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2023-12-27 Final PacketNOTICF OF MEETING - 12/27/2023 December 27, 2023 MEETING MINUTES OF CALHOUN COUNTY COMMISSIONERS' COURT MET IN A REGULAR MEETING AT 10:00 A.M. IN THE COMMISSIONERS' COURTROOM IN THE COUNTY COURTHOUSE AT 211 S. ANN STREET SUITE 104 PORT LAVACA, CALHOUN COUNTY, TEXAS. THE FOLLOWING MEMBERS WERE PRESENT: Richard Meyer David Hall Vern Lyssy Joel Behrens Gary Reese (ABSENT) Anna. Goodman By: Kaddie Smith The subject matter of such meeting is as follows: 1. Call meeting to order. County 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. Happy new year! Page 1 of 5 I NOTICE OF MEETING—12/27/2023 5. Consider and take necessary action to purchase .17 acres from Thomas Toney and authorize Commissioner Lyssy to complete and sign all forms. (VLL) RESULT: APPROVED [UNANIMOUS] MOVER: Joel Behrens, Commissioner Pct 3 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 6. Consider and take necessary action to reappoint Jody Wiltsey to the Calhoun County Parks Board for a full two-year term. (DEH) 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 reappoint Allan Berger to another two-year term on the Calhoun County Parks Board beginning in 2024. (GDR) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 8. Consider and take necessary action to approve the contracts with the following awarded bidders for Insecticides for Mosquito Control, Bid Number 2024.01, for periods January 1, 2024 thru December 31, 2024 and authorize the County Judge to sign all necessary documents. a. Adapco, LLC b. ES OPCO USA, LLC dba Veseris c. Clarke Mosquito Control Products, Inc. d. Rentokil North America, Inc. dba Target Specialty Products RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 2 of 5 NOTICE OF MEETING 1.2/27/2023 9. Consider and take necessary action to approve the contracts with the following awarded bidders for Road Materials Bid Number 2024.02, for periods January 1, 2024 thru December 31, 2024 and authorize the County Judge to sign all necessary documents. a. K-C Lease Service dba Matagorda Construction & Materials b. Marek & Marek Truck Wash dba Frank Marek Trucking c. Colorado Materials, LTD d. MidTex Materials, LLC e. Quality Hot Mix, Inc. f. Vulcan Construction Materials, LLC g. Waller County Asphalt, Inc. Commissioners vote to approve contracts for bidders E and G, as they wereAhe only contracts received. RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 10. Consider and take necessary action to approve the contracts with the following awarded bidders for Asphalts, Oils and Emulsions, Bid Number 2024,03, for periods January 1, 2024 thru December 31, 2024 and authorize the County Judge to sign all necessary documents. a. Martin Asphalt Company b. P Squared Emulsion Plants, LLC c. Cleveland Asphalt Products, Inc. Commissioners vote to approve contracts A and B, as they were the only contracts recived. RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 11. Consider and take necessary action to approve the renewal to the Health Services Agreement between Calhoun County and Southern Health Partners, Inc., dba SHP Vista Health Management, Inc. for medical care of inmates in the Calhoun County Adult Detention Center and authorize the County Judge to sign all necessary documents. The renewal begins January 1, 2024 and ends December 31, 2024. (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 3 of 5 NOTICE 01- MEE-TING - 12/27/2023 12. Consider and take necessary action to approve the appointment of Kathy Heard and Louis Rubio to the Calhoun County Library Board. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese ..r. rq.l+rw, uw nnnuwa VI uIG WclCl I l Vcl V, GVGJ Pllu ucucl I I VCI 1J, LVLJ ICIyuIQI meetings. RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese i. Tax Assessor -Collector — November 2023 RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 15. Consider and take necessary action on any necessary budget adjustments. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER:,,Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 4 of 5 I NOTICE OE MEE(ING—12/27/2023 16. Approval of bills and payroll. (RHM) Adjourned 10:12am Page 5 of 5 PACKET COMPLETION SHEET All Agenda Items Properly Numbered Contracts Completed and Signed All 1295's Flagged fox Acceptance (number of 1295's ) All Documents for Clerk Signature Flagged (All documents needing to be attested to need to be signed day of Commissioner's Court.) On this JLLday of 2023, the packet for the Z T40Ci day of 2023 Commissioners Court Regular Session was submitted from the Calhoun County Judge's office to the Calhoun County Clerk's Office. a)o� Calhoun County Judge/Assistant AGENDA Richard H. Meyer County judge David Hall, Commissioner, Precinct 1 Vern Lyssy, Commissioner, Precinct 2 Joel Behrens, Commissioner, Precinct 3 Crary Reese, Commissioner, Precinct 4 NOTICE OF MEETING The Commissioners' Court of Calhoun County, 'Texas will meet on Wednesday, December 27, 2023 at 10:00 a.m. in the Commissioners' Courtroom in the County Courthouse at 211 S. Ann Street, Suite 104, Port Lavaca, Calhoun County, Texas. AGENDA The subject matter of such meeting is as follows: Call meeting to order. invocation. 13Pledges of Allegiance. AT., 1,� c-� 'CLocrc.-j. M DEC 2 2 423 ©YOU EA ,N 0 �� ' Y, T � `�A17s Er'tY� General Discussion of Public Matters and Public Participation. Is./Consider and take necessary action to purchase .17 acres from Thomas Toney and authorize Commissioner Lyssy to complete and sign all forms. (VLL) g/. Consider and take necessary action to reappoint Jody Wiltsey to the Calhoun County Parks Board for a full two-year term. (DEH) bfConsider and take necessary action to reappoint Allan Berger to another two-year term on the Calhoun County Parks Board beginning in 2024. (GDR) S/. Consider and take necessary action to approve the contracts with the following awarded bidders for Insecticides for Mosquito Control, Bid Number 2024.01, for periods January 1, 2024 thru December 31, 2024 and authorize the County Judge to sign all necessary documents. a Adapco, LLC 15' ES OPCO USA, LLC dba Veseris Clarke Mosquito Control Products, Inc. d. Rentokil North America, Inc. dba Target Specialty Products Page 1 of 2 Y 9. Consider and take necessary action to approve the contracts with the following awarded bidders for Road Materials Bid Number 2024.02, for periods January 1, 2024 thru December 31, 2024 and authorize the County Judge to sign all necessary documents. a. K-C Lease Service dba Matagorda Construction & Materials b. Marek & Marek Truck Wash dba Frank Marek Trucking c. Colorado Materials, LTD d. MidTex Materials, LLC tie. Quality Hot Mix, Inc. f. Vulcan Construction Materials, LLC ,1J. Waller County Asphalt, Inc. 10. Consider and take necessary action to approve the contracts with the following awarded bidders for Asphalts, Oils and Emulsions, Bid Number 2024.03, for periods January 1, 2024 thru December 31, 2024 and authorize the County Judge to sign all necessary documents. a' Martin Asphalt Company ii P Squared Emulsion Plants, LLC c. Cleveland Asphalt Products, Inc. Il. Consider and take necessary action to approve the renewal to the Health Services Agreement between Calhoun County and Southern Health Partners, Inc., dba SHP Vista Health Management, Inc. for medical care of inmates in the Calhoun County Adult Detention Center and authorize the County Judge to sign all necessary documents. The renewal begins January 1, 2024 and ends December 31, 2024. (RHM) k2. Consider and take necessary action to approve the appointment of Kathy Heard and Louis Rubio to the Calhoun County Library Board. (RHM) 13. Approve the minutes of the December 6, 2023 and December 13, 2023 regular meetings. 14. Accept Monthly Report from the following County Office: i. Tax Assessor -Collector —November 2023 15. Consider and take necessary action on any necessary budget adjustments. (RHM) T6. Approval of bills and payroll. (RHM) i Richard H. Meyer, County Judge Calhoun County, Texas A copy of this Notice has been placed on the outside bulletin board of the Calhoun County Courthouse, 211 South Ann Street, Port Lavaca, Texas, which is readily accessible to the general public at all times. This Notice shall remain posted continuously for at least 72 hours preceding the scheduled meeting time. For your convenience, you may visit the county's webs ite at www,calhouncotx.org under "Commissioners' Court Agenda" for any official court postings. Page 2 of 2 # 04 NOTICE OF MEETING—12/27/2023 December 27, 2023 MEETING MINUTES OF CALHOUN COUNTY COMMISSIONERS' COURT MET IN A REGULAR MEETING AT 10:00 A.M. IN THE COMMISSIONERS' COURTROOM IN THE COUNTY COURTHOUSE AT 211 S. ANN STREET SUITE 104 PORT LAVACA, CALHOUN COUNTY, TEXAS. THE FOLLOWING MEMBERS WERE PRESENT: Richard Meyer David Hall Vern Lyssy Joel Behrens Gary Reese (ABSENT) Anna Goodman By: Kaddie Smith The subject matter of such meeting is as follows: 1. Call meeting to order. County 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. Happy new year! Page 1 of 13 # 05 NO ICE OF MEETING - 1.2%J.7/202_3 5. Consider and take necessary action to purchase .17 acres from Thomas Toney and authorize Commissioner Lyssy to complete and sign all forms. (VLL) RESULT:. APPROVED [UNANIMOUS] MOVER: Joel Behrens, Commissioner Pct 3 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese, Page 2 of 13 Vern L Calhoun County Commissioner, Precinct #2 5812 FM 1090 Port Lavaca, TX 77979 December 20, 2023 Honorable Richard Meyer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Meyer: 0 (361) 552-9656 Fax (361) 553-6664 Please place the following item on the next Commissioners' Court Agenda • Discuss and take necessary action to purchase .17 acres from Thomas Toney for $300 and to allow Commissioner Vern Lyssy to complete and sign all forms. Since ly, Vern Lyssy VL/Ij v SARA Me RODRIGUE CAMOUN COUNTY CRIMINAL DISTRICT ATTORNEY 61risty,13WoH Dunn, First AssiatantCDA _ _ '�- handy li. Cr+der, YnvmHgatur W' A. (Sill) While, AssistantCDA.' Arnold iC.;ftaydcn, Assistant CDA Alieiq:F. Gnnaales,-Victim Asa,. Goordiaator Navnbor 30, 2(i23 Re. CaihatulCounty PW of-PtOPertyii?28334 To, Whom it May Coneem: Calhoun Cannty IW, 40med to pur me firm owner Th0tras Toney the t aci or parcel , identified by property,idah0goarion number'28334 in the. Calhoun County Appaisal District ne rds for thO stlttt of dollars (300). A survoy of thi* property vas firwized o8 opto bon 2 2021 Thispurolluge will be submittod fox Anil; approvat af'the Co �ianer's Catlrt Of CSUlta County after the County apqpirva ownera.title fimr4rX4 at .its expam and Ole traltmo8on will then be r plet ncetnly, AWllont CritninAl Diatrict Attorney 5aueltAnn Slreet9uite 3e2 ---^-- (361) S58•44.2 + Fan (s6t) 663. l-bdl dLovaca, Texas 77979 rtualis dala valitaunenexayc� 12flft3, QWAM eba kia�ank P Pr opet 'Dee ll Account property 1,012$W t3e0graphlc.10« A001i 0400405640 Type:14aaal 40ilitlg property, Use -Condo' Location i [dap 10: ; A0011 '-002C0,4106.00 m patio. bolz ..xLL ia7It Ay+�y� y e�♦�«�t,� y� X �w+CyA�!1Tb O .y�vb_�+.p qn ,y.�_ .,.., Legaj Dose l�iiNoni ; /�t00, 1 VALgN�� ICY OARoIA, i tjf'sV 7 fT,� Vr,A1✓R S, r' 95, (ROAD) ...... ..,...: ::... Abatract/Subdiviaion � Aooll - VA:LENTIN GARCIA _ -_ .. ..__ ......__. .. _......... ... „...,_.. Nelahborhootl« 9012 owner Owner ICl« .. 3�34 Name. 'TONEY TtO Ag R _ .._. ....._... _.......... .. ._ .. ,.., .. ... ._ _..�,...._. .. . .. Agent 1::... :,._...,... ,.:: ..., .,..._.. ,...,.,... Malting Addreae« 10,$, ASH WOODOR 1)MMERVIi LE, 80 29483- 002 jc%i nt rehip« IOU% Exemptions: Fehr dVacy reasons notall all exomptlone are shown -online,. A PropertyValues Irrlprtvernent ilome+slte Venue « Improvement Won-Nomeei Value; 3t {+) Land momeelte wim. 0 H _....._ _w . . _..... Land Non-Homosita Value« �. 119, i0 (+) Agricultural MarkeVeluation. i $0 ) Mllarket YAIum, atmukblank: 1}2: 12/18/E9, 9:61 A blOn stiout:bibnk.. i Agricultural allue LAW � $01O x Appraised Value. . .v. �,—, », .. �. ..... .Fry 'i,.. ..... «..�. .. . n...... $M270 (t) .. .. ... Homestead Cap Loss: 0 . .. mow.... ...... n.._.... ...... ... ..— n �.. ..=..n ... v ..v -: .ew e................ .....u.... ry w.......... .> > i:...., �_) 1.. ' i Assessed Value-, $19,70 Ag; Use -Value: I $0; Values (110play0d:dra OrtMod 202$ vale. i tformation.provided for research purposes only. Lehi desorfpUans and acreage, aMoUrtte;,OM for appralsal dlstrict use only and 004d Oe verified lariat to usli for leg l tx and or dowtnents. Fleaae oonf acl tt e Appralsel District to verify all intlormailon *accuracy; AProperty Taxing Jur,1 action Owner: TQNEY THQMAS Ownpt`ship� 100,0� Entity Description f Tax Hate , Market .; TWO010 Estirnatsd ; Fraexa ; k VWUO{ Value r e 1 Tedi Palling, .. .. f -. .. � .. Y ... p.. CAD CALHOUN COUNTY APPRAIIJAL 10,4100000 �, ........ $*VD ....... _.. .. $19,2701 ...... ..., - $6.00 $ ,. , .,.... .. � ... �.. 3 ... ,,..< ..._ .... .: ... v-,. i FML FARM TO inA_Ri�ET €;i.ATEI�AL 0.000000 .. .: $19�70 ......,, ...,., $19,70 ._ a .. ... $0 00 y�+r/�j� CALHOUN COUNTY 0.$60100' $1,90-01 $19, 70, $107,0,t GWD ; CALHOUN COUNTY12 5,0,607000 $1%270 $1$}270 $1 35 GROUNDWATER a CONSERVA11ON OtSTRICT NttB ;CALHOUNt�dRTAf31HQFtIiY OY000700; $1$,70 $1970 $013:. r. .. :. .. ... . .... ... z .b ...,».. .... .... 3,,., 01 CALHOUH GC)UNTY ISi) f# 194900 f $19170 $191270 $1 918 Total -tax Rate,1,30700 Estimated Taxes Whit gx"ons: $26,100 Estimated Texas Without Exattptions $26Z59, Bbouttblink 0.9J2 acre Edg, CaFx. e . 1691413 CQO.R. 10. Eugene HPb!zo1 & Rendo Hoblz JO2/H29 CCO.R. MEANDERS ALONG EXISTING SHORELINE OF LAVACA BAY LINE BEARING DISTANCE Li 952'32'07"E 5.18' L2 S0631'18"E 4.36, L3 S35'49'00"E 15.26' L4 S55`18'36"E 0.17 ACRE SURVEY LEGEND VALENTINE GARCIA SURVEY O EbUNLESS GNS��IRON PPE ABSTRACT NO. 17 • P AS5 C CAP N ROD PATH CALHOUN COUNTY TEXAS COUNTY,TEXAS GC.D.R. CCOR. P.0.8. CAWOUN COUNTY DEED RECORDS CALHOUCOUNTYOFFICIAL RECORDS POINT OFF BEGINNING INNING OVERHEAD NE —%— (] E FIDIN EY3SPLAT OR WEE FENCE PLAT OR GEED CALL BEING A PART OF THE SAME PROPERTY DESCRIBED AS 301.81 ACRES IN AFFIDAVIT OF VERIFICATION AND RATIFICATION OF SURVEY DATED SEPTEMBER 12, 1977 CONVEYED TO W. H. BAUER, A., AND CURBS F. NELSON RECORDED IN VOLUME 306, PAGE 203 OF THE D® RECORDS OF CALHOUN COUNTY, TEXAS. WED; BEARINGS SHOWN HEREON ARE TEXAS STATE PLANE SOUTH CENTRAL ZONE NAD'83 MID BASED ON STATION HAPC-O21S ON THE RT( NETWORK. G & W ENGINEERS, INC. • ENGINEERING • SURVEYING • PLANNING 205 W. LIVE OAK STREET »M1 "'4" PORT LAVACA, TEXAS 77979 TBPELS FIRM NO.: 10022100 (361)552-4509: PORT LAVACA I, HENRY A. OANYSH, REGISTERED PROFESSIONAL LAND SURVEYOR, DO HER®Y CERTIFY THAT THE PLAT SHOWN HEREON AND A PROPERTY DESCRIPTION PREPARED REPRESENTS THE RESULT OF A SURVEY MADE ON THE GROUND UNDER MY DIREC41ON ON SEPTEMBER 21, 20R3 G h W EN EERS, INC. HENRY A. ANYEH REGISTERED PROFESSIONAL LAND SURVEYOR NO. 50M PROPERTY DESCRIPTION 0.17 ACRE STATE OF TEXAS } COUNTY OF CALHOUN } All of that certain tract or parcel containing 0.17 acre situated in the Valentine Garcia Survey, Abstract No. 17 of Calhoun County, Texas and being a part of the same property described as 301.81 acres in Affidavit of Verification and Ratification of Survey dated September 12, 1977 conveyed to W. H. Bauer, Jr., and Curtis F. Nelson recorded in Volume 306, Page 203 of the Deed Records of Calhoun County, Texas. This 0.17 acre is more particularly described by metes and bounds as follows: BEGINNING at an existing 518 inch iron rod (N=13,437,082.54; E=2,724,556.75) located in the Northeast line of Highbluff Road and at the South comer of a 0.932 acre tract described in deed recorded in Volume 169, Page 413 of the Calhoun County Official Records for the West corner of this 0.17 acre being described; from which an existing 1/2 inch iron pipe located in the Northeast line of Highbluff Road bears: North 47' 59' 06" West a distance of 260.64 feet; THENCE North 530 14' 10" East, crossing a portion of the said 301.81 acre tract with the Southeast line of the said 0.932 acre tract, passing a 5/8 inch iron rod with plastic cap set on line at a distance of 181.00 feet and continuing a total distance of 245.02 to the existing shoreline of Lavaca Bay and at the East corner of the said 0.932 acre tract for the North corner of this 0.17 acre being described; THENCE with the existing shoreline of Lavaca Bay and the Northeast lines of the said 301.81 acre tract along the following courses and distances: South 520 32' 70" East a distance of 5.18 feet; South 060 31' 18" East a distance of 4.36 feet; South 350 49' 00" East a distance of 16.26 feet; South 550 18' 36" East a distance of 6.52 feet to the North corner of a 10 acre tract described in deed recorded in Volume 302, Page 829 of the Calhoun County Official Records for the East corner of this 0.17 acre being described; THENCE South 530 14' 10" West, with the Southeast line of the said 301.81 acre tract and the Northwest line of the said 10 acre tract, passing a 5/8 inch iron rod with plastic cap set on line at a distance of 50.00 feet and continuing a total distance of 239.85 feet to a 518 inch iron rod with plastic cap set at the intersection of the Northeast line of Highbluff Road and the Southeast line of Maxwell Ditch Road for the South comer of this 0.17 acre being described; THENCE North 470 59' 06" West, with the Northeast line of Highbluff Road, a distance of 31.80 feet to the PLACE OF BEGINNING, containing within these metes and bounds 0.17 acre. The bearings and coordinates recited herein are Texas State Plane South Central Zone NAD'83 Grid based on Station HAPC-0219 on the RTK network. This property description and a plat were prepared from a survey made on the ground under my direction on August 30, 2023. /vU.C)—'�/ G & W NGINEERS, INC. TI3 S FIRM NO. 10022100 Henry A. Danysh Registered Professional Land Surveyor, No. 5088 9317-052.doc NOTICF OF MFF TING — 12%2.7J2023 6. Consider and take necessary action to reappoint Jody Wiltsey to the Calhoun County Parks Board for a full two-year term. (DEH) RESULT: APPROVED [UNANIMOUS]' MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 3 of 13 David E. Hall Calhoun County Commissioner, Precinct #1 202 S. Ann Port Lavaca, TX 77979 Honorable Richard Meyer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Meyer, (361)552-9242 Fax (361)553-8734 Please place the following item on the Commissioners' Court Agenda for December 27th, 2023. Consider and take necessary action to re -appoint Jody Wiltsey to the Parks Board for a full term. Sill, David E. Hall DEH/apt # 07 NOTICE OF MEETING- 12/27/2023 7. Consider and take necessary action to reappoint Allan Berger to another two-year term on the Calhoun County Parks Board beginning in 2024. (GDR) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct.I SECONDER: Vern Lyssy, Commissioner Pa 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, keese Page 4 of 13 Gary D. Reese County Commissioner County of Calhoun Precinct 4 December 18, 2023 Honorable Richard Meyer Calhoun County Judge 211 S. Ann Port Lavaca, 7%77979 RE: AGENDA ITEM Dear Judge Meyer: Please place the following item on the Commissioners' Court Agenda for December 27, 2023. • Consider and take necessary action to reappoint Allan Berger to another two-year term on the Calhoun County Parks Board beginning in 2024. Sincerely, Gary D. Reese �6bxh B P.O. Box 177 — Seadrift, Texas 77983 — email: Sarv.reese«calhouncotx.ora — (361) 785-3141 — Fax (361) 785-5602 Richard Meyer From: allanrberger@outlook.com (Allan Berger) <allanrberger@outlook:com> Sent: Wednesday, December 13, 2023 8:38 AM To: Richard Meyer< richard.meyer@calhouncotx.org > Subject: Parks Board Term idedi from outside of the organization. Do not click links o¢ opens attachments: urdess Judge Meyer,. this note is to advise you that I am willing to serve another term on the Calhoun County Parks Board for 2024-2025. My current term end YE2023. There is a lot of current activity regarding County Park improvements. Those activities provide opportunities forthe Parks Board to play a positive role in those improvements. Our Bylaws state: " The primary purpose of the Calhoun County Board of Park Commissioners is to respond to inquiries from the Calhoun County Commissioners' Court , OR from the. Board with studies, observations, and recommendations as appropriate." 1 do not think that we, collectively, did a very good job in 2023. However, I am committed to reconstituting the Board and working, toward common goals in the next two years. I am available to meet with you to discuss how this might be done. Please advise of your decision. AUa vv 713-829-2852 Eff0 16 ' NOTICE OF MFFTING — 1.2/27/2023 8. Consider and take necessary action to approve the contracts with the following awarded bidders for Insecticides for Mosquito Control, Bid Number 2024.01, for periods January 1, 2024 thru December 31, 2024 and authorize the County Judge to sign all necessary documents. a. Adapco, LLC b. ES OPCO USA, LLC dba Veseris c. Clarke Mosquito Control Products, Inc. d. Rentokil North America, Inc. dba Target Specialty Products RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct i AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 5 of 13 Mae Belle Cassel From: demi.cabrera@calhouncotx.org (demi.cabrera) <demi.cabrera@calhouncotx.org> Sent: Wednesday, December 20, 2023 1:41 PM To: MaeBelle.Cassel@calhouncotx.org Subject: Agenda Item - December 27 2023 Attachments: Approval of Contracts for Insecticides for Mosquito Control - Backup.pdf MaeBelle, Can you please place the following item on the Commissioners Court Agenda for December 27, 2023: Consider and take necessary action to approve the contracts with the following awarded bidders for Insecticides for Mosquito Control, Bid Number 2024.01, for periods January 1, 2024 thru December 31, 2024 and authorize the County Judge to sign all necessary documents. o Adapco, LLC o ES OPCO USA, LLC dba Veseris o Clarke Mosquito Control Products, Inc. o Rentokil North America, Inc. dba Target Specialty Products '¢mi Cnbr¢ra Calhoun Countg -06zigtant Auditor 361-553-4613 361-553-4614 UaX) Calhoun County Texas CONTRACT THIS CONTRACT, made and entered into this 2Aay of 4e %a ,.C.-t.,/ 20_ by, and between the County of Calhoun thereinafter called "County") and Yt_fii#� rY�t�) f.I I'. (hereinafter called "Contractor/irlauler"). WITNESSETH: WHEREAS, the Contractor/Hauler did on November 30, 2023, submit a BID'far 1IMSEC` lCIDES FOR MOSQUITO CONTROL Bld Number 2024.01 to be used by County precincts in Calhoun County, Texas. NOW, THEREFORE, in consideration of the following mutual agreement and covenant, it is understood and agreed by and between the parties hereto as follows: a) The Contractor/Hauler is hereby granted the sole and exclusive right and privilege within the' territorial jurisdiction of the County and shall furnish all personnel, labor, equipment, trucks, and all other items necessary to perform all of the work and to deliver the Insecticides for Mosquito Control as described in the Contract Documents. b) The Contract Documents shall include the following documents, and this Contract does hereby expressly incorporate same herein as if fully set forth verbatim in this Contract: i. Invitation to Bid, Instructions and Term of Contract; ii. General Conditions; iii. Bid Specifications and Conditions; IV. Bid Form; V. This instrument; and vi. Any addenda or changes to the foregoing documents agreed to by the parties hereto.. c) All provisions of the Contract Documents shall be strictly complied with and conformed to by the Contractor/Hauler, and no amendment to this Contract shall be made except upon the written consent of the parties and approved by Calhoun County Commissioners Court. No amendment shall be construed to release either party from any obligation of the Contract Documents except as specifically provided for in such amendment. INITIALS OF AWARDED CONTRA R/HAULER (IN INIQ r DATE: INITIALS OF COUNTY (IN INK): _ DATE Z -7— 2 Rom— d) This contract is entered into subject to the following conditions: 1) The Contractor/Hauler shall procure and keep in full force and effect throughout the term of this Contract all of the insurance policies specified in, and required by, the Contract Documents. 2) The Contractor/Hauler shall not be liable for the Failure to wholly perform his duties if such failure is caused by force majeure. "Force Majeure" means a delay encountered by the Contractor/Hauler in the performance of its obligations under this Contract which is caused by an event beyond the reasonable control of the Contractor/Hauler. Without limiting the generality of the foregoing, "Force Majeure" shall include, but not restricted to the following types of events: acts of God or public enemy; acts of governmental or regulatory authorities; fires, floods, epidemics or serious accidents; unusually severe weather conditions; strikes, lockouts, or other labor disputes; and defaults by subcontractors. Any event constituting a Force Majeure must be reported by the Contractor/Hauler to the County in writing, within twenty-four (24) hours, and disclose the estimated length of delay, and cause of the delay. 3) The Contractor/Hauler, when required, must deliver all insecticides/products ordered by the County within twenty-four (24) hours from the time of the order or the date and time specified by the County. In the event the Contractor/Hauler is unable to deliver the insecticides/products ordered within -twenty-four (24) hours from the time of the order or the date and time specified by the County, the County reserves the right to cancel the order and re -order the said insecticides/products from the vendor which submitted the next lowest bid and can deliver within twenty-four (24) hours or the date and time specified by the County, 4) In the event that any provision or portion thereof of any Contract Document shall be found to be invalid or unenforceable, then such provision or portion thereof shall be reformed in accordance with the applicable laws. The invalidity or unenforceability of any provision or portion of any Contract Document shall not affect the validity or enforceability of any other provision or portion of the Contract Documents. INITIALS OF AWARDED CONTRACT R/HAULER (IN INK)• _ DATE: ) I� INITIALS OFCOUNTY(ININK):�_ DATE IN WITNESS WHEREOF, THE COUNTY AND CONTRACTOR/HAULER, have caused this Contract to be executed bytheir authorized agents in one original. Additional copies of the original executed Contract will be distributed to all appropriate panties. The effective date of this Contract will begin on January 1, 2024 and end on December 31, 2024. COUNTY: CALHOUN COUNTY I By: Honorable Richard H. M. e Calhoun County Judge Calhoun County Courthouse 211 S Ann Street 3rd Floor, Suite $01 Port Lavaca TX 77979 CONTRACTOR/HAULER: By. _ Print Name:-Elk- yC,C'. Title:. �,5X' 'r ' S']g Address 6,j2 L ry. i L!77 ATTEST: CALHOUN COUNTY CLERK ANNAGOODMAN By: Print Name: Title:�1' 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:. 2023-1097753 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. ADAPCO, LLC Lake Mary, FL United States Date Filed: 11/27/2023 2 Name of governmental entity or state agency that is a party to the contract for which the form is being filed. Calhoun County, TX 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. 2024-01 Insecticides for Mosquito Control 4 Name of Interested Party City, State, Country (place of business) Nature of interest (check applicable) Controlling Intermediary Azelis Americas, LLC Westport, CT United States X 5 Check only if there is NO Interested Party. 6 UNSWORN DECLARATION My name is Jason TTrurnbetta, Bice President r& Secretary and my date of birth is My address is L4 e Mary FL, :32746 USA , (street) (city) (state) (zip code) (country) I declare under penalty of perjury that the foregoing is true and correct. Executed in Seminole County, State of FL , on the � �'tilday of Nov , 20s (month) (year) Signature atauthonzed agent of contracting business entity (Declarant) Forms Drovided by Texas Ethics Commission mnnnm orhirc crarA r,r ,c %1—i ... vo c , r,11o1 _k� Page 1 of 1 %4�ev " CERTIFICATE OF LIABILITY INSURANCE � D11/30I/2023Y) �'�"� 11/30 y2023 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Willis Towers Watson Northeast, Inc. c/o 26 centuryPHONE Blvd P.O. Box 305191 Nashville, IN 372305191 USA CONTACT Willis Towers Watson Certificate Center NAME: 1-877-995-7378 C No E aC No; 1-888-467-2378 ADURESs: certificates@willis. cox INSURERS AFFORDING COVERAGE NAIC# INSURERA: ACE American Insurance Company 22667 INSURED ADAPCO, MC INSURER B: INSURERC: 100 Colonial center Parkway, Suite 170 Lake Mary, PL 32746 INSURER D: INSURER E: INSURER F : rAWPOAncc KCVIWUN NUMt$HK: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUER LTR TYPE OF INSURANCE NSD D POLICYNUMBER POLICY SEE POLICYIVEYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACHOCCURPENCE �$ 11000,000 CLAIMS -MADE I OCCUR DAMA TO R TED A PREMISES Eaoccumence $ 100,000 y MEDEXP(A. onepexon) Is 5,000 CRL G46656179 11/14/2023 11/14/2024 PERSONAL S ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMITAPPLIES PER: X POLICY ❑ PRO- ❑ LOC JECT GENERAL AGGREGATE $ 2,000,000 PRODUCTS-COMP/OPAGG$ 2,000,000 OTHER: AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT Es aaitlentOWNE $ BODILY INJURY(Pe r person) $ AUTOS SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY BODILY INJURY (Per acci tlen0 $ PROPERTY DAMAGE Peraccidenl $ UMBRELLA LEAS EXCESS LEAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE Is DIED RETENTION$ WORgI{ERS COMPENSATION ANDMPLOYERS'LIABILITY ANYPROPRIETORIPARTNERIEXECUTIVEYIN OFFICERIMEMBEREXCLUDED7 (Mandatory in NH) If yes, describe antler NIA � PER OTH-e� STATUTE ER $ E.L. EACH ACCIDENT $ E.L. DISEASE- EA EMPLOYEE $ DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT I S DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) RE: Annual Supply Contract for Insecticides for Mosquito Control, Bid Number 2023.01 January 1, 2023 thru December 31, 2023 Calhoun County is included as an Additional Insured as respects to General Liability. rPOTICIr AYC Ynr nco YN.MVCLL/ IIVN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Calhoun County, T% AUTHORIZED REPRESENTATIVE 202 S ANNST, STE 8 A/4 Port Lavaca, ca, T% 77979 ©1988-2016 ACORD CORPORATION. All rights reserved. ^�•��•� 1ew,nrv�) I ne ALJUKU name and logo are registered marks of ACORD aR'D: 24996076 --: 3229400 CONTRACT THIS CONTRACT, made and entered into thls2day of �L�.