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2024-05-15 Final Packet
' NOTICE OF MEETING 5/15/2024 May 15, 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: (ABSENT) Richard Meyer David Hall Vern Lyssy (ABSENT) Joel Behrens Gary Reese 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 Commissioner Vern Lyssy, Judge Pro Tern 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. Commissioner Lyssy thanks Shannon with Texas Emergency Management for helping the community with the recent storm that brought some severe damage. Page 1 of 5 ' N0110E OF MEEl-ING — 5/15/2024 5. Accept April 24, 2024 and May 8, 2024 Commissioners' Court Minutes. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Commissioner Hall, Lyssy, Reese 6. Consider and take necessary action on insurance proceeds check from VFIS in the amount of $20,252.48 ($21,252.48-$1,000 deductible) for damages to an EMS Vehicle on 3/15/24. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Commissioner Hall, Lyssy, Reese 7. Consider and take necessary action on insurance proceeds check from TAC in the amount of $2,500.00 for damages to a Sheriff Office Vehicle on 1/8/24. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: David Hall, Commissioner Pct 1 AYES: Commissioner Hall, Lyssy, Reese 8. Consider and take necessary action to allocate the funds from the Local Assistance and Tribal Consistency Fund through the U.S. Department of the Treasury to be used for the UPS Battery Backup for the Combined Dispatch Building in the amount of $25,784.64 (DEH) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER; David Hall, Commissioner Pct 1 AYES: Commissioner Hall, Lyssy) Reese Page 2 of 5 NOTICE OF MEETING -- 5/15/2024 9. Consider and take necessary action to approve the Specifications and Contract Documents for Bid No. 2024.08 - Infrastructure at Little Chocolate Bayou County Park Playground Improvements Phase 2 for Calhoun County, Texas — Texas General Land Office Contract No. 20-065-064-C182 and Calhoun County 2020 CDBG-DR Contract Work Order No. E-1 and to authorize G & W Engineers, Inc. and the County Auditor to advertise for bids. A pre -bid meeting shall be held at 10:00 am, Tuesday, June 4, 2024 at Little Chocolate Bayou Park Pavilion at West Austin St. Sealed Bids will be due before 2:00:00 pm, Tuesday, July 2, 2024 at the County Judge's Office. (DEH) Commissioner Hall explained use for funds and where they are coming from. Scott Mason with G&W Engineers explained the project. Council expressed concerns within bid packet. RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Commissioner Hall, Lyssy, Reese 10.To correspond with the recently approved amendment to the GLO-County contract for GLO CDBG-DR 20-065-064-C182, Calhoun County recommends a contract extension and budget increase for KSBR LLC, to complete their scope of work as Grant Administration for this contract. The County also authorizes the judge to sign this amendment and execute the amended contracts. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: David Hall, Commissioner Pct 1 AYES: Commissioner Hall, Lyssy, Reese 11.To correspond with the recently approved amendment to the GLO-County contract for CDBG-DR contract 20-065-064-C182, Calhoun County recommends a contract extension and budget increase for G&W Engineering, Inc., to complete their scope of work as Engineer for this contract. The County also authorizes the judge to sign this amendment and execute the amended contracts. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Commissioner Hall, Lyssy, Reese Page 3 of 5 NO] CF OF MEETING-5/1.5/2024 12. Public Hearing concerning Petition to Vacate Club Grounds, Bayside Beach as recorded in Volume Z, Page 28 of the Plat Records of Calhoun County, Texas. (DEH) Regular Session closed at 10:14am Terry Ruddick explained the Petition to Vacate. Regular session opened at 10:16am 13. Consider and take necessary action to Vacate Club Grounds, Bayside Beach as recorded in Volume Z, Page 28 of the Plat Records of Calhoun County, Texas. (DEH) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Commissioner Hall, Lyssy, Reese 14. Accept Monthly Reports from the following County Offices: i. District Clerk — April, 2024 ii. Justice of the Peace No. 1— April 2024 iii. Justice of the Peace No. 2 — April, 2024 iv. Justice of the Peace No. 3 — April, 2024 v. Justice of the Peace No. 4 — April, 2024 vi. Justice of the Peace No. 5 — April, 2024 — 1st revision vii. Sheriff Department — April, 2024 RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER. Gary Reese, Commissioner Pct 4 AYES: Commissioner Hall, Lyssy,'Reese 15. Consider and take necessary action on any necessary budget adjustments. (RHM) 2024 RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: David Hall, Commissioner Pct 1 AYES: Commissioner Hall, Lyssy, Reese Page 4 of 5 ' NOTICE 01= MEETING 5/15/2024 16. Approval of bills and payroll. (RHM) MMC RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Commissioner Hall, Lyssy, Reese County Bills RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Commissioner Hall, Lyssy, Reese Adjourned 10:19am Page 5 of 5 �✓ All Agenda Items Properly Numbered I✓ Contracts Completed and Signed ✓ All 1295s Flagged for Acceptance (number of 1295s _jQ_) All Documents for Clerk Signature Flagged (All documents needing to be attested to need to be signed day of Commissioner's Court.) On this /� A day of � 2024, the packet v for the -� day of 2024 Commissioners' Court Regular Session was submitteo from the Calhoun County judge's office to the Calhoun County Clerk's Office. b Z, U&, Calhoun County Judge/Assis nt AGEN,i"DA NOTIC1 01 M11_1ING 5/7.5/2024 Richard lH . Meyer County judge David Hall, Commissioner, Precinct I Vern Lyssy, Commissioner, Precinct 2 Joel Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 NOTICE OF MEETING The Commissioners' Court of Calhoun County, Texas will meet on Wednesday, May 15, 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 C" The subject matter of such meeting is as follows: Ai J FILED 010LocKA-M 1. Call meeting to order. MAY 10 20A 2. Invocation. CU reN%Ifgooagig - 3. Pledges of Allegiance. savor, 4. General Discussion of Public Matters and Public Participation. 5. Accept April 24, 2024 and May 8, 2024 Commissioners' Court Minutes. (RHM) 6. Consider and take necessary action on insurance proceeds check from VFIS in the amount of $20,252.48 ($21,252.48-$1,000 deductible) for damages to an EMS Vehicle on 3/15/24. (RHM) Consider and take necessary action on insurance proceeds check from TAC in the amount of $2,500.00 for damages to a Sheriff Office Vehicle on 1/8/24. (RHM) 8. Consider and take necessary action to allocate the funds from the Local Assistance and Tribal Consistency Fund through the U.S. Department of the Treasury to be used for the UPS Battery Backup for the Combined Dispatch Building in the amount of $25,784.64 (DEH) Consider and take necessary action to approve the Specifications and Contract Documents for Bid No. 2024.08 - Infrastructure at Little Chocolate Bayou County Park Playground Improvements Phase 2 for Calhoun County, Texas —Texas General Land Office Contract No. 20-065-064-C182 and Calhoun County 2020 CDBG-DR Contract Work Order No. E-1 and to authorize G & W Engineers, Inc. and the County Auditor to advertise for bids. A pre -bid meeting shall be held at 10:00 am, Tuesday, June 4, 2024 Page 1 of 2 I No71(.1 of MLLAING— 5/a5jzoz�� at Little Chocolate Bayou Park Pavilion at West Austin St. Sealed Bids will be due before 2:00:00 pm, Tuesday, July 2, 2024 at the County Judge's Office. (DEH) 10. To correspond with the recently approved amendment to the GLO-County contract for GLO CDBG-DR 20-065-064-C182, Calhoun County recommends a contract extension and budget increase for KSBR LLC, to complete their scope of work as Grant Administration for this contract. The County also authorizes the judge to sign this amendment and execute the amended contracts. (RHM) 11. To correspond with the recently approved amendment to the GLO-County contract for CDBG-DR contract 20-065-064-C182, Calhoun County recommends a contract extension and budget increase for G&W Engineering, Inc., to complete their scope of work as Engineer for this contract. The County also authorizes the judge to sign this amendment and execute the amended contracts. (RHM) 12. Public Hearing concerning Petition to Vacate Club Grounds, Bayside Beach as recorded in Volume Z, Page 28 of the Plat Records of Calhoun County, Texas. (DEH) 13. Consider and take necessary action to Vacate Club Grounds, Bayside Beach as recorded in Volume Z, Page 28 of the Plat Records of Calhoun County, Texas. (DEH) 14. Accept Monthly Reports from the following County Offices: i. District Clerk — April, 2024 ii. Justice of the Peace No. 1— April 2024 iii. Justice of the Peace No. 2 — April, 2024 iv. Justice of the Peace No. 3 — April, 2024 v. Justice of the Peace No. 4 — April, 2024 vi. Justice of the Peace No. 5 — April, 2024 — 1s' revision vii. Sheriff Department — April, 2024 15. Consider and take necessary action on any necessary budget adjustments. (RHM) 16. Approval of bills and payroll. (RHM) Ri hard H. Meyer, County J4094 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. Page 2 of 2 NOTICE OF MEETING —5/1.5/2024 May 15, 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: (ABSENT) Richard Meyer David Hall Vern Lyssy (ABSENT) Joel Behrens Gary Reese 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 Commissioner Vern Lyssy, Judge Pro Tern 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. Commissioner Lyssy thanks Shannon with Texas Emergency Management for helping the community with the recent storm that brought some severe damage. Page 1 of 13 #5 NO-1 ICE OF MEETING 5/1.5/2024 5. Accept April 24, 2024 and May 8, 2024 Commissioners' Court Minutes. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner:Pct 1 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Commissioner Hall, Lyssy, Reese Page 2 of 13 Richard H. Meyer County judge David Hall, Commissioner, Precinct I Vern Lyssy, Commissioner, Precinct 2 Joel Behrens, Commissioner, Precinct 3 (nary Reese, Commissioner, Precinct 4 The Commissioners' Court of Calhoun County, Texas met on Wednesday, April 24, 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. Attached are the true and correct minutes of the above referenced meeting. Richard Meyer County Judge Calhoun County, Texas Anna Goodman, County Clerk Deputy Clerk Page 1 of 1 l NOTICE OF MEETING--4/24/2024 April 24, 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 (ABSENT) 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 loam by Judge Richard Meyer 2. Invocation. Commissioner David Hall 3. Pledges of Allegiance. US Flag: Commissioner Joel Behrens Texas Flag: Commissioner Gary Reese 4. General Discussion of Public Matters and Public Participation. n/a Page 1 of 6 NOTICE OF MEETING — 4/24/2024 5. Approve the minutes of the April 17, 2024 regular meetings. (RHM) RESULT. APPROVED [UNANIMOUS] MOVER Gary Reese; COmm15510ner: Rct 4 SECQND�Rz Joel Behrens, Commissioner Pct AYES. Judge Meyer, Commissioner .Hall, Behrens, Reese 6. Public Hearing regarding the request to vacate and abandon a portion of unconstructed public road which includes: (DEH) a. Tract 1 (Miller Streets): Field notes describing a 0.199-acre tract of land comprised of a part of Alamo Street and Thomas Avenue, as platted in Bayside Beach Unit 2, Blocks 125-150 in Volume Z, Page 46, Plat Records of Calhoun County, Texas, in the Juan Cano League, Abstract Number 5 in Calhoun County, Texas. Said 0.199 acres being more fully described by metes and bounds in the Application. b. Tract 2 (Sciacca Streets): Field notes describing a 0.089-acre tract of land comprised of a part of Alamo Street and Thomas Avenue, as platted in Bayside Beach Unit 2, Blocks 125-150 in Volume Z, Page 46, Plat Records of Calhoun County, Texas, in the Juan Cano League, Abstract Number 5 in Calhoun County, Texas. Said 0.089 acres being more fully described by metes and bounds in the Application. c. Tract 3 (Cordell Streets): Field notes describing a 0.142-acre tract of land comprised of a part of Alamo Street, Maxwell Street and Thomas Avenue adjoining Lots 2 and 3, Block 142 as platted in Bayside Beach Unit 2, Blocks 125-150 in Volume Z, Page 46, Plat Records of Calhoun County, Texas, in the Juan Cano League, Abstract Number 5 In Calhoun County, Texas. Said 0.142 acres being more fully described by metes and bounds In the Application. d. Tract 4 (Anderson Streets): A 0.203-acre tract of land being a portion of Alamo Street and Maxwell Street as platted in Bayside Beach Unit 2, in Volume Z, Page 46, Plat Records of Calhoun County, Texas. Said 0.203 acres being more fully described by metes and bounds in the Application. e. Tract 5 (Hunt Tract): A 0.057-acre tract of land acre situated in the Juan Cano Survey, Abstract No. 5, Calhoun County, Texas and being a portion of Alamo Street adjacent to Lots 29 and 30, Block 34 of Bayside Beach Unit No. 1 according to plat recorded in Volume Z, Page 26 of the Calhoun County Deed Records, Port Lavaca, Texas, further described in the Application. Property owners are: Cordell Family, LP, being the owners of Lots 4 and 5, Block 142; Cecil E. Anderson, being the owner of Lots 1 and 12, Block 137; Sherry Darlene Miller and Duane E. Miller, being the owners of 17.8' of Lot 7 and all of Lot 8, Block 142 and Lots 8 and 9, Block 143; Johnny R. and Charlyn S. Sciacca, being the owners of Lot 6 and part of Lot 7, Block 142 all Page 2 of 6 NOTICE OF MEETING--4/24/2024 In Bayside Beach Unit #2, Calhoun County, Texas; Thomas W. and Caron G. Hunt being the owners of Lots 29 and 30, Block 34, Bayside Beach Unit No. 1. Regular melting closed at 10:02 Anne Marie Odefey-rea&and explained tHlb:request�; 3 Regullgr m6etmg opened at 10:12 7. Consider and take necessary action to vacate and abandon a portion of unconstructed public road which includes: (DEH) a. Tract 1(Miller Streets): Field notes describing a 0.199-acre tract of land comprised of a part of Alamo Street and Thomas Avenue, as platted In Bayside Beach Unit 2, Lots 121-150 in Volume Z, Page 46, Plat Records of Calhoun County, Texas, in the Juan Cano League, Abstract Number 5 in Calhoun County, Texas. Said 0.199 acres being more fully described by metes and bounds in the Application. b. Tract 2 (Sciacca Streets): Field notes describing a 0.089-acre tract of land comprised of a part of Alamo Street and Thomas Avenue, as platted in Bayside Beach Unit 2, Lots 121-150 in Volume Z, Page 46, Plat Records of Calhoun County, Texas, in the Juan Cano League, Abstract Number 5 in Calhoun County, Texas, Said 0.089 acres being more fully described by metes and bounds in the Application. c. Tract 3 (Cordell Streets): Field notes describing a 0.142-acre tract of land comprised of a part of Alamo Street, Maxwell Street and Thomas Avenue adjoining Lots 2 and 3, Block 142 as platted in Bayside Beach Unit 2, Lots 121-150 in Volume Z, Page 46, Plat Records of Calhoun County, Texas, in the Juan Cano League, Abstract Number 5 in Calhoun County, Texas. Said 0.142 acres being more fully described by metes and bounds in the Application. d. Tract 4 (Anderson Streets): A 0.203-acre tract of land being a portion of Alamo Street and Maxwell Street as platted in Bayside Beach Unit 2, in Volume Z, Page 46, Plat Records of Calhoun County, Texas. Said 0.203 acres being more fully described by metes and bounds in the Application. e. Tract 5 (Hunt Tract): a 0.057-acre tract of land acre situated in the Juan Cano Survey, Abstract No. 5, Calhoun County, Texas and being a portion of Alamo Street adjacent to Lots 29 and 30, Block 34 of Bayside Beach Unit No. 1 according to plat recorded in Volume Z, Page 26 of the Calhoun County Deed Records, Port Lavaca, Texas, further described in the Application. Page 3 of 6 NOTICE OF MEETING - 4/24/2024 Property owners are: Cordell Family, LP, being the owners of Lots 4 and 5, Block 142; Cecil E. Anderson, being the owner of Lots 1 and 12, Block 137; Sherry Darlene Miller and Duane E. Miller, being the owners of 17.8' of Lot 7 and all of Lot 8, Block 142 and Lots 8 and 9, Block 143; Johnny R. and Charlyn S. Sciacca, being the owners of Lot 6 and part of Lot 7, Block 142 all in Bayside Beach Unit #2, Calhoun County, Texas; Thomas W. and Caron G. Hunt being the owners of Lots 29 and 30, Block 34, Bayside Beach Unit No. 1. RESULT: APPROVED [UNANIMOUS] US] ? David -Hdll, bbnlmlsslone.r�Vct.-Iz. Stt'0NDERt Joey Behrens, Commissioner Pct:3 AYES:7 q- Judge Meyer; Commissidner Hafl,: Behrens, Reese w:... 8. Consider and take any action to exchange of property described below between the County and Cordell Family, LP, Cecil E. Anderson, and Johnny R. and Charlyn S. Sciacca said property being located in Bayside Beach Unit No. 2, Calhoun County, Texas as was published in the Port Lavaca Wave for three (3) consecutive weeks at least twenty (20) days before today's date. (DEH) a. Tract i Property to be Exchanged Sciacca to County: Lots 6 and 7 in Block 142, Bayside Beach, Unit 2, Calhoun County, Texas, according to the plat of said subdivision recorded in Volume Z, Page 40 and amended in Volume Z, Page 124, Plat Records of Calhoun County, Texas, SAVE AND EXCEPT HOWEVER, that portion of Lot 7 in Block 142 conveyed in a Deed dated February 1, 1962, from R. C. Cleaver and wife, Annie Ballon Cleaver to Gorman W. Walton, recorded in Volume 182, Page 762, Deed Records of Calhoun County, Texas; in exchange for Tract 2 Property to be Exchanged County to Sciacca: Lot 1, Block 142, Bayside Beach, Unit 2, according to the plat of said subdivision recorded In Volume Z, Page 40 and amended in Volume Z, Page 124, Plat Records of Calhoun County, Texas. It. Tract 3 Property to be Exchanged Cordell to County: Lots 4 and 5, Block 142, Bayside Beach, Unit 2, according to the plat of said subdivision recorded in Volume Z, Page 40 and amended in Volume Z, Page 124, Plat Records of Calhoun County, Texas, in exchange for Tract 4 Property to be Exchanged County to Cordell: Lots 2 and 3, Block 142, Bayside Beach, Unit 2, according to the plat of said subdivision recorded in Volume Z, Page 40 and amended in Volume Z, Page 124, Plat Records of Calhoun County, Texas. c. Tract 5 Property to be Exchanged Anderson to County: Lot 12, Block 137, Bayside Beach, Unit 2, according to the plat of said subdivision recorded in Volume Z, Page 40 and amended in Volume Z, Page 124, Plat Records Page 4 of 6 NOTICE OF MEETING—4/24/2024 of Calhoun County, Texas, in exchange for Lot 9, Block 138, Bayside Beach, Unit 2, according to the plat of said subdivision recorded in Volume Z, Page 40 and amended in Volume Z, Page 124, Plat Records of Calhoun County, Texas. 9. Consider and take necessary action to approve to have the EMS Director sign the ESO "3rd Party Pre -Hospital Integration" agreement, to Integrate Pulsara and ESO. (RHM) pass 10. Consider and take necessary action to approve Agreement for Professional Services in the amount of $19,000.00 with G & W Engineers, Inc. for County Parking Improvements at Court House and Museum and have Judge Meyer sign all Documents. (RHM) 11.Consider and take necessary action to approve the FY 2024 Interiocal Agreement and authorize the County Judge Meyer to sign. (RHM) a. Calhoun County Senior Citizens $ 35,000.00 b. City of Port Lavaca (Fire Protection) $247,319.87 c. City of Port Lavaca (Animal Control) $ 65,000.00 RESULT: APPROVED [UNANIMOUS] MO.YER. Ddvid HII; Commissioner Pet i SECpNDER: Gary Reese, Commissioner. P.ct 4 AYES Judge.Meyer, Comrnissloner HaIII Behreri ,Aeese Page 5 of 6 I NOTICE OF MEETING —4/24/2024 12. Accept Monthly Reports from the following County Offices (RHM) a. County Tax Assessor - March 2024 RESULT APPROVED OVER Joel :Behrens, Commissioner ct , SEONDEER:, nary Reese, Conn ffilssioner-Pct 4 AYES judge Meyer, issioner Hall 96hr6fis Reese 13. Consider and take necessary action on any necessary budget adjustments. (RHM) �D APPROVED PPRMr MOVER i [UNANIMOUS Gary Reese, ..c, onert 4 -0 .SEC r ehr6hs, ConnnnIssiont. -3 Jo rPct-- AYES .Z.11 — �Z. r- r r udgef.Meyer, Corhmissigner Hall, Behrensj..Reese:. 14. Approval of bills and payroll. (RHM) MMC Sills RESULT-" APPROVED: [UNANIMOUSJn; MOVER' bvukih co mmissiorner Pet I SEC-30NDEft. Garylkeese P nnmlssloner� ct �4 AYES jdd� g Meyer,Commissioner e . Hal[, Behrens, Reese County.11311118, -RESULT APPROVE Al =ER: aV1_ I D d -Hall, Commissl her Ptt 1 Gary Reese , Commissioner issioner Pet 4 AYES Judge Meyer, Comm] ssion6r.:Ha ll Behrens, rens, Reese Adjourned 10:25 Page 6 of 6 Richard lH . Meyer County judge David Hall, Commissioner, Precinct 1 Vern ]Lyssy, Commissioner, Precinct 2 Joel Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 The Commissioners' Court of Calhoun County, Texas met on Wednesday, May g, 2024, as 10:00 a.m. in the Commissioners' Courtroom in the County Courthouse at 211 S. Ann Street, Suite 104, Port ]Lavaca, Calhoun County, Texas. Attached are the true and correct minutes of the above referenced meeting. Richard Meyer, CcWinty udge Calhoun County, Texas Anna Goodman, County Clerk Deputy Clerk Page 1 of 1 NOTICE OF MEETING — 5/08/2024 May 81 2024 MEETING MINUTES UN OF OF CALHOUN COUNTY COMMISSIONERS' COURT MET IN A REGULAR MEETING AT 10:00 A.M. IN THE COMMISSIONERS' COURTROOM IN THE COUNTY COURTHOUSE AT 211 S. ANN STREET SUITE 104 PORT LAVACA, CALHOUN COUNTY, TEXAS. THE FOLLOWING MEMBERS WERE PRESENT: Richard Meyer David Hall Vern Lyssy 7oel Behrens Gary Reese 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 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 4 NOTICE OF MEETING -- 5/08/2024 5. Consider and take necessary action on Resolution for approval and adoption of the updated Calhoun County Multi -Jurisdictional Hazard Mitigation Plan and approve that the adopted plan be submitted to the GLO, TDEM, and FEMA for final review and approval. (RHM) RESULT APPROVED [UNANIMOUS] MOVER• David Hall' Cornrnssioner Pet 1 SECONDER: Gory Reese, Camrn(ss 0neP pct 4 BYES• Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 6. Consider and take necessary action to approve the Continuous Quality Improvement (CQI) Program Management Agreement between Calhoun County EMS and Girarad & Associates and authorize the Calhoun County EMS Director to sign. (RHM) 3ason Wa.rmath spoke and'expiatned cost and'oroeadure of:CQi Program; iU RESULT. APPROVED [UNANIMOUS] MOVER David Halls Canimissioher Pet 1 - SECONDER: Vern Lyssy, Commissioner Pet 2 AYES ;-3, 04i Mever, Commissioner Rall, l vssv :Behrens Reese 7. Consider and take necessary action to approve the HIPAA BUSINESS ASSOCIATE ADDENDUM Agreement between Calhoun County EMS and ESO Solutions, Inc. and authorize the Calhoun County EMS Director to sign. (RHM) 7ason Warjnutls explamEl. requirement by the State RESULT: Af�PROVED [tll�ANIMOV,$ MOVER• Vern Lyssy Commissioner Pat 2 SECONDER: Davld Halij Commissloner.Pct 1 AYES Judge Meyer Commissioner Hall Lvssv Behrens, Reese ... B. Consider and take necessary action to amend Minutes of April 17, 2024 — Agenda Item #14 Consider and take necessary action to approve the Final Plat of In the Oaks at Swan Point to Include the following: County will accept the road if/when the road is reconstructed to county specifications and approved by Commissloners Court. (GDR) RESULT APPROVED [UNANWOUS] MOVER• Cary Reese, Commi'ssiciftr Pc(4 SECONDER.. 3.6d BehreinsiConnissloher Pct 3 AYRS• Judge Meyer;:Commissioner:Hall ,:Lys's Behrens, Reese.`: Page 2 of 4 I NOTICE OF MEETING — 5/08/2024 9. Consider and take necessary action to accept Golden Crescent Regional Planning Commission Solid Waste Interlocal Agreement 24-17-01 - Trailer for Recycling, with funding of $24,250, and authorize Judge Meyer to sign all documents. (GDR) RESULT l[PPROYED [UNANiMO[!Sj MOVER Gary Reese, Commissioner:PU.4 _ SEC Me Behrens Co Pct 3 AYES Judge Meyer., Commissioner Hall, Lyssy, Behrens, Reese; x 10. Consider and take the necessary action to approve the Preliminary Plat of Indianola Club Grounds.(DEH) 11. Consider and take necessary action to approve Agreement for Professional Services in the amount of $22,000.00 with G & W Engineers, Inc. for County Annex Building Roof Improvements and have Judge Meyer sign all Documents. (RHM) 12. Consider and take necessary action on closing a portion of Magnolia Beach at and near Cabana 1 for three days (June 14, 15, and 16th (See Attached map) for the Texas 200 sailing club as provided by Texas Local Government Code Section 240. (RHM) RESULTS APPROVED- [UNEIIVIMUS] MOVER.:. Gary Reese, Cor.mission& Pct 4 SEiEONDER Vern:: Lyssy, Commissioner Pet 2 AXES: judge -Meyer; Commissioner ;Mall, lyisy, 'Behrens, Reese: Page 3 of 4 NOTICE OF MEETING— 5/08/2024 13. Accept Monthly Reports from the following County Offices: i. Floodplain Administration — April 2024 Mi. Justice of Peace PCT 5 —April 2024 RESULT APRROVED [UNANIMOUS] MOVER Vern Gyssy, Commissioner" Pct 2 SEbNDER• David,Hall ; Commissioner Pet 1 AYES Judge Meyer, £ommissiorier Hall, Lyssy, Behrens, Reese 14. Consider and take necessary action on anv necessary budoet adiustments. (RHM) 2033 RESULT: APPROVIED [UNAN Wi0U51 $. MOVER ":. A. t6ry Reese, Gomm ssioner A-Pct 4 SECONd'ER•... A Jbel"Behrens, Commissivner;Pct • ,:. " AYES = °Judge.Meyer; Commissioner Hall, Lyssy, Behrens, Reese.: 2024: . RESULT APPROVED [UNANIMOUS.] - MOVER:'Gary Reese, Commissiorler.Pct 4 SECONDER: Joel Behrens Commissioner Ppt 3 AXES Judge Meyer, Commissioner Hall, LysSY, Behrens, ReeseS :. 15. Approval of bills and payroll. (RHM) MMC,BIIis RESULT: A APPROVED [UNANIMOUS] MOVER David Hdll, Cpmmer ssionPet 1 SECONDER Vern Lyssy, Commissioner Pct 2 pY-ES: Judge Meyer,. Commissioner Hail, Lyssy, Behrens, Reese; rrounty Bil.l.s RESULT. APPROV-ED [UNANIMOUS] �NOVER• : Dauld NaII Commissioner Pet 1 raECONDER Vern Lyssy, Commissioner Pct 2 AYES: Judge. Meyer, Commissioner Hall ' -Yssy, Behrens, Reese Adjourned 10:24am Page 4 of 4 #6 NO] ICE OF MEETING — 5/15/2024 6. Consider and take necessary action on insurance proceeds check from VFIS in the amount of $20,252.48 ($21,252.48-$1,000 deductible) for damages to an EMS Vehicle on 3/15/24. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Commissioner Hall, Lyssy, Reese Page 3 of 13 Claims VFISYorkk, 7 C,W F ISO PA 17405ment (800) 233-1957 CALHOUN COUNTY 202 S ANN STREET, SUITE B PORT LAVACA, TX 77979 PAYMENT IS BEING ISSUED FOR: 2020 Dodge ALS VINA292 CHECK NUMBER: 0000076635 Less $1,000 Deductible CLAIM NUMBER: TXCM24030684 PAYMENT AMOUNT: $'."" 20,252.48 Payment on behalf of National Union Fire Insurance Company of Pittsburgh, PA Any person who knowingly presents a false or fraudulent claim for the payment of a loss Is guilty of a crime and subject to criminal prosecution and civil penalties. Ihess R PLEASE DETACH VOUCHER AND DEPOSIT CHECK PROMPTLY "6 6..ta5126- s managemonr, me so4es -- CHECK NO. E_O Bo512rt, CHECK DATE - 0 York N 1A,QS Faf7�17)74770�d ��'� MBTBank 313 Voitl 80 days alter z Altoona PA r'.,C....NIIMSER POLICY,NUMBER: ... PAYEETAXPAYERID AGENT POLICY DATES TXCM24030684' VFNUQM0002S80419 ...a... - WinStar Insurance Group LLC .1/U2024.11V2028 'AGENT2 POLICYHOLDER CLAIMANT DATEOFLOSS GSM Insurors ''' CALHOUN COUNTY CALHOUN COUNTY - 03/1W2024 . NOTICE OF MEETING-- 5/1.5/2024 7. Consider and take necessary action on insurance proceeds check from TAC in the amount of $2,500.00 for damages to a Sheriff Office Vehicle on 1/8/24. (RHM) RESULT: APPROVED {UNANIMOUS] MOVER: Gary Reese, Commissioner'Pct 4 SECONDER: David Hall, Commissioner Pct 1 AYES: Commissioner Hall, Lyssy, Reese Page 4 of 13 TEXAS ASSOCIATION OF COUNTIES I Ceiffb24TE CH ^ 1 RISK MANAGEMENT POOL -CLAIMS Ij^' 73414 VENDOR ID I Galhoun County VENDOR NAME ACCOUNT NUMBER 5/2/2024 APD20249858-1 $0.00 TEXAS ASSOCIATION OF COUNTIES FROST BANK 73414 RISK MANAGEMENT POOL -CLAIMS 30-9/1140 1210 SAN ANTONIO STREET AUSTIN, TX 78701 (512) 478-8753 PAY TWO THOUSAND FIVE t1UNDRED AND 00 / 100 DOLLARS TOTHE Calhoun County ORDER OF: 211 S Ann St Port Lavaca, TX 779794203 1100734 i4m,": i 0,0000931:,, TEXAS ASSOCIATION OF COUNTIES RISK MANAGEMENT POOL -CLAIMS Calhoun County 211 S Ann St Port Lavaca, TX 779794203 DATE 5/2/2024 AMOUNT $ 2.500.00 VOID AFTER 180 DAYS W®ri 59i7369�i4B' ............... �� 73414 TO REORDER CALL: (705) 327-9550 W14SF001014M 03123 NOTICE OF MEETING — 5/1.5/2024 8. Consider and take necessary action to allocate the funds from the Local Assistance and Tribal Consistency Fund through the U.S. Department of the Treasury to be used for the UPS Battery Backup for the Combined Dispatch Building in the amount of $25,784.64 (DEH) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: David Hall, Commissioner`Pct 1 AYES: Commissioner Hall, Lyssy, Reese Page 5of13 David E. Hall Calhoun County Commissioner, Precinct 91 202 S. Ann Port Lavaca, TX 77979 Honorable Richard Meyer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Meyer, (361)552-9242 Fax(361)553-8734 Please place the following item on the Commissioners' Court Agenda for May 15th, 2024. Consider and take necessary action to allocate the funds from the Local Assistance and Tribal Consistency Fund through the U.S. Department of the Treasury to be used for the UPS Battery Backup for the Combined Dispatch Building in the amount of $25,784.64 Sill i erel , David E. Hall DEH/apt CD!G ). RON REGER, Thank you for choosing CDW. We have received your quote. Hardware Software Services IT Solutions Brands Research Hub QUOTE CONFIRMATION Thank you for considering CDWeG for your technology needs. The details of your quote are below. If you are an eProcurement or single sign on customer, Please log into your system to access the CDW site. You can search for your quote to retrieve and transfer back into your system for processing. For all other customers, click below to convert your quote to an order. This quote is subject to CDW's Third Party Cloud Services Order Form Terms and Conditions set forth at ht�J/www,cdwci.comZcontent/cclwq/en/terms-conditions third arty -cloud -services -order -form -ter ms-and-conditions-.html QUOTE # NWNW18S QUO7E DATE S/8/2024 QUOTE REFERENCE VERriv - NO INSTALL CUSTOMER # 10364110 GRAND TOTAL $2S,784.64 QUOTE DETAILS 1 ITEM QTY CDW# UNIT PRICE EXT. PRICE Vertiv Liebert GXTS UPS - 20kVA 201<W 208 and 120VAC 1 6169313 $14,983.21 $14,983.21 Online UPS Rack Tower Mfg. Part#: GXT5-20KMVRTSIUXLN Contract: Texas Misc IT HW Per! TxDOT DIR-CPO-5093 (DIR-CPO-5093) Vertiv Liebert GXTS External Battery Cabinet - 288V for 2 5673745 $1,686.39 $3,372.78 5-1OkVA Online UPS Mfg. Part#: GXTS-EBC288VRT4U UNSPSC: 26111707 Contract: Texas Misc IT HW Per! TxDOT DIR-CPO-5093 (DIR-CPO-5093) Vertiv Power Emergency Package - extended service 1 7535512 $3,369.05 $3,369.05 agreement - 5 years - on - Mfg. Part#: PEPGXT15-20K5YR Electronic distribution - NO MEDIA Contract: OMNIA ESCR4 R210401 Tech Sol. Products/Services (R210401) NEW ITEM 2 NEW -ITEM $2,029.80 $4,059.60 Mfg. Part#: NEW -ITEM Contract: Standard Pricing These services are considered Third Party Services, and this purchase is subject to Cow's Third Party Cloud Services Terms and Conditions, unless you have a written agreement with CDW covering your purchase of products and services, in which case this purchase is subject to such other written agreement. The third -party Service Provider will provide these services directly to you pursuant to the Service Provider's standard terms and conditions or such other terms as agreed upon directly between you and the Service Provider. The Service Provider, not CDW, will be responsible to you for delivery and performance of these services. Except as otherwise set forth in. the Service Provider's agreement, these services are non -cancellable, and all fees are non-refundable. PURCHASER BILLING INFO Billing Address: CALHOUN COUNTY TREASURERS OFFICE IT DEPT 117 W ASH ST PORT LAVACA, TX 77979 Phone: (361) 553-4606 Payment Terms: NET 30-VERBAL SUBTOTAL $25,784.64 SHIPPING $0.00 SALES TAX $0.00 GRAND TOTAL $25,784.64 DELIVER TO Shipping Address: CALHOUN COUNTY TREASURERS OFFICE IT DEPT 117 WASH ST PORT LAVACA, TX 77979 Phone: (361) 553-4606 Shipping Method: UPS Ground Please remit payments to: COW Government 75 Remittance Drive Suite 1515 Chicago, IL 60675-1515 Sales Contact Info Eddie Forsythe 1 (877) 501-2975 1 eddie.forsythe(@cdwg.com LEASE OPTIONS FMV TOTAL FMV LEASE OPTION BO TOTAL BO LEASE OPTION $25,784.64 $745.18/Month $25,784.64 $850.64/Month Monthly payment based on 36 month lease. Other terms and options are available. Contact your Account Manager for details. Payment quoted Is subject to change. Why finance? • Lower Upfront Costs. Get the products you need without impacting cash Flow. 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All rates and financial quotes are subject to final review, approval, and documentation by our leasing partners. Payments above exclude all applicable taxes. Financing is subject to credit approval and review of final equipment and services configuration. Fair Market Value leases are structured with the assumption that the equipmenthas a residual value at the end of the lease term. Need Help? My Account ® Support ® Call 800.800.4239 Page 2 of 3 About Us I Privacy Policy I Terms and Conditions This order Is subject to CDW's Terms. and Conditions of Sales and Service Projects at ho»: www.cdeva.com/content/terms-conditions/nroduc.t-sales.a For more information, contact a CDW account. manager. © 2024 CDWG LLC, 200 N. Milwaukee Avenue, Vernon Hills, IL 60061 1800.808.4239 Page 3 of 3 0 V E RT I V VertivT" Liebert® 15-20kVA 208/120VAC UPS for Protection of Your Mission -Critical Applications Intelligent and Efficient UPS for Protection of Your Mission -Critical Applications The Vertiv'" Liebert@ GXT5 UPS is an online double conversion UPS solution which offers premium power outage protection and continuous power conditioning in a compact and flexible rack/tower form factor. The Vertiv'" Liebert® GXT5 single-phase UPS operates with high power efficiency, making it ideally suited to protect critical infrastructure in both centralized and edge network applications. Scalable runtime options with matching external battery cabinets offer additional flexibility when extended uninterrupted power is required. Plus, the Vertiv Liebert GXT5 provides battery health status and replacement date prediction for intelligent battery health management. Vertiv" Liebert° GXT5 Features Leading UPS Technology • Unity output power factor (1.0) and enough capacity to power multiple racks or a networking closet • Full -color graphic LCD with gravity sensing orientation • Optional external rack -mount maintenance bypass cabinet • Automatic internal bypass • External battery cabinets with auto -detection • Output Distribution Options w/ interchangable POD's • Battery health status and replacement date prediction • Remote management, update, and configuration • Optimized thermal management and variable speed fan The UPS system is easy to deploy and maintain due to its user-friendly LCD interface and remote management supported by the Vertiv" RDU101 communications card which makes the Vertiv Liebert GXT5 compatible with Vertiv infrastructure management solutions such as LIFE'" Services, environmental sensors, Vertiv'" Power Insight, and more. With high online efficiency and unity power factor operation, the Vertiv Liebert GXT5 will meet your critical application needs. And you can rest assured that your business is protected with this Vertiv solution that includes a standard, three-year advanced exchange product warranty. Efficient and Green Product • High efficiency in online mode • Energy Star 2.0 certified • Even higher efficiency (up to 98%) in Active ECO mode • Compliance with Restriction of Hazardous Substances(RoHS) directive and the Registration, Evaluation, Authorization and Restriction of Chemicals (REACH) regulation • UPS • Pre -installed Vertiv"" RDU101 communications card (NIC) • Tower stand • 4-Post Rack Mounting Kit • USB Cable • Quick Start Guide • Safety Manual • Factory Test Report • Free Vertiv'" Power Insight management software (Free download) R® EII RoHS 200VMEC d,- for hada•In Program 0 OSHPD Solutions Wide • 3 year warranty • Compact Rack/Tower design • Broad range of services and extended warranty • Easy to install, configure and operate • Vertiv RDU101 network communications card with advanced features • Compatibility with environmental sensors • Integrated dry -contacts with selectable definition • Free Vertiv Power Insight management software • Serial port for out -of -band management with Avocent° serial consoles 2 Vertiv'" Liebert° GXT5 Features Unity Power Factor 1�Q More usable power L PF J enables more connected loads saving space and costs. Efficiency (up to 98%) ECO in Active ECO mode Superior protection with maximum efficiency. cocoa Colored graphic ®j LCD with gravity f sensitive orientation User-friendly interface provides insight to UPS status for easy installation, configuration and operation. Product warranty Comprehensive coverage through a standard three-year advanced exchange warranty. �1 High Power Capacity ♦ 15kVA and 20kVA capacities offer enough power for row and room - based applications. Integrated Battery (//(�� With self -test and QJ detection capability. r,^,1 High Efficiency �it Energy Star 2.0 �J certification. Higher efficiency means an optimized energy management and lower heat dissipation, for energy savings and improved reliability. Battery Cabinets with auto -detection Be confident the UPS is set up correctly to report available runtime when used with external battery cabinets. 3 Vert;",TM r �� �•+ !_-VrG Real Item Description VertIV," Liebert® IntelliSlot port with the Vertiv' Liebert® IntelliSlot RDU101 Communications Card factory installed ® USB Port ® RS-485 port used for connecting external temperature sensor ® RS232 port, RJ-45/RJ-11 connection used for command line interface ® Terminal block communication connectors OExternal battery -cabinet connectors 4 POD breaker QOutput breaker OInput breaker GCover for power -distribution box connector ® Knockouts for hard -wired power input and output 4 Technical Specifications Lieberr- GXT5-15KMVR"UXLN Lleberte OXTS-20KMVRT11UXLN Ratings (VA/W) 15,000 VA/15A00 W 20)00D VA/20,000 W Dimensions, inches (mm) Unit W x D X H 169 x 26.7 x 18.9(430 x 680 x 482) 16.9 x 26.7 x 189(430 x 680 x 482) Shipping, W x D x H 27.1 x 4B.0 x 46.0 (690 x 1220 x 1169) 27.1 x 48.0 x 46.D (690 x 1220 x 1169) Weight, pounds (kg) . Unit 396.6 (179.9) 396.8 (179.9) Shipping 518.8 (231.0) 518.8 (231.0) Input AC Parameters Operating Frequency, Nominal 40-70 Hz(factory-default is 60 Hz) 40-70 Hz (factory -default la 60 Hz) Voltage Range 176-280 VAC (factory -default 120/208VAC) 176-280 VAC (factory -default 120/208VAC) Input Wiring Hard -wired terminal block Hard -wired terminal block 3W+G(L-L-N-G) 3W+G(L-L-N-0) Output AC Parameters Output Receptacles Hard -wire, Ootionsl POD's Hard -wire, Optional POD's User selectable output 208/120VAC 20B/120VAC Waveform (On Battery) Sinewave Sinewave 105%to 125%for 5 minutes 105%to 125%for 5 minutes Utility (AC) Mode Overload 125%to 150%for 60 seconds 125%to 150%for 60 seconds >150%(impact load) minimum 200 me >150%(impact load) minimum 200 me Battery Type Valve -regulated, non -spillable, lead acid Valve -regulated, non -spillable, lead acid Backup Time (100% Load) 7.0 4.5 Backup Time (50% Load) 19.0 13.0 +2 External Battery Cabinet (100%Load) 193 13.0 +2 External Battery Cabinet (50% Load) 49.5 34.5 Environmental Requirements Operating Temperature, °F(°C) 32- 104(0 to 40)(no derating) 32 -104 (0 to 40)(no derating) Storage Temperature, °F('C) 5to 140(r-15 to4) 5to.140(-15 to 40) Relative Humidity 0 - 95% non -condensing 0 - 95% non -condensing Operating Elevation Up to 10000 It (3,000 m) at 77°F (2WC) without derating Up to 10,000 It (3,000 m) at 77-F (25.0 without derating Audible Noise <68 dBAat 3.2 ft (1 m) from the front and sides, c58 dBA,et 3.2 It (1 m) from the front and sides, �58 dBA, at 3.2 It (1 m) from rear �58 dBA, at a2 ft 0 m) from rear Agency Surge Immunity and EMC IEEE/ANSI C6241 Category B IEEE/ANSI C62.41 Category B Transportation ISTA Procedure lA ISTA Procedure lA Safety UL1T/8, c-UL listed UL1776, c-UL listed Emissions FCC Part 15(Class A) FCC Part 15(Class A) Warranty Std. 3 year, Opt. 2 year extension Std. 3 year; Opt. 2 year extension Protection Plan. Equipment Protection Plan $500,000 Power Assurance Package: Comprehensive Service Support for Critical Systems • Five-year protection plan with 100% parts coverage and 240 emergency service On -site installation and startup of UPS and internal batteries (excludes hard -wired applications); configuration of new UPS and accessories; and if purchased, safe removal and disposal of legacy UPS and batteries • On -site service support available 247 (within 150 miles of regional service center) and includes 100% labor and travel coverage • 100% parts coverage for UPS and includes internal batteries, POD (power output distribution), and web card • 24x7 access to customer resolution center and online access to Customer Services Network Remote Diagnostic Services for Rapid Response Ced doO m Key benefits: • Hassle -free management of multi -site rollouts • Frees up time -strapped IT staff by managing and tracking UPS health, maintenance and service • Reduces the worry of critical equipment downtime • Ensures rapid recovery in the event of failure (within 24-48 hours) • Frees you from the responsibility of handling and documenting the disposal of legacy UPS and batteries Uptime assurance • Continuous monitoring for early detection of trends and operating anomalies • Analysis and interpretation of alarm and status messages Rapid incident response • Automatic transmission of data for analysis • Concurrent diagnosis and dispatch of engineer to site • Shipment of parts for corrective maintenance Increased insight and ease of management • Notification of operating conditions that may impact system health • Periodic trend and analysis reports • Integration of remote and on -site services to ensure business continuity 6 Vertiv" LieberV GXT5 UPS - Power Assurance Services Power Assurance Package Bundled Start-up Service AND 5-Year On -site Standard With LIFE- Services With Removal With LIFE' and Removal Emergency Response Equipment Model/Type Part Number Part Number Part Number Part Number 15-20kVA GXT5 UPS PAPGXTI5-20K PAPGXTI5-20KLF PAPGXTI5-20KRMV PAPGXT15-20KRLF External Battery Cabinet PAPGXT-BATT PAPGXT-BATTRMV N/A N/A 288V Power Startup Services Start-up Service Only M-F, 8-5 7x24 7x24 with Removal Equipment Model/Type Part Number Part Number Part Number 15-2OkVA GXT5 UPS SUGXT15-20MF 'SUGXTI5-20U7 SUGXT15-20U7RMV External Battery Cabinet SUGXT-EXTBTCB SUGXT-EXTBTCBRMV 288V Power Emergency Services 5-Year On -site Emergency Standard With LIFE- Services Coverage Only Equipment Model/Type Part Number Part Number 15-20kVA GXT5 UPS PEPGXTI5-20K5YR PEPGXTI5-20KLF External Battery Cabinet PEPGXT-288BAT5YR N/A 288V Power Assurance Package - Summary • Includes all below "Power Start-up Services' and "Power Emergency Services" support • One Preventative Maintenance visit after 3rd year Power Startup Services - Summary • Installation includes mounting and start-up of new UPS or EBC (excludes hard -wired applications) • Services performed by Vertiv factory trained technician • Services performed 7 X 24, excluding national holidays within the 48 contiguous states and Hawaii • Removal and disposal of existing UPS or EBC equipment, if selected Power Emergency Services - Summary • On Site Service Support • Full -service five (5) year contract term commencing upon the start-up date • 100% parts coverage, including internal batteries, POD and web card • 100% labor and travel coverage 7 days/week, 24 hours/day • 24-Hour Customer Resolution Center via 1-800-LIEBERT • Access to Customer Services Network portal LIFE- Services includes above plus: • Continuous Monitoring, Expert Analysis, and Proactive Response Note: LIFE Services requires an RDU101 card, which is included on all 5000VA to 2000OVA models. Please refer to the Scopes of Work for full and additional details Available Accessories for the VertivT" Liebert° GXT5 UPS Network communications and environmental sensors Network Communications RDU101 IntelliSlot web card for SNMP and web management. Supports environmental sensors. The RDU101 comes factory installed on SkVA and larger GXTS UPS. IS -RELAY IntelliSlot Interface kit for relay contacts Environmental Sensors SN-ZO1 Integrated cable with single temperature sensor SN-Z02 Integrated cable with three temperature sensors SN-Z03 Integrated cable with three temperature and one humidity sensors SN T Modular with single temperature sensor SN TH Modular with single temperature and single humidity sensor SN-20 Modular with two door contact inputs SN-3C Modular with three dry contact inputs SN-1_20 Modular leak zone sensor with 20 foot cable (Liebert® RDU-S only) UPS manageability options Vertiv`" Power Insight Software Management Vertiv`° Power Insight is a complimentary web -based software designed to monitor up to 100 Vertiv`- UPSs and Vertiv- rPDUs Mounting Kit Options Application Model Supported Style Model Description Shelf RS500 Flush -mount shelf for 19" rack wide 2 Post- Telecom rack All GXT5 UPS Shelf RS700 Flush -mount shelf for 23" rack wide 4 Post rack All GXT5 UPS Bracket RMKIT18-32 Cabinet/racks with 18' - 32" deep support rails - Telescopic rail e Optional Power Output Distribution PON PD2-104 PD2-105 POD Model Number Output Connections PD2-101 (8) 5-15/20R T-slot, (2) L6-30R PD2-102 (4) 5-15/20R T-slat, (4) L6-20R PD2-103 (4) 5-15/20R T-slot, (4) L6-30R PD2-104 (4) 5-15/20R T-slot, (2) 1-6-30R, (2) L6-20R PD2-105 (4) 5-1512OR T-slot, (2) 1-530R, (2) LS-20R PD2-106 (4) 1-5-20R, (4) L6-20R PD2-107 (4) 1-5-20R, (4) 5-15/20R T-slot PD2-108 (2) 1-6-30R, (2) L6-20R PD2-109 (2) L14-30R VertivTe Maintenance Bypass Cabinet Option Integrated lock out/tag out arm for maximum site and personnel safety MBC Model Number Dimensions Input 16SW x 21.6D x 6.8H (in) VMBC-20KMVRT4U Hardwired (L-L-N-G) 430W x 549D x 173H (mm) External battery cabinets and replacement battery kits External Battery Cabinets must be added in pairs with the 15-2OkVA GXT5 UPS Output Compatible UPS 3x L14-30R, Hardwired, GXT5-15KMVRTIIUXLN Optional PD2 POD GXT5-20KMVRT11UXLN UPS External battery cabinets Replacement battery kits GXT5-15KMVRTI1UXLN 2 x GXT5-EBC288VRT4U 2 x GXT5-288VBATKIT GXT5-20KMVRTIIUXLN 2 x GXT5-EBC288VRT4U 2 x GXT5-288VBATKIT 9 External Battery Cabinet Power Cable Connection Diagram Connect up t....... kw purrs/ m, each Vertiv- Liebert® GXT515-20kVA UPS. Battery Runtime Tables Verthem Liebert® GXT5-15KMVRT11UXLN Number of External Battery Cabinets - GXT5-EBC288VRT4U Load Internal l I _ I Battery 2 4 6 8 10 12 14 16 18 20 - Y _..__._ ___ _ -- .._,. -� - % VA !, W Minutes I 10 1500 1500 133.0 3030 473.0 643.5 8140 984.0 1154.5 13245 ! 1495.0 1665.0 1835.5 20 3000 3000 ; 63.5 138.5 ( 226.5 314.5 402.5 491.0 579.0 66Z0 �. 755.0 843.0 931.0 30 4500 4500 38,5 89.0 140.0 199.0 258.0 317.5 376.5 435.5 494.5 554.0 613.0 40 6000 6000 26.0 64.5 102.0 140.5 185.5 230.0 274.5 319.0 363.5 j 408.0 453.0 50 7500 7500 i 19.0 49.5 79.5 110.0 141.5 177.0 213.0 249.0 284.5 320.5 356.0 60 9000 9000 15.0 39.6 65.0 90.0 115.5. 142.0 172.0 202.0 232.0 262D 291.5 70 10500 10500 12.0 32.0 54.5 76.0 98.0 120.0 143.0 169.0 194.5 220.5 I 246.5 80 12000 12000 III 10.0 27.0 46.5 65.5 85.0 104.0 123.5 144.0 167.0 1895 212.5 90 13500 13500 8.5 23.0 400 57,5 74.5 91,5 108.5 1 125.5 144.0 1645 j 184.5 100 15000 15000 7.0 19.5 345 50.6 66.0 81.0 96.5 1 112.0 127.5 144.5 162.5 VertivTM Liebert® GXT5-20KMVRT11UXLN Number of External Battery Cabinets GXT5-EBC288VRT4U Load Internal fI Battery 2 4 6 8 10 12 14 i6 18 20 Only I % VA W Minutes 10 2000 2000 99.0 222.5 3530 483.0 613.5 ! 743.6 873.5 1004.0 1 1134D 1264.5 1394.5 20 4000 4000 45.0 101.0 161.5 228.0 294.5 361.0 427.0 493.5 560.0 626.5 693.0 30 6000 6000 26.0 64.5 102.0 140.5 1855 230.0 274.5 I 319.0 1 363.5 408.0 453.0 40 ' 8000 8000 175 45.5 I 74.0 102.5 131.0 764.0 1975 231.0 ! 265.0 298.5 332.0 50 10000 10000 13A 34.5 i 57.5 80.5 - 103.0 126.0 151.5 179.0 206.0 233.0 260.0 60 12000 12000 10.0 27.0 46.5 i 65.5 85.0 104.0 123.5 j 144.0 ' 1670 189.5 212.5 70 14000 14000 8.0 21.5 38.0 55.0 i 71.0 87.5 104.0 120.5 137.5 157.0 176.5 80 16000 16000 6.5 18.0 32.0 46.5 61.0 75.5 89.5 104.0 118.5 133.0 150.0 90 18000 18000 5.5 15.0 27.0 40.0 53.0 66,0 78.5 91.5 104.0 117.0 130.0 100 20000 20000 4.5 130 I 230 j345_ _ 465 _ 58.0 69.5_ _ 81.0 _ 1_ 92.5 104.5 116.0 11 0 VERTIV. Vertiv.com I Vertiv Headquarters, 1050 Dearborn Drive, Callum bus, OH,43085, USA -AO 1. tr Group Gol. All l- ed VMH" TI -v 1p9ooru1L -k rvoircrtl-L. ik, nl Vm liv Goo, I, All .1hr. n snn11,,I,,J atle,moz, irb. h, I 5 or ,. i.J I—rk of to \/binnm�y p onu ue M1asbi�n lrken talc. 