The URL can be used to link to this page

2023-10-18 Final PacketNOTICE OF MEE FING — 10/18/2023 October 18, 2023 MEETING MINUTES OF CALHOUN COUNTY COMMISSIONERS' COURT MET IN A REGULAR MEETING AT 10:00 A.M. IN THE COMMISSIONERS, COURTROOM IN THE COUNTY COURTHOUSE AT 211 S. ANN STREET SUITE 104 PORT LAVACA, CALHOUN COUNTY, TEXAS. THE FOLLOWING MEMBERS WERE PRESENT: Richard Meyer David Hall Vern Lyssy Joel Behrens Gary Reese Anna Goodman By: Karla Perez The subject matter of such meeting is as follows: 1. Call meeting to order. County Judge Commissioner Pct 1 Commissioner Pct 2 Commissioner Pct 3 Commissioner Pct 4 County Clerk Deputy Clerk Meeting was called to order at 10:00am 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. Mr. Torres explained he has been helping veterans since relocating back to Calhoun County. Page 1 of 6 NOTICE cv MEETING - 10/18/2023 5. Consider and take necessary action to approve a resolution naming Candice Villarreal as Calhoun County Auditor upon the retirement of current auditor, Cindy Mueller. (RHM) Judge Meyer read`' resolution. RESULT: APPROVED [UNANIMOUS] MOVER: Richard Meyer, County Judge SECONDER: David Hall,- Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 6. Consider and take necessary action to approve the FY2024 Texas Indigent Defense Commission Formula Grant Request for Application resolution and authorize the County Judge to apply online. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 7. Consider and take necessary action to approve a resolution expressing our support for the Texas Legislature to provide parents with school choice options for the education of their students in K — 12. (RHM) Judge,Meyer read resolution. RESULT: APPROVED [UNANIMOUS] MOVER: Richard Meyer, County Judge SECONDER: Gary Reese, Commissioner Pct 4 ` AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 8. Consider and take necessary action to extend the feasibility contract with Texas A & M AgriLife to November 30, 2023. There is no additional cost associated with this extension. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Joel Behrens, Commissioner Pct 3 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 2 of 6 NOTICE OF MEETING — 10/18/2023 9. Consider and take necessary action to award the bid for the Brighton Road Bridge Replacement Project. (DEH) Court approved to award the bid to Constar Construction.: RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 10. Consider and take necessary action to approve Cody Malaer's request to exercise his right for the option on renewing the specifications and agricultural lease agreement for the lease of the Event Center property, 194 acres, for dry land farming that is solely for planting, raising, and harvesting row crops and for no other purposes. The term of this agricultural lease agreement will be for three years with the option to renew for additional three-year terms upon the Commissioners' Court approval and authorize the County Judge to take any action deemed necessary. (VLL) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese` 11. Consider and take necessary action to approve Kyle Malaer's request to exercise his right for the option on renewing the specifications and agricultural lease agreement for the lease of the Langdon Tract, 60 acres, for dry land farming that is solely for planting, raising, and harvesting row crops and for no other purposes. The term of this agricultural lease agreement will be for three years with the option to renew for additional three-year terms upon the Commissioners' Court approval and authorize the County Judge to take any action deemed necessary. (VLL) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 12. Public Hearing regarding a petition to Abandon and Close 0.264 acres, being the undeveloped channel easement area between Lot No. 272 and Lot No. 273 of Sunilandings Phase 1, in the William Arnold League, Abstract 2 according to the established map and plat of said subdivision of record in Volume Z, page 527 of the map and plat records of Calhoun County, Texas. (Exhibit A attached). Public Hearing opened at 10:21 MrBedgood explained the petition. Public Hearing closed at 10:26 Page 3 of 6 ' NC)1-1(:F OF MFFTING — 1.0/1.8/2023 13. Consider and take necessary action on a request to Abandon and Close 0.264 acres, being the undeveloped channel easement area between Lot No. 272 and Lot No. 273 of Sunilandings Phase 1, in the William Arnold League, Abstract 2 according to the established map and plat of said subdivision of record in Volume Z, page 527 of the map and plat records of Calhoun County, Texas. (Exhibit A attached). (JMB) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER:, Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 14. Consider and take necessary action to accept insurance proceeds from TAC in the amount of $8,170.72 ($13,170.72 - $5,000 deductible) for Weather related damage on May 10, 2023 to the generator at the Calhoun County Airport. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 15. Consider and take necessary action to accept insurance proceeds from TAC in the amount of $5,440.47 ($7,940.47 - $2,500 deductible) for a Sheriff Department vehicle accident on September 5, 2023. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 16. Consider and take necessary action to authorize the Texas A & M Agril-ife Extension Service to accept a quote from Victoria Communication Services for an AT&T FirstNet Cellular plan due to the continued phone issues in the office and for emergency situations. (RHM) Karen Lyssy explained the reason for needing this. RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 4 of 6 NOTICF OF MFFTING — J0/18/20Z3 17. Consider and take necessary action to accept a check for $8,299.00 for the FY24 EMS Pass Through funds from the Golden Crescent Regional Advisory Council sor Trauma Service Area-S. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct2 SECONDER: David Hall, Commissioner Pct I AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 18. Consider and take necessary action to reappoint Jeana Bethany to the Gulf Bend Center Board of Trustees. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 19. Accept Monthly Reports from the following County Offices: a. Justice of the Peace, Precinct — September 2023 b. Sheriff's Office — September 2023 c. Texas Agrilife Extension Service — August 2023 i. 4-1-1 and Youth Development ii. Agriculture and Natural Resources iii. Family and Community Health iv. Coastal and Marine RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, CommissionerHall, Lyssy, Behrens, Reese 20. Consider and take necessary action on any necessary budget adjustments. (RHM) none Page 5 of 6 NOTICE OP MEETING - 10/1.8/2023 21.Approval of bills and payroll. (RHM) MMC Sills:' RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Indigent Healthcare: RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Oct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hail, Lyssy, Behrens, Reese County Bills: RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pet 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Adjourned 10:35 Page 6 of 6 Ill C�l� I�1� ��.AI\11��1s�IiI"�'C��l�l"�I \I"I.II 11WumI I I:I.I All Agenda Items Properly Numbered Contracts Completed and Signed _ " All 1295's Flagged for Acceptance (number of 1295's 2 ) All Documents for Clerk Signature Flagged (All documents needing to be attested to need to be signed day of Commissioner's Court.) On this HA- day of �J� 2023, the packet for the 10 -Wv ofy"vt;�GW 2023 Commissioners Court Regular Session was submitted from the Calhoun County Judge's office to the Calhoun County Clerk's Office. Q,4z Calf un County Judge/Assistant C:\Users\Maebelle.Cassel\Desktop\Agenda Templates\PACKET COMPLETION SHEET.Docx AGENDA Richard H. Meyer County judge, David Hall, Commissioner, Precinct 1. Vern Lyssy, Commissioner, Precinct2. ,Joel. Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct.+ NOTICE OF MEETING The. Commissioners' Court of Calhoun County, Texas will meet on Wednesday, October 18, 2023 at 10.00 a.m. in the Commissioners' Cour.troorn in the County Courthouse. at 21'1 S. Ann. Street, Suite 104, Port Lavaca, Calhoun County, Texas. AGENDA E i :FILED, fJ� The. subject matter of such. meeting; is as follows:,AToctocic _�rw, Call meeting to order. OCT 13 2023 n r, r Invocation. uv° r _U fr )TV' 3. Pledges of Allegiance.. if'�General Discussion of Public Matters and Public Participation; / Consider and take. necessary action to approve a resolution naming -Candice Villarreal as Calhoun County Auditor upon the retirement of current auditor,: Cindy Mueller. (RHM). Consider and take necessary action to approve the FY2024 Texas Indigent Defense: Commission Formula Grant Request forApplication resolution and authorize the County Judge to apply online. (RHM) 7. Consider and take necessary action to approve a resolution expressing our support to provide: parents with school choice options for, the education of their students in; K —12. (RHM) 'S. Consider and take necessary action to extend the feasibility contract with Texas A & M'r AgriLife to November 30 2021 There is no additional cost associated rwith! this extension. (RHM) Consider and take necessary action to award the bid for the. Brighton Road Bridge, Replacement Project. (DEH) Page I of 3 `TO. Consider and take necessary action to approve Cody Malaer's request to exercise his right for the option on renewing the specifications and agricultural lease agreement: for the lease of the Event Center property,194 acres, for dry landfarming that is solely for planting, raising, and' harvesting row crops and for no other purposes. The term of this agricultural lease agreement will be for three years with the option to: renew for additional three-year terms upon the Commissioners' Court approval and authorize the County Judge to take any action deemed necessary. (VLL) '1"1. Consider and take necessary action to approve Kyle Malaer's request: toexercise his right for the option on renewing the specifications and, agricultural, lease agreementfor the lease of the Langd'on Tract, 60 acres, for dry land farming; that is solely for planting,. raising„ and harvesting row crops and for no other purposes. The term of this, agricultural' lease agreement will' be for three years with the option to renew for additional three-year terms upon the Commissioners.' Court approval and authorize the County Judge to take any action deemed necessary. (VLL) e "41"3ubric Hearing regarding a, petition to Abandon and CI'ose 0.264 acres, being the undeveloped( channel easement. area between Lot No. 272 and Lot No. 273 of Sunifandings Phase 1, in the William Arnold. League; Abstract 2 according to the established map and plat of said subdivision of record! in Volume Z, page 527 of the map and plat records of Calhoun County, Texas. (Exhibit A attached).. DI3 Consider and take necessary action on a request to Abandon and Close 0.264 acres,, being the undeveloped channel easement: area: between, Lot No, 272 and Lot No., 273 of Sunilandings Phase 1, in the William Arnold League, Abstract 2 according, to the established map and plat of said: subdivision of record in Volume Z, page 527 of the map:. and plat records of Calhoun County, Texas. (Exhibit A attached). (JMB) 14Vi. Consider and take necessary action to accept Insurance proceeds from TAC in the, amount of $8,170.72 ($13,170..72 - $5,000 deductible) for weather related damage on May 10, 2023 to the generator at the Calhoun County Airport. (RHM) `(5. Consider and take necessary action to accept insurance proceedsfrom TAC in the amount of $5,440.47 ($7,940.47' $2,500 deductible),, fora Sheriff Department vehicle ��accidentonSeptember 5, 2023. (RHM) ' 6. Consider and take necessary action to authorize the Texas A, & M AgriLife, Extension. Service to: accept a quote from Victoria Communication Services for an. AT&T FirstNet: Cellular plan due to the continued phone issues in the office and for emergency situations. (RHM); f/Consider and -take necessary action to accept a check for $8,299,00 for the FY24 EMS Pass Through funds from the Golden Crescent Regional. Advisory Council*r Trauma, Service Area-S. (RHM) 18. Consider and; take necessary action to reappoint Jeana: Bethany to the Gulf Bend Center Board of Trustees. (RHM) Page. 2 of 3• T 9. Accept Monthly Reports. from the following County OfFces:, x Justice of the Peace, Precinct —.September 2023 Sheriff's Office— September 2023 Ydkof , t.'Texas Agrilife Extension Service —2023 tti 4-H and Youth, Development tit.' Agriculture and Natural Resources 1-Hr Family and Community Health. W Coastal and Marine n: Consider and take necessary action on any necessary budget adjustments., (RHM), Approval of bills and payroll'. (RHM) 0 Richard H. Meyer„ County I ud Calhoun County, Texas A copy of this. Notice: hasbeenplaced on the outside bulletinboardof the: Calhoun County Courthouse; 2I1. South Anrr.Street-, Portlavaca; Texas, which is readily accessible to the: general public. at all This Notice shallremain posted continuously for at least 72hourspreceding thescheduled'. meeting time- Far your convenience,. you may: visit the county's.wehsite: at: em%m:callhouTmim.emunder"Commissioners' CourtAgenda" for any officialcourtpostings:. Page of"3. NOTICE OF MEETING — 10/18/2023 October 18, 2023 MEETING MINUTES OF CALHOUN COUNTY COMMISSIONERS' COURT MET IN A REGULAR MEETING AT 10:00 A.M. IN THE COMMISSIONERS, COURTROOM IN THE COUNTY COURTHOUSE AT 211 S. ANN STREET SUITE 104 PORT LAVACA, CALHOUN COUNTY, TEXAS. THE FOLLOWING MEMBERS WERE PRESENT: Richard Meyer David Hall Vern Lyssy Joel Behrens Gary Reese Anna Goodman By: Karla Perez The subject matter of such meeting is as follows: 1. Call meeting to order. County Judge Commissioner Pct 1 Commissioner Pct 2 Commissioner Pct 3 Commissioner Pct 4 County Clerk Deputy Clerk Meeting was called to order at 10:00am 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. Mr. Torres explained he has been helping veterans since relocating back to Calhoun County. Page 1 of 18 Calhoun County Commissioners Court Public Participation Form NOTE: This Public Participation Form must be presented to the County Clerk or Deputy Clerk prior to the time the agenda item (or items) you wish to address are discussed before the Court. Instructions:: Fill out all ap—p-r�ooprriate blanks. Please print or write legibly. I` NAME: �' h f ADDRESS: i ( . <. occlCCc, _ 1 TELEPHONE: �c`J>� ��'�� ` I j� i I Cf'� LvL, ,—,, I y- 1-7ci /C'( PLACE OF EMPLOYMENT: V ) ( ) C EMPLOYMENT TELEPHONE: 7)C A-N ie. Do you represent any particular group or organization? YES NO (Circle one) If you do represent a group or organization, please provide the name, address and telephone number of the group or organization: Which agenda item (or items) do you wish to address? In general, are you for or against the agenda item (or items)? I hereby swear that any statement I make will be the truth and nothing but the truth to the best of my knowledge and ability. Signature: Calhoun County Commissioners Court Public Participation Form NOTE: This Public Participation Form must be presented to the County Clerk or Deputy Clerk prior to the time the agenda item (or items) you wish to address are discussed before the Court. Instructions: Fill out all appropriate blanks. P.lease,pr-int or wote legibly. NAME: ADDRESS: TELEPHONE: PLACE OF EMPLOYMENT: EMPLOYMENT TELEPHONE: M1 Do you represent any particular group or organization? YES NO (Circle one) If you do represent a group or organization, please provide the name, address and telephone number of the group or organization: Which agenda item (or items) do you wish to address? 1 In general, are you for or against the agenda item (or items)? # 05 NOTICE OF MEETING—10/18/2023 5. Consider and take necessary action to approve a resolution naming Candice Villarreal as Calhoun County Auditor upon the retirement of current auditor, Cindy Mueller. (RHM) judge Meyer read resolution. RESULT: APPROVED [UNANIMOUS] MOVER: Richard Meyer, County Judge SECONDER: David Hall, Commissioner Pct 1 AYES: 3udge Meyer, Commissioner Hall, Lyssy, Behrens, Reese, Page 2 of 18 1 1N1N2o23 ][diehard H. Meyer County judge David Hail, Commissioner, Precinct 1 Vern ]Lyssy, Commissioner, Precinct 2 Joel Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 RESOLUTION of the COMMISSIONERS'COURT mfCAL I!UN COUNTY, TEXAS WHEREAS, Cynthia Mueller was appointed Calhoun County Auditor on November 1, 2005; and WHEREAS, She has honorably served this Court and the citizens of Calhoun County for 18 years; and WHEREAS, Cynthia Mueller has announced her intention to retire from this position on October 31, 2023; and WHEREAS, Candice Villarreal began working for the Calhoun County Auditor's Office on January 26, 2009; and WHEREAS, Candice Villarreal has worked diligently, professionally and efficiently for 14 years, as Assistant Auditor and as First Assistant Auditor; and WHEREAS, Commissioners Court believes that Candice Villarreal would make an excellent choice to serve Calhoun County as County Auditor upon the retirement of Cynthia Mueller. NOW THEREFORE, LET IT BE RESOLVED, that the Commissioners Court of Calhoun County does hereby unanimously voice their support of Candice Villarreal, and respectfully asks that the District Judges consider appointing her Calhoun County Auditor upon the retirement of Cynthia Mueller. Page 1 of 2 10/18/2023 Ri and H. Meyer, Cou Ag� Joel 13ehreas Commissioner, Precinct 3 Attest: Anna Goodman, County Clerk B�y: Deputy Clerk Vern Lyssy Commissioner, Precinct 2 Garya se NI Commissioner, Precinct 4 Page 2 of 2 # 06 NOTICE OF MEETING -.. 10/18/2023 6. Consider and take necessary action to approve the FY2024 Texas Indigent Defense Commission Formula Grant Request for Application resolution and authorize the County Judge to apply online. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 3of18 7.0/18/2023 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 (ail �" � C�\I.I 1l CelV11 ,II:A.�\� 2024 Calhoun County Resolution Indigent Defense Grant Program WHEREAS, under the provisions of the Texas Government Code Section 79.037 and Texas Administrative Code Chapter 173, counties are eligible to receive grants from the Texas Indigent Defense Commission to provide improvements in indigent defense services in the county; and WHEREAS, this grant program will assist the county in the implementation and the improvement of the indigent criminal defense services in this county; and WHEREAS, Calhoun County Commissioners Court has agreed that in the event of loss or misuse of the funds, Calhoun County Commissioners assures that the funds will be returned in full to the Texas Indigent Defense Commission. NOW THEREFORE, BE IT RESOLVED and ordered that the County Judge of this county is designated as the Authorized Official to apply for, accept, decline, modify, or cancel the grant application for the Indigent Defense Formula Grant Program and all other necessary documents to accept said grant; and BE IT FURTHER RESOLVED that the County Auditor is designated as the Financial Officer for this grant. Adopted this 18th day of October, 2023. Richard H M6yer' County Judge Attest: Deputy County Clerk Page 1 of 1 Mae Belle Cassel From: cindy.mueller@calhouncotx.org (cindy mueller) <cindy.mueller@calhouncotx.org> Sent: Tuesday, October 10, 2023 11:29 AM To: 'Richard Meyer' Cc: Mae Belle Cassel Subject: FW: FY2024 Formula Grant Request for Applications Attachments: FY24 TIDC Formula RFA FINAL.pdf, Resolution Calhoun.doc I didn't see this on tomorrovVs agenda. lust a reminder to put on for 19" From: Richard.Meyer@calhouncotx.org (Richard Meyer)[mailto:Richard.Meyer@calhouncotx.org] Sent: Friday, September 29, 2023 1:21 PM To: cindy.mueller@calhouncotx.org Subject: FW: FY2024 Formula Grant Request for Applications This is the same as we do every year, right? I11 get on October 11,2023 agenda. Judge Meyer From: tidc@tamu.edu (Texas Indigent Defense Commission Business Services) [mailto:tidc@tamu.edul Sent: Friday, September 29, 2023 10:09 AM To: richard.mever@calhouncotx.org Subject: FY2024 Formula Grant Request for Applications CAUTION: This email originated from outside of the organization. Do not click links or open attachments unless you recoenize the sender and know the content is safe. This is a courtesy notice regarding the upcoming FY2024 Formula Grant Program Request for Applications (RFA) due November 15, 2023. A physical copy of this manual has been mailed to all Constitutional County Judges and should arrive soon. All Constitutional County Judges, Administrative District Judges, County Court at Law Judges, Financial Officers (Auditors and Treasurers), and Indigent Defense Coordinators are receiving this electronic copy of the manual as well. Dear Judges: The Texas Indigent Defense Commission announces the FY2024 Formula Grant Request for Applications (RFA). Applications are due Wednesday, November 15, 2023. The attached packet provides information on what is needed for counties to obtain Formula Grant funds. There are two simple steps to apply for your formula grant: 1. Commissioners Court should adopt the attached FY2024 TIDC Formula Grant Resolution. 2. Upload the signed resolution on TIDC's grants and reporting website, https://tide.tamu.edu confirm contact information for county officials, and click the "submit" button. Step by step instructions are included in the Request for Applications. To be eligible, the local administrative judges and chairs of Juvenile Boards should submit their biennial indigent defense plans by November 1, 2023 through our on-line system. TIDC staff will continue to work with counties to ensure that all statutory and required elements are included in each plan if judges make amendments. Also, county financial officers must submit their Indigent Defense Expense Report by November 1, 2023. The reporting manual for county financial officers is available at http://www.tidc.texas.gov/oversiizht/submit-data-and-reports/. Both requirements are required by Texas Government Code §79.036. The Commission adopted Texas Administrative Code Chapter 173 in order to implement the grant authority established by the Texas Legislature. These administrative rules and the attached RFA are available at: www.tidc.texas.gov, Please contact Doriana Torres, Grant Specialist at Grants@.tidc.texas.gov or 512-936-6994, if you have any questions about the Formula Grant Program or the application process. Sincerely, Sharon Keller Chair, Texas Indigent Defense Commission Presiding Judge, Court of Criminal Appeals Enclosed: FY2024 Formula Grant RFA FY2024 Formula Grant Resolution Calhoun County Texas Calhoun County Texas rjTIDC TEXAS INDIGENT DEFENSE COMMISSION 209 West 141" Street, Suite 202 Price Daniel, Sr. Building, Austin, Texas 78701 512-936-6994 www.tidc.texas.gov FY2024 Formula Grant Program Request for Applications (RFA) Issued September 2023 Formula Grant Proeram Overview The Texas Indigent Defense Commission (Commission) provides financial and technical support to counties to develop and maintain quality, cost-effective indigent defense systems that meet the needs of local communities and the requirements of the Constitution and state law. Formula Grants are awarded to eligible Texas counties to help counties meet constitutional and statutory requirements for indigent defense and to promote compliance with standards adopted by the Commission. Application Due Date Formula grant applications for Fiscal Year 2024 must be submitted on-line by Wednesday, November 15, 2023. The grant period is October 1, 2023 through September 30, 2024. Total FY 2024 Formula Grant Amount Budgeted: $17.5 million Eliaibility for Formula Grants Only Texas counties may apply. Counties must meet the following requirements: 1) Indigent Defense Expenditure Report — All counties are statutorily required (Texas Government Code Sec. 79.036 (e)) to submit an Indigent Defense Expenditure Report each year on November 1 in the form and manner prescribed by the Commission. Counties that do not complete the Indigent Defense Expense Report on or before November 1, 2023 may have payments temporarily suspended by Commission staff until the report is submitted and reconciled by staff. 2) Indigent Defense Plan Requirements — The Local Administrative District Judges, the Local Statutory County Court Judges (or County Judge as applicable) and the Chairman of the Juvenile Board for each county must submit a copy of all formal and informal rules and forms that describe the procedures used in the county to provide indigent defendants with counsel in accordance with the Code of Criminal Procedure (Countywide Plans) to the Commission as required in Government Code §79.036. The Countywide Plans submitted must be in compliance with applicable statutes and rules and must meet the minimum requirements for each plan section as outlined in the Biennial Indigent Defense Countywide Plan Instructions. Plans are due November 1, 2023. Formula grant payments during the year may be withheld until plans are submitted or meet the minimum requirements for each plan section set by Commission. FY2024 Formula Grant RFA 1 of 5 3) Compliance with Monitoring Reports — A county must respond within the required time, take corrective action for findings of non-compliance, and satisfactorily address all recommendations in a Commission fiscal or policy monitoring report. Failure to comply with any of these requirements could result in the Commission imposing a remedy under TAC 173.307 or Texas Government Code §79.037. 4) Office of Court Administration Reporting Requirements —The applicants' county and district clerks must be in compliance with monthly reporting requirements listed below. a) Texas Judicial Council Monthly Court Activity Reports required by Texas Administrative Code Chapter 171 and Texas Government Code §71.035; and b) Appointments and Fees Monthly Reports required under Chapter 36, Texas Government Code. Reports for September 2022 through August 2023 are due not later than September 30, 2023 and must be submitted to OCA electronically unless OCA grants a temporary waiver for good cause. How Formula Grants are Calculated Every county is eligible to receive a grant of $15,000 plus its share of the remaining funds budgeted by the Commission for the Formula Grant Program calculated by: • 50 percent on the County's percent of state population; and • 50 percent on the County's percent of statewide direct indigent defense expenditures for the previous year (as defined in Title 1, Part 8, Texas Administrative Code Sec. 173.202(1)-(3)): • less discretionary funds provided by the Commission for expenditures defined in Title 1, Part 8, Texas Administrative Code Sec. 173.202(1)-(3) • less the reimbursed costs of operating a regional program • The baseline requirements below do not apply to counties with a 2000 Census population of less than 10,000. The County shall not receive more in Formula Grant funds than what was actually spent by the county in the prior year. Baseline — The baseline is the minimum amount counties must spend in indigent defense before they qualify for formula grants. To meet the requirements under Texas Government Code §79.037(d), the Commission has adopted as an expenditure baseline based on each county's FY01 indigent defense expenditures. Attorney fees, investigator expenses, expert witness expenses, and other litigation expenses paid by the county on behalf of indigent criminal defendants / juvenile respondents are allowable expenses. This information remains a static baseline. The baseline requirement does not apply to counties with a 2000 Census population of less than 10,000. How to Apply for Formula Grant Applications are submitted online at http://tidc.tamu.edu. All county judges have been assigned a unique username and password. The application requires a commissioner's court resolution to be scanned and e- mailed or uploaded on the application page of the website. The resolution is generated by the on-line system and must be printed from the on-line application page. If a person other than the recipient of this letter needs to obtain a username and password for the online application system, contact the Public Policy Research Institute (PPRI) at Texas A&M University. PPRI manages the collection, storage and retrieval of data for the Commission. County officials may contact PPRI through e-mail, (indigentdefense@ppri.tamu.edu) or phone (979) 845-6754. PPRI will not provide usernames and passwords over the phone. Individuals using personal e-mail accounts may be asked to provide additional information. FY2024 Formula Grant RFA 2 of 5 Application Steps a. Go to the TIDC Grants and Reporting website (hosted by PPRI) at httns://tide.tamu.edu. b. Sign in and enter the User ID and Password or contact PPRI (Follow on-line page instructions). c. Select "FY2024" and your county in the upper left part of the screen. d. Select "Apply for Formula Grant" from the column on the left side of the screen. e. Review the eligibility requirements. The screen will display the County's compliance status regarding indigent defense plans. Counties that have outstanding requirements will not be able to receive funds until they meet all grant program eligibility requirements. If indigent defense plans are not marked "Complete" counties should still submit the application and then contact the Commission for instructions to resolve plan compliance issues. f. Identify the individuals in the following grant positions as required in Texas Administrative Code Rule 173.301. i. Authorized official - This person must be authorized to apply for, accept, decline, modify, or cancel the grant for the applicant county. A county judge or a designee authorized by the governing body in its resolution may serve as the authorized official ii. Fiscal Officer - This person must be the county auditor or county treasurer if the county does not have a county auditor. Use the "Change" button make changes as needed to officials or contact information. g. Click the "Submit" button at the bottom of the screen. You should be taken to a confirmation page at that point. h. Maintain confirmation — When the system provides a confirmation page to the grant officials confirming that the application has been completed and informing them that the resolution must be adopted by the commissioner's court and then faxed to the Commission. PLEASE PRINT THE CONFIRMATION PAGE. i. Select the "Resolution" link in the confirmation page to create your county's resolution form. j. Print or download resolution. The system will allow the user to download a resolution as a Microsoft Word document or provide an opportunity to print the document. Please use the resolution printed from the website. The resolution must be adopted by the commissioners court. k. Please scan the resolution adopted by commissioners court and then upload it in the application page of the website on or before Wednesday, November 15, 2022. Alternatively, you may email the resolution to Grants@tidc.texas.gov. Contact Doriana Torres, Grants Administrator, Grants@tidc.texas.gov or 512-936-6994 for questions. Notice of Funding • Statement of Grant Award — Statements of Grant Awards will be prepared as authorized by the Commission. These may include special conditions. The e-mail with the attached Statements of Grant Award will be directed to the official designated in the resolution adopted by the commissioners' court. The County will have thirty days to notify the grant administrator of errors or cancelation after receipt of the award. • Special Conditions —The Commission may determine special conditions or authorize staff to apply the conditions on criteria set by the Commission (TAC 173.201). The Commission may develop special conditions that relate to expenditures, compliance with statutory requirements or standards adopted by the Commission. • Denial of Grant — Counties not completing the grant application process or those not meeting minimum eligibility requirements will be notified by mail within 30 days following the Commission award meeting. FY2024 Formula Grant RFA 3 of 5 Use of Funds Funds must be used to improve indigent defense systems. Attorney fees, investigator expenses, expert witness expenses, and other direct litigation costs that a county spends on behalf of a criminal defendant or juvenile respondent in a criminal matter that has been determined by a court of competent jurisdiction to be indigent are allowable expenses. All funds must be spent in compliance with the following: Texas Administrative Code, Title 1 Administration, Part 8 Texas Judicial Council, Chapter 173 Indigent Defense Grants; and Texas Uniform Grant Management Standards. Payments Formula Grant awards over $25,000 will generally be distributed in four (4) equal quarterly disbursements. Awards less than $25,000 will be disbursed in a single payment instead of quarterly payments. The award letter will notify the county of the number of payments. Counties must have met all eligibility, spending, and grant condition requirements before receiving payments. Payments will be made quarterly for most counties. Some counties may have special conditions related to meeting minimum spending requirements. These counties will receive funds only after a supplemental expenditure report establishes that they have spent the predetermined minimum amount stated in the special condition. No payment shall be made from grant funds to a county until all special conditions have been met unless the special condition adopted by the Commission provides an alternative payment schedule or instructions for payment. Commission staff shall maintain documentation through electronic/paper files or correspondence to the county stating how the special condition was met. Maintain contact information All counties must maintain the grant and plan officials contact information on counties' web page set up at http://tidc.tamu.edu. Counties must advise the Commission of changes in the authorized official, program director, financial officer, local administrative district judge, local administrative statutory county judge, chairman of the juvenile board and constitutional county judge by updating this website contact information. This information will be used to provide notices for grant or plan submission information. The Commission staff will use e-mail whenever possible to notify counties of required reports and funding opportunities. Impact of Multi -year Improvement Regional or Sustainability Grants Counties that receive Improvement Grants from the Commission are encouraged to continue to apply for the Formula Grant. Such counties may use their formula grant payments to maintain the Improvement Grant program. Notification of Availability This FY24 Formula Grant - Request for Applications (RFA) is sent to all 254 Texas Constitutional County Judges. A courtesy notice is sent to all local administrative district judges, local administrative statutory county judges, chairman of juvenile board and each county auditor (or treasurer). FY2024 Formula Grant RFA 4 of 5 Authorization to Fund. Applicable Authority and Rules Texas Government Code Sec. 79.037. TECHNICAL SUPPORT; GRANTS. (a) The commission shall: (1) provide technical support to: (A) assist counties in improving their indigent defense systems; and (B) promote compliance by counties with the requirements of state law relating to indigent defense; (2) to assist counties in providing indigent defense services in the county, distribute in the form of grants any funds appropriated for the purposes of this section; and (3) monitor each county that receives a grant and enforce compliance by the county with the conditions of the grant, including enforcement by: (A) withdrawing grant funds; or (B) requiring reimbursement of grant funds by the county. (b) The commission shall distribute funds as required by Subsection (a)(2) based on a county's compliance with standards adopted by the board and the county's demonstrated commitment to compliance with the requirements of state law relating to indigent defense. (c) The board shall adopt policies to ensure that funds under Subsection (a)(2) are allocated and distributed to counties in a fair manner. (d) A county may not reduce the amount of funds provided for indigent defense services in the county because of funds provided by the commission under this section. Texas Administrative Code Chapter 173 Texas Grant Management Standards (TxGMS) FY2024 Formula Grant RFA 5 of 5 # 07 NOTICE OF MEETING —10/18/2023 7. Consider and take necessary action to approve a resolution expressing our support for the Texas Legislature to provide parents with school choice options for the education of their students in K — 12. (RHM) Judge Meyer read resolution. RESULT: APPROVED [UNANIMOUS] MOVER: Richard Meyer, County Judge SECONDER: Gary Reese, Commissioner`Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 4 of 18 10/18/2023 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 ak\3101111R Ai IV III Whereas, providing a diversity of choices in K-12 education empowers parents to select education environments that meet the individual needs and strengths of their children; and Whereas, parents are the first teachers of their children and have the inherent and fundamental right to make decisions regarding the upbringing, education, and care of their children; and Whereas, parents should be at the forefront of the decisions affecting the education and well-being of their children, and school boards, school administrators, and teachers should work collaboratively with parents to improve educational outcomes; and Whereas, we oppose any attempt to regulate homeschooling or the curriculum of private or religious schools; and Whereas, the process by which parents choose schools for their children is nonpolitical, nonpartisan, and deserves the utmost respect; NOW THEREFORE, BE IT RESOLVED that we, the Commissioners' Court of Calhoun County, express our support for Texas parents with school choice options for the education of their students in K-12. Adopted this 18th day of October, 2023. Page 1 of 2 10/18/2023 ,4700,r�41— a�� Ri hard H. Meyer, Count5CJAdge Commissioner, Precinct 1 Joel ehrens Commissioner, Precinct 3 Attest: Anna Goodman, County Clerk f - - zzL rn Lissy"' Commissioner, Precinct 2 �) Gary Re se Commissioner, Precinct 4 Page 2 of 2 In 1: NOTICE OF MEETING--10/1.8/2023 8. Consider and take necessary action to extend the feasibility contract with Texas A & M AgriLife to November 30, 2023. There is no additional cost associated with this extension. (RHM) RESULT: = APPROVED [UNANIMOUS] MOVER: Joel Behrens, Commissioner Pct 3 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 5 of 18 Mae Belle Cassel From: Dean.McCorkle@ag.tamu.edu (Dean A. McCorkle) <Dean.McCorkle@ag.tamu.edu> Sent: Monday, October 9, 2023 9:00 AM To: Foy, Deanna L Cc: 'richard.meyer@calhouncotx.org'; Mae Belle Cassel Subject: Extension of Calhoun Co. project JTION: This email originated from outside of the organization. Do not click links or open attachments unless sender Good morning Deanna. Just FYI at this point, I just got off the phone with Calhoun Co. Judge Richard Meyer. We would like to extend the Calhoun Co. project another month, to November 30. To extend the project, the Calhoun Co. Commissioners Court needs to approve extending the project, they have a meeting on 11/18 to hopefully approve the extension. Please let us know if you need anything from me to extend the project. Thanks Dean Dean McCorkle, Ph.D. Senior Extension Program Specialist— Economic Accountability Texas A&M AgriLife Extension Service Department of Agricultural Economics The Texas A&M University System AGLS 319 12124 TAMU I College Station, TX 77843-2124 (979) 845-1861 1 d-mccorkle@tamu.edu http:HAgri LifeExtension.ta m u.ed u ' NOTICE OF MEETING—10/18/2023 9. Consider and take necessary action to award the bid for the Brighton Road Bridge Replacement Project. (DEH) Court approved to award the bid to Constar Construction. RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER; Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 6 of 18 BID BOND KNOW ALL MEN BY THESE PRESENTS: That we, the undersigned Constar Construction lerchants Bonding Company {MutualSurety, y as Principal, and as Sure are hereby held and firmly bound unto Calhoun County as Owner in the penal sum of Five Percent of The Total Amount Bid for the payment of which, well and truly to be made, we hereby jointly and severally bind ourselves, successors, and assigns. Signed, this 26th day of September 2023 The condition of the above obligation is such that whereas the principal has submitted to Calhoun County a certain Bid, attached hereto and hereby made a part hereof to enter into a contract in writing, for the construction of the REPLACEMENT OF THE NORTH AND SOUTH TIMBER BRIDGES ON BRIGHTON ROAD, NOW, THEREFORE, (A) If said Bid shall be rejected, or in the alternate, (B) If said Bid shall be accepted and the Principal shall execute and deliver a contract in the Form of Contract attached hereto (properly completed in accordance with said Bid) and shall fumish a bond for his faithful performance of said contract, and for the payment of all persons performing labor or furnishing materials in connection therewith, and shall in all other respects perform the agreement created by the acceptance of said Bid, then this obligation shall be void, otherwise the same shall remain in force and effect, it being expressly understood and agreed that the liability of the Surety for any and all claim hereunder shall, in no event, exceed the penal amount of this obligation as herein stated. The Surety, for value received, hereby stipulates and agrees that the obligations of said Surety and its bond shall be in no way impaired or affected by an extension of the time within which the Owner may accept such Bid; and said Surety does hereby waive notice of any such extension. IN WITNESS WHEREOF, the Principal and the Surety have hereunto set their hands and seats, and such of these are corporations have caused their corporate seals to be hereto axed and these presents to be signed by proper officers, the day and year first set forth above. (SEAL) ATT T: Constar Construction Princppa C7 ? ! o,i� i1/1, Title Page 18 ofdb (SEAL) ATTEST: FCCI Insurance Company - Surety - Attorney -in Fact IMPORTANT - Surety Companies executing bonds for federally assisted contracts must appear on the Treasury Department's most current list and be authorized to transact business In the state where the Project is located. Fags 19 of 46 MOM •• • •- Know All Persons By These Presents, that MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC., both being corporations of the State of Iowa, drate Merchants National Indemnity Company (in California only) (herein collectively called the 'Companies'1 do hereby make, constitute and appoint, individually, Andy Webb; April M Terbay; James F Siddons; Jeff Husk; Patrick L Watkins; Sheila Pennington Noxon their true and lawful Aftomey(s)-in-Fact, to sign its name as surety(les) and to execute, seal and acknowledge any and all bonds, undertakings, contracts and other written Instruments in the nature thereof, on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or peminted in any actions or proceedings allowed by law. This Power of-Attomey is granted and is signed and sealed by facsimile under and by authority of the following By -Laws adopted by the Board of Directors of Merchants Bonding Company (Mutual) on April 23, 2011 and amended August 14, 2016 and adopted by the Board of Directors of Merchants National Bonding, Inc., on October 16, 2015. 