�G�-�D® by andbetween the County of Calhoun (hereinafter called `"County") and s V ese IQ , es (hereinafter called "Contractor/Hauler"). MUR494-1119111 WHEREAS, the Contractor/Hauferdid on November 30, 2D23, submit a BID forINSECTIC(Des FOR MOSQUITO CONTROL, Bid Number 2024.01 to be used by County Precincts in Calhoun County, Texas, NOW, THEREFORE, in consideration of the following mutual agreement and covenant, it is understood and agreed by and between the parties hereto as follows: a) The Contractor/Hauler Is hereby granted the sole and exclusive right and privilege within the territorial jurisdiction of the County and shall furnish all personnel, labor, equipment, trucks, and all other items necessary to perform all of the work and to deliver the Insecticides for Mosquito Control as described in the Contract Documents. b) The Contract Documents shall include the following documents, and this Contract does hereby expressly incorporate same herein as if fully set forth verbatim in this Contract: . Invitation to Bid, Instructions and Term of Contract; if. General Conditions; Ill. Bid Specifications and Conditions; iv. Bid Form; v. This instrument; and A. Any addenda or changes to the foregoing documents agreed to by the parties hereto. e) All provisions of the Contract Documents shall be strictly complied with and conformed to by the Contractor/Hauler, and no amendment to this Contract shall be made except upon the written consent of the parties and approved by Calhoun County Commissioners Court. No amendment shall be construed to release either party from any obligation of the Contract Documents except as specifically provided for in such amendment. INiTiALSOFAWARDED CONTRACTO /HAUtER(ININK): DATE: .... g Joc. 20c93 INITIALS OF COUNTY (IN INK):_ _ DATE: _/ Z — 2 7• - 3 d) This contract is entered into subject to the following conditions: 1) The Contractor/Hauler shall procure and keep In full force and effect throughout the term of this Contract all of the insurance policies specified in, and required by, the Contract Documents. 2) The Contractor/Hauler shall not be liable for the failure to wholly perform his duties if such failure is caused by force majeure. "Force Majeure" means a delay encountered by the Contractor/Hauler in the performance of its obligations under this Contract which is caused by an event beyond the reasonable control of the Contractor/Hauler. Without limiting the generality of the foregoing, "Force Majeure" shall include, but not restricted to the following types of events: acts of God or public enemy; acts of governmental or regulatory authorities; fires, floods, epidemics or serious accidents; unusually severe weather conditions; strikes, lockouts, or other labor disputes; and defaults by subcontractors. Any event constituting a Force Majeure must be reported by the Contractor/Hauler to the County in writing, within twenty-four (24) hours, and disclose the estimated length of delay, and cause of the delay. 3) The Contractor/Hauler, when required, must deliver all insecticides/products ordered by the County within twenty-four (24) hours from the time of the order or the date and time specified by the County. In the event the Contractor/Hauler is unable to deliver the insecticides/products ordered within twenty-four (24) hours from the time of the order or the date and time specified by the County, the County reserves the right to cancel the order and re -order the said insecticides/products from the vendor which submitted the next lowest bid and can deliver within twenty-four (24) hours or the date and time specified by the County. 4) In the event that any provision or portion thereof of any Contract Document shall be found to be invalid or unenforceable, then such provision or portion thereof shall be reformed in accordance with the applicable laws. The invalidity or unenforceability of any provision or portion of any Contract Document shall not affect the validity or enforceability of any other provision or portion of the Contract Documents. INITIALS OF AWARDED CONTRACT/HAULER (IN INK): /l.L DATE:12/20/2023_ INITIALS OF COUNTY (IN INK): DATE:---%11-2?-Z3 IN WITNESS WHEREOF, THE COUNTY AND CONTRACTOR/HAULER, have caused this Contract to be executed by their authorized agents in one original. Additional copies of the original executer{ Contract wM be distributed to all appropriate parties. The effective date of this Contract will begin on January:l, 2024 and end can December 31, 2424. COUNTY: CALHOUN COUNTY r By: Honorable Richard H. er Calhoun County Judge Calhoun County Courthouse 2115 Ann Street 3rd Floor, Suite 301 Port Lavaca TX 77979 CONTRACTOR/HAULER: ATTEST: CALHOUN COUNTY CLERK ANNA GOODMAN t . I Print Name: is.. Print Name. Title:w (.G &Yt ^i(i't, It}4�3T Address:_..i_r1 t ` ? 6 Vt¢ nu lit CERTIFICATE OF INTERESTED PARTIES ; ORM ;1295 > (if I Contp9Mo NOs.1 • d and 6 it there are mtem:decf pants. OFFICE USE ONLY Complete NO$.1.1, a, 5, and s it there are no uttvru5tarn ponies. CERTIFICATION OFFILfNO Certificate Number;. I Nance of business onuty tiling form, and the, euy, state All d country of itle busmeas entlty`s place, of bustnass. ES OPCO USA, LLC dba, Veseris 2423-1iQ5Q5g Houston, TX united States Date Filed: 2 Name of gOutarhmolttal AniftyOr irate agency that is a party tot the contract for which the Borm is being filed. 1211512D23 Calho In County, Texas Data Acknowledged*, 3 ProvideIholdentificationnumberusedbythegovernmentat®rattyorstateagencytotrackofIdentifythecontract,andprovidea description of the services, goods, or Other property to ba under provided the contract. 202401 Insecticides for mosquito Control 4.... Name, of interested party City, State, Country (place or business} Natote ofInteablrest... (check applice) rC­o­nifo-111—ng7 Intermediary Maas, Keith Houston, TX United States x Gibbs, Doug Mauston, TX untied States x Alvarez , Joey Harlingen. TX United States X 5 Check only It there Is No interested Patty, e UNSWORNDECLARATIQN 7r My narn,, 9+ ca-t q _ and my data otbirth is 1r3,�p Nlyaddressis v.i _•___ ._�- Ond E +^.....� d,..f _.� .. .,... ._�_,_,— ;sheep (city) (stwri7 trip ewe) (county) I deriare under penalty Of perl,Uty that the foregoing is true and correct. Etfeetrteti in iC+. ---,..—County, Sullej t J�, � � on the_I5 dayot. _Lf.. �._..., ..,..�. _....._. {rosin) tWari AI)a Stgnaturao authorlacoagentotconrractinghUshaA�sentEq t0odarsntp -arms provided by Texas Fthies Cnmmrtgipn wnw.ethics,state.mus Version V3,5.1,Of38aab6 DATE (MWDDMYY) CERTIFICATE OF LIABILITY INSURANCE 2/15/2024 12/19/2023 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsament(s). PRODUCER Lockton Companies CONTACT 1185 Avenue of the Americas, Suite 2010 NAME: PNONE FAX New York NY 10036 aC Ext: A/C No: ADDRESS: 646-572-7300 INSURERS AFFORDING COVERAGE NAICM INSURER A: National Union Fire Ins Cc Pitts. PA 19445 INSURED ES O Co USA LLC ]484021 INSURER B: AIG Specialty Insurance Com an 26883 dba VESERIS INSURER c: New Hampshire Insurance Company 23841 10800 Pecan Park Blvd Austin TX 78759 INSURER D: Navigators Specialty Insurance Company ' 36056 INSURER E: I INSURER F: ---------—--••-- �cw opt MCV131UN NUNHSER: XXXXXXX THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I ADDL BURR LTR TYPE OFINSURANCE BD D POLICY NUMBER POLICY MM%O�/V1'EYYP LIMITS B X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 1XI OCCUR Ni N 25822291 2/152023 2/15/2024 EACH OCCURRENCE •$ 1 OOOOOO DAMA TE PREMISES OEaa urenre $ 500000 MED EXP (Any one person) $ 25,000 X Ded $50,000 PERSONAL S ADV INJURY $ 1,000,000 GENE X AGGREGATE LIMIT APPLIES PER: POLICY jECOT_ r7 Lee GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OPAGG $ 2000000 OTHER: $ A AUTOMOBILE LIABILITY ANVAUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY N N 025-82-6696 2/IS/2023 2/152024 COMBINED SINGLE LIMIT Ea accident $ 1000000 X BODILY INJURY (Par person) �$ XXXXXXX BODILY INJURY (Per accident) $ XXXXXXX PROPERTY DAMAGE Per accident $ XXXXXXX $XXXXXXX B X UMBRELLA LIAR EXCESS LIAB X OCCUR CLAIMS -MADE N N 25822297 1 2/15/2023 2/15/2024 EACH OCCURRENCE $ 10,000,000 AGGREGATE $ 10000000 CAND D DED RETENTION$, EMPSCOMPENSATIONYERSLIILIT AND EMPLOYERB'LIABILITY 1' YIN ANY PROPRIETORPARTNEREXECUTIVE OFFICERMEMBER EXCLUDED? � (Mandatory in NH) Ityes,describeunderEA DESCRIPTION OF OPERATIONS below Excess Liability N/A N N N j 15203381 tAOS) �2/IS/20�3 15203382 CA NY23XENZODFUXIC i 2/15/2023 IJ1112023 2/152024 2/152024 2/152024 s XXXXXXX % X STATUTE. ERH El. EACH ACCIDENT $. 1,000,000 E.L.ISEASE-_ �_— EMPLOYEE $ I,000,000_,_ E.L. DISEASE -POLICY LIMIT $ 1000000 Each Occmence: $5,000,000 Aggregate: $ 5,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached v more space is required) Re: Bid #2024.01. CERTIFICATE un1 nco 19201621 Calhoun County 202 S. Ann St. Ste B Port Lavaca, TX 77979 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. S ACORD rights I ne At:LIRu name and logo are registered marks of ACORD CONTRACT THIS CONTRACT, made and entered into this 13th_ day of _December , 2023_ by, and between the County of Calhoun (hereinafter called "County") and _Clarke Mosquito Control Products, Inc. (hereinafter called "Contractor/Hauler"). WITNESSETH: WHEREAS, the Contractor/Hauler did on November 30, 2023, submit a BID for INSECTICIDES FOR MOSQUITO CONTROL, Bid Number 2024.01 to be used by County Precincts in Calhoun County, Texas. NOW, THEREFORE, in consideration of the following mutual agreement and covenant, it is understood and agreed by and between the parties hereto as follows: a) The Contractor/Hauler is hereby granted the sole and exclusive right and privilege within the territorial jurisdiction of the County and shall furnish all personnel, labor, equipment, trucks, and all other items necessary to perform all of the work and to deliver the Insecticides for Mosquito Control as described in the Contract Documents. b) The Contract Documents shall include the following documents, and this Contract does hereby expressly incorporate same herein as if fully set forth verbatim in this Contract: I. Invitation to Bid, Instructions and Term of Contract; ii. General Conditions; Ill. Bid Specifications and Conditions; iv. Bid Form; V. This instrument, and vi. Any addenda or changes to the foregoing documents agreed to by the parties hereto. c) All provisions of the Contract Documents shall be strictly complied with and conformed to by the Contractor/Hauler, and no amendment to this Contract shall be made except upon the written consent of the parties and approved by Calhoun County Commissioners Court. No amendment shall be construed to release either party from any obligation of the Contract Documents except as specifically provided for in such amendment. INITIALS OF AWARDED CONTRACT/HAULER (IN INK): DATE: _12/13/2023 INITIALS OF COUNTY (IN INK): I) DATE: d) This contract is entered into subject to the following conditions: 1) The Contractor/Hauler shall procure and keep in full force and effect throughout the term of this Contract all of the insurance policies specified in, and required by, the Contract Documents. 2) The Contractor/Hauler shall not be liable for the failure to wholly perform his duties if such failure is caused by force majeure. "Force Majeure" means a delay encountered by the Contractor/Hauler in the performance of its obligations under this Contract which is caused by an event beyond the reasonable control of the Contractor/Hauler. Without limiting the generality of the foregoing, "Force Majeure" shall include, but not restricted to the following types of events: acts of God or public enemy; acts of governmental or regulatory authorities; fires, floods, epidemics or serious accidents; unusually severe weather conditions; strikes, lockouts, or other labor disputes; and defaults by subcontractors. Any event constituting a Force Majeure must be reported by the Contractor/Hauler to the County in writing, within twenty-four (24) hours, and disclose the estimated length of delay, and cause of the delay. 3) The Contractor/Hauler, when required, must deliver all insecticides/products ordered by the County within twenty-four (24) hours from the time of the order or the date and time specified by the County. In the event the Contractor/Hauler is unable to deliver the insecticides/products ordered within twenty-four (24) hours from the time of the order or the date and time specified by the County, the County reserves the right to cancel the order and re -order the said insecticides/products from the vendor which submitted the next lowest bid and can deliver within twenty-four (24) hours or the date and time specified by the County. 4) In the event that any provision or portion thereof of any Contract Document shall be found to be invalid or unenforceable, then such provision or portion thereof shall be reformed in accordance with the applicable laws. The invalidity or unenforceability of any provision or portion of any Contract Document shall not affect the validity or enforceability of any other provision or portion of the Contract Documents. r INITIALS OF AWARDED CONTRACT MAULER MAULER (IN INK):' DATE: _12/13/2023 INITIALS OF COUNTY (IN INK): -! DATE: _ Z 7 — Z3 IN WITNESS WHEREOF, THE COUNTY AND CONTRACTOR/HAULER, have caused this Contract to be executed by their authorized agents in one original. Additional copies of the original executed Contract will be distributed to all appropriate parties. The effective date of this Contract will begin on January 1, 2024 and end on December 31, 2024. CALHOUN COUNTY l By: Honorable Richard H. M r Calhoun County Judge Calhoun County Courthouse 211 S Ann Street 3rd Floor, Suite 301 Port Lavaca TX 77979 CONTRACTOR/HAULER: By: Print Name: Karen Title: V.P. Product Innovation & Government Address; 675 Sidwell Court St. Charles, IL 60174 ATTEST: CALHOUN COUNTY CLERK ANNAGOODMAN CERTIFICATE OF INTERESTED PARTIES FORM 1295 iofi Complete Nos. 1- 4 and 6'l there are Interested parties. - OFFICE USE ONLY Complete Nos.1, 2, 3, 5, and 6 if there are no Interested parties. CERTIFICATION OF FILING C.erd6cate Number: 1 Name of business entity filing form, and the city, state and country of the business enthy's place of business, Clarke Mosquito Control Products, Inc. 2023-1091393 St. Charles, IL United States Date Filed: 11f06l2023 2 Name of governments estrty or sta agency a a a party to a con reef for wmich the foam m being filed. Calhoun County 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. 2024.01 mosquito control products 4 Name of interested P Party City, State, Country (piece of business) Nature of Interest (check applicable) Controlling Intermediary 5 Check only if there is NO Interested Party. X 6 UNSWORN DECLARATION 1 My name is Ila My address )s.0 G6 1 44 . (asset) (city) (state) (zip (country) I declare under penalty of pe6'ury that the foregoing is true and correct Executed in _ i(,1. _County, State of 17 ! t rLUf 3, on tha i.3 day of (mmeh) (year) Ignature of au6)brized agent of contracting busyness entity (Declarant) Forms tl d T prove a by axes Ethtcs Commission www.ethics.state.br.us Version V3.5.1.9b4369cc �CERTIFICATE ®F LIABILITY INSURANCE DATEIMMIDDYYYY, � THIS CERTIFICATE IS ISSUED AS A MATTER 3/612023 OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), gUTHORI2ED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. ....�...�...:. r. a unto uemncate nolaer Is an ADDITIONAL INSURED, the p011cy(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements). PRODUCER CONTACT HUB International Midwest Limited NAME: CSUChica o-Midwest 55 East Jackson Boulevard PHONE FAX Ic N Ext 312-922-5000 A/C No) Chicago IL 60604 EMAIL^ INSURED Clarke Mosquito Control Products, Inc. 159 N. Garden Ave. Roselle, IL 60172 COVERAGES CERTIFICATE Ml lknnCo.,, of THIS INDICATED. CERTIFICATE EXCLUSIONS INSR LTR B IS TO CERTIFY THAT THE POLICIES NOTWITHSTANDING ANY REQUIREMENT, MAY BE ISSUED OR MAY AND CONDITIONS OF SUCH TYPE OF INSURANCE X COMMERCIALGENERALLIABILITY CLAIMS -MADE � OCCUR - OF PERTAIN, POLICIES. ADDLSUBR I __. INSURANCE _ .._...__... , LISTED BELOW HAVE BEEN TERM OR CONDITION OF ANY THE INSURANCE AFFORDED BY LIMITS SHOWN MAY HAVE BEEN POLICYNUMBER CH23NP3Z039441C ISSUED TO CONTRACT THE POLICIES REDUCED BY POLICY EFF MMIpDIYYYY 3/l/2023 THE INSURED OR OTHER DESCRIBED PAID CLAIMS. EXP MMIDDIMIDOIYYYY 3/1/2024 REVISION NUMBER: NAMED ABOVE FOR DOCUMENT WITH RESPECT HEREIN IS SUBJECT TO LIMITS EARRENCE THE POLICY PERIOD TO WHICH THIS ALL THE TERMS, $1,000,000 MAG MAG TTOO TE PREMISES Ea occurrence $300,000 MED EXP (Any one person) $ 25,000 GEN'L AGGREGATE LIMITAPPLIES PER: PERSONAL B ADV INJURY $1,000,000 GENERALAGGREGATE $ 2,000,000 C X POLICY ❑ JECOT LOC OTHER: AUTOMOBILE LIABILITY X ANY AUTO FA79NCP02119203 3/1/2023 3/1/2024 PRnru,,,-COMP/OP AGG $2,000,000 Pollution Legal Liab COMBINED SINGLE LIMIT Ee accident $1,000,000 I $1,000,000 BODILY INJURY (Par person) $ OWNED SCHEDULED AUTOS ONLY AUTOS X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY BOOILV INJURY erawitlenll$ (Per ), PROPERTY DAMAGE a, 6id.ct $ EACH OCCURRENCE $ $15,000,000 B A D UMBRELLA LIAB X OCCUR X EXCESS LIAB CLAIMS -MA n N/A CH23NP3Z039441C WC015-20-3396 r, VVCOIS-20-3397 3/1/2023 3/1/2023 3/1/2023 3/1/2024 311/20241, 3/l/2024 OEO X RETENTION$ WORKERS COMPENSATION AND EMPL(YYERS' LIABILITY ANYPROPRIETOR/PARTNEWEXECU'r)VE YIN OFFICERIMEMI N (Mandatory In NH) AGGREGATE I $15,000,000 - I$ X PER OTH- STATUTE ER E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE- EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $1,000.000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Pollution Legal Liability includes coverage for Third Party On -site, Third Party Off -site, Hostile Fire and Building Equipment, Products Pollution, Contractors Pollution and Transportation Cargo. RE: Calhoun County Bid 2022.02 CERTIFICATE HOLDER .....__.. -_._-- Calhoun County 211 South Ann Street 3rd floor - Suite 301 Port Lavaca, TX 77979 Arnon SIC Part-IA1n11 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED 161ZE, ACORD reserved_ .......... ': ,,arr,w onnu logo are registered marks of ACORD CONTRACT THIS CONTRACT, made and entered into this day of 20_ by, and between the County of Calhoun (hereinafter called "County") and (hereinafter called "Contractor,/Hauler"). WITNESSETH: WHEREAS, the Contractor/Hauler did on November 30, 2023, submit a BID for INSECTICIDES FOR MOSQUITO CONTROL, Bid Number 2024.01 to be used by County Precincts in Calhoun County, Texas. NOW, THEREFORE, in consideration of the following mutual agreement and covenant, it is understood and agreed by and between the parties hereto as follows: a) The Contractor/Hauler is hereby granted the sole and exclusive right and privilege within the territorial Jurisdiction of the County and shall furnish all personnel, labor, equipment, trucks, and all other items necessary to perform all of the work and to deliver the Insecticides for Mosquito Control as described in the Contract Documents. b) The Contract Documents shall include the following documents, and this Contract does hereby expressly incorporate same herein as if fully set forth verbatim in this Contract: i. Invitation to Bid, Instructions and Term of Contract; ii. General Conditions; iii. Bid Specifications and Conditions; iv. Bid Form; v. This instrument; and vi. Any addenda or changes to the foregoing documents agreed to by the parties hereto. c) All provisions of the Contract Documents shall be strictly complied with and conformed to by the Contractor/Hauler, and no amendment to this Contract shall be made except upon the written consent of the parties and approved by Calhoun County Commissioners Court. No amendment shall be construed to release either party from any obligation of the Contract Documents except as specifically provided for in such amendment. INITIALS OF AWARDED CONTRACT /HAULER (IN INK): DATE: ' INITIALS OF COUNTY (IN INK): DATE: d) This contract is entered into subject to the following conditions: 1) The Contractor/Hauler shall procure and keep in full force and effect throughout the term of this Contract all of the insurance policies specified in, and required by, the Contract Documents. 2) The Contractor/Hauler shall not be liable for the failure to wholly perform his duties if such failure is caused by force majeure. "Force Majeure" means a delay encountered by the Contractor/Hauler in the performance of its obligations under this Contract which is caused by an event beyond the reasonable control of the Contractor/Hauler. Without limiting the generality of the foregoing, "Force Majeure" shall include, but not restricted to the following types of events: acts of God or public enemy; acts of governmental or regulatory authorities; fires, floods, epidemics or serious accidents; unusually severe weather conditions; strikes, lockouts, or other labor disputes; and defaults by subcontractors. Any event constituting a Force Majeure must be reported by the Contractor/Hauler to the County in writing, within twenty-four (24) hours, and disclose the estimated length of delay, and cause of the delay. 3) The Contractor/Hauler, when required, must deliver all insecticides/products ordered by the County within twenty-four (24) hours from the time of the order or the date and time specified by the County. In the event the Contractor/Hauler is unable to deliver the insecticides/products ordered within twenty-four (24) hours from the time of the order or the date and time specified by the County, the County reserves the right to cancel the order and re -order the said insecticides/products from the vendor which submitted the next lowest bid and can deliver within twenty-four (24) hours or the date and time specified by the County. 4) In the event that any provision or portion thereof of any Contract Document shall be found to be invalid or unenforceable, then such provision or portion thereof shall be reformed in accordance with the applicable laws. The invalidity or unenforceability of any provision or portion of any Contract Document shall not affect the validity or enforceability of any other provision or portion of the Contract Documents. INITIALS OF AWARDED CONTRACT R/HAULER (IN INK): DATE: INITIALS OF COUNTY (IN ONK): DATE: _� Z— Z7- 2—*3 IN WITNESS WHEREOF, THE COUNTY AND CONTRACTOR/HAULER„ have caused this Contract to be executed by their authorized agents in one original. Additional copies of the original executed Contract will be distributed to all appropriate parties. The effective date of this Contract will begin on January 1, 2024 and end on December 31, 2024. CALHOUN COUNTY t By: Honorable Richard H. ko4er Calhoun County Judge Calhoun County Courthouse 211 S Ann Street 3rd Floor, Suite 301 Port Lavaca TX 77979 CONTRACTORMAULER: Address: ATTEST: CALHOUN COUNTY CLERK ANNA GOODMAN �yll1 i CERTIFICATE OF INTERESTED PARTIES row 1295 loft. 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: 2023-1106250 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. Target Specialty Products Houston, TX United States Date Filed: 12/20/2023 2 Name of governmental entity or state agency that is a party to the contract for which the form is being filed. Calhoun County - - 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. Bid Number 2024.01 - Annual Supply Contract for Insecticides for Mosquito Control 4 Name of Interested Party City, State, Country (place of business) Nature of interest (check applicable) Controlling Intermediary Myers, John Reading, PA United States X Gelting, Bruce Reading, PA United States X Coyle, Jason Reading, PA United States X Helt, David Santa Fe Springs, CA United X States 5 Check only if there is NO Interested Party. ❑ 6 UNSWORN DECLARATION My name is Kirsti Rodney and my date of birth is _ My address is Houston TX 77055 US (street) (city) (state) (zip code) (country) I declare under penalty of perjury that the foregoing is true and correct. Executed in Harris County, State of TX , on the 20th day of December, 2023 . (month) (year) /D a t� Signature of authorized acgs)nt of contracting business entity (Declarant) roans provided by Texas Ethics commission www.ethics.state.tx.us Version V3.5.1.f1bBc3f1 A� O CERTIFICATE OF LIABILITY INSURANCE DAT212012023 12/20/2023 THIS CERTIFICATE 15 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Edgewood Partners Insurance Center 5909 Peachtree Dunwoody Road, Suite 800 Atlanta GA 30326 CONTACT Certificate Unit PHONE FAX Alc No, E.D. 404-781-1700 INC. No)! ADDRESS: certificate@eplebrokers.com INSURERS AFFORDING COVERAGE NAIC# INSURER A: ACE American Insurance Company 22667 License#: OB29370 INSURED RENTOKI-01 Rentokil North America, Inc. dba Target Specialty Products(REN141) INSURER B: ACE Property and Casualty Insurance Co 20699 INSURER Arch Insurance Company 11150 INSURERo: AXIS Insurance Company 37273 1125 Berkshire Blvd., Suite 150 Wyomissing PA 19610 INsuRERE: Arch Indemnit Insurance Company30830 INSURER F: COVERAGES CERTIFICATE NUMBER: B3gRaR24n REVISION NUMBER THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OFINSURANCE ADDLSUBR WVD POLICYNUMBER MMIDOY/YYY( MM/DDYI VYY LIMITS A X COMMERCIAL GENERAL LIABILITY OGLG27240331 10/1/2023 10/1/2024 EACHOCCURRENCE $5,000,000 AGE TO RE ❑ PREMISES Ea occurrence $5,000,000 CLAIMS -MADE OCCUR MED EXP (Any one person) $10,000 PERSONAL BA DV INJURY $5,000,000 GEN'L X AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $5,000,000 PRODUCTS - COMP/OPAGG $5,000,000 POLICYI jE� I LOC $ OTHER: C C AUTOMOBILE LIABILITY 31CA81044403(AOS) 10/1/2023 10/1/2024 COMBINED SINGLE LIMIT Es accitlent $5000,000 ANYAUTO 31CAB1044503(MA) 10/1/2023 10/1/2024 X BODILY INJURY (Per person) $ OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY - PROPERWEITAGE Per eccidan $ 8 B X UMBRELLA LIAB N OCCUR XOOG27239420 10/1/2023 10/1/2024 EACH OCCURRENCE $5,000,000 EXCESS LIAB CLAIMSMADE AGGREGATE $ 5,000,000 DEO X` RETENTION$ $ C E YERS'LIATIONILIT o AND EMPLOYERS' ANDDEMPLIETORI 31WCIV44203(FL) 10/1/2023 10/1/2024 X PER OTH- STATUTE' ER b C Y/N 31WCX10630 (ADS) 10/1/2023 10/1/2024 E.L. EACH ACCIDENT $2,000,000 ARTNITY OFFICEnVEMBRIPARTUDED?ECUTIVE RBxCLUDE04 NIA 37WCX10fi3301 (OH) 10/1/2023 10/1/2024 E.L. DISEASE -EA EMPLOYEE $2,000,000 (Mandatory I. N fyes,dtn NH) If yes, tlasaibe antler E.L. DISEASE - POLICY LIMIT $ 2,000,000 DESCRIPTION OF OPERATIONS below A D Errors & Omissions Liability Crime/Client Coverage OGLG27240331 10/1/2023 101112124 Each lncidecti $5,000,000 N N P-001-000968899-02 10A/2023 10/1/2024 Each Ocwmance I $1.000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) RE: Annual Supply Contract for Insecticides for Mosquito Control, Bid Number 2024.01. Calhoun County 202 S. Ann St., Suite B Port Lavaca TX 77979 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. REPRESENTATIVE r1 ©1988.2015 ACORD CORPORATION. All rights reserved. A UUMU so tzu-lorus) The ACORD name and logo are registered marks of ACORD # 09 NOTICE OF MEETING—12/27/2023 9. Consider and take necessary action to approve the contracts with the following awarded bidders for Road Materials Bid Number 2024.02, for periods January 1, 2024 thru December 31, 2024 and authorize the County Judge to sign all necessary documents. a. K-C Lease Service dba Matagorda Construction & Materials b. Marek & Marek Truck Wash dba Frank Marek Trucking c. Colorado Materials, LTD d. MidTex Materials, LLC e. Quality Hot Mix, Inc. f. Vulcan Construction Materials, LLC g. Waller County Asphalt, Inc. Commissioners vote to approve contracts for bidders E and G, as they were the only'contracts received. RESULT APPROVED [UNANIMOUS]. MOVER: Gary Reese, Commissioner'Pct 4 SECONDER, Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 6 of 13 Mae Belle Cassel From: demi.cabrera@calhouncotx.org (demi.cabrera) <demi.cabrera@calhouncotx.org> Sent: Thursday, December 21, 2023 1:22 PM To: MaeBelle.Cassel@calhouncotx.org Subject: Agenda Item - December 27 2023 Good Afternoon MaeBelle, Can you please put the following item on the agenda for Commissioners Court on Wednesday, December 27, 2023: Consider and take necessary action to approve the contracts with the following awarded bidders for Road Materials Bid Number 2024.02, for periods January 1, 2024 thru December 31, 2024 and authorize the County Judge to sign all necessary documents. o K-C Lease Service dba Matagorda Construction & Materials o Marek & Marek Truck Wash dba Frank Marek Trucking o Colorado Materials, LTD o MidTex Materials, LLC o Quality Hot Mix, Inc. o Vulcan Construction Materials, LLC o Waller County Asphalt, Inc. V mi Cabr¢ra Calhoun County ,�.s.sisstant,Ouditor 361-553-"13 361-553-4614 UnX) Calhoun County Texas CONTRACT al THIS CONTRACT, made and entered into thiaL day of ' ,� 2Qs�by, and 1 between the County of Calhoun (hereinafter called "County') and Jill- (hereinafter called "Contractor/Hauler ). WITNESSETH: WHEREAS, the Contractor/Hauler did on November 28, 2023, submit a BID for ROAD MATERIALS, Bid Number 2024.02 to be used by County Precincts in Calhoun County, Texas. NOW, THEREFORE, in consideration of the following mutual agreement and covenant, it is understood and agreed by and between the parties hereto as follows: a) The Contractor/Hauler is hereby granted the sole and exclusive right and privilege within the territorial jurisdiction of the County and shall furnish all personnel, labor, equipment, trucks, and all other items necessary to perform all of the work and to deliver the Road Materials as described in the Contract Documents. b) The Contract Documents shall include the following documents, and this Contract does hereby expressly incorporate same herein as if fully set forth verbatim in this Contract: Invitation to Bid, Instructions and Term of Contract; ii. General Conditions; ill. Bid Specifications and Conditions; iv. Bid Form; V. This instrument; and vi. Any addenda or changes to the foregoing documents agreed to by the parties hereto. c) All provisions of the Contract Documents shall be strictly complied with and conformed to by the Contractor/Hauler, and no amendment to this Contract shall be made except upon the written consent of the parties and approved by Calhoun County Commissioners Court. No amendment shall be construed to release either party from any obligation of the Contract Documents except as specifically provided for in such amendment. INITIALS OF AWARDED CONTRACTOR/HAULER (IN INK): '/ DATE: INITIALS OF COUNTY (IN INK): ?44"� DATE: 12—Z 7— Z�, d) This contract is entered into subject to the following conditions: 1) The Contractor/Hauler shall procure and keep in full force and effect throughout the term of this Contract all of the insurance policies specified in, and required by, the Contract Documents. 2) The Contractor/Hauler shall not be liable for the failure to wholly perform his duties if such failure is caused by force majeure. "Force Majeure" means a delay encountered by the Contractor/Hauler in the performance of its obligations under this Contract which is caused by an event beyond the reasonable control of the Contractor/Hauler. Without limiting the generality of the foregoing, "Force Majeure" shall include, but not restricted to the following types of events: acts of God or public enemy; acts of governmental or regulatory authorities; fires, floods, epidemics or serious accidents; unusually severe weather conditions; strikes, lockouts, or other labor disputes; and defaults by subcontractors. Any event constituting a Force Majeure must be reported by the Contractor/Hauler to the County in writing, within twenty-four (24) hours, and disclose the estimated length of delay, and cause of the delay. 3) The Contractor/Hauler, when required, must deliver all materials ordered by the County within twenty-four (24) hours from the time of the order or the date and time specified by the County. In the event the Contractor/Hauler is unable to deliver the material(s) ordered within twenty-four (24) hours from the time of the order or the date and time specified by the County, the County reserves the right to cancel the order and re -order the said material(s) from the vendor which submitted the next lowest bid and can deliver within twenty-four (24) hours or the date and time specified by the County. 