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2024-02-07 Final PacketNOTICE OF MEETING- 2/7/2024 February 7, 2024 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. CountyJudge Commissioner Pct 1 Commissioner Pct 2 Commissioner Pct 3 Commissioner Pct 4 County Clerk Deputy Clerk Meeting was called to order at loam by 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. Rene Torres gave small report on success rate he has had while working with the veterans in the county. Sheriff gave an update on Chief Deputy Krause. Page 1 of 6 NOTICE OF MEETING 2/7/2024 5. Hear report from Memorial Medical Center. Roshanda Thomas, gave a report. Russell Cain and Steve Marwitz introduced; themselves as being members of the Medical Foundation. 6. Public Hearing regarding the proposed adoption of the Guidelines and Criteria of the Commissioners' Court of Calhoun County for Granting Tax Abatement as a Business Incentive in Reinvestment Zones created in Calhoun County for the period of March 9, 2024 through March 8, 2026. (RHM) Closed Regular Session at 10:23am Opened Regular Session at 10:24am 7. Consider and take action necessary action to adopt the Guidelines and Criteria of the Commissioners' Court of Calhoun County for Granting Tax Abatement as a Business Incentive in Reinvestment Zones created in Calhoun County for the period of March 9, 2024 through March 8, 2026. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 8. Consider and take necessary action to ratify the Judge's Declaration of Local Disaster for the ongoing Border Disaster Crisis. (RHM) Shannomexplained the Court would have to declare weekly until the Governor has us on a state list. RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 9. Consider and take necessary action to approve Change Order No. 4 for the Calhoun County Combined Dispatch Facility Project for Calhoun County, Texas and authorize the County Judge to sign all documents. (DEH) Scott Mason explained the change order. RESULT: APPROVED [UNANIMOUS] MOVER; David Hail, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 2 of 6 NOTICE OF MEETING 2/7/2024 10. Consider and take necessary action to accept a $240,000 Forestry Service Grant for the Six Mile Community Volunteer Fire Department for a Large Brush Truck. (VLL) President Chris Mabry explained the grant and process. 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 amending the final plat of Puesta De Sol Subdivision. (VLL) Terry;Ruddick explained amended Final Plat. RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 12. Consider and take necessary action to accept proceeds of $381.30 from Texas Port Recycling for scrap metal and place funds in Precinct 3, R & B 560-53510 account. (JMB) pass 13. Public Hearing on a Petition to Vacate Lots 7 & 8 in Block 87 of the Port O'Connor Townsite according to the plat recorded in Volume 2, Page 001 of the Calhoun County Plat Records. Regular Session closed at 10:39am Henry Danysh explained petition to vacate Regular Session opened at 10:40 14. Consider and take necessary action on a Petition to Vacate Lots 7 & 8 in Block 87 of the Port O'Connor Townsite according to the plat recorded in Volume 2, Page 001 of the Calhoun County Plat Records. (GDR) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 3 of 6 NOTICE OI- MEETING 2/7/2024 15. Consider and take necessary action to authorize the Calhoun County EMS Director to sign the Operative IQ Licensing Agreement with Bound Tree Medical. (RHM) Dustin Jenkins explained the agreement. RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner PC 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 16. Consider and take necessary action to approve the contract between Calhoun County and Prodigy Solutions for Inmate Telephone Services and Inmate Banking Software, Commissary Service and fiduciary Management Services, Bid Number 2023.09 awarded on January 24, 2024. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 17. Consider and take necessary action to accept insurance proceeds checks from TAC in the amount of $2,462.73 ($4,961.73 - $2,500 deductible) and $697.14 for damages to a Sheriff Office vehicle on 1/8/24. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 18. Approve the minutes of the January 17, 2024 regular meeting. RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 19. Accept Monthly Reports from the following County Offices: a. Floodplain Administration — January 2024 RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER:. David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 4 of 6 I NOTICE OF MEETING:; — 2/7/2024 20. Consider and take necessary action on anv necessary budoet adiustments. (RHM) 2023 RESULT: ° APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 2024 RESULT: APPROVED [UNANIMOUS] MOVER: GaryReese, Commissioner.Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 + AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 21. Approval of bills and payroll. (RHM) MMC Bills RESULT:. APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER:, 'Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese County, Bills 2023 RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES, Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese County Bills 2024 RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 5 of 6 No nCF OF MEE I ING - 2/7/2024 SUPPLEMENTAL AGENDA The subject matter of such meeting is as follows: 22. Consider and take necessary action to approve a building line variance for an existing building located near the South line of the proposed Lot 7R of the Replat of Lots 7 and 8 of Block 87 of the Port O'Connor Townsite. Henry Danysh explained the variance. RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 23. Consider and take necessary action to adopt the Rules of Procedure, Conduct and Decorum at meetings of the Calhoun County Commissioners' Court. APPROVED [UNANIMOUS] Joel Behrens, Commissioner Pct 3 Gary Reese, Commissioner Pct 4 ' Adjourned 10:52am Page 6 of 6 CAL H[®UAsp c��®�JA� TY COMMISSIO � ]ERS9 c�®� l l[ T COMPLETION SHEET ET All Agenda Items Properly Numbered Contracts Completed and Signed All 1295's Flagged for Acceptance (number of 1295's 1 All Documents for Clerk Signature Flagged (All documents needing to be attested to need to be signed day of Commissioner's Court.) On this 13 k day of < 2024, the packet for the day of 2024 Commissioners' Court Regular Session was submitted f m the Calhoun County Judge's office to the Calhoun County Clerk's Office. ( .I/ Calhoun ounty Judge/Assistant AGENDA # 04 I NOII�_!-O) IA�I rllvJG ///)0)<I Richard H. Meyer County judge David Hall, Commissioner, Precinct 1 Vern L,yssy, Commissioner, Precinct 2 Joel Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 NOTICE OF MEETING The Commissioners' Court of Calhoun County, Texas will meet on Wednesday, February 7, 2024 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 meetingis as follows: I : C6FILED �y AT V' � O'CLOCK W M YCall meeting to order. F.9 0 2 2024 42'Invocation. COUNTYCLEIR, OOWAOUNTY,TVAS S. Pledges of Allegiance. svotrurn e General Discussion of Public Matters and Public Participation. TO `s (de'4S) GIoS94 Hear report from Memorial Medical Center. P'K Public Hearing regarding the proposed adoption of the Guidelines and Criteria of the Commissioners' Court of Calhoun County for Granting Tax Abatement as a Business Incentive in Reinvestment Zones created in Calhoun County for the period of March 9, 2024 through March 8, 2026. (RHM) GIoc,2 opConsider and take action necessary action to adopt the Guidelines and Criteria of the Commissioners' Court of Calhoun County for Granting Tax Abatement as a Business Incentive in Reinvestment Zones created in Calhoun County for the period of March 9, 2024 through March 8, 2026. (RHM) Consider and take necessary action to ratify the Judge's Declaration of Local Disaster for /the ongoing Border Disaster Crisis. (RHM) f3. Consider and take necessary action to approve Change Order No. 4 for the Calhoun County Combined Dispatch Facility Project for Calhoun County, Texas and authorize the County Judge to sign all documents. (DEH) Page 1 of 2 i 1,io I I� -!. OF Vii L I INS - .'/ 111.m4 /1'(51.�Consider and take necessary action to accept a $240,000 Forestry Service Grant for the Six Mile Community Volunteer Fire Department for a Large Brush Truck. (VLL) fl Consider and take necessary action to approve amending the final plat of Puesta De Sol Subdivision. (VLL) �N^ i2. Consider and take necessary action to accept proceeds of $381.30 from Texas Port �toSQRecycling for scrap metal and place funds in Precinct 3, R & B 560-53510 account. (JMB) QkPublic Hearing on a Petition to Vacate Lots 7 & 8 in Block 87 of the Port O'Connor Townsite according to the plat recorded in Volume 2, Page 001 of the Calhoun County Plat Records. Ll�nS,r}� " A01onsider and take necessary action on a Port O'Connor Townsite according to the Calhoun County Plat Records. (GDR) Petition to Vacate Lots 7 & 8 in Block 87 of the plat recorded in Volume 2, Page 001 of the i5. Consider and take necessary action to authorize the Calhoun County EMS Director to sign the Operative IQ Licensing Agreement with Bound Tree Medical. (RHM) 4<Consider and take necessary action to approve the contract between Calhoun County and Prodigy Solutions for Inmate Telephone Services and Inmate Banking Software, Commissary Service and fiduciary Management Services, Bid Number 2023.09 awarded on January 24, 2024. (RHM) Consider and take necessary action to accept insurance proceeds checks from TAC in th6 amount of $2,462.73 ($4,961.73 - $2,500 deductible) and $697.14 for damages to a --Sheriff Office vehicle on 1/8/24. (RHM) t8. Approve the minutes of the January 17, 2024 regular meeting. i9. Accept Monthly Reports from the following County Offices: Floodplain Administration — January 2024 m10. Consider and take necessary action on any necessary budget adjustments. (RHM) Zi/. Approval of bills and payroll. (RHM) Z 1t 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 website at www.calhounc:otx.org under "Commissioners' Court Agenda' for any official court postings. Page 2 of 2 NOW'[ OF V f IIN(I- )1"I/?0)4 Richard H.Meyer County judge David Hall, Commissioner, Precinct 1 Vern Lyssy, Commissioner, Precinct 2 Joel Behrens, Commissioner, Precinct 3 (nary Reese, Commissioner, Precinct 4 SUPPLEMENTAL NOTICE OF MEETING The Commissioners' Court of Calhoun County, Texas will meet on Wednesday, February 7, 2024 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. SUPPLEMENTAL AGENDA The subject matter of such meeting is as follows: 22. Consider and take necessary action to approve a building line variance for an existing building located near the South line of the proposed Lot 7R of the Replat of Lots 7 and 8 of Block 87 of the Port O'Connor Townsite. 23. Consider and take necessary action to adopt the Rules of Procedure, Conduct and Decorum at meetings of the Calhoun County Commissioners' Court. 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 website at www.calhouncotx.org under "Commissioners' Court Agenda" for any official court postings. AT-LL:O'CLOGK ��FlLED M F `8 0 2 2024 COUNTY CrLERK, CpLM8>gry� C71Z gg SYCEPUTY.- �. Page1 of 1 NOTICE Of MEETING — 2/7/2024 February 7, 2024 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 10am by 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. Rene Torres gave small report on success rate he has had while working with the veterans in the county. Sheriff gave an update on Chief Deputy Krause. Page 1 of 20 Calhoun County Commissioners Court Public Participation Form NOTE: This Public Participation Form must be presented to the County Clerk or Deputy Clerk prior to the time the agenda item (or items) you wish to address are discussed before the Court. Instructions: Fill out all appropriate blanks. Please print or write legibly. ll NAME: f e n e I're S ADDRESS: 1:5 `-1 Se r^-scA p 1E TELEPHONE: PLACE OF EMPLOYMENT: 3f i I F-,C-7 EMPLOYMENT TELEPHONE: - Do you represent any particular group or organization? YES CO)(Circle one) If you do represent a group or organization, please provide the name, address and telephone number of the group or organization: Which agenda item (or items) do you wish to address? Mu fj (✓ In general, are you for or against the agenda item (or items)? A/ 0 I hereby swear that any statement 1 make will be the truth, and nothing but the truth, to the best of my knowledge and ability. Signature: # 05 NOTICE OF MEETING — 2/7/202.4 5. Hear report from Memorial Medical Center. Roshanda Thomas gave a report. Russell Cain and Steve Marwitz introduced themselves as being membersofthe Medical Foundation. Page 2 of 20 # 06 NOiICF OF MEETING - 2/7/2024 6. Public Hearing regarding the proposed adoption of the Guidelines and Criteria of the Commissioners' Court of Calhoun County for Granting Tax Abatement as a Business Incentive in Reinvestment Zones created in Calhoun County for the period of March 9, 2024 through March 8, 2026. (RHM) Closed Regular Session at 10:23am Opened Regular Session at 10:24am Page 3 of 20 Richard H. Meyer County judge David Hall, Commissioner, Precinct 1 Vern Lyssy, Commissioner, Precinct 2 Joel Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 NOTICE OF PUBLIC HEARING The Commissioners'Court of Calhoun County, Texas will meet on Wednesday, February 7, 2024 at 10:00 a.m. in the Commissioners' Courtroom in the County Courthouse, 211 S. Ann Street, Suite 104, Port ]Lavaca, Calhoun County, Texas. NOTICE IS HEREBY GIVEN that the Calhoun County Commissioners' Court will hold a Public Hearing regarding the adoption of the Guidelines and Criteria of the Commissioners' Court of Calhoun County for Granting Tax Abatement as a Business Incentive in Reinvestment Zones created in Calhoun County for the period of March 9, 2024 through March 8, 2026. (RHM) The public shall have the right to be present and participate in such hearing. Anna Goodman, County Clerk By:vc) deputy Ric and H. Meyer, County fu4e Calhoun County, Texas Al ��, 2S FILED /) O'CLOCKyy M COUNTYCL KNC OpUry 'NUNTY •fE#µg Byoerurv: A copy of this Notice has been placed on the outside bulletin board of the Calhoun County Courthouse, 211 South Ann Street, Port Lavaca, Texas, which is readily accessible to the general public at all times. This Notice shall remain posted continuously for at least 72 hours preceding the scheduled meeting time. For your convenience, you may visit the county's website at ww w.calhouncomorg under "Commissioners' Court Agenda' for any official court postings. Page 1 of 1 # 07 NOTICE OF MEETING — 2/7/2024 7. Consider and take action necessary action to adopt the Guidelines and Criteria of the Commissioners' Court of Calhoun County for Granting Tax Abatement as a Business Incentive in Reinvestment Zones created in Calhoun County for the period of March 9, 2024 through March 8, 2026. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pdt Z SECONDER David Hall, Commissioner Pct 1 AYES: I I Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 4 of 20 GUIDELINES AND CRITERIA OF THE COMMISSIONERS' COURT OF CALHOUN COUNTY FOR GRANTING TAX ABATEMENTAS A BUSINESS INCENTIVE IN REINVESTMENT ZONES CREATED IN CALHOUN COUNTY (For the period March 9, 2024 through March 8, 2026) PREAMBLE WHEREAS, the Commissioners' Court of Calhoun County by resolution adopted on March, 18, 1988 declared its eligibility to grant tax abatement; and WHEREAS, by subsequent resolutions the Commissioners' Court of Calhoun County adopted and extended Guidelines and Criteria for granting tax abatement in reinvestment zones created in Calhoun County; and WHEREAS, as a direct result of being eligible to grant tax abatement, Calhoun County, the Calhoun County Independent School District, Calhoun County Navigation District and other taxing jurisdictions in the county have been able to compete for and obtain expansion projects of the Union Carbide Corporation Seadrift Plant, with projects exceeding one hundred million dollars, and the Formosa Plastics Corporation, Texas facilities of approximately 1.3 billion dollars; and WHEREAS, pursuant to the PROPERTY REDEVELOPMENT AND TAX ABATEMENT ACT, TEX. TAX CODE ANN. Chapter 312, it is necessary to adopt Guidelines and Criteria for granting tax abatement agreements as a business incentive for the next two-year period commencing March 9, 2024 through March 8, 2026, inclusive, said Guidelines and Criteria to be unchanged for the two-year period, unless amended by three-quarters vote; and NOW, THEREFORE, BE IT RESOLVED that the Commissioners' Court of Calhoun County does hereby adopt the following Guidelines and Criteria for granting tax abatement as a business incentive in reinvestment zones created within Calhoun County, Texas for the period March 9, 2024 through March 8, 2026, inclusive. Section 1 DEFINITIONS (a) ABATEMENT means the exemption from ad valorem taxation of a portion or all of the eligible value of the real property or of tangible personal property located on the real property, or both, as limited by these Guidelines and Criteria and the provisions of TEX. TAX CODE ANN. §312.204. (b) AGREEMENT means a written contractual agreement between a property owner and/or lessee and an eligible taxing jurisdiction for the purposes of a business incentive. (c) AOUACULTURE FACILITY means buildings, structures and major earth structure improvements, including fixed machinery and equipment, the primary purpose of which is the hatching or incubation or nursing or maturing or processing to marketable size aquatic culture in commercially marketable quantities. (d) APPLICANT means the legal entity seeking tax abatement as a business incentive. (e) APPRAISED VALUE means the last certified property value as approved by the Calhoun County Appraisal Review Board. (f) BASE YEAR VALUE means the appraised value of all property owned by the Taxpayer/applicant in the reinvestment zone as most recently determined by the Calhoun County Appraisal District immediately preceding the application, plus the agreed upon value of all property improvements made in the reinvestment zone since the last appraisal, but before the execution of the agreement. (g) BUSINESS INCENTIVE means an item offered of value to a business that induces the business to locate in a particular jurisdiction. (h) COMMENCEMENT OF CONSTRUCTION means the placement or construction of any improvements that are part of the project in the reinvestment zone. The storage of building materials in the reinvestment zone that are to be used in construction of the improvements does not constitute commencement of construction. Engineering, site preparation and similar activity shall not be considered commencement of construction so long as permanent improvements that are part of the project have not been constructed and placed in the reinvestment zone. (i) COMMISSIONERS or COMMISSIONERS' COURT means the Commissioners' Court and governing body of Calhoun County, Texas. 0) COUNTY means Calhoun County, Texas, a political subdivision of the State of Texas. (k) DEFERRED MAINTENANCE means improvements necessary for continued operations which do not improve the productivity or alter the process technology. (1) DESIGNATING AUTHORITY means the taxing unit that has the authority to designate the reinvestment zone in which the proposed project is located. (m) DESIGNEE unless otherwise indicated, means any person or entity authorized by the Commissioners' Court to act on behalf of the County. (n) ECONOMIC LIFE means the number of years a property improvement is expected to be in service in a facility, and will continue to have value for ad valorem tax purposes throughout such term (o) ELIGIBLE JURISDICTION includes Calhoun County and any navigation district, any drainage district, and municipal utility district, any water quality improvement district, any municipality, and the Calhoun County Independent School District, that levies ad valorem taxes upon property located within the proposed or existing reinvestment zone. (p) EXPANSION means the addition of building, structures, fixed machinery or equipment for purposes of increasing production capacity. (q) FACILITY means property improvements proposed, completed, or in the process of construction which together comprise an integral whole. (r) INFRASTRUCTURE means a system of public works installed in a residential subdivision, whether public or private, to include, but not be limited to, roadways, utility service including water, sewer and electrical service, and bulk heading. (s) MANUFACTURING FACILITY means building and structures, including fixed machinery and equipment, the primary purpose of which is or will be the manufacture of tangible goods or materials or the processing of such goods or materials by physical or chemical change. (t) MATERIAL MISREPRESENTATION means a false statement about a material matter which induced the Commissioners' Court to take any specific action on an application for tax abatement as a business incentive, and without such misrepresentation, the Commissioners' Court would either not have designated a reinvestment zone, or granted tax abatement as a business incentive or would have taken some action different than it actually did. (u) MODERNIZATION means the replacement or upgrading of existing facilities which increases the productivity input or output, updates the technology, or substantially lowers the unit cost of the operation. Modernization may result from the construction, alteration, or installation of buildings, structures, fixed machinery or equipment. It shall not be for the purpose of reconditioning, refurbishing or repairing. (v) NEW FACILITY means a property previously undeveloped which is placed into service by means other than or in conjunction with expansion or modernization. (w) OTHER BASIC INDUSTRY means buildings and structures including fixed machinery and equipment not elsewhere described, used, or to be used for the production or products, and result in the creation of new permanent jobs within Calhoun County and inject new wealth into Calhoun County. (x) PROJECT is a reference to the entire proposal of work and improvements to be accomplished in the reinvestment zone as described in the application and tax abatement as a business incentive agreement. (y) REGIONAL DISTRIBUTION CENTER FACILITY means building and structures, including machinery and equipment, used or to be used primarily to receive, store, service or distribute goods or materials owned by the facility operator. (z) REGIONAL ENTERTAINMENT means buildings and structures, including fixed machinery and equipment, used or to be used to provide entertainment through the admission or the general public. (aa) REGIONAL SERVICE FACILITY means buildings and structures, including fixed machinery and equipment, used or to be used to service goods. (bb) REINVESTMENT ZONE -COUNTY DESIGNATED means any area of Calhoun County which has been designated a reinvestment zone for tax abatement as a business incentive and which is not within the taxing jurisdiction of any incorporated municipality. It is the province of the Calhoun County Commissioners' Court to designate Reinvestment Zones - County Designated on a case -by -case basis in order to maximize the potential incentives for eligible enterprises to locate or expand within Calhoun County. (cc) REINVESTMENT ZONE - MUNICIPALITY DESIGNATED means an area of Calhoun County which lies within the taxing jurisdiction of a municipality and has been designated a reinvestment zone by that municipality for tax abatement as a business incentive. It is the province of the City Council of any eligible municipality to designate Reinvestment Zones Municipality Designated on a case -by -case basis in order to maximize the potential incentives for eligible enterprises to locate or expand within the City. (dd) RENOVATION is a repair or improvement of an existing facility or structure. (ee) REPAIR means any improvement or betterment of an existing facility or structure. (ff) REPLACEMENT means the substitution of something new or different for an existing facility or structure, or portion thereof, when the replacement facility or structure is to be used for the same general purpose as the old facility or structure that is being replaced. (gg) RESEARCH FACILITY means buildings and structures, including fixed machinery and equipment, used or to be used primarily for research or experimentation to improve or develop or develop the production processes thereto. (hh) SCHOOL DISTRICT or DISTRICT, unless otherwise indicated, means the Calhoun County Independent School District. (ii) SUBSTANTIAL COMPLIANCE means that any estimate or prediction that comes within eighty-five percent of a stated amount shall be construed as compliance, but only when estimates are expressly authorized. Unless expressly authorized, strict compliance with a statement or representation shall be required. Oj) TAXPAYER means the legal entity that seeks, or who has been approved for tax abatement as a business incentive. It also is a reference to the owner of the property constituting the reinvestment zone and the improvements and tangible personal property to be located therein. Section 2 ELIGIBILITY CRITERIA GENERALLY (a) General Eligibility Subject to the limitations and exceptions contained in these Guidelines and Criteria, TEX. TAX CODE ANN. §312.204 shall govern to what extent real property and tangible personal property located in a reinvestment zone are eligible for tax abatement as a business incentives. (b) Commencement of Construction. If the reinvestment zone is designated by a municipality, the applicant shall not commence construction until after it and the municipality have both executed an agreement on similar terms for the same project then under consideration by the County. Any property otherwise eligible for abatement that is placed or constructed in the reinvestment zone before the agreement is executed with the municipality shall not be eligible for tax abatement as a business incentive. However, any eligible improvements made or property placed in the reinvestment zone after executing the agreement with the municipality shall be eligible for abatement with the County, even though such improvements or property are placed in the reinvestment zone prior to filing the application or executing the agreement with the County, provided that a municipality is the designating authority. If the reinvestment zone is County designated, applicant shall not commence construction until the County executes the agreement. (c) Property Value Eligible for Abatement Subject to the limitations and other eligibility requirements contained in these guidelines, the County may abate the value of tangible personal property located on the real property in the reinvestment zone in each year covered by the agreement, other than tangible personal property that was located on the real property at any time before the period covered by the agreement. The value of real property to the extent its value for each year during the agreement exceeds its value for the year in which the agreement was executed is eligible for abatement. (d) New and Existing Facilities A business incentive may be granted for both eligible new facilities and structures, as well as for expansion or modernization of existing facilities and structures. (e) Eligible Property to be Described The application for tax abatement as a business incentive or any other business incentive and any agreement must describe the project and improvements with such detail and certainty as required by the County in 0 order to identify the property that is declared to be eligible for business incentives. Any property, even though otherwise eligible for business incentives, that is not sufficiently described in the application, as determined by the Commissioners' Court, or their designee, shall not be eligible for business incentives under such agreement. (f) Exclusions. (1) This policy is mutually exclusive of existing Industrial District Contracts. The real property cannot be in an improvement project financed by tax increment bonds. (2) Any business incentive agreement granted is subject to the rights of holders of outstanding bonds of the County. (3) When any project that otherwise satisfies the eligibility criteria for tax abatement as a business incentive is for the purpose of repairing, replacing, modernizing, or upgrading an existing facility, if, prior the commencement of the project, or upon completion of the project the value of the existing facility is reduced or deleted from the tax rolls, then, in such event, the applicant shall only be eligible for tax abatement as a business incentives to the extent of the difference in the last appraised value of the property value that is being dropped or reduced from the tax rolls and the project cost. Section 3 ELIGIBILITY CRITERIA AND TERMS FOR FACILITIES/INDUSTRY (a) Eligible Facilities. A facility may become eligible for abatement if it is located in a designated Reinvestment Zone, and is a: (1) Manufacturing Facility; or (2) Research Facility; or (3) Aquaculture Facility; or (4) Regional Distribution Center Facility; or (5) Regional Service Facility; or (6) Regional Entertainment Facility; and, (7) Other Basic Industry. 7 (b) Economic Qualifications In addition to satisfying the other eligibility criteria, in order to be eligible for business incentives, the new facility or structure, or the expanded or modernized existing facility or structure must meet the following qualifications: (1) The project must cost at least Five Million Dollars ($5,000,000.00); and (2) Be expected to retain or create employment for at least 10 persons of the eligible facility on a full time and permanent basis in Calhoun County; and (3) Not be expected to solely or primarily have the effect of transferring employment from one part of Calhoun County to another; and (4) Be expected to attract major investment in the reinvestment zone that would be a benefit to the property to be included in the zone; and (5) That development anticipated to occur in the proposed reinvestment zone would contribute to the economic development of the County. (6) The County reserves the right to grant abatements up to the state maximum of 100% for 10 years. (c) Term of Abatement. The term of tax abatement as a business incentive granted by the County shall be six (6) years, and shall be applied commencing January 1 following the effective date of the agreement. (d) Effective Date. (1) If the County is the designating authority, the effective date of the agreement shall be the date that the County executes the agreement. (2) If a municipality is the designating authority, the effective date of any agreement that the County approves shall be same date as that of the agreement entered into for the same project by the municipality. (3) Abatement applies to all eligible improvements placed in the reinvestment zone after the designating authority and Taxpayer execute their agreement. Taxes will be abated on eligible property for the number of years approved by the County, commencing January 1 immediately following the effective date of the agreement. Property otherwise eligible for abatement under the agreement shall be eligible for abatement only if the property is placed or constructed in the reinvestment zone after the effective date of the agreement, but on or before December 31 immediately preceding the beginning of the last full tax year that taxes are to be abated. (e) Percent of Tax Abatement as a Business Incentive. The percent of tax abatement as a business incentive of eligible property value to be granted each year shall be as follows: Taxable Investment (Millions) Up to 5.00 5.00 to 9.99 10.00 to 14.99 15.00 to 19.99 20.00 or more Year 1 2 3 4 5 6 90 50 25 90 75 50 25 90 90 75 50 25 90 90 85 75 50 25 (f) Taxability. From the execution of the agreement to the end of the agreement period taxes shall be payable as follows: (1) the value of ineligible property as provided in Section 2 shall be fully taxable. (2) the base year value of existing eligible property as determined each year shall be fully taxable; and (3) the unabated value of eligible property shall be taxable (g) Limitations. If, during the term of the business incentive period the taxpayer should close, cease production, or demolish any or all of a facility that was in existence on the effective date of the business incentives agreement, or take any other similar action that would have the effect of reducing or deleting the value of the facility, or portion thereof from the tax rolls that was in existence on the effective date of the business incentives agreement regardless of the reason, then the eligible value for abatement allowed in the business incentives agreement shall be reduced by the amount of existing property value 9 owned by the taxpayer that is reduced or deleted from the tax roll. Depreciation, agreed to by the Chief Appraiser, or Appraisal Review Board, shall not be construed as a reduction or deletion of value for purposes of this limitation. Section 4 ELIGIBILITY CRITERIA AND TERMS FOR REAL ESTATE DEVELOPMENT (a) Eligible Development. A development may become eligible for abatement if it is located in a designated Reinvestment Zone, and is a: (1) New single family residential housing project; (2) Multi -family housing project; and/or, (3) Apartment project. (b) Duration of Abatement as a Business Incentive. Any Agreement under this section shall not exceed three (3) years. (c) Economic Qualification. To be eligible to receive tax abatement as a business incentive, the developer must expend a minimum of two million dollars ($2,000,000.00) in infrastructure costs for the development. (d) Taxability. From the initial application to the end of the abatement period, taxes shall be paid as follows: (1) All ineligible property shall be fully taxable during the term of the abatement. (2) Any property within the reinvestment zone that is sold, transferred, conveyed, occupied or otherwise no longer part of the developer's inventory shall be taxed at the appraised value determined by the Calhoun County Appraisal District beginning January 1 of the year following the sale, transfer, conveyance, or occupation. (3) At the end of the abatement period, all property subject to the Agreement shall be subject to full taxation. APPLICATION (a) Filing. Any property owner of taxable property in Calhoun County located in a designated or proposed reinvestment zone may request tax abatement as a business incentive by filing a written application with the Commissioners' Court, or their designee. When appropriate, the application may combine a request for designation of a 10 reinvestment zone with an application for tax abatement as a business incentive. (b) Contents. The application shall include all information contemplated by these Guidelines and Criteria in order for the Commissioners' Court to evaluate the applicant's eligibility and to determine whether to grant any business incentives. The application shall be submitted on a form provided by the County, or alternatively, if unavailable, the contents of the application shall be in order of this subsection and respond to each element of this subsection, and shall contain such other information as required by the County, or it representative. Specifically, the application shall include the following: (1) A list of the kind, number and location of all proposed improvements of the property, including a general written description of the general nature and extent of modernization, expansion or new improvements to be undertaken. (2) A statement of the current and proposed uses of the property showing that planned usage is consistent with the general purpose of encouraging development or redevelopment of the reinvestment zone during the period that the property tax exemptions are in effect. (3) A map showing locations of existing and proposed improvements. The map should also show general uses and conditions of the real property in the reinvestment zone. (4) A legal description of the property. (5) An estimate of the project cost and new value that will result from the modernization, expansion or new improvements to be undertaken. A statement of the base year value separately stated for land and existing improvements located in the reinvestment zone, plus any improvements or changes in value in the reinvestment zone after the last appraisal and prior to the application. In any case where the value of an existing facility will be deleted or diminished as a result of the project, the application must contain verification from the Chief Appraiser of the last appraised value of any portion or all of a facility whose value will be reduced or removed from the tax rolls. (6) An estimate of the number of jobs that will be created or retained by the modernization, expansion or new improvements. 11 (7) Estimated date of start of construction, length of construction, estimated value of new improvements to be completed during each year of construction and estimated date of completion. (8) An estimate of what the property value subject to abatement will be on January 1 immediately following the end of the abatement period. (9) In the case of applicants unknown to the Commissioners' Court, a financial statement of the individual or corporation filing the application, complete with letters of credit and other documents which the County may request in order that the Commissioners' Court can appropriately evaluate the financial capacity and other factors of the applicant. (10) The Taxpayer shall make the following assurances in the application: (a) That all the information contained in the application is true and correct. (b) That the person signing the application on behalf of the Taxpayer/Applicant has unrestricted authority to execute the application and the contract documents on behalf of the Taxpayer/Applicant, and has the unrestricted authority to obligate the Taxpayer/Applicant to all the terms, covenants and conditions that will be contained in the agreement. (c) That construction will not commence on any of the eligible improvements until an agreement has been executed with the designating authority, whether the designating authority is the County, or a municipality. (d) That the project will not be constructed without first obtaining all necessary local, state and federal environmental and construction permits, and that the Taxpayer will abide by all conditions of the permits, laws and ordinances, rules and regulations governing the operation of the project throughout its economic life. (e) That the Taxpayer/applicant will abide by all conditions of the agreement and the Guidelines and Criteria adopted by the Commissioners' Court applicable to the agreement. (f) That the planned use of the property will not constitute a hazard to public health or safety throughout the economic life of the project. 12 (g) That the applicant will make the specific improvements to the property as described in its application. (h) That although estimates of the cost of the project and the number of jobs retained or created as a result of the project that are within 85 % of actual cast and/or number of jobs may be construed to be substantial compliance, the actual total cost of the project and actual number of jobs retained or created shall not be less than the minimum amounts required in the County's Guidelines required to qualify for tax abatement as a business incentive. (11) The applicant will identify the type of legal entity making the application, such as corporation, partnership, etc. If a corporation, the statement should include the home state of incorporation, the name and address of the registered agent for service in Texas, and a commitment to notify the County within sixty days of any change of the registered agent or status of the corporation. Similar information will be required of a general or limited Partnership or other legal entity. (12) The application shall contain the name, title and address of the Taxpayer's local and corporate representatives for the purposes of giving notice. (13) In its application, the applicant shall include a statement that it waives all rights of confidentiality with regard to the contents of its application for tax abatement as a business incentive otherwise granted under TEX. TAX CODE ANN. §312 .003. (14) The applicant shall agree to reimburse the County for all legal fees and any other expenses that the County incurs in establishing eligibility for granting business incentives and for reviewing, processing and acting on its application. Further, applicant shall agree to pay for the costs of an economic impact assessment, if the County requires one in connection with its application for business incentives. In the event the County determines an economic impact assessment is required, the Taxpayer shall be given notice and the opportunity to withdraw its application prior to commencement of the economic impact assessment, if applicant is unwilling to pay the total cost of the economic impact assessment. In its application, the Taxpayer shall agree to pay for all fees and expenses incurred by the County in establishing eligibility to grant business incentives and processing the application, even though 13 the Commissioners' Court ultimately denies the application. (15) Any other information that the Commissioners' Court or Applicant may deem appropriate to assist the Commissioners' Court in determining whether to enter into a business incentives agreement with the Applicant. (16) If a variance from any provision in these Guidelines and Criteria is requested, a statement describing the variance, and a detailed statement supporting the Applicant's reasons for the requested variance must be included. (c) Completed Application. Upon receipt of a completed application, the Commissioners' Court shall mail written notice to the presiding officer of the governing body of each taxing unit that includes in its boundaries real property that is included in the application. Such notice shall be mailed at least seven (7) days before the Commissioners' Court takes any action on the application. The notice shall include a copy of the proposed agreement, if the County is the designating authority. There shall be a $1,000 nonrefundable fee payable the County at the time the application is submitted. (d) Economic impact assessment. After receipt of an application for business incentives, the Commissioners' Court may cause to have prepared an economic impact assessment setting forth the impact of the proposed agreement. The study shall include, but not necessarily be limited to, an assessment of the economic effects of the abatement of taxes. The County shall give at least ten (10) days written notice to the Applicant of its intent to conduct an economic impact assessment, which notice shall include a description of the scope of the study. If the Applicant is unwilling to pay for the economic impact assessment, it may give notice to the County within seven (7) calendar days from the date it received notice of the proposed economic impact assessment that the Applicant is withdrawing its application. The economic impact assessment may include any other issue that the Commissioners' Court determines to be appropriate in considering the application, including, without limitation by enumeration, environmental issues, short term/long term effect on issues of adequacy of existing physical plants, need to increase number of employees in the County, and the impact on the County of any resulting increased costs as a result of the project and the County's ability to pay such costs during the abatement period. 