'The President, Secretary, Treasurer, or any Assistant Treasurer or any Assistant Secretary or arty Vita President shall have power and authority to appoint Attorneys -in -Fad, and to authorize them to execute on behalf of the Company, and attach the seal of the Company thereto, bonds and undertakings, recognizanoes, contracts of indemnity and other writings obligatory In the nature thereof." 'The signature of any authorized officer and the seal of the Company may be affixed by facsimile or electronic transmission to any Power of Attorney or Certification thereof authorizing the execution and delivery of arty bond, undertaking, recognizance, or other suretyship obligations of the Company, and such signature and seal when so used shall have the same force and effect as though manually fixed." In connection with obligations in favor of the Florida Department of Transportation only, it is agreed that the power and aut hority hereby given to the Aftomey4n-Fact includes any and all consents for the release of retained percentages and/or final estimates on engineering and construction contracts required by the State of Florida Department of Transportation. It Is fully understood that consenting to the State of Florida Department of Transportation making payment of the final estimate to the Contractor and/or its assignee, shall not relieve this surety company of any of its obligations under its bond. In connection with obligations in favor of the Kentucky Department of Highways only, it is agreed that the power and authorky;hereby &en to the Attomey-In-Fad cannot be modified or revoked unless prior written personal notice of such Intent has been giyen,tp the;Commissioner- Department of Highways of the Commonwealth of Kentucky at least thirty (30) days prior to the modification or revocation ,,� : ' L- ' In Wdness Whereof, the Companies have caused this instrument to be signed and sealed this 22nd day of May'- , 202_3�� O°•.°........ •°"'•°e MERCHANTS BONDING COMPANY (MUTUAL}. ' me �P,•(10N4f •rum e0�(yG-CQ�Am MERCHANTS NATIONAL BONDING, INC. eypG�OP®/t+9�9$ tibia MERCHANTS NATIONAL'ItBDEpANfTY GCMPAIVY_ v' 2003 1033 c: BY :S•. . �: erpy. a°. • :��1i ••....••.^3?' m;fY •'•\1 President STATE OF IOWA '•. iY COUNTY OF DALLAS ss. '"•• ++• °•...... On this 22nd day of May 2023 before me appeared Larry Taylor, to. me personally known, who being by me duly sworn did say that he is President of MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC.; and that the seats affixed to the foregoing instrument are the Corporate Seals of the Companies; and that the said instrument was signed and sealed in behalf of the Companies by authority of their respective Boards of Directors. tw tKim Lee 0 "`..: Oamm mmE Number UC.1LK./ My Commission Expires pres April 14,2024 1 4" (Expiration of notary's commission does net invalidate this Instrument) Notary Public 1, William Warner, Jr.. Secretary of MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC., do hereby certify that the above and foregoing is a true and contact copy of the POWER -OF -ATTORNEY executed by said. Companies, which is still in full force and effect and has not been amended or revoked. In Witness Whereof, I have hereunto set my hand and affbed the seal of the Companies an this 26th ,day of September_ 2023 ++s....... .e .S - ��JONq<em�e m°�0\N�,CQ�jA, -O- 2003 �E °m. 1933 POA 0018 (10/22) MERCHANTS BONDING COMPANY (MUTUAL) • P.O. BOX 14498 - DES MOINES, IOWA 50306-3498 PHONE: (800) 678-8171 • FAX: (515) 243-3854 Have a complaint or need help? If you have a problem with a claim or your premium, call your insurance company or HMO first. if you can't work out the issue, the Texas Department of Insurance may be able to help. Even if you file a complaint with the Texas Department of Insurance, you should also file a complaint or appeal through your insurance company or HMO. If you don't, you may lose your right to appeal. To get information or file a complaint with your insurance company or HMO: Merchants Bonding Company (Mutual) Call: Compliance Officer at (800) 671-8171 Toll -free: (800) 671-8171 Email: regulatory@merchantsbonding.com Mail: P.O. Box 14498, Des Moines, Iowa 50306-3498 To get insurance information you may also contact your agent: Watkins Insurance Group Call: 512-452-8877 Mail: 3834 Spicewood Springs Road, #100, Austin, Texas 78759 The Texas Department of Insurance To get help with an insurance question or file a complaint with the state: Call with a question:1-800-252-3439 File a complaint: www.tdi.texas.gov Email: ConsumerProtection@tdi.texas.gov Mail: Consumer Protection, MC: CO-CP, Texas Department of Insurance PO Box 12030, Austin, TX 78711-2030 jTiene una queja o necesita avuda? Si tiene un problema con una reclamacio'n o con su prima de seguro, [lame primero a su compahla de seguros o HMO. Si no puede resolver el problema, es posible que el Departamento de Seguros de Texas (Texas Department of Insurance, por su nombre en ingles) pueda ayudar. Aun si Listed presenta una queja ante el Departamento de Seguros de Texas, tambien debe presenter una queja a trav6s del proceso de quejas o de apelaciones de su compan[a de seguros o HMO. Si no to hace, podria perder su derecho Para apelar. SUP 0032 TX (7123) Para obtener informaci6n o Para presentar una queja ante su compafiia de seguros o HMO: Merchants Bonding Company (Mutual) Llame a: Compliance Officer al (800) 671-8171 Tel6fono gratuito: (800) 678-8171 Correo electr6nico: regulatory@merchantsbonding.com Direcci6n postal: P.O. Box 14498, Des Moines, Iowa, 50306-3498 El Departamento de Seguros de Texas Para obtener ayuda con una pregunta relacionada con los seguros o Para presentar una queja ante el estado: Llame con sus preguntas a[: 1-800-252-3439 Presente una queja en: www.tdi.texas.gov Correo electr6nico: ConsumerProtection@tdi.texas.gov Direcci6n postal: Consumer Protection,.MC: CO-CP Texas Department of Insurance PO Box 12030 Austin TX 78711-2030 SUP 0032 TX (7/23) BID FORD FOR UNIT PRICE CONTRACTS Calhoun County, Texas COns�..,r Date: -1_2-?�_2-3 (hereinafter called "Bidder"), doing business as (circle one) (a corporation, a partnership an individual) to Calhoun County, Texas, (hereinafter called "Owner"). Gentlemen: The Bidder, in compliance with your invitation for bids for the Replacement of North and South Timber Bridges On Brighton Road having examined the plans and specifications with related documents and the site of the proposed work, and being familiar with all the conditions surrounding the construction of the proposed project, including the availability of materials and labor, hereby proposes to furnish all labor, materials and supplies, and to construct the Project in accordance with the Contract Documents, within the time set forth therein, and at the prices stated below. These prices are to cover all expenses incurred in performing the work required under the Contract Documents and drawings, of which this proposal is a part. Bidder hereby agrees to commence work under this contract on or before a date to be specified in writing in the " otic� Proceed" issued by the Owner's Engineer and fully complete the Project within calendar days thereafter as stipulated in the Contract Documents. Bidder acknowledges receipt of the following addenda: Page 26 of 46 CALNOUN COUNTY, TEXAS Bid Number: 2023.07 REPLACEMENT OF NORTH AND SOUTH TIMBER BRIDGES ON BRIGHTON ROAD PROVIDE LABOR, EQUIPMENT AND MATERIALS TO REPLACE BRIDGES Bid Sheet shall be attached to and shall be part of the complete Contract Documents. Description references TxDOT Specifications to be used. BEST. QUANTITY` DESCRIPTION PER UNIT _ y,. K ITEM # UNIT PRICE AMOUNT BID (giYJC UNIT PRIG BASE BID: 164 BROADCAST SEED (PERMHRURAL)(CLAY) 350 SY $ e'o $ 0 62P. 00 188 VEGETATIVE WATERING 5 MG $ 2- fa, 0,0 $ 400 CEMENT STABILIZED BACKFILL 44 CY $ Z(G7e 490 $ 409 PRESTRESSED CONC PILING (18° SQUARE) 1280 LF $`7 $ L,[� 409 PRESTRESSED CONIC SHEET PILING (87(HPC) 1341.84 SF $ 0,0 420 CL C CONCRETE (ABUTMENT) 27.6 CY $ ! ' U©, g9G' $ �Q �v �, ULa 422 REINFORCED CONIC SLAB (SLAB BEAM) 1112 SF $ j�t`L? Off $ 06 422 CONC APPROACH SLAB 19.4 CY $ p, VO $ 2. 7 425 PRESTRESSED CONC SLAB BEAM (4SB12) 147 LF 7Ci 425 PRESTRESSED CONC SLAB BEAM (5SB12) 98 LF $ � Zl© $ 49ar 4741 432 RIPRAP CONIC (CL B) Is IN) 22 CY $ 7 10, ®p 450 RAIL (TY T223) 148 LF 464 BRIDGE JOINT(TYA) 82 LF $ 'og, 00 &a pia 496 REMOV LARGE STRUCTURE (BRIDGE)(0-99 LENGTH) 2 EA $ ��t ez'o „ev $ ��'6"01) ve 500 MOBILIZATION 1 LS $ �� .�� $ [^ aea ve $02 BARRICADES, SIGNS AND TRAFFIC HANDLING 1 LS $ 1%p©; Z).0 $ > 069R 0,0 506 TEMPORARY EROSION CONTROL LOGS (INSTALL)(12-) 385 LF $ 2 9© $ ( P 540 METAL BEAM GUARD FENCE (TERMINAL ANCHOR SECTION) 8 EA $ , �1961 / yy.�� $ a 1, U. 0z) 540 METAL BEAM GUARD FENCE TRANSITION (TL2) 8 EA s Page 27 of 45 SCHEDULE OF SUBCONTRACTORS Bidder proposes the following subcontractors to be used for major portions of the project. All major subcontractors must be listed and submitted with the Bid. Bidder may change subcontractors after Bid submittal only as approved by the Engineer. SUBCONTRACTORS ADDRESS & PHONE NUMBER SPECIALTY % OF WORK 1. i� .5"i�✓rVie. �hG, -O 6ex �-v7C�'�+e G � G �%G �s''iiliij t � !c� 2. /i and 3. 4. 5. 6. 7. 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 vendor, that the contents of this Bid as to prices, terms or conditions of said Bid have not been communicated by the undersigned nor by their employees or agents to any official, employee or agent of Calhoun County or any other person engaged in this type of business prior to the official opening of this Bid. The undersigned affirms that they have not given, offered 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 this Bid. The undersigned affirms that they have read the entire invitation to Bid Packet and fully understands and has followed all requirements. Page 28 of 45 FAILURE TO SIGN BELOW SHALL DISQUALIFY THE BID Date: 4._ 2- 6 2-3 Authorized Signature & Title: Type Name & Title of Authorized Signature: Phone Number: 3LL ` ff 9/D�' Email: Exceptions and or Variations from Specifications and/or additional Notes: Page 29 of 45 STATE OF TEXAS {} AFFIDAVIT COUINTYOF `f `f"Ll being first duly sworn, deposes and says: that he or she is (Type or PHVn Name) the of ��7!/ 3fG� �f/7Sr/L/ciOr� having its (Type or Print Title) frypeor Pri VarneofCom�fany/Firm) principal address at 5' �et �i L7, V 1 * Orr CA- 2 77 `J D'74 (Type or Print Physical and Mailing Address) who submits herewith to Calhoun County the attached Request for Qualifications (RFQ); that he or she is the person whose name is signed to the attached RFQ that said RFQ is genuine; that the same is not sham or collusive; that all statements of fact herein are true; and thatsuch RFQwas 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 himself/herself/itself/themselves 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 respondent, or anyone else interested in the RFQ contract; and that himself/herself/itself/themselves has not in any manner sought by collusion to secure for himself/herself/itself/themselves an advantage over any other respondent. Affiant further deposes and says: that prior to the public opening and reading of the Request for Qualifications, himself/herself/itself/themselves: a) did not, directly or indirectly, induce or solicit anyone else to submit a false or sham RFQ b) did not, directly or indirectly, collude, conspire, connive or agree with anyone else that himself/herself/itself/themselves or anyone else would submit a false or sham RFQ or that anyone should refrain from submitting a RFQ or withdraw their RFQ c) did not, in any manner, directly or indirectly, seek by agreement, communication or conference with anyone to fix the RFQ of himself/herself/itself/themselves or of anyone else, or to fixthe outcome of the award of the RFQ for himself/herself/itself/themselves 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 RFQ and e) did not, directly or indirectly, submit their RFQ 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 RFQ. Affiiant further deposes and says: that the information contained in this RFQ has been carefully checked and is submitted as true and correct, agrees to furnish any and/or all items/services if awarded and upon the conditions and requirements contained in the RFQ. J Signature{o�fAffiant Printed Name and 11fle 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/11 day ofixys MIKAELA KYLE =z°�n_Notary Public. State of Texas Comm. Expires 05-71-2027 NotNotary ID 134355428 Signature of Notary Public Page 30 oF45 ary Stamp/Seal CONFLICT OF INTEREST QUESTIONNAIRE FORM CIO For vendor doing business with local governmental entity This questionnaire reflects changes made to the law by H.B. 23, B4th Leg., Regular session. OFRCEUSEONLY This questionnaire is being filed in accordance with Chapter 176, Local Government Code, by a vendor who We Reoelvad Mena business relationship as defined by Section 176.00i(i-s) with a local governmental entity and the vendor meets requirements miler Section 176.006(a). By law tlNs quesdornafre must be filed with the records administrator of the local govertvnental entity not later titan the 71h business day after the date the vendor becomes aware of facts that require the statement to be filed. See Section 176.006(a l), Local Government Code. A vendor commits an offense it the vendor knowingly violates Section 176.008, Local Government Code. An offense under this section is a misdemeanor. 1 Name of vendor who has a business relationship with local governments! entity. 2 Checkthis boxifyou.1filingan update toapretlouaiygiedquestionnaire. (The law requiresihatyou file an updated completed questionnaire with the appropriate filing authority not later than the 71h 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 infonnation is being disclosed. Name of Officer < Describe each employment or other business relationship with the local government officer, or a family member of the officer, as described by Section 175AW;s)(2)(A). Also describe sty family relationsllgt with the local governmela officer. Complete subparts A and B for each employmentor business relationshipdescdbed.-Attmchatldifional pagesto this Fotm 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? Elyse E-1 No S. Is the vendor receiving or likely to receive taxable income, otherthan investment income, from oral 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-1 No $ Describe each employment or business relationship that the vendor named In Section t maintains with a corporation or other busineas 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. a 0 Check this box if the vendor hasgiven the local government officer a a family member of the officer one or more gifts / as described , iin� Section 176.003(a)(2)(B), exctudiing gifts desodbed in Section 17S.GM((a-1). 61V77—L /�G Signature of vendor doing business with a govemmen ,. entrty Dam Form provided by Texas Ethics Commission www.ethics.stata.m.us IF Revised /1/302015 d -z-6 - 2-5 Page 32 of 45 AND OTHER RESPONSIBILITY MATTE] 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 civiljudgment 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. AclnowIedge 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 Date Signature of )Authorized Agent I am unable to certify to the above statements. My explanation is attached Page 35 of 45 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 flers (including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements) and that all subreciplents 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(64-�f1W- ht/G! icis 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 Contraator's Authorized Official Printed Name and Title of Contractor's Authorized Official -a � Date Page 30 of 45 Apptnved by OMB Disclosure of Lobbying Activities Complete this form to disclose lobbying activities pursuant to 31 U.S.C. 1352 (See reverse for nuhlic h... den disclnsnrel 0348-0046 1. Type of Federal Action: 2. Status of Federal Action: 3. Report Type: a, contract a. bid/offer/application a. initial filing _ b. grant _ b. initial award _ b. material change c. cooperative agreement C. post -award d• loan For material change only: e. loan guarantee year quarter C loan insurance Date of last report 4. Name and Address of Reporting Entity: 5. If Reporting Entity in No. 4 is Subawardee, Enter Prime _ Subawardee Name and Address of Prime: Tier_, if Known: Congressional District, If known: Congressional District, if known: 6. Federal Department/Agency: 7. Federal Program Name/Description: CFDA Number, (applicable: S. Federal Action Number, ifknown: 9. Award Amount, #'known: S 10. a. Name and Address of Lobbying Registrant b. Individuals Performing Services (including address if (Or individua1 last name,firstname,Ml): diffmntfrom No. 104) (/=Ili me. fat name, MQ: 11. Information requested through this form is authorized by by title 31 U.S.C. section 1352. This Signature. - disclosure of lobbying activities is a material representation of fact upon which reliance was placed Print N lit by the tier above when this transaction was made or into. entered This disclosure is required pursuant to 31 Ti U.S.C. 1352. This information will be reported to the Congress semi-annually and will be available for public j �^ / elephone .[-,W` —q/pyDate: Inspection. Any person who fails to file the required disclosure shall be subject to a civil penalty of not less L than $10,000 and not more than 5100,000 for each such failure. Federal Use Only Authorized for Local Reproduction Standard Form -LLL(Rev.7-97) Page 38 of 45 :frl«fdl7i 1?� Telj1Ir7_`I�[a7� r��T:71 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 wriittenverification 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 Israelor 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. 1,(authorized official) n'e1 i'do hereby verify thetruthfulness 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 Comptrollers Companies that Boycott Israel List located at https.,//comptroller.texas.gov/purchasinslpublications/divestment.pht) Company Name _ f e Chi Printed Nalne of Authorized Official Title of Authorized Official Date Page 39 of 45 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. ❑ 1 certify that is a "Nonresident Bidder" of Texas (Company Name) as defined in Government Code §2252.001 and our principal place of business is (Cityand state) i certify that ' (�°� i�tv� is a "Resident Bidder" of Texas as (Company Name) defined in Government Code §2252.001. Signature of Authorized Agent Printed Name and Title of Authorized Agent %-2--k--'-a ? Date Page 40 of45 Fmeh Request for Taxpayer giev. Cdoberaal8) identification Number and Certiftation I awe POMtothe requnter.®o not titer Reveue"SeMce J Go toW W.Fisgov/FomnWfar Instructions and the latest iMomiaUon. Sand to the IRS. 1 Nemo(aeebov/m��asn Yovt�cwne retom)�Myyt�wnier.,C/tenon ntlts dormttesue esa raiehlerdc - P17 IV- 4 Duchess nahmltlisrageMed entity name. If ddtereatfrote above m e Chx9rAMWatObOxWfedefWt desk donofthap nwnmnameiasnhared=90l.ChWk"oneofthe fdowing Sebrass, ven 4 Evanpltone(cdes ap*"to uy. s4e rxnacifens (] IMMdud7edepMju%Iarcr ❑ 0oupamdmh ❑ SComa s. Harshedah¢i ❑ TnaVedda anpopdhWwle; rmbueaooe anp�3$ ►mare . LL0 Eamptpayescode BtaM ❑ Wdted aabtaY company. Enterthe tax daael&adon(C.0 corpomdmh, S•S cohporadom, P=padneahip)► Nafm Chockft apprapdeta boxln therha above tarmetu cinaiecanen etche ahgAm mhat . CcfWd,ods LLC tithe LLC b desdded as a sfnglo-membwLLC dW 6 diamgNded kamfhoownarunIMtheovmarcfdm LLCis Exemption IMFATCA Moort hg o. mwf wLLCthffibhwd divegadetl Nam Phe owharbrUS. fdlerdfaz purpmoe.Olherwbe, aaingla•mambM U.0 cadeCif" 1s oleregardertlmm the miner slwhddchWhttre epprapriefahmcfgthe texdaaeidcodon of ins oxmer. oma�(s�hnmrdbrhq► GVa�mreoe,iraf.eamaarasJ y 6 AddreSa(numbero atmd, orsuienWSseirudaucdata. Requwtera nsmeend edmass(opdonep y$ CALHOUN COUNTY e coy, ante,c'ode/' �, ��© 202 S ANN ST, PORT LAVACA TX 77979 d'J f 361-553.4610 FAX:361-553.4614 7 UetaeeoumnUmbei( hWe(gftnat) on[er your n rry nn me BPprcPmffis box. The TIN provided must match the name given an hke 1 to avoid backup wRhhofding. For individuals, this Is g Waffy your social Security number (SSN). However, for a r "nt ages, sole prcpdetar, or disregarded ant(ty, Soo the instructors, for Part t, later. For other entitles, it Is your ampltlyer Wenmadon number Mq. ifyou do not have a rasrtbnf, ate flow, to gala TN, lets. Notes ff the account Is In more than ona name, sea the WaucgmLa fw gns 1. A(so ace 10102WAFameand NumbarTo Give the Regdesterfor guldelinas on whose munbarto enter. underpananes of insfury.I ceriltytbat 1. The nurnbershown an gdefwm is ray connottealmyeridentification nurrber(or l am waft fare martbarto be issued tome): and 2. lam notau*dto backup withholding bed (a) I am WmW f m backip Vdathok&g, a 0) I lave Trot been hadikd by the kamel PAveras SINVica M lhd I Am subject to backup v ng asar ofabluce to eaparteg tnkarestat9vWanda, or (a) the IRS has rodfbd methat i am no longersub(sctto backup wnNrWdffg: And S. tame U.S ddaan crottw U.S Person (dented bak *, end 4. The FATCA code(®) entered on this form (If any) indicating that lam aaemptfrom FATCA reporting is comet. kmMwgum You must a = out kam2 above ffymu taws been rpgRef byte MtWyw arc a mintlysW>jeCtto backup Withholding because YOU lava What to rePortall biterect etdd dividends an yrantax return. Fbrmw agate 1mnsactiOrs, non 2 does not Apply. Fdrmatilege Wesel paid acgWdtion or abandonment ofseaaed Property, car mMc n of debt, contributions to an Individual rod artantarrmgemem (IAA, and gww*. payments GUM than Interest anddlvWands, You ere not requtred to sign the cw icwc% but you mist provide yow oweaTiN. See that eatructkns for pot 11, 1AW1. 2- General instructions 1099-DN(dwidends, Including those fmm stocks ormutual $SCUMnoted. rererenreee amMthe Internal ReYemna Cain uneas otherwise furForm F ggg-MISCWoustypwofbmome,Pcros,awatcis wgmm Future dmrobPmmRs. Forthe latest Information about developments related to Form W-9 end its Instructions, such as kgeeton castled - Farm 10119-8 (stxk or mutual fund sales and certain otter after #WWere pubiiviad, go to twsw.hsgcw1FomM transactions by broksm) Purpose of Form -Form 1009Sbroweds fnmh real estate transactions) a Farm IM4((Merchant card And third pant rattvvarkbansattions) An individual or entity ¢orm W-S requester) who Is requited to file an - Form RIBS (home mortgage Interest 1M-E (Student loan In( (), Infarmagan ream with the IRS must obtain your comet! texpayer, 1OWTOW M) Identification number MN) which may be your social secudly number PSNi,indN(tlualmmfer(tiff,adoption - Form 1099-0(caneefed debt) IreenIffipart nannnumer AMN), Callono numbeor .Farm1099-A aebandonmemofsecured property) MOMorm two 9� amt you, r ��on Use eddy It You are a U.S person (incadinD a remaem mount reponsbe on an Information ratan. nt anatk%I alien o returns Include, but are not limited to, the tano�wkng'an to non Fom W-9 t Yar ou o not rrerrowm Foh TIN, you Mire requWhat • Form t08s-IM (lmaheat mmatl or Pain) ct h h to backup wl(hholdlg. Sae What is besklg7withhdrHrg. i backup withholding, Cm. NA la2MX I. W-9 (Rev.1 .2M88) Page 41 of45 a 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 42 of 45 CALHOUN COUNTY, TEXAS INVITATION TO BID REPLACEMENT OF NORTH & SOUTH TIMBER BRIDGES ON BRIGHTON ROAD BID NUMBER: 2023.07 SEALED BIDS ARE DUE BEFORE: 2:00:00 PM, Tuesday, September 26, 20Z3 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, Tuesday, September 26, 2023 in the County Judge's office, Calhoun County Courthouse, 211 South Ann Street, V 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 t of 46 RETURN INSTRUCTIONS For Submitting a Bid for REPLACEMENT OF NORTH & SOUTH TIMBER BRIDGES ON BRIGHTON ROAD Bid Number: 2023.07 Return the following BEFORE 2:00:00 PM, TUESDAY, SEPTEMBER 26th, 2023 Check List for submitting your Bid: Return One (1) Original and 3 (three) copies of only the following forms Be sure all of the below forms are completed, signed, dated and returned. If "Not Applicable" mark "NA" and include when submitting a Bid. The submitted Bid consists only of the following forms (only the below forms need to be returned) X Bid Bond Form with Bid Security Check or Bond (Page 18-19) X Bid Form for Unit Price Contracts (Page 26) X Bid Sheets (Page 27-29) X Affidavit (Page 30) X Conflict of Interest Questionnaire, Form CO. (Page 31-32) X Certification Regarding Debarment & Suspension and Other Responsibility Matters (Page 33-35) X Certification Regarding Lobbying (Page 36) X Disclosure of Lobbying Activities (Page 37-38) X House Bill 89 Verification (Page 39) X Residence Certification (Page 40) X W-9 (Page 41) X System for Award Management (SAM) Record Search (print out of search results) (Page 42) 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 NUMBER 2023.07 — REPLACEMENT OF NORTH & SOUTH TIMBER BRIDGES ON BRIGHTON ROAD If you send your bid by UPS, FedEx or other delivery service, the outside of this envelope must be clearly marked: SEALED BID NUMBER 2023.07— REPLACEMENT OF NORTH & SOUTH TIMBER BRIDGES ON BRIGHTON ROAD Sealed Bid may be hand delivered or mailed to: Honorable Richard H. Meyer Calhoun County Judge Calhoun County Courthouse 211 South Ann Street 31d Floor, Suite 301 Port Lavaca, TX 77979 Bid must be sealed (with the glue on the envelope or tape) Page 5 of 45 JF . KNOW ALL MEN BY THESE PRESENTS: That we, the undersigned A Greater Austin Development Company, LC as Principal, and Argonaut Insurance Company as Surety, are hereby held and firmly bound unto Calhoun County as Owner in the penal sum of Five Percent of Amount Bid (5%) for the payment of which, well and truly to be made, we hereby jointly and severally bind ourselves, successors, and assigns. Signed, this 26th day of September 1 2023 The condition of the above obligation is such that whereas the principal has submitted to Calhoun County a certain Bid, attached hereto and hereby made a part hereof to enter into a contract in writing, for the construction of the REPLACEMENT OF THE NORTH AND SOUTH TIMBER BRIDGES ON BRIGHTON ROAD. NOW, THEREFORE, (A) If said Bid shall be rejected, or in the alternate, (B) If said Bid shall be accepted and the Principal shall execute and deliver a contract in the Form of Contract attached hereto (properly completed in accordance with said Bid) and shall furnish a bond for his faithful performance of said contract, and for the payment of all persons performing labor or furnishing materials in connection therewith, and shall in all other respects perform the agreement created by the acceptance of said Bid, then this obligation shall be void, otherwise the same shall remain in force and effect; it being expressly understood and agreed that the liability of the Surety for any and all claim hereunder shall, in no event, exceed the penal amount of this obligation as herein stated. The Surety, for value received, hereby stipulates and agrees that the obligations of said Surety and its bond shall be in no way impaired or affected by an extension of the time within which the Owner may accept such Bid; and said Surety does hereby waive notice of any such extension. IN WITNESS WHEREOF, the Principal and the Surety have hereunto set their hands and seals, and such of these are corporations have caused their corporate seals to be hereto affixed and these presents to be signed by proper officers, the day and year first set forth above. (SEAL) ATTET A Greater Austin Development Company, LLC Principal FV'65rp F- �-T Title Page 18 of 45 (SEAL) ATTEST ;iA 9 �� ` • g Wesley M. Atts, Witness Argonaut Insurance Company Surety I ' y: Attorney -in Fact Cynthia Giesen IMPORTANT - Surety Companies executing bonds for federally assisted contracts must appear on the Treasury Department's most current list and be authorized to transact business in the state where the Project is located. Page 19 of 45 Argonaut Insurance Company Deliveries Only: 225 W. Washington, 24th Floor Chicago, IL 60606 United States Postal Service: P.O. Box 469011, San Antonio, TX 78246 POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That the Argonaut Insurance Company, a Corporation duly organized and existing under the laws of the State of Illinois and having its principal office in the County of Cook, Illinois does hereby nominate, constitute and appoint: Cynthia Giesen Courtney L Goulding, Wesley M. Pins Their true and lawful ageot(s) and atiomy(s)-in-fact, each in their separate capacity irritate, than one is named above,.to make, execute, seal and deliver for and on its behalf as safety, and as its act and deed any and all bonds, contracts, agreements of indemnity and other undertakings in suretyship provided, however, that the penal sum of any one such instrument executed hereunder shall not exceed the sum of 3' $107,116,00000 This Power of Attorney is granted and is signed and scaled under and by the authority of the following Resolution adopted by the Board of Directors of Argonaut Insurance Company: _ "RESOLVED, That the President, Senior Vice President, Vice President, Assistant Vice President, Secretary, Treasurer and each of them hereby is authorized to execute powers of ammucy, and such authority can be executed by use of facsimile 'signature, which may be attested or acknowledged by any officer or attorney, of the Company, qualifying the attorney or attorneys named in the gived.power of attorney, to execute in behalf of, end acknowledge as. the act and deed of the Argonaut Insurance Company, all bond undertakings i nd-codtracts of suretyship, and to affix the corporate seal thereto." IN WITNESS WHEREOF, Argonaut Insurance Company has caused its official,seal to be hereunto affixed and these presents to be signed by its duly authorized officer on the 19th day of November, 2021. Argonaut Insurance Company \�jSURq,yr, J�'�oMaN•Ire n SEAL by: dT'.. 1940 ; Yj STATE OF TEXAS ?urvals,: COUNTY OF HARRIS SS: Gary E. Grose President On this 191h day of November, 2021 A,D., before me, a Notary Public of the State of Texas, in and for the County of Harris, duly commissioned and qualified, came THE ABOVE OFFICER OF THE COMPANY, to me personally known to be the individual and officer described in, and who executed the preceding instrument, and he acknowledged the execution of same, and being by me duly swam, deposedand said that he is the officer of the said Company aforesaid, and that the seal aff xcd to the preceding instrument is the Corporate Seal of said Company, and the said Corporate Seal and his signaturo as officer were duly affixed�yand subscribed to the said instrument by the authority and direction of the said corporation, and that Resolution adopted by the Board of D rectors of'said Company, referred to in thepreceding instrument is now in force. IN TFST!MONY WHEREOF, I have hereunto set my hand, and affixed my Official Seal at die County of Harris, the day and year fast above written. `rn . vas-Y K/\THLEEN M MEFKS A/`+��rr NQTAftY PUBLIC •t Sir )� STATE OF TEXAS o a„J�r. MYO6MM pl:15t35 -- 'NOTARY 1055 5593nz-n (Notary Public) 1, the undersigned Officer of the Argonaut Insurance Company, Illinois Corporation, do hereby certify that the original POWER OF ATTORNEY of which the foregoing is a full, hue and correct copy is still in full force and effect and has not been revoked. tl IN WITNESS WHEREOF, 1 have hereunto set my hand, and affixed the Seal of said Company, on the L7-li day.r 6 e#'eMbjC -a• e . yN5U.... •coaPORgiP ll ps'. ,0SEAL -: 1c •. lase `'f<puols°` __ Austin W. King Secretary IF YOU HAVE QUESTIONS ON AUTHENTICITY OF THIS DOCUMENT CALL (833) 820 - 9137. IMPORTANT NOTICE To obtain information or make a complaint: You may call Argonaut Insurance Company and its affiliates by telephone for information or to make a complaint: ARGONAUT INSURANCE COMPANY Please send all notices of claim on this bond to: Argo Surety Claims (210)321-8400 225 W. Washington St., 24th Floor Chicago, IL 60606 You may contact the Texas Department of Insurance to obtain information on companies, coverages, rights or complaints at: (512) 490-1007 You may write the Texas Department of Insurance: P. O. Box 149104 Austin, TX 78714-9104 Fax. (512) 475-1771 Web: http://www.tdi.state.tx.us E-mail: ConsumerProtection@tdi.state.tx.us PREMIUM OR CLAIM DISPUTES: Should you have a dispute concerning your premium or about a claim you should contact your agent or Argo Surety first. If the dispute is not resolved, you may contact the Texas Department of Insurance. ATTACH THIS NOTICE TO YOUR BOND: This notice is for information only and does not become a part or condition of the attached document and is given to comply with Texas legal and regulatory requirements. BID FORM FOR UNIT PRICE CONTRACTS Calhoun County, Texas A Greater Austin Date: 09/06/2023 Development Co., GLC (hereinafter called "Bidder"), doing business as (circle one) corpora-uo , a partnership, an individual) to Calhoun County, Texas, (hereinafter called "Owner"). Gentlemen: The Bidder, in compliance with your invitation for bids for the Replacement of North and South Timber Bridges On Brighton Road having examined the plans and specifications with related documents and the site of the proposed work, and being familiar with all the conditions surrounding the construction of the proposed project, including the availability of materials and labor, hereby proposes to furnish all labor, materials and supplies, and to construct the Project in accordance with the Contract Documents, within the time set forth therein, and at the prices stated below. These prices are to cover all expenses incurred in performing the work required under the Contract Documents and drawings, of which this proposal is a part. Bidder hereby agrees to commence work under this contract on or before a date to be specified in writing in the "Notice to Proceed" issued by the Owner's Engineer and fully complete the Project within 170 calendar days thereafter as stipulated in the Contract Documents. Bidder acknowledges receipt of the following addenda: Page 26 of 45 CALHOUN COUNTY, TEXAS BID SHEET REPLACEMENT OF NORTH & SOUTH TIMBER BRIDGES ON BRIGHTON ROAD Bid Number: 2023.07 REPLACEMENT OF NORTH AND SOUTH TIMBER BRIDGES ON BRIGHTON ROAD PROVIDE LABOR, EQUIPMENT AND MATERIALS TO REPLACE BRIDGES Bid Sheet shall be attached to and shall be part of the complete Contract Documents. Description references TxDOT Specifications to be used. BIW. ITEM # DESCRIPTION EST. QUANTITY PER UNIT UNIT PRICE AMOUNT BID (OTYA UNIT PRICE) BASE BID: 164 BROADCAST SEED (PERM)(RURAL)(CLAY) 350 SY $ 6 .00 $ 2, 1.00 . GO 168 VEGETATIVE WATERING 5MG $ 330.00 $ 1 650 400 CEMENT STABILIZED BACKFILL 44 CY $ 655 .00 $ , 28, 820 .00 409 PRESTRESSED CONC PILING (18" SQUARE) 1280 LF 1 $ 176.25 $ 225, 600 .00 409 PRESTRESSED CONC SHEET PILING (8-)(HF-C) 1341.84 SF $ 256.75 $ 344, 517 . 42 420 CL.0 CONCRETE (ABUTMENT) 27.6 CY $ 4 , 400 .00 $ 121, 440 .00 422 REINFORCED CONC SLAB (SLAB BEAM) 1112 SF $ 84.00 $ 93, 408.00 422 CONC APPROACH SLAB 19.4 CY $ 1, 340.00 $ 25, 996.00 425 PRESTRESSED CONC SLAB BEAM (4SB12) 147 LF $ 440 .55 $ 64, 7 60 .85 425 PRESTRESSED CONC SLAB BEAM (5SB12) 98 LF $ 440 .55 $ 43, 173 . 