4) In the event that any provision or portion thereof of any Contract Document shall be found to be invalid or unenforceable, then such provision or portion thereof shall be reformed in accordance with the applicable laws. The invalidity or unenforceability of any provision or portion of any Contract Document shall not affect the validity or enforceability of any other provision or portion of the Contract Documents. INITIALS OF AWARDED CONTRACT /HAULER (IN INK): L.— /�_'DATE: INITIALS OF COUNTY (IN INK): DATE: %d a d IN WITNESS WHEREOF, THE COUNTY AND CONTRACTOR/HAULER, have caused this Contract to be executed by their authorized agents in one original. Additional copies of the original executed Contract will be distributed to all appropriate parties. The effective date of this Contract will begin on January 1, 2024 and end on December 31, 2024. COUNTY: CALHOUN COUNTY r By: Honorable Richard H. y Calhoun County Judge Calhoun County Courthouse 211 S Ann Street 3rd Floor, Suite 301 Port Lavaca TX 77979 CONTRACTOR/HAULER: By: Print Name: Title: Address: &VIt y.. ATTEST: CALHOUN COUNTY CLERIC ANNAGOODMAN VO(Idn Print Name: "dal l �� ( I I l + , Title:'Do A4 CA \, M. IN WITNESS WHEREOF, THE COUNTY AND CONTRACTOR/HAULER, have caused this Contract to be executed by their authorized agents in one original. Additional copies of the original executed Contract will be distributed to all appropriate parties. The effective date of this Contract will begin on January 1, 2024 and end on December 31, 2024. COUNTY: ATTEST: CALHOUN COUNTY CALHOUN COUNTY CLERK ANNA GOODMAN t By: By: Honorable Richard H. Wyer Calhoun County Judge Prir Calhoun County Courthouse 211 S Ann Street Title 3rd Floor, Suite 301 Port Lavaca TX 77979 CO TRACTOR/HAULER: By: �J Print Name: Lid ZLfin ` Title: 1)e'c e Y2 -e—��C,l`d Address: 0201 b G`Zt l e 64ykr & 77445-. CERTIFICATE OF INTERESTED PARTIES FORM 1295 loll Complete Nos, 1- 4 and 6 if there are interested parties. OFFICE USE ONLY Complete Nos. 1, 2, 3, 5, and 6 it 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. 2023-1093817 Waller County Asphalt, Inc. Hempstead, TX United States Date Filed: 11/13/2023 2 Name of governmental entity or state agency that is a party to the contract for which the form is being filed. Calhoun County 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. 2024.02 Road Materials 4 Name of Interested Party City, State, Country (place of business) Nature of interest (check applicable) Controlling Intermediary 5 Check only if there is NO Interested Party. x 6 UNSWORN DECLARATION My name is Reid Dawson and my date of birth is - My address is Hempstead TX 77445 USA (street) (city) (stale) (zip code) (country) I declare under penalty of perjury that file foregoing is true and correct. Waller Texas 21 December 23 Executed in ounly, late of , on the _day of 20_ (month) (year) spar e6@ SANDRA Z UHEREK z° r Notary ID #124758529 r My Commission Expires f e February 15, 2027 Signature of atiLhg'ed ag nt of contracting business entity (Declarant) Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V3.5.1.0f381ab6 A�® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIOOA YY) 12/20/2023 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements). PRODUCER Insgroup 5151 San Felipe St, Ste 2400 Houston TX 77056 NAMCT P Jennifer Jennings Kiser PHONE FA% Ea • 71• 3-541-7272 Arc No: E-mAINL ADOREss: JKiser(rDlnsgroup.net INSURERS)AFFORDINGCOVERAGE NAME INSURERA: Travelers INSURED WALLCOU-02 Waller County Asphalt, Inc dba Waller County Asphalt & Waller County Construction, LLC 22010 Fairground Rd INSURERS: TOklo Marine Specialtylnsuran 23850 INsuRERc: TRAVELERS CAS & SURETY CO 19038 INSURERD: TRAVELERS CAS & SURETY CO 19038 INSURER E: TRAVELERS CAS & SURETY CO _ 19038 Hempstead TX 77445 INSURER F: COVERAGES CERTIFICATE NUMBER: 1676525818 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTRMID TYPE OF INSURANCE ADDL SUER POLICYNUMBER POLICY EFF MMIDD/YYYY LIMITS C X COMMERCIAL GENERAL LIABILITY 630-3W284770 4/1/2023 4/1/2024 EACHOCCURRENCE $1,000,000 CLAIMS -MADE r_X1 OCCUR PREMISES let occurrence $300.000_ MED EXP (Any oneperson) S 5,000 PERSONAL &ADV INJURY $1,000.000 _ GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE S2,Oo0,ODO PRODUCTS-COMP/OPAGG $2,000.000 %( POLICY �JECT �LOC $ OTHER: D AUTOMOBILE LIABILITY BAdW97283A-23-14-G 4/112023 4/1/2024 COMBINED SINGLE LIMIT Ea accident $1,000,000 BODILY INJURY (Per person) $ X ANY AUTO OWNED SACHEDULED AUTOS ONLY UTOS HIRED XNON-OWNED X AUTOS ONLY AUTOS ONLY BODILY INJURY (Per accident) $ PROPERTYDAMAGE (Per accident _...,_. S $ E X UMBRELLAUAB X OCCUR CUP-4W979160 4/1/2023 4/1/2024 EACH OCCURRENCE S1,000,000 AGGREGATE S is EXCESS IJAB CLAIMS -MADE DED I X I RETENTIONS WORKERSCOMPENSAT ION AND EMPLOYERS•LIABILITI YIN ANYPROPRIETOR/PARTNES/EXECUTIVE STATUTE ERH- E.L. EACH ACCIDENT $ OFFICERIMEMBEREXCLUDED7 ❑ (Mandatory In NH) NIA E.L. DISEASE -EA EMPLOYEE $ E.L. DISEASE -POLICY LIMIT S If yes, describe under DESCRIPTION OF OPERATIONS below B A Pollution Rented/Leased 16125148 QT-SSG-6W344739-TLC-23 '4/1/2023 4/1/2023 4/1/2024 4/1/2024 Each Occurrence Per item 1,000,ODO 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if mom space is required) Named Insured Schedule: Waller County Asphalt, Inc. dba Waller County Asphalt & Waller County Construction, LLC A Waiver of Subrogation in favor of the Certificate Holder applies to the general and auto liability policy(s) if required by written contract, and subject to terms, conditions, and exclusions of the policy. Certificate Holder is included as Additional Insured with respect to the general and auto liability policy(s) if required by written contract and subject to terms, conditions and exclusions of the policy. See Attached... CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Calhoun CO. ACCORDANCE WITH THE POLICY PROVISIONS. 202 S. Ann Street AUTHORIZED REPRESENTATIVE Suite B Port Lavaca TX 77979 54- ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: WALLCOU-02 LOC #: AC o® ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY Insgroup NAMED INSURED Waller County Asphalt, Inc dba Waller County Asphalt & Waller County Construction, LLC 22010 Fairground Rd Hempstead TX 77445 POLICY NUMBER CARRIER NAIC CODE EFFECTIVE DATE: THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE is provided on a Primary & Non -Contributory basis on the general and auto liability if required by written contract and subject to terns, conditions and s of the policy. Liability policy follows form over the general and auto liability policy(s) subject to terms, conditions, and exclusions. I Holder is Loss Payee with respect to rented I leased equipment. 101 t2005/n11 The ACORD name and logo are registered marks of ACORD CONTRACT al nn THIS CONTRACT, made and entered into this day of 20_�2S by, and between the County of Calhoun (hereinafter called "County") and �c t Aix —ern c (hereinafter called "Contractor/Hauler"). WITNESSETH: WHEREAS, the Contractor/Hauler did on November 28, 2023, submit a BID for ROAD MATERIALS, Bid Number 2024.02 to be used by County Precincts in Calhoun County, Texas. NOW, THEREFORE, in consideration of the following mutual agreement and covenant, it is understood and agreed by and between the parties hereto as follows: a) The Contractor/Hauler is hereby granted the sole and exclusive right and privilege within the territorial jurisdiction of the County and shall furnish all personnel, labor, equipment, trucks, and all other items necessary to perform all of the work and to deliver the Road Materials as described in the Contract Documents. b) The Contract Documents shall include the following documents, and this Contract does hereby expressly incorporate same herein as if fully set forth verbatim in this Contract: I. Invitation to Bid, Instructions and Term of Contract, ii. General Conditions; iii. Bid Specifications and Conditions; iv. Bid Form; v. This instrument, and A. Any addenda or changes to the foregoing documents agreed to by the parties hereto. c) All provisions of the Contract Documents shall be strictly complied with and conformed to by the Contractor/Hauler, and no amendment to this Contract shall be made except upon the written consent of the parties and approved by Calhoun County Commissioners Court. No amendment shall be construed to release either party from any obligation of the Contract Documents except as specifically provided for in such amendment. INITIALS OF AWARDED CONTRACT / HAULER (IN INK): DATE: j 121113 INITIALS OF COUNTY (IN INK): DATE: / Z— Z 7- 2-3 d) This contract is entered into subject to the following conditions: 1) The Contractor/Hauler shall procure and keep in full force and effect throughout the term of this Contract all of the insurance policies specified in, and required by, the Contract Documents. 2) The Contractor/Hauler shall not be liable for the failure to wholly perform his duties if such failure is caused by force majeure. "Force Majeure" means a delay encountered by the Contractor/Hauler in the performance of its obligations under this Contract which is caused by an event beyond the reasonable control of the Contractor/Hauler. Without limiting the generality of the foregoing, "Force Majeure" shall include, but not restricted to the following types of events: acts of God or public enemy; acts of governmental or regulatory authorities; fires, floods, epidemics or serious accidents; unusually severe weather conditions; strikes, lockouts, or other labor disputes; and defaults by subcontractors. Any event constituting a Force Majeure must be reported by the Contractor/Hauler to the County in writing, within twenty-four (24) hours, and disclose the estimated length of delay, and cause of the delay. 3) The Contractor/Hauler, when required, must deliver all materials ordered by the County within twenty-four (24) hours from the time of the order or the date and time specified by the County. In the event the Contractor/Hauler is unable to deliver the material(s) ordered within twenty-four (24) hours from the time of the order or the date and time specified by the County, the County reserves the right to cancel the order and re -order the said material(s) from the vendor which submitted the next lowest bid and can deliver within twenty-four (24) hours or the date and time specified by the County. 4) In the event that any provision or portion thereof of any Contract Document shall be found to be invalid or unenforceable, then such provision or portion thereof shall be reformed in accordance with the applicable laws. The invalidity or unenforceability of any provision or portion of any Contract Document shall not affect the validity or enforceability of any other provision or portion of the Contract Documents. INITIALS OF AWARDED CONTRACT /HAULER(ININK): DATE: 17Ufl7 INITIALS OF COUNTY (IN INK): _DATE: 7- Z.N IN WITNESS WHEREOF, THE COUNTY AND CONTRACTOR/HAULER, have caused this Contract to be executed by their authorized agents in one original. Additional copies of the original executed Contract will be distributed to all appropriate parties. The effective date of this Contract will begin on January 1, 2024 and end on December 31, 2024. COUNTY: CALHOUN COUNTY ATTEST: CALHOUN COUNTY CLERK ANNAGOODMAN By: i By: Honorable Richard H. Miyer Calhoun County Judge Prir Calhoun County Courthouse 211 S Ann Street Titl, 3rd Floor, Suite 301 Port Lavaca TX 77979 CONTRACTOR/HAULER: By: W Print Name: f'T nIf C Title: Q 1 e S ) 0" f' Address: pU Box I)qq 77u�7 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. 2023-1106621 Quality Hot Mix, Inc. El Campo, TX United States Date Filed: 12/21/2023 2 Name of governmentail entity or state agency that Is a party to the contract for which e form I= being filed. Calhoun County Daze 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 contmoL 2024.02 Road Materials 4 Name of Interested Party City, State, Country (place of business) Nature of interest (check applicable) Controlling intermediary Snyder, Jeff El Campo, TX United States X 5 Check only if there is NO Interested Party. ❑ 6 UNSWORN DECLARATION My name is �� F'�- 5n y d ex' . and my date of birth is My address is i;.1 \Qpnpo , ILK . 71 �l3 7 . Oft , (street) (dry) (state) (rip code) (country) I declare under penalty of perjury that the foregoing is true and correct. y Executed in �Ctttr. In County, State of �(� , on the O// t' day of ecf4 Jai', 20_jj�L. (month) (year) Lit /^I 11 Signature of aull ' ed adlinfolf contracting business entity (Declarant) Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V3.5.1.flb8a3f1 OIJALF10T.01 WROORIGtlE7 AL0/2U" CERTIFICATE OF LIABILITY INSURANCE `-� DATEIMMIODMVYY) 7js/zoz3 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS. UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES . BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the poliay(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endoreement A statement on this certgleato does not confer rights to the certificate holder In lieu of such endamoma s . PRODUCER . CT KAs6e L Rodriguez, ACSR, THA, CISR Texas Assoclates lnsurom 1120 Capital of TX Hwy South Bldg 3400 Austin, TX 78746 PNXOOxN am,:979 476.1173 FAIC No : . kristlerebaussoc,com INSURERS) AFFORDING COVERAGE CA SURER A:The Charter Oak Fire Insurance Company 25615 INSURED wsuRERa:ThePhoenix insurance Company 26623 Quality Hot Mix, Inc. Quality Not Mix Trurucking, Inc. P.O. Box 1244 NSURER C:Tmvelers Property Casual. Company of America 25674 1 INSURERD:Texas Mutual Insurance Company 22946 INSURERS! EI Campo, TX 77437 INSURERF: COVERAGES CERTIFICATE NUMBER: REVISION NUMB THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENTWITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONSOF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 1 SR TYPEOFINSURIINCE th&LINDRI POLICY NUMBER POLICY EFF POLICY ExP LIMITS A X I COMMERCAL GENE PAL UAMLRY CLAIMS.MAOE ❑X OCCUR T:: 63043620484 71912023 71912024 EACHA)CCURRENCE S 1,000,000 OAMAOETO RENTED cocummeal S 300,000 NED EXP mm m S 5.000 PERSONALa ADVINJURY S 1,000,000 GENLAGGREGATE UNITAPPLESPER: POLICY ❑ JECT LOC OTHER: GENSMAGGREGATE S 2,000,000 PRODUCTS.COMPIOPAGG S 2,000,000 EBL 3 1,0001000 B AUTOMOB X AI ARILRY ANYAUTO OWNED SCHEDULED {AUTOS ONLY AUppTNrrO�SWWNNEEpp AUTOS ONLY AUTO�ONLY 810211334175 7/912023 7/912024 COMBINEDSINOWuldiT S 1,000,OOD BODILY INJURY Par emun $ BODILY INJURY ParedNdeM S PMeCJdM1 DE S S Ce X UMBRELLA LAB Excess UAa X FiCLAIMSMAO9 I OCCUR OUPGJ32332A 7/9/2023 71912024 EACHOOCURRENCE S 6,000,000 AGGREGATE 5,000,000 oED I X I RETENTIONS 10,000 0 ANDKERSCYOM B4 MON ANY PR�OpIPL1REIJe,1TBOERRIPARTNERIExECUTNE Ytx WAMalYIn NHI EKCLUDEOT It eS da6Dibe laulN 0 I 0 OFOPERATIONSMe N/A F0001119716 7/9/2023 7192024 X R TH• E.L EACH ACCIDENT 3 1,000,000 E.L DISEASE • EA EMPLOYE 1,000,OOD E.L DISEASE• POLICYLOU 1,000,006 p ISchoduled Equipment 63043629484 7/9/2023 719/2024 Varies per item DESCRIPTION OF OPERATIONS LOCATIONS I VEHICLE- (ACORD 101, Addrdonal Remarb Schedule, may be exechad ff mom spa" Is reclulret) Calhoun County Audltoes Office 211 S. Ann Street Suite 301 Port Lavaca, TX 77979 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. REPRESENTATIVE 25 (2016103) ®1908.2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD # Zo I NOTICE OE MEE-IING -- 12/27/2023 10. Consider and take necessary action to approve the contracts with the following awarded bidders for Asphalts, Oils and Emulsions, Bid Number 2024.03, for periods January 1, 2024 thru December 31, 2024 and authorize the County Judge to sign all necessary documents. a. Martin Asphalt Company b. P Squared Emulsion Plants, LLC c. Cleveland Asphalt Products, Inc. Commissioners vote to approve contracts A and B.' as they were the only.contracts recived. RESULT: li APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER. David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 7 of 13 Mae Belle Cassel From: demi.cabrera@calhouncotx.org (demi.cabrera) <demi.cabrera@calhouncotx.org> Sent: Wednesday, December 20, 2023 11:58 AM To: MaeBelle.Cassel@calhouncotx.org Subject: Agenda Item - December 27, 2023 Attachments: Approval of Contracts for Asphalts, Oils and Emulsions - Backup.pdf MaeBelle, Can you please place the following item on the Commissioners Court Agenda for December 27, 2023: Consider and take necessary action to approve the contracts with the following awarded bidders for Asphalts, Oils and Emulsions, Bid Number 2024.03, for periods January 1, 2024 thru December 31, 2024 and authorize the County Judge to sign all necessary documents. o Martin Asphalt Company o P Squared Emulsion Plants, LLC o Cleveland Asphalt Products, Inc. Thank you, 'D mi Cabnzra Calhoun County -J.s.sigtant auditor 361-553-4613 361-553-4614 Uax) Calhoun County Texas al THIS CONTRACT, made and entered into thisday of Aw'W`cp,---) 20 2-5by, and between the County of Calhoun (hereinafter called "County") and �'1tn I�ahrc�C,�fn�, (hereinafter called "Contra ctor/Ha u ler"). WITNESSETH: WHEREAS, the Contractor/Hauler did on November 30,2023, submit a BID for ASPHALTS, OILS AND EMULSIONS, Bid Number 2024.03 to be used by County Precincts in Calhoun County, Texas. NOW, THEREFORE, in consideration of the following mutual agreement and covenant, it is understood and agreed by and between the parties hereto as follows: a) The Contractor/Hauler is hereby granted the sole and exclusive right and privilege within the territorial jurisdiction of the County and shall furnish all personnel, labor, equipment, trucks, and all other items necessary to perform all of the work and to deliver the Asphalts, Oils and Emulsions as described in the Contract Documents. b) The Contract Documents shall include the following documents, and this Contract does hereby expressly incorporate same herein as if fully set forth verbatim in this Contract: I. Invitation to Bid, Instructions and Term of Contract; ii. General Conditions; iii. Bid Specifications and Conditions; iv. Bid Form; V. This instrument; and vi. Any addenda or changes to the foregoing documents agreed to by the parties hereto. c) All provisions of the Contract Documents shall be strictly complied with and conformed to by the Contractor/Hauler, and no amendment to this Contract shall be made except upon the written consent of the parties and approved by Calhoun County Commissioners Court. No amendment shall be construed to release either party from any obligation of the Contract Documents except as specifically provided for in such amendment. INITIALS OF AWARDED CONTRACT /HAULER (IN INK): � C/ DATE: 1 INITIALS OF COUNTY (IN INK): DATE: /2-21--13 d) This contract is entered into subject to the following conditions: 1) The Contractor/Hauler shall procure and keep in full force and effect throughout the term of this Contract all of the insurance policies specified in, and required by, the Contract Documents. 2) The Contractor/Hauler shall not be liable for the failure to wholly perform his duties if such failure is caused by force majeure. "Force Majeure" means a delay encountered by the Contractor/Hauler in the performance of its obligations under this Contract which is caused by an event beyond the reasonable control of the Contractor/Hauler. Without limiting the generality of the foregoing, "Force Majeure" shall include, but not restricted to the following types of events: acts of God or public enemy; acts of governmental or regulatory authorities; fires, floods, epidemics or serious accidents; unusually severe weather conditions; strikes, lockouts, or other labor disputes; and defaults by subcontractors. Any event constituting a Force Majeure must be reported by the Contractor/Hauler to the County in writing, within twenty-four (24) hours, and disclose the estimated length of delay, and cause of the delay. 3) The Contractor/Hauler, when required, must deliver all products/materials ordered by the County within twenty-four (24) hours from the time of the order or the date and time specified by the County. In the event the Contractor/Hauler is unable to deliver the products/materials ordered within twenty-four (24) hours from the time of the order or the date and time specified by the County, the County reserves the right to cancel the order and re -order the said products/materials from the vendor which submitted the next lowest bid and can deliverwithin twenty-four (24) hours orthe date and time specified bythe County. 4) In the event that any provision or portion thereof of any Contract Document shall be found to be invalid or unenforceable, then such provision or portion thereof shall be reformed in accordance with the applicable laws. The invalidity or unenforceability of any provision or portion of any Contract Document shall not affect the validity or enforceability of any other provision or portion of the Contract Documents. INITIALS OF AWARDED CONTRACTO /HAULER (IN INK): DATE: Y �)J INITIALS OF COUNTY (IN INK): _W DATE: _17 IN WITNESS WHEREOF, THE COUNTY AND CONTRACTOR/HAULER, have caused this Contract to be executed by their authorized agents in one original. Additional copies of the original executed Contract will be distributed to all appropriate parties. The effective date of this Contract will begin on January 1, 2024 and end on December 31, 2024. COUNTY: CALHOUN COUNTY By: 4e-Z�2� Honorable Richard H. M r Calhoun County Judge Calhoun County Courthouse 211 S Ann St 3rd Floor, Ste 301 Port Lavaca TX 77979 M • LL .✓L/� M Prir Title d u U A a rQ i � ATTEST: CALHOUN COUNTY CLERK ANNA 600DMAN By 0 1AU �M* - Print Name: f pI�, I Title: a 1 Cil 1� CERTIFICATE OF INTERESTED PARTIES FORM 1295 loft 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. 2023-1102673 Martin Asphalt Company HOUSTON, TX United States Date Filed: 12/11/2023 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 identity description of the services, goods, or other property to be provided under the contract. the contract, and provide a 2024.03 ASPHALTS OILS AND EMULSIONS 4 Name of Interested Part y City, State, ty, Country (place of business) Nature of interest (check applicable) Controlling Intermediary 5 Check only if there is NO Interested Party. R 6 UNSWORN DELL ATION My name is and my date of birth Is My address i l� /A y�V (scree (city) (slate) (� (country) I declare under penalty c perjury that the foregoing is true and correct. Executed in V� County, State of on the day o 20 (month) (year) Sig re of aut rizetl gent of contracting business entity D farant) Forms provioeo Dy l exas rmlcs uommissiun ACC & CERTIFICATE OF LIABILITY INSURANCE 5/1/2024 DATE (MWDD YYYY 4/24/2023 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements). PRODUCER LOCKTON COMPANIES 2100 ROSS AVENUE, SUITE 1400 DALLAS TX 75201 214-969-6700 CONTACT PHONE FAX N (AID,No: &MAIL ADDRESS: INSURER 8 AFFORDING COVERAGE NAIC # INSURERA: ACE American Insurance Company 22667 INSURED Martin Resource Management Corporation 1302028 (See Listing Page 2) INSURER B : Westchester Fire Insurance Company 10030 INSURER C:Hamilton Insurance Designated Activity Company INSURER D:--- SEE ATTACI-IMENT --- PO Box 191 Kilgore TX 75663 INSURER E: Gemini InSUranCe COMPany 10833 INSURER F : COVERAGES « CERTIFICATE NUMBER: 1640444R REVISION NUMBER: XXXXXXX THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF ADDLSUBR POUCYNUMSER POLICY EFF MMIOO POLICY UP MMIDD LIMITS A X COMMERCUILGENERALLIABILITY CLAIMS -MADE [N]OCCUR Y N XSLG47355229 5/1/2023 5/1/2024 EACH OCCURRENCE $ 1000000 DAMAGE SES Edo errands $ 1,000,000 X MED EX (Any one person) s Not Applicable POLLUTION LIABILITY J{ $IM-SIR PERSONALSADVINJURY $ 1000000 GENL AGGREGATE LIMIT APPLI ES PER: GENERAL AGGREGATE $ 2000000 PRODUCTS - COMPIOPAGG $ 2,000,000 }{ POLICY ❑ PROCT1:1 LOC JE $ OTHER: A AUTOMOBILE LIABILITY N N ISAH1076404A 5/l/2023 $/1/2024 EOMaBINd.,tSINGLELIMIT $ 5000000 BODILY INJURY (Per person) S X'X')' {}{XJL' X ANY AUTO BODILYINJURY(Peraccident) $ XXXXi{xx X OWNED NLVMSCHEDULED AUTOS OAUTOS HIRED NON -OWNED X AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident $ XXXXXXX $ XX){XXxx g uaeRELu LIAB g OCCUR N N G27550277009 5/1/2023 5/1/2024 EACH OCCURRENCE $ 10,000,000 C X EXCESS LIAB El CLAIMS -MADE ENGXSIH224845 5/1/2023 5/1/2024 AGGREGATE s 10,000,000 OED I X I RETENTION$ $0 $ X)OCCxxx D WORKERS COMPENSATION AND EMPLOYERS LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE (Mandatory In NH) CLUDE09 F NIA N See Attached 5/1/2023 5/1/2024 X STATUTE 'ER' E.L. EACH ACCIDENT $ 1000000 E.L. DISEASE - EA EMPLOYEE $ 1000000 E.L. DISEASE -POLICY LIMIT $ 1000000 If yea, deecdbe antler DESCRIPTION OF OPERATIONS below E EXCESS AUTOMOBILE N N GVE100124709 5/1/2023 5/l/2024 LIMTr$5,000,000 LIABILITY DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101, Additional RemaHre Schedule, may be abeebed if more space is required) CERTIFICATE HOLDER CANCELLATION See Attachments SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 16403438 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Calhoun County ACCORDANCE WITH THE POLICY PROVISIONS. 211 S. ANN ST. ST 301 AUTHORIZED REPRESENTATIVE PORT LAVACA TX 77979 ©1988.2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Attachment Code: D504865 Master ID: 1302028, Certificate ID: 16403438 Producer: Lockton Companies 2100 Ross Avenue, Suite 1400 Dallas, TX 75201 WORKERS' COMPENSATION POLICIES OTHER STATES Policy Number: WLR C50733737 Insurer: Indemnity Insurance Company of North America Arizona Policy Number: WLR C50733841 Insurer: Ace American Insurance Company Miscellaneous Attachment: M467164 Master ID: 1302028, Certificate ID: 16403438 NAMED INSUREDS MARTIN RESOURCE MANAGEMENT CORPORATION, MARTIN MIDSTREAM PARTNERS L.P. AND/OR ANY OF THEIR RESPECTIVE PARENTS, SUBSIDIARIES, AFFILIATES AND INTERRELATED COMPANIES Martin Resource Management Corporation Martin Resource LLC Martin Energy Services LLC Martin Product Sales LLC Martin Asphalt Martin Crude Marketing Co. Berry Petroleum Company Martin Underground Storage, Inc. Cross Oil Refining & Marketing, Inc. Norphlet Rail Terminal LLC ALTEC Environmental Consulting LLC ASHTEC Water Services LLC MRMC Equipment Holdings LLC Martin Pilot Services LLC Aspire America, Inc. American Senterfitt Insurance Company, Ltd. Martin Midstream GP LLC Martin Midstream Partners L.P. Martin Operating GP LLC Martin Operating Partnership L.P. Martin Marine Martin L.P. Gas Martin Terminals Martin Resources Martin Gas Sales Martin Sulfur Martin Specialty Products Monarch, Inc. Martin Lubricants Martin Transport, Inc. Martin Midstream Finance Corp. Talen's Marine & Fuel LLC Redbird Gas Storage LLC Martin ELSA Investment LLC Attachment Code: D565669 Certificate ID: 16403438 ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION Named Insured Entlomement Number Martin Resource Management Corporation 4 Policy Symbol Policy Number Policy Pedotl Effective Data of Endorsement XSL 671234897 05/01/2019to 05/01/2020 Issued By (Name of Insurance Company) ACE American Insurance Company Insenthepolicynumuen I ne remainder &the n nne ion is to be wmpieteo only when this enaomement is issued subsequent a preps ion o e Frey — THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: EXCESS COMMERCIAL GENERAL LIABILITY POLICY SCHEDULE Name of Person or Organization: Any person or organization whom you have agreed to include as an additional insured under a written contract, provided such contract was executed prior to the date of loss. A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: 1. In the performance of your ongoing operations; or 2. In connection with your premises owned by or rented to you. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III —Limits Of Insurance And Retained Limit: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contractor agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. Authorized Representative XS-6W25b (04/13) Includes copyrighted material of Insurance CONTRACT THIS CONTRACT, made and entered into this Q 7 day of Decemba4Z- , 20-14a by, and between the County of Calhoun (hereinafter called "County") and f Saian(ar� ETOL116lo i 01I,i lLS, i'(hereinafter called"Contractor/Hauler"). u__.. _ W ITN ESS ETH: WHEREAS, the Contractor/Hauler did on November 30,2023, submit a BID for ASPHALTS, OILS AND EMULSIONS, Bid Number 2024.03 to be used by County Precincts in Calhoun County, Texas. NOW, THEREFORE, in consideration of the following mutual agreement and covenant, it is understood and agreed by and between the parties hereto as follows: a) The Contractor/Hauler is hereby granted the sole and exclusive right and privilege within the territorial jurisdiction of the County and shall furnish all personnel, labor, equipment, trucks, and all other items necessary to perform all of the work and to deliver the Asphalts, Oils and Emulsions as described in the Contract Documents. b) The Contract Documents shall include the following documents, and this Contract does hereby expressly incorporate same herein as if fully set forth verbatim in this Contract: Invitation to Bid, Instructions and Term of Contract; ii. General Conditions; " iii. Bid Specifications and Conditions; " " " iv. Bid Form; V. This instrument; and vi. Any addenda or changes to the foregoing documents agreed to by the parties hereto. c) All provisions of the Contract Documents shall be strictly complied with and conformed to by the Contractor/Hauler, and no amendment to this Contract shall be made except upon the written consent of the parties and approved by Calhoun County Commissioners Court. No amendment shall be construed to release either party from any obligation of the Contract Documents except as specifically provided for in such amendment. INITIALS OF AWARDED CONTRAQOR^HAULER (IN INK): DATE: " INITIALS OF COUNTY (IN INK): DATE: Z 7�j d) This contract is entered into subject to the following conditions: 1) The Contractor/Hauler shall procure and keep in full farce and effect throughout the term of this Contract all of the insurance policies specified in, and required by, the Contract Documents. 2) The Contractor/Hauler shall not be liable for the failure to wholly perform his duties if such failure is caused by force majeure. "Force Majeure" means a delay encountered by the Contractor/Hauler in the performance of its obligations under this Contract which is caused by an event beyond the reasonable control of the Contractor/Hauler, Without limiting the generality of the foregoing, "Force Majeure" shall include, but not restricted to the following types of events: acts of God or public enemy; acts of governmental or regulatory authorities; fires, floods, epidemics or serious accidents; unusually severe weather conditions; strikes, lockouts, or other labor disputes; and defaults by subcontractors. Any event constituting a Force Majeure must be reported by the Contractor/Hauler to the County in writing, within twenty-four (24) hours, and disclose the estimated length of delay, and cause of the delay. 