14 Section 5 DESIGNATION OF REINVESTMENT ZONE (a) Authority to Designate Reinvestment Zones. Reinvestment zones may be designated by either the Commissioners' Court for property located outside the jurisdiction of any municipality in the County, or by a municipality, if the property is located within the jurisdiction of such municipality. (b) Application for County Designated Reinvestment Zone. An application to the County for designation of a Reinvestment Zone may be combined with the application for business incentives. The application must include information to support the required findings in subsection (c), inclusive of this section. It must also include a map showing the boundaries of the proposed reinvestment zone and a legal description of the proposed reinvestment zone. Any information contained in the application for business incentives that answers the requirements for designation of a reinvestment zone does not need to be duplicated, if the application for designation of a reinvestment zone and business incentives are combined in one application. (c) Designation. The Commissioners' Court may not designate an area as a reinvestment zone until: (1) The Commissioners' Court has held a public hearing on the designation at which time interested persons shall be entitled to speak and present evidence for or against the designation; and (2) The Commissioners' Court must make the following findings in order to designate an area as a reinvestment zone: (a) The designation would contribute to the retention or expansion of primary employment; or, (b) The designation would attract major investment in the zone that would be a benefit to the property to be included in the zone; and, (c) The designation would contribute to the economic development of the county. (d) Notice of Hearing. Notice of the hearing shall be clearly identified on the Commissioners' Court agenda. In addition, notice shall issue as follows: 15 (1) Notice of the hearing must be published in a newspaper of general circulation in the County not later than the 7th day before the date of the hearing; and (2) Written notice of the hearing shall be delivered to the presiding officer of the governing body of each taxing unit that includes in its boundaries real property that is included in the proposed reinvestment zone. Such notice shall be delivered at least 7 days before the hearing. Pursuant to Tex Tax Code Ann. §312.201(e) this notice shall be presumed delivered when placed in the mail postage paid and properly addressed to the appropriate presiding officer. (e) Municipality Designated Reinvestment Zones. If the reinvestment zone is designated by a municipality, to be eligible for tax abatement as a business incentive with the County, the property must be located in a reinvestment zone and the municipality must have entered into an agreement for the same project with the applicant no more than ninety days before the County enters into an agreement with the same applicant for the same project. (f) Date of Expiration. The designation of a reinvestment zone shall expire five (5) years after the date of designation. However, the designation of a reinvestment zone that has expired may be renewed by the County or municipality for periods not to exceed five (5) years. The expiration of the designation of a reinvestment zone shall not affect existing agreements made under these Guidelines and Criteria. Section 6 (a) Resolution of Commissioners' Court. After approval, the Commissioners' Court shall formally pass a resolution and execute an agreement with the owner of the facility and lessee as required, which shall include those matters contained in Texas Tax Code §312.205 and any other terms and conditions in the best interests of the County. (b) Notice to Other Taxing Jurisdictions. If the County is the designating authority, it shall deliver written notice to the presiding officer of the governing body of each other taxing unit in which the property that is the subject of the agreement is located that the County intends to enter into an agreement. The notice must be delivered at least 7 days 16 before the County enters into the agreement. The notice must also include a copy of the proposed agreement. The notice shall be presumed to be delivered when placed in the mail postage paid and properly addressed to the appropriate presiding officer. (c) Execution/Effective Date. After giving the notices required above, and after making the necessary findings, the County may, in its discretion, approve and execute the agreement. The effective date of the agreement shall be the date that the County's designated representative or official executes the agreement if the County is the designating authority. If a municipality is the designating authority, the effective date of the agreement shall be the date that the City's designated representative or official executes the agreement. Section 7 RECAPTURE (a) Conditions of Default. Cure and Termination. Should the Commissioners' Court determine that the Taxpayer is in default according to the terms and conditions of its agreement, the Commissioners' Court shall notify the Taxpayer in writing at the address stated in the agreement, and if such default is not cured within sixty (60) days from the date of such notice (Cure Period), then the agreement may be terminated by the Commissioners' Court. Provided, that upon proof of a curative effort commencing within sixty (60) days, if construction is required, the Commissioners' Court may extend the time to complete the curative work, based upon reasonable construction requirements. (b) Elements of Default. The following shall be considered elements of default, in the event that the Taxpayer: (1) Allows its ad valorem taxes owed to Calhoun County to become delinquent without timely and proper protest and/or contest; or (2) Violates any of the terms and conditions of the abatement agreement, or any prior or subsequent agreement with the County, or any other taxing jurisdiction that has granted an agreement to the Taxpayer for any project that the Commissioners' Court has also granted business incentives; or (3) Discontinues producing product or service at the improvements subject 17 to abatement and described in the application, for any reason excepting fire, explosion or other casualty or accident or natural disaster for a period of one year during the abatement period after the facility is completed and begins producing product or service. (4) Violates any written term, covenant, condition, agreement, or promise of a gift or donation made by the taxpayer to the County, although such may be extraneous to the agreement, and even though same might be otherwise legally unenforceable; or (5) Makes any material misrepresentations, either in the application or agreement. (c) Termination. If, after written notice, the Taxpayer fails to cure within the prescribed period any specified default, such failure shall be grounds for termination for cause. Termination of the agreement for cause shall be retroactive to the beginning of the agreement. Termination shall be effected by resolution of the Commissioners' Court and written notice mailed to the Taxpayer. (d) Non Waiver. In the event the County fails to act on or enforce any element or breach that is identified as a default, such failure to act shall not be a waiver of the County's right to subsequently enforce the same default or any other prior or subsequent default. (e) Recapture. On termination for cause, the Taxpayer shall then become liable for the payment of all taxes that would have otherwise become due but for the abatement agreement for all calendar years during which the abatement agreement was in effect. Said taxes shall be paid to the Calhoun County Consolidated Tax Office for the credit of Calhoun County within sixty (60) days from the date of receipt of notice of termination. All such taxes due shall include statutory penalty and interest from the date they would otherwise have become delinquent but for the agreement, until the date they are actually paid. E Section 8 ADMINISTRATION (a) Duties of Chief Appraiser. The Chief Appraiser of the County shall, as a normal consequence of his duties, annually determine an assessment of the real and personal property comprising the reinvestment zone. Each year, on or before April 1, the Taxpayer receiving abatement shall furnish the Chief Appraiser with such information as may be reasonably requested. Once value has been established, the Chief Appraiser shall notify the affected taxing jurisdictions, which have granted tax abatement as a business incentive in the reinvestment zone, of the amount of the appraisal. (b) Compliance Inspections. All compliance inspections will be made only after giving twenty-four (8) hours notice and will only be conducted in such manner as not to unreasonably interfere with the construction and/or operation of the facility. All inspections will be made with one or more representatives of the company or individual and in accordance with its safety standards. (c) Annual Evaluations Upon completion of construction, the Commissioners' Court of Calhoun County, or their designees, shall annually evaluate each facility receiving abatement to ensure compliance with the agreement. (d) Notice Requirements. Any notice required to be given to Calhoun County hereunder shall be in writing, and mailed or personally delivered to the County Judge. Notices to the Taxpayer shall be in writing, and addressed to its designated representative at the address provided in its application or the agreement. Section 9 MISCELLANEOUS (a) Variance. An application for a variance from the provisions of these Guidelines and Criteria may be made in written form to the Commissioners' Court. The total duration of abatement shall in no instance exceed ten (10) consecutive tax years commencing January 1 following the effective date of the agreement, including any extension. Such request shall include a complete 19 description of the circumstances explaining why the applicant should be granted such variance. Approval of a request for variance requires at least a three -fourths (3/4) vote of the Commissioners' Court. (b) Assignments. An abatement agreement may be transferred and assigned by the holder to a new owner or lessee of the same facility, subject to obtaining written approval by resolution of the Commissioners' Court. Approval shall be conditioned upon the assignee providing whatever proof the Commissioners' Court may require to show the assignee's financial capability to carry out all the terms and conditions of the agreement. The County reserves the right to require such additional information as it may deem appropriate to determine not only the assignee's financial capability to carry out the terms and conditions of the agreement, but also its experience and historical record to determine that it is in fact capable of operating the project subject to the abatement in such a manner that it can reasonably be expected to strictly comply with every term, covenant, condition and assurance contained in the agreement Further, the assignee shall agree in writing by amendment to the original agreement that it shall be bound by all the terms, covenants and conditions contained in the original agreement. No assignment or transfer shall be approved if the parties to the existing agreement, the new owner or new lessee are liable to Calhoun County or any other taxing unit affected by the agreement for delinquent taxes, or otherwise in default of any of the terms, covenants or conditions contained in the agreement. Subject to the foregoing conditions, the Commissioners' Court shall not unreasonably withhold approval of any proposed assignment. Any approval of assignment of the agreement shall not release any previous Taxpayer who has been a party to the agreement from its obligations under the agreement. (c) Application for Exemption. It shall be the responsibility of the Taxpayer to perfect any right of exemption as a result of any agreements entered into with the County. For each year in which abatement has been authorized by the County under the agreement, it shall be the responsibility of the Taxpayer to file its annual application with the Calhoun County Appraisal District for property exemption in accordance with the Texas Tax Code and related administrative regulations. 20 (d) Effective Date. These Guidelines and Criteria shall be effective for two (2) years, from March 9, 2024 through March 8, 2026, inclusive. (e) Sunset Provision. At the end of the two-year effective period of these Guidelines and Criteria, all agreements created pursuant to these provisions will be reviewed by the Calhoun County Commissioners' Court to determine whether the goals have been achieved. Based upon that review, the Guidelines and Criteria may be modified, renewed or eliminated. In the event that these Guidelines and Criteria are not modified or renewed, they shall automatically terminate effective March 8, 2026. (f) Effect of Modification or Termination. The modification or termination of these Guidelines and Criteria shall have no effect upon existing agreements entered into while these Guidelines and Criteria are in effect. (g) Subtitles. The use of subtitles in these Guidelines and Criteria is strictly for convenience, and shall have no legal significance whatsoever. The use of the singular shall include the plural and the use of plural shall include the singular when appropriate. The use of any reference to gender shall include any and all other genders when appropriate. (h) Severability. In the event any paragraph, clause, phrase or other provision of these Guidelines and Criteria should be declared to be unconstitutional, void or otherwise unenforceable the remaining provisions shall remain in full force and effect as if the unconstitutional, void or otherwise unenforceable provisions had not been included. Section 10 ADOPTION Upon motion by Commissioned, seconded by Commissioner, the foregoing resolution to amend these Guidelines and Criteria of the Commissioners' Court of Calhoun County for Granting Business inc tives in Reinvestment Zones Created in Calhoun County was approved by a vote of for and _G against. 21 PASSED, ADOPTED AND APPROVED on this 7th day of February, 2024. COMMISSIONERS' COURT OF CALHOUN COUNTY, TEXAS r Richard H. Meyer, County Judge ATTEST: Anna Goodman, County Clerk By: Deputy 22 morl NOTICE OF MEETING - 2/7/2024 8. Consider and take necessary action to ratify the Judge's Declaration of Local Disaster for the ongoing Border Disaster Crisis. (RHM) Shannon Iexplained the Court would have to declare weekly until the Governor has us on a state list. RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 Page 5 of 20 2/7/2024 Richard H. Meyer County judge David Hall, Commissioner, Precinct I Vern Lyssy, Commissioner, Precinct 2 Joel Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 RATIFICATION of the JUDGE'S DECLARATION OF LOCAL DISASTER On this 7+1, day of February, 2024, the Commissioner's Court of Calhoun County, Texas considered the foregoing Declaration of a Local Disaster while convened in a meeting conforming to the Texas Open Meetings Act and hereby ratify and extend the Declaration until the imminent threat of a local disaster is removed or cancelled by further orders of the court. The motion was made by Commissioner L ref S sj and seconded by Commissioner /ir4 / . The Declfarati6n is adopted on a vote of _6- Ayes and 0 Nays. and H. Meyer, C tS Commissioner, Precinct 1 Joe Behrens Commissioner, Precinct 3 Attest: Anna Goodman, County Clerk die By: Deputy Clerk Commissioner, Precinct 2 Gary Rees Commissioher, Precinct 4 Page 1 of 1 # 09 N07TICF OF MEETING- 2/7/2024 9. Consider and take necessary action to approve Change Order No. 4 for the Calhoun County Combined Dispatch Facility Project for Calhoun County, Texas and authorize the County Judge to sign all documents. (DEH) Scott Mason explained the change; order. RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall; Lyssy, Behrens, Reese Page 6 of 20 Mae Belle Cassel From: Sent: To: Subject: Sent from David's iPhone David Hall Commissioner Precinct 1 Calhoun County Office 361-552-9242 Cell 361-220-1751 Begin forwarded message: David.Hall@calhouncotx.org (David Hall) <David.Hal l@calhouncotx.org> Thursday, February 1, 2024 11:38 AM Mae Belle Cassel; Richard Meyer Fwd: Request for Agenda Item 02-07-24 From: smason@gwengineers.com Date: February 1, 2024 at 11:29:36 AM CST To: David Hall <David.Hall@calhouncotx.org> Cc: "demi.cabrera" <demi.cabrera@calhouncotx.org>, angela.torres@calhouncotx.org, Anthony Gohlke <anthonyg@gwengineers.com>, Glynis King <gking@gwengineers.com>, candice villarreal <candice.villarreal@calhouncotx.org> Subject: Request for Agenda Item 02-07-24 CAUTION: This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe. David, We need to request the following for the change order number 4 to be approved in court. For your information, this is not a project total $$$ increase, as we are using money from the $35k allowance that was included in the bid. Consider and take necessary action to approve Change Order No. 4 for the Calhoun County Combined Dispatch Facility Project for Calhoun County, Texas and authorize County Judge to sign. (DH) I will be sending the form hopefully by the end of the day. Waiting BLS to sign. But wanted to get the agenda item in. Thank you, Scot - P. Mayvw, P.E. NOTICE OF MEETING — 2/7/2024 10. Consider and take necessary action to accept a $240,000 Forestry Service Grant for the Six Mile Community Volunteer Fire Department for a Large Brush Truck. (VLL) President Chris Mabry explained the grant and process. RESULT: 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 20 #10 0 �i Q 1� 0 11 11 0 a -�% APPM4 r-60 %Wd Awlak tn 11 11 u a m 13 Vern L sy Calhoun County Commissioner, Precinct #2 5812 FM logo Port Lavaca, TX 77979 January 30, 2024 Honorable Richard Meyer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Meyer: Please place the following item on the next Commissioners' Court Agenda (361) 552-9656 Fax (361) 553-6664 • Discuss and take necessary action to accept $240,000 Forestry Service Grant for the Six Mile Community Volunteer Fire Department for a Large Brush Truck. Sincerely, Vern Lyssy VL/Ij Siddons Martin Emergency Group, LLC 3500 Shelby Lane Denton, TX 76207 GDN P115891 TXDOT MVD No. Al1S890 January 29, 2024 RYON GOSSETT SIX MILE VOLUNTEER FIRE DEPARTMENT 9200 STATE HWY 87 S HEMPHILL, TX 75948 Proposal For: 1109 Six Mile Large Brush Truck Siddons-Martin Emergency Group, LLC is pleased to provide the following proposal to Six Mile Volunteer Fire Department. Unit will comply with all specifications attached and made a part of this proposal. Total price includes delivery FOB Six Mile Volunteer Fire Department and training on operation and use of the apparatus. Description Qty. 1 -1109 - International CV515 Type 3 - Lifted (Unit Price - $270,981.00) Delivery within 28-36 months of order date QUOTE # - SMEG-0007029-2 Price guaranteed until 3/21/2024 Additional: This proposal is valid for Skeeter Emergency Vehicles Bid 1109. Amount Vehicle Price $270,981.00 1109 - UNIT TOTAL $270,981.00 SUB TOTAL $270,981.00 Straight Purchase $0.00 TOTAL $270,981.00 Due to global supply chain constraints, any delivery date contained herein is a good faith estimate as of the date of this order/contract, and merely an approximation based on current information. Delivery updates will be made available, and a final firm delivery date will be provided as soon as possible. Taxes: Tax is not included in this proposal. In the event that the purchasing organization is not exempt from sales tax or any other applicable taxes and/or the proposed apparatus does not qualify for exempt status, it is the duty of the purchasing organization to pay any and all taxes due. Balance of sale price is due upon acceptance of the apparatus at the factory. Proposal 2024 Six Mile Brush Truck Page 1 of 2 January 29, 2024 Late Fee: A late fee of .033% of the sale price will be charged per day for overdue payments beginning ten (10) days after the payment is due for the first 30 days. The late fee increases to .044% per day until the payment is received. In the event a prepayment is received after the due date, the discount will be reduced by the same percentages above increasing the cost of the apparatus. Cancellation: In the event this proposal is accepted and a purchase order is issued then cancelled or terminated by Customer before completion, Siddons-Martin Emergency Group may charge a cancellation fee. The following charge schedule based on costs incurred may be applied: (A) 10% of the Purchase Price after order is accepted and entered by Manufacturer; (B) 20% of the Purchase Price after completion of the approval drawings; (C) 30% of the Purchase Price upon any material requisition. The cancellation fee will increase accordingly as costs are incurred as the order progresses through engineering and into manufacturing. Siddons-Martin Emergency Group endeavors to mitigate any such costs through the sale of such product to another purchaser; however, the customer shall remain liable for the difference between the purchase price and, if applicable, the sale price obtained by Siddons-Martin Emergency Group upon sale of the product to another purchaser, plus any costs incurred by Siddons-Martin to conduct such sale. Acceptance: In an effort to ensure the above stated terms and conditions are understood and adhered to, Siddons-Martin Emergency Group, LLC requires an authorized individual from the purchasing organization sign and date this proposal and include it with any purchase order. Upon signing of this proposal, the terms and conditions stated herein will be considered binding and accepted by the Customer. The terms and acceptance of this proposal will be governed by the laws of the state of Texas. No additional terms or conditions will be binding upon Siddons-Martin Emergency Group, LLC unless agreed to in writing and signed by a duly authorized officer of Siddons-Martin Emergency Group, LLC. Sincerely, Don Hoyt I, the authorized representative of Six Mile Volunteer Fire Department, agree to purchase the proposed and agree to the terms of this proposal and the specifications attached hereto. Signature & Date Proposal 2024 Six Mile Brush Truck Page 2 of 2 January 29, 2024 Spec # 1109 Print List Spec #: 1109 Dealership: Siddons- Martin Emergency Group Job #: Sales Don Hoyt Rep: Creation 01/19/2024 Account: Six MIle Date: Volunteer Fire Department Notes: Components Chassis: C-5429 (International CV515 - 4x4 - Diesel - 4Dr - 84"CA) Body: Truck 2024 Six Mile CV515 Step Side Desc.: NWCG Type 5 Typing: # Component Description Category Quanti C-5429 International CV515 - 4x4 - Diesel - 4Dr - 84"CA Chassis 1 C-4137 84" Cab to Axle Chassis 1 C-3478 Cab Paint - Solid - Stock Color Chassis 1 C-4282 Cab Step/Covers, Large Chassis Chassis 1 C-4229 Suspension System, Chevy HD/Int CV Chassis 1 C-4255 Tires/Wheels - Super Single (3pc) - Continental Chassis 1 MPT81 365/801120 C-3486 None - No Spare Tire Chassis 1 C-3922 Custom Fabricated Tilting Bumper/Grill Guard Chassis 1 (Small Truck) C-4695 Front Bumper - DA Finish Chassis 1 C-3515 Front Winch - 15000lbs - WARN - Fixed Chassis 1 C-3519 Console - Aluminum Custom Enclosure Chassis 1 C-3532 None - No Radio Install - Chassis 1 C-3541 Camera System - RVS - 1 Cam Chassis 1 C-3612 Rear Receiver - Standard - Winch/Rope/Trailer Chassis 1 C-3549 Step Side Body, Alum, 138" x 96", 84" CA Wildland Body 1 C-4132 Diamond Plate Wildland Body 1 C-3574 NO -- Compartment, Transverse Wildland Body 1 C-4300 Compartment, D/S, Lift -Up Dual Door 72" Wildland Body 1 C-4301 Compartment, P/S, Lift -Up Dual Door 72" Wildland Body 1 C-3592 NO -- Compartment, Rear, Center Under -Body Wildland Body 1 C-4438 D/S Hose Tray - Solid - 72" Wildland Body 1 C-4448 P/S Hose Tray - Solid - 72" Wildland Body 1 C-3615 Rear Fold Down Step Wildland Body 1 C-3614 Rear Step, Pull out Wildland Body 1 C-3636 500 Gallons, Poly Wildland Plumbing 1 _..... _.. - - -. Page 1 of 3 Spec # 1109 Print List # Component Description Category Quantity C-3659 Water Tank Gauge - Rear Wildland Plumbing 1 C-3678 Pump, Hale, Aux, Diesel, HPX200-KBD 24 Wildland Plumbing 1 C-3689 Aux Fire Pump Mntg, P/S Rear, Bolted Wildland Plumbing 1 C-3700 Pump Enclosure, Small - Diesel Pump Wildland Plumbing 1 C-4408 Pump Fuel from Chassis - Diesel Wildland Plumbing 1 C-4163 Pump Panel - Pump Enclosure Mounted Wildland Plumbing 1 C-3706 Manifold,. SS (Standard) Wildland Plumbing 1 C-4733 Valves, S/S, Quarter Turn Wildland Plumbing 1 C-3897 NH Hose Threads Wildland Plumbing 1 C-3704 2.5" Pump Intake Plumbing Wildland Plumbing 1 '.. C-3715 Tank Fill and Cooling Line 1" Water Tank Wildland Plumbing 1 C-3708 Discharge, 2.5", Rear, 2.5"FM x 1.5"M, 1 Wildland Plumbing 1 ''.. C-5044 No 3/4" Discharge Wildland Plumbing 1 C-3807 Whip Hose Lines (2) Front Body 1" x 8' Wildland Plumbing 1 C-3722 Hose Reel, Hannay, D/S Mount Wildland Plumbing 1 C-3737 Roller, Hose Reel, Top Wildland Plumbing 1 C-3725 200 Foot Reel Capacity Wildland Plumbing 1 C-3731 Hose, Water, 300#, 1" x 150' Wildland Plumbing 1', C-3714 Ground Sweep Discharges, Front Bumper Wildland Plumbing 1 C-3713 Akron Front Bumper Monitor Wildland Plumbing 1 C-3693 Foam System, Scotty #4171 Wildland Plumbing 1 C-4298 Foam Tank Capacity, 5 Gallons, Class A, Wildland Plumbing 1'i C-3669 Foam Tank Drain and Valve, 3/4" Wildland Plumbing 1 C-3672 Foam Tank Gauge - Rear Wildland Plumbing 1 C-3764 Stop/Tail/Turn Lights, Whalen M6BTT/M6FC Electrical 1 C-3765 Back up Lights, Whelan M6 Series, LED, Electrical 1 C-4123 Siren, Electronic, Whelan, Carbide Electrical 1 C-3747 Siren Speaker (1) Electrical 1 C-3743 Lightbar, Whelan, Legacy Electrical 1 C-3744 Lightbar Mount, Front of Body, with Guard Electrical 1 C-4364 Warning Lights, Whelan, IONSMR (8) Light Electrical 1 C-3752 Scene Light, Combo, Rigid 20" Electrical 1 C-3756 Scene Light, (6) Rigid Electrical 1 C-4070 Ground Lights - Chassis - LED Strips - 4Door Electrical 1 C-4093 NO -- Rear Ground Lights Electrical 1 C-3526 NO -- Battery Charger Electrical 1 C-3598 Door Ajar Light, LED Electrical 1 C-3912 Tilt Meter Electrical 1 C-3776 NO -- Front Bumper Chevron Graphics 1 C-3779 Stripe, Reflective, SCOTCHLITE, Chevron, Graphics 1 Page 2 of 3 Spec # 1109 Print List _. a Component Description Category Quantity C-3769 Custom Door Graphics Graphics 1 C-3766 Lettering, Cab, 3" Reflective Graphics 1 C-3773 No Reflective Stripe Graphics 1'., C-4195 Cab Roof Numbers Graphics 1 C-3774 NO -- Keep Back Lettering Graphics 1 C-3736 Nozzle Mounting Wildland Equipment 1 C-3525 Battery Switch, Master Disconnect, CH, R Required Components 1 C-3759 Fuse Box Required Components 1 C-3758 Back Up Alarm Required Components 1 C-3763 License Plate, Mounting Required Components 1 C-3762 Clearance Lights, LED, DOT Required Components 1 C-4429 Mud Flaps, Rear Wheels, SET Logo Required Components 1 C-3570 Emblems, Brush Trucks Required Components 1 C-4022 Drawings Required Components 1 C-3760 Electrical Harness & Wiring Required Components 1 C-3763 Wiring Harness, Body Electrical Required Components 1 C-3780 Capacities Placard, Reflective Required Components 1 C-3474 Chassis Prep Required Components 1 C-3630 Final Assembly Required Components 1 C-3795 Operational Pump Test Required Components 1 C-3796 12V Electrical Load Required Components 1 C-3799 Road Test, 10 miles Required Components 1 C-3800 5-Year Parts & Labor/10-Year Body Integr Required Components 1 C-4523 Basic Apparatus Labeling Other 1 C-4338 NO -- NFPA Speed Restriction Other 1 C-3785 Pre -Construction Conference, At Factory Other 1 C-4269 Final Inspection at Skeeter Other 1 C-3790 Training, Factory Supplied, Factory loca Other 1 '.. C-3792 Delivery, Purchaser Pickup Other 1 '.. C-3787 Payment Terms, 100% on Delivery and Acce Other 1 Page 3 of 3 Specification for: Type 5 C-5429 (International CV515 - 4x4 - Diesel - 4Dr - 84"CA) Submitted To: Ryon Gossett Six MIle Volunteer Fire Department 34 Royal Road Port Lavaca, TX 77979 Specification 1109 January 30, 2024 Prepared by: Don Hoyt Siddons-Martin Emergency Group Page 1 C:5429 INTERNATIONAL CV515_-_4X4_-_DIESEL_-_4DR_-_84"CA One (1) International CV515 SFA Series, four-wheel drive 4x4, four (4) door cab and chassis GVWR: 23,000# Wheelbase: 199" Cab to Axle: 84" Frame: High Strength Low Alloy Steel (50,000 PSI Yield), Straight Top Flange with Contoured Bottom, Height Transitions from 7.375" (187.325mm) to 9.125" (231.775mm) to 7.625" (193.675mm); Width: 3.079" (78.21mm); Thickness: 0.3125" (7.94mm); 383.3" (9735.8mm) Max DAL Front Bumper: Omit Tow Hooks: front Front Driving Axle: Dana Spicer 80, 7,500#, synthetic front axle lube Front Suspension: 7,500# Front Tires: (2) 225/701119.5 Load Range H CROSSTRAC HA3 (CONTINENTAL), 649 rev/mile, 75 MPH, All -Position Front Wheels: steel disc wheels Transfer Case: Meritor 3203 Two -Speed, Gear Drive, 3,000 lb-ft Capacity with Electric Shifting Controls, without PTO Provision Rear Axle: Dana Spicer S16-130 Single Reduction, 15,500-lb Capacity, 190 Wheel Ends Gear Ratio: 4.30 Differential, Locking Dana Spicer Truetrac Torque Proportioning Limited Slip Rear Suspension: 15,500# Capacity, Vari-Rate Springs Rear Tires: Four (4) 225/70R19.5 Load Range H CROSSTRAC HA3 (CONTINENTAL), 649 rev/mile, 75 MPH, All - Page 2 of 32 Position Rear Wheels: four (4) steel disc wheels Gear Ratio: 4.30 Hydraulic Brake System: Bosch Split System, with Four Channel ABS, Traction Control, Hydromax Brake Booster and Master Cylinder Engine: International 6.6 (Duramax) EPA 2017, 350HP @ 2700 RPM, 700 lb-ft Torque @ 1600 RPM, 2900 RPM Engine Exhaust Brake: exhaust brake Engine Block Heater Cooling System: -30 degrees Fahrenheit Bug Screen Exhaust System: horizontally mounted right side Manual Regen Capability Fuel Tank: Top Draw, Plastic, Rectangular, 17" Tank Depth, 40 US Gal (151L), Includes Auxiliary Draw Port and Fuel Filler Assembly, Mounted Between Frame, Rails and Behind Rear Axle Transmission: Allison 2700 EVS, 5th Generation Controls, Close Ratio, 6-Speed with Double Overdrive, with PTO Provision, Less Retarder, Includes Park Pawl, with 23,500-lb GVW and 26,000 GCW Max, On/Off Highway Steering: Power Batteries: International Maintenance -Free VARTA (2) 12-Volt 130OCCA Total Battery Box Steel, with Plastic Cover, 2 Battery Capacity, Parallel to Rail, 28" Wide, Mounted Left Side Under Cab Alternator: Denso SC6 Brush Type, 12 Volt 220 Amp. Capacity Cab: Four (4) door, with tilting fiberglass front hood assembly Page 3 of Cab accessories and features shall include: 1) Factory tinted glass in all windows 2) Amber DOT edge of roof clearance/marker lights 3) Gray interior trim with vinyl upholstery 4) Gray vinyl floor mat 5) Dual sun visors 6) Electric windshield washer 7) Electric windshield wipers with two speed switch with wash and intermittent 8) Bright Exterior handles at each cab door 9) High output heater and defroster system with electronic controls 10) Dual electric horns 11) Front turn signal lamps 12) Chrome Headlight Bezels 13) Chrome Grille Back Up Alarm Cab Paint: International Fire Truck Red Power Windows/Door Locks Climate Control: heater, defroster, and air conditioning Cab Mirrors: two (2) extended style mirrors, with convex mirrors Cab Instruments: Standard Metric Driver's Seat: High Back with Integral Headrest, with Recline, Vinyl, Fixed Lumbar Front Passenger's Seat: High Back with Integral Headrest, with Recline, Vinyl, Fixed Lumbar Rear passenger seat: Bench; Full Width; Vinyl, With Fixed Back Front Seat Belts: -Point, Lap and Shoulder Belt Type Rear Seat Belts: (3) Two 3-Point Shoulder Belts for Driver and Outer Passenger and One 2-Point Lap Belt for Center Passenger Page 4 of 32 Printed Manuals: one (1) printed chassis operation manual C-413_7__34"_CA B_7SL_AX4P The chassis Cab to Axle measurement shall be 84". C-3 47&__CAS_PAMT_51QCK_C0WE Cab Color: OEM Original Color Cn428R_CAS_STSP.1CQ_VERB,__11 ARGC._CHASSIS There shall be custom aluminum diamond plate cab step covers, one (1) each side to run full length of cab. They shall conform to the outside of the battery box, fuel tank, DPF, etc, and be removable for component service. The battery access panel shall be easily accessible without the use of tools. C-4229_SUSPENSION_SYSTEM; CHEVY HD/-INT CV A heavy duty, Leaf Spring, off road suspension system with heavy- duty off road shocks shall be installed on the Chevrolet HD or International CV chassis. The system is designed to significantly increase wheel travel, in addition to giving the chassis increased ground clearance. NOTE: THE END USER MUST BE AWARE THAT LIFTING THE CHASSIS AND ADDING LARGER TIRES WILL ALTER THE VEHICLES CENTER OF GRAVITY. THIS WILL AFFECT THE VEHICLES HANDLING CHARACTERISTICS. IN ADDITION, THE LARGER TIRES WILL AFFECT STOPPING DISTANCE. THE SYSTEM IS NOT RECOMMENDED FOR VEHICLES THAT OPERATE PRIMARILY IN AN ON ROAD ENVIRONMENT. THE SYSTEM IS HIGHLY RECOMMENDED FOR VEHICLES THAT OPERATE IN OFF ROAD OR ROUGH TERRAIN ENVIRONMENTS. ***NOTE: DUE TO THE LARGER TIRES A VEHICLE SPEED SENSOR CALIBRATOR WILL BE INSTALLED TO RE -CALIBRATE THE SPEEDOMETER TO ACCOMMODATE THE LARGER TIRES, IF AVALABLE AT TIME OF CONSTRUCTION*** Page 5 of 32 TURNING RADIUS MAY BE REDUCED (if needed) 1-3 DEGREES TO PREVENT TIRE RUB. C-�Z.3'�__T�.RE$1WHEE43_-_34!_PER SIIVGLE._(5p��._-_CONTINENTAL MP1$1_3_65 80R20. There shall be four (4) super single front and rear tires, There shall be 365/80R20 22PR, severe service radial all terrain tread. The tire weight rating shall be load range "G" (22 ply, 7,830 Ibs), and the speed rating shall be "K" (68 mph). There shall be four (4) wheels for the front and rear tires. There shall be 20" x 11.00" disc, ten (10)-hole pattern special order for Military/Government on/off road application with a rating to match or exceed the tire rating. ***NOTE*** The wheels shall be designed for the International CV/Chevrolet HD chassis. -C-3486_NONE _-_IVQ_3QARE_TIRE. No spare tire shall be supplied. C-3922 CUSTQM_F�BRICATED T;I,TING_BUMP�R�GRILL GUARD. XSMAILL TRUUKI The front of the vehicle shall be equipped with a custom fabricated, severe service, aluminum shaped bumper assembly. It shall be bolted in place to the front frame extensions, and angled back at corners to width offenders. It shall have a custom grille guard that is designed to tilt to allow the hood to open properly. There shall be pins that lock the grille in the vertical position. C-4695_FRQNT_SUMPER_- DgFINISH The front bumper shall have a DA finish. C-351_'�_FRQNT_WINCH__-_15000LBS_-_WAF;.Iy._-_FIXED. A Warn Winch Company Model M15000 PN47801 15,000# capacity 12- volt electric powered winch shall be permanently installed at the front center bumper extension area . The unit shall include the following: a) 3.86 feet per minute pulling speed at 15,000# rated load b) 440 amps at full capacity c) Cable roller guide assembly d) 90 feet of 7/16" diameter galvanized cable and fairlead & safety hook assembly shall be supplied. e) Winch speed shall be constant with forward and reverse modes controlled with a push button device at the end of a 12 feet (12') minimum control cable which connects to the winch through a weatherproof receptacle. C-3619__CONSQLE_: ALUMIMUM CU$TQ_M_C.NCLQSURE. A custom fabricated DA aluminum electrical console and enclosure shall be located between the driver's and passenger's seats. It shall house the siren, switches, cup holder, map box, equipment storage, and auxiliary equipment. It shall have a custom poly faceplate. It shall extend fully to the dash. C-353Z_NO N E _-_NO_RADIQ_;N$TALL There shall be no radios installed into the apparatus. C-3641 CAMERA SYSTEM_-_RVS__- 1 CAM One (1) Rear View Systems camera system shall be furnished utilizing a camera which provides a wide field of view and picture quality. A sealed camera enclosure shall be utilized along with electronic connections. The color monitor shall be installed in cab. One (1) camera shall cover the rear of the apparatus, which will activate during back-up mode and during normal operations if needed. C:: 612_REAR_RECEIVER_-_STAMDARD__- WINCH,IF QPELTRAILER The rear of the chassis shall be equipped with one (1) square steel tube receiver assembly for trailer use and winch applications. It shall be the same size as a Class III trailer hitch and shall be attached to the chassis frame assembly. The receiver shall be rated at approximately 10,000#. The rear receiver assembly shall be equipped with two (2) heavy duty rear tow loops, one (1) each side. The body will be a custom fabricated severe service step -side type, constructed of all aluminum. The body shall be 138" long by 96" wide, designed for a 84" cab to axle dimension. The body shall be specifically designed and engineered for off -road wildland firefighting. FLAT-BED SUB -STRUCTURE The body shall have 6" x 1.75" structural aluminum channel main frame rails. The body frame rails shall be isolated from the truck frame by .500" industrial isolators. FLAT-BED CROSS -MEMBER SUB -STRUCTURE The cross -members shall be 3" x 2 5/16" structural aluminum I beams with cross -members on 12" centers. FLAT-BED MOUNTING The body shall be bolted to the chassis frame rails at the rear end of the frame. There shall be brackets installed at the middle of the body frame to prevent side to side movement. The body shall be spring mounted at the front of the body frame. The flexible mounting system shall allow for body/chassis flexing during extreme off road conditions. SQUARE CORNERS -- FLAT-BED The front corners of the flat-bed body shall be square. HEADACHE RACK The front of the body shall have a 2" formed aluminum tube headache rack. The rack shall extend the full width of the body and be attached to the front body corners. The assembly shall extend above the chassis cab and have mounting platform for installation of the light bar and other lights. Wiring for the lights will be placed inside the tubing for protection. The headache rack shall have four (4) vertical 2" tubes for extra strength. WALKWAY The front of the body shall have a 24" front to rear by 96" right to left walkway in front of the water tank. The walkway shall allow access from side to side of the body to have a NFPA compliant walkway surface. SIDE BODY ACCESS STEP There shall be a body access step assisting in access to top of the tool/hose trays from the side of the apparatus. It shall be a stirrup design, and be fabricated from 1" aluminum tubing. They shall be installed under the front of the body, one (1) each side. FENDER PANELS Page 8 of 32 The lower portion of the flat-bed body shall have fender panels over and aft of the rear wheel panel area. The panels shall be constructed of aluminum. The wheel well openings will be cut out to conform to the wheels. SIDE STEP CUBICLE An approximate 24" wide x 20" high x 24" deep cubicle shall be constructed of polished NFPA compliant aluminum tread plate on the driver's side and passenger's side in the front of the body. HINGED SAFETY GATE ASSEMBLY The step -side cubicles on the driver's and passenger's side in the front of the body shall each be equipped with a swing in safety lock gate constructed out of 1" aluminum tubing. The gates shall be locked in the closed position by a locking pin and stop bracket and shall have a hydraulic cylinder to hold the gate either in the fully open or the fully closed position. REAR BODY PANEL A vertical body panel shall be installed at the rear of the body constructed of .190" smooth aluminum. The panel shall house the running lights, taillights, back-up lights, and emergency lights. The body panel shall be angled to allow for approximately 27 degrees angle of departure. PROTECTIVE RAILS The upper body area shall be protected with radius corner 1" diameter aluminum tube railing assembly installed around the top of the body. The corners of the body shall have vertical risers space in critical areas. The railings shall act as protection for the upper body structures when off road in heavy brush conditions. The rear upper body corner rails shall house the upper emergency lights and work lights. C-41 S2_D1AMS?N D__PIME The exterior surface of all body skins, compartments, and trays shall all be polished diamond plate aluminum finish. C-3574__NQ__--_EQMPARTMEMT4 TRANSVERSE NO -- Compartment, Transverse C-43_0Q__QQMPARTME NT,--Dl$,-LIFT-U P_DUAL_110OR -7I''. Page 9 of 32 A body equipment storage compartment shall be installed on the flatbed surface, driver's side of the apparatus. The exterior dimensions shall be approximately 72" wide, 30" high, and 18" deep. The compartment shall be constructed of .125" aluminum on all exterior surfaces. The compartment shall be equipped with: -two lift up doors with latches installed -key type door locks. -dual gas operated door opening assistant cylinders on each door. -a white LED strip light that is automatically controlled by a door activated switch. -a louvered vent Compartment Matting shall be installed in the compartment. It shall be black in color and lock together design. The actual door opening shall be approximately 3" smaller in dimension. C-430_1__CQMPARTMENT,-R B,__LIFT-_UP_at AL_D9QR_.7_2". A body equipment storage compartment shall be installed on the flatbed surface, passenger's side of the apparatus. The exterior dimensions shall be approximately 72" wide, 30" high, and 18" deep. The compartment shall be constructed of .125" aluminum on all exterior surfaces. The compartment shall be equipped with: -two lift up doors with latches installed -key type door locks. -dual gas operated door opening assistant cylinders on each door. -a white LED strip light that is automatically controlled by a door activated switch. -a louvered vent Compartment Matting shall be installed in the compartment. It shall be black in color and lock together design. The actual door opening shall be approximately 3" smaller in dimension. C-3Sg'_2_NO_--CQMPpRTMENT,_REAR,_CENTER_IINDEf�_BQ�Y NO -- Compartment, Rear, Center Under -Body C-443$__D�S_HQSE_TRAY_-_SOLID__- 72" A hose storage tray shall be installed over the driver side equipment compartment, on the driver side of the apparatus. The exterior dimensions shall be approximately: 16" wide, 10" high, and 72" long. The hose tray shall be constructed entirely of .125" aluminum on all exterior surfaces. The assembly shall be equipped with a hinged, lift - up aluminum door on top, enclosed front panel, and open rear area. There shall be a gas shock installed on the lid of the tray to aid in opening and closing the tray in a safe manner. The hose tray shall be equipped with ventilated vinyl floor liner. The actual door