90 432 RIPRAP CONC (CL B) (5 IN) 22 CY I $ 1 , 225.00 $ 26, 950-0 450 RAIL (TY T223) 148 LF $ 330 .00 $ 48, 840 .00 454 BRIDGE JOINT (TY A) 82 LF $ 45.00 $ 3, 690, 00 496 REMOV LARGE STRUCTURE (BRIDGE)(0-99 LENGTH) 2 EA $ 51, 000 .00 $ 102, 000 .00 500 MOBILIZATION I LS $ 133, 500 . 00 s 133, 500 .00- 502 BARRICADES, SIGNS AND TRAFFIC HANDLING 1 LS $ 19, -300.00 $ 19, 500.00 506 TEMPORARY EROSION CONTROL LOGS (INSTALL)(1 2") 385 LF $ 21 .00 $ 8, 085 . 00 540 METAL BEAM GUARD FENCE (TERMINAL ANCHOR SECTION) 8 EA $ 1, 490.00 $ 11, 920.00 540 METAL BEAM GUARD FENCE TRANSITION (TI-2) 8 EA $ 3, 727 .00 $ 29, 816 . 00 TOTAL BASE BID $ 1, 335, 767. 17 Page 27 of 45 SCHEDULE OF SUBCONTRACTORS Bidder proposes the following subcontractors to be used for major portions of the project. All major subcontractors must be listed and submitted with the Bid. Bidder may change subcontractors after Bid submittal only as approved by the Engineer. SUBCONTRACTORS ADDRESS & PHONE NUMBER SPECIALTY % OF WORK 1.Gregory Pile Driving, Inc. PO Box 344 Stephenville, TX Pile Driving 20% 1 16401 3. 4. 6. 6. 7. 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 vendor, that the contents of this Bid as to prices, terms or conditions of said Bid have not been communicated by the undersigned nor by their employees or agents to any official, employee or agent of Calhoun County or any other person engaged in this type of business prior to the official opening of this Bid. The undersigned affirms that they have not given, offered 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 this Bid. The undersigned affirms that they have read the entire Invitation to Bid Packet and fully understands and has followed all requirements. Page 28 of 45 FAILURE TO SIGN BELOW SHALL DISQUALIFY THE BID Date: 09/26/2023 Authorized Signature & Title: pftz>ti�)ENA Type Name&Title of Authorized Signature: Kerry Coliins - President Phone Number: 512-310-9300 Email: kco11ins@qad.co Exceptions and or Variations from Specifications and/or additional Notes: None Page 29 of 45 STATE OF TEXAS {} AFFIDAVIT COUNTYOF Travis {} Kerry Collins being first duly sworn, deposes and says: that he or she is (Type or Print Name) the President (Type or Print Title) of Greater Austin Development' Co., LLGhavingits (Type or Print Name of Company/Firm) principal address at 11206 FLA 1625, Creedmoor, TX 78610 (Type or Print Physical and Mailing Address) who submits herewith to Calhoun County the attached Request for Qualifications (RFQ); that he or she is the person whose name is signed to the attached RFQ; that said RFQ is genuine; that the same is not sham or collusive; that all statements of fact herein are true; and that such RFQwas 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 himself/herself/itself/themselves 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 respondent, or anyone else interested in the RFQ contract; and that himself/herself/itself/themselves has not in any manner sought by collusion to secure for himself/herself/itself/themselves an advantage over any other respondent. Affiant further deposes and says: that prior to the public opening and reading of the Request for Qualifications, himself/herself/itself/themselves: a) did not, directly or indirectly, induce or solicit anyone else to submit a false or sham RFQ; b) did not, directly or indirectly, collude, conspire, connive or agree with anyone else that himself/herself/itself/themselves or anyone else would submit a false or sham RFQ or that anyone should refrain from submitting a RFQ or withdraw their RFQ; c) did not, in any manner, directly or indirectly, seek by agreement, communication or conference with anyone to fix the RFQ of himself/herself/itself/themselves or of anyone else, or to fix the outcome of the award of the RFQ for himself/herself/itself/themselves 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 RFQ; and e) did not, directly or indirectly, submit their RFQ 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 RFQ. Affiant further deposes and says: that the information contained in this RFQ has been carefully checked and is submitted as true and correct, agrees to furnish any and/or all items/services if awarded and upon the conditions and requirements contained in the RFQ. Signature of Affiant Kerry Collins - President Printed Name and Title of Affiant SWORN TO AND SUBSCRIBED BEFOORE ME by the above Affiant, who, on oath, states that the facts contained in the a 1610 iry and correct, this '��? day of J t� r Wt `.'-&i,- 20 2 D . �x B0 tW �Vi �— �:�'� PY Pp F : f� Y rr3i vvtz w t Signature ofotary Public Page 30 of 45 CONFLICT OF INTEREST QUESTIONNAIRE N/A 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 G 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 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 to 176.003(a)(2)(A) and (B): (a) A local government officer shall file a conflicts disclosure statement with respect to a vendor If: fikfi (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 (I) a contract between the local governmental entity and vendor has been executed; or (ti) the local governmental entity is considering entering into a contract with the vendor, (B) has given to the local government officer ore family memberof 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 awarethat: (1) a contract between the local governmental entity and vendor has been executed; or (il) the local governmental entity is considering entering into a contract with the vendor. Local Government Code S 176.006(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 requestfor 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) thatthe vendor has given one or more gifts described by Subsection (a); or (C) of a family relationship with a local government officer. 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 [hat require the statement to be filed. See Section 176.006(a-1), Local Government Code. Page 31 of 45 N/A CONFLICT OF INTEREST QUESTIONNAIRE FORM CIQ For vendor doing business with local governmental entity This questionnaire reflects changes made to the law by 11,8. 23, Bath Leg„ Regular Session, OFFICEUSEONLY This questionnaire Is being filed In accordance will) Chapter 176, LocalGovernment.Code, by vendor who Data Received has a business relationship as defined by Section 170.001(1-a) with a local governmental entity and the vendor meats requirements under Section 176.006(a). By law this questionnaire must be tied with the records admintehator of the local governmental antity not later than the 7th business day after the date the vendor becomes aware or facts that require the statement to be Bled. See Stollen 176.00e(a-11, Local Government Code. A vendor commits an offense If the vendor knowingly violates Section 170,008. Local Government Code. An offense under this section Is a misdamannor. t Name of vendor who has business relationship With local govemmemal ansty, 2 El Cheok this boxifyou aregling an update to aprevlouslyffled questionnaire. (The law requlresthat you tilean updated completed with the appropriate filing later than the 7th business day thedate questionnaire authority not after on which you became aware that the originally filed questionnaire was'incomplete or Inaccmale.) PJ Name of fowl government officer about whom the informationfs being disclosed. .Name of Offlcer IJ Describe each employment or other business relationship with the local government officer, or a family member of the officer, as described by Season 176.003(a)(2)(A). Also describe any family relationship with the local government officer. Complete subparts Aand B for each employment or business relationship described. Attach additional pages tothle Form CIO as necessary. A. Is the local government officer or a family member of the off cer recelving or likely to receive taxable Income, other than Investment Income, from the vender? Yes 1:1 No 3. Is the vendor recelving 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 No s Describe each employment or business relationship thatthe vendor named in Section l malmatns 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, e Checklhis box if the vendor has given the local government officer or afamlly member of the officer one or more gifts as described In Section 176.003(a)(2)(6), excluding gifts described In Section 176.003(a-1). 7 gnaaeo o vends• doing business with the governments en ry Date Farm provided by Taxes Ethics Commission wwW.ethlca.Blate.t%.us Revised 11130I2015 Page 32 of 45 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 orpublic 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 33 of 45 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 patties 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 34 of 45 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 civiljudgment 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 commnission 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. Kerry Collins - President 09/26/2023 Name and Title of Authorized Agent Date L—L� Signature of Authorized Agent I am unable to certify to the above statements. My explanation is attached. Page 35 of 45 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). A Gr=_'Ater AtJ r i_ The Contractor, uwE^==i-m ni_ o= LLO , 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. l �--- --� Signature of Contractors Authorized Official Kerry Collins — President Printed Name and Title of Contractor's Authorized Official 09/26/2023 Date Page 36 of 45 INSTRUCTIONS FOR COMPLETION OF SF-LLL, DISCLOSURE OF LOBBYING ACTIVITIES This disclosure form shall be completed by the reporting entity, whether sub awardee or prime Federal recipient, at the initiation or receipt of a covered Federal action, or a material change to a previous filing, pursuant to title 31 U.S.C. section 1352. The filing of a form is required for each payment or agreement to make payment to any lobbying entity 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 a covered Federal action, Complete all Items that apply for both the Initial filing and material change report. Refer to the implementing guidance published by the Office of Management and Budget for additional information. 1. Identify the type of covered Federal action for which lobbying activity is and/or has been secured to influence the outcome of a covered Federal action. 2. Identify the status of the covered Federal action. 3. Identify the appropriate classification of this report. If this is a follow-up report caused by a material change to the information previously reported, enter the year and quarter in which the change occurred. Enter the date of the last previously submitted report by this reporting entity for this covered Federal action. 4. Enter the full name, address, city, State and zip code of the reporting entity. Include Congressional District, If known. Check the appropriate classification of the reporting entity that designates if it is, or expects to be, a prime or subaward recipient. Identify the tier of the sub awardee, e.g., the first sub awardee of the prime Is the list tier. Subawards Include but are not limited to subcontracts, subgrants and contract awards under grants. 5. If the organization flling the report In item 4 checks "Sub awardee," then enter the full name, address, city, State and zip code of the prime Federal recipient. Include Congressional District, If known. 6. Enter the name of the federal agency making the award or loan commitment. Include at least one organizational level below agency name, if known. For example, Department of Transportation, United States Coast Guard. 7. Enter the Federal program name or description for the covered Federal action (item 1). If known, enter the full Catalog of Federal Domestic Assistance (CFDA) number for grants, cooperative agreements, loans, and loan commitments. 8. Enter the most appropriate Federal Identifying number available for the Federal action Identified in Item 1 (e.g., Request for Proposal (RFP) number, Invitations for Bid (IFB) number; grant announcement number; the contract, grant, or loan award number; the application/proposal control number assigned by the Federal agency). Included prefixes, e.g., "RFP-DE-90-001." 9. For a covered Federal action where there has been an award or loan commitment by the Federal agency, enter the Federal amount of the award/loan commitment for the prime entity identified in item 4 or 5. 10. (a) Enter the full name, address, city, State and zip code of the lobbying registrant under the Lobbying Disclosure Act of 1995 engaged by the reporting entity identified in item 4 to influence the covered Federal action. (b) Enter the full names of the individual(s) performing services,and include full address if different from 10(a). Enter Last Name, First Name, and Middle Initial (MI). 11. The certifying official shall sign and date the form, print his/her name, title, and telephone number. According to the Paperwork Reduction Act, as amended, no persons are required to respond to a collection of Information unless it displays a valid OMB control Number. The valid OMB control number forthis information collection Is OMB No. 0348- 0046. Public reporting burden for this collection of Information Is estimated to average 10 minutes per response, including time for reviewing Instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of Information. Send comments regarding the burden estimate or any other aspect of this collection of Information, Including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (0348-0046), Washington, DC 20503 Approved by OMB 0348-0046 Page 37 of 45 N/A Approved by OMB Disclosure of Lobbying Activities Complete this form to disclose lobbying activities pursuant to 31 U.S.C. 1352 (See reverse for public burden disclosurel 0348-0046 1. Type of Federal Action: 2. Status of Federal Action: 3. Report Type: a. contract a. bid/offer/application a. initial filing _ b. grant _ b. initial award _ b. material change c, cooperative agreement c. post -award d. loan For material change only: e. loan guarantee Year quarter f. loan Insurance Date of last report 4. Name and Address of Reporting Entity: 5. If Reporting Entity in No.4 is Subawardee, Enter _ Prime _ Subawardee Name and Address of Prime: Tier , if Known: Congressional District, if known: Congressional District, if knownt 6. Federal Department/Agency: 7. Federal Program Name/Description: CFDA Number, ff appl(cable: B. Federal Action Number, ifknown; 9. Award Amount, jfknown: $ 10. 9. Name and Address of Lobbying Registrant b. Individuals Performing Services (including address if' flfindividual•lartnante,fist name,Ml): d(fleran tfromNo. I0a) (last name, first name, Mf): 11. Information requested through this form is authorized by title 31 U.S.C, section 1352. This Signature: disclosure of lobbying activities is a material representation of fact upon which reliance was placed Print Name: by the tier above when this transaction was made or entered into. This disclosure is required pursuant to 31 Title: U.S.C. 1352. This information will be reported to the Congress semi-annually and will be available for public Telephone No.: Date: inspection. Any person who fails to file the required disclosure shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. Federal Use Only Authorized for Local Reproduction Standard Form - LLL (Rev. 7.97) Page 38 of 45 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 Israelor 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. 1, (authorized official)— Kerry Collins ,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/d!vestment.php A Greater Austin Deyelopmen.L Co., LLC Kerry Collins Signature bf Authorized Official Printed Name of Authorized Official President: 09"26/2023 Title of Authorized Official Date Page 39 of 45 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. ❑ 1 certify that 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) A Greater Austin Development 13 1 certify that Co . , LLC is a "Resident Bidder" of Texas as (Company Name) defined in Government Code §2252.001. L, Signature of Authorized Agent Kerry Collins — President Printed Name and Title of Authorized Agent 09/26/2023 Date Page 40 of 45 Request for Taxpayer Give Form to F.mnW_9 (Rev. October 2018) Identification Number and Certification the requester. Do not Department of the Treasury send to the IRS, Internal Revenue Service ► Go to wwWdregov/FormW9 for instructions and the latest information. 1 Name (as shown on your income tax return). Name Is required an this line; do not leave this line blank. GADCO Holdings LLC 2 Business nameldisregarded entity name, it different from above A GREATER AUSTIN DEVELOPMENT COMPANY, LLC ro m 3 Check appropriate box for federal tax classification of the person whose name Is entered an line 1. Check only one of the 4 Exemptions (codes apply only to � Following seven hazes. certain entitles, not individuals; see a o ❑ IndivlduaVsole proprietor or ❑ C Corporation ❑ S Corporation ❑Partnership El TrustJostate instructions an page I: single -member LLC Exempt payee code (it spill a o 4� is Limited liability company. Enter the tax classification (C=C corporation, S=S corporation. P=Padnership)> Is i; 2 Note: Check the appropriate box in the line above for the tax classification of the single -member owner. On not check Exemption from FATCA reporting H LLC if the LLC is classified as a single -member LLC that is disregarded from the owner unless the owner of the LLC Is LLC that is disregarded from far coe dglary) it u another not the owner U.S. federal tax purposes. Otherwise, a single -member LLC that ;t is disregarded from the owner should check the appropriate box for the tax classification of its owner. ❑ other (see instructions) V INON'•'•..0 mmobru •mna• rim as, N 5 Address (number, street, and apt. or suite no.) See Instructions. Requester's name and address (optional) N 11206 FM 1625 RD 6 City, state, and ZIP code CREEDMOOR TX 78610 7 List account numbers) here(optionall Taxpayer Identification Number (TIN) Enter your TIN in the appropriate box. The TIN provided must match the name given online Ito avoid I Social security number backup withholding. For individuals, this is generally your social security number (SSN. However, Fora -m _ resident alien, sole proprietor, or disregarded entity, see the Instructions for Part I, later. For other entities. It is your employer identification number (EIN). If you do not have a number, see How to get a TIN, later, or Nate: If the account is in more than one name, see the instructions for line 1. Also see What Name and I Employer identificaian number Number To Give the Requester for guidelines on whose number to enter. 8 7- F2T 5 F3T9 F4 F977 Under penalties of perjury, I certify that: 1, The number shown on this fort Is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and 2. 1 am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (a) 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 cade(s) entered on this form (If 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 your tax return. For reel estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions for Part 11, later. ( Signature of Here U.S. personDate> General 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 as legislation enacted after they were published, go to www.1rs.gov/FormW9. Purpose of Form An individual or entity (Form W-9 requester) who is required to file an Information return with the IRS rust obtain your correct taxpayer identification number (TIN) which may be your social security number (SSN), individual taxpayer identification number (ITIN), adoption taxpayer Identification number (ATIN, or employer Identification number (EIPI), to report on 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 fallowing. • Form 1099-INT (interest earned or paid) • Form 1099-DIV (dividends, including those from stocks or mutual funds) • Form 1099-MISC (various types of income, prizes, awards, or gross proceeds) • Form 1099-B (stock or mutual fund sales and certain other transactions by brokers) • Form 1099-S (proceeds from real estate transactions) • Form 1099-K (merchant card and third party network transactions) • Form 1098 (home mortgage Interest), 1098-E (student loan interest), 1098-T (tuition) • Form 1099-C (canceled debt) • Form 1099-A (acquisition or abandonment of secured property) Use Form V/-9 only if you are a U.S. person (including a resident alien), to provide your correct TIN. It you do not return Fenn W-9 to the requester with a TIN, you might be subject to backup withholding. See What is backup withholding, later. Cat. No. 1023 t X Form W -9 (Rev. 10-201 a) �u 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). A Greater Austin Development Co., LLC is not registered with SAH.gov A Greater Austin Development Co., LLC is pre -qualified with. TXDot. Please see attached Letter. Also attached is the latest list of Debarred -Sanctioned Contractors from the `PxDot. Website, below is the link to that web page. https://www, txdot. gov/business/road-bridge-maintenance/contract -letting/contractor-prequalification.html Page 42 of 45 Texas Department of Transportation 125 EAST 11TH STREET I AUSTIN, TEXAS 78701-2483 1 (512) 463-8588 1 WWW.TXDOT.GOV March 27, 2023 A GREATER AUSTIN DEVELOPMENT COMPANY, LLC 6500 RIVER PLACE BLDG 1 #201 AUSTIN, TX. 78730 RE: TxDOT Vendor Number 17976 Dear Contractor: Your Confidential Questionnaire is satisfactory and qualifies you to bid on Projects let by the Texas Department of Transportation (TxDOT) from the date of this letter through December 31, 2023. Your bidding capacity has been set at $109,868,000.00. You may request and receive bidding proposals for projects on which the engineer's estimate does not exceed your bidding capacity less any uncompleted work currently under contract with TxDOT. If we may be of further assistance, please contact our Pre -qualification Branch at 512/416-2584. Sincerely, A ` 044 Greg Williams Director, Letting Management Section Construction Division OUR VALUES: Pecole • Accounfa ,Q., • Trust • Honesty OUP. MISSION: Connecting Yoti Win Tomas M Eaus�aPf rtvniYEmvlcFr =a 3 ~ ~ - - - - 2 I a E - - - - m }k& k 3 in ) § ) § \\� g &00 j > § /)\0 , _= (j7 v \/� ) $ ) m ) >a2 , J ) § ) _ ; ; 2 ) ) �� $ ) )( - ¥s \\ /; ( )�\ )/ )] �(: §z(§ \ \0 k2 \02.Q206 a - (3u (§ w § zk 0� \ \U ) \ � § \ ® / § \ , 3§ ° § z : K u )0 \cm § } \ 3 § u z rf' 2n N W J O N O J W h O O z N N O N W w 0 0 W O Lr O O ry ` \ m 0 \ ¢ rn Q N o Z O h z Q O M w O o�""' Q W a a Q Z n O O m x 'n w O m O U a U. z in Q d w Z 1=_- Z O O N OF C W Z H a O O O H K 2 C7 w z O t7 n' u G Z .v'a a a vwi O Q Q a w w z 6 W E Z W� z W m Z m W Z< p U¢ 0 0 D w m = D Q LL O a p L4 Q N J a cc O J J Y Y H V W w J 2 = ~ z W W Z K O Q m U a U g o on m = 4 U J J W O W J a u W J W U Z Cl J J U W Z Z j Z O v v w w w U F- z w a j Q v~ O p O U w Q v > p = © Q K V O —y 2i u O z z D F rqCiAlCorp EN G IN EE@E + 5 U R'✓EYGRS October 11, 2023 Commissioner David Hall Calhoun County Commissioner, Precinct 1 211 South Ann St, Room #301 Port Lavaca, Texas 77979 Re: Replacement of North and South Bridges on Brighten Road Bid Number 20123.07 Letter of Recommendation Dear Commissioner Hall: We have reviewed the two bids opened on September 26, 2023 for the Replacement of North and South Bridges on Brighten Road. The bids received were as follows: Base Bid Days Constar Construction $ 928,346.40 350' A Greater Austin Development $ 1,335767.17 170 Constar Construction is the low bidder with a Bid of $928,346.40. The engineer's estimate for this project was estimated at $522,666.64. The bid is $480,946.40 over the county's construction budget. Every attempt was made to advertise the project (see Exhibit B- Bidders Log) and only two bids were received (Exhibit A). Should we attempt to re -bid, there is no guarantee that a lower bid will be received or if we will get more bidders. Even though two bridges were included in the bid package, the small size of the bridges (25 feet in length) contributed to the overall higher cost. In addition, this trend of low number of bidders and high costs is continuing throughout the state, due to the current volume of construction work statewide. Although the bid is above the engineer's estimate, it is my recommendation to award this contract to Constar Construction, for their bid of $928,346.40 and 350 working days to complete. Sincerel w Ben Galvan, PE, RPLS CivilCorp, LLC Attachment Exhibit A- Bids Received Exhibit B- Bidder's Log 4611 E, Ahihze Rd, Ste,. 3M * Vkterfa,'Texas 77904 a TEf. (3,,61) 5V-7500 - Fax. (361)5-74-7/591 ER E U a Z U m cr co y � V m Q n mm C Y C. I m Ia � N'P IIS ,N Q uNl e O N N 2p5 n 7i Q VpgYV1.N VpYN Ip/�V1.4/pf. IJINNN �N NNN 40 qN 00 IISSS pN Q TVA. Y. G�IC G. m O O NN:N O 84 WIP pS O 1. NTI�N�O'.,�OMWW... O O Q 8O8'S 868 ppOpp SSS S C P IN M W o a cd (aj WIW WWWWNIN IUINN N�pN iMWUA oW Is S S P S S O IW i�ai O S S Ip S S S pNN O S IM o I$ Ia or itsOE » mld In moan i� m e o $$Qmou �'7t o N` In a E INMn;:� W'w'ep1i n m nl�iammQ, m 'cINwW.i �m a� ,W,n 1. N YnNF WWh1lI 'YpSFY6QQV4 NNpe NSN NST VSdF i'Np$ WpS NpN 48 IIN' Y� C T tp . e1 N,P T.P'6 IKpR N T OMpp O I[I LLT pY iNp 6 N n II S S IO G IlibH SQ Oti S Ory qb 'aOQ SNy 5E IW�Nn i F? M Q. Ngo Qam R Qqea oO Np 8OeNi• at I,. OM IS�p 1. pI WT a 151 ;.. $S $N6 IImSm oN Scn IIIS24yN4 �$E'p1 $oeQi a CP; aStaO ImSN O$n cS Iaoa SCN$.Fporo a:p$o W o i I I e ? N '�. !! VINIG } >> u1'ul uai� III u1 W'.Q� Q U" . mWQMiIIYIN K.mil�:m Nl.Qe,WN Mm.I,1. 6c m i II I I I III L: r I: i Iu Ilm C' Il' Im l _ eNi'i m C c m b' e. y;c_iI ro IS $' Ali E Ei ai Im y W W nl ICIIa'vLid�mu ac�v i�I q,. N'^ ..: mtoslLL u' 9 mi�SCL GR4L 6O3 'RJ'. I31m RC utQ¢�o 3v NI �y cvx �R EE IffiI 'X .e�i cl�. `n a' °° C w a. Io Im` mEY,y Yn lu I oc I aY`i,Lm o c�a�Ea a alIc`iu.,z m`I N Z '. '1' b IQ 6 P Q Q Q �Q Q Q Q P IYl N IN (IQ41 Mi IVTP H T`a nl eNMW'P HKM NI Exhibit B CivilCorp LLC 4611 E. Airline Rd, Suite 300 Victoria, TX 77904 BIDDERS LOG L"CivlCorp CLIENT Calhoun County, PROIECTNAME RmwcoeMOFNaRrRseovni P.ER ewoaEsw+enMMNo W PROTECT NUMBER 22-212-01 BID DATE: September 26, 2023 on 2:00 PM LOCATION: Calhoun County Court House DEPOSIT: DATES i ETS QUASETS/ DEPOSIT ADDENDA No. i Date Sent Company: Lester Contracting Attn: Trent Tagliabue E-Mail: tent@lestercontracting.corn Address: 3677TX-3'5 City/St/Zip: Port Lavaca, TX 77979 Phone: (3611) 552-3024 Fax: IEmailed'; 1 NA-EMAILEDNx-EMAIL€D, Company: ReXC0 Attn: Mickey Thomas E-Mail: mickey@rexcoinc.com 7-Address: 1104 Mildred Dr City/St/ZiP: Port Lavaca, TX 77979 Phone. (361)552-53711 Fax: ail II�Emailedl NA.- EMAILED NA- EMAILED 7- i Company: Constar ConstrUCtion�� Attn: Sandy Tesch, E-Mail: sandy@constarconstructiomcom>; Address: 349Reid Dr City/St/Zip: Victoria, TX77904 Phone: (3611) 485 91100 Fax: ! Emailed �NA-EMAILED�NA-EMAILED Company: CK Newberry Attn: Thomas Pena E-Malt: tpena@cknewberry.com Address: 1538 County Rd 345 City,/St/ZIP: Karnes City, TX 781!18 Phone: (830)217-9256 Fax: IEmail'ed NA-EMAILED NA-EMAILED', Company: Virtual Builders e Exchan 9 Attn: Karen Sester E-Mail. karen@virtualbx.com Address: 4047 Naco Perrin Blvd. City/St/ZIW. San Antonio, TX 78217 Phone: 210-564-6900 Fax: Emailed NA-EMAILED NA-EMAILED Company: Assoclatad Duel and Cuntaa.Mis Gmpuatadeil Attw Vanessa Spenser E-Mail: vspencer@abctcb.org, Address: 7433 Leopard Street City/st/zip: Corpus Christi', TX 78409 Phone: (361,) 572-0299 Fax: Emailed NA-EMAILED j NA-EMAILED' Company: Associated. Builders and contractors Victoria Attu: Sandra Martinez E-Mail: plans@abt b(midcoast.ocg. Address: 1i116 Jason Plaza City/st/Zip: Victoria, TX 77901 Phone: (361)1572-0299 Fax: Emaited: f NA-EMAILED NA.-EMAILED ' Company: Associated General Contractors' Attn: Toni Osberry E-Mail: tonio@ageausUn.org Address:. 609 S. 'Lamar City/St/Zip: Austin, TX 78767 Phone: (512)442-7887 Fax: Emailed''.. DNA.-EMAIED DNA-EMAILED' i Company: Dodge Data & Analytics Attl Milica J. Yurong E-Mail: milica.yurong@constructlon.comil Address: 2860 S.State Hwy161„Ste. 1609W city/st/zip: Grande Prairie, TX 75052 Phone: (306)-336-2767 Fax: j Emailed. NA-EMAILED NA-EMAILED Company: Associated' euildawand..Conaacters.aousloa.' Attn. Crystal: Quezad'a E--Mail: cquezada@abchouston.org Address: 4910: Daooma St.. City/st/zip: Houston, TX 77092 Phone: (713)523-6222 Fax: Emailed. I 'NA -EMAILEDj NA- EMAILED' Company: Texas Steel Industrial Placing Attn: Julio Delgado E-Mail: Julio@txsteel.net Address. 2511 Cypress Drive City/St/Zip: Donna, TX 78537 Phone: (956)461-3993 Fax: Emailed l 1'A-EMAILl-EMAILED Company: E-Z Bell Construction Attn: Butch Heist E-Mail: frontdesk@ezbeLcom Address: 203 Recoleta. Rd City/St/Zip: San Al TX 78216 Phone- 21736-6595 Fax: Emailed' NA-EMAILEDNA.-€MAILEDI i j #10 NOTICE OF MEET ING .10/18/2023 10. Consider and take necessary action to approve Cody Malaer's request to exercise his right for the option on renewing the specifications and agricultural lease agreement for the lease of the Event Center property, 194 acres, for dry land farming that is solely for planting, raising, and harvesting row crops and for no other purposes. The term of this agricultural lease agreement will be for three years with the option to renew for additional three-year terms upon the Commissioners' Court approval and authorize the County Judge to take any action deemed necessary. (VLL) RESULT: APPROVER, [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 7 of 18 Vern L Calhoun County Commissioner, Precinct #2 5812 FM 1090 Port Lavaca, TX 77979 October 5, 2023 Honorable Richard Meyer Calhoun County Judge 211 S. Ann Port Lavaca. TX 77979 RE: AGENDA ITEM Dear Judge Meyer: Please place the following item on the next Commissioners' Court Agenda (361) 552-9656 Fax (361) 553-6664 Consider and take necessary action to approve Cody Malaer's request to exercise his right for the option on renewing the specifications and agricultural lease agreement for the lease of the Event Center property, 194 acres, for dry land farming that is solely for planting, raising, and harvesting row crops and for no other purposes. The term of the agricultural lease agreement will be for three years with the option to renew for additional three year terms upon Commissioners Court approval, and authorize County Judge to take any action deemed necessary. Sincere) , Vera Lyssy VL/Ij EXTENSION OPTION RIDER FOR THE AMENDED EVENT CENTER PREMISES, 194.16 ACRES —AGRICULTURAL LEASE AGREEMENT DATED SEPTEMBER 12, 2022 THE STATE OF TEXAS COUNTY OF CALHOUN WHEREAS, Calhoun County, Texas, a body politic, hereinafter referred to a LESSOR, and CODY MALAER of Port Lavaca, Texas, hereinafter referred to as LESSEE did enter in a lease agreement dated September 14, 2020 and as amended September 12, 2022, hereinafter collectively referred to as LEASE, for the rental of the Event Center Premises, 194.16 Acres as described in said lease. In the LEASE, LESSOR did grant unto LESSEE the option to extend the Term of an additional three years (the "Additional Term") and both LESSOR and LESSEE agree to said extension. THEREFORE, the LEASE term shall be extended for an additional three years, the additional term running from September 1, 2023 and continuing through August 31, 2026. LESSOR and LESSEE agree that during the Additional Term the lease will continue as written. LESSOR: CALHOUN COUNTY, TEXAS 4� A71i Richard H. Meyer, Cal bun County Judge Date Executed: 10'181' z') LESSEE: Cody hfalaer Date Executed: ATTEST: Anna Goodman, County Clerk By: Deputy Clerk September 28, 2023 To: Calhoun County From: Cody Malaer Subj: 194ac lease/release I Cody Malaer am wanting to exercise my option to lease acreage for three more years Cody Malaer Agricultural Lease Basic Information Lease Date: Effective as of October 1, 2020 Landlords Calhoun County, a politicalsubdivision of the State of Texas Landlord's Address: Calhoun County 211 S. Ann Street Port Lavaca, TX 77979 Tenant: Cody Ivlalaer Tenant's Address: Cody Malaer 1377 Royal Road Port Lavaca, TX 77979 Premises: ° SURFACE ONLY of approximately 194,10 acres of land, situated in Calhoun County, Texas, being that 200,03 acres of land, more or less, situated in Calhoun County, Texas consisting of Tracts 1, 2, 3 4, 5, 6, 7, and 8 depicted in Plat Record 2019-03920 of the Plat Records of Calhoun County, Texas LESS AND EXCEPT 5.87 acres being Tract 8 depicted in. Plat Record 2019-03920 of the Plat Records of Calhoun County, Texas ("Premises'). Said lease acreage is depicted in a plat attached hereto as Exhibit "A." and incorporated' for all purposes. The Premises do not include and Tenant will not be permitted to use the Excluded Improvements. Excluded Improvements: Any structure, improvement, or equipment situated on the Premises and constructed or installed by any person or entity other than Tenant.: If at any time within the three (3) year lease period, Landlord needs 20 acres or less from the premises, Landlord will give Lessee 180 day's written notice and adjust the rent accordingly„ Base Rent: $16,503.60 (194.16 acres multiplied by $85.00 per acre) paid annually with the first annual amount due and payable upon the execution of this Lease and each annual payment thereafter due and payable on September I` of each successive. year. All payments shall be made payable to Calhoun County and submitted' to the Calhoun County Treasurer, Calhoun County Courthouse Annex I1, 202 S. Ann St., Suite A, Port Lavaca, TX 77979. Payments may be hand delivered or mailed. Proof of each payment (copy of the receipt from the County Treasurer) shall be provided yearly to the Calhoun County Auditor, Calhoun County Courthouse Annex 11, 202 S. Ann St., Suite 13, Port Lavaca, TX 77979. Proof of payment can be hand delivered or mailed. Term (months): 3years (unless terminated earlier as provided for herein) Commencement ]pate: October, 1, 2020 Termination Date: August 31, 2023 Security Deposit $0.00 Permitted Use: Solely for planting, raising, and harvesting row crops and no other purpose. Renewal Option: This lease may be renewed by 'Tenant for additional three (3) year terms upon Commissioners Court approval. This clause expressly grants extension of this lease between Tenant and Landlord for multiple three (3) year terms. If this renewal option is approved by :Commissioners Court, each lease year shall begin September 15t and end August 315t. Tenant's Insurance: As required by Insurance Addendum A. Definitions "Agent" means agents, contractors, employees, licensees, and, to the extent under the control of the principal, invitees. "Injury" means (1) harm to or impairment or loss of property or its uses.or (2) harm to or death of a person. "Rent" means Base Rent plus any other amounts of money payable by 'Tenant to Landlord. B. Tenant's Obligations B.1. Tenant agrees to B.La. Lease the Premises for the entire Term beginning on the Commencement Date and ending on the Termination Date. B.I b. Accept the Premises, in their present condition "AS IS," the Premises being currently suitable for the Permitted Use. B.I.e: Obey all laws relating to Tenant's use, maintenance of condition, and occupancy of the Premises, including the rules and regulations of the United States Department of Agriculture and the Texas Agriculture Commissioner; B.1.d. Pay the Base Rent when it is due, without demand, to Landlord at Landlord's Address. B.I.e. Pay a.late charge of 5 percent of any Rent not received by Landlord by the tenth day after it is due. AI.f, Pay for all labor, fuel, and utility services used by Tenant. B.l.g. Pay all taxes on the crops raised on and Tenants personal property located on the Premises. B.I.h Allow Landlord to enter the Premises to inspect the Premises and show the Premises to prospective purchasers or tenants. B.11 Repair, replace, and maintain any patt of the Premises used by Tenant. B.1 j, Repair any damage to the Premises, Ladd, or Excluded improvements caused by Tenant. B. Lk Maintain the insurance coverages described in the attached Insurance Addendum.: A1.1. INDEMNIFY, DEFEND„ AND HOLD LANDLORD AND LANDLORD'S OFFICIALS, EMPLOYEES OR AGENTS HARMLESS FROM ANY INJURY (AND ANY RESULTING OR RELATED CLAIM, ACTION, 'LOSS, LIABILITY, OR REASONABLE EXPENSE, INCLUDING ATTORNEY'S FEES AND OTHER FEES AND COURT AND OTHER COSTS) ARISING OUT OF TENANT'S OR TENANT'S AGENTS' USE OF THE PREMISES IF CAUSED IN WHOLE OR IN PART BY THE ACTS OR OMISSIONS OF TENANT OR ITS AGENTS, INCLUDING IN WHOLE OR IN PART BY THE NEGLIGENT ACTS OR OMISSIONS OF TENANT OR ITS AGENTS. THE INDEMNITY CONTAINED IN THIS PARAGRAPH (i) IS INDEPENDENT OF TENANT'S INSURANCE, (ii) WILL NOT BE LIMITED BY COMPARATIVE NEGLIGENCE STATUTES OR DAMAGES PAID UNDER THE WORKERS' COMPENSATION ACT OR SIMILAR EMPLOYEE BENEFIT ACTS, (ia) WILL SURVIVE THE END OF THE TERM, AND (iv) WILL APPLY EVEN IF AN INJURY IS CAUSED IN WHOLE OR IN PART BY THE ORDINARY OR GROSS NEGLIGENCE OR STRICT LIABILITY OF LANDLORD OR LANDLORD'S OFFICIALS, EMPLOYEES OR AGENTS. IT IS THE SPECIFIC INTENTION OF THE PARTIES THAT LIABILITY OF TENANTAND FARM SERVICE CONTRACTORS FOR INJURIES TO THEIR EMPLOYEES SHALT, NOT BE LIMITED BY TENANT'S OR FARM SERVICE CONTRACTOR'S `WORKERS' COMPENSATION LIABILITY INSURANCE OR OTHERWISE AND THAT INDEMNITEES SHALT: HAVE NO'LIABILITY WHATSOEVER FOR INJURIES TO THE EMPLOYEES OF THE TENANT OR ITS FARM SERVICE CONTRACTORS. TO THE EXTENT THAT THE LAWS OF THE GOVERNING JURISDICTION PROHIBIT OR DECLARE UNENFORCEABLE THIS INDEMNIFICATION AS IT APPLIES TO ANY INDEMNITEES' OWN NEGLIGENCE OR FAULT, THEN THIS INDEMNIFICATION SHALL BE INTERPRETED TO OBSERVE SUCH PROHIBITION OR DECLARATION BUT ONLY TO THE EXTENT NECESSARY TO CAUSE IT TO BE CONSISTENT WITH TIIE LAWS OF SAID GOVERNING JURISDICTION AND TO CAUSE THE MAXIMUM INDEMNIFICATION OF INDEMNITIES AS ALLOWED THEREUNDER. B.1.1.1. Additional Insured. All policies (except for workers' compensation/employer's liability) will name, by policy endorsement, Calhoun County as additional insured and must provide coverage to the maximum extent permitted by law. B112. Primary and Non Contribunvy. Landlord and Tenant intend that the Tenant shall ensure that all policies purchased in accordance with this section will protect Landlord and Tenant, and will be primary and non-contributory with any other coverage elsewhere afforded or available to Landlord, as well as provide primary coverage for all losses and damages caused by the perils covered thereby related to or arising out of the work, and shall not require the exhaustion of any other coverages afforded or available to landlord. A113. Severability and Cross Liability. The policies shall also include standard severability provisions that state each insured is provided coverage as though a separate policy had been issued to each, except with respects to limits of insurance, The policies shall not contain a cross liability or a cross -suit exclusion that prevent Calhoun County from asserting claims against the tenant farmer or any other insured under the policies. B.I m. Upon the request of Landlord, deliver to Landlord a financial statement. perfecting the security interest. B.l.n. Vacate the Premises on the last day of the Term. Al o. Pay all costs of planting, raising, and harvesting the crops, unless Landlord elects to receive- payment in kind, in which case costs will be shared in the same proportion as the crops. B.I.p. Cultivate the Premises in:a timely; thorough, and farmer like manner, employing the best methods of farming customarily practiced on like crops in the area. B.I. q Maintain adequate records on ail matters related to farming the Premises and upon request provide Landlord with a copy. B 1.r. Keep all gates on the Premises