_ed .nab ,a:A, oaemenaepoin a8 pass ae pease ma b an a. no vda'CmdMedoFj SAI AP Ala• Wed. Woe no'eeeKd. a. Gad.B a'p'oYMAM p,.. aa' Phan60doI's A. -be.. et. an -!Ma appdIC n,he-abet 0?CIA,* p.hn:0 an.P Walam. sfuadp e66e'aam p'.A ebe. meahart 'bmR'Cbn. .bees, p aMopen no tle. s. PN • Ye ComMO y mane. wmbGr mommau'Tb edCamppny Acauna OMAs VmyAmoun she Company mew MrM!ndvtlue aaeu!a;.nYMbe-. On nongapwed ma',aa a-sny ma' -a- ahayn by he Bonk an. sea. n op. d Mo%..a Theaee.eSPO. a: he auepened rn• erot,M1e ram. eM'e.he CO ^my g mpl C.pyor dmaaen. heeno+lmo-a nb ma'.an Cott+bedbean!am nheC0'pp'ACmd- ftud.n,br AS Acopyofonyd he man any needed an !am rare lease -aa ge I a..An do- -eyYb'.a auN oa dup':aa:e pp"'OdG 6 a emen'¢ Company o' (.S, Dbe..pu • A m Ce C my OF ',ha Cam p pa+ry or Gs(M'Waws unsucKasiu n a ana¢*MA and he M. _ Pa.... yvmehagemap.a Ad,m an TmmP TP :o a- JaaProbem hen Me CA&anPW .Cold,n0'Peaus y OF pads O'Se'yaeapu-nd Beebe eaaPsa-bade oho,: " WlW:h.bC aamey charge um no led!..ogwh nEOdayso\hehed W ee In ax ,.. 'he '!he 8mK:You dU yMaFarW s,mihne ds,A.db'emye'hedapueo Sank:nm ym afpodsb"e;n Md'apu ed as g0 Page 2of 4 Account: XkXX•XXXX-X)=-9457 Page 4 of 4 MEMORIAL, MEDICAL CENTER. PURCHASE ORDER Bill To: 815 N. VIRGINIA ST. Ship To: 815 N. VIRGINIA ST. PORT LAVACA, TX 77979 PORT LAVACA, TX 77979 PHONE: (361) 552-6713 PHONE: (361) 552-6713 FAX:(361)552-0312 v FAX: (361)552-0312 Vendor Name: 04t t< ✓ ,Date: 1 dv Vendor Address: Vendor Phone #s Ve Dab 2.50 + 10-00 + linl No. 57 - 50 + 2.50 — g4o(10 z 2.50 — 2.5G + 3 88 , 00 + 134, 47 — a 954.15 + — 963.35 , 5 538.68 — 883 8" - 6 636.1t: :. 37=90 - 7 _ 134 h_'r - g 111�Ie1j1.1 — 5,602.4; : v I I 10 Est. Freight Contact: Quoted By - Buyer. P.O. If Account # Initiated By: e,..... x oen, Npensaw Department DcliverTo Description Unit Cos[ Unit Meas. Extended I Cost ( t , 4`J (� %C Lt5L1'f��221 '- l .� aPD&t; t ti R t '��,v Y i - ("% I,✓tlm-",..,drr F'Vi/m V �' . ""✓ 't` �i€.� Cam: �1\ - i tt.�`,✓1 f i % , � ✓; Flf-' rt In2?) Est. TotalCostTOTAL COST r ( Date: Dept. Director Dir. Nursing Dir. Clinical Services CFO E.TA, Administrato�!r t 15 {e MEMORIAL MEDICAL CENTER PURCHASE ORDER Bill To: 815 N. VIRGINIA ST. Ship To: 815 N. VIRGINIA ST, PORT LAVAicA, TX 77979 PORT LAVACA, TX 77979 PHONE: (361) 552-6713 PHONE: (361) 552-6713 FAX: (361) 552.0312 FAX: (361) 552-03I2 Vendor Name: C G�u't, - Date: �h /J. � i <, j .[ C>L) :1-�) Vendor Address: Vendor Phone #: Vendor Fax #: P.Q. # Account # . Initiated By: DateR Required Expense# Department Deliver To Fom#'9401. Line Qty. Catalog Number Description Unit Cost. Unit Extended No. Cost 1 �'J V� f "'.� rT✓��pyy 1 yY'J ,r� z 4 5 ©/�v�',S - T��/�-�- �� A Phi N(TTF.S Est. Freight j h - ?fF-. - Est Total Cost TOTAL COST Contact: Data DepL Direct Quoted By: Dir. Nutsing Buyer. I EXA I Dir. Clinical Administrator 21:3 MEMORIAL MEDICAL CENTER PURCHASE ORDER Bill To: 915 N. VIRGINIA ST. PORT LAVACA, TX 77979 PHONE: (361) 552-6713 FAX:(361)552.0312 Vendor Name: 4/c �j '7 /m Vendor Address; Vendor Phone #: Vendor Fax #: Ship To: 815N. VIRGINIA ST. PORT LAVACA, TX 77979 PHONE: (361) 552-6713 FAX., (361) 552-03I2 Date: . 9. � / t ti ;�-i5, P.O. # Account # . Initiated Data Required Forma9401 2W Expense# Department Deliver To L e Qry. Catalog Number Descripticn Unit Cost unit No. Extended. Cost f j A wzit z 'L i 'q-r (pylli .�Frlce Awe- 4 1 Q YI` t— r' v Gr"'✓ Y.� 3"1.qC c,,, `� r6 irxl fo C�.tk�- a.y 0`fr"t rE !toll G tz- me/;� CZL Ant- - Est. Freight Est Total Cost NOTES: TOTAL COST � � , Edlk2 • �`�' contact: Quoted By. Buyer. Date: E.TA Dept. Director Dir. Nursing , Dir.. Clinical Services Z-.—; MWESSON �Pwv: aam MEMORIAL MEDICAL CENTEH AP ✓/ 815 N VIRGINIA STREET PORT IAVACA TX 77979 STATEMENT As o: OBf11/2023 e002 To�l%e aouwnddMenthhis qua with your mmfttanm DC: 8115 As of:. OS/11/2023 Page: 002 AMT DUE REMITTED VIA ACH DEBIT Terrftory: Mall. to: Come: 8000 Statement for information only AMT DUE AMITTED VIA ACH DEBIT Customer: 632536 Statement for information only Date: OBIIW2023 Cull: 632536 PLEASE. CHECK ANY Date: 08112/2023 IT SMS NOT PAID (e) filing Due ReeeNgblrml°nal Accoum We Dale Number Cash Amount P Amount P RaeeNable Description DI.nt (gross) F (m) F Number 'F column legeod: P - Pact Due Item, F = Future Due Rem, blank = Current Due Nam "OTAL National Acet 632536 MEMORIAL MEDICAL CENTER SublotMcc 7,984.14 USD artum Cue: 0.00 If Paid By 0811512023. 'am Oue: 0.00 Pay This Amount: 7,824.46 USD AM payment 2,451.97 If Paid After 05/1512023, 18/07/2017 Pffy this Amount: 7,984.14 USD 7.208.8u 3)2.28 T 303. 3'/ T APPRDVED (W For AR Inquiries please contact 800-867-0333 Due It Paid On Time: USD 7,824.45 of. hae it Paid late: 169.69 Due It Paid Laid: USD I--�7,984.14 C.Cl.11 l€7V1.'k f Vq(_'x MWESSQN can, :4nN WALMART 1098/MEIN MID PHS MEMORIAL MEDICAL CENTER VICKY KAUSEK 815 N VIRGINIA ST PoRr LAVACA T% 77979 rs Date. STATEMENTAs elf. 08111/2023 Pagel: 001 TO ensure proper cow to Your account, Mach and return this DC: ells pub with your remhfa ens As of: O8/I112023 Page:00 ANT DUE. PREMITTEDVIA ACH DEBIT Tenilary: ]Nl Mall to. Camp: 8000 Statement for information only AMT DUE REMITTED VIA ACM DEBIT CUM anon. 266342 Statement for information. only Date: 08/12/2023 Cunt: 256342 PLEASE CHECK ANY Dale: 08/12/2023 ITEMS NM PAID (.�) Wive Reference Description blMemer Number 255342 WAUll 1098/MEM MED PHS 18/07/2023 08/15/2023 7435971198 838243D7 I61nvoice 18/07/2023 08/15/2023 7435995432 83918029 1151nvoice -810712023 06/15/2023 7438160388 83793603 1951nvoice .810712023 08116/2093 7436160389 83869275 1951nvoice 16/09/2023 08//5M2023 7436617788 84111230 1151nvoica 18/09/2023 08/15/2023 7436617789 84178903 1151nvoce 18/09/2023 OB/1512023 7436781323 84117555 196Involce 18/10/2023 08/15/2023 7436891448 84244252 1151nvofee 1811012023 OW15/2023 7436891449 84314680 1151nvolce 18/11/2023 08/15/2023 7437165309 84362264 1151nveice 18/11/2023 08/15/2023 7437165311 84430764 1151nvoice IBH 1M2023 08/15/2023 7437411685 80566180 1151nvolce r column legend: P = I M Due seen, F = Mum Due Item, blank = Current Due Jim 'OTAL C981arrmr Number 256342 WALMART 1099 MEM MED MS SuMotale V. Due: 0.00 1f Paid By OB/1512023, east Due: 0.00 Pay This Amount: as Payment 8.910.69 11 Pant After 0811512023, -810712023 Pay this Amount: APPROWD ON AUG 15 Eeti Cash Discount Amount P (grow) F Amount P (mt) F/ Receivable Number 6.15 307.44 301.29✓/ 7435971198 33.71 1,885.63 1.651.92,E/ 743:9B5432 0.74 36.86 38.12 ✓ 7438180388 0.25 12.29 12.04'f, 7436180389 14.87 743.27 728.40•E/ 7938617788 14.87 743.27 728.401/ 793881 ]789 2.85 142.56 139.71 ✓j 7436781323 13.69 664.72 071.03 V/ 7436891448 21.83 iD9i.56 1.069.731! 7436891449 6AS 307.44 301.29 a 7437165309 6.15 307.37 301.22 ✓ 7437165311 25.87 1.293.52 1,267.66 743741885 7.355.93 USO Due It Paid On Time: USD 7.208.80 7,208.80 USD Disc lost If paid late:. 147.13 Due It Pant Late;. 7.356.93 USD USD 7,355.93 �Ei�•��CL-I��._ l.e.�C �11V For AR Inquiries please contact 800-867-0333 MSKESSON STATEMENT aoi,ie+n: oocs CVS PRICY 8923/MEd MC MS AMT DUE REMITTED VIA ACH DEBIT MEMORIAL MEDICAL CEITEi Statement for Information only VICKY KAUSE( 815 N VIRGINIA ST PORT IAVACA TX 77979 As of: 08/11/2023 Page: 001 To erwro Proper cmdA to your acaaunt,detaMl and return this. ones with Your mmhtanoe DC: 9115 As of: 08/11/2023 Pegs: 001 Territory. 