'cya J�o ::h— Vcr[v Gup Lore r..mn. n �, ortilly, n nd J:Jim. �Illa blly, fnrtl g--lt, fmm.. Il- nfptelu A. to any umr, or. m. clrnfm Sorv, b _r ndter,o ulivnnl offcrsaresubfc, t to cbnnpc.it Vurk.v scsalo tliscrbon upon note SL 10600 WO/YD #9 NOTICE GF MEETING -- 5/1..5/2024 9. Consider and take necessary action to approve the Specifications and Contract Documents for Bid No. 2024.08 - Infrastructure at Little Chocolate Bayou County Park Playground Improvements Phase 2 for Calhoun County, Texas — Texas General Land Office Contract No. 20-065-064-C182 and Calhoun County 2020 CDBG-DR Contract Work Order No. E-1 and to authorize G & W Engineers, Inc. and the County Auditor to advertise for bids. A pre -bid meeting shall be held at 10:00 am, Tuesday, June 4, 2024 at Little Chocolate Bayou Park Pavilion at West Austin St. Sealed Bids will be due before 2:00:00 pm, Tuesday, July 2, 2024 at the County Judge's Office. (DEH) Commissioner Hall explained use for funds and where they are coming from. Scott Mason 'with G&W Engineers explained the project. Council expressed concerns within bid packet. RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Commissioner Hall, Lyssy, Reese " Page 6 of 13 Debbie Vicke From: David.Hall@calhouncotx.org (David Hall) <David.Hall@calhouncotx.org> Sent: Thursday, May 9, 2024 8:33 AM To: Debbie.Vickery@calhouncotx.org; richard.meyer@calhouncotx.org Subject: FW: Request for Agenda Item - LCB Park Playground Phase 2 Bid Package Attachments: 5310.01le LCBP Playground Phase 2 - CD - 050924.pdf, 5310.01le LCBP Playground Phase 2 - CP - 050924.pdf Importance: High From: smason@gwengineers.com <smason@gwengineers.com> Sent: Thursday, May 9, 2024 8:28 AM TO:'DavId Hall' <David.Hall@calhouncotx.org>; Angela.Torres@calhouncotx.org Cc:'Katy Sellers' <katy@ksbr-Ilc.com>;'Glynis King' <gking@gwengineers.com>; leena@gwengineers.com; 'Arnold Hayden' <Arnold.Hayden @caIhou ncotx.org>; 'demi.cabrera'<demi.cabrera@calhouncotx.org>; Tadonna Thigpen' <ladonna.thigpen@calhouncotx.org>; 'candice villarreal' <candice.villarreal@calhouncotx.org>; 'Veronica Pauda' <veronica@ksbr-Ilc.com>;'Candes Wakeman' <candes@ksbr-Ilc.com> Subject: Request for Agenda Item- LCB Park Playground Phase 2 Bid Package Importance: High CAuTIom 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 would like to request the below, be placed on the agenda for the regular commissioner court meeting on May 15, 2024: Consider and take necessary action to approve the Specifications and Contract Documents for Bid No. 2024.08 - Infrastructure at Little Chocolate Bayou County Park Playground Improvements Phase 2 for Calhoun County, Texas —Texas General Land Office Contract No. 20-065-064-C182 and Calhoun County 2020 CDBG-DR Contract Work Order No. E-1 and to authorize G & W Engineers, Inc. and the County Auditor to advertise forbids. A pre -bid meeting shall be held at 10:00 am, Tuesday, June 4, 2024 at Little Chocolate Bayou Park Pavilion at West Austin St. Sealed Bids will be due before 2:00:00 pm, Tuesday, July 2, 2024 at the County Judge's Office. It is our understanding that we have received approval from Grant Admin, County Attorney and Auditor's Office to move this agenda item forward. Attached are the documents to be approved. Thank you 1 Sao-H-P. Mayvw, P.E. Lead Project Engineer G&W Engineers, Inc. Calhoun County Texas CONTRACT DOCUMENTS FOR THE INFRASTRUCTURE AT LITTLE CHOCOLATE BAYOU COUNTY PARK PLAYGROUND IMPROVEMENTS PHASE 2 FOR CALHOUN COUNTY, TEXAS WEST AUSTIN STREET PORT LAVACA, TEXAS TEXAS GENERAL LAND OFFICE CONTRACT NO.20-065-064-C 182 and CALHOUN COUNTY 2020 CDBG-DR MAY 2024 This project is funded by the Texas General Land Office of the State of Texas, to provide for disaster recovery and restoration of infrastructure for communities impacted by Hurricane Harvey. The funds have been allocated by the United States Department of Housing and Urban Development through the Community Development Block Grant Disaster Relief Program. V a rr ENGINEERS. INC. 205 W. Live Oak • Port Lavaca, TX 77979 • 361-552-4509 CONTRACT DOCUMENTS FOR THE BID NO.2024.08 INFRASTRUCTURE AT LITTLE CHOCOLATE BAYOU COUNTY PARK PLAYGROUND IMPROVEMENTS PHASE 2 PROJECT FOR CALHOUN COUNTY, TEXAS WEST AUSTIN STREET PORT LAVACA, TEXAS TEXAS GENERAL LAND OFFICE CONTRACT NO.20-065-064-C182 MAY 2024 This project is funded by the Texas General Land Office of the State of Texas, to provide for disaster recoveIy and restoration of infrastructure for communities impacted by Hurricane Harvey. The funds have been allocated by the United States Department of Housing and Urban Development through the Community Development Block Grant Disaster Relief Program Prepared by: G & W ENGINEERS, INC. 205 WEST LIVE OAK PORT LAVACA, TEXAS 77979 (361)552-4509 Q &, OF Te��,li ...:.......................... SCOTT R MASON 127893 .1 Approved By: Scott P. Mason, P.E. G & W Engineers, Inc. �(' �� yy Texas Serial No. 127893 Texas Registered Engineering Firm F-04188 QS • Date: Project No. 5310.01 le FORMS AND CONDITIONS FOR BID DOCUMENTS/CONSTRUCTION CONTRACTS *Section 2 Items are to be completed and provided by all bidders with sealed bid. ** Please attach / include original bid bond as the last item in the sealed bid package. SECTION 1 1. Invitation for Bids 2. Instruction to Bidders for Construction 3. Equal Opportunity Guidelines for Construction Contractors 4. Calhoun County Section 3 Policy SECTION 2 5. *Bid Schedule 6. *Specification Notes (Addendum Acknowledgement & Calendar Days) 7. *Statement of Bidder's Qualifications 8. *Conflict of Interest Questionnaire S. *Certificate of Recovered Materials 10. *Certification Regarding Debarment & Suspension and Other Responsibility Matters 11. *Affidavit 12. *Certification of Bidder Regarding Civil Rights Laws and Regulations 13. *Contractor's Local Opportunity Plan 14. *Proposed Contracts Breakdown (expected subcontractors and labor classifications including Section 3 utilization) 15. *Certification for Business Concerns Seeking Section 3 Preference in Contracting and Demonstration of Capability 16. *Certification Regarding Lobbying 17. *Disclosure of Lobbying Activities and Instructions 18. *House Bill 89 Verification 19. *Residence Certification 20. *System for Award Management - (sam.gov) 21. *Bid Bond** SECTION 3 22. Standard Form of Agreement for Construction Contacts 23. General Conditions for Construction 24. Calhoun County General Conditions 25. Minority/Female Goals 26. Federal Labor Standards Provisions 27. Title 29 - Labor 28. Concerning Labor Standards and Prevailing Wage Requirements 29. Project specific Davis -Bacon Wage Decision 30. GLO Signage Requirements 31. Certificate of Interested Parties Form 1295 and Instructions 32. Section 504 Certification 33. Child Support Statement 34. Document No. 00417 - Trench Safety Systems Indemnity Agreement 35. Payment Bond 36. Performance Bond 37. Certificate of Liability Insurance 38. Section 3 Clause 39. HUD Examples of Efforts to Offer Training and Employment Opportunities for Section 3 Residents 40. GLO New Hires Section 3 Monthly Compliance Report 41. CDBG-MIT Section 3 Brochure Information Sheet 42. GLO Assurances for Construction Programs 43. GLO General Affirmations 44. Attorney's Review Certification 45. Contractor's Final Payment Affidavit 46., Change Order Form 47. Certificate of Construction Completion (COCC) 48. Governing Technical Specifications & Special Provisions SECTION 1 1. Invitation for Bids 2. Instruction to Bidders for Construction 3. Equal Opportunity Guidelines for Construction Contractors 4. Calhoun County Section 3 Policy Invitation to Bid Notice is hereby given that the Commissioners Court of Calhoun County, Texas will receive bids for: Bid Number 2024.08 — Infrastructure at Little Chocolate Bayou County Park Playground Improvements Phase 2 Project - GLO Contract No. 20-065-064-C182 The project shall consist of demolition of existing EWF surface, reconstructing a new playground base material to receive geo-fabric and rubber surfacing, installation of three new shade structures, and a new playground equipment as more described in the contract documents and bid package. The Instructions for Bidders, Bid Form, Specifications, and other Contract Documents may be examined at G&W Engineers, Inc. at 205 W. Live Oak, Port Lavaca, TX 77979 and obtained from www.CivcastUSA.com. There is no charge to view or download the documents. Addendums and other announcements will be distributed via CivCastUSA to all plan holders. A Pre -Bid Conference will be held at 10:00 am, Tuesday, June 4th, 2024 at Little Chocolate Bayou Park Pavilion at West Austin St., Port Lavaca, Texas. Potential bidders are strongly urged to attend. Sealed Bids may be hand delivered or mailed to: Honorable Richard H. Meyer, County Judge Calhoun County Courthouse 211 South Ann Street 3'd Floor, Suite 301 Port Lavaca, TX 77979 All bids must be delivered to the Office of the Calhoun County Judge in a sealed 9 x 12 or larger envelope and clearly marked on the outside of the envelope, or the UPS/FedEx/other Delivery Service envelope: Sealed Bid — Bid Number 2024.08 - Infrastructure at Little Chocolate Bayou County Park Playground Improvements Phase 2 Project - GILD Contract No. 20-065-064-C182. Sealed Bids consisting of one (1) USB flash drive and one (1) original and four (4) printed copies of the complete bid and required forms are DUE BEFORE 2:00:00 PM local time, TUESDAY JULY 2, 2024 in the County Judge's office, Calhoun County Courthouse, 211 South Ann Street, 31 Floor, Suite 301, Port Lavaca, Texas. At this time, all bids will be publicly opened and read aloud in the conference room located in the County Judge's office. It is the responsibility of the submitting bidder to ensure that their sealed bid is received in a timely manner. Calhoun County does not accept faxed or emailed bids. Calhoun County accepts no financial responsibility for any cost incurred by any bidder in the course of responding to the bid. Bids received after the date and time the bids are due will not be accepted and will be returned unopened, regardless of whether or not the delay was outside of the control of the submitting bidder. The cell phone in the County Judge's office or the cell phone of the County Auditor's Representative will be the official clock that shall be used in determining the time the bid is received and the 2:00:00 pm deadline. Bidders must submit with their bid a bid bond, issued by an acceptable surety, or a certified check, payable to Calhoun County, in the amount of not less than five percent (5%) of the total bid submitted. Bids submitted without the required security will not be considered. All contractors and subcontractors must be cleared (not suspended or debarred) prior to any formal action authorizing the award of a contract to the contractor and for the duration of the project. Calhoun County reserves the right to reject any or all bids or to waive any informalities in the bidding and to award to the responsible bidder submitting the best qualified acceptable bid who, in the opinion of Calhoun County, offers the bid in the best interest of the County. Bids may be held by Calhoun County for a period not to exceed sixty (60) days from the date of the bid opening for the purpose of reviewing the bids and investigating the bidder's qualifications prior to the contract award. The successful bidder will be required to purchase and furnish a Performance Bond and a Payment Bond, each in the full amount of the contract, written by a responsible surety company authorized to do business in the State of Texas, as required by Article 5160, V.A.T.C.S., as amended by H.B. 344, passed by the 56th Legislature, Regular Session, 1959. The successful bidder shall begin work on receipt of the Notice to Proceed and shall complete the work within the Contract Time. Work is subject to liquidated damages. The project to be constructed will be financed with assistance from the General Land Office (GLO) under the U.S. Department of Housing and Urban Development Community Development Block Grant - Mitigation (CDBG-MIT) program and is subject to all applicable Federal and State laws and regulations. Attention is called to the fact that not less than, the federally determined prevailing Davis -Bacon and Related Acts wage rate, as issued by the Department of Labor and contained in the contract documents, must be paid on this project. In addition, the successful bidder must ensure that employees and applicants for employment are not discriminated against because of race, color, religion, sex, sexual orientation, gender identity, or national origin. Adherence to the Calhoun County Section 3 Policy is required for all contracts. Calhoun County, Texas is an Affirmative Action/Equal Opportunity Employer. The County does not discriminate on the basis of age, race, color, religion, sex, sexual orientation, gender identity, national origin, handicapped status or limited English proficiency in employment or the provision of services. Section 3 Residents, Minority Business Enterprises, Small Business Enterprises, Women Business Enterprises and Labor Surplus Area Firms are encouraged to submit bids. Candice Villarreal County Auditor Calhoun County, Texas INSTRUCTIONS TO BIDDERS FOR CONSTRUCTION The project to be constructed will be financed with assistance from the General Land Office (GLO) under the U.S. Department of Housing and Urban Development Community Development Block Grant- Mitigation (CDBG-MIT) program and is subject to all applicable Federal and State laws and regulations. Calhoun County is the subrecipient of the grant funding and is hereby referred to as "County". Use of Separate Bid Forms These contract documents include a complete set of bid and contract forms which are for the convenience of the bidders and are not to be detached from the contract document, completed or executed. Separate bid forms are provided for your use. 2. Interpretations or Addenda No oral interpretations will be made to any bidder. All questions about the meaning or intent of the Bidding Documents are to be submitted to the ENGINEER IN WRITING and must be received in the office of the ENGINEER no later than 5:00 pm, June 7, 2024. Such questions may be submitted on www.CivcastUSA.com Questions and Answers (Q&A). It is the Bidder's responsibility to verify receipt of such questions by the ENGINEER. Interpretations or clarifications considered necessary by ENGINEER in response to such questions will be issued by Addenda and distributed via CivCastUSA to all plan holders. Addenda may also be issued to modify the Bidding Documents as deemed advisable by OWNER or ENGINEER. Any oral and other interpretations or clarifications provided by ENGINEER or OWNER at the pre -bid meeting will be without legal effect until a formal written Addenda is issued by ENGINEER. 3. Inspection of Site Each bidder should visit the site of the proposed work and should become acquainted with the existing conditions and facilities, the difficulties and restrictions pertaining to the performance of the contract. The bidder should thoroughly examine and become familiar with the drawings, technical specifications and all other contract documents. The contractor by the execution of the contract shall in no way be relieved of any obligation under it due to failure to receive or examine any form or legal document or to visit the site or the conditions existing at the site. The County will be justified in rejecting any claim based on lack of inspection of the site prior to the bid. 4. Alternate bid items No alternate bids or bid items will be considered unless they are specifically requested by the technical specifications. 5. Bids a. All bids must be submitted on the forms provided and are subject to all requirements of the Contract Documents, including the Drawings. b. All bids must be regular in every respect and no interlineation, excisions or special conditions may be made or included by the bidder. C. Bid documents, including but not limited to the bid, the bid bond(s), the contractor's certifications, Certification of Bidder Regarding Civil Rights Laws and Regulations, Certification of Efforts to comply with Section 3, Local Opportunity Plan, Conflict of Interest Questionnaire, Affidavit of Prime Bidder, Certification Regarding Lobbying and Disclosure of Lobbying Activities, Proposed Contract Breakdown, Certificate of Recovered Materials, Certification Regarding Debarment and Suspension and Other Responsibility Matters, System for Award Management (sam.gov) search, House Bill 89, Residence Certification, and the Statement of the Bidder's Qualifications, shall be sealed in an envelope and clearly labeled with the words "Sealed Bid — Bid Number 2024.08 - Infrastructure at Little Chocolate Bayou County Park Playground Improvements Phase 2 Project - GILD Contract No. 20-066-064-C182", name of bidder and the date and time of bid opening. d. The County may consider as irregular any bid on which there is an alteration of or departure from the bid form and, at its option, may reject any irregular bid. e. If a contract is awarded, it will be awarded to a responsible bidder on the basis of the lowesttbest bid and the selected alternate bid items, if any. The contract will require the completion of the work in accordance with the contract documents. (See page 69 Section: Awards for the definition of lowest/best found in the County Purchasing Act in this package.) 6. Bid Modifications Prior to Bid Opening a. Any bidder may modify its bid by submitting a modification or supplemental bid at any time prior to the scheduled closing time for receipt of bids, provided such modification or supplemental bid is received by the County prior to the closing time. The modification or supplemental bid should not reveal the original bid price but should provide only the addition, subtractions or other modifications to the original bid so that the final prices or terms will not be known by the County until the sealed bid is open. Bid Bond a. A bid bond in the amount of 5% of the bid issued by an acceptable surety shall be submitted with each bid [for contracts greater than $100,000]. A certified check or bank draft payable to Calhoun County, Texas may be submitted in lieu of the Bid Bond. b. The bid bond or its comparable, will be returned to the bidder as soon as practical after the opening of the bids. 8. Statement of Bidders Qualifications Each bidder shall submit on the form furnished for that purpose a statement of the bidder's qualifications. The County shall have the right to take such steps as it deems necessary to determine the ability of the bidder to perform its obligations under the contract, and the bidder shall furnish the County all such information and data for this purpose as it may request. The right is reserved to reject any bid where an investigation of the available data does not satisfy the County that the bidder is qualified to carry out properly the terms of the contract. 9. Unit Price The unit price for each of the several items in the bid shall include its pro rata share of overhead so that the sum of the products obtained by multiplying the quantity shown for each item by the unit price bid represents the total bid. Any bid not conforming to this requirement may be rejected as informal. Special attention is drawn to this condition, as the unit prices will be used to determine the amount of any change orders resulting from an increase or decrease in quantities. 10. Corrections: Erasures or other corrections in the bid must be noted over the signature of the bidder. 11. Time for Receiving Bids a. Bids received prior to the advertised hour of opening shall be kept securely sealed. The officer appointed to open the bids shall decide when the specified time has arrived and no bid received thereafter will be considered. 12. Submission of Bids a. All bids must be sealed in a 9 x 12 or larger envelope & clearly marked on the outside of the envelope, or the UPS/FedEx/other Delivery Service envelope: Sealed Bid No. 2024.08 — Infrastructure at Little Chocolate Bayou County Park Playground Improvements Phase 2 Project— GLO Contract No. 20-065-064-C182. b. Bids shall consist of one (1) USB flash drive, one (1) original and four (4) printed copies of the complete bid and required forms which are Due Before 2:00:00 pm, Tuesday, July 2, 2024. C. Sealed Bids must be hand delivered or mailed to: Honorable Richard H. Meyer, County Judge Calhoun County Courthouse 211 South Ann Street 31d Floor, Suite 301 Port Lavaca, TX 77979 d. It is the responsibility of the submitting bidder to ensure that their sealed bid is received in a timely manner. Calhoun County does not accept faxed or emailed bids. Calhoun County accepts no financial responsibility for any cost incurred by any bidder in the course of responding to the bid. Bids received after the date and time the bids are due will not be accepted and will be returned unopened, regardless of whether or not the delay was outside of the control of the submitting bidder. e. The cell phone in the County Judge's office or the cell phone of the County Auditor's Representative will be the official clock that shall be used in determining the time the bid is received and the 2:00:00 pm deadline. 13. Opening of Bids The County shall, at the time and place fixed for the opening of bids, open each bid and publicly read it aloud, irrespective of any irregularities therein. Bidders and other interested individuals may be present. 14. Withdrawal of Bids Bidder may withdraw the bid before the time fixed for the opening of bids, by communicating its purpose in writing to the County. Upon receipt of such notice, the unopened bid will be returned to the bidder. The bid guaranty of any bidder withdrawing his bid will be returned promptly. 15. Award of Contract/Reiection of Bids a. The contract will be awarded to the responsive, responsible Bidder submitting the lowest/best bid. The bidder selected will be notified at the earliest possible date. The County reserves the right to reject any or all bids and to waive any informality in bids received where such rejection or waiver is in its interest. b. The County reserves the right to consider as unqualified to do the work any bidder who does not habitually perform with his own forces the major portions of the work involved in construction of the improvements embraced in this contract. 16. Execution of Agreement/Performance and Payment Bonds a. Performance Bonds - Requires all prime contractors which enter into a formal contract in excess of $100,000 with the State, a county, or a municipality; a department, board, or agency of the state, a county, or a municipality; and a school district or a subdivision thereof, to obtain a Performance Bond in the amount of the contract before commencing with work b. Payment Bonds- Requires all prime contractors which enter into a formal contract with the State, a county, or a municipality; a department, board, or agency of the state, a county, or a municipality; and a school district or a subdivision thereof, to furnish to the governmental entity a payment bond in the amount of the contract. The payment bond must be filed within 30 days from the date of the Notice of Award: • Municipalities: If the contract is in excess of $50,000, a payment bond is required. • Counties: If the contract is in excess of $25,000, a payment bond is required. C. The failure of the successful bidder to execute the agreement and supply the required bonds within thirty (30) days from the date of the notice of award -or within such extended period as the County may grant, shall constitute a default and the County may, at its option either award the contract to the next lowest responsible bidder, or re -advertise for bids. In either case, the County may charge against the bidder the difference between the amount of the bid, and the amount for which a contract is subsequently executed irrespective of whether this difference exceeds the amount of the bid bond. If a more favorable bid is received through re -advertisement, the defaulting bidder shall have no claim against the County for a refund. 17. Wages and Salaries Attention is particularly called to the requirement of paying not less than the prevailing Davis Bacon Related Acts (DBRA) wage rates specified in the Contract Documents. These rates are minimums to be paid during the life of the contract. It is therefore the responsibility of the Bidder to inform themselves as to local labor conditions. 18. Equal Employment Opportunity Attention is called to the requirements for ensuring that employees and applicants for employment are not discriminated against because of race, color, religion, sex, sexual orientation, gender identity, or national origin, and other civil rights requirements. 19. Certification Regarding Lobbyina Contractors who apply or bid for an award of $100,000 or more shall provide the required certification that it will not and has not used Federal appropriated funds to pay any person or organization for influencing or attempting to influence an officer of employee of any agency, a member of Congress, officer or employee of Congress, or an employee of a member of Congress in connection with obtaining any Federal contract, grant or any other award covered by 31 USC § 1352. 19. System for Award Management (SAM) All contractors and subcontractors must be searched on www.sam.gov and cleared (not suspended or debarred) prior to any formal action authorizing the award of a contract to the contractor. Equal Opportunity Guidelines for Construction Contractors Note: To be included in bid packet and distributed at the preconstruction conference (optional) 1. What are the responsibilities of the offeror or bidder to ensure equal employment opportunity? For contracts over $ 10,000, the offeror or bidder must comply with the "Equal Opportunity Clause" and the "Standard Federal Equal Opportunity Construction Contract Specifications." 2. Are construction contractors required to ensure a legal working environment for all employees? Yes, it is the construction contractor's responsibility to provide an environment free of harassment, intimidation, and coercion to all employees and to notify all foremen and supervisors to carry out this obligation, with specific attention to minority or female individuals. 3. To alleviate developing separate facilities for men and women on all sites, can a construction contractor place all women employees on one site? No, two or more women should be assigned to each site when possible. 4. Are construction contractors required to make special outreach efforts to Section 3 or minority and female recruitment sources? Yes, construction contractors must establish a current list of Section 3, minority and female recruitment sources. Notification of employment opportunities, including the availability of on-the-job training and apprenticeship programs, should be given to these sources. The efforts of the construction contractors should be kept in file. 5. Should records be maintained on the number of Section 3 residents, minority and females applying for positions with construction contractors? Yes, records must be maintained to include a current list of names, addresses and telephone numbers of all Section 3, minority and female applicants. The documentation should also include the results of the applications submitted. 6. What happens if a woman or minority is sent to the union by the Contractor and is not referred back to the Contractor for employment? If the unions impede the construction contractor's responsibility to provide equal employment opportunity, a written notice should be submitted to GLO. 7. What efforts are made by construction contractors to create entry-level positions for Section 3 residents, women and minorities? Construction contractors are required to develop on-the-job training programs, or participate in training programs, especially those funded by the Department of Labor, to create positions for Section 3 residents, women and minorities and to meet employment needs. 8. Are any efforts made by the Contractor to publicize their Equal Employment Opportunity (EEO) policy? Yes, the construction contractor is responsible for notifying unions and sources of training programs of their equal employment opportunity policy. Unions should be requested to cooperate in the effort of equal opportunity. The policy should be included in any appropriate manuals, or collective bargaining agreements. The construction contractor is encouraged to publicize the equal employment opportunity policy in the company newspaper and annual report. The Contractor is also responsible to include the EEO policy in all media advertisement. 