opening shall be approximately 3" smaller in dimension. C-444$_Pl$_ Q5E TRAY_ -_SOLID_- 72" A hose storage tray shall be installed over the passenger side equipment compartment, on the passenger side of the apparatus. The exterior dimensions shall be approximately: 16" wide, 10" high, and 72" long. The hose tray shall be constructed entirely of .125" aluminum on all exterior surfaces. The assembly shall be equipped with a hinged, lift -up aluminum door on top, enclosed front panel, and open rear area. There shall be a gas shock installed on the lid of the tray to aid in opening and closing the tray in a safe manner. The hose tray shall be equipped with ventilated vinyl floor liner. The actual door opening shall be approximately 3" smaller in dimension. C-.3 i,'5__REAR_FOLD_P010LH_STEP A lighted 8" square folding step of die cast zinc shall be installed. The step shall comply with NFPA non -slip standards and shall be installed on the rear of the body. The step shall be equipped with lighting to NFPA standard. C-3614_REAR_5TEP, PULL OUT. There shall be a rear "Pull -Out -Fold -Down" step located at the driver's side rear of the apparatus, step shall be stowed in a pocket under the rear of the unit. Storage pocket shall be fabricated to allow easy access to deploying for operation. C-363S__500 GALLOIVS,_POLY. Page 11 of 32 The water tank shall have a capacity of 500 gallons. The water tank shall be constructed of black polypropylene, poly - welded and tested inside and out. The tank manufacturer shall define the floor, top, sides, ends, and baffles material thickness. The tank shall carry a lifetime warranty. The transverse and longitudinal swash partitions shall be interlocked and welded to each other as well as to the walls of the tank. The partitions shall be designed and equipped with vent holes to permit air and liquid movement between compartments. The tank covers shall be welded on top and bottom, and the transverse partitions, providing rigidity during fast fill operations. Drilled and tapped holes for lifting eyes shall be provided in the top area of the water tank. The water tank manufacturer shall certify the capacity of the water tank prior to delivery of the apparatus. This capacity shall be recorded on the manufacturer's data plate. The water tank shall be rectangular in shape and engineered for a low center of gravity. The water tank construction shall conform to applicable NFPA standards. A 1.5" drain plug shall be installed in the bottom of the water tank under P/S wheel well for water tank draining and flush -out of debris. The fill tower shall incorporate a vent and overflow system shall be designed into the water tank. The system shall include a 3" diameter pipe that functions both as an air vent while emptying the tank and as an overflow when filling the tank. The overflow shall discharge excess water below the frame rails of the vehicle. The tank fill tower shall be located in the driver's side rear corner of the water tank. The water tank shall be equipped with translucent water level sight gauge in the rear wall of the tank. C-3659_WATER_TAN. GAUGE__ -_REAR. A Class 1 "Intelli-Tank" water tank level gauge shall be installed on pump panel. The tank level gauge shall indicate the liquid level on an Page 12 of 32 easy to read LED display and show increments of 1/8 tank. A pressure transducer mounted on the outside of the tank in an easily accessible area. C-367$ PUMP,_IIALE,AUX�_DIE_ EI,F_AiPX200-KBD_24 A Hale Model HPX200-KBD 24, 24.8 HP Kubota (water cooled) fire pump shall be installed on the apparatus to meet the following performance criteria: 280 GPM @ 10 PSI 270 GPM @ 50 PSI 200 GPM @ 100 PSI 160 GPM @ 125 PSI The pump shall include the following components: Self -Adjusting Mechanical Pump Seal Bronze Alloy Impeller with Double seal ring design to eliminate end thrust Renewable double -labyrinth type, solid Bronze Impeller Seal Ring Precision -ground Stainless Steel Pump Shaft splined for broached impeller hubs. The pump shall have hard ceramic coating under the packing glands to reduce friction Deep Groove Radial -Type Ball Bearings for pump shaft High -strength aluminum alloy pump casing with bronze fittings Aluminum alloy transmission cast with precision spur cut gears from heat -treated alloy steel Dependable splash -type lubrication system 24.8 HP Kubota diesel powered engine Adjustable mechanical type governor and throttle control lever Alternator EPA Tier 4 Emissions compliant The fire pump shall have a master drain at the bottom of the water pump housing. There shall bean electric oil less primer assembly installed for the auxiliary fire pump. The electric primer assembly shall be capable of taking suction and discharging water with a lift of 10 feet in not more than 30 seconds with the pump dry, through 20 feet of suction hose of appropriate size. A vacuum test with a capped suction of at least 20' long shall develop 22" of vacuum and hold a vacuum with a drop not in excess of 10" in 5 minutes. Priming pump shall be activated by a mechanical/electric valve with a single pull control located at the pump operator's panel area. Hale Products, Inc., herein referred to as "Hale", warrants products of its manufacture to be free from defects in material and workmanship, under normal use and service, for a period of three years (3). This limited warranty is effective only if the equipment or apparatus is used as directed, is not subjected to misuse, negligence or accident, and is not altered, treated or repaired by someone other than Hale or its designee. Additional details can be found in the Skeeter user's manual for this vehicle. The auxiliary fire pump and engine assembly shall have a muffler and vertical exhaust pipe. The exhaust pipe shall be directed upward and away from the pump operator. A rain cap will be installed on the vertical exhaust outlet. The fire pump engine shall have an oil drain line installed. It shall allow for easy oil draining. The auxiliary fire pump shall be installed at the rear of the body. The sub -structure shall have welded in mounting sub -plates between the structural members. C-3689_AUX_FI RE_PUMP MN1G,_1?J9__RE.A&_D_OLTEP. The auxiliary fire pump shall be installed at the passenger's side rear of the body. The sub -structure shall have welded in mounting sub - plates between the structural members. C-3700_PUMP_ENCLQ6URE■__6MAl_,L_-_DIESEL PUMP The fire pump house shall be installed around the pump and engine. The enclosure shall be fabricated of .125" aluminum. Hinged doors and access panels shall be installed for servicing of the engine. If so equipped, the engine and pump control panel shall be provided at the rear of the vehicle. The following shall be located at the operator's position: 2.5" discharge pressure gauge start/stop control throttle control low oil pressure warning light tachometer (if so equipped) Page 14 of 32 The pump enclosure shall be mounted at the rear of the body. C-AAO$__QUM.P _F!1 EL_FR.OM__CIia4S$I$_-_�IE$EL The fuel system for the auxiliary fire pump shall be plumbed from the chassis fuel system. There shall be a separate fuel pickup tube mounted in the chassis fuel tank specifically for a separate engine driven pump assembly. There shall be an electric fuel pump with spin on fuel filter and flexible fuel hose furnished between the chassis fuel tank and the auxiliary pump. C-4163 PUMP PANEL - PUMP ENCLOSURE MOUNTED An engine and pump control panel shall be provided at the rear of the vehicle. The following shall be located in the pump panel: 2.5" discharge pressure gauge start/stop control throttle control low oil pressure warning light The pump control panel shall be installed in the pump dog house enclosure, rear passenger's side of the body. C-3706 MANIFOLD,_SS_j$TANDARD). The auxiliary fire pump plumbing system shall be built mostly of stainless steel piping, fittings, and connections. Victaulic couplings shall be installed to permit flexing of the plumbing system and allow for quick removal of piping or valves for service. Tank connections and remote plumbing shall use high-pressure flexible piping. Flexible hose couplings shall be threaded stainless steel or Victaulic connections. This shall include valves and hose threads. C-A733 VALVES,__$/&_QDAIRTER TURM All valves used in the plumbing installation shall be stainless steel quarter turn full flow type. The plumbing installation shall include quarter turn ball valves with local "on -valve" handle control, with custom embossed labeling for each valve. Page 15 of 32 C-3897_N H_HOSE_TH READS The hose threads shall be National Hose Standard (NH) on all base threads on the apparatus intakes and discharges, unless otherwise specified. C-3704_2.5"_PUMP INTAKE_PL_UMBIN.G The pump intake plumbing shall consist of the tank to pump line and the suction line. The tank to pump line shall be installed with a flexible hump hose connection and stainless steel clamps to the water tank. A 2.5" 1/4 turn ball valve shall be controlled with a manually operated handle directly on the valve. The suction line shall be installed on the rear area to supply the fire pump from an external water supply. A 2.5" 1/4 turn ball valve shall be controlled with a manually operated handle directly on the valve. There shall be a 2.5" NH female thread connection with removable screen. There shall be a 2.5" plug attached with a cable. C-3715_TANK _FILL ND COOLING_LINE_V WATERMARK One (1) 1" fire pump to water tank refill and bypass cooler line shall be provided. The pump to tank valve shall be a 1" full flow quarter turn ball valve with local control handle. A 1" flex hose shall be installed to the water tank. C-370$_DISCHARGL_7x4_",__R8,pR,_2.5"FRX_I,5"[H A One (1) 2-1/2" discharge shall be installed at the rear pump area, controlled by a quarter turn ball valve. The discharge shall have 2-1/2" NH male hose threads. The discharge shall be equipped with 2-1/2" female x 1-1/2" chrome plated brass reducer, 1-1/2" chrome cap and cable. C-5Q44__NO_3J4"_DISCHARG E NO --3/4" Discharge C-3807_WHIP HOSE_ LINBS__(2�_FRONT_BODY_1"_X_$'. A 1.5" discharge shall be piped from the rear pump area to the front on the body. A 1.5" master control valve shall be installed at the rear pump manifold area with direct control handle. Two (2) 1" valves with swivels shall be installed at the front of the water tank. Page 16 of 32 Two (2) 1" x 8 feet long 300# working pressure hose whips with threaded couplings shall be installed at front of body, one each side, with securement devices. C-3722_HOSE_REEL,_HANNAX,_P/_S KO-V T One (1) Hannay aluminum hose reel shall be installed. The reel shall have leak proof ball bearing swing joint, adjustable friction brake, electric 12 volt rewind and manual crank rewind provisions. The reel shall be mounted on the driver's side rear corner of the flatbed body. One (1) 1" discharge shall be piped from the fire pump to each hose reel with flexible high pressure hose. The quarter turn ball valve shall be on manifold. The hose reel shall be provided with a Hannay top mounted stainless steel roller assembly. C-�7_ROLLER, _HOSE_REELF_TOP Each hose reel shall be provided with a Hannay top mounted stainless steel roller assembly. C-3725__ZQQ__FOOT _REEL__CA.Q.ACTTX Each hose reel shall have a capacity of 200 feet of hose. C-3731_HOSE,_WATER,_300#'_1"_X_150' One (1) 150' foot length of 1" water hose shall be installed on the hose reel. The hose shall be equipped with NH threaded couplings and have a 300 PSI working pressure. C-�714__OROUND__SWEEP_DI$CHARGE$,_FF�QNT_BI,IMP�.13 Two (2) ground sweep discharge nozzles shall be installed, one each side of the front bumper. Each nozzle shall have a 1" electric control valve, switched independently in the cab. The discharges shall be equipped with removable ground sweep nozzles angled accordingly with a 180 degree total front sweep pattern. The flow rate shall be 15- 30 gpm. Each nozzle shall have a custom fabricated brush guard installed to Page 17 of 32 protect from damage when off road. The valves and manifold shall be protected from damage by the front bumper and skid plate. One (1) 1.5" front bumper ground sweep discharge shall be piped to the front bumper area. The discharge shall be controlled by a 1.5" manual override valve at the rear pump area. Flexible 1.5" diameter high pressure hose shall be provided from the pump to the sweep nozzles with low point drains where necessary. There shall be an 1.5" stainless steel valve, with a flexible supply hose installed to feed the front discharge manifold. �713_AICRON_FRONT B�JMPE_q_MOfV_ITOR One (1) Akron 3462 Forestry Monitor with quick disconnect (34621103, FM 2NPTX1.5NH, 12V, 125NZ, 3Y, QD, VLV, RED) shall be installed. The remote monitor shall be located on the front bumper of the apparatus. The monitor shall be an all -electric single waterway monitor constructed of lightweight Pyrolite, with a 2" electric valve. The monitor shall have a fully enclosed 12-volt motor and gears with a manual override for both horizontal and vertical rotation and may be operated simultaneously. The vertical travel shall be from 45-degrees below to 90-degrees above horizontal with adjustable stops at -20 degrees and +45 degrees. The horizontal rotation shall be 320- degrees with adjustable stops at +-90-degrees. The logic box shall include coated, solid state components to resist water corrosion. The control joystick shall control the vertical and horizontal rotation of the monitor and the pattern of the nozzle. The nozzle shall be 30-125 gpm adjustable. The Akron monitor shall include a weather -tight enclosure and joystick controls mounted on the center cab console area. The joystick control shall include a valve trigger and following controls functions: Water Valve: ON/OFF Monitor: RIGHT/LEFT Monitor: UP/DOWN Pattern Control: STRAIGHT/FOG The bumper monitor shall include a 1.5" stainless steel valve, with a flexible supply hose installed to feed the front discharge manifold. Page 18 of 32 ��_FOANI SY�TEM�__�CQTTY_#4�.71. A Scotty Model #4171 Class A through -the -pump foam system shall be installed to supply all discharges. The unit shall be mounted at the rear of the apparatus, within easy reach of pump operator. The unit shall be adjustable, permitting various foam ratio percentages to be educted depending on the nozzles in use. Foam selection percentages between .07 and 3% shall be available. The foam system has been designed for simplicity of operation and maintenance. The 3/4" supply line can be disconnected from the scotty foam system and used as a flush line. There shall be 3/4" "Y" strainer installed on the tank to the foam system. MAXIMUM WORKING PRESSURE: 300 PSI C-429$_FOAM_TAN K_CAPACITY,._$_GALL—O.US,_CA,A$S-A, The Class A foam tank shall have a capacity of 5 gallons. The foam concentrate tank shall be provided with a fill pipe having a volume of not less than 2 percent of the total tank volume. The filler opening shall be capped with a sealed air -tight threaded cover. The fill opening shall be designed to incorporate a removable screen and shall be located so that foam concentrate from a five (5) gallon container can be dumped into the tank. The foam tank filler shall be equipped with a pressure/vacuum vent that enables the tank to compensate for changes in pressure or vacuum when filling or withdrawing foam concentrate from the tank. The pressure/vacuum vent shall not allow atmospheric air to enter the foam tank except during operation or to compensate for thermal fluctuations. The vent shall be protected to prevent foam concentrate from escaping or directly contacting the vent at any time. The vent shall be of sufficient size to prevent tank damage during filling or foam withdrawal. A color coded label or visible permanent marking that reads "CLASS A -- FOAM TANK FILL" shall be placed at or near the foam concentrate tank fill opening. An additional label shall be placed at or near any foam concentrate tank fill opening stating the type of foam concentrate the system is designed to use. Any restrictions on the types of foam concentrate that can be used with the system shall also be stated, along with a warning message Page 19 of 32 that states "WARNING: DO NOT MIX BRANDS AND TYPES OF FOAM." A 3/4" fitting shall be provided on the foam tank for connection of the foam tank to the suction side of the foam system. A 3/4" diameter connection, piping, and valve shall be installed for the foam tank for draining purposes. C-3669__FQAt4-TANK_DRAIIV AND VALME, 314". A 3/4" diameter connection, piping, and valve shall be installed for the foam tank for draining purposes. Drain shall discharge underneath the bed. C-3672_FQAM_TANK GAUGE_- REAR A Class 1 foam tank level gauge shall be installed on the pump panel. The tank level gauge shall indicate the liquid level on an easy to read LED display and show increments of 1/8 tank. A pressure transducer shall be mounted on the outside of the tank in an easily accessible area. C-3764_STOP./TAIL/TU_[tN_LIGIiTS�_W HEI,,EN_M 6BTT/ M 6FC Two (2) Whelen M6 Series Model M613TT 4-5/16" x 6-3/4" brake, turn, tail lights with M6FC chrome flanges shall be provided. The warning lights shall incorporate Linear Super -LED and Smart LED technology. The lighthead configuration shall consist of 18 red Super -LEDs and a clear optic polycarbonate lens. The lightheads shall be surface mountable via two screws. The lightheads shall utilize an optic collimator and a chrome vacuum metalized reflector for maximum illumination. The lighthead shall include 164 flash patterns including: a variety of CA Title 13 compliant, sinkable, left/right, top/bottom, in/out, and steady burn. The lightheads shall have the Whelen exclusive NERM (Non -Emergency Recognition Mode) feature. The lens/reflector assembly shall be wet sealed and resistant to: water, moisture, dust, and other environmental conditions. The outer lens shall have a hard coating applied to increase strength and ensure longevity. The light engine shall be installed at the rear of the unit and be completely sealed. The pc board shall be conformal coated for additional protection. Page 20 of 32 The lights shall be furnished with five 6" wire pigtails, a Santoprene rubber gasket and the #M6FC chrome flanges shall be included for installation. C:: 765_RACK_UJ_P__LIGHTS,_WHELEN_MS_SERIES, LED,. Two (2) Whelen M-Series, 4" x 6" rear LED back-up lights shall be installed. C-4123 SIREN,_ELECTRONIC,._WNELEN,_CARBIQE One (1) Whelen, Model #CCSRNT4A CenCom Carbide siren with auxiliary switches with noise canceling microphone shall be provided. Siren head will be mounted on the center console in easy reach of the driver. Cn3747__SIREN_S !EAKERX1). One (1) Whelen Model #SA315P Projector Series siren speaker shall be provided with bracket. The 100 watt siren speaker shall be designed in a black nylon composite housing with 123 decibel rating. Location shall be: Behind the front grille. C-374.3LIG HTRAR,_W H ELEN,_LEGACY A Whelen Legacy low profile Super -LED NFPA lightbar shall be installed. The 54" lightbar shall be designed to meet the minimum clearing requirements for Zone A Upper. The internal components of the lightbar shall be housed within a two piece extruded aluminum base/top. The outer shell shall be clear optic polycarbonate lenses designed to maximize light output and shield against environmental elements. The lightbar shall utilize snap -in brackets to hold in the lightheads. The brackets shall give the end user the ability to make quick repairs. The lightbar shall have all solid state components. The lightbar shall have two wire harnesses exiting the unit: one (1) 17 conductor 22 gauge control cable which controls all internal light functions; and one (1) 2 conductor 10 gauge cable for main power and ground. Each cable shall be 15' long. The lightbar shall have four (4) red Linear Super -LED corner modules to provide off angle protection for the front and rear of the vehicle. Each corner module shall consist of twelve (12) Super -LEDs mounted within a vacuum metalized parabolic reflector. The corner module shall Page 21 of 32 also utilize an optic collimator for maximum light output. The twelve (12) LEDs shall be mounted in one straight line. The solid state I/O board shall be microprocessor controlled. The I/O board shall have built-in reverse -polarity protection and output -short protection. The board shall have the ability to flash sixteen (16) LED warning lights. There shall be a data bank of 13 Scan -Lock flash patterns including steady burn. The board shall also have outputs to add takedown and alley lights. Low power and cruise light function shall also be included. The cruise light function shall allow the user to employ the four (4) corner modules as marker courtesy lights. The lightbar shall include clear "Take Down" and "Alley Lights". The lightbar shall have an amber "Traffic Advisor" built into the rear portion of the lightbar. -3744_LXGHII AR MOUNT,__FRQNT_OF BODY -_WITH GUARD The lightbar shall be mounted on the front of the body with an aluminum brush guard protective assembly. C-4364_WARNING_LIGHTS�_WHELEN,_IONSMR_($� LIGIiT ZONE A -- LOWER FRONT WARNING LIGHTS Two (2) Whelen ION (IONSMR) warning lights with chrome flanges shall be in the front forward facing area of the front bumper. The warning lights shall incorporate Linear Super -LED and Smart LED technology. The lighthead configuration shall consist of RED 18 Super - LEDs and a clear optic polycarbonate lens. The lightheads shall be surface mountable via two screws. The lightheads shall utilize an optic collimator and a chrome vacuum metalized reflector for maximum illumination. ZONE B AND D -- INTERSECTION LIGHTS Two (2) Whelen ION (IONSMR) warning lights with chrome flanges shall be installed on bumper extension, as far forward as possible. The warning lights shall incorporate Linear Super -LED and Smart LED technology. The lighthead configuration shall consist of RED 18 Super - LEDs and a clear optic polycarbonate lens. ZONE B AND D -- LOWER SIDE REAR CORNER WARNING LIGHTS Two (2) Whelen ION (IONSMR) warning lights with chrome flange shall be installed in lower rear side corner body area. The warning lights shall incorporate Linear Super -LED and Smart LED technology. The Page 22 of lighthead configuration shall consist of RED 18 Super -LEDs and a clear optic polycarbonate lens. ZONE C -- LOWER REAR WARNING LIGHTS Two (2) Whelen ION (IONSMR) warning lights with chrome flanges shall be lower rear of body. The warning lights shall incorporate Linear Super -LED and Smart LED technology. The lighthead configuration shall consist of RED 18 Super -LEDs and a clear optic polycarbonate lens. C-S7 S2__SCE f4_E__LIG FIT,_CO M BO,__RIGI D_20". A Rigid Manufacturing E series 120313 20" spot/flood light shall be installed. The LED scene lights shall incorporate clear LED's with a clear optic polycarbonate lens for maximum illumination. Location shall be: front bumper/grille C-37S6__SC_EN E_LIGH_[.,__(6) _RIGI D Six (6) Rigid Manufacturing Dually 20211 scene lights shall be installed. The LED scene lights shall incorporate clear LED's with a clear optic polycarbonate lens for maximum illumination. Location shall be: Two (2) outward facing, each side of body, two (2) rear facing. CTAWAAKOMND_LIGHTS_-_CHASSIS - LED__S RJPS_-_4D00R Four (4) LED ground strip lights shall be installed under the cab step area in compliance with NFPA standards, two (2) on each side of the apparatus, wired to the Cencom, and the chassis interior lights. C-402_1_1110_--_REAR GROHND__LTGHTS NO -- Rear Ground Lights C-3S2_S_N0--- --- BATTERY -CHARGER NO -- Battery Charger C-_3a% _D00R_AJARLIGHT,LED A "door ajar" warning light shall be installed on the center console. The light shall be flashing red LED light with a clear lens. Page 23 of 32 The door ajar light shall be activated by door ajar switches installed on every compartment door. C-3912 TILT_ME1ER, An electronic tilt meter shall be installed on the dashboard. The unit shall indicate the degree of side slope the vehicle is on. It shall also include a GPS speedometer. C-3776_NO_--_FRONT_3UNJPE1CHEVRON NO -- Front Bumper Chevron C-3779_STRIPE_REELECTIVE�_SCOTCHLITE� CHEVRON, There shall be alternating chevron striping installed on the rear vertical body panel. The chevron striping shall consist of 6" diamond grade in the following colors: Red Diamond Grade. Florescent Yellow Green Diamond Grade. C-37G9 CUSTOM__DOOR_GRAPHICS, The apparatus shall be provided with FOUR (4) custom designed sign gold graphics, emblems, or seals. The installation shall be designed primarily with letters and numbers as specified. The purchaser shall approve of the design graphics prior to installation. C-3.7__66__LETTERING, CAB,__3" REFLECTIYE The cab lettering shall be Scotchlite reflective material, shaded in black. A quantity of up to fifty (50) three inch (3") letters shall be installed as directed by Fire Department. **SKEETER BRUSH TRUCKS DOES NOT ORDER OR PROVIDE SIGN GOLD LETTERING OR LOGOS** C4773_—REELECTIVE STRIPE No Reflective Stripe C-4195_CAB ROOE_NUMBERS. There shall be up to four (4) white scotchlite letters on the roof of the cab, 18" tall. Page 24 of 32 C-3774_NQ_:: KEEP_ BACK_ LETTERING NO -- Keep Back Lettering CnMAROZUKROU NTIRG Each 1" flexible hose discharge shall have a nozzle bracket installed to hold the nozzles in place. C-3525_BATTERY_SR A rotary type master disconnect switch shall be provided in the cab within easy reach of the driver. The switch shall have a switch plate with Off/On label. There shall be a GREEN indicator light in the center console indicating the power is "ON". C-3759_EUSE_j3OX An electric wiring enclosure for the 12 volt wiring shall be installed in the forward wall of the driver's side upper body compartment with an access panel. The dimensions of the enclosure shall be approximately 20" high, 14" wide, and 4" deep. C-37_55__Ba4CX_U R ALARM. One (1) back up alarm shall be installed. C-3763_LICENSE_nATE.t MQUNTING. There shall be mounting provisions for the front and rear license plates. An LED license plate light shall be installed on the rear vertical wall of the body for the rear license plate. C-376_2_CLEARANCE LIGIiTS�_LED _DOT All LED identification lights shall be installed on the vehicle as required by applicable highway regulations. C-4429_MUD_FLAPS�_REAR WHEEL$F_$BT_LOGO The chassis shall be supplied with mud flaps with the manufacturer's logo. The mud flaps shall be installed behind the rear wheels. C-3570_EM BLEMS, _BRUSIi_TRUCKS Three (3) Skeeter Brush Trucks emblems will be affixed to the cab and body. C-4022_DRAWINGS. There shall be design drawings submitted to the customer prior to the pre -construct conference. The CAD drawings shall include all sides of the apparatus. The customer shall agree to the drawings reflecting the correct apparatus design and layout prior to construction. C-376O_E LECTRICAL_HAFRN ES5_&_y/_IRI NG The following describes the low voltage electrical system on the apparatus including all panels, electrical components, switches and relays, wiring harnesses and other electrical components. The apparatus manufacturer shall conform to the latest Federal DOT standards, current automotive electrical system standards and the applicable requirements of the NFPA. Wiring shall be stranded copper or copper alloy conductors of a gauge rated to carry 125 percent of the maximum current for which the circuit is protected. Voltage drops shall not exceed 10 percent in all wiring from the power source to the using device. The wiring, wiring harness and insulation shall be in conformance to applicable SAE and NFPA standards. The wiring harness shall conform to SAE J-1128 with GXL temperature properties. Exposed wiring shall be run in a loom with a minimum 289 degree Fahrenheit rating. Wiring looms shall be properly supported and attached to body members. Electrical conductors shall be constructed in accordance with applicable SAE standards, except when good engineering practice requires special construction. All wiring connections and terminations shall provide positive mechanical and electrical connections and be installed in accordance with the device manufacturer's instructions. When wiring passes through metal panels, electrical connections shall be secured with mechanical type fasteners and rubber grommets Wiring between cab and body shall be split using connectors or enclosed in a terminal junction panel allowing body removal with minimal impact on the apparatus electrical system. Connections shall be crimp -type with heat shrink tubing with insulated shanks to resist moisture and foreign debris such as grease and road grime. Weather resistant connectors shall be provided throughout the system. Page 26 of 32 Electrical junction or terminal boxes shall be weather resistant and located away from water spray conditions. When required, automatic reset breakers and relays shall be housed in the main body junction panel. There shall be no exposed electrical cabling, harnesses, or terminal connections located in compartments, unless enclosed in an electrical junction box or covered with a removable electrical panel. Wiring shall be secured in place and protected against heat, liquid contaminants and damage. Low voltage overcurrent protective devices shall be provided for the electrical circuits. The devices shall be accessible and located in required terminal connection locations or weather resistant enclosures. Overcurrent protection devices shall be automatic reset type suitable for electrical equipment and meet SAE standards. All electrical equipment, switches, relays, terminals, and connectors shall have a direct current rating of 125 percent of maximum current for which the circuit is protected. Electro-magnetic interference suppression shall be provided in the system as required in applicable SAE standards. The electrical system shall include the following: Electrical terminals in weather exposed areas shall have a non- conductive grease or spray applied. All terminal plugs located outside of the cab or body shall be treated with a corrosion preventative compound. All electrical wiring shall be placed in a protective loom or be harnessed. Exposed connections shall be protected by heat shrink material and sealed connectors. Large fender washers shall be used when fastening equipment to the underside of the cab roof and all holes made in the roof shall be caulked with silicone. Electrical components installed in exposed areas shall be mounted in a manner that will not allow moisture to accumulate inside. A coil of wire must be provided behind an electrical appliance to allow them to be pulled away from mounting area for inspection and service work. All lights in a weather exposed area that have their sockets shall have corrosion preventative compound added to the socket terminal area. All wiring shall be hidden, enclosed, or protected under the body in rN protective material, or within the apparatus body components. In addition, split loom conduits shall be installed and enclosed, suitably secured and protected against heat and physical damage. C-M_I.INIRIN-G__HARNESS, 8ME—ELECTRICAL All wiring shall be hidden, enclosed, or protected under the body in protective material, or within the apparatus body components. In addition, split loom conduits shall be installed and enclosed, suitably secured and protected against heat and physical damage. C-37$Q__C P.ACMES_PLACAA2D,_ U1 ECTIVE The apparatus shall have a reflective placard that provides the following information: Water Tank Capacity Pump Capacities NWCG Typing Skeeter Contact Information C-3474_CHA5SIS_PREP The chassis cab shall be "prepped" for fire apparatus production as follows: a) Wash and clean chassis b) Weigh chassis for NFPA reports c) Quality control check in. C-363Q_FINA4ASSEMBA if The apparatus shall be assembled in a high quality and controlled environment. The fit, form, and finish of the body shall be to the highest level fire apparatus manufacturing standards. Upon completion, the apparatus shall be ready for final inspection and road testing as required herein. C-3795_Q !ERATI9NAL_PUM_P TEST The fire pump shall have a operational pump test performed by a Skeeter Brush Trucks technician with a run time of one (1) hour to confirm proper operations of all pump related components. *** NOTE: ALL TESTING SHALL BE DONE AND PERFORMANCE OBSERVED BETWEEN SEA LEVEL AND 1000' ELEVATION. Page 28 of *** HIGH ALTITUDE PERFORMANCE MAY NOT REPRESENT TESTING RESULTS SHOWN. C-3796_12V ELECTRNAL_LOAD A 12 volt electrical load analysis shall be performed in order to test response and stationary modes of electrical amp load. C-379_RQAD TEST,__1O_MILES A road test will be conducted with the apparatus fully loaded and a continuous run of no less than ten (10) miles. During that time the apparatus will show no loss of power nor will it overheat. The transmission drive shaft or shafts and the axles will run quietly and be free of abnormal vibration or noise. C-38O0_S-YEAR PARTS &_LA.BOR/10-YEAR BOGY INTEGR A five (5) year parts and labor warranty on items manufactured by Skeeter Brush Trucks and a ten (10) year warranty on the structural integrity of the body. For warranty issues please contact your local dealer or Skeeter Brush Truck service center and request warranty from the service advisor at that location. C-4523_BASIC_/�PpAA�ATUS_LABE LING. Per NFPA a permanent label shall be mounted in the cab showing the following information: A permanent label in the driving compartment shall specify the quantity and type of the following fluids used in the vehicle and tire information: 1. (1) Engine oil 2. (2) Engine coolant 3. (3) Chassis transmission fluid 4.(4) Pump transmission lubrication fluid 5. (5) Pump priming system fluid, if applicable 6. (6) Drive axle(s) lubrication fluid 7. (7) Air-conditioning refrigerant Page 29 of 32 8. (8) Air-conditioning lubrication oil 9. (9) Power steering fluid 10. (10) Cab tilt mechanism fluid 11. (11) Transfer case fluid 12. (12) Equipment rack fluid 13. (13) CAFS air compressor system lubricant 14. (14) Generator system lubricant 15. (15)* Front tire cold pressure 16. (16)* Rear tire cold pressure 17. (17) Maximum tire speed ratings There shall be a label identifying the number of seat belted locations on the unit. A final stage manufacturer shall install "hearing loss" potential warning labels on the vehicle in any areas or fixed equipment that produces excessive noise levels. (exhaust outlet, sirens and air horns shall not be required for such equipment.) A warning label stating: "NO RIDING ON REAR OF APPARATUS" shall be installed on rear of the apparatus. The label shall be applied to the vehicle at the rear step area. The label shall warn personnel that riding in or on these areas, while the vehicle is in motion, is prohibited. The below listed labels shall be installed on/in the apparatus. All label shall comply with NFPA 1906, 2016 Edition standards on location and design set in each standard. (1) NFPA 1906: 12.2.3.3 - Fluid Data Label (2) NFPA 1906: 14.1.3.7 - Safety Sign FAMA07, Seat Belt Use (3) NFPA 1906: 14.1.7.5 - Safety Sign FAMA43, No Helmets Vehicle in Motion (4) NFPA 1906: 16.13.1.3.1 - Pump Test Label The following shall be installed or provided on the apparatus in accordance with NFPA 1906: One (1) placard indicating fluid type and capacity shall be installed on the apparatus One (1) Label indicating height and weight of the apparatus shall be installed in a location visible to the driver. One (1) Safety Sign, FAMA 06, which warns of the need to use a seatbelt while the vehicle is in motion. One (1) Safety Sign, FAMA 10, which warns of the need secure all loose items in the cab while the vehicle is in motion. One (1) Safety Sign, FAMA 24, which warns against riding on the vehicle while it is in motion. One (1) Safety sign, FAMA 23, which warns of the proper climbing method, shall be visible to personnel entering the cab and at each designated climbing location on the body. One (1) Safety sign, FAMA 25, which warns of the need for training prior to operating the apparatus, shall be located on the pump operator's panel. One (1) Safety Sign, FAMA 43, warning not to wear helmets while vehicle is in motion shall be visible from each seat. One (1) Indicator installed in the cab of the apparatus that when illuminated will indicate "Pump Engaged" and "OK to Pump" if the apparatus is designed to pump and roll the indicator shall be labeled "OK" to Pump and Roll" C-4338 NO_--_NEEA_SPECD_RESTRICTIQN NO -- NFPA Speed Restriction C-37$$_PRE_CQNSTRUCTIQU--CONEERENCE,AT FACTORY A pre -construction conference shall be held at Skeeter Brush Trucks manufacturing facility in Hillsboro, Texas. The purpose of the conference is to review and clarify aspects of apparatus components and construction. It shall be attended by representatives of the purchasing department, the apparatus dealer, and Skeeter Brush Trucks. The transportation to this meeting shall be the responsibility of purchaser. C-4US_EINAL INSPECT4QN__AT_SKEETER Page 31 of 32 Representatives from the purchaser and the dealer shall be present at Skeeter's manufacturing facility in Hillsboro, Tx for the final inspection of the apparatus. A factory representative will assist the purchaser with review of the specifications to confirm they match the apparatus. Cost of transportation to and from the facility shall be the responsibility of the purchaser. *** NOTE, UNLESS PRIOR APPROVAL BY SKEETER BRUSH TRUCKS, FINAL INSPECTION AT THE PLANT IS MANDATORY *** C-379Q__TA3,AINING, FACTORY_—$-UF!P;I„ FD4_FACT-ORY LQCA The bidder shall demonstrate and familiarize the purchaser regarding the vehicle's operation. This shall include operation of chassis, major components, review of delivery information and documentation. This demonstration shall be completed at Skeeter Brush Trucks factory location in Hillsboro, Texas. C-3792_DELIVEI;Y,_(PURCHASER PICKUP The apparatus shall be picked up at the manufacturer's plant by the purchaser. *It is the purchaser's responsibility to transport all loose equipment not physically mounted to the apparatus C-3787_PAYMENT_TERMS�_100%_ON_DELIVEAR�( AND ACCE Terms of payment for the specified vehicle shall be only cash or equivalent on delivery and acceptance for the unit. No bid will be considered which requires the purchaser to deposit with the bidder a down payment, prepayment of chassis, or any other such consideration as a condition of the bid. Such a requirement shall be grounds for immediate rejection of the bid. SIX MILE BRUSH TRUCK $2889000.00 FIRE TRUCKS OF TEXAS (281)546.6784 Ronnie Taylor Cell (601) 722-4166 Direct - (601) 722-4168 Fax www. deepsouthfi retrucks.com Page 1 of 16 12-21-23 Price good for 30 days JP OPTION 1: Rowe Wildland CAFS System +$17,000.00 "System will not have dual pump controls. System will have standard Rowe discharges FIRE TRUCKS OF TEXAS (281)546.6784 Ronnie Taylor Cell (601) 722-4166 Direct - (601) 722-4168 Fax www.deepsouthfiretrucks.com Page 2 of 16 GENERAL INFORMATION The proposed apparatus will be constructed to withstand the severe and continuous use encountered during emergency firefighting services. The apparatus shall be of the latest type, carefully designed and constructed with due consideration to the nature and distribution of the load to be sustained. These specifications detail the proposal for general design criteria of cab and chassis components, fire pump and related components, water tank, fire body, electrical components, painting, and equipment. All applicable items, specified in this proposal will conform to the National Fire Protection Association Pamphlet No. 1906, latest edition. The manufacturer will furnish satisfactory evidence of their ability to construct, and supply service parts and technical assistance for the apparatus specified. The proposed chassis will be certified as conforming to all applicable federal motor vehicle safety standards (FMVSS) in effect at the date of contract. This will be attested to by the attachment of a FMVSS certify caution label on the vehicle by the manufacturer, who will be recognized as the responsible final manufacturer. GENERAL CONSTRUCTION The proposed apparatus, assemblies, subassemblies, component parts, etc., will be designed and constructed with the due consideration to the nature and distribution of the load to be sustained and to the general character of the service to which the apparatus is subjected to when placed in service. All parts of the apparatus will be designed with a factor of safety, which is equal to or greater than that which is considered standard and acceptable for this class of equipment in firefighting service. All parts of the proposed apparatus will be strong enough to withstand general service under full load. The apparatus will be so designed that the various parts are readily accessible for lubrication, inspection, adjustment and repair, as required. The apparatus will be designed and constructed, and the equipment so mounted, with due consideration to distribution of the load between front and rear axles that all specified equipment, including a full water tank, loose equipment, and firefighters will be carried without overloading or injuring the apparatus. SERVICE The apparatus will comply with NFPA 1901-2016 4.16. As "the entity having jurisdiction" as defined by NFPA 1071, the Purchaser requires that all Contractors be capable of providing both in-house and on -site service for the apparatus proposed through the use of either an established emergency vehicle service center or a mobile technician. The Contractor shall have full time EVT certified maintenance technicians in compliance with NFPA 1071 classifications F-2 through F-6 on staff to provide service. On -site service shall be the primary mode of maintenance and warranty repair to eliminate the requirement of transporting the vehicle outside the fire department jurisdiction. Deep South Fire Trucks has been building and repairing fire trucks for over 25 years and we have over 70 employees we can use for repair and service as needed. We have four (4) separate divisions including, welding/fab, wiring, pump, and general maintenance to service your vehicle. VEHICLE FLUIDS PLATE FIRE TRUCKS OF TEXAS (281)546.6784 Ronnie Taylor Cell (601) 722-4166 Direct - (601) 722.4168 Fax www.deepsouthfiretrucks.com Page 3 of 16 As required by NFPA-1906, the manufacturer will affix a permanent plate in the driver's compartment specifying the quantity and type of the following fluids used in the vehicle: • Engine oil • Engine coolant • Chassis transmission fluid • Pump transmission lubrication fluid • Pump primer fluid • Drive axle(s) lubrication fluid • Air-conditioning refrigerant • Air-conditioning lubrication oil • Power steering fluid • Cab tilt mechanism • Transfer case fluid • Equipment rack fluid • Air compressor system lubricant STEPPING, STANDING, & WALKING SURFACES All stepping, standing, and walking surfaces on the body will meet NFPA-1901 anti -slip standards. Aluminum tread plate utilized for stepping, standing, and walking surfaces will be Alcoa, or equivalent, No -Slip type. This material will be certified to meet the NFPA-1901 standard. Upon request by the