3) The Contractor/Hauler, when required, must deliver all products/materials ordered by the County within twenty-four (24) hours from the time of the order or the date and time specified by the County. In the event the Contractor/Hauler is unable to deliver the products/materials ordered within twenty-four (24) hours from the time of the order or the date and time specified by the County, the County reserves the right to cancel the order and re -order the said products/materials from the vendor which submitted the next lowest bid and can deliver within twenty-four (24) hours orthe date and time specified bythe County. 4) In the event that any provision or portion thereof of any Contract Document shall be found to be invalid or unenforceable, then such provision or portion thereof shall be reformed in accordance with the applicable laws. The invalidity or unenforceability of any provision or portion of any Contract Document shall not affect the validity or enforceability of any other provision or portion of the Contract Documents. Ft;s INITIALS OF AWARDED CONTRAC R/HAULER (IN INK)--�— DATE: S i� INITIALS OF COUNTY (IN INK): DATE: �T IN WITNESS WHEREOF, THE COUNTY AND CONTRACTOR/HAULER, have caused this Contract to be executed by their authorized agents in one original. Additional copies of the original executed Contract will be distributed to all appropriate parties. The effective date of this Contract will begin on lanuary 1, 2024 and end on December 31, 2024. COUNTY: CALHOUN COUNTY 1 By: Honorable Richard H. a er Calhoun County Judge Calhoun County Courthouse 211 S Ann St 3rd Floor, Ste 301 Port Lavaca TX 77979 CONTRACTOR/HAULER: P Squared Emulsion Plants Print Name: Dane Title: Partner/CFO Address: 516 South McLennan Loop Elm Mott, Texas 76640 ATTEST: CALHOUN COUNTY CLERK ANNA GOODMAN A Prir Tith E OF INTERESTED PARTIES FORM 2295 loll Complete Nos. 1 - 4 and 6 if there are interested parties. Complete Nos.1, 2, 3, 5, and 6 if there are no interested parties. OFFICE USE ONLY CERTIFIC,4TIOM OF FILING 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. Certificate Number: P Squared Emulsion Plants, LLC 2023-1095095 Elm Mott, TX United States Date Piled: 11/15/2023 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. 2024.03 Annual Supply Contract for Asphalt, Oils and Emulsions 4 Name of Interested Parry City, State, Country (place of business) Nature of interest (check applicable) Controlling Intermediary 5 Check only if there is No Interested Party. ❑ X 6 UNSWORN DECLARATION My name is and my dateofbirth is My address is '(city) (street) 6 (state) (zip code) (country) I declare under penalty ofperjury that the foregoing is true and correct. lt Executed in I V `' j, County. State of -lam, on thel5tk day of , 20_a, (month) (year) Signature of authorized a6ent ol contraftiAq business entity L A Texas Version DATEIMMIDD/YYYYI THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(has) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer ri hts to the certificate holder in lieu of such endorsement(s). PRODUCER C NT CT _NAME Chris Fribourg____ _ __ Arthur Blake Insurance PHCN o Ex� (872)336-0115 _�_{aly, Not; (972)633.0477_ 1800 Preston Park Blvd Ste 245 E-MAIL 9 Plano, TX 75093 g6wiss cbI texas.com hrls a INSURED P Squared Emulsions, LLC & EMT Properties, LLC, Start at 55, LLC DBA P2 Emulsions 516 S Mclennan Loop Elm Mott, TX 76640.3586 COVERAGES CERTIFICATE NLIMRFn• nnnnosa t.Ranaav prcvrslnAl au lnnaoo. SS --- _- — THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INBE�—........-..—......_ LTR ------- —._. TYPE OF INSURANCE AODLSUBR...__..._._—�—POLICY EFFPOLJCV POLICY NUMBER MMIDD/YYYY E%P MMND YYY ... ...___.........-..—.....-.. LIMITS A X COMMERCIAL GENERAL LIABILITY MKLV4PBC003144 I1213112022 , 12131/2023 1 EACIIOCCURRENCE 5 1s000,000 (( tCLIIPASMADE I,X OCCUR TM'F�tOTtENTE6— ._-- PREMISESIFacccrrrencd I.S _ 100000 IMED EXP (Any one person) PERSONAL & ADV INJURY is 1000,OOO GENT AGGREGATE LIMIT APPLIES PER. PRO GENERALAGGREGATE_ 's 2,000,000,- PRODUCT$ C'JVPIOP AGG S _ 2000 000 ——�-� X� POLICY _.l JECT LOC _ OTHER i 5 B AUTOMOBILE LIABILITY BA420000016089 I01/0312023 01/03/2024 COMBINED SINGE LIVE I IS LEs eccInam) __ .....1 OQQ 0,_00 aM1Y AUTO BODILY INJURY Per poraorn s ---- X OWNED SCHEDULED AUTOS ONLY X' AUTOS 1 i INJURY Per EC Iden1J 5 HIRED NON -OWNED AUTOSONLY x�ONLY : PD.AA+AGE --- ROPERrYAUTOS S per accpaI III$ A UMBRELLA LIAR X OCCUR i MKLV4EUL103643 12/31/2022 12/3112023 EACH OC_CURP.ENCE 1,000,0_00 ti-- —�'— X EXCESS LIAR CIAIMSMFDE AGGREGATE S 1 OOD OOO ED XI RETENTIONS 10000 1 b C"I AND EMPLOVERS'LABILITY ;01103/2023 01/0312024 X1 PTA LT_.,. YIN' ANY PROPRIETORIPARTNER!EXF_CIJTI``✓E � 10002025344 LELEACH fCOENT S 1000,000 OFFICE'RIMEMSER EXCLUDED' L�J (f s.dnryimm�e hr y-s. dscribe untlar NIA/ I EL DSEASE-EA EMPLOYEE S 1 000,000 —,......_-__, _......-_. 'DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT 'S 110001000 i I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ADORED 101, Addrildnal Remarks SchOdule, may be attached it more space is manned) CALHOUN COUNTY 211 S. ANN ST., SUITE 301 Port Lavaca, TX 77979 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED // 1988-2015 ACORD reserved. AgUKU Zls (2U1ti1U3) The ACORD name and logo are registered marks of ACORD Printed by CAF on 12/20/2022 at 02:26PM #11 N0110E OF MF_ETING—1.2/27/2023 11. Consider and take necessary action to approve the renewal to the Health Services Agreement between Calhoun County and Southern Health Partners, Inc., dba SHP Vista Health Management, Inc. for medical care of inmates in the Calhoun County Adult Detention Center and authorize the County Judge to sign all necessary documents. The renewal begins January 1, 2024 and ends December 31, 2024. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct i AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 8 of 13 RENEWAL OF THE HEALTH SERVICES AGREEMENT FOR THE CALHOUN COUNTY ADULT DETENTION CENTER Renewal Period January 1, 2024 through December 31, 2024 Approved by Commissioners Court Wednesday, December 2023. �. 1' Ir I. Southern Health Partners September 18, 2023 Sheriff Bobbie Vickery Calhoun County Sheriffs Office 211 South Ann Street Port Lavaca, TX 77979 Re: Health Services Agreement Dear Sheriff Vickery SHP has been a proud partner with Calhoun County and the Sheriff's Office since 2014. With our contract anniversary approaching, I want to welcome you to reach out with any questions or needs. I would be happy to speak with you if there are any areas of the contract you would like to discuss. Being on the front lines caring for patients and serving our customers' correctional health care needs, SHP has repeatedly confronted a range of financial and operational challenges since the outset of the pandemic, including substantial growth in expenses across labor, drugs and supplies, let alone higher economy -wide inflation. Labor costs have presented a dramatic and extended wave of challenges. Quality staffing is central to the care process and represents a significant portion of our operating budget. With nursing shortages being what they are nationally, we have continued to experience considerable issues with recruitment and retention of nurses, especially in perspective to correctional work. As we strive to ensure coverage at our facilities, we have become increasingly reliant on utilizing current staff, Operational managers, travel nurses and agency staffing as resources for providing coverage until we can bring on permanent team members to fill open positions. We have increased recruitment efforts as well as added higher pay rate scales, sign -on on bonuses, and other beneflts,to help attract applicants. These coverage and recruitment practices, of course, come at a much greater cost to SHP than originally budgeted for in our contracts, as the parties could not have foreseen such an unprecedented hike in healthcare labor costs. Professional lines insurance and employee benefits costs have continued on an upward trend, as well as expenses for prescription drugs. A significant driver in increased medication costs has been the continued spike in drug prices, coupled with increased utilization, treating sicker patients in the correctional environment during and since the pandemic. Medical supply costs are another area which has hit hard over the past few years, in light of supply chain disruptions and infection control practices/procedures put in place to comply with governmental regulations and to assure the health and safety of patients, and facility/medical staff. Despite persistent cost pressures, SHP has tried to price for annual contract adjustments modestly in recent years. Unfortunately, our direct and indirect costs have escalated to the point of being unsustainable without an adequate annual increase for the new contract year. We have incorporated a 4% adjustment on the base fee and per diem rate based on continuation of the program at the current level of staffing/services for the 2024 period. The new rates are provided for you below. Contract Period: January 1, 2024, throu h December 31, 2024 Base annualized fee: $152,027.88 $12,668.99 per month Per diem greater than 80 inmates: $1.34 Annual outside cost pool limit: $30,000.00 includes 80% pool refund rovision September 18, 2023 Pagetwo Again, please feel free to reach out with any questions. You can call me direct at 803-802-1492. 1 Will ask that you keep this letter on file with your contract and return a signed copy to me for SHP's historical record at your earliest convenience, or by October 31, 2023. A scan to email will be fine (email carmen.hamiltonD.southernhealthpartners com). Except as stated herein, or as may be amended or modified in writing by mutual agreement of the parties, all provisions of the contract will remain in full force and effect. We appreciate the support and resources provided by our customers, and we will continue to look toward mutually beneficial solutions in joint partnership together so that SHP can stay strong in providing high -quality care to the patients we serve. Sincerely, CALHOUN COUNTY, TX BY: Carmen Hamilton Contracts Manager /cph cc: Rachel Martinez Southern Health Partners, Inc. d/b/a SHP Vista Health Management, Inc. Health Services Agreement CURRENT YEAR AND PAST YEARS INFORMATION Southern Health Partners, Inc. d/b/a SHP Vista Health Management, Inc. Health Services Agreement RENEWAL Beginning January 1, 2023 and Ending December 31, 2023 Southern Health Partners September 29, 2022 Sheriff Bobbie Vickery Calhoun County Sheriffs Office 211 South Ann Street Port Lavaca, TX 77979 Re: Health Services Agreement Dear Sheriff Vickery: As we look toward beginning a new contract year, SHP would like to thank Calhoun County and the Sheriffs Office for the privilege of working together to provide inmate health services at the Jail. We have reviewed the contract carefully and determined a 3% annual increase on the base fee and per diem rate will be needed for the 2023 period, to account for higher operating expenses that continue to increase significantly from year to year, far -outpacing the minimal annual increases we've received historically (ex: supplies, core business Insurance -not just employee health insurance, but also the professional liability, general liability, etc. —some lines by as much as 50%) and for staffing, to help us maintain high -quality nursing staff. Unfortunately, we continue to face considerable challenges in the area of staffing, even more so since the pandemic. There are many contributing factors, to name only a few, the need for more competitive paglcompensallon package in a competitive market, site location, increased patient acuity leading to additional workload, Increased costs of keeping the harder to staff night and weekend shifts filled, availability of attractive home -work options for nurses, current climate in thi health care field and national nursing shortage. We must be prepared for the much higher costs associated with operations and keeping the facility well - staffed in the year ahead. 1 have outlined the new fee description for you below, to become effective in line with the January anniversary. The difference on the base rate is $354.81 more per month. Contract Period: JanuaV 1, 2023, through December 31. 2023 Base annualized fee: 1 $146,180.64 $12,181.72 permonth Per diem greaterthan 80 inmates: 1 $1.29 Annual outside cost pool limit I $30.000.00 finn.1i vdas 80% pool refund provis!on If you have any questions or concerns about the pricing, or would like to discuss the contract, don't hesitate to call or email me. 1 can be reached directly in the office at 803-802-1492. This letter is yours to keep for the contract file, and I will ask you to please return a signed copy at your earliest convenience, or by October 31, 2022. A scan to email will be fine (email carmen.hamilton(@southernheaithnartners com). Except as stated herein, or as may be amended or modified in writing by mutual agreement of the parties, all provisions of the contract will remain in full force and effect. September 29, 2022 Page two We appreciate your continued business and investment in working with SHP to deliver an outstanding program of high -quality patient care services. Sincerely, CALHOUN COUNTY, TX q .y� aa. BY: V. 7YCrrrvela?'609V Carmen Hamilton Contracts Manager Richard H. M /oph Calhoun County Judge CC., Rachel Martinez Date: December 7, 2022 Southern Health Partners, Inc. d/b/a SHP Vista Health Management, Inc. Health Services Agreement RENEWAL Beginning January 1, 2022 and Ending December 31, 2022 Southern Health Partners December 1, 2021 Sheriff Bobbie Vickery Calhoun County Sheriffs Office 211 South Ann Street Port Lavaca, TX 77979 Re: Health Services Agreement Dear Sheriff Vickery: This letter is for your file and reference to acknowledge renewal of the Health Services Agreement with a 1 % annual increase for the 2022 period (rather than a 2% increase as previously requested). A summary of the pricing terms is provided below based on continuation of the program at the current level of staffing and services with a 1% increase on the base fee effective January 1, 2022. Also note, as agreed, the per diem rate will be reduced to the new amount of $1.25 going forward. Contract Period: January 1, 2022, through December 31, 2022 Base contract fee: $141,922.92 $11,826.91 er month Per diem greater than 80 inmates: $1.25 Annual outside cost pool limit: $30,000.00 includes 80% pool refundprovision) Please return a signed copy of this letter to me at your earliest convenience, either scanned to email (carmen.hamilton(ODsouthernhealthoartners com) or by fax (803-802-1495 direct fax). Except as noted above, or as may be amended or modified by mutual written agreement between the parties, all °provisions of the contract will remain in full for, and effect. Feel free to reach out should you have any questions or need anything further for your records. I'll be more than happy to assist. My direct number in our NC/SC Regional Office is 803-802-1492. Again, we truly appreciate your business and look forward to continued partnership with you and Calhoun County in the year ahead. Si cerely, r �A Carmen Hamilton Contracts Manager /cph cc: Rachel Martinez CALHO OUNTY,TX BY: 7 Richard H. Meyer Calhoun County Judge Date: December 15, 2021 Southern Health Partners, Inc. d/b/a SHP Vista Health Management, Inc. Health Services Agreement RENEWAL Beginning January 1, 2021 and Ending December 31, 2021 ' .' Southern Health Partners Your Partner In Affordable Inmate Healthcare September 30, 2020 Sheriff Bobbie Vickery Calhoun County Sheriffs Office 211 South Ann Street Port Lavaca, TX 77979 Re: Health Services Agreement Dear Sheriff Vickery: SHP values the relationship we have with Calhoun County and the Sheriffs Office. With each new contract year, we look forward to a renewed commitment of partnering to provide excellent medical care for your inmates. We want to continue to grow and offer the service and results you've come to expect of us. In order to remain competitive while still retaining our quality, it will be necessary to increase our service rates for the 2021 period, effective in line with the renewal anniversary. Below is a new rate description to keep on file. The pricing reflects a 3% annual increase as well as our increased experience, quality service and reputation within the industry, Contract Period: January 1, 2021, through December 31, 2021 140, Base annualized fee: $517.72 $11,709.81 per month Per diem rester than 80: $1.70 Annual outside cost pool limit: 1 $30,000.00 fincludes 80% pool refundprovision) Rate increases are an unavoidable part of doing business, and we thank you for understanding and supporting a superior standard for continuation of our program and services in the coming year. If you have any questions or need clatification, please don't hesitate to contact me. I'll be happy to assist. For the historical contract record, I will ask you to keep this letter and return a signed copy to me at your earliest convenience, or by October 31, 2020. A scan to email or faxed copy will be fine (803-802-1495 direct fax or email car men.hami(ton(a),southernhealthoartners com). Except as stated herein, or as may be amended or modified in writing by mutual agreement of the parties, all provisions of the contract will remain in full force and effect. Thank you for your continued trust and confidence in SHP. Again, please feel free to reach out if there is anything you need. Sincerely, C.- Carmen Hamilton Contracts Manager /cph cc: Rachel Martinez ,TX I-YA 0G-1NnoLA^ cot. -I..j � 89e laq I fo�aD Southern Health Partners, Inc. d/b/a SHP Vista Health Management, Inc. Health Services Agreement AMENDMENT #4 to HEALTH SERVICES AGREEMENT Amendment #4 Beginning January 1, 2020 and Ending December 31, 2020 AMENDMENT#4 TO HEALTH SERVICES AGREEMENT This AMENDMENT#4 to Health Services Agreement dated November 19, 2013, between Calhoun County, Texas (hereinafter referred to as "C.ounty"), and Southern Health Partners, Inc., d/b/a SHP Vista Health Management, Inc., a Delaware Corporation, (hereinafter. referred to as "SHP"), with services commencing on January 1, 2014, is entered Into as of this,�f day of & /. , 2019. WITNESSETH: WHEREAS, County and SHP desire to amend the Health Services Agreement dated November 19, 2013, between County and SHP. NOW THEREFORE, In consideration of the covenants and promises hereinafter made, the parties hereto agree as follows: Section 1.2 Is hereby amended and replaced In its entirety by the following: 1.2 Pcoce of General Services The responsibility of SHP for medical care of an inmate commences with the booking and physical placement of said inmate into the Jail. The health care services provided by SHP shall be for all persons committed to the custody of the Jail, except those Identified in Section 1.7. SHP shall provide and/or arrange for all professional medical, dental, mental health and related health care and administrative services for the inmates, regularly scheduled sick call, nursing care, regular physician care, medical specialty, services, emergency medical care, emergency ambulance services when medically necessary, medical records management, pharmacy services management, administrative support services, and other services, all as more specifically described herein. SHP shall be financially responsible for the costs of all physician and nurse staffing, over- the-counter medlcations, medical supplies, on -site clinical lab ,procedures, medical hazardous waste disposal, office supplies, fortes, folders, files, travel expenses, publications, administrative services and nursing time to train officers in the Jail on various medical matters. SHP's financial responsibility for the costs of all emergency kits and restocking of emergency kit supplies, all necessary license and permit fees, all prescription pharmaceuticals, all biological products used to Prevent, diagnose or treat diseases and medical conditions (Including, but not limited to the costs Of PPD solution for Inmate Tuberculosis testing), ail x-ray procedures (inside and outside the Jail),. all offsite lab procedures, all dental services (Inside and outside the Jail) and all medical and mental health services rendered outside the Jail shall be limited by the annual cost pool described In Section"1.5 of this Agreement. All pool costs In excess of the annual cost pool limit shall be the financial responsibility of the County, or shall not otherwlse be the financial responsibility of SHP. Should new legislation require substantial or new medical directives to SHP In the provision Of services under this Agreement, SHP will not be financially responsible for changes to Its program, rather SHP would have the ability to seek from the County any additional monies to fund such directives. Effective on or about January 1, 2020, the services of Faspsych, for 2417 video mental health consultations on demand, shall be made available to County through SHP. Should County elect to utilize Faspsych, the cost of the services shall be in addition to SHP's base contract fee, incurred on a per -use basis at a net rate of $150.00 per incident, with the costs going Into the pool accounting and subject to the annual pool limit as set forth in Section No. 1.5. Section 1,8 is hereby amended and replaced In its entirety by the following- 1.5 Limitations On Costs - Cost Pool: SHP shall, at Its own cost, arrange for medical services for any inmate who, In the opinion of the Medical Director (hereinafter meaning a licensed SHP physician), requires such care. SHP's maximum liability for costs associated with all emergency kits and restocking of emergency kit supplies, all necessary license and permit fees, all prescription pharmaceuticals, all biological products used to prevent, diagnose or treat diseases and medical conditions (including, but not limited to the costs of PPD solution for Inmate Tuberculosis testing), all x-ray procedures (Inside and outside the Jail), all oft site lab procedures, all dental services (inside and outside the Jail) and all medical and mental health services for inmates rendered outside of the Jail will be limited by a pool established In the amount of $30,000.00 in the aggregate for all inmates in each year (defined as a twelve-month contract period) of this Agreement. if the costs of all care as described in this Section 1.5 exceed the amount of $30,000.00 in any year, SHP will either pay for the additional services and submit invoices supporting the payments to the County along with an SHP invoice for one hundred percent (100%) of the costs in excess of $30,000.00 or, In the alternative, will refer all additional qualifying invoices to County for payment directly to the provider of care. For all invoices payable to SHP as reimbursement for pool excess costs, such amounts shall be payable by County within thirty days of the SHP Invoice date. -SHP will allow a grace period of up to sixty days from the date of invoice, and will thereafter apply a late fee of two percent (2%) on the balance each month unfit SHP has been reimbursed in full. For purposes of this Section 1.5, the pool amount will be prorated for any contract period of less or more then twelve months. If the costs of all care as described in this Section 1.5 are less than $30,000.00 In any year (defined as a twelve-month contract period), SHP will repay to County eighty percent (800/0) of the balance of unused cost pool funds up to the $30,000.00 annual limit. County acknowledges that, at the and of each contract period, the cost pool billing will remain open for approximately sixty days in order to allow reasonable time for processing of additional claims received after the new contract period begins and prior to Issuing any such refund to County for unused cost pool funds. Specifically, the cost pool cut-off will be mid -February based on a contract period schedule ending in mid -December each year. SHP will continue to process cost pool payments applicable to the prior contract period through mid -February and apply those amounts toward the prior year's cost pool limit. Any additional cost pool charges received subsequent to the cut-off date which are applicable to the prior contract period will either be'rolled over into the pool for the current conirdot period or be referred to County for payment directly to the provider of care. The Intent of this Section 1.5 Is to define SHP's maximum financial liability and limitation of costs for all emergency kits and restocking of emergency kit supplies, all necessary license and permit fees, all prescription pharmaceuticals, all biological products used to prevent, diagnose or treat diseases and medical conditions (including, but not limited to the costs of PPD solution for Inmate Tuberculosis testing), all x-ray procedures (inside and outside the Jail), all off -site lab procedures, all hospitalizations, all dental services (inside and outside the Jail) and all other medical and mental health services rendered outside the Jail. Effective on or about January 1, 2020, the services of Faspsych, for 2417 video mental health consultations on demand, shall be made available to County through SHP. Should County elect to utilize Faspsych, the cdst of the services shall be in addition to SHP's base contract fee, Incurred on a per -use basis at a flat rate of $150.00 per incident, with the costs going Into the pool accounting and subject to the annual pooT limit as set forth in Section No.1.5. Section 2.1 Is hereby replaced in Its entirety by the following: 2.1 Staffing_ SHP shall provide medical and support personnel reasonably necessary for the rendering of health care services to inmates at the Jail as described in and required by this Agreement. County acknowledges that SHP will provide on -site staffing coverage averaging thirty (30) nursing hours per week, according to a regular schedule of six (6) hours per weekday. Staffing hours worked in excess of this contracted staffing plan, not to Include'SHP training hours, may be billed back to the County on a monthly basis, at the actual wage and benefit rate, for staffing services performed on•site at the facility. Further, County acknowledges that SHP wilt not provide medical staff on SHP-designated holidays, and there will be an allowance for a reasonable number of absences for medical staff vacation and sick days. If any such absences exceed five (5) consecutive days, not to Include vacation time or SHP-designated holidays, SHP will refund the County the cost of the staffing hours on the next month's base fee billing. It is understood the Professional Provider may be filled by a Physician, or Mld-Level Practitioner. Either will be duly licensed to practice medicine In the State of Texas, and will be available to our nursing staff for resource, consultation and direction twenty-four (24) hours per day, seven (7) days per week. The scheduling of staff shifts may be'Oexible and adjusted by SHP In order to maintain" stability of the program and consistency with staff. Any adjustments or changes to fixed schedules would be made after discussions with the Jail Administrator and other Involved County ofilcials. Professional Provider visit times and dates will be coordinated with Jail Management, and may include the use of telehealth services. Some of the Professional Provider time may be used for phone consults with medical staff and for other administrative duties. Section 6.1 is hereby replaced in Its entirety by the following: 6.1 Term, This Agreement shall commence on January 1, 2014, The renewal period of this Agreement beginning on January 1, 2020, shall run for twelve (12) months ending on December 31, 2020. This Agreement shall thereafter be automatically extended for additional renewal periods of one-year each, subject to County funding availability, unless either party provides written notice to the other of Its intent to terminate, or non -renew, In accordance with the provisions of Section No. 6.2 of this Agreement. Section 7.1 Is hereby replaced In its entirety by the following: 7.1 Base Compensation Effective January 1, 2020, County will compensate SHP based on the twelve-month, annualized price of $136,425.00 during the term of this Agreement, payable In monthly installments. Monthly Installments based on the twelve-month, annualized price•of $136,426.00 will be in the amount of $11,368.75 each. SHP will bill County approximately thirty days prior to the month in which services are to be rendered. County agrees to pay SHP prior to the tenth day of the month in which services are rendered. In the event this Agreement should commence or terminate on a date other than the first or last day of any calendar month, compensation to SHP Wit be prorated accordingly for the shortened month. Section 7.2 is hereby replaced in its entirety by the following: 72 increases in Inmate Population County and SHP agree that the annual base price Is calculated based upon an average dolly inmate population of up to 80. Effective January 1, 2020, if the average dolly Inmate population exceeds 80 inmates, the compensation payable to SHP by County shalt be Increased by a• per diem rate of $1.65 for each Inmate over 80. The average daily inmate resident population shall be calculated by adding the population or head count totals taken at a consistent time each day and dividing by the number of counts taken. The excess over an average of 80, If any, will be multiplied by the per diem rate and by the number of days in the month to arrive at the increase in compensation payable to SHP for that month. In all cases where adjustments become necessary, the invoice adjustment will be made on the invoice for a subsequent month's services. 