closed and locked. B.Ls Enter and exit the Premises only at those places designated by Landlord. B.2. Tenant agrees not to - B. 2. a. Use the Premises for any purpose other than the Permitted Use. R2: b. Create or allow a nuisance or permit any waste of the Premises, A2. a Change Landlord's lock system. B,2:d Alter the Premises, including Clearing new roads, moving or erecting any fences, or locating on the Premises any type of manufactured housing or mobile home. B.2.e. Assign this lease or sublease any portion of the Premises without Landlord's written consent. B.2.f. Make any new or change any existing agreement with any governmental entity. B.2.g. Hunt or fish on the Land or allow anyone else to do so. B.2.h;; Litter or leave trash or debris on the Premises. R2; . Allow alien to be placed on the Premises.. A2 j. intentionally left blank C. Landlord's Obligations. C.1. Landlord agrees to Cl.a. Lease to Tenant the Premises for the entire Term beginning on the Commencement Date and ending on the 'Termination Date. C.b. Return the Security Deposit to Tenant, less itemized deductions, if any, on or before the sixtiethday after the date Tenant surrendersthe Premises. C 1, c. Obey all laws relating to Landlord's operation of the Premises. C 2. Landlord agrees not to C.2.a. Allow any use of the Premises inconsistent with the Permitted Use as long as Tenant is not in default. D. General Provisions Landlord and Tenant agree to the following: D.1. Alterations. Any physical additions or improvements to the Premises made by Tenant will become the property of Landlord and Tenant shall not make any such physical additions or improvements without first obtaining the written consent from Landlord. Landlord may requite that Tenant, at termination of this lease and at Tenant's expense, remove any physical additions and improvements, repair any alterations, and restore the Premises to the condition existing at the Commencement Date, including the removal and destruction of any stalks or plants remaining after harvesting of the crop, normal wear excepted. D.2. Abatement. Tenant's covenant to pay Rent and Landlord's covenants are independent. Except as otherwise provided, Tenant shall not abate Rent for any reason, D.J. Release of Claims. TENANT RELEASES LANDLORD AND LANDLORD'S OFFICIALS, EMPLOYEES, AND AGENTS FROM ALI, CLAIMS OR LIABILITIES FOR ANY INJURY TO TENANT AND TENANT'S AGENTS OR TO TENANTS OR TENANT'S AGENTS' PROPERTY LOCATED ON THE PREMISES. D.3.b. Waiver of Subrogation. Tenant hereby waives all rights of subrogation against Landlord and its respective officials, employees, agents, and insurers and all policies of insurance provided for in this Lease or the Insurance Addendum shalt contain a provision and/or endorsement stating that the insurance carriers and underwriters waive all rights of subrogation in favor of Landlord and its respective officials, employees, agents, and insurers D.4 Condemnation/Substantial or Partial Taking D.4a. If the Premises cannot be used for the Permitted Use because of condemnation or purchase in lieu of condemnation, this lease will terminate. D.4.b. If there is a condemnation or purchase in lieu of condemnation and this lease is not terminated, the Rent payable during the unexpired portion of the "Perm will be adjusted as may fair and reasonable, D_4c. Tenant will have no claim to the condemnation award or proceeds in lieu of condemnation. D.5. intentionally left blank D.6. Default by LandlordlEuents. A default by Landlord is the'failure to comply with any provision of this lease that is not cured within thirty (30) days after written notice. D. 7. Default by LandlordlTenant's Remedies. Tenant's remedies for Landlord's default is to terminate this lease. DA Default by TenantlEvents. Defaults by Tenant are (a) failing to pay Rent timely, (b) abandoning the Premises or vacating a substantial portion of the Premises, and (c) failing to comply within ten (10) days after written notice with any provision of this lease other than the defaults set forth in (a) and (b). DS Default by TenantlLandlord's Remedies. Landlord's remedies for Tenant's default are to (a) enter and take possession of the Premises and sue for Rent as it accrues; (b) enter and take possession of the Premises, after which Landlord may relet the Premises on behalf of Tenant and receive the Rent directly by reason of the reletting, and Tenant agrees to reimburse Landlord for any expenditures made in order to relet; (c) 'enter the Premises and perform Tenant's obligations; and (d) terminate this lease: by written notice and sue for damages., Landlord may enter and take possession of the Premises by self-help, by picking or changing locks if necessary, and may lock out Tenant or any other person who may be farming the Premises,' until the default is cured, without being liable for damages. D.10. DefaultfWaiver. All waivers must be in writing and signed by the waiving party. Landlord's failure to enforce any provisions of this Lease or its acceptance of late installments of Rent will not be a waiver and will not estop Landlord from enforcing that provision or any other provision of this Lease in the future, D.11. Mitigation. Landlord has mitigated the loss of rent if Landlord, within sixty (60) days after Tenant's logs of possession, (a) places a "For Lease" sign at the Premises, (b) places the Premises on Landlord's inventory of properties for lease, (c) makes Landlord's inventory available to area brokers on a monthly basis, (d)advertises the Premises for lease in a suitable trade journal in the county in which the Premises are located, and (e) shows the Premises to prospective tenants who request to see it, D.12. ,Security Deposit N/A D. 13, Holdover. If,'Tenant does not vacate the Premises following termination of this lease, Tenant will become a tenant at will and must vacate the Premises on receipt of notice from Landlord. No holding over by Tenant, whether with or without the consent of Landlord, will extend the Term. D.14, Alternative Dispute .Resolution. Landlord and Tenant agree to mediate in good faith before filing a suit for damages. D.15. Attorncy's Fecs., If either party retains an attorney to enforce this lease, the party prevailing in litigation is entitled to recover reasonable anorney's fees and other fees and court and other costs, D.16 Venue. Exclusive venue is in the county in which the Premises are located. D.17. Entire Agreement., Tbis lease, its exhibits, addenda, and riders are the entire agreement of the parties concerning the lease of the Premises by Landlord to Tenant. There are no representations, warranties, agreements, or promises pertaining to the Premises or the lease of the Premises by Landlord to Tenant, and Tenant is not relying on any statements or representations of any agent of Landlord, that are not in this lease and any exhibits, addenda, and riders. D:18. Amendment of Lease_ This lease may be amended only by an instrument in writing, approved by Calhoun County Commissioners Court, and signed by Landlord and Tenant. D39. Limitation of Warranties THERE ARE NO IMPLIED WARRANTIES OF MERCHANTABILITY, OF FITNESS FOR: A PARTICULAR PURPOSE, OR OF ANY OTHER KIND ARISING OUT OF THIS LEASE, AND THERE ARE NO WARRANTIES THAT EXTEND BEYOND THOSE EXPRESSLY STATED IN THIS LEASE. D.20; Notices Any notice required or permitted under this lease must be in writing. Any notice required by this lease will be deemed to be given (whether received ornot) the earlier of receipt or three business days after being deposited with the United States Postal Service, postage prepaid, certified mail, return receipt requested, and addressed to the intended recipient at the address shown in this lease. Notice may also be given by regular mail, personal delivery; courier delivery, or e-mail and will be effective when received. Any address for notice may be changed by written notice given as provided herein. D,21. Mineral Interests, This lease is subordinateto any present or future oil, gas, or other mineral exploration agreements and leases relating to the Premises. Landlord will not be liable to Tenant for any damages for actions attributable to those agreements and will receive all consideration paid therefor. Any damages to growing crops arising from an oil, gas, or mineral interest will be divided between Landlord and Tenant in the same proportions as the crops are divided. D;22. Landlord's Use. Landlord retains the right to enter on and use and/or permit third parties to enter on and use the Premises for hunting,:fisbing, and other uses that do not materially interfere with Tenant's farming rights. D.23. intentionally left blank' D.24 intentionally left blank D.25, Governmental Payments, If Tenant receives any payment From any governmental' agency because of growing or not growing crops on the Premises and the Rent payable hereunder is based ona crop share, that payment will be divided between Tenant and Landlord in the same proportion as set out in the Rent clause, D.26 Tenant's ZJse of Water. D.26n: Surface. This Lease grants no right to Tenant to use the land's surface or subsurface water. D.27. Extension Option. Tenant has the option to extend the Term as provided in the Renewal Option of this lease. D.28. Landlord's Right to Terminate Upon Sale of Leased Premises. If Landlord sells or enters into a contract to sell the premises, Landlord may at its option terminate this lease by giving 'Pennant written notice of the sale or contract to sell. In the event Landlord exercises its option to terminate as provided for herein, this lease shall terminate: on the date which the next annual rent payment would be •due and 'Tenant shall vacate and surrender the Premises on or before that time. As an illustration, if Landlord notifies Tenant of a sale or contract to sale on March 1, 2021, then this lease would terminate on August 31, 202L This paragraph does not apply to any forced sale of the leased premises, such as condemnation. D.28 a. Effect of Termination. If this lease is terminated under Section D.28, above, neither party will have any further obligation or liability to the other under this lease, except that the parties will be liable to each other for the breach of any term or covenant of this lease occurring before the date of Tenant's surrendering the premises under the termination.. The lease is made subject to all easements and right-of-ways, if any, on, over and under the leased premises, IN WITNESS. WHEREOF, the undersigned have executed this instrument to be effective as of October 1, 2020, k / Executed in Duplicate, originals this the day of `� � Cie r 20X ACKNOWLEDGEMENTS ONFOLLOWING PAGE LANDLORD: CALHOUN P( In TENANT: CODY MALAE , Cod alaer ATTEST: , TEXAS. STATE OF TEXAS COUNTY OF CALHOUN Thi hereinabove instrument was acknowledged before me, the undersigned authority on 2020, by Richard H. Meyer in the capabilities stated. MAE8EL mssEi, s, WN*YID#!=tW4 ►V "MaYta,2o STATE OF TEXAS COUNTY OF CALHOUN 4! � P Notary Public, State of Texan Th' hereinabove instrument was acknowledged before me, the undersigned authority on 2020, by Cody Malaer in the capabilities stated. Notary Public, State of Texas aim M)BIT"A" iw4u(MW i WJ}.; r�M1Yd N .-lid ]f • ! y L s y� H L f I I C yyK � f (�wl�fY � S j 22 f i i 14y 7 i •r f 4MK lfhrt )rMK Mt v n i ewr .. Iru pMrxrr�l 1 Y Insurance Addendum to Lease Lease Date: Effective October 1, 2020 Landlords Calhoun County, a Texas a political subdivision of the State of Texas Tenant: Cody Molaer This insurance addendum is part of the lease; Tenant agrees to- 1. Maintain the liability insurance policies required below during the Term and any period before or after the Term when Tenant is present on the Premises, Type of insurance Faun Liability Policy Workers' compensation Minimum Policy Limit Per Occurrence; $1,000,000 Aggregate;- $1,000,000' Per statutory limits and must include occupational disease coverage Employer's liability Per Occurrence> $1,000,000 Business automobile liability Per. Occurrence: 11,000,000 (Owned, fired and' on -Owned) Aggregate„ $1,000,000 2, Comply with the following additional insurance requirements. a, ,All liability policies must be endorsed to name Landlord as an "additional insured" ou a form. that does not exclude coverage for the sale or contributory ordinary negligence of Landlord and must not be endorsed to exclude the sole negligence of Landlord or Lienholder from the definition of "insured contract." b. Certificates of insurance and copies of any additional insured and waiver of subrogatign endorsements must be delivered by Tenant to Landlord before entering the Premises and thereafter at least ten days before the expiration of the policies. C. Any, of Tenant's agents (i.e. custom harvesters or farm service contractors) who will be entering the Premises shall also maintain insurance policies .required above which shall include contractual liability endorsement which insures Tenant's indemnity obligations set forth in the lease, contains a waiver of subrogation and. names Landlord as an "additional insured," and will provide Landlord with written evidence of the same. d. Tenant shall procure, at Tenant's expense, and maintain, and shall require all of Tenant's agents, to procure and maintain in full force during the full terms of this lease, insurance policies from an insurer, or insurers, licensed (admitted) to do business in the State of Texas (with an AM Best rating of VII or better) and each of which insurers shall be satisfactory to Landlord, and the said policies shall provide insurance of -the type and in the amounts hereinabove listed. C. If the Tenant maintains broader ° coverage and/or higher limits than the minimums shown hereinabove, Landlord requires and shall be entitled to the broader coverage and/or higher limits maintained by Tenant. Any available insurance proceeds in excess of the specified minimum limits of insurance and coverage shall be available to Landlord, f. Prior to commencement of the Lease, Tenant shall furnish to Landlord insurance Certificates) on a form satisfactory to Landlord executed by an authorized representative of the Insurer, and if requested by Landlord, for each policy, a copy of the declaration page. If not on the declarations page, a copy of any schedule showing the limits of insurance and a list of all endorsements to the. policy, together with a copy of each endorsement herein requested and certified copies of insurance polities, with endorsements, evidencing, the applicable policies, coverages and limits, including those farm service contractors used by Tenant. Landlord's receipt of or failure to object to any insurance certificates or policies submitted by Tenant or Tenant's agents does not release or diminish in any manner the liability or obligations of Tenant or Tenant's agents or constitute a waiver of any of the insurance requirements under this Lease, Replacement certificates of insurance evidencing continuation of such coverage shall be furnished to Landlord prior to the 'expiration of the current policies. Should Tenant or Tenant's agents at any time neglect, refuse to provide or cancel the insurance required herein, Landlord shall have the right to terminate this lease or pursue any remedy available by law. This proof of insurance and proof of continuation of insurance coverage, shall be provided to the Calhoun County .Auditor each year. This noticed shall be mailed or hand -delivered to. Calhoun County Auditor Calhoun. County Courthouse Annex 11 202 S. Ann St., Suite B Port Lavaca,'i)C 77979 g: All insurance required herein shall be endorsed to provide a thirty (30) day notice .of cancellation, material change and nail -renewal to Tenant to the extent commercially available. If this endorsement cannot be provided, Tenant will immediately provide written notice to Landlord should any of the insurance policies required herein be cancelled, limited in scope, or not renewed upon expiration: Said notice must be provided no later than thirty (30) days prior (except 10 days for nonpayment of premium) to any such action being taken.; IN WITNESS WHEREOF, the undersigned have executed this instrument to be effectiveas of October 1, 2020. Executed in Duplicate originals this the 1+9 day of +� l.�J 2020, TENANT: CODY MALAER By:(LL, Cody Malaer ATTEST: STATE OF TEXAS COUNTY OF CALHOUN This hereinabove ' ment was acknowledged before me, the undersigned authority on IL 2020, by Richard H. Meyer in the capabilities stated Yam! WY� d'Rr��'�} MAE BEtLf CAS9Ei. ( 3 ` Exp6es "'14420n STATE OF TEXAS COUNTY OF CALHOUN Notary Public, State of Texas Th's heremabove instrument wag acknowledged before me, the undersigned authority on ! 2020, by Cody Malaer in the capabilities stated. all i G� y l.�( IJGI <2Kr �Ci�✓yLL�/ �_ MAE68.LECfiSSE7. '-� 1+1i NQWYK1x13M2624 Notary Public, State of Texas E aaWY%2D23 #11 ' NOiICE OF MEETING - 10/18/2023 11. Consider and take necessary action to approve Kyle Malaer's request to exercise his right for the option on renewing the specifications and agricultural lease agreement for the lease of the Langdon Tract, 60 acres, for dry land farming that is solely for planting, raising, and harvesting row crops and for no other purposes. The term of this agricultural lease agreement will be for three years with the option to renew for additional three-year terms upon the Commissioners' Court approval and authorize the County Judge to take any action deemed necessary. (VLL) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 8 of 18 Vern L Calhoun County Commissioner, Precinct #2 5812 FM 1090 Port Lavaca, TX 77979 October 5, 2023 Honorable Richard Meyer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Meyer: Please place the following item on the next Commissioners' Court Agenda (361) 552-9656 Fax (361) 553-6664 Consider and take necessary action to approve Kyle Malaer's request to exercise his right for the option on renewing the specifications and agricultural lease agreement for the lease of the Langon Tract, 60 acres, for dry land farming that is solely for planting, raising, and harvesting row crops and for no other purposes. The term of the agricultural lease agreement will be for three years with the option to renew for additional three year terms upon Commissioners Court approval, and authorize County Judge to take any action deemed necessary. Sincere , Vern Lyssy VL/Ij -EXTENSION 0'0T'i0N RItiER FOR THE LANGDOM TRACT, 60-ACRES — AGRICULTURAL LEASE AGREEMENT DATMSEPTEft4BER 11A 2020 THE STATE OF TEXAS COUNTY OF CALHOUN, WHEREAS,,Calhatin County, Texas,:a body politic, hereinafter referred to a, LESSOR, and KYLE MALAER of Port Lavaca, Texas, hereinafter referred to as LESSEE did enter in a lease of the Lanedon Tract. 60,Acres as described in said It In the LEASE,, LESSOR did.grant-unto 'LESSEE the option to extend the Term of an additional three years (the "Additional Term") and, both LESSOR. and LESSEE agree to said extension. THEREFORE, the LEASE term shall be, extended for amadditional ,three years, the additional term running from September 1, 2023,and continuing through August 31, 2026 LESSOR and LESSEE agree that during the Additional Term the lease will continue as written. LESSOR: CALHOU COUNTY, TEXAS Richard H. Meyer, Calhoun C61untyJudge Date Executed: ]O—JJE—Z LESSEE: - k& .Kyalaer Date Executed: ATTEST: Amia, Goodman, County Clerk By: Deputy Clerk CERTI0 Complet6 61os a Complete Nps;3 1 Name tiiilb l�€ o9 business:. Kyle Malaer" `. Port laved, 7 Name11of,#044)rt being filed celhoun 0,014h, 3.-Providefb'ei descriptiory, :ot"iti 10/18/23 � �i393+oe�tep4ity Persian;7a7 cbTM- 24 CERTIFICATE OF INTERESTED PARTIES FORM 1295 1of1 Complete Nos. 1- 4 and 6 if there are interested parties. OFFICE USE ONLY Complete Nos.1, 2, 3, 5, and 6 if there are no interested parties. CERTIFICATION OF FILING Certificate Number: 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. 2023-1083011 Kyle Malaer Port Lavaca, TX United States Date Filed: 10/12/2023 2 Name of governmental entity or state agency that is a party to the contract for which the form is being filed. Calhoun County, Texas Date Acknowledged: 3 Provide the identification number used by the governmental entity or state agency to track or identify the contract, and provide a description of the services, goods, or other property to be provided under the contract. 10/18/23 Langdon Tract, 60 Acres Agricultural Lease - Langdon Tract, 60 Acres 4 Name of Interested Party City, State, Country (place of business) Nature of interest (check applicable) Controlling Intermediary Malaer, Kyle Port Lavaca, TX United States X 5 Check only if there is NO Interested Party. ❑ 6 UNSWORN D�ECCLLARATIO�N/� My name is K t 1rle �" t�`�'i-e--� and my date of birth is 1 1 v f \ ,,, Myaddressis �''1t� '�01\Z�\`hc�"(\ ��C\ , `�c>S �c-y � �, 77972 (street) (city) (state) (zip code) (country) I declare under penalty of perjury that the foregoing is true and correct. Executed in County, State of , on the _day of , 20 (month) (year) l�vt"L7d2— ignature of authorized agent of contracting business entity (Declarant) Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V3.5.1.cb183824 September 28, 2023 7o : Calhoun County From: Kyle Malaer Subj: 194ac lease/release I Kyle Malaer, am wanting to exercise my option to lease acreage for three more years Kyle Malaer Agricultural Lease Basic Information Lease Date: Effective as of November 1, 2020 Landlord: Calhoun County, a political subdivision of the State of Texas Landlord's Address: Calhoun County 211 S. Ann Street Port Lavaca, TX 77979 Tenant: Kyle Malaer Tenant's Address: Kyle Malaer 1377 Royal Road Port Lavaca, TX 77979 Premises: SURFACE ONLY of all the tillable land, estimated to contain 60 acres of land, more or less (which will be treated as containing 60 acres regardless of whether it contains more or less), which 60 acres of tillable land is all of the tillable land contained in a certain 83.19 acre tract (said land being a part of the Calhoun County Sanitary Landfill Operation fronting on the Southern Pacific Railroad right-of-way) of that certain tract or parcel of land containing 174.93 acres of land (found by resurvey to contain 175.13) commonly known as the Langdon Tract and described in that certain deed from Patsy L. Johnson to Calhoun County, in Volume 296, Page 822 of the Deed Records of Calhoun County, Texas approximately 175.13 acres of land, situated in Calhoun County, Texas. The leased premises is outlined and identified on Exhibit "A" ("Premises). The Premises do not include and Tenant will not be permitted to use the Excluded Improvements. Excluded Improvements: Any structure, improvement, or equipment situated on the Premises and constructed or installed by any person or entity other than Tenant. If at any time within the three (3) year lease period, Landlord needs 20 acres or less from the premises, Landlord will give Lessee 180 day's written notice and adjust the rent accordingly. Base Rent: $4,830.00 (60 acres multiplied by $80.50 per acre) paid annually with the first annual amount due and payable upon the execution of this Lease and each annual payment thereafter due and payable on September I` of each successive year. All payments shall be made payable to Calhoun County and submitted to the Calhoun County Treasurer, Calhoun County Courthouse Annex II, 202 S. Ann St., Suite A, Port Lavaca, TX 77979. Payments may be hand delivered or mailed. Proof of each payment (copy of the receipt from the County Treasurer) shall be provided yearly to the Calhoun County Auditor, Calhoun County Courthouse Annex II, 202 S. Ann St., Suite B, Port Lavaca, TX 77979. Proof of payment can be hand delivered or mailed. Term (months): 3 years (unless terminated earlier as provided for herein) Commencement Date: November 1, 2020 Termination Date: August 31, 2023 Security Deposit: $0.00 Permitted Use: Solely for planting, raising, and harvesting row crops and no other purpose. Renewal Option: This lease may be renewed by Tenant for additional three (3) year terms upon Commissioners Court approval. This clause expressly grants extension of this lease between Tenant and Landlord for multiple three (3) year terms. If this renewal option is approved by Commissioners Court, each lease year shall begin September I" and end August 3151. Tenant's Insurance: As required by Insurance Addendum A. Definitions "Agent" means agents, contractors, employees, licensees, and, to the extent under the control of the principal, invitees. "Injury" means (1) harm to or impairment or loss of property or its uses or (2) harm to or death of a person. "Rent" means Base Rent plus any other amounts of money payable by Tenant to Landlord. B. Tenant's Obligations B. 1. Tenant agrees to - B.I.a. Lease the Premises for the entire Term beginning on the Commencement Date and ending on the Termination Date. B.I.b. Accept the Premises in their present condition "AS IS," the Premises being currently suitable for the Permitted Use. Rl.c. Obey all laws relating to Tenant's use, maintenance of condition, and occupancy of the Premises, including the rules and regulations of the United States Department of Agriculture and the Texas Agriculture Commissioner. ALd. Pay the Base Rent when it is due, without demand, to Landlord at Landlord's Address. B.I.e. Pay a late charge of 5 percent of any Rent not received by Landlord by the tenth day after it is due. B.I.f. Pay for all labor, fuel, and utility services used by Tenant. Rl.g. Pay all taxes on the crops raised on and Tenant's personal property located on the Premises. B.I.h. Allow Landlord to enter the Premises to inspect the Premises and show the Premises to prospective purchasers or tenants. B.1.1. Repair, replace, and maintain any part of the Premises used by Tenant. B.1 j. Repair any damage to the Premises, Land, or Excluded Improvements caused by Tenant. B. L k. Maintain the insurance coverages described in the attached Insurance Addendum. B.1.1. INDEMNIFY, DEFEND, AND HOLD LANDLORD AND LANDLORD'S OFFICIALS, EMPLOYEES OR AGENTS HARMLESS FROM ANY INJURY (AND ANY RESULTING OR RELATED CLAIM, ACTION, LOSS, LIABILITY, OR REASONABLE EXPENSE, INCLUDING ATTORNEY'S FEES AND OTHER FEES AND COURT AND OTHER COSTS) ARISING OUT OF TENANT'S OR TENANT'S AGENTS' USE OF THE PREMISES IF CAUSED IN WHOLE OR IN PART BY THE ACTS OR OMISSIONS OF TENANT OR ITS AGENTS, INCLUDING IN WHOLE OR IN PART BY THE NEGLIGENT ACTS OR OMISSIONS OF TENANT OR ITS AGENTS. THE INDEMNITY CONTAINED IN THIS PARAGRAPH (i) IS INDEPENDENT OF TENANT'S INSURANCE, (ii) WILL NOT BE LIMITED BY COMPARATIVE NEGLIGENCE STATUTES OR DAMAGES PAID UNDER THE WORKERS' COMPENSATION ACT OR SIMILAR EMPLOYEE BENEFIT ACTS, (iii) WILL SURVIVE THE END OF THE TERM, AND (iv) WILL APPLY EVEN IF AN INJURY IS CAUSED IN WHOLE OR IN PART BY THE ORDINARY OR GROSS NEGLIGENCE OR STRICT LIABILITY OF LANDLORD OR LANDLORD'S OFFICIALS, EMPLOYEES OR AGENTS. IT IS THE SPECIFIC INTENTION OF THE PARTIES THAT LIABILITY OF TENANT AND FARM SERVICE CONTRACTORS FOR INJURIES TO THEIR EMPLOYEES SHALL NOT BE LIMITED BY TENANT'S OR FARM SERVICE CONTRACTOR'S WORKERS' COMPENSATION LIABILITY INSURANCE OR OTHERWISE AND THAT INDEMNITEES SHALL HAVE NO LIABILITY WHATSOEVER FOR INJURIES TO THE EMPLOYEES OF THE TENANT OR ITS FARM SERVICE CONTRACTORS. TO THE EXTENT THAT THE LAWS OF THE GOVERNING JURISDICTION PROHIBIT OR DECLARE UNENFORCEABLE THIS INDEMNIFICATION AS IT APPLIES TO ANY INDEMNITEES' OWN NEGLIGENCE OR FAULT, THEN THIS INDEMNIFICATION SHALL BE INTERPRETED TO OBSERVE SUCH PROHIBITION OR DECLARATION BUT ONLY TO THE EXTENT NECESSARY TO CAUSE IT TO BE CONSISTENT WITH THE LAWS OF SAID GOVERNING JURISDICTION AND TO CAUSE THE MAXIMUM INDEMNIFICATION OF INDEMNITIES AS ALLOWED THEREUNDER. B.I.l.I. Additional Insured. All policies (except for workers' compensation/employer's liability) will name, by policy endorsement, Calhoun County as an additional insured and must provide coverage to the maximum extent permitted by law. B1.1.2. Primary and Non Contributory. Landlord and Tenant intend that the Tenant shall ensure that all policies purchased in accordance with this section will protect Landlord and Tenant, and will be primary and non-contributory with any other coverage elsewhere afforded or available to Landlord, as well as provide primary coverage for all losses and damages caused by the perils covered thereby related to or arising out of the work, and shall not require the exhaustion of any other coverages afforded or available to landlord. B.I.1.3. Severability and Cross Liability. The policies shall also include standard severability provisions that state each insured is provided coverage as though a separate policy had been issued to each, except with respects to limits of insurance. The policies shall not contain a cross liability or a cross -suit exclusion that prevent Calhoun County from asserting claims against the tenant farmer or any other insured under the policies. B.Lm. Upon the request of Landlord, deliver to Landlord a financial statement perfecting the security interest. B.1. n. Vacate the Premises on the last day of the Term. B.1.o. Pay all costs of planting, raising, and harvesting the crops, unless Landlord elects to receive payment in kind, in which case costs will be shared in the same proportion as the crops. B. I.p. Cultivate the Premises in a timely, thorough, and farmer like manner, employing the best methods of fanning customarily practiced on like crops in the area. B. Lq. Maintain adequate records on all matters related to farming the Premises and upon request provide Landlord with a copy. B.I.r. Keep all gates on the Premises closed and locked. B.I.s. Enter and exit the Premises only at those places designated by Landlord. B.2. Tenant agrees not to - B.2.a. Use the Premises for any purpose other than the Permitted Use. B.2. b. Create or allow a nuisance or permit any waste of the Premises. B.2.c. Change Landlord's lock system. B2.d. Alter the Premises, including clearing new roads, moving or erecting any fences, or locating on the Premises any type of manufactured housing or mobile home. R2.e. Assign this lease or sublease any portion of the Premises without Landlord's written consent. B.2.f. Make any new or change any existing agreement with any governmental entity. B.2.g. Hunt or fish on the Land or allow anyone else to do so. B.2.h. Litter or leave trash or debris on the Premises. R21 Allow alien to be placed on the Premises. B.2 j. intentionally left blank C. Landlord's Obligations Cl. Landlord agrees to - C.l.a. Lease to Tenant the Premises for the entire Term beginning on the Commencement Date and ending on the Termination Date. Cl.b. Return the Security Deposit to Tenant, less itemized deductions, if any, on or before the sixtieth day after the date Tenant surrenders the Premises. C 1. c. Obey all laws relating to Landlord's operation of the Premises. C.2. Landlord agrees not to - C.2.a. Allow any use of the Premises inconsistent with the Permitted Use as long as Tenant is not in default. D. General Provisions Landlord and Tenant agree to the following: D.1. Alterations. Any physical additions or improvements to the Premises made by Tenant will become the property of Landlord and Tenant shall not make any such physical additions or improvements without first obtaining the written consent from Landlord. Landlord may require that Tenant, at termination of this lease and at Tenant's expense, remove any physical additions and improvements, repair any alterations, and restore the Premises to the condition existing at the Commencement Date, including the removal and destruction of any stalks or plants remaining after harvesting of the crop, normal wear excepted. D.2. Abatement. Tenant's covenant to pay Rent and Landlord's covenants are independent. Except as otherwise provided, Tenant shall not abate Rent for any reason. D.3. Release of Claims. TENANT RELEASES LANDLORD AND LANDLORD'S OFFICIALS, EMPLOYEES, AND AGENTS FROM ALL CLAIMS OR LIABILITIES FOR ANY INJURY TO TENANT AND TENANT'S AGENTS OR TO TENANT'S OR TENANT'S AGENTS' PROPERTY LOCATED ON THE PREMISES. D.3.b. Waiver of Subrogation. Tenant hereby waives all rights of subrogation against Landlord and its respective officials, employees, agents, and insurers and all policies of insurance provided for in this Lease or the Insurance Addendum shall contain a provision and/or endorsement stating that the insurance carriers and underwriters waive all rights of subrogation in favor of Landlord and its respective officials, employees, agents, and insurers. D.4. Condemnation/Substantial or Partial Taking D.4.a. If the Premises cannot be used for the Permitted Use because of condemnation or purchase in lieu of condemnation, this lease will terminate. D.4.b. If there is a condemnation or purchase in lieu of condemnation and this lease is not terminated, the Rent payable during the unexpired portion of the Term will be adjusted as may be fair and reasonable. D.4.c. Tenant will have no claim to the condemnation award or proceeds in lieu of condemnation. D.S. intentionally left blank D. 6. Default by Landlord/Events. A default by Landlord is the failure to comply with any provision of this lease that is not cured within thirty (30) days after written notice. D.7. Default by Landlord/Tenant's Remedies. Tenant's remedies for Landlord's default is to terminate this lease. D.8. Default by Tenant/Events. Defaults by Tenant are (a) failing to pay Rent timely, (b) abandoning the Premises or vacating a substantial portion of the Premises, and (c) failing to comply within ten (10) days after written notice with any provision of this lease other than the defaults set forth in (a) and (b). D.9. Default by Tenant/Landlord's Remedies. Landlord's remedies for Tenant's default are to (a) enter and take possession of the Premises and sue for Rent as it accrues; (b) enter and take possession of the Premises, after which Landlord may relet the Premises on behalf of Tenant and receive the Rent directly by reason of the reletting, and Tenant agrees to reimburse Landlord for any expenditures made in order to relet; (c) enter the Premises and perform Tenant's obligations; and (d) terminate this lease by written notice and sue for damages. Landlord may enter and take possession of the Premises by self-help, by picking or changing locks if necessary, and may lock out Tenant or any other person who may be farming the Premises, until the default is cured, without being liable for damages. D.10. Default/Waiver. All waivers must be in writing and signed by the waiving party. Landlord's failure to enforce any provisions of this Lease or its acceptance of late installments of Rent will not be a waiver and will not estop Landlord from enforcing that provision or any other provision of this Lease in the future. D.I L Mitigation. Landlord has mitigated the loss of rent if Landlord, within sixty (60) days after Tenant's loss of possession, (a) places a "For Lease" sign at the Premises, (b) places the Premises on Landlord's inventory of properties for lease, (c) makes Landlord's inventory available to area brokers on a monthly basis, (d) advertises the Premises for lease in a suitable trade journal in the county in which the Premises are located, and (e) shows the Premises to prospective tenants who request to see it. D.12. Security Deposit. N/A D.13. Holdover. If Tenant does not vacate the Premises following termination of this lease, Tenant will become a tenant at will and must vacate the Premises on receipt of notice from Landlord. No holding over by Tenant, whether with or without the consent of Landlord, will extend the Term. D.14. Alternative Dispute Resolution. Landlord and Tenant agree to mediate in good faith before filing a suit for damages. D.1 S. Attorney's Fees. If either party retains an attorney to enforce this lease, the party prevailing in litigation is entitled to recover reasonable attorney's fees and other fees and court and other costs. D.16. Venue. Exclusive venue is in the county in which the Premises are located. D.17. Entire Agreement. This lease, its exhibits, addenda, and riders are the entire agreement of the parties concerning the lease of the Premises by Landlord to Tenant. There are no representations, warranties, agreements, or promises pertaining to the Premises or the lease of the Premises by Landlord to Tenant, and Tenant is not relying on any statements or representations of any agent of Landlord, that are not in this lease and any exhibits, addenda, and riders. D.18. Amendment of Lease. This lease may be amended only by an instrument in writing, approved by Calhoun County Commissioners Court, and signed by Landlord and Tenant. D.19. Limitation of Warranties. THERE ARE NO IMPLIED WARRANTIES OF MERCHANTABILITY, OF FITNESS FOR A PARTICULAR PURPOSE, OR OF ANY OTHER KIND ARISING OUT OF THIS LEASE, AND THERE ARE NO WARRANTIES THAT EXTEND BEYOND THOSE EXPRESSLY STATED IN THIS LEASE. D.20. Notices. Any notice required or permitted under this lease must be in writing. Any notice required by this lease will be deemed to be given (whether received or not) the earlier of receipt or three business days after being deposited with the United States Postal Service, postage prepaid, certified mail, return receipt requested, and addressed to the intended recipient at the address shown in this lease. Notice may also be given by regular mail, personal delivery, courier delivery, or e-mail and will be effective when received. Any address for notice may be changed by written notice given as provided herein. D.21. Mineral Interests. This lease is subordinate to any present or future oil, gas, or other mineral exploration agreements and leases relating to the Premises. Landlord will not be liable to Tenant for any damages for actions attributable to those agreements and will receive all consideration paid therefor. Any damages to growing crops arising from an oil, gas, or mineral interest will be divided between Landlord and Tenant in the same proportions as the crops are divided. D.22. Landlord's Use. Landlord retains the right to enter on and use and/or permit third parties to enter on and use the Premises for hunting, fishing, and other uses that do not materially interfere with Tenant's farming rights. D.23. intentionally left blank D.24. intentionally left blank D.25. Governmental Payments. If Tenant receives any payment from any governmental agency because of growing or not growing crops on the Premises and the Rent payable hereunder is based on a crop share, that payment will be divided between Tenant and Landlord in the same proportion as set out in the Rent clause. D.26. Tenant's Use of Water. D.26a. Surface. This Lease grants no right to Tenant to use the land's surface or subsurface water. D.27. Extension Option. Tenant has the option to extend the Term as provided in the Renewal Option of this lease. D.28. Landlord's Right to Terminate Upon Sale of Leased Premises. If Landlord sells or enters into a contract to sell the premises, Landlord may at its option terminate this lease by giving Tenant written notice of the sale or contract to sell. In the event Landlord exercises its option to terminate as provided for herein, this lease shall terminate on the date which the next annual rent payment would be due and Tenant shall vacate and surrender the Premises on or before that time. As an illustration, if Landlord notifies Tenant of a sale or contract to sale on March 1, 2021, then this lease would terminate on August 31, 2021. This paragraph does not apply to any forced sale of the leased premises, such as condemnation. D.28.a. Effect of Termination. If this lease is terminated under Section D.28, above, neither party will have any further obligation or liability to the other under this lease, except that the parties will be liable to each other for the breach of any term or covenant of this lease occurring before the date of Tenant's surrendering the premises under the termination. The lease is made subject to all easements and right-of-ways, if any, on, over and under the leased premises. IN WITNESS WHEREOF, the undersigned have executed this instrument to be effective as of November 1, 2020. Executed in Duplicate originals this the day of Sip i4"JZ f 2020. ACKNOWLEDGEMENTS ON FOLLOWING PAGE LANDLORD: CALHOUN UNTY,TEXAS. r By: hard H. Meyer, Ca oun my Judge TENANT: KYLE MALAER A j By: 1 `� `Cs Qc A_�t �i Kyle Malaer ATTEST: STATE OF TEXAS COUNTY OF CALHOUN ThiV heremabove instrument was acknowledged before me, the undersigned authority on z ,�I 2020, by Richard H. Meyer in the capabilities stated. K1 �'' Ma BELLE =EL }• My"ID0132012524 �F Eghs May 14, 2023 STATE OF TEXAS COUNTY OF CALHOUN Notary Public, State of Texas This ereinabove instrument was acknowledged before me, the undersigned authority on 2020, by Kyle Malaer in the capabilities stated. WE SELF cmm Notary Public, State of Texas •P MyNOty lo# 132012524 ". § 3 Ex W May 14, 2023 i 5 f EXHIBIT A OP E SL If � 1 iitiij��#5°�_ . • �ir( �t FG; ii L .