purchaser, the manufacturer will supply proof of compliance with this requirement. All vertical surfaces on the body, which incorporate aluminum tread plate material, will utilize the same material pattern to provide a consistent overall appearance. CAB SAFETY SIGNS The following safety signs shall be provided in the cab: • A label displaying the maximum number of personnel the vehicle is designed to carry shall be visible to the driver. • "Occupants must be seated and belted when apparatus is in motion" signs shall be visible from each seat. • "Do Not Move Apparatus When Light Is On" sign adjacent to the warning light indicating a hazard if the apparatus is moved (as described in subsequent section). • A label displaying the height, length, and GVWR of the vehicle shall be visible to driver. This label shall indicate that the fire department must revise the dimension if vehicle height changes while vehicle is in service. CHASSIS DATA LABELS The following information shall be on labels affixed to the vehicle: • Fluid Data • Engine Oil • Engine Coolant FIRE TRUCKS OF TEXAS (281)546.6784 Ronnie Taylor Cell (601) 722-4166 Direct - (601) 722-4168 Fax w .deepsouthfiretrucks.conn Page 4 of 16 • Chassis Transmission Fluid • Pump Transmission Lubrication Fluid • Pump Primer Fluid (if applicable) • Drive Axle(s) Lubrication Fluid • Air Conditioning Refrigerant • Air Conditioning Lubrication Oil • Power Steering Fluid • Cab Tilt Mechanism Fluid • Transfer Case Fluid • Equipment Rack Fluid • Air Compressor System Lubricant • Generator System Lubricant • Front tire cold pressure • Rear tire cold pressure • Chassis Data • Chassis Manufacturer • Production Number • Year Built • Month Manufactured • Vehicle Identification Number • Manufacturers weight certification: o Gross Vehicle (or Combination) Weight Rating o Gross Axle Weight Rating, Front 2024 or NEWER INTERNATIONAL CV SERIES REGULAR CAB CHASSIS *Full Chassis Specifications Available Upon Request. Regular Cab Design Two (2) Man Cab 84" Cab to Axle BLACK Wheels AM/FM Radio HVAC System Front Bucket Seats Red in Color 22,500 GVW 7,500 Front GVW FIRE TRUCKS OF TEXAS (281)546.6784 Ronnie Taylor Cell (601) 722-4166 Direct - (601) 722-4168 Fax www.deepsouthfi retrucks.com Page 5 of 16 15,500 Rear GVW 4x4 with Hi/Low Transfer Case International/Duramax 6.6 Liter Diesel Engine 220 Amp Alternator Allison 2750 Transmission PTO Provision FRONT BUMPER GUARD WITH LIGHTS AND WINCH There shall be a Hammerhead heavy duty matte black front bumper full replacement guard for winch installed on front of chassis. The brush guard shall replace the factory bumper and mounted in factory frame rails. There shall be four (4) LED cube style lights provided in the front bumper guard holes for additional driving light. A Warn 16,500 lb. winch shall be mounted on a winch carrier in the brush guard. The winch shall have the following specifications: Rated line pull: 16,500 lbs. single -line Motor: Series Wound, 12V 4.6 hp Electrical controls: Hand Held Remote Control: Remote switch, 12 in lead Geartrain: 3-Stage Planetary Gear ratio: 261:1 Clutch (freespooling): Rotating Ring Gear Brake: Automatic Direct Drive Cone Drum diameter/Length: 3.5 in /8.2 in Wire rope: 85 ft, 3/8 in diameter Fairlead: Roller Battery leads: 2 gauge, 72 in Finish: Argent Gray Powder Coat FRONT AND REAR SUPER SINGLE TIRES AND WHEELS The front and rear tires will be 335/80R20 22PR, severe service radial all terrain tread. The tire weight rating shall be load range "M", and match the rim rating. Wheels for the front and rear axles will be 20" x 11.00" steel disc, ten (10)-hole pattern special order for off road application. The weight rating of the rims will be 6,750 each. One (1) spare wheel and tire shall be 335/80R20 22PR, severe service radial all terrain tread. The tire weight rating shall be load range "M", and match the rim rating. Wheel for the spare FIRE TRUCKS OF TEXAS (281)546.6784 Ronnie Taylor Cell (601) 722-4166 Direct - (601) 722-4168 Fax www.deepsouthfiretrucks.com Page 6 of 16 shall be 20" x 11.00" steel disc, ten (10)-hole pattern special order for off road application. The weight rating of the rim will be 6,750 each. REAR HITCH A Class III receiver hitch will be installed at the rear of the apparatus below the rear bumper. The hitch will be constructed of heavy steel tubing and reinforced to the truck framework, for the receiving portion. A seven -prong trailer wiring plug will be provided at the rear with a weatherproof snap cover. NERF BARS -BLACK FINISH There shall be two (2) Black Finish nerf bars installed, one on each side of the cab under the doors for ease of ingress and egress to cab. REAR MUD FLAPS Black rubber mud flaps shall be installed behind the rear dual wheels. FUEL FILL There shall be a diesel fuel fill located on the driver side of body in apron section. I P APPARATUS FLAT BED BODY DECK The entire body, superstructure and sub -frame, shall be constructed entirely of Aluminum material and be constructed by apparatus builder, third party bodies will not be accepted. The body shall carry a full life -time warranty. It shall be of a modular design to make it possible for the body to be removed from the chassis for major repair or mounting on a new chassis. The body deck shall be constructed of 1/8" aluminum diamond plate material. There shall be a rear light apron manufactured of 1/8" thick Aluminum diamond plate x 10" deep with 1-1/2" perimeter stiffening flanges. Standard configuration has four each, 4-1/2" diameter, rubber mounted stop, tail, turn lights. BODY BUILDER AND WARRANTY There shall be a lifetime warranty provided for the aluminum body from the manufacturer and the body shall be built by the truck manufacturer, third party -built bodies and warranty will not be accepted. REAR BODY FASCIA The vertical body panel at the rear of the body shall be constructed of smooth .190"aluminum. The surface shall house the running lights, taillights, back-up lights, and emergency lights. The body fascia shall be angled in at approximately 45 degrees from the corners of the body to the rear hitch framing to provide for good ground clearance. REAR TAILBOARD There shall be an aluminum rear tailboard for access to storage and pump controls. The tailboard shall be designed for standing shall be constructed of 3/16" polished aluminum diamond plate for skid resistance and have a 12" wide standing area. The tailboard shall be the width of rear receiver hitch framing for full protection. There shall be two (2) fold down steps above the tailboard stepping area and below the rear slide in compartment. FIRE TRUCKS OF TEXAS (281)546.6784 Ronnie Taylor Cell (601) 722-4166 Direct - (601) 722-4168 Fax w .deepsouthfiretrucks.com Page 7 of 16 HEADACHE RACK An aluminum headache rack shall be supplied at the front of the deck, this rack shall protect the rear of the chassis cab and be suitable for mounting the warning light bar and deck lights. Headache rack shall be constructed of 3" x 3" x 1/4" high grade aluminum channel, 11-gauge aluminum wire mesh, and aluminum diamond plate. The Headache rack shall be a total of 38" tall and shall be supported by four (4) 2-1/2" aluminum channel supports SUB -FRAME The body framework shall be constructed of aluminum channels which shall be welded at each joint. The main underbody structure beams shall be two pieces and constructed of 7" x 2" x .230" aluminum channel. The outside beams shall be constructed of 2.5" x 6" x. 170" aluminum channel to provide extreme protection for warning lights which are mounted inside channel. The body sub -frame main cross -members shall be constructed of the same aluminum channel material. The body shall be securely attached to the chassis rails in accordance with chassis manufacturer's body building standards. All body parts made of dissimilar metals shall be fastened to the body utilizing a gasket between the parts, to prevent metal -to -metal contact, to prevent chemical corrosion. The body shall be 95" wide and 132" long with cross members on 12" centers constructed of 2" x 5" 11 Gauge high quality aluminum tubing. Body shall be mounted to chassis with an eight (8) point mounting system. STORAGE COMPARTMENTS All compartments shall be constructed from 11-gauge aircraft grade aluminum diamond plate. Compartment doors shall be securely attached to the compartment with stainless steel fasteners using a full-length stainless hinge. All doors shall be bolted to the hinge, utilizing gaskets, to allow for door removal in the event of damage. Door openings shall be fitted with a neoprene weather strip, completely sealing the perimeter of the compartment door opening. Latches shall be recessed fire service grade half-moon type latches. All compartments will be fitted with LED strip compartment lights. Lights shall be wired to magnetic door ajar switches mounted in compartments to turn lights on and off as door opens. PERSONNEL CARRIER/TRANSVERSE WALKWAY There shall be two (2) personnel carrying firefighting station directly behind cab of truck on the driver side of truck. Dimensions of walkway in which the personnel carrier shall be located will be 24" wide x 96" deep. Carrier shall be equipped with a hinged aluminum door with positive latching system. There shall be a center anchor point provided in the center of the walkway and two (2) safety harnesses provided. SIDE STORAGE COMPARTMENTS • Driver's side shall be 22" deep x 20" tall x 84" long with lift up type doors. • Passenger's side shall be 22" deep x 20" tall x 84" long with lift up type doors. FIRE TRUCKS OF TEXAS (281)546.6784 Ronnie Taylor Cell (601) 722-4166 Direct - (601) 722-4168 Fax Ww Aeepsouthfiretrucksxom Page 8 of 16 Doors shall be constructed of high grade 3/16" aluminum diamond plate with dual gas shocks to allow walking under compartment door. Compartments shall have half-moon Class A design latching systems, one each per door. UPPER STORAGE TRAYS • Driver's side shall be 22" deep x 8" tall x 84" long and be open top design with plumbing from apparatus pump manifold. Compartment shall have vinyl hose bed cover for retention per NFPA. • Passenger's side shall be 22" deep x 8" tall x 84" long and be closed top design for storage of hose and loose equipment. Compartment shall have hinged lid with thumb style latches on each end for retention. An under -body equipment storage compartment shall be installed under the flatbed surface located in the center rear of the apparatus. The dimensions shall be approximately: 24" wide, 5" high, and 96" front to rear. The compartment shall be between the vertical body beams, upper floor surface, and an aluminum lower floor area. The compartment shall be equipped with a hinged drop -down door with dual latches installed and pull out tray the length of compartment for equipment storage. FIRE PUMP SPECIFICATIONS- HALE HPX 300 KBD 24 The pump body shall be made of anodized alloy aluminum castings coupled together with a stainless -steel band clamp with an O-ring seal which allows quick pump volute removal for servicing. The pump end shall be factory hydrostatically tested to 200 PSI. The impeller shall be bronze. The renewable clearance rings shall be made of bronze to inhibit galvanic corrosion. The impeller shall be 8.0 inches (203.2 mm) in diameter and designed with a sleeve back end to prevent water from coming in contact with the engine shaft. The pump shaft seal shall be an automatically adjusting, maintenance free, mechanical type. The pump body shall be equipped with a petcock drain valve. PERFORMANCE The pump/engine shall be capable of meeting the NFPA 1906 performance rating of 150 GPM @ 100 PSI. Typical pump performance from 5-foot draft at sea level shall be: 200 GPM @ 100 PSI, 320 GPM @ 75 PSI, 410 GPM @ 50 PSI and 460 GPM @ 25 PSI. PRIMING PUMP The priming pump shall be a positive displacement, oil -less rotary vane electric motor driven pump conforming to NFPA-1901 rated performance requirements. The pump body shall be manufactured of heat -treated anodized aluminum for wear and corrosion resistance. The pump shall be capable of producing a minimum of 24 Hg vacuum at 2,000 feet (609.6m) above sea level. The electric motor shall be a 12 VDC totally enclosed unit. The priming pump shall not require lubrication. The priming pump shall operate by a single pull control valve mounted on the pump operator's panel. The control valve shall be manufactured of bronze construction. FIRE TRUCKS OF TEXAS (281)546.6784 Ronnie Taylor Cell (601) 722-4166 Direct - (601) 722-4168 Fax www.deepsouthfiretrucksxom Page 9 of 16 PUMP ENGINE Engine shall be a Kubota 24 HP Diesel Engine with fuel feed from chassis fuel tank. STAINLESS STEEL PLUMBING SYSTEM The auxiliary fire pump plumbing system shall be built mostly of stainless steel piping, fittings, and connections. Victaulic couplings shall be installed to permit flexing of the plumbing system and allow for quick removal of piping or valves for service. Tank connections and remote plumbing shall use high-pressure flexible piping. Flexible hose couplings shall be threaded stainless steel or Victaulic connections. VALVES All valves used in the plumbing installation shall be stainless steel quarter turn full flow type. The plumbing installation shall include quarter turn ball valves with local "on -valve" handle control, with custom embossed labeling for each valve. HOSE THREADS The hose threads shall be National Hose Standard (NH) on all base threads on the apparatus intakes and discharges, unless otherwise specified. EXHAUST SYSTEM The auxiliary fire pump and engine assembly shall have a muffler and vertical exhaust pipe. The exhaust pipe shall be directed away from the pump operator. A rain cap will be installed on the vertical exhaust outlet. ELECTRIC START WIRING TO CHASSIS The 12-volt positive and negative cables shall be provided from the chassis battery to the fire pump area, wired through the master disconnect solenoid system. The cables shall have a circuit breaker installed at the chassis battery. DUAL PUMP CONTROL PANELS The standard Hale engine and pump control panel shall include: 2.5" discharge pressure gauge; choke control; start stop control; low oil pressure warning light. The pump control panel shall be mounted at the right rear corner of the body. There shall be a secondary pump panel provided in cab to allow for start stop of the pump from the driver position. PUMP ENGINE OIL DRAIN The fire pump engine shall have an oil drain line installed. It shall allow for easy oil draining. FIRE PUMP MASTER DRAIN The fire pump shall have a master drain at the bottom of the water pump housing. 2-1/2" GATED INTAKE -- REAR FIRE TRUCKS OF TEXAS (281)546.6784 Ronnie Taylor Cell (601) 722-4166 Direct - (601) 722-4168 Fax www.deepsouthfiretrucksxom Page 10 of 16 One (1) 2-1/2" gated suction intake shall be installed on rear area to supply the fire pump from an external water supply. The valve shall be controlled with a direct quarter -turn ball valve control handle and shall have 2-1/2" NH female thread with removable screen with plug. TANK TO PUMP -ELECTRIC The tank to pump valve shall be (1) 3" inline, installed between the water tank and the pump. The valve shall be a quarter turn ball type, fixed pivot design and be constructed of stainless steel. The valve shall be controlled at the side pump panel and in the cab console with electric control panel with position indicator. WATER TANK FILL AND COOLING LINE One (1) 1" fire pump to water tank refill and bypass cooler line shall be provided. The pump to tank valve shall be a 1" full flow quarter turn ball valve with local control handle. A 1" flex hose shall be installed to the water tank. 2-1/2" DISCHARGE -- REAR One (1) 2-1/2" discharge shall be installed at the rear pump area, controlled by a quarter turn ball valve. The discharge shall have 2-1/2" NH male hose threads with 2-1/2" chrome cap and chain. 1-1/2" DISCHARGE -- REAR One (1) 1-1/2" discharge shall be installed at the rear pump area, controlled by a quarter turn ball valve. The discharge shall have 1-1/2" NH male hose threads and 1-1/2" chrome cap and chain. AKRON TURRET One (1) Akron 3462 Forestry Monitor with quick dis-connect (34621103, FM 2NPTX1.5NH, 12V, 125NZ, JY, QD, VLV, RED) shall be installed. The remote monitor shall be located on the passenger side front bumper of the apparatus. The monitor shall be an all -electric single waterway monitor constructed of lightweight Pyrolite, with a 2" electric valve. The monitor shall have a fully enclosed 12-volt motor and gears with a manual override for both horizontal and vertical rotation and may be operated simultaneously. The vertical travel shall be from 45-degrees below to 90-degrees above horizontal with adjustable stops at -20 degrees and +45 degrees. The horizontal rotation shall be 320- degrees with adjustable stops at +-90-degrees. The logic box shall include coated, solid state components to resist water corrosion. The control joy stick shall control the vertical and horizontal rotation of the monitor and the pattern of the nozzle. The nozzle shall be 30-125 GPM adjustable. HOSE REEL -DRIVER SIDE BODY MOUNTED There shall be one (1) Hannay hose reel with electric rewind reel provided with "C" style roller and spool assembly and a brake to adjust the tension on the spool. The hose reel shall be mounted on the top of the booster tank and turned toward the driver side. There shall be chrome rollers and guides provided on both driver and passenger side to allow for dual FIRE TRUCKS OF TEXAS (281)546.6784 Ronnie Taylor Cell (601) 722-4166 Direct - (601) 722-4168 Fax ww .deepsouthfiretrucks.com Page 11 of 16 directional use. The reel shall have capacity of 150' of 1" woven jacketed booster hose (800 Psi) with a 10-40 GPM pistol grip ball shutoff nozzle. SIDE WHIP LINES The workstation cubicles shall have two (2) 1" x 8' whip lines with a nozzle. The whip lines shall be 1" red line hose and all 1-inch nozzles shall come complete with nozzle holding brackets. The whip lines shall be plumbed from the pump manifold with high pressure hose and stainless -steel plumbing. SCOTTY FOAM SYSTEM A Scotty Model#4171 Class A through -the -pump foam system shall be installed to supply all discharges. The unit shall be mounted between the discharge and suction side of a pump. The unit shall be adjustable, permitting various foam ratio percentages to be educated depending on the nozzles in use. Foam selection percentages between .07 and 1% shall be available. The foam system has been designed for simplicity of operation and maintenance. A flush system will be installed. WATER TANK GAUGES A Class 1 water tank level gauge shall be installed on pump panel. The tank level gauge shall indicate the liquid level on an easy to read LED display and show increments of 1/8 tank. A pressure transducer shall be mounted on the outside of the tank in an easily accessible area. One (1) Class I mini water tank level gauge shall be installed in the cab or center console. The tank level gauge shall indicate the liquid level on an easy to read LED display and show increments of 1/8 tank. BOOSTER/FOAM TANK Booster tank will have a capacity of 500 gallons water and 10 gallons foam and be constructed of polypropylene. Tank will be rectangular in shape and Black in color. Tank joints and seams will be nitrogen welded inside and out. Tank will be baffled in accordance with NFPA Bulletin 1906 requirements. Baffles will have vent openings at both the top and bottom to permit movement of air and water between compartments. All partitions will interlock and will be welded to the tank bottom and sides. Tank top will be constructed of .50" polypropylene. Tank top will be sufficiently supported to keep it rigid during fast filling conditions. The fill tower will be installed on the driver's side of the tank and have stainless steel strainers. The overflow pipe extends through the tank from the fill tower through the bottom. A drain line and valve will be provided. Mounting provisions will be provided to keep the tank in position while the vehicle is moving. The tank shall carry a lifetime warranty and be built by the manufacture of the apparatus, third party tanks will not be accepted. ONE (1) NFPA LIGHTING PACKAGE FIRE TRUCKS OF TEXAS (281)546.6784 Ronnie Taylor Cell (601) 722-4166 Direct - (601) 722-4168 Fax www.deepsouthfiretrucks.com Page 12 of 16 The fully compliant NFPA lighting package is a required. This package meets the entire zone requirement of the latest 1901 standards. This package is for apparatus with an overall length under thirty (30) feet. CENTER CONSOLE There shall be a center console mounted between cab seats with all emergency switches and controls. Center console shall be constructed of aluminum and have clip board storage and have fan for ventilation purposes. "ALL LIGHT HOUSINGS SHALL BE BLACK LED LIGHT BAR A Whelen JE2NFPA 56" cab roof warning light bar shall be furnished and rigidly mounted on top of the cab roof. The light bar shall be equipped with the following: Four (4) Corner Red Linear LED's Four (4) Red Forward -Facing Linear LED's Two (2) Clear Frontward Facing LED's Four (4) Rear Facing LED's FRONT WARNING LIGHTS Two (2) Whelen M6 Series LED warning lights shall be located at the following positions: Front hood grille, one (1) each side. The color of these lights shall be RED. SIDE WARNING LIGHTS Two (2) Whelen M6 Series LED warning lights shall be located at the following positions: Front bumper replacement, one (1) each side. The color of these lights shall be RED. SIDE WARNING LOWER LIGHTS Two (2) Whelen M6 Series LED warning lights shall be located at the following positions: Mid Ship of Body, one (1) each side. The color of these lights shall be RED. REAR LOWER WARNING LIGHTS Two (2) Whelen M6 Series LED warning lights shall be located at the following positions: Rear skirt face, one (1) each side. The color of these lights shall be RED 'SIDE UPPER WARNING LIGH Two (2) Whelen M6 Series LED at the followi FIRE TRUCKS OF TEXAS (281)546.6784 Ronnie Taylor Cell (601) 722-4166 Direct - (601) 722-4168 Fax www.deepsouthfi retrucks.com Page 13 of 16 Rear side upper body, one (1) each side.j The color of these lights shall be REDS REAR UPPER WARNING LIGHTS Two (2) Whelen M6 Series LED warning lights shall be located at the following positions: Rear upper body near spot lights one (1) each side. The color of these lights shall be RED. TAILIGHTS All Taillights shall be Technic 4" Oval LEDs. LED SCENE LIGHTS Four (4) Rough County 4" LED floodlights shall be installed at the rear of the apparatus to provide work area lighting immediately behind the vehicle in accordance with current NFPA requirements. Each light shall be manually operated by an on/off switch at the light. FEDERAL MECHANICAL SIREN One (1) Federal Signal Q2B mechanical siren shall be mounted in the driver side outboard position of the front bumper extension. The "Q" siren shall feature a highly polished chrome body and grille. The siren's distinctive mechanical wail sound shall produce 123 db at 10'. The siren control switch(es) shall be installed in the cab. SIREN CONTROL One (1) foot switch shall be provided on the driver's side of the cab floor to activate the Federal Signal Q2B siren. SIREN CONTROL One (1) foot switch shall be provided on the driver's side of the cab floor to activate the Federal Signal Q2B siren. SIREN BRAKE (CONSOLE) One (1) push button siren brake to silence the Federal Signal Q2B siren shall be provided on the center console. SIREN There shall be one (1) Whelen WS295SDA electronic, full feature siren provided. The siren shall have wail, yelp, hi -low and air horn features along with manual control and radio rebroadcast. There shall be a microphone hardwired to the unit for the PA function. The unit shall be mounted in the cab and have switch controls for all emergency lighting. SPEAKERS One (1) Whelen SA314P 100 -watt speaker, with natural finish, shall be installed behind the grill guard. FIRE TRUCKS OF TEXAS (281)546.6784 Ronnie Taylor Cell (601) 722-4166 Direct - (601) 722-4168 Fax www.deepsouthfiretrucks.com Page 14 of 16 DOT LIGHTS Incandescent DOT clearance lights and reflectors shall be installed in conformance to the latest Federal DOT standards. EXTERIOR LIGHTING Exterior lighting shall meet or exceed Federal Department of Transportation., Federal Motor Vehicle Safety Standards and National Fire Protection Association requirements in effect at time of proposal. Front headlights shall be halogen type and comply with all FMVSS requirements. COMPARTMENT LIGHTS Each exterior compartment shall have one (1) LED light. Each light shall come on automatically when the respective door is opened and the master battery switch is on. DOOR AJAR LIGHT A red flashing light shall be provided in the cab of truck in clear view of driver to warn of open compartment door. Light shall have audible warning device in addition to warning light. BACK UP ALARM A 97db, or equivalent, backup alarm shall be provided and shall automatically activate when the apparatus transmission is placed into reverse. The backup alarm shall exceed all NFPA- 1901 and SAE J994 Type D requirements and testing. SCOTCH LITE STRIPING A four (4) inch high "Scotch-Lite" stripe shall be provided. The stripe shall be applied on a minimum of 60 percent of each side of the unit, 60 percent on the rear of the unit and 40 percent on the front of the unit. The Scotch-Lite stripe layout shall be determined by the Fire Department. The Scotch-Lite shall be White in color. CAB LETTERING Scotch-Lite with drop shadow lettering shall be provided on the cab driver and officer doors per the fire department requirements. The design of the lettering on the cab doors shall be designed to fit in the area available. Lettering provided on the driver and officer cab doors shall be 3" high. CHEVRON STRIPING Chevron striping shall be applied to the entire rear wall. The chevrons shall consist of 6" wide reflective striping at 45-degree angles from the tailboard in an inverted "V" pattern coming down from the center. The stripes shall alternate red reflective, yellow reflective, red reflective. REAR VISION CAMERA There shall be One (1) CAB CAM, or equivalent, Wired Video System which shall Include a 7" Monitor and 1 Camera. The Waterproof Camera shall be: CCD Color with Audio, 28 Infrared Illuminators Allow up to 32 feet of Visibility in the Dark, Image Mirroring FIRE TRUCKS OF TEXAS (281)546.6784 Ronnie Taylor Cell (601) 722-4166 Direct - (601) 722-4168 Fax ww .deepsouthfiretrucksxom Page 15 of 16 Function, and made to Withstand Off -Road Conditions. In cab 7" Color TFT LCD Monitor: Embedded Control Box for Direct Power Input for Cameras, AV2 Video Input for DVD/ VCR, AV 1 and AV3 Video Input to Hook up to 3 Cameras. GENERAL WARRANTY A minimum one (1) year new vehicle warranty will be provided upon delivery and acceptance of the vehicle. The warranty will ensure that the vehicle has been manufactured to the contract specifications and will be free from defects in material and workmanship that may appear under normal use and service within the warranty period. The manufacturer will either repair or replace any defective components or parts. The Basic Vehicle Warranty covers all components and parts unless specifically covered by other descriptions or otherwise excluded herein. Repair or replacement of components will be done without cost to the purchaser when performed within the warranty period. COMMERCIAL CHASSIS WARRANTY A copy of the chassis manufacturer's warranty will be supplied to define additional details of the warranty provisions. BODY WARRANTY The proposed body will be warranted against structural defects for the lifetime of service after the acceptance of the unit. Details of warranty coverage, limitations and exclusions are included in the specific warranty document. The proposed paint finish will be warranted for a minimum of seven (7) years from the date of acceptance of the unit. Details of warranty coverage, limitations and exclusions are included in the specific warranty document. WATER TANK The proposed water tank will be warranted by the water tank manufacturer for the "Lifetime" of the unit. A copy of the manufacturer's warranty will be supplied to define additional details of the warranty provisions. DELIVERY The apparatus will be delivered under its own power. At the time of delivery, complete operation and maintenance manuals covering the apparatus will be provided. FIRE TRUCKS OF TEXAS (281)546.6784 Ronnie Taylor Cell (601) 722-4166 Direct - (601) 722-4168 Fax www.deepsouthfi retrucksxom Page 16 of 16 INTERNATIONAL® Prepared For: Wildfire Truck & Equipment Sales LLC Don Gibson 5313 Big 6 Street Alvarado, TX 76009- (817)783 - 3833 Reference ID: N/A December 19, 2023 Presented By: SOUTHWEST INTL Christopher M Brooks 617 N. FREEWAY FT. WORTH TX 76102 - (817)764-8800 Thank you for the opportunity to provide you with the following quotation on a new International truck. I am sure the following detailed specification will meet your operational requirements, and I look forward to serving your business needs. Model Profile 2024 CV515 SFA (CV515) AXLE CONFIG: 4X4 APPLICATION: Rescue MISSION: Requested GVWR: 23000. Cale. GVWR: 23000. Cale. GCWR: 30000 Cale. Start / Grade Ability: 36.11%/ 2.96% @ 55 MPH Cale. Geared Speed: 102.5 MPH DIMENSION: Wheelbase: 199.00, CA: 83.80, Axle to Frame: 49.00 ENGINE, DIESEL: (International 6.61 EPA 2024, 350HP @ 2500 RPM, 750 lb-ft Torque @ 1400 RPM, 2900 RPM Governed Speed, 350 Peak HP (Max) TRANSMISSION, AUTOMATIC: (Allison 2750 EVS) 6th Generation Controls, Close Ratio, 6-Speed with Double Overdrive, with PTO Provision, Less Retarder, Includes Park Pawl, with 23,500-lb GVW and 37,500-lb GCW Max, On/Off Highway AXLE, FRONT DRIVING: (Dana Spicer 60-256) Single Reduction, 7,500-lb Capacity, with Hub Piloted Wheel Mounting AXLE, REAR, SINGLE: (Dana Spicer S16-130) Single Reduction, 15,500-lb Capacity, 190 Wheel Ends Gear Ratio: 4.30 CAB: Conventional 6-Man Crew Cab TIRE, FRONT: (2) 225/70R19.5 Load Range H HDR 5 (CONTINENTAL), 647 rev/mile, 87 MPH, Drive TIRE, REAR: (4) 225/70R19.5 Load Range H HDR 5 (CONTINENTAL), 647 rev/mile, 87 MPH, Drive SUSPENSION, REAR, SINGLE: 15,500-lb Capacity, Vari-Rate Springs PAINT: Cab schematic 100CX Location 1: 2303, Red (Std) Chassis schematic N/A Proposal: 3509.01 INTERNATIONAL® Vehicle Specifications December 19, 2023 2024 CV515 SFA (CV515) Code Description FIR Wt Tot Wt (Ibs) (Ibs) CV51500 Base Chassis, Model CV515 SFA with 199.00 Wheelbase, 83.80 CA, and 49.00 4671/2886 7557 Axle to Frame. 1570 TOW HOOK, FRONT (2) Frame Mounted 13/-1 12 1ANB AXLE CONFIGURATION {Navistar) 4x4 0/0 0 Notes : Pricing may change if axle configuration is changed. 1CGH FRAME RAILS High Strength Low Alloy Steel (50,000 PSI Yield), Straight Top 52/45 97 Flange with Contoured Bottom, Height Transitions from 7.375' (187.325mm) to 9.125" (231.775mm) to 7.625" (193.675mm); Width: 3.079" (78.21 mm); Thickness: 0.3125" (7.94mm); 383.3" (9735.8mm) Max CAL 1 LLK BUMPER, FRONT Omit Item -63/8 -55 1 WEC WHEELBASE RANGE 185' (470cm) Through and Including 236" (600cm) 10130 40 2EWA AXLE, FRONT DRIVING {Dana Spicer 60-2561 Single Reduction, 7,500-lb 155/0 155 Capacity, with Hub Piloted Wheel Mounting 2WLC AXLE, FRONT DRIVING, LUBE (EmGard FE-75W-90) Synthetic Oil; 1 thru 29.99 0/0 0 Pints 3AJN SUSPENSION, FRONT, SPRING Parabolic Taper Leaf, Shackle Type, 7,500-lb 31/0 31 Capacity, with Shock Absorbers 3WAP STABILIZER BAR, FRONT 50/0 50 4240 BRAKE SYSTEM, HYDRAULIC (Bosch) Split System, with Four Channel ABS, 0/0 0 Traction Control, Electronic Stability Control, Hydromax Brake Booster with High Speed Master Cylinder and Trailer Sway Control 4EVD DUST SHIELDS, FRONT BRAKE for Hydraulic Brakes 0/0 0 4EVE DUST SHIELDS, REAR BRAKE for Hydraulic Brakes 0/0 0 4GBJ BRAKE, PARKING (Bosch)DSSAType, 12"x3".for Hydraulic Brake Chassis; Foot 0/0 0 Operated in Cab; Differential Mounted 4XCU BRAKES, FRONT (Meritor Quadraulic) Hydraulic Disc Type, with Four 64mm 0/0 0 Diameter Pistons, 8,000-lb Capacity 4XCV BRAKES, REAR (Meritor Quadraulic) Hydraulic Disc Type, with Four 64mm 0/0 0 Diameter Pistons, 15,500-lb Capacity per Axle 5708 STEERING COLUMN Tilting 0/0 0 SCBH STEERING WHEEL 4-Spoke; 15' Dia., Black, Leather Wrapped 0/0 0 SPSS STEERING GEAR {Bosch S2 8014 Plus) Power 0/0 0 6DHD DRIVELINE SYSTEM {Dana Spicer) SPL100 Main Driveline, Direct Mount Transfer 0/0 0 Case to Transmission, SPL70 Driveline to Front Axle, for 4x4 7BMV EXHAUST SYSTEM Horizontal Dual Aftertreatment System, Frame Mounted 0/0 0 Under Right Rail, for Single Horizontal Tail Pipe 7SDS ENGINE EXHAUST BRAKE for International 6.6 Engine 0/0 0 7XAA MANUAL REGEN Capability 0/0 0 8002 ELECTRICAL SYSTEM 12-Volt for CV Model 0/0 0 Includes 2 Proposal: 3509-01 INTERNATIONAL® Vehicle Specifications December 19, 2023 2024 CV616 SFA (CV515) Code 8540 8GJB 8HXV 8MWA 8RNS 8RNU 8RNW 8RNY 8THB 8TUL 8TVV 8VVB 8WBW Description HAZARD SWITCH PushOn/Push Off, Located on Top of Steering Column Cover HEADLIGHT DIMMER SWITCH Integral with Turn Signal Lever PARKING LIGHT PARKING LIGHT Integral with Front Turn Signal and Rear Tail Light : TURN SIGNALS, FRONT Includes Reflectors and Solid State Flashers; Flush Mounted : WINDSHIELD WIPER SWITCH 2-Speed with Wash and Intermittent Feature, Integral with Turn Signal Lever HORN, ELECTRIC (2) Trumpet Style ALTERNATOR (Denso SC61 Brush Type, 12 Volt, 220 Amp Capacity BODY BUILDER WIRING Back of Day Cab at Left Frame or Under Crew Cab at Left Frame; Includes One Sealed Connectorfor Separate Ground/Backup/Left and Right Hand Turn, Left and Right Hand Tail/Stop/Accessory Power and Combined for Left and Right Hand Stop/Turn BATTERY SYSTEM {VARTA) Maintenance -Free, (2) 12-Volt 130OCCA Total, Top Threaded Stud COMPACT DISC PLAYER with MP3 SPEAKERS (6) RADIO AM/FM/Bluetooth/USB Input/Auxiliary Input/SD Card Slot, with 8" Color Touch Panel Display, Voice Activated Technology CAMERA SYSTEM, REAR VIEW Includes Camera, Mounting, Wiring and Interface to the Monitor, for the Back-up Camera System BACK-UP ALARM Electric, 102 dBA STOP, TURN, TAIL & B/U LIGHTS Multi -Function, Sealed, Incandescent Stop, Turn and Tail Lights, Backup Lights with Rear Reflex Reflector, Includes License Plate Light SPECIAL WIRING HARNESS, BODY to Connect to Instrument Panel Electrical Center (ICEM) ConnectorX7, Provides Blunt Cuts for Standard Terminals 8, 11, 7, 17, 10, 19 Signals, Optional Terminals 1, 4, 14, 20 Signals BATTERY BOX Steel, with Plastic Cover, 2 Battery Capacity, Parallel to Rail, 28" Wide, Mounted Left Side Under Cab JUMP START STUD Remote Mounted 8XJN HEADLIGHTS Halogen, Composite Aero Design, Black Trim Bezel, with Daytime Running Lights 8XJP SWITCH, AUXILIARY 1 to 4 Latching Switches with 30-Amp Fuses 8XJV CLEARANCE/MARKER LIGHTS (5) Amber LED Lights, Flush Mounted on Cab 8XJW STARTING MOTOR 12 Volt 9AAB LOGOS EXTERIOR Model Badges 9HBZ GRILLE Molded in Dark Gray 9WAC BUG SCREEN Mounted Behind Grille 9WAY FRONT END Tilting, Fiberglass, with Three Piece Construction 9WBN FENDER EXTENSIONS Painted F/R Wt Tot Wt (Ibs) (Ibs) 1/0 1 4/0 4 0/3 3 0/0 0 2/0 2 2/0 2 1/0 1 0/2 2 1/5 6 0/0 0 0/0 0 0/0 0 3/0 0/0 0/0 0/0 0/0 0/0 0/0 0/0 0/0 0/0 3 0 0 0 0 0 0 0 0 0 3 Proposal:3509-01 INTERNATIONAL® Vehicle Specifications December 19, 2023 2024 CV515 SFA (CV515) Code 10060 10761 10UAG 10WLP 10XAX 12GAJ 12TTM 12VGC 12VJW 12WGG 12WUU 12WZJ 12XBL 12XCU 12XZD 13BCJ 13TLP Description PAINT SCHEMATIC, PT-1 Single Color, Design 100 PAINT TYPE Base Coat/Clear Coat, 1-2 Tone VEHICLE REGISTRATION IDENTITY ID for Other State Notes : CANNOT BE REGISTERED IN CALIFORNIA. Forvehicles that will be registered in States other than California. GCWR RANGE GCWR Equal to or Less than 30,000-lb GVWR WEIGHT CLASSIFICATION Class 6 (19,501-26,000 Ibs) ENGINE, DIESEL {International 6.6) EPA 2024, 350HP @ 2500 RPM, 750 lb-ft Torque @ 1400 RPM, 2900 RPM Governed Speed, 350 Peak HP (Max) FAN DRIVE Viscous Type, Screw On, Rear Tether, Electronically Controlled AIR CLEANER Single Element, with Water Separator EMISSION, CALENDAR YEAR (International 6.6) EPA, OBD and GHG Certified for Calendar Year 2024 THROTTLE, HAND CONTROL Engine Speed Control for PTO; Electronic Controlled, On/Off Switch Mounted on Dash, with Steering Wheel Button Control GOVERNOR Electronic Road Speed Type; with 75 MPH Default CARB IDLE COMPLIANCE Low NOx Idle Engine, Complies with California Clean Air Regulations; Includes "Certified Clean Idle" Decal located on Driver Door BLOCK HEATER, ENGINE 120V/800W CARB EMISSION WARR COMPLIANCE for International 6.6 Engines RADIATOR Aluminum, 3-Row, Down Flow, Front to Back System, 730 Sqln Louvered, with 578 Sqln Charge Air Cooler, Includes In -Tank Oil Cooler TRANSMISSION, AUTOMATIC {Allison 2750 EVS) 6th Generation Controls, Close Ratio, 6-Speed with Double Overdrive, with PTO Provision, Less Retarder, Includes Park Pawl, with 23,500-lb GVW and 37,500-lb GCW Max, On/Off Highway TRANSFER CASE {Mentor MTC-3203) 2-Speed, Gear Drive, 3,000 lb-ft Torque Rating, Less PTO Provision, Electric Shift Control F/R Wit Tot Wt (Ibs) (Ibs) 0/0 0 0/0 0 0/0 0 0/0 0 0/0 0 0/0 0 0/0 0 0/0 0 0/0 0 0/0 0 0/0 0 0/0 0 0/0 0 0/0 0 0/0 0 0/0 0 154/34 188 Notes : Transfer Case Includes 40W Synthetic Lube 13W VV NEUTRAL AT STOP Allison Transmission Shifts to Neutral When Service Brake is 0/0 0 Depressed and Vehicle is at Stop; Remains in Neutral Until Service Brake is Released 13WYY SHIFT CONTROL PARAMETERS (Allison) 1000 or 2000 Series Transmissions, 0/0 0 Performance Programming 13XAN PTO LOCATION Customer Does Not Intend to Install PTO 0/0 0 14897 DIFFERENTIAL, LOCKING (Dana Spicer Trac-Lok) Torque Proportioning Limited 0/0 0 Slip 14AJE AXLE, REAR, SINGLE (Dana Spicer 516-130) Single Reduction, 15,500-lb 0/22 22 Capacity, 190 Wheel Ends. Gear Ratio: 4.30 14SAE SUSPENSION, REAR, SINGLE 15,500-lb Capacity, Vari-Rate Springs 0/41 41 4 Proposal:3509-01 INTERNATIONAL® Vehicle Specifications December 19, 2023 2024 CV515 SFA (CV515) Code Description FIR Wt Tot Wt (Ibs) (Ibs) 14WAP SHOCK ABSORBERS, REAR (2) 0/50 50 14WMN AXLE, REAR, LUBE {EmGard FE-75W-90) Synthetic Oil; 1 thru 29.99 Pints 0/0 0 15SZN FUEL TANK Top Draw, Plastic, Rectangular, 17" Tank Depth, 40 US Gal (151 L), 0/0 0 Includes Auxiliary Draw Port and Fuel Filler Assembly, Mounted Between Frame Rails and Behind Rear Axle 15WDZ DEF TANK 6.75 US Gal (26L) Capacity, Frame Mounted Outside Right Rail, Under 0/0 0 Cab 16196 CAB Conventional 6-Man Crew Cab 296/270 566 Includes CAB DOOR LOCKS Power Door Locks All Doors DOME LIGHT; CAB with OFF/DOOR/ON Settings; Located in Overhead Console READING LIGHT, CAB Located in Overhead Console STEP (4) One Step Per Door STORAGE POCKET, DOOR (2) Full Length, Driver and Passenger Door 16ACA MIRROR, INSIDE REAR VIEW Omit 0/0 0 16BBA GLASS, ALL WINDOWS Solar Absorbing, Tint 0/0 0 16CEM COLOR, INTERIOR Dark Ash 0/0 0 16HLY GAUGE CLUSTER English Speedometer, Includes English Odometer; Includes 0/0 0 4.2" Color Display with Personalization, Warning Messages and Vehicle Information 16KZC SEAT, REAR BENCH, Vinyl 0/0 0 16KZL SEAT, DRIVER High Backwith Integral Headrest, 10-Way Power Adjustable, Vinyl, 0/0 0 Power Lumbar 16LVU SEAT, PASSENGER High Back with Integral Headrest, Vinyl, with Recline, without 0/0 0 Center Section. Center Area of Floor Between Seats will be Untrimmed 16SPS MIRRORS (2) Manual Folding and Extending, Power Adjust, Heated, Turn Signal 5/0 5 Indicator Located in Mirror, Black Heads and Arms, for 96" Load Width 16VCA SEAT BELT All Red; 4 to 6 0/0 0 16VKD CAB INTERIOR TRIM Classic, for Crew Cab 0/0 0 Includes : SUN VISOR (2) Vinyl 16WHJ HOSE CLAMPS, HEATER HOSE (Breeze) Belleville Washer Type 010 0 16XAL KEYLESS ENTRY SYSTEM REMOTE with Panic Alarm and Horn Beep Lock 0/0 0 Confirmation, Includes Two Key Fob Transmitters 16XCP AIR BAG, FRONT, DRIVER SIDE 0/0 0 16XCR AIR BAG, FRONT, PASSENGER SIDE 0/0 0 16XCT WINDOW, POWER (4) in Left and Right Doors, Front and Rear 0/0 0 16XDE AIR BAG, SIDE, DRIVER Seat Mounted, Outboard Side -Impact Airbag 0/0 0 16XDG AIR BAG, SIDE, PASSENGER Seat Mounted, Outboard Side -Impact Airbag 0/0 0 16XDH AIR BAG, SIDE CURTAIN Roof Mounted, for Front and Rear Outboard Seating 0/0 0 Positions for Driver and Passenger Sides 5 Proposal: 3509-01 INTERNATIONAL® Vehicle Specifications 2024 CV516 SFA (CV515) Code Description 16XZA AIR CONDITIONER with Heater, Single Zone 27DTX WHEELS, FRONT {Accuride 50180) DISC; 19.5x6.75 Rims, Powder Coat Steel, 4-Hand Hole, 8-Stud, 275mm BC, Hub -Piloted, Flanged Nut, with Steel Hubs 28DTX WHEELS, REAR {Accuride 50180) DUAL DISC; 19.5x6.75 Rims, Powder Coat Steel, 4-Hand Hole, 8-Stud, 275mm BC, Hub -Piloted, Flanged Nut, with Steel Hubs 29PBA PAINT IDENTITY, FRONT WHEELS Disc Wheels; with Vendor Applied Black Powder Coat Paint 29PBB PAINT IDENTITY, REAR WHEELS Disc Wheels; with Vendor Applied Black Powder Coat Paint 7789445453 (2) TIRE, FRONT 225/70R19.5 Load Range H HDR 5 (CONTINENTAL), 647 rev/ mile, 87 MPH, Drive 7789445453 (4) TIRE, REAR 225/70R19.5 Load Range H HDR 5 (CONTINENTAL), 647 rev/ mile, 87 MPH, Drive Services Section: December 19, 2023 F/R Wt Tot Wt (Ibs) (Ibs) 0/0 0 010 0 0/0 0 0/0 0 0/0 0 2/0 2 0/4 4 40131 WARRANTY Standard for CV515, Effective with Vehicles Built December 3, 2018 0/0 0 or Later, CTS-3000A Total Component Weight: 539013399 8789 (Ibs) (Ibs) (Ibs) (Ibs) The weight calculations included in this proposal are an estimate of future vehicle weight. The actual weight as manufactured may be different from the estimated weight. Navistar, Inc. shall not be liable for any consequences resulting from any differences between the estimated weight of a vehicle and the actual weight. 