'For example, if there is an average population for any given month of 85 Inmates, resulting in an excess of live (5) Inmates, then SHP shall receive additional compensation of five' (5) times the per diem rate times the number of days in that month. The resulting amount will be an addition to the regular base fee and will be billed on a subsequent monthly Invoice. This per diem Is intended to covet additional cost in those instances where minor, shod - term changes In the inmate population result in the higher utilization of routine supplies and services. However, the per diem is not intended to provide for any addifforial fixed costs, such as now fixed staffing positions that might prove necessary if the inmate population grows significantly and If the population increase is sustained. in such cases, SHP reserves the right to negotiate for an Increase to Its staffing,complement and its contract price in order to continue to provide services to the Increased number of inmates and maintain the quality of care. This would be done with the full knowledge and agreement of the Jail Administrator, Sheriff and other Involved County officials, and following appropriate notification to County. IN WITNESS WHEREOF, the parties have executed. this Agreement In their official capacities with legal authority to do so, CALHOUN COUNTY,TX BY: �— t Date: AT +� Date: �l'ol��10 0 SOUTHERN HEALTH PARTNERS, INC. dd1b� i SHP VISTA HEA(.'H MANAGEMENT, INC. ;�:a CAjj E Southern Health Partners, Inc. d/b/a SHP Vista Health Management, Inc. Health Services Agreement RENEWAL Beginning January 1, 2019 and Ending December 31, 2019 ,: ,: ,: ,: Southern Health Partners four Partner In Affordable Inmate Healthcare September 25, 2018 Ms. Michelle Velasquez Jail Administrator Calhoun County Adult Detention Center 302 West Live Oak St. Port Lavaca, TX 77979 Re: Health Services Agreement Dear Michelle: SHP appreciates the opportunity to work with Calhoun County and the Sheriffs Office in managing the inmate medical needs at the Jail. I am writing this letter to acknowledge renewal of the Health Services Agreement for the 2019 period. Beginning in January, we will need an adjustment on our service rates to help keep pace with the current market in attracting and retaining strong, well -qualified staff in corrections and the growing costs of providing medical services. Staffing is just one area where we are experiencing increased costs with industry -wide nursing shortages heavily impacting our site budgets, in terms of keeping consistent coverage in place and offering competitive local -area pay. Increased patient acuity has also increased our resource needs. Plus, we must account for other operating expenses which unfortunately do continue to go up each year (such as insurance/benefits, administration and travel). We are committed to keeping the contract priced reasonably while providing the highest level of quality care for the inmates. A 3% annual increase has been figured on the contract based on continuation of the program at the current level of staffing and services. This will give us a new per diem and base contract amount as follows: Contract Period: January 1, 2019, through December 31, 2019 Base annualized fee: $134,408.88 ($11,200.74 per month) Per diem greater than 80: $1.63 Annual outside cost pool limit: $30,000.00 (includes 80% OCP refund provision) Of course, if you have any questions, concerns or needs, please feel free to call me direct in our NC/SC Regional Office at 803-802-1492. I'll be glad to assist. For the historical record, 1 will ask you to keep this letter with your contract and return a signed copy to me by on or before October 31. 2018. A scan to email or faxed copy will be fine (803-802-1495 direct fax or email cermen.amilton usoufr; rnnealthpartners.com). Except as stated herein, or as may be amended or modified in writing by mutual agreement of the parties, all provisions of the contract will remain in full force and effect. Thank you in advance. We look forward to continuing a successful partnership in the new contract year. Sincerely, cl_ - n Carmen Hamilton Contracts Manager /cph CALHOUN COUNTY, TX BY: Southern Health Partners, Inc. d/b/a SHP Vista Health Management, Inc. Health Services Agreement RENEWAL Beginning January 1, 2018 and Ending December 31, 2018 ISouthern Health Partners Your Partner In Affordable Inmate Healthcare September 27, 2017 Ms. Michelle Velasquez Jail Administrator Calhoun County Adult Detention Center 302 West Live Oak St, Port Lavaca, TX 77979 Re: Health Services Agreement Dear Michelle: SHP continues to be a proud partner with Calhoun County and the Sheriffs Office in providing for the delivery of inmate health services. Our Health Services Agreement is coming up soon for renewal, and I am writing this letter to acknowledge a change in pricing terms for the 2018 period. Remember there have been a couple years in the contract history when we were able to let go without an inflationary increase. Over time, however, many of our operating expenses have continued to go up, including those related to insurance, administration and travel, plus we must allow for higher fixed costs for items such as employee benefits and nurse wages. With nurse wage rates having risen considerably, and also taking into account the aspect of nurse shortages, offering competitive local area pay is essential to attracting and keeping well -qualified nurses working for us in corrections. We want to assure the County of our commitment to provide an exemplary program of care. The pricing outlined below includes a 3%.annual adjustment for the 2018 period. Keep in mind this is less than CPI increase. This will give us a new per diem and base contract amount as follows: Contract period: January 1, 2018, through December 31, 2018 Base annualized fee: $130,494.00 ($10,874.50 per month) Per diem greater than 80: $1.58 Annual outside cost pool limit: $30,000.00 (includes 80% OCP refund provision) " As always, you are welcome to give me a call with any questions. I'll be happy to assist. You can reach me direct in our NC/SC Regional Office at 803-802-1492. 1 will ask you to please keep this letter on file and return a signed copy to me by on or before October 31, 2017. A scanned email copy or faxed copy will be fine (803-802-1495 direct fax or email carmen.hamiltonC&southernhealthoartners com). Except as noted above, or as may be modified or amended by mutual written agreement between the parties, all provisions of the contract will remain in full force and effect. Thank you in advance. We look forward to continued business with an excellent customer. Sincerely, S UT�HE'RNJ�iEEALTH PARTNERS, INC. Carmen Hamilton Contracts Manager /cph CALHOUN COUNTY, TX BY: Southern Health Partners, Inc. d/b/a SHP Vista Health Management, Inc. Health Services Agreement RENEWAL Beginning January 1, 2017 and Ending December 31, 2017 I September 27, 2016 Ms. Michelle Velasquez Jail Administrator Calhoun County Adult Detention Center 302 West Live Oak St Port Lavaca, TX 77979 Re: Health Services Agreement Dear Michelle: We, at SHP, are proud to be working in partnership with the Sheriffs Office as the on -site provider of inmate medical care. The Health Services Agreement is coming up soon to rollover in January, and we look forward to beginning a new year of services. SHP remains committed to providing a cost-efficient quality program. Remember for the past two years, with approval for increasing the nurse staffing plan, we let the contract go without an annual price increase for renewal. For the new period beginning in January, however, we will need an adjustment to help us keep up with the costs of doing business and providing medical services, which continue to rise each year. We must allow for higher fixed costs for items such as employee wages and benefits, plus many of our other operating costs have increased over time, including those related to insurance, administration and travel. We have planned on a 2% inflationary increase for the 2017 contract year. This is a difference of $207.02 more per month on the base rate. Please look for the monthly billings to adjust accordingly, effective January 1, 2017. The new per diem and base contract amount are noted below for your records. Contract period: January 1, 2017, through December 31, 2017 Base annualized fee: $126,693.24 ($10,557.77 per month) Per diem greeter than 80: $1.53 Annual outside cost pool limit: $30,000.00 (includes 80% OCP refund provision) Of course, should you have any questions or wish to discuss the contract, feel free to give me a call. I can be reached directly in our NC/SC Regional Office at 803-802-1492. I'll be happy to assist with anything you may need. Otherwise, please keep this letter for your file and return a signed copy to me at your earliest convenience. A scanned email copy or faxed copy will be fine (803-802-1495 direct fax or email carmen.hamiltonna southernhealthoartners com). Except as modified above, or as may be further amended or modified by mutual written agreement between the parties, all provisions of the contract will remain in full force and effect. Thank you in advance. Calhoun County is a valued customer. We hope to have the privilege of doing business together for many years to come. S' cer y, CALHOUN COUNTY, TX BY: """"`xxx 111 UUU ���-- Carmen Hamilton Contracts Manager Southern Health Partners, Inc. d/b/a SHP Vista Health Management, Inc. Health Services Agreement AMENDMENT #2 to HEALTH SERVICES AGREEMENT Amendment #2 Beginning January 1, 2016 and Ending December 31, 2016 Southern Health Partners Your Partner In Affordable Inmate Healthcare October 8, 2015 Rachel Martinez Jail Administrator Calhoun County Adult Detention Center 302 West Live Oak Port Lavaca, TX 77979 Re: Health Services Agreement Dear Rachel: This letter serves to acknowledge SHP's request for a change in the contract staffing provided under the Health Services Agreement. We are asking for the County's support in adjusting the base price to account for an increase in the contract staffing plan at the facility to a new average schedule of thirty hours each week (covering weekdays). Again, it is our full expectation that, going forward, a full-time status 30-hour a week position will be essential to keeping a consistent staff member in place at the facility and improving the overall stability of the program. We are requesting an increase in base contract compensation to account for the additional nursing hours. The cost we initially offered to incorporate 10 hours into the regular staffing plan, bringing the MT position up from 20 hours to a new average of 30 hours per week, was $19,326.00 annualized. We have now agreed to reduce this amount by $3,000.00 to $16,326.00 ($1,360.50 per month) with approval of the enclosed Amendment making the rate adjustment effective January 1, 2016. The change will increase the County's annualized contract price to the new amount of $124,209.00 ($10,350.75 per month). Please review the Amendment at your earliest opportunity and contact me if you have any questions. Notice the Amendment includes several other sections with recent updates we have made in our standard contract language. We would like to take the opportunity while amending the contract to incorporate these updates. As a part of our offer, with the County's approval of the Amendment, we will agree to continue under the same terms and pricing for another year, under the increased staffing plan, without an overall annual or inflationary price increase for the 2016 renewal period. You'll find this covered in Section No. 7.3. Please be advised, however, without the approved change for the staffing increase, SHP will need at a minimum a 10% fee increase for 2016 to help us with operating costs over this next contract year. Otherwise, we would need to discuss the contract options with the County further, and make a determination whether it will be feasible to continue services. We hope to avoid such a circumstance and want to continue working with the County to provide a quality, efficient program of care for the inmates. Please do feel free to give me a call with any questions or concerns. I can be reached directly in our NC/SC Regional Office at 803-802-1492. Thank you in advance. We appreciate your time and assistance. Scerely, Caro a He Ilton Contracts Manager /cnh AMENDMENT#2 TO HEALTH SERVICES AGREEMENT This AMENDMENT 42 to Health Services Agreement dated November 19. 2013. between Calhoun County. Texas (hereinafter referred to as "County"), and Southern Health Partners. Inc., d/b/a SHP Vista Health Management, Inc., a Delavyff Corporation., (hereinafter referred to as "SHP"), with services commencing on January 1, M-4, is entered into as of this jq day of ovwter , 2015. WITNESSETH: WHEREAS, County and SHP desire to amend the Health Services Agreement dated November 19. 2013. between: County and SHP. NOW THEREFORE, in consideration of the Covenenis and promises hereinafter made, the parties hereto agree as follows. Section 2.1 is hereby replaced in its entirety by the following: 2.1 Staffing. SHP shall provide medical and support personnel reasonably necessary for the rendering of health care services to inmates at the Jail as described in and required by this Agreement. County acknowledges that SHP will not provide medical staff on SHP-designated holidays, and there will be an allowance for a reasonable number of absences for medical staff vacation and sick days. County and SHP agree that. effective January 1, 2016, the amount of base contract compensation to SHP shall be adiusted to account for an increase in the on -site nurse staffing plan at the facility, to a nevi average schedule of thirty hours per week (covering weekdays). Section 4,1 is hereby replaced in its entirety by the fotlowirig: 4.1 General. SHP and County understand that adequate security services are essential and necessary for the safety of the agents. employees and subcontractors of SHP as wolf as for the security of inmates and County's staff. consistent with the correctional setting County will take all reasonable steps to provide sufficient security to enable SHP to safely and adequately provide the health care services described in this Agreement. It is expressly understood by County and SHP that the provision of security and safety for the SHP personnel is a continuing precondition of SHP's obligation to provide its services in a routine, timely, and proper fashion, to the extent that if, in SHP's sole discretion, the safety and security of SHP personnel are compromised, SHP may exercise its right to immediately terminate services, in accordance with the provisions of Section: No. 6.2(b) of this Agreement. Section 6.1 is hereby replaced in its entirety by the following: 2016 6.1 Term This Agreement shall commence on January 1,20t4. The temi of this Agreement shall end on December 31, 2016. and shall be automatically extended for additional one-year terms, subject to County funding availability, unless either party provides written notice to the other of its intent to terminate at the end of the period. Section 6.2 is hereby replaced in its entirety by the following: 6.2 Termination. This Agreement, or any extension thereof, may be terminated as otherwise provided in this Agreement or as follows: (a) Termination by agreement. In the event that each party mutually agrees in writing, this Agreement may be terminated on the terms and date stipulated therein. (b) Termination for Cause. SHP shall have the right to terminate this Agreement at any time for Cause, which may be effected immediately after establishing the facts warranting the termination, and without any further obligation to County, by giving written notice. and a statement of reasons to County in the event: (i) the safety and security of SHP personnel is determined by SHP, in its sole discretion., to be compromised.. either as a direct. or indirect. result of County's failure to provide adequate security services, the provision of which is a continuing precondition of SHP's obligation to perform work under this Agreement, or (ii) County fails to compensate SHP for charges or fees due, either in whole. or in part, under this Agreement, according to the terms and provisions as stated herein. Cause shall not, however, include any actions or' circumstances constititing Cause under (i'I or (ii) above if County cures such actions or circumstances within a specified period following delivery of written notice by SHP setting forth the actions or circumstances constituting Cause, during which period SHP may permit County, solely by express agreement, time to provide sufficient remedy to SHP's satisfaction. In all cases, this Agreement may be terminated immediately by SHP, without notice, if, in SHP's sole discretion, such immediate termination of services is necessary to preserve the safety and well-being of SHP personnel. Upon such a termination for Cause, County acknowledges that, SHP shall be entitled to all compensation fees and charges due for services rendered hereunder, without penalty or liability to SHP, up through and including the last day of services, and further that, County shall be obligated to compensate SHP accordingly for such services rendered up through and including the last day of services, consistent with the terms and provisions of this Agreement. If any costs relating to the period subsequent to such termination date have been paid by County in the case of (i) above. SHP shall promptly refund to County any such prepayment. (c) Termination by Cancellation. This Agreement may be canceled without cause by either party upon sixty (60) days prior written notice in accordance with Section 9.3 of this Agreement. (d) Annual Appropriations and Funding. This Agreement shall be subject to the annual appropriation of funds by the Calhoun County Commissioners' Court. Notwithstanding any provision herein to the contrary, in the event funds are not appropriated for this Agreement. County shall be entitled to immediately terminate this Agreement, without penalty or liability, except the payment of all contract fees due under this Agreement through and including the last day of service. Section 7.1 is hereby replaced in its entirety by the following: i.1 Base Compensation. Effective January 1, 2016, County will compensate SHP based on the twelve-month annualized price of $$124,209.00 during the term of this Agreement, payable in monthly installments. Monthly installments during the term of this Agreement based on the twelve-month annualized price of $124,200.00 will be in the amount of $10,350.75 each SHP will bill County approximately thirty days prior to the month in which services are to be rendered. County agrees to pay SHP'Prior to the tenth day of the month in which services are rendered. In the event this Agreement should commence or terminate on a date other than the first or last day of any calendar month, compensation to SHP will be prorated 'accordingly for the shortened month. Section 7.3 is hereby re-inserted and replaced in its entirety by the following: T3 Euture Years' Cempensation The amount of compensation (i.e.. annual base price and per diem rate as defined in Sections 7.1 and 7.2, respectively) to SHP shall be subject to annual price increase at the beginning of each contract year. County does hereby acknowledge that the amount of base compensation to SHP shall increase effective January 1, 2016. to account for additional nursing hours incorporated as a part of the on -site staffing plan, and that, for the tv✓elve-month renewal period effective January 1. 2016, the parties have agreed to continue the terms of this Agreement, under the increased staffing plan of an average of 30 hours each week, at the same price as stated in Section No. 7.1, without any further overall annual or inflationary price increase on the base contract compensation or per diem rate. SHP shall provide written notice to County, within 90 days of renewal, of the amount of annual compensation increase requested for subsequent renewal periods effective on or after January 1. 2017. or shall otherwise negotiate mutually agreeable terms with County prior to the beginning of each annual renewal period. IN WITNESS WHEREOF, the parties have executed this Agreement in their official capacities with legal authority to do so. (3p: tJ v3/E e�Anenso,Y ✓7 tP wrs' CR d..f�o Cu',NocUrtfau, G,NUN7Y Ctenx. Date: r o l f-?-4-%c 1g CALHOUN COUNTY, TX BY: , J./ Date: 12 i SOUTHERN HEALTH PARTNERS. INC. d/b/a SHP VISTA HEALTH MANAGEMENT, INC. BY!' • i i i v Date: I yr•?"i � " 'l. l ` Southern Health Partners, Inc. d/b/a SHP Vista Health Management, Inc. Health Services Agreement AMENDMENT #1 to HEALTH SERVICES AGREEMENT Amendment #1 Beginning January 1, 2015 and Ending December 31, 2015 OPTION A AMENDMENT411 TO HEALTH SERVICES AGREEMENT This AMENDMENT #1 to Health Services Agreement dated November 19, 2013, between Calhoun County, Texas (hereinafter referred to as "County'), and Southern Health Partners, Inc., dlbla SHP Vista Health Management, Inc., a Delaware Corporation, (hereinafter referred to as "SHP"), with services commencing on January 1, 2014, is entered into as of this _ day of , 2014. WITNESSETH: WHEREAS, County and SHP desire to amend the Health Services Agreement dated November 19, 2013, between County and SHP. NOW THEREFORE, in consideration of the covenants and promises hereinafter made, the parties hereto agree as follows: Section 21 is hereby replaced in its entirety by the following: 2.1 Slaffina. SHP shall provide medical and support personnel reasonably necessary for the rendering of health care services to inmates at the Jail as described in and required by this Agreement. County acknowledges that SHP will not provide medical staff on SHP-designated holidays, and there vrill be an allowance for a reasonable number of absences for medical staff vacation and sick days. County and SHP agree that, effective January 1, 2015, the on -site nurse staffing plan will increase to a new average schedule of twenty hours per week (covering weekdays). Section 6.1 is hereby replaced in its entirety by the following: 6.1 Term., This Agreement shall commence on January 1, 2014. The term of this Agreement shall end on December 31, 2015;, and shall be automatically extended for additional one-year terms, subject to County funding availability, unless either party provides written notice to the other of its intent to terminate at the end of the period. Section 7.1 is hereby replaced in its entirety by the following: 7.1 Base Compensation. Effective January 1, 2015, County Will compensate SHP based on the twelve-month annualized price of $107,883-OD during the term of this Agreement, payable In monthly installments. Monthly installments during the term of this Agreement based on the twelve-month annualized price of $107,883.00 will be in the amount of $8,990.25 each. SHP will bill County approximately thirty days prior to the month in which services are to be rendered. County agrees to pay SHP prior to the tenth day of the month in which services are rendered. In the event this Agreement should commence or terminate on a date other than the first or last day of any calendar month, compensation to SHP will be prorated accordingly for the shortened month. Section 7.3 is hereby re-inserted and replaced in its entirety by the following: 7.3 Future Years' Compensation The amount of compensation (i.e., annual base price and per diem rate as defined in Sections 7.1 and 7.2, respectively) to SHP shall be subject to annual price increase at the beginning of each contract year, with the exception of the first renewal period effective January 1, 2015. through December 31, 2015, for which there shall be no overall renewal percentage increase on the contract. County does hereby acknowledge that the amount of base compensation to SHP shall increase effective January 1, 2015, coinciding with an increase in the number of nurse staffing hours provided by SHP, to the new twelve-month annualized amount of $107,883.00. SHP shall provide written notice to County, within 90 days of renewal, of the amount of annual compensation increase requested for subsequent renewal periods effective on or after January 1, 2016, or shall otherwise negotiate mutually agreeable terms with County prior to the beginning of each annual renewal period. IN WITNESS WHEREOF, the parties have executed this Agreement in their official capacities with legal authority to do so. ATTEST: ' �i Date: 1116S Imig CALHOUN COUNT , TX Michael J. Pfeifer. Calhoun Cou, v JudPc Date: SOUTHERN HEALTH PARTNERS, INC. dlbfaSHP VI A HEALTH MA AGEMENT, INC. lisp: ell JeffrqA"asorK Chief Executive Officer Date: l % Southern Health Partners, Inc. d/b/a SHP Vista Health Management, Inc. Health Services Agreement Beginning January 1, 2014 and Ending December 31, 2014 HEALTH SERVICES AGREEMENT THIS AGREEMENT between Calhoun County, Texas (hereinafter referred to as "County"), and Southern Health Partners, Inc., d/b/a SHP Vista Health Management, Inc., a Delaware corporation, (hereinafter referred to as "SHP'), is entered into as of the _ day of _, 201_. Services under this Agreement shall commence on PeeamberJB�i4auary e ao rq 2-9�, and shall continue through in � a,pIccordance with Section 6.1W. Mi�Ef31� 26 �r // -) I I -13 WITNESSETH: � WHEREAS, County is charged by law with the responsibility for obtaining and providing reasonably necessary medical care for inmates or detainees of the Calhoun County Adult Detention Center facility (hereinafter called "Jail") and, WHEREAS, County and Sheriff desire to provide for health care to inmates in accordance with applicable law; and, WHEREAS, the County, which provides funding as approved by the Calhoun County Commissioners' Court for the Jail, desires to enter into this Agreement with SHP to promote this objective; and, WHEREAS, SHP is in the business of providing correctional health care services under contract and desires to provide such services for County under the express terms and conditions hereof. NOW THEREFORE, in consideration of the mutual covenants and promises hereinafter made, the parties hereto agree as follows: ARTICLE I: HEALTH CARE SERVICES. 1.1 General Engagement. County hereby contracts with SHP to provide for the delivery of all medical, dental and mental health services to inmates of Jail. This care is to be delivered to individuals under the custody and control of County at the Jail, and SHP enters into this Agreement according to the terms and provisions hereof. 1.2 Scope of General Services. The responsibility of SHP for medical care of an inmate commences with the booking and physical placement of said inmate into the Jail. The health care services provided by SHP shall be for all persons committed to the custody of the Jail, except those identified in Section 1.7. SHP shall provide and/or arrange for all professional medical, dental, mental health and related health care and administrative services for the inmates, regularly scheduled sick call, nursing care, regular physician care, medical specialty services, emergency medical care, emergency ambulance services when medically necessary, medical records management, pharmacy services management, administrative support services, and other services, all as more specifically described herein. z SHP shall be financially responsible for the costs of all physician and nurse staffing, over-the-counter medications, medical supplies, on -site clinical lab procedures, medical hazardous waste disposal, office supplies, forms, folders, files, travel expenses, publications, administrative services and nursing time to train officers in the Jail on various medical matters. SHP's financial responsibility for the costs of all prescription pharmaceuticals, all x-ray procedures (inside and outside the Jail), all dental services (inside and outside the Jail) and all medical and mental health services rendered outside the Jail will be limited by an annual cost pool described in Section 1.5 of this Agreement. Costs for all prescription pharmaceuticals, all x-ray procedures (inside and outside the Jail), all dental services (inside and outside the Jail) and all medical and mental health services rendered outside the Jail in excess of the annual cost pool limit shall be the financial responsibility of the County, or shall not otherwise be the financial responsibility of SHP. 1.3 Specialty Services. In addition to providing the general services described above, SHP by and through its licensed health care providers shall arrange and/or provide to inmates at the Jail specialty medical services to the extent such are determined to be medically necessary by SHP. In the event non -emergency specialty care is required and cannot be rendered at the Jail, SHP shall make arrangements with County for the transportation of the inmates in accordance with Section 1.9 of this Agreement. 1.4 Emergency Services. SHP shall arrange and/or provide emergency medical care, as medically necessary, to inmates through arrangements to be made by SHP. 1.5 Limitations On Costs - Cost Pool. SHP shall, at its own cost, arrange for medical services for any inmate who, in the opinion of the Medical Director (hereinafter meaning a licensed SHP physician), requires such care. SHP's maximum liability for costs associated with all prescription pharmaceuticals, all x-ray procedures (inside and outside the Jail), all dental services (inside and outside the Jail) and all medical and mental health services for inmates rendered outside of the Jail will be limited by a pool established in the amount of $30,000.00 in the aggregate for all inmates in each year (defined as a twelve-month contract period) of this Agreement. if the costs of all care as described in this Section 1.5 exceed the amount of $30,000.00 in any year, SHP will either pay for the additional services and submit invoices supporting the payments to the County along with an SHP invoice for one hundred percent (100%) of the costs in excess of $30,000.00 or, in the alternative, will refer all additional qualifying invoices to County for payment directly to the provider of care. For all invoices payable to SHP as reimbursement for pool excess costs, such amounts shall be payable by County within thirty days of the SHP invoice date. For purposes of this Section 1.5, the pool amount will be prorated for any contract period of less or more than twelve months. 