` 4t • ti 1 L `� �• 3 iF \ �r 3 n /. n E 'e F Q r 9 q at',Ic IT BEING UNDERSTOOD THAT'THIS EXHIBIT A'IS A REDUCTION OF THE', ORIGINAL MAP WHICH HAS A SCALE OF 1 INCH EQUALLS 200.FEET. Insurance Addendum to Lease Lease Date: Effective November 1, 2020 Landlord: Calhoun County, a Texas a political subdivision of the State of Texas Tenant: Kyle Malaer This insurance addendum is part of the lease. Tenant agrees to - 1. Maintain the liability insurance policies required below during the Term and any period before or after the Term when Tenant is present on the Premises: Type of Insurance Farm Liability Policy Workers' compensation Employer's liability Minimum Policy Limit Per Occurrence: $1,000,000 Aggregate: $1,000,000 Per statutory limits and must include occupational disease coverage Per Occurrence: $1,000,000 Business automobile liability Per Occurrence: $1,000,000 (Owned, Hired and Non -Owned) Aggregate: $1,000,000 2. Comply with the following additional insurance requirements: a. All liability policies must be endorsed to name Landlord as an "additional insured" on a form that does not exclude coverage for the sole or contributory ordinary negligence of Landlord and must not be endorsed to exclude the sole negligence of Landlord or Lienholder from the definition of "insured contract." b. Certificates of insurance and copies of any additional insured and waiver of subrogation endorsements must be delivered by Tenant to Landlord before entering the Premises and thereafter at least ten days before the expiration of the policies. C. Any of Tenant's agents (i.e. custom harvesters or farm service contractors) who will be entering the Premises shall also maintain insurance policies required above which shall include contractual liability endorsement which insures Tenant's indemnity obligations set forth in the lease, contains a waiver of subrogation and names Landlord as an "additional insured," and will provide Landlord with written evidence of the same. d. Tenant shall procure, at Tenant's expense, and maintain, and shall require all of Tenant's agents, to procure and maintain in full force during the full terms of this lease, insurance policies from an insurer, or insurers, licensed (admitted) to do business in the State of Texas (with an AM Best rating of VII or better) and each of which insurers shall be satisfactory to Landlord; and the said policies shall provide insurance of the type and in the amounts hereinabove listed. e. If the Tenant maintains broader coverage and/or higher limits than the minimums shown hereinabove, Landlord requires and shall be entitled to the broader coverage and/or higher limits maintained by Tenant. Any available insurance proceeds in excess of the specified minimum limits of insurance and coverage shall be available to Landlord. f. Prior to commencement of the Lease, Tenant shall furnish to Landlord insurance certificate(s) on a form satisfactory to Landlord executed by an authorized representative of the Insurer, and if requested by Landlord, for each policy, a copy of the declaration page. If not on the declarations page, a copy of any schedule showing the limits of insurance and a list of all endorsements to the policy, together with a copy of each endorsement herein requested and certified copies of insurance policies, with endorsements, evidencing the applicable policies, coverages and limits, including those farm service contractors used by Tenant. Landlord's receipt of or failure to object to any insurance certificates or policies submitted by Tenant or Tenant's agents does not release or diminish in any manner the liability or obligations of Tenant or Tenant's agents or constitute a waiver of any of the insurance requirements under this Lease. Replacement certificates of insurance evidencing continuation of such coverage shall be furnished to Landlord prior to the expiration of the current policies. Should Tenant or Tenant's agents at any time neglect, refuse to provide or cancel the insurance required herein, Landlord shall have the right to terminate this lease or pursue any remedy available by law. This proof of insurance and proof of continuation of insurance coverage shall be provided to the Calhoun County Auditor each year. This noticed shall be mailed or hand -delivered to: Calhoun County Auditor Calhoun County Courthouse Annex II 202 S. Ann St., Suite B Port Lavaca, TX 77979 g. All insurance required herein shall be endorsed to provide a thirty (30) day notice of cancellation, material change and non -renewal to Tenant to the extent commercially available. If this endorsement cannot be provided, Tenant will immediately provide written notice to Landlord should any of the insurance policies required herein be cancelled, limited in scope, or not renewed upon expiration. Said notice must be provided no later than thirty (30) days prior (except 10 days for nonpayment of premium) to any such action being taken. IN WITNESS WHEREOF, the undersigned have executed this instrument to be effective as of November 1, 2020. Executed in Duplicate originals this the 114 ,TEXAS. I0 H. TENANT: KYLE MALAER By: �t�Xtr2ll� yl alaer ATTEST: STATE OF TEXAS COUNTY OF CALHOUN County Judge day of _, 2020. ve instrument was acknowledged before me, the undersigned authority on Z-t) I , 2020, by Richard H. Meyer in the capabilities stated. MAE 881E CAM W N*jy ID# 132012524 ftk" May U.2023 Notary Public, State of Texas STATE OF TEXAS COUNTY OF CALHOUN Thi hereinabove instrument was acknowledged before me, the undersigned authority on 2020, by Kyle Malaer in the capabilities stated. =e4.2023 ECASSELNotary Public, State of Texas M 1320112524y 1 #12 ' NOTICF OF MEETING - 10/18/2023 12. Public Hearing regarding a petition to Abandon and Close 0.264 acres, being the undeveloped channel easement area between Lot No. 272 and Lot No. 273 of Sunilandings Phase 1, in the William Arnold League, Abstract 2 according to the established map and plat of said subdivision of record in Volume Z, page 527 of the map and plat records of Calhoun County, Texas. (Exhibit A attached). Public Hearing.opened at 10:21 Mr. Bedgood explained the petition. Public Hearing closed at 10:26 Page 9 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 NOTICE OF PUBLIC HEARING The Commissioners' Court of Calhoun County, Texas will meet on Wednesday, October 18, 2023 at 10:00 a.m. in the Commissioners' Courtroom in the County Courthouse, 211 S. Ann Street, Suite 104, Port Lavaca, Calhoun County, Texas. NOTICE IS HEREBY GIVEN that the Calhoun County Commissioners' Court will hold a Public Hearing regarding a Request to Abandon and Close 0.264 acres, being the undeveloped channel easement area between Lot No. 272 and Lot No. 273 of Sunilandings Phase 1, in the William Arnold League, Abstract 2, according to the established map and plat of said subdivision of record in Volume Z, page 527 of the map and plat records of Calhoun County, Texas. (Exhibit A attached). The public shall have the right to be present and participate in such hearing. GG Richard H. Meye , County JuQF 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 Noticeshall remain posted continuously for at least 72 hours preceding the scheduled meeting time. For your convenience, you may visit the county's website. at%xvkwP.ca!ihoumsco4,x.argunder "Commissioners' Court Agenda" for any official court postings. A�i. 1' FILED00K V'LL_Vl OCT 13 2023 C t by T 5 gY: I UlY Page 1 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: ioel.behrens(@.calhovmrtcotv.orz 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 October 18, 2023 Consider and take necessary action on public hearing regarding petition to abandon and close 0.264 acres, being the undeveloped channel easement area between Lot No. 272 and Lot No. 273 of Sunilandings phase 1, in William Arnold League, abstract 2. According to established map and plat of said subdivision of record in Volume Z, page 527 of map and plat records of Calhoun County, TX. (Exhibit A attached). Sincerely, Joel Behrens Commissioner Pct. 3 ROBERT CARL BEDGOOD Attorney at Law Victoria & Calhoun Counties Office 300 E. Airline Victoria, Texas 77901 Phone No. (361) 573-1730 ch„dtn,tf a •rtse :'i¢� S, Ip ind County Ofce 325 South Market Goliad, Texas 77963 Date: September t t , 2023 Joel Behrens Count Commissioner Precinct R3 24627 State 3 Tighway 172 Port Lavaca, TX. 77979 Re: Public Notice Dear Commissioner Behrens; Jackson County Office. 116 West Main Street Edna, Texas.77957 Enclosed please find my client's petitions to close 0.264 acres, more or less, being the undeveloped channel area between Lot No. Two Hundred Seventy Two (272) and Lot No. Two Hundred Seventy Three (273) of SUNILANDINGS PHASE I a subdivision of lands in the William Arnold League, Abstract 2, Calhoun County, Texas, according to the established map and plat of said Subdivision of record in Volume Z, Page 527, of the Map and Plat Records of Calhoun County, Texas, being fully described by metes and bounds and plat on Exhibit "A" attached hereto. Please file this application with the Calhoun County Commissioner's Court and advise if it can be set to be heard by the Commissioner's Court upon expiration of twenty days after September 21, 2023, being the date that this Notice of Intent is posted at the following locations_ Courthouse in Port Lavaca, Texas, on the property which is located on County Road 306, at the comer of County Road 306 and Marshall Johnson Ave, at the corner of County Road 306 and Sunidolphin Drive and the Port Lavaca Wave News Paper in Port Lavaca, Texas. Any assistance you may provide my client in this matter will be appreciated. ou need and when this might be set for a hearing.. THE STATE OF TEXAS § COUNTY OF CALHOUN § KNOW ALL MEN BY THESE PRESENTS: APPLICATION AND PETITION TO CANCELATION OF PORTION OF CHANNEL EASEMENT IN SUNILANDING PHASE I TO THE HONORABLE COMISSIONERS COURT OF SAID COUNTY NOW COMES, Michael Powell and Elizabeth Dobie Powell being the owner of the 0.264 acres to be canceled as a channel and channel easement hereby petitions Commissioner's Court to discontinue, abandon cancel and close the following portion of a certain designated channel and easement in Sunilanding Phase I said county pursuant to Texas Local Government Code Section 232.008, to -wit: 0.264 acres, more or less, the channel area between Lot No. Two Hundred Seventy Two (272) and Lot No. Two Hundred Seventy Three (273) of SUNILANDINGS PHASE I a subdivision of lands in the William Arnold League, Abstract 2, Calhoun County, Texas, according to the established map and plat of said Subdivision of record in Volume Z, Page 527, of the Map and Plat Records of Calhoun County, Texas, being fully described by metes and bounds and plat on Exhibit "A" attached hereto In support hereof the Petitioners will show the Court that: a.) None of the above portions of said channel or easement has ever be constructed are used as channel/easement for more 20 years except as part of the school; b.) The property adjoining the portion of the channel or easement which is to be canceled is owned by Stair House Properties as to Lot 273 and Will E. Ulbright II and Lisa A. McKissack as to Lot 272 and they have consented to the cancelation of the channel/easement waiving any interest they might have in the 0.264 acres; c.) There are no other property owners in said precinct whose property rights will be affected by the closing of the above -described portion of said channel/easement; d.) The county has never opened or maintained said portion of said channel/easement; e.) Texas Local Government Code Section 232.008 vests in the Commissioners the authority to abandon portions of subdivisions; g.) There is no necessity for continuance of such portion of said channel/easement and WHEREFORE, Michael Powell and Elizabeth Dobie Powell being the owner of the property is to be abandoned as a portion of the subdivision, prays that after proper notice of this petition to abandon this portion of the subdivision has been posted at the Calhoun County Courthouse door in Port Lavaca County, Texas and at other places in the vicinity of the affected 0.264 acres and on the site of the 0.264 acres as required by law, that this honorable Commissioners Court enter an order discontinuing, abandoning and closing the above described portion of said road. Witness our hands, this 21st day of September 2021 Michael Powell THE STATE OF TEXAS COUNTY OF VICTORIA This instrument was sworn to and September, 2023, by Michael Powell. CbSRL 3EuiGC'CIS r •„d��'� '. A ca^m —m'*� as-2,2.E-24Yk.i ' anvmr°� 191*3.y its 10134E' 2111 day of THE OF TEXAS Print or Type Name of Notary My Commission Expires: THE STATE OF TEXAS COUNTY OF CALHOUN § NOTICE OF INTENT TO MAKE APPLICATION/PETITION TO CANCELATION OF PORTION OF CHANNEL EASEMENT IN SUNILANDING PHASE I Attached is a petitions to close 0.264 acres, more or less, the channel area between Lot No. Two Hundred Seventy Two (272) and Lot No. Two Hundred Seventy Three (273) of SUNILANDINGS PHASE I a subdivision of lands in the William Arnold League, Abstract 2, Calhoun County, Texas, according to the established map and plat of said Subdivision of record in Volume Z, Page 527, of the Map and Plat Records of Calhoun County, Texas, being fully described by metes and bounds and plat on Exhibit "A" attached hereto which application is intended to be filed with the Calhoun County Commissioner's Court and heard by the Commissioner's Court upon expiration of twenty days after September 21, 2023, being the date that this. Notice of Intent is posted at the following locations: Courthouse in Port Lavaca, Texas, on the property which is located on County Road 306, at the corner of County Road 306 and Marshall Johnson Ave, at the comer of County Road 306 and Sunidolphin Drive and the Port Lavaca Wave News Paper in Port Lavaca, Texas. Attorney f9e Bloomington Indepen t School District 300 East Airline Victoria, Texas 77901 Texas Bar No. 2027300 (512) 573-1730 », §| ;\ i q( . . `#\ }�! , ( }2 P \ ) � z ,----------`®(- � 7 � � _y1 ;_ _ 1 z 2 // \ z> I )�® S. §! � '> ` z > R k74 - �/) /\ /\ «6v\ eZI j� p 2 /9*R�w %®'® : §|/|f, ®.a- z ©. } U ) | DR\``\ k I IB T § I 0.264 ACRES THE STATE OF TEXAS} THE COUNTY OF CALHOUN) BEING a 0.264 acre tract of land situated in the William Arnold League, Abstract No. 2, Calhoun County, Texas being a portion of a 100-foot widechannel of the 5unilandings Phase ISubdivision according to the established map or plat thereof as recorded In Volume Z, Page 527 of the Plat Records, Calhoun. County, Texas and being that same called 0.2578 acre tract of land as described. by Warranty Deed. dated January 26, 2007, conveyed from Leonard D. Kunefke, Jr. and wife, Vanessa G. Kunefke. to James C. Towers. and Merrilee Towers as recorded in Instrument No. 103161 of the Official Public Records, Calhoun County, Texas, said 0.264 acre tract of land being more fully describedby metes and bounds as follows:. BEGINNING at a found 5/8" steel rebar with.. cap stamped "G&W' along the north line of County Road. No. 306 (a 60-foot Right -of -Way) marking the southeast comer of the aforesaid 0.2578 acre tract andbeing the southwestcorner of Lot 272 of the aforesaid 5unilandings Phase I for the southeast corner of the herein described tract, THENCE, South. 87"30'06" West (South 89"35'00" West), along the north right-of-way line of said County Road No. 306, with the south line. of said 0.2578 acre tract, a distance of 100.54 (100.00)feet to afound 5/9" steel. rebar withcap stamped "G&W" along the north right-of-way lineof said. County Road No. 306 marking. the southwest corner of said 0.2578 acre tract and being thesoutheast corner of Lot 273 of said 5unilandings Phase I for the southwest comer of the herein described tract; THENCE, North. 02'29'54" West (North. 00'25'00" West), departing the north right-of-way line of said County Road. No. 306, with thecommon line between said 0.2578 acre tract and. said Lot 273, a distance of 92.50 (92.50) feet to a. point of curvature of said 0.2578 acretract,. said 100-foot wide channel;.andsaid Lot 273 for a. point of curvature to the left of the herein described tract: THENCE, withsaid curveturning to the left having. a. radius of 20.00 (20.00). feet, anarc length of 31.42 (31.42) feet; and a delta angle of 90*00'42" (90'00'00"), with a chord bearing of North 47,30'15" West, and a chord'. length of 28.29 feet toa paint marking the northwest corner of said 0.2578 acre tract, same being a point of tangency of said Lot 273 and said 100-foot wide channel for the. northwestcorner of the hereindescribed tract; THENCE, North 87'30'06" East (North 8935'00" East), over and across said 100-footwide channel,a distance of 140.55 feet to a point being the northeast corner of said 0.2578 acre tract,. same being a point of curvature of said Lot 272 and said'. 100-foot. wide channel fora point of curvatureto the left and the. northeast corner of the herein described tract; THENCE, with said curve turning to the left having a radius of 20,00 (20,00) feet,. an arc length of 31.42 (31.42) feet, and a delta angle of 90'00'42" (90'00'00"), with a chord bearing, of South 4230'27" West; and a chord length of 28.29 feet to a point of tangency of said 0.2578 acre tract and said Lot 272 for a. point of tangency of the hereindescribed tract: THENCE, South 02°29'54" East. (South 00'25'00" East), along the common line between said 0.2578 acre tractand said Lot 272, a distance of 92.50 (92.50) feet to the POINT OF BEGINNING, CONTAINING within these metes and bounds a 0.264 acretract of land, more or less. Bearings are based on the Texas State. Plane Coordinate System(NAD83), South Central Zone(4204)'. This survey was adjusted using a. combined scalefactor of 1.00006262543750 (GEOIDI2B),. The foregoing legal description and accompanying survey plat were prepared from anactual survey made on the ground under my supervision in April, 2023 and are true and correct to the bestof my knowledge and belief. .^— Urban. Surveying, Inc By: Michael K. Williams Registered Professional Land Surveyor Texas No. 6616 525835.00 #13 I NOTICE OF MEETING — 10/18/2023 13. Consider and take necessary action on a request to Abandon and Close 0.264 acres, being the undeveloped channel easement area between Lot No. 272 and Lot No. 273 of Sunilandings Phase 1, in the William Arnold League, Abstract 2 according to the established map and plat of said subdivision of record in Volume Z, page 527 of the map and plat records of Calhoun County, Texas. (Exhibit A attached). (JMB) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER:, Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 10 of 18 2023-.03453 ORDER Total Pages: 5 1111 WAWA MAN 111111UNPI AYEL 11 III THE STATE OF TEXAS KNOW ALL MEN BY THESE PRESENTS: COUNTY OF CALHOUN § ORDER DECLARING ABANDONMENT AND CANCELATION OF PORTION OF CHANNEL EASEMENT IN SUNILANDING PHASE I WHEREAS, on the (&t day of G21C_1� , 2023 the Commissioner's Court of Calhoun County, Texas considered the request of, to discontinue, abandon and close the following portion of a certain designated channel/easement in said county pursuant to Texas Local Government Code Section 232.008, to -wit; 0.264 acres, more or less, the channel area between Lot No. Two Hundred Seventy Two (272) and Lot No. Two Hundred Seventy Three (273) of SUNILANDINGS PHASE I a subdivision of lands in the William Arnold League, Abstract 2, Calhoun County, Texas, according to the established map and plat of said Subdivision of record in Volume Z, Page 527, of the Map and Plat Records of Calhoun County, Texas, being fully described by metes and bounds and plat on Exhibit "A" attached hereto WHEREAS, in support thereof they showed the Court and the Court determined that: a.) None of the above portions of said road has ever be constructed are used as roadways for more 20 years except as access to the schools and parking for the schools; b.) The property adjoining the portion of the roadway which is to be abandoned is owned by the Petitioners; c.) There are no other property owners in said precinct whose. property rights will be affected by the closing of the above described portion of said subdivision channel/easement d.) The county has never opened or maintained said portion of said channel/easement; e.) Texas Local Government Code Section 232.008 vests in the Commissioners the authority to abandon the portions of dedicated subdivisions. g.) There is no necessity for continuance of such portion of said channel and NOW THEREFORE, ON MOTION DULY DE BY Commissioner L _ and SECONDED BY Commissioner �Q IT —9559 AND DECREED that Calhoun County does hereby abandon, vacate and close the 0.264 acres, more or less, the channel area between Lot No, Two Hundred Seventy Two (272) and Lot No. Two Hundred Seventy Three (273) of SUNILANDINGS PHASE I a subdivision of lands in the William Arnold League, Abstract 2, Calhoun County, Texas, according to the established map and plat of said Subdivision of record in Volume Z, Page 527, of the Map and Plat Records of Calhoun County, Texas, being fully described by metes and bounds and plat on Exhibit "A" attached hereto which shall from this time on be listed as acreage on the tax rows. IT IS FURTHER ODERED AND DECREED THAT on the date this order is signed, the title to the above property shall vest in Michael Powell and Elizabeth Dobie. Powell. IT IS FURTHER ORDERED AND DECREED THAT a copy of this order be filed in the Official Records of Victoria County, Texas and duly said duly filed copy of this Order shall serve as the official instrument of conveyance of the 0.264 acres, more or less, the channel area between Lot No. Two Hundred Seventy Two (272) and Lot No. Two Hundred Seventy Three (273) of SUNILANDINGS PHASE I a subdivision of lands in the William Arnold League, Abstract 2, Calhoun County, Texas, according to the established map and plat of said Subdivision of record in Volume Z, Page 527, of the Map and Plat Records of Calhoun County, Texas, being fully described by metes and bounds and plat on Exhibit "A" attached hereto to Michael Powell and Elizabeth Dobie Powell pursuant to Texas Local Government Code Section 232.008. SIGNED THIS kdayof 2023. OF CALHOUN COUNTY, TEXAS Precinct No. 1 No. 2 Commissioner Precinct No. 3 County C4mmission�rFrecinct No. 4 S iae S 71F -5$6 sHIS' �§ n - ag ¢C i36 g � 22�zk;v5iRn� Hai UP o� O � C mA z3I^ 2 AAa Ni •� DK� < mSc � Irtm m9m E£= t39� S g Ni _ o Y F �oim$__ as"se 8_�yKn-t c�v I r �iC s u I v ii ei I 1 �I' SI +1. x � d` h9 I { I X �v I V. H a9? µ 5 Z r 0.264 ACRES THE STATE OFTEXAS) THE COUNTY OF CALHOUN) BEING. a 0.264 acre tract of land situated in the William Arnold League,. Abstract No. 2; Calhoun County, Texas being a portion Of 100-foot vide channel of the SonilandingsPhase I. Subdivisionaccording. to he established map or plat thereof as recorded. in Volume Z, Page 527 of the Plat Records, Calhoun. County;. Texas and being that same called 0.2578 acre tray of land as described by Warranty Deed dated January 26, 2007, conveyed from Leonard 0. Runefk% Jr. and wife, Vanessa G. Kunefketo lames C. Towers and Merrilee Towers as recorded to Instrument No. 103162 of the Official Public Records, Calhoun. County; Texas, Mid 0.264 acre tract of land being marefully described by metes and 'bounds as toilers: BEGINNING at a found Sig" steel rater with cap stamped "G&W" alone the north line of County Road No. 306 (a 60-foot Right-of-Wayl marking the southeast corner of the aforesaid 0.7578. acretract andbeing the southwest =mar of Lot 272 of the. aforesaid Sunilandings Phase 1 for thesoutheast comer of the herein. described tract: THENCE, South 87'30'06" West (South 89'35'00' West), along the north right-of-way line of Mid. County Road No. 306, with the south lineof said 0.2578 acre -MM adistance ofIDO-54 (100.00) feet to a. found 5/8" steel rater with. cap Stamped 'G&W' along the north right of -way line OF said County Road No. 306 marking the southwest corner of said 0.2578 acre traer and being the southeast comer of Lot 273 of said Sunilandings phase I for the southwest corner of the hereindescribed tract; THENCE, North 0279.54" West (North O72VG0" Wen), departing the north right-of-way lineof said County Road No. 306. with the common line between said 0.2578 acre tract and Said Lot 273, a distance of 92.50192.50) feet to a pointof curvature of said 0.257Sacm tract, said S00-foot wide channel, and Mid Lot 273 for a point of curvature to the left of the herein described tract;. THENCE, with. said Curve turning to the left having a radius of20.00 (20.00) feet, an are length of 31.42 (31.421 feet, and a delta angle of 90-00'42" (90"00.00"), with a chordbearing of North 47,30,151, West, and a chard length of28.29 Net W a. point marking the northwest corner of said. 0.2578 acre tram. same being a point off tangency of said Lot 273 and said 100-foot wide channel for the northwest corner of the herein described-ma; THENCE; North 87.30'06" East (North 8935'00" East). over and across said 100-feor wide channel, a distance of 140.55 feet to point being the northeast comer of said0.2S78ame waa, same being a point Of curvature of said Lot 272 and said 300-foot widechannelfar a point of curvature to me left and the northeast corner ofthe herein describedtracr, . THENCE, withsaid curveturning to the left having a. radius of 20.00: (20.00). feet,an arc. length of 31.42 (31.42) feet, and a delta angle of 90"O0f42- (90'00'00"), witha chord bearing of South. 4230'27" West,. and a chord length. of 28.29 feet to a point of tangent, of said 0.2578acre treat and said Lot 272. for a. Point. Of tangenry of the herein describedtraa; THENCE. South 0Z'29'S¢' seat (South 00 S,00 East),along the common line between said 0.2578 acre tract and mid Lot 272, a distance of 9250 (92.50) feet to. the POINT OF BEGINNING,. CONTAINING within. these metes and bounds a0.264 acre tract of land,. more or less. Bearings are based on. the Texas State Plane Coordinate System.(NAD63), South Central Zone (4204). This survey was adjusted using a combined sale NOW of 1.00006262543750 (GSOID126).. The foregoing legal description and accompanying survey plat were Prepared from an actual survey made on the ground under my supervision in. April, 2023 and arc true and correct tothe best of my knowledge and belief. UrbanSurveying, Inc. \1P•�~; :•:� �..j BY: Michael K. Williams '•,ii,r':,� Registered Profess'onal land Surveyor , Taxes No. 6616 525835.00 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: Joel.6ehreas a(1r calhouncomorg 9 Honorable Richard Meyer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: Agenda Item Dear Judge Meyer: Please place the following item on the Commissioner's Court Agenda for October 18, 2023 Consider and take necessary action to abandon and close 0.264 acres, being the undeveloped channel easement area between Lot No. 272 and Lot No. 273 of Sunilandings phase 1, in William Arnold League, abstract 2. According to established map and plat of said subdivision of record in Volume Z, page 527 of map and plat records of Calhoun County, TX. (Exhibit A attached). Sincerely, Joel Behrens Commissioner Pct. 3 #14 I NOTICE OF MEETING—10/1.8/2023 14. Consider and take necessary action to accept insurance proceeds from TAC in the amount of $8,170.72 ($13,170.72 - $5,000 deductible) for weather related damage on May 10, 2023 to the generator at the Calhoun County Airport. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 11 of 18 Mae Belle Cassel From: candice.villarreal@calhouncotx.org (candice villarreal) <Candice.villarreal@calhouncotx.org> Sent: Monday, October 9, 2023 5:48 PM To: maebelle.cassel@calhouncotx.org Cc: Richard H. Meyer, David Hall; vern lyssy,,joel.behrens@calhouncotx.org; Gary Reese Subject: Agenda Item - Insurance Proceeds - Airport Generator Attachments: Insur Proc Airport Generator.pdf MaeBelle, Please add the following to the next available agenda: Consider and take necessary action on insurance proceeds from TAC in the amount of $8,170.72 ($13,170.72 - $5,000 deductible ) for weather related damage on May 10thto the generator at the Calhoun County Airport. 0 C€anefiee ` d[anreal' V-Assisteant quditor Caffiann CauntyArrdnors Office 202 S. ,inn Street, SWe 0 eTbrt Laymen, 9X 77379 gore I(361,5534 12 Calhoun County Texas TEXAS ASSOCIATION OF COUNTIES RISK MANAGEMENT POOL -CLAIMS 68361 Calhoun 10/3/2023 PR20238516-1 Deductible $-5000.00 _ 68361 pss SANK TEXAS ASSOCIATION OF COUNTIESFROST RISK MANAGEMENT POOL -CLAIMS 30-9,11140 - 1210 SAN ANTONIO STREET - - * * AUSTIN, TX 78701 - p,,. e� (512)4788753 - - DATE 10/312023 PAY EIGHT THOUSAND ONE HUNDRED SEVENTY AND 72 / 100 DOLLARS TO THE Calhoun County OROFER 211 5 Ann Si r� . Port Lavaca, TX 779794203 _}._,..,` 11'06836III, TEXAS ASSOCIATION OF COUNTIES RISK MANAGEMENT POOL -CLAIMS Calhoun County 211 S Ann St Port Lavaca, TX 779794203 VOID AFTER 180 DAYS AMOUNT $ 8,170.72 68361 TO REORDER CALL: (706) 327-9550 W145F001M4M 03/23 #15 NOTICE OF: MEETING—10/18/2023 15. Consider and take necessary action to accept insurance proceeds from TAC in the amount of $5,440.47 ($7,940.47 - $2,500 deductible) for a Sheriff Department vehicle accident on September 5, 2023. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: " David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 12 of 18 Mae Belle Cassel From: candice.villarreal@calhouncotx.org (candice villarreal) <candice.villarreal@calhouncotx.org> Sent: Monday, October 9, 2023 5:51 PM To: maebelle.cassel@calhouncotx.org Cc: Richard H. Meyer; David Hall; vern lyssy; joel.behrens@calhouncotx.org; Gary Reese Subject: Agenda Item - Insurance Proceeds - SO Accident Attachments: TAC Ins Rec Check SO.pdf MaeBelle, Please add the following to the next available agenda. Consider and take necessary action on insurance proceeds check from TAC in the amount of $5,440.47 ($7,940.47 - $2,500 deductible) for a Sheriff Department vehicle accident on September 5, 2023. 'c% Candice Viffiffeaf 4�_Assasteaut.Adtar Ca dim ua Caaaaaty7 nd'atm Office 202 S:Ann Street, State B Fast Lavaca, ` Y77979 'rhone (361)55346112 Calhoun County Texas TEXAS ASSOCIATION OF COUNTIES RISK MANAGEMENT POOL -CLAIMS Chev. Tahoe, VIN1GNLCDEC5KR219671. 9/26/2023 APD20239031-1 Deductible $-2500.00 ssa 68190 FROSTBANK -CLAIMS TEXASASSOCIATION COUNTIES 30-911140 w = RISK MANAGEMENT POOL -CLAIPAS a H 1290 SAN AN'fON10 STREET AUSTIN.TX 78701 (512)476-8753 boo nT� - DATE AMOUNT 9/26/2023 $ 5,440.47 PAY FIVE THOUSAND FOUR HUNDRED FORTY AND 47! 100 DOLLARS TO THE Calhoun County ORDER 211 S Ann St OF: Port Lavaca, TX 779794203 II9068 L90110 TEXAS ASSOCIATION OF COUNTIES RISK MANAGEMENT POOL. -CLAIMS Calhoun County 211 S Ann St Port Lavaca, TX 779794203 tt'W71YAx I <_J fl TO REORDER CALL: (700) 327-9550 VOID AFTER 160-PAYS Ci:�R�1J WI4 R)01014M 03123 #16 NO-fICE OF MEETING - 1.0/18/"2023 16. Consider and take necessary action to authorize the Texas A & M Agril-ife Extension Service to accept a quote from Victoria Communication Services for an AT&T FirstNet Cellular plan due to the continued phone issues in the office and for emergency situations. (RHM) Karen Lyssy explained the reason for needing this: RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 13 of 18 Mae Belle Cassel From: ellen.heiman@ag.tamu.edu (Ellen M. Heiman) <ellen.heiman@ag.tamu.edu> Sent: Thursday, October 12, 2023 2:57 PM To: Mae Belle Cassel Cc: Karen P. Lyssy Subject: FW: Here is the FirstNet Rate Plan Information Requested Attachments: QuoteDetail.pdf CAUTION: This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe. Good afternoon MaeBelle. We are needing this agenda item added to the October 18, 2023 Commissioner's Court Agenda. "Consider and take necessary action to authorize Extension Services to accept a quote from Victoria Communication Services for an AT&T FirstNet Cellular plan due to continued phone issues in the office and for emergency situations." I hope I typed this right. I have attached the quote for the Commissioner's Court packet. Please let me know if you have any questions. Thanks! Ellen Heiman Calhoun County Office Manager Texas A&M AgriLife Extension 311 Henry Barber Way Suite 1 Port Lavaca, TX 77979 361-552-9747 work AT�E'X+7A�S �A&7M �� k� NA I Ll' ,�,e` D GRiLIFE tn�rp rl �1i�il `:ILY l96 i6�YV TMM l ltfj\T�EN1SION ��fi/"�( If P Bti:G\S JHP3IDM'0\2R4M1ll W From: Paula Cadengo (AT&T) <no-reply@mst.att-mail.com> Sent: Wednesday, October 11, 2023 9:16 AM To: Ellen M. Heiman <ellen.heiman@ag.tamu.edu> Subject: Here is the FirstNet Rate Plan Information Requested Sa You don't often get email from no-reply@mst.att-mail.com Learn why this is important i Mobility Summary Mobility Overview • 1 Total Device • Unlimited Data Total Cost Plans Total Monthly Cost Devices Total One -Time Cost Mobility Details Plans Unlimited —Primary Included • Unlimited • AT&T Business Fast TrackorFirst PriorWty Access Charges 1 x 5martphone with no Tethering at $39.99 each $39.99/mo $39.99/mo $0.25 $0.25 $39.99/mo Monthly Plan Cost $39.99/mo Devices (1) Phone 13128GB with 2-Year Contract (1) Monthly Cost No Protection One -Time Cost Base One -Time Cost at $0.25 each $0.25 Device costs calculated for 1 / 1 devices This information is provided to you for informational purposes only. The terms of the identified plans can be found in the applicable brochures at the links below. AT&T may revise these terms at any time. In the event of a conflict between this information and the applicable business agreement, the applicable business agreement will control. AT&T disclaims all warranties including, but not limited to, implied warranties of merchantability or fitness for a particular purpose. In no event shall AT&T be liable for any damages relating to the use or results of the calculator. The quoted rates are estimates of the monthly charges for the identified plans only and are based on the information provided by you. These rates do not include additional devices, features or services. Quoted rates supersede those in the applicable brochures, which are standard published rates, and not the discounted rates quoted herein, based on national, state or local contracts. Rates are subject to change and do not include taxes, fees, overage charges or surcharges. Activation fees, additional deposits and other restrictions may apply. FirstNet Rate Plans - Agency Paid - Pooled Primary Users & Unlimited https://www.firstnet.com/firstnetprimary Primary Users (State/Local Gov) https://www.firstnet.com/firstnetggvprimary Extended Primary Users https://www.firstnet.com/firstnetextended Extended Primary Users (State/Local Gov) https://www.firstnet.com/firstnetaovextended FirstNet Machine -to -Machine Rate Plans Primary Users https://www.firstnet.com/firstnetprimarym2m Primary Users (State/Local Gov) https://www.firstnet.com/firstnetgovprimarym2m Extended Primary Users https://www.firstnet.com/firstnetextendedm2m Extended Primary Users (State/Local Gov) https://www.firstnet.com/firstnetgovextendedm2m FirstNet Enhanced Push -to -Talk Primary Users https://www.firstnet.com/epttgDlWrimary Primary Users (NASPO) https://www.firstnet.com/epttonlyprimarynaspo Primary Users (NPPGov) https://www.firstnet.com/epttonl ryp imar ny l pgov Extended Primary Users https://www.firstnet.com/epttoolyext rp imarX Extended Primary Users (NASPO) https://www.firstnet.com/epttonlyext rp ima[ynaspo Extended Primary Users (NPPGov) I https://www.firstnet.com/epttonlyexti2rimaryni2pgov Primary Users hops://wwwfirstnet.com/epttboItonprimarX Primary Users (NASPO) https://www.firstnet.com/epttboltonprimarynaspo Primary Users (NPPGov) https://www.firstnet.com/epttbo Ito nprima rynppgov Extended Primary Users https://www.firstnet,com/epttboltongxtprimary Extended Primary Users (NASPO) https://www.firstnet.com/epttboltonextpri marynaspo Extended Primary Users (NPPGov) https://www.firstnet.coWepttboltonextprimarynppgov @2023 AT&T Intellectual Property. FirstNet, First Responder Network Authority, and FirstNet logo are registered tradernarks and service marks of FirstNet, an independent authority within the U5. Departr ent of Comrerce All other rnarks are the property of their respective owners. Ellen, Heiman, Thank you for your interest in FirstNet — and the rate plans, devices and mobility applications built exclusively for you. We look forward to bringing you onto the ONLY purpose-built solution dedicated just for public safety. If you have any questions or would like to proceed with ordering these services, please let me know. Thank you! Paula Cadengo VCS Companies 361.550.0029 paula.cadenpo@vcscompanies. com Mobility Summary Included: • 1 Total Device • Unlimited Data Total Cost Plans: $39.99 Total Monthly Cost: $39.99 Devices: $0.25 Total One -Time Cost: $0.25 This information is provided to you for informational purposes only. The terms of the identified plans can be found in the applicable brochures at the links below. AT&T may revise these terms at any time. In the event of a conflict between this information and the applicable business agreement, the applicable business agreement will control. AT&T disclaims all warranties including, but not limited to, implied warranties of merchantability or fitness for a particular purpose. In no event shall AT&T be liable for any damages relating to the use or results of the calculator. The quoted rates are estimates of the monthly charges for the identified plans only and are based on the information provided by you. These rates do not include additional devices, features or services. Quoted rates supersede those in the applicable brochures, which are standard published rates, and not the discounted rates quoted herein, based on national, state or local contracts. Rates are subject to change and do not include taxes, fees, overage charges or surcharges. Activation fees, additional deposits and other restrictions may apply. For more information on the FirstNet plan that fits your needs, please contact me or visit your nearest AT&T Retail store. Extended Primary Users https://www.firstnet.com/firstnetextended Extended Primary Users (State/Local Gov) https://www.firstnet.com/firstnetgovextended FirstNet Machine -to -Machine Rate Plans Primary Users https://www.firstnet.com/firstnetprimarym2m Primary Users (State/Local Gov) https://www.firstnet.com/firstnetgovprimarym2m Extended Primary Users https://www.firstnet.com/firstnetextendedm2m Extended Primary Users (State/Local Gov) https://www.firstnet.com/firstnetgovextendedm2m FirstNet Enhanced Push -to -Talk Rate Plans Primary Users https://www.firstnet.com/epttonlyprimaa Primary Users (NASPO). https://www.firstnet.com/epttonlyprimarynaspo Primary Users (NPPGov) https://www.firstnet.com/epttonlVprimarvnppgov Extended Primary Users https://www.firstnet.com/eottonivexti)rimary Extended Primary Users (NASPO) https://www.firstnet.com/epttonivextprimarynaspo Extended Primary Users (NPPGov) https://www.firstnet.com/epttonivextr)rimaryni)paov FirstNet Enhanced Push -to -Talk Bolt-Ons Primary Users https://www.firstnet.com/epttboltonprimary Primary Users (NASPO) https://www.firstnet.com/et)ttboltoni)rimarynasi)o Primary Users (NPPGov) https://www.firstnet.com/epttboltonprimarvnppgov Extended Primary Users https://www.firstnet.com/epttboltonextr)rimary Extended Primary Users (NASPO) https://www.firstnet.com/epttboltonextprimarynasoo Extended Primary Users (NPPGov) https://www.firstnet.com/er)ttboltonextorimarynppeov 02023 AT&T Intellectual Property. FirstNet, First Responder Network Authority, and FirstNet logo are registered trademarks and service marks of FirstNet, an independent authority within the U.S. Department of Commerce. All other marks are the property of their respective owners. # 17 ' NOTICE OF MEET ING -- 10/18/2023 17. Consider and take necessary action to accept a check for $8,299.00 for the FY24 EMS Pass Through funds from the Golden Crescent Regional Advisory Council sor Trauma Service Area-S. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 14 of 18 TRAUMA SERVICE AREA-S GOLDEN CRESCENT REGIONAL ADVISORY COUNCIL October 10, 2023 Calhoun County EMS 705 Henry Barber Way Port Lavaca, TX 77979 Dear Dustin: Enclosed please find the check for your FY24 EMS Pass Through Funds disbursement. These funds must be expended by August 31, 2024 and we need the documentation no later than September 15, 2024 in order to have time to review and complete additional reports to the State. Required supporting documentation: [novices Cancelled checks Completed Spreadsheet (emailed to you on October 10, 2023. The supporting documentation should be submitted to susanforocra _gmaiLcam. Please do not hesitate to contact Susan if you have any questions (361-703-9641). Best regards, co,404, puj Carolyn Knox RAC Chair 361-572-5128 carolynk@cmcvtx.org CK/sm 2701 Hospital Drive • Victoria, Texas 77901-5749 * www.GCRAC.org GOLDEN CRESCENT RAC 2707 HOSPITAL DR VICTORIA, TX 77941-5749 All N CAROLYN KNOX u 7 1 . Q[ iLe—'Dollars � a°. °`a �oo.ica Area Rink:K0. Tf.o Texas wgftfaryacvn #18 NOTICE OF MEETING--10/18/2023 18. Consider and take necessary action to reappoint Jeana Bethany to the Gulf Bend Center Board of Trustees. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Rct 2 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 15 of 18 October 10, 2023 Calhoun County Commissioners Court Calhoun County 211 South Ann Street, Suite 301 Port Lavaca, Texas 77979 Re: Reappointment of Board of Trustees Dear Calhoun County Commissioners Court: This letter is written to respectfully request the Commissioners Courts consideration of the reappointment of Jeana Bethany for another two-year term, May 2023 through May 2025, to the Gulf Bend Center Board of Trustees. Her current appointment expires at the end of May 2023. Jeana has been an asset to our Board since her appointment in. June of 2021. Her knowledge of mental health needs continues to assist us through our many decision -making, processes. As you consider her reappointing, please know that she has agreed to continue to serve in this capacity and that I feel she is an excellent representative for Calhoun County. If you need additional information, I may be reached at 361-582-2314. Thank you for your continued' support of the Center and those residents of Calhoun County who are affected by mental illness and developmental disabilities. Sincerely, ZZTCu Jennell, Executive Director #19 NOTICE OF MEETING—10/18/2023 19. Accept Monthly Reports from the following County Offices: a. Justice of the Peace, Precinct — September 2023 b. Sheriff's Office — September 2023 c. Texas Agrilife Extension Service — August 2023 i. 4-H and Youth Development ii. Agriculture and Natural Resources iii. Family and Community Health iv. Coastal and Marine RESULT: APPROVED [UNANIMOUS]' MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 16 of 18 ENTER COURT NAME: IJUSTICE OF PEACE NO.3 ENTER MONTH OF REPORT SEPTEMBER ENTER YEAR OF REPORT 2022 2S023 CODE AMOUN CASH BONDS REVISED 02/02/2021 ADMINISTRATION FEE -ADMF BREATH ALCOHOL TESTING -BAT CONSOLIDATED COURT COSTS -CCC 40.51 STATE CONSOLIDATED COURT COST- 2020 430.34 LOCALCONSOLIDATED. COURT COST- 2020 97.17 :COURTHOUSE SECURITY-CHS 4.05 CJP CIVIL JUSTICEDATA REPOSITORY FEE -CJDR 0.10 CORRECTIONAL MANAGEMENT INSTITUTE -CMI CR CHILDSAFETY-CS CHILD SEATBELT FEE '-CSBF CRIME VICTIMS COMPENSATION-CVC .DPSC/FAILURE TOAPPEAR -OMNI-:DPSC 0.37 ADMINISTRATION FEE FTA/FTP: fake OMNI)-. 2020 15.79 -ELECTRONIC FILING FEE - EEF FUGITIVE APPREHENSION =:FA GENERAL:REVENUE -:GR CRIM -IND LEGAL SVCSSUPPORT- .OF 2.02 JUVENILE CRIME & DELINQUENCY:- JCD JUVENILE CASE MANAGER FUND -.JCMF 5.00 JUSTICE COURT PERSONNEL TRAINING -JCPT JUROR SERVICE FEE.- JSF 4.05 LOCAL ARREST FEES -LAF 18.63 LEMI LEDA LEOC OCL PARKS &. WILDLIFE .ARREST FEES -PWAF STATE. ARREST FEES =SAF 21.13 - `SCHOOL CROSSINGICHILD SAFETY FEE - SCIF SUBTITLE C-.SUBC 30.00 STATE TRAFFIC FINES -EST 91.19-STF 103.97 TABC ARREST FEES F TAF TECHNOLOGY FUND -TF 4.05 TRAFFIC -TFC 3.00 - LOCAL TRAFFIC FINE-:2020 6.24 TIME -PAYMENT -TIME 8.48 - :. TIME PAYMENT REIMBURSEMENT FEE-: 2020 39.15 'TRUANCY PREVENTION/DIVERSION FUND-TPOF 2.00 LOCAL& STATE' WARRANT FEES -.WRNT 167.19 COLLECTION SERVICE: FEE-MVBA-CSRV 332.30 DEFENSIVE DRIVING COURSE -.DOC 'DEFERRED FEE -OFF DRIVING EXAM FEE- PROV DL 'FILING FEE-. FFEE STATE CONSOLIDATED. CIVIL FEE.-2022 63.00 LOCAL CONSOLIDATED CIVIL FEE 2022 99.00 .'.FILING FEE SMALL: CLAIMS -FFSC JURY FEE -JF COPIES/CERTIFIED COPIES -.CC INDIGENTFEE -CIFF or INDF - JUDGE PAY RAISE FEE -.JPAY 6.07 SERVICE FEE -SFEE 225.00. OUT -OF -COUNTY SERVICE FEE ELECTRONIC FILINGFEE -EEF CV EXPUNGEMENT FEE EXPG EXPIRED RENEWAL -EXPR ABSTRACT OFJUDGEMENT -AOJ ALL .WRITS -WOP./WOE CPSIFTA FINE - DPSF LOCAL FINES - FINE 1,091.39 - '. LICENSE & WEIGHT FEES -LWF 'PARKS &WILDLIFE FINES -PWF 5.00 SEATBELT/UNRESTRAINED CHILD FINE= SEAT ✓- JUDICIAL & COURT PERSONNEL TRAINING-JCPT - OVERPAYMENT .(OVER $10)-:OVER OVERPAYMENT($10 AND LESS) -:OVER RESTITUTION -REST PARKS&WILDLIFE-WATER SAFETY FINES-WSF - MARINE: SAFETY PARKS:& WILDLIFE -MSO TOTAL ACTUAL' MONEY RECEIVED $2825.00 TYPE: AMOUNT - TOTAL WARRANT FEES 167.19. ENTER LOCAL WARRANT FEES 17.19 RECORD ON TOTAL PAGE OF HILL COUNTRYSOFPNARE MO. REFORT STATE WARRANT FEE$ 150.00 RECORD ON TOTALPAGEOF HILL COUNTRYSOFRYARE MO.REPORT DUE TO OTHERS: AMOUNT DUE TO CCISD-50% of Fine on JV cases 0.00 PLEASE INCLUDE DR REQUESTING DISBURSEMENT DUE TO DA RESTITUTION FUNDL. 0.00 PLEASE INCLUDE DR. REQUESTING DISBURSEMENT REFUND OF OVERPAYMENTS 1 0.00.. PLEASE INCLUDE D.R. REQUESTING DISBURSEMENT OUT -OF -COUNTY SERVICE FEE 0.00 PLEASE INCLUDE D.R. REQUESTING DISBURSEMENT CASH BONDS 0.00 PLEASE INCLUDE D.R. REQUESTING DISBURSEMENT (IF REQUIRED) TOTAL DUE TO OTHERS 0.00 TREASURERS RECEIPTS FOR MONTH. AMOUNT ASH, CHECKS, M.O.s&CREDIT CARDS 2,825.00' Calculate from ACTUAL Treesumes Receipts TOTAL TREAS. RECEIPTS 2,825:00 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 10/3/2023 COURT NAME: JUSTICE OF PEACE NO. 3 MONTH OF REPORT: SEPTEMBER YEAR OF REPORT: 2023 ACCOUNT NUMBER ACCOUNT NAME AMOUNT CR 1000-001-45013 FINES 1,092.14 CR 1000-001-44190 SHERIFF'S FEES 172.72 ADMINISTRATIVE FEES: DEFENSIVE DRIVING 0.00 CHILD SAFETY 0.00 TRAFFIC 9.24 ADMINISTRATIVE FEES 15.79 EXPUNGEMENT FEES 0.00 MISCELLANEOUS 0.00 CR 1000-001-44363 TOTAL ADMINISTRATIVE FEES 25.03 CR 1000-001-44010 CONSTABLE FEES -SERVICE 225.00 CR 1000-001-44063 JP FILING FEES 0.00 CR 1000-001-44090 COPIES / CERTIFIED COPIES 0.00 CR 1000-001-49110 OVERPAYMENTS (LESS THAN $10) 0.00 CR 1000-001-44322 TIME PAYMENT REIMBURSEMENT FEE 39.15 CR 1000-001-44145 SCHOOL CROSSING/CHILD SAFETY FEE 0.00 CR 1000-999-20741 DUE TO STATE -DRIVING EXAM FEE 0.00 CR 1000-999-20744 DUE TO STATE-SEATBELT FINES 0.00 CR 1000-999-20745 DUE TO STATE -CHILD SEATBELT FEE 0.00 CR 1000-999-20746 DUE TO STATE -OVERWEIGHT FINES 0.00 CR 1000-999-20770 DUE TO JP COLLECTIONS ATTORNEY 332.30 TOTAL FINES, ADMIN. FEES & DUE TO STATE $1,886.34 CR 2670-001-44063 COURTHOUSE SECURITY FUND $37.05 CR 2720-001-44063 JUSTICE COURT SECURITY FUND $1.01 CR 2719-001-44063 JUSTICE COURT TECHNOLOGY FUND $31.81 CR 2699-001-44063 JUVENILE CASE MANAGER FUND $5.00 CR 2730-001-44063 LOCAL TRUANCY PREVENTION & DIVERSION FUND $34.70 CR 2669-001-44063 COUNTYJURYFUND $0.69 CR 2728-001-44063 JUSTICE COURT SUPPORT FUND $75.00 CR 2677-001-44063 COUNTY DISPUTE RESOLUTION FUND $15.00 CR 2725-001-44063 LANGUAGE ACCESS FUND $9.00 '.. STATE ARREST FEES DPS FEES 34.23 P&W FEES 0.00 TABC FEES 0.00 CR 7020-999-20740 TOTAL STATE ARREST FEES 34.23 CR 7070-999-20610 CCC-GENERAL FUND 4.05 CR 7070-999-20740 CCC-STATE 36.46 DR 7070-999-10010 40.51 CR 7072-999-20610 STATE CCC- GENERAL FUND 43.03 CR 7072-999-20740 STATE CCC- STATE 387.31 DR 7072-999-10010 430.34 CR 7860-999-20610 STF/SUBC-GENERAL FUND 1.50 CR 7860-999-20740 STF/SUBC-STATE 28.50 DR 7860-999-10010 30.00 CR 7860-999-20610 STF- EST 9/1/2019- GENERAL FUND CR 7860-999-20740 STF- EST 9/1/2019- STATE 1c .11-11M01"W1111111 i"1 1RIM 4.16 Page 1 of 2 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 10/3/2023 COURT NAME: JUSTICE OF PEACE NO. 3 MONTH OF REPORT: SEPTEMBER YEAR OF REPORT: 2023 CR 7950-999-20610 TP-GENERAL FUND 4.24 CR 7950-999-20740 TP-STATE 4.24 DR 7950-999-10010 8.48 CR 7480-999-20610 CR 7480-999-20740 CR 7865-999-20610 CR 7865-999-20740 CR 7970-999-20610 CR 7970-999-20740 CR 7505-999-20610 CR 7505-999-20740 CR 7857-999-20610 CR 7857-999-20740 CR 7856-999-20610 CR 7856-999-20740 CR 7502-999-20740 7998-999-20740 7998-999-20701 7403-999-22889 7858-999-20740 0.00 0.00 0.00 0.00 0.00 4.25 CIVIL INDIGENT LEGAL-GEN. FUND 0.00 CIVIL INDIGENT LEGAL -STATE 0.00 DR 7480-999-10010 0.00 CRIM-SUPP OF IND LEG SVCS-GEN FUND 0.20 CRIM-SUPP OF IND LEG SVCS-STATE 1.82 DR 7865-999-10010 P.02 TL/FTA-GENERAL FUND 0.12 TL/FTA-STATE 0.25 DR 7970-999-10010 0.37 JPAY - GENERAL FUND 0.61 JPAY - STATE 5.46 DR 7505-999-10010 6.07 JURY REIMB. FUND- GEN. FUND 0.41 JURY REIMB. FUND- STATE 3.64 DR 7857-999-10010 4.05 CIVIL JUSTICE DATA REPOS.- GEN FUND 0.01 CIVIL JUSTICE DATA REPOS.- STATE 0.09 DR 7856-999-10010 0.10 JUD/CRT PERSONNEL TRAINING FUND- STATE 0.00 DR 7502-999-10010 0.00 TRUANCY PREVENT/DIV FUND - STATE 1.00 JUVENILE CASE MANAGER FUND 1.00 DR 7998-999-10010 2.00 ELECTRONIC FILING FEE - CV STATE 0.00 DR 7403-999-22889 0.00 STATE CONSOLIDATED CIVIL FEE 63.00 63.00 TOTAL (Distrib Req to Oper Acct) $2,820.75 DUE TO OTHERS (Distrib Req Attchd) CALHOUN COUNTY ISO DA - RESTITUTION REFUND OF OVERPAYMENTS OUT -OF -COUNTY SERVICE FI CASH BONDS PARKS & WILDLIFE FINES WATER SAFETY FINES 0.00 TOTAL DUE TO OTHERS $4.25 TOTAL COLLECTED -ALL FUNDS $2,825.00 LESS: TOTAL TREASUER'S RECEIPTS $2,825.00 REVISED 02/02/2021 OVER/(SHORT) $0.00 Page 2 of 2 MAE-BELLE SHERIFF'S OFFICE MONTHLY REPORT Sep-23 BAIL BOND FEE $ 405.00 CIVIL FEE $ 287.79 CASH BOND JP#1 $ 3,954.40 JP#2 $ 894.00 JP#3 $ 2,505.50 JP#4 JP#5 $ 670.00 SEADRIFT MUN. PC MUN $ 852.80 OTHER TOTAL: $ 9,569.49 d� S. O O O �r n 00:- �o M 000N.� �. O. N I1t 0 oz � 0 °O v,lu U U O cc....g • . F U 1:610, 6 m U O O F o 96 a Ujo W w ee F y. ya g c o a o O v U o U 8 x. a i3 =UC g� " o E ba, gai0O; oLU o UW 93 U c _3 UUa,aSaGaadFAl I � x'I � �E NN N N N N N N N N y+ � 4 Q NC,4S v k W u�v r 4-H and Youth Development EXTENSION ACTIVITY REPORT TO COUNTY CON September 2023 Miles traveled: County Vehicle 372: Personal Vehicle 0 Selected maior activities since last reuort September 1 — CPR/First Aid Recertification September 5 — CCF Rabbit Tag In September 6 — Assist Stephen with Dumping Cotton at Gin September 7 — District 11 4-H Food Challenge Planning Meeting CCF Livestock Committee Meeting September 8 — CCF Broiler Pick Up (College Station) September 12 — CCF Rabbit Clinic September 13 — Program Planning Meeting with Seadrift School September 16—CCF Workday CCF Sheep/Goat/Cattle Clinic September 20 — Commissioners Court Interpretation for National 4-H Week 4-H PALA Meeting September 21 — Coastal Bend 4-H Sportfishing Day Planning Meeting September 25 — PLC Planning Meeting County 4-H Council Meeting September 27 — YMCA Luncheon Livestock Judging Practice Direct Contacts by: Office: 9 Site: 12 Phone/Texts: 34 COURT E-mail: 128 Facebook Posts/Followers: 8 posts/635 followers Newsletters: 1 Instagram Posts/Followers: 3 posts/236 followers 4-H Enrollment: New 4-H Year Started Sept. 1; 151 youth; 26 adult volunteers Major events for next month — October 2023 October 2-6 — State Fair of Texas (Dallas) October 10 —Goat Project Visit October 11 — Livestock Judging Practice October 12 — AgriLife Performance Appraisal October 13 — Coastal Bend 4-H Sportfishing Day Planning Meeting October 16-22 — Calhoun County Fair Week Livestock Show, Livestock Judging Contest, Clover Kids Show October 28 — YMCA Trunk or Treat OrtnhPr'40 — ('nnnfii i-A T%A.. ino Emilee S. DeForest Calhoun Spectacular Show CEA — 4-H and Youth Development September 2023 Texas A&M AgriLife Extension • The Texas A&M University System, College Station, Texas Agriculture and Natural Resources EXTENSION ACTIVITY REPORT TO COUNTY COMMISSIONERS COURT September 2023 Miles traveled: County Vehicle 356: Personal Vehicle: 360 Selected maior activities since last reoort 5'- Calhoun County Fair Site Visit 6' Coastal Bend Classic Meeting in Refugio 71 Calhoun County Fair livestock Committee meeting 12" District 11 pasture Management training 18' Calhoun County Fair Site Visit 19" — horticulture training in college station 2st Calhoun County Texas Farm Bureau Annual Meeting 28' District 1 I office Visit 291 Performance Appraisal Every Friday Master Gardener Training Direct Contacts bv: Office: 11 E-mail: 38 Facebook Posts/Followers: 6 posts/611 followers Site: 6 Newsletters: 0 Instagram Posts/Followers: 0 Post/ 0 followers Phone/Texts: 16 Major events for next month — October 2023 16- 2151 Calhoun Countv Fair Calhoun CEA — Aericulture and Natural Resources October 61" 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 September 2023 Miles traveled: 20 County Vehicle Personal Vehicle Selected major activities since last report ➢ September Meetings 5, 7, 8, 11, 12,19, 20, 21 & 25 District 11, CalCo ISD SHAC, Cal Co Library Board, Healthy South Texas Hub, Texas Extension Educators Association, Hospital Anniversary, Volunteer Steering Committee, United Way Board, Lunch and Learn at the Hospital, Senior Citizen's Board, OLG SAC Board ➢ Sept. 1, 6, 8, 11, 13, 15, 18, 20, 22, 25, 27 & 29 Strong People Strong Bodies Morning ➢ Sept 1 CPR Training Conducted by RJ for Karen, Bailey, and Emilee ➢ Sept 5 & 7 Food Show and Joint Food Show/Challenge meeting with Emilee, Erika, and JT ➢ Sept 6 Hostessing for the Quilt Guild ➢ Sept 13 Cooking Well with Diabetes County Lunch and Leam ➢ Sept 13 Presented Healthy South Texas Recognized School Banner to Seadrift School and meeting ➢ Sept 14 Training for Diabetes Conference ➢ Sept 14 Town Hall on Drugs and Their Effect on Rural Communities ➢ Sept 15 Naloxone Training 10:00 ➢ Sept 16 United Way Family Fun Day ➢ Sept 18 Strong People Strong Bodies Evening Classes Start 18, 21, 25 & 28 ➢ Sept 26 Food Handler's Meeting in Spanish ➢ Sept 26 Early Childhood Educators Training ➢ Sept 27 Lunch and Interpretation at the YMCA ➢ Sept 28 Nutrition Project Meeting for 4-H ➢ Sept 28 Presenting Healthy South Texas Recognized School Banner to OLG Home and School Association Direct Contacts by Office: 2 E-mail/Letters: 714 Facebook Page Post 56 Followers 664 Site: 0 Newsletters: 0 Facebook profile 1025+ Friends 5 posts Phone/Texts: 72 Volunteers: 1 In Person Participant Contacts - 186 Major events for next month —October 2023 ➢ October Meetings 5, 7, 11, 19, 20, 21 & 25 District 11, Ca1Co ISD SHAC, Cal Co Library Board, Texas Extension Educators Association, Volunteer Steering Committee, United Way Board, Lunch and Learn at the Hospital, Senior Citizen's Board, OLG SAC Board ➢ Oct 2,4-6, 9, 11-13, 16, 18-20, 23, 25-27 & 30 Strong People Strong Bodies 5 classes a week. ➢ Oct 1-5 State Judges and Commissioner's Convention ➢ Oct 6-7 Working at the Formosa Golf Tournament ➢ Oct 10 Either LEPC Or Lunch and Lean —waiting on Planning Committee ➢ Oct 12 Soil and Water Conservation Banquet ➢ Oct 16-21 Calhoun County Fair ➢ Oct 24 Matter of Balance Weekly Classes with Victoria Agent Evening Early Childhood Educator Class ➢ Oct 26 Dow Chili Cookoff Karen P. Lyssy Calhoun Name County CEA — Family and Community Health September 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 September 2023 Miles traveled: County Vehicle xx Personal Vehicle xx Selected major activities since last report. 9/1— Fist Aid/CPR/AED Training for Extension Office Staff 9/4-9/8 — Vacation 9/11 — Visit Pct. #4 and Pct. #3 Offices to discuss County Park Grant Opportunity 9/12 — Host Texas Waterbird Annual Meeting 9/13 — Texas Brigades Board Meeting 9/14 — Site Visit to Pct. #1 with NRCS Staff to evaluate erosion options for landowner 9/I8 — Aggie Invent Jr. meeting with CCISD, TEEX, TXSG 9/19 — Marine Advisory Committee Meeting, Fisherman's Co -Op — Oyster Farm Meeting 9/21 — Site Visit Boggy Bayou Nature Park and Olivia Haterius Park 9/21 — pick up lunch food for Adopt -a -Beach and deliver to Magnolia Beach VFD 9/22 — Prep for Oyster Farm Site Visit and Adopt -a -Beach. 9/23 — Magnolia Beach Adopt -a -Beach. 9/25 — Oyster Farm Site Visit, Travis Marine Explorer Program, Shoreline Cleanup Dinner 9/26 — TXGLO Clean Coast TX Meeting with City of Port Lavaca 9/27 — YMCA Camp Interpretation Luncheon 9/28 — Calhoun Fishing Cooperative Meeting Direct Contacts by: Office: 13 E-mail/Letters: 235 Instagram Posts/Followers: 4/894 Site:9 Newsletters: 0 Phone/Texts:196 Volunteers:0 Major events for next month — September 2023 October— Assist Calhoun Co. Grant Writer with MBMT Grant Proposal RJ Shelly Calhoun Name County Coastal and Marine Agent September 2023 Title Date (Month -Year) Texas A&M AgriLife Extension • The Texas A&M University System - College Station, Texas # 20 NOTICE OF MEETING:;—10/18/2023 20. Consider and take necessary action on any necessary budget adjustments. (RHM) none Page 17 of 18 #21 NOTICE OF MEETING--1-0/18/202:3 21.Approval of bills and payroll. (RHM) MMC Bills: RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct i SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Indigent Healthcare: RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese County Bills: RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Adjourned 10:35 Page 18 of 18 MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR.=--- October 18 2023 by:CT INDIGENT HEALTHCARE FUND: INDIGENT EXPENSES HEB Pharmacy (Medimpact) Pharmacy Reimbursement 34.12 MMCenter (In -patient $01 Out -patient $3,618.451 ER $0) 3,618.45 SUBTOTAL 3,652.57 Memorial Medical Center (Indigent Healthcare Payroll and Expenses) 4,166.67 Subtotal 7,819.24 Co -pays adjustments for September 2023 ;(S.op)_ Reimbursement from Medicaid 0.00 OCT 18 2023 LC9Oum f,°, ;jujgTy SSIO HERS COURT DATE: CC Indigent Health Care COUNTY, TEXAS 10/18/2023 VENDOR # 852 ACCOUNT NUMBER DESCRIPTION OF GOODS OR SERVICES JQUANTITY UNIT PRICE TOTAL PRICE 1000-800-98722-999 Transfer to pay bills for Indigent Health Care $7,769.24 approved by Commissioners Court on 10/18/2023 1000-001-46010 September 30, 2023 Interest ($11.25) $7,757.99 COUNTY AUDITOR APPROVAL ONLY THE ITEMS OR SERVICES SHOWN ABOVE ARE NEEDED IN THE DISCHARGE OF MY OFFICIAL DUTIES AND I CERTIFY THAT FUNDS ARE AVAILABLE TO PAY THIS OBLIGATION. I CERTIFY THAT ABOVE ITEMS OR SERVICES WERE RECEIVED BY ME IN GOOD C TION REQUEST THE COUNTY TREASURER TO PAY THE ABOVE BIT IO . EY: 10/16/2023 APPROVM OCTy y I y y 2023 gy ccQQ NN77yy pp�� //11y''`� CALHOUNUCOUNT IVAS DEPARTAM HEAD v DATE -IHS Issued 10/09/23 Source Description Source Totals Report Calhoun Indigent Health Care Batch Dates 10/01/2023 through 10/01/2023 For Source Group Indigent Health Care For Vendor: All Vendors Amount Billed 02 Prescription Drugs 14 Mmc- Hospital Outpatient Expenditures Reimb/Adjustments Grand Total Amount Paid 34.12 34.12 6,577.00 3,618.45 6,626.23 3,667.68 -15.11 -15.11 6,611.12 3,652.57 Expenses 4,166.67 Co -Pays < 50.00 > 7,769.24 APPROVED ON gg OCT ry112023 &K CALHt WCWMYDRT&S Ito 6,23 Bill To: Calhoun County n gm 815 N. Virginia St. Port Lavaca, Texas 77979 (361) 552-6713 Date: 10/5/2023 Invoice # 388 For: Sep-23 F =, iaESGrtt1i?fi�QNt J��I�?�NT Funds to cover Indigent program operating expenses. $ 4,166.67 Total $ 4,166.67 1nA Andrew De Los Santos Controller APPROVED ON OCT 1 120 3 cRH00"cbvuWRAS RUN DATE: 10/05/23 MEMORIAL MEDICAL CENTER TIME: 09:33 RECEIPTS FROM 09/O1/23 TO 09/30/23 G/L RECEIPT PAY CASH SUMMER DATE NUMBER TYPE PAYER AMOUNT --------------------------------------------------------------------- PAGE 112 RCMREP RECEIPT DISC COLL GL CASH AMOUNT NUMBER NAME DATR INIT CODE ACCOUNT 50240,000 09/29/23 677811 CA 10.00 10.00 00/00/00 EAR 50240.000 09/13/23 676455 VI 10.00 10.00 00/00/00 PIE 50240.000 09/14/23 676583 VI 10.00 10.00 00/00/00 PIE 50240.000 09/20/23 677120 VI 10.00 10.00 00100/00 PIS 50240.000 09/27/23 677719 VI 10.00 10.00 00/00/00 PIE *+TOTAL*i 50240.000 COUNTY INDIGENT COPAYS 50.00 / ®iHS Source Totals Report Issued 10/09/23 Calhoun Indigent Health Care Batch Dates 02/01/2023 through 10/0112023 For Source Group Indigent Health Care For Vendor: All Vendors Source Description Amount Billed 01 Physician Services 1,795.00 01-2 Physician Services -Anesthesia 1,265.00 02 Prescription Drugs 226.92 08 Rural Health Clinics 673.00 14 Mmc - Hospital Outpatient 19,454.01 15 Mmc - Er Bills 7,794.00 Expenditures 31,239.16 Reimb/Adjustments -31.23 Grand Total 31,207.93 Expenses co -Pays Amount Paid 89.29 230.39 226.92 511.62 9,419.20 3,511.80 14,020.45 -31.23 13,989.22 37,501.03 < 90.00 > 51,400.25 Calhoun County Indigent Care Patient Caseload 2023 Approved Denied Removed Active Pending January 0 0 0 1 7 February 2 0 1 2 6 March 0 5 0 2 5 April 2 1 0 4 5 May 1 6 1 4 3 June 0 2 2 3 4 July 0 3 0 3 6 August 1 1 0 4 6 September 0 2 0 4 8 October November December YTD 6 20 4 27 50 Monthly Avg 1 2 0 3 6 December 2022 Active 1 Number of Charity patients 218 Number of Charity patients below 50% FPL 124 Number of Charity patients who meet State Indigent Guidelines 115 Calhoun County Pharmacy Assistance Patient Caseload 2023 Approved Refills Removed Active Value January 0 2 0 5 $1,667.46 February 0 21 0 14 $14,786.76 March 1 3 0 16 $2,460.00 April 3 12 0 22 $11,674.00 May 1 3 0 24 $2,954.67 June 2 9 0 29 $5,673.30 July 3 11 0 29 $6,159.99 August 1 3 0 29 $2,445.75 September 5 4 0 32 October November December YTD PATIENT SAVINGS $47,821.93 Monthly Avg 2 8 22 $5,977.74 December 2022 Active 55 0 g use 14 �w PROSPERITY BANK® 44 Statement Date Account No THE COUNTY OF CALHOUN TEXAS CAL CO INDIGENT HEALTHCARE 202 S ANN ST STE A PORT LAVACA TX 77979 13346 09/01/2023 Beginning Balance $5,500.75 3 Deposits/Other Credits . $11,551.31 4 Checks/Other Debits - $4,517.15 09/30/2023 Ending Balance 30 Days in Statement Period $12,534.91 Total Enclosures 6 9/30/2023 ""'4551 Page 1 of 2 Date Description Amount 09/05/2023 Deposit $4,515.44JuJy zoo 09/29/2023 Deposit $7,024.62 ba(M- 09/30/2023 Accr Earning Pymt Added to Account $11.25 Check Number Date Amount Check Number Date Amount 12611 09-26 $4,166.67 12613 09-25 $255.81 12612 09.26 $28.91 12614 09-28 $65.76 DAILY Date Balance Date Balance Date Balance 09-01 $5,500.75 09.26 $5,564.80 09-30 $12,534.91 09.05 $10,016.19 09.28 $5,499.04 09-25 $9,760.38 D9-29 $12,523.66 Below is an itemization of the Earnings paid this. period. " Interest Paid This Period $11.25 Annual Percentage Yield Earned Interest Paid YTD $38.12 Days in Earnings Period Earnings Balance MEMBER FDIC l NO R 1.51 % 30 $9,125.44 NYSE Symbol "PB" MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR ---October 18, 2023 TOTALS TO BE APPROVED - TRANSFERRED FROM ATTACHED PAGES TOTAL,PAYA,BLES; PAYROLLAND_ELt=GTRONIGBANK'PAY,MENTS........ $ t56,82&53, '� TO'1ALTRANSFERSBETNlE fifFUNDS: $ 41,0e6.67 TOTAL NURSING iHOME UPLEXPENSES $ 1,02T,3't492;'� TOTAL INTER -GOVERNMENT TRANSFERS $ MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR ---October 18, 2023 PAYABLES AND PAYROLL 10/12/2023 Weekly Payables 435,402.23 1011612023 McKesson-3408 Prescription Expense 8,716.03 1011612023 Amedsource Bergen-34013 Prescription Expense 266.20 10/1612023 Amedsource Bergen-34013 Prescription Expense 3,927.04 Prosperity Electronic Bank Payments 10/1012023 Credit Card & Lease Fees 6,806.68 10/1912023 Sales Tax for September 2023 1,722.11. 10/1012023 Geargage-Patient Financing Service 117.37 10/10-1011323 Pay Plus -Patient Claims Processing Fee 300.18 10/13/2023 ExpertPay- child support 570,69 'YOTA1 :PAYABLES, PAYROLL AND, ELECTRONIC BANK PAYMENTS TRANSFER BETWEEN FUNDS FROM MMC TO NURSING HOMES 10/1212023 MMC Operating to Broadmoor-correction. of NH insurance payment deposited Into MMC Operating. 1011212023 MMC Operating to Cresoent-cortection of NH insurance payment deposited into MMC Operating in error 1011212023 MMC Operating to Golden Creek -correct on of NH insurance payment deposited into MMC Operating in error 10/1212023. MMC Operating to Gulf Pointe Plaza -correction of NH. insurancepayment deposited into MMC Operating 1011 PJ2023 MMC Operating to Tuscany Village-conection of NH Insurance payment. deposited into MMC Operating - _ 1011212023 MMC Operating to Bethany-comecgon of NH insurance payment deposited into MMC Operating TOTAL TRANSFIEIt813 tAtEEN FUNDS. NURSING HOME UPL EXPENSES 10/162023 Nursing Home UPL-Cantex Transfer 10/162023 Nursing Home UPL-Nexlon Transfer 10116/2023 Nursing Home UPL-HMG Transfer 10/162023 Nursing Home UPL-Tuscany Transfer 10/162023 Nursing Home UPL-HSL Transfer NURSING HOME BANK FEES 10/132023 Ashford -Enhanced analysis fee QIPP CHECKS TO MMC 1011612023 Ashford 1011612023 Broadmoor 10/162023 Crescent 10/1612023 Fort Bend 10/162023 Solem 1011612023 Tuscany TRANSFER BETWEEN FUNDS FROM NURSING HOMES TO MMC 10116/2023 Ashford -Interest Earned 10/16/2023 Broadmoor-Interest Earned. 10116/2023 Crescent -Interest Earned I UMW023 Fort Bend -Interest Earned 1011612023 Solera-Interest Earned 10116/2023 Golden Creek -interest earned 10116/2023 Gulf Pointe MM-Interest Earned 1011612023 Gulf Pointe PP -Interest Earned 1011612023 Selhany-Interest Earned 1011612023 Goldencreek to MMC-correction of MMC insurance payment deposited into Goldencreek in error !TOTALNURSINCa HdME UPL EXPENSES GC?T9L INTEWGaOVIFRNMENT TRANSFERS. 2.400.00 32,650.00 629-73 2,786.84 1,002A0 1,637.70. 584,907.35 116,549.17 82,796-52 60,370.97 136,315.50 87.42 15,260.94 5.608.97 4,237.93 4,72938 4,531.64 9,311.37 445,67 308.81 539.97 160.67 412.31 321.24 203.42 83.53 536.74 594.80 $. 41,0401 `_ $ '102T,314' 5 GPAND TOTAL DISBURSEMENTS APPROVED October 18, 202.3' Page 1 of 18 RECEIVED BY THE COUNTY AUMOR ON OCT 12 2923 10112120M MEMORIAL MEDICAL CENTER RLHI)ltt,VSOUNTI X,, TEXAS - AP Open Invoice List a Due Dates Through: 11/03/2023 ep_apen_invoice.template Vendor# Vendor Name Class Pay Code / A1705 ALIMED INC. ;/ M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -pay Net RPSV0403916(3 1011. 1120 06/06/20 06/21120 126.36 0.00 0.00 126.36 SUPPLIES RSPV04067568 1011112007128/2008/12/2o 118.28 0.00 0,00. 118..28 ✓ SUPPLIES RSCN1o5728 v1 10111120 08/08/20 08123120 -86.63 0.00 0.00. -86.63 CREDIT RSPV04074641 ../ 10/11/20 08110120 08/25120 162.13 0.00 0.00 162.13 ✓ SUPPLIES Vendor Totals Number Name Gross Discount. No -Pay Net. A1705 ALIMED INC. 320,14 0.00. 0.00 320.14 Ventlor# Vendor Name Class Pay Code 14028 AMAZON CAPITALSERVICES Invoice# Comment Tran Dt Inv Ot Due Dt Check. 0 Pay Gross Discount No -Pay Net 19MK-VV14-MTFr / 10/11/2009/29/2010/29/20 639.24 0.00 0,00 { 639.24 ✓ POPCORN MACHINE -... _ 1MOC•LM6R-M4Mw ✓`10/1 V20 10/03/20 11102/20 269.94 0.00 0.00 289.94 SUPPLIES Vendor Total: Number. Name Grass Discount No -Pay Net. 14028 .AMAZON CAPITAL SERVICES 909.18 0.00 0.00 909.18 Vendor# Vendor Name Class Pay Code 10592 AMERICAN PROFICIENCYINSTITUTE Invoice# Comment Tran Dt Inv Dt Due Ot Check D-Pay Gross Discount No -Pay Net 667975 ✓ / 10/11/20 09/27120 10/22/20 1,829.00 0.00 0.00 1,829.00 LAB SUPPLIES ,. Vendor Total: Number Name Gross. Discount No -Pay Net 10592 AMERICAN PROFICIENCY INSTITUTE 1,820,00 0.00 0.00 1,629.00 Vendor# Vendor Name Class Pay Code f 12800 AUTHORR-VRX ✓ Invoice#,/ Comment Tran Dt Inv Dt Due Dt Check Ov Pay Gross Discount No -Pay Net 1947 „r 1011112010/03/20 10/04/20 91563.00 0.00 0.00. 9,563.00 % 3408 1979 ✓ 10111/2010109120 10/10/20 806.00 OAO 0.00 806.o0 vfi ADVANCED CLAIMS . Vendor Total: Number Name Grass Discount No -Pay Net 12800 AUTHORITYRX 10,369.00 0.00 0.00 10,369.00 Vendor# Vendor Name I Class .", Pay Code A2600 AUTO PARTS & MACHINE CO. w Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net / 014655 y� 10/11/2009/21/2010106/20 153.80 0.00 0.00 1.53.60 ' SUPPLIES Vendor Total:Number Name Gross Discount No -Pay Not A2600 AUTO PARTS & MACHINE CO. 153.80 0,00 0.00 153.80 Vendor# Vendor Name ,. Class Pay Code B1150 BAXTER HEALTHCARE V w Invoice# Comment Tran Ot. Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net file:/!/C:/Users/Itrevino/cpsilmemmed.cpsinet. com/u88125/data_5/tmp_gw5report28258... 10/12/2023 Page 2 of 18 80394528 ✓ 10/11/20 09115/20 10/10120 665.59 0.00 0.00 665.59 ✓+ ,SUPPLIES 12774709 r,/ / 10/11/20 0913W2010101120 4.61 0.00 0.00 4.61. WE FEE 80582056 f 10/11/20 10/0212010/27/20 144.16 0.00 0.00 144,18 5/t1PPLIES 80578939 ./ 1011.1/201010PJ2010/27120 43.84 0.00 0.00 43.84 Ys'� ,rSUPPLIES 80681571✓ _ 10111/2010/02/2010127120 3,071.40 0.00 0.00 3,071.40 L€ASE/SOFTWARE LICENSE 80585509 10/11/20 10/02/20 10/27/20 631.20 0.00 0.00 631..20 SPECTRUM CONTRACT 80579587 �/ 10/11/20 10/02/20 10/27/20 43.06. 0.00 0.00 43.06. ^0 SUPPLIES Vendor TotalENumber Name Gross Discount No -Pay Net B1150 BAXTER HEALTHCARE 4.603.86 0.00 0.00 4,603.66 Vendor# Vendor Name Class Pay Code r M24a5 BAYERHEALTHCARE ,i M Invoice# Comment Tran Ot Inv Dt Due Ot Check 0 Pay Grass Discount No -Pay Net 6010826544 yr 10/11/20 09/20/20 10120120 1,656.12 0.00 0,00 1.,656.12. y SUPPLIES . Vendor Totals. Number Name Gross. Discount No -Pay Net - -- ..- M2485 SAYER HEALTHCARE 11655.12 0,00 0.00 1,656.12. Vendor# Vendor Name Class Pay Code 81220 BECKMAN COULTER INC �% M Invoice# ,Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 5479158 10/11/20 OW25/2010120120 1.337.05 0.00 0.00 1.337.05 / LEASE 7348312✓ 10111/20 10/02120 10/27120 8,211..22 0.00 0.00 8,211..22. ,CONTRACT 110894514✓/1(VI 1/2010/03/2010/28/20 2,316.42 0.00 0.00 2,316.42 SUPPLIES 110893287r,r(1 Ofl 1/20 10/03120 10/28/20 411,87 0.00 0.00 411.87 ✓'' �SU-PPLIES 110899911 �rr10/11/20 10/05/20 10130/20 4,470.76 0.00 0.00 _ 4,470,76 yT'� CONTRACT HARDWARE Vendor Total: Number Name Gross. Discount No -Pay Net B122D BECKMAN COULTER INC 16,747.32 0.00 0.00 16,747.32 Vendor# Vendor Name Class Pay Code / 10024 BECTON, DICKINSON & CO (BD) ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Grass Discount No -Pay Net 9111768913 ✓1 10/11/20 09/20/20 10/20/20 266.75 0.00 0.00 266.75' SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 10024 BECTON, DICKINSON & CO (BD) 266.75 0.00 0.00 266.75 Vendor# Vendor Name Class Pay Code. B1650 BOSART LOCK & KEY INC ✓/ M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 126792 / I Q11 1/20 09106120 1 01OW20 74.90 0.00 0.00 / 74.90 y� KEYS Vendor Totals Number Name Gross Discount No -Pay Net file:///C:/Userslltrevinolcpsilmenimed.cpsinet.com/tt881251data_51tmp_cw5report28258... 10/12/2023 Page 3 of 18 B1650 BOSART LOCK & KEY INC 74.90 Vendor# Vendor Name Class Pay Cade 11224 CABLES AND SENSORS wl Invoice# /. Comment Tran Dt Inv Dt Due Dt Check D Pay Gross. 157228 ✓ 10/11/20 10/03/20 11/02/20 78.00 CABLE Vendor Total: Number Name Gross 11224 CABLES AND SENSORS 78.00 Vendor# Vendor Name Class Pay Code 11295 CALHOUN COUNTY INDIGENT ACCOUN Wj+ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross 100523 10/11120 10105/20 10106/20 50.00 INDGENT COPAYS Vendor Totals Number Name Gross 11295 CALHOUN COUNTY INDIGENT ACCOUN 50,00 Vendor# Vendor Name r class Pay Code. C1992 CDW GOVERNMENT, INC, ✓ M. Invoice# pommeni Train: Dt Inv Dt Due Dt Check D Pay Gross M845105 ✓ 10/11/20 09(20/20 10/20/20 69.69 SUPPLIES Vendor Totals Number Name Gross C1992 CDW GOVERNMENT, INC. 69.69 Vendor# Vendor Name ` Class Pay Cade 13264 CERVEY, LLC w�f Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross / 24625 ✓ 1Oil 1/2010/05/201 W30/20 1,699.00 MONTHLY LICENSE FEE Vendor TotalsNumber Name Gross 13264 CERVEY, LLC 1,699.00 Vendor# Vendor Name Class Pay Cade 15060 CHRISTY SILVAS ✓� 0.00 0.00 74AO Discount No -Pay Net 0.00 0.00 78.00 f� Discount No -Pay Net 0.00 0.00 78.00 Discount No -Pay Net 0.00 0.00 50.00 Discount No -Pay Net 0.00 0.00 50.00 Discount No -Pay Net 0.00 MOO ,✓ 69.69 r/ Discount No -Pay Net 0.00 0.00 69.69 Discount No -Pay Net 0.00 0.00 1,699.00 �.✓`� Discount No -Pay 0,00 0.00 Invoice# Comment Tran Dt Inv Ot Due.Ot. Check D Pay Gross Discount 100923 10/11/20 10/09/20 10/18/20 �/�r 1,22g.80 0.00 TORCH/rARHC FALL CONFER 1IM-41A-BIA3 Vendor Totals Number Name Gross Discount 15060 CHRISTY SILVAS 1,22/80 0,00 Vendor# Vendor Name / Class Pay Code C7600 CITIZENS MEDICAL CENTER ✓f W Invoice# omment Tran Ot Inv Dt Due Dt / Check O Pay Gross Discount 20W, - 09/29/20 09/29/20 10/29/20 55,396.82 0.00 CRNA COVERAGE SEPT 23 Vendor Totals. Number Name Gross Discount C1600 CITIZENS MEDICAL CENTER 55.396.82. 0.00 Vendor# Vendor Name Class Pay Code 13336 COCA COLA SOUTHWEST BEVERAGES Invoice# Comment Tran Dt Inv Dt Due Dt Check 0 Pay Gross Discount 37890083009 clef 10/11/20 09/29/20 10/29/20 344.18. 0.00 BEVERAGES Vendor Totals Number Name Grosse Discount 13336 COCA COLA SOUTHWEST BEVERAGES 344.18 0.00 Ventlor# Vendor Name Class Pay Code No -Pay 0.00 No -Pay 0.00 Net 1.699.00 Net 1,22Y80 Net gA 1,214.80 No -Pay Net / 0.00 55.396.82 re✓" No -Pay Net 0.00 55,396.82 No -Pay Net 0.00 344.18 No -Pay Net 0.00 344A 8. file:///G:/Users/ltrevinolepsi/memmed.cpsinet.com/u881251data_51tmp_cw5report2825 8... 10/ 12/2023 Page 4 of 18 V 13572 COMMUNITY INFUSION SOLUTIONS "/ Invoice# Cerement Tran Dt Inv Dt Due Dt Check 0 Pay Gross 202310-16 ✓ 10/11/20 10105120. 10/16/20 8,226.38 INFUSION SERV Vendor Totals Number Name Gross 13572. COMMUNITY INFUSION SOLUTIONS 8.226.38 Vendor# VendorName Class Pay Code 14080 CORROHEALTH, INC. ✓/ Invoice# Comment Tran Dt Inv or Due Dt Check D Pay Gross. 907596 / 10/11/20 09/30/20 10/30/20 2,327.55 CODING Discount No -Pay Net 0.00 0.00 8.226.38 Discount No -Pay Net 0.00 0.00 8,226.38 Discount No -Pay Net 0.00 0.00.. 2,327.55 ✓'� endor Total: Number Name Gross Discount No -Pay 14080 CORROHEALTH, INC. 2,327.55 0.00 0.00 Vendor# Vendor Name Class Pay Code 10368 DEWITT POTH.&SON Invoice# CC mment Tran Dt Inv Dt Due Ot Check D Pay Gross Discount No -Pay 732087.0 V 10/11/20 09/28/20 10/23/20 62.71 0.00 0.00 SUPPLIES Vendor Totals Number Name Gross 10368 DEWITT POTH & SON 62.71 Vendor# Vendor Name Class Pay Code 11011 DIAMOND HEALTHCARE CORP y/ Invoice# Co ment Tran Ot Inv Dt Due Dt Check 0 Pay Gross IN20055928 ✓ 10/11/20 10101/20 10/26/20 31.,144.58 BEFj HEALTH SEPT 23 IN20055927 10111120 10/01/20 10126/20 19,166.67 CPR. SEPT 23 Vendor TotaleNumber Name Gross 11011: DIAMOND HEALTHCARE CORP 50,311_25 Vendor# Vendor Name Class Pay Code G0501 DR JEANNINE GRIFFIN W Invoice# Comment Tran Dt Inv Dt Due Ot Check D. Pay Gross 100e23 10/11/20 p10/06/2010/15/20 11500.00 PEDATRICCALL Vendor Totals Number Name Gross. G0501 OR JEANNINE GRIFFIN. 1,500.00 Vendor# Vendor Name / Class Pay Code 14832 DR JOHN CLINTON ✓ Invoice# Comment Tran Di Inv Ot Due Ot Check D Pay Gross 100623 10111/20101061201011512^0�' 2,400.00 PEDIATRICCALL ( 1111k' lit4 (t'�rL�'l1ipL3 i' Vendor Totals Number Name Grass 14832 DRJOHNCLINTON 2,400.00 Vendor# Vendor Name / Class Pay Code 15064 DR. DHAVAL PATEL 1/ Invoice# Comment Tran Dt Inv or Due Dt Check D Pay Gross 100923 10111/201010912010/18FF/20 d 470/2. TORCH/1-ARHCCONFERENCE Vendor Total$ Number Name Gross 15064 DR. DHAVAL PATEL 470A2 Vendor# Vendor Name Class Pay Code Net 2,327,65 Net / 62.71 v Discount No -Pay Net 0.00 0.00 62,71. Discount No -Pay r Net 0.00 0.00 31,144.58 0.00 0.00 1.9,1.66.67 Discount No -Pay Net 0.00 0.00 50,31.1.25 Discount No -Pay Net 0.00 0.00 1,500.00 Discount No -Pay Net 0.00 0.00 1,500,00 Discount No -Pay Net 0.00 0.00 2,400.00 Discount No -Pay Net 0.00 0.00 2,400.00 Discount No -Pay 0.00 0,00 Discount No -Pay 0.00. 0.00 Net 47V32 Net,tt 47p.32 4� file:///C:/Users/ltrevinolepsi/memmed.cpsinet.com/u881251data_51tmp_cw5report28258... 10/ 12/2023 Page 5 of 18 / W1372 DR.JOHNWRIGHT Invoice# Comment Tran Ot Inv Dt Due Dt Check Dr Pay Gross Discount No -Pay Net 100623 10/11/20 W06/20 10/15/20 2,100.00 0.00 0.00 2,100.00 PEDIATRIC CALL 9.* 1?4-g1M'!3) kr` Vendor Totals Number Name Gross Discount No -Pay Net W1372 DR.JOHNWRIGHT 21100.00 0.00 0.00 2,100.00 Vendor# Vendor Name / Class Pay Code 14924 DR.TIMUKWI V_ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 100623 10111/20 10/06/20 10/15/20 3.000.00 0.00. 0.00 3,000.00 PEDIATRIC CALL 411'-7-X) . Vendor ?otaleNumber Name Gross Discount No -Pay Net 14924 DR.TIMUKWI 3,000.00 0.00 0.00 31000.00 Vendor# Vendor Name Class Pay Cade 12044 DRIESSEN WATER INC. (CULLIGAN) Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net. 09302023 y+`� 10/11/20 09/30/20 10/22/20 103.95 0.00 0.00 103.95 f WATER Vendor Totals Number Name Gross Discount No -Pay Net. 12044 DRIESSEN WATER INC. (CULLIGAN) 103.95 0.00 0.00 103.95 Vendor# Vendor Name Class Pay Code 10175 DSHS CENTRAL LAB M02004 Invoice# Comment Tran Dt Inv at Due Dt Check. D Pay Gross Discount No -Pay Net. CM1838.092023 I all 1/20 10103120 10/28190 128.42 0.00 0.00 128.421,,� LAB SERV Vendor Totals Number Name Gross Discount No -Pay Net 10175 DSHS CENTRAL LAB MC2004 128.42 0.00 0.00 128.42 Vendor# Vendor Name Class Pay Code 14708 EQUALIZE RCM SERVICES. Invoice# Comment Tran at Inv Dt Due. Dt Check D Pay Gross Discount No -Pay Net 532935 / 10/03120 04/01/20 1 VD2/20 2,026.84 0.00 0.00 2,026.84 V-' KPI REPORT/REVENUE CYCLI Vendor Totals Number Name Gross Discount No -Pay Net 14708 EQUALIZE RCM SERVICES 2,026.84 0.00 0.00 2,026.84 Vendor# Vendor Name Class Pay Code C2510 EVIDENT 16+ M. Invoice# Comment Tran Dt Inv Dt Due Or Check DPay Gross Discount No -Pay Net A2310051378 10/1112010105/2010/06@0 18,757.00 0.00 0.00 18,757.00 TECH MONTHLY SUPPORT Vendor Totals Number Name Grass. Discount. No -Pay Net C2510 EVIDENT 18,757.00 0.00 0.00 16.757.00 Vendor#Vendor Name Class Pay Code 10689 FASTHEALTH CORPORATION b/ Invoice# Comment Tran or Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net IOA23MMC ✓/ 10/11/20 10/01/20 10/16/20 545.00 0.00 0.00 545.00 WESITE VendorTotale Number Name Gross Discount No -Pay Net 10689 FASTHEALTH CORPORATION 645.00 0.00 0.00 545.00 Vendor# Vendor Name / Class Pay Gods F1100 FEDERAL EXPRESS CORP. V W Invoice# Comment Tran at Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net file://lC:/Users/Ltrevinolcpsilmemmed.cpsinet.comlu88125/data 5/tmp_cw5report28258... 