9. Are any in-service training programs provided for staff to update the EEO policy? At least annually a review of the EEO policy and the affirmative action obligations are required of all personnel employees of a decision -making status. A record of the meeting including date, time, location, persons present, subject matter discussed, and disposition of the subject matter should be maintained. 10. What recruitment efforts are made for Section 3 residents, minorities and women? The construction contractor must notify, both orally and in writing, Section 3, minority and female recruitment sources one month prior to the date of acceptance for apprenticeship or other training programs. 11. Are any measures taken to encourage promotions for minorities and women? Yes, an annual evaluation should be conducted for all minority and female personnel to encourage these employees to seek higher positions. 12. What efforts are taken to insure that personnel policies are in accordance with the EEO policy? Personnel policies in regard to job practices, work assignments, etc. should be continually monitored to insure that the EEO policy is carried out. 13. Can women be excluded from utilizing any facilities available to men? No, all facilities and company activities are non -segregated except for bathrooms or changing facilities to ensure privacy. 14. What efforts should be utilized to include minority and female contractors and suppliers? Take affirmative steps to ensure that small, minority, and women owned businesses are included on all lists for contractors/service providers. Solicit these businesses when issuing RFPs and RFQs and soliciting construction bids. Divide project activities into small tasks to allow participation. Keep records of all offers to minority and female construction contractors. 15. If a construction contractor participates in a business related association that does not comply with equal opportunity affirmative action standards, does that show his/her failure to comply? No, the construction contractor is responsible for its own compliance. 16. Can a construction contractor hire a subcontractor who has been debarred from government contracts pursuant to EEO? No. The construction contractor must suspend, terminate or cancel its contract with any Subcontractor who is in violation of the EEO policy. 17. What effort has been taken by the construction contractor to monitor all employment to insure the company EEO policy is being carried out? The construction contractor must designate a responsible individual to keep accurate records of all employees that includes specific information required by the government. CALHOUN COUNTY SECTION 3 POLICY Calhoun County Section 3 Policy In accordance with Section 3 of the U.S. Housing and Urban Development (HUD) Act, Calhoun County agrees to implement the following steps, which, to the greatest extent feasible, will provide job training, employment and contracting opportunities for low- and very low-income persons residing in the community in which HUD funds are spent and to businesses that provide economic opportunities for these persons. A. Introduce and pass a resolution adopting this plan as a policy to strive to attain goals for compliance to Section 3 regulations by increasing opportunities for employment and contracting for Section 3 residents and businesses. B. Assign duties related to implementation of this plan to the Calhoun County Civil Rights Officer. C. Notify Section 3 residents and business concerns of potential new employment and contracting opportunities as they are triggered by HUD Community Development Block Grant (CDBG) awards through the use of public hearings and related advertisements; public notices; bidding advertisements and bid documents; solicitations and contracts; notification to local business organizations; local advertising media, including public signage; project area committees and citizen advisory boards; local HUD offices; regional planning agencies; and all other appropriate referral sources. D. Maintain a list of those businesses that have identified themselves as Section 3 businesses for utilization in CDBG funded procurements, notify those businesses of pending contractual opportunities, and make this list available for general county procurement needs. E. Maintain a list of those persons who have identified themselves as Section 3 residents and contact those persons when hiring/training opportunities are available through grant awards or contractors. P. Require that all prime contractors and subcontractors with contracts over $100,000 commit to this plan as part of their contract work. The County will monitor the contractors' performance with respect to meeting Section 3 requirements and require that they submit requested reports to the appropriate agency. G. Submit reports as required by a funding agency regarding contracting with Section 3 businesses and/or employment as they occur; and submit reports within federal fiscal year requirements that identify and quantify Section 3 businesses and employees. H. Maintain records, including copies of correspondence, memoranda, etc., which document all actions taken to comply with Section 3 regulations. As officers and representatives of Calhoun County, we the undersigned have read and fully agree to this plan and become a party to the full implementation of the plan. Approved this 17t' day of February 2021. Richard H. Meyer, C ty Judge David Hall Calhoun County Commissioner, Pct. 1 Vern Lys Calhoun County Commissioner, Pct. 2 Joel MJ Behrens Gary 'Re Calhoun County Commissioner, Pct. 3 Calhoun es ty Commissioner, Pct. 4 Attest: Anna Goodman, County Clerk By: Deputy Clerk SECTION 2 6. *Bid Schedule 6. *Specification Notes (Addendum Acknowledgement & Calendar Days) 7. *Statement of Bidder's Qualifications 8. *Conflict of Interest Questionnaire 9. *Certificate of Recovered Materials 10. *Certification Regarding Debarment & Suspension and Other Responsibility Matters 11. *Affidavit 12. *Certification of Bidder Regarding Civil Rights Laws and Regulations 13. *Contractor's Local Opportunity Plan 14. *Proposed Contracts Breakdown (expected subcontractors and labor classifications including Section 3 utilization) 16. *Certification for Business Concerns Seeking Section 3 Preference in Contracting and Demonstration of Capability 16. *Certification Regarding Lobbying 17. *Disclosure of Lobbying Activities and Instructions 18. *House Bill 89 Verification 19. *Residence Certification 20. *System for Award Management —(sam.gov 21. *Bid Bond** *Section 2 Items are to be completed and provided by all bidders with sealed bid. ** Please attach / include original bid bond as the last item in the sealed bid package. BID SCHEDULE PROJECT NAME: BID NO.2024.08 — Infrastructure at Little Chocolate Bayou County Park Playground Improvements Phase 2 Project - GLO Contract No. 20-065-064-C382 DUE DATE: JULY 2, 2024 BEFORE 2:00:00 P.M. BIDDER NAME: BASE WORK SCOPE: The project shall consist of demolition of existing EWF surface, reconstructing a new playground base material to receive geo-fabric and rubber surfacing, installation of three new shade structures, and a new playground equipment as more described in the contract documents and bid package. BASE BID ITEM BID Item It ITEM DESCRIPTION UNIT PRICE TOTAL BID PRICE UNIT. QUANTITY MOBILIZATION, INSURANCE AND BONDS 1 LS 1 PER PLANS AND SPECIFICATIONS 2 TEMPORARY PROJECT SIGNAGE PER LS 1 PLANS AND SPECIFICATIONS DEMOLITION OF ENGINEERED WOOD FIBER (EWF) (APPDX. 12" THICK) AND 3 SF 7,575 TRANSFER TO AREAS WITHIN PARK PER PLANS AND SPECIFICATIONS. TYPE D, CRUSHED LIMESTONE, 8.5" THICK AFTER COMPACTED IN PLACE TO 4 95%COMPLETE IN PLACE PER PLANS SF 7,575 AND SPECIFICATIONS GEO-GRID OR GEO-FABRIC INSTALLED 5 ON TOP OF BASE MATERIAL COMPLETE SF 7,575 IN PLACE PER PLANS AND SPECIFICATIONS RUBBER SURFACING 3.5" THICK 6 COMPLETE IN PLACE PER PLANS AND SF 7,575 SPECIFICATIONS NEW PLAYGROUND STRUCTURE(S) MEETING THE MINIMUM REQUIREMENTS AS SET FORTH IN THE PLANS AND SPECIFICATIONS AND WITHIN THE AREAS LISTED. THIS 7 INCLUDES A SUPER STRUCTURE, SWING LS 1 SET, MERRY-GO-ROUND, STEM PLAY, ELECTRONIC GAME AND MUSIC PLAY. CORRISION RESISTANT PACKAGE REQUIRED AND WIND RESISTANT PACKAGE REQUIRED. TWO -POST HIP SHADE STRUCTURE (15' X 22' X 10') CORRISION RESISTANT PACKAGE REQUIRED AND WIND 8 RESISTANT PACKAGE REQUIRED. EA 2 INCLUDES CUTTING EXISTING CONCRETE AS REQUIRED FOR FOUNDATION INSTALLATION. SINGLE -POST SQ SHADE STRUCTURE (16') CORRISION RESISTANT PACKAGE REQUIRED AND WIND RESISTANT 9 PACKAGE REQUIRED. INCLUDES EA 1 CUTTING EXISTING CONCRETE AS REQUIRED FOR FOUNDATION INSTALLATION. TOTAL BASE BID -Submission of a bid tab with "Clarifications" or "Exclusions" and/or any other stipulations will not be accepted. It shall be the bidder's responsibility to provide a complete bid and ask any questions necessary to clarify any bid items or relevant concerns within the questions period. --The award will be based on the BASE BID and the Owner reserves the right to determine the most advantageous and best bid for the project. •*•The Calhoun County Commissioners Court shall be the sole judge in determining which bid will be the most advantageous to Calhoun County. SPECIFICATION NOTES The project shall consist of demolition of existing EWF surface, reconstructing a new playground base material to receive geo-fabric and rubber surfacing, installation of three new shade structures, and a new playground equipment as more described in the contract documents and bid package. The BIDDER, in compliance with the invitation for bids for Bid No. 2024.08 — Infrastructure at Little Chocolate Bayou County Park Playground Improvements Phase 2 Project— GLO Contract No. 20-066-064-Ct82 for Calhoun County, Texas, having examined the plans and specifications with related documents and the site of the proposed work, and being familiar with all of the conditions surrounding the construction of the proposed project, including the availability of materials and labor, hereby proposes to furnish all labor, materials and supplies in accordance with the contract documents, within the time set forth herein. These price(s) are to cover all expenses incurred in performing the work required under the contract documents, of which this bid is a part. These price(s) are firm and shall not be subject to adjustment provided this bid is accepted within sixty (60) days after the time set for receipt of bids. BIDDER hereby agrees to commence work under this contract on or before a date to be specified "Notice to Proceed" to be issued by the COUNTY and to substantially complete within consecutive calendar days as stipulated in the specifications. BIDDER further agrees to pay aE damages, the sum of $500.00 for each consecutive calendar day. 1 hereby acknowledge the receipt of the following addenda: A in a written liquidated SUBCONTRACTORS. The undersigned BIDDER proposes that he will be responsible to perform major portions of the work at the project site with his own forces and that specific portions of the work not performed by the undersigned will be subcontracted and performed by the following subcontractors. Type of Work Subcontracted Name of Subcontractor The undersigned hereby declares that he has visited the site and has carefully examined the contract documents relative to the work covered by the above bid. Bidder Name: Address: Phone: EIN or Tax ID No.: Signature: Name and Title: STATEMENT OF BIDDER'S QUALIFICATIONS All questions must be answered and the data given must be clear and comprehensive. This statement must be notarized. If necessary, questions may be answered on separate attached sheets. The Bidder may submit any additional information it desires. Date: Bidder (Legal Name of Firm): Date Organized: Name of Owner(s): Address: Date Incorporated Federal ID Number: Number of Years in contracting business under present name List all other names under which your business has operated in the last 10 years: Work Presently Under Contract: Contract Amount $ Completion Date Type of work performed by your company: Total Staff employed by Firm (Break down by Managers and Trades on separate sheet): Have you ever failed to complete any work awarded to you? ❑ Yes ❑ No (If yes, please attach summary of details on a separate sheet. Include brief explanation of cause and resolution) Have you ever defaulted on a contract? ❑ Yes ❑ No (If yes, please attach summary of details on a separate sheet.) Has your organization had any disbarments or suspensions that have been imposed in the past five years or that was still in effect during the five-year period or is still in effect? ❑ Yes ❑ No (If yes, list and explain; such list must include disbarments and suspensions of officers, principals, partners, members, and employees of your organization.) List the projects most recently completed by your firm (include project of similar importance): Project Amount $ MoNr Completed Major equipment available for this contract: Are you in compliance with all applicable EEO requirements? ❑ Yes ❑ No (If no, please attach summary of details on a separate sheet.)) (Optional) Minority Business Reporting Information: Owner's Race: Owner's Ethnicity: Owner's Gender: Are you a Section 3 business? (see below) ❑ Yes ❑ No Section 3 Business Concerns: a) Businesses that are 51 percent or more owned by Section 3 residents; b) Businesses whose permanent, full-time employees include persons, at least 30 percent of whom are currently Section 3 residents, or within three years of the date of first employment with the firm were Section 3 residents; c) Businesses that provide evidence of a commitment to subcontract in excess of 25 percent of the dollar amount of all subcontracts to be awarded to businesses that meet the qualifications described above; or d) Businesses located within the County's jurisdiction that identifies themselves as Section 3 Business Concerns because they provide economic opportunities for low- and very low-income persons. Bank References Address: City & State: Credit available: $ Contact Name: Phone Number: Has the firm or predecessor firm been involved in a bankruptcy or reorganization? ❑ Yes ❑ No (If yes, please attach summary of details on a separate sheet.) List on a sheet attached hereto all judgements, claims, arbitration proceedings, or suits pending or outstanding against bidder over the last five (5) years with amount of claim and brief description. List on a sheet attached hereto all lawsuits or requested arbitration with regard to construction contracts which bidder has initiated within the last five (5) years and brief explanation of claim and outcome. Attach resume(s) for the principal member(s) of your organization, including the officers as well as the proposed superintendent for the project. Signed this day of .20 Signature Printed Name and Title Company Name Notary Statement: being duly sworn, says that he/she is the Position/Title Of (Firm Name), and hereby swears that the answers to the foregoing questions and all statements therein contained are true and correct. He/she hereby authorizes and requests any person, firm, or corporation to furnish any information requested by Calhoun County in verification of the recitals comprising this Statement of Bidder's Qualifications. Subscribed and sworn before me this day of , 20_ Notary Public Signature Printed Name My Commission Expires: The penalty for making false statements is prescribed in the U. S. Criminal Code, 18 U.S.C. 1001. CONFLICT OF INTEREST QUESTIONNAIRE FORM CIQ For vendor doing business with local governmental entity This questionnaire reflects changes made to the law by H.B. 23, 84th Leg., Regular Session. OFFICEUSEONLY This questionnaire is being filed in accordance with Chapter 176, Local Government Code, by a vendor who Date Received has a business relationship as defined by Section 176.001(1-a) with a local governmental entity and the vendor meets requirements under Section 176.006(a). By law this questionnaire must be filed with the records administrator of the local governmental entity not later than the 7th business day after the date the vendor becomes aware of facts that require the statement to be filed. See Section 176.006(a-1), Local Government Code. A vendor commits an offense if the vendor knowingly violates Section 178.006, Loral Government Code. An offense under this section is a misdemeanor. !J Name of vendor who has business relationship with local governmental entity, 2 ❑ Check this box if you areffilling an update to a previously filed questionnaire. (The law requires that you file an updated completed questionnaire with the appropriate filing authority not later than the 71h business day after the date on which you became aware that the originally filed questionnaire was incomplete or inaccurate.) 3 Name of local government officer about whom the information is being disclosed. Name of Officer 4 Describe each employment or other business relationship with the local government officer, or a family member of the officer, as described by Section 176.003(a)(2)(A). Also describeany family relationship with the local government officer. Complete subparts A and B for each employment or business relationship described. Attach additional pages to this Form CIO as necessary. A. Is the local government officer or a family member of the officer receiving or likely to receive taxable Income, other than investment income, from the vendor? Yes FIND B. Is the vendor receiving or likely to receive taxable income, other than investment Income, from or at the direction of the local government officer or a family member of the officer AND the taxable Income is not received from the local governmental entity? 71 Yes F-1 No 6 Describe each employment or business relationship that the vendor named in Section 11 maintains with a corporation or other business entity with respect to which the local government officer serves as an officer or director, or holds an ownership interest of one percent or more. 6 ❑Check this box if the vendor has given the local government officer or afamily member of the officer one or more gifts as described in Section 176.003(a)(2)(B), excluding gifts described in Seaton 176.003(a-1). 7 Signature of vendor doing business with the governmental entity Date Form provided by Texas Ethics Commission www.ethics.state.tx.us Revised 11/30/2015 CONFLICT OF INTEREST QUESTIONNAIRE For vendor doing business with local governmental entity Acomplete copy of Chapter 176 of the Local Government Code may be found at http://www.statutes.legis.state.tx.us/ Docs/LG/htm/LG.176.htm. For easy reference, below are some of the sections cited on this form. Local Government Code 4176.001(1-a): "Business relationship" means a connection between two or more parties based on commercial activity of one of the parties. The term does not include a connection based on: (A) a transaction that is subject to rate or fee regulation by a federal, state, or local governmental entity or an agency of a federal, state, or local governmental entity; (B) a transaction conducted at a price and subject to terms available to the public; or (C) a purchase or lease of goods or services from a person that is chartered by a state or federal agency and that is subject to regular examination by, and reporting to, that agency. Local Government Code S 176.003(a)(2)(A) and (B): (a) A local government officer shall file a conflicts disclosure statement with respect to a vendor if: (2) the vendor: (A) has an employment or other business relationship with the local government officer ora family member of the officer that results in the officer or family member receiving taxable income, other than investment income, that exceeds $2,500 during the 12-month period preceding the date that the officer becomes aware that (i) a contract between the local governmental entity and vendor has been executed; or (ii) the local governmental entity is considering entering into a contract with the vendor; (B) has given to the local govern mentoff icerorafamily member ofthe officer one ormore gifts that have an aggregatevalue of more than $100 in the 12-month period preceding the date the officer becomes aware that: (i) a contract between the local governmental entity and vendor has been executed; or (ii) the local governmental entity is considering entering into a contract with the vendor. Local Government Code 6176.006(a) and (a-1) (a) Avendor shall file a completed conflict of interest questionnaire if the vendor has a business relationship with a local governmental entity and: (1) has an employment or other business relationship with a local government officer of that local governmental entity, or a family memberof the officer, described by Section 176.003(a)(2)(A); (2) has given a local government officer of that local governmental entity, or a family member of the officer, one or more gifts with the aggregate value specified by Section 176.003(a)(2)(B), excluding any gift described by Section 176.003(a-1); or (3) has a family relationship with a local government officer of that local governmental entity. (a-1) The completed conflict of interest questionnaire must be filed with the appropriate records administrator not later than the seventh business day after the later of: (1) the date that the vendor: (A) begins discussions or negotiations to enter into a contract with the local governmental entity; or (B) submits to the local governmental entity an application, response to a request for proposals or bids, correspondence, or another writing related to a potential contract with the local governmental entity; or (2) the date the vendor becomes aware: (A) of an employment or other business relationship with a local government officer, or a family member of the officer, described by Subsection (a); (B) that the vendor has given one or more gifts described by Subsection (a); or (C) ofafamily relationship with alocal government Officer. Form provided by Texas Ethics Commission wwmethics.state. tx.us Revised 11/30/2015 CONTRACTOR'S CERTIFICATION of RECOVERED MATERIAL 1, (Principal's Name)_ of (Company Name) (hereinafter called "Contractor"), acknowledge the recovered material bidding requirements found in 2 CFR 200.322 that requires the Contractor to procure those items designated in the guidelines of the Environmental Protection Agency (EPA) at 40 CFR 247 that contain the highest percentage of recovered materials practicable, consistent with maintaining a satisfactory level of competition. I also acknowledge that this requirement shall apply to items purchased (1) where the Contractor purchases in excess of $10,000 of the item under this contract; or (2) where during the preceding fiscal year, the value of the quantity acquired was in excess of $10,000. Finally, I acknowledge the attached list of recovered materials included in the bid documents. (For up-to-date listing, please go to https://www.epa.gov/smm/comprehensive-procurement-guideline-cpg- program#directory) Printed Name and Title Signature Date USE OF RECOVERED MATERIAL Please check one: ❑ Recovered materials are included in this bid: Materials included ❑ Recovered materials are not reasonably available in a reasonable period of time. ❑ Recovered materials fail to meet reasonable performance standards, which are determined on the basis of the guidelines of the National Institute of Standards and Technology, if applicable. ❑ Recovered materials are only available at an unreasonable price. Printed Name and Title Signature Date CERTIFICATION REGARDING DEBARMENT & SUSPENSION AND OTHER RESPONSIBILITY MATTERS In accordance with the Executive Order 12549, the prospective primary participant certifies to the best of his/ her knowledge and belief, that its principals: a. Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by any federal department or agency; b. Have not within a three-year period preceding this proposal been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offence in connection with obtaining, attempting to obtain, or performing a public (federal, state, or local) transaction or contract under a public transaction; violation of federal or state antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction or records, making false statements, or receiving stolen property; c. Are not presently indicted for or otherwise criminally or civilly charged by a governmental entity (federal, state, or local) with commission of any of the offenses enumerated in paragraph (1) (b) of this ccIiification. d. Have not within a three-year period preceding this application/ proposal had one or more public transactions (federal, state, or local) terminated for cause of default. e. Acknowledge that all sub -contractors selected for this project must be in compliance with paragraphs (I) (a- d) of this certification. Name and Title of Authorized Agent Signature of Authorized Agent I am unable to certify to the above statements. My explanation is attached. Date DEBARMENT & SUSPENSION Executive Order 12549--Debarment and Suspension Source: The provisions of Executive Order 12549 of Feb. 18, 1986, appear at 51 FR 6370, 3 CFR, 1986 Comp., p. 189, unless otherwise noted. By the authority vested in me as President by the Constitution and laws of the United States of America, and in order to curb fraud, waste, and abuse in Federal programs, increase agency accountability, and ensure consistency among agency regulations concerning debarment and suspension of participants in Federal programs, it is hereby ordered that: Section 1. (a) To the extent pennitted by law and subject to the limitations in Section 1(c), Executive depalments and agencies shall participate in a system for debarment and suspension from programs and activities involving Federal financial and nonfinancial assistance and benefits. Debarment or suspension of a participant in a program by one agency shall have government -wide effect. (b) Activities covered by this Order include but are not limited to: grants, cooperative agreements, contracts of assistance, loans, and loan guarantees. (c) This Order does not cover procurement programs and activities, direct Federal statutory entitlements or mandatory awards, direct awards to foreign governments or public international organizations, benefits to an individual as a personal entitlement, or Federal employment. Sec. 2. To the extent permitted by law, Executive departments and agencies shall: (a) Follow government -wide criteria and government -wide minimum due process procedures when they act to debar or suspend participants in affected programs. (b) Send to the agency designated pursuant to Section 5 identifying information concerning debarred and suspended participants in affected programs, participants who have agreed to exclusion from participation, and participants declared ineligible under applicable law, including Executive Orders. This information shall be included in the list to be maintained pursuant to Section 5. (c) Not allow a party to participate in any affected program if any Executive department or agency has debarred, suspended, or otherwise excluded (to the extent specified in the exclusion agreement) that party from participation in an affected program. An agency may grant an exception permitting a debarred, suspended, or excluded party to participate in a particular transaction upon a written determination by the agency head or authorized designee stating the reason(s) for deviating from this Presidential policy. However, I intend that exceptions to this policy should be granted only infrequently. Sec. 3. Executive departments and agencies shall issue regulations governing their implementation of this Order that shall be consistent with the guidelines issued under Section 6. Proposed regulations shall be submitted to the Office of Management and Budget for review within four months of the date of the guidelines issued under Section 6. The Director of the Office of Management and Budget may return for reconsideration proposed regulations that the Director believes are inconsistent with the guidelines. Final regulations shall be published within twelve months of the date of the guidelines. Sec. 4..There is hereby constituted the Interagency Committee on Debarment and Suspension, which shall monitor implementation of this Order. The Committee shall consist of representatives of agencies designated by the Director of the Office of Management and Budget. Sec. 5. The Director of the Office of Management and Budget shall designate a Federal agency to perform the following functions: maintain a current list of all individuals and organizations excluded from program participation under this Order, periodically distribute the list to Federal agencies, and study the feasibility of automating the list; coordinate with the lead agency responsible for government -wide debarment and suspension of contractors; chair the Interagency Committee established by Section 4; and repel i periodically to the Director on implementation of this Order, with the first report due within two years of the date of the Order. Sec. 6. The Director of the Office of Management and Budget is authorized to issue guidelines to Executive departments and agencies that govern which programs and activities are covered by this Order, prescribe government -wide criteria and government -wide minimum due process procedures, and set forth other related details for the effective administration of the guidelines. Sec. 7. The Director of the Office of Management and Budget shall repo Ii to the President within three years of the date of this Order on Federal agency compliance with the Order, including the number of exceptions made under Section 2(c), and shall make recommendations as are appropriate further to curb fraud, waste, and abuse. Implementation in the SRF Programs A company or individual who is debarred or suspended cannot participate in primary and lower -tiered covered transactions. These transactions include SRF loans and contracts and subcontracts awarded with SRF loan funds. Under 40 C.F.R. 32.510, the SRF agency must submit a eel iification stating that it shall not knowingly enter into any transaction with a person who is proposed for debarment, suspended, declared ineligible, or voluntarily excluded from participation in the SRF program. This celtification is reviewed by the EPA regional office before the capitalization grant is awarded. A recipient of SRF assistance directly made available by capitalization grants must provide a certification that it will not knowingly enter into a contract with anyone who is ineligible under the regulations to principate in the project. Contractors on the project have to provide a similar certification prior to the award of a contract and subcontractors on the project have to provide the general contractor with the certification prior to the award of any subcontract. In addition to actions taken under 40 C.F.R. Part 32, there are a wide range of other sanctions that can render a party ineligible to participate in the SRF program. Lists of debarred, suspended and otherwise ineligible parties are maintained by the General Services Administration and should be checked by the SRF agency and all recipients of funds directly made available by capitalization grants to ensure the accuracy of ce 1 iifications. Additional References C 40 C.F.R. Part 32: EPA Regulations on Debarment and Suspension. STATE OF TEXAS {} AFFIDAVIT COUNTY OF {} being first duly sworn, deposes and says: that he or she is (Type or Print Name) the of (Type or Print Tile) (Type or Print Name of Company/Firm) having its principal address at (Type or Print Physical and Mailing Address) who submits herewith to Calhoun County the attached bid/proposal; that he or she is the person whose name is signed to the attached bid/proposal; that said bid/proposal is genuine; that the same is not sham or collusive; that all statements of fact herein are true; and that such bid/proposal was not made in the interest or behalf of any person, partnership, company, association, organization or corporation not herein named or disclosed. Affiant further deposes and says: that the bidder/proposer has not directly or indirectly by agreement, communication or conference with anyone, attempted to induce action prejudicial to the interests of Calhoun County, or of any other bidder/proposer, or anyone else interested in the bid/proposal contract; and that the bidder/proposer has not in any manner sought by collusion to secure for himself/herself/itself/themselves an advantage over any other bidder/proposer. Affiant further deposes and says: that prior to the public opening and reading of bids/proposals, said bidder/proposer: a) did not, directly or indirectly, induce or solicit anyone else to submit a false or sham bid/proposal; b) did not, directly or indirectly, collude, conspire, connive or agree with anyone else that said bidder/proposer or anyone else would submit a false or sham bid/proposal, or that anyone should refrain from submitting a bid/proposal or withdraw their bid/proposal; c) did not, in any manner, directly or indirectly, seek by agreement, communication or conference with anyone to raise or fix the bid price/proposal of said bidder/proposer or of anyone else, orto raise or fix any overhead, profit or cost element of their price/fee or of that of anyone else; d) did not give, offerto give, nor intends to give at anytime hereafter any economic opportunity, future employment, gift, loan, gratuity, special discount, trip, favor, or service to any official, employee or agent of Calhoun County in connection with the submitted bid/proposal; and e) did not, directly or indirectly, submit their bid/proposal price or any breakdown thereof, orthe contents thereof, or divulge information or data relative hereto, to any corporation, partnership, company, association, organization, bid depository, or to any member or agent, thereof, to any individual or group of individuals, or to any official, employee or agent of Calhoun County prior to the official opening of this bid/proposal. Affiant further deposes and says: that the bid price(s) or proposed fees contained in this bid/proposal have been carefully checked and is submitted as true and correct, agrees to furnish any and/or all items/services upon which bid prices or proposed fees are awarded and upon the conditions and requirements contained in the bid/proposal. Signature of Affiant Printed Name and Title of Affiant SWORN TO AND SUBSCRIBED BEFORE ME by the above Affiant, who, on oath, states that the facts contained in the above are true and correct, this day of Notary Stamp/Seal Signature of Notary Public 20 CONTRACTOR CERTIFICATIONS U.S. Department of Housing and Urban Development CERTIFICATION OF BIDDER REGARDING CIVIL RIGHTS LAWS AND REGULATIONS INSTRUCTIONS CERTIFICATION OF BIDDER REGARDING Executive Order 11246 and Federal Laws Requiring Federal Contractor to adopt and abide by equal employment opportunity and affirmative action in their hiring, firing, and promotion practices. This includes practices related to race, color, gender, religion, national origin, disability, and veterans' rights. NAME AND ADDRESS OF BIDDER (include ZIP Code) CERTIFICATION BY BIDDER Bidder has participated in a previous contract or subcontract subject to Civil Rights Laws and Regulations. Yes 0 No The undersigned hereby certifies that: The Provision of Local Training. Employment, and Business Opportunities clause (Section 3 provision) is included in the Contract. A written Section 3 plan (Local Opportunity Plan) was prepared and submitted as part of the bid proceedings (if bid equals or exceeds $100,000). The Equal Opportunity clause is included in the Contract (if bid equals or exceeds $10,000). Have you ever been or are you being considered for sanction due to violation of Executive Order 11246, as amended? Yes 0 No NAME AND TITLE OF SIGNER (Please type) SIGNATURE DATE CONTRACTOR'S LOCAL OPPORTUNITY PLAN agrees to implement the following specific affirmative action steps (name of company) directed at increasing the utilization of lower income residents and businesses within Calhoun County. A. To ascertain from the County's CDBG program official the exact boundaries of the project area and where advantageous, seek the assistance of local officials in preparing and implementing the affirmative action plan. B. To attempt to recruit from within the county the necessary number of lower income residents through: local advertising media, signs placed at the proposed site for the project, and community organizations and public or private institutions operating within and servicing the project area such as Service Employment and Redevelopment (SER), Opportunities Industrialization Center(OIC), Urban League, Concentrated Employment Program, Hometown Plan, or the U.S. Employment Service. C. To maintain a list of all lower income residents who have applied either on their own or on referral from any source, and to employ such persons, if otherwise eligible and if a vacancy exists. D. To insert this plan in all bid documents and to require all bidders on subcontracts to submit an affirmative action plan including utilization goals and the specific steps planned to accomplish these goals. E. To ensure that subcontracts (greater than $10,000), which are typically let on a negotiated rather than a bid basis in areas other than the covered project area, are also let on a negotiated basis, whenever feasible, in a covered project area. F. To formally contact unions, subcontractors, and trade associations to secure their cooperation in this effort. G. To ensure that all appropriate project area business concerns are notified of pending sub -contractual opportunities. H. To maintain records, including copies of correspondence, memoranda, etc., which document that all of the above affirmative action steps have been taken. I. To appoint or recruit an executive official of the company or agency as Equal Opportunity Officer to coordinate the implementation of this plan. J. To maintain records concerning the amount and number of contracts, subcontracts, and purchases which contribute to objectives. K. To maintain records of all projected work force needs for all phases of the project by occupation, trade, skill level, and number of positions and to update these projections based on the extent to which hiring meets these Local Opportunity objectives. As officers and representatives of we the undersigned have read (name of company) and fully agree to this Plan and the County's Section 3 Plan, and become a party to the full implementation of the program and its provisions. Signature Printed Name Date Instructions for Proposed Contracts Breakdown and Estimated Project Workforce Breakdown Proposed Contracts Breakdown Type of Contracts —list all construction, materials, or other types of subcontracts (for example: electrical, plumbing, concrete, boring, etc.) No. of Contracts — Number of contracts under this category Approximate Total Dollar Amount — Total amount of each contract Estimated No. to Local Business — Number of contracts awarded to local businesses and Section 3 businesses Estimated $ Amount to Local Business - How many dollars will be spent locally for each type of contract? For example: will you hire any local employees or subcontractors? Estimated Project Workforce Breakdown Work Classifications — Classification of project employees as defined on Wage Rate Total Estimated Positions — List the number employees for each work classification will you need on this project Number of Positions Currently Filled — List the number of estimated positions you currently have filled Number of Positions Not Filled — List the number of estimated positions you currently do not have filled Number of Positions to Fill with Low to Moderate Income (Section 3) Residents — List the number of local residents earning low to moderate incomes that you plan to employ to fill the estimated positions not filled PROPOSED CONTRACTS BREAKDOWN Type of Contracts No. of Contracts Approx. Total Dollar Amount Estimated No. to local Business Estimated $ Amount Local Business ESTIMATED PROJECT WORKFORCE BREAKDOWN Work Classifications Total Estimated Positions No. of Positions Currently Filled No. of Positions not Filled No. of Positions to fill with LMI Resident Section 3 Totals Texas General Land Office Community Development Block Grant (CDBG) Disaster Recovery Program CERTIFICATION FOR BUSINESS CONCERNS Seeking Section 3 Preference in Contracting and Demonstration of Capability Economic Opportunities for Low and Very Low -Income Persons Grantee/Subrecipient: Contract Number: r Date: I CONTRACTOR INFORMATION Name of Business Address of Business Type of Business: ❑ Corporation ❑ Partnership ❑ Non -Profit ❑ Sole Proprietorship ❑ Joint Venture Consortium Attach the following documentation as evidence of Section 3 eligible status: (Definition of 'Section 3 Business Concern' in 24 CFR 135 describes the three alternative qualifications.) For Business claiming status as a Section 3 resident -owned enterprise: ❑ Copy of resident lease ❑ Copy of evidence of participation in a public assistance program For business entity as applicable: ❑ Copy of Articles of Incorporation ❑ Assumed Business Name Certificate ❑ List of ownersMockholders and % ownership of each appointed officers ❑ Organization chart with names and titles and brief function statement ❑ Copy of receipt of public assistance ❑ Other evidence ❑ Certificate of Good Standing ❑ Partnership Agreement ❑ Corporation Annual Report ❑ Latest Board minutes ❑ Additional documentation For business entity claiming Section 3 status by subcontracting 25 percent of the dollar awarded to qualified Section 3 business(es): ❑ List of subcontracted Section 3 business(es) and subcontract amount For business claiming Section 3 status, by claiming at least 30 percent of their workforce are currently Section 3 residents or were Section 3 eligible residents within 3 years of date of first employment with the business: ❑ List of all current full-time employees ❑ PHAIIHA Residential lease less than 3 years from day of employment ❑ List of employees claiming Section 3 status ❑ Other evidence of Section 3 status less than 3 years from date of employment Evidence of ability to perform successfully under the terms and conditions of the proposed contract: El Current financial statement ❑ List of owned equipment ❑ List of all contracts for the past two years Authorized ame and Signature Attested By: ❑ Statement of ability to comply with public policy Date (Corporate Seal) CERTIFICATION REGARDING LOBBYING COMPLIANT WITH APPENDIX A TO 24 C.F.R. PART 87* (To be submitted with each bid or offer exceeding $100,000) Certification for Contracts, Grants, Loans, and Cooperative Agreements: The undersigned certifies, to the best of his or her knowledge and belief, that (1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of an agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement. (2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions. (3) The undersigned shall require that the language of this certification be included in the award documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements) and that all subrecipients shall certify and disclose accordingly. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. Statement for Loan Guarantees and Loan Insurance: The undersigned states, to the best of his or her knowledge and belief, that: If any funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this commitment providing for the United States to insure or guarantee a loan, the undersigned shall complete and submit Standard Form-LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions. Submission of this statement is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required statement shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. As the duly authorized representative of the Contractor, I hereby certify that the applicant will comply with the above applicable certification. Signature of Contractor's Authorized Official Printed Name and Title of Contractor's Authorized Official Date *24 C.F.R. 87 App. A, available at https://www.gpo.gov/fdsys/granule/CFR-2011-title24-voll/CFR-2011-title24- vol1-part87-appA. Published Apr. 1, 2011. Accessed Aug. 1, 2018. INSTRUCTIONS FOR COMPLETION OF SF-LLL, DISCLOSURE OF LOBBYING ACTIVITIES This disclosure form shall be completed by the reporting entity, whether subawardee or prime Federal recipient, at the initiation or receipt of a covered Federal action, or a material change to a previous filing, pursuant to title 31 U.S.C. section 1352. The filing of a form is required for each payment or agreement to make payment to any lobbying entity for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with a covered Federal action. Complete all items that apply for both the initial filing and material change report. Refer to the implementing guidance published by the Office of Management and Budget for additional information. Identify the type of covered Federal action for which lobbying activity is and/or has been secured to influence the outcome of a covered Federal action. 2. Identify the status of the covered Federal action. 3. Identify the appropriate classification of this report. If this is a followup report caused by a material change to the information previously reported, enter the year and quarter in which the change occurred. Enter the date of the last previously submitted report by this reporting entity for this covered Federal action. 4. Enter the full name, address, city, state and zip code of the reporting entity. Include Congressional District, if known. Check the appropriate classification of the reporting entity that designates if it is, or expects to be, a prime or subaward recipient. Identify the tier of the subawardee, e.g., the first subawardee of the prime is the 1st tier. Subawards include but are not limited to subcontracts, subgrants and contract awards under grants. 5. If the organization filing the report in item 4 checks "Subawardee," then enter the full name, address, city, state and zip code of the prime Federal recipient. Include Congressional District, if known. 6. Enter the name of the federal agency making the award or loan commitment. Include at least one organizational level below agency name, if known. For example, Department of Transportation, United States Coast Guard. 7. Enter the Federal program name or description for the covered Federal action (item 1). If known, enter the full Catalog of Federal Domestic Assistance (CFDA) number for grants, cooperative agreements, loans, and loan commitments. Enter the most appropriate Federal identifying number available for the Federal action identified in item 1 (e.g., Request for Proposal (RFP) number; Invitations for Bid (IFB) number; grant announcement number; the contract, grant, or loan award number; the application/proposal control number assigned by the Federal agency). Included prefixes, e.g., 'RFP-DE-90-001." For a covered Federal action where there has been an award or loan commitment by the Federal agency, enter the Federal amount of the award/loan commitment for the prime entity identified in item 4 or 5. 10. (a) Enter the full name, address, city, state and zip code of the lobbying registrant under the Lobbying Disclosure Act of 1995 engaged by the reporting entity identified in item 4 to influence the covered Federal action. (b) Enter the full names of the individual(s) performing services, and include full address if different from 10(a). Enter Last Name, First Name, and Middle Initial (MI). 11. The certifying official shall sign and date the form, print his/her name, title, and telephone number. According to the Paperwork Reduction Act, as amended, no persons are required to respond to a collection of information unless it displays a valid OMB control Number. The valid OMB control number for this information collection is OMB No. 4040-0013. Public reporting burden for this collection of information is estimated to average 10 minutes per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (4040-0013), Washington, DC 20503 Approved by OMB 4040-0013 Disclosure of Lobbying Activities Complete this form to disclose lobbying activities pursuant to 31 U.S.C. 1352 (See reverse for public burden disclosure) 1. Type of Federal 2. Status of Federal Action: 3. Report Type: Action: a. bid/offer/application a. initial filing a. contract b. initial award b. material change b. grant c. post -award c. cooperative For material change only: agreement Year quarter d. loan Date of last report e. loan guarantee f. loan insurance 4. Name and Address of Reporting Entity: 5. If Reporting Entity in No. 4 is Subawardee, _ Prime Subawardee Enter Name and Address of Prime: Tier if Known: Congressional District, if known: Congressional District if known: 6. Federal Department/Agency: 7. Federal Program Name/Description: CFDA Number, if applicable: 8. Federal Action Number, if known: 9. Award Amount, if known: 10. a. Name and Address of Lobbying b. Individuals Performing Services (including Registrant address if different from No. f 0a) (if individual, last name, first name, MI): (last name, first name, MI): 11. Information requested through this form is authorized by title 31 U.S.C, section 1352. This Signature: disclosure of lobbying activities is a material representation of fact upon which reliance was placed Print Name: by the tier above when this transaction was made or entered into. This disclosure is required pursuant to 31 U.S.C. 1352. This information will be reported to the Title: Congress semiannually and will be available for public inspection. Any person who fails to file the required Telephone No.: Date: disclosure shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. Federal Use Only Authorized for Local Reproduction Standard Form - LLL (Rev. 7.97) HOUSE BILL 89 VERIFICATION FORM Certification Required by Texas Government Code Section 2270.001 The 85" Texas Legislature approved new legislation, effective September 1, 2017, which amends Texas Local Government Code Section 1, Subtitle F, Title 10, Government Code by adding Chapter 2270 which states that a government entity may not enter into a contract (which includes contracts formed through purchase orders) with a company for goods or services unless the contract contains a written verification from the company that it: 1) Does not boycott Israel; and 2) Will not boycott Israel during the term of the contract Pursuant to Section 2270.001, Texas Government Code: 1. "Boycott Israel' means refusing to deal with, terminating business activities with, or otherwise taking any action that is intended to penalize, inflict economic harm on, or limit commercial relations specifically with Israel, or with a person or entity doing business in Israel or in an Israeli -controlled territory, but does not include an action made for ordinary business purposes; and 2. "Company" means a for profit sole proprietorship, organization, association, corporation, partnership, joint venture, limited partnership, limited liability partnership, or any limited liability company, including a wholly owned subsidiary, majority -owned subsidiary, parent company or affiliate of those entities or business associations that exist to make a profit. I, (authorized official) , do hereby verify the truthfulness and accuracy of the contents of the statements submitted on this certification under the provisions of Subtitle F, Title 10, Government Code Chapter 2270 and that the company named below: 1) Does not boycott Israel