6 Proposal: 3509-01 INTERNATIONAL® Financial Summary 2024 CV515 SFA (CV515) (US DOLLAR) Description Price Factory List Prices: Product Items $78,482.00 Service Items $0.00 Total Factory List Price Including Options: $78,482.00 PDI and DOT $500.00 Install Hi Rise Tie Rod $1,058.17 Total Preparation And Delivery: $1,558.17 Freight $1,950.00 6 months floor plan $2,250.00 Total Freight: $4,200.00 Total Factory List Price Including Freight: $84,240.17 Less Customer Allowance: $1,000.00 Total Vehicle Price: $85,240.17 Total Sale Price: $85,240.17 Total Per Vehicle Sales Price: $85,240.17 Net Sales Price: $85,240.17 December 19, 2023 Please feel free to contact me regarding these specifications should your interests or needs change. I am confident you will be pleased with the quality and service of an International vehicle. Approved by Seller: Official Title and Date Authorized Signature This proposal is not binding upon the sellerwithout Seller's Authorized Signature Accepted by Purchaser: Firm or Business Name Authorized Signature and Date Official Title and Date The TOPS FET calculation is an estimate for reference purposes only. The seller or retailer is responsible for calculating and reporting/paying appropriate FET to the IRS. The limited warranties applicable to the vehicles described herein are Navistar, Inc.'s standard printed warranties which are incorporated herein by reference and to which you have been provided a copy and hereby agree to their terms and conditions. Proposal: 3509-01 WILDFIRE TRUCK & EQUIPMENT SALES SOUTHWEST INTERNATIONAL 5313 Big fix Street 617 N. Freeway Alvarado, TX 76009 Fort Worth, TX 76102 817-783-3833, fax 817-783-3038 Myke Brooks 817 764 8800 Six Mile Community Vol. Fire Dept. INT CV515 500 Gallon Large Brush Truck Quote December 19, 2023 Chassis: See Southwest International quote for chassis details 2024 International CV515, Crew Cab 4X4 with 84" Cab to Axle 23,000 GVWR International 6.6 Diesel Engine with engine brake Allison 2700 EVS 6 Speed EVS Transmission with Park Brake Neutral High Back Driver and Passenger Seat DBL Design Super Single Conversion with Lift Front & Rear 3" Lift Kit Five Aluminum Wheels with Five 335 80R20 Continental Tires Custom Front Fenders Chassis Add Ons: Buckstop front Bumper with fold down brush guard and Winch Cradle 4" reflective striping on body and cab Rear yellow/red Chevron striping Paint upper portion of cab from bottom of windows up Charcoal Gray Six Mile Community VFD door graphics and truck numbers Body: Custom Aluminum Flatbed Body 140" Long X 96" Wide Walkway behind the cab with self -closing gates on both ends of walkway Headache Rack Light Bar Mounting with Light Bar Protection Cage One Aluminum Tool Box 30"T x 20"D x 78"L mounted on driver side NO center bulkhead divider and dual lift up doors and gas struts. Adjustable shelf in each section of compartment' PAC Track Aluminum Mounting board in driver side rear compartment One Aluminum Tool Box 30"T x 20"D x 78"L mounted on passenger side with NO center bulkhead divider to include dual lift up doors and gas struts. Adjustable shelf in each section of compartment PAC Track Aluminum Mounting board in passenger side rear compartment One Aluminum Hose Tray 107 x 20"D x 781 with single lift up door and gas struts, drop down rear door for hose deployment, to be mounted on driver side compartment One Aluminum Stamped Tool Basket 107 x 20"D x 72"L with side lift up door mounted on passenger side compartment One Aluminum Stamped Style Tool Basket 12"T x 44" x 44" mounted on top of water tank One Rear Underbody Storage with drop down door Two Strap Steps one at each walkway gate Tube Style 8" Rear Bumper with Receiver tube Rear Tow Hooks Wildfire INT CV 500 Quote for Six Mile Community VFD Page 2 December 19, 2023 Electrical: 1-Havis Console with arm rests 1-Wildfire 225 Relay/Master Disconnect Switch 2-Whelen M6 Series Red/Yellow LED Lower Rear Warning Lights 2-Whelen M6 Series Red/Blue LED Upper Rear Warning Lights 2-Whelen M4 Duo Series Red / White LED Lower Front Warning Lights 2-Whelen ION Trio Series Red / White / Blue LED Rear Side Warning Lights 2-Whelen ION Trio Series Red / White / Blue LED Mid -Ship Side Warning Lights 2-Whelen ION Trio Series Red / White / Blue LED Rear Side Warning Lights 2-Whelen M4 Duo Series Red / Blue LED Intersector Warning Lights 2-Whelen M6 Series Brake/Tail/Turn LED Lights 2-Whelen M6 Series Back Up LED Lights 5-Whelen 2" LED Red Marker Lights 2-Whelen 2" LED Amber Marker Lights 1-Whelen Cencom Core Siren Amplifier & Switch Box 1-Whelen 56" Justice LED Light Bar with Takedown and Alley Work Lights 2-Whelen SA315P Siren Speakers mounted at front bumper 2-Whelen PSL1 BB LED driving lights mounted at front bumper 2-Whelen MPBB LED Work Lights mounted at rear of water tank 2-Whelen NANO6 LED Work Lights mounted at headache rack 1-Whelen NANO3 LED Spot Light mounted to bumper monitor 2-Maxima LED step lights one at each walkway gate 4-Maxima LED Compartment Lights 1-Kussmaul Battery Charger with Super Auto Eject mounted at left rear of body 1-Whelen Back-up alarm 1-Rigid 20" Off Road LED lightbar mounted at front bumper 2-Streamlight Survivor LED flashlights mounted in the cab 1-International OEM Back-up camera with color display 1-Warn M15 15,000 lb. front mounted Electric Winch with Synthetic Rope Skid: 500 gallon Poly Tank with 10 gallon integral foam cell and Limited Lifetime Warranty Hale HPX 200-KBD 24 with 24HP Kubota Diesel Engine and Guzzler Primer, Pump engine to be plumbed to chassis fuel source One Hannay Painted Electric Hose Reel mounted above the pump for rear deployment Lighted Control Panel with pressure gauge, throttle, start button, Class 1 Water Tank LED tank level gauge at the pump control and at the walkway with mini display in the cab Brass Water Service Valves with Stainless Steel Manifold and Plumbing Trident 1.0 Class "A" Foam System One 1.5 Discharge with Gated Wye mounted on bulkhead for whip lines One 1" Discharge for Hose Reel Two 1.5 Discharges with chrome turn downs and 1 'Yz" x 1" Chrome Adapters, Cap & Chain One 2.5" Discharge with chrome turn down 2'Yi' x 1 Y2" Chrome Adapter, Cap & Chain One 1" Tank Fill / Re -Circulate Valve One 2.5" Tank to pump Valve Wildfire INT CV 500 Quote for Six Mile Community VFD Page 2 December 19, 2023 Skid: (continued) One 2.5" Suction Valve with Chrome Turn Down, Swivel Adapter, Plug & Chain Two Front Ground Spray Nozzles with electric valves controlled in the cab One Akron 3462 Forestry Monitor Front Bumper Mounted, with Joystick controls in the cab Equipment: Twenty PAC 1004 equipment brackets with hardware Three PAC 1004 nozzle brackets One 100' x 1" Booster Hose Two 8' x 1" Whip Lines Three 1" adjustable gallonage nozzles with pistol grip One Hydrant/Spanner Wrench Set with mount One Training/Service Manual One Kussmaul Battery Charger Pigtail One Hose Reel Crank Handle One PAC Hardware Kit One winch controller One winch pull strap Wildfire Body & Skid Price: $183,810.83 International Chassis Price: $ 85,240.17 Total..............................................$269,051.00 Quote Good for 30 days Joan QW6on Danid JgAwca Daidd &mw don(a)wildfiretruck.com drivera(o)wildfiretruck.com david(o)wildfiretruck.com Southwest International will not guaranty how long the chassis price will be good for Chassis will need to be paid for when it arrives at Wildfire NOTE: The Super Single conversion cost are required when the order is placed due to the fact that the converter is requiring that of Wildfire Truck & Equipment $15,000.00 #11 NOIICE O MEETING — 2/7/2024 11. Consider and take necessary action to approve amending the final plat of Puesta De Sol Subdivision. (VLL) _T: , APPR R: Vern L VDER: Gary F Judge DYED [UNANIMOUS] yssy, Commissioner Pct .eese, Commissioner Pct Meyer, Commissioner K Page 8 of 20 Vern Lyssy Calhoun County Commissioner, Precinct #2 5812 FM 1090 Port Lavaca, TX 77979 January 31, 2024 Honorable Richard Meyer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Meyer: «�5<n<E of Tf roGMrr of c�"�oJ� Please place the following item on the next Commissioners' Court Agenda (361) 552-9656 Fax (361) 553-6664 • Consider and take necessary action to approve amending the plat of Puesta De Sol Subdivision. Sincerely, Vern Lyssy VL/Ij g yygw�33 gCg $I(.o. E ap�p 3y6y p9p �yp 4p�4p �� 4 pap g�gS3 Yeis.��a�Pfa y'q3 Y �ufb 2 jj LL 63�0 *i 2 3�g 6 s $ o apes a el -P@Y HIM B a es� oee,3�,3 a S g r y so Q W ' 1 1 N Bo 3" 3"RF uj g8688§88 Y'R" tl 3 �$SL F t� Q w3 GnR` 3cooaoec >>5a �e§�'jea" z �"' uj 38 All 3 j{ G 3gO m 9x 9g g g 5 58 G 98 8 9 _ R� i '50 P Y y g n LJU \e N 38'91'6]' W e6R9.]P' 8LL � 06 z Da@a`.�a$ acd IRya a a=B]A� ,B e �g e �o � oil C M a K ?fig E3^l z 1' o o aiw tl mu Q j Z co � G2 Q w �g m' � gig � E£ z. 2 g 4 f 0z 4 zm rc w m �B - �3 � W D/� ^a 83�3 Fi = U A ) p N a 6 Obi 2 5� I..L 8 :6 of a s_ x bz cg6g tla as gm a SIR � 3u g wq p 3 MEW § - LL w �3 I > U Hew Qooa� Z o u E� yJ, �a .e®�I,, — c 'W am ',. U Wis a w N a E a j ®� LJI. Ee 8 3 I •'I �Y3 I Hf i 91„x•R YS�� o 55it m T E 5631.16' x@ 9 8 x 98 3 8 98 BO 3gsJ 38 98 .. 5 .,.IM2,11- L9�, 9 — ��s � o e�� n m uni m�i:- 3l1 O -I1 s. 1-YIIIIIf.'i j 3 38 III^ 9ry c�e � tl 6L4yo�G z n6` 'Ny fr'a.yq" qq 5 a p H�� 3 @boa h�� w) & LL N I SdS� Qu Ila II ZO � m �a o i ED1 dz w 0 oil § € Is Inv WE ° € Ld QN Ka mi�Ic`G�¢o cd- FU mmG M 9a Min � r 0 4�g$w+CAI E Ali U'k w 8 w ¢ ® N 9 c li J � III • • U81 Land Surveying+Aerial Imaging Since 1991 January 31, 2024 Vern Lyssy County Commissioner Precinct #2 5812 FM 1090 Port Lavaca, TX 77979 RE: Amending Plat Puesta De Sol Subdivision Dear Commissioner Lyssy, Please consider this letter as my request to have the following item placed on the February 7, 2024 Commissioner's Court agenda: Considerand-take necessary action to approve the Amending Plat of Puesta De Sol Subdivision. If I can provide additional information, please do not hesitate to contact me. Sincerely, Te ry T. R dick, R.P.L.S. C.E.O. (525488) Victoria San Antonio Cuero 2004 N. Commerce 12661 Silicon Drive 104 E. French Street Victoria, TX 77901 San Antonio, TX 78249 Cuero, TX 77954 urbansurveying.com 361-578-9837 210-257-8654 361-277-9061 Firm #: 10021100 Firm tt: 10193843 Firm tt: 10021101 Ci) ig W>UV #12 NOTICE OF MFF-I ING - 2/7/2024 12. Consider and take necessary action to accept proceeds of $381.30 from Texas Port Recycling for scrap metal and place funds in Precinct 3, R & B 560-53510 account. (JMB) pass Page 9 of 20 Joel Behrens Calhoun County Commissioner, Precinct 3 24627 State Hwy. 172—Olivia, Fort Lavaca, Texas 77979 — Office (361) 893-5346 _ Fax (361) 893-5309 Email: ioel.behrensQcalhouncotx.orq 4. O Honorable Richard Meyer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: Agenda Item Dear Judge Meyer: Please place the following item on the Commissioner's Court Agenda for February 7, 2024. Consider and take necessary action to accept proceeds of $381.30 from Texas Port Recycling for scrap metal and place funds in Precinct 3, R & B 560-53510 account. Sincerely, qoe-e M Joel Behrens Commissioner Pct. 3 Calhoun County Precinct 2 TICKET # INV # SHP DATE COMMODITY 104001 1/19/2024 Sheetlron VENDOR(Pounds): Texas Port Recycling LLC 3105 Odem St. Victoria, TX. 77901 (361)580-2341 GROSS TARE NET VEHICLE ID 50,340 38,680 11,660 11,660 Date: 1/26/2024 Check No. 5062001131 PRICE UM TOTAL AMT 3.0000 CW 349.80 TOTAL DUE: $349.80 This Payment: $349.80 Previously Paid: $0.00 Remaining Balance: 90.00 Texas Port Recycling LLC - DATE No. 50152001131 6'9 90; 3105 Odem St. 1/26/2024 Victoria, TX 77901 VOID AFTLR 90 DAYS (361)580-2341 Wells Fargo Bank, N.A. CHECK AMOUNI PAY EXACTLY'*THItEL HUNDRLD AND FORTY-NINE DOLLARS AND FIGHTY CENTS PAY TO CALHOUN COUNTY PRECINCT 2 THE 24627 TX172. ORDER, PORT LAVACA, TX 77979 OF R CQUIRVS"INJQ MANUAL SIGNAI'UR1:8 4V1'14 10.011l - Q�-u� A�4aiZEDSIGNAIURIS.. Calhoun County Precinct 2 TICKET # INV # SHP DATE COMMODITY 104176 1/25/2024 Lead Batteries VENDOR(Pounds): Texas Port Recycling LLC 3105 Odem St. Date: 1/25/2024 Victoria, TX 77901 Check No. 5062001109 (361) 580-2341 GROSS TARE NET VEHICLEID PRICE UM TOTALAMT 427 112 315 0.1000 LB 31.50 315 TOTAL DUE: $31.50 This Payment: $31.50 Previously Paid: $0.00 Remaining Balance: $0.00 Texas Port Recycling LLC DATE No. 5032001109 ti s/5 3105 Odem St. 1/25/2024 Victoria, TX 77901--� (361) 580-2341 VOID Afll'R 90DAYS Wells Fargo Bank, N.A. PAY EXACTLY" FIIRTY-ONE DOLLARS AND HFTY CENTS PAY TO CALHOUN COUNTY PRECINCT 2 THE 24627 TX172 ORDER PORT LAVACA, TX 77979 OF ` CH 31.50UNT 1 ¢�a"31.50` �fl f 'OUIRE.S IWOMANUAl SIGNAW1 io.wo A"' 7FDSIGNA1UM #13 NOTICE OF MEE iING — 2/7/2024 13. Public Hearing on a Petition to Vacate Lots 7 & 8 in Block 87 of the Port O'Connor Townsite according to the plat recorded in Volume 2, Page 001 of the Calhoun County Plat Records. Regular Session closed at 1O:39am Henry Danysh explained petition to vacate Regular Session opened at 10:40 Page 10 of 20 Gary D. Reese County Commissioner County of Calhoun Precinct 4 February 1, 2024 Honorable Richard Meyer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Meyer: Please place the following item on the Commissioners' Court Agenda for February 7, 2024. • Public hearing on Petition to Vacate Lots 7 & 8 in Block 87 of the Port O'Connor Townsite according to the plat recorded in Volume 2, Page 001 of the Calhoun County Plat Records. Sincerely, Gary D. Reese GDR/at P.O. Box 177 — Seadrift. Texas 77983 — email: Qarv.reesencalhouncotx.ore — (361) 785-3141 — Fax (361) 785-5602 PlJ flhi fl /alfl!',JCi 7/;Il era 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 \(�IICI: (�I The Commissioners' Court of Calhoun County, Texas will meet on Wednesday, February 7, 2024 at 10:00 a.m. in the Commissioners' Courtroom in the County Courthouse, 211 S. Ann Street, Suite 104, Port Lavaca, Calhoun County, Texas. NOTICE IS HEREBY GIVEN that the Calhoun County Commissioners' Court will hold a Public Hearing regarding a request to Vacate Lots 7 & 8 in Block 87 of the Port O'Connor Townsite according to the plat recorded in Volume 2, Page 001 of the Calhoun County Plat Records. The public shall have the right to be present and participate in such hearing. Richard H. Meyer, County udge � Calhoun County, Texas A copy of this Notice has been placed on the outside bulletin board of the Calhoun County Courthouse, 211 South Ann Street, Port Lavaca, Texas. This Notice shall remain posted continuously for at least 72 hours preceding the scheduled meeting time. For your convenience, you may visit the county's website at www.calhouncotx.org under "Commissioners' Court Agenda' for any official court postings. V V ,Z V FILED AT O'CLOCK `.� 0 2 2024 CCuraTy='AlfflaUNAou' ' VUd Jxas BYOEPUTY;(p Page 1 of 1 #14 NO] ICE OF MEETING - 2/7/2024 14. Consider and take necessary action on a Petition to Vacate Lots 7 & 8 in Block 87 of the Port O'Connor Townsite according to the plat recorded in Volume 2, Page 001 of the Calhoun County Plat Records. (GDR) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner'Pct 4 SECONDER: Joel, Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 11 of 20 Gary D. Reese County Commissioner County of Calhoun Precinct 4 February 1, 2024 Honorable Richard Meyer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear judge Meyer: Please place the following item on the Commissioners' Court Agenda for February 7, 2024. • Consider and take necessary action to Vacate Lots 7 & 8 in Block 87 of the Port O'Connor Townsite according to the plat recorded in Volume 2, Page 001 of the Calhoun County Plat Records. Sincerely, Gary D. Reese GDR/at P.O. Box 177 —Seadrift, Texas 77983 —email: Rarv.rees i ccalhouncotx.ore — (361) 785-3141 — Pax (361) 785-5602 #15 N0I ICE OF MEETINti — 2/7/202.4 15. Consider and take necessary action to authorize the Calhoun County EMS Director to sign the Operative IQ Licensing Agreement with Bound Tree Medical. (RHM) Dustin Jenkins explained the agreement. RESULT: APPROVED [UNANIMOUS]:: MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hail, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall,Ussy, Behrens, Reese Page 12 of 20 Mae Belle Cassel From: Dustin.Jenkins@calhouncotx.org (Dustin Jenkins) <Dustin.Jenkins@calhouncotx.org> Sent: Monday, January 29, 2024 4:15 PM To: Mae Belle Cassel Cc: Donna Hall; Erika Rojas Subject: Bound Tree Operative IQ Licensing Agreement Attachments: BounclTree Operative IQ Licensing Agreement _2024.pdf; Form 1295 Certificate 101155065_signed.pdf; BTM W-9 CORPORATE ADDRESS 2024.pdf; BTM W-9 REMITTANCE ADDRESS 2024.pdf Mae Belle, Please place the following on the next Commissioners Court Agenda for approval to sign: Consider and take necessary action to approve the Calhoun County EMS Director to sign the Operative IQ Licensing Agreement with Bound Tree Medical. Please see the attached Agreement, W9's, & 1295 Form. Very Respectfully, J. Dustin Jenkins, DMin, MBA, LP Director of Emergency Medical Services 705 Henry Barber Way Calhoun County, TX dustin.jenkins@calhouncotx.org (361) 571-0014 Calhoun County Texas DocuSign Envelope ID: 20735D6C-B51E-46EA-A274-69CA99D494E4 Bound Tree Operative IQ Licensing Agreement Customer Company Name: Calhoun County EMS Bound Tree Medical, LLC Address: 705 Henry Barber way Port Lavaca, TX 77979 5000 Tuttle Crossing Blvd. Dublin, OH 43016 This Licensing Agreement (the "Agreement'11 is hereby entered SOFTWARE AND SOFTWARE ACCESSORIES. this 25 day of January 2024 (the "Effective 9. Force Majeure. In the event that either Party is Date") by and between Company and Customer (referred to prevented from performing or is unable to perform any of herein as the "Parties" or "Party'), its obligations under this Agreement (other than payment 1. Scope. The terms and conditions below represent the of amounts due hereunder) due to any Act of God, fire, terms and conditions under which Company will grant a casualty, flood, war, strike, lockout, epidemic, destruction license to Customer for the Operative IQ Mobile Inventory of facilities, riot, insurrection, or any other cause Management System for Emergency Medical Services beyond the reasonable control of the Party invoking this (the "Software"). Section, such party's performance shall be excused and 2. Term. The term of this Agreement shall become the time for the performance shall be extended for the effective as of the Effective Date and shall remain in full period of the delay or inability to perform due to such force and effective for 3 year(s) after the Effective Date occurrences. unless otherwise terminated in accordance with the 10. Confidentiality. Neither Party may disclose the terms provisions set forth herein. and conditions of this Agreement to a third party without 3. Grant of Non -Exclusive License. Subject to the terms the prior written consent of the other, except as required and conditions of this Agreement, Company hereby by law or as necessary to perform its obligations under grants to Customer a non-exclusive irrevocable license this Agreement. Notwithstanding the foregoing, Company to the Software during the Term (the "License"). may use certain Customer information as input data in a 4. Licensing Fee. The fee for each License shall be as database where Customers identity shall be kept specified on Exhibit A. per Contract Year, payable as of anonymous. Neither party will make any press release the respective Contract Year. For this purpose a nor other public announcement regarding this Agreement "Contract Year" is the twelve (12) consecutive month without the other partys prior written consent except as period beginning on the Effective Date, and each required under applicable law or by any governmental succeeding Twelve (12) month consecutive 12 month agency. period during the Term. If this Agreement ends prior to 11. Termination. Each Party reserves the right to terminate the end of a Contract Year, the annual License fee will the Agreement if: (a) the other Party ceases to function be pro -rated to reflect the number of months in the final as a going concern in the normal course of business; Contract Year. The number of Licenses issued under this (b) the other Party commits or suffers any act of Agreement is as specified in Exhibit A. bankruptcy or insolvency; (c) upon notice of termination 5. Software Accessories. Customer may purchase after notice of a material breach has been given and such Software Accessories needed to operate the software breach is not cured within thirty (30) days following the at the prices specified on Exhibit A and shall be payable notice of breach. Company may terminate this agreement at the time of purchase. at any time upon written notice to the Customer. 6. Set Up and Training. Set up of the Software shall be 12. Relationship of Parties. Each Party is an independent performed by the software developer at the price contractor of the other. Neither Party shall be the legal specified on Exhibit A. agent of the other for any purpose whatsoever and 7. Warranties. T h,e Software and Software Accessories therefore has no right or authority to make or underwrite carry only those warranties made for them by their any promise, warranty, or representation, to execute any manufacturers. The duration of the warranty shall Agreement, or otherwise to assume any obligation or extend for the length of time set by the manufacturer. responsibility in the name of or on behalf of the other THERE ARE NO OTHER EXPRESSED OR IMPLIED party, except to the extent specifically authorized in WARRANTIES, INCLUDING ANY WARRANTY OF writing by the other Party. MERCHANTABILITY OR FITNESS FOR A 13. Assignment. This Agreement and the rights and PARTICULAR PURPOSE, obligations hereunder shall be binding upon and inure to 8. Limitation of Liability. COMPANY SHALL NOT BE the benefit of the Parties hereto and their respective LIABLE FOR PUNITIVE, SPECIAL, PROXIMATE, successors and assigns; provided that no Assignment, INCIDENTAL, CONSEQUENTIAL, OR EXEMPLARY sale or other assignment of this Agreement can occur DAMAGES. IN NO EVENT WILL COMPANY BE LIABLE unless either (a) the transfer occurs by way of merger, FOR ANY DAMAGES OR NONCONFORMITY OF THE reorganization, consolidation; amalgamation, or as part Page 1 of 2 V20210105 DocuSign Envelope ID: 20735D6C-851E-06EA-A274-69CA99D494E4 �01 Bound Tree Operative IQ Licensing Agreement of a transfer of all or substantially all of the assigning party's assets, or (b) then non -transferring Party consents to the transfer. In the event of such a transfer, the transferring Party agrees to secure consent from the transferee that it will assume and perform all obligations of the transferring Party under this Agreement. Supplier or Company shall give the other written notice of any anticipated assignment of the Agreement as soon as administratively practicable after such information may first be made public. 14. Notices. All notices or other communications that are required or permitted hereunder shall be in writing and delivered personally, sent by facsimile (and such facsimile must be promptly confirmed by personal delivery, registered or certified mailor overnight courier as provided herein), sent by nationally -recognized - overnight courier or sent by registered or certified mail, postage prepaid, return receipt requested, to the addresses first specified hereinabove, or to such other address as the Party to whom notice is to be given may have furnished to the other Party in writing in accordance herewith, to the attention of the Chief Executive Officer. In addition, a copy of any notice to Company must be sent to General Counsel, Bound Tree Medical, LLC, 5000 Tuttle Crossing Blvd.,Dublin, OH 43016 (such copy shall not constitute legal notice). 15. Headings. The headings of this Agreement are for convenience only and shall not affect the meaning of the terms of this Agreement. 16, Governing Law/Venue. This Agreement shall be governed by and construed in accordance with the laws of the State of Ohio, excluding any conflicts or choice of law rule or principle that might otherwise refer construction or interpretation of this Agreement to the substantive law of another jurisdiction. Each party irrevocably agrees that any legal action, suit or proceeding brought by it in any way arising out of this Agreement must be brought solely and exclusively in, and will be subject to the service of process and other applicable procedural rules of, the state or federal courts in Columbus, Ohio. 17. Severability. If any provision of this Agreement is held to be illegal, invalid or unenforceable under any present or future law, and if the rights or obligations of either Parry under this Agreement will not be materially and adversely affected thereby such provision shall be fully severable and the remaining provisions of this Agreement shall remain in full force and effect to the fullest extent permitted by applicable law, each Party hereby waives any provision of law that would render any provision prohibited or unenforceable in any respect. 18. Waiver of Jury Trial. CUSTOMER AGREES TO WAIVE ANY RIGHT TO HAVE A JURY PARTICIPATE IN THE RESOLUTION OF THE DISPUTE OR CLAIM, WHETHER SOUNDING IN CONTRACT, TORT OR OTHERWISE, BETWEEN ANY OF THE PARTIES OR ANY OF THEIR RESPECTIVE AFFILIATES ARISING OUT OF, CONNECTED WITH, RELATED TO OR INCIDENTAL TO THIS AGREEMENT. 19.Miscellaneous. Both Parties shall comply with all laws, rules, and regulations applicable to this Agreement. All purchases under this Agreement are for Customer's "own use" as such term is defined in judicial or legislative interpretation. This Agreement is the entire agreement between the parties with regard to the subject matter of this Agreement. No amendment of the terms of this Agreement will be binding on either party unless reduced to writing and signed by an authorized employee of the party to be bound. 20. Counterparts. This Agreement may be executed in two or more counterparts, each of which shall be deemed an original, but all of which together shall constitute one and the same instrument. IN WITNESS WHEREOF, the parties hereto have executed this Company Agreement as of this 25 .day of January 2024 Customer Bound Tree Medical, LLC DocuSignee by: By: /�iL/ By: Qa.r IA AAA, 1Auvvls 07FOBUOBCWFa Dustin Jenkins Adrienne Morris Name: Name: %% Title: f1%u/Oe /' tr ,' l o.�Iq 7 Title: Director "To the extent any item is provided at no charge, it is deemed to be provided at a discount on the full price of such item. These discounts are governed by the terms of a separate rebate agreement between the Parties. The parties acknowledge that the rebate provided under the terms of this Agreement constitutes a "discounts brother reductions in price' under section 112a e(b)(3)(A) of the Social Security Act 42 U.S.C. 1320a-7b(b)(3)(A). Accordingly, Customer shell disclose the discount to any state or federal program that provides cost or charge -based reimbursement to the extent required by law. Page 2 of 2 V20210105 DocuSign Envelope ID: 20735D6C-B51 E-46EA-A274-69CA99D494E4 k, w Bound Tree Exhibit A* Customer Name: BTM Customer Number: BTM Account Manager: Number of Inventory Management Licenses: Number of Fleet Management Licenses: Rebate Period: Calhoun County EMS 107568 Craig Gray 3 Years - Bound Tree Pricing Summary Year 1 Year 2 Year 3 TOTAL Inventory & Asset Management Licenses $2,940 $2,940 $2,940 $8,820 Fleet Management Licenses $576 $576 $576 $1,728 Narcotics Tracking License (Single Safe $3,000 $3,000 $3,000 $9,000 Narcotics Tracking License -Two Additional Safes $240 $240 $240 $720 Total Fees Before Rebate $6,756 $6,756 $6,756 $20,268 *To the extent any item is provided at no charge, it is deemed to be provided at a discount on the full price of such item. These discounts are governed by the terms of a separate rebate agreement between the Parties. The 3arties acknowledge that the rebate provided under the terms of this Agreement constitutes a "discounts or other reductions in price" under section 1128 B(b)(3)(A) of the Social Security Act 42 U.S.C. 1320a-7b(b)(3)(A). Accordingly, Customer shall disclose the discount to any state or federal program that provides cost or charge - based reimbursement to the extent required by law. DocuSign Envelope to: 20735D6C-B51E-46EA-A274-69CA99D494E4 I Bound Tree Customer Rebate Agreement Customer Company Name: Calhoun County EMS Address: 705 Henry Barber way Port Lavaca, TX 77979 This Rebate Agreement (the "Agreement") is hereby entered this 25 day of January 2024(the "Effective Date') by and between Customer and Company (referred to herein as the "Parties" or"Party"). 1. Scope. The terms and conditions below represent the terms and conditions under which Company will pay a rebate to Customer. The terms and conditions of any supply or similar contract executed, between the Parties shall apply to and govern this Agreement, to the extent the terms of that agreement do not conflict with the terms set forth herein. This Agreement shall include Exhibit A hereto, which. is incorporated herein by reference. 2. Eligibility for Rebate. If the volume of products purchased by Customer from Company during the period of time set forth in Exhibit A (the "Rebate Period") satisfies or exceeds the minimum purchase targets specified in Exhibit A, Customer shall be eligible for a rebate in the amount specified in Exhibit A. 3. Payment of Rebate. The rebate is payable (as soon as practicable after the close of the Rebate Period) by credit memo upon calculation and approval of the rebate by Company. 4. Compliance with Safe Harbor Requirements. The Parties acknowledge that the rebate provided under the terms of this Agreement constitutes a "discounts or other reductions in price" under section 1128 B(b)(3)(A) of the Social Security Act 42 U.S.C. 1320a-7b@)(3)(A). Accordingly, Customer shall disclose the discount to any state or federal program that provides cost or charge -based reimbursement to the extent required by law. 5. Term. This Agreement shall commence on the Effective Date and continue for a period of three years unless otherwise terminated in accordance with the provisions set forth herein. 6. Confidentiality. Neither Party may disclose the terms and conditions of this Agreement to a third Party without the prior written consent of the other, except as required by law or as necessary to perform its obligations under this Agreement. Notwithstanding the foregoing, Company may use certain Customer information as input data in a database where Customer's identity shall be kept anonymous. 7. Warranties. THERE ARE NO OTHER EXPRESSED OR IMPLIED WARRANTIES, INCLUDING ANY WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR Bound Tree Medical, LLC 5000 Tuttle Crossing Blvd. Dublin, OH 43016 PURPOSE REGARDING PRODUCTS PURCHASED FROM COMPANY AND/OR THE REBATE. 8. Limitation of Liability. COMPANY SHALL NOT BE LIABLE FOR PUNITIVE, SPECIAL, PROXIMATE, INCIDENTAL, CONSEQUENTIAL, OR EXEMPLARY DAMAGES. 9. Force Majeure. In the event that either Party is prevented from performing or is unable to perform any of its obligations under this Agreement (other than payment of amounts due hereunder) due to any Act of God, fire, casualty, flood, war, strike, lockout, epidemic, destruction of facilities, riot, insurrection, or any other cause beyond the reasonable control of the Party invoking this Section, such parry's performance shall be excused and the time for the performance shall be extended for the period of the delay or inability to perform due to such occurrences. 10.Termination, Each Party reserves the right to terminate the Agreement if: (a) the other Party ceases to function as a going concern in the normal course of business; (b) the other Party commits or suffers any act of bankruptcy or insolvency; (c) upon notice of termination after notice of a material breach has been given and such breach is not cured within thirty (30) days following the notice of breach. Company may terminate this agreement at any time upon written notice to the Customer. 11.Assignment. This Agreement and the rights and obligations hereunder shall be binding upon and inure to the benefit of the Parties hereto and their respective successors and assigns; provided that no Assignment, sale or other assignment of this Agreement can occur unless either (a) the transfer occurs by way of merger, reorganization, consolidation, amalgamation, or as part of a transfer of all or substantially all of the assigning party's assets, or (b) then non -transferring Party consents to the transfer. In the event of such a transfer, the transferring Party agrees to secure consent from the transferee that it will assume and perform all obligations of the transferring Party under this Agreement. Supplier or Company shall give the other written notice of any anticipated assignment of the Agreement as soon as administratively practicable after such information may first be made public. 12.Governing Law. This Agreement shall be governed by and construed in accordance with the laws of the State of Ohio, excluding any conflicts or choice of law rule or principle that might otherwise refer construction or interpretation of this Agreement to the substantive law of another jurisdiction. Each .party irrevocably agrees that any legal action, suit or proceeding brought by it in any way V20210106 Page 1 of 2 DocuSign Envelope ID: 20735D6C-B51E-46EA-A274-69CA99D494E4 Bound Tree Operative IQ Licensing Agreement of a transfer of all or substantially all of the assigning parry's assets, or (b) then non -transferring Party consents to the transfer. In the event of such a transfer, the transferring Party agrees to secure consent from the transferee that it will assume and perform all obligations of the transferring Party under this Agreement. Supplier or Company shall give the other written notice of any anticipated assignment of the Agreement as soon as administratively practicable after such information may first be made public. 14. Notices. All notices or other communications that are required or permitted hereunder shall be in writing and delivered personally, sent by facsimile (and such facsimile must be promptly confirmed by personal delivery, registered or certified mail or overnight courier as provided herein), sent by nationally -recognized overnight courier or sent by registered or certified mail, postage prepaid, return receipt requested, to the addresses first specified hereinabove, or to such other address as the Party to whom notice is to be given may have furnished to the other Party in writing in accordance herewith, to the attention of the Chief Executive Officer. In addition, a copy of any notice to Company must be sent to General Counsel, Bound Tree Medical, LLC, 5000 Tuttle Crossing Blvd., Dublin, OH 43016 (such copy shall not constitute legal notice). 15. Headings. The headings of this Agreement are for convenience only and shall not affect the meaning of the terms of this Agreement. 16. Governing Law/Venue. This Agreement shall be governed by and construed in accordance with the laws of the State of Ohio, excluding any conflicts or choice of law rule or principle that might otherwise refer construction or interpretation of this Agreement to the substantive law of another jurisdiction. Each party irrevocably agrees that any legal action, suit or proceeding brought by it in any way arising out of this Agreement must be brought solely and exclusively in, and will be subject to the service of process and other applicable procedural rules of, the state or federal courts in Columbus, Ohio. 17. Severability. If any provision of this Agreement is held to be illegal, invalid or unenforceable under any present or future law, and if the rights or obligations of either Party under this Agreement will not be materially and adversely affected thereby such provision shall be fully severable and the remaining provisions of this Agreement shall remain in full force and effect to the fullest extent permitted by applicable law, each Party hereby waives any provision of law that would render any provision prohibited or unenforceable in any respect. 18. Waiver of Jury Trial. CUSTOMER AGREES TO WAIVE ANY RIGHT TO HAVE A JURY PARTICIPATE IN THE RESOLUTION OF THE DISPUTE OR CLAIM, WHETHER SOUNDING IN CONTRACT, TORT OR OTHERWISE, BETWEEN ANY OF THE PARTIES OR ANY OF THEIR RESPECTIVE AFFILIATES ARISING OUT OF, CONNECTED WITH, RELATED TO OR INCIDENTAL TO THIS AGREEMENT. 19.Miscellaneous. Both Parties shall comply with all laws, rules, and regulations applicable to this Agreement. All purchases under this Agreement are for Customer's "own use" as such term is defined in judicial or legislative interpretation. This Agreement is the entire agreement between the parties with regard to the subject matter of this Agreement. No amendment of the terms of this Agreement will be binding on either party unless reduced to writing and signed by an authorized employee of the party to be bound. 20. Counterparts. This Agreement may be executed in two or more counterparts, each of which shall be deemed an original, but all of which together shall constitute one and the same instrument. IN WITNESS WHEREOF, the parties hereto have executed this Company Agreement as of this 25 day of January 2024 Customer Bound Tree Medical, LLC DocualaCed by; By. By QaviUAAn.t, 4ums 0]FOeE208C]A4Fa... Dustin Jenkins Adrienne Morris Name: Name: Title: Title: Director 'To the extent any item is provided at no charge, It is deemed to be provided at a discount on the full price of such item. These discounts are governed by the terms of a separate rebate agreement between the Parties. The parties acknowledge that the rebate provided under the terms of this Agreement constitutes a "discounts orother reductions in price" under section 1128 B(b)(3)(A) of the Social Security Act 42 U.S.C. 1320a-71b(b)(3)(A). Accordingly, Customer shall disclose the discount to any state or federal program that provides cost or charge -based reimbursement to the extent required by law. Page 2 of 2 V20210105 DocuSign Envelope ID: 20735D6C-B51E-46EA-A274-69CA99D494E4 41 Bound Tree Exhibit A* Customer Name: STM Customer Number: BTM Account Manager: Number of Inventory Management Licenses: Number of Fleet Management Licenses: Rebate Period: Calhoun County EMS 107568 Craig Gray 3 Years Bound Tree Pricing Summary Year Year 2 Year 3 TOTAL Inventory & Asset Management Licenses $2,940 $2,940 $2,940 $8,820 Fleet Management Licenses $576 $576 $576 $1,728 Narcotics Tracking License (Single Safe) $3,000 $3,000 $3,000 $9,000 Narcotics Tracking License - TwoAdditional Safes $240 $240 $240 $720 Total Fees Before Rebate $6,756 $6,756 $6,756 $20,268 Bound Tree Discount Pricing Summary Year 1 Year 2 Year 3 -.. Rebate Percentage for Licenses 100% 200% 100% TOTAL Inventory & Asset Management Licenses $0 $0 $0 $0 Fleet Management Licenses $0 $0 $0 $0 Narcotics Tracking License (Single Safe) $0 $0 $0 $0 Narcotics Tracking License - Two Additional Safes $0 $0 $0 $0 Total Fees After Rebate $0 $0 $0 $0 Rebate Calculation Year 1 Year 2 Year 3 TOTAL .Rebate Percentage 100% 100% 100% ':SAVINGS Minimum Purchase Commitment for Rebate $56,000 $59,000 $62,000 Rebate Amount $6,756 $6,756 $6,756 $20,268 *To the extent any item is provided at no charge, it is deemed to be provided at a discount on the full price of such item. These discounts are governed by the terms of a separate rebate agreement between the Parties. The parties acknowledge that the rebate provided under the terms of this Agreement constitutes a "discounts or other reductions in price" under section 1128 13(b)(3)(A) of the Social Security Act 42 U.S.C. 1320a-7b(b)(3)(A). Accordingly, Customer shall disclose the discount to any state or federal program that provides cost or charge - based reimbursement to the extent required by law. as Request for Taxpayer Give Form to the Form Identification Number and Certification requester. Do not (Rev.october 2016) send to the IRS. IMemep�l gavlenuaeserviw ► ww Go to w.1mgov/FormW9 for instructions and the latest Information. r Name (as shown on your Income tax return). Name Is required on this line; do not leave this line blank. Bound Tree Medical LLC 2 Business name/dlsregardetl entity name, If different from above 3 Check appropriate box for federal tax ciassl9cation of the person whose name Is entered on line 1. Check only one of the 4 Exemptions (codes apply only to following seven boxes. certain entities, not Individuals; see ❑ IndlviduslOwle proprietor or ❑ CCorporation ❑SCorporation ❑ Partnership ❑Trust/estate Instructions on page 3): smgle-membsr LLC Exempt payee code (if any) ❑,/ Umited liability company. Enter the in classification (C_C corporation, S=S corporation, P=Partnmhlp)► P Note: Check the appropriate box In the line above for the tax classification of the single -member owner. Do not check Exemption from FATCA reporting LLC If the LLC is classified as a single -member LLC that Is disregarded from the owner unless the owner of the LLC is LLC code Of any) another LLC that Is not disregarded from the owner for U.S. fec eral tax purposes, otherwise, a single -member that is disregarded from the owner should check the appropriate box for the in classification of Its owner. ❑ Other (see Instructions) 1- vmhs M•avene,m6,bAwlexaxexeu8/ 6 Address (number, street, and apt. or suite no.) See Instructions. Requesters name and address (optlonall 23537 Network Place 6 City, state, and ZIP code Chicago, IL 69673-1235 7 Ust account number(s) here(optlonal) MAIN Taxpayer Identification Number IN) Enter your TIN In the appropriate box. The TIN provided must match the name given on line 1 to avoid I Social -security number ) backup withholding. For individuals, this is generally your social security number (SSN). However, for a r die resident alien, sole proprietor, or disregarded entity, sae the Instructions for Pert I, later. For other resident entities, It Is your employer Identification number (EIN). If you do not have a number, see How to get a TIN, later. or Note: If the account Is In more than one name, sets the instructions for line 1. Also see What Name and I Employer f lemigcetion number Number To Give the Requester for guidelines an whose number to enter. 3 1- 1 1 7 1 3 1 9 1 4 1 8 1 7 Under penalties of perjury, I certify that: 1. The number shown on this form is my correct taxpayer Identification number (or I am waiting for a number to be issued to me); and 2. 1 am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all Interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and 3.1 am a U.S. citizen or other U.S. person (defined below); and 4. The FATCA oode(s) entered an this farm III any) Indicating that I am exempt from FATCA reporting is correct. Certification instructions. You must cross out Item 2 above If you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all Interest and dividends an your tax return. For real estate transactions, Item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments other than Interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. Sea the Instructions for Part 11, later. al signature of Here I U.S. person ►'-('v}.-t, l% —'Ir-Date► 1 L])-)L4 General Instructions Section references are to the Internal Revenue Code unless otherwise noted. Future developments. For the latest Information about developments related to Form W-9 and Its instructions, such as legislation enacted after they were published, go to wwwJn;.gov1FormW9. Purpose of Form An individual or entity (Form W-9 requester) who Is required to file an information return with the IRS must obtain your comact taxpayer Identification number (nN) which may be your social security number (SSN), individual taxpayer Identification number OMN), adoption taxpayer Identification number (ATM), or employer identification number (EIN), to report on an information return the amount paid to you, or other amount reportable on an Information return. Examples of Information returns Include, but are not limited to, the following. • Form 1099-INT (Interest earned or paid) • Form 1099-DIV (dividends, Including those from stocks or mutual funds) • Form 1099-MISC (various types of Income, prizes, awards, or gross proceeds) • Form 1099-B (stock or mutual fund sales and certain other transactions by brokers) • Form 1099-S (proceeds from real estate transactions) • Form 1099-K (merchant card and third party network transactions) • Form 1098 (home mortgage interest), 1098-E (student loan Interest), 1098-T (tultlon) • Farm 1099-0 (canceled debt) • Form 1099-A (acquisition or abandonment of secured property) Use Form W-9 only if you we a U.S. person (Including a resident alien), to provide your correct TIN. If you do not return Form W-9 to the requester with a TIN, you might be subject to backup withholding. See What is backup withholding, later. Cat. No. 10231X Forth W-9 (Rev.10.2018) CERTIFICATE OF INTERESTED PARTIES FORM 1295 1of1 Complete Nos. 1-4 and 61f 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: 2024-1116609 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. Bound Tree Medical, LLC Dublin, OH United States Date Filed: 01/2612024 2 Nameof governmental entity or state agency that is a party to the contract for w tc t e form is being filed. Calhoun Cc EMS 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 OP -IQ BTM-CCEMS-OPIQ-2024 4 Name of Interested Party City, State, Country (place of business) Nature of interest (check applicable) Controlling 71mormedlary 5 Cheek only if there is NO Interested Party. ❑ X 6 UNSWORN DECLARATION My name Is _ Christopher Fyffe and my date of birth is My address is _ _ Dublin OH 43016 Us (evea0 (city) (state) (zip code) (country) I declare under penalty of perjury that the foregoing is true and correct. Executed in Franklin County, State of Ohio , on the 26th day of January , 2024 }j} (month) (year) 1 Signature of auth !zed ant of contracting business entity clarent) Forms provided by Texas Fthirc www.eth Version V3.5.1.9000c47f e.. #16 NO-IICE OF MEFTING — 2/7/2024 16. Consider and take necessary action to approve the contract between Calhoun County and Prodigy Solutions for Inmate Telephone Services and Inmate Banking Software, Commissary Service and fiduciary Management Services, Bid Number 2023.09 awarded on January 24, 2024. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 13 of 20 Mae Belle Cassel From: demi.cabrera@calhouncotx.org (demi.cabrera) <demi.cabrera@calhouncotx.org> Sent: Wednesday, January 31, 2024 5:02 PM To: MaeBelle.Cassel@calhouncotx.org Subject: Agenda Item Hi MaeBelle, Can you please place the following item on the agenda for Commissioners Court on February 7, 2024: • Consider and take necessary action to approve the contract between Calhoun County and Prodigy Solutions for the Inmate Telephone Services and Inmate Banking Software, Commissary Service and Fiduciary Management Services, Bid Number 2023.09 awarded on January24, 2024. Thank you, D mi Cabnzra Calhoun County -�U6i6tanfi Nuditor 3 G1-553-4 613 361-553-461¢ (fay) Calhoun County Texas Mae Belle Cassel From: demi.cabrera@calhouncotx.org (demi.cabrera) <demi.cabrera@calhouncotx.org> Sent: Tuesday, February 6, 2024 10:39 AM To: 'Judge Richard Meyer'; MaeBelle.Cassel@calhouncotx.org; David Hall; Angela.Torres@calhouncotx.org; Vern Lyssy;'Lesa Jurek';joel.behrens@calhouncotx.org; Lynette.Adame@calhouncotx.org; 'Gary Reese'; April Townsend; Sara.Rodriguez@calhouncotx.org; Arnold.Hayden@calhouncotx.org; 'candice villarreal' Subject: Agenda Item #16 - Prodigy Contract Attachments: 2024 - Prodigy Contract for Jail Services.pdf Please place attached item behind agenda item #16 for Commissioners Court on 2/7/2024. Thank you, V mi Cabrzra Calhoun Countg �Uzig5tant auditor 361-553-4613 361-553-4614 (fax) Calhoun County Texas 4 PRODIGY SOLUTIONS AGREEMENT FOR INMATE COMMUNICATIONS, COMMISSARY SERVICES & TRUST ACCOUNTING SOFTWARE This Agreement is made and entered into and begun as of the 15'h day of February, 2024 by and between Prodigy Solutions Inc. ("Company"), a Delaware corporation with its primary address at 6000 Midlantic Drive Suite 415N Mount Laurel NJ 08054, and the Calhoun County Adult Detention Center, located at 302 W. Live Oak Street, Port Lavaca, TX 77979 ("Customer") for the provision of INMATE TELEPHONE SERVICES, VIDEO VISITATION, COMMISSARY SERVICES & TRUST ACCOUNTING SOFTWARE, contained herein ("Agreement"). This agreement will amend and replace any and all prior Professional Service (Inmate Phone) and Commissary Hardware and Software Agreement(s) for the Customer and Company. WHEREAS, the Company is engaged in the business of providing telephone services, supplying food and other related products and services to correctional facilities throughout the United States. WHEREAS, the County operates a jail known as the Calhoun County Adult Detention Center and wishes to enter into a services agreement to facilitate inmate communications, the ordering of commissary supplies by inmates and trust accounting services. NOW thereof, in consideration of the mutual promises and conditions herein contained, it is agreed between the parties: TERM. This agreement shall commence on February 15th. 2024 and shall remain in force and effect for a period of two (2) years from such date unless terminated in accordance with the terms of this agreement. Upon completion of the Initial Term, this Agreement shall be automatically renewed for successive periods of one (1) year; each under the same terms and conditions, upon Commissioner's Court approval, unless terminated by either party upon ninety (90) days advance written notice prior to the end of the initial term or the current renewal period. 1. SCOPE OF AGREEMENT 1.1. In consideration of compensation provided herein, Customer grants to Prodigy exclusive right to install and maintain Telephones, Video Visitation Kiosks to provide all digital/ electronic communications and to provide Commissary Services for inmates residing within its buildings oron its private property ("Location") during the term of this Agreement. This Agreement applies to all Telephone(s) and electronic communication equipment currently installed ("existing") and to all future installations ("new'). 1.2. This Agreement includes all other premises, whether now existing (if a competing provider has a contract and equipment at such premises, this clause applies at the earliest termination opportunity) or subsequently acquired, under the control of Customer within Prodigy's service areas. Customer will advise Prodigy in writing, of newly opened, acquired, or available premises, promptly, so Prodigy can evaluate installation of its Telephones at these premises. 1.3. TRUST ACCOUNTING/COMMISSARY SERVICES HARDWARE AND SOFTWARE During the term of this Agreement the Company shall supply the Jail with such computer equipment and software to enable the Jail to access the system to account for inmate trust account funds maintained by the Jail and effect purchases by inmates from commissary supplied by the Company. Such hardware will be installed and maintained by the PRODIGY SOLUTIONS Company and shall remain the sole property of the Company. At the termination of this agreement all such computer hardware and software shall be returned by the Jail to the Company in the same condition, reasonable wear and tear excepted, as existed at the time such equipment was installed. 1.4. The Company will invoice the Jail for all commissary items purchased pursuant to the commissary network. The Jail will pay such invoices from inmate trust account funds. 1.5. VIDEO TERMINAL/INMATE KIOSK REPAIR /REPLACEMENT the Customer, shall permit Company or any of its employees, contractors, subcontractors or agents, access to the Facility to repair or assess the Affected Equipment. If the Affected Equipment was damaged, the Company shall repair or replace such Affected Equipment at the Company's expense. 1.6. In consideration of the New Order published by the FCC, rates and fees for all telephone calls will adhere to the following FCC mandated schedule: Collect Calling Rates CALLTYPE PER CALL CHARGE (CONNECT FEE) 1st MINUTE EACH ADDITIONAL MINUTE Commission Local 0.21 0.21 0.21 89% Intrastate/IntraLATA 0.21 0.21 0.21 89% Intrastate/InterLATA 0.21 0.21 0.21 89% Interstate 0.21 0.21 0.21 89% Prepaid & Debit Calling Rates CALL TYPE PER CALL CHARGE (CONNECT FEE) 1st MINUTE EACH ADDITIONAL MINUTE Commission Local 0.21 0.21 0.21 89% Intrastate/IntraLATA 0.21 0.21 0.21 89% Intrastate/InterLATA 0.21 0.21 0.21 89% Interstate 0.21 0.21 0.21 89% International Debit 0.24 0.24 0.24 g9% TYPE PRICE COMMISSION Video Call $0.25 35% SMS Messages $0.15 29% Photos $1.00 40% Electronic Messages $0.50 50% Tablet Usage $7.95 50% Voicemail $0.50 509/6 �L PRODIGY SOLUTIONS Non-Commissionable Billing Fees: Payment Processing Fee (Live Agent)_ .......................... $ 5.95 Payment Processing Fee (JVR or Internet) ...................... $ 3.00 Lobby Kiosk Deposit ......................................... $ 3.00 Inmate Phone Time Transfer Fee ........................... $1.00 2. RESPONSIBILITY OF COMPANY Prodigy agrees to: 2.1. Install Telephones to also include Video Terminals/Messaging Devices at locations mutually agreed upon by both parties. 2.2. Video Visitation recordings will be available for the Customer to access, view and share as needed for investigations. 2.3. Pursuant to the provisions of this agreement, Company will purchase and maintain the following at a high standard of quality, One Server Workstation and one Lobby Kiosk and one booking kiosk for the use of the client to maintain their in-house commissary and financial reporting of said in house commissary. 2.4. For the sales of food products, non-alcoholic beverages, tobacco products, and other such articles, Customer will keep inventory adequately serviced and supplied, with the appropriate merchandise in good quality. 2.5. All records will be kept on file by Company for a period of thee (3) years, from the date which record is made. Upon reasonable notice, Company will give Customer, or Customer's authorized representative, the right of inspecting, examining, and auditing during normal business hours, and with a five (5) day advance notice, such Customer records directly relevant to customer's purchases. Such inspections shall take place at the Customer location where said records are securely preserved and maintained on the server. 2.6. Service and repair Telephones at no cost to the countv. 2.7. Company agrees to provide phone support for Commissary software. 2.8. Comply with the Americans with Disabilities Act (ADA) as it relates to the Prodigy provided equipment. 2.9. Provide an annual review of revenue performance, facility service needs including expansion requirements will be assessed and discussed and appropriate mutually agreed to adjustment in County site provider compensation will be provided and determined during the contract period. PRODIGY SOLUTIONS 3. RESPONSIBILITY OF CUSTOMER Customer agrees to: 3.1. Provide adequate space for Telephones and easy accessibility for use during the normal operating hours of Customer. In the event Customer is not the owner of the premises, Customer shall, where necessary, obtain permission from the building owner or owner's agent for the placement of Prodigy's Telephones, and shall be responsible for any fees for use of required riser cable and electric power. 3.2. Customer is responsible for any loss or damage to equipment resulting from vandalism, theft, or abuse. 3.3. It shall be the sole responsibility of Customer to ensure that Customer's employees follow and adhere to the accounting system provided by the Company, and operating procedures presented during initial training provided by the Company. This includes, but is not limited to, balancing cash drawers, daily trust funds balancing, weekly trust fund balancing, and monthly check book and bank reconciliation. 3.4. If Customer delivers orders to the inmate, Customer will accurately account for and deliver commissary orders shipped by Company, notifying Company immediately of any discrepancy. 3.5. Maintain the area around the Telephones and ensure safe and ready access to the users of the Telephones and to Prodigy. 3.6. The Customer agrees to employ the necessary staff person(s) necessary to operate the commissary, software, and distribute all commissary orders. 3.7. Customer agrees to allow Prodigy access to and use of house cable and inside wire at no cost, in order to install and provide telephone service. 4. OWNERSHIP. Prodigy is and shall remain the owner of the Telephones, and Commissary Equipment including servers, PC's and Kiosks provided by Prodigy, whether or not physically attached to real estate. Video Terminals will become property of the County. 5. FURTHER LOCATIONS. The parties may add Telephone(s) to this Agreement, but additions will not be made without the express agreement of the parties. Additions may be evidenced by a written memorandum between the parties, but Prodigy's business office records, unless clearly erroneous, will be binding on the parties. Additions will not change the initial or any renewal terms or the expiration date of this Agreement. 6. COMMISSION. Prodigy will pay commissions to the County on a monthly basis on or before the first business day occurring 45 days following the end of the month in which such commissions are earned or accrued. PRODIGY SOLUTIONS 7. REGULATORY CHANGES: In the event that new and/or revised government regulations prevent Prodigy from providing commission or affect rates to the Customer, the existing term of the contract and all other sections of the agreement will be in force for the entire term of this agreement. Prodigy will have the right to renegotiate this Agreement with the Customer. Prodigy reserves the right to change rates, commission, financial compensation & fees upon thirty days' written notice to Customer if such changes arise from any of the following: any (a) rule, regulation, or other action by any government or regulatory entity resulting in increased costs to Prodigy (b) change in taxes, (c) a change in other communication rates within facility. 8. REMOVAL OF TELEPHONES. Prodigy reserves the right, at its sole discretion, to remove any or all Telephones, in the event that placement at Customer location(s) is not economically viable. Prodigy shall provide Customer thirty (30) days written notice of its election to remove any or all Telephones. If Prodigy removes Telephones under this paragraph, Customer shall not be liable for termination charges for the Telephones removed. 9. LIMITATION OF LIABILITY. In the event of a service interruption caused by Prodigy, Prodigy liability shall be limited to the use of reasonable diligence under the circumstances, for restoration of service. IN NO EVENT SHALL EITHER PARTY BE LIABLE TO THE OTHER FOR INCIDENTAL, SPECIAL, INDIRECT OR CONSEQUENTIAL DAMAGES, INCLUDING LOST STATION REVENUES, LOSS OF PROFITS OR OTHER COMMERCIAL OR ECONOMIC LOSS ARISING OUT OF THE PERFORMANCE OF THIS AGREEMENT, INCLUDING WITHOUT LIMITATION NEGLIGENT PERFORMANCE OR FAILURE TO PERFORM, EXCEPT AS SET FORTH UNDER THE TERMINATION LIABILITY PROVISION HEREIN. 10. EXCUSED PERFORMANCE. Customer shall not be subject to Termination Liability if the cause of removal is directly related to the cessation of Customer's business operations. Neither party shall be held liable for any delay or failure in performance of any part of this Agreement caused by circumstances beyond the reasonable control of the party affected, including, but not limited to, acts of the elements or natural disasters, strikes, power failures, civil or military emergencies or acts of legislative, judicial or other civil authorities. 11. DEFAULT. If either party fails to perform its obligations under this Agreement, failure shall constitute default and, in such event, written notice shall be given to provide an opportunity to remedy such default. Should the defaulting party fail to remedy such default within 30 days from date of such notice, the non -defaulting party shall have the right, in addition to all other rights and remedies available at law or in equity, to terminate this Agreement in whole or in part. 12. ADVERTISINGIPUBLICITY. Customer may not make any disclosure to any other person or any public announcement regarding this Agreement or any relation between Prodigy (and/or any of its affiliate's) names, marks, codes, drawings, or specifications without Prodigy's prior written consent, unless required by law. Prodigy shall have the right to terminate this Agreement and any other agreements between the parties if Customer violates this provision. PRODIGY SOLUTIONS 13. INSURANCE. At all times during the term of this Agreement, Prodigy and its subcontractors shall maintain in effect the following types and amounts of Insurance: 1. Automobile Liability: a. Bodily Injury (each person): $250,000.00 b. Bodily Injury (each accident): $500,000.00 2. General Liability (Including Contractual Liability): a. Bodily Injury or Death (per person): $1,000,000.00 b. Property Damage (per incident resulting in injury or destruction of property): $100,000.00 3. Excess Liability: a. Umbrella Farm; $1,000,000.00 4. Worker's Compensation: Statutory 14. INDEMNIFICATION. It is agreed by and between the parties that it is the responsibility of Customer to maintain the area around the Telephones and to maintain enclosures if provided by Customer. Customer specifically agrees to defend and indemnify Prodigy from any claims that may result from Customers failure to properly maintain the area or enclosure except to the extent that such failure is due to the sole negligence or willful acts of Prodigy's employees or agents. Prodigy agrees to defend and indemnify Customer from any claims that result from Prodigy 's failure to properly maintain or service Telephones, except to the extent that such claim results from the sole negligence or willful acts of Customer's employees or agents. 15. NOTICES. Any notices or other communications to be given under this Agreement shall be sent to the following persons: FOR CALHOUN COUNTY: Honorable Richard H. Meyer 211 South An. St Suite 301 Port Lavaca, TX 77979 FOR PRODIGY: James Hartman 6000 Midlantic Drive Suite 415N Mt. Laurel, NJ 08054 16. REGULATORY. The parties acknowledge that underlying telecommunications services may be provided by regulated telecommunications providers and, where applicable, provider tariffs, catalogs and price lists may apply. 17. LAWFULNESS OF AGREEMENT. The parties acknowledge that this Agreement is subject to applicable federal; state, and local laws, rules, regulations, court orders, and governmental agency orders governing the provision of inmate telecommunications services. PRODIGY SOLUTIONS 18. NONWAIVER. The failure of either party to enforce strict performance of any provision of this Agreement shall not be construed as a waiver of its right to assert or rely upon such provision or any other provision of this Agreement. 19. GOVERNING LAW. This Agreement shall be interpreted, construed and enforced in all aspects in accordance with the laws. of the State in which the inmate telephone service is provided. 20. SUCCESSORS AND ASSIGNS. This Agreement shall be fully binding upon, inure to the benefit of and be enforceable by each party, their successors and assigns. No assignment of any right or interest in this Agreement (whether by contract, operation of law or otherwise) shall release or relieve either party of any of its obligations or liabilities under this Agreement. 21. ASSIGNMENT. Neither party shall assign its rights nor delegate its duties under this Agreement without the prior written consent of the other party; except, either party may assign this Agreement to a parent, subsidiary or affiliated company by providing thirty (30) days written notice to the other parry. 22. AMENDMENTS AND MODIFICATIONS. Amendments and modifications to this Agreement, except for additions or deletions of Telephones as described above, must be in writing and signed by an authorized representative of each Party. 23. SEVERABILITY. If any of the provisions of this Agreement shall be deemed invalid or unenforceable under the laws of the applicable jurisdiction, such invalidity or unenforceability shall not invalidate or render unenforceable the entire agreement, but rather the entire Agreement shall be construed as not containing the particular invalid or unenforceable provision or provisions, and the rights and obligations of Prodigy and Customer shall be construed and enforced accordingly. 24. ENTIRE AGREEMENT. This Agreement, including all schedules, amendments and exhibits, constitutes the entire Agreement between the parties and supersedes all prior agreements and oral or written representations with respect to the subject matter hereto. In Witness Whereof, the parties hereto affirm that they have the authority to execute this agreement on behalf of their respective entities for the entire term. ZName nity: Print �IrL4-1-rJ N lYl E y� Signature 7•- Date Z Prodigy Solutions Inc.: PRODIGY SOLUTIONS SCHEDULE A Commission Schedule Prodigy shall pay to County, promptly upon full execution of agreement, a one-time commission bonus of $29,000. Commissary Commission: Commissary will be based on the weekly, adjusted gross Commissary sales. Adjusted gross sales are gross sales less postage sales or other noncommissioned sales. GROSS MONTHLY SALES LESS POSTAGE SALES LESS SALES TAX = ADJUSTED COMMISSIONABLE SALES 39°/, Times Adjusted Commissionable Sales = Calhoun County Profit The foregoing commissions will be subject to a monthly minimum guarantee according to the following schedule: Ws 140 $ 3,900.00 130 $ 3,600.00 120 $ 3,300.00 110 $ 3,000.00 100 $ 2,800.00 90 $ 2,500.00 80 $ 2,200.00 70 $ 2,000.00 60 $ 1,700.00 50 $ 1,400.00 40 $ 1,200.00 PRODIGY SOLUTIONS Telephone/KiosklTablet Commission Prodigy agrees to pay Customer commissions for administration of the inmate telephone system based on Eighty -Nine percent (89%) of gross talk time revenue generated on the Prodigy Inmate Phone system. The Inmate Video Terminal Kiosks) and Optional tablets Prodigy agrees to pay percentages of revenue based on gross revenue according to the following schedule: TYPE PRICE_ COMMISSION Video Call $0.25 35% SMS Messages $0.15 29% Photos $1.00 40% Electronic Messages $0.50 50% Tablet Usage $7.95 50% Voicemail $0.50 50% The foregoing commissions will be subject to a monthly minimum guarantee according to the following schedule: D 140 $ 10,900.00 130 $ 10,100.00 120 $ 9,350.00 110 $ 8,600.00 100 $ 7,800.00 90 $ 7,000.00 80 $ 6,250.00 $ 500.00 460 $ $ ]4,700.00 900.00 $ 200.00 CERTIFICATE OF INTERESTED PARTIES FORM 1295 Left 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: 2023-1106614 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. Prodigy Solutions, Inc. Mount Laurel, NJ United States Date Filed: 12/21/2023 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. Bid Number: 2023.09 Inmate Telephone Services and Inmate Banking Software, Commissary Service and Fiduciary Management Services 4 _ Name of Interested Party City, State, Country (place of business) Nature of interest (check applicable) Controlling Intermediary Calhoun County, TX (Adult Detention, Center) Port Lavaca, TX United States X 5 Check only if there is NO Interested Party. ❑ 6 UNSWORN DECLA11RATION My name is : 17/ 1 P_'S tr (q/ T„`"� � � and my date of'birth 'iiss' My address is (street) (city) (state) (zip code) (country) I declare under penalty of perjury that the foregoing is true and correct. n Executed in County, Y. � � / ! .�4�i/1 , State of ��, on the J da of 1 20 7 (month) (year) ign cure of authorize agent of contracting business entity (Declarant) Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V3.5.1.f1b8c3f1 # 17 I NOTICE OF MEETING - 2/7/2024 17. Consider and take necessary action to accept insurance proceeds checks from TAC in the amount of $2,462.73 ($4,961.73 - $2,500 deductible) and $697.14 for damages to a Sheriff Office vehicle on 1/8/24. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner'Pct 2 SECONDER: Joel Behrens, Commissioner Oct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 14 of 20 Mae Belle Cassel From: candice.villarreal@calhouncotx.org (candice villarreal) <candice.viIlarreal@calhouncotx.org> Sent: Thursday, February 1, 2024 3:04 PM To: maebelle.cassel@calhouncotx.org Cc: Richard.Meyer@calhouncotx.org; David.Hall@calhouncotx.org; vern.lyssy@calhouncotx.org; Joel.Behrens@calhouncotx.org; 'Gary Reese'; Erica Perez Subject: Agenda Item - Insurance Proceeds - SO Attachments: TAC Insur Proceeds - SO 010824.pdf MaeBelle, Please add the following to the next available Commissioners Court agenda. • Consider and take necessary action on insurance proceed checks from TAC in the amount of $2461.73 (4961.73 — 2,500 deductible) and $697.14 for damages to a Sheriff Office Vehicle on 1/8/24. Thank you, Candue'VilTarreal Calhoun CountyAuditor Calhoun CountyAuditor's Office Wort Lavaca, VC 77979 Tfione (361)5534611 Calhoun County Texas TEXAS ASSOCIATION OF COUNTIES CHECK DATE CHECK NO. 70802 RISK MANAGEMENT POOL -CLAIMS 1/23/2024 70802 VENDOR ID VENDOR NAME ACCOUNT NUMBER Calhoun County DATE INVOICE NO. DESCRIPTION AMOUNT - o m y vayment Tor zu I u Chevrole., Tahoe VIN 8233 1/23/2024 APD20249858-1 Deductible $-2500.00 ---'---`-----®...mom-.�---------- ----------------- -..---......-..____ ___ - --- -- -- --- - - - - --- - -- 70802 A s s 0c, FROST BANK +r TEXAS ASSOCIATION OF COUNTIES w c RISK MANAGEMENT POOL -CLAIMS 30-9/1i40 F n z 1210 SAN ANTONIO STREET * .* AUSTIN, TX 78701 r �,e (512) 478-8753 CouN2� DATE AMOUNT 1/23/2024 $ 2,461.73 j PAY TWO THOUSAND FOUR HUNDRED SIXTY-ONE AND 73 / 100 DOLLARS J U L>� - ®�; VOID AFTER 180 AYS TOTHE Calhoun County � ORDER OF: 211 S Ann St Port Lavaca, TX 77979-4203 0 . [nil:.: jU(l.tY.tL .9y/` illb?080 211' TEXAS ASSOCIATION OF COUNTIES 70802 RISK MANAGEMENT POOL -CLAIMS Calhoun County 211 S Ann St Port Lavaca, TX 77979-4203 TO REORDER CALL:(706) 327.9550 W148FOD1014M 03123 TEXAS ASSOCIATION OF COUNTIES CHECK DATE CHECK NO. 70847 RISK MANAGEMENT POOL -CLAIMS VENDORID I VENDOR NAME I ACCOUNTNUMBER DATE I INVOICE NO. i DESCRIPTION I AMOUNT Chevrolet Tahoe VIN 8233 1/25/2024 APD20249858-1 $0.00 .. ._..._..--- --_. . ------ ----- . .. ..-- 70847 e Pssoo FROSTBANK +' TEXAS ASSOCIATION OF COUNTIES w _ o RISK MANAGEMENT POOL -CLAIMS 30.9/1140 F �5 1210 SAN ANTONIO STREET * ' * AUSTIN, TX 78701 (512) 476-8753 C'ounT� DATE AMOUNT 1 /25/2024 $ 697.14 PAY SIX HUNDRED NINETY-SEVEN AND 14 / 100 DOLLARS VOID AFTER 180 TOTHE Calhoun County ORDER 211 SAnn St Port Lavaca, TX 77979-4203 y Y I110708� 7110 TEXAS ASSOCIATION OF COUNTIES 70847 RISK MANAGEMENT POOL -CLAIMS Calhoun County 211 S Ann St S}6 Port Lavaca, TX 77979.4203 TO REORDER CALL: (708)327-9550 W14SFOD1014M 03123 NOTICE OF MEETING— 2/7/2024 18. Approve the minutes of the January 17, 2024 regular meeting. RESULT: APPROVED [UNANIMOUS] MOVER: I Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 15 of 20 Richard H.Meyer County judge ][David Hall, Commissioner, Precinct I Vern ]Lyssy, Commissioner, Precinct 2 Joel ]Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 The Commissioners' Court of Calhoun County, Texas cruet on Wednesday, January 17, 2024, at 10:00 a.m. in the Commissioners' Courtroom in the County Courthouse at 211 S. Ann Street, Suite 104, Pori ]Lavaca, Calhoun County, Texas. Attached are the true and correct minutes of the above referenced meeting. --44z' - Richard H. Meyer, my Judge Calhoun County, Texas Anna Goodman, County Clerk A-%—ZoZ.'G Date a- 7 O,2 (4 Date Page 1 of 1 i NOTICE OF MEETING—1/17/2024 January 17, 2024 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 Ball Vern Lyssy 3oel Behrens Gary Reese (ABSENT) Anna Goodman By: Kaddie Smith The subject matter of such meeting is as follows: 1. Call meeting to order. CountyJludge 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. n/a Page 1 of 8 I NOTICE OF MEETING.- 1/17/2024 5. Consider and take necessary action to ratify the Judge's Declaration of Local Disaster for the ongoing Border Disaster Crisis. (RHM) RESULT.. K- -APPROVEDi[IINANIMOUtj V rkt 2 ern Ly ssy arrifflisslone ,tbbblkb'#R:.�� libavld kall '066US'slori qj b.f ft-.I. a eyer, Judge 6. Consider and take necessary action to approve a service contract between Calhoun County and Sentry Mapping for ground penetrating radar work at the "Calhoun Port" Cemetery and authorize the appropriate signatures. (DEH) RESULT. —A �-E- PPItOVE11) ... . . .... .. David MOVER D . Hall;Commissioner P1- - SECONDER. Gary-kees% Commissioner Pet Meyer,e : yssy.j: Behrens, R'--se- JU'd i� iontem 11 L7, B h -1. P* 7. Consider and take necessary action to authorize Commissioner Hall to sign service contracts with Hurt's Wastewater Management, Ltd. For the septic systems located at 865 North Ocean Drive and 2506 North Ocean Drive. (DEH) RULE, APPROVED [UNANIMOUS] David Hall'tornmisslorer. �dt 1 SEONbEI:..'.Vern Lyssy, Commissioner Ri?t 2 judgeBYES Meyer,C tysiy Q ;ehrer.j� eReese .. 8. Consider and take necessary action to open a credit account with Valin Corporation and authorize Commissioner Behrens to sign the application. (JMB) , k6i -:APPROVED -tu0NMimbm-i MOVER -:joeI Behrerl$,, comimissloner:17ct 1'. SECONDER. Gary Reese; C 6 ffimissi onqr�Pok,4 Judge Me_yer 0m Issloper ftl i Lys -W'BdhfOnsReese 9. Consider and take necessary action to approve the preliminary plat for Driftwood Shores located in Calhoun County, Texas. (JMB) haif of :Drifhniood Shy I :Orellfibinarypllat.- ,Rlm: Vern Lyssycl-.12Q111711M, Judge Meyer,-Com Page 2 of 8 NOTICE OF MEETING—1/17/2024 10. Consider and take necessary action to reappoint Dwayne Fishbeck to the Calhoun County Parks Board for a two-year term beginning February 1, 2024. (GDR) RL5i0L 1PPROVED [UNANIMO.US] MOVER' Gary Reese, Commissioner Pct 4 SECON[iER :David Halh;Commissloner Pet J - AYES Judge Beyer, Commissioner{Hall, Lyssy, Behrens, Reese 11. Consider and take necessary action to appoint Brent Hart to the unexpired term of Charlene Terrell to the Calhoun County Parks Board. (GDR) RESULT: APPROVED [UNANIMOUS] MOVER Gary Reese, Commis sioner+Pct 4 - SeCONDEFl David HaII;;,Commissioner,;Pct 1. ANU judge Meyer, Commissioner Hall, Lyssy,,Behr..ens, Reese.; 12. Consider and take necessary action to allow the Port O'Connor Chamber of Commerce to use the King Fisher Beach/Park on April 27, 2024 for their annual Crawfish Festival. (GDR) RESlXLT APPROVED [UNANIMOUS] MOVER ' Gary Reese; Comm:. issl6ii ct 4 SECONDER; Joel Behlehs, Commissioner. Pct 3 AYES' Judge Meyer, Commissioner Hall; Lyssy, Behrens, Rr ese' 13. Consider and take necessary action to allow the Port O'Connor Chamber of Commerce/Crawfish Fest to sell alcohol at their annual fundraiser to be held April 27, 2024 at Kingfisher Beach in Port O'Connor, Texas and authorize the County Judge to sign the letter of approval to the TABC. (GDR) RESULT. APPROV...ED [UNANIMOUS] MOVER Gary Reese, Commissioner Pct 4 SECOJVDER Joel Behrens, Coninissioner`Pct 3 AYES Judge,Meyer, CornPnissloner;Hall, Lyssy, Behrens, Reese`'. 14. Consider and take necessary action to designate Park Avenue as a One -Way street during the Crawfish Fest being held April 27, 2024 between the hours of 7:00 am and 8:00 pm in order to deter traffic hazards. Also designate the grass area north of the pier, between Jackson and Harrison, be utilized as golf cart parking only. (GDR) RESULT: APPROVED [UNANIMOUS_] MQV R: Gary Reese, Commissioner Kt 4 , SEOluDElrw 30el Behrens, Commissioner Pet 3 > AYES Judge Meyer, Commissi4rier HaIJ, Lyssy, Behrens, Reese . Page 3 of 8 NOTICE OF MEETING-1/:1.7/2024 15. Consider and take necessary action to authorize the Port O'Connor Chamber of Commerce to hold the annual Fireworks Display at King Fisher Beach/Park on July 6, 2024 and utilize the park as a vendor area during the hours of 10:00 am to 10:00 pm. (GDR) iFtESULT: APPROVED [UNANIMOUS] MQVEIR: Gdry Re@se, Commissioner Pct 4 5EC([NDEIR. -• Joel Behrens, Cornrrrissloner<Pct3 AYES Judge -Meyer, Commissioner Hall, Lyss.'y, Behreris, Reese; .: 16. Consider and take necessary action to designate Park Avenue as a One -Way street during the annual Fireworks Display July 6, 2024 between the hours of 5:00 pm and 10:00 pm in order to deter traffic hazards. Also designate the grass area north of the pier, between Jackson and Harrison, be utilized as golf cart parking only. (GDR) RESULT,'' APPROVED [UNANIMOUS MCIVER Gary Reese, Comrnissioner Pet A SECONCie P Joel Behrens, Gdtnmissioner Pct 3 AYES Judge Meyer, Commissioner Hall; Lyssy, Behrens, Reese: 17. Consider and take necessary action to authorize Constable Louis Warren to enter Into a contract with Axon Enterprise Inc. for Fleet 3 Basic f TAP dash cam and sign all documentation. (GDR) RESAILT .'_ I1pPF( ED [UNANIMOUS] Gary,`Reese, Cammissigfit r-Pict 4 SiEONDERy Joel Behrens, Commissioner: PCt 3 AYES. Judge Meyer, Commissioner. Hall, Lyssy,, Behrens, Rege.. 18. Consider and take necessary action to authorize Constable Louis Warren to enter into a contract with Axon Enterprise Inc. for an AB4 Camera Bundle for a body camera and sign all documentation. (GDR) RESULT: APPROVED [UNANIMOUS] M1VER• Gary Reese, commissioner P'ct 4 SECONDEII: Joel Behrens, Comnissioner:Pct 3' AXES: Judge Meyer, Commissioner Nall, Lyssy; Behrens, ,Reese. 19. Consider and take necessary action to authorize the County Judge to sign a Resolution to authorize Commissioner Reese to apply for Golden Crescent Regional Planning Commission Regional Solid Waste Grant for two recycle trailers. (GDR) RESULT APPROVED [UNA_NIMOUrS] MOVER; Gary Reese, Commissioner Fct 4 S CONC?ER 'Joel Behrens, CgmmissIone� Pict 3 /(YESo Judge Meyer,,CgmmissionerHaA, Lyssy, Behrensi Reese, Page 4 of 8 I NOTICE OF MEETING — 1/17/2024 20. Consider and take necessary action to authorize Commissioner Reese to apply for a Golden Crescent Regional Planning Commission Regional Solid Waste Grant for two recycle trailers and to sign all documentation. (GDR) S3 AP0FWV—l5j)fUNAN1f4!0,U MOVER Gary ees& Cd mm1sslon6r'P ct..4. 3 61 Eliahr666-Qbrr4nlssl6her P-ctt3 AYES " 3 dge,-M . -- 0 issi nWr Q1r LWs9W,Odren§,f Reese; , . 21. Consider and take necessary action to authorize Commissioner Reese to contract with Kathy Smartt of Smartt Grants to prepare and present the grant to the Golden Crescent Regional Planning Commission Solid Waste Program for a fee of $300. (GDR) RESUM— V 7 APPROVED [UNAN 11010V'EFVJoel Behrens, Commissioner Pct $EQQ.ND ne" ibavrd Ha Co iss onfer c_ .... .... IUMeyer; Co imirnI ss on r Ltyssy BOhren' AAC. 22. Consider and take necessary action to cancel the February 21, 2024 regular meeting to allow the Judge and Commissioners to attend the V. G. Young Institute of County Government School for Commissioners Courts in Bryan, Texas. (RHM) -RESULT. APPROVED [UNANIMOUS] vi, .-C ommissione:, K� y eese;: S David Hall t0mH ' `ssidherfttl "M S.:,_ fudge Meyer, R M h MWi 9.. 23, Consider and take necessary action to accept an anonymous donation of $75.00 to the Sheriff's Office to be deposited into the Motivation account (2697-001-49082-679). (RHM) APPROVED JUNANIMOUS] Wrn'Lyssy, CoW.. l0biner'Pict 2'..- 30qg0;i*y0r' 0 i'issic 6�e Hall, Lyssy, Behrens, Reese 24. Consider and take necessary action to remove a 2020 Chevrolet Tahoe VIN # 1GALCDED4LR282939 FROM THE Sheriffs Office fleet due to being totaled In an accident on 11/10/23 and authorize the County Judge to sign all relevant paperwork. Prestige has been assigned to put the vehicle/title after all equipment has been removed. (RHM) RESULTI 7APPROVED o�MOVER� Vid Hall'... SECONDER: Wr6 Lyss , Camhtisslaner Esvi. "16 ge.Meyer, Commissioner H 1.1, y, Rlehreift-s* R-7eese.--.--. Page 5 of 8 NOTICE OF MEEI-ING -- 1/17/2024 25. Consider and take necessary action to acknowledge and accept the 2023 Operation Stone Garden Grant for the fiscal year 2023 In the amount of $100,000.00. (RHM) RESIUfLT APPROI/FD IUlU11F1IMgrl�S] , 1�OVE1� - ,David Hall;: COmmlSsioner Pet 1 , EWWI.Vein Lyssy� Commissioner pc1 � s AYES" J urge Meyer, "Commissitirrer F)fl, Lyssy, 7Behreris, Reese` r ay...viiaiuoI auu Banc 11U cZ=ary aLuvn w appruvn Um rr cuc�r imeriocai Agreementi ana authorize Judge Meyer to sign all documents. (RHM) The Harbor Children's Alliance & Victim Center $28,500.00 27. Approve the minutes of the December 27, 2023 regular meeting. REBUILT, APPROVED [NANIMOS] Tit?` Vern LYSsy, Commissioner fit 2 E (iNDERo 7oe1 Behrens, ommissEoner•Pct 3 A1FE5.: Judge Meyer, CommI slgnel .:Hall, Lyssy, Behrens, Reese: co. cnLer k_.orlonamg CaUCaCIOn naUrs Tor ulsCnCC LierK, Anna Kaoela, into the orriciai recora. (RHM) R€BUCT -APPRO)UB] MOVER Gary Reese, Commissiorter .act 4 EIDER Joel Behre]1s, �ommissionerx Pct 3 AYES Judge Meyer, Commissionef Hali, Lyssy, Behrrss, Reese`= 29. Consider and take necessary action to declare the attached list of assets from Road & Bridge Precinct 3 as Surplus/Salvage to be sold at auction. (JMB) TtEU4T, APPROVE p [UIIVIMOUSj MOVER g0y ReA �'8 Commm stoner Pf 4 F�bERt 3oe1 Behrens, Comiriiss1oner Pct 3` AYESa Judge Mel a Commissioner l�8ll, Lyssy, Behrens, Reese Page 6 of 8 I NOTICE OF MEETING— 1/17/2024 30. Accept Monthly Reports from the following County Offices: I. County Clerk — December 2023 li. County Treasurer — July 2023 iii. County Treasurer — August 2023 iv. County Treasurer — September 2023 v. County Treasurer — Investment Report for QTR ending September 2023 vi. County Treasurer — Quarterly Statement of Balances vii. District Clerk — December 2023 viii. Justice of the Peace, Precinct 1— December 2023 ix. Justice of the Peace, Precinct 2 — December 2023 x. Justice of the Peace, Precinct 3 — December 2023 xi. Justice of the Peace, Precinct 4 — December 2023 xii. Sheriff's Office — December 2023 xiii. Texas Agrilife Extension Service - December 2023 1. 4-H and Youth Development 2. Agriculture and Natural Resources 3. Family and Community Health 4. Coastal and Marine RESULT, APPROVEI rIr NANI14 MOVER, bavid Hall; Commissioner Pc1 SECON DEA-. Vern Lyssy, Commissioner PM., AYES: Judge Meyer; Eommissioner Hall, Lyssy, Befi"tens, Reese 31. Consider and take necessary action on any necessary budget adjustments. (RHM) 20-2 RESULTS ':; APPROVED [UNANTMOUSr MOVER. Gary Reese, Commissioner Pt 4 SECONDER Joel Behrens, Comm �ssloner Pct 3, Judge Meyer, Commissioner Half, LysSy, Behrens, Reese 2014 RESULT APPROVED [UNANIM011.1151 MOVER. Gary Reese, Commissioner Pet.4 SECONDER: Joel Behrens, Commissioner'Pct 3 AYES =Judge Meyer, CommissIbber Hall,"Lyssy, Behrens, Reese. Page 7 of 8 i NOTICE OF MEETING—1/17/2024 32. Approval of bills and payroll. (RHM) APPROVED [UNANZW(OUSj _ Dawd Hall, ComMlsslOh sr Pet 1 i VahH I iZev Y nrwrniem7itrlar lit 7or- . R� Dauld.Fi�ll, Comml�slpner het 1 N1)ERF Varn tyssy, Comm ssOer Pst 2 Adjourned 10:36am Page 8 of 8 #19 NO-IICE OF MEEFING — 2/7/2024 19. Accept Monthly Reports from the following County Offices: a. Floodplain Administration — January 2024 RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 16 of 20 Calhoun Count y Flo o dplain Administration 211 South Ann Street, Suite 301 Port Lavaca, TX 77979-4249 Phone: 361-553-4455/Fax: 361-553-4444 e-mail: Debbie.Vickery@calhouncotx.org January, 2024 Development Permit Report For Commissioners Court: 02/7/24 New Homes — 5 Renovations/Additions — 0 Mobile Homes — 2 Boat Barns/Storage Buildings/Garages - 2 Commercial Buildings/RV Site - 0 Tank — 0 Fence — 0 Pool-0 Drainage- 0 Pipeline — 0 Sandpit - 0 Total - 9 Total Fees Collected: $540.00 Receipt No: 925835,925836,925837,925838,925839,925840,925841,925842,925843 # zo I NOTICE 01= MEETING - 2/7/2024 20. Consider and take necessary action on any necessary budget adjustments. (RHM) 2023 RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 2024 RESULT: APPROVED [UNANIMOUS] MOVER: '' Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 17 of 20 J N N n O O O pj O N W p z z z O O O O O O z z z 3 T 0 A O �KCl) m n O v = D = z r 0mv> m y n m -4 A a <z C7 D yn m coo coon= e z z z 000 AO A A z z z m a o: m: �o a: z: m: z Z 0 a m m m n C O C� .DIM M m> W N W� m W ~ A N O O O O O N W N p � x 9 x o o= o O D n� A 0 m mn O O p _ z N 0 2 A C 5 go mmmrM mmNmy p 0 < z C: 0 z 5 0 v 7� c n -0 K m p Z X m p� n c� C o x m m. vN m c)AOa mO � m 3 m � O A r Z - m N N N O N (D tD (O (D (O t0 t0 (O t0 y (O (O (D (p fp f0 (O (O <O Z O zzzzzzzzz 000000000 000000000 Z Z Z Z Z Z Z Z Z a z IN a O O O O O O O O O ale � 000000000 mj T T fA W N EAN O)E9 fA EAT O N N O� Co O O O N fA fA fA Q vN N� � A a o a 0 C z CAA m: a: m: z: 1 z: 0: O = W N v O1 D N CO; 1 A O Z -q r 'uoCCn=Wa m -0 n � z Fn T N A n m� m m O A A m z mi 51 b TPERfA � fA fA M O a 0 a cn ,0z a 0 C Z N G: m: �o a: 3 m: Z: Z: 0: c v n m m m n C T N W O (O W J W N N N (O O N = O O O N N N p a O G)(n rp I T AmC-00 n O Oc A 3 m -0m O N T z = mm mM N T eta D (Dm m E! 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Approval of bills and payroll. (RHM) MMC Bills RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens; -Reese County Bills 2023 RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: I Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese County Bills 2024 RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER; Vern Lyssy, Commissioner Oct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 18 of 20 O ri O O C C OJ l0 N �.y N 'y O W t+1 M r O1 N . a O� C O W l0 N C ut W rl N O rl U} (+1 U}L?V} fh U} U} b4 b9 aaa a as a W E 4 W W F N W W \ z m H I W \ .. W W F H W P F W W W �W�yy 0W N y N F �z a z c°) O H N U' a x a a o "w H H a z U M H Ea W W H U P; W U O H U F U' ,pId 0O H a a F W U W W q U W WUµ' H E N F N N N W 15 W a PS (# 14 W H {Fq H {Fq EE yH� a s w �e�` a w E. a N u H W W W W W •aa aaa Z a a a a a H £ £ £ £ £ O O O O O V F H F F F H F E F E F Z W W W W W xxaaxckaa \ \ \ \ \ \ \ \ aaaaaar�r� W W eN v CC H N N N N N N W O O O O O O pS N N N N N N N N N N N N O O O O O O \ \ \ \ \ \ a N N N N N N W O O O O O O 0 4 aaa.400 0 000000 rrrNrr wwawwa w E a 0 a a D m A a H x U z o�H p 'G O G aW a W W E yW L F W £ O W E O 444E U E ax z E W W 54 A a O we x 3o w z w 4 c�"nxE"wNor N� zo>a> MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR ---February 07, 2024 TOTALS TO BE APPROVED - TRANSFERRED FROM ATTACHED PAGES TOTAL PAYABLES, PAYROLL AND ELECTRONIC BANK PAYMENTS TOTAL TRANSFERS BETWEEN FUNDS TOTAL NURSING HOME UPL EXPENSES TOTAL INTER -GOVERNMENT TRANSFERS 546,130.55 727,006.74 ✓ $ 1,111,552.13 GRAND TOTAL DISBURSEMENTS APPROVED February 07, 2024 $ 2,384,689.42 MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR ---February 07, 2024 PAYABLES AND PAYROLL 2/1/2024 Weekly Payables 258,931.94 2/1/2024 Patient Refunds 1,916.15 2/5/2024 Republic Services Inc. -waste 1,738.62 2/5/2024 McKesson-3408 Prescription Expense 3,180.13 2/5/2024 Ametisource Bergen-3400 Prescription Expense 1,387.40 2/5/2024 Health Equity -Wage works employee FSA 16,126.93 Prosperity Electronic Bank Payments 2/5/2024 IRS USA Taxpayment-payroll taxes 2,226.37 2/25/2024 TCORS January Retirement 186,021.62 1/29-2/2/24 Pay Plus -Patient Claims Processing Fee 970.93 2/7/2024 90 Degree Benefits -premium payments 69,499.78 2/1/2024 Health Equity -HAS Contributions 3,526.99 2/2/2024 ExpertPay- child support 570,69 2/2/2024 Authnet Gateway Billing-3rd Party Payor Fee 33,00 TOTAL PAYABLES, PAYROLL AND ELECTRONIC BANK PAYMENTS TRANSFERS BETWEEN FUNDS-MMC 2/5/2024 Transfer from Money Market Accountto MMC Operating -to cover expenses 500,000,00 TRANSFER BETWEEN FUNDS FROM MMC TO NURSING HOMES 2/1/2024 MMCOperatingto Ashford -NH portion of QIPP payment deposited Into MMC 7,893.04 Operating 2/1/2024 2,319.6S MMCOperating to Solera-NH portion of QIPP payment deposited Into MMC Operating 2/1/2024 MMCOperatmg to Fort bend -correction of NH insurance and QIPP payment deposited 6,618.30 into MMCOperating 2/1/2024 MMCOperating to Broadmoor-correction of NH insurance and QIPP payment 7,486.86 deposited into MMC Operating 2/1/2024 MMCOperating to Crescent -correction of NH Insurance and QIPP payment deposited 7,794.83 into MMC Operating in error 2/1/2024 MMC Operating to Golden Creek -correction of NH Insurance and QIPP payment 82,010.14 deposited Into MMC Operating in error 2/1/2024 MMC Operating to Tuscany Village -correction. of NH Insurance and QIPP payment 28,080.77 deposited into MMC Operating in error 2/1/2024 MMC Operating to Bethany -correction of NH insurance and QIPP payment deposited 84,803.25 Into MMC Operating In error TOTAL TRANSFERS BETWEEN FUNDS NURSING HOME UPL EXPENSES 2/5/2024 Nursing Home UPL-Cantex Transfer 533,067.38 2/5/2024 Nursing Home UPL-Nexion Transfer 141,013.98 2/5/2024 Nursing Home UPL-HMG Transfer 6,981.89 2/5/2024 Nursing Home UPL-Tuscany Transfer 109,036.61 2/5/2024 Nursing Home UPL-HSL Transfer 200,631.03 QIPP CHECKS TO MMC 2/5/2024 Ashford 34,182.19 2/5/2024 Broadmaor 12,645.12 2/5/2024 Crescent _ 9,43210 2/5/2024 Fort Bend 10,670.52 2/5/2024 Solera 10,233.12 2/5/2024 Golden Creek 24,759.09 TRANSFER OF FUNDS BETWEEN NURSING HOMES 2/5/2024 Crescent to Tuscany -Tuscany Insurance payment deposited Into Crescentin error 18,900.00 TOTAL NURSING HOME UPI. EXPENSES TOTAL INTER -GOVERNMENT TRANSFERS 546,130.55 727,006.74 $ 1,111,SS2.13 GRAND TOTAL DISBURSEMENTS APPROVED February 07, 2024 $ 2,384,689.42 211124,.1:04 PM tmp_cw5repert7477412457919726959,html RECEIVED BY THE &)MAUDITOR ON MEMORIAL MEDICAL CENTER AP Open Invoice List 1 p �, 2�24 ap_open_invoioe.template 0 Due Dates Through: 02/23/2924 VLeendd�olr# VendorName Class Pay Code C pfi1200N C(d�f�1.TCOM ACIAL Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 153435623✓ 01131/202 01/03/202 01/281202 53,61 0.00 0.00 53.61 FIRE MONITORING (01 It H Q 24- 01 f 311 Z-9) Vendor Totals: Number Name Gross Discount No -Pay Net R1200. ADTCOMMERCIAL 53.61 0.00 0.00 53.61 Vendor# Vendor Name Class Pay Code 14028 AMAZON CAPITAL SERVICES ei Invoice# Commee I Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net iXX6-HWH4-KKN9 ^/ 01/23/20201/10/202021091202 41.53 0.00 0.00 41,53 e� SUPPLIES 1DDG-KCP7.6RRG y 01193/20201/19120202/18/202 37.68 0.00 0.00 37.66 ✓ SUPPLIES 1TMV-lTTV-K19J d' 01/23/20201/21/20202/20/202 39.98 0.00 0.00 39.915 SUPPLI 6 iMWV-6QR-PLW4 f 01/31/20201/17/20202/16/202 49.98 OAO 0.00 49.98 b' SUPPLIES t FK7-MQ7M-MBJG✓ 01131/202 01/25/202 02/23/202 156.38 0.00 0.00 156.311 r SUPPLIES Vendor Totals:. Number Name Gross Discount No -Pay Net 14028 AMAZON CAPITAL SERVICES 325,55 0.00 0.00 325.55 Vendor# Vendor Name / Class Pay Code 11756 AYA HEALTHCARE INC ✓ Invoice# / Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 3885217// 01/31/20201/18/20202118/202 2,976.75 0.00 0.00 / 2,976.75 6d' K DUNN Ltf1Jt 11-1- I j'1j T'!) 