7001 Mall IceCamp:8000 AMT DUE HBdVIA ACH DEBIT Cumomm 835434 Statement for information only Date: 08/12/2023 Cum: 836434 PLEASE CHECK ANY Date: 08112/2023 ITEMS NOT PAID (v) Cash Amount P Amount P Neaeivable Description Discount (g,ome) F (net) F Number :tetemo r Number 835434 CVS PRICY 8923/MEM MC PHS -8/09M023 08/15/2023 7430045717 2591358 1151nvoice T column legend: P = Pap Due Item, F = Feure Due Item, blank = Current Due Item 'OTAL Cumamer Number 835434 CVS PRICY 8923/MEN MC PHS SuMmalm More Due: 0.00 It Palo BY 08/15/2023, 'art Due: 0.00 Pry This Armors: ast Payment 8,910.69 If Paid After 08115/2023, 18/07/2023 Pay this Amount: APPROM Ott AUG 1 5p202p3 CALLH©URl C NTY, 6.37 318.65 319.65 USD 312.28 ,/ 7436645717 O Due It Paid On Time: USD 312.28 312.28 USO. DIM lam If Pale late: v 6.37 Due It Mid late: 318.65 UM I� USD \ 318.885 &I For AR Inquiries please contact 800-867-0333 MSKESSON STATEMENT coms.rr: sass CVS PHCY 7475/MEM MC PHS AMT DUE REMITTED VIA ACH DEBIT MEMORIAL MEDICAL CENTER Statement for information only VICKY KAUSE< 815 N VIRGINIA ST PORT LAVACA T% 77979 As of: 08/11/2023 Page: 001 To at1N1re MOM Credit to your eeewnt. ddwh and remm this OUR with your remittance DC: 8115 As 108/11/2023 : 001 Territory 7001 Malll I. Co"mp: 8000 ANT DUE REMITTED VIA ACH DEBIT Customer: 835438 Statement for Information only Date: 08/12/2023 Cunt: 835438 PLEASE CHECK ANY Date: 08112M023 ITEMS NOT PAID (A) )at.9 Due Neeelvablb —idol Recount �ASy98 p� Amount P Amount P F@eelveble )ate pets Number Raference DaOrlptlon Discount (gross) F (nmJ F Number ;us. Number 835438 CVS RICY 7475/M13N MC PHS -8/09/2023 08/15/2023 7436799214 2591359 1151nvoice W column legend: P = Pant Due Rem, F = Future Due Item, blank = Current Cue Itam 'OTAL Customer Number 835438 CVS RICY 7475/MM MC PHS Sub hale: Uure our. 0.00 If Paid By 0911512023, rant Saw 0.00 Pay This Amount: aat Payment 81910.69 If Paid After 08/15M023, 18107M023 Pay this Amount: APPROVM ON AUG 1 S 2023 eA�woDDc�wFt�F1 8.19 309.56 309.56 USD 303.37 YF 7436799214 Q Due If Paid On Time: , f USD 303.37 303.37 USD Disc lost it Paid We. 6.19 Due N Paid late:. 309.56 USD USD 309.55 ih. For AR Inquiries please contact 800-867-0333 STATEMENT Statement Number: 65719302 Date: 08-11-2023 1 Ot 1 AMERISOURCESERGEN DRUG CORP WALGREENS #12424 MOB 12727 W. AIRPORT BLVD. MEMORIAL MEDICAL CENTER 1001352841037028186 SUGAR LAND TX 774]Bb101 1302N VIRGINIq ST PORT LAVACA TX ]797&2509 DEA: RAD289276 Sal-Fd Duero ] 866451-9655 AMERISOURCEBERGEN PO Box 905223 CHARLOTTE NC 282905223 NM YetOue: 000 Cunent 1,408.50 Past Due: 0.00 Total: Due: 1,408.50 - Account Balances: 1 408S0 Document Date Due Date Reference Number Purchase Order Number Document Type Original Amount. Last Receipt Amount Received Balance 08.074023 0-1&2023 3142438I54 70030105M Invoice 141.55 OB417-2023 OB23 -18-20 3142439155 7003020802 Invoice 35.54 000 1415 5 41.55 OB-W-2023 08-1 &2023 3142438156 7003010586 Invoice 100.14 0.00 0&07.2023 08-1112023 3142560929 7003ONS81 Invoice 120.46 0.00 108.14 0848.2023 09-18-2023 3142112MO 7003037439 Invoice 73.2A 0.00 120.46 08-011,2023 08-18-2023 3142712341 7003037495 Involve 2.06 ROD 0,00 73.24 M.N. 023 OB-18.2023 3142872M 7003167472 Invoice 78.99 2.06 08-11-2023 OB-18-2023 310168705 7003396403 Invoice 124.44 0.00 0.00 78.99 OSA 1-2023 08-1&2023 3143168MB 7003396406 Invoice 650.12 0.00 124.44 660.12 08-11-2023 0848-2023 3143168707 70033967Q Invoice 26.39 0.00 Ij/ 08-11-2023 08.18-2023 3143168708 7003406897 Involve MST 000 26.39 OB-18.2023 3143168709 T009396825 Invoice Z]0 348708-11.2023 0,00 2.70 Current 1-16 Days 16-30 Days 31.60 Days 61.90 Days 91-120 Days Over 120 Days 1,408.50 0.00. 0.00 0.00 OAO 1 0.00 0.00 Reminders Due Date Amount APPROVED ON 08-18-2023 1,408.50 AVG 15 �®�� Total Due 1,aDS.Sa CAaHOU9G Cf71J _ x-. - Y tik l? J' TOLL FEE PHONE NUMBER: 1-800-555-3453 (EFTPS TUTORIAL SYSTEM: 1-B00.572.8683) "ENTER 9-DIGIT TAXPAYER IDENTIFICATION NUMBER" F7"ENTER YOUR 4-DIGIT PIN" a"MAKE A PAYMENT, PRESS 1" "ENTER THE TAX TYPE NUMBER FOLLOWED BY THE # SIGN" F—TIF FEDERAL TAX DEPOSIT ENTER 1" "ENTER 2-DIGIT TAX FILING YEAR" "ENTER 2-DIGITTAX FILING ENDING MONTH" 1ST QTR - 03 (MARCH) -Jan, Feb, Mar 2ND QTR - 06 (DUNE) -Apr, May, June 3RD QTR - 09 (SEPTEMBER) -July, Aug, Sept 4TH QTR -12 (DECEMBER) - Oct, Nov, Dec "ENTER AMOUNT OF TAX DEPOSIT - FOLLOWED BY # SIGN" "1 TO CONFIRM" "ENTER W/CENTS AMOUNT OF SOCIAL SECURITY" "ENTER W/CENTS AMOUNT OF MEDICARE" "ENTER W/CENTS AMOUNT OF FEDERAL WITHHOLDING" "6-DIGIT SETTLEMENT DATE" "1 TO CONFIRM" ACKNOWLEDGEMENT NUMBER #tt## ENTER: e r 941 # $ 123,220.81 1 $ 62,980.98 $ 14,741.26 $ 45,498.57 CHECK $ CALLED IN BY: CALLED IN DATE: CALLED IN TIME: J:IAP-Payroll RleslPayraB Taxes120231#17 RI MMC TAX DEPOSIT WORKSHEE 8.10.23.x1s 8114/2023 941 REC/TAX DEPOSIT FOR MMC PAYROLL REVISED 311812014 "EWER VOID Ca AS NEOATVENNM8198" PAY PERIOD: BEGIN 7/2812023 vOIDEDCK(II VOIDEDCK121 ADOITIONALCK111 ADbITIONALCK(t) TOTALS PAY PERIOD: END 811=023. PAY DATE: 811812023 GROSS PAY: $ 543,224.35 S S 543.224.36 DEDUCTIONS: AIR $ 360.00 ''.S 350.00 ADVANC g BOOTS $ SUNLIFE CRITICAL ILLNESS $ 1.216.03 $ 1,215.03 SUNLIFE ACCIDENT S 749.24 $ 749.24 SUNLIFE VISION $ - $ _ SUNLIFE SHORT TERM DIS $ 1,966.68 S 1,966.68. BCBS VISION S 1,026.BS $ 1,026.85 CAFE-D $ 1,595.39 $ 1,595.39. CAFE-H $ 24,040.36 5 24M40.36 $ $ $ $ CAFE•P g _ CANCER $ CHILD S 161,19 S 161.19 CLINIC $ - $ _ COMBIN $ 271.83 S 271.83 CREDUN $ - 5 DENTAL $ $ _ DEP-LF $ SUNLIFE TERM LIFE S 931.03 $ 931.03 SUNLIFE HOSP INDEM $ 668.84 $ 668.84 FED TAX $ 46,498.67 $ 45,498.57 FICA-M $ 7,370.63 $ 7,370.63 FICA-0 S 31,490.49 $ 31,490.49 FIRST $ FLEX S S 3,200.33 S 3,200.33 FLX-FE $ S - GIFT 8 $ 128.52 S 128.62 GRP-IN $ GTL $ HOSP-1 $ LEGAL $ 1,040.56 $ 1,040.S6 OTHER $ 333.22 $. 333.22. NATIONAL FARM LIFE $ 1,811.57 $ 1,61tS7 MED SURCHARGE S 400.00 S 400.00 PR FIN $ $ RELAY $ REPAY S STONEDF $ 1,115,86 5 1,116.86 STONE $ STONE 2 g STUDEN $ TSA-R $ 37,670.32 S 37,670.32. UWIHOS $ $ TOTAL DEDUCTIONS: $ 162,836.51 $ $ S $ - S 162,036.51 '^aiiOULuasnNRERORI^`.,", ::sxoulDanrcai.eePOArv•aroeloNiacHREroa7L••�uw,unxrsroRr�-Dinmw,rcxRsvoa!� NET PAY: 5 380,387.84 S S $ $ $ 380.387.84 iNSYI,UM{1nXREPORC��-. .• NOWLIMT[NREaln••^.6N'CUtAIIATCNR6PORT^"akf.�te NAt'�xp610RT^6fIW40 AUl):H RFDOpT•� TOTAL CAFE 126 PLAN: S 34,9d9.74 Less Exempt. TAXABLE PAY: S 508,314.61 S 507,911.92 "CALCULATED" Fmm MMC RROen Difference °ICA-MED(ER) usx S 7,370.58 :ICA-MED(EE) tux S 7,370.66 S 7,370.63 S (0.07 :ICA-SCC SEC (ER) szrx S 31,490.64 9CA-SOC SEC(EE) R2ax $ 31,490.54 S 31,49OA9 $ 0.05 'ED WITHHOLOING $ 46,49&57 S 45,498.S7 TAX DEPOSIT. 9 123,220.77 9 t23220.61 FICA -MEDICARE '. S 14,741,12 514,741.26 FICA -SOCIAL SECURITY "ADx. $ 62,981.08 562,980.98 PREPARED BY: FED WITHHOLDING S 45,498.57 $45.498.57 PREPARED DATE: TOTALTAX: $ 123,220.77 $123,220.81 $ (0.04) Exempt Aml[ Employees aver FICA.SS Cap: Roshanda Thomas $ 402.69 S Payoode S - Employee Raimb.: TOTAL: $ 402:S9 Andre Flores SM412023. 017R1 MG TM DEPOSIT WORKSHEETVOM.dS;TAX OEPOSITWORKSHEET W142023 Run Date: 08/14/23 ITW,0RIAL MEDICAL CENTER page 108 Time: 11:23 Payroll Register ( Si -Meekly ) P2REG Pay Period 07/28/23 - 08/10/23 Run# 1 Final Summary *-- P a y C o d e 8 u m n a r y ----------------------------------------- r-. D e d u c c i a. n s S u m m a r y--............ PayCd Description Ers jorISHIIIEINOIC01 Gross I Code Amount ....... ... ................................................................. a-.. ------- ................... .-.-. ------------.