currently; 2) Will not boycott Israel during the term of the contract; and 3) Is not currently listed on the State of Texas Comptroller's Companies that Boycott Israel List located at https://com ptroller.texas.gov/purchasing/publications/divestment. ph p Company Name Signature of Authorized Official Printed Name of Authorized Official Title of Authorized Official Date RESIDENCE CERTIFICATION Pursuant to Texas Government Code §2252.001 et seq., as amended, Calhoun County requests Residence Certification. §2252.001 et seq. of the Government Code provides some restrictions on the awarding of governmental contract; pertinent provisions of §2252.001 are stated below: Sec. 2252.001 (3) "Nonresident bidder" refers to a person who is not a resident. (4) 'Resident bidder" refers to a person whose principal place of business is in this state, including a contractor whose ultimate parent company or majority owner has its principal place of business in this state. ❑ 1 certify that (Company Name) is a "Nonresident Bidder" of Texas as defined in Government Code §2252.001 and our principal place of business is ❑ I certify that (City and State) (Company Name) defined in Government Code §2252.001. Signature of Authorized Agent Printed Name and Title of Authorized Agent Date is a "Resident Bidder" of Texas as Insert System for Award Management (SAM) Record Search for company and company principal(s). Include a printout of the search results that includes the record date and verification that the Company, Corporation, Firm or Partnership's principals are not listed (are not debarred) through the System for Award Management. BID BOND KNOW ALL MEN BY THESE PRESENTS, that we the undersigned, as PRINCIPAL, and , as SURETY are held and firmly bound unto CALHOUN COUNTY, TEXAS hereinafter called the "Local Public Agency", in the penal sum of Dollars, ($ ), lawful money of the United States, for the payment of which sum well and truly to be made, we bind ourselves, our heirs, executors, administrators, successors, and assigns, jointly and severally, firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH, that whereas the Principal has submitted the Accompanying Bid, dated , for BID NO. 2024.08 — INFRASTRUCTURE AT LITTLE CHOCOLATE BAYOU COUNTY PARK PLAYGROUND IMPROVEMENTS PHASE 2 PROJECT — GILD CONTRACT NO. 20- 066-064-CI82 FOR CALHOUN COUNTY, TEXAS. NOW, THEREFORE, the Principal shall not withdraw said Bid within the period specified therein afterthe opening of the same, or, if no period be specified, within thirty (60) days after the said opening, and shall within the period specified therefor, or if no period be specified, within ten (10) days after the prescribed forms are presented to him for signature, enter into a written contract with the Local Public Agency in accordance with the Bid as accepted, and give bond with good and sufficient surety or sureties, as may be required, for the faithful performance and proper fulfillment of such contract; or in the event of the withdrawal of said Bid within the period specified, or the failure to enter into such Contract and give such bond within the time specified, if the Principal shall pay the Local Public Agency the difference between the amount specified in said Bid and the amount for which the local Public Agency may procure the required work or supplies or both, if the latter be in excess of the former, then the above obligation shall be void and of no effect, otherwise to remain in full force and virtue. IN WITNESS THEREOF, the above parties have executed this instrument this day of _ , the name and corporate seal of each corporate party being hereto affixed and these present signed by its undersigned representative, pursuant to authority of its governing body. Attest: By: Attest: By: Attest: By: Countersigned (SEAL) (SEAL) Affix Corporate Seal Affix Corporate Seal * Attorney -in -Fact, State of Texas Page 1 of 2 CERTIFICATE AS TO CORPORATE PRINCIPAL I, , certify that I am the Secretary of the Corporation named as Principal in the bid bond; that , who signed the said bond on behalf of the Principal was then of said corporation; that I know his/her signature, and his/her signature thereto is genuine; and that said bond was duly signed, sealed, and attested to, on behalf of said corporation by authority of its governing body. Title: * Power -of -attorney for person signing for Surety Company must be attached to bond. Please attach / include original bid bond as the last item in the sealed bid package. Corporate Seal Page 2 of 2 22. 23. 24, 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37. 38. 39. 40. 41. 42. 43. 44. 45. 46. 47. 48. SECTION 3 Standard Form of Agreement for Construction Contracts General Contract Conditions for Construction Calhoun County General Conditions Minority/Female Goals Federal Labor Standard Provisions Title 29 Labor Concerning Labor Standards and Prevailing Wage Rate Requirements Project specific Davis -Bacon Wage Decision GLO Signage Requirements Certificate of Interested Parties Form 1295 and Instructions Section 504 Certification Child Support Statement Document No. 00417 —Tench Safety Systems Indemnity Agreement Payment Bond Performance Bond Certificate of Liability Insurance Section 3 Clause HUD Examples of Efforts to Offer Training & Employment Opportunities for Section 3 Residents GLO New Hires Section 3 Monthly Compliance Report CDBG-MIT Section 3 Brochure Information Sheet GLO Assurances for Construction Programs GLO General Affirmations Attorneys Review Certification Contractor's Final Payment Affidavit Change Order Form Certificate of Construction Completion (COCC) Governing Technical Specifications & Special Provisions Standard Form of Agreement for Construction Contracts THIS AGREEMENT made this the day of , by and between (a corporation organized and existing under the laws of the State of ) (a partnership consisting of ) (an individual trading as ) hereinafter called the "Contractor", and CALHOUN COUNTY, TEXAS hereinafter called the "County." WITNESSETH, that the Contractor and the County for the considerations stated herein mutually agree as follows: ARTICLE 1. Statement of Work. The Contractor shall furnish all supervision, technical personnel, labor, materials, machinery, tools, equipment and services, including utility and transportation services, and perform and complete all work required for the construction of the Improvements embraced in the Project; namely Bid No. 2024.08 — Infrastructure at Little Chocolate Bayou County Park Playground Improvements Phase 2 Project — GLO Contract No. 20-066-064-C182 for Calhoun County, Texas for the Community Development Block Grant — Mitigation (CDBG- DR) project, all in strict accordance with the contract documents including all addenda thereto, numbered , dated and , all as prepared by G&W Engineers, Inc. acting and in these contract documents preparation, referred to as the "Engineer". ARTICLE 2. The Contract Price. The County will pay the Contractor for the performance of the Contract in current funds, for the total quantities of work performed at the unit prices stipulated in the Bid for the several respective items of work completed subject to additions and deductions in amount of ARTICLE 3. The Contract. The executed contract documents shall consist of the following components: a. This Agreement b. Addenda c. Invitation for Bids d. Instructions to Bidders e. Signed Copy of Bid f. General Conditions g. Calhoun County Conditions h. Special Conditions g. i. Performance Bond j. Payment Bond k. Technical Specifications I. Drawings m. Other ARTICLE 4. Performance. Work, in accordance with the Contract dated shall commence on or before as established in an official letter notification to the contractor called "Notice to Proceed" and Contractor shall complete the WORK within consecutive calendar days thereafter. The date of completion of all WORK is therefore established by the Notice to Proceed Letter This Agreement, together with other documents enumerated in this ARTICLE 3, which said other documents are as fully a part of the Contract as if hereto attached or herein repeated, forms the Contract between the parties hereto. In the event that any provision in any component part of this Contract conflicts with any provision of any other component part, the provision of the component part first enumerated in this ARTICLE 3 shall govern, except as otherwise specifically stated. IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be executed in triplicate original copies on the day and year first above written. (The Contractor) By Name/Title CALHOUN COUNTY (County) Name/Title: Richard H. Meyer. County Judge Corporate Certifications I, , certify that I am the of the corporation named as Contractor herein; that who signed this Agreement on behalf of the Contractor, was then of said corporation; that said Agreement was duly signed for and in behalf of said corporation by authority of its governing body, and is within the scope of its corporate powers. Corporate Seal (Corporate Secretary) Please indicate above with N/A to all blanks above if LLC and authorized person signature at Corporate Secretary. GENERAL CONDITIONS - PART I FOR CONSTRUCTION 1. Contract and Contract Documents a. The project to be constructed pursuant to this contract will be financed with assistance from the General Land Office (GLO) through the Community Development Block Grant— Mitigation (CDBG-MIT) fund and is subject to all applicable Federal and State laws and regulations. b. The Plans, Specifications and Addenda shall form part of this contract and the provisions thereof shall be binding upon the parties as if they were herein fully set forth. 2. Definitions Whenever used in any of the Contract Documents, the following meanings shall be given to the terms here in defined: (a) The term "Contract" means the Contract executed between Calhoun County, hereinafter called the "County" and Name of Construction Co.), hereinafter called "Contractor", of which these GENERAL CONDITIONS, form a part. (b) The term "Project Area" means the area within the specified Contract limits of the Improvements contemplated to be constructed in whole or in part under this contract. (c) The term "Engineer" means (G & W Engineers, Inc.), Engineer in charge, serving the County with architectural or engineering services, his successor, or any other person or persons, employed by the County for the purpose of directing or having in charge the work embraced in this Contract. (d) The term "Contract Documents" means and shall include the following: Executed Contract, Addenda (if any), Invitation for Bids, Instructions to Bidders, Signed Copy of Bid, General Conditions, Special Conditions, Technical Specifications, and Drawings (as listed in the Schedule of Drawings). 3. Supervision By Contractor (a) Except where the Contractor is an individual and personally supervises the work, the Contractor shall provide a competent superintendent, satisfactory to the Engineer, on the work at all times during working hours with full authority to act as Contractor's agent. The Contractor shall also provide adequate staff for the proper coordination and expediting of his work. (b) The Contractor shall be responsible for all work executed under the Contract. Contractor shall verify all figures and elevations before proceeding with the work and will be held responsible for any error resulting from his failure to do so. 4. Subcontracts (a) The Contractor shall not execute an agreement with any subcontractor or permit any subcontractor to perform any work included in this contract until Contractor has verified the subcontractor has been cleared (not suspended or debarred) to participate in federally funded contracts. (b) No proposed subcontractor shall be disapproved by the County except for cause. (C) The Contractor shall be as fully responsible to the County for the acts and omissions of his subcontractors, and of persons either directly or indirectly employed by them. (d) The Contractor shall cause appropriate provisions to be inserted in all subcontracts relative to the work and required compliance by each subcontractor with the applicable provisions of the Contract. (e) Nothing contained in the Contract shall create any contractual relation between any subcontractor and the County. (fl Contractors are encouraged to subcontract with Minority Business Enterprises, Small Business Enterprises, Women Business Enterprises, and labor surplus area firms. 5. Fitting and Coordination of Work The Contractor shall be responsible for the proper fitting of all work and for the coordination of the operations of all trades, subcontractors, or material suppliers engaged upon this Contract. 6. Payments to Contractor (a) Partial Payments 1) The Contractor shall prepare the requisition for partial payment as of the last day of the month and submit it, with the required number of copies, to the Engineer for approval. The amount of the payment due the Contractor shall be determined by adding to the total value of work completed to date, the value of materials properly stored on the site and deducting (1) five percent (5%) of the total amount, to be retained until final payment, and (2) the amount of all previous payments. The total value of work completed to date shall be based on the estimated quantities of work completed and on the unit prices contained in the agreement. The value of materials properly stored on the site shall be based upon the estimated quantities of such materials and the invoice prices. Copies of all invoices shall be available for inspection of the Engineer. 2) Monthly or partial payments made by the County to the Contractor are advanced for the purpose of assisting the contractor to expedite the work of construction. The Contractor shall be responsible for the care and protection of all materials and work upon which payments have been made until final acceptance of such work and materials by the County. Such payments shall not constitute a waiver of the right of the County to require the fulfillment of all terms of the Contract and the delivery of all improvements embraced in this Contract complete and satisfactory to the County in all details. (b) Final Payment 1) After final inspection and the acceptance by the County of all work under the Contract, the Contractor shall prepare the requisition for final payment which shall be based upon the careful inspection of each item of work at the applicable unit prices stipulated in the Contract. The total amount of the final payment due the Contractor under this Contract shall be the amount computed as described above less all previous payments. 2) Before paying the final estimate, County shall require the Contractor to furnish releases or receipts from all subcontractors having performed any work and all persons having supplied materials, equipment (installed on the Project) and services to the Contractor. The County may make payment in part or in full to the Contractor without requiring the furnishing of such releases or receipts and any payments made shall in no way impair the obligations of any surety or sureties furnished under this Contract. 3) Any amount due to the County under Liquidated Damages, shall be deducted from the final payment due from the contractor. (c) Payments Subject to Submission of Certificates Each payment to the Contractor by the County shall be made subject to submission by the Contractor of all written certifications required of it and its subcontractors. (d) Withholding Payments The County may withhold any payment due the Contractor as deemed necessary to protect the County, and if so elects, may also withhold any amounts due from the Contractor to any subcontractors or material dealers, for work performed or material furnished by them. The foregoing provisions shall be construed solely for the benefit of the County and will not require the County to determine or adjust any claims or disputes between the Contractor and its subcontractors or material dealers, or to withhold any moneys for their protection unless the County elects to do so. The failure or refusal of the County to withhold any moneys from the Contractor shall in no way impair the obligations of any surety or sureties under any bond or bonds furnished under this Contract. 7. Changes in the Work (a) The County may make changes in the scope of work required to be performed by the Contractor under the Contract without relieving or releasing the Contractor from any obligations under the Contract or any guarantee given pursuant to the Contract provisions, and without affecting the validity of the guaranty bonds, and without relieving or releasing the surety or sureties of said bonds. All such work shall be executed under the terms of the original Contract unless it is expressly provided otherwise. Additionally, all such change orders must be approved by CDBG-MIT prior to execution of same. (b) Except for the purpose of affording protection against any emergency endangering health, life, limb or property, the Contractor shall make no change in the materials used or in the specified manner of constructing and/or installing the improvements or supply additional labor, services or materials beyond that actually required for the execution of the Contract, unless in pursuance of a written order from the County authorizing the Contractor to proceed with the change. No claim for an adjustment of the Contract Price will be valid unless so ordered. (c) If applicable unit prices are contained in the Contract, the County may order the Contractor to proceed with desired unit prices specified in the Contract; provided that in case of a unit price contract the net value of all changes does not increase the original total amount of the agreement by more than twenty-five percent (25%) or decrease the original total amount by more than twenty-five percent (25%) for municipalities and eighteen percent (18%) for counties without the written consent of the contractor. [Texas Local Government Code Section 252.048(d) and Section 262.031(b)] (d) Each change order shall include in its final form: 1) A detailed description of the change in the work. 2) The Contractor's proposal (if any) or a confirmed copy thereof. 3) A definite statement as to the resulting change in the contract price and/or time. 4) The statement that all work involved in the change shall be performed in accordance with contract requirements except as modified by the change order. 5) The procedures as outlined in this Section for a unit price contract also apply in any lump sum contract. 8. Claims for Extra Cost (a) If the Contractor claims that any instructions by Drawings or otherwise involve extra cost or extension of time, he shall, within ten days after the receipt of such instructions, and in any event before proceeding to execute the work, submit his protest thereto in writing to the County, stating clearly and in detail the basis of his objections. No such claim will be considered unless so made. (b) Claims for additional compensation for extra work, due to alleged errors in ground elevations, contour lines, or bench marks, will not be recognized unless accompanied by certified survey data, made prior to the time the original ground was disturbed, clearly showing that errors exist which resulted, or would result, in handling more material, or performing more work, than would be reasonably estimated from the Drawings and maps issued. (c) Any discrepancies which may be discovered between actual conditions and those represented by the Drawings and maps shall be reported at once to the County and work shall not proceed except at the Contractor's risk, until written instructions have been received from the County. (d) If, on the basis of the available evidence, the County determines that an adjustment of the Contract Price and/or time is justifiable, a change order shall be executed. 9. Termination. Delays, and Liquidated Damages Right of the County to Terminate Contract for Convenience County may at any time and for any reason terminate Contractor's services and work at County's convenience upon providing written notice to the Contractor specifying the extent of termination and the effective date. Upon receipt of such notice, Contractor shall, unless the notice directs otherwise, immediately discontinue the work and placing of orders for materials, facilities and supplies in connection with the performance of this Agreement. Upon such termination, Contractor shall be entitled to payment only as follows: (1) the actual cost of the work completed in conformity with this Agreement plus (2) such other costs actually incurred by Contractor as are permitted by the prime contract and approved by County. There shall be deducted from such sums as provided in this subparagraph the amount of any payments made to Contractor prior to the date of the termination of this Agreement. Contractor shall not be entitled to any claim or claim of lien against County for any additional compensation or damages in the event of such termination and payment. Right of the County to Terminate Contract for Cause If the Contractor fails to fulfill in a timely and proper manner its obligations under this Agreement, or if the Contractor violates any of the covenants, conditions, agreements, or stipulations of this Agreement, the County shall have the right to terminate this Agreement by giving written notice to the Contractor of such termination and specifying the effective date thereof, which shall be at least five days before the effective date of such termination. In the event of termination for cause, all finished or unfinished documents, data, studies, surveys, drawings, maps, models, photographs and reports prepared by the Contractor pursuant to this Agreement shall, at the option of the County, be turned over to the County and become the property of the County. In the event of termination for cause, the Contractor shall be entitled to receive reasonable compensation for any necessary services actually and satisfactorily performed prior to the date of termination. Notwithstanding the above, the Contractor shall not be relieved of liability to the County for damages sustained by the County by virtue of any breach of contract by the Contractor, and the County may set-off the damages it incurred as a result of the Contractor's breach of contract from any amounts it might otherwise owe the Contractor. 2 CFR 200 APPENDIX II(B) (a) Liquidated Damages for Delays. If the work is not completed within the time stipulated in the applicable bid for Lump Sum or Unit Price Contract provided, the Contractor shall pay to the County as fixed, agreed, and liquidated damages (it being impossible to determine the actual damages occasioned by the delay) the amount of JjOO,, for each calendar day of delay, until the work is completed. The Contractor and Contractor's sureties shall be liable to the County for the amount thereof. (b) Excusable Delays. 1) The right of the Contractor to proceed shall not be terminated nor shall the Contractor be charged with liquidated damages for any delays in the completion of the work due to: 2) Any acts of the Government, including controls or restrictions upon or requisitioning of materials, equipment, tools, or labor by reason of war, national defense, or any other national emergency; 3) Any acts of the County; 4) Causes not reasonably foreseeable by the parties to this Contract at the time of execution which are beyond the control and without the fault or negligence of the Contractor, including, but not restricted to, acts of God, terrorism, war, acts of another Contractor in the performance of some other contract with the County, fires, floods, epidemics, quarantine, restrictions, strikes, freight embargoes, and weather of unusual severity such as hurricanes, tornadoes, cyclones and other extreme weather conditions. 5) Provided, however, that the Contractor promptly notifies the County within ten (10) days in writing of the cause of the delay. Upon receipt of such notification, the County shall ascertain the facts and the cause and extent of delay. If, upon the basis of the facts and the terms of this contract, the delay is properly excusable, the County shall extend the time for completing the work for a period of time commensurate with the period of excusable delay. 10. Assignment or Novation The Contractor shall not assign nor transfer, whether by assignment or novation, any of its rights, duties, benefits, obligations, liabilities, or responsibilities under this Contract without the written consent of the County. No assignment or novation of this Contract shall be valid unless the assignment or novation expressly provides that the assignment of any of the Contractor's rights or benefits underthe Contract is subject to a prior lien for labor performed, services rendered, and materials, tools, and equipment supplied for the performance of the work under this Contract in favor of all persons, Contractors, or corporations rendering such labor or services or supplying such materials, tools, or equipment. 11. Technical Specifications and Drawings Anything mentioned in 'the Technical Specifications and not shown on the Drawings or vice versa, shall be of like effect as if shown on or mentioned in both. In case of difference between Drawings and Technical Specifications, the Technical Specifications shall govern. In case of any discrepancy in Drawings, or Technical Specifications, the matter shall be immediately submitted to the County for review. Contractor shall be liable for any issues or expenses in the event the discrepancy is not submitted to the County. 