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BECKMAN COULTER INC 3,904,81 0.00 0.00 3,904.81 Vendor# Vendor Name Class Pay Code 10024 BECTON, DICKINSON & CO (BD) Invoice# lomment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 9112229689 01/31/20201116120202/15/202 483.50 0.00 0.00 483.50 «� SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 10024 BECTON, DICKINSON & CO (BD) 483.50 0.00 0.00 483.50 Vandor# Vendor Name /- Class Pay Code 11072 810-RAD LABORATORIES, INC d� Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net file:)//C:/Users/itrevino/cpsilmemmed.cpainet.com/u88125/data S/tmp_cw5report7477412457919726859.html 11110 211/24, 1:04 PM tmp_cw5repart7477412457919726959.html 906943443 m8 01 /31/202 01/09/202 01/31/202 266,51 0.00 SUPPLIES Vendor Totals: Number Name Gross Discount 11072 BIO.RAD LABORATORIES, INC 266,51 0.00 Vendor# Vendor Name Class Pay Code C104B CALHOUN COUNTY ✓� W Invoice# Comment Tran Ot Inv Dt Due Dt Check Dt Pay Gross 012424 01131/202 01/241202 02/07/202 45.50 FUEL Vendor Totals: Number Name Grass 01048 CALHOUN.COUNTY 45.50 Vendor# Vendor Name Class Pay Code 14120 CALHOUN COUNTY EMS : Involce# ,/ Comment Tran Ot Inv Dt Due Dt Check Dt Pay Gross 2023.12 r^` 01118/20201/03/20202/20/202 5,720,00 DEC TRANSFERS Vendor Totals: Number Name Gross 14120 CALHOUN COUNTY EMS 5,720.00 Vendor# Vendor Name Class Pay Code / 14064 CAPITAL ONE / Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross 1653400024 02101/20201/19/20202/13/202 640,81 SUPPLIES Vendor Totals: Number Name Gross 14064 CAPITALONE 640.81 Vendor# Vendor Name Class Pay Code 10650 f CAREFUSION 2200, INC v^ Invoice# Tran Dt Inv Dt Due Dt Check Dt Pay Gross ,C/omment 9400417138 �"` 01/$1/20201/15/20202/14/20e 90.38. SUPPLIES Vendor Totals: Number Name Gross 10650 CAREFUSION 2200, INC 90.36 Vendor# Vendor Name / Class Pay Code C1992 CDW GOVERNMENT, INC. ✓ M Invoice# Comment Tran Dt Inv Ot Due Dt Check Dt Pay Gross / NV17073 ✓ 01/31/20201/02/20202/01/202 163.53 !/SUPPLIES NW26717 a6 01/$V20201/05/20202104/202 1,167.54 SUPPLIES Vendor Totals: Number Name Grass C1992 CDW GOVERNMENT, INC. 1,331,07 Vendor# Vendor Name Class Pay Code / 12768 cHEMAOUA J Invoice#i Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross / 8530804 V' 01/31/20201/10f20201/20/202 593.69 WATER TREATMENT Vendor Totals: Number Name Gross 12768 CHEMAQUA 593.69 Vendor# Vendor Name Class Pay Cade C1970 ! CONMED CORPORATION ✓ M Invoice# Comment Trah Dt Inv Dt Due Dt Check Dt Pay Gross uffi a 01131120201/03/20201/03/202 215.06 1044 gy10 SUPPLIES Vendor Totals: Number Name Gross 01970 CONMED CORPORATION 215.08 Vendor# Vendor Name Class Pay Code file:/I/C:IUserslitmvino/cpsi/memmed.cpslnet.com/u88125/data 5/tmp_pw5report7477412457919726959.html Discount 0.00 Discount 0.00 Discount 0.00 Discount 0.00 Discount 0.00 Discount 0.00 Discount 0.00 Discount 0.00 0.00 No -Pay 0,00 No -Pay 0,00 No -Pay 0.00 No -Pay 0.00 No -Pay 0.00 266.51 Nat 266.51 Net 45.50 a Net 45.60 Net 5,720, W Not 5,720.00 No -Pay Net 0,00 640.81 No -Pay Net 0.00 640.81 No -Pay Net 0.00 90.36 " No -Pay 0.00 Discount No -Pay 0.00 0.00 0.00 0.00 Discount No -Pay 0,00 0.00 Discount 0.00 Discount 0.00 No -Pay 0.00 No -Pay 0.00 Net 90.36 Net 163.53 �% 1,167.54 Net 1,331,07 Net 593.69 Net 593.69 Discount No -Pay Net 0.00 010D 215.06 J Discount No -Pay Net 0.00 0.00 215.06 2/10 211/24, 1:04 PM tmp_cw5repod7477412457919726959.htm1 10646 COVIDIEN �'' Invoice# Comment Tran Dt Inv Of Due Dt Check Of Pay Gross Discount No -Pay 5870940755 ✓ 01/31/202 01/15/202 011251202 354.48 0.00 0.00 SUPPLIES Vendor Totals: Number Name 10646 COVIDIEN Vendor# Vendor Name Class. Pay Code / 15212 DANIELLE KALISEK Y✓ Net 354.48 r0 Gross Discount No -Pay Net 354.48 0,00 0.00 354.48 Invoice# Comment. Tran Of Inv Of Due Dt Check Of Pay Gross Discount No -Pay Net 012424 01/30/202r�01/24/20202101/202 28.99 0.00 0.00 28.99 r� 28,99 ",1.�IXI,uvSenVr.y Of I t*&% Fdua Marwt� ' 64-am Vendor Totals: Number Name Gross Discount No,Pay Net 15212 DANIELLE KALISEK 28.99 0,00 0100 28.99 Vendor# Vendor Name Class Pay Code 10368 DEWITT POTH & SON .✓ Invoice# % Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 744141.0✓ 01/31/20201/24/20202/18/202 692.65 0100 0.00 692.65 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 10368 DEWITT POTH & SON 692.65 0.00 0.00 692.65 Vendor# Vendor Name Class Pay Code 11291 DOWELL PEST CONTROL ✓' Invoice# Comment Tran Dt Inv Of Due Dt Check Ot Pay � Gross Discount No -Pay Net 24505 r% 01/31/20201/12/20202106/202 75,00 0,00 0.00 75.00 ✓� PEST CONTROL Vendor Totals: Number Name Gross Discount No -Pay Net 11291 DOWELL PEST CONTROL 75.00 0.00 0.00 75.00 Vendor# Vendor Name Class Pay Code 15240 ECLINICAL WORKS LLC .✓/ Invoice# Comment Tran D7 Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 0002824065 01/31120212P28/20201/28/202 449.00 0.00 0.00 449.00 g� INFUSION MONTHLY SERV CHAP Vendor Totals: Number Name Gross Discount No -Pay Net 15240 ECLINICAL WORKS LLC 449.00 0.00 0.00 449.00 Vendor* Vendor Name Class Pay Code 11284 EMERGENCY STAFFING SOLUTIONS ✓ Invoice# Comment Tran Of Inv Dt Due Dt Check Of Pay Gross Discount No -Pay Net 45698 01/31/20201/31/20202/10/202 40,062.50 0.00 0.00 40,062.50.� Z PHYSCIAN STAFFING Vendor Totals: Number Name Gross Discount No -Pay Net 11284 EMERGENCY STAFFING SOLUTIONS 40,062,50 0.00 0.00 40,062.50 Vendor# Vendor Name Class Pay Cade C2510 EVIDENT r,/ M Invoice# Comment Tran Dt Inv Dt Due Dt Check Of Pay Gross Discount No -Pay Net T2401171376 ✓ 01/31/20201/17120202/11/202 7,399,54 0,00 0.00 7,399.54 BUSINESS SERV Vendor Totals: Number Name Gross Discount No -Pay Net C2510 EVIDENT 7,399,54 0.00 0.00 7,399,54 Vendor# Vendor Name Class Pay Code 15052 / FAVORITE HEALTHCARE STAFFING r' Invoice# Comment Tran Dt Inv Dt Due Ot Check DI Pay Grass Discount No -Pay Net 1472274v-' 01/31/20212/06/20201/06/202 3N4a,-ty-36:25- 0.00 0.00 -88,263g43I LYSSA CORTINAS ((tj 2'i.-I%17.&12,3) a-ld / 1473871 01131120212/20/20201/20/202 34 t,,-vxyt) -68:50- 0.00 0.00 -36,60 A47,[ LYSSA CORTINAS ( 121 q - 1Z1101z3) P W 1476211 ✓f 01/31/20201/10/20202110/202 2,303.75 0100 0.00 2,303,75 file:///C:/Users/ltrevino/cpsi/memrned,cpsineLCom/u88l25ldata_5/tmp_pw5repott7477412457919726959.html 3/10 2/1/24, 1:04 PM tmp_cw5report7477412457919726959.html LYSSA CORTINAS (I j Z I j 3 j-L9) jl 1 i Vendor Totals: Number Name Gross Discount No -Pay Net 15052 FAVORITE HEALTHCARE STAFFING 2-'p"D 0.00 0.00 2;376m. Vendor# Vendor Name class Pay Code Isis .00 F1400 FISHER HEALTHCARE ✓'r� M Invoice# Comment Tran Dt Inv Dt Due Dt Check OI Pay Gross Discount No -Pay Net 9114256 V 01/31/20201/18/20202/10/202 26,06 0.00 0.00 26.06 SUPPLIES 9114258 ✓,/ 01131120201118/20202/10N202 1,213.81 0100 0.00 1,213.81 V/ Vendor Totals: Number Name Gross Discount No -Pay Net F1400 FISHER HEALTHCARE 1,239.87 0.00 0.00 1,239,87 Vendor# Vendor Name Class Pay Code / 11183 FRONTIER ✓ Invoice# Comment .Tram Dt Inv Dt Due DI Check Dt Pay Gross Discount No -Pay Net 011924 01/31/202 01119/202 02/121202 56.40 0.00 0,00 56.40 TELEPHONE Vendor Totals: Number Name Gross Discount No -Pay Net 11183 FRONTIER 56.40 0.00 0.00 56.40 Vendor# Vendor Name Class Pay Code 14156 FUJI FILM V✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 91434902 ✓ 01131/202 011251202 02/151202 7,908.33 0.00 0.00 7,908.33 CONTRACT Vendor Totals: Number Name Gross Discount No -Pay Net 14155 FUJI FILM 7,908.33 0.00 0.00 7,908.33 Vendor# Vendor Name Class Pay Cade 11149 GBS ADMINISTRATORS, INC If Invoice# Comment Tran Dt Inv Dt Due Dt Check DI Pay Gross Discount No -Pay Net 741747761221 ✓ 01131/20201101120201/01/202 3,860.23 0.00 0.00 3,86023, LTDDJAN 24 598595647878 021011202 01/16/202 02/011202 7.242.26 0.00 0.00 7,242.26 w� LTD FEB 24 Vendor Totals: Number Name Gross Discount No -Pay Net 11149 CBS ADMINISTRATORS, INC 11,102,49 0.00 0.00 11,102,49 Vendor# Vendor Name Class Pay Code 13148 GRACE FLOORING AND GLASS Invoice#/ Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 2541 01/31/20211/03/20212/03/202 138.99 0.00 0.00 138.99 / SUPPLIES 2479 01/31/202 12108/202 01/081202 399.40 0.00 0.00 399.40 ✓•�� / SUPPLIES ✓ 2467.1 02101120212101/202011011202 6,464.50 0.00 0.00 6,464.50 PLANK INSTALL COMPLETION - I;oMlhwh II-1 "0n5 ,.n..1 3rd Fjur e_taS6vwm Vendor Totals: Number Name Gross Discount No -Pay Net 13148 GRACE FLOORING AND GLASS 7,002.89 0.00 0.00 7,002,89 Vendor# Vendor Name Class Pay Code W1300 GRAINGER M Invoice# Comment Tran Dt Inv Dt Due DI Check Dt Pay Grass Discount No -Pay Net 9967230328 01 /31/202 011181202 02/12/202 110.20 0.00 0.00 110.20 ✓'� SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net W1300 GRAINGER 110.20 0.00 0,00 110.20 Vendor# Vendor Name Class Pay Code G1210 GULF COAST PAPER COMPANY/ M Invoice# Comment Tram Ot Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net file:///C:/Users/Itrevino/cpsl/memmed.opsineLcomlu88125/data_5/tmp_cw5report7477412457919726959.html 4/10 2/1/24, 1:04 PM tmp_cw5repart7477412457919726959.htm1 ✓/ / 2493849 01131/20201123/20202/22/202 1,002.88 0.00 0.00 1,002.88 ✓ SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net G1210 GULF COAST PAPER COMPANY 1,002.88 0.00 0.00 11002.88 Vendor# Vendor Name Class Pay Code 10334 HEALTH CARE LOGISTICS INC d/ Invoice# omment Tran Dt Inv Dt Due DI Check DI Pay Gross Discount No -Pay Net 309297994 01/31/202 01/16/202 02/09/202 174.00 0.00 0,00 174.00 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 10334 HEALTH CARE LOGISTICS INC 174.00 0.00 0.00 174.00 Vendor# Vendor NameClass Pay Code 12.868 HOLT CAT / Invoice# Comment Tran Dt Inv Of Due Of Check Of Pay Gross Discount No -Pay Net WIEZ0040443 d' 01/31190201108/202011231202 5,070.61 0.00 0.00 5,070.61 df OTRY INSPECTION Vendor Totals: Number Name Gross Discount No -Pay Net 12868 HOLT CAT 5,070.61 0.00 0.00 5,070.61 Vendor# Vendor Name Class Pay Cade ' 15208 HOSPITAL CARE CONSULTANTS INC. o// Invoice#Comment Tran Dt Inv Dt Due Of Check Dt Pay Gross Discount No -Pay Net 6401 t✓"/ 01/31/20201/31/20202J70/202 26,663,00 0.00 0.00 26,663.00 HOSPITALIST(,(4-G-a It g Vendor Totals: Number Name Gross Discount No -Pay Net 15208 HOSPITAL CARE CONSULTANTS INC. 26,663.00 0.00 0.00 26,663.00 Vendor# Vendor Name Class Pay Cade 10972 M G TRUST rf Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 012524 01/31120201/251202 CPJ051202 11015.86 0.00 0.00 1,015.86 d� PAYROLL DEDUCT Vendor Totals: Number Name Gross Discount No -Pay Net 10972 M G TRUST 1,015.86 0.00 0.00 11015.86 Vendor# Vendor Name Class Pay Code M1500 / MARKS PLUMBING PARTS v/ M Invoice# CO ment Tran Dt Inv Dt Due Of Check Dt Pay Gross Discount No -Pay Net INVOU2129503 01/31/20201/16/20200151202 354.01 0.00 0.00 354.o1 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net M1500 MARKS PLUMBING PARTS 354.01 0.00 0,00 354.01 Vendor# Vendor Nam$ Class Pay Code 11203 MEDI-DOSE, INC Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 01912819v/ 01/311202 01/15/202 01131/202 229.70 0A0 0.00 229.70. SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 11203 MEDI-DOSE, INC 229.70 0.00 0.00 229.70 Vendor# Vendor Name Class Pay Code 11612 / MEDICAL AIR SERVICES ASSOC. ,/ Invoice# Comment Tran Dt Inv Of Due Of Check Dt Pay Gross Discount No -Pay Net 1729439 011311202 01/151202 02/01/202 1,603.00 0.00 0,00 1,603.00 6- PAYROLL DEDUCT Vendor Totals: Number Name Gross Discount No -Pay Net 11612 MEDICAL AIR SERVICES ASSOC, 1,803.00 0.00 0.00 1,603.00 Ventlor# Vendor Name / Class Pay Code M2470 MEDLINE INDUSTRIES INC / M Invoice# Comment Tran DI Inv Of Due Dt Check Dt Pay Gross Discount No -Pay Net file:11/C:/Users/ltrevino/cpsi/memmed,cpsinet.comlu88125/data_5/lmp_cw5report7477412457919726959.html 5110 2/1/24, 1:04 PM / tmp_cw5report7477412457919726959,html 2303406207 ✓ 01131/20201/16/20202/101202 47.51 UPPLIES 2303406208e 01/31/20201116120202110/202 104.09 /SUPPLIES 2303406206 / 01/31/20201/16/20202/10/202 49.10 SUPPLIES 2304272070,// 01/31/20201/22/20202/16/202 124.02 S PPLIES 2344395089 01/31/20201/22/20202/161202 195,96 SUPPLIES 2304505652 01/31/20201/23/20202/17/202 150 SUPPLIES Vendor Totals: Number Name Grass M2470 MEDLINE INDUSTRIES INC 522.18 Vendor# Vendor Name Class Pay Code 10963 MEMORIAL MEDICAL CLINIC / Invoice# Comment Tran Dt Inv Dt Due Of Check Of Pay Gross 012524 01131/202 01/251202 02/05/202 25.00 PAYROLLOEOUCT Vendor Totals: Number Name Gross 10963 MEMORIAL MEDICAL CLINIC 25.00 Vendor# Vendor Name Class Pay Code 10904 MERCK. SHARP & DOHME CORP d J. Invoice# Comment Tran Dt Inv Of Due Of Check of Pay Gross 7017374644 / 01/30120212/26/20201/26/202 1,656.44 INVENTORY Vendor Totals: Number Name Gross 10904 MERCK SHARP & DOHME CORP 1,656,44 Vendor# Vendor Name Class Pay Code 10536 / MORRIS & DICKSON CO, ✓ . LLC Invoice# / Comment Tran Dt Inv Dt Due Dt Check Of Pay Gross 1550908 „O 01130/20201123/2020210202 8,212.82 INVENTORY / 1551889 �r' 01/30120201/23/20202/02/2D2 262.59 INVENTORY / 1,951888 .+ 01/30/20201/23/202021OW202 296.14 INVENTORY 1550909 V/ 01/30/20201/23/20202/02/202 88.79 INVENTORY 1551152�/ 01/30/20201123120202102r202 876.12 .INVENTORY CM88522 01/30/20241/24/20202/03/202 -68.39 CREDIT 1557516 ✓ 01/30/202 01/24/202 02103/202 544.35 INVENTORY 1555399. 01/30/202 01/24/202 02103/202 5.512.85 INVENTORY 1557515 01/301202 01/24/202 02/03/202 155.33 INVENTORY SC4354✓ 01/31/202 01/25/202 021041202 43,11 SERVICE CHARGE 1563017 m."� 01/31/202 01/25/202 02/04/202 136.13 INVENTORY f SC4353 p4 01/31 IP02 01125/202 02104/202 21.84 SERVICE CHARGE 1560682,/ 01131/202 01/25/202 02/04/202 275.03 Ole,///C:/Users/ltrevino/cpsilmemmed.cpsinet.com/u88125/data_5/tmp_ cw5report7477412457919726959.html 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Discount 0.00 Discount 0.00 Discount 0.00 Discount 0.00 Discount 0.00 Discount 0,00 0.00 0.00 0.00 0.00 No -Pay 0.00 47.51 w< 104.09 p!` 49.10 a/ 124.02 ✓ 195.96 1.50 Net 522.18 No -Pay Net 0.00 25.00 No -Pay Net 0,00 25.00 NaPay Net 0.00 1,656,44,d� No -Pay Net 0.00 1.656.44 No -Pay 0.00 0.00 0.00 0.00 0.00 0.00 0100 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Net 8,212.82 of 262.59 0i 296.14 88,79 876.12 s✓ -68,39 544.35 5,512.85 L ' 155.33 y� 43.11 136.13 21.84 275.03 6/10 211/24, 1:04 PM imp_cw5report7477412457919726959.html ' /.INVENTORY 0090531 a�" 01/31120201/28120202/07/202 1,400.00 0.00 0.00 1,400,W df INVENTORY /. 1568490✓ 01/31/20201/28/20202107/202 38.35 0.00 0.00 38.35 .✓ /'INVENTORY 1566491./ 01131/20201/28/202021071202 679.84 0.00 0.00 679.84 v/ INVENTORY Vendor Totals: Number Name Gross Discount No -Pay Net 10536 MORRIS & DICKSON CO, LLC 18,474.90 0100 0.00 18,474.90 Ventlor# Vendor Name / Class Pay Code 15224 MUTUAL OF OMAHA " Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 011824 02101/202 01118/202 02/01/202 25,387,14 0100 0.00 25.387.14 ✓/ INSURANCE Vendor Totals: Number Name Gross Discount No -Pay Net 15224 MUTUAL OF OMAHA 25,387.14 0.00 0.00 25,387.14 Vendor# Vendor Name / Class Pay Code M2659 MXR IMAGING, INC ✓ M Invoice# Tran Dt Inv DI Due Dt Check Dt Pay Gross Discount No -Pay Net ,Comment 88011o5556 rs / 01/31/202 01106/202 02/07/202 73525 0.00 0.00 735.25 w SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net M2659 MXR IMAGING, INC 735,25 0.00 0.00 735.25 Vendor# Vendor Name Class Pay Code 10152 PARTSSOURCE, LLCM Invoice# omment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 05091557 01/31120201/12/20202/11/202 330.56 0.00 0.00 330.56r% SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 10152 PARTSSOURCE, LLC 330.56 0.00 0.00 330.66 Vendor# Vendor Name Class Pay Code 15196 PROVATION ✓r Invoice# Comment Ttan Dt Inv Dt Due Dt Check DI Pay Gross Discount No -Pay Net - MDR583 y� 01/31/202 01/28/202 02/28/202 -1,470.00 0.00 0.00 -1,470,00 �+ CREDIT INPVM44322 01/31/202 11/011202 11130/202 2,662.75 0.00 0.00 2.662.75 yam/ A/pEX/HARDWARE INVPM46761 ✓ 01/31/20212/01/20212/31/202 1.892.54 0.00 0.00 1,892.54 APEX BASIC Vendor Totals: Number Name Gross Discount No -Pay Net 15196 PROVATION 3,085.29 0.00 0.00 3,085.29 Vendor# Vendor Name Class Pay Code $0900 SAM'S CLUB DIRECT �/' W Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 012024 01/31/20201/20/20202108/202 703.81 0.00 0.00 703.81 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net S0900 SAM'S CLUB DIRECT 703,81 0.00 0.00 703.81 Vendor# Vendor Name % Class Pay Code 15232 SHANMEI MARTINEZ ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 013124 01/31/20201/31120202/01/202 888.00 0.00 0.00 888.00 �„✓ DEA REGISTRATION Vendor Totals: Number Name Gross Discount No -Pay Net 15232 SHANMEI MARTINEZ 888.00 0.00 0.00 888.00 Vendor# Vendor Name Class Pay Code tile:///C:/Users/itrevino/cpsl/mammed.cpslnet.com/uS$l251data_51tmp_cwSrepon7477412457919726959,html 7110 2/l/24, 1:04 PM tmp_cw5report7477412457919726959.html 12472 SOMETHING MORE MEDIA, INC. ✓ Invoice# Comment Tran Dt Inv Ot Due Dt Check Dt Pay Gross Discount No -Pay Net 2172 ,j 02/Ol/20201/29/20202/13/202 2,525,00 0.00 0.00 2,526.00 ADVERTSING Vendor Totals: Number Name Gross Discount No -Pay Not 12472 SOMETHING MORE MEDIA, INC. 2,525.00 0.00 0.00 2,525.00 Vendor# Vendor Name Class Pay Code 15236 / SPECIALTY PROFESSIONAL ,✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check Ot Pay Gross Discount No -Pay Net 1230002057 a 01/31/202 12101/202 01/011202 3,348.75 0.00 0.00 3,348.76 AMBER HELZER ( I I y"-017-1_I 7,3) 2ru- Gp. 123000P077 ✓ 01/31/20212108/20201/08/202 3,586,25 0.00 0.00 3,686.25 e� AMBER HELZER (It IZ't-II I16123) VLlv-ER- 1230002160.i' 01/31/202 12122/202 01122/202 3,610.00 0.00 0.00 3,610.00 AMBER HELZER ( 17-1W - P--016 11.3) f-tV - Elt- 1230002199 y' 01131120212/29120201/29/202 3,538.75 0.00 0.00 3,538.75 AMABER HELZER ( 1z-I19 -11.)2A Irl)=rv-p12. 1230002237 V O1/31/20201/05/20202105/202 31857,50 0.00 0.00 3,657.50 AjBER HELZER t 1MI 1-T_-1 2-171I 7:3 ) 12_W'L=1t 1240000024 .d 01131/20201112/20202/12/202 2,327.50 0.00 0.00 2,327.50 Afry�BER HELZER b 17-� 1141 7.4) IUv-Cr 1230002144 rn7 01/3l/20212/15/20201/15/202 3,515.00 0,00 0.00 3,615.00 AMBER HELZER 1 1 ?15- 1E-1-11Vt,) �V -@12- Vendor Totals: Number Name Gross Discount No -Pay Net 15236 SPECIALTY PROFESSIONAL 23,583.75 0.00 0.00 23,503.75 Vendor# Vendor Name Class Pay Cade S3940 / STERIS CORPORATION e/ M Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 11967041 ✓ 01/31/20201112/202021061202 202.80 0.00 0.00 202.80 ✓ SUPPLIES / 11967335J 01/31120201112/20202/061202 17.00 0.00 0.00 17.00 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net S3940 STERIS CORPORATION 219. BO 0.00 0.00 219.80 Vendor# Vendor Name Class Pay Code 14212 SURGICAL DIRECT SOUTH ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 9319 ✓ 01/25/20201/23/202021221202 31315.00 0.00 0.00 3,315.00'z- SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 14212 SURGICAL DIRECT SOUTH 3,315.00 0.00 0100 3,315.00 Vendor# Vendor Name Class Pay Code T2539 / T-SYSTEM, INC J W lnvoice# / Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 908277 yr 01/31/20211/01120212/01/202 10,000.00 0.00 0,00 10,000.00 PLATFROM MIGRATION Vendor Totals: Number Name Gross Discount No -Pay Net T2539 T-SYSTEM, INC 10.000.00 0.00 0.00 10,000.00 Vendor# Vendor Name / Class Pay Code " 10758 TEXAS SELECT STAFFING, LLG Invoice# Comment Tran Dt Inv Ot Due Dt Check Dt Pay Gross Discount No -Pay Net 002347E 01/31/202 01/251202 01/26/202 8,250.00 0.00 0.00 8,250.00 L✓ B BATES M MARTIN WE 1120/24 Vendor Totals: Number Name Gross Discount No -Pay Net 10758 TEXAS SELECT STAFFING, LLC 8,250.00 0.00 0.00 B,250.00 Vendor# Vendor Name Class Pay Code file:///C:/Users/itrovino/cpsitmommed.cpsinet.comIuBB125fdata_5/tmp_cw5report7477412457919726969.html 8110 2/1/24, 1:04 PM tmp_cw5repart7477412457919726959.html 11908 TMS SOUTH / Invoice# Comment Tran Dt Inv Dt Due Ot Check Dt Pay Gross Discount No -Pay Net / INV110128✓ 01131/202 01124/202 02123/202 481.35 0.00 0.00 481.35 ../' SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 11908 TMS SOUTH 481.35 0.00 0.00 481.35 Vendor# Vendor Name Class Pay Cade 14372 TRIAGE, LLC / Tran Dt Inv Dt Due Dt Check Dt Pay Invoice# 0131 Gross Discount No -Pay Net comment INVI796904884 01/31/20201/19/20202I 8/202. 3.467.50 0.00 0.00 3,467.50,,/ STEVEN SHAW Ci 'jed_ Vendor Totals: Number Name Gross Discount No -Pay Net 14372 TRIAGE, LLC 3,467.50 0.00 0.00 3.467,50 Vendor# Vendor Name class Pay Code 11001 ULINE Invoice# Comment Tran Dt Inv Dt Due DI Check Dt Pay Gross Discount No -Pay Net 173178700 w/ 01/31/20201/15/20202/14/202 173.40 0.00 0.00 173.40 SUPPLIES Vendor Totals: Number Name. Gross Discount No -Pay Net 11001 ULINE 173.40 0.00 0.00 173.40 Vendor# Vendor Name Class Pay Code U1064 UNIFIRST HOLDINGS INC y/ Invoice# C mment Tran Dt Inv Dt Due Dt Check Dt Pay Grass Discount No -Pay Net 2921023225 01130/20201/18/2020211PJ202 2,359.62 0.00 0.00 2,359.62 LAUNDRY 2921023229 01130120201/18/20202/12/202 271.92 0.00 0.00 271.92 LAUNDRY 2921023223.//01/30/20201/18@0202/12/202 120.81 0.00 0.00 120.81 ✓ LAUNDRY 2921023226 01/30/20201/18/20202/12/202 29.95 0.00 0.00 29.95 LAUNDRY 2921023227/ 01/30/20201/18/20202/12/202 304.81 0.00 0.00 304.81 r� UNORY 2921023224/ 01130/20201/18/20202/12/202 210.63 0.00 0.00 210.63 f LAUNDRY 2921023228.+f 01/30/20201/18/20202/12/202 254.19 0.00 0.00 254.19 /LAUNDRY 2921023425✓ 01/3012020112PJ20202I61202 3,133.80 0.00 0.00 3,133.80 u!� LAUNDRY 2921023426 ,/ 01/30/20201/22/20202/16/202 91.80 0.00 0.00 91.80 LAUNDRY Vendor Totals: Number Name Gross Discount No -Pay Net U1064 UNIFIRST HOLDINGS INC 6,777.53 0,00 0.00 6,777.53 Vendor# Vendor Name Class Pay Code 12208 WAGEWORKS / Invoice# Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net /Comment INV6110121 ✓ 01/31120201/24/20202/15/2W 590.75 0.00 0100 590.75 MONTHLY COMPLIANCE/FSA Vendor Totals: Number Name Gross Discount No -Pay Net 12208 WAGEWORKS 590.75 0.00 0.00 590.75 Vendor# Vendor Name Class Pay Cade 11110 WERFEN USA LLC .,/ Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 9111441889 y0 01/31/20201/15/20202/09/202 1,571.67 0.00 0,00 1,571,67 CO TRACT 9111443257 01/31/20201116/2020210/202 7,710.00 0.00 0.00 7,710,00 file:11/C:1Users/ltrevino/cpsi/memmed.cpsinat.com/uB8125/data_5/tmp_cw5report7477412457919726959.html 9/10 2/1/24, 1:04 PM lmp_cw5report7477412457919726959, html SUPPLIES Vendor Totals: Number Name 11110 WERFEN USA LLC Grand Totals: 252.093=44 2 ;, 16 5u 5 215=nu T 258+931�94 :% on FEB 01 1024 QAP4Ck r'"�U*gM9 Gross Discount No -Pay Net 9,281.67 0.00 0.00 9,281.67 ca!�rtn-:iyy Gross Discount No -Pay Net 252,093.44 0.00 0.00 252,093.44 py 3 (ArY�ctiavt ��21314.5 D y LWwn9 krvtf PtdudUr) ( t �,215•t)0 6i 13C•Z�d flle:l//c:/Users/itrevino/cpsi/memmed.cpsinet.comlu88125/data_5/tmp_cw5report7477412457919726959.html 10110 RIIN 1)0S!FFOR ON 2: eATISNFEB 01 2024 NUMBER PAYEE NAME TOTAL FEB 612024 MEMORIAL 61EDICAL CENTER PAGE 1 EDIT LIST FOR PATIENT REFUNDS ARID4001 APCDEDIT PAY PAT AMOUNT CODE TYPE DESCRIPTION ________--' ---------- 1181.99 2 REPUN 275.00 3 REFUN 12.50 ✓ 2 REFUN 195.31 /� 2 REFUN 16E.56, 2 REFUN 25. DO ✓ 3 REFUN 10. 00:/Z 3 REFUN, 47.84 r,/ 2 REFUN. ----------------------- 1916.15 1916.15 GL NN4 2/5/2,IRAL,@H f BY THE Imp_cvr5report7365142360014306829.html COUNTY AUDITOR ON OF&Do045 2024 MEMORIAL MEDICAL CENTER 1227 AP Open Invoice List rr�n�1 Nr� CA16'Vendor NaameAs Dates Through: Class Pay Code 14920 REPUBLIC SERVICES, INC. N'/ Invoice6 Comment Tran Dt Inv Dt Due IN Check Dt Pay Gross Discount 00131734E 01/31/202 01/261202 021151202 1,738.62 0.00 WASTE Vendor Totals: Number Name Gross Discount 14920 REPUBLIC SERVICES, INC. 1,736.62 0X0 Grand Totals: Gross Discount No -Pay 1.738.62 0.00 0.00 APPROVED ON FEB 0 5.2024 CA,LYI Ow COUNTY,ITEPAS 0 ap_open_invoice.template No•Pay 0.00 No -Pay 0.00 Net 1,738.62 Net 1,738.82 Net 1,738.62 file:/RC:(Users/Itrevino/epsl/memmed.cpsinet.comlu88125/data Sltmp_cw5report7365142360014306829.html 1/1 MSKESSON mmo•m. ..as i MEMORIAL MEDICAL CENTER,/ AP $15 N VIRGINIA STREEr PORT LAVACA TX 77979 STATEMENT A. of: 02/02/2024 Page: 002 To ensure proper credit to your account, detach and return this stub with year remittance DC: 8115 Carampr INV SupplD: As of: 02/02/2024 Pege: 002 AMT DUE REMITTED VIA ACM DEBIT Territory: Mall to: Comp: a000 Statement for Information only ALIT DUE REMITTED VIA ACH DEBIT Customer: 632536 Statement for Information only Date: 02/03/2024 Natlonal Amount x pfi )are Due Nuardad le Ur66F fate Dalo Number Ralerence Deacnption Cash Amount P Dismount tom") F 4e column lagend: P = Past Due Item, F - Fmuro Due hem, blank = Current Due It.. 'OTAL• Natlonal Acct 632336 MEMORIAL MEDICAL DEITBt Summals: - 3,245.04 USD vture Due: 'ad Due: Am Payment l8f07/2017 3.174•'/I + 5'36 + 3+ISO I13 6 APPROVED ON FEB 0 5 2024 0.00 If Pald By 0210612024, 0.00 Pay This Amount: 2,451.97 N Paid After 0210612024, Pay this Amount: Cust: 632536 PLEASE CHECK ANY Data; 02/03/2024 ITEMS NOT PAID (1) (Mount F Neaborble 0. If Paid On Time: USD 3.180.13 3,180.13 USD Disc last if Mid late: 64.91 Due O Paid We: 3,245.04 USD USD 3,245.04 lvlz' Z � zfslz�f oA�o4RJ'"�b�di9ir�Ae For AR Inquiries please contact 800-867-0333 MSKESSON wmpa,r. sec. WALMART 1098/MEM MED MIS MEMORIAL MEDICAL CENTER / VICKY KAUSEK ✓ 815 N VIRGINIA ST PORT LAVACA TX 77979 STATEMENT A. of: 02/0212024 Nge: 001 To cosam proper credit to your account, detach and mtum this mub with your rmn„lence DC: 8115 Customer INV SupplD: As of: 02/02/2024 Page: 001 Mall to: Comp: 8000 AMT OVF. REMITTED VIA ACH DEBIT Tarsi 7001 Statement for Information only ANT DUE REMITTED VIA ACH OMIT Customer. 256342 Statement for Informallon only Data: 02/0312024 Cum: 256342 PLEASE CHEDK ANY Date: 02103/2024 ITEMS NOT PAID (11 National Account G killing Due Numberbb ffere Cash Amount P (..Q P W4mwbb )atv Date Number Rolemrlu Description Discount (proas) F Inap F Number :umanmr Number 256342 WAURART 1090101 Mm p 3 1112912024 02/06/2024 7473595734 104120207 1Islavrece H/2912024 0210612024 7473595736 104160520 Ii51nvome 11129/2024 02/06/2024 7473818011 104126452 1951nvmce 11130/2024 02106/2024 7473963894 104439362 1151nvelce 1113OJ2024 02/06)2024 7473963696 104448458 1151nvoice /1130/2024 02106/2024 7474112479 104364592 1151nvolce 11130/2024 02/06/2024 7474112480 104282544 1151nvoice 013012024 02/06/2024 7474112481 104209562 1151nvolce .113112024 02/06/2024 7474415946 104537813 1951nvoice -2101/2024 02106/2024 7474558134 104607370 1151nvolce -2101/2024 02/U6/2024 7474558135 104667370 1151nvolce 12/01/2024 02/0612024 7474558136 104740906 115lnv0ice 12/0112024 02/06r2024 7474737606 104673949 1951nvcice K column legend: P = Past Due Item, F = Future Due Item, blank = Current Due Item 'OTgU Cumomar Number 258992 WAIAIART 1098fMHd ME) PNS Scandals: 'ulum Due: 0.00 If Paid 6y 0210612024, test Due: 0.00 Pay This Amsunl: ast Payment 3.208.32 If Paid After 0210612024, 1/29/2024 Pry this Amour: APPROVED ON FC17R 4p05220u2T4�p CAu1gy 0UryUNTY,"We 0.01 12.46 001 1.36 4 64 003 002 0.41 526 1.35 20.20 1843 0.62 0.32 623.23 0.63 67.81 231.98 1.21 0.95 20,58 262.77 67.4E 1,010.07 921.26 31.24 0.31 f/ 610.77 ✓ 0.62✓ 66.45� 227.32 1.24✓ 0.93�/ 20.17Y 257.51✓ 66.13 ✓ 989,87 ✓ 902.8:3 30.02 (% /473596734 7473595736 7473810011 7473963094 7473963895 7474112479 7474112480 7474112481 7474415945._ 7474558134 7474558135 7474558135 7474737606 _ 3,239.57 USD Due If Pstd On TMe: USO 3,174.77 3,174.77 USO Dlse lost „ old late: 64.80 Due It lead We: 3,239,57 USD USO. 3.239.57 215 (2LF For AR Inquiries please contact 800-867-0333 MSKESSON STATEMENT As of: 0210212024 Page: 00t To meagre proper credl to your account wrath and return this amv: ec40 stub with your rem8tence DC: 8115 CVS PHCV 89231MEM MC PI -IS Customer INV SupplD: A. ol: 02102/2024 Page: 001 Mall t0: Comm : 00 AMT DUE REMITTED VIA ADN DEBIT Territory: 7001 MEMORIAL MEDICAL CEWER Statement for Information only AMT DUE REMITTED VIA ACH DEBIT VICKY KALISEIC Customer . Statement for Information only 815 N VIRGINIA ST Data: 02/0835436 3/2024 PORT IAVACA T% 77979 Cust: 835434 PLEASE CHECK ANY Data: 0210312024 ITEMS NOT PAID (�) filling Due fate Date �Matlonel ACCOunt pee538 Recelvab9t U&r Number Reference Cash Dmodpllon Discount Amount P (gross) F Amount P Nawlvabk (net) F Number :ustomer Number 835434 CVS PHCY 8923/MEtt Me PHS 11131=4 0210612024 7474250215 3007887 1151nvoice 0.11 5.47 x column legend: P = Past Due them, F a Futum Due Item, blank a Current Due It.. 'DTAL• Customer Number 836494 CVS PHOY 89231MfDA MC PHS Subtotats: 6.47 LSD 'vtum Duo: O.00 If Patd By 0210612024. hash Due: O.DO Pay This Amount: 5.36 USD ast Payment 3,268.32 N Pad After 02fP6/2024, 1112912024 Pay this Amount: 6A7 USD AppROVED ON FEB 0 5 2024 oxW&Ai89&s For AR Inquiries please contact 800-867-0333 5.30 ✓ 74742SD215 O Duo If Pad On Time: USD 5.36,/ Disc lost 8 pad late: 0.11 Due if Paid We; USD 5.47 ,I t� ��`SV:�f�-(S:AA+�Q✓'b. ary.AWB/c) Z� 5 Ame�risourceBe eh' STATEMENT Statement Number: 66814051 rQ Date. 02-02-2024 1 of AMERISOURCESERGEN DRUGCORP WALGREENS 012494 340B 12727 W. AIRPORT BLVD. MEMORIAL MEDICAL CENTER ' 1001352847 D37028186 SUGAR LAND TX 77478.6101 1302 N VIRGINIA ST PORT LAVACA TX 7797&2509 Sal- Fd Due In 7 days DEA: RA0289276 866451-9655 AMERISCURCEBERGEN PO Bw 005223 Not Yet Due: 0.00 CHARLOTTE NC 28290-6223 Current t,3117,40 Pert Due: 0100 Total Due: 1,387.40 Account Balenre: 4,387.40 Account Activity Document Due Reference Purchase Order Document Original Last Receipt Amount Received Balance Date Date Number Number Type Amount D1-29.2024 02.09-2024 3162638597 700550e716 tnvmce - 201.64 , 0.00 201.84 - (11-21rW24 02492D24 318263059E 7005514376 Invaice 347.87 0,00 347.87' 91.298024 0219-2024 3162638590 7005515078 Involve 162.58 . 0.00 162.58 01-29-2024 0249-2024 3162639150 7OOE50308 W.I. v99.72 - 0.00 39.72 01-29-2W4 02-09-2024 3182729849 7005526580 Invoice 145.36 , 0.00 146.35 01.294 )24 0249.2024 3162730410 7NS528381 Invalm 215.35 • 0.00 215.35 01-30.2024 0209.2024 3162932e24 7005536419 Invoice 6.35, 0.00 6.35 ' 0140.2024 (12.09.2024 3102932025 7005535779 Invoke 98.87 0.00 96.87 01-30@024 0249.2D24 398657988 7005421084 Invaice (275) 0.00 2 01.30-2024 02-09.2024 356557989 70054210Bq Invoice 2.791 0.00239 - 0140-2024 02-09-2024 356557M 7DO5465619 Invaice 48,25) 0.00 8.25) 07.30.2024 0209.2024 356557995 7005455879 Invaice 8.37• 0.0a 837 Dt-31.2024 02.09.2024 3163077882 7005513937 ]make 130.76• 000 30.78 02-01-2024 02-09.2024 3163238440 7005554B15 l"ce 9687. 0.00 96.87 02-01.2024 0209�2024 3163236"1 7005565219 Invoice 7.53. 0.00 7.59 02022024 02.09.2024 3163388294 7005565158 I.M. .36.35, 0.00 36.35 Current 1.16 Days 16.30 Days 51.60 Days 61-90 Days 91.120 Days Over 120 Days 1387AD 0.00 0.00 OAO OA0 0.00 orn Thank Y intent . Reminders Date FEB 05 2024 Amount Due Data Amount 02A2-2024 (1.66a.8B1 3�1t3)�y'a1wc1a 0209.2024 1,387A0 "RUTotal ` Due: 1 387,40'.. cA�(T�8C�1 7 2� Memorial Medical Center Transfer Request 16,126.93 f/ Operating--4357 Account: US BANCORP PSA/HRA/DC ACCT ACCT Invoice numbers: 6129415, 6091464, 6070427, 6047812, 6018407 by: Caitlin Clevenger lv I}_._ I Date: 2 1 2024 Date: 2 J 5 i'7..L± FEB 06 2024 HealthEquity° WageWorks To: Memorial Medical Center PO Box 25 Port Lavaca TX 77979 Remit: Via Wire or ACH Credit to US BANCORP FSA/HRA/DC Acct #: 158300195894 Routing #: 122235821 Please include invoice # in your payment addenda for ACH Credit or Wire payment. Log on to our employer websile to view detailed invoice reports: employer.wageworks.com Description PMB Payments - HCFSA 2024 Visa Card Payments - HCFSA 2024 PMP Payments - HCFSA 2023 Visa Card Payments - HCFSA 2023 Total Amount Due INVOICE WageWorks, Inc. 4609 Regent Blvd. Irving, TX 75063 214.596.6900 Account# Invoice Date 2052366 01/2912024 Po# DUE DATE 04129/2024 Invoice# AMOUNT DUE INV6129415 $3,394.93 - Plan Code ( Amount HCFSA2024 97.71 HCFSA2024 2,359.76 HCFSA2023 644.22 HCFSA2023 ', 293.24 , $3,394.93 HealthEquity® To: Memorial Medical Center✓ PO Box 25 Port Lavaca TX 77979 WageWorks Remit: Via Wire or ACH Credit to US BANCORP FSAIHRA/DC Acct #: 158300195894 Routing #:122235821 Please include invoice # in your payment addenda for ACH Credit or Wire payment. Log on to our employer website to view detailed invoice reports: employer,wageworks.com -- -- - . Description_ Visa Card Payments-HCFSA 2024- - Visa Card Payments - HCFSA 2023 Total Amount Due Account -# 2052366 Invoice # INV6091464 INVOICE WageWorks, Inc. 4609 Regent Blvd. Irvin?,TX 75063 214.596.6900 Invoice Date 01 /22/2024 DUE DATE 04/22/2024 AMOUNT -DUE $2,843.06 Plan Code I Amount HCFSA2024 1,248.941 HCFSA2023 1,594.12 $2,843.06/ HealthEquity WageWorks To: Memorial Medical Center PO Box 25 Port Lavaca TX 77979 i _ Remit: Via Wire or ACH Credit to US BANCORP I Account #__ _ FSA/HRA/DC Acct #: 158300195894 Routing #: 122235821 2052366 _ _ Please include invoice # in your payment addenda for ACH - PO # Credit or Wire payment. Log on to our employer website to view detailed invoice Invoice # — reports: employer.wageworks.com INV6070427 Description PMB Payments - HCFSA 2024 Visa Card Payments - HCFSA 2024 Visa Card Payments - HCFSA 2023 Total Amount Due INVOICE WageWorks, Inc. 4609 Regent Blvd. Irving, TX 75063 214.596.6900 Invoice Date 01/16/2024 DUE DATE 04/15/2024 AMOUNTDUE $3,370.79 Plan Code Amount_ j HCFSA2024 — --- 1,511.79 ; HCFSA2024 1,358.89 i HCFSA2023 500.11 i $3,370.797 HealthEquity- To: Memorial Medical Center PO Box 25 Port Lavaca TX 77979 WageWorks Remit: Via Wire or ACH Credit to US BANCORP FSA/HRAIDC Acct #: 158300195894 Routing #: 122235821 Please include invoice # in your payment addenda for ACH Credit or Wire payment. Log on to our employer website to view detailed invoice reports: employer,wageworks.com PMB Payments - HCFSA 2024 Visa Card Payments - HCFSA 2024 Repayments - HCFSA 2023 PMP Payments - HCFSA 2023 Visa Card Payments - HCFSA 2023 INVOICE WageWorks, Inc. 4609 Regent Blvd. Irving, TX 75063 214.596.6900 . __ -----te 2052366 01/08/2024 Po # DUE DATE 04/08/2024 Invoice # AMOUNT DUE - - INV6047812 1 $3,179.61 --.._-------------- Plan Code I Amount HCFSA2024 288.21 HCFSA2024 580.93 HCFSA2023 (14.55) HCFSA2023 468.74' HCFSA2023 1.856.28' Total Amount Due $3,179.61 / HealthEquity- WageWorks To: Memorial Medical Center PO Box 25 ✓ Port Lavaca TX 77979 Remit: Via Wire or ACH Credit to US BANCORP FSA/HRA/DC Acct #: 158300195894 Routing #: 122235821 Please include invoice # in your payment addenda for ACH Credit or Wire payment. Log on to our employer website to view detailed invoice reports: employer.wageworks.com I Descript --- l ion -- -. ------ _ _ PMB Payments - DCFSA 2023 - 'Visa Card Payments - HCFSA 2023 Total Amount Due INVOICE WageWorks, Inc. 4609 Regent Blvd. Irving, TX 75063 214.596.6900 ,Account # I Invoice Date _ 2052366 --- �— 01/0212024 PO#�_---i OUEDATE�! ...._.... -- -- 04/0112024 Invoice # AMOUNT DUE INV6018407 $3,338.54 Plan Code_ Amount DCFSA2023 - 220.00 HCFSA2023 3,118.54 $3,338.54� MEMORIAL MEDICAL CENTER PROSPERITY BANK ELECTRONIC TRANSFERS FOR OPERATING ACCOUNT — Jan 29, 2024 - Feb 4, 2024 Date Bank Description MMC Notes 2/2/2024 AUTHNET GATEWAY BILLING 1342277551040000167 - 3rd Party Payor Fee 2/2/2024 MEMORIAL MEDICAL PAYROLL 746003411113122650 -Payroll 2/2/2024 AMERISOURCE BERG PAYMENTS OIOOG077682100002 -340B Drug Program Expense 2/2/2024 EXPERTPAY EXPERTPAY 74600341191000DI1264490 -Child Support Payment 2/2/2024 PAY PLUS ACHTrans 000000013812477 1010006959 - 3rd Party Payor Fee 2/2/2024 STATECOMPTRLR TEXNET 08023693/402012100002 UC IGT 2/1/2024 HEALTHEQUITY INC HealthEqui 135688891000O10 H 5 A Contributions 2/1/2024 PAY PLUS ACHTrans 0000000236645811010006948 - 3rd Party Payor Fee 1/30/2024 MCKESSON DRUG AUTO ACH ACHOSS48784910000127 - 3408 Drug Program Expense 1/30/2024 PAY PLUS ACHTrans 000000013459142 1010006922 - 3rd Party Payor Fee 1/29/2024 PAY PLUS ACHTrans 000000013360168 1020006910 - 3rd Party Payor Fee February 5. 2024 ANDREW OE LOS SANTOS Memorial Medical Center >Y llypw VeA 01'3'1'7.4CL PROSPERITY BANK ELECFRONIC TRANSFERS FOR OPERATING ACCOUNT — ESTIMATED ACHS Date Description 2/5/2024 IRS USATAXPYMT 2/7/2024 90 DEGREE BENEFITS 2/15/2024 TEXAS COUNTY ORS RECEIVABLE PAI PIR.f 454•'73 + 100-Ih • 55. 67 + 360^38 + CPSI' Qj,AQ.• 93.. M Amount AvH i 398,169.12 ;}' 33.00 1,564.88 r�v�rr� 311772 161 - y- 5'10 • 6 9 + >Y"1`i awuoq?".. s' '100Yg, Iit4111LC'a""f( 3,268.32 >t 3, 526, 99 + 5 0 366,38 monvow 719,876.09, 970.93 7t i- Avfwvk 01. 7,q,pL LL IM —rob, Rvr vcnt t"U7u1'P n/PpwvaQ-- w a'GUI'VA}H,d Fkgv 4' Wi✓1- MMCNotes Amount - Payroll Taxes 2i226.37 Premium Payments 69,499.78, - Retirement Funding ,186,021.62 February 5, 2024 ANDREW DE LOS SANTOS Memorial Medical Center 257,747.77 APPROVIMI ON FEB 05 2024 C&O`[�'i aw"WIB 33.00 + 570.69 3.526^99 5.101•bl 719.876 398• Io'') I, .. 5.101.61 . 5. 101•nl 5. 101•oi O.OU z: TAXPAYER NAME: MEMORIAL MEDICAL CENTER j Deposit Confirmation Your payment has been accepted. Payment Successful An EFT Acknowledgement Number has been provided for this payment. Please keep (his number for your records, REMINDER: REMEMBER TO FILE ALL RETURNS WHEN DUE! EFT ACKNOWLEDGEMENT NUMBER: TIN: xxxxx Payment Information Entered Data Taxpayer EIN Tax Form 941 Employers Federal Tax Tax Type Payment Due On An Amended Or Adjusted Return Tax Period 0412022 Payment Amount 92,226,37 Settlement Date 0210512024 Account Number Account Type ' •- Routing Number Bank Name /�/� 90 Degree Benefits YuDEGREE 4401 82nd Street, Ste. 1200 x E N e r 1 r s Lubbock, Texas 79424.3396 1.800.747-9446 or $06-703.9995 INVOICE for: Memorial Medical Center of Port Lavaca 1/23/2024 Plan Effective Date: January I, 2024 COVERAGE PREMIUM Stop Loss Premium Rate # Employees 97 $214.51 $20,807.47 #Employee & Spouse 19 S427.30 $8,118.70 #Employee & Child(ren) 44 $378.18 S 16,639.92 #Employee and Family 13 $641.80 $8,343.40 Aggregate 173 S6.68 $1,155.64 Sub -Total $55,065.13 ✓ Adminstration Fee Medical Administration 173 $25.00 $4,325,00 PPO Access 173 $15.90 $2,750.70 COBRA Administration 173 $2.50 $432.50 Utilization Management 173 $3.15 $544.95 Pharmacy Benefits 173 $5.50 $951.50 Compliance Analysis 173 $5.00 $865.00 Reinsurance Administration 173 $5.00 $865.00 CHIC Management Fee 1 $700.00 $700.00 Sub -Total $11,434.65 Installation Fee One Time Charge $3,000.00 Total Due $69,499.78 ✓ Premium Deposit Only - Due Upon Receipt. Any Adjustments will be based on final enrollment count. Please Remit Premium to: 90 Degree Benefits Attn: Revenue Dept. P.O. Box 54133 Lubbock, Texas 79453.4139 Date/Time 02-02-2024 / 02:56 PM Submitted By Pay Date 01.31-2024 Employee Deposits $76,283.10 Employer Contributions $109,738.52 Group Term Life Premiums Total Saw $186,021.62 Comments Payroll File January 2024 Retirement Upload.xisx LOSE ra:u,. Health Equity 15 W. Scenic Pointe Or, Ste 100, Draper, UT 84020 Building Health Savings- Phone 866.382.3510 Fax 520.844.3200 INVOICE Memorial Medical Center Date Processed Confirmation Number 815 North Virginia St PO Box 25 1/30/2024 opqpuzo Port Lavaca, TX 77979 361.552.0399 Status Complete Employer ID 1356888 Contact Tax Invoice Description Year Date Amount Contributionlrransfer created by fie: Employee Listing 01.30- N/A IJ3012024 $3,526.99 2024 15.15.48.1356888.NI.20240130151549870.1x1(1 of 1) Total $3,526.99 ✓ Amount Memorial Medical Center Transfer Request 500,000.00 Account: MMC PROSPERITY MONEY MARKET •2998 Account: MMC PROSPERITY OPERATING •4357 Date: 2/5/2024 TRANSFER FUNDS FROM PROSPERITY MONEY MARKET ACCOUNT TO PROSPERITY OPERATING ACCOUNT FOR MMC by: Caitlin Clevenger Data: 2 5 2024 by: Date: by. t, `-,% Date: a i 211124, 12:11 PM tmp_cw5report7860429142159377759,htm1 BY THE ��^^rnRECEIVED AUDITOR ON MEMORIAL MEDICAL CENTER 02/6%W24 12:1QEB 0 12024 AP Open Invoice List 0 Dates Through: ap_open_Invoce.template Vendor# Vendor Name y.V80uNASHFOR/d AS GARDENS Class Pay Cade Invoice# Comment Tran Ot Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 012324 01/311202 01/231202 02/241202 7,893.04 0.00 0.00 7,893.04 e/ UHC QIPP Vendor Totals: Number Name Gross Discount No -Pay Net 11810 ASHFORD GARDENS 7,893.04 0.00 0.00 7,893.04 R^poyl µummwy Grand Totals: Gross Discount No -Pay Net 7,893.04 0.00 0.00 7,893.04 APPROVED ON gg FEB N0ry1p22002r4pp CALHOVCOUNTYI RAS 01e://1C:/Users/itrevino/cpsi/memmed.cpsinet.com/u88125/data_5/tmp_cw5report7860429142159377759.html 1/1 2/l/24, 12:15 PM tmp_cw5repert7311924849239661708.html RECEIVED BY THE e 0�J�O2 UDITOR ON MEMORIAL MEDICAL CENTER 14�EB 0 1 2024 AP Open Invoice List Dates Through: Vendor# Vendor Name Class Pay Code OA%i�YIN C'9I3W9_WffT HOUSTON Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount 012324 01/311202 01/23/202 02124/202 2,319.66 0.00 UHC OIPP PMT Vendor Totals: Number Name Gross Discount 11828 SOLERA WEST HOUSTON 2,319.65 0.00 Rnprri at1 iif ,, Grand Totals: Gross Discount No -Pay 2,319.65 0.00 0.00 APPROVED ON F�EpB 01 2��02�4pp CABYOUNUCOUNTY� TEXAS 0 ap_open_invoice,template No -Pay Net 0.00 2,319.65 No -Pay Net 0.00 2.319.65 Net 2,319.65 file://IC:/Users/Itrevinolopsi/memmed.cpsinat.comlu88125/data 5/tmp_cw5report73119248492396617o8.html ill 211124, 12�MNVED BY THE tmp_cw5report8475417620586259741.hIml COUNTY AUDITOR ON 02/01JERR O .