----- 1 REGULAR PAY-S1 9862.00 N N N 230148.80 AIR 350.00 A/R2 A/R3 i REGULAR PAY-81 1739,26 N N I4 N 87337,05 ADVANC AWARDS BCOSVI 1026.85 1 REGULAR PAY-51 249.75 Y N N 8649.SB BOOTS CAPE H CAFE-1 2 REGULAR PAY-92 2592,00 N N N 70320.20 CAFE-2 CAPE-3 CAFE-4 2 REGULAR PAY-S] .So N N N N 16.13 CAFE-5 CAAFE-C CAPB-O 1595.39 2 REGULAR, PAY-S2 108.OD Y N N 3431.97 CAFA-F CAPE-9 24040,36 CAFM 3 REGULAR PAY-51 14B4.75 N N N 50031.47 CAFE-L CAPE-2 CANCER 3 REGULAR PRY-S3 99.25 Y H N 4888.37 CHILD. 161.19 CLINIC CORBIN 271.03 4 CALL HACK PAY 32.00 N 1 N N Y 1268.16 CRSOL44 ➢D ADV DENTAL 4 CALL BACK PAY DIAS It 2 N N Y 1490.73 DEP-LF DIS-LF EAT 4 CALL BACK PAY 4.00 N 3 N N Y 219,20 EATCSH FEDTPX 4549857 FICA-H 7370.63 4 CALL BACK PAY .50 Y 2 N N Y 40.35 PICA-0 31490.49 FIRSTC FLEX S 3200.33 C CALL PAY 2352.75 14 1 N N 4705.50 FIX FE FORT D FUTA D DOUBLE TIME 19.25 11 1 N N '203.32 GIFT S I2B.52 GRANT GRP-IN ➢ DOUBLE TARE 33.50 N 2 14 N 2811.19 On HOSP-I ID TFT 0 DOUBLE TIME 48.00 N 3 N N 4191.93 LEAF LEGAL 189.56 MASA. 851.00 0 DOUBLE TIRE 10.75 Y 2 N N 1199.62 MEALS 333.2E MENIS WISC D DOUBLE TIME 24,50 Y 3 N N 3210.56 MISCI M_MCSHR NA7FML. 1611.57 E EXTRA WAGES N N N I1 16028.19 07HER PHI PHI*ae E EXTRA WAGES N 1 N N N 2620.50 PR FIN MY REPAY F FIRIBRAL LEAVE 24.00 H 1 N N 378.00 SA14S SCRUBS SIGNOR I INSERVICE 1.00 N I N N 43..35 ST-TX 97ONDF 1115,86 STONE X EXTENDED -ILLNESS -BANK 270,00 H 1 N N 7855.70 STONE2 STUDER SUNACC. 749.24 P PAID -TIME -OFF 1456.60 N 1 N N 40443.42 SUNILL 1215.01 SUNIND 668.84 SORLIF 931.03 X CALL PAY 2 144.00 N I N N 280.00 SIBISTD 1966,68 SURVIS SURCEG 400.00 Y YMCA/CURVES N N N N 60.00 TSA-1 TSA-2 TSA-C Z CALL PAY 3 40.00 N 1 N N 144.00 TSA-P TSA-K 37670.32 TUTICN p PAID TIME OFF - PROBATION I2.00 N 1 H N 153.00 UNIFOR UN/HOS. -------------------- Stood Totals: 20655.25 ------- ( Gross: 543224.35 Deductions: 162836.51 Net:: mama [ Checks •----------------------------------- Ceun[:- FT 204 PT 17 Other 38 _---------- Female .. 233 -. Hale ---------------------._-___---...._---_----------. 25 Credit OverAmt 12. ZsroNet Term Total: 258. ---I................. Run Date: 06/14/23 MEMORIAL MEDICAL CENTER BI-WEEKLY Page 1 Time: 12:24 *•++ Check Register +•++ P201STE Pay Period 01/28/23--08/10/23 Run: 1 TypezNST 10000001 OPERATING - PROSPERITY Hum. Name Amount CHECK IRR4 DATE 90929 STEVE BROCK 4473.91 00063336 08/18/23 00041 CARL LEE KING 927.93 DO 08/18/23 00083 SYLVIA A VARGAS 32739 DO D8/18/23 00094 SYLVIA A MENDOZA 1011.03 DO 00/18/23 00113 JACLYN CARREON 3090.07 ON 08/10/23 00132 SANDRA A BMW 753.51 ➢D 08/19/23 00192 ERERDA D PE14A 1095.20 OD 08/10/13 00344 SANDRA LEE RUDDICK 2911.8D DD 08/18/23 00387 BILLIE P DUCKWORTH 2447.82 DD 08/18/23 00392 KONICA T CARR 1284.15 DD DB/18/23 00399 LIMA J TIJERINA 3085.6D DO 08/10/21 00401 VE12•14 J PINA 2059.08 DO OB/18/21 00417 SHERRY L KING 2474.44 DO 08/18/21 00423 DONN V STRINGJ 1962.29 DO OB/18/23 00482 PAM FIKAC 1439,51 DO 08/18/23 ODS81 CYNTHIA L RUSHING 1700.80 DO OB/18/23 00681 RILLA REM WOOD 2083.64 DO 09/18/23 00692 DEBORAH E WITTNEEERT 218.50 ➢O 09/18/13 00697 MARIA C FARIAS 1196.46 ➢O 48/18/23 00707 KIMBERLY RESENOEZ 1601.48 ➢O 08/18/23 00895 EMILIE DIANE WILKEY 717.30 ➢O 08/18/23 01015 SUSAN B S14ALLBY 1945.09 DD 00/18/23 0119E SHARON M SPARKS 968,14 DD 09/18/23 01234 JEHISE N SVSTLIK 2867,91 ➢D 08/18/21 01241 HANDY MACE 1202.18 DO 0811B/23 01367 RRRILYN A SANDERS 1132.84 DO 09/18/23 01791 RAUSHAHAR J MONDAY 2191.85 D➢ 00/18/23 02011 ERIN R CLEVENGER 4005.90 DO 08/18/23 02014 AGSPITA C CANTU 721.19 DO 00118/23 02021 ERIKA OSORNIA-SANCHSZ 145.69 ON 08/18/23 02022 AMANDA J GRIGGS 2551.86 DO 08/18/23 02064 AMA LAURA GARCIA 1695,79 DO 08/18/23 02099 TRACI M SHEFCIK 2851.46 DO 08/18/23 02112 LESLIE THOM 2201.78 DO 08/18/23 02132 JASMINE RUIZ 1478.87 00 08/18/23 02136 TANNY ESQUIVEL 445.10 DO 08/18/23 02152 TAKULA RICHARDS 38534 DO 00/18/23 02154 JUSTINE STRELCZYK 075.89 DD 08/18/23 02162 MIRIAM FALLER 1183.19 DO 0/118/23 02168 JSSSICA MIGHT 1633.12 OD 08/18/23 02133 TIKI VENGLAR 1722.74 DD p8 IWI 01201 CORRINE VILLEGAS 569.38 DO 08/18/23 02202 SENON 1 SANCHEZ 398.69 DO 08/18/23 02271 DAM J BUBEHIK 2233.56 DO 08/19/23 02301 NICOLAS TLJERINA 1430.57 DO 08/1B/23 02302 CATHERINE MRI3 DECILOS 425.73 DO 08/18/23 02303 CONNIE M LUNA 2458.89 DO 08/18/23 02315 TAPIR M GREEN 2759.09 DO 08/18/23 02331 JESSICA B RIPPLE 1759.14 OD 08/18/23 02346 JEANETTE L FALCON 2055.30 DO 08/16/23 02116 JANBLLE SCOTT 1903.01 DO 08/18/23 02535 STEFANIE M SOLIZ 398.37 OD 08/18/23 02552 VERONICA RAGUSIN 1949.91 DO 08/18/23 Run Date: 08/14/23 MEMORIAL MEDICAL CENTER BI-WEEKLY Page 2 Time: 12:26 •••* Check Register +*** P201STP Pay Period 07/28/23--08/10/23 Runt I. Type -NET 100DO001 OPERATING - PROSPERITY Bum. Name Aunt CHECK IRR4 DATE 02622 JESUSA MARIE VILLARREAL 2462.28 DO. 08/18/23 02678 MELISSA HESLOREY 1945,83 DO 08/19/23 02605 JULIANA TORRES 247,65 DO 08/18/23 02701 HONDA DANNELLE GOHLKE 2347.30 D➢ D8/18/23 02719 DAWN M MCCLELLAND 2185.38 DO DS/1S/23 02720 ELDA 14 LORNA 1008.8E D➢ 08/18/23 02733 ROBIN N PLEDGER 29D8.41 DD OA/1B/23 02735 ZANDRA A GARCIA 370.30 GO 08/18/23 02763 JESSICA MARQUEZ 1754,12 DO 08/18/23 02794 HEATHER L MUTCBLER 1943.45 DD 08/18/23 02812 BRI'TYANY N RUDDICE 3506.83 DD 08/18/23 02307 MARIA F LONGORIA 1315.39 DO 08/18/23 02927 MICM L GAINES 3019.36 DO 08/1B/23 02963 DOROTHY J RENDON 635,81 DO OB/18/23 02970 DIANNE G ATKINSON 2233.66 DO 98/18/23 03864 JACQUELINE R HERRERA 1344.29 DO 08/18/23 05003 COURTNE D THURLKILL 2902.77 DD 01/18/23 05001 REGINA A MARTINEZ 3016. 04 DO 00/18/23 05345 ERICA NGUYEN 1122.15 DO 09 IWI 05641 AMANDA R KEY 1943.72 DD 08/18/23 05757 SHARON T HOLDER 1607.96 DO 08/18/23 07123 CYNTHIA GUERRA 1672,38 OD 08/10/23 07147 COD A VORCE 2011.26 DO OB/IB/23 07878 DIANA C SAUCSDA 1161.95 DO OS/IB/23 11197 CATHERINE. A SAENZ 3712.08 DD 08/19/23 11412 COURTNEY L MORKOVSKY 2422.11 DO 06/18/23 12011 KIMBERLY J.REYI4A 486.25 DO 08/1B/23 12115 LISA J HINOJOSA 1003,26 DO 08/18/23 12129 MICHAEL HEP14ES 1803.85 DO 08/18/23 15097 KYLE L DANIEL 2627.27 DD 08/10/23 15131 SAVANNAH HARLEY 1957.90 DO 08/19/23 15139 KRISTEN NICOLE BALLARD 2943.53 DD 00/18/23 15163 KELSEY HEINOLD 3177.18 OD 08/18/23 15L71 JESSICA BARRON 631.71 DO 08/18/23 15256 COURTNEY A SALAZAR 791.71 DO 08/19/23 15286 DAWN M MAREK 2016.67 DO 01/18/23 1555E STEPRANIE 14ARTIII 747.36 DO 08/10/23 15909 JULIE NGUYEN 2261.96 00 06/10/23 15915 BRIM I KEY 2193,54. DO OB/18/23 20102 MAYA HAWKINS 911.27 DO 08/18/23 20132 ALERIS CARREON 915.46 DD 08/18/23 20156 ERIN ASHLEY WISDOM 2673.40 OD 08/16/23 20168 JOSKUA PEPPERS 561.12 DO 03/18/23 20118 AMY GARCIA 3441.00 DD 08118/23 20184 MELISSA 211IORANO 832.79 DD 08/18/23 20206 KELLI 8 GOFF 2320.19 GO O8/18/23 20207 SHAWNA G BASIL 2807.17 DD 08/18/23 20243 MELANIE CORTEZ 1092,21 DO 08/18/23 20272 AAGSLA. YEAGER 1806.69 DO 00/18/23 20294 JESSICA D WALTHER 913.36 DD 08/18/23 20324 PATRICIA STRIBLEY 1495.14 0➢ OB/18/23 20343 SAVA104AN N SOCARRAS 636.29 DO 00118/23 20351 HADISON N MEADE 196.01 DO 00/18/23 20419 KAREN N MCEUEN 89,70 DO 08/10/23 Run Date: 00/14/23 MEMORIAL MEDICAL CENTER BI-WEEKLY Page. 3 Time: 12;26 Check Register i�.