3 If the costs of all care as described in this Section 1.5 are less than $30,000.00 in any year (defined as a twelve-month contract period), SHP will repay to County eighty percent (80%) of the balance of unused cost pool funds up to the $30,000.00 annual limit. County acknowledges that, at the end of each contract period, the cost pool billing will remain open for approximately sixty days in order to allow reasonable time for processing of additional claims received after the new contract period begins and prior to issuing any such refund to County for unused cost pool funds. Specifically, the cost pool cut-off will be mid -February based on a contract period schedule ending in mid -December each year. SHP will continue to process cost pool payments applicable to the prior contract period through mid -February and apply those amounts toward the prior year's cost pool limit. Any additional cost pool charges received subsequent to the cut-off date which are applicable to the prior contract period will either be rolled over into the pool for the current contract period or be referred to County for payment directly to the provider of care. The intent of this Section 1.5 is to define SHP's maximum financial liability and limitation of costs for all prescription pharmaceuticals, all x-ray procedures (inside and outside the Jail), all hospitalizations, all dental services (inside and outside the Jail) and all other medical and mental health services rendered outside the Jail. 1.6 Iniuries Incurred Prior to Incarceration: Pregnancy. SHP shall not be financially responsible for the cost of any medical treatment or health care services provided to any inmate prior to the inmate's formal booking and commitment into the Jail. Furthermore, SHP shall not be financially responsible for the cost of medical treatment or health care services provided outside the Jail to medically stabilize any inmate presented at booking with a life threatening injury or illness or in immediate need of emergency medical care. Once an inmate has been medically stabilized and committed to the Jail, SHP will, commencing at that point, then become responsible for providing and/or arranging for all medical treatment and health care services regardless of the nature of the illness or injury or whether or not the illness or injury occurred prior or subsequent to the individual's incarceration at the Jail. An inmate shall be considered medically stabilized when the patient's medical condition no longer requires immediate emergency medical care or outside hospitalization so that the inmate can reasonably be housed inside the Jail. SHP's financial responsibility for such medical treatment and health care services shall be in accordance with, and as limited by, Sections 1.2 and 1.5 of this Agreement. It is expressly understood that SHP shall not be responsible for medical costs associated with the medical care of any infants born to inmates. SHP shall provide 4 and/or arrange for health care services to inmates up to, through, and after the birth process, but health care services provided to an infant following birth, other than those services that may be delivered in the Jail prior to transport to a hospital, shall not be the financial responsibility of SHP. In any event, SHP shall not be responsible for the costs associated with performing or furnishing of abortions of any kind. 1.7 Inmates Outside the Facilities. The health care services contracted in the Agreement are intended only for those inmates in the actual physical custody of the Jail and for inmates held under guard in outside hospitals or other medical facilities who remain in official custody of the Jail. Inmates held under guard in outside hospitals or other medical facilities are to be included in the Jail's daily population count. No other person(s), including those who are in any outside hospital who are not under guard, shall be the financial responsibility of SHP, nor shall such person(s) be included in the daily population count. Inmates on any sort of temporary release or escape, including, but not limited to inmates temporarily released for the purpose of attending funerals or other family emergencies, inmates on escape status, inmates on pass, parole or supervised custody who do not sleep in the Jail at night, shall not be included in the daily population count, and shall not be the responsibility of SHP with respect to the payment or the furnishing of their health care services. The costs of medical services rendered to inmates who become ill or who are injured while on such temporary release or work -release shall not then become the financial responsibility of SHP after their return to the Jail. This relates solely to the costs associated with treatment of a particular illness or injury incurred by an inmate while on such temporary release. In all cases, SHP shall be responsible for providing medical care for any inmate who, after return to the Jail, presents to SHP medical staff on -site at the Jail to the extent such care can be reasonably provided on -site, or SHP shall assist with arrangements to obtain outside medical care as necessary. The costs of medical services associated with a particular illness or injury incurred by an inmate while on temporary release or work -release may be the personal responsibility of the inmate, or covered by workers' compensation, medical insurance, accident insurance, or any other policy of insurance which may provide payment for medical and hospital expenses. In the absence of adequate insurance coverage, such costs may, at the election of the County, be applied toward the annual cost pool described in Section 1.5, but shall not otherwise be the financial responsibility of SHP. Persons in the physical custody of other police or other penal jurisdictions at the request of County, by Court order or otherwise, are likewise excluded from the Jail's population count and shall not be the responsibility of SHP for the furnishing or payment of health care services. 5 1.8 Elective Medical Care. SHP shall not be responsible for providing elective medical care to inmates, unless expressly contracted for by the County. For purposes of this Agreement, "elective medical care" means medical care which, if not provided, would not, in the opinion of SHP's Medical Director, cause the inmate's health to deteriorate or cause definite harm to the inmate's well-being. Any referral of inmates for elective medical care must be reviewed by County prior to provision of such services. 1.9 Transportation Services. To the extent any inmate requires off -site non - emergency health care treatment including, but not limited to, hospitalization care and specialty services, for which care and services SHP is obligated to arrange under this Agreement, County shall, upon prior request by SHP, its agents, employees or contractors, provide transportation as reasonably available provided that such transportation is scheduled in advance. When medically necessary, SHP shall arrange all emergency ambulance transportation of inmates in accordance with Section 1.4 of this Agreement. ARTICLE If: PERSONNEL. 2.1 Staffing. SHP shall provide medical and support personnel reasonably necessary for the rendering of health care services to inmates at the Jail as described in and required by this Agreement. County acknowledges that SHP will not provide medical staff on SHP-designated holidays, and there will be an allowance for a reasonable number of absences for medical staff vacation and sick days. 2.2 Licensure. Certification and Registration of Personnel All personnel provided or made available by SHP to render services hereunder shall be licensed, certified or registered, as appropriate, in their respective areas of expertise as required by applicable Texas law. 2.3 County's Satisfaction with Health Care Personnel If County becomes dissatisfied with any health care personnel provided by SHP hereunder, or by any independent contractor, subcontractors or assignee, SHP, in recognition of the sensitive nature of correctional services, shall, following receipt of written notice from County of the grounds for such dissatisfaction and in consideration of the reasons therefor, exercise its best efforts to resolve the problem. If the problem is not resolved satisfactorily to County, SHP shall remove or shall cause any independent contractor, subcontractor, or assignee to remove the individual about whom County has expressed dissatisfaction. Should removal of an individual become necessary, SHP will be allowed reasonable time, prior to removal, to find an acceptable replacement, without penalty or any prejudice to the interests of SHP. 6 2.4 Use of Inmates in the Provision of Health Care Services Inmates shall not be employed or otherwise engaged by either SHP or County in the direct rendering of any health care services. 2.5 Subcontracting and Delegation. In order to discharge its obligations hereunder, SHP shall engage certain health care professionals as independent contractors rather than as employees. County consents to such subcontracting or delegation. As the relationship between SHP and these health care professionals will be that of independent contractor, SHP shall not be considered or deemed to be engaged in the practice of medicine or other professions practiced by these professionals. SHP shall not exercise control over the manner or means by which these independent contractors perform their professional medical duties. However, SHP shall exercise administrative supervision over such professionals necessary to insure the strict fulfillment of the obligations contained in this Agreement. For each agent and subcontractor, including all medical professionals, physicians, dentists and nurses performing duties as agents or independent contractors of SHP under this Agreement, SHP shall provide County proof, if requested, that there is in effect a professional liability or medical malpractice insurance policy, as the case may be, in an amount of at least one million dollars ($1,000,000.00) coverage per occurrence and five million dollars ($5,000,000.00) aggregate. 2.6 Discrimination. During the performance of this Agreement, SHP, its employees, agents, subcontractors, and assignees agree as follows: a. None will discriminate against any employee or applicant for employment because of race, religion, color, sex or national origin, except where religion, sex or national origin is a bona fide occupational qualification reasonably necessary to the normal operation of the contractor. b. In all solicitations or advertisements for employees, each will state that it is an equal opportunity employer. c. Notices, advertisements and solicitations placed in accordance with federal law, rule or regulation shall be deemed sufficient for the purpose of meeting the requirements of this section. ARTICLE III REPORTS AND RECORDS 3.1 Medical Records. SHP shall cause and require to be maintained a complete and accurate medical record for each inmate who has received health care services. Each medical record will be maintained in accordance with applicable laws and County's policies and procedures. The medical records shall be kept separate from the inmate's confinement record. A complete legible copy of the applicable medical record shall be available, at all times, to County as custodian of the person of the patient. Medical records shall be kept confidential. Subject to applicable law regarding confidentiality of such records, SHP shall comply with Texas law and County's policy with regard to access by inmates and Jail staff to medical records. No information contained in the medical records shall be released by SHP except as provided by County's policy, by a court order, or otherwise in accordance with the applicable law. SHP shall, at its own cost, provide all medical records, forms, jackets, and other materials necessary to maintain the medical records. At the termination of this Agreement, all medical records shall be delivered to and remain with County. However, County shall provide SHP with reasonable ongoing access to all medical records even after the termination of this Agreement for the purposes of defending litigation. 3.2 Regular Reports by SHP to County. SHP shall provide to County, on a date and in a form mutually acceptable to SHP and County, monthly statistical reports relating to services rendered under this Agreement. 3.3 Inmate Information. Subject to the applicable Texas law, in order to assist SHP in providing the best possible health care services to inmates, County shall provide SHP with information pertaining to inmates that SHP and County mutually identify as reasonable and necessary for SHP to adequately perform its obligations hereunder. 3.4 SHP Records Available to County with Limitations on Disclosure SHP shall make available to County, at County's request, records, documents and other papers relating to the direct delivery of health care services to inmates hereunder. County understands that written operating policies and procedures employed by SHP in the performance of its obligations hereunder are proprietary in nature and shall remain the property of SHP and shall not be disclosed without written consent. Information concerning such may not, at any time, be used, distributed, copied or otherwise utilized by County, except in connection with the delivery of health care services hereunder, or as permitted or required by law, unless such disclosure is approved in advance writing by SHP. Proprietary information developed by SHP shall remain the property of SHP. 3.5 County Records Available to SHP with Limitations on Disclosure During the term of this Agreement and for a reasonable time thereafter, County shall provide SHP, at SHP's request, County's records relating to the provision of health care services to inmates as may be reasonably requested by SHP or as are pertinent to the investigation or, defense of any claim related to SHP's conduct. Consistent with applicable law, County shall make available to SHP such inmate medical records as are 8 maintained by County, hospitals and other outside health care providers involved in the care or treatment of inmates (to the extent County has any control over those records) as SHP may reasonably request. Any such information provided by County to SHP that County considers confidential shall be kept confidential by SHP and shall not, except as may be required by law, be distributed to any third party without the prior written approval of County. ARTICLE IV: SECURITY 4.1 General. SHP and County understand that adequate security services are essential and necessary for the safety of the agents, employees and subcontractors of SHP as well as for the security of inmates and County's staff, consistent with the correctional setting. County shall take all reasonable steps to provide sufficient security to enable SHP to safely and adequately provide the health care services described in this Agreement. It is expressly understood by County and SHP that the provision of security and safety for the SHP personnel is a continuing precondition of SHP's obligation to provide its services in a routine, timely, and proper fashion. 4.2 Loss of Equipment and Supplies. County shall not be liable for loss of or damage to equipment and supplies of SHP, its agents, employees or subcontractors unless such loss or damage was caused by the negligence of County or its employees. 4.3 Security During Transportation Off -Site. County shall provide prompt and timely security as medically necessary and appropriate in connection with the transportation of any inmate between the Jail and any other location for off -site services as contemplated herein. ARTICLE V: OFFICE SPACE, EQUIPMENT, INVENTORY AND SUPPLIES 5.1 General. County agrees to provide SHP with reasonable and adequate office and medical space, facilities, equipment, local telephone and telephone line and utilities and County will provide necessary maintenance and housekeeping of the office space and facilities. 5.2 Delivery of Possession. County will provide to SHP, beginning on the date of commencement of this Agreement, possession and control of all County medical and office equipment and supplies in place at the Jail's health care unit. At the termination of this or any subsequent Agreement, SHP will return to County's possession and control all supplies, medical and office equipment, in working order, reasonable wear and tear excepted, which were in place at the Jail's health care unit prior to the commencement of services under this Agreement. 4 5.3 Maintenance and Replenishment of Equipment Except for the equipment and instruments owned by County at the inception of this Agreement, any equipment or instruments required by SHP during the term of this Agreement shall be purchased by SHP at its own cost. At the end of this Agreement, or upon termination, County shall be entitled to purchase SHP's equipment and instruments at an amount determined by a mutually agreed depreciation schedule. 5.4 General Maintenance Services. County agrees that it is proper for SHP to provide each and every inmate receiving health care services the same services and facilities available to, and/or provided to, other inmates at the Jail. �) ARTICLE VI: TERM AND TERMINATION OF AGREEMENT,,y 6.1 Term. This Agreement shall commence on 3. The initial term of this Agreement shall end on December 116 2014, and shall be automatically extended for additional one-year terms, subject to County funding availability, unless either party provides written notice to the other of its intent to terminate at the end of the period. 6.2 Termination. This Agreement, or any extension thereof, may be terminated as otherwise provided in this Agreement or as follows: a. Termination by agreement. In the event that each party mutually agrees in writing, this Agreement may be terminated on the terms and date stipulated therein. b, Termination by Cancellation. This Agreement may be canceled without cause by either party upon"sixty (60) days prior written notice in accordance with Section 9.3 of this Agreement. C. Annual Appropriations and Funding. This Agreement shall be subject to the annual appropriation of funds by the Calhoun County Commissioners' Court. Notwithstanding any provision herein to the contrary, in the event funds are not appropriated for this Agreement, County shall be entitled to immediately terminate this Agreement, without penalty or liability, except the payment of all contract fees due under this Agreement through and including the last day of service. ' 6.3 Responsibility for Inmate Health Care Upon termination of this Agreement, all responsibility for providing health care services to all inmates, including inmates receiving health care services at sites outside the Jail, shall be transferred from SHP to County. 10 ARTICLE VII. COMPENSATION. 7.1 Base Compensation. County will pay to SHP the annualized price of $98,220.00 during the initial term of this Agreement, payable in monthly installments. Monthly installments during the initial term of this Agreement will be in the amount of $8,185.00 each. SHP will bill County approximately thirty days prior to the month in which services are to be rendered. County agrees to pay SHP prior to the tenth day of the month in which services are rendered. In the event this Agreement should commence or terminate on a date other than the first or last day of any calendar month, compensation to SHP will be prorated accordingly for the shortened month. 7.2 Increases in Inmate Population. County and SHP agree that the annual base price is calculated based upon an average daily inmate population of up to 80. If the average daily inmate population exceeds 80 inmates for any given month, the compensation payable to SHP by County shall be increased by a per diem rate of $1.50 for each inmate over 80. The average daily inmate resident population shall be calculated by adding the population or head count totals taken at a consistent time each day and dividing by the number of counts taken. The excess over an average of 80, if any, will be multiplied by the per diem rate and by the number of days in the month to arrive at the increase in compensation payable to SHP for that month. In all cases where adjustments become necessary, the invoice adjustment will be made on the invoice for a subsequent month's services. For example, if there is an average population for any given month of 85 inmates, resulting in an excess of five (5) inmates, then SHP shall receive additional compensation of five (5) times the per diem rate times the number of days in that month. The resulting amount will be an addition to the regular base fee and will be billed on a subsequent monthly invoice. This per diem is intended to cover additional cost in those instances where minor, short-term changes in the inmate population result in the higher utilization of routine supplies and services. However, the per diem is not intended to provide for any additional fixed costs, such as new fixed staffing positions that might prove necessary if the inmate population grows significantly and if the population increase is sustained. In such cases, SHP reserves the right to negotiate for an increase to its staffing complement and its contract price in order to continue to provide services to the increased number of inmates and maintain the quality of care. This would be done with the full knowledge and agreement of the Jail Administrator, Sheriff and other involved County officials, and following appropriate notification to County. ��'((�� 7.3 Fut Years' Com ensation. T unt of com ensatUo i.e., ,annual base price and per diem s define in Sections 7.1 and 7.2, respectively) to SHP shall increase at th�..begihning o e h -eGnt4q4 year. The amount of compensation shall increascs6y'tw�o percent (2%) for the renewal) peso ffectivd December 16, 2014, � and by two percept (2%) for the renet;� I effective December 16, 2015. SHP shall provide written�a�tice to Co of the amount of compensation increase requested for renewal perm ective on or after December 16, 2016, or shall otherwise negotiate mutual) gret*ab `a terms with County prior to the beginning of each annual renewal period \ 7.4 Inmates From Other Jurisdictions. Medical care rendered within the Jail to inmates from jurisdictions outside Calhoun County, and housed in the Jail pursuant to written contracts between County and such other jurisdictions will be the responsibility of SHP, but as limited by Section 1.7. Medical care that cannot be rendered within the Jail will be arranged by SHP, but SHP shall have no financial responsibility for such services to those inmates. 7.5 Responsibility For Work Release Inmates. SHP and County agree that SHP will be responsible for providing on -site medical services as reasonable and appropriate to County inmates assigned to work release and/or release for community service work for government or nonprofit agencies upon an inmate's presentation to SHP medical staff at the Jail. Notwithstanding any other provisions of this Agreement to the contrary, SHP and County agree that County inmates assigned to work release, including work for County agencies, are themselves personally responsible for the costs of any medical services performed by providers other than SHP, when the illness or injury is caused by and results directly or indirectly from the work being performed, or when such illness or injury is treated while the inmate is on work release. The costs of medical services associated with a particular illness or injury incurred by an inmate while on work -release may be covered by workers' compensation, medical insurance, accident insurance, or any other policy of insurance which may provide payment for medical and hospital expenses but shall not otherwise be the financial responsibility of SHP. In all cases, SHP shall be responsible for providing medical care for any inmate who, after return to the Jail, presents to SHP medical staff on -site at the Jail, including any inmate injured or infirmed while on work release or release for community service, to the extent such care can be reasonably provided on -site, or SHP shall assist with arrangements to obtain outside medical care as necessary. ARTICLE Vill: LIABILITY AND RISK MANAGEMENT. 8.1 Insurance. At all times during this Agreement, SHP shall maintain professional liability insurance covering SHP for its work at County, its employees and its officers in the minimum amount of at least one million dollars ($1,000,000.00) per occurrence and five million dollars ($5,000,000.00) in the aggregate. SHP shall provide County with a Certificate of Insurance evidencing such coverage and shall have County named as an additional insured. In the event of any expiration, termination or modification of coverage, SHP will notify County in writing. 12 8.2 Lawsuits Against County. In the event that any lawsuit (whether frivolous or otherwise) is filed against County, its elected officials, employees and agents based on or containing any allegations concerning SHP's medical care of inmates and the performance of SHP's employees, agents, subcontractors or assignees, the parties agree that SHP, its employees, agents, subcontractors, assignees or independent contractors, as the case may be, may be joined as parties defendant in any such lawsuit and shall be responsible for their own defense and any judgments rendered against them in a court of law. Nothing herein shall prohibit any of the parties to this Agreement from joining the remaining parties hereto as defendants in lawsuits filed by third parties. 8.3 Hold Harmless. SHP agrees to indemnify and hold harmless the County, its agents and employees from and against any and all claims, actions, lawsuits, damages, judgments or liabilities of any kind arising solely out of the aforementioned program of health care services provided by SHP. This duty to indemnify shall include all attorneys' fees and litigation costs and expenses of any kind whatsoever. County or Sheriff shall promptly notify SHP of any incident, claim, or lawsuit of which County or Sheriff becomes aware and shall fully cooperate in the defense of such claim, but SHP shall retain sole control of the defense while the action is pending, to the extent allowed by law. In no event shall this agreement to indemnify be construed to require SHP to indemnify the County, its agents and/or employees from the County's, its agents' and/or employees' own negligence and/or their own actions or inactions. SHP shall, not be responsible, for any claims, actions, lawsuits, damages, judgments or liabilities of any kind arising solely out of the operation of the facility and the negligence and/or action or inaction of the Sheriff, County or their employees or agents. SHP shall promptly notify the County of any incident, claim, or lawsuit of which SHP becomes aware and shall fully cooperate in the defense of such claim, but the County shall retain sole control of the defense while the action is pending, to the extent allowed by law. In no event shall this agreement be construed to require the County to indemnify SHP, its agents and/or employees from SHP's, its agents' and/or employees' own negligence and/or their own actions or inactions. ARTICLE IX: MISCELLANEOUS. 9.1 Independent Contractor Status The parties acknowledge that SHP is an independent contractor engaged to provide medical care to inmates at the Jail under the direction of SHP management. Nothing in this Agreement is intended nor shall be construed to create an agency relationship, an employer/employee relationship, or a joint venture relationship between the parties. ]3 9.2 Assignment and Subcontracting. SHP shall not assign this Agreement to any other corporation without the express written consent of County which consent shall not be unreasonably withheld. Any such assignment or subcontract shall include the obligations contained in this Agreement. Any assignment or subcontract shall not relieve SHP of its independent obligation to provide the services and be bound by the requirements of this Agreement. 9.3 Notice. Unless otherwise provided herein, all notices or other communications required or permitted to be given under this Agreement shall be in writing and shall be deemed to have been duly given if delivered personally in hand or sent by certified mail, return receipt requested, postage prepaid, and addressed to the appropriate party(s) at the following address or to any other person at any other address as may be designated in writing by the parties: a. County: Calhoun County Commissioners' Court 211 South Ann Street, Suite 301 Port Lavaca, Texas 77979 b. SHP: Southern Health Partners, Inc. 2030 Hamilton Place Boulevard, Suite 140 Chattanooga, Tennessee 37421 Attn: President Notices shall be effective upon receipt regardless of the form used. 9.4, Governing Law and Disputes. This Agreement and the rights and obligations of the parties hereto shall be governed by, and construed according to, the laws of the State of Texas, except as specifically noted. Disputes between the Parties shall, first, be formally mediated by a third party or entity agreeable to the Parties, in which case the Parties shall engage in good faith attempts to resolve any such dispute with the Mediator before any claim or suit arising out of this Agreement may be filed in a court of competent jurisdiction. 9.5 Entire Agreement. This Agreement constitutes the entire agreement of the parties and is intended as a complete and exclusive statement of the promises, representations, negotiations, discussions and agreements that have been made in connection with the subject matter hereof. No modifications or amendment to this Agreement shall be binding upon the parties unless the same is in writing and signed by the respective parties hereto. All prior negotiations, agreements and understandings with respect to the subject matter of this Agreement are superseded hereby. 14 9.6 Amendment. This Agreement may be amended or revised only in writing and signed by all parties. 9.7 Waiver of Breach. The waiver by either party of a breach or violation of any provision of this Agreement shall not operate as, or be construed to be, a waiver of any subsequent breach of the same or other provision hereof. 9.8 Other Contracts and Third -Party Beneficiaries The parties acknowledge that SHP is neither bound by nor aware of any other existing contracts to which County is a party and which relate to the providing of medical care to inmates at the Jail. The parties agree that they have not entered into this Agreement for the benefit of any third person or persons, and it is their express intention that the Agreement is intended to be for their respective benefit only and not for the benefit of others who might otherwise be deemed to constitute third -party beneficiaries hereof. 9.9 Severability. In the event any provision of this Agreement is held to be unenforceable for any reason, the unenforceability thereof shall not affect the remainder of the Agreement which shall remain in full force and effect and enforceable in accordance with its terms. 9.10 Liaison. The Calhoun County Sheriff or his designee shall serve as the liaison with SHP. 9.11 Cooperation. On and after the date of this Agreement, each party shall, at the request of the other, make, execute and deliver or obtain and deliver all instruments and documents and shall do or cause to be done all such other things which either party may reasonably require to'effectuate the provisions and intentions of " this Agreement. 9.12 Time of Essence. Time is and shall be of the essence of this Agreement. 9.13 Authority. The parties signing this Agreement hereby state that they have the authority to bind the entity on whose behalf they are signing. 9.14 Binding Effect. This Agreement shall be binding upon the parties hereto, their heirs, administrators, executors, successors and assigns. 9.15 Cumulative Powers. Except as expressly limited by the terms of this Agreement, all rights, powers and privileges conferred hereunder shall be cumulative and not restrictive of those provided at law on in equity. CERTIFICATE OF INTERESTED PARTIES FORM 1295 l oft Complete Nos. 1.4 and 6 if there are Interested parries. Complete Nos.1, 2, 3, 5, and 5 if there are no Interested parties. OFFICE USE ONLY CERTIFICATION OF FILING Certificate Number: 2023-3.106455 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. Southern Health Partners Chattanooga, TN United States Date Filed: 12/21/2023 Date Acknowledged: 2 Name of governmentiVentity or state agency that Is a party to the contract tot which me form is being filed. CCounty, TX 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. 2024 Inmate healthcare Nature of interest 4 Name of Interested Party City, State, Country (place of business) (Meek applicable) Controlling Intermediary 5 Check only if there is NO Interested Party. 6 UNSWORN DECLARATION My name is l_D t P �A .-It and my date of biM is My address f Ste 1.4W m (street) (ally) (state) (zip code) (country) I declare under penalty of p11edury that the foregoing is true and correct Executed in '} /fVV11 E `fU ✓� County. State of SSee, on the r^1 �Lday of (month) (year) ignaluref rued en[ of contracting business entity (tie NgnaturetpVanent) .. Vpminn V3 9.1 Nhfic3f1 Forms provided by Texas Ethics Commission WWw.euuwsmao.u.�� #12 NOTICE OF MEETING — 12/2.7/2.023 12. Consider and take necessary action to approve the appointment of Kathy Heard and Louis Rubio to the Calhoun County Library Board. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Joel Behrens, Commissioner PCt 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 9 of 13 Mae Belle Cassel From: dsanchez@cclibrary.org (Dina Sanchez) <dsanchez@cclibrary.org> Sent: Tuesday, December 19, 2023 2:53 PM To: Mae Belle Cassel Subject: Commissioner's Court Agenda 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. Good evening, can you please add this to the agenda for the next meeting Consider and take necessary action to approve the appointment of Kathy Heard and Louis Rubio to the Calhoun County Library Board. Thank you and have a wonderful week and a very Merry Christmas! Thank you, Dina Sanchez Calhoun County Library Director (361)552-7323 Calhoun County Texas #13 NOTICE OF MEETING - 12/27/2023 13. Approve the minutes of the December 6, 2023 and December 13, 2023 regular meetings. RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 10 of 13 Richard ]H . Meyer County judge David ]Hall, Commissioner, Precinct 1 Vern ]Lyssy, Commissioner, Precinct 2 Joel Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 The Commissioners' Court of Calhoun County, Texas met on Wednesday, December 6, 2023, at 10:00 a.m. in the Commissioners' Courtroom in the County Courthouse at 211 S. Ann Street, Suite 104, Port ]Lavaca, Calhoun County, "Texas. Attached are the true and correct minutes of the above referenced meeting. Richard H. Meyer, C unty Judge Calhoun County, Texas Anna Goodman, County Clerk eputy Clerk Alb /Z—Z?-2-,,, Date Date Page 1 of 1 NOl"ICE OF MEETING—12/6/2023 December 6, 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 7oel Behrens Gary Reese (ABSENT) Anna Goodman By: Kaddie Smith The subject matter of such meeting is as follows: 1. Call meeting to order. County7udge 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. Sheriff Vickery read a letter received. Page 1 of 7 NOTICE OF MEETING - 1.2/6/2023 5. Consider and take necessary action to approve the lease -purchase agreement with Welch State Bank for the purchase of a Volvo ERW 130 Wheeled Excavator SN# 320764 together with all equipment, accessions, additions and attachments for R & B Precinct 1 and authorize the County Judge to sign all necessary documentation. (DEH) RESULT: _` -APPROVED [UNANIMOUS] ' _ MOVER David°Hall; Commissioner Pct 3 $000ND R: Vern Lyssy, Commissioner Pct 2 A-YES.Ij Meyer, Commissionet all Lyssy, Behrens, Reese 6. Consider and take necessary action to authorize the Hunter Hadley's Quest to utilize Little Chocolate Bayou Park and to reserve the Park Pavilion area to hold a 5K Run and fundraiser with food and craft vendors on December 16, 2023. (DEH) 7. Consider and take necessary action to authorize Rusty Hook Winery to sell alcohol at Little Chocolate Bayou Park on December 16, 2023 for the Hunter Hadley's Quest and authorize Commissioner Hall to sign the TABC Owner of Properly Authorization Letter. (DEH) RESULT: APPROVED [UNANIMOUS] MOVER; David Hall. Commissioner Pet X, SEGQNDER <Joei 6.h a s; Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Besllrens, Reese 8. Consider and take necessary action to approve a service contract between Calhoun County and Sentry Mapping for ground penetrating radar work at the Ranger Cemetery (a small cemetery near Magnolia Beach) and follow-up work on the Cemetery on the ridge on Zimmerman Road and authorize the appropriate signatures, (DEH) Page 2 of 7 NOTICE OF MEETING— 12/6/2023 9. Consider and take necessary action to approve an Interlocal Cooperative Agreement between Calhoun County and the Calhoun Port Authority for the use of Port property for the Calhoun County Precinct 1 Maintenance Facility and authorize the appropriate signatures. (DEH) RESULI:: APPROVED fUNANTMOUS]. MOVER: David Hall, Coinmissioner:Pct 1 SECONDER: Gary Reese, commissloner:Pd-411 AYES Judge Meyer; Commissioner Wall, Ly$5y, SehITT.ens, Ra�eise ` 10. Consider and take necessary action to approve Change Order No. 3 for the Calhoun County Combined Dispatch Facility Project for Calhoun, Texas and authorize the County Judge to sign all appropriate documents. (DEH) 11. Consider and take necessary action to approve a Letter of Interest to the Texas Department of Transportation — Aviation for future airport projects: (VLL) a. Apron Reconstruction b. Hangar Development c. Fuel System d. Addition of new 30' x 30' area 12. Public Hearing on a Petition to Vacate Lot R12 in Block 1 of the Replat of Lot 12 and Lot 13 of the Espiritu Santo Bay Resort in Port O'Connor, Santiago Gonzales Survey, Abstract No. 19 of Calhoun County, Texas. ,Closed 10 29am flen' ryl.ponysh explained petition. .Opened .10:30am-` Page 3 of 7 NOTICE OF MEETING—12/6/2023 13. Consider and take necessary action to Vacate Lot R12 In Block 1 of the Replat of Lot 12 and Lot 13 of the Espiritu Santo Bay Resort in Port O'Connor, Santiago Gonzales Survey, Abstract No. 19 of Calhoun County, Texas. (GDR) RESULT: APPROVED [UNANIMOUS] MpVER� Gary Reese, Commissioner Pct 4 ` SEGONDE:R. Joe l 6ehrens, Commissioner Pct 3,; AYES: Judge Meyer, Cr, Hall,'Ly&syBelirens, Ruse 14. Consider and take necessary action to approve the Preliminary Plat of the Replat of Lot R12 in Block 1 of the Replat of Lot 12 and Lot 13 of the Espiritu Santo Bay Resort in Port O'Connor, Santiago Gonzales Survey, Abstract No. 19 of Calhoun County, Texas. (GDR) UI.Ts APPROVED [UNANIMOUS] ER: ' EEO Gary Reese, %-urfl ilssioner Pct 4 NDERb Joel Behrens, Cominissloner Pct. 3 AYES: Judge Meyer Coriimission@C Hall, Lyssy, Behrens;, Reese 15. Consider and take necessary action to approve the Final Plat of the Replat of Lot R12 in Block 1 of the Replat of Lot 12 and Lot 13 of the Espiritu Santo Bay Resort in Port O'Connor, Santiago Gonzales Survey, Abstract No. 19 of Calhoun County, Texas. (GDR) 16. Consider and take necessary action on the Release of Retainage, Payment application No 3 - Final in the amount of $37,935.10 to Port Enterprises, Ltd, for the 2023 Calhoun County Roof Recovers of the Calhoun County Courthouse Annex II and the Calhoun County Seadrift Library. (RHM) Page 4of7 NOTICE OF MEETING—12/6/2023 17. Consider and take necessary action of the Payment Application No 1-Final, which included the retainage, in the amount of $219,353.00 to Rain King, Inc. for the 2023 Calhoun County Roof Recovers of the Calhoun County Agricultural Building. Rain King, Inc. elected to receive one payment after the Roof Recover was completed and accepted. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Dauid Half; Commissioner Pet 1 S CONDERs Joel Behrens, Commissioner Pct 3 AYES.- Judge Meyer, Commissioner Hall, Lyssy, Behrens; Reese 18. Consider and take necessary action to award the bids for Insecticides for Mosquito Control, Bid Number 2024.01, for the period January 1, 2024 through December 31, 2024. (RHM) 19. Consider and take necessary action to award the bids for Road Materials, Bid Number 2024.02, for the period January 1, 2024 through December 31, 2024. (RHM) pass 20. Consider and take necessary action to award the bids for Asphalts, Oils and Emulsions, Bid Number 2024.03 for the period January 1, 2024 through December 31 2024. (RHM) Page 5 of 7 NOTICE OF MEETING - 12/6/2023 21. Consider and take necessary action to approve an Interlocal Agreement with Lubbock County for the Regional Public Defender for Capital Cases and authorize the County Judge to sign. (RHM) 22. Consider and take necessary action to approve the 2024 order setting maximum salaries, making various appropriations, setting vacation policy and sick leave policy, setting policy on payment of hospitalization insurance premium, setting holiday schedule, setting day and time for Commissioners' Court regular meetings, and setting other miscellaneous policy matters. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER; David Hall, Commissioner Pct I SECONDEFth Joel.Behrent , Commissioner Pct 3 AYES: Judge Meyer, Commissioner.Hall, Lyssy, Behre.hs, Reese . 23. Consider and take necessary action to approve a contract with Southern Software for compliance software for the constables. (RHM) 24. Consider and take necessary action to approve a credit card with a limit of $5,000.00 for Erika Rojas, Assistant Director/Training Coordinator for Calhoun County EMS. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: _ David Hall; Commissioner Pct.1 SECONDER. Gary Reese, Commissloner _Pct 4 AYES. }udge Meyer, Comirtissionee Hall, Lyssy, Behrens, Reese--., 25. Consider and take necessary action to accept an anonymous donation to the Sheriff's Office in the amount of $75.00 to be deposited into the Motivation account (267-001- 49082-679). (RHM) RESULT: APPROVED [UNANIMOUS] - MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER; David HaII, Commissioner Pct i AYES: Judge Meyer, Commits! Hell, Lyssy, BeF tens; Reese. .'., Page 6 of 7 ' NOTICE OF MEETING—12/G/2023 26. Approve the minutes of the November 22 and Nnvemhpr 79. ?r»a mppfinnc I+rE$U4i. APPROVb [UNANIMOUS] - MOVER: Vern Lyssy, Commissioner:Pct 2 SECONDER: nary Reese, Comi77issioner Pet 4 AYES Judge Meyer, Commissioner Hell, Lyssy,. Behrens, i�eese 27. Accept Monthly Reports from the following County Offices: i. Sheriff's Office — October 2023, corrected ii. Tax Assessor -Collector — October 2023 28. Consider and take necessary acrinn nn any nPrPzc:nm Nifinat aAiiic+mnnl-c fDwmN IrESU!)vT� APPROVED [UNANIMOUS] 00V Gary Reese, Cornm_issioneOtt '4. SEC, DERm :7:oel Behrens, Commis -loner=Pct 3 A1FE$. 7 Age: Meyer, orrimissione'Hail, Lyssy, Behrens, h ese 29. Approval of bills and payroll. (RHM) MMC Buis;,. RESULT: APPROVED [UNANIMOUS] MOVER Davin Ha.lh Commissioner Pet 1 SECONDER; Vern Lyssy, Commssioner`Pct.2 . AYES, Judge Myer, Commissioner Yell, Lyssy, Behrens, Reese County Bills RESULT" ': APPROVED [UNANIMOUS] MOVER: DavidHall Commissioner Pet 1 SECONDER: ;Vern Lyssy, Comm'.nissioner P_et 2 AYES• Judge Meyer, Coinmissioner;Hall; Lyssy, Behrens, Reese Adjourned 10:57am Page 7 of 7 Richard H.Mever County judge David ]Hall, Commissioner, Precinct 1 Vern Lyssy, Commissioner, Precinct 2 Joel ]Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 The Commissioners' Court of Calhoun County, Texas met on Wednesday, December 13, 2023, at 10:00 a.m. in the Commissioners' Courtroom in the County Courthouse at 211 S. Ann Street, Suite 104, Port ]Lavaca, Calhoun County, Texas. Attached are the true and correct minutes of the above referenced meeting. I Richard H. Meyer, C my Judge Calhoun County, Texas Anna Goodman, County Clerk K6dc W Nm Deputy Clerk (z —Z7-Z 3 Date Date Page 1 of 1 NOTICE OF MEETING—12/13/2023 December 13, 2023 MEETING MINUTES OF CALHOUN COUNTY COMMISSIONERS' COURT MET IN A REGULAR MEETING AT 10:00 A.M. IN THE COMMISSIONERS' COURTROOM IN THE COUNTY COURTHOUSE AT 211 S. ANN STREET SUITE 104 PORT LAVACA, CALHOUN COUNTY, TEXAS. THE FOLLOWING MEMBERS WERE PRESENT: Richard Meyer David Hall Vern Lyssy Joel Behrens Gary Reese (ABSENT) Anna Goodman By: Kaddie Smith The subject matter of such meeting is as follows: 1. Call meeting to order. County 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, Judge Meyer ask the court to pray for Andrews County Judge Charlie Falcon. Page 1 of 6 NOTICE OF MEETING— 12/13/2023 5. Public Hearing regarding amending the 2023 and 2024 Calhoun County budgets. 6. Consider and take necessary action to approve the amendments to the 2023 and 2024 . Calhoun County budgets. (RHM) 7. Consider and take necessary action to authorize Commissioner Hall to act as general contractor for the Precinct 1 Magnolia Beach/Indianola Maintenance Facility (aka "Beach Barn' project. (DEH) pass 8. Public Hearing regarding a Petition to Vacate and Abandon a 0.283-acre tract situated in the Juan Cano Survey, Abstract No. 5 and being a portion of unimproved Club Drive according to the plat of Bayside Beach Subdivision as recorded in Volume Z, Page 28, of the Plat Records of Calhoun County, Texas and a 0.251-acre tract situated the Juan Cano Survey, Abstract No. 5 and being a portion of unimproved Club Drive according to the plat of Bayside Beach Subdivision as recorded in Volume Z, Page 28, of the Plat Records of Calhoun County, Texas. regular meeting cl,osad at 10:10am Carl Badgai'od explained the petition lt6vacbte4and abaft doh Regular meeting opeged-at 10:12am 9. Consider and take necessary action to approve a Petition to Vacate and Abandon a 0.283-acre tract situated in the Juan Cano Survey, Abstract No. 5 and being a portion of unimproved Club Drive according to the plat of Bayside Beach Subdivision as recorded in Volume Z, Page 28, of the Plat Records of Calhoun County, Texas and a 0.251-acre tract situated the Juan Cano Survey, Abstract No. 5 and being a portion of unimproved Club Drive according to the plat of Bayside Beach Subdivision as recorded in Volume Z, Page 28, of the Plat Records of Calhoun County, Texas, (DEH) Page 2 of 6 NOTICE OF MEETING—12/13/2023 10. Consider and take necessary action to approve the granting of variance from subdivision regulations for Lot 2, Block 2, Espiritu Santo Bay Resort, Port O'Connor, Texas. Property owner is Blue Cut Ventures, LLC. (GDR) 11. Consider and take necessary action to authorize the opening of a credit account with Collins Supply, Inc. for the County and authorize Judge Meyer to sign the applications. (GDR) R8L7: - 'APPROVED [UNANIMOUS] MOiER'.Gary Reese; Commissioner'Pct 4_ SENblar% Joel Behrens,- ommissioner Pct,3 AYBS- Judge. Meyer,. Commissioner Hall; Lyssy, Behrens, Reese . 12. Consider and take necessary action to authorize the County Judge to sign the Sales Contract for the purchase of 118 Leona. Street, 308 S Ann Street and 312 S Ann Street. (RHM) 13. Consider and take necessary action to authorize Precinct 3 Justice of the Peace Tanya Dimak to sign a Service Agreement with Sparklight to add phone services. (RHM) RESULT ;; APPROVEVtU,NANIMOUS] MOYfit: Joel Behrens, Commissioner Pet 3 . SEC(I�ERd Gary_Reese, Commissioner Pct 4 ']adge Meyer, Commissioner kfall, Lyssy Behrens, Reese 14. Consider and take necessary action on the annual renewal with MIP Fund Accounting Software and authorize the County Auditor to sign the quote. (RHM) Rsu UU, APPROVED [UNANIMOUS] MQVER� ,Vern Lyssy, Commissioner Pct 2 S�ONDER David Hall,. Commissioner Pct 1 Judge Meyer,,Commissioner Hall, Lysens, Reese Page 3 of 6 NOTICE OF MEE I ING—12/13/2023 15. Consider and take necessary action to approve the emergency purchase of a 2019 Chevrolet Silverado 1500 from Victory GMC-KIA for the amount of $44,695.49 due to a shortage of necessary patrol vehicles. (RHM) .RESUL. APPROVE[1 [UNANIMOUS] vern LysS(, Commissioner pct 2 SECONDER; D`avld HO,II,::C-oCrimissiAner Pct 1 AYSS Judge Meyer, Commissioner HaA Ljrssy, Behrens; Res 16. Consider and take necessary action to approve a credit card with a limit of $2,000.00 for Nathan Lapham, Calhoun County Code Enforcement Officer. (RHM) 4 17. Consider and take necessary action to award the bids for Road Materials, Bid Number 2024.02, for the period January 1, 2024 through December 31, 2024. (RHM) 18. Consider and take necessary action to declare Asset 24-0538 as Surplus/Salvage and remove from Precinct 4 Road & Bridge inventory. This asset is to be used as trade-in for new equipment. (GDR) RESULT: APPROVED [UNANIMOUS] MOVER. noel Behrens, ComnllssioneC,Rct 3 SECONDE[t: Gary Reese, Comniissibner,ct AYESv lodge Meyer, om Pssioner Hall; Lyssy, 5ehren5f Reese 19. Consider and take necessary action to transfer the attached list of equipment from the Calhoun County Museum to R & B Precinct 3. (RHM) Page 4 of 6 NOTICE OF MEETING--12/13/2023 20. Accept Monthly Reports from the following County Offices: I. County Clerk — November 2023 ii. District Clerk — October 2023, corrected Ill. District Clerk — November 2023 Iv. Floodplain Administration — November 2023 v. Justice of the Peace, Precinct 1— November 2023 vi. Justice of the Peace, Precinct 2 — November 2023 vii. Justice of the Peace, Precinct 4 — November 2023 viii. Justice of the Peace, Precinct S — November 2023 ix. Sheriff's Office — November 2023 21. Consider and take necessary action on any necessary budget adjustments. (RHM) 2023. RIESULT; APPROVED [UNANik usj _ MOVER . ': Gary Reese, Commissioner Pd- SE60,NDER: Joel. Behrens, Coi-ihilzioner Pct 3 AYES JudgB Meyer, Corrrissioner Hill, Lyssq, Beh.r:.ens,leese 20,24.. RESULT: APPROVED [UNANIMOUS] MOVER:. Gary Rees, Commissioner Pct 4 SECONDERd Joel Behrehs, Cgmmissioner Pet 3 AYES. Judge Meyer, Cantmissiorrer Hall, L'yssy, Behrens, Reese Page 5 of 6 NOTICE OF MEETING— 3.2/13/2023 22. Approval of bills and payroll. (RHM) County Bills R�SUL C A(PPIR 0 [UhAR�IMO�' ] MOUER ;David .Hall, Commissioner Pet 1 SECONDER! Vern Lyssy, Commissioner Rd, 2 AYES =Judge Meyer, Con missioner.'_:Hall, Lyssy,'Be'k ens, Rees. ;.;. Page 6 of 6 #14 I NOTICE OFMEET ING-32/27/2023 14. Accept Monthly Report from the following County Office: i. Tax Assessor -Collector — November 2023 RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct-2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 11 of 13 SUMMARY TAX ASSESSOR -COLLECTORS MONTHLY REPORT NOVEMBER 2023 COLLECTIONS Title Certificate Fees 400 $ 6,266.00 Title Fees Paid TXDMV Title Fees Paid County Treasurer Salary Fund Motor Vehicle Registration Collections $ ' 136,646.04 Disabled Person Fees $ 10.00 Postage $ Global Additonal Collections $ 22.50 Paid TXDMV Paid TXDMV SP Paid County Treasurer Paid County Treasurer Salary Fund DMV CCARDTRNSFEE $ 1,676.64 GL Additonal Collections $ 22.50 GLOBAL (IBC) Credit/Debit Card Fee's GLOBAL Fees In Excess of Collections MERCH SERVICES STATEMENT Additional Postage -Vehicle Registration $ - Paid County Treasurer - Additional Postage Motor Vehicle Sales & Use Tax Collections $ 439,290.46 Paid State Treasurer Special Road/Bridge Fees Collected $ 18,860.00 Paid County Treasurer - R/B Fees Texas Parks & Wildlife Collections TPW GLOBAL CC TRANSACTION FEES GLOBAL ADDITIONAL COLLECTIONS Paid Texas Parks & Wildlife Paid County Treasurer Salary Fund P&W CCARDTRNSFEE $ 87.37 GLOBAL Additonal Collections $ - GLOBAL (IBC) Credit/Debit Card Fee's GLOBAL In Excess/Shortage of Collections Boat/Motor Sales & Use Tax Collections Paid State Treasurer Paid County Treasurer, Salary Fund TABC 5% CO COMMS FOR MONTH OF TABC 5 % CO COMMS FOR MONTH OF Paid County Treasurer, Salary Fund County Beer & Wine Collections Paid County Treasurer, County Beer & Wine Paid County Treasurer, Salary Fund INTEREST EARNED ON OFFICE ACCOUNT Paid County Treasurer, New. East Paid County Treasurer, all other distdcfs INTEREST EARNED ON PARKS AND WILDLIFE ACCOUNT Paid County Treasurer, Interest on P&W Acc INTEREST EARNED ON REFUND ACCOUNT Paid County Treasurer, Interest on Refund Acc $ 2,879.00 $ 87.37 $ 37,414.69 DISBURSEMENTS $ 3,265.00 $ 2,000.00 $ 114,353.96 $ 15,633.60 $ 4,991.85 $ 1,271.50 $ 427.64 $ 439,290.45 $ 18,860.00 $ 2,691.10 $ 287.90 $ 112.87 $ (26.60) $ 35,50.96 $ 1,870.73 $ 1,220.00 $ 1,159.00 $ 61.00 $ 824.29 $ 0.58 $ 823.71 $ 35.87 $ 35.87 $ 0.30 $ 0.30 Business Personal Property - Misc. Fees $ 620.45 Paid County Treasurer $ 520.45 Excess Funds $ - Paid County Treasurer $ - Overpayments $ 93.14 Current Tax Collections $ 1,474,031.22 Penalty and Interest - Current Roll $ - Discount for early payment of taxes $ 36,920.97 Delinquent Tax Collections $ 12,251.00 Penalty & Interest - Delinquent Roll $ 3,272.10 Collections for Delinquent Tax Attorney $ 3,021.78 Advance - FM & L Taxes $ 1.22 Advance- County AdValorem Taxes $ 1,409,463.42 Paid County Treasurer -Nev. East $ 1,107.06 Paid County Treasurer- all other Districts $ 43,154.79 Paid County Treasurer- Delinq. Tax Atty. Fee $ 3,021.78 Payment in Lieu of Taxes $ - Paid County Treasurer - Navig. East $ - Paid County Treasurer -All other Districts $ - Special Farmers Fees Collected $ 46.00 Paid State Treasurer, Farmers Fees $ 46.00 Hot Check Collection Charges $ - 'r Paid County Treasurers, Hot Check Charge $ -ji :i Overage on Collection/Assessing Fees $ Paid County Treasurer, overage refunded $ .� Escheats $ Paid County Treasurer -escheats $ - TOTAL COLLECTIONS $ 2,135,790.20 TOTAL DISBURSEMENTS $ 2,135,790.20j 5 TOTAL OF ABOVE RECEIPTS PAID TO STATE AND COUNTY $ 2,135,790.201, KERRI BOYS Tax Assessor -Collector RICHARD H R County Juflge #15 NOTICE OF MEETING--12/27/2023 15. Consider and take necessary action on any necessary budget adjustments. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner''Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 12 of 13 m I ly e i N a T g vc z N 0 m O a m m e 0 O o� z a M Al 00 m O O R4 o rn T v 0) t p T 0)o Ffi fA i aT m m a � m � VOi O p z c OO y c c D ;0 T W C � y r n m o z p 3 e 3 O O 3Ac� 2 z 2 z 0 � a m 14 1 y T n r 9 as rnt»t»�n^v+ 0 0 0 0 �CC 0 to T T coo _ITV N ro INO W O <ND m N N N N N N i A T �eza� v N N a O O " v0 P_ Z 0 a A m m a C M N N .7 11 r a= pOap 0 m g -1 o a m z m In M M 0 O m z m 0 z Iq W C 'O r N 0 0 a z y C m A -4 0 r 0 0 w O W N ti O (T p 0M �C: m0 0 z a �I Aa D y c M m CD o co m m': z 3 A: z -zi 3: m: a z: z 3? m m n; p 0 c: -zi M: : z a: z c€ y .Q M: ;0 v m a M z I z N s O 0 O n o � J O O D :10 > D s G) ' Z a 90� < D z a n o oZ 5� n m nm E o e G) o� a A DO M M Z0 V n 0 a N In Z 0 n it m m n r C v A m 0 m m 3 m z I Z W Ul m 3 m 0 m z Q 3 z a m m 3 m z 0 O v rr N W N O R M o 0 w z O O O N D m3 G)D �-o = m 0 3 z z§A 00 m z n co z m m z 3 n m as CD <O <O fD Z e z z z z 0000 O OOG) A A A A z z z z z z T 0 00000 EA EA 0 0 0 0 0 O 010000 T i» rn ism a� O O v fN0 f00 (00 m a€ Z: -IE O w Oi m m n 1 O z W 1 O D r O I " O N v 0 m r m -�I O Z N c '0 r r m q! mm 3 m; z; Z. y: OE In 2 v a m G) m a C v I N N 41 Ll X m m Z y 0 Z N m 5 m m O D V O O O O O O O a O� O A W O W W V O V O W f0 O El O N 0 0 0 cof0 N O O O O O O N O D m 0<�T K>00 M�M�G))z�mm m 0 M U) C 0 z D U) a j o z m�� C � O y � z 0 "' m Z .. 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U/M= m m �) k z= o§ o k _ e = g , � g �\ \ ° 14 4 co 0000 gggg ;;££ epee■ § § z I z 0 0 c 0 2 A n k 2 / § k $ \ #16 NOTICE OF MEETING - 12/27/"2023 16. Approval of bills and payroll. (RHM) C Bills WILT, APPROVED [UNANIMOUS] VER: David Hall, Commissioner"Pct 1 Judge I Kees County"Sills RESULT: APPROVED [UNANIMOUS] MOVER: David Hail, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES:. Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Adjourned 10:12am Page 13of13 MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR ---December 27, 2023 TOTALS TO BE APPROVED - TRANSFERRED FROM ATTACHED PAGES TOTAL PAYABLE S PAYROLL,ANDELECTRONIC=BANK-PAYMENTS-_ $ 312,71136 TOTAL TRANSFERS BETWEERFUNDS_ TOTAL NURSING HOME 1UPLEXPENSE5 $ 887,796'68 j TOTAL INTER GOVERNryIENT'TRANSFERS $ GRAND"'T.UTALsDISBURSEMENTS APPROVEDZeeember 27, 2023 $ 1,3335479 9:0.^ MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR ---December 27, 2023 PAYABLES AND PAYROLL 12/2012023 Weekly Payable& 310,787.06 12/2012023 Patient Refunds 1,562.40 Prosperity Electronic Bank Payments 12/18-12/21/23 Pay Plus -Patient Claims Processing Fee 361.90 TOTAL,P.AY+A�L''E%fi0\ ROL+LAND RL€GTRONIC BANK PAYMEN iS '$ 312,711 36i Transfer from Operating. to Money Market Account- higher interest rates TRANSFER BETWEEN FUNDS FROM MMC TO NURSING HOMES 12/20/2023 MMC Operating to Crescent -correction of NH insurance payment deposited 380.00 into MMC Operating in error 1212012023 MMC Operating to Golden Creek -correction of NH insurance payment 81,294.39 deposited into MMC Operating in error 12120/2023 MMC Operating to Bethany -correction of NH Insurance payment deposited into 51,297.46 MMC Operating in error TOTALTRANSFER$BETWEENFUNDS; $ 132J971v8,S','+ NURSING HOME UPL. EXPENSES 12/22/2023 Nursing Home UPL-Cantex Transfer 12/22/2023 Nursing Home UPL-Nexlon Transfer 12/22/2023 Nursing Home UPL-HMG Transfer 12122/2023 Nursing Home UPL-Tuscany Transfer 12/2212023 Nursing Home UPL-HSL Transfer QIPP CHECKS TO MMC 12/22/2023 Ashford 12/2212023 Broadmoor 1212212023 Crescent 1212212023 Fort Bend 12/22/2023 Solera 12/22/2023 Tuscany TOTAL NURSING'HO, rEUPL'eXPEN$ _ TOTAL INTER-GOYERNI4E0T TRANSFERS 410,318.01 128,604.21 73.504.95 9,730.77 198,174.96 23.440.01 8,669.85 6,46425 7,315.24 7,017.48 14,556.96 $ 887i796:9 _ 4 CrANDTOTALkiSBURSEISENTSrAPPROVED:Decergben,27;`2923 $ j,,,33 O 9Ur 12/20123, 1:56 PM tmp_,cw5report7873938140417880183.html RECEIVED BY THE f.M&g0Y2gUDITOR ON MEMORIAL MEDICAL CENTER i3sG 27�23 AP Open Invoice List Due Dates Through: 01/13/2024 Vendor# Vendor Name ,r Class Pay Code 4:Ai11t WIN NWANCMY TEE) LLD Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay 12182023/ M20/20212/12/2021 PJ27/202 TRAUMA NURISING COURSE VenclorTotals: Number Name 11464 ADVANCES BY TED LLC Vendor# Vendor Name / Class Pay Code A1360 AMERISOURCEBERGEN DRUG CORP ✓ W Invoice# Comment Tran Dt. Inv Dt Due Dt Check Dt Pay 815i6831e13 1 PJ20/202 I V08120212114/202. INVENTORY Vendor Totals: Number Name A1380 AMERISOURCEBERGEN DRUG CORP Vendor# Vendor Name Class Pay Code 11756 AYA HEALTHCARE INC L/ Invoice# Comment Tran Dt Inv Dt Due Dt Check Ot Pay 3767801.% i 2J19/20212107120201/07/202 KARIANN DUNN WE Ii130/23 L111?A-11130121 Vendor Totals: Number Name 11756 AYA HEALTHCARE INC Vendor# Vendor Name Class Pay Code 13892 BLUE CROSS BLUE SHIELD REFUND Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay 231525,/ 12/19120212105120201/05/202 / PT REFUND 246344 v" 12/19/20212/07/20201/07/202 PT REFUND 244646 v*� 12/19/20212/13/202011011202 PT REFUND Vendor Totals: Number Name 13892 BLUE CROSS BLUE SHIELD REFUND Vendor# Vendor Name Class Pay Code 10926 CAITLIN CLEVENGER +% 0 ap_open_i nvoice.template Gross Discount No -Pay Net 1,700.00 0.00 0.00 1.700.00 Gross Discount No -Pay Net 1,700.00 0.00 0.00 1,700,00 Gross Discount No -Pay Net 1,445.00 0.00 0.00 1,445.00 y� Gross Discount No -Pay Net 1.445.00 0.00 0.00 1.445.00 Gross Discount No -Pay Net 7,219.14 0.00 0.00 7,219.14 �- Gross Discount 7,219.14 0.00 Gross Discount 131.17 0.00 605.97 0.00 16.00 0.00 Gross Discount 753.14 0.00 No -Pay Net 0.00 7,219.14 No -Pay Net 0.00 131.17 0.00 605.97 y/ 0.00 16.00 No -Pay Net 0.00 753.14 Invoice# Comment Tran Ot Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay 120723 121071202 12/07/202 01/011202 201.74 0.00 0.00 TRAVEL 12451xg atkg Wj4 0tJ,0j L IAAl N''01.tlfl W_ ()(/ap1er p& IbW„t Vendor Totals: Number Name Gross Discount No -Pay 10026 CAITLIN CLEVENGER 201.74 0.00 0.00 Vendor# Vendor Name Class Pay Code C1325 CARDINAL HEALTH 414, INC. ✓ W Invoice# omment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay 80033fi3181 12119/202 11130/202 12/25/202 195,59 0.00 0.00 ySUPPLIES 8003372890 12/19/20212/09/20201/03/202 103,20 0.00 0.00 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay C1325 CARDINAL HEALTH 414, INC. 298.79 0.00 0.00 Vendor# Vendor Name Class Pay Code 14236 CARRIER CORPORATION ✓ Invoice# Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay /Comment 90326523 ✓ 12/19120211/28/202121281202 12,830.00 0.00 0.00 81e:N/CaUserslltrevinolcpsi/memmed.cpsinet.com/u88125/data 51tmp_cw5repert7873938140417880183.htmt Net 201.74 Net 201.74 Net 1g5.59 �.•�'" 103.20 .% Net 298,79 Net 12,830.00 1/11 12/20/23, 1:56 PM tmp_cw$report7873938140417880183.html CHILLER RENTALIO/9.11/5/23 / 90326521 ✓ 12/19/20211/28/20212/28/202 12,830.00 0.00 0.00 12,830.00 CHILLER RENTAL 9/11-10/8/23 Vendor Totals: Number Name Gross Discount No -Pay Net 14236 - CARRIER CORPORATION 25.660.00 0.00 0.00 25,660.00 Vendor# Vendor Name Class Pay Code 01992 COW GOVERNMENT, INC. M Invoice# Comment Tran Ot Inv Dt Due Dt / Check Dt Pay Gross Discount No -Pay Net NJ74359 12/19/20212101/20212/311202 493.08 0.00 0;00 493.08 yr" APC REPLACEMENT Vendor Totals: Number Name Gross Discount No -Pay Net C1992 COW GOVERNMENT, INC. 493.08 0,00 0.00 493.08 Vendor# Vendor Name / Class Pay Code 12768 CHEMAQUA vl Invoice# � Comment Tran Dt Inv Ot Due Dt Check Dt Pay Gross Discount No -Pay Net 8495571 t/ 121201202 12110/202 12/20/202 593.69 0.00 0.00 593.69 WATER TREATMENT _ Vendor Totals; Number Name Gross Discount No -Pay Net 12768 CHEMAQUA 593:69 0.00 0.00 593.69 Vendor# Vendor Name Class Pay Code 10212 CLINICAL PATHOLOGY LABS v✓ ICP Invoice# Comment Tran Dt Inv Ot Due Dt Check Dt Pay Gross Discount No -Pay Net 202311-0 12/19/20211/30/20212/30/202 17,892.87 0.00 0.00 17,892.87 y/f LAB SERV Vendor Totals: Number Name. Gross Dlscount No -Pay Net 10212 CLINICAL PATHOLOGY LABS 17,892.87 0.00 0.00 17,892,87 Vendor# Vendor Name Class Pay Code C2157 COOPER SURGICAL INC t,% M Invoice# /. Comment Tran Ot Inv Dt Due Ot Check Dt Pay Gross Discount No -Pay Net 6913385 ✓ 12/19120212/06/20212/19/202 1,742.61 0.00 0.00 1,742.61 SUPPLIES Vendor Totals: Number Name Grass Discount No -Pay Net C2157 COOPER SURGICAL INC 1,742.61 0.00 0.00 1,742.61 Vendor# Vendor Name Class Pay Code 14080 CORROHEALTH, INC. 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LLC Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 6002549945✓ 1PJ19/20212101/20212/31/202 204.83 0.00 0.00 / 204.831..E IMAGING CONTRACT Vendor Totals: Number Name Gross Discount No -Pay Net 12404 GE PRECISION HEALTHCARE, LLC 204,83 0.00 0,00 204.83 Vendor# Vendor Name Class Pay Code 31876 / GOLDEN CRESCENT RAC ✓ IMP Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 121823 12J18/20212/18/20201/011202 1,000,00 0.00 0.00 1,000.00 ✓� ANNUAL MEMBERSHIP - RAC Vendor Totals: Number Name Gross Discount No -Pay Net G1876 GOLDEN CRESCENT RAC 1.000.00 0.00 0.00 1,000.00 Ventlor# Vendor Name Class Pay Code W1300 GRAINGER �% M Invoice# Qomment Tran Dt Inv Dt Due Dt Check DI Pay Gross Discount No�Pay Net 9926452245 ✓/ 12/19/20212/06/2021 PJ31/202 78.81 0.00 0.00 78.81 S}JPPLIES 99211 ----- - 12/19/20212/19120201113/202 98.40 0.00 0.00 98,40 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net W1300 GRAINGER 177.21 0.00 0.00 177.21 Vendor# Vendor Name Class Pay Code 12948 / GREAT AMERICA FINANCIAL SVCS J Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net �r / 35428966 12/20/20212104/20212/311202 10,406,58 0.00 0.00 / 10,406,58 if COPIER Vendor Totals: Number Name Gross Discount No -Pay Not 12948 GREAT AMERICA FINANCIAL SVCS 10,405.58 0.00. 0.00 10,406,68 Vendor# Vendor Name Class Pay Code 10334 / HEALTH CARE LOGISTICS INC J Invoice# Comment Tran Ot Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net / 309249099 ✓ 12120/20212/14/20201/08/202 61.36 0.00 0,00 61.36 ✓/ SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 10334 HEALTH CARE LOGISTICS INC 61.36 0100. 