12. Shop Drawings (a) All required shop drawings, machinery details, layout drawings, etc. shall be submitted to the Engineer in 6 copies for approval sufficiently in advance of requirements to afford ample time for checking, including time for correcting, resubmitting and rechecking if necessary. The Contractor may proceed, only at Contractor's own risk, with manufacture or installation of any equipment or work covered by said shop drawings, etc. until they are approved and no claim, by the Contractor, for extension of the contract time shall be granted by reason of his failure in this respect. (b) Any drawings submitted without the Contractor's stamp of approval will not be considered and will be returned to him for proper resubmission. If any drawings show variations from the requirements of the Contract because of standard shop practice or other reason, the Contractor shall make specific mention of such variation in his letter of transmittal in order that, if acceptable, suitable action may be taken for proper adjustment of contract price and/or time, otherwise the Contractor will not be relieved of the responsibility for executing the work in accordance with the Contract even though the drawings have been approved. (c) If a shop drawing is in accordance with the contract or involves only minor adjustment in the interest of the County not involving a change in contract price or time, the engineer may approve the drawing. The approval shall not relieve the Contractor from responsibility to adhere to the contract or for any error in the drawing. 13. Requests for Supplementary Information It shall be the responsibility of the Contractor to make timely requests of the County for any additional information which should be furnished by the County under the terms of this Contract, and which is required in the planning and execution of the work. Such requests may be submitted from time to time as the need approaches, but each shall be filed in ample time to permit appropriate action to be taken by all parties involved so as to avoid delay. Each request shall be in writing, and list the various items and the latest date by which each will be required by the Contractor. The first list shall be submitted within two weeks after Contract award and shall be as complete as possible at that time. The Contractor shall, if requested, furnish promptly any assistance and information the Engineer may require in responding to these requests of the Contractor. The Contractor shall be fully responsible for any delay in his work or to others arising from his failure to comply fully with the provision of this section. 14. Materials and Workmanship (a) Unless otherwise specifically provided for in the technical specifications, all workmanship, equipment, materials and articles incorporated in the work shall be new and the best grade of the respective kinds for the purpose. Where equipment, materials, articles or workmanship are referred to in the technical specifications as "equal to" any particular standard, the Engineer shall decide the question of equality. (b) The Contractor shall furnish to the County for approval the manufacturer's detailed specifications for all machinery, mechanical and other special equipment, which he contemplates installing together with full information a$ to type, performance characteristics, and all other pertinent information as required, and shall likewise submit for approval full information concerning all other materials or articles which he proposes to incorporate. (c) Machinery, mechanical and other equipment, materials or articles installed or used without such prior approval shall be at the risk of subsequent rejection. (d) Materials specified by reference to the number or symbol of a specific standard, shall comply with requirements in the latest revision thereof and any amendment or supplement thereto in effect on the date of the Invitation for Bids, except as limited to type, class or grade, or modified in the technical specifications shall have full force and effect as though printed therein. (e) The County may require the Contractor to dismiss from the work such employee or employees as the County or the Engineer may deem unqualified. 15. Samples. Certificates and Tests (a) The Contractor shall submit all material or equipment samples, certificates, affidavits, etc., as called for in the contract documents or required by the Engineer, promptly after award of the contract and acceptance of the Contractor's bond. No such material or equipment shall be manufactured or delivered to the site, except at the Contractor's own risk, until the required samples or certificates have been approved in writing by the Engineer. Any delay in the work caused by late or improper submission of samples or certificates for approval shall not be considered just cause for an extension of the contract time. (b) Each sample submitted by the Contractor shall carry a label giving the name of the Contractor, the project for which it is intended, and the name of the producer. The accompanying certificate or letter from the Contractor shall state that the sample complies with contract requirements, shall give the name and brand of the product, its place of origin, the name and address of the producer and all specifications or other detailed information which will assist the Engineer in making a prompt decision regarding the acceptability of the sample. It shall also include the statement that all materials or equipment furnished for use in the project will comply with the samples and/or certified statements. (c) Approval of any materials shall be general only and shall not constitute a waiver of the County's right to demand full compliance with Contract requirements. After actual deliveries, the Engineer will have such check tests made as he deems necessary in each instance and may reject materials and equipment and accessories for cause, even though such materials and articles have been given general approval. If materials, equipment or accessories which fail to meet check tests have been incorporated in the work, the Engineer will have the right to cause their removal and replacement by proper materials or to demand and secure such reparation by the Contractor as is equitable. (d) Except as otherwise specifically stated in the Contract, the costs of sampling and testing will be divided as follows: 1) The Contractor shall furnish without extra cost, including packing and delivery charges, all samples required for testing purposes, except those samples taken on the project by the Engineer; 2) The Contractor shall assume all costs of re -testing materials which fail to meet contract requirements; 3) The Contractor shall assume all costs of testing materials offered in substitution for those found deficient; 4) The County will pay all other expenses. 16. Permits and Codes (a) The Contractor shall give all notices required by and comply with all applicable federal and state laws, ordinances, and codes of the Local Government. All construction work and/or utility installations shall comply with all applicable ordinances, and codes including all written waivers. Before installing any work, the Contractor shall examine the drawings and technical specifications for compliance with applicable ordinances and codes and shall immediately report any discrepancy to the County. Where the requirements of the drawings and technical specifications fail to comply with such applicable ordinances or codes, the County will adjust the Contract by Change Order to conform to such ordinances or codes (unless waivers in writing covering the difference have been granted by the governing body or department) and make appropriate adjustment in the Contract Price or stipulated unit prices. (b) Should the Contractor fail to observe the foregoing provisions and proceed with the construction and/or install any utility at variance with any applicable ordinance or code, including any written waivers (notwithstanding the fact that such installation is in compliance with the drawings and technical specifications), the Contractor shall remove such work without cost to the County. (c) The Contractor shall at his own expense, secure and pay for all permits for street pavement, sidewalks, shed, removal of abandoned water taps, sealing of house connection drains, pavement cuts, buildings, electrical, plumbing, water, gas and sewer permits required by the local regulatory body or any of its agencies. (d) The Contractor shall comply with applicable local laws and ordinances governing the disposal of surplus excavation, materials, debris and rubbish on or off the Project Area and commit no trespass on any public or private property in any operation due to or connected with the Improvements contained in this Contract. (a) The Contractor will be required to make arrangements for and pay the water, electrical power, or any other utilities required during construction. (f) During construction of this project, the Contractor shall use every means possible to control the amount of dust created by construction. Prior to the close of a day's work, the Contractor, if directed by the County, shall moisten the surrounding area to prevent a dusty condition. 17. Care of Work (a) The Contractor shall be responsible for all damages to person or property that occur as a result of its fault or negligence in connection with the prosecution of the work and shall be responsible for the proper care and protection of all materials delivered and work performed until completion and final acceptance. (b) The Contractor shall provide sufficient competent watchmen, both day and night, including Saturdays, Sundays, and holidays, from the time the work is commenced until final completion and acceptance. (c) In an emergency affecting the safety of life, limb or property, including adjoining property, the Contractor, without special instructions or authorization from the County is authorized to act to prevent such threatened loss or injury. Contractor shall follow all instructions of County. (d) The Contractor shall avoid damage as a result of his operations to existing sidewalks, streets, curbs, pavements, utilities (except those which are to be replaced or removed), adjoining property, etc., and shall be responsible for completely repairing any damage thereto caused by the operations. (e) The Contractor shall shore up, brace, underpin, secure, and protect as maybe necessary, all foundations and other parts of existing structures adjacent to, adjoining, and in the vicinity of the site, which may be in any way affected by the excavations or other operations connected with the construction of the improvements included in this Contract. The Contractor shall be responsible for the giving of any and all required notices to any adjoining or adjacent property owner or other party before the commencement of any work. The Contractor shall indemnify and save harmless the County from any damages on account of settlements or the loss of lateral support of adjoining property and from all loss or expense and all damages for which the County may become liable in consequence of such injury or damage to adjoining and adjacent structures and their premises. 18. Accident Prevention (a) No laborer or mechanic employed in the performance of this Contract shall be required to work in surroundings or under working conditions which are unsanitary, hazardous, or dangerous to his health or safety as determined under construction safety and health standards promulgated by the Department of Labor. (b) The Contractor shall exercise proper precaution at all times for the protection of persons and property and shall be responsible for all damages to persons or property, either on or off the site, which occur as a result of his prosecution of the work. (c) The Contractor shall maintain an accurate record of all cases of death, occupational disease, or injury requiring medical attention or causing loss of time from work, arising out of and in the course of employment on work under the Contract. The Contractor shall promptly furnish the County with reports concerning these matters. (d) The Contractor shall indemnify and hold harmless the County from any claims for damages resulting from property damage, personal injury and/or death suffered or alleged to have been suffered by any person as a result of any work conducted under this contract. (a) The Contractor shall provide trench safety for all excavations more than five feet deep prior to excavation. All OSHA Standards for trench safety must be adhered to by the Contractor. (f) The contractor shall at all times conduct work in such a manner as to ensure the least possible inconvenience to vehicular and pedestrian traffic. At the close of the work each day, all streets where possible in the opinion of the County, shall be opened to the public in order that persons living in the area may have access to their homes or businesses by the use of the streets. Barricades, warning signs, and necessary lighting shall be provided to the satisfaction of the County at the expense of the Contractor. 19. Sanitary Facilities The Contractor shall furnish, install and maintain ample sanitary facilities for laborers. As the needs arise, a sufficient number of enclosed temporary toilets shall be conveniently placed as required. Drinking water shall be provided from an approved source, so piped or transported as to keep it safe and fresh and served from single service containers or satisfactory types of sanitary drinking stands or fountains. All such facilities and services shall be furnished in strict accordance with existing and governing health regulations. 20. Use of Premises (a) The Contractor shall confine equipment, storage of materials, and construction operations to the contract limits as shown on the drawings and as prescribed by ordinances or permits, or as may be desired by the County, and shall not unreasonably encumber the site or public rights of way with materials and construction equipment. (b) The Contractor shall comply with all reasonable instructions of the County and all existing federal, state and local regulations regarding signs, advertising, traffic, fires, explosives, danger signals, and barricades. 21. Removal of Debris. Cleaning, Etc. The Contractor shall, periodically or as directed during the progress of the work, remove and legally dispose of all surplus excavated material and debris, and keep the Project Area and public rights of way reasonably clear. Upon completion of the work, he shall remove all temporary construction facilities, debris and unused materials provided for work, and put the whole site of the work and public rights of way in a neat and clean condition. 22. Inspection (a) All materials and workmanship shall be subject to inspection, examination, or test by the County and Engineer at any and all times during manufacture or construction and at any and all places where such manufacture or construction occurs. The County shall have the right to reject defective material and workmanship or require its correction. Unacceptable workmanship shall be satisfactorily corrected. Rejected material shall be promptly segregated and removed from the Project Area and replaced with material of specified quality without charge. If the Contractor fails to proceed at once with the correction of rejected workmanship or defective material, the County may by contract or otherwise have the defects remedied or rejected materials removed from the Project Area and charge the cost of the same against any Monies which may be due the Contractor, without prejudice to any other rights or remedies of the County. (b) The Contractor shall furnish promptly all materials reasonably necessary for any tests which may be required. All tests by the County will be performed in such manner as not to delay the work unnecessarily and will be made in accordance with the provisions of the technical specifications. (c) The Contractor shall notify the County sufficiently in advance of back filling or concealing any facilities to permit proper inspection. If any facilities are concealed without approval or consent of the County, the Contractor shall uncover for inspection and recover such facilities at Contractor's expense, when so requested by the County. (d) Should it be considered necessary or advisable by the County at any time before final acceptance of the entire work to make an examination of work already completed, the Contractor shall on request promptly furnish all necessary facilities, labor, and material. If such work is found to be defective in any important or essential respect, due to fault of the Contractor or subcontractors, the Contractor shall defray all the expenses of such examination and of satisfactory reconstruction. If, however, such work is found to meet the requirements of the Contract, the actual cost of labor and material necessarily involved in the examination and replacement, shall be reimbursable and if completion of the work of the entire Contract has been delayed, a suitable extension of time will be approved. (a) Inspection of materials and appurtenances to be incorporated in the improvements included in this Contract may be made at the place of production, manufacture or shipment, whenever the quantity justifies it, and such inspection and acceptance, unless otherwise stated in the technical specifications, shall be final, except as regards to: (1) latent defects, (2) departures from specific requirements of the Contract, (3) damage or loss in transit, or (4) fraud or such gross mistakes as amount to fraud. Subject to the requirements contained in the preceding sentence, the inspection of materials as a whole or in part will be made at the Project Site. (f) Neither inspection, testing, approval nor acceptance of the work in whole or in part, by the County or its agents shall relieve the Contractor or its sureties of full responsibility for materials furnished or work performed not in strict accordance with the Contract. 23. Review by County The County and its authorized representatives and agents shall have access to and be permitted to observe and review all work, materials, equipment, payrolls, personnel records, employment conditions, material invoices, and other relevant data and records pertaining to this Contract, provided, however that all instructions and approval with respect to the work will be given to the Contractor only by the County through its authorized representatives or agents. 24. Final Inspection When the Improvements included in this Contract are substantially completed, the Contractor shall notify the County in writing that the work will be ready for final inspection on a definite date which shall be stated in the notice. The County will make the arrangements necessary to have final inspection commenced on the date stated in the notice, or as soon thereafter as is practicable. 25. Deduction for Uncorrected Work If the County deems it not expedient to require the Contractor to correct work not done in accordance with the Contract Documents, an equitable deduction from the Contract Price will be made by agreement between the Contractor and the County and subject to settlement, in case of dispute, as herein provided. 26.Insurance The Contractor shall not commence work under this contract until all required insurance under this paragraph has been secured and approved by the County. These minimum insurance coverage requirements supercede the Calhoun County, Texas General Conditions minimum insurance cover requirements. (a) Worker's Compensation Insurance: The Contractor shall procure and shall maintain during the life of this contract Worker's Compensation Insurance as required by the State of Texas for all of his employees to be engaged in work at the site of the project underthis contract and, in case of any such work sublet, the Contractor shall require the subcontractor similarly to provide Worker's Compensation Insurance for all of the employees to be engaged in such work unless such employees are covered by the protection afforded by the Contractor's Worker's Compensation Insurance. (b) Contractor's Public Liability and Property Damage Insurance and Vehicle Liability Insurance. The Contractor shall procure and shall maintain during the life of this contract Contractor's Public Liability Insurance, Contractor's Property Damage Insurance and Vehicle Liability Insurance in the following amounts: 1) CONTRACTOR shall have, (or purchase) and shall maintain in force during the duration of the Work, coverage for the hazard of explosion, collapse and underground shall be included. Coverage for independent contractor's liability, contractual liability, products/completed operations liability, personal injury and broad form property damage shall also be included. Completed operations liability shall be kept in force for at least one (1) year after the date of final completion. Coverages shall have at least the following limits: General Aggregate $2,000,000 Products -Completed Operations Aggregate $1,000,000 Personal and Advertising Injury $1,000,000 Each Occurrence $1.000,000 Fire Damage $ 50,000 2) ADDITIONAL Insured ALL POLICIES (Except for Workman's Compensation/Employers Liability) will name CALHOUN COUNTY as an additional insured for all insurance requirements, by policy endorsement, along with COUNTY's Employees and OWNER's Engineer (G&W Engineers, Inc.) as ADDITIONAL INSURED and must provide coverage to the maximum extent permitted by law. The additional insured endorsements shall be on the ISO CG2010 11185 form or CG 2010 (10/93) in combination with CG 2037 of CG 2033, or suitable form equivalent. 3) Automobile Liability CONTRACTOR shall have (or purchase) and shall maintain in force, for the duration of the Work, coverage cars and trucks owned, rented, hired, or leased, and others of non -ownership nature used by employees in and around or in connection with the particular Contract. Coverage shall have at least the following limit Combined Single Limit $1,000,000 4) Builders Risk Insurance CONTRACTOR shall have (or purchase) and shall maintain in force during the duration of the Work, coverage for, but not limited to, fire, lightning, windstorm, tornado, hurricane, and hail. Coverage shall be in the amount of 100 percent complete value basis on the insurable portions of the project for the benefit of OWNER, CONTRACTOR, and all subcontractors, as their interests may appear. 5) Deductible No deductible on any coverage in excess of $500.00 per occurrence is acceptable. 6) In the event OWNER is notified of cancellation of all or any part, OWNER may stop all Work on the Contract or secure insurance at its will and charge CONTRACTOR the cost thereof deducting the cost from CONTRACTOR's funds. (c) Proof of Insurance: The Contractor shall furnish the County with certificates showing the type, amount, class of operations covered, effective dates and date of expiration of policies. Such certificates shall also contain substantially the following statement: "The insurance covered by this certificate will not be canceled or materially altered, except after ten (10) days written notice has been received by the County." 27. Warranty of Title No material, supplies, or equipment to be installed or furnished under this Contract shall be purchased subject to any chattel mortgage or under a conditional sale, lease -purchase or other agreement by which an interest is retained by the seller or supplier. The Contractor shall warrant good title to all materials, supplies, and equipment installed or incorporated in the work and upon completion of all work, shall deliver the same, together with all improvements and appurtenances constructed or placed by Contractor, to the County free from any claims, liens, or charges. Neither the Contractor nor any person, firm, or corporation furnishing any material or labor for any work covered by this Contract shall have any right to a lien upon any improvement or appurtenance. Nothing contained in this paragraph, however, shall defeat or impair the right of persons furnishing materials or labor to recover under any law permitting such persons to look to funds due the Contractor. The provisions of this paragraph shall be inserted in all subcontracts and material contracts and notice of its provisions shall be given to all persons furnishing materials for the work when no formal contract is entered into for such materials. 28. Warranty of Workmanship and Materials Neither the final certificate of payment nor any provision in the Contract nor partial or entire use of the improvements included in this Contract by the County or the public shall constitute an acceptance of work not done in accordance with the Contract or relieve the Contractor of liability in respect to any express warranties or responsibility for faulty materials or workmanship. The Contractor shall promptly remedy any defects in the work and pay for any damage to other work resulting therefrom which shall appear within a period of i121 months from the date of final acceptance of the work. 29. Job Offices (a) The Contractor and its subcontractors may maintain such office and storage facilities on the site as are necessary for the proper conduct of the work. These shall be located so as to cause no interference to any work to be performed on the site. The County shall be consulted with regard to locations. (b) Upon completion of the improvements, or as directed by the County, the Contractor shall remove all such temporary structures and facilities from the site, and leave the site of the work in the condition required by the Contract. 30. Partial Use of Site Improvements The County may give notice to the Contractor and place in use those sections of the improvements which have been completed, inspected and can be accepted as complying with the technical specifications and if in its opinion, each such section is reasonably safe, fit, and convenient for the use and accommodation for which it was intended, provided: (a) The use of such sections of the Improvements shall in no way impede the completion of the remainder of the work by the Contractor. (b) The Contractor shall not be responsible for any damages or maintenance costs due directly to the use of such sections. 