- 92DISTP Pay Period 07/28/23--08/10/23 Run; 1 Type=NST 10000001 OPERATING - PROSPERITY Num. Ham Amwunt CHECK NUM DATE 20456 SAYDI A ST CLAIR 100.74 DD 08/10/23 20759 JAIIE SADLER 961.47 DO 08/18/23 20788 JAYLIN RAMIREZ 586.39 DO 08/10/23 20797 BETRAMN M DIGGS 1420.89 DO 08/18/23 20977 CHERYL L TESCH 2478.14 DO 08/10/23 20910 SAVARA LENTO 669.28 DO 08/18/23 21450 DIANA E LEAL L584.91 DO 08/18/23 21629 JACOBY R CRAWFORD 1635.55 DO 08/18/21 28034 KRISTINA A BUENGER 564.85 DO D8/19/23 28120 JESSICA V SELVERA 1447.19 DO 08/18/23 29199 KELLY A SCHOTT 2400A2 DO 08/18/23 3049L ARLEEN JUDD 315.72 DD 08/18/23 31035 STACI3 L EPLEY 1914.35 DO 03/18/23 31054 LORA L IAt•1BDEU 943.41 DO 08/18/23 31219 LAUREN PHILLIPS 1532.06 DO 08/1B/23 31241 MONICA SALAZAR 206.86 DD 08/10/23 31251 CYNTHIA L BIAS 1956.26 DO 08/18/23 31313 KATHERINE LYNN JIMENEZ 2032.13 DO 08/18/23 31319 STACY L PAP14ER 2232.79 DO 08/18/21 31463 EDWARD E MATULA 2730.29 DO 08/16/23 31SOO RACHEL A HEFFNER 2369.42 DO 08/16/23 31521 KRYLA DE LA CALLEJA 535.24 DO 09118123 31521 KAYLA 14 ALVAREZ 1692.18 DO 08/18/23 38118 RRYSTELLA F KISIAR 1079.21 DO O8/18/23 38158 MEGAN M CANO 190.34 DO 08/16/23 38188 MADELINE ANDERSON 632..09 DO 08/19/23 38702 AMA VANESSA PENNELL 962.34 DO 08/1B/23 41112 ANASTASIA L PEREZ 158194 DO 01116/23 41171 TOMMIE M TREVIMU 825.94 DD 08/18/23 41205 JEANETTE ALVARADO 786.D4 DO O8/18/23 41225 LESLIE A CRAIGEN 1418.12 DO 08/18/23 41236 PA14EU K VANUDY 1533.79 DO 08/10/23 41251 SARA YBARSO Be3.56 DO 08/10/23 41261 BERNICE AGUILAR 760.34 DD 08/18/23 41269 BERENICE LUGO 773.58 DO 08/18/23 41274 KAREN GAMN 1107,81 DD 00/18/23 41219 PAMELA R HARMON 774.83 DD 08/18/23 41341 ADRIANNA D STRAKOS 801.43 DO 06/18/23 41418 ANGEL Id CASSEL 1028,47 DD 08/18/23 41506 JOSEFAT LUGO TORRES 827.03 DO 08/18/23 41612 SONJA A GUAJARDO 917.23 DD 09/18/23 41617 JACQUELINE 14 MARTINEZ 963.19 DO 08/1B/23 41896 REHAB MICHELLE EMERY 696.3 DO 08/1B/23 41897 ROKANNA M 09 92GAS DO 08/15123 41901 JUANITA R 14ILLER 1273.53 DO 08/1B/23 42106 CHRISTY SILVAS 960.71 DO Oa/18/23 42112 SOCORRO C GONZALES 931.21 DD 08/19/23 42122 LEI ANA CRAVAN.A 1778.05 DO 08/19/23 42125 LUCY CALZAUA 880.41 DO 08/18/23 42304 MINI T NGUYEN 2155,24 00 OB/18/23 42636 MARIAR A SOCARRAS 727,71 00 08/18/23 42820 MARIA D CHAVRZ 975.84 DD 08/1a/23 12942 SHANNA S 0 DONNELL 12998.71 DD 08/18/23 50018 MICHELLE M MORALES 1401.41 DD 06/13/23 Run Date: 0/14/23 MEMORIAL MEDICAL CENTER BI-WEEKLY page 4. Time: 12:26 +*•+ Check Register •'.a p2DISTp Pay Perini 01/28/23--08/10/23 Run: 1 TYPO -NET 10060DOI OPERATING - PROSPERITY Num. Name Amount CHECK NUM DATE 50022 REGINA A JOHNSON 17010 DD 00/18/23 50148 PENNY GOULDEN 3387.47 DO O8/18/23 50161 SRITTNEY MICHELLE ZAMORA 686.97 DO 08/18/23 50248 MCKE NA VILLEGAS 645.66 DO O0118/23 50282 JACOB N HAMILTON 2549.85 DO 06/18/23 50310 JASMINE GRIGSBY 762.88 DD 08/18/23 50546 MELANIE K SAMAYOA 2124,34 DO O8/18/23 SOS71 DEANA R DAVIS 1605.22 DO 99/18/23 50506 BETTY S DAVIS 2070.23 DO 08/18/23 50719 DEBRA K MUSTERED 2162.05 DO 01/19123 50928 AD1NA RODRIGUEZ 702,49 DO 08/19/23 53541 JACLYN B HARTL 1623.40 00 08/13/23 54024 MONICA A ESCALANYE 1105.15 DO O8/18/23. 55026 IRENE B PEREZ 820.06 GO O8/10/23 55127 APRIL 11 KUBALA 2813 16 OD 08/18/23 55371 BLANCA HERNANDEZ. 399.00 DO O8/18/23 55382 SHANNON JACILDD 850.5E DO 08/18/23 55658 LAJUAN WILKE 806.20 DO 08/18/23 55945 KATIE L MOODY 749.36 DO 08/19/23 58115 BECKY MARIE SALINAS 808.02 DO 08/19/23 58510 RITA L POLENSKY 977.77 DO 08/18/23 90112 ROBERT A RODRIQUEZ 1963.91 DD 08/10/23 60131 NORA OVALLE 564.76 DO 08/10/23 60156 DANIELLE M KALISBK 1009.69 DO 08/10/23 60165 TERESA A BENITEZ 1553,26 GO 08/18/23 60412 CHRISTOPHER GALINDO 72L78 DO 08/10/23 50587 NANCI 8 GARCIA 758,92 DO 08/16/23 90589 JASON J LOYA 1003.62 DD 08/18/23 60616 DOROTHY A LONGORIA 838.50 DO 08/19/23 62322 PLAN KNIGHT 151058 00 08/18/23 63124 SANJUAN M GARCIA 1009.31 DO 08/18/23 63193 MICHAEL SOCARRAS 950.44 01) 08/18/23 6345E VIRGINIA C BRANARDING 049.81 DO 08/16/23 65100 FELICITA BONUZ 664A2 DO 08/18/33 65125 MARTHA COMPEAN 961..06 GO 08/10/23 65127 VERONICA ORTIZ 557.31 DO G8/11/23 0136 TINA ROWEK 1173.il DO 08/10/23 65148 MARTA INIGUS2. 1015,67 DD 06/18/23 65151 ELIA OLACHIA 1069..71 GO O8/18123 65168 MORA 14IRELFS 752,25 DD 08j18123 65189 SLVIRA SA14CHOS 72336 DO 08/18/23 65205 JUANA SANTILLAN 912.84 DO 08/18/23 65213 LEE SINERLY 1329.10 DO 08/18123. 65269 NATALIE BAREFIELD 956,74 DD 08/18123 65393 RAMONA A PERBZ 1032.52 DO 08/18/23 65453 AMALIA L FLORES 1184.81 DO 00/18/23 55463 14ARIA I VELOZ 767,37 G➢ OB/18/23 65486 ROSA RODRIGUEZ 911.50 D➢ 08/18/23 65513 14ARIA MORALES 1057.61 DO 08/18/23 65705 D014ITILA HERRERA 728.16 ➢➢ 68/18/23 65715 MARIA R GOMEZ 951.79 D➢ 08/18/23 65065 MARIA F LEDE214A 934.55 D➢ 09/18/23 68368 DOMITILA GARCIA 692.99 ➢D 08/18123 68568 CHRISTOPHER RUTHERFORD 1043.78 DO O8/18/23 Run Date: 08/29/23 WORIAL MEDICAL CENTER EI-WEEKLY Time: 12:26 **** Check Register **** Pay Period 07128/23--08/10/23 Rw: 1 Type=NET 10000001 OPERATING - PROSPERITY Num. Name Amount CHECK NOR DATE 68792 NAZARIO DIAZ HERNANDEZ 2008.39 DO 08/18/23 10119 SARA N BLEDSOE 2304.04 DO 08/18/23 72727 CHRISANORA LYNN KOVAREK 34.14 DO 08/18/23 73749 GLORIA N REID 2537.13 ➢O 08/18/23 74159 CAROL VILLARREAL 1315.65 ➢D 08/18/21 75190 RIKA MILLER 1971.51 DO OB/18123 76003 IRMA DELEON 708.67 DO 00/18/23 76115 JEHMFER R. CARLOCK 775.27 DD 08/18/23 76120 RACHEL CANALES 1283.76 DD O1118123 76139 KAREN D GARCIA 605.2L DD 00/16/23 76196 REBECCA MURRAY 240.82 DO O8/19/23 76210 ZOE VILLARREAL 981.95 00 OS/18/23 76300 AIDA JIMENEZ BB5.10. DO O8/18/23 76313 ?AMU L BARTON 840.42 DD O0/18123 76403 KATRINA, A POKLUDA 1284.98 DD 00/10/23 76647 CHERYL A SEE 1055.14 DD 08/18/23 16706 GREGORY E MORALES 776.17 DD 08/18123 76054 MARY PATTERSON 138.35 DD 08118j23 76985 VANESSA TRISTAN 477.75 DO O8/18123 71646 FARM A GONZALES 1090.62 D➢ 08/18/23 78020 MISTY R PASSMORR 1630.19 DD 08/18/23 78058 KYAVN J EONBH 600.25 DD 08/18/23 76072 DOHNA M RANLINC,S 1526.57 DD 08/18/23 78128 ALEKA QUIRTANILLA 848.83 DO 08/19/23 78186 ANDREA F COOK 187.02 DO 01/18/23 78287 MARISSA O ALHANZAR 1935.19 DO 08/18123 76336 JESSICA L GLOVER 1721.40 DO 08/18/23 78566 99LISSA K GEE 876.30 DD 08/10/23 79764 ASHLEY D HADLEY 2044.DB. DD 08/18/23 78781 KRISTEN R MACHICEK 2364.66 00 08/10123 38781 FARM I JANAK 2707.36 DO 08/10/23 78897 DAYLE J ROBINSON 659.94 DO 06/18/23 60000 ADAM D BESIO 2408.90 ON 08/18/23 80141 JEANNIE ORTA 2096.91 DO O6/18/23 82227 CAITLIN A CLEVENGER 1199.41 DD 08/18/23 86452 RkCY ELLEMGE 700.61 DD 08/18/23 06102 MEGAN M HARPER 832.99 DO O8/18/23 86576 ELSA HERRERA 769.54 DO 08/18/23 89125 LISA M TREVINO 1165.14 DO OB/18/23 OB321 ANDREW DE LOS SANTOS 7651.53 DO 08/18/23 88435 JOE GARCIA 1910.23 DO O8119/23 90320 R0SHANDA S THOMAS 563418 DO 08/18/21 93231 WHIR M FLORES 1371.32 DO 08/18/23 98756 ADRIANNA M GALVAN 1334.03 DO 08/18/23 380387.847/ Page 5 PIDISTP Memorial Medical Center Transfer Request 9;242:98 _/ Account: Operating- •4357 MUFG Union Bank 3120004394 Routine Number: Wage Works Employee FSA Payment May, June and July Invoices 5227135,5244514, 5278803,5300720,5339790, 5357125, 5388265,5411191,5431132,5469548,5211771,5327613,5450086 Requested by: Caitlin Clevenger Date: 8142023 (� bY� @r•ti• 'w C= '-8��u F� C "Wig `1� Date: � �' HealthEquitym To: Memorial Medical Center PO Box 25 Port Lavaca TX 77979 WageWorks Remit: Via Wire or ACH Credit to MUFG Union Bank, N.A. FSA/HRAIDC Acct #: 3120004394 Routing #:122000496 Please include invoice # in your payment addenda for ACH Credit or Wire payment. Log on to our employer website to view detailed invoice reports: employecwageworke.com Description Visa Card Payments - HCFSA 2023 Total Amount Due INVOICE WageWorks, Inc. 4609 Regent Blvd. Irving, TX 75063 214.596.6900 Account # i Invoice Date - 2052366 0513012023 PO # _ _._....... _DUE DATE_ ----'. 