0.00 61.36 Vendor# Vendor Name Class Pay Code 14916 / HEWLETT-PACKARD ,f Invoice# /gomment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 978886 600✓ 12J19/20212J01/20201/01/202 573.53 0.00 0.00 573.53 RENTAL Vendor Totals: Number Name Gross Discount No -Pay Not tile://IC:lUserslltrevino/opsl/memmed.opsinet.com/u88125]data_5/tmp_cw5report7873938140417880183.html 4/11 12/20/23, 1:56 PM Imp_cw5report7873938140417880183, html 14916 HEWLETT-PACKARD 578.53 0.00 0.00 573.53 Vendor# Vendor Name / Class Pay Code - 10530 HUMANA ✓ Invoice# Comment Tran Ot Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 252428 12/19/20212/07/20201/07/202 65.86 0.00 0.00 65.86 yam% PT REFUND 251329 i% 12I 9/20212/061202011081202 65.86 0.00 0.00 65.86v�' PT REFUND Vendor Totals: Number Name Gross Discount No -Pay Net 10530 HUMANA 131.72 0.00 0.00 131.72 Vendor# Vendor Name Class Pay Code 14976 / INOVALON PROVIDER INC. ✓ Invoice# Comment Tran Dt :Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 23M-0175926 ✓/12/20/20212/07/20201107/202 701.84 0100 0.00 701.84 Vendor Totals: Number Name Gross Discount No -Pay Net 14976 INOVALONPROVIDER INC. 701,84 0.00 0.00 701.84 Vendor# Vendor Name Class Pay Cede D1710 KEEP-U-NEATCLEANERSW Invoice# Comment Tran Dt Inv Ot Due Dt Check Dt Pay Gross Discount No -Pay Net 121423 12118120212(14/20212/24/202 1,981.00 0.00 0.00 1,981.00� DRY CLEANING Vendor Totals: Number Name Gross Discount No -Pay Net D1710 KEEP-U-NEAT CLEANERS 1,981,00 0.00 0.00 119BI100 Vendor# Vendor Name Class Pay Code 11600 LEGAL SHIELD / ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 121523 IPJ20/20212/15/20201/01/202 306.25 0.00 0.00 305.25 ✓� PAYROLL DEDUCT Vendor Totals: Number Name Gross Discount No -Pay Nat 11600 LEGAL SHIELD 305,25 0.00 0100 30525 Vendor# Vendor Name Class Pay Code 15108 / LOUISE M WIEDER ✓ Invoice# / Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 265513✓ 12119120212114/20201101/202 120.00 0.00 0.00 120.00✓ PT REFUND Vendor Totals: Number Name Gross Discount No -Pay Net 15168 LOUISE M WIEDER 120.00 0,00 0.00 120.00 Vendor# Vendor Name Class Pay Code 15068 LRS HEALTHCARE✓ Invoice# Comment Tran Dt Inv Ot Due Dt Check Ot Pay Gross Discount No -Pay Net / 651910 J 12/19120211/22/20201106/202 3,078.00 0.00 0.00 3,078.00v__,� DELICIA GARCIA II/10111/12/23 RoLdldlQgy joj, Vendor Totals: Number Name Gross Discount No -Pay Net 15068 LRS HEALTHCARE 3,078.00 0.00 0.00 3,078.00 Vendor# Vendor Name / Class Pay Code 10972 M G TRUST ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 121823 12/19120212118/20212/27/202 1,015.86 0.00 0.00 1,015.86 PAYROLL DEDUCT Vendor Totals: Number Name Gross Discount No -Pay Net 10972 M G TRUST 1,015.86 0.00 0.00 1,015.86 Vendor# Vendor Name Class Pay Code 11203 MEDI-DOSE, INC J Invoice# Comment Tran Dt Inv Dt Due Dt / Check Dt Pay Gross Discount No -Pay Net 0908957 f 12M 9/202 12/061202 01106/202 83.00 0.00 0100 83.00 Tile://IC:/Usersiltrevinotcpsitmemmed.cpsinet.comtu88l25/data,SRmp_cw5report7873938140417880183.html 5/11 12/20/23, 1:56 PM imp_cw5report7873938140417880183.html SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 11203 MEDI-DOSE, INC 83.00 0.00 0.00 83.00 Vendor* Vendor Name / Class Pay Cade 11612 MEDICAL AIR SERVICES ASSOC. d Invoice# / Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 1710033 �! 12119/20212/19/20201/01/202 1,640,00 0.00 0.00 1,640.00 ✓1 PAYROLLDEDUCT Vendor Totals: Number Name Gross Discount No -Pay Net 11612 MEDICAL AIR SERVICES ASSOC. 1,640.00 0.00 0.00 1,640.00 Vendor# Vendor Name Class Pay Code 10613 MEDIMPACT HEALTHCARE SYS, INC. 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Gross Discount 13952 MLB CONSULTING GROUP 3.200.00 0.00 Vendor# Vendor Name Class Pay Code 10536 MORRIS & DICKSON CO, LLC v/' Invoice# Comment Tran Dt Inv Dt Due Ot Check Dt Pay Gross Discount 1405361 ,% 12/18/20212/14/20212/241202 95.19 0.00 INVENTORY 1405362 t / 12/18120212/14/202 12/24/202 313.62 INVENTORY 1402518 ✓ / 12118120212/14/202 12/24/202 6,320.20 INVENTORY 1400523, 1 P/20/20212/13/20212/231202 469.47 INVENTORY 1397704 „� 12/20120212/13120212/23/202 2,427.68 INVENTORY 1397703� 12/20/20212/13/20212/23/202 287.91 INVENTORY / 1400624. 1 PJ20/20212113/20212/23/202 607.28 / INVENTORY 1410910V` 12/20/2021 PJ17/20212/27/202 281.54 INVENTORY 1413248 12/20/20212117/20212/27/202 11235.20 INVENTORY 1410911,// 12/20/20212/17120212/271202 649.86 INVENTORY 1413247 �/ 12/20/20212/17120212127/202 58.63 INVENTORY 1418515 J 12120120212/18/20212/28/202 722.55 INVENTORY 1418901/ 12120/20212/1B/2021PJ281202 2.93 INVENTORY No -Pay Net 0.00 3,200.00 No -Pay Net 0.00 3,200.00 No -Pay Net 0,00 95.19 0.00 0.00 313.62 0.00 0.00 6,320.20� 0.00 0.00 469.47.i' 0.00 0.00 2,427,68 0.00 0.00 287.91 0.00 0W 607.28, -�' 0.00 0.00 281.54,,.- 0.00 0.00 11,235.20 0.00 0.00 .549.86 0.00 0.00 58.63/'- 0.00 0.00 722.55 ✓" r rr Vendor Totals: Number Name Gross Discount 10536 MORRIS & DICKSON CO, LLC 23,372.06 0.00 Vendor# Vendor Name Class Pay Code 12096 NEOGENOMICS LABORATORIES Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gros Discount 06277203 121131202 121131202 01/06/202 -62(0 0.00 CREDT Vendor Totals: Number Name Gr ss Discount 12096 NEOGENOMICS LABORATORIES -800 0.00 Vendor# Vendor Name Class Pay Code 01500 OLYMPUS AMERICA INC M Invoice# Tran Dt Inv Dt Due Dt Check Dt Pay Grass Discount (Comment 35434585 �% 12/19/20212/O6/2021PJ311202 406.48 0.00 SUPPLIES �r ' 35444406 t/ 12119120212107/20201101/202 1,125.00 0.00 CONTRACT Vendor Totals: Number Name Gross Discount 01600 OLYMPUS AMERICA INC 1,531.48 0.00 Vendor# Vendor Name Class Pay Code file:0/C:/Usere/Itrevino/cpsilmemmed.cpsinet.com1u88125/data 5/tmp_cw5report7873938140417880183.html 0.00 2.93 No -Pay Net 0.00 23,372.06 No -Pay N t 0.00 •820 No -Pay Net 0.00 -82�0 No -Pay Net 0.00 406.48,,,-' 0.00 1,125.0 No -Pay Net 0.00 1,531.48 12/20/23, 1:56 PM tmp_cw5report7873938140417880183.html 11080 RADSOURCE v'' Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay SC32090124,/ 12/13/20212112/20201/06/202 SERV.AGGMT PS1000285/ I PJ19/20212/16/20201110/202 CONTRACT Vendor Totals: Number Name 11080 RADSOURCE Vendor# Vendor Name Class Pay Code 14996 REMEDIB LLC V Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay r 23968 ,,.r 12/20/20212/12/2021PJ201202 PMT2 Vendor Totals: Number Name 14996 REMEDIB LLC Vendor# Vendor Name Class Pay Code 10099 SIGN AD, LTD.,/ Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay / 295201 ✓ 12119/20212/16/2021 PJ26/202 ADVERTISING Vendor Totals: Number Name. 10699 SIGN AD, LTD. Vendor# Vendor Name Class Pay Code 83960 STERICYCLE, INC of . Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay 8005325656 _,% 12/19/20211/18/20212118/202 DISPOSAL Vendor Totals: Number Name S3980 STERICYCLE, INC Vendor# Vendor Name Class Pay Code 83940 STERM CORPORATION M Invoice# /Eomment Tran Dt Inv Dt Due Dt Check Dt Pay ill , 64 ✓" 12/19/20212/06/20212/31/202 Gross Discount No -Pay 1,791.67 0.00 0.00 1,708,33 0.00 0.00 Gross Discount No -Pay 3500.00 0.00 0.00 Gross Discount No -Pay 3,851.30 0,00 0.00 Gross Discount No -Pay 3.851.30 0.00 0.00 Gross Discount No -Pay 410,00 0.00 0.00 Gross Discount No -Pay 410.00 0.00 0.00 Gross Discount 2,795,69 0X0 Gross Discount 2,795.69 0.00 Net 1,791.67��,.r 1,708.33>. Net 3,500.00 Net 3,851.30 Net 3,851.30 Net 410.00 VI Net 410.00 No -Pay Net 0.00 2,795.69 No -Pay Net 0.00 2,795,69 Gross Discount No -Pay 446.26 0,00 0.00 SUPPLIES 11849977,/ 12N9/20212/07120201/01/202 202.80 SUPPLIES Vendor Totals: Number Name Gross 83940 STERIS CORPORATION 649.08 Vendor# Vendor Name Class Pay Code T1890 TEXAS DEPARTMENT OF ,% w Invoice# Comment Tran Dt Inv Ot Due Dt Check Dt Pay Gross 10168441 c✓ 121191202. 12/OB120201/07/202 70.00 TX281083 CERTIFICATE Vendor Totals; Number Name Gross T1890 TEXAS DEPARTMENT OF 70.00 Vendor# Vendor Name Class Pay Code 10758 TEXAS SELECT STAFFING, LLC t,/ Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross 0023260 12119/20212114120219I51202 8,332.50 B BATES M MARTIN 1219/23 Vendor Totals: Number Name Gross 10758 TEXAS SELECT STAFFING, LLC 8,332.50 Vendor# Vendor Name Class Pay Code 10985 / THE COMPLIANCE TEAM, INC ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross 00040725 / 12/18120212I 5/20212/16/202 1,500.00 file:/I/C:lUsers/itrevino/cpsi/memmed.cpsinet.com/u88125/data_5/tmp_cw5report7873938140417880183. html 0.00 0.00 .Discount No -Pay 0.00 0.00 Net 446.26 v/J 202.80 i Net 649.06 Discount No -Pay Net 0.00 0.00 70.00�; Discount No -Pay Net 0.00 0.00 70.00 Discount No -Pay Net 0.00 0.00 8,332,50 Discount No -Pay Net 0.00 0.00 8,332.50 Discount No -Pay Net 0.00 0.00 1,500.00 9/11 12120/23, 1:56 PM Imp_cw5report7873938140417880183.html CONDITION LEVEL REVISIT Vendor Totals: Number Name Gross Discount No -Pay Net 10985 THE COMPLIANCE TEAM, INC 1,500.00 0.00 0.00 1,500.00 Vendor# Vendor Name Class Pay Code 11067 TRIZETTO PROVIDER SOLUTIONS I// Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 36FK122300 f 12118120212/01/20212/26/202 2,596,76 0.00 0.00 2,595.76 ,r STATEMENTS ✓ Vendor Totals: Number Name Gross Discount No -Pay Net 11067 TRIZETrO PROVIDER SOLUTIONS 2.696.76 0.00 0.00. 2,596.76 Vendor# Vendor Name Class Pay Code U1064 UNIFIRST HOLDINGS INC �/ Invoice# Comment Tran Dt Inv Dt Due Dt. Check Dt Pay Gross Discount No -Pay Net 2921020114�/C12/19/202 12107/202 011011202 2,146.38 0.00 0.00 2,146.38 ,Z LAUNDRY 2921020116✓f 12/19/20212/07/20201/011202 477,05 0,00 0.00 477.05 ✓ LAUNDRY 2921020118 ✓ 12119120212107120201/01/202 278.05 0.00 0.00 278.05 ✓ LAUNDRY 2921020117el 12119/202 12107/202 01101/202 254,19 0.00 0.00 254.19✓ LAUNDRY 2921020113,//12/191202 12/07/202 01/01/202 218.77 0.00 0.00 218.77 LAUNDRY 2921020119 p% 12119/202 12/07/202 01/011202 112.46 0.00 0.00 112.46 i✓ LAUNDRY 2921020112 ✓ 12119/202 12107/202 01/011202 123.02 0.00 0.00 123.02 /LAUNDRY 2921020115 12/19/20212107/202 01/01/202 ✓ 112.21 0.00 0.00 i 112.21 4r' LAUNDRY 2921020312 � 12119/20212/11/20201105/202 2,623.46 0.00 0.00 2,623.46 LAUNDRY 2921020313 / IPJ19/20212/11/20201/05/202 91.80 0.00 0.00 91.80 L/iUNDRY / 2921020638 ✓ 12/19120212/14/20201/08/202 218.94 0.00 0:00 216:94 r/ LAUNDRY 2921020642f 12I 9/20212/14120201/081202 254.19 0.00 0.00 254.19 ✓� LAUNDRY 2921020640 ,f� 12119120212/14/P0201/081202 79.39 0.00 0.00 79.39 f'' AUNDRY 2921020643 a/ 12/19120212/14120201/08/202 228.21 0.00 0100 228.21 ✓ UNDRY 2921020641 12/19/20212/14/20201/081202 288.08 0.00 0.00 298.08 ✓ LAUNDRY 2921.020644 y / 12119/20212/14/202 01/08/202 112.46 0.00 0.00 112,46 ✓ LAUNDRY 2921020639 ,/ 12/19/20212/14/20201/06/202 2,194.98 0.00 0.00 2,194,98 ✓ LAUNDRY 2921020637„/`f 12/19/20212/14l20201t08/202 121.80 0.00 0.00 121.80 / LAUNDRY Vendor Totals: Number Name Gross Discount No -Pay Net U1064 UNIFIRST HOLDINGS INC 9,943.44 0.00 0.00 9,943.44 Vendor# Vendor Name Class Pay Code U2000 US POSTAL SERVICE ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 121923 12/20/202 12/19/202 12/27/202 2.200,00 0.00 0.00 2,200.00 , POSTAGE ✓`/ file:///C:IUsers/Itrevino/cpsl/memmed.cpsinet.com/u88125/data_5/tmp_ow5report7873938140417880183.html 10111 12/20/23, 1:56 PM tmp_cw5report7873938140417880183.himl Vendor Totals: Number Name Gross Discount No -Pay Net U2000 US POSTAL SERVICE 2,200.00 0.00 0.00 2,200.00 Vendor# Vendor Name Class Pay Code 11110 WERFEN USA LLC / Invoice# C/ommenI Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 9111423899' 12/18/20212/06/20212/31/202 944.00 0.00 0.00 944.00 SUPPLIES / 9111428397 ,/ 12120/202 12/14/202 011081202 1,571.67 0.00 0.00 1,571.67 CONTRACT Vendor Totals: Number Name Gross Discount No -Pay Net 11110 WERFEN USA LLC 2,515.67 0.00 0.00 2,515,57 Vendor# Vendor Name Class Pay Code Z1000 ZIMMER BIOMET M Invoice# Com/ment Tran Dt Inv Ot Due Dt Check Dt Pay Gross Discount ✓ . 477589-KL2443 12/19/2021 PJ06/20201/06/202 672.00 0.00 SUPPLIES Vendor Totals: Number Name Gross Discount Z1000 ZIMMER SIOMET 672.00 0.00 r?epor; Surn nlary Grand Totals: Gross Discount No -Pay 309,961,06 0.00 0.00 P — retr` VL VO d; + ptx utiw 309�961•06 +' 826°00 +1 310.787 lie; * APPR®VE13 OIL gy DEC 2 0 2023 cALHOU C011A MAS No -Pay Net 0.00 872.00 No -Pay Net 0.00 672.00 Net 309,961.06 t�7ar 00 $ g 10,-161.04 Ole:lllC:/UsersBtrevinolcpsllmemmed.cpsinet.com/u88125/data b/tmp_ew5report7873938140417880183,html HE R�{ �I1j ITR ON PATIBNTC 2 0 2023 NUMBER PAYEE NAME (_Aj1tC?41r� pL1NY°' T�xAS .. .At 1558338 01 COTIVITI 1564644 01 PAYMENT RESOLUTION SERVICES ............................................ ARID=0001 TOTAL MEMORIAL MEDICAL CENTER EDIT LIST FOR PATIENT REFUNDS ARID=0001 PAY PAT DATE AMOUNT CODE TYPE DESCRIPTION 121923 •MA Wg03 REFUND FOR 121923 1353.00./ 2 REFUND FOR .......... 4,6d2.19 Iya2.Lf0 TOTAL 16u w 107-40 PAGE 1 APCORDIT GL NUM MEMORIAL MEDICAL CENTER PROSPERITY BANK ELECTRONIC TRANSFERS FOR OPERATING ACCOUNT--- Dec 18 - Dec 21, 2023 Date Bank Description 12/21/2023 PAY PLUS ACHTrans 000000010040270 1010006919 12/20/2023 PAY PLUS ACHTrans 0000000098911581010006908 12/19/2023 WEBFILE TAX PYMT DD 902/74231665 22000023224 12/19/2023 PAY PLUS ACHTrans 000000009792468 1010006997 12/19/2023 MCKESSON DRUG AUTO ACH ACH05788521910000140 12/18/2023 PAY PLUS ACHTrans 000000009746235 1010006984 ANDREW DE LOS SANTOS Memorial Medical Center PROSPERITY BANK ELECTRONIC TRANSFERS FOR OPERATING ACCOUNT-- ESTIMATED ACHS Date ANDREW DELOSSANTOS Memorial Medical Center ppPROWD 0" g DEC �N2�y2 p2L'0tl2r3pp CALMDUN COUNtV,ITEXAB Description MMC Notes December 22, 2023 # A? rwvta 11-u -23 Ct- MMC Notes December 22, 2023 12/20/23, 1:34 PM tmp_=Sreport303l45l294996835377,htmI 12/20/p01,4ECEIVED 8Y THE ON MEMORIAL MEDICAL CENTER 0 NTY AUDITOR 13:34 AP Open Invoice List ap_openJnvoice.template 20 2023 Dates Through: Vendor#JC Name Class Pay Code 77��nclo^^r 11824.ALHUA'&'fagI NZEXAS Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Grass Discount No -Pay Net 121423 12120/202 12/14/202 01114/202 380.00 0.00 0.00 380.00 TRANSFER Nil (V15UN-ILU_ OAV 00('i tJ- 14 WkKL 0( . Vendor Totals: Number Name Gross Dis ount No-Pay Net 11824 THE CRESCENT 380.00 0.00 0.00 380.00 Ri:{}m: 8urnman; Grand Totals: Gross Discount No -Pay Net 380.00 0.00 0.00 380.00 APPROVED ON DCECN2 0 22pI023 CALHgyOUNUCpUNTy, TS Ble:/NC:/Userslltrevino/cpsitmemmed.opsinat.com/uB8l25/data_5/tmp_cw5report3O31451294996835377.html 1/1 12/20/23, 1:38 PM tmp_ow5repartl 469112559991971448.html 1IW,N6Tyj)j§fsBY THE MEMORIAL MEDICAL CENTER qry C 1338 AUDITOR ON AP Open Invoice List PE909 Dates Through: Uwo / Class Pay Code 11836 HEALTHCARE ✓ EName )(CgREEK t;ALHOUN CQ�lnvowa S Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount 121123 12/18/20212/11/20201/13/202 2,982.90 0.00 1212238 TRANSFER NR iffi0yWy. pyw.t dtpofr 12118/20212/12/202 01/13/202 jK� M,04 apt,► +", 53.36 &0 TRANSFER ti It 121223A 12/18/20212/12/20201/13/202 53.36 0.00 TRANSFER II It 121223 12118/20212112/20201/13/202 53.36 0.00 TRANSFER h I' 121223C 12/18120212112/20201/13/202 7,776.11 0.00 TRANSFER" 121123A 12120/20212/11/20201/15/202 60,503.02 0.00 TRANSFER't 121323 12/20120212/13/20201/13/202 53.36 0.00 TRANSFER It 121323A 12/20/20212/13/20201/13/202 9,239.69 0.00" TRANSFER tt 121423 12/20/202 121141202 01/15/202 579.23 0.00 TRANSFER Vendor Totals: Number Name Gross Discount 11836 GOLDENCREEK HEALTHCARE 81,294.39 0.00 P roa� suinrn:r� Grand Totals: Gross Discount No -Pay 81,294.39 0.00 0.00 A;PPROW91) ION DEC 2 0 2023 �ABYOCV?r? Jt Y�irr �As 0 ap_open_i nvoice.template No -Pay Net 0.00 2,982.90 0.00 53.36 0.00 53.36 f 0.00 53.36 % 0.00 7,776.11 0.00 60,503.02 f 0.00 53.36 1/ 0.00 9,239.69 V.- `I 0.00 579.23 No -Pay Net 0.00 81,294.39 Net 81,294.39 flle:fitC:l Userslltrevino/cpsitmemmed.opsinet.com/u88125/data_5/tmp_cw5reportl46911255999l U71448.html 12/20123. 1:35 PM tmp_cw5report8696703717577306188.html RECEIVED BY THE T AUDITOR ON MEMORIAL MEDICAL CENTER 12/2O2 0 EC 2 0 2023 AP Open Invoice List 13:3 ap_open_Invoice.template Dates Through: ft JNyeeW.,m9XAS Class Pay Code 12792 BETHANY SENIOR LIVING Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 121123 12/18/20212/11/20201/13/202 49,366.16 0.00 0.00 49,366.16 TRANSFER Wq j"SUW," V�V&j 61/.potflc(i iK4 Y4l..i(A,(. 6f6R-:-7_, I 121223 12/18120212112/20201/13/202 1,931.30 0.00 YY 0.00 1,931.30 TRANSFER tt 11 Vendor Totals: Number Name Gross Discount No -Pay Net 12792 BETHANY SENIOR LIVING 51,297.46 0.00 0.00 51,297.46 h'a,�cri Sw.)W,4%1 Grand Totals: Gross Discount No -Pay Net 51,297.46 0.00 0.00 51,297.46 APPROVED ON DEC N2 0 p2OZ33 q C BY 0%% C IUAWT ' @A9 flle:NC:iUsers/ttrevino/cpsilmemmed.cpsinet.comlu88125/data Sltmp_cw5report8696703717577306188.html 1/1 Memorial Medical Qnter NWsinP Nam. UPL Weetly came rranlfel Procpulty A...AN 12/22/2023 mMrur 1WM e nF4y XOI ix m YnwlNarlrnr4ma4xgW1 nrwn uuuv n;olm raeu.a v}9nv 47,39a.n nxlsw,aX PA..11 Y.nb 4I— IWW axrall ).W 4m.MrwloNwr 11.i10.01Y On.Yr W[tn) L].TII •••••••••.. Mnrnb xxrrrr LL>.LL� 44n11rltnnnnnllNanl a1.91R11 J Ilf.l]4AsJ1145NNa1�']elal [a U>.alf.11 / LLi�391.11 91m91Ynt1 )i]Iaf.11 t/ Y.wtl 4blo lWW 14N1v /nesa.ae �II]Ausi ownwom ",,in" VaemIs401.11 ✓ 6X!Y.ffi9]R _. 11119.n J,1911,.%9/ a1,tlI.M� „ r i LSr ts} 3 9 6`'?' + 117+59)e21 + 121f157.26 43f787-93 80.9385.48 � 4i Q R 3.18 n 1 * xxnl gN1llgN4 WlIIINHY Q`S 1}%U MurYrwyawNrr tM9.)1✓ gnelrr FUM1 LL[f�/ xewmew Nn.nn )u)�/ 4annulnnrtn.uu4m) ui/)ul X/ 119}n 19 ✓ I,MIrINtt IHAn.I) YrwFIWM. IW W glwnxxuu)uruxb Ott sa.0 MrXywpOtrmrr ,Aa,.l) x.r.marFxnn ]¢u ✓ aer,xeermmrxnn.xn ul,uw v/ s)Sran Ynl w4m s1N0A vu4... 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[iMO MCCWMPMi T4{0pN111100pMlOSl1 5,41B.96 5.47&16 1)/WM3HUM INSCOKCRAMLPME2TRUHBNUb15W - 3,55SAD 3.555.00 wW20I3 M[KTN MYFMNNCXCCWMIMT1116O01411NM3 - L)49AE 6.049L) 11/1BJMR NY611M9WPLDKPt•P�YMtMnmm9`u142om .. m,2 N gOpAf ;1Kf2'. 6,6NA5 ) L29/,Qy; sm".b U636L06 8,013.66 LIHTSi B.6KAf iV RL2l MMCPOIIQON _ jE o".09 / Y.A0.4p ID"Jem 1 QIPNINu p2 QIPP/EamP3 QI14,10IND LOUD QIPPTI MNPORTMN I212W02) WIREDYEfPM[AM3Al1MfIKCEM}fRlll 231S10P61/ 1U2U2011 WROEANOME74116MRIMNTbMDMMW3E1241 RS.M Sam 12RUME3 NN6, EMHCCWM,Wld 34UMSN26W91 17.965,61 - 12.00,61 IUSUM I NIV RKSOWOONNXIANAPMES]6323410=131 66,7R.24 66.193]4 lER0/Mn 3M 3351.20 }/ IUIMMU ke 22a40.01 22:34000 III10R023 1MNAGGNDNET12111 AIR PMMBWOWAIW]16BP1 10321..50 I6.3U.SD 9119/3)2S MYMAMACR DOBXCMIAVME2fIS50h130AVU - 7.I1,000 - 7•1100 1U1112021 NXB •SCXONCfWMPMT)I6bU11 ARQOUM)T ULM 40161 1x/11hW)AMf9W21oYP'cDA9p I�9,gGQ113m11W11 lit" 6A1lAQ- t,Buu ;:9 6,6Ky5' Ij: 449,0. i I� U762LSL �✓ L635Ai 6A64.lS ULl5T i6 U/iWOE3 WIREOY}UNRXMUI]NOME CEI)IERIN w2uroQ NwrtK SOWTONNCCWMPMfB)SIK4100001}6 ILI1/MU MRPfupp11me6u MCMIMPMTT16MNIl1U1N IVIDUMB E31 V120 IUM/Mn tY/llff?R AWK P16tIIlOMMlCOMO GNXM[M[tSl9161mi1Mk0. 121214023 WIFEQUTCAMUNNEAIM CMEURTIRIII IIR1Rb1 NIALKMUIY SWH WMPM]6163111fit'4]OIN WIUIOU XULTNMVMBYI SVCXRWMBMf 1116WNIliIOtt I2/2111011 MRPSuPPNmemA xCMIMPM[]IBO010111U1N IUIBROU 1265 W1O/20N MNb [(XOIIttWMPMf Nf00H11 NOOOOUISOI WL9ROU NNH EfNOMCLUIMPME ]LDIYNI1f14YO10.Wl wl9R0U MUMMetlPoh AX3AWA AE3701ISSUINUM IVISIM21VIIIZOZZ AWINCAO NCAOlaA INS CO XWAIMPMI3]SN9BBlWM56YB 1U1UM13 AKTINC,1[N laymen )PibhU33U))MroM3 I7/1V0011 NYMANRCNAONBXCd]IMIMfT3UN9{i0%OII 11111120111 AwuoRQur4xRw[•.PeYt6n[r[Imv]Muuaa Twoom MMCPONTIDN TJ9COYrpW 1i1696!9s DIPP![am03 QqP/Campt wlkeTomps OF HawaRSUPP. QIRTI NH PDRTRN 44,72713 S,UPL33 ISUPPOSEP OI)A6 ✓/ 35.9R33 L000A0 - L6ug f iw" 4pA0q. II TSSb 9L103tT / &]RN IAJIAO )9 .2 pAT.93 "COALITION IISD119911 i3MINE"m QIFPEHmP1 QIPP/EOm 2 C1PPI15,W3 WFICSOmP4R4pN 0"" NNPWMN IIS,M&ll� , I2.141.61 73,744,U 1.269 M - 2116920 lW.W 300.00 3.R3.6! - LR>31 3,PB1.31 [6,)Ie.R 1fi310.6fi ' L2M.a) x,xsoM II,N60] I1,NWA0 1,b9AB - 9,699.49 ' 10WSD] t0y9LO0 •. &NL6k' f 6H1gi1: -L7NIL )OV.Y L213.f9 11951996 nML96 Bb1.0 LTKY Tn] roLs'M1>9 46l,nae4 b.9R.Y ]5.51550 9190&63 4 n ILOL MEMORIAL MEDICAL CENTER -OPERATING -4357 $1,584,193.38 31, 65.i71 64 11,564, 1933e 51 �79.733 G3 MEMORIAL MEDICAL CENTER- CLINIC SERIES 2014-4365 S540A8 ._s_6 1540.48 154043 MEMORIAL MEDICAL CENTER- PRIVATE WAIVER CLEARING•4373 $435.11 14-311 143511 143511 MEMORIAL MEDICAL CENTER /NHASHFORD-4381 $74,200.13✓ 679.354315 574,2P013 5i2G.H5 SE MEMORIAL MEDICALCENTER I NH BROADMOOR•4403 $127,669.11 ✓/ $14S,4925.53 11 ',56911 $201553, 14 MEMORIAL MEDICAL CENTER/NH CRESCENT*"11 $129,249.13 ,/ S252,113. 5129,349. 13 5 673211-4 MEMORAL MEDICAL CENTER / SOLERA AT WEST HOUSTON-4438 $89.052.51 ✓ 5265,55321 $S9A52 St 51:9„0477 MEMORIAL MEDICAL CENTER /NH FORT BEND-4446 $52,570.37 ✓ 155,320 I 85:,5703' SS9,39G 77 MEMORIALMEDICAL/ NH GOLDEN CREEK HEALTHCARE-"54 $154,207,04 SI i4.2G7 r:4 SIS4,20704 4I"o6,223.14 MMC-NH GULF POINTE PLAZA. PRIVATE PAY'5433 $2,770.32 5`a,09°. SQ S1.77u32 S2i52 -37 MMC-NH GULF POINTE PLAZA- MEDICARE/MEDICAID`5441 $70,934.63 57272166 370,934E3 116,63330 MMC-NH BETHANY SENIOR LIVING•5506 $219,827.25 5320.5403E 5,19.52%25 %374921131 MMC-NH TUSCANY VILLAGE•3407 $24,397.73 5.1 q.0i::9 F24,33773 16%„:92. Memorial Medical Center Nursing Home UPL Weekly Neaion Transfer Prosperity Accounts 10/23/2023 previaaa Account Beginning Number fulsome 160,390.13 12B,603.21 Note: oniv bohmm a)aum$s= Mob' vaml ndca Menunlnpbeme. Non 2:Each asaunt has abase Dolan.o/$1LV that MMC Immited to as. a".un, APPROVED ON g DEC ('3HOi1N O1V1MA8 Pending Tod3y'3 Beginning Amount to Be Tnnrferred to Nursing Balance Name • 15C,2U2.01 12a,6B4.21 Dank Boone 15a,207.00 VaNann - Laauetn Balanco 100.00 Soren., OLtaber *IS 23,101.69 OIPP YA FINAL UST REFUND o'S 2,053.0e Odaborinterest 183.so ✓ Navemberlmerest L33Aa f Adlurt BPlance/TranalerAmt .IL604k3 V A rmad: ANDREW SANT05 11/22/3023 IANN Weekly TnnsferANH UPL➢enter 5ummervk3023\NH UPLTramter Summuy 12.22.23 11/3UI633 WIRE 00 NIXON MAIM 4AMMOIN GlIR NC I3/3UA33 4PlPFNCRffRNGtTM[R[O[PIINIM 91wb1951 I1i3U= NWRR9IGNIONNCC4WIMI6]CP9]Uw:P{if 1117=21 tkMat NYMl.H3VC MCCIRIMIMI I]16p911W11i IIRMA3l CepoGl IL1Y/3113313tl/fRRNf11R CRw01P9116N99991f91191 WMw3 RMlMT[1191 l/M313HNS EGOMPM1'WMI%4M=wlil] 6I 1193 HEALTH MYRMC111w 21IPIM23MIRSTERCOOEPS1M9361M91791 ILIUNII GOIOIXGIIRHGITMFR[0[NIS(119691wwU9l MMCPORTION OIPP/G]mP6 i1..F,, 3s OMP/Camp% OIPP/GmOi OIPP/0m03 6b0]C QIPP11 NHPORTION LIM.w � 1,196.w 96,TllA1 99,313. 6363.b 6,36L4919 I0.336,a9 15,212.47 - 29 la's.3P 1,193.9R 1.2".i9 1,399.9Y 1,179.19 1. 6.6w.w - a.lp0p,000w 1.196.13 1.196.63 1,396A3 1,156.03 I36.737.30 IL.6P1.31 1]0.6W.i1 MEMORIAL MEDICAL CENTER • OPERATING'4357 MEMORIAL ME0ICAL CENTER -CLINIC SERIES 2014-4365 MEMORIAL MEDICAL CENTER. PRIVATE WAIVER CLEARING'4373 MEMORIAL MEDICAL CENTER / NH ASHFORD -4381 MEMORIAL MEDICAL CENTER / NH BROADMOOR'4403 MEMORIAL MEDICAL CENTER / NH CRESCENT'4411 MEMORIAL MEDICAL CENTER / SOLERA AT WEST HOUSTON'4438 MEMORIAL MEDICAL CENTER / NH FORT BEND -4446 MEMORIAL MEDICAL / NH GOLDEN CREEK HEALTHCARE'4454 MMC -NH GULF POINTE PLAZA - PRIVATE PAY'5433 MMC -NH GULF POINTE PLAZA- MEDICAREIMEDICAID'5441 MMC -NH BETHANY SENIOR LIVING'5506 MMC •NH TUSCANY VILIAGE'3407 $1,584,193.38 S!.365.071>4 $1,5841933$ $I, 37j.7B3 G2 %540.48 "9 OAS ^.-5i048 534046 5435.11 E43511 S43'. II S_3511 $74200.13 S79.854 313 S7410; I i226.E35.55 $127,669.11 <i$!i25 s3 >I273i411 3201.E5314 5729,249.13 $252211.34 S129?4?.13 5257.32174 $99,052.51 528> 555 21 585,,52.51 5175:874 77 $52,570.37 555.32081 Si257i 57 S58.38G77 5154.207.04 ✓ SI44.11107 ijA 5154.20704 5185.223.14 $2,770.32 . 59 S177•/n< R,55267 $70,934.63 F'2?41 GG "'Ic. 3463 SG.33330 $219.827.25 532ii 54236 1219, u725 S>74. W.31 $24,387.73 SA9.OG'_30 124.3.773 SGi.AL3,_9 Memorial Mediol Center Nursing Home UPL Weekly HMG Transfer Prosperity Accounts 12/22/2023 AIMgo Am ... t..& ATmunl {ginnlq penein{ Tnnmxadm HYNn Nwnn xumNr Btlmn famm�e0l T.W."A nSCleamd xe lu Taea :Be Gnln Bdmn NYn] Mnm. _ L5960r 315.]I - LTf0.3i Lnnmr bankbahna xuntt lore in 814n1. 10190 v nppa Mmunl dglnnln{ HIM. . am.. 63OL/] Nor. mfEbulun n e/.. ss,OW Wa15r Nanlfn/rd m]hnnunnghome. N61ea: E.Ih g..I AU O kllb01M1E4 $IW IhII MMCOMN110d 100 ...I. APPROVED ON DEC 2 2 2023 CALHtlUNC?U�TY'T� Adj. emnn/Tnmfer.1 L6M3] M hndhl{ TnnO.d3.d.dro 66.733.31 00,93a.63 61nk&Isna 76,93163 WNnpe Lennln6ahn[e 16a00 Adfmlamna/T0min4nl ]4owl TOTALTNWISFENE 71"Is,. App., � ANOAEW DEW To Ula212030 1 \N] WMNTnn✓m\NN Nt Tumlx Summary\]O}rµN N01 Tramxr I.—N, l].0 11 MMC PORTION QIPP/Camp QIPP/COmP4 TMmflHOV Tran43ar.In QIPP/CamPl 2 QIPP/ComP3 &UP" QIPP TI NH PORTION 13/21/2023 HNP-ECHO HCCIAIMPMTT46W3411440000360991 - 117.65 117.65 IV1911OU HNR• ECHO HCCIAIMPMT746003411440000213011 - 51.63 / - 51.63 1T5.28 1T5.28 MMC PORTION QIPP/Comp QIPP/Camp4 TranAurAut Transfer., QIPP/COMPI 2 QIPP/Comp3 &lapl! QIPPTI NN PORTION 12/21/3023 NORIOMM:HCCIAIMPMT6758924200101296492 R W1.33 64,601.33 12/20/1023 MERCHANT BANKCD DEPOSIT 4964265118899101 3AW.00 - 2,064.00 12/18/2023 NORIDIANIIAHCCIAIMPWOS$9242CONLIONO2 - 62.11 / - 62.81 66,733.21 V 66,73121 W 908.49 561909.49 MEMORIAL MEDICAL CENTER - OPERATING '4357 $1,584,193.38 S1.36i071 34 $1,58.1.19338 $1.574.793 MEMORIAL MEDICAL CENTER CLINIC SERIES 2014'4365 $540.48 154.148 S540.18 1540.45 MEMORIAL MEDICAL CENTER -PRIVATE WAIVER CLEARING*4373 $435.11 543511 $4351I 543311 MEMORIAL MEDICALCENTER/ NH ASHFORD'4381 $74,200.13 S7S•554315 57420E 15 5226.53555 MEMORIAL MEDICAL CENTER NH BROAOMOOR•4403 $127,869.11 5149,%i 53 SIZ7].G511 Sf0LE5314 MEMORIAL MEDICAL CENTER/NH CRESCENT*4411 $129,249.13 S25222131 SI 9249 i3 3_"07.52174 MEMORIAL MEDICAL CENTER/ SOLERA AT WEST HOUSTON'4438 $89,052,51 .265,55E 21 '6905251 Si74,?0477 MEMORIAL MEDICAL CENTERNH FORT BEND-4446 S52,570.37 S553202i S52.57037 S593E677 MEMORIAL MEDICAL/ NH GOLDEN CREEK HEALTHCARE'4454 S154,207.04 SI54."j7 n4 SI54,267 04 5186,223 I3 MMC-NH GULFPOINTE PLAZA -PRIVATE PAY-5433 $2,770.32� S5.'.8550 S177032 ._a52ti7 MMC-NH GULF POINTE PLAZA- MEDICAREIMEDICAID'S441 $70,934,63 J $7174I 66 S7G.934 E3 S6a3330 MMC-NH BETHANY SENIOR LIVING'5506 $Z19,827.25 $3=0.540 3d 5219�82725 S37{<.1031 MMC-NH TUSCANYVILLAGE'3407 $24,387.73 :4Ir ui230 S24.35775 •u" Memorial Medical Center Nursing Home UPL Weekly Tuscany Transfer Prosperity Accounts 12/22/2023 A..I Nunin Nam N^� Naa onH am,.ns.l w,r ss.atl xe w nn+W.r.a m a, mmnp nan.. Nael: FeM.nwnrAnobeubvl.nn o/5lletM1m M1IMCA<pmiMrvapenaua.nr. APPROVE® ON DEC 2 2 2023 QALMO�llt�UCO Aq,'TEXAS Ammmma. r..nameato Swami... Vnimn I.,nmeNmn room / Am<aproup ONebe. I.j56.%✓ 1aluRe,Wui/''f'nn�srn�lmt (� 9.Tae.7)',� Approved: \\ ANDAMPStOSSAMOf II/SpJtvia 12/21/2023 WIRE OUT UNBAR ENTERPRISES, tI.0 12/21/2023 HNB- ECHO HCCLAIMPMT 74600MII 440000260997 12/20/2013 1142 12/20/2023 Oepmlt 12/19/2023 HNB- ECHO HCCIAIMPMT 746003411490000220523 12/18/2023 AMERIGRCUP CORPO C PAYMENT EE52716923111000 MMC PORTION QIPP/Camp QIPP/Camp QIPP/Comp Transfer Out / Transfer In 1 QIPP/CompZ 3 4&Lapse QIPP TI NH PORTION 40,913.281/ / - 9,ee9.72 4,889.72 8,015.04 5// - - - 2100.00 2,600.00 - a99.95 494.95 l63G3.08 ef2b10;86 3A92.20' 14;95&96 L79610' 96,926.32 24,287.73 IL810.86 3A92,20 14,556.96 3- 9,730.77 MEMORIAL MEDICAL CENTER - OPERATING '4357 $1.594.793.38 113650Y 64 !,54.19333 1'.57A753 e2 MEMORIAL MEDICAL CENTER• CLINIC SERIES 2014.4365 $540.48 54G 43 i540.4; $5?045 MEMORIAL MEDICALCENTER- PRIVATE WAIVER CLEARING'4373 $435.11 ?435. I1 143511 -_3311 MEMORIAL MEDICAL CENTER I NH ASHFORD-4381 $74,200.13 573,354M 57430413 S22o.r35 SS MEMORIAL MEDICALCENTER I NH BROADMOOR'4403 $127,869.11 SW-.91553 >127.Si II 520195814 MEMORIALMEDICAL CENTER/NH CRESCENT-4411 $129,249.13 >23L22134 $12?.24c 1; i.A7.321'4 MEMORIAL MEDICAL CENTER/SOLERAAT VEST HOUSTON'4438 $89,052.51 +_ui.5Ei 21 2?OS2 Sl 517i,S^277 MEMORIAL MEDICAL CENTER INN FORT RENO-4446 $52,570.37 >55.32091 552.57037 i54,3y_'7 MEMORIAL MEDICAL I NH GOLDEN CREEK HEALTHCARE'4454 5154,207.04 8154: n7 n4 5154,`07 p4 >185,123.1G MMC-NH GULF POINTE PLAZA- PRIVATE PAY'S433 52,770.32 53 J3°50 -_77032 S2a267 MMC-NH GULF POINTE PLAZA- MEDICAREIMEDICAID'5"1 $70,934.63 $717.'1615 1,70d3463 iu.333. C MMC -NH BETHANY SENIOR LIVING'5506 5219,827.25 'S4-0c2$ia MMC-NH TUSCANY VILLAGE'3407 $24,337.73 r/ S 1 o�- Memorial Medical Center Nursing Home UPL weekly HSLTrans/er Prosperity Accounts 12/22/2023 hnluur Yendlnl Nnnunr]a Be X[munt BWnMn1 M.dl[en Twrte..dm Xunl Xnme Xumbel Belewe T�intlervdul nmlervin CYi(law<d Rea enl Tvda aN Innln Btlenw .r& Ram. 1 - 25'- )5 155.09196 191,1)t% )...7 293,179.96 6.4wlann i19.a,I vw Ir.v.InwW. MAG Suvedvr00.b.r 01S 11.171.0 onobetlnnnn 111.15 RanmWrintenrt US.M Note:prrybdantn v/evn 55.090 x�llhetranr/nrM tvtM1enurun9nvmr. ndel: FarM1Ow9uprhm v6auhvlvn[e vfflCdrAvt M1lMCdtpOLlMlueatn et[eunl. DEC 2 2 2023 c,AMoRMKO TVA.4 ddlmt B.l.nnal�p�m,{dn�<mt Lys. V pnBMW O[IOSSANiof 11/i1/3013 LWxw.ANrvmnenWxurlrnnJx summ.nUW 1\nxwliunelnsummq I1.R.11 MMCPORTION Mn11enO T3R ow I QIpp/Camp, QPP/Gmp2 glPp/Cpmp3 MIMP&mpRBIRple QIppv 1 NH PORTION II/1L1023 WIRE OUT FORS.... IIf IS$=. - 12P.1413 0Rpepl - 75,061.23 35,062.21 I2/19I201S Oepul - ADDI'l1 - SI,M6.60 WOMB ORppm - All. 38,630.48 Wl9/2011 0epmil - 12,M5J0 - 32,065]0 IL19/M33 0R9p01 - /L4SO.R1 / 1,410.87 255.081.06 ✓19B,U0.96 198.114.96 MEMORIAL MEDICAL CENTER -OPERATING •4357 $1,584,193.38 $1.365.17164 51.584.1933E it3'S.:93 G2 MEMORIAL MEDICAL CENTER -CLINIC SERIES 2014-4365 S540A8 1540455 5sic 4S .E40.4E MEMORIAL MEDICAL CENTER• PRIVATE WAIVER CLEARING•4373 $435,11 ?43511 i435II .455I MEMORIAL MEDICALCENTER/ NH ASHFORD•4331 $74,200.13 S79.yS436 ?7410013 a_5.92=3E. MEMORIAL MEDICAL CENTER/NH BROADMOOR-4403 S127,869.11 r149.0.2'53 '12756911 n,ES?14 MEMORIAL MEDICAL CENTER NH CRESCENT •4411 $129,249.13 .2.2.221?4 512924 1$ ?287.321% MEMORIAL MEDICALCENTER/ SOLERA AT WEST HOUSTON•4438 $09,052,51 "55,55521 S89A52S1 S174.50471 MEMORIAL MEDICAL CENTER / NH FORT BEN 0'4t46 $52,570.37 SS5.310 of $5257037 S59.3s6.77 MEMORIAL MEDICAL NH GOLDEN CREEK HEALTHCARE•4454 $154,207.04 5154.2070u ?15420704 $186_223 Ii MMC-NH GULF POINTE PLAZA -PRIVATE PAY'5433 $2,770.32 -...E±30 'Sy 770'2 ._..5217 MMC •NH GULF POINTE PLAZA - MEDICARE/MEDICAID •S441 $70,934.63 572,'41 c6 570334 n3 56.33350 MMC-NH BETHANY SENIOR LIVING'5506 $219,82715 ✓ :}2 _i,'i "1_. 3b 521S. 3U 25 ?274320'i MMC•NH TUSCANY VILLAGE•3407 $24,387.73 Sd5.cc23" S243S773 1.60.:4929 MEMORIAL MEDICAL CENTER CHECK REQUEST w MEMORIAL MEDICAL CENTER A Y E Date Requested: 12/22/2023 E APPilfil ED ON gyDCEDCLIN2� 2 202T3�p CACHOU* COUNTUYD,ITEXAS AMOUNT: $ 23,440.01 EXPLANATION: Amerigroup October QIPP FOR ACCT USE ONLY ❑ Imprest Cash ❑ A/P Check ❑ Mail Check to Vendor ❑ Return Check to Dept GA NUMBER: 10255040 REQUESTED BY: Caitlin Clevenger AUTHORIZED BY: Y P A Y E E MEMORIAL MEDICAL CENTER CHECK REQUEST MEMORIAL MEDICAL CENTER Date Requested: 12/22/2023 % ROVED ON DEC 2 2 2023 FOR ACCT USE ONLY ❑ Imprest Cash ❑ A/P Check ❑ Mail Check to Vendor ❑ Return Check to Dept CALHOUNU CDUNTY, IWA6 AMOUNT: $ 8,669.85 G/L NUMBER: 10255040 EXPLANATION: Amerigroup October QIPP REQUESTED BY: Caitlin Clevenger AUTHORIZED BY: Z\ P A Y E E AMOUNT: MEMORIAL MEDICAL CENTER CHECK REQUEST MEMORIAL MEDICAL CENTER Date Requested: 12/22/2023 APPROVED ON EC 2 2 2023 CABLFVi0U0N COUNTYITEXAS FOR ACCT USE ONLY ❑ Imprest Cash ❑ A/P Check ❑ Mail Check to Vendor ❑ Return Check to Dept $ 6,464.25 GA NUMBER: 10255040 EXPLANATION: Amerigroup October QIPP REQUESTED BY: Caitlin Clevenger AUTHORIZED BY: g*� P A Y E E AMOUNT: MEMORIAL MEDICAL CENTER CHECK REQUEST MEMORIAL MEDICAL CENTER Date Requested: 12/22/2023 EXPLANATION: APPROVED ON DEC 2 2 2023 CALHOM UNTYIVAS FOR ACCT USE ONLY ❑ Imprest Cash ❑ A/P Check ❑ Mail Check to Vendor ❑ Return Check to Dept $ 7,315.24 G/L NUMBER: 10255040 Amerigroup October QIPP REQUESTED BY: Caltlin Clevenger AUTHORIZED BY: P A Y E MEMORIAL MEDICAL CENTER CHECK REQUEST MEMORIAL MEDICAL CENTER Date Requested: 12/22/2023 E APPROVED ON DEC 2 2 2023 AMOUNT: $ CALHOUN COUNN.ITEXAS 7,017.48 EXPLANATION: Amerigroup October QIPP 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 AUTHORIZED BY:—iZs V1 P MEMORIAL MEDICAL CENTER CHECK REQUEST MEMORIAL MEDICAL CENTER A Y Date Requested: 12/22/2023 E E APPROVED ON DEC 2 2 2023 AMOUNT: EXPLANATION: c.4u�+ouOu m GAR'3&s $ 14,556.96 Amerigroup October QIPP FOR ACCT USE ONLY ❑ Imprest Cash ❑ A/P Check ❑ Mail Check to Vendor ❑ Retum Check to Dept G/L NUMBER: 10255040 REQUESTED BY: Caitlin Clevenger AUTHORIZED BY: Z� 1 A m O N l0 ri 0 0 lO �(1 O O M N O N C1 1f O O OJ aM O O l0 1(1 01 111 O N 111 O OJ M M M W O 1 1 O lO H C O N 1p O � N N ri N 01 L} 94 P4[4 a'w'a' aaaaa awwaaa 0 WEE H H F 4 O a a W H a W as o Wm 14 U O x O m W F a Q W fA xm'OE' ,7. 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