10/12/2023 Page 6 of 18 8.269.50391 V 10/11/20 09/28/2010/23/20 41.47 0.00 0.00 41.47 FREIGHT Vendor Totals Number Name Grass Discount No -Pay Net F1100 FEDERAL EXPRESS CORP. 41.47 0.00 0.00 41.47 Vendor# Vendor Name Class Pay Code F1400 FISHER HEALTHCARE �� M Invoice# omment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 630107E 10111/200911 MO 10/14/20 13,677.82 0.00 0.00 13,577.82 ySUPPLIES ,. 6301073 v/ 10/11/2009/19/2010/14/20 530.38 0.00 0.00 530.38 ✓^� UPPLIES 6301074 loll 1120 09/19/20 10/14/20 149,54 0.00 0.00 149.54 SUPPLIES 6301072 r/ 10111/20 09/19120 10/14/20 795,57 0.00 0.00 795.57 ✓''f SUPPLIES ., 6301075 10/11/20 09/19/20 10/14120 318.80 0.00 0.00 318.80 S PPLIES 6340260 10/11/2009/20/2010/15120 33.36 0.00 0.00 33,36 VV�, SUPPLIES 637877E r1 10111/20 09121120 10/16/20 442,78 0.00 0.00' �+ 442.78' SUPPLIES 6378777.�'/ 10111/20 09/21/20 10116120 1,249.4E 0.00 0.00 1,249.48 _... ,. _.._ SUPPLIES 6490452 �/f 1011112009/2E/2010/21120 1,414.32 0.00' 0.00 1,414,32 ems` SUPPLIES Vendor Totals Number Name Gross Discount WPay Net F1400 FISHER HEALTHCARE 18,512.05 0.00 0.00 18,512.05 Vendor# Vendor Name Class Pay Code 11183 FRONTIER Invoice# Comment Tran Dt Inv Dt Due Dt Check 0 Pay Gross Discount No -Pay Net 100223 10111/2010102(2010/26/20 1,167.18 0.00 0.00 1.,167.16 PHONE Vendor Totals Number Name Gross Discount No -Pay Net 11183 FRONTIER 1,167.18 0.00 0.00 1,167.18 Vendor# Vendor Name f Class Pay Code 12404 GE PRECISION HEALTHCARE, LLG ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount. No -Pay Net. 6002507176 V% 10/1112010/Ol/2D 10/31/20. 86.67 0.00 0.00 86.67 V. IMAGING CONTRACT 6002507183y ." 10111120 10101120 10/31120 5,665.83 0.00 0.00 5.665,83 t IMAGING CONTRACT 6002507301 10/11/2010/01/20 10/31120 868.16 0.00 0.00 868.16: > IM�A/GING CONTRACT 6002507178 ✓ 10/11/20 10/01/20 10/31/20 61.67 0.00 0.00 61.67 IMAGING CONTRACT r 6002507175 �/ 10/11/20 10/01120 10/31/20 31588.58 0.00 0.00 3,588.58 ,Y;✓ IMAGING CONTRACT 6002507177 10111/20 10/01/20 10/31/20 2,422.50 0.00 0.00 2,422.60 IMAGING CONTRACT _ Vendor Totals Number Name Gross. Discount No -Pay Net 12404 GE PRECISION HEALTHCARE, LLC 12,693.41 0.00 0.00 12,693.41 file:///C:(Userslltrevino/cpsi/memmed.cpsinet.coralu88125ldata_51tmp_cw5report28258... 10/12/2023 Page 7 of 18 Vendor# Vendor Name Class Pay Code 10642 GLAXOSMITHKLINEPHARMACUETICAL Invoice# Comment Tran Ot Inv Dt Due or Check D Pay Gross Discount No -Pay Net 8268988702 ✓1,' 09129/2006114/2011/01/20 .3,264.30 0.00 0.00 .3,264.30 ✓'" CREDIT 8254078922 ,�y 09129/20 08107/20 11/01/20 9.057.02. 0.00 0.00 9,057A2 INVENTORY , Vendor Totals Number Name Gross Discount No -Pay Net 10642 GLAXOSMITHKLINE PHARMACUETICAL 5,792.72 0.00 0.00 5,792.72 Vendor# Vendor Name Class Pay Code 12948 GREAT AMERICA FINANCIAL SVCS Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 34993601 f 10/12/20 10102120 10/31/20 10,347.34 0.00 0.00 10,347.34 COPIER LEASE Vendor Total: Number Name Gross Discount No -Pay Net. 12948 GREAT AMERICA FINANCIAL SVCS 1.0,347.34 0.00 0.00 10,347.34 Vendor#Vendor Name Class Pay Code G0401 GULF COAST DELIVERY `i Invoice# Comment Tran Dt Inv DI Due Dt Check D Pay Gross Discount No -Pay Net 092923 09/29/20 0912912010/29120 25.00 0.00 0.00 25.00 REPORTS/SLIDES , Vendor Totals Number Name Gross- Discount No -Pay, Net G0401 GULF COAST DELIVERY 25.00 0.00 0.00 25.00' Vendor# Vendor Name Class Pay Code G1210 GULF COAST PAPER COMPANY .� M Invoice# Comment Tran Dt Inv of Due Dt Check O Pay Gross. Discount No -Pay Net. _ 2443429 10/11120 09/19/20 10/19/20 889.19 0.00 0.00 689.19 SUPPLIES 2450327y! 10111/20 10103/20 11/02/20 717,32 0.00 0.00 717.32 SUPPLIES 2450357 „/ 10111/20 10/03/20 11/02/20 51.57 0.00 0.00 51.57 SUPPLIES 2450324 10111/20 10103/20 11102120 51.57 0.00 0.00 ` 51.57 1✓ SUPPLIES Vendor Totals Number Name Gross. Discount No -Pay Net G1210 GULF COAST PAPER COMPANY 1,509.65 0.00 0.00 1,509,65 Vendor# Vendor Name Class Pay Code 11552 HEALTHCARE FINANCIAL SERVICES Invoice# Coomment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 100806119 „/ 09/29120 09/27120 11101120 4,610.52 0.00 0.00 4,61'.0.52. LEASE 100809750 `' 10€11/2010/0712011101/20 r. 1,797.44 0.00 0.00 1,797,44 .LEASE Vendor Totals Number Name Gross Discount No -Pay Net 11552 HEALTHCARE FINANCIAL SERVICES 6,407.96 0.00 0.00 0,407.96 Vendor# Vendor Name Class Pay Code 11182 HEATHER MUTCHLER f Invoice# Comment Tran Dt Inv of Due Dt Check D Pay Gross Discount No -Pay Net 100923 10/11/20 10/09/20 10/18/20 47( 42 0.00 0.00 47y.32 TORCH/TARHC FALL CONFER gC�,kS-+e�1-d i w e2) xYsa{ g� Vendor Totals Number Name Gross Discount No -Pay Net file:!//C:/Users/ltrevino/cpsi/memmed.cpsinet.com/u88125/data_5/tmp ew5report28258... 10/12/2023 Page 8 of 18 11182 HEATHER MUTCHLER 470.32. 0.00 0.00 47rJ�.32u Vendor#Vendor Name Class Pay Code PP'' [n fl 14gI- 14916 HEWLETT-PACKARD f'r Invoice# Cfomment Tran Dt Inv Dt Due lot Check D Pay Gross Discount No -Pay Net 600934674 1✓ 0912912009/25/2011/01/20 573.53 0.00 0.00 573.53 RENTAL .�✓' Vendor Totals Number Name Gross Discount No -Pay Net 14916 HEWLETT-PACKARD 573.53 0.00 0.00 573.53 Vendor# Vendor Name Class Pay Code H0416 HOLOGIC INC ✓ Invoice# /�,omment Tran Dt Inv DI Due Dt Check D Pay Gross Discount No -Pay Net 10679791 ✓ 10/11/2009/21/2010111/20 708.75 0.00 0.00 708.75 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net H0416 HOLOGIC INC 708.75 0.00 0.00 708.75 Vendor# Vendor Name Class Pay Code 10922 HUNTER PHARMACY SERVICES ,/ Invoice# Comment Tran Dt Inv Dl Due Dt Check D Pay Gross Discount No -Pay Net. 5672. / I atl 1120 09/30120 10120/20 14,799.67 0.00. 0.00 14,799.67 NF PHARM SALARY ,. Vendor Totals Number Name Gross Discount No -Pay, Net 10922 HUNTER PHARMACY SERVICES 14,799.67 0.00 0.00 14,799.67 Vendor# Vendor Name Class Pay Code 14976 INOVALON. PROVIDER INC. Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 23M-0145132 /' 10/11/2010/06/2011/01/20 701.84 0.00 0.00 701.84 �Mtd @4uck�t 05w kodkIL w@t-lo f" 42-33 Vendor Totals Number Name Gross Discount No -Pay Not 14976 INOVALON PROVIDER INC. 701.84 0.00 0.00 701.84 Vendor# Vendor Name Class Pay Code / 11200 IRON MOUNTAIN of Invoice# Comment Tran Dt Inv Dt Due Ot Check D Pay Gross Discount No -Pay Net HWLH766 ✓f1011,1120 09/30120 10130/20 961.21 0.00 0.00 961.21 SHREDDING Vendor Totals Number Name Gross Discount No -Pay Nei. 11200 IRON MOUNTAIN 961.21 0,00 0.00 961.21 Vendor# Vendor Name Class. Pay Code 14540 JINDAL X LLC 4 Invoice# Comment Tran Dt Inv Dt Due Ot Check. D Pay Gross Discount No -Pay Net 2023.24023 ,v/ 10/11/20 10111/20 11/01/20 9,000.00 0.00 0.00 9,0o0.00 ✓'" REVENUE. CYLCE MOT Vendor Totals Number Name Gross Discount NaPay Net 14540 JINDALXLLC 91000.00 0A0 0.00 91000.00 Vendor# Vendor Name Class Pay Code L0700 LABCORP OF AMERICA HOLDINGS V/ M Invoice# Comment Tran Dt Inv Dt Due Ot Check. D Pay Gross. Discount No -Pay Net i 77678791 10/11/20 09/30/20 10/26/20 42.80 0.00 0.00 42.80 �^^ LAB SERV Vendor Totals Number Name Gross Discount No -Pay Net L0700 LABCORP OFAMERICA HOLDINGS 42.80 0.00 0.00 42.80 Vendor# Vendor Name Class Pay Code file:///C:/Userslltrevinolcpsilmemmed.cpsinet.comlu88125/data 5/tmp_cw5report28258.-. 10/12/2023 Page 9 of 18 L1288 LANGUAGE LINE SERVICES ✓ W Invoice# Comment Tran Dt Inv Dt Due Dt Check D, Pay Gross Discount No -Pay Net 11116474 �,/ 10111/2009/30/2010125120 22.36 0.00 0.00 22.38: ,' INTERPRETATION Vendor Totals Number Name Gross Discount No -Pay Net L1286 LANGUAGE LINE SERVICES 22,36 0.00 0.00 22.36 Vendor# Vendor Name Class Pay Code L1640 LOWE'S BUSINESS ACCT/SYNCB yf W Invoice# Comment Tran Dt Inv Dt Due Dt Check. D Pay Gross Discount. No -Pay Net 100223 10/12/2010102/2010/28/20 556.76 0.00 0.00 556.76 SUPPLIES Vendor Total. -Number Name Gross Discount No -Pay Net L1640 LOWE'S BUSINESS ACCT/SYNCB 556.76 0.00 0.00 556.76 Vendor# Vendor Name Class Pay Code / 15068 LRS HEALTHCARE W_ Invoice# Comment Tran Ot Inv Dt Due Ot Check D Pay Gross Discount No -Pay Net 629302 10/11120 09/08/20 10123/20 3,078.00 0.00 0.00 3,078.00 FELICIAM. GARCIA i�'a.&i A&b,y -joh 631354 10/11/20 09/15120 10/30/20 3,076.00 0A0 0.00 3,078.00 DELICIA M. GARCIA 632606 V 10/11/20 09/22/20 11/01/20 3,078.00 0.00 0.00 3,078.00 / DELICIA M. GARCIA . ✓ -- -- _ Vendor Totals Number Name Gross Discount No -Pay Net. 15068 LRS HEALTHCARE 9.234.00 0100 0.00 9,234.00 Vendor# Vendor Name Class Pay Code 10972 M G TRUST y / Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 100923 10111/20 10/09120 1011 =0 1,115.86 0.00 0.00 1,116.86 6// PAYROLL DEDUCT Vendor Totals Number Name Gross Discount No -Pay Net. 10972 MGTRUST 1,115.86 0.00 0.00 1,115.86 Vendor#Vender Name Class Pay Code MP470 MEDLINEINDUSTRIES ING "ems M Invoice# Comment Tran Dt Inv Dt Due Ot Check D Pay Grass Discount No -Pay Net 2278406530 6,/` 09/29/20 07/28/20 10/28/20 14956 0.00 0.00 149.56 SUPPLIES. 2278406531 ./' 09/29120 07/28/20 10/28/20 120.75 0.00 0.00 120.75. ✓� SUPPLIES .. 2278462447 f 09/2a/20 07/29/20 10/28/20 112.58 0.00 0.00 112.68 SUPPLIES. 2278462448 ✓f 09/29120 07/29/20 10/29/20 90.21 0.00 0.00 90.21 SUPPLIES 2278629057 eJ/09/29/20 07/31/2010/28/20 943.70 0.00 0.00 943.70 SUPPLIES 2278629056 �/ 09129/20 07/31/20 10/28/20 16,21 0.00 0.00 16.21'. SUPPLIES 2283449131 09/29/20 09/04/2010/25/20 104.72 0.00 0.00 / 104.72 y- , SUPPLIES 2283449132 ✓"' 08/28l20 09/04/20 10(29/20 $8.08 0.00 0.00 38.08 SUPPLIES 22OU49130 ✓1 09/29/20 09/04/20 10/29120 89.25 0.00 0.00 89.25 file:(/fC:/Userslltrevinolcpsilmemmed.cpsinet.comlu881251data_51tmp_cw5report28258.,. I0/12/2023 Page 10 of 18 SUPPLIES 2283449134 ? 09/29/20 09/0412010/29120 3,985.50 0.00 0.00 3,985.50' y/ SU PLIES 2283449135 09/29120 09/04/2010129/20 214.57 0.00 0.00 ,F 214.67 ✓ SUPPLIES 2283509730 y 09/29/20 09/05/20 10/29/20 500.54 0.00 0.00 / 500.54 SUPPLIES 2283509729 0/ 09/29/20 09/05/201 OY29/20 4.19 0,00 0.00 4.19 SUPPLIES 2283617937 09/29/20 09106/20 10/29/20 45.42 0.00 0.00 45.42 pi SUPPLIES 2283617941 d 09/29/20 09/06120. 10/29/20 96.96 OM 0.00 ,r 96.96 SUPPLIES 2283617934 ✓ 09/29/2009/06/20 10/29/20 94.89 0.00 0.00 94.89' SUPPLIES 2283617933 ✓ 09/29/20 09/06/20 10/29/20 856.68 0.00 0.00 856.68 t S,UspPLIES 2283960128 0/ 09129/20. 09/08/20 10/29/20 2.57 0_00 0.00 2.57 SUPPLIES 2283664132. -' 09/29/20 09/09/20 10/28/20 -40.82 0.00 0.00 -40.82' CREDIT 2284207817 09/29/20 09109/20 10/29/20 189.04 0.00 0.00 189.84 f SUP LIES 2283617940 09/29/20 09/09/20 10/29/20 27.29 0.00 0.00 27.29 SUPPLIES 2284431510,/�' 09/29/20 09112/20 10/29/20 51.63 0.00 0.00 61.63 SfI�PPLIES .. 2284431513 09/29/2009/12/2010/29/20 11.48 0,00 0.00 i'1_49 SUPPLIES 2284431512 u�` 09/29/20 0911 PJ20 10/29/20 429.90 0,00 0.00 429.90 7PLIES 2284431511 09/22120 09112/20 1012WZO 212.89 0.00 0.00 212.89 SUPPLIES 2284574233 % 09/29/20 09/13/20 10/29/20 535.67 0.00 0.00 535.67 SUPPLIES 2284574232 �/ 09129/2009/13/2010129/20 270.96 000 0.00 270.96 f� SUPPLIES 2284574238 J 09129/200911 MO 10/29/20 51.25 0.00 0.00 51.25 ✓� SUPPLIES. 2284574234�/ 09/29/20 09/13/20 10/29120 2,414.01 0.00 0.00 2,4`14.01 ,,:.✓ SU7LIES 2284574236 y/ 0912912009/13/20 IW29120 50.58 0.00 0.00 50.58 SUPPLIES 2284826203 ✓ l 09/29/20 09/14/20 10/28/20 -22.65 0.00. 0.00 -22.65. CREDIT 2284956351 , / 09/29/20 09/15/20 10/29/20 85.92. 0.00 0.00 85.92 SUPPLIES 2284966352 ," 09/29/20 09/15/20 10/29/20 107.92 0.00 0.00 107.92 SUPPLIES 2285384231 ,/ 09/29/20 09/19/20 10/29/20 31..27 0.00 0.00 31.27 SUPPLIES - .. file:WC:/Userslltrevinolcpsilmemmed.cpsinet.comlu881251data_51tmp_cw5report28258... 10/ 12/2023 2285384239 ✓ 09/29/20 09/19/20 1029120 SUPPLIES 2285384230 i,f 09/29/20 09179/20 7029/20 SUPPLIES 2285384242 09/29/20 09/19120 10/29/20 SU/PPLIES 2285384238 ✓ 09/29/20 09/19/20 10/29/20 SUPPLIES / 2285384240 f 092920 0911920 10129120 SUPPLIES 2285384243.7 0929/20 09/19/20 10/29120 SUPPLIES 2285384244 / 0929120 09/l 9120 10/29/20 SUPPLIES 2285496194 ,,./ 09/29/20 09/20/20 10/29/20 SUPPLIES 2285496182 a f 09/29120 09/20/2010129/20 SUPPLIES 2285498189",J 09/29/20 09/20/20 10/2920 SUPPLIES 2285496183 y, / 09/29/20 09/20/20 10129/20 SUPPLIES 22854961 91�/' 09/29/20 09/2012010/29/20 SUU PLIES 2285496192y` 09/282009120120 1012920 SUPPLIES 2285496193 / 09/29I20 0920/2010/2920 Su/PPLIES 228549619,, 09/29/2009202010/29/20 SU,j�PLIE5 2285496185 ✓ 09/292009/20/20 10/2920 SUPPLIES 2285673904✓ 0912912009212010/29/20 SUPPLIES 2286230053 f 09/29/20 08/25/20 10/2920 SUPPLIES 2286322015 a 09/29/20 09/2520 10/29/20 S7PUEs 2286322010 : 09/29/20 09/26l20 10/29/20 SSUPPLIES 2286322013 J 09/29/20 09/26/20 10/29/20 S,UrpPLIES 2286322014 / 092920 0926120 1029/20 SUPPLIES 2286322012 v/ 09/2920 0926/20 10/29/20 SUj�PLIES 2286322016 ✓l 09/29120 09/28/20 10/2920 SUPPLIES 2286537560V 0929/20 09/27/20 10/29/20 SSUPPLIES 2286537577 ✓ OM9120 09/2720 10/29/20 101.32 0.00 24.33 0.00 29.21 0.00 6.93 0.00 159.38 0.00 53.04 0.00 78.37 0.00 522.19 0.00 4.15 0.00 38.95 0.00 35AS 0.00 73.81 0.00 25.13 0.00 622.89 0.00 260.00 0.00 116,723.14 0,00 79.090.00 19.89 0.00 27.57 0.00 161.39 0.00 52.74 0.00 25.18 0.00 90,00 0.00 122.08 0.00 53.74 0.00 5.444.51 0.00 Page 11 of 18 0.00 101.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0,00 0.00 0.00' 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24.33 29.21 y 6.93 159.38 �.✓� 53.64 78.37 f 522.19 4.15 38,951.1 35.46 W ,w 73.81 25.13 ✓ 522.89 Lf 260.00 16,723.141, 79.09 ✓ 19.89 27.57 ✓ 161.39 ✓ 52.74 25.18 .% 0.90 90.00 ✓'� 0.00 122.08. 0.00 53.74 0,00 5,444.51: file:///C:/Users/Itrevino/cpsi/memmed.cpsinct.com/u88125/data 5/tmp_cw5report28258... 10/12/2023 Page 12 of 18 SUPPLIES 2286537576 ✓ 09/29/2009/27/2010/29120 297.57 0,00 0,00 / 297.57 ✓ SUPPLIES 2286537572 ✓ 09/29/20 00/27/2010129120 1,973.08 0.00 0100 1,973.08 a+' SUPPLIES 2286537574 �/ 09/29120 09/27120 10129/20 1,473.22 0.00. 0.00 1,473.22 SUPPLIES 2286537570 ,/ 09129/20 09/27/20 10/29/20 221.28 0.00 0.00 221.28. SUJ7PLIES 2286627732X 09/29/20 09/27/20 10/29/20 323.38 0.00 0.00 323.38 ✓' SUPPLIES 2286537579,/ 09/29/20 09/27/20 10/29/20 63.46. 0.00 0.00 63.46 SUPPLIES 2286537571 ,1 09/29/20 09/27/20 10/29/20 135.48 0.00 0.00 135.48 SU PLIES 7 2286537568 09/29/20 0912712010/29/20 105.49 0.00 0,00 105.49 SIJPPLIE3 , 2287393731.E 10/1 MO 10103/2010/28/20 757.33 0.00 0100 757.33 SUPPLIES 2287518446 �/ 10/11/20 10/03/20 10/25/20 249.38 0.00 0.00 249.38,,/ SUPPLIES ,/ 2287653858 10/11/20 10104120 1 OM/20 192.70 0,00 0.00 192.70 wl SUPPLIES 2287653847 y/ 10/11/20 10/04/20 10/29/20 20.34 0.00 0.00 f 20.34 ✓ SUPPLIES 2287653851�/ 10/11/2090/04/20 10/29/20 380.51 0100 0.00 380.51 ✓ SUPPLIES 2287653852 ✓' 10111/2010/04/201 W9120 500.54 0.00 0.00 500.64 SUPPLIES 2267653850 ff 1011112010/04/20 10/29/20 655.80 0.00 0.00 655.80 SUPPLIES / 2287653856 �{ I 10111/20. 10/04/2010/29/20 1.505.92 0.00 0.00 1,505.921,.r""l SUPPLIES 2287653857 1/ 10111/2010104/2010/29/20 2,751.57 0.00 0.00. 2,751,57 "✓ SUPPLIES ;f 2287813366 10111/2010/05/201013GI20 93.30. 0.00 0.00 93.30 ✓'°� SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net. M2470 MEDLINE INDUSTRIES INC 48,306.97 0.00 0.00 48,308.97 Vendor# Vendor Name j Class Pay Code 12720 MIMI NGUYEN y.,'`7' Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Grosser Discount. No -Pay Net 100923 10111/2010109/2010/181�20 461.32. 0.00 0.00 wl_,n 461..2,2r .4q 1,32- TORCH/TARHC FALL CONFER q L15-,jjA61:e-a 1 j Vendor Totals Number Name Gross Discount No -Pay Net 12720 MIMI NGUYEN 461..c42 0.00 0.00 461..22 44 t 3 Vendor# Vendor Name. � Class Pay Code "f 10536 MORRIS 8 DICKSON CO,. LLC Invoice# Cf mment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 1109605 J 10/11/20 10/01/20 10/11/20 405.84 0.00 0,00 405.84 INVENTORY file:///C:lUserslltrevinolcpsilmemmed.cpsinet.comiu881251data_51tmp_cw5report28258... 10/ 12/2023 Page 13 of 18 1106532 ✓ 10/11/20 10101120 10/11120 ,INVENTORY 1109604 f 10111120 10/01120 10/11/20 NVENTORY 1112105 10l11 /20 10/02120 10/12/20 INVENTORY 1114969 10/11/20 10/02/20 10/12/20 INVENTORY 1114968 f 10/1112010/02/2010112120 INVENTORY 9709 10/1112010/02J2010/12/20 /CREDIT 1119730 W/ 10/11/20 10/03/20 10/13/20 / INVENTORY W36 ✓ 10/11/20 10/03120 10/13/20 REDIT 1118820 y/ 10111/2010/0312010/13120 f VENTORY 1117622 v 10111/2010/03l2010113120 INVENTORY 1119729 z 10/11/2010103/2010/13/20 INVENTORY 1117619 10l11120 10/03M 10/13/20 INVENTORY 1120919 p% 10111/2010/03/2010/13/20 JNVENTORY 1120918 �f' 10/11/2010103/20 10113/20 /.INVENTORY 1117621 ✓ 10111/201=312010/13/20 )NVENTORY 1125571 ✓/ 10l11/2010/04l2010/14/20 INVENTORY 1123117 f 10111120 10/04/2010/14/20 INVENTORY CM64172 1 /10111/20 10/04120 10/14120 CREDIT 1123116 10111 /20 10/04/20 10/14/20 `INVENTORY 1125570 10/11/2010/04/2010/14/20. INVENTORY 1123118 ✓10111/20 10104120 10114/20 INVENTORY 1122476 .Ef 10/11/20 10104l20 10/1 VP0 / INVENTORY 1128256 ✓ 10/11/2010/0512010/15/20 INVENTORY 1130415 ✓f 10/11/20 10/05/20 10/15120 JNVENTORY 1130414 ✓/ 10/11/2010/05/2010/15/20 INVENTORY 1128265 ,/ 10111/20 10/05/20 10/15/20 188.18 0.00 0.00 188.18 j0 8,942.82 0.00 0.00. 8,942.82 ✓'f 5,326.42 0.00. 0.00 5.326.42 V/ 939.51 0.00 0.00 939.51/ 69.09 0.00 0.00 69,09 c/ -0.04 0.00 0.00 r' -0.04 ✓'� 733.31 0.00 0.00 73331 -236.81 0.00 0.00 -236.81/ 45.87 0.00 0.00 45.87 ';,✓' 830.13 0.00 0.00' 830.13..% 9.38. 0.00 0.00 9.38. 1.93 0.00 0.00 1..93 2,774.86 0.00 0.00 2,774.86.w�l 4,903.33 0.00 0,00 4,903,33 wfr 117.43 0.00 0.00 117.4,9 732.84 0100 0.00 732.84 195.18 0.00 0.00 195.18 •8,322.07 0.00 0.00 .8,322.07 2.97 0.00 0.00 2.97 ✓ 240.26 0100 0.00 240.26 v` 94.70 U0 0.00 94.70 ✓" 3,61 L54 0.00 0.00 3,611.54 s% 131.67 0.00 0.00 131.67 ✓' 3,248.11 0.00 0.00 3,248.11 260.65 0.00 0.00 260.65 2,562.87 0.00 0.00 2,662,87 ✓� file:///C./Users/Itrevinolcpsilmemmed.cpsinet.com/u8 81251data_51tmp_cw5report28258... 10/12/2021 Page 14 of 18 INVENTORY `r 1128264 10/11/20 10/05/20 10/15120 1,080.78. 0.00 0.00 1,080.78 m INVENTORY Vendor Totals Number Name Gross Discount No -Pay Net 10536 MORRIS & DICKSON CO, LLC 28,890.75 0.00 0.00 28,890.75 Vendor# Vendor Name / Class Pay Cede M2659 MXR IMAGING, INC ✓ M invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 8801072332 1/ 10/11/20 09125/2010/25/20 100.11 0.00 0.00 100.11 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net M2659 MXR IMAGING, INC 100,11 0-,00 0100 100.11 Vendor#Vendor Name Class Pay Code 13548 NACOGDOCHES TRANSCRIPTION Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Grass Discount No -Pay Net + 8155 10111120 10105/20 10/15/20 197.26 a00 0.00 197.26 TRANSCRIPTION SERV , 8144 f 10111120 10/05/20 10115/20 204.11 0.00 0.00. 204.11 w,,,•^"� TRANSCRIPTION SERV .. Vendor Totals Number Name Gross Discount No -Pay Net 1354B NACOGDOCHES TRANSCRIPTION 401.37 0.00 0.00 401.37 Vendor# Vendor Name Class Pay Code P2200 POWER HARDWARE ,f! W Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount. No -Pay Net 093023 10111/2009/3012010110120 128.28 0.00 0.00 128.28 SUPPLIES , Vendor Totals Number Name Gross Discount No -Pay Net P2200 POWER HARDWARE 128.28 0.00 0.00 128.28 Vendor# Vendor Name Class Pay Code / 12480 PRO ENERGY PARTNERS LLC a/ Invoice# Comment Tran Dt Inv Dt Due Dt Check. D Pay Gross Discount. No -Pay Net 2309.0600 ,/ 10/11120 09/30/20 10/15/20 1,647.22 0.00 0.00 1,647.22 ENERGY Vendor Totals Number Name. Gross Discount No -Pay Net 12480 PRO ENERGY PARTNERS LLC 1,647.22 0.00 0.00 1.$47.22 Vendor#Vendor Name Class Pay Code 11251 RAPID PRINTING. LLC wl Invoice# /. Comment Tran Dt Inv Dt Due. Dt Check D Pay Gross Discount No -Pay Net 19176 ✓ 10111/2008/07/2008/17/20 60,90, 0.00 0.00 60.90 BUSINESS CARDS ,. 19177 ✓ 10/11/2008/07/2008/17/20 60,90 0.00 0.00 60.90 ✓lf BUSINESS CARDS 19242 10/11/20 08/11/20 08/21/20 60.90 0.00 0.00 60.90 ✓ CAROSTOCK / 19386 J 10/11/20 08/22/20 09/01/20 35.52 0.00 0.00 35.52 Ir` CARD STOCK / 19674 J 10/11/20 09/13/20 09/23120 35.00 0.00 0.00 35.00 r PRINT SERVICARDSTOCK 19788 10/11/20 09/20/20 (19130/20 138.00 0,00 0.00 1.38.00. V. FOAMBOARD / 19994 ✓ 10/11/2010/05/2010/15/20 472.50 0.00 0.00 .,.r 472.50' file:///C:/Users/ltrevinolepsi/memmed.cpsinet. com/u881251data_51tmp_cw5report28258... 10/12/2023 Page 15 of 18 PINK HEARTS Vendor TotalsNumber Name Gross Discount No -Pay Net 11251 RAPID PRINTING LLC $63.72 0.00 0.00 863.72 Vendor# Vendor Name Class Pay Code 10936 SIEMENS FINANCIAL SERVICES ✓/ Invoiced Comment Tran Dt Inv Dt Due Dt Check. D Pay Gross Discount No -Pay Net 56382300069471 ✓ 10/11/20091251201Ott 5/20 4,090-74 0.00 0.00 �p 4,09 4 Vendor TotalsNumber Name Grossq Discount No -Pay Net 10936 SIEMENS FINANCIAL SERVICES 4,09/74 0.00 0.00 4,09/.74 40)39 • Apq Vendor# Vendor Name Class Pay Code / 14716 SINGLETON ASSOCIATES PA Invoice# f Comment Tran Dt Inv Dt Due Dt Check D Pay Grass Discount No -Pay Net 105-31 V' 10/11/20 02/27/20 03/27/20 900,03 0.00 0.00 000.03 ,•.�f RADIOLOGY SERV ,. / 105-32 V 10/11/2005/0912006/09120 559.77 0,00 OAO 559.77 •/'~ RADIOLOGY SERV 105.35 10111120 07/06/20 08/06/20 839.04 0.00- 0.00 839.0411-- - RADIOLOGY SERV 105-34 10/11120 07/06/20 08106/20 1,106,02 0.00 0.00 1,106,02. RADIOLOGY SERV - ,+ 105.33 ✓ 10/11/2007/0612008/06/20 400.00 0.00 0.00 400,00 �f RADIOLOGY SERV . 105-36r,/ 1W 1/20 07127/20 08127/20 828.95 0,00 0.00 828.95 RADIOLOGY SERV 105-37f 10111/2008/15/2009/15/20 963.41 0.00 0.00 963,41 ✓ RADIOLOGY SERV / 51.38 10/11/20 09/06/20 10/06/20 270.57 0.00 0.00 270.57 RADIOLOGY SERV 105-38 10l11/2009/12/2010/12/20 1.039.03 0.00 0.00 l 1,039.03 RADIOLOGY SERV 51.39y% 1 D/11/2009/2712010/27/20 229.11 0.00 0100 229.11. RADIOLOGY SERV Vendor Totals Number Name Gross Discount No -Pay Net. 14716 SINGLETON ASSOCIATES PA 7,135.93 0.00 0.00 7,136.93 Vendor# Vendor Name Class Pay Code S2270 SMILE MAKERS ✓ M. Invoice# Comment Tran Dt Inv Dt Due Ot Check D Pay Gross Discount No -Pay Net 9421662 V1 10/11120 09/18/20 10/13/20 2.44.22 0.00 0.00 244.22 SUPPLIES Vendor Total.- Number Name Gross Discount No -Pay Net S2270 SMILE MAKERS 244.22 0.00 0.00 244.22. Vendor# Vendor Name Class Pay Code 11296 SOUTH TEXAS BLOOD & TISSUE CEN .// Invoice# Comment Tran Ot Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net CM10594 �/ 10/11120 09/30120 10125/20 -2,640.00 0.00 0.00 -2,640.00 /CREDIT 107034899 ✓ 10/1 V20091301PO 10/25/20 8,837.00 0.00 0100 8,837.00 BLOOD Vendor Totals Number Name Gross Discount No -Pay Net. 11296 SOUTH TEXAS BLOOD & TISSUE CEN 6,197.00 0.00 0.00 6,197,00 file:///C:/Userslttrevinolepsi/memmed.cpsi net.com/u88125/data_5/tmp_cw5report28258... l0/ 12/2023 Page 16 of 18 Vendor# Vendor Name Class Pay Code / 52345 SOUTHEAST TEXAS HEALTH SYS ✓ w Invoice# % Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 26834 ✓ 10111/20 10101120 10/3V20 5,000.00 0.00 0.00 5,000.00 ri QTR MEMBERSHIP OCT-DEC, Vendor Totals Number Name Gross Discount No -Pay Net 52345 SOUTHEAST TEXAS HEALTH SYS 5,000..00 0.00 0.00 5,000.00 Vendor# Vendor Name Class Pay Code C101D SPARKLIGHT ✓✓' w Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross. Discount No -Pay Net 092823 10/11120 09128/20 10118/20 2,250.00. 0.00 0.00 2,250.00 INTERNET Vendor Totals Number Name Gross Discount No -Pay Net C1010 SPARKLIGHT 2,260.00 0:00 0.00 2,250.00 Vendor# Vendor Name Class Pay Code 10094 ST DAVIDS HEALTHCARE f Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net. MMCPL202S-08 r,, 10/111200912912010/28120 420.00 0.00 0.00 420.00 SEPT 23 CONNECTIVITY FEE Vendor TotalaNumber Name Gross Discount No -Pay Net. 10094 ST DAVIDS HEALTHCARE 420.00 0.00 0X0 420.00 Vendor# Vendor NameClass Pay Code / 10845 STAPLES ✓ Invoice# Commment. Tran Dt InvDt Due Dt Check D' Pay Grosse Discount No -Pay Net. 3548998425 .1 10111/2009130120 10/11/20 62.57 0.00 D.Do 62.57 SUPPLIES. 3548998428 1/ 10111/2009/30/20 10/11/20 239.98 0.00 0.00. 239.98 el SUPPLIES 3548998429 10/11/2009/30/2010/11/20 59.10 0.00 0.00 5910 SU7PPLIES ,. 3548998430 yf 10/11/2009/30/2010/11/20 172.55 0:00 0.00 172.56 � SUPPLIES 3548998424 10111/2009/30/2010/30/20. 50.99. 0.00 0.00 50.99 ✓f SUPPLIES ,. Vendor Totals Number Name Gross Discount No -Pay Net 10845 STAPLES 585.19 0.00. 0.00 585.19 Vendor# Vendor Name Class Pay Cade f� $3960 STERICYCLE, INC ✓ Invoice# Cam ent Tran Dt Inv Ot Due Dt Check D Pay Gross Discount No -Pay Net 8004745928 10/11120. 09118/2010/18120 2,795.69 0.00 0.00 2,795.69. ' 6 Vendor Totals Number Name Gross Discount No -Pay S3960 STERICYCLE, INC 2,795.69 0.00 0.00 Vendor# Vendor Name Class Pay Code. S3940 STERIS CORPORATION ✓ M. Invoice# Pomment Tran Dt Inv Dt Due Ot. Check 0 Pay Gross 11514925 ,/ 10/11/20 09/27/20 10/22120 558.39 SUPPLIES Vendor TotalsNumber Name Grass S3940 STERIS CORPORATION 558.39 Vendor# Vendor Name Class Pay Code Net 2.795.69 Discount No -Pay Net 0.00 0.00 558.39. Discount No -Pay Net. 0.00 0.00 558.39 file://fC:/Users/ltrevino/epsi/memmed.cpsinet.com/u881251data_51tmp_cw5report28258... 10/ 12/2023 Page 17 of 1.8 T2539 T-SYSTEM, INC 1'x W Invoice# Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross Discount No -Pay Net 906793 �,-'� 10/11/20 09/30/20 10/30/20 6,130A2 0.00 0.00 6.130,42 L. /" PHYSICIAN TRACKING Vendor Totals Number Name Gross Discount No -Pay Net T2539 T-SYSTEM, INC 6,130.42 0.00 0.00 6,130.42 Vendor# Vendor Name ,. Class Pay Code 10982 TELCOR ,f Invoice# Comment Tran D1 Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 0000059496 loll 1/20 09/01/20 10101/20 3,315.18 0.00 0.00 3,315.18 ANNUALSUPPORT _. Vendor Totals Number Name Gross Discount No -Pay Net 10982 TELCOR 3,315.18 0.00 0.00 3,315.18 Ventlor#Vendor Name Class Pay Code T0420 TELEFLEX MEDICAL. / Invoice# Comment Tran Dt Inv Dt Due Dt Check 0Pay Gross Discount No -Pay Net 9507479013 „/10/1112009/20/2010F11/20 9.26 0.00 0100 9.26 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net T0420 TELEFLEX MEDICAL 9.26 0.00 0.00 9.26 Vendor# Vendor Name Class Pay Code T2204 TEXAS MUTUAL INSURANCE CO ✓ W Invoice# Comment Tran Dt Inv Dt Due Ot Check D Pay Gross Discount No -Pay Net Net 1005082038 10/11/20 10109120 10/29/20 11.681,00 0.00 0.00 11,681.00. WORKERS COMP ,. Vendor Totals Number Name Gross Discount No -Pay Net T2204 TEXAS MUTUAL INSURANCE CO 11,681.00 0.00 0.00 11,681.00 Vendor# Vendor Name Class Pay Code 10758 TEXAS SELECT STAFFING, LLC Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 0022834 10/11/20 10/05/20 10106120 4,042.50 0.00 0.00 4,042.50 BRANDON BATES W/E 9/30123 l .V ttµ Vendor Totals Number Name Gross Discount No -Pay Net 10758 TEXAS SELECT STAFFING, LLC 4,042.50 0.00 0.00 4,042.50 Vendor# Vendor Name Class Pay Code T2304 THA-TEXAS HOSPITAL ASSOCIATION Invoice# Comment Tran Dt Inv Dt Due. Dt Check D-Pay Gross Discount No -Pay Net 0900144706 10/11 /20 08103120 09103/20 7,313.61 0.00 0.00 7,31.3.61 1/'f MEMBERSHIP DUES Vendor Totals Number Name Gross Discount No -Pay Net. T2304 THA-TEXAS HOSPITAL ASSOCIATION 7,313.61 0.00 0.00 7.313.61 Vendor# Vendor Name Class Pay Code 14600 THE UNIVERSITY OF TEXAS HEALTH Invoice# Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net /Comment 2995 / 10/11/20 09/29120 10/29120 1,000,00 0.00 0.00 1,000.00 SPA CONTRACT Vendor Totals Number Name Gross. Discount No -Pay Net 14600 THE UNIVERSITY OF TEXAS HEALTH 1,000.00 0.00 0.00 11000.00 Vendor# Vendor Name f✓ Class Pay Code U1064 UNI FIRST HOLDINGS INC ✓ Invoice# Comment Tran Dt Inv Dt Due Ot Check D Pay Gross Discount No -Pay Net. file:lllC:lUserslltrevinolcpsilmemmed.cpsinet.coralu881251data_51tmp_cw5report28258... 10/12/2023 Page 18 of 18 2921015020 �/ 10111120 10/02/20 10/27/20 05.83 0.00 0.00 85.83 ✓� LAUNDRY 2921015019 ✓/ 1 0/11 /20 10/02/20 10/27/20 2,746.5E 0.00 0100 2,748.58,,,� LAUjJDRY ,. 2921015356 � 10/11/20 10/05/2010/30/20 234.65 0.00 0.00 234.85 LAUNDRY 2921015355 yf 10/11120 10/05120 10/30120 244.19 0.00 0.00 244.19 LAUNDRY / 2921015351 v' 10/11/20 10105/20 10130/20 205.37 0.00 0.00 205.37 LAUNDRY 2921016357 „%� 10/11/20 10/05/20 10/30/20 104.58 0.00 0,00 104.58 .% LA NDRY 2921015350 ✓ 10/11/20 10/05/20 10/30120 93.26 0.00 0.00 93.26 ✓,+ LA NDRY 2921015352 10/1 V2010/05/2010/30/20 2,263.29 0.00 0.00 2,263.29 LAUNDRY 2921015354 ✓ 1 W11/2010/05/2010130120 298.08 0.00 0,00 298.08 ✓ I jUNDRY 2921015544 yj 10/11120 10109/20 11103/20 2.558.65. 0.00 0.00 2,558.65 LAUNDRY 2921015545,/ 10/1V2010/09/2011103120 116.00 0.00 0.00 116.00 � LAUNDRY Vendor Totals Number Name Gross Discount: No -Pay Net U1064 UNIFIRST HOLDINGS INC 8,952.68 0.00 0.00 8,952.68. Vendor# Vendor Name Class Pay Code 11400 WEST COAST MEDICAL RESOURCES , Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount. No -Pay Net INV102494-/ 10/11/200810112008/3V20 696.00 0.00 0.00 696.00 6�_ ,� SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net. 11400 WEST COASTMEDICAL RESOURCES 696,00 0.00 0.00 696.00 Report Summary Grand Totals: Gross Discount No -Pay Net 435,655.31 0.00 0.00 435,655.31. 435r6.,-s Q2p2[gM1i 1* 2 i 4- rj - p � $�e�r�@7'Ad'I h p g 1 E. f1'A1 'Yt e MI'i0.8y I, !� 1 1 U 2• 1 r �p1$e1> -! 11u i^[ Ni.•Ra- 1wa f f4k.-K&I 6, tM f ®a:9/pttC 4 7 U, - 3 - t € C@ 't N 3'Y_ 4 t 1 2's �t 3`'4LpM.3'- 1�1 441 3� T 4 • C�- 4,03zz•_a 4 3 S• 4 U1 E: 1 6 c a%a.ro kxV1 A 6a 4,40$10•74 � �031-T4 aifiPr;tfV�n=eJ tJIV II EFL' B 1�)74t V,1J t'�yntl file:///C:/Users/Itrevino/cpsi/memmed.cpsinet.com/u88125/data_5/tmp_cw5report28258... 10/12//2023 MSKESSON STATEMENT As of 10/13/2023 Page: CO2 TO ensure limper cretlH to your eccoum,letach and return. thla. ucmwnv: e000 stub 1F1tH. your Iamittence DO: 8115 As of: 10/13/2023 Pager 002 MEMORIAL MEDICAL CENTER ANT DUE. REMITTED VIA ACH DEBIT Tomitory Moll to:: Comp:. 8000 AP 815 N VIRGINIA STREET Statement tar inimmation only AMT DUE REMITTED VIA ACH DEBIT PORT LAVACA T% T]9T9 Customx. 632536 Statement for Informallbn. only pate: 10/14/2023 Curt: 632536 PLEASE CHEEK ANY Wt. 10/14/2023 RBAS NOT PAID (�) &lling Duo P.Va,&atlanal Account 914Ar fi Data Date ash Number Refente t OeamC 1ptlen s Amount P (gross) F Amount ReceWabN (nat) FP Number PF column We9erltl: P = Feat We Ham, F = Frtum Due Item, bleak = Current 0. Item TOTAL Nrtleul Acc[ 882696 MEMORAL M®CAL C@ITEt Sublomle: 6,895.02 USO Future Due: 0.00 Due If Pold On Time: Pact Due: If Paltl By 1011712023, USD ejoycl3 54.20- Pay TN. Amount: 8,716.03 USD Oiso last H pitllets:. Lost Payment 2.451.97 H Paltl AHer 40/17/2e23, Oue. If Paltl We. 78.99 OB10712017 Pay this Amount: 8,895.02 USD USD 8,896.02 'I 111III � -aGc;y •. '�: b , '7 t; - 14 WVa-Ct� utJ, C. 4(14 L�+ Sir"pao"J1T ON j,y coi lP u T lv,lt I LhP ( c .w8 For AR Inquiries please contact 800-867-0333 MWESSON STATEMENT As OL 10/13/2023 oemmro: aQGD DC: 9115 WALMART 1098/ MED PHS AMT DUE REMITTED VIA ACH DEBIT Teml MMOR1AL MEDICAL CENTER / ary° t00t VICKY KAUSEI( ✓ Statement tar inlarmaliou. only 815 N VIRGINIA ST Cuslanum 256342 PORT LAVACA TX 77979 Dale: 10/14/2023 Page: 001 To elmum pmpar cmd0 to yotu account,. Mack and. M. this dub with your mmKlanca As at: 10/13/2023 Page: 001. Mail to: Cempr 8000 AMT DUE RE611TTED VIA. ACH DEBIT Statement for information only Coat 256342 PLEASE CNEDK ANY Date: 10/1.42023 ITINS NOT PAID {.r) Bill Og Due Recei,,NIatlorel Account RI&38 Cash Amount P Am0un1 P Pecelvabla. Dale Oat. Number Redden. Description Cloonan a olm) F (Mt) F Number Custaner Number 256342 WALMART 109WMEM MED mS 10/09/2923 10/17/2023 7449740541 91062638 1151nvoice 6.37 318.51 312.14✓/ 7449740541 ID/09/2023 10/17/2023 7449740544 91151230 1151nyeice 6,38 318.85 312.4T✓l 7449740544 10/09M23 10/17/2023 7449760050 91292323 1151nv0ice 12.75 637.69 ', 10/09/2023 10/17/2023 7449952777 91069091 1951nvMce 0.02 0.95 624.94. " 74497BOOSO IWID12023 101IM023 7450134362 91404171 115Mvoice 28.63 1,431.48 0.93 1.402.85 ✓ 7449952777 10/10/2023 10/17/2023 7450307342 91237053 1151nvoice 0.34 7450134362 10//1/2023 10/172023 7450418711 91495533 115I..Olce 6.37 16.92 16.58""/. / 7450307342 1e/112023 10/171R023 7450418712 91496533 tt6lnvoice 0.02 318.51 312.14 7450418711 10/11/2023 10/1 W2023 7450418713 91565630 1151nvoke 5.89 1.06 1.04✓,l 74504187t2 10/12/2023 10/17/2023 7450709352 9IT10969 1151nvome 47.9E 294.57 2.399.48. 288.69/ 7450418713: 10/12/2023 10/17/2023 7450854525' 91646609 195Invoice 0.34 16.92 21351.49✓// 7450709352. 10/12/2023 10/1712023 7450854526 91651208 1151nv0ice 2.53 126.28 18.68 1 ✓ 7450854525 10/13/2023 10/17/2023 7450984518 91762076 1151nvoke 0.34 16.92 123.75 7460854526 IOMW2023 101IM023 7451225004 90146274 1151mo1ce 0.70 34.76 16.58/ 7450984518 10/13/2023 10/1712023 7451225805 89019604 1151nvaic. 2.21 110.62 34.06/ / 7461225804 10/13/2023 10/17/2023 7451225806 89017160 115lmmfce 3.66 182.06 108.41 74512256DS 10/13/2023 10/17/2023 7451225807 89984720 115Invoice 12.50 179.30.E 7451225806 628.78 516,20.,�' 7451225807 PF a lumn IaWd: P = Peal Dun Item, F = Mum a. Item, blank = CumvO 0. Item TOTAL Coannow Norman 256342 WALMART 1098/M6M MED PNS Subtotals: 6,655.26 USD Future Due: 0.00 Peet It PoM. BY 1011712023, Due It Poldor . On Tim. / USD 6,718.14 Due: 0.00 Pay This Amaum: 6.718.14 USD ✓ i.'l1 Old: lost 8Pald late: lastftymout 5,704,87 It NatANer 1011712023, , 37A2 Due II Peld Late: 10/091.023 /2023 My ink Amount; 6,855.28 USO USD 6,055.29 APPROVED sari! For AR Inquiries please contact 800-867-0333 MWESSON STATEMENT ram nee. aoeo CVS PHCY 8923/MW MC PHB AMT DUE I3BAITIED VIA ACH DMIT MENOHIAL MEDICAL CENTM ! Statement for information only VICKY KAUSEK 815 N VIRGINIA ST PORT IAVACA TX 77979 As of: 10/13/2023 DC: 8115 Tenni 7001 Cu MW. B35434 Dmw. 10/14/2023 Page: 001 Toenemaprefer credit to ymV aeeemA, do em ere M. Uda. ends withyam nm8tanes As of:. 1011312023 Raga: 001 Mall to: Comp: 8000 ANT CUE REMITTED VIA ACH. OMIT Statement for information only Cud: 835434 PLEASE CHECK ANY Data: lull Q2023 OWS NOT PAID (+) U9 ahlptimed Account f16 Ceeh pmme t P Amoun[ P Reoehebb. eNe® Dlas NNuumm fiber 11e1erencp Doocdpelon Dlecount )gangs) F (net{ P Number Demeanor NVanber 836434 CVS PHCY 592311fi5TA MC MS 10/11/2023 10/17/2023 7450476313 2746090 Ill ice 10.18 509.14 498.961 7450478313. B 10/11/2023 10/1712023 7450478314 2746090 1151molce 22,34 1.116.98 1,094.64 / 7450478314 PF Column entered: P = Past Due Item, F = Mum Duo ft.. blank = Gument pee ben TOTAL Cumomer Number 635434 CY8 PHCY 8923/MFM MC we subleads. 1,628.12 USD. Mum Due: Pam DUA: tact Peymant 10/09/2023 Z'PNIMIED ON �DZ1 1 1 6 :PIK3 I 7 iIng rE.Y;,� 0.00 11 Rant By 1011712023, 0.00 Any This Amount: 5,784.87 If Pant Aft. 1011712023, Pay thle Amount: Due If Paid On Time: USO 1.593.60 �. 1.593.60 USO Piet ban 9 paid beer 32.52 Ow If Pald Late: 1,626,12 USO II USE, 1.626.12 n/�.JIJ For AR Inquiries ptease. contact 800-867-0333 MSKESSON co, ... CVS PHCY 7475IMHM MC R S MEMORIAL MEDICAL CENTER VICKY KAI/SEI AIS N VIRGINIA ST PORT IAVACA TX ]]979 STATEMENTAs d: 10/13/2023 Page: 001 To "mute Pmper age to your eocouM,. detacharm: mum. this. atub With your mmft.. DC: 8115 Aa aF. 10/13/2023 Pa'00f ANT DUE REMITTED VIA ACH DEBIT Territory: 7001 Malt ten Comp: 8000 Statement for inlormatlen only ANT DUE REMITTED. VIA ACH. DEBIT Cumamm: 835438 Statement for Information CMy Dele: 10/14/2023 Cum: 835438 HFASE CHECK ANY Dme: 10/14/2023 ITEMS NOT PAID (r•) EI01 tlo,ml AerauMa�yp�y6 Ceub. Amount: P Amount P RemlvabN Det� .to NNeum1m1w Mee.. Dowaplloo C.s A.. F tMl. F Number Cumamer Number 835438 CVS PHCY ]4]6/MEM Me MS 10/09/2023 10/09/2023 7450127978 MM PR CORR CR RIC[, Cu, 10.69. P 10.69- P yle, ]45012]978 10/09/2023 10/09/2023 7450127979 MFC PR CORR CR Pricing Car 43.5T- P 43.51- P//'l 74SO127979 10/09/2023 10/17/2023 7450127980 MFC PR CORK IN RICiy Cur 0.21 10.68 10.47 ✓/ )450t2]980 10/09/2023 10/17/2023 7450127981 MFC PR CORR IN RiclM Car 0.87 43.50 42.63 d 7450127901 10/11/2023 10117NO23 7450586094 2746091 1i51uaice 8.27 4133.66. 405.38 „i 7450568094 PF "damn legmld: P = Pad Due Item, F =. FMMe OW Item, blank = Curmm Due ft. TOTAb C,ol mer Nurrlber 835438 CVS MM ]4]5/MEN Me MS Subtotal.: 4/3.64 USD F9tute Due: 0.00 Pam Due: HI Pala 8y 10117/2023, 0. 11 Pala 0. Tim.: USD. 404.29 54.20- Pay This Amount: 404.29 USD Dix kat 8 Mid Ime: I.em Payment 12,670.75 If Pald After 1011712023. Du. If Peld late 0.35 f 0/02/2029 Pay IMa Amoura: 413.64 USD6 USD 413.64 cQNHEi�Z? rl � For AR Inquiries please contact 800-867-0333 AmeliUlCeBe en° STATEMENT StatementNumbec 66105449 Oate: 10-13-2023 1 Of i AMERISOURCEBERGEN DRUGCORP WALGREENSa12494340a 100135284/037028186 12n7W.AIRP0RTBLVO. MEMORIAL MEDICAL CENTER / SUGAR LAND TI(774764i101 13W N VIRGINIA ar PORTLAVACAT 77979-2509 DEA: RA0289276 Set -FdDue In 7 nays. 666A51-9655 AMERISOURCEBERGEN PO Box 9062M Nat Yet Due: cou CNARLOTrENC 2MO-6223 Cueent 288.20 Peet Due: 0.00 T.WIDue: 266.20 AOcount Balence: 268.20 Account Activity Document Due Reference Purchase Order Document Original Last Receipt Amount Receivetl. Balance Date Date Number Number Type Amount 10419-2023 10.202G23 3149718716 7004308183 trwdca 4A6 0.0 4.80 10e9-2023 10-2 =3 3149848589 7004MMD Inv 20.48 0.00 29,46 10-0&2023 %20.2023 3149861239 7OU33UN eftoe, 17,36 ono 17135 W1-2023 10-20.2023 3150162876 7004355GM Waix 214.40 0.00 214.40 10-13-2023 10.20-2023 3150473616 7004377163 Inv w 0.31 Mao 0.31 Current 1-16 Days 16-30 Days 31.80 Days 91-)0 Days 91-120 Days Over 120 Days 266.20 0.00. 0.00 000 0.00 O.W. 9A9 Thank You for Your Payment Reminders Data Amount Dueue Date Date Amount 10-132023 (548.35) 1020.2023 256:20 Total. Due: t?Pt�f3UEll ,x„ ��0 ID(1�0�2� yl _,;, . S '%isouAmerroeBe erc STATEMENT Statement Number- 66124069 Date: 10-15-2023 1. of AMERISOURCEBERGEN DRUG CORP MEMORIAL MEDICALCENTER -TX 127V W. AIRPORT BLVD. 815 NORTR VIRGINIA f IONS5589/037ONS53 SUGAR LAND TX 77478-6101 PORTLAVACATX 77979.3025 DEA: RA0289276 SemWonlhly Due in 10 days 866451-9655 AMERISOURCESERGEN PO Box 078526 OALLgS TX. ]539]5526 No1YaLMix P:00 CunenL 11.420.60 Post Due: (7.502.56) Total Due:: 3.927.04 Account Balance: 3,927.04 Account Activity Document Due Reference Purchase Order Document Original Last Receipt Amount Received. Balance Date Date Number Number Type Amount 032&W23 0&2&2021 A128852 080521REIh Customer 0acumem (T,003.16) OB-0]-2024 855.80. (7,85&98) 09.27-2023 10.10-2023 3148414983 20230026 Invoice 356..40 0.00 356.40 104R-2023 1&2&2023 3149392510 2023100,11h Inwice 11,429.6D 0A0 11.429.60. Current 1-16 Days 1B30 Days 37.90 Days 61-90 Days. 91-120 Days Over 120 Days 11.42960 356.40 0.00 0.00 0.00 0.00. (7.85896) Reminders ''.Due Date Amount 08-2&2021 (7.858.96) 10.10.2023 356,40 10-25-=3 11.429.60 Total Due: R ( p3,927.04 APs'--fa01ttci Sif� g l'�}II tIb.�7' 0ly �.' 1 ii F_3zs 8 rL It..p tUIJ11,7-i MEMORIAL MEDICAL CENTER PROSPERITY BANK ELECTRONICTRANSFERS FOROPERATING ACCOUNT —Oct 9, 2023 -Oct 15, 2023 Data 0n00esvtoOee 10/13/2023 PAY PLUSACHT ml 000000003BB17071010006981 19/13/2023 EXPERTPAY EXPERTPAY 74600341191MCOIW36232 20/13/2023 AMERISOURCE BERG PAYMENTS 010000776112100002 10/13/2023 MEMORIAL MEDICAL PAYROLL 746003411113122650 10/12/2023 PAY PLUS AC141mnx. 0000000036679261010006970 10/11/2023 WIRE OUTHEALTHEQUITY 10/11/2023 PAY PLUS ACHTnns ONOOD0035637201OW006958 10/10/2023 MYS/TRANSNRST DISCOUNT 393DO9925899466110 10/10/2023 TSYS/TRANSFIRST DISCOUNT 393009825416166110 10/10/2023 PAY PLUS ACHTrans 0000000034881151010006941 10/10/2023 MCKESSON DRUG AUTO AM ACH05690136 910MO131 10/10/2023 CLEARGAGE LLC CLEAHGAGE, SBEMTRWZF'FLVAC 242 10/10/2023 TSYS/TRANSFIRSTDIWOUM413998013324016130 10/10/2023 TSYS/TRANSFIRST DISCOUNT 41399801332385 Silo W/10/2D23 TSYS/TRANSFIRST DISCOUNT 413999013683976110 10/10/2023 MS/MNSFIRSTOISCOUNT41399MI3324196110 10/10/2023 TSYS/TRANSRRSTOISMUNT413998013919376110 10/10/2023 TSIVI' AN5FIR5TDISCOUM413998013323936110 MMCNoees -3rd Party PaYorFee -Child SUPP.0 Payment -340B Drug Program Expense Payroll -3rd Parry Payor Fee -Wagew4r8s -3rd Parry Payor Fee -Credit Card Processing Fee -Credit Card Processing Fee. -3rd Parry Payor Fee - 34DS Omg Program Expense - Patent Financing; Service -Credit Card Processing Fee -Credit Card Proosssing Fee -Creak Card Processing Fee - Credit Card Pmcessing Fee -Credit Card Processing. Fee -Credit Card Processing Fee �1.i0 ` R`� „ October 16, 2023 ANOflEW OE l05 SANT05 u l Memorial Medical Center'- PROSPERITY BANK ELECTRONIC TRANSFERS FOR OPERATING ACCOUNT- ESTIMATED AMS Date Des Ran 39 3 r 6 2'.7 10/19/2023-WEBFILETAXPYMTDO -Sales Tax 64p L4.