08128/2023 Invoice# AMOUNT DUE: INV5227135 li $1,280.06 Plan Code Amount HCFSA2023-11280.08 $1,280.06/ HealthEquity WageWorks To: Memorial Medical Center PO Box 25 Port Lavaca TX 77979 Remit: Via Wire or ACH Credit to US BANCORP FSAIHRA(DC Acct #:158300195894 Routing #: 122235821 Please include invoice # in your payment addenda for ACH Creditor Wire payment. Log on to our employer website to view detailed invoice reports: employer.wageworks.com 1 Description _ Visa Card Payments - Total Amount Due INVOICE WageWorks, Inc. 4609 Regent Blvd. Irving,TX 75063 214.596.6900 _ Account#_ -- Invoice Date _- -- 2052366 _ 0610512023� PO # _ DUE DATE 09105/2023 Involve# AMOUNT DUE INV5244614 $517.60 . i Plan Code Amount 'I, HCFSA2023 51Z60 $517.6 HealthEquity- WageWorks INVOICE To: Memorial Medical Center WageWorks, Inc. PO Box 25 Port Lavaca TX 77979 4609 Regent Blvd. Irving, TX 75063 214.596.6900 Remit: Via Wire or ACH Credit to US BANCORP Account # — Invoice Date FSA/HRA/DC Acct #: 158300195894 Routing #: 122235821 2052356 _ 06l1212023 Please include invoice # in your payment addenda for ACH PO # DUE DATE Creditor Wire payment. 0911 V2023 Log on to our employer website to view detailed invoice Invoice # AMOUNT DUE reports: employerwageworks.com INV5278803 $730.71 Total Amount Due $730 71 HealthEquity WageWorks To: Memorial Medical Center PO Box 25 Port Lavaca TX 77979 Remit: Via Wire or ACH Credit to US BANCORP FSAIHRA/DC Acct #: 158300195894 Routing #:122235821 Please include invoice # in your payment addenda for ACH Credit or Wire payment. Log on to our employer website to view detailed invoice reports: employer.wageworks.com Description Repayments - HCFSA 2023 Visa Card Payments - HCFSA 2023 Total Amount Due INVOICE WageWorks, Inc. 460E Regent Blvd. Irvingg, TX 75063 214.596.6900 Account # ' Invoice Date 2052366 -. _..... _. 06/20J2023 023 '. PO# DUE DATE 09/18/2023 _ Invoice # AMOUNT DUE INV5300720 $806.86 Plan Code Amount --__-- -- ----I HCFSA2023 (29.96) HCFSA2023 836.82- $806.86, HealthEquity° To: Memorial Medical Center PO Box 25 Port Lavaca TX 77979 WageWorks Remit: Via Wire or ACH Credit to US BANCORP FSA/HRA/DC Acct #: 158300195894 Routing #: 122235821 Please include invoice # in your payment addenda for ACH Credit or Wire payment. Log on to our employer website to view detailed invoice reports: employer.wageworks.com Description 1 PMB Payments - OCFSA 2023 PMB Payments - HCFSA 2023 Visa Card Payments- HCFSA 2023 Total Amount Due INVOICE WageWorks, Inc. 4609 Regent Blvd. Irving, TX 75063 2t4.596.6900 Account # Invoice Date -_ 2052366'-_- 06126/2023 PO # '-- ---' DUE DATE_ - '-09f25f2023 Invoice # AMOUNT DUE '.. INV5339790 $1.,617.69 ', Plan Code Amount — DCFSA2023 541.63 . HCFSA2023 29.95 HCFSA2023 1,046.11 $1,617.69/1 HealthEquity- To: Memorial Medical Center PO Box 25 Port Lavaca TX 77979 WageWorks Remit: Via Wire orACH Credit to US BANCORP FSA/HRAIDC Acct #: 158300195894 Routing #: 122235821 Please include invoice # in your payment addenda for ACH Credit or Wire payment. Log on to our employer website to view detailed Invoice reports: employer.wageworks.com PMB Payments - DCFSA 2023 i Visa Card Payments - HCFSA 2023 Total Amount Due INVOICE WageWorks, Inc. 4609 Regent Blvd. Irving, TX 75063 214.696.6900 j Account# -_' ��-_^----2052368—�---- Invoice Date 07/0312023 Poi DUE DATE 10/02/2023 Invoice # AMOUNT DUE INV5357125 $604.66 Plan Code Amount DCFSA2023 58.33 HCFSA2023 546.53' $604.86 i HealthEquity° WageWorks INVOICE To: Memorial Medical Center PO Box 25 WageWorks, Inc. Part Lavaca TX 77979 4609 Regent Blvd. Irving, TX 75063 214.596.6900 Remit: Via Wire or ACH Credit to US BANCORP --Accoun! # � �� Inv -- Date —�--- — -- ---- FSAIHRA/DC Acct #:158300195894 Routing #: 122235821 2052366 07110/2023 Please Include invoice # in your payment addenda for ACH PO # DUE DATE Credit or Wire payment. 10/10/2023. Log on to our employer website to view detailed invoice Invoice # ----- -- I AMOUNT DUE - --- reports: employer.wageworks.com INV5388265 $518.73 Plan Code Amount J Vi85CrdPaym HCFSA2023 518.73' Visa Card Payments - HCFSA 2023 - Total Amount Due $518.73,, HealthEquity To: Memorial Medical Center PO Box 25 Port Lavaca TX 77979 WageWorks Remit: Via Wire or ACH Credit to US BANCORP FSA/HRA/DC Acct #:15830D195894 Routing #: 122235821 Please include invoice # in your payment addenda for ACH Credit or Wire payment. Log on to our employer website to view detailed invoice reports: employer.wageworks.com .�+ rapuouw - u�ran cuca Visa Card Payments - HCFSA 2023 Total Amount Due INVOICE WageWorks, Inc. 4609 Regent Blvd. Irving, TX 75063 214.596.6900 -,._ Account# __ Invoice Date --- 2052366�07/17/2023 Po# DUE DATE _ 10/16/2023 Invoice # AMOUNT DUE INV5411191 $587.29 Plan Code Amount DCFSA2023._._...-------20.04 HCFSA2023 567.25' $587.29, HealthEquity- To: Memorial Medical Center PO Box 25 Port Lavaca TX 77979 WageWorks Remit: Via Wire or ACH Credit to US BANCORP FSAIHRAIDC Acct #: 158300195894 Routing #:122235821 Please include invoice # in your payment addenda for ACH Creditor Wire payment. Log on to our employer website to view detailed invoice reports: employerwageworks.com Description - --- Visa Card Payments - HCFSA 2023—_--. Total Amount Due INVOICE WageWorks, Inc. 4609 Regent Blvd. Irving, TX 75063 214.596.6900 Acccunt 1 Invoice Date 2052366 07/24/2023 PO# DUE DATE 10/23/2023 Invoice # AMOUNT DUE INV5431132 $861.54 Plan Code Amount HCFSA2023 861.64 $861.64 , HealthEquity° To: Memorial Medical Center PO Box 25 Port Lavaca TX 77979 WageWorks Remit: Via Wire or ACH Credit to US BANCORP FSAIHRA/DC Acct #: 158300195894 Routing #: 122235821 Please include invoice # in your payment addenda for ACH Credit or Wire payment. Log on to our employer website to view detailed invoice reports: amployerwageworks.com Description --- Visa Card Payments - HCFSA 2023 - Total Amount Due INVOICE WageWorks, Inc. 4609 Regent Blvd. Irving, TX 75063 214.596.6900 Account# y ---' _Invoice Date 2052366 07/31/2023 PO# _—._...... t� DUE DATE 1 MO12023 invoice #. AMOUNT.DUE INV5469548 $291.77 Plan Code_ : Amount HCFSA2023 291.77 $291.7 HeaithEquity° To: Memorial Medical Center PO Box 25 Port Lavaca TX 77979 WageWorks Remit: Via Wire or ACH Credit to: MUFG Union Bank, N.A. Admin Fee Acct# 3120004386, routing # 122000496. Please include Invoice # and Account # in your payment addenda for ACH Creditor Wire payment. Check Payment: WageWorks Inc. P.O Box 45772. San Francisco, CA 94145-0772. Please include the invoice # in remittance advice or return a copy of the invoice with the check. Description Healthcare - Benefit Period: May 2023 Monthly Compliance Fee HC FSA Admin Fee - Current Plan Year HCDC FSA Admin Fee - Current Plan Year HC FSA Admin Fee - Prior Plan Year Total Amount Due Quantity Fee 1 78 2 1 INVOICE WageWorks, Inc. 4609 Regent Blvd. Irving, TX 75063 214.596.6900 Account# Invoice Date 2052366 0512412023 PO# Invoice # INV5211771 DUE DATE AMOUNT DUE 06123/2023 $475,25 Amount 50.00 50.00 5.25 409.50 5.25 10.50 5.25 5.25 - $475.25 Page 1 of 1 HealthEquity To: Memorial Medical Center PO Box 25 Port Lavaca TX 77979 WageWorks Remit: Via Wire or ACH Credit to: US BANCORP Admin Fee Acct# 158300195886, routing # 122235821. Please include Invoice # and Account # in your payment addenda for ACH Credit or Wire payment. Check Payment: WageWorks Inc RO BOX 45772, San Francisco, CA 94145-0772. Please include the invoice # in remittance advice or return a copy of the invoice with the check. INVOICE WageWorks, Inc. 4609 Regent Blvd. Irving, TX 75063 214.596.6900 Account # Invoice Date 2052366 06/23/2023 PO# Invoice # ---DUEDATE', INV5327613--.... AMOUNTDUE 07124/2023 --- --$--._._...__...._. $475.25 Description Quantity Fee Amount Healthcare - Benefit Period: Jun 2023 . Monthly Compliance Fee 1 50.00 50.00 HC FSA Admin Fee - Current Plan Year 79 5.25 414.75 HCDC FSA Admin Fee - Current Plan Year 2 5.25 10.50 Total Amount Due $475.25 , Page 1 of 1 HealthEquity° To: Memorial Medical Center PO Box 25 Port Lavaca TX 77979 WageWorks Remit: Via Wire or ACH Credit to: US BANCORP Admin Fee Acct# 158300195886, routing # 122235821. Please include Invoice # and Account # in your payment addenda for ACH Credit or Wire payment. Check Payment: WageWorks Inc RO Box 45772, San Francisco, CA 94145-0772, Please include the invoice # in remittance advice or return a copy of the invoice vrith the check. INVOICE WageWorks, Inc. 4609 Regent Blvd. Irving, TX 75063 214,596.6900 ',. Account # Invoice Date 2052366 07/25/2023 PO# Invoice# INV5450086 DUE DATE AMOUNT DUE 08124/2023 $475.25 Description Quantity Fee Amount Healthcare - Benefit Period: Jul 2023 - -- Monthly Compliance Fee 1 50.00 50.00 HC FSA Admin Fee - Current Plan Year 79 5.25 414.75 HCDC FSA Admin Fee - Current Plan Year 2 - -- 5.25 10.50 -_ - Total Amount Due - - --$475.25 /l Page 1 of 1 PROSPERITYBANH ELECTRONIC TRANSFERS FOR OPERATING ACCOUNT —Aug 7, 2023 - Aug 13, 2023 Date BankDescrio0an 8/11/2023 PAY PLUS ACHTRANS 4S2579291101000690625S17 9/11/20D AMERISOURCE BERG PAYMENTS 01000077682100002 8/10/2023 PAY PLUS ACHTRAN54SB79291 UUME99923624 8/10/2023 RYS/TRANSFIRSTDISCOUNT3MM025416166110 8/10/2022 TSYS/TMNSFIRST DISCOUNT 41399MI3918376110 8/10/2D23 TSYS/TRANSNRST DISCOUNT 413998013323936110 8/10/2023 TSYS/TRANSFIATrDISCOUNT 41399801368397 6110 9/10/2023 TSYS/TRANSFIRS ISMUNT413998013324016110 e/10/2023 TSWITI NSFIRST DISCOUNT 41399SD13323M6110 8/10/2023 TSYS/TRANSFIMTOISCOUNT41399NI3324196110 8/SO/2023 TSYS/THANSFIRST DISCOUNT393"W589946 Silo 8/9/2023 PAY PLUS ACHTMN54RS79291101000698002087 8/9/2023 CLEARGAGE UCCLFARGAGE, C"OBPKIVDCB03g 242 8/8/2023 PAY PLUS ACHTRANS 4SZ5792911010MGN02076 $18/2023 MCKESSON DRUG AUTO ACH ACH056DU97291 WOUl33 8/7/2M PAY PLUS ACHTRAN5452579291101000696fi49253 8/7/2023 IRS USATARPYMT 2M6193361497561MWIOM645 RP/2023 FDMS FDMS PYMT052-3603836000 4100E12237S52 8/7/2023 FOMS FDMS PYMT052-20005000004100012238660 MMCNoIes -3rd Party PaYor Fee -3406 Drug Program Expense - 3rd Party Payar Fee - Credit Card Pracening Fee -Credit Card Processing Fee -Cretlit Card Processing Fee - Credit Card Processing Fee - Credit Card Pro,essingFee -Credit Card Processing Fee -Credit Card Processing Fee - Credit Card Processing Fee - 3rd Pony Favor Fee - Patient Financleg Service - 3rd Party Payar Fee -340B Drug Program Expense - 3rd Parry Payer Fee -Payroll Taxes -Credft Card Processing fee -Credit Card Processing Fee Augest 14, W23 ANDRE W OE LUIS SANTOS �sq, Memorial Medial Center P lt,p,g��p,Y�{4�,p PROSPERITYBANK W * a"T"" 0 W&"L`20 ELECTRONIC TRANSFERS FOR OPERATING ACCOUNT -ESTIMATED ACHS Data D.rFtIcm 8/20/2023 - TNUIS COUNTY DRS RECEIVABLE N1923000024329 Retirement Funding August 14.2023 ANDRE W DE LOS SANTOS Memorial Medical Center 254 Amount "fiv 66335.Kt 3,6;MTE 0L63 551 2,060109 285.84 wilco 193.03. 46Y.26� ➢d" y i' N 116,J32.4RI ' 750 Z5.68 ]31,7ezz7 2.2ti 26•16 QW-\ 3 6 ° 5 • - kl�Ill^/8 1,016.3i + 55•IS 2-060-09 285. 84 936•SV 193.03 + 467. 26 + T' 129. 011 - 32.45 75.67 + 5 r254.3U a BSI 17•3/ + 76. 36 - 5 117.3/ + 5,445•Ur, MMCNotes Amount La,wLBs 13 1, 7 B 2• e r 187.011AS • 4 eY .; _ - APPROVED to x, 152�a,21T1 5, 4 4 5• 0 3 + ��•yAfAUG apL C4L."ro'DO IX�flYW 5 , Is 4 5 • IJ - iINx1AE ipP 0.00 M Date/Time 08-08-2023 / 09:18 AM Submitted By Pay Date. 07-31-2023 Employee Deposits $75,519.49 Employer Contributions $111,552,36 Group Term Life Premiums $0.00 Total $187.071.85 f Comments Payroll File July 2023 Retirement Upload.xlsx Page 1 of 1 RECEIVED BY THE COUNTY AUDITOR ON AUG 10 2023 08/10/2023 .*LHC*d1 ;OUtdr+,T=,.,-" MEMORIAL MEDICAL CENTER AP Open Invoice List Dates Through: Vendor# Vendor Name Class Pay Code 11826 SOLERA WEST HOUSTON Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross 080223 08/09/20 08/02120 09102120 y43,000.00 TRANSFER 00 blitswkwu `03^0 61f.�0£i�pr.d 14 Vendor Total: Number Name Gross 11828 SOLERA WEST HOUSTON 3,000.00 Report Summary Grand Totals: Gross Discount 3,000.00 0.00 AUG 10 2023 s,ALtIV N C Lt fur°IT 7 F.6 0 ap_open_invoice.template Discount No -Pay Net if r 0.00 0.00 3,000.00 VKV&L qt^ Discount No- y Net. 0.00 0.00 3,000.00 No -Pay Net 0.00 3,000.00 file:///C:/Userslltrevino/cpsi/memmed.cpsinet.com/u88125/data_51tmp_cw5report633269... 8/10/2023 Page 1 of l RECENEDBYTHE COUNTY ALIDTTOA OU AUG 10 2023 MEMORIAL MEDICAL CENTER 08/10/2023 0 t".aLJti�ib� COUtivT'f, TE,aJLS AP Open Invoice List ap_open_invoiee.template Oates Through: Vendor# Vendor Name Class Pay Code 11820 FORTBEND HEALTHCARE CENTER. Invoice# Comment Tran Ot Inv Dt Due Dt Check D Pay Grass Discount No -Pay Net 080223A 08/09/20 06/02/20 09/02l20 200.00 0.00 0.00 / 200.00 ✓` TRANSFER 04 'jPW'ikWLL. fIll cltjitSj k8 urtb L o-.nliat 080223 08/09/20 08/02/20 09/02/20 2,200.00 0.00 01 ,r 2,200.00 ✓ TRANSFER 't t. 080223B 08/09/20 08/03/20 09/03/20 6,000.00 0.00 0.00 6,000.00 TRANSFER ct tr Vendor Totals Number Name Gross Discount No -Pay Net 11820 FORTSEND HEALTHCARE CENTER 8,400.00 0.00 0.00 8,400,00 Report Summary Grand Totals: Gross Discount No -Pay Net 8,400.00 0.00 0.00 8,400.00 AUG 10 2023 CRLHO Kt COiJ4 orr,EXgS file:[//C:/Users/ltrevino/cpsilmemmed.cpsinct.com/u88l25/data 5/tmp_cw5report495473... 8/10/2023 Page 1 of 1 RECEIVED BY THE ;•OUN T V 41JDiTOR ON AUG 10 ?023 08/10/2023 AMUNi COUNTY, TEXAS Vendor# Vendor Name 11824 THE CRESCENT MEMORIAL MEDICAL CENTER AP Open Invoice List Dates Through: Class Pay Code 0 ap_open_invoice.template Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay 080323 08/09/20 08/03/20 09/03/20 4,800.00 0.00 0.00 TRANSFER t'ij jYtit)VKp4a. ?(L5Yt%Mj sltpasi4ecj jrL1r t&W�L Vendor Totals Number Name Gross Discount NoAy 11824 THE CRESCENT 4,800.00 0.00 0.00 Grand Totals: AUG 10 2023 By CALOR"? COtyN Y? iEXA9 Net / 4,800.00 �f Net 4,800.00 Report Summary Gross Discount No -Pay Net 4,800.00 0.00 0,00 4,800.00 file:///C:/Userslltrevinolcpsilmemmed.cpsinet.com/u88125/data 5/tmp_cw5report296537... 8/10/2023 Page 1 of I RECEIVED WI THE COUNTY AUDTOR CNI Z023 MEMORIAL MEDICAL CENTER bE�/1�/2b23 v ea 0 AP Open Invoice List 11:49 rN.4011ld CO4JIVi's.'4EXA& Dates Through: ap_open_involce.template Vendor# Vendor Name f Class Pay Cade 11636 GOLDENCREEK HEALTHCARE f Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 080223 08102120 09M2/20 200,15 0.00 0.00 200.15 �0810120 TRANSFER Nil YYL4U'iitrlte.. F&\j ,LWj.- jeV06i+ej tyl-1e, i4UL oft_Ir"A 080423 08/09/20 08/04/20 09/04/20 446.69 0.00 0.00 4 6.69 TRANSFER ++ +' 080123 08/10/20 08/01/20 09/02/20 1.215.76 0.00 0.00 1,215.76 ., TRANSFER e+ , I Vendor Totals Number Name Gross Discount No -Pay Net 11836 GOLDENCREEK HEALTHCARE 1,862.60 0.00 0.00 1,862,60 Report Summary Grand Totals; Gross Discount No -Pay Net 1,862.60 0.00 0.00 1,862.60 AUG 10 2023 file://!C:/Users/itrevino/cpsi/menimed.cpsntet.com/u88l25/data_5/tmp_cw5repolt670034... 