[ 2024 12:13 or NTY,TEXAS O�♦�tI�J n CdOUN Ve' e ame MEMORIAL MEDICAL CENTER AP Open Invoice List Dates Through: Class Pay Code 0 ap_open_invoice.template 11820 FORTBEND HEALTHCARE CENTER Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 012324 01/31120201/23/20202/24/202 2,418.30 0.00 0.00 2,418.30 UHC QIPP 012524 01131120201/25/20202/25/202 4,200.00 0.00 0.00 4,200.00 TRANSFER 1411 IY151)VNUR_ LL i6lhl r�t.�osi �,r1 Ih'1 IkVlti� 6y�n.i'�n'J Vendor Totals: Number Name Gross Discount No -Pay Net 11820 FORTSEND HEALTHCARE CENTER 6.618.30 0.00 0.00 6,618.30 i'. _-1JOii SLI.JmVrV Grand Totals: Gross Discount No -Pay Net 6,618.30 0.00 0.00 6,618.30 APPROVED ON FEB 01 2024 0054MRAW%S tile:/I/C:lUsers/itrevino/cpsi/memmed.cpsinet.com/u88125/data_5/tmp_cw5report8475417620586259741.html ill 211/24, 12:13 PM lmp_cw5reportl 673731224022472039.htmt RECEIVED BY THE COUNTY AUDITOR ON MEMORIAL MEDICAL CENTER 02101(2¢W,4 0 12:12_ -(j 01 2024 AP Open Through List Dates Through: ap_open_invoice.template Ve,11MU 059"$moecXAS Class Pay Code 11832 BROADMOOR AT CREEKSIDE PARK Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 012324 01131/202 011231202 02/261202 2,886.86 0.00 0.00 / 2,886.66✓ UHC QIPP PMT 012624 01131/202 01/201202 02/26/202 4,600.00 0.00 0.00 / 4,600.00 t/ TRANSFER Qiij IYISU NA.Yt tt 1 �y11�1 (I cro6q led tn-h Ft`W`-t- OYcvt_}1 ✓th Vendor Totals: Number Name Gross Discount No -Pay Net 11832 BROADMOOR AT CREEKSIDE PARK 7,486.86 0.00 0.00 7,486.86 F^::;pm; i Slunr,-:rry Grand Totals: Gross Discount No -Pay Net 7,486,86 0.00 0.00 7,486.86 APPROVED ON FEB 012024 CABHOUNU COUNT/, ITEXAS Ole:/l/C:/Users/ltrevinolcpsVmemmed.cpslnet.comtu88125/data_5/tmp_cw5reportl673731224022472039.html 1l1 211124, 12:16 PM tmp_cw5report5314639569428620702.html HECEIVED BY THE COUNTY AUDITOR ON MEMORIAL MEDICAL CENTER 02/01/2024 12FTB 0 1 2024 AP Open Invoice List Dates Through: GgLHOU t,"?N�Y I oM8 / Class Pay Code 11824 THE CRESCENT ,d Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount 012324 01131120201123/20202/251202 2.194.83 0.00 UHC QIPP PMT 012524 01/31/20201126120202/25/202 5,600.00 0.00 TRANSFER'jH In511VutLp, p�lt&f deFaStEe� ,n{e AraNu 0ver1-fin'-� Vendar Totals: Number Name Gross Discount 11824 THE CRESCENT 7,794.83 0.00 R scat Grand Totals: Gross Discount No -Pay 7,794.83 0.00 0.00 APPROVED ON FEB 0'1 NA CaffifflU ' g 0 ap_open_i nvoice,template No -Pay Net 0,00 2,194.83 0.00 5,600.00 ✓ No -Pay Net 0.00 7,794.83 Net 7,794.83 file:l//C:/Userslllrevino/cpsi/memmed.cpsinet.com/u88125/data_5/tmp_cw5report5314639569428820702.html 1/1 2/1/24, 12:15 PM Imp_cw5repon1528027185845522711.html 0061OP(P24AUDITOR RECEIVED BY THE ON MEMORIAL MEDICAL CENTER 12:14r6 AP Open Invoice List 0 ap_open_Invoice.templale �I``C 0 12024 Dates Through: Vendor# Vendor Name Class Pay Cade GS'd8J6UN (GOVDENOSECK HEALTHCARE Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 011624 01/31/202 01116/202 02/24/202 2.425.37 0.00 0.00 2,425.37 TRANSFER 014 IVIWVIIUA VV Jlk� jgaSj+{ j IVI-6 MIViu geft finl�! 012324A 01/31/20201/23/20202/24/202 50.98 U.00 0.00 50.98 TRANSFER k 1e 012324B 01131/202 01/23/202 02124/202 1,716.34 0.00 0.00 1,716.34 UHC QIPP PMT 012324 01/31/20201/23/20202/24/202 20,352.60 0.00 0.00 20,352.60 sd' TRANSFER 0 ee 012424 01/31120201/24/20202124/202 52,859.23 0.00 0.00 52,8%23 TRANSFER I` et 012624A 01/3l/20201/261202021261202 1,684.32 0.00 0.00 1,684,82 „sue TRANSFER 012624 01/31120201/26/20202/26/202 2,921.30 0.00 0.00 2,921.30 TRANSFER e1 ei Vendor Totals: Number Name Gross Discount No -Pay Net 11836 GOLDENCREEK HEALTHCARE 82,010,14 0.00 0.00 82,010.14 Reps,r(;^>uinm;ru Grand Totals: Gross Discount No -Pay Net 82,010.14 0.00 0100 82,010.14 APPROVED ON g FCEoBuN0 ZOZ44 CALHO(1N COLTpITE 6 file://IC:[Usersiltrevinolopsilmemmed.cpsinet.com/u88125/data_5/1mp_cw5repon1528027185845522711.html 1/7 211/24, 12:17 PM tmp_cw5report4689050381541818112.html RECEIVED BY THE AUDITOR ON MEMORIAL MEDICAL CENTER 02/OC1/0UNN4 0 12:1f-Epo6 2 0 2024 AP Open Invoice List ap_open_invoice.template L Dates Through: Vendor# Vendor Name �ppG TUS�ANY V�1_LAiiE Class Pay Code 130040U Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 012324 01/31/202 01/23/202 02/24/202 3,312.71 0.00 0.00 3,312.71 UHC OIPP 012424 01131/202 01/24/202 02124/202 5,524.93 0.00 0.00 5,524.93 w/ TRANSFER JJ1.1 iYtSunnta. deporj� &a 'Ilk-ju V� kC_ 012524 pyµ+i- 01/31/20201/25/20202/25/202 2,683.13 0.00 0.00 2,683.13 TRANSFER It is 012624 01/31/20201/26/20202/26/202 16,560.00 0.00 0.00 16,560.00 TRANSFER IL it Vendor Totals: Number Name Gross Discount No -Pay Net 13004 TUSCANY VILLAGE 28,080.77 0.00 0.00 28,080.77 i?:;poo Summary Grand Totals: Gross Discount No -Pay Net 28,080.77 0.00 0.00 28,080.77 AMOVE® ON FEpB Z024 CAI.gyOcCCUNTYI&S file://fC:lUserslitrevino/cpsi/memmed.cpsihet.comlu881251data_5/tmp_cw5report4889050381541818112.html 1/1 211124, 12:12 PM tmp_cw5report4921858005699921211.html RECEIVED BY THE r"Of lorry AUDITOR Oft') OZj9}l2024 MEMORIAL MEDICAL CENTER 0 hh LtSi 12024 12:11 AP Open Invoice List Dates Through: ap_open_invoice.template ': �VendQr# Cftr1g4rIN15 Class Pay Code 12792 BETHANY SENIOR LIVING Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 012324A 01131/202 01123/202 021241202 8,729.24 0.00 0.00 8,729.24 TRANSFER IJl+.lnsuvKnt.e. pytVj dcp06i.yed 0-4-0 jNWLL op�ry_:bn� 012324E 01/31/20201/23/20202/24/202 3,486.47 0.00 0.00 3,486.47 V UHC OIPP PMT _ 012324 01/31/20201/23/20202/24/202 15,128.76 0.00 0.00 15,128.76 4 TRANSFER 1411 'inauynw- VVW0 Jgof�i}ea Ivx'P wv I. 0pee1') VL 012424 01 /31/202 01/24/202 02124/202 47,472.88 J 0,00 0.00 47,472.88 TRANSFER et i0 012624A 01/31/202 01/26/202 02126/202 3,905.80 0.00 0.00 3,985.80 TRANSFER " n 012624 01/31120201/26l20202/26/202 6.000.00 0.00 0.00 6,000.00 v� TRANSFER !, Vendor Totals: Number Name Gross Discount No -Pay Net 12792 BETHANY SENIOR LIVING 84,803.15 0.00 0.00 84,803.15 r,pGrt iy Grand Totals: Gross Discount No -Pay Net 84,803.15 0.00 0.00 84,803.15 APPROVED ON gyF�EpB� 0Ty1p220�2�4�p GA6NOUN COUNTY,tTEXAS file:ll/C:lUsers/ltrevino/cpsitmemmed.cpsinet.com/u$81251data_5/tmp_cwSreport4921858006699921211.html 1/1 FacilitylO FatilityName 1 Total UHC Deposits 4628 FORT BEND HEALTHCAA CENTER 16,384.12 4811 ASHFORD GARDENS J/_ 52,74i48 103462 TUSCANYVILIAGE 31,145.49 105006 SOLERAATWEST HOUSTON 15,714.75 105314 THECRESCENT 14,585.2E IOS818 THE BROAUMOOR ATCREEKSIDE PARK 19,449.13 102540 GOLDEN CREEK HEALTHCARE AND REHABILN'ATIONC 27,79D.95 110301 BETHANYSENIOR LIVING 25,157.36 Total UHC Demsit 202,968.50 MMCPORTION gIPP/C0MP1 QIPP/ComP2 QIPP/ComP3 QIPP/CDMP4$ lapse CUPP TI NH PORTION 12,929.41 3,454.71 13,96S.82 2,418.30 43,4651Z3 11,275.T✓ L4,848LL4 7.393.04 24,320.08 6,625.41 27,832.79 3,312.71 32,400.9fi 3,313.79 19,395.10 2,30.65 11,449.75 3,05.47 32,390,39 2,194.83 15,323.05 4,174.08 16562.21 2,886.86 24,930.38 2,880.57 26,074.61 1,716.34 19,793.56 5,363.80 21,670.89 3,486.47 362,814.90 00,1fi3.fi0 176,740il 26,228.15 FUNDS DEPOSOED INTUMML OPERATING. NEEDTO ISSUE PAYMENTS TO NURSING NOME IMAKE,6HE�R�,EyQUF51�f51FOR EACH NI}(151NGINpME�OR. FIIGLI,CIGHjE0 YEt1AWAMOUNTS. __ /16,384.1E 52,741.48 31,145.49 15,714.75 14,585.2E 19,449.13 27,790.95 25,157.36 202,968,50 Mem.rlal Medi,xlCmter Hurling Nome UPl Weekly Cln,el ir.Mf., Plofpelt, A,,OUMs 2/5/2024 J•/� / Yrmmr MIVMM 9m,lq IMry • irwl rruluxvpry C•.•Mr 41r�k1i dS1C�j 35J.]J)6) 31;]ip.1 ...... SIlW 3.li ]{3m 7J bM]JSvr SS..v3;b Vxlute I•m In{Juu to. Peurlre elarmerm•xr FVPYR{nni lOiJ•Nn! 4]e;f, 1// ]mrxmnY{Yu SHIM ✓ YwXrwp WJIYIm Hpr Sl.sCsb Ypupry Into'., I I t II� �RIMW e� 69.11Im r�]e,Je.H (I 11.4].,f� ?�RMw� J61,1)].,t ✓JJ1.A, 1J IliAbb �% 147,099,96 y 107.88f4•4� 96, 095 9'/ 52,853.08 129,129r94 533,0.67->6 br...nxn.r.• asrss®xtleMm.ax'M'e'YxrmWl.x. wle,:la[n,lwnrler. MM.bmrgflml4r MM[Ie.vr.0 ym euumr Igxxwnur unmuwxupl nxn.: wmm,rarolexn.uomr.n..m,rrnl. Nlvn6tlrnrMnnNngml tnPF.. /� e.u.eMr Snam.Je / vxMx. .m(nlJxx Imb NNM.Nn F,MNnJ 1E,45.)i� gmr:IPpvpW Yl, 3,'tJ 59/ .1mH,mvp WJIpJMNer 9,M,A1 gqu1140nv/,MnJxgml l0),IIII! ✓ A / e.punl.r a,.n;u J/ mpl... 1o,bNM 9.nam✓ PmMpwple tl4m YlPrwnl TlluNrla,nr.nr le,9t,m� NnollPeup W.upnl Ner 6,ilni] WuxYlmx.. MI )1� wn,oxm,mrxwl ,Ipen ✓ f v1xrM. N.n.IJ.. loxm Ol".."M Ft WN" Iv.{}0.5, YMXP]Vp W,I1IMMNh 1.o91 Je� Nn.r,In,mX ,ol lt� pCjuX enpMe/IVnflxnml ,Lie3m / /Y mn NeJY.r. 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ECHO IICCMMPMT IMMERSE 4UCCIZ73I31 km 10 5,91:0,10 VE/m. VnNMMJNOw1e M[CWMIM!)YNNNMESA "SIN 595.W VV1p3l MPPSap"N.0 xccwMPMT1RWNItlN3M [W,W / 60000 mVM1l W4NJaMW+m - ]M.9i 1./ ]]09] NVM14 NUM.] 16AKIMIE iJt � lWtll )gpq .I.FCCWMRIVE17 V3VMN Vn11NXeNMan MLCWMPA1Tl16m31t)NI)H - S.'MES 1.555.00 VM024 NG4HWULANSYCNRLUMPM!])46mNNPA12 el( 3.111.0 3'mw V29/2024 )G 051"1 112911021 NNL[CHOMRWMPMt I.StRYo'bNSM9 - ?.MQ )Wp,gl 419ME1 HNL [CMOM[[WMOMTIIMIH1NISm]335305 N,C[I60 N,O61gB VVY7O14 UniIf1N[a05YNMRIMMIMT1lIdNll lxQY 0.395W B.SBSDO 1M/30E4 NOVITM SOLUTION HCLYIM9Ml W63941RW191 !/ 3,0f3.W - 3,OSiPo IL.B6231. N,I4Ut. 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HWNM0y1IM0.Wl MODC I/3VMN VHCfOMMUNxYpI MLMIMIMryfImY1191PW N,36 - 7636 SMMM UNCOC."Im - O,1WW RSfi00V PIMHCCWMPMTiNWNlL111110 4M/lOII UNCWMMVMryM[INPM!]R[W311191WF JP)yg 391.59 VNYMM YXCWMMUHIIY IINLfLUM1M!]46p1)tll91mN - IPIH,N IO,BBB,3l ERI V101 MM 0[WT[ON W1M P H(MWIMi 11LdtllY1NN 455]m � 8,6B2.OV 4z9/M14 OF L4WD� UHIMEI HMe. tLXOMCCUIMPMI I4EWNU4YA)i1339s S,IW W - 5,66001 V298W4 UMIHM9HNple MCCWMPMT){6WNII Al13M SJSOW 400 9,)SIM W9/1WI UMINMe1NAlIn MCCWMPM!)HWNl11N1H Spm 91014 p1ME M4 HOYNMSSOLUDONHOOLWPTATE5gNO9]l9] 119 "ADJ40&m0HAl3NINCCUSUNNIT . 43140 5W.)ELA M4190A90 - 9B9)6M MMCPORIMH R1VL[L91O YHuUSN-IN lw-mPl ON"lowl MPP/[Om03 QIPP/COmP"UpY QRRT; NNPORCUM IpM24U1'[COMMUNITYPLNCCWMpM2111001,1113RW - MIA - 130.24 !p/2031 NFMMHVMM/Sv[N[CWMIMI UIK031t1YFfi2 R,1HLa t1,770A6 ZIU2024 WIMOMCANTE)MWIHCMECEMLRSIN 1S,069.51 VUMN Ow.. ).Lmm i.aa0,ao 1/UMZ4 MRPSUPPhmenla NfCWMPMRIKpN111]I1H - I14,16 45UM34 RCGQo1<wunt - Ipl]) f 126d6 103.37 43117024 NFMIN NUMAx N[N[CpIMPMTUILWN133Wi2 - 6A)ld0 UM/MN 1N Y.gB 9,033.10 UM/MN NMB•ICNONfLUIMPMT11AgN11410AA35365 - I,I5I71 439/]@1 VnimtlNnUfiunMCR.1IMPMT]{Ng3111 U11M 5}W.W - o] 4ure N 19MZ4 U.A.dHealmCCUIMIMT)40WUSAIEMM I.P10m 5'la VZM2014UMC COMMUNITYILNCMIM9Ml14WYA191NN MpN% I.6MW 4Z9/20;I UNCCOMMUNITTPIN<fUIMIMT MNg34tl 91W]] �� M.ryAY Z520% L,fl59 9 "AREAS 2193,113 / - 369M fi •J�rW�u�pG l MMCPORIION 1 IT."UN2aQW innaimin mP1(Cnmpl QIPp/CPmPI QiUP/temp! fUPp/Cl.mupn OWR HHPOP110N SlVM21 NXB-tGOIKCWMPMf)I6WHIIMRWIIHA CIN10 191=1 UHCWMMUNNYPLHMUIMPMfMlh3Nt191WN Two)30.69 3,969,a0 21VMUIG x4 WIRE OMIN HGgNCAR[CEMEM III R),101.74 f 2/4M1J D..' ✓ O.NTEO - 2/I11014 10N11 B),,030%- Uni1Y5Nn11NYre NCXC[GfWIMMIMPM!)Tf)[fWWN)II]itUN13QHH W 2 lx//V1/MID2x14 $'MW I.BW.W /3/M11Adda...Rj 111\/ "'Co 1/11/20" 9lllA 316.))6 U301024 xNB-[[Sp H[CUIMPMT)4EWNI14kmJ391511 11,yg)y 1.3)9.A V3012031 ryN0-[C1p H[[UIMPMg46pJHIlHWA25t3M1 9,1A.3I - 11.262.B0 VMM24 HUMIXOMDIMLMIMI M - 1.91CCO 4,SCHY2,9780 PWY Z9ltT4 MYMN.I CNAOIflX[MIMpMIb{iHMRW]011 11 1)41JW ' 4,9)800 WIII021 VN/xON UA EMIT / 1E,430.00 ]ARAM MANWTANONEIP]UMNSIMW IYN1 I/ 3.1152M SPOON MN6-LCMO N[IWMPM)1µ9N11MWN2II9N 9•)9 1.365.W M U25M21 VnilaaNull]aart NC[WMIMi2IµpNIl1M)N - SI1119 1/19/30N UMCWMMUNIn IIHCMIMIM!)YWNI191RW 1.9W.m 6,9W.W U19/ZOt1 VNC COMMVNIIYPL NffWMIMT116W111191RW L1S1 W - 1,95M.60 ]SQ).H / I:1NN Weekly Trmtlen\&Noewnlud Wo?WeeU%MAFEBRUARHNH Lnl DowolmE LlB.N • l.Al1 M., TWAU Lm.011Y I7.4A31 433.14131 amm�cnn wnrvinw Account Name '4357 MEMORIAL MEDICAL CENTER- $1.547.918,23 $1,482,545.08 $1.547,918.23 $2.121,638.02 OPERATING '4365 MEMORIAL—_�— MEDICAL CENTER - $541.86 $541.86 $541,86 $541.86 CLINIC SERIES 2014 '4373 MEMORIAL MEDICAL CENTER. $436.21 $436.21 $436.21 $436.21 PRIVATE WAIVER CLEARING '4391 MEMORIAL��-�� MEDICAL CENTER I /' J $214.022.30� 5226,583.32 $214,022.30 $213,966.16 NH ASHFORO '4403 MEMORIAL MEDICALCENTER/,// $132,910.08 ✓ S141,850.05 $132,910.08 S115,177.65 NHBROAOMODR '4411 MEMORIAL_._�__..�� MEDICAL CENTER $133,791.86 �� $139,371.86 S133,791.86 $133.791.86 NH CRESCENT '4438 MEMORIAL MEDICAL CENTER SOLERAATWEST $149A62.73✓ S150,765.04 $149,462.73 $144,762.64 HOUSTON '4446 MEMORIAL MEDICAL CENTER / S74,094,38 $74,690.35 $74,094.36 $61,194.08 NH FORT BEND '4464 MEMORIAL—....�._a-.._ MEDICA GOLDE L CREEK $198,585.88 $201,296.27 S198,585.88 $192,298.34 HEALTHCARE '5433 MMC -NH GULF POINTE PLAZA- $1,637.80 $1,537.80 $1,537.80 $324.00 PRIVATE PAY 'S"I MMC-NH GULF POINTE PLAZA- $7,081.89 $52,351.66 $7.081.89 $7,081.89 MEDICAREIMEDICAID '6606 MMC-NH BETHANY SENIOR $220,614,35 $232,135.74 S228,614.35 $189.325.22 LIVING '3407 MMC-NH TUSCANY VILLAGE $129,977.59 S129,977.59 S129,977.69 $127,007.89 '3660 MMC-BETHANY $100.00 $10D.00 $100.00 S100.00 SR LIVING - DACA •2898 MMc-MGNEY $600.605.19 $606,605.19 S606,605.19 $606,605.19 MARKETFUND Total Balance $3.425.680.35 $3,440,788.04 $3,425.680.36 $3.914,240.01 %puegme nk4.s 07I05a024 MOM A9 CST Pogo 202 Memorial Medical Center Nursing Home UPI. Weekly Nexion Transfer Prosperity Accounts 2/22/2024 Pnvl.m 4ccount 0.61rminp NUMne Nam• Number Ilabnre nslervOv Qpd�AGe•k r "� 30x,101.95 230,OSJ,6a N.te: Onty baMnm oJpwr55,11DD wi8 be Irona/m[tl ro tM1e nunlnp hpme. Na rc L Epcb xra unt Apra bp3e 0obnre of 51W tAp t MMC drpmitrd tp open prroum. ,FEB 05 2024 P.ndmx Amr unt to Be Transferred to Nu run, - 199,565.08 Bank Balance 190,565.06 Vaxaae Lmwin Belantt 100A0 QIPPVB6FIMIGr Belund N,759.09V OIPPSupedor November 22,241.58J S.Ped., Vamp 10]24.35 January lnnan ne.•e A61uq 8almce/rnnrleraml 143413.98 MDBBWDUOSSANTOS 2/5/2024 I:\NH WeeklYTrand•n\NX UPLTnnrer Summnr\]Ot•\NHUPlirander WmmanxSda MMCPORTION ^� ,�-� rnnxa�-0j M1antler.ln aPPtQMPI DIPP/C0mD2 4�PP�fLMI w &U,Go"xNPonnon t/LAN i8Y5/3MNSfIMTCRf00[I SI]iM55itlf91]91 LgLH IMS4 U =4 GOIDINCRCSRMGIT RRRC DIP I]A15P910.W65G On I 1,865.00 ]/S/Mi{ W M OUT N1XION NIM5N!/!/a 00105N CRESR MC 22ID".G,/ 2/um, OPP.. ¢b39L6S 3RIP1.11 V3Y2016K1e11o...-. - 241. 24609 113112016 UWAAMSNMi OR CO DIP P34PSI 561611711 1.6314 1,631.90 U31/ASf MM6 3PGau" PICA .." .2. 353.84 UIS/2024 COMM.PXNMlr MMf DIP W.M. N.13M - LDR5S0 }20,031.N /�LORS$0 �/ 116.501.D1 118.501.])J oaiances uverwew Account Nam. '4357 MEMORIAL MEDICALCENTER- $1,547,918.23 $1,482,545.08 $1.547,918.23 $2,121,638.02 OPERATING '4365 MEMORIAL T MEDICALCENTER- $541.86 $541.86 $541.86 $541.86 CLINIC SERIES 2014 '4373 MEMORIAL MEDICALCENTER- PRIVATE WAIVER $436.21 $436.21 $436.21 $438.21 CLEARING '4381 MEMORIAL MEDICALCENTER/ $214,022.30 $226,583,32 $214.022.30 $213,955.16 NH ASHFORD '4403 MEMORIAL MEDICAL CENTER $132.910.08 S141,850.05 $132,910.08 $115,177.65 NHBROADMOOR 'Mtt MEMORIAL MEDICAL CENTER $133,791.86 $139.371.86 $133,701.66 $133.791.86 NH CRESCENT '4438 MEMORIAL MEDICAL CENTER SOLERA AT WEST $149,462.73 $150.785.04 S149,462.73 $144,762.64 HOUSTON '4446 MEMORIAL MEDICALCENTER! $74,094.38 S74,690.35 S74,094.38 $61,194.08 NH FORTaEND '4454 MEMORIAL MEDICAL/NHI/ GOLDEN CREEK ✓ $198.685.88J / $201.296.27 $198.585.88 $192,298.34 HEALTHCARE +✓ '5433 MMC -NH GULF POIMfE PLAZA- $1.537.80 $1.537.80 $1,537.80 $324.00 PRIVATE PAY 'S441 MMC -NH GULF POINTS PLAZA- $7.081.89 $52.351.88 S7,081.89 S7,081.89 MEDICAREIMEDICAID '6606 MMC -NH BETHANY SENIOR $228,614.35 $232.136.74 $228,614.35 $189,326.22 LIVING '3407 MMC NH TUSCANY VILLAGE $129,977.59 $129,977.69 $129,977.59 $127.007.89 '3660 MMC -BETHANY $100.00 $100.00 $100,00 $100.00 SR LIVING- DACA '2098 MMC-MONEY MARKETFUND $606,605.19 $606,606.19 $608,605.19 $608,605.19 Total Balance $3.425,680.35 $3,440,760.04 $3,425,600.36 $3,914.240.01 Rapml ganan, b0 an 02%4=2406A6:554M CST page 2 pf 2 Memorial Medical Comer Nursing Home UPL Weekly HMG Transfer Prosperity Accounts 2/5/2G24 Y[[ouM xw.t x.m u—� GtltPekib Ww%aspmw " P.M. A—t xunW x.n. xnnw ddllbkip Pliae_Ali1lYelNga�'I Marc: WlYaalomnWew[JSOb mlfae tnna/[n[a to P<nuninPNcm[. xo[ef Fo[nn[[wn[M[ oLvu Ml.n[e aJ$IMNRMMCtl[{ya[tl10 t4fna[mn[ FEB 0 5 2024 O+MIN 9ankaalame Vul[n[e Invnn Babnn lW W PMCunta6C mml.mdle Adlmt dalarrcv/Inmr[[iml 1AJ).1N�./( 4 T muntue[ Lnk Llance Ntlante lf+uf In B+lln[f ddj."H4wf/Inntln Aml AvnlPwdai 11 ANDREW MIOSJdNi s cwnvv"u,irnn...Wnunnmun Sumoanum+lxF ul"m"'su_., s." MMC PORTION QIPP/comp QIPP/Comp1 f2dNP/�rse VliY'F%Nnd�hv( +. x�e, ._ Bey_" y TransTUQ.t Transfer -In OIPP/Compl 2 OIPP/ComP3 &UPse QIPPTI HHPORTION 2/2/20M HNB ECHO HCCUIMPMT34E00341144COOO21S633 1,213.80 - 1,213.00 1/31/IOM Addedtu Atcaunt 10.96 - 1056 1129120248NO EOIOHCCUIMPMT24600MI1MO(KQU5939 13,50 33.50 1/29/2024 HNO -ECHO KCUIMPMT74600MIl MOW923S914 � � 41.23 4L13 �.,aJs�Y?C^�' S C rP *S'wl t• x ,o IG" ¢. r41�. a . /a, SO V' •ae ;4 aPan .....ein ' t, s14,0 tzl ?�. .: 2/1/2024 WIRE OUT HMO Rco1P RSNP IP•Camm Ical 1/31/D)14 Mded to ount 1/31/1024 MERCHANT BMHCO OEPOSIT49613851888991=1 1/19/2024 WPYTMEP CONTMC HCCUIMPMT 25023179122100O MMC PORTION QIPP/Pomp QIPP/CoMP4 Translio-OW TUnsfer•In QIPP/ComP1 2 QIPP/Comp3 GUpse alp" NHPORTION 10,303.97 ✓ - 10a.79 6.661.90 104J9 6,661.R0 164303.92 3.182.36 V111.36 oammluee Uvervinw Account Nama '057 MEMORIAL MEDICAL CENTER• $1,547,918.23 $1.482.545.08 $1,547,918.23 $2,121.638.02 OPERATING �- -------_-- '4365 MEMORIAL ---- —�--- MEDICAL CENTER - $541.86 $541.86 $541.86 $541.86 CLINIC SERIES 2014 '4373 MEMORIAL MEDICAL CENTER• PRIVATE WAIVER $436.21 S436.21 $436.21 $436.21 CLEARING '4367 MEMORIAL ' MEDICAL CENTER I $214,022.30 $226,583.32 $214,022.30 S21%956,16 NH ASHFORD '4403 MEMORIAL MEDICAL CENTER $132,910.08 $141,860.05 $132.910.08 S115,177.65 NHBROADMOOR '"It MEMORIAL MEDICALCENTERI $133,791.86. $139.371,86 8133,791.86 $133.791.86 NH CRESCENT 'M39 MEMORIAL MEDICAL CENTER I WEST $149,462.73 $150,765.04 $149,462.73 S144,762.64 HOSTONOUSTON '4446 MEMORIAL MEDICAL CENTER I $74,094.38 $74.690.35 S74,094.38 561,194.08 NH FORT BEND '4454 MEMORIAL - ^- L GOLDEN CRREE EK GOLDE $198.585.88 $201,296.27 $198,585.88 $192,298.34 HEALTHCARE 1MC-NHGUL F� POINT POINTS PLAYA - 51,537.80 % $1,537.80 $1,537.80 $324.00 PRIVATE PAY '6441 MMC -NH GULF POINTE PLAZA- J $7.081.89 $52.351.68 $7.081.89 $7,081.89 MEDICAREIMEDICAID '5506 MMC -NH BETHANY SENIOR $228,614.35 $232,135.74 $228,614.35 $109.325.22 LIVING '3407 MMC TUSCA61C-RXY VILLAGE $129,977.59 $129.977.59 $129,977.59 $127,007.89 '3660 IR LIVING - BTH MMCETH -BANY SR LIVING $100.00 $100.00 $100.00 $100.00 '2998M FUND MARKET FUND MONEY $606,605.19 $608,605.19 S606,605,19 $606,605.19 Total Balance $3.425,680.35 $3,440.788.04 $3.425.680.35 $3,914,240.01 RepcapEaefala4 en 02105202406:45:55AM CST Papa 2 ol2 Memorial Medical Center Nursing Home NPL Weekly Tuscany Transfer Prosperity Accounts 2/5/2024 Prwlw. xmum eglnnln[ norc: onryhavnrc,./oa<.Scam�ph.rmn./Nnaromeno,rapnom<. Nvfe I: Fvd, nmun] hm v hme bvlonm of SICO Ib m MMC OepoareL m open vttwn f FEB 0 5 2024 OABHOUNUCOUNTY,'�&S Mnwptte[e namlaree.n M. amapvup Y6pdI1 3[3E3[ �� imerymup W.nPelMxw q]eb3 I pxonew o[wssnxlos I/s/m:. MMG PORTION ski v ;:• i2, < g ¢` T �`� V* �@ p,, •. '15„W 41PP/Game QIPP/Come QIPP/Comp TlfiTt �§s1 �w �,• �..i*�,M ;; Transfer -Out Transfer-ini QIPP/[omp2 3 4&Lapse OIPPTI NHPORTION 2/2/2024 HNB- ECHO HCCWMPMT 746003411440000215836 n - 2,969.70 - 2,969.70 7/1/2024 WIRE OUT VI3IAGE P0ST ACUTE HEALTH SERVICE 405,293.39- 2/1/2024FINE - ECHO HCCWMPMT 74SW3411 MMM273731 - 8,414.16 8p14.16 1/31/2G24 A88e0to Attount 259.28 - 259.28 1/3l/2D24 NOVRASSOLUTIONHCCWMPMT67620142ON119 - 47.1614S - 47,161.45 1/29/2024 1145 7,783.44./ 1/29/2024 HNB- ECHO HCCWMPMT 74600341144000023536E - 14,332.87 14,331.87 1/29/2024 NOV0AS SOLUTION HCCLAIMPMT 676201420000197 - 35,900.15 35,900.15 eaiance6 uverwew Account Name '4357 MEMORIAL MEDICALCENTER- $1.547.916.23 $1,402,545.06 $1,547.918.23 $2,121,638.02 OPERATING '4365 MEMORIAL MEDICALCENTER- $541.86 $541.86 $541.86 $541.86 CLINIC SERIES 2014 '4373 MEMORIAL MEOICAL CENTER- PRIVATE WAIVER $436.21 $436.21 $436.21 $436,21 CLEARING '4381 MEMORIAL ----- - MEDICALCENTER/ $214,022.30 $226.583.32 $214,022.30 $213,955.16 NH ASHFORD Y403 MEMORIAL MEDICALCENTER/ $132,910.08 $141,8%05 S132,910.08 $115,177.66 NHBROADMOOR '4411 MEMORIAL�_._----- MEDIOALCENTERI $133.791 BE $139,371.86 $133,791.86 $133,791.86 NH CRESCENT '4438 MEMORIAL SOLER ATWESRl WEST $149,482.73 S150,765.04 $149,462,73 $144,762.64 XOUSTON HUSTON '4446 MEMORIAL MEDICALCENTER/ S74,094.3B S74,690.35 $74.094.38 S61,194.08 NH FORT BEND '4451 MEMORIAL .._��—..._ L GOLDEN CREEK GOLDE $198,585.88 $201,296.27 $198,585.88 $192,298.34 E HEALTHCARE '6433 MMC -NH GULF POINTE PLAZA- $1,537.80 S1,537.80 $1,537.60 $324.00 PRIVATE PAY '5441 MMC -NH GULF POINTE PLAZA- $7,08119 S52,351.68 $7.081.89 $7,081.89 MEDICAREIMEOICAIO '5506 MMC -NH BETHANY SENIOR $228,614.35 $232,135.74 $228.614.36 $189,325.22 LIVING '3407 MMC-NH / TUSCANYVILLAGE $129,977.59 $129,977.59 $129,977.59� $127,007.89 '3660 MMC -BETHANY SR LIVING - DACA $100.00 $100.00 $100.00 $100.00 '29aa ET FUND -MONEY '2909M FUND $606,605.19 S606,605.19 $606,605.19 S606,605.19 Total Balance $3.425,660.35 $3,440,788.04 $3,425,680.35 $3,914,240.01 Repan gemm1w en OIZSI02404:14:55 AM CST P0902 Of 2 Memorial Medical [enter Nursing Home UPL Weekly HSLTransfer Prosperity Accounts 2/5/2024 Pnwn[ AnPIn1 1etlnNq xan:oxyeerMmP)Pvnfsxw"Is, oeas/e fro Menunminane. NmeLEwaa[rvuneM[abelrhNrnt<r/fIW MatMMCMyrxlearoMma[[run[ FEB 0 5 2024 a nY9 W. nrl[nn 1n. In 0[6n[r 11d.61r.33 'Vr NPPSuaeAn Naaambee 19.11119 [uprkrrsmll ]}17 ",fro." lOar� Miul atlnnf[nM1nlTl StO 6SlD3: [0' PePrweA: RrIDM[W Df IOSSaXttK i1S/ED11 s:lxxwvnrernnr�wxuvin.nnrrsa�:a.nuD:rsxx umr[n[rca.n•nrc3ay. MMCPORTION H i ppp �11I,. • — i 1 ;�,` I[6NI8O�0 ]La9 a�An WiP/Com01 OIPP/Cem03 Olyr/tempi OI/P/lnmpl�Ypn yOP TI NH P00.310.3 I Yi/10ia OepeY1 5,]9]J! 51390.33 1/1/10a. OEpem 33]65.09 15,26)09 L2/lotl O4WN1 8,99}.6} 8.997.42 LL104 HO EOTSOUTMprymmh X5113Y}63W1505 159859 59 1.5]0 UU3024 HEY NUM"SVCHCCUIMPM31l14WMIIWl62 3]]0 / 7.3 U41014 WMf 1T90RL NVPCA XM, ILC )9p,IW.$) UU2024 Oe9ail3 6Al"ll 6E.1%I] UUl@4 HPMXXUMPN SVC X<CWMPML l34EWMltIDIbS 400]6 0,190.16 U3UM}4 yleO le PMoun1 }W 01 ME3 V]YNN IM- 11N0XWNIMPMTi46WIS11YWW11464 ]U.95 713.95 U30/lOM De 1 63.0]UI 63,OM.74 1/10/102a OtPN, 2130.13 2.22013 E/3U/mM mp . U.42a02 12.424.02 UW/1W4 HN6'ECHOHWWMPMf76 34IlM T1913W 1,116.93 ,21692 NWSW[fGK1 IIIISMT74 FR359 � ]464]5 � 3A6B]5 M11123W[[P MIJ9014 IM U19/1W4 MHO-[CNO MCCUIM9Mi 14W1MMNW]p$35932 L}63 }6 390,m3A] 2W.89L905 2W B929p5 eeieoceE uWfvrow Account Name •4357 MEMORIAL _- MEDICALCENTER- $1.547,918.23 S1,482,545.08 $1,547,918.23 $2.121,638.02 OPERATING •4365 MEMORIAL MEDICAL CENTER - $541.86 $541.86 $541.80 $541.86 CLINIC SERIES 2014 '4373 MEMORIAL PRIVAEWAJVER- PRIVATE WAIVER $436.21 $436.21 $436.21 $436.21 CLEARING •4381 MEMORIAL MEDICAL CENTER I $214,022.30 $226.583.32 $214,022.30 $213,955.16 NH ASHFORD '4403MEMORIAL - MEDICALCENTERr $132,910.08 S141,850.05 $132,910.08 $115,177.65 NH BROADMOOR 'M11 MEMORIAL MEDICAL CENTER I $133.791.80 $139.371.86 $133,791.86 $133,791.66 NH CRESCENT '4436 MEMORIAL MEDICAL CENTER I WEST $149,462.73 S150.765.04 $149,462.73 $144.762.64 HOSTONOUSTON 'bW E MEMORIAL MEDICALCENTERI $74,094.38. $74,690.36 S74,094.38 $61,194.08 NH FORT BEND '4454 MEMORIAL MEDICAL GOLDE GOLDSN CREEK $198,585.88 $201,296.27 $198,565.88 $192,298.34 HEALTHCARE '6433 MMC -NH GULF POINTE PLAZA- $1.537.80 $1.537.80 $1,537.80 $324.00 PRIVATE PAY 'S441 MMC -NH GULF POINTE PLAZA- $7,081.89 $52,351.08 $7,081.89 $7,081.89 MEDICAREIMEDICAID '5508 MMC -NH / SETHANYSENIOR ✓ 5228,614.35. / $232,135.74 $228,614.35 $109,325,22 LIVING VVV USCMMC AIN USC TANY VILLAGE $129.977.69 $129.977.59 $129,977.59 $127,007.89 '3680 MMC -BETHANY SR LIVING -DACA $100.00 $100.00 $100.00 $100.00 '2090M FUMD MARKET -MONEY FUND $606.605.19 $606.605.19 $606,606.19 $606,605.19 Total Balance $3,425,680.35 $3,440,788.D4 $3,425,680.35 $3,914,240.01 R4pMoargraNg an DWS08400:45:55AM CET Pag4 3 all ASHFORD P Q Y MEMORIAL MEDICAL CENTER CHECK REQUEST MEMORIAL MEDICAL CENTER Date Requested: 2/5/2024 E E APPROWD ON PER 0 b 2024 CALHOUEI �byUI 8 FOR ACCT USE ONLY ❑ Imprest Cash ❑ A/P Check ❑ Mail Check to Vendor ❑ Return Check to Dept AMOUNT: $ 34,181.19Z G/L NUMBER: 10255040 EXPLANATION: QIPP YEAR 61GT REFUND HOPSITAL PORTION REQUESTED BY: CAITLIN CLEVENGER AUTHORIZED BY: 2 IS 2-j I0.11107-1117•r.T.7:� MEMORIAL MEDICAL CENTER CHECK REQUEST P MEMORIAL MEDICAL CENTER Date Requested: 2/5/2024 A Y E FOR ACCT USE ONLY ❑ Imprest Cash E APPROVED ON ❑ ASP Check FEBN0 5 22002�4pp ❑ Mail Check to Vendor CABLFYIO&COnUN1y, 7E7(q El Return Check to Dept AMOUNT: $ 12,645.12 ✓ G/L NUMBER: 1D2SSO40 EXPLANATION: QIPP YEAR 6 IGT REFUND HOPSITAL PORTION REQUESTED BY: CAITLIN CLEVENGER AUTHORIZED BY: zfsl-L�f CRESCENT P V1 Y E N AMOUNT: MEMORIAL MEDICAL CENTER CHECK REQUEST MEMORIAL MEDICAL CENTER Date Requested: 2/5/2024 APPROVED ON pCO FEB N0y5p2024 CALHOUN" UNT`i, I T& FOR ACCT USE ONLY ❑ Imprest Cash ❑ A/P Check ❑ Mail Check to Vendor ❑ Return Check to Dept $ 9,432.20 G/LNUMBER: 20255040 EXPLANATION: QIPP YEAR 6 IGT REFUND HOPSITAL PORTION REQUESTED BY: CAITLINCLEVENGER AUTHORIZED BY: I^�AAmOtLttl IINLThL (,% 2 IS !'I+ FORT BEND P A Y MEMORIAL MEDICAL CENTER CHECK REQUEST MEMORIAL MEDICAL CENTER Date Requested: 2/5/2024 E E APPROVED ON FEB 0 5 22�024pp CABHOUN p;UNT1'RAS FOR ACCT USE ONLY ❑ Imprest Cash ❑ A/P Check ❑ Mail Check to Vendor ❑ Return Check to Dept AMOUNT: $ 10,670.52 ✓ G/L NUMBER: 10255040 EXPLANATION: QIPP YEAR 6 IGT REFUND HOPSITAL PORTION REQUESTED BY: CAITLIN CLEVENGER AUTHORIZED BY:'l 1-IL! ! 0 21 '5 f SOLERA MEMORIAL MEDICAL CENTER CHECK REQUEST P MEMORIAL MEDICAL CENTER A Y E Date Requested: 2/5/2024 0VE® 01v E EEB 06 2024 CALg HolVN;yU47IR 9 AMOUNT: $ 10,233.12 EXPLANATION: QIPP YEAR 6 IGT REFUND HOPSITAL PORTION FOR ACCT USE ONLY ❑ Imprest Cash ❑ A/P Check ❑ Mail Check to Vendor ❑ Return Check to Dept G/L NUMBER: 10255040 REQUESTED BY: CAITLIN CLEVENGER AUTHORIZED BY:LAJ-10 :,177 Its GOLDEN CREEK MEMORIAL MEDICAL CENTER CHECK REQUEST 0 MEMORIAL MEDICAL CENTER A Date Requested: 2/5/2024 Y E FOR ACCT USE ONLY -APPROVED ON ❑ imprest Cash E FEB NN0 5pp22�0pp2TT4pppp ❑ A/P Check CALHOUN'COUNTY,IT0XA6 ❑ Mail Check to Vendor ❑ Return Check to Dept AMOUNT: $ 24,759,09;,/ G/LNUMBER: 10255040 EXPLANATION: QIPP YEAR 6 IGT REFUND HOPSITAL PORTION REQUESTED BY: CAITLIN CLEVENGER AUTHORIZED BY: 2(S(Z�-f QIPP Year 6 First IGT Refund facilitylD NSGD Facility Owner IGTRecelved Ut Half IGT Refunds I6TRecelved 2nd Half Total IGT Received Percentage of Total IGT AmountReturned- First Reconciliation 4628 Fort Bend MMC $ 178,670.03 $ 145,678.18 $ 324,348.21 0.08% $ 26,676.29 4811 Ashford MMC $ 572,339.29 $ 466,655.45 $ 1,038,994.74 0.24% $ 85,452.98 100806 Gulf Pointe MMC $ 251,540.97 $ 20S,093.32 $ 456,634-29 0,11% $ 37,556.26 102540 Golden Creek MMC $ 332,658.42 $ 270,416.89 $ 602,075.31 0.14% $ 49,518.18 103462 Tuscany IMMC $ 338,557.10 $ 276,041.72 $ 614,598.82 0.14% $ 50,548.19 105006 Solera MMC $ 171,346.22 $ 139,706.73 $ 311,052.95 0.07% $ 25,582.81 105314 Crescent MMC $ 357,935.34 $ 128,772.20 $ 286,707.54 0.07% $ 23,580.50 105818 Broadmoor MMC $ 211,733.46 $ 172,636.36 $ 384,369.92 0.09% $ 31,612.81 110301 Bethany MMC $ 271,633.80 $ 221,475.96 $ 493,109.76 0.11% $ 40,556.22 $ 371,084.24 68,473.93 Total due to NH's from MMC 101,921.25 Total due to MMC from NH's QIPP Year 6 First IGT Refund Total IGT Refund $ 372,084.24 Total due to NH's from MMC $ 60,473.93 Total due to MMC from NH's $ 101,921.25 Ashford Gardens ✓ Total Refund $ 85,452.98 Sept Oct NH Portion 50% 3,560.54 MMC Portion 50% 3,560.54 NH Portion 70% MMC Portion 30% Broadmoor J Total Refund $ 31,612.91 Sept Oct NH Portion 50% 1,317.20 MMC Portion 50% 1,317.20 NH Portion 70% MMC Portion 30% Crescent •,/ Total Refund $ 23,580.50 Sept Oct NH Portion 50% 982.52 MMC Portion 50% 982.52 NH Portion 70% MMC Portion 30% Nov Dec Jan Feb March April May June July August Total 3,560.54 3,560.54 3,560.54 3,560.54 3,560.54 21,363.25 3,560.54 3,560.54 3,560.54 3,560.54 3,560.54 21,363.25 4,984.76 4,984.76 4,984.76 4,984.76 4,994.76 4,984.76 29,908.54 2,136.32 2,136.32 2,136.32 2,136.32 2,136.32 2,136.32 12,817.95 Total 85,452.98 Total NH _51,271.79 Total Due to MMC, 34,18149L�� Nov Dec Jan Feb March April May June July August Total 1,31T20 1,317.20 1,317.20 1,317.20 1,317.20 7,903.20 1,317.20 1,317.20 1,317.20 1,317.20 1,317.20 7,903.20 1,844.08 1,844.09 1,844.08 1,844.08 1,844.08 1,844.08 11,064.48 790.32 790.32 790.32 790.32 790.32 790.32 4,741.92 Total 31,612.81 Total NH 18,967.69 Total Due to MMC 12,645,1v Nov Dec Jan Feb March April May June July August Total 982.52 982.52 982.52 982.52 982.52 5,895.13 982.52 982.52 982.52 982.52 982.52 5,895.13 1,375.53 1,375.53 1,375.53 1,375.53 1,375.53 1,375.53 8,253.18 589.51 589.51 589.51 589.51 589.51 589.51 3,537.08 Total 23,580.50 Total NH 14,148.30 Total Due to MMC'- 9,432.20 b/ Fort Bend ,/ Total Refund $ 26,676.29 Sept Oct Nov Dec Jan Feb March April May June July August Total NH Portion 50% 1,111.51 1,111.51 1,111.51 1,111.51 1,111.51 1,111.51 6,669,07 MMC Portion 50% 1,111.51 1,111.51 1,111.51 1,111.51 1,111.51 1,111.51 6,669.07 NH Portion 70% 1,556.12 1,556.12 1,556.12 1,556.12 1,556.12 1,556.12 9,336.70 MMC Pardon 30% 666.91 666.91 666,91 666.91 666.91 666.91 4,001.44 Total 26,676.29 Total NH 36005:7.7 / Total Due to MMC 10,670.5� Solera _ Total Refund $ 25,582.81 Sept Oct Nov Dec Jan Feb March April May June July August Total NH Portion 50% 1,065.95 1,065.95 1,065.95 1,065.95 1,065.95 1,065.95 6,395.70 MMC Portion 50% 1,065.95 1,065.95 1,065.95 1,065.95 1,065,95 1,065.95 6,395.70 NH Portion 70% 1,492.33 1,492.33 1,492.33 1,492.33 1,492.33 1,492.33 8,953.98 MMC Portion 30% 639.57 639.57 639.57 639.57 639.57 639.57 3,837.42 Total 25,582.81 Total NH 15,349.69: Total Due to MMC 10,233.12 Golden Creek ✓ Total Refund $ 49,519.19 Sept Oct Nov Dec Jan Feb March April May June July August Total NH Portion 50% 2,063.26 2,063.26 2,063.26 2,063.26 2,063.26 2,063.26 2,063.26 2,063.26 2,063.26 2,063.26 2,063.26 2,063.26 24,759.09 MMC Portion 50% 2,063.26 2,063.26 2,063.26 2,063.26 2,063.26 2,063.26 2,063.26 2,063.26 2,063.26 2,063.26 2,063.26 2,063.26 24,759.09 Total 49,518.18 Total NH 24,759.09 Total Due to MMC , 24,759.0� Tuscany ... Total Refund $ 50,548.19 Sept Oct Nov Dec Jan Feb March April May June July August Total NH Portion 50% 2,106.17 2,106.17 2,106.17 2,106.17 2,106.17 2,106.17 2,106.17 2,106.17 2,106.17 2,106.17 2,106.17 2,106.17 25,274.10 MMC Portion 50% 2,106.17 2,106.17 2,106.17 2,106.17 2,106.17 2,106.17 2,106.17 2,106.17 2,106.17 2,106.17 2.106.17 2,106.17 25,274.10 Total 50,548.29 Total due to NH 25,274.10 MMC 25,274.10 CRESCENT N TUSCANY Q MEMORIAL MEDICAL CENTER CHECK REQUEST Date Requested: 2/5/2024 Y E APPROVED ON E FEB 0 5 2024 AMOUNT: EXPLANATION: $ 18,900.00 FOR ACCT USE ONLY ❑ imprest Cash ❑ A/P Check ❑ Mail Check to Vendor ❑ Return Check to Dept G/L NUMBER: 10255040 QIAR-Y-EAR-6-tG MND-HOPSFTAi-PORTION� CIQIm pAyWA+ -} M&ttcl' I- -b I-( REQUESTED BY: CAITLIN CLEVENGER AUTHORIZED BY: ?ft512 00 CC CC -Zyl m m A F O O Oyyyp O O y Z,mo r b Z D n 9 gym, 9� 9 n oa m oa o� n A O y n A m Z y m a y � r U U N O O Oi w w w b O U r O O O O O O O O O O O O A d r A A A > to n y y3y � x Z N mA N N N O a '� '2 O T• 'Z v 9 D D a m m � 0 0 A C _i O m O vmi G wn nw nw nw nw n Op t=< v' R<1 on no na yA N � w n I ( ; | \ r { ) � - � \ \ E § « @ \ )}) 2)) ))\/) \ g . 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O O O O W r m r� rm r W rm rm rtA rm pJ D Ip W ID D W DT Di W 3 A A M A M A m A m A m A M A m A m A D A A D A A -I A .4 -I A • A � mi WZZAi i�l � 1' N N _ N N `rd w "' w - N tl N m � '+1 � `q n O O N U U N V, N U N U L`� U N U N U D D D b m I m U m U m U ND tiD JD JD n n MD MD mD mD n n n n n n n n -� -� .� ti n n n n p N_ CO W W y O] W .P U U U %� M O� W W ,�• 5 W b _ b J W J U U N N_ Oa �O 00 J �O �• P �1 b Js IJ J J C b d IJ P J J J U C O O O ! 2 O O O a T b a y rt -7 -7 3 3 � z z 9 0 b a 0 O m w o d oo a > z° n n � l7 v 0o W P N U A A J J CO O O �D T N O C P O O O O O n a 0 0 O ° z O z o o $ C td+y1 b -1 e a a -I C 3 � -I 3 3 z z o b � C7 w e b b n N r No 0 3 N N_ C� G T% \H 9 n 6 O O O v O O O m m Om 9 -i F 3 � m CA a0 N> on vO yCACF mCA mA -1 SO oz �zm z oo mOd �o ado m m K m m m S CO O N O y K K N O W N T J p a p � as m� mz m5 y o o a a ~ O O O b J J J b U U U i 2 YJ O O� V N(.: r;u mr mr mr mr Po_ oy 3n 3n 3n n CO CO CO CO $ z N O vi N m _ A J N N J O P N b V� Ca f) 6 O O O ( § / 7 ; @ ■ � § § rg R2l;! ; @F -` , ■ 0 / ( �elR»R 2(/ ; 2%( N e m � y D D 3 3 y y N N N N N N n 0 0 0 0 0 o r a R 20>S.-1 S >aS a0 r aon y0a z ;oO O AO 00<no o n0 n0 OZ OC OC ayC yCZ �C Z 0 0o Zo z Zo z o °z Zo m ' A A A O O O O O O c S 0 0 0 0 0 0 0 3 N N N N N N 0X 0Opr X w' Ory> Oryy prX = X X X nn nn nn nn nn nn ^ U N N y N N N y N y N N N N n a A A P A L A -yi ^y7 yy yy yy yy a a a a a a n c # 22 NOTICE OF MEETING-- 2/7/2024 SUPPLEMENTAL AGENDA The subject matter of such meeting is as follows: 22. Consider and take necessary action to approve a building line variance for an existing building located near the South line of the proposed Lot 7R of the Replat of Lots 7 and 8 of Block 87 of the Port O'Connor Townsite. Henry Danysh explained the variance. RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER': Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 19 of 20 Gary D. Reese County Commissioner County of Calhoun Precinct 4 February 1, 2024 Honorable Richard Meyer Calhoun County judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear judge Meyer: Please place the following item on the Commissioners' Court Agenda for February 7, 2024. • Consider and take necessary action to approve a building line variance for an existing building located near the South line of the proposed Lot 7R of the Replat of Lots 7 and 8 of Block 87 of the Port O'Connor Townsite. Sincerely, Gary D. Reese GDR/at P.O. Box 177 — Seadrift Texas 77983 —email: carv.reesena calhouncomore — (361) 785.3141 — Fax (361) 785-5602 # 23 NOl ICE OP MHTING — 2/7/2024 23. Consider and take necessary action to adopt the Rules of Procedure, Conduct and Decorum at meetings of the Calhoun County Commissioners' Court. RESULT: APPROVED [UNANIMOUS] MOVER, Joel Behrens, Commissioner Pct 3 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Adjourned 10:52am Page 20 of 20 RULES OF PROCEDURE, CONDUCT AND DECORUM AT MEETINGS OF THE CALHOUN COUNTY COMMISSIONERS' COURT I. All Regular, Special, Emergency and Executive Session Meetings of the Calhoun County Commissioners' Court will be called and conducted in accordance with the provisions of the Texas Open Meeting Act, Chapter 551, Government Code. II. Regular, Special and Emergency Meetings of the Calhoun County Commissioners' Court are open to the public and to representatives of the press and media. Executive Sessions of the Commissioners' Court are not open to the public, the press or the media and only those individuals expressly requested or ordered to be present are allowed to attend Executive Session. III. The Calhoun County Commissioners' Court meets in Regular Session on each Wednesday of each month. In order for a matter or issue to appear as an agenda item on the Agenda of any Regular Meeting of the Commissioners' Court, a request must be filed with and approved by at least one member of the Commissioners' Court and/or the County Judge by 4:00 pm on the Thursday immediately preceding the next Regular Meeting of the Commissioners' Court. IV. The business of Calhoun County is conducted by and between the members of the Calhoun County Commissioners' Court and by those members of the County staff, elected officials, department heads, consultants, experts and/or members of the public requested to be present and participate. While the public is invited to attend all meetings of the Commissioners' Court (except Executive Sessions) the public's participation therein is limited to that of observers unless a member (or members) of the public is requested to address the Commissioners Court on a particular issue (or issues) or unless the member (or members) of the public completes a Public Participation Form and submits same to the County Clerk prior to the time the agenda item (or items) is addressed by the Court. A sample of the Calhoun County Commissioners' Court Public Participation Form is attached hereto as Exhibit "A". A. Each member of the public who appears before the Commissioners' Court shall be limited to a maximum of five (5) minutes to make his/her remarks. Time for each speaker shall be maintained by the County Clerk or such other designated representative of the Commissioners' Court. B. Maximum discussion on any agenda item, regardless of the number of members of the public wishing to address the Commissioners' Court on such agenda item (or items), shall be limited to thirty (30) minutes. In the event that more than six (6) members of the public wish to address a particular agenda item (or items), then the time allocated to members of the public recognized to speak shall be divided equally between those members of the public wishing to speak for the agenda item (or items) and those members of the public wishing to speak against the agenda item (or items). C. In matters of exceptional interest, the Court may, by the majority vote of the members of the Court in attendance at the meeting, either shorten or lengthen the time allocated for all members of the public and /or the amount of time allocated for all agenda items and/or a specific agenda item. D. It is the intention of the Court to provide an open access to the citizens of Calhoun County to address the Commissioners' Court and express themselves on issues of County Government. Members of the public are reminded that the Calhoun County Commissioners' Court is a Constitutional Court, with both judicial and legislative powers, created under Article V, Section 1 and Section 18 of the Texas Constitution. As a Constitutional Court, the Calhoun County Commissioners' Court also possesses the power to issue a Contempt of Court Citation under Section 81.024 of the Texas Local Government Code. Accordingly, members of the public in attendance at any Regular, Special and/or Emergency Meeting of the Court shall conduct themselves with proper respect and decorum in speaking to and/or addressing the Court; in participating in public discussions before the Court; and in all actions in the presence of the Court. Proper attire for men, women and children is mandatory. Those members of the public who are inappropriately attired and/or who do not conduct themselves in an orderly and appropriate manner will be order to leave the meeting. Refusal to abide by the Court's Order and/or continued disruption of the meeting may result in a Contempt of Court citation. E. It is not the intention of the Calhoun County Commissioners' Court to provide a public forum for the demeaning of any individual or group. Neither is it the intention of the Court to allow a member (or members) of the public to insult the honesty and/or integrity of the Court, as a body, or any member or members of the Court, individually or collectively. Accordingly, profane, insulting or threatening language directed toward the Court and/or any person in the Court's presence and/or racial, ethnic or gender slurs or epithets will not be tolerated. These Rules do not prohibit public criticism of the Commissioners' Court including criticism of any act, omission, policy, procedure,, program, or service. Violation of these rules may result in the following sanctions: 1. Cancellation of a speaker's remaining time; 2. Removal from the Commissioners' Courtroom; 3. A Contempt Citation; and/or 4. Such other civil and/or criminal sanctions as may be authorized under the Constitution, Statues and Codes of the State of Texas. V. The County Judge is the presiding officer of the Calhoun County Commissioners' Court and is a fully participating member thereof. In the event of the absence of the County Judge, the senior member of the Commissioner's Court (in terms of total number of years as an elected representative) present at the Regular, Special, Emergency Meeting or Executive Session, shall serve as the Judge Pro-Tem of the Court. However, nothing herein shall prevent the senior member of the Commissioners' Court from delegating this duty to another member of the Commissioners' Court. VI. The County Judge (or the designated Judge Pro-Tem of the Commissioners' Court) as presiding officer of the Commissioners' Court, is responsible for conducting all meetings and members of the public who have properly completed a Public Participation Form and submitted same to the County Clerk must wait to be recognized before they will be allowed to address the Court. VII. Special Rules for Press and Media: A. No media personnel or equipment, including lights, cameras or microphones will be located on the Commissioner's Court bench nor closer that five feet (5') in front of the Commissioners' Court bench. B. Reporters and media technicians are required to structure their movements, equipment set-up and take -down and adjustments, etc. in such a manner as to not disrupt the Commissioners' Court deliberations or the ability of the public to see, hear, and participate in the proceedings. C. Interviews shall not be conducted inside the Commissioners' Courtroom during the time the Court is in session. D. Media interviews which are conducted outside the Commissioners' Courtroom should be conducted in such a manner that the interview does not disturb, impede or disrupt the proceedings of any Regular, Special, Emergency and/or Executive Session Meeting of the Court. VIII. The Sheriff of Calhoun County, Texas, or his designated deputy, shall serve as the Bailiff at all Regular, Special and Emergency Meetings of the Court. However, in the event of the absence of the Sheriff, or in the event that there exists a conflict of interest between the Sheriff, any member of the Sheriff's Department, and the Commissioners' Court, or in the event of an Executive Session of the Court in which the Sheriff is not an authorized participant, then in such event, the Court shall appoint such other commissioned peace officers to serve as Bailiff as may be necessary. IX. From time to time, the Commissioners' Court shall conduct town meetings and public hearings. These rules of procedure, conduct and decorum shall also apply to such town meetings and public hearings, however, the Commissioner's Court may adopt such additional and supplemental rules for such meeting as may be necessary and appropriate to conduct such meetings in an orderly, efficient and proper manner. X. These Rules of Procedure, Conduct and Decorum at Meetings of the Calhoun County Commissioners' Court shall be effective immediately upon adoption by the Court and shall remain in full force and effect until amended or repealed by a majority vote of the Commissioners' Court. ADOPTED BY THE UNAN OUS VOTE OFT E CAL 0 1 UNTY M S IONERS' COURT on this the ' day of a v 0, Commissioner, Precinct 1 Commissioner, Precinct 2 Attest: Anna Goodman, County Clerk By i �v rrld Deputy Clerk County Judge (:: Von aA�� Commissioner, Precinct 3 n"JA;�' Commission r, Precinct 4