-J` October 16, 2023 ANDREW DE dl( SANTOS 6 , ,7 9 4 • 9 Memorial Medical Center 44 w. 62•L 126 108 9rJ 2^4J SE}yl • A 8,. .1 OF Amount �yl(paF'17A` S 570.69 $ $ 648.38 ma M''R`L, 6 :i16<23 i 1 29 . 10 it - S 2,13A56.i� 6 1.'389. $ x 9BH-�'/ T l 6 1• 4 7 S s,7x4.g].p 19 1• 6 t - $ ' 7 $ 98&20 449•8v ' S T68.401. 3 1. - 4 7 $ Ff➢.ert 4A8!89 2 .265 $ 2,266,A9 C.gAaar�E°1c. ll'/•SI 393,625.60., 31111. 1t1 ^ 5'70 69 - 5r806 I I'7°2/ - Amaant /. 6 , 7 911 _ 1a2x.x1 ApLwovm an ;Illy II i. ..'ill"Y'4 6^794.^':' " e, • ': -. ulnlrt wi111I*'1I: 19•UO ; COMPTROLLERJEXAS.GOV ysC^ms uc;o ,-: ±a P... : _.. biAli Q confirmation: You Have Filed Successfully Sales and Use Tax Taxpayer ID: User 10: Reference Number: Date and Time of Filing: 10/12/2023. 09:54:28 AM PAYMENTSUMMARY Electronic Check State Amount: $1,304.63 Local Amount: $417.48 Amount to Pay: $1,722.11 Electronic Check: $1,722.11 Period Ending 09/30/2023 (2309) Taxpayer Name: / MEMORIAL MEDICAL CENTER ✓ Taxpayer Address: 815 N VIRGINIA ST PORT LAVACA, TX 77979-3025 IPAddrass: Payment Reference Number: Trace Number: Entered Bin Email Address: Telephone Number:: type of Bank Account Checking Accountholder Name: Memorial Medical Center Operating Bank Routing Number, Bank Account. Number.' Payment Effective Date:10/19/2023 CREDIT SUMMARY Credits Taken Are you taking credit to reduce taxes due on this return? No Licensed Customs Broker Exported Sales Did you refund sales tax for this filing period on items exported outsidethe United States based on a Texas Licenced Customs No Broker Export CerlificationS7 LOCATION SUMMARY Lack TotalTexas Taxable Sales Sales Taxable Subjecttostate subjectto State Tax Due Local Tax:Rate LocatTaxoue Purchases Tax(Rate.0625) Local Tax 00004 20979 20979 0 20979 1311.19 20979 D.02 419.58 SubTotal 20979 20979 0 20979 1311.19 20979 419.68- Total Tax for Locations $1,730.77 Total Tax Due: $1,730.77 Timely filing. Discount: •$8.66 Balance. Due: $1,722.11 Pending Payments:. •$0.00 Total Amount Due and Payable: $1,722.11 ( State amount duels $1,304.63 ). ( Local amount due is $417.48 ). Page I of 1 RECEiNED 13Y THE CO UNy 4VDtroR ojV '4(Y212023 MEMORIAL MEDICAL CENTER 0232 Y1:20 AP Open Invoice List 0 ,:::.r.!r.Oty'r.t ;•s;�,J�.y-�,, yP Dates Through: ap_open Invoioe.templala Vendor# Vendor Name Class Pay Code 11832 BROADMOOR AT CREEKSIDE PARK Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 100423 10p11112010/04/2011/04120 2.40110.00 0.00 0.00 2,400.00 TRANSFER tj!+ JJIJOIYY:'OW 'p3KI dWGi tt. A �D 6WL-% *,tA4 I�l . Vendor Total: Number Name Gross Discount Pay Net 11832 BROADMOOR AT CREEKSIDE PARK 2,400.00 0.00 0.00 2,400.00 Report Summary Grand Totals: Gross Discount No -Pay Net 2,400.00 0.00 0,00 2,400.00 ssuvprlF -b Cht file:///C:/UsersAtrevino/cpsi/memmed,cpsinet.comiu88125/data_5/tmp_cw5report81911... 10/ 12/2023 Page 1 of t RECEIVEDBy W"E VED.Nt# W10/ 023i1�a ti MEMORIAL MEDICAL CENTER 0 ;xhrr.1t;6..' AP Open Invoice List ap_open_invoice.template �AL"'1.tSl Oates Through: Vendor# Vendor Name Class Pay Code / 11824 THE CRESCENT V Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Grass Discount No -Pay Net 100423 10/04/20 11/04/20 3,800.00 0.00 0.00 3,800.00 .10g,/W20 FER TRANSyV ga tn&oA.ktL W jWgt�A i'R':" MDR uipi'o 100523 10/1112010105/2011/05120 28,850.00 0.00 e0,,00 28,850.00.e°- TRANSFER 1= wt , Vendor Total: Number Name Gross Discount No -Pay Net 11824 THE CRESCENT 32,650.00 0.00 0.00 32,650.00 Report Summary Grand Totals: Gross Discount No -Pay Net 32,650.00 0.00 0.00 32,650.00 ay pnlolr=l� IC �1 2 ��??of., L�J 2.3 As file:///C:/Users/ltrevinolepsi/memmed.cpsinet. com/u88125/data_5/tmp_cw5report44508... 10/12/2023 Page 1 of 1 AEC&VED By THE C..7]S(I UV AUDITOR OA9 ll411f2423 2023 MEMORIAL MEDICAL CENTER 0 AP Open Invoice List 1121 t;.A1.,t-1OLIhX C(YYtrdf'1,-1'EXAS Dates Through: ap_open—Invoice.template Vendor# Vendor Name a Class Pay Code 11836 GOLDENCREEK HEALTHCARE ,// Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 100223 10/11/20 10/02/20 11/04/20 600:00 0.00 0.00 600.00,/ TRANSFERd1�AlAN4L p, 100623 10/1112010f06/20111OW20 29.73 0.00 0.00 2973 TRANSFER *E �• , Vendor Total. -Number Name Gross Discount No -Pay Net 11836 GOLDENCREEK HEALTHCARE. 629.73 0.00 0.00 629.73 Report Summary Grand Totals: Gross Discount No -Pay Net 629.73 0.00 0.00 629.73 file:///C:/Userslitrevinolcpsi/memmed, cpsinet.com/u88125/data_5/tmp_cw5report49267... 10/ 12/2023 Page 1 of 1 REC IVED B"'r"E COgg((0t``•gt`df AUDITOR Oq �011T2/3023 CAWOU,,j COU'dF{^ 1 Vendor# Vendor Name 12696 GULF POINTE PLAZA MEMORIAL MEDICAL CENTER AP Open Invoice List Due Dates Through: 11/04/2023 Class Pay Cade 0 ap_open_invoice.template. Invoice# Comment Tran Dt Inv Dt Due Dt Check DPay Gross Discount No -Pay 100223 10/11/20 10/02I20 11/04/20 53.67 0.00 0.00 1� TRANSFER 00 11110MLO t dtp1"jij 14 VAVKL *04e 100223A 1Oft 112010/0212011/04/20 603.17 a,00 '.00 TRANSFER Y' 100323 10111/20 10103/20 11/04120 2,1.30.00 0.00 0.00 TRANSFER `1 n e. Vendor Totals Number Name Gross Discount No -Pay 12696 GULFPOINTEPLAZA 2.786.84 0.00 0.00 Grand Totals: �w,POWD ON BY CGUb o _k rrq sit Net 53.671,/ 603.17 1r 2,1.30.00 Net. 2.786.84 Report Summary Gross Discount No -Pay Net 2,786.84 0.00 0.00 2,786.84 file://lC:lUserslltrevino/cpsi/memmed.cpsinet.comlu881251data_51tmp_cw5report39754... 10/1212023 Page I of 1 RECEBVED BY THE .':;fl&J! M AUDITM on 9C T 1 22023 MEMORIAL MEDICAL CENTER }pt- A?kP,Ot .tit, AP Open Invoice List ap_open_Involce.template _'Al ir,y, Dates Through: 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 100423 10111/20 10104120 11/04120 57.40 0.00 0.00 57.40 / TRANSFER 01i " j t♦lr7W JF j Pit'( C+l' ' `L *0' k_6./ 100523 10111120 10/05/20 11/05120 945.00 0.00 0.00 945.00 TRANSFER et. it , Vendor Total: Number Name Gross Discount No -Pay Net. 13004 TUSCANY VILLAGE 1,002.40 0.00 0.00 1,002.40 Report Summary Grand Totals: Grass Discount No -Pay Net 1,002.40 0.00 0.00 1.002.40 'L- L rY, �Vu7z� file:///C:/Users/ltrevino/cpsi/memmed.cpsinet.com/u88125/data_5/tmp_cw5reportl 5801... 10/12/2023 RECENED 9Y THE COUffFV AA➢DITO11 ON OCT 12 ZOiZ3 11:37 MEMORIAL MEDICAL CENTER AP Open Invoice List Dates Through: 0 ap_open_Involce.template Vendor# Vendor Name j Class Pay Code 12792 BETHANY SENIOR LIVING I Invoice# Comment Tran Dt Inv Dt Due Dt Check D- Pay Gross Discount No -Pay 100523 1110'�/Y11112010/0612011/05/jj2�0 7622.69 0.00 0.00 i TRANSFER 00 1"agrDt�R W_ fjokT `JWG4"14c1 lW j, IN -L q9fY.p,',��°.,�, ',r 100523A 10/11/20 10/05/20 11/05120 366,59 0,00, "<0.00 TRANSFER IC. ry 100223 10112/20 10102/20 11/04120 408,42 0.00 0.00 TRANSFER it 6H Vendor Total, Number Name Gross Discount No -Pay 12792 BETHANY SENIOR LIVING 1,537.70 0.00 0.00 Report Summary Grand Totals: Gross Discount No -Pay 1,537.70 0.00 0.00 � CT 1 2 ?V1 Page 1 of 1 Net 762.69 , / 366.59 408.42 mr� Net 1,537.70 Net 1,537.70 file:///C:/Users/ltrevino/cpsi/memmed.cpsinet.comlu88125/data_5/tmp_cw5report25032... 10/ 12/2023 lMedical Censer NufliM Nunin6 Hame UPl. Weelly6nlBN TnnfOer 6y A[caunu 10/16 ]0/16/m23. M1arMu f.nwnt F[MM NurY Xw lrWn 369.1]9.1t d�IfFloiB v4as1.W f In,e4z. �sszW �. � z' a~.4 xussre: f meH «YPrxx1[s[.ss Fk- �W,N3tAEog; � us.laszs ✓na.nl«�m,Ln �9� 124 4<<°h;) o6,q 216+81c 35to 105,�61 wNY�m WM3 nm.mw! W Y Muwm aflmmnnul[«mweY.H..m,mt .w. w.nrrr«Y.nwxv.trann� 8....amrvx)yanvn rwnn..m.a )nu.v uexnp inmrvnu .Ywul IYYn. enr w. i iN,ImAI �i" IYNBY4na 1a0,1E]F VamMt Y.w In FIY«Y IW.W 1411u1utyn 1£NA.F IYIYIMYntt ///� I10Yx./„ wrynlMYnl ✓ FYYmbnl,wma tILH f ae;n.FMnrm.,,AnNm� »[,aw) )m,a)a« 96,999A1 .f t BW wWu IW.l10.F ,� .F WnIn FIYUY iW.W.. wv..wrvn xwe.sr �/ IyYNM1mI W�F( wptMrml INN le W' FpYmM�MmY. 1 Je Y�" YIun IWMeRranYY/.mt 9493iea. n).B«fi ./p' 216;910A3. 4wlln Wlw. IW W WlIgAVpn 4t)x9l MlYM.-L / a3A)y wpe Mlaml HG6 4pYmtwlnxul L'. 35B.m .f Igw.uwnrtrwrl.Nm) zle,n4m � ... a4Hi4 /' 12,399:39 Omt OYYna 0.HBR 55AA NAUY Y.nFB.hr,n 1WID «allnawpn 4fi9>0 )WilnYru) IfID�( wrvnlmm! rzsz y/ [pYmMrinuwl. il.W �f nv.W:W los;361ss. BW Bllan:r ilalWlU J` Varunn 4lwMB[bur lIDW V'.r•. �`X Mall«wWl /( p il�l.� !,)l14 f/' IT •YpnMm)t 4pYmenrnnnn )OfiH �B + a�Y7�ylli �JS.� �`� IIs.R ✓ F ��.�. C! ryrtellann?nnillrlmt 105.1{1.51 . ruzB.m�sus _ m, s { o96woelossurtos la/i6)mE9 .. •wvnvaa nvrrggn\nuX\� on\nn um wvmry)p )P9NNN N3) I4el MMCPOPTQV OIPo.-Et IWV)/2p)3 MµN)G NONFiI)UMNLIRW9P.'tlXXXY/YpM31l @Pp/ .P2 WNPICO mp3 OIPP/mmP[BLpP)s 19F.m DImT MIPORTIpN W 023 NFp91NHIMYXrv[mfllllOHi WFm3111W3) OW1,II 196.w Wupwl Mwfl - !,SUBS) Wm1F 1WIVIOU - nOM'G13 159960( I9'1<8_ 71911.15 UflC EMNNI PLHWOPPIXmEWII4 INW103)UX[WWAUXXYIFXCMIMPNi1PKmF1193mL - 11,27R19 1[1fp.BF ]A]31.11 IP/WLII$1 MAFMIF/SNWpPNMl1XGPFFFNI[RL10 1N.Mly - 1AUfi.)4 LWWMS3 MPHNGFµOHflUIRMXIPMMO>aMIXm931L {gE,pp IO/IPMS3 Jim V..m,MMy.4K(1AIw1T..MaFIL51 W WSw9 UN[ WMMVNX9vl MCCWMMR)pYpMaa91DL1 9Lt)1.1i iryU=` FnArw/MWIHtU A).4 r U131'72: lwLliwl NMH-ECXO MC[WNIMi Nbtli41e1mVM3PiP l),5Mm lMU/Iw)VNCWMMYHMILMRGIMIMi ]e%OMit9lmm f,)Sp,» F!).P T � 1. ..-•r- .--.-- •..�.. - Ip.�Wiev E29.FXE.39 rW „ ♦roMMMaw Tnnlhrvin MMCPDNIION NPP/(bmpl. QIPP mmp2 pIPP/Spmp3'. fUPP/CplPp[BIiP1E OPPT NMPO W )WLtlllwi MG -EC [CNONKG MPMT]e[mI01{NmJENPi[ I,w9E] 1W33(M3I pROYI lti)13 O.fia. IWill2>!M0111MEIE.M]NC.NRMdNMOLOWTN04NCwL1 - 636Gi. WP.A. RDBD.TP $6ptlZ ]11741 IW1VU1l NNA-FCNO N(WIMMT]NmN31Nm:01U393 [»lN. 74M 1W1U311U UMC[(MIMImMTLNCdvMIMT)pNY111191mA Van - ;331.0 {0/tUlwl WIAFWfGM[RM[NIXTMLfiNTMIII {]SfL1,U V14.03. WWIwI UMIMX<IINµeXCfWM1Mf ]1[Wlli ll[1[1 ;tt0.m 10/t1/3P21 UNC(pMWJNI1Ypl MCCWMPMf]eWM14lIC0.tlN"m AREALlp,[MII 30/I1/3013 µNP![EINCIN[N[CWMIMINIU40MM13q - 1MNO 3{416.91 Ill XX6-EdpNCCWMPMT111m111t N0[m3we[f 1U,1»M 11E.)1 INTO E 1WU/ldll MNP-FCNp N[CWgMiiJim1111N6NYSOb[0 - 4m).R 10.193M. VION033 HIIY•LdOX¢MIMMT I3[fmlllNm'E1wM6 - IL[I3][ q,m].]6 IMUAw3 VXC[OMMYNIINILNf[WMIMF]IYWelI IIhOU ([1631 14M07.]X MWL3/M1l MMTNNUAGNIV[Nf[WMPMTIIe[mU1ILW3 - I,lE6m -, EASO.N .....v... l - Sm49) 9 ➢53-09 (/ e$I�IpI - i'fi3 je :A� r plrpwpl in MMCPORTON GIIP(fempl 111PP((LmPl GII%UmP3 DIPP/CP Y IE ypPll HNPOMILSN MENIO3 YNCWMMVNN, IMMU2 - Emu RNSO. .LWMO,, D�VOl10NW]M pIKCGIMPMC 33mTJ]59N51. 35, - 1,99Xm R,e5R31 30lw.E 9G Iuln,mU RI/Sn .. 4�wO,m IW11/Iw1 PMpul - 3L3»I9 J4i1/8L]S MdlIMM4ltIIfLF19GY1Cd0!]IM1� 31 - 49154 1�90SfS LWWID33 NMR-[CNOMCCWMPM)]15mN11e1UmwlIH3 - l6l[5] "OEM FS/i!F 1biA IW1N011VNCMMRLMIIYIIMCC{JIMMR]NmHll9lm'Y LIMI � 3,61GST EDIUVI0ll M9NFYYTWl1ERM4)N4P(C[M[M III I9IAJl.» U9x1U IOII]/!011 MMMGEµpM[L1fUNMPMN[11FIIl e[ED IMMlr[C1q NCIWMPMi]Nm1N{NmwU]W - 11MA11 E4w IN I=Ul023 wJ YNCCOMMYMI]IINCCWMIM)UImIN193pm Alan LI FELM W/13I1m3 XHB [[MO MCCNIMIM(]I(m1e13NNb3p1eV _ Wall IWUM23NN6•FCNOMCfV11MPMI]IfD.INI1NmL]PIMe - ]pp3E 15a991.13 10(U/WU µR. [CHOXKGIµMf iefWNI311CmD1wml 5,)R)1 AN36 ]ABRafi WANUM XHR Amu kasa H`/WMll UKOMMUNMILNCCWMIwl) MilliIX 1531U B,6U.R& m/WSw301VORONGIMIM[[WMIM]SlDtmi»E[Sl] XMIN - 1,99113 INUUMUDBVOROMNLM PNICGIMPM(IIWYUMUM M/WM2OWEATINKMWMY 110.W3 I, HIM ( W3U3[MNIDMMITI)XAIMPM l3@runs -�n .... 31700...00 4,21m KKNTM55 am. `-- 0,40000 / IWAINia KKMD MNIMI rnNEEN9iswl I.MM 6a00m L 01V0IE0PmmmrM21,, 9 6rmm ' pan. wOttO"tam PX[WIMPMJIWm,,,aN - n.emm13A5p,m •. p,5m.m f E619U.M..3 1]]A3445 MILK 953.14 TPnNmM MMClORTIX4. MryP/COmfil GIPp/CDIIp1 QP!/Cnmp3 QIN/Um "LE 1WIMw3. UNCmMMUMMPIMUGINPAL[IIMN41lIWAU Ll QIPPT NN WMIOM MIUM33 G.. fie%,)9 - 5,p96.M 1D/I3(Ji}il - - "as 1.B33M IWlI(fO11 YNCCOMMYXMpIMCCWMPM)I410U[[91mM "YAW a.Bcai 4LD3 3WLUNIJ3 WMMMMUNQNXMIIII Im ]S,eF.Ill usu.fi - 16,5)6.!) !0/IXIDYI l)XCmMMYNMPLIKCLOMPMf U101311191WA1 MM74 5]EGit ' IWIVUS3 µRPIupPNmmu XCCWMPMI)JfmMII UNM S3C6.13 IOy/101i NW.fpq HKLUM9M[]NmHl3NmLMMW 3»,Ey 39049 10/21IIDYI YnI1N)kHlluueXKWMIMfHEmU111U311 ZULU 1ARL14 ])Id.m /i I310.00 ]S N6190/! momo 6 ] armca4VUL19 / �/ o - - -- - Tm�L41.2LL TmWwN MMCPQNTON mpp/mm [ (UPPICENNIZ I'ViomU NNbf gM[CWMPq NMWEt14TVWN6 Qlpplo.o QIPP/C m"Li 4 QIPPT[ NNPoRTMH 1WWUU µR "QMN "EOFWNI 6MNNIRW11W6 5.1315. S,U3.SN W/IQAQU VM[(aMMYNII]PLM[(WMPMfNImY119101Ot 34pN1. WIMw3 IMVRbmYMOX MCWMPMY4N9fOE310C019] 4=." pg. 1{XWON MLVLOU Devo, co".. - p, 1D(WlDt3 MWRPNBKM4RY0YlfYNwp131]ypypmpl0 6.P6bm =u IWJVmUNYEMXAdA M14 HCLWMPMTIUE)11J 4IKNU 4,214W :Bad. 47 IWWNJI nvM+M.G [Iy MM M[uWPMr)19»L4NOYOU TAM. i93GN 1}l;gR. ]0/IVIOjI NXR'[fND HKWMIW INmUII NMmJ11391 49LM ' 1.uoCO I YXCCOMMVXMPLMKWMIMI'].16mY1193IXm 141N1» R93.A IWW202 WWlm1 WUCWTGM[XNF4M<4PFC[XIWIII VLO0 .5E 14,185.97 10/U/l0)3 YM[mMMYMIM1pIXCfWMpMll4(p1Ml)91m'a lN,J9143 - I3Am.34 30/1VNU NNBf[XO NC(WMPAITIIMOII{14em.EMY4N N.UUI IMWN13 XpylTj,{IOIUTONXKWMIM]6)6310JffiYvl[9 9,I6[,9t 33,II1.91 ' I7,SI49E 94 17WE �59:98 TOMLS NSi6L39M� W,pYU fi19064m 3 w3b 93a0 31.3693T 991.N 10/16/2023 Treasury Online Accounts DcUpm r.e„..ti..� dMu0L5:9s Account Balances CRS4VI.w neMvlw - Search Account6 ❑Ma,<myommrvl<w ePN,1 eoawm9ae nsw[m. 6llTVPw £ei6['YPe' R:[oe-a N,.myr Aawm N6M1lm! An A[[wm<Ry TyP„ T... v [! CWra05e All vu:! Dii9lry kame � - A {. DDA(15) enPl nay RaMm C.111.eanrocs nwlMmr&rang Emrrm 9alanm $6,450,688.40 S6,SD7,151.51 $6,524,246.29I $6,507,151,51. MEMORML M E01rAL CENSER • OPEMONO�NS1 43.389,b540 f1.316az E.3 -..•.: {3.395,3]i!0 ,m„ 336iA:59i BB MWOMALMEOICAL CMARA- CMNIC Sons 3014'QS5 0W.2 153412 15391z S530.12 MFMGNI.I: MEDIM CUM -PRNME.WAIV,R N643TJ 54 0.02 f6J4.01 M3407 S:Iaoy MfMORW.MFWCµ CfMEO/NNASHFOROM391 % ✓ 31b,22TA1� siuex5 T5 1:3012i.f_ 5:[d 2`26p MEMORML MEDIC CEMFR/ NH aROAOMOOR•M03 fl@970M 111:29118 5102.97O.N 'Man.92 MEM0 MLMEOKALCENRR/NX CAESCEM'Y11 / 2M.M4.92 ✓ INU71-18 vMi69J_°2 f)3,SN.4] / MEMORML MEDiGLaMR/SOPEMATWEyrMDU=NN-wJJJ SM40550 ✓/•/ f1J3,901.31 S11OJ05150 {E3A06.Sa MFMORMLMEgCAI CfMFR/ryXr411TDFN0 •{Y6 fe;M9d3 y:G31SU ,` W -a-a, yih'S4Ji MFMDpML MEDIGL/NRfA1DFNCpFIXNGLTNGRE rMN S117,56aa, 1117.5652, P11759SL y"r.565.21 MMCJ GWPO:MEP -PRWA EPAY•L33 11E,93yd6 y19.921J2 S1p,W31C+ 111971.93. MMCd GUVMINRPU2A-MEDCMW WWD-S I Missal 165.9043: f0435a.31 S92..31 MMLNNaERMWSFNIORWING•SSOR 113s9J224 {1 sOSZ:A 11351952;2a 513595224 MMC•NHMSOWVVIMAGEVbr 169"M34 125,74:93 S697923a 11.6.190.36 MMC.BflNANYSp WING-OAG•3660 5100.W f'moo Mo000 IMM MMC.MONEYMMMEPg1ND•299E ROM.4M.98 1$,Ea6,JY1w 12.9EE..99 $Zama " https://prosperity.olbanking.comlcorpomtelapp/accounts 1/1 Memorial Medical Center Nursing Home UPL Weekly Nenlon Transfer Prosperity Accounts 20/16/2023 PrMom A6pant Self.., Nurum Noma HamSar 5.Iona. r Nora. 0ny babnna of vvx SSCOO will bo .4rord to the nu—o hvmr. N002: Exh vnmrnt has v barabaknn-f$lw d,.IMA4CdPad roopm venunr. �P#309 -o o)4 OCT 1 6 I.tNN VV.WV Tramlvn\NN UPLTramhr Sumo.,Uo23{xM ePLTonihr 3ummary 1b1623 Today's 6a21nnlnl Amount to Or Tranraamrd m M.w, Sol.— Home 117,,565.21 116�949.1] 0mk6alerme 117,50.21 Vadnnm lraaa In D.W. 100.m tlnm pymtawN.10 MMC s54.6e.`/ jwvintamrt 25J0✓/ "cookintnast Most ✓/{ saplambnlntamrt 97.46y AdluStealeMr(rrmslerAmt. 14sbs.rr .$f a..� ANOREW 0ElO55ANTo5 10/iW20]3 Q MMCIOAI QIPP%UmpB. }U p4'�''C _ t�lf h' TnnN�r[Im Snn�4Mn QIp/Cpmpl Qlp/fimpE NIp/Comp1 WP¢ QIPPn XNI4, MN lalala3[g1/]MNStIRSTL4C00[PSN[NSSSN69A ..W.57 IalORm3 nnRRXRXNRn[nmaflNNusSsnNun n].n 3,1ppco tamR033 xx8. [CXOxawM9Mr][6IOInlMO]tlll¢L36 6mw In.n LI/Y/ia31MB-fOIO MLLVMIMSH[WIIn YWfY1gN8 - 1[303.. s20..0 t0/IDROEI 6MNFXd[6W94TM[RCNP U3p15CPIDJ]OU89 ' I.M.CO - 163w N/IOROH NMVRAf fOWilpM X[tlNMPMeIf09]{]Od0{9] )n13 1 IW'=U O , IOQm m 111.H 711 lwW 2310p R[E[XNUMfRCCf11UW3B91QW[850 - EI]e.il 14Q8E9,36 W/UR013 MREOUTNMIN]NNM[TX tlN/iGOb[NLP[ER NL 1N)Y.Si 3;318.)1 1aW30U N[µIXNWMX 3VfXCCUIMIMI'1lYN]NUO1I3 - l f6,S0.[8 � ` 6.300.U0 161,68898 I/13LN39 yi MM 10/16/2023 Treasury Online Accounts OW1a.Y[err TI—I,-n in.,eH .—IniWAn., Account Balances cuf9lAw T.N.. Search Accounts ❑ M.A. Any oelaml I— ev,In, ononl.6a asefe<x- snletl Np, Sen[I L[ee ".Anmm�aer neeoun: Ninn[rne AEI Allolnls By TYPe .. AlT,,m „ Q n Collapse All A .y DDA(15) v:me wy paon.e C.Ill. Mince AIJ63eleval.n.a Furrempaun:e $6.450,500.40 $6.507,151.51 S6,524,246.29 I S6,507,151.51 _ _. O 43s7 MFMORML M[eICA CFNIFR- PEMTXG• uaw,wsap u.3Aan6+1 !0 u.339ecs „.,...... Afi15.33J P9 MEMORMLMEgGLCEN)FA-CLINICSFWFSiOI{•.365 f53912 .519:2 555s.1z 3519L' MEMOMAKEOIMC MER. PWYAI£WANFRCLEARING•4373 f13a01 S13101 [J3J02 .1:.2 MEMOR6LL MEPIMaWR/NHASHMM-41al [140421,64 1,1: 111975 $1J9227," I'M711.5 MEMORIALMF01416HIFR/NHpR0A0MO0R'M03 61=970M Sll']A&I9 [102IOU IM15192 MFMORMLMEOIGLCHnERMlA CafSCEM'Yll I2b,691.52. []ip )1.IE "U"SA52 [161560J) MPMORMLMFOICµ CWIFR/SOIFMA)WFR HOosmN'M36 [I1M/0550 [ID1At31 1116,J0£50 ISLw6.59 MEMWWLMFO:CIL CEMFR/NN rOR)PFNp•µy WBAB3 WIN&63 "Aids, fiA."WU / MEMORIAL M[01[ALINH WLOEN CREfKXFAL9NGIIF •NSA 1 ftq:54511 ` 11 1110.1. MV.5052t 1117511121 MMCNNGYSFPOINfEPUlA•PANAttPA9.54L3 $16,92516 I19424J2 SI8.935M, Moll 93 MMC-NH GYLEPOINIFPLVA.Mf01CMFlMf01CM0.5LL1 IKJS031 165.905.31 [6J3361, 559.v331. MMC-1WBEMAM3ENIORIMXGe6506 f1;5,95TId [13£9522J I13535k2: S1350i1J. MMedIHTASGNYMLVGE'3.p7 S69.7u30 []6,iJi5i W9,Mw 14G'e036 MMC4EI SR"NG•6ACyl 5100A0 'IW.O slmm Mom MMC-MONEYMMY.flfVNo•1996 SECBP 96 1:,p55,JJi.Sa SS-069.J BE stm.. 98 https*./Iprosperity,olbanking.comtcorporatelapp/accounts 1A Memorial Medical Center Nursing Home UPL Weekly HMG Transfer Prosperity Accounts 10/16/2023 em.inw MPoYnt 9.vMn'vra NuMn[Num. eabnee ...ems �..... .......�. }�i. b.l]3.66 P W- AeeCunt XriMm Nmma ��^—` J" Nole:OnrYbolm[cafovnS3rYMxdla[SMY/mNm Menunin9Fpme Note1: NtM1a[LurneM1nnFmFbuhm[vySIOBMarMMClecwNNmepennnewt. OCT 1 C nN drr� Ban3eal.. VatBnn Lnwin &lann amvunttvav TnmrnenJm 1u131nnnat 3.53 iu{uttlmnut SR69 ✓ ✓{ SePnmheNnnrca EM3E f .� 161wl BJarp/Eranarn Nnt iS.]N.eB FinawHn Se hMIM. Tgmlerteen &ni Bahnn. 64,333.31 Vyimte LnvelnA]Xnev. L4B,Bp IWvrnumm J Furyn lman3l SFS3 ab FOYmbrlmen¢ not AJIu3TBalamafTrntltt Nnt 64BElABiO' TOSLLINLN3iE0.f vau442,, App�dl�. rTnYliie$�}' IWpIFWO SWrT05. la/16/EB11 �:\NN WnLlP innJm\XN UPLlnmin3ummmVN131NNUPLTrurJn5ummm10.1f.E) 10f13/M33 HOMANAINS9pX�CIMPMi32095140 B30EQ]6691 10/13/3023 AElNAA501 NC0P1MPMT IRNl92I9D519C00193M l0/12/101R NDCSWEEPMCH211 HSNF.Ip C9mmSWH m/12nM3 NOCIWEEVF6CH261 M7?4 1036308PWEEPFR IWIVMS HNB-ECHO HCCWMPMT I46Dp]i3149000p2631E0 1811IMM MMANXII NCNNMPMTMPMT3T905104tl 1 10/11nM HUMANACHAOIAJWMAIMPMT31963Em9100001] 10/10/20n2023 HNCSWE"FCCH261 21 MWOMII{e0ppO213R93 10/10120B HNB-EU v FCC H363 Mtl4 33MOI50 ]WEEP m l0/ID/2033 NHB-ECHO HCCICIMPMf 14m039(1b0000343C16 19/10/2023 MMOlMT8ANKWDEPOHT44 519M9 �h4 T {4 laiv20B De,A 10/11/3033 MERCHANTBANRCDOEPO9T49m185189899390W1 W/IZIMH WIREOOTHMGRM kWM5NF,IP-CMmmeakal 10/13JM23 MFRQIANi BANFCD OFPoSN {9m1R91M6991WC01 MMC PORTION QIPP/Comp g2PP/Gomp4 inn><rautTMAiM. WPP/GomPl 2 y0P/COmP3 &upn w"I NN PORTION 82.24 $2.24 5.995.13 1.698m L698.00 24.W - XW 962.84 - 96184 - 9W..91 966.91 - 315.78 - 319.20 - 13.881.0 - I3,881.67 - f 39I0 / - 39.20. MMC PORTION OIPp/Camp OIPP/Camp4 Traaslee-Out T..f ,m OIPP/Camel 2 OIPP/Gamp3 ppptP 41PPT1 "PORTION 421S W - 42.154.98 15.550.0D - 15,650.00 IA31.91 - 1,234.91- 1SO.896.13 - S,116G0 511I5. 0 ]50.BBC.13L �Aa/ __ ISGAC3.36 8I196.S2 - 10/16/2023 Treasury Online Accounts OulsivlOY T„ A{{py9LGl9YRs Account Balances ur6M.w rPaleMaw Search Accounts Cl MaR< my Delavll vl[w p hm[ ...I.ua n Searm . se!eRNew SeNN Tyee ncmvn[Numb<r naeum N,nname A. 5[[P1m4By T1I ., KTy"S C911atl90All ucrt. MIRUY'�:4^IR - •— 00A(15) PnarOay Ba!an[e C.H.o Btlance; .SvnMM<Pa:anc< fort<nl Wlen[< $6,450,588.40 $6.507,151.51 $6,524,246.29 I S6,507,i51.51. MEMONAL MEOIGLQNfER-OPEWTMG •a337 f3,369a0S9D IMIRI20 it 13.3RAD5.E0 Mats,A94 RE MEMORML MEDICAL 4NIER-c4NIC SERIES 2011 -365 5M.12 153R 12 S539.'2 153912 MEMORML MEOKALQ R. PRVATE WAMA CLEAMNG 1a W 03 1aUO2 MH.W .3102 MIMORMLMEOIM ConERI NH MHMAV 438I SUO,il.6, fIJSMI!i SLC 22, 41 SIg..TT269 MEMORML MEMQ.CRWAI NN 9RCWDM00R IMI COMM "1".295JE S1029741, $0353,92 MEMO MMM CIPn J NH CAESCENT'"11 f231,6M.Sa 1140.371.1E 1221.69.tu S723EI 7 MWORn MEDICAL CSTMR I SOLEM AT Waco HODnON •NY S110p05.50 f1::,9C!.al $1IVA33:so 653.000sa MEMORMLMEOKALCEN7ER/MIEORf BEHD•aa36 M6345A3 sM,Vg4.1 H6.L.R3 136.19'. MEMORMC MEDK I NH GOLOEN CREEK HEIIINVAE'YM E117,56551 1P].5451: SIt T56521 sif>,SOS.T MMCN G06 FORM P -PRIVATE PAY9E33 f f1AMIa // 3 619.92ste 119.07193 MPUS MMC-NHdUISMEME01CMEIMEDIWO'5"1 1M.35931 /'//119= f6S S31 i//// "Bal. fS9.MS1 d MMCHBE WSEMORLMNG-M 613;9. 1135.95224 {II5.9S024 1135.9522. MMC.NH3II MUAGE" 7 $19.7623a 17D.74793 149. d23J "61,901 MMC-BET3MNTMWNG-0AG'36W $,am "Coo 11074c Itoo 00 MMC.MDNEYMARKETNIN001198 fZOBB,Ma.9B 13p994.1i9tl n,01R444.98 s2.m.. .95 https;/Iprosperity.olbanking.com/corporatetapp/accounts 1/1 Memorial Medical [enter Nursing Home UPL Weekly Tuscany Transfer We.Perity Accounts 20/16/2023 vl..imr Aemunt B.(Rmily wn:it11— - B.bn[. .,..GT�9,:µ... Y),BCUfi N010enrpbKM[ttl hOFO S& bolm b.IIO)d E blNnWlMph�'ne. Nole}; (.Neiman[hembprebplentte/SILOfMMMCJepmiuJlnepen.e.oun[. to, e2r:P. awrmmae vendmB nnnµ.N.B.ro Wh IAne. 6B,M1.HT V.rYnd lmnln Btl.no tryp] MmLx Auryn BJUX W [111—fF... gbrognt �winhin, ., An .ved'.GW:LLLC�: k.':. A;A—:JLYI AR0RBWOetOa.ANOOB 10/g./Mla m 10/10/2023 NOWM WLQTION HCCWMPMT 675MI 4200MI97 10/11/2023 Oepmit 10/11/2023 Q4P43It SO/134628 MOONa FEPlIIfWR MdINMCIr01t2t2604200W12 10/12/2023 WIPEQQTLINB4RENTMPBIUSLLC 10/12/2023 HNB-ECHOHCC IMPMT74600341144 263187 10/13/2023 HNB-601QHCCWMPMT74M341144 W2421 10/13/2M3 FNB-ECHOHCCLPIMPMT74W03411440000202403 MMC PORTION QIPP/COMP QIPP/Camp QIPP/Comp Tramfer- ut Tmfer-ln 3 4&Lap3e QIPPTI NH PORTION - 3.W.77 - 3.9a0.77 • 22.032.48 22,032.48 - 8.473A7 8,475.47 - 10.261.84 SA6k80. 317MI14 81311.37 MAT 347A04A6 - " 1976sa - 1,978.80 10,723.27 - 10,723,27 - /12,668.71 - 12,868.7I 10116/2023 Accounts 9YN8YLLSv A!em,n!rtm Account Balances UMNew nbr.9 Search Accounts StIfRLWw Sf4KiYPe A.i armmis of T,. ., sCiyoex Callapst All , C. DDA(15) MEMORIAL MEDIM CENTER. OPEMnNG•U53 MEMORIAL MWICAL CENTER- CLINIC SEMES 414 •a36S MEMORIAL MEDIGLCENTER- PRWANE WAIVER CLPAMHG-IM MEMOMAL MEDICAL CENTERI M ASHFORD'051 MEMORIAL MEDICAL CENTER I NH pRWp,,QoR•W3 MEMORIAL MEDICAL CENTER I NH CRESCENT•f M I MEMORIAL MIMM CENTER I S EM AT WMI HOUSEON•4U6 MEMORIAL MEOIGL CENTER I NM MIT BENV •L#5 MEMDRL4 ARDSMI IN COLVIN CREEK ILEA MCMM•Y5a MMC41H GUOPOINTE PLAU. PRIVATE PAY-SCU MMC •NN GULF PDIME PUEA -Mf pIGRF/Mf pICMp •SYI MMC-NNBEIIMHYEENIOR WIHG•5506 / MMC-NH7USGMVRGWG 7 MM[BETNMSY 3R UNNG • wG •3860 ✓ MMC-MONEY MMKIMINNO.2998 Treasury Online RccoW[wVlna!! 133a9.M5.90 53.31..Mlf S53A13 IS39.12 A w S.Ua. SIOX7.64 11442R9.]5 5114,970M 11172?5.7e 931,6"52 121"371A 5110.WSM 113901.31 W.M583 51R10.33 5113.50.21 5117,50.5 21 31R.935.16 S19D241: 54.356.T SGS.M5.31 $135,9521A 5IMMZ2.1 SW,78Z31 / SMI'L7.03 SIDDAD SICDOO SZUB 18 U.G98.4N9d ❑Make mY Delaull View B 111-1 _ OOwnbuJ 4 SgRk i Sol ti n.',Name - P,rer D, Nw. mle,,"M 1. M.I.eR1241111 anermraiwn. 56,450,Sa9.40 56,547,151.51 56,524,246,2e I $6,SD7.151.51 13.0ets r) 53. MSY6d. 553412 SUM2 PP.02 1K1e OD S1:11.222.W IM7 S9 5102.970.V Im In92 5221.64A,52 VUW41 Sllo.iay.50 183,W338 La315.33. 136151 AS 1112156U, It 17465.21 516,92S ID SIB:w1M 1W.35£31 159Sa33e 135SSZ24 51351:52.31. $697.124 14V50.35 SIMM 510000 52488.a.9e SL0SIF 99 MipsJ/prosperityalbanking.conVcorporatetapp/accounts 1/1 Memorial Medical Center Nursing Home UPL Weekly 145LTransfer Prosperity Accounts 10/16/2023 emnae aaeAun NeM:Onfy bdanaa o/orer$ia00++OMxany/ureetemanvaNyhwne Hanl: Fath unttn[Aoyuhuehulmtt�$1NIA@MMCOyD011r[lle epm oocount. OCT 16 ?U123� 3S C;'{1i milt - q�nr;�. WO sam" Vaemtt Narein.Ubntt 10100 ammmuoee Tr.n.hneam Nly Nlenrt 50aay,,ey�. au{mlMNnrt 31A9h.{/�. S p meha 1 entt LLP aC 1&4 R gqlnamt {{S:AIR$0:. �ia Gk h.Cn anouwos{assaxros so/s4xaaa Aaxa Ww rnn$mWa url. arma.r wmm UQIma ml ra.unwmm.n mleas MMUORJION I—OPP'tmQlppjC pl NPP/fam" OlPP/Q..3 OIPP/GmEARIU rc ypPJl NNPORJION. • nNX 9P6.56 tRAI - 479.40 - S..T. 5,3775O I.m1A0 - 9.201..20 m9.WI.11 109508.7E MS.93 Unn J,303.01 ' 3.I0W PAaltl 1.183M Vge 3�R WIO IMNO�[0mM[0AIMOM]tW)M31 3016Ni bbm WIMI NNB-I<IAM[0AINPI.nb3W3ttlNW WitbM wlp lNEUTER NORMN 3VCWWIMPW 114E4N41lblb2 Wluma V.P VW Wll/mm otpom IWI1/m33 o".1 Wll/m33 NO[SW6EPPMNJb 113b11RI1191 SWEEPER .All= WIRE OVfPORTUVAGNN.= l 2f7.imA1 5,31l.SO d i155 � J�E 10116/2023 Accounts 9u uvl+v Sr,� - Fme.^'Gnaw Account Balances u,avl.. nMe MeN Search Accounts sllra vew- sren yae All Ae[On11RBy Tyl1! .. A9rypo Collapse All 4 , DDA(15) MEMORIAL MEDICILCENSER. OPERAnNG V957 MEMORIAL MMIMCEMIER. NNIC 9ENES.2014'A365 M6MONAL MEOIgL CUBE FMATEWAVER QUAING•A3T3 MEMORML MEDICAL CENSERI NH AS MM•48, MEMGRML MEDICAL CCaM f NM BROVIAC OR 14103 MEMORW. MENbLCF913Gi/NH QESCEMY111 MEMORIAL MEDIGLCEN l SOLERAATKEST MGUEEON 1.39 MEMO0.MLMEDICALCENIEN/NH FORSBEND a4446 MEMONAt MEDIGL/ NH WLDEN CREEK HWT WE-"M MMC4 fl GUVPDINIE MU. PRWATE PAYl5e33 MMC-NH GULPIOM PLAZA. MEDICARMMEDIWG aSAA1 MMC.YH BEOM.YfSEN10R WIHGa5505 MMCJIHTV4INYNLLAGE`310) MMGBHHMIY5RL NG-OAG•56E0 MMLMONEY MARI(ET fUNO'M9B Treasury Online K[O+n1 Nvmplr 63369.405A0 13318.72E21 a139.12 153912 SAY.02 043402 3140,227.64 i1yPfl9 )3 3102970&1 11172'>5.:6 1211,6M52 s249,3711M fnO,bsSO 1143.501.31 SAABABS3 MG34563 5112$6521 ell),5(531 616.925.16 3I M442 364.35111 165,9053'.. 9135,95234 ✓ 913595224 169.78234 17G.U703 5100.00 9103to am...9B sZ066,4u.5tl O µlNemy D.W.Vle 6Prim 1D.W'd 4SnNO AC.OVm \(Ynpm! + rl xa. W10,OVName I = R., Wy Bllan[e Cplll,dWtEaM AvuI.N. BNdM! lnrrens &11dMe $6.450,588.40 $6,507,151.51 96,524,246.29 156,507,151.51 31.309.aG560 1161 e.56 a.6B 5539.13 15]9.12 1142276, 11CAMLE9 5[G:,3:O Sa IV. 15392 5221.6w,52 1)811144) s110405.Ed 193,03656. M&US 11 536.'S 49a 107,56SL1 1111,566,21 11 R,9251E 11R.Q1193 11.,356.31 559,2:331 W135224 1135,957 24 $69.781N TAGIM36 11EDm Ilau Be 12 VSB.A 9C LOEB"."BE https:llprosperity.olbanking.com/corporatelapp/accounts 1!1 P A Y E E UA8111aIA MEMORIAL MEDICAL CENTER CHECK REQUEST Memorial Medical Center / Date Requested: 10/16/2023 EXPLANATION: APPROVED .�N 7v-U, pia e r,1 V Qvfi FOR ACCT USE ONLY ❑ Imprest Cash ❑. A/P Check ❑ Mail Check to Vendor ❑ Return Check to Dept 15,260.94 ,/ G/L NUMBER: 10255040 Molina August QIPP Hospital Portion REQUESTED BY: Caitlin Clevenger AUTHORIZED BY: NCB' � (t, (1� P A Y E E AMOUNT: MEMORIAL MEDICAL CENTER CHECK REQUEST Memorial Medical Center Date Requested: 10/16/2023 FOR ACCT USE ONLY ❑ Imprest Cash ❑ A/P Check ❑'. Mail Check. to Vendor Return Check to Dept § a C Lr,, nr t 1 i7. t nnra S 5,608.97 / G/LNUMBER: 10255040 EXPLANATION: Molina August QIPP Hospital Portion REQUESTED BY: Caitlin Clevenger AUTHORIZED BY:h;w,,�r, w0166 � Z3 P A Y E E AMOUNT: MEMORIAL MEDICAL CENTER CHECK REQUEST Memorial Medical Center Date Requested: 10/16/2023 u9 rgr iit '� r�ylr - h J i'; ^7ri I Tn,�y FOR ACCT USE ONLY ❑ Imprest Cash ❑ A/P Check ❑ Mail Check to Vendor ❑ Return Check to Dept $ 4,237.93 J G/L NUMBER: 10255040 EXPLANATION: Molina August QIPP Hospital Portion REQUESTED BY: Caitlin Clevenger �g ! I " g AUTHORIZED BY: („hA�, 1G.41C P A Y E E AMOUNT: MEMORIAL MEDICAL CENTER CHECK REQUEST Memorial Medical Center ! Date Requested: 10/16/2023 � rt rJ'a 11 IC iiu r FOR ACCT USE ONLY ❑. Imprest Cash ❑. A/P Check ❑ Mail Check to Vendor ❑ Return Check to Dept $ 4,729.78 G/L NUMBER: 10255040 EXPLANATION: Molina August QIPP Hospital Portion REQUESTED BY: Caitlin Clevenger AUTHORIZED BY: Loa4t, 6 MEMORIAL MEDICAL CENTER CHECK REQUEST Memorial Medical Center f Date Requested: 10/16/2023 Q Y E -�4ppiicftjEo Or E BY 1'ilb^70'M au 6l`T73�74v, ��iC l-n �.CYi kue TdS.�iA AMOUNT: EXPLANATION: FOR ACCT USE ONLY ❑ Imprest Cash ❑ A/P Check ❑ Mail Check to Vendor ❑ Return Check to Dept $ 4,531.64 G/L NUMBER: 10255040 Molina August QIPP Hospital Portion REQUESTED BY: Caltlin Clevenger AUTHORIZED BY: fi1Ad..,.. r P a Y E MEMORIAL MEDICAL CENTER CHECK REQUEST Memorial Medical Center Date Requested: 10/16/2023 41 ICtVE0 E IT ;T 1 11,4 tirl" ry C W JP) AMOUNT: EXPLANATION: $ 9,311.37 Molina August QIPP Hospital Portion FOR ACCT USE ONLY ❑ Imprest Cash ❑A/P Check. ❑ Mail Check to Vendor ❑ Return Check to Dept G/L NUMBER: 10255040 REQUESTED BY: Caitlin Clevenger g AUTHORIZED BY: i MEMORIAL MEDICAL CENTER CHECK REQUEST P Memorial Medical Center/ Date Requested: 10/16/2023 A Y E FOR ACCT USE ONLY r p.+` [j,em ❑ Imprest Cash E ❑. A/P Check ❑ Mail Check to Vendor 5a' GC �fr.� di''rd3�"Jd',i ❑ Return Check to Dept AMOUNT: $ 445.87 �� G/LNUMBER: 21400012 EXPLANATION: Quartery Interest Payment REQUESTED BY: Caitlin Clevenger AUTHORIZED BY44 , ,, � j l n,A 10hb(? 3 P A Y E E AMOUNT: MEMORIAL MEDICAL CENTER CHECK REQUEST Memorial Medical Center Date Requested: 10/16/2023 FOR ACCT USE ONLY ❑ Imprest Cash ❑ A/P Check. 1'�- `'I"'0 ❑. Mail Check to Vendor ua'3Gn°dT ,a sd?p—y {yks ❑ Return Check to Dept $ 308.81 ,/ G/L NUMBER: 21400009 EXPLANATION: Quartery Interest Payment REQUESTED BY: Caitlin Clevenger AUTHORIZED BY: pk ,,, aAencc a 1i, y tre MEMORIAL MEDICAL CENTER CHECK REQUEST P Memorial Medical Center Date Requested: 10/16/2023 A Y E I FOR ACCT USE ONLY =tp* R01f :D 0 ,' ❑ Imprest Cash. E �Yw� >� � �lni�� ❑ A/P{heck ❑ Mall Check to Vendor ni ^� toi si'L7i�fI ❑ Return Check to Dept AMOUNT: $ 539.97 / G/L NUMBER: 21400010 EXPLANATION: Quartery Interest Payment REQUESTED BY: Caitlin Clevenger AUTHORIZED BY: ¢ 6 11Q1- P A Y E E AMOUNT: MEMORIAL MEDICAL CENTER CHECK REQUEST Memorial Medical Center 1% Date Requested: 10/16/2023 FOR ACCT USE ONLY ❑ Imprest Cash. ❑'. A/P Check ❑ Mail Check to Vendor ❑ Return Check to Dept. $ 160.67 % G/LNUMBER: 21400008 EXPLANATION: Quartery Interest Payment REQUESTED BY: Caitlin Clevenger AUTHORIZED BY: &L 16U61;�3 I MEMORIAL MEDICAL CENTER CHECK REQUEST P Memorial Medical Center Date Requested: 10/16/2023 A Y E FOR ACCT USE ONLY ❑ Imprest. Cash ❑ A/P Check T j; ❑ Mail Check to Vendor 61 qcu 41t1.j.r CF ❑ Return Check to Dept Vi LsEl1 Cii yttii AMOUNT: $ 412.31 GA NUMBER: 21400011 EXPLANATION: Quartery Interest Payment REQUESTED BY: Caitlin Clevenger AUTHORIZED BY: MEMORIAL MEDICAL CENTER CHECK REQUEST P Memorial Medical enter % Date Requested: 10/16/2023 A Y E FOR ACCT USE ONLY a xxFi7'r'_ff T714' ❑ Imprest Cash E "-air n ❑A/P Check o nG ❑ Mail Check to Vendor p ❑ Return Check to Dept AMOUNT: $ 321.241/ G/LNUMBER: 21400013 EXPLANATION: Quartery Interest Payment REQUESTED BY: Caitlin Clevenger AUTHORIZED BY: .pu'tJ@ye�e�'=-t fl1 i ai6 L P A Y E E AMOUNT: MEMORIAL MEDICAL CENTER CHECK REQUEST Memorial Medical Center / Date Requested: 10/16/2023 FOR ACCT USE ONLY ❑ Imprest Cash ❑ A/P Check ❑ Mail Check to Vendor ❑ Return Check to Dept III $ 203.45GA NUMBER: 21400014 EXPLANATION: Quartery Interest Payment REQUESTED BY: Caitlin Clevenger AUTHORIZED BY: r MEMORIAL MEDICAL CENTER CHECK REQUEST P Memorial Medical Center A Y Date Requested: 10/16/2023 E E '! .' AMOUNT: EXPLANATION: FOR ACCT USE ONLY ❑ Imprest Cash ❑ A/P Check ❑ Mail. Check to Vendor ❑ Return Check to Dept. $ 83.53/ G/L NUMBER: 21400014 Quartery Interest Payment REQUESTED BY: Caitlin Clevenger AUTHORIZED BY: P A Y E E fJuLslUag MEMORIAL MEDICAL CENTER CHECK REQUEST Memorial Medical Center Date Requested: 10/16/2023 FOR ACCT USE ONLY ❑ imprest Cash ❑ A/P Check ❑ Mail Check to Vendor I r rt.eF ❑ Retum Check to Dept $ 536.74 / G/L NUMBER: 21400015 EXPLANATION: Quartery Interest Payment REQUESTED BY: Caitlin Clevenger AUTHORIZED BY; gc�G�u MEMORIAL MEDICAL CENTER CHECK REQUEST - 0AJ, ti Vu-w- oc - I . Date Requested: �, ""3�—;� 3' P A APPROVED 00 Y E fA1P3iS- AMOUNT -0 59 9 J�1 ' - G/L NUMBER: EXPLANATION: FOR ACCT. USE ONLY ❑ Imprest Cash ❑ A/P Check Q Voucher Check d CL ,L `q I n REQUESTED BY: , Cgmi'r� Ly AUTHORIZED BY: CAT k 10303 1 FM 1600 -v& I n( j nzn my zNx 6ro roDiHli E HX�- nH 0m rz mr 'cG wn eHCpiNz cn Z�ZS x z m n y7Y77 n d ° H 9. M C 7Y H Pd O Z O H c H k k H w z7y0 0 3 < w K m o -ziz z xoc� c H >e�n z a x C � , nyz n c x � any d o y VM °z n Q H c b 7y a O; c� �zroKKKKK.K h Mo n Cnvvvvvo k k W K d H H H H H H ° M H 0 0 0 0 0 0 00, H H H H H H N W W W W W W �Jy N�C+JNNNNNN kn W L'� GGG NNNNNN YO O wQm y 9 H GfAO A y M N 0 7 d b 5�broro ro m Id rororoxxzPdzx Vi fA FA fA fA 69 NHNNNN��N 41 N Vi W N W A H W W N W l SEN H H H H j °] °° m W 01 w 0 m W m 0 w� � N UI �l b m i+ OJ N I 1 0 0 a W H O O W o b boo l9 W &moOHoM wN.. 0 o (\ 0 N W �C �C as O 00 -Az,.p � mlal v m3 N mm 2 mg � r a C ry N Z q z p m m � z z m m J N �p n O O y m w y C yy G r n y y mo ro O -7 p p 0 ti y 0to mm y � 9 110 0 a y m W W W W W W N N N N W O O r a O O O O O O U U fa O O N N p bn O O O O O 9 9 a oo nA a a z n$ °p a a a a a� z a a � A Oe ae oa oa J �n ee U N oa rt n n <3 20 <3 n <3 2 n <3 aZn CO3 — n n � ZO z0 �z -1 w�3 m;�3 �3 mz a �mn an jn yn jn ann 0�yTw z�n �n -zi m<m� m y3c�o a a O n OZO <O a O C C 0 'i t�Il C i] a 9 a`b" p' w y x o a0 7i .i, 47 C p y zW zm ti a °z n n ° n N Q N W O V oe J Oe d P A P A oe VWi W N O N A O� O O b w P �D N to P N P N L A J U J U N U IJ U C O IJ pa t.� N W P O O O O O O � P T O � O W O 0 0 0 0 0 0 v n O n m � O m m r 9 r'' c N m N b m H P N w to w to w 0 0 0 0 a °v ° ° D N � m z m � e 0 m a - N �D OD mD aD O= > T A O r b n C A y O D r m m ^' 8 =1 A 0o w t' O N W N T UJi O 00 0 0 0 0 0 0 0o 1 c � z c; j yy yc yy H p n n D D m m a a o n n z yoy A A y a a a N w N w s w w W N 'A N0 Vyy N n Nn CNy zo y 0oa N u h o a � s s - �n O O O J J n m a O z K rn 5 N J W w O O s _6 W O O O O J O O O g wm m gm m �m IM y3n z° N m z 3 O A O W O Q� W N O O Ce W Da V1 U U O O O N O A T U 4A J w 0 n0 m A S I O O M, n S S o o n = w mT mS FF m 3 n w O O o n m ? N oOOr. aOO�. .moo o O � w I yyy0 c � g n N °D a° mD° °D° W A 0o4 Em ym p e wNn W as m W �Ono mn nw w o a °v a D O m P N � W p W J N A N U O O T N 16 O S Om D�n �m F x S H mm 9 S n z z ^C N Vi y Z F 22 a w y n U m w ze s N b m z N W y C y m xX m zm 9 ?x s q m a 10 < : chi m 3 m m z y O N N O O O O O O O O p m S nm 2Onm � AO m0 m0 m0 m0 3 r- m 0o CC z z O g b O� T J b \O `p VOi U tOA N i. O N U N V p O N W N N R 3 N N ^o to x?;g xc=3 0n 33 3� Sw mN $ZwZ m3.p O�ym�c7nOC ") abN w�C. }O�KN Mo Mtiza� y n m n A 'mow T m w o .y V nT. ypw zw 02 S m A toQ < 0 AO y Xy 0 G O p c W W A A N r W P A J tin W � U b A b W o°Oe vNi n R a mWc D_` 9N r H Dp C C n n v �m m Q �C z 0 zz y n m m y N 9 D n O O >y D C C yy i x x m m O O N N N Ol1 O P O O U O Np3 Nb $ ro 3 N <Z <p n O� m W D m r f7r H m H A m >> r 9 y Z O n �`.• r G N 'q r p m � N N O O O O O N VUi tUA O O O 00 ,np nb0m n9m� m y m pMOz OC(], c rr xxym iG 1 n a vn00> 0 > yx� oHm m �r x < m S O O G O 7 M 00 IJ D N U r i Nq NN A A O m Ce O� U J b J W U 9 ?`>_>` <2t k� zk ak r Or O r r rr o �3 O05 4 " mA 0 0 0 o f w p N :"� a o oe = J� w m A v y m m D D W z y z y m 9 r o A o y D CO { m n N P N N � N O P N VAi Ian �O P W N A U u � O pO I O O O O O N zz r N a n N r. J n 6 n n o 0 N N O W W A fi a _6 ^ O O e mn mn aN ay ay bm rnnn bm 9m mn :am mn .om mn m mF� 9m "i n n a a a n c o 0 m r mp a�C o ms w m H O O m w mCi -C3 � � o 6 W n r m $ ae nm 00 r0 n > O O 3Z m O 3zO ng zX < zX < a > > n n �m xx D� � m n Cm yy y yy Z oo'O yw O Km m mm z n O G y m p y m w p y z Z { m y rn 3 3 W W T N y $ W Ot N w W Z q n IJ Op U N Ii tron �' A N A A � N O W ~ D 0 O .9P Oy z y z= n N "' A n n•_v = O 0 0 �4 wU < W O oo m y <O 6 W W A O1 W V M J O N t/r W �i U b p _6 O 8 O O O O r C C < n 9 3 y H y A m C O a w C7� Z T �x �8 a m Z �' -mi m K < y m Z 3 " < o u a a O O O O A N N N N O W O U U w U J U W W W O O O O O O U O O O F3 m X m ay n Qp znO 3S-z-7 []n P, O X w m F3 y ~O `vO�Tc -V9 3 K K z 0 9 S D y m Zm D m X D a Oa m ZA Z � � n nZ fA fP O A A rm- T U O U b w w P O O J W A a W m my C r w r w mm o RI p wr _yy jm yam >xm Orr QD wo � Nm zc�ya n "'-3 p3 KKK Zyp OK Do K KK Z7,� m ro0 N w ao 00 � � K G)a mA �� rwii poi pw y t- o g y m y 3 rn 0$ c: z N y � A y O O O O p p N b z S b u � e c w A3 2 S O' o a O g > 9 n 3 -I W O A y $ C O Wp o b n 0 C o � mj p oaro Z C C C � y nOm r n� v n m0 [99` y W ::fin rN 1 sa m n m a " 3 c y Or r z v m y y o $ yy OT Q4n U U U W U U y 4n U IA W O O O U N N O O O O O O O O O O p On. n'< yz 9C �n?q DCCC m 0?OOAOO- y Oa v O =P Otmy win �n � Om O"i �� ny �E 9f vE vE ^30� v'x o z zy y�yO Wn �o a yyFo >° aZo zo zo �Zo �O z A �Z m� O N Z 7yy %�Fn Ay z -gym <m --m {m �m zn 3 y 0 r~ r-7 r-7 r-7 r-1 Z> Zy ZY Zy Zy wo m 9 n o n n m n nm 0m 0m nm nm m � O y z r U W J n V P r C J W Q� .A A A .. O 6 �O b b o 0 0 0 0 » >m a� am m m am sm m o m am m oa m <- - C_ - m- m- a- n o\ $ o N o x o o d N o 0 o b o o m M 2 N to w W W W m y U A y A W n y F C yzb z o A o7_ m m >-ii a o9 O alO y z 3z y y r m r� a m zm R O V w 9 y i� z 9 S I7 G m orm e c pxo n 10 X y 2m O m a w y T O N U O J Oa Ge O b Oa A b b W ry w O O O O 1 6 O O O O O DO �O b L]i7 nl7 °g y m> n m° n n a s � W N N E o a o n F?P 0 z9 C m v t a m O � m N N N N N N w w w w w w w w w w w r O O O O O O O O N N O O O O O O O O O p Grt. nH S0 r 0 z ,O rw rm 0-1 rim nN q �+y n-4 nH 0-1 n wn < 00 9� O ,q nm yCy r'C0C r0 Oa r0 0C0C C Dyy O� 0E OA D n 00 ro n Ci v n Fn A i r H b E y yytx� >o"� K a m zo = c�xzx Kz� zo zo zo z oa z O vXDi r y 0 Y zm Gy O $ Zm' �rmi, �rmm m z Co b O U yN O W CO WO w A N b °Oy J N b b b O � VI R a a c� ra as as a -7a ma 0� a a 5a a a wa -7 w mw nw _3'w Om Om m mm >m yy A A W A 0 0 rCnn mrr5--ziijrn'anjONaPi. aNvNi r0awr O J z m m Arym yrCP o ` r < 0 n v N m C7 c b VA N A w w O J J P. 4 A S V P O A q W Vwi b O VOi VNi VNi O N V N � 0 0 mi m� 22° a °n� L°� m n n H H a u A w U O O � 9 n O C r p D ❑_ o z CC y m y m zm n > m r Z m N m G N y U W U U U U VWi U U U N N O O O O O O p O N O O U N N N N N O p rt n L) D r H ywy r O .n. n C CT>j C C p �� Z� � Am in f) 0C) atC- gCg �� y�y F Xyy ZO 9>z0 trail AZ 3 DD`n ZODO >Z Z w'tDi' Z m3 NO yp ° y0 m y m y y zy w mom' n nD �� n3 nm n Zm O o C O° °50 °F a C °A G m G m C m m m m p to m �1 m m m m r m n m raw W W m NA NA mA yA A A A �-.w wNw Gw zw w Ow HbJ-. r�:+ o o mo wo ;a jo o �ti w �t w t' p, m yN mo m A [mt1 D PrJ C7 mD �? c0 C Y D W S F = H g m r F O Zw my Zy Zy w -i C)9 S A' Lo yyi m0 m n �m y O c a a T Z m C C z A -mi c J J U P U V W V W O U W J P �O Oe P N A N Gp pi P O A A W O O O P N A O U O C O a W U m ppO 0 v n m� _ 'a p n A p o a � n 0 Y -i m r C H O m y O yny b y S a Z tm- C y /J y n r O 3 O m m h ti y m m 0 c m V P O O U U W P P P P P P P P P A P W P N U W U W U Wn tJA P N W U O N A P U �p U U n O O O O N N O U O N O O p n o ow oA o m ,ro of -3 po > z erD , m 3rA aD - gn Orz9 Zp tJ c no zm a yyn mZ n OQ z O a ro0 C� e O v A O o = y$y m r It z R° n Z n N W P P VI U p0 tin N W W N b u W tin � T O ry � Jw A OP Oa O U U U W Go U O p O � O A Ce U J N _z �j00 O mj0 m o�� 'pw,-p yP�p 9 A SWPW AA mW ' -iw TOty -g Rm A W g n OPi V '� A p A V A z w z eo Ay m o aA jOZ oo _Wa o t' R p n c 0 0 0 0 0 R s 3 o R � b b a n n r F y G A m CO Z m 3 9 r O 3 m z o � W � 6 A o R O O o � n m m � d o o e n e 50 m N I N W cn- v� 3 O c m � d S v O O O u yy y � m tin 3 � � o e C7 a n a � c� r � A G n m v c z m 3 b r O K 3 m z On' r N W A tl Q n O O 9 H a v `mv a a _ y -Ai �; 3 3 zm -1 zmz -i o e O 'ci `� 9 � n b b n m z AM D r O 'n m N C 9 S �^ m N r -i n U n o �" o n 6 R A � a cr' o nu o IOC N `" z S A C 3g c "' J n w 3 oe m -i n ° o+ .o n o � O � � n m a w C v O n P O n 6 n A �_ pa r O d OQ � R m y A � 9 � � 5 Z y O c m � Z < v p n � C y O O 7y r' yPx�1 9 N'1 D m 3 d a 0 m iv W 2 ! / @;! ) ; \}\ ` � § 0 >0 ! � \\\ \dm\ � » ! ( \ } § \ ! �\ )\�)�k`§§/ | §; /$! ( \0\ §\ f �