8/10/2023 Page 1 of 1 RECEIVED SY THE C01)wyAUDITOR ON �'08710/23p2 MEMORIAL MEDICAL CENTER AP Open Invoice List 0 0:1 �>AW'O Ni, ap_open invoice.template iNRY.TEXA$ Dales Through: Vendor#Vendor Name t Class Pay Code 12696 GULF POINTE PLAZA V'J Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 080323 08/09/20 08/03/20 09/04/20 1,200.00 0.00 0.00 1,200.00 / TRANSFER 00 Muli2Nt- 1a.Y"4 attfae-i4fa tn','" pA wo-. ard,{n v Vendor Total: Number Name Gross Discount No- Net 12696 GULF POINTE PLAZA 1,200.00 0.00 0.00 1,200.00 Report Summary Grand Totals: Gross Discount No -Pay Net 1,200.00 0.00 0.00 1,200.00 ,APPROM 0�1 AUG 10 2g21 file:///C:/Users/Itrevino/cpsi/memmed.cpsinet.com/u88125/data_5/tmp_cw5report443572... 8/ 10/2023 Page 1 of I RECEIVED Wt-ME CQd HV AUDITOR ON AUG 10 2€123 08110/2023 MEMORIAL MEDICAL CENTER �$L�(;Fy�,9k�CQi)ATiY.-f00S AP Open Invoice List 0 Dates Through: ap_open_involce.template Vendor# Vendor Name / Class Pay Code 13004 TUSCANY VILLAGE ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay, Net 080323A 08/09/20 08/03/20 09/03/20 400.00 0.00 0.00 400.00 16/ TRANSFER oft IG18u'tAgNa. Pa k a tp e4: 10h IAWL :. OeGT hft- 080323 08109/20 08/03/20 09103/20 11800.00 0.00 0.00 r 1,800.00 ✓ TRANSFER °° 073123 08/1012007/31/2009/02/20 10,800.00 0.00 0.00 10,800.00 TRANSFER it Vendor Total: Number Name Gross Discount No -Pay Net 13004 TUSCANY VILLAGE 13,000.00 0.00 0.00 13.000.00 Report Summary Grand Totals: Gross Discount No -Pay Net 13,000.00 0.00 0.00 13,000.00 APPROVED ON AUGN1Ty0 2023 CA ow"Pcf.DUB+mf. TT file:///C:/Users/ltrevino/cpsi/memmed.cpsinet.com/u88125/data_5/tmp_cw5report198995... 8/ 10/2023 Page 1 of 1 RECEWED BY THE COUNTY AUDITOR O'N 08/10/2023 '.:.4t.,-40!,%R8u,"x-1ENi4�, MEMORIAL MEDICAL CENTER AP Open Invoice List Dates Through: 0 ap_open_involce.template Vendor# Vendor Name % Class Pay Code 12792 BETHANY SENIOR LIVING J Invoice# Comment Tran Dt Inv Dt Due Ot Check D Pay Gross Discount No -Pay, Not 080223A 08/02(20 0910PJ20 6,000.00 0.00 0..0'0 ti 6,000.00 �F /. ®w08(109120 TRANSFER Tv }{ IMSViY'tlitt. & ttV1'� dlpilFai GA m0_+ 080223 08/09/20 08/02/20 09/02120 22.13 k4-IL 0.00 brhk--fi \''.�..�__. 0.00 _... ._.. 22.13 TRANSFER i4 It 080423A 08/09/20 08/04/20 09/04/20 2.216.89 0.00 0,00 / 2216.89 y' TRANSFER t1 r' 080423 08/09/20 08/04/20 09/04/20 13,858.27 0.00 0.00 13,858.27 TRANSFER 4 rr. Vendor Totals Number Name Gross Discount No -Pay Net 12792 BETHANY SENIOR LIVING 22,097.29 0.00 0.00 22.097.29 Report Summary .. Grand Totals: Gross Discount No -Pay Net 22,097.29 0.00 0,00 22,097.29 AUG 10 2073 file:///C:/Users/ltrevino/cpsi/memmed.cpsinet.com/u881251data_5/tmp_cw5report384808... 8/ 10/2023 Memorial Medical Center Nursing Home t3P1 Weekly Centex Transfer Prosperity Accounts 8/24/2023 As Mwln Mu-1 9r..Nw 4tlnnW / ACn I)nY1N 41wn F NwpnOut NemNrvN 6onN ]bayr Mrr'm' ... h y^+^ Te mlerMlo NYNn1 M.16].OP!�I SM,933.0] r % 1110.033.47 / 179a13E." J Bank la4un Isomr1] ValNnn Lnaraln Wann IWIb MnNna YSb31 557.411/ LrMErvmwt 3).6] l Adryfa BaNNtt/h.na3ar Mn3 Irra... 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Rc TyOet �I251 DDA (15I MEMORIAL MEDICAL CENTER - OPERATING'4357 Cu<ae0e 811.1111 115ms11.a1 113iIn 11.4-1 nra�olle Balms 314a9.5020 Enln Ddr8Jlan;e 111117CIS6 MEMORIAL MEDICAL CENTER -PRIVATE WAIVER CLEARING -4373 Current Bdanur WMI Ce rl.e. Placy qa 4 e., s.0 ,, sa329a Cey tub rte t:32 i[ MEMORIAL MEDICAL CENTER / NH BROADMOOR'4403 Current aalnnta 31I1.Y6a.B3 Culetmo.v,;e uRow4 A,:ual eit ,z. e12. 9'; 07 e.-n par if 'e..e a51-611: MEMORIAL MEDICAL CENTER / SOLERAAT WEST HOUST014'4438 Cur—dauWM! 111):911.33 CJIIJ{IYY BJIJn:e ..17 IJ3 4dr,n,.1wh,neu 1131. UJ 10 0%6aWn<! 33f,f5, 0: MEMORIAL MEDICAL / NH GOLDEN CREEK HEALTHCARE'4454 Current Wine. 110.14133 Cell:vut P: anle IE:.417, 37 TVJa4etl DJ:JnI< Im.731 Pnn-DJy Dman<e tI'l651111 MMC-NH GULF POINTE PLAZA - MEDICARE/MEDICAID'S441 'J ✓/el C-drd Ba4ne. IN,1)1.45 J Cn bean D+.nn:e g{,1)a p; Ma"a0'e Emann t44'13:8 .ny Day Bxanq i62.5ll Eb MMC-NH TUSCANY VILLAGE'3407 Currentt PJunl< 110,151.13 <Vlnaea WI -re I'VeSS1.13 tw J:k YAanm IW?+1?:L x.: Jr DJy 11J, J,Gt 07.13 i. MMC -MONEY MARKET FUND'2998 Cwdur,fi Wnu 310n.9140 r..:nM SJn-<r 4C;1.91JU -.., aaaia'arrr t;,0199.45i P., D"a.a... 12vt1..53 Treasury Online ❑MJYl my pllaul[View b6rin! a. pnWnlJlO �tSMlen- Ac<nJ•: waname O r.<,rona83.2e r.671, on•l;41.89 41.89 ,887,30S."e S4,S45.583.26 f4.671.041.89 54,887,305.75 I S4,W1,041.89 �, D.ml nn,, - -- MEMORIAL MEDICALCENTER-CUNIC SERIE52014'4365 Cunem a+Mvt! .31.)) Cart". Eaiamt 153)') A..Idl1 P, V?[! $537,11 Mnor D,, R11Jn:'.t }53)T MEMORIAL MEDICAL CENTER / NH ASHFORD 04381 Current9tlan<e 316Y.033a) CWleaeu Ean:;e Itb49iii tru. :.rl=Ja^,� .7,-.4;•_ MEMORIAL MEDICAL CENTER NH CRESCENT'4411 Curaan..W,l, SIS0,31S51 UllellnY 11 ,, I"Cli l% A.:Jcb P.lce 12M 624 i., suer dry 3, n<e a_...- v MEMORIAL MEDICAL CENTER / NH FORT BEND '4446 CunentPtlnte 152S61a3 Cnlpner41bnn, ai'.firytC +WdaGe'uJW-.;= Pv3aVas5 Pull DaramYnte ffi.5a3 DE MMC -NH GULF POINTE PLAZA- PRIVATE PAY'5433 current aahnee SU.51317 CJ'areJ UJ:mm u251)D a+u!J41<OJiin(n IU:9409. nne, D.ti WMn<e 115,237 MMC •NH BETHANY SENIOR LIVING -5506 Cmran{Ylan<e 1100.4"30 C1erd"6amnce Viv.:p +J NtieDa:an;a M_,k593C r,"day Pa n..ae 1-40. 5,. MMC-BETHANY SR LIVING - DACA *3660 eunenleahrKe pass. SJ W"n M:n« Itm. ro IIMfC, 1- DJy W,, tl iQrq https.//prosperity.olbanking.com/corporate/app/accounts 111 Memorial Medirai Center Nursing Home UPL Weekly Tuscany Transfer Prosperity Accounts 8/14/2U23 vmiMn .mow[ amlmip fdnln Nnme XmnM. Wlaw Na.eMtySnlyui fenM 65,IXVwVldef/nn./MNlo.aenun�naXem. XmeT. Fa[q a..w3Xv+. bmrNN.nao/51a4M.f MmcdgmdNfeq.m.mow.. AUG 15 2023 gw.ana.N. hMln. fmarm.dla Ye wha T.Ja .B. nNn Wmc. XfN Wi.3513 1 TI5.66 / M.Wane 1W.35113 Vninm luwin e.l.nm Mao f(/ MMmYSgdix 415.47 Y q4 3WUM.R..nm.gm. � (�` soak P➢ vM � e\Irwl iT l:"-k t"i'"�x h. I'vl i�- FXnaEW 1n330XI03 � 8/11A023'MONNANEACTN[4R MOUNAA60121334342000D32 8/ll/2023 HNB - ECHO HCCIAIMPMT 746003411440000270025 8/12/2023 HNB -ECHO HCCLAIMPMT 74600341144WW269770 e/M/2023 WIRE OUTLINBAR ENTERPRISES, LLC 8/10/2623 NOVITASSOLUTION HCCIAIMPMT676201430000159 8/9/2023 Deposit 8/9/2023 Deposit 8/9/2023 HNB-ECHO HCCIHIMPMT746003411440000299880 8/9/2023 NOVITAS SOLUTION HCCIAIMPMT 676201420000161 8/8/2023 HNB - ECHO HCCIAIMPMT746003411440000261510 8[7/2023 HNB- ECHO HCCUMMPMT 745003411440000212858 8/7/2023 NOVTAS SOLUTION HCCIAIMPMT 676201420000177 MMCPORTION QIPP/Camp 1 QIPP/CamP QIPP/Camp iransrer•Out Transfer -In 3 4&Lapse QIPPTI NHPORTION - 646.94 304.00 87A0 7571 194.83 47SAT 17L47 - 7.61 - 7.61 - 36,SOB.72 - 36,508.72 91,516.07 - - 61387.59 6,387.58 - 480.00 - 48040 - 10,502.56 - 10,502.56 - 2,000.00 - 2,000.00 - 10,278.00 10.278.00 - 11,617.23 11,617.13 - 980.10 980.10 8/14/2023 Accounts ovwvn'sv ±plcsu:�assuL;. e1Lcw3G:yc: Account Balances cu6vtew reble Am Search Accounts npas+Sl DDA 05) MEMORIAL MEDICAL CENTER- OPERATING'4357 ar.em aaan<e s3smH13+1 foleple muxe StslaaGal everinLle Hebnce >t563.bI LG. v[uTpdy bdri p:e IL]Lg09511 MEMORIAL MEDICAL CENTER- PRIVATE WAIVER CLEARING'4373 Cereenl aalanp S 194 [uireheb 9a: a,[a f43?Y: avaeulJu9aranrn 1a1: 9a or.br CaYbdl:+:p s_ :3: MEMORIAL MEDICAL CENTER / NH BROAOMOOR *4403 eu.mm amen[< svtb6+.6] .n[a Ean[: nu2ra Aaa'ame ea.,r.G Sc-T.