31. Contract Documents and Drawings The County will furnish the Contractor without charge 51 copies of the Contract Documents, including Technical Specifications and Drawings. Additional copies requested by the Contractor will be furnished at cost. 32. Contract Period The work to be performed under this contract shall commence within the time stipulated by the County in the Notice to Proceed, and shall be fully completed within calendar days thereafter. 33. Liquidated Damages Since the actual damages for any delay in completion of the work under this contract are impossible to determine, the Contractor and his Sureties shall be liable for and shall pay to the County the sum of five hundre4 dollars ($� as fixed, agreed and liquidated damages for each calendar day of delay from the above stipulated time for completion. ADMINISTRATIVE REQUIREMENTS 34. Local Program Liaison For purposes of this Agreement, the County Engineer or equivalent authorized person will serve as the Local Program Liaison and primary point of contact for the Contractor. All required progress reports and communication regarding the project shall be directed to this liaison and other local personnel as appropriate. 35. Access to Information (a) The U.S. Department of Housing and Urban Development (HUD), Inspectors General, the Comptroller General of the United States, the General Land Office (GLO), and the County, or any of their authorized representatives, shall have access to any documents, papers, or other records of the Contractor which are pertinent to the CDBG-MIT award, in order to make audits, examinations, excerpts, and transcripts, and to closeout the County's CDBG-MIT contract with GLO. 2 CFR 200.336 (former 24 CFR 85.36(i)(10)) The Office of the Comptroller General of the United States, the Government Accountability Office, the Office of Inspector General, or any authorized representative of the U.S. Government shall also have this right of inspection. (b) Contractor shall include the substance of this clause in all subcontracts it awards. 36. Records Retention (a) The Contractor shall retain all required records for three years after the County makes its final payment and all pending matters are closed. 2 CFR 200.333 (former 24 CFR (85.36(i)(11)) (b) Contractor shall include the substance of this clause in all subcontracts it awards. FEDERAL REQUIRMENTS 37. Resolution of Program Non -Compliance and Disallowed Costs In the event of any dispute, claim, question, or disagreement arising from or relating to this Contract, or the breach thereof, including determination of responsibility for any costs disallowed as a result of non-compliance with federal, state or CDBG- MIT program requirements, the parties hereto shall use their best efforts to settle the dispute, claim, question or disagreement. To this effect, the parties shall consult and negotiate with each other in good faith within 30 days of receipt of a written notice of the dispute or invitation to negotiate, and attempt to reach a just and equitable solution satisfactory to both parties. If the matter is not resolved by negotiation within 30 days of receipt of written notice or invitation to negotiate, the parties agree first to try in good faith to settle the matter by mediation administered by the American Arbitration Association under its Commercial Mediation Procedures before resorting to arbitration, litigation, or some other dispute resolution procedure. The parties may enter into a written amendment to this Contract and choose a mediator that is not affiliated with the American Arbitration Association. The parties shall bear the costs of such mediation equally. Fhis section may also provide for the qualifications of the mediator(s), the locale of meetings, time limits, or any other item of concern to the parties.] If the matter is not resolved through such mediation within 60 days of the initiation of that procedure, either party may proceed to file suit. 38. Compliance with Davis -Bacon Act All laborers and mechanics employed upon the work covered by this Contract shall be paid unconditionally and not less often than once each week, and without subsequent deduction or rebate on any account (except such payroll deductions as are made mandatory by law and such other payroll deductions as are permitted by the applicable regulations issued by the Secretary of Labor, United States Department of Labor, pursuant to the Anti -Kickback Act hereinafter identified), the full amount due at time of payment computed at wage rates not less than those contained in the wage determination decision of said Secretary of Labor (a copy of which is attached in Section 3, Item 24 and herein incorporated by reference), regardless of any contractual relationship which may be alleged to exist between the Contractor or any subcontractor and such laborers and mechanics. All laborers and mechanics employed upon such work shall be paid in cash, except that payment may be by check if the employer provides or secures satisfactory facilities approved by the County for the cashing of the same without cost or expense to the employee. For the purpose of this clause, contributions made or costs reasonably anticipated under Section 1 (b) (2) of the Davis -Bacon Act on behalf of laborers or mechanics are considered wages paid to such laborers or mechanics, subject to the provisions of Section 5.5 (a) (1) (iv) of Title 29, Code of Federal Regulations. Also for the purpose of this clause, regular contributions made or costs incurred for more than a weekly period under plans, funds, or programs, but covering the particular weekly period, are deemed to be constructively made or incurred during such weekly period. The Contractor and its subcontractors shall not, by any means, induce any person employed in the construction, completion, or repair of public work, give up any part of the compensation to which he or she is otherwise entitled. The County must report all suspected or reported violations to GLO. 39. Conflicts of Interest (a) Governing Body. No member of the governing body of the County and no other officer, employee, or agent of the County, who exercises any functions or responsibilities in connection with administration, construction, engineering, or implementation of CDBG-MIT award between GLO and the County, shall have any personal financial interest, direct or indirect, in the Contractor or this Contract; and the Firm shall take appropriate steps to assure compliance. (b) Other Local Public Officials. No other public official, who exercises any functions or responsibilities in connection with the planning and carrying out of administration, construction, engineering or implementation of the CDBG-MIT award between GLO and the County, shall have any personal financial interest, direct or indirect, in the Contractor or this Contract; and the Contractor shall take appropriate steps to assure compliance. (c) The Contractor and Employees. The Contractor warrants and represents that it has no conflict of interest associated with the CDBG-MIT award between GLO and the County or this Contract. The Contractor further warrants and represents that it shall not acquire an interest, direct or indirect, in any geographic area that may benefit from the CDBG-MIT award between GLO and the County or in any business, entity, organization or person that may benefit from the award. The Contractor further agrees that it will not employ an individual with a conflict of interest as described herein. 40. Debarment and Suspension (Executive Orders 12549 and 12689 The Contractor certifies, by entering into this Contract, that neither it nor its principals are presently debarred, suspended, or otherwise excluded from or ineligible for participation in federally -assisted programs under Executive Orders 12549 (1986) and 12689 (1989). The term "principal' for purposes of this Contract is defined as an officer, director, owner, partner, key employee, or other person with primary management or supervisory responsibilities, or a person who has a critical influence on or substantive control over the operations of the Contractor. The Contractor understands that it must not make any award or permit any award (or contract) at any tier to any party which is debarred or suspended or is otherwise excluded from or ineligible for participation in Federal assistance programs under Executive Order 12549, "Debarment and Suspension." A contract award (see 2 CFR 180.220) must not be made to parties listed on the government -wide Excluded Parties List System in the System for Award Management (SAM), in accordance with the OMB guidelines at 2 CFR 180 that implement Executive Orders 12549 (3 CFR Part 1986 Comp., p. 189) and 12689 (3 CFR Part 1989 Comp., p. 235), "Debarment and Suspension." SAM Exclusions contains the names of parties debarred, suspended, or otherwise excluded by agencies, as well as parties declared ineligible under statutory or regulatory authority other than Executive Order 12549. 2 CFR 200 APPENDIX II (H) 41. [For Contracts that exceed $100,0001 Byrd Anti -Lobbying Byrd Anti -Lobbying Amendment (31 U.S.C. 1352)—Contractors that apply or bid for an award of $100,000 or more must file the required certification. Each tier certifies to the tier above that it will not and has not used Federal appropriated funds to pay any person or organization for influencing or attempting to influence an officer or employee of any agency, a member of Congress, officer or employee of Congress, or an employee of a member of Congress in connection with obtaining any Federal contract, grant or any other award covered by 31 U.S.C. 1352. Each tier must also disclose any lobbying with non -Federal funds that takes place in connection with obtaining any Federal award. Such disclosures are forwarded from tier to tier up to the non -Federal award. Contractor shall file the required certification: The undersigned certifies, to the best of his or her knowledge and belief, that: (a) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of an agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement. (b) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions. (c) The undersigned shall require that the language of this certification be included in the award documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements) and that all subrecipients shall certify and disclose accordingly. 2 CFR 200 APPENDIX II (1) and 24 CFR §570.303 42. (For Contracts > $1001<1 Overtime Requirements No Contractor or subcontractor contracting for any part of the Contract work which may require or involve the employment of laborers or mechanics, including watchmen and guards, shall require or permit any laborer or mechanic in any workweek in which he is employed on such work to work in excess of 40 hours in such work week unless such laborer or mechanic receives compensation at a rate not less than one and one-half times his basic rate of pay for all hours worked in excess of 40 hours in such work week, as the case may be. 2 CFR 200 APPENDIX 11 (E) 43. Equal Opportunity Clause Comply with all Federal statutes relating to nondiscrimination. These include but are not limited to: (a)Title VI of the Civil Rights Act of 1964 (P.L. 88-352) which prohibits discrimination on the basis of race, color or national origin; (b) Title IX of the Education Amendments of 1972, as amended (20 U.S.C. §§16811683, and 1685-1686), which prohibits discrimination on the basis of sex; (c) Section 504 of the Rehabilitation Act of 1973, as amended (29 U.S.C.§794), which prohibits discrimination on the basis of handicaps; (d) the Age Discrimination Act of 1975, as amended (42 U.S.C. §§6101-6107), which prohibits discrimination on the basis of age; (a) the Drug Abuse Office and Treatment Act of 1972 (P.L. 92-255), as amended, relating to nondiscrimination on the basis of drug abuse; (f) the Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment and Rehabilitation Act of 1970 (P.L. 91-616), as amended, relating to nondiscrimination on the basis of alcohol abuse or alcoholism; (g) §§523 and 527 of the Public Health Service Act of 1912 (42 U.S.C. §§290 dd-3 and 290 ee-3), as amended, relating to confidentiality of alcohol and drug abuse patient records; (h) Title VIII of the Civil Rights Act of 1968 (42 U.S.C. §§3601 at seq.), as amended, relating to nondiscrimination in the sale, rental or financing of housing; (i) any other non- discrimination provisions in the specific statute(s) under which application for Federal assistance is being made; and, 0) the requirements of any other nondiscrimination statute(s) which may apply. During the performance of this contract, the Contractor agrees as follows: (a.) The Contractor will not discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, or national origin. The Contractor will take affirmative action to ensure that applicants are employed, and that employees are treated during employment without regard to their race, color, religion, sex, sexual orientation, gender identity, or national origin. Such action shall include, but not be limited to the following: Employment, upgrading, demotion, or transfer; recruitment or recruitment advertising; layoff or termination; rates of pay or other forms of compensation; and selection for training, including apprenticeship. The Contractor agrees to post in conspicuous places, available to employees and applicants for employment, notices to be provided setting forth the provisions of this nondiscrimination clause. (b.) The Contractor will, in all solicitations or advertisements for employees placed by or on behalf of the Contractor, state that all qualified applicants will receive considerations for employment without regard to race, color, religion, sex, sexual orientation, gender identity, or national origin. (c.) The Contractor will not discourage or in any other manner discriminate against any employee or applicant for employment because such employee or applicant has inquired about, discussed, or disclosed the compensation of the employee or applicant or another employee or applicant. This provision shall not apply to instances in which an employee who has access to the compensation information of other employees or applicants as a part of such employee's essential job functions discloses the compensation of such other employees or applicants to individuals who do not otherwise have access to such information, unless such disclosure is in response to a formal complaint or charge, in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or is consistent with the contractor's legal duty to furnish information. (d.) The Contractor will send to each labor union or representative of workers with which he has a collective bargaining agreement or other contract or understanding, a notice to be provided advising the said labor union or workers' representatives of the Contractor's commitments under this section, and shall post copies of the notice in conspicuous places available to employees and applicants for employment. (a.) The Contractor will comply with all provisions of Executive Order 11246 of September 24, 1965, "Equal Employment Opportunity," and of the rules, regulations, and relevant orders of the Secretary of Labor. (f.) The Contractor will furnish all information and reports required by Executive Order 11246 of September 24, 1965, and by rules, regulations, and orders of the Secretary of Labor, or pursuant thereto, and will permit access to his books, records, and accounts by the administering agency and the Secretary of Labor for purposes of investigation to ascertain compliance with such rules, regulations, and orders. (g.) In the event of the Contractor's noncompliance with the nondiscrimination clauses of this contract or with any of the said rules, regulations, or orders, this contract may be canceled, terminated, or suspended in whole or in part and the Contractor may be declared ineligible for further Government contracts or federally assisted construction contracts in accordance with procedures authorized in Executive Order 11246 of September 24, 1965, and such other sanctions may be imposed and remedies invoked as provided in Executive Order 11246 of September 24, 1965, or by rule, regulation, or order of the Secretary of Labor, or as otherwise provided by law. (h.) The Contractor will include the portion of the sentence immediately preceding paragraph (a) and the provisions of paragraphs (a) through (h) in every subcontract or purchase order unless exempted by rules, regulations, or orders of the Secretary of Labor issued pursuant to section 204 of Executive Order 11246 of September 24, 1965, so that such provisions will be binding upon each subcontractor or vendor. The Contractor will take such action with respect to any subcontract or purchase order as the administering agency may direct as a means of enforcing such provisions, including sanctions for noncompliance: Provided, however, That in the event a Contractor becomes involved in, or is threatened with, litigation with a subcontractor or vendor as a result of such direction by the administering agency the Contractor may request the United States to enter into such litigation to protect the interests of the United States. 41 CFR §60-1.4(b) And 2 CFR 200 APPENDIX II (C) 44. Section 109 of the Housing and Community Development Act of 1974. The Contractor shall comply with the provisions of Section 109 of the Housing and Community Development Act of 1974. No person in the United States shall on the ground of race, color, national origin, religion, or sex be excluded from participation in, be denied the benefits of, or be subjected to discrimination under any program or activity funded in whole or in part with funds made available under this title. 45. Davis -Bacon Act, as amended (40 U.S.C. 3141-3148). When required by Federal program legislation, all prime construction contracts in excess of $2,000 awarded by non -Federal entities must include a provision for compliance with the Davis -Bacon Act (40 U.S.C. 3141-3144, and 3146-3148) as supplemented by Department of Labor regulations (29 CFR Part 5, "Labor Standards Provisions Applicable to Contracts Covering Federally Financed and Assisted Construction"). In accordance with the statute, contractors must be required to pay wages to laborers and mechanics at a rate not less than the prevailing wages specified in a wage determination made by the Secretary of Labor. In addition, contractors must be required to pay wages not less than once a week. The non -Federal entity must place a copy of the current prevailing wage determination issued by the Department of Labor in each solicitation. The decision to award a contract or subcontract must be conditioned upon the acceptance of the wage determination. The non - Federal entity must report all suspected or reported violations to the Federal awarding agency. The contracts must also include a provision for compliance with the Copeland "Anti -Kickback" Act (40 U.S.C. 3145), as supplemented by Department of Labor regulations (29 CFR Part 3, "Contractors and Subcontractors on Public Building or Public Work Financed in Whole or in Part by Loans or Grants from the United States"). The Act provides that each contractor or subrecipient must be prohibited from inducing, by any means, any person employed in the construction, completion, or repair of public work, to give up any part of the compensation to which he or she is otherwise entitled. The non -Federal entity must report all suspected or reported violations to the Federal awarding agency. 2 CFR 200 APPENDIX II (D) 46. Contract Work Hours and Safety Standards Act (40 U.S.C. 3701-3708). Where applicable, all contracts awarded by the non -Federal entity in excess of $100,000 that involve the employment of mechanics or laborers must include a provision for compliance with 40 U.S.C. 3702 and 3704, as supplemented by Department of Labor regulations (29 CFR Part 5). Under 40 U.S.C. 3702 of the Act, each contractor must be required to compute the wages of every mechanic and laborer on the basis of a standard work week of 40 hours. Work in excess of the standard work week is permissible provided that the worker is compensated at a rate of not less than one and a half times the basic rate of pay for all hours worked in excess of 40 hours in the work week. The requirements of 40 U.S.C. 3704 are applicable to construction work and provide that no laborer or mechanic must be required to work in surroundings or under working conditions which are unsanitary, hazardous or dangerous. These requirements do not apply to the purchases of supplies or materials or articles ordinarily available on the open market, or contracts for transportation or transmission of intelligence. 2 CFR 200 APPENDIX II (E) 47. Section 504 Rehabilitation Act of 1973, as amended. The Contractor agrees that no otherwise qualified individual with disabilities shall, solely by reason of his/her disability, be denied the benefits of, or be subjected to discrimination, including discrimination in employment, under any program or activity receiving federal financial assistance. 48. Age Discrimination Act of 1975. The Contractor shall comply with the Age Discrimination Act of 1975 which provides that no person in the United States shall on the basis of age be excluded from participation in, be denied the benefits of, or be subjected to discrimination under any program or activity receiving federal financial assistance. 49. Non Segregated Facilities The Contractor certifies that he does not and will not maintain or provide for his employees any segregated facilities at any of his establishments, and that he does not and will not permit his employees any segregated facilities at any of his establishments, or permit his employees to perform their services at any location, under his control, where segregated facilities are maintained. As used in this paragraph the term "segregated facilities" means any waiting rooms, work areas, rest rooms and washrooms, restaurants and other eating areas, time clocks, locker rooms and other storage or dressing areas, parking lots, drinking fountains, recreation or entertainment areas, transportation, and housing facilities provided for employees which are segregated by explicit directive or are in fact segregated on the basis of race, creed, color, or national origin, because of habit, local custom, or otherwise. 50. The Provision of Local Training. Emolovment. and Business Opportunities (a) To the greatest extent feasible opportunities for training and employment be given lower income residents of the project area and contracts for work in connection with the project be awarded to business concerns which are located in, or owned in substantial part by persons residing in the area of the project. See also GLO Section 3 Policy and "Exhibit G" on the GLO-DR website. (b) The Contractor will include this clause in every subcontract for work in connection with the project. 51. [if this Contract is greater than $100,000] Economic Opportunities for Section 3 Residents and Section 3 Business Concerns. (a) The work to be performed under this Contract is subject to the requirements of section 3 of the Housing and Urban Development (HUD) Act of 1968, as amended, 12 U.S.C. 1701u (section 3). The purpose of section 3 is to ensure that employment and other economic opportunities generated by HUD assistance or HUD -assisted projects covered by section 3, shall, to the greatest extent feasible, be directed to low- and very low-income persons, particularly persons who are recipients of HUD assistance for housing. (b) The parties to this Contract agree to comply with HUD's regulations in 24 CFR part 135, which implement section 3. As evidenced by their execution of this Contract, the parties to this Contract certify that they are under no contractual or other impediment that would prevent them from complying with the part 135 regulations. (c) The Contractor agrees to send to each labor organization or representative of workers with which the Contractor has a collective bargaining agreement or other understanding, if any, a notice advising the labor organization or workers' representative of the Contractor's commitments under this section 3 clause, and will post copies of the notice in conspicuous places at the work site where both employees and applicants for training and employment positions can see the notice. The notice shall describe the section 3 preference, shall set forth minimum number and job titles subject to hire, availability of apprenticeship and training positions, the qualifications for each; and the name and location of the person(s) taking applications for each of the positions; and the anticipated date the work shall begin. (d) The Contractor agrees to include this section 3 clause in every subcontract subject to compliance with regulations in 24 CFR part 135, and agrees to take appropriate action, as provided in an applicable provision of the subcontract or in this section 3 clause, upon a finding that the subcontractor is in violation of the regulations in 24 CFR part 135. The Contractor will not subcontract with any subcontractor where the Contractor has notice or knowledge that the subcontractor has been found in violation of the regulations in 24 CFR part 135. (a) The Contractor will certify that any vacant employment positions, including training positions, that are filled (1) after the Contractor is selected but before the contract is executed, and (2) with persons other than those to whom the regulations of 24 CFR part 135 require employment opportunities to be directed, were not filled