•5; L:.pa!P.b,ce »tiel:, MEMORIAL MEDICAL CENTER! SOLERA AT WEST HOUSTON'4438 Cunenl Balan[C 311].93133 :ultlµe08aiar'[e SI1; 55:.aJ ava.ao4 9ulexxp {13].C315a vuoe 0aY 0alun:a 353 s550t MEMORIAL MEDICAL NH GOLDEN CREEK HEALTHCARE *4454 eunenPpamn[= ISee4747 ca lgttpbbanm saam.31 Gva rl,ablebabn[e SE0.4191 pill 0, bel.1l 519.5E] n MMC-NH GULF POINTE PIMA- MEDICARE/MEDICAID'5441 LYIr4nt8dldn[e 161.11a.66 1. l!.1W ba .ln/! LGLIR.E6 Mauama 0alanrc IM r 133E .n/nrpay9a rnn 50203164 MMC -NH TUSCANY VILLAGE *341.07 iI cunem ealbrab a0:3v.13beaM. Eso=m unSs+'i -.a. dat mun[e tlpZu9]i Pn:.]ae0aa':e E^v'tfi>x+' MMC -MONEY MARKET FUND'299B fmrem 9nnn[e iLWb.9]a 53 Cn"arl•C Fi-a+:! 1:.9/k5/a 5e -ra bn!Paarlry SLpf69fa 53 .rrn'J.li Pala„P S.6if Yi.:,)i Treasury Online q MU, my Will vrery 2PPrnt .O.Mlle lwarm. n'ol, 2axcm (.1—il l.-I. 1-:able Baacta I '.nn-[9"'1" S4.545,583.26 S4,671,041.89 $4,887,305.75 54,671,041.89 -xl. pamay reame - MEMORIAL MEDICAL CENTER -CLINIC SERIES 2014-4365 Curmm bnlanm 553YYY CaIIt41ee0nan<e f5i]:' nva.l:Oe H.,ranct 15311, ".l'Oay Bnlentn 553].]] MEMORIAL MEDICAL CENTER! NH ASHFORD *4381 Cu!rtn[Babnee 1190.03347 CO11.. pl:l,a f140AMt: 11 l..SL:1a0:9v' Prrur Wl y:nr[e A8 144 46 MEMORIAL MEDICAL CENTER / NH CRESCENT -4411 CYrrenl 0alarne S10 515,55 xx L'al.lr,. 1'=i 5.15 i5 n.aiaCeknl3 n;{ SIa116L<5G MEMORIAL MEDICAL CENTER/ NH FORT BENI)'4446 Nneni 8,111. 15L66A42 CCCeueeaaWn;r. SSLtia a]. G. ".k Eararre 153.3'a9S5 anv pu55aa^at 1'.1,683E6 MMC-NH GULF POINTE PLAZA -PRIVATE PAY'5433 Cunenl LLlW,[ S32,S13J7 C.i111uJYa1an[e 112.513.11 dwJ:4rc lla4nn SMA"'i 09 1 pay Mari" I25)37:}1 MMC -NH BETHANY SENIOR LIVING -5506 Curmne babnle 118G464.30 Cov!10-c0aun;! 1'd .&U0 G.aanla emaae s:w:355,30 r,,, EeJ 9a'aprn 5'17.00'S1 MMC-BETHANY SR LIVING - DACA *3660 @r'iimw1bn[a nb0ee cv:ecn: uamn<p smf r; All a.. pllo^:x Wlw i'r-v`y. li:a.lz. albf b[ hltpsl(prosperlty.olbanking.eom/eorporatelapp/accounts ill Memorial Medical Center Nursing Home UPL Weekly HSLTransfer Prosperity Amounts 8/14/2023 Pnvlmu ' Nwvunl w4xnln3 {{{ ��.fff NUNI N • 3r r � Nalanp EYI6pi�j dR.'c 136.4W.w gNgbgp�q�.M� I/K�. Note: nnlYDarunMalave<SS.SOwJID<VM31MMnll;enun�nPhwn.. Nerc1: [aW a<[nun[ho.nlo¢pabn<en/StCOIhnr MMCdepcailNroopenn<mun<. M1ndiq Meunue N. Mediurt Tnn3L w ]K,K<3N tr'lBe�jlO.l6 NmkBlWnce 3KAN30 Va(lantt teaw In Klmn Iwoo 3uhlnYnn y1 w.0 p Ngmmrmttttnnd.rMns ysJl�ls (� I N1p11iW eFlO3MMM !%11%3033 I:VdwpNyrnnJenVlx UNrnnJe swnm.nVonlxnuNmnNnsu2m.nas43s 0/11/Na tl3110 - - Bill/3023 MPmle VIVID13 NftTAS OHECUIMPM[3µWfiUzBI1 ]OOly W10023 HOWICEOFSOUMPCOAIMPMiilms9x6[W191 WICt 013 HOSPICEOi 30UM PaymeMcNi 113133ES0011H3 W10/1013 tOza WIOJZGD WXSWHPORTUVACANH,LLC D/10J30ll N0C3WEfP iACX136 31316965399974SWEFPPR &10/1033 HOYRA95O111)IONHCCUIMPMffiMf6t 610000159 W9/30M OIPPHI 6/911 M CENNI B19W/EOM 0.9.0, 9f9j3EM Oe00Yl 6)9/10M Npoilt 6/9/1u23 Nmo n D. MilaM MO, 69/3013 MVWTf5 10WS WM161<1D61 6/NCSW[EPRKlU3M4R9M69W[EP M12M NNB-ECHOHCCA1MPM)aEOUlµ0]1U8 W,fUz3 HNB-E[HOHCCUIc P Jm0w IUB.S.113026 6}1/30M NfAITN NIIMgN SVC XCCIRIMPMitlµpp3f1130163 MMC30NTON T^^N 1^ OIPP/fOm91 OIRIfnm92 41PPIC 03 OIPP/6^IW41aPN WWT HXPORTQV LW000 6,x36.95 RIM.95 21.1E 136.2E u).m 131,24 5E9.78 55969.38 IBIS6',N� 3611a 135,719.35 - 11.512.3E 11,9712, ' &MISS 6.950.59 MOMS WASt19 1569.00 I,S59.00 6001.x1 278457 1,1615) 3;0M.x) - 32,0M.x3 • 13SI6.00 - 13,9MAO Utz. 2 10.093.00 ll1, mw 3 }M.36 - an Man MOB IMAI .AS 163.6G US J .!L bssL)x 8/14/2023 Accounts SJPlh Ylrn TLCf3NCQiWCG Account Balances [aNA. raElewrn Search Accounts favR Rtw elleRtYpe e.wunO.unl@- ♦.Il:t[onn66%TrOu .. .1 Tmn �Isl DDA(15) MEMORIAL MEDICAL CENTER - OPERATING '4357 Curtem aeMllfe 1Cflgdix.J3 CV laled halve sLsr]q¢!; nva6IDR ®olurr[e 1Lfa6.50245 Pnvr Ny9araln iVbS3C9.55 MEMORIAL MEDICAL CENTER - PRIVATE WAIVER CLEARING *4373 cu ..11 n. I'll. -_: eV 3, anu [G34 RVJI:uiiC ealdn.0 tJ32% P.... 0a, 8aY:,[e IJj$V! MEMORIAL MEDICAL CENTER / NH BROADMOOR'4403 eurnnt 66lann tul,aW.4x Ce'etleO Wane vnrf>n: nae lao:e6aWn[e SIia,011 n3 pmr llaYBYa.1:e )5?°EeP MEMORIAL MEDICAL CENTER / SOLERA AT WEST HOUSTON -4438 C."w Uwll 1117,95133 Grteec 2aar,.. tl tiYY. 13 11a:W, Evlann 1131CU SJ 11.C, bue 9e", SSFM 0 MEMORIAL MEDICAL / NH GOLDEN CREEK HEALTHCARE *4454 CVIRM WWn<e 1E01M13, U",.I W,,- $83. 1.37 ava.uve Cau-n tM.?37 .a 0, JJla1:v 1 a.667.R MMC -NH GULF POINTE PLAZA- MEDICARHMEDICAID'5"1 CUIIMr GaldMe 1W 7146 Cn:Mea ^_a'..I"rr fuA,1J2 C4 Yna'nna 9aprre t`A.'ll]E 11.11 D"3.', i4}GdItL MMC-NH TUSCANY VILLAGE-3407 Cmr,., wjb. SIGUS1.13 CO,v1d Wlanfe S10.1351 --a VSeeJ:Jnoe 1157..,-N P,v , ux":e 17012741 MIMIC -MONEY MARKET FUND'2998 eurnn[0alence {L076,9a.i] (o'Irnol eaVnn tiAR.vr:y nrJJan:n 9a'nma SLOBS 5u ]3 n+.n: D.w EA'ay.r S .^ C%6.9T453 Treasury Online !j MAkernyOelAnh Nlw B Pnnr pownlpaG :a Lanl,+ nrr,..:n M[bvme 1,,., Day E., C..eaM emMr. <m:wrce W:a.n nn.6av". $4,545.583.26 S4,671,041.89 $4,887,305.75 I-1 S4,671,041A9 MEMORIAL MEDICAL CENTER - CLINIC SERIES2014*4355 CVIRnt daWM1<e ss3JJJ [nlleae]Eaanlh SSiJ.A �'ra luo'-enaluP;e t53TTT Pnnr ba}dnen:e f33J T] MEMORIAL MEDICAL CENTER / NH ASHFORD'4381. Cu... n, PlunW sldpp33.d) feamme tlu'cme 51'.0.03IDd7 awAJ01e0a'm:e 121, V294. vncr 0ar&1l.m A3AJ065• MEMORIAL MEDICAL CENTER / NH CRESCENT *4411 Current DApna 5139,51555 I:mktlea 9uV^te 9li i1i5i k. Galante 5xLC..NiA rnm C}, sgx.3:L37 MEMORIAL MEDICAL CENTER I NH FORT BEND'4446 CW<nl GaHn[e {5],69cax tOPKitp E::Jr.;.' 11.661 ]: +w..am Bans iS6di>iY a1mGuy 6emne tl'::BJ OG MMC-NH GULF POINTE PLAZA - PRIVATE PAY *5433 Cmmnttl]Idnte ..XI a, CPlleucl GJl+nte s)L613JJ ava¢ae Wl+ln SIS 109 Pxoe wYllaW/'I,tee/ Sti 137E MMC-NH BETHANY SENIOR LIVING ',5506 J Cueren[prante fltglW.]O J rnYarvO ENaory F99FW.3C n W.::e OUW'n SxM::3'J 3'J P1n, My Eauntr 1'•, ]0. 5• MIMIC -BETHANY SR UVING - DACA *3660 CPrmMUMnre n00.00 C.11a,, 61,, 11vw a;a.mctGnnce [¢ocn Prmb+y eea n u:z. a; htlpsalprosperity:olbanWng.com/corporate/app/accounts 1!1 NAEMORIALI'MEDICAL CENTER CHECK REQUEST k-hfi4L M MC 8/14/23 A M"OVED ON AUG 15 20,23 AMOUNT 657.41 t !0"N": r Molina Y5 Ad i 2 . . Caftlin Clevenger FOR ACCT. USE ONLY �A/p Check k to Vendor I= L REUIFY) Check to oep' —i G/L 'HUMBER: 10255040 A1JYi-*JqjzFr BY: r, MIAC NAEPOOMIAL POEUCAL CENTER CHE"CK REQUILEST %miAlkw4- DaTf� Requested: 8/14/23 A POR ACCT. USE (Dtq[.V y APPPDVED ON OIrnprest Caso F L7A/P Cheer. AUG I S 2023 Check to Vendor Return Check cf) Dep; AMOU.Aff 269.35 G/L NUMBER: 10255040 EXPLANATION': Molina YS Adj 2 Polcjurs-TFn B: Caitlin Clevenger At iTHUMNE) Byl IV, � Lk- u IVIEMORIALINAEDIr, L CENTER I -A C'HIECK' REQUEST MIVIC 9114123 A y ON E -- AUG 15 2023 F All , FOR ACCT. USE ONLY F-I Imprest Cash ❑A/P Check Elk'. z;11 Cbc-c k to Vendor FiReEur;i Check is C-Api: AMOUNT 205,74 / GA NUMBER: 10255040 EX P LA N AP Gj N � Molina Y5 Adj 2 K F.*-4U PIT L D B Caitlin Clevenger BYi P MMC y F — AMOuNt'r 276.66 Pv I F, M 0 R i A L IVI E D I C A L HEN i ER _� )ai Requested: 8/14/23 Molina Y5 Adj 2 POP, ACICT. USE ONLY APPMVEDON Limpre5t Gast; []A/P Check AU j Mail Ch=d<to Vendor gA 2, ! AS Rezum Check ica Depi: C/L F!IJIVSER: 102.55040 RI.?UE_ T LD 8'r. Caitlin Clevenger Kiel ,t17_E`L 4 � 1 p A y E E MMC 1\11HOORML 1"'OEDICAL CEN-FER.- HIECK REQUEST DW Requested: 8/111123 APPROVED ON ,A,UG 15 2023 Ga0swas FOR ACCT. USE ONLY UUnprest Cash F]A/P check Dvlzml Check to Vendor EIReturn Check tu Depr AKIOUNT 270.43 f 'E/L JHUMBEIR: 10255040 r. X P LA r 01,T! 0 NI: Molina Y5 Adj 2 RiQuWAD Caitlin Clevenger p E MmC NA f"M 0 R f A L NA, E D 1 CA L r E f\j 1, L; R 1.: ,j 8/14/23 A MOUNT 457.47 EXPLANAT I, Molina Y5 Ad j 2 Rif c IU F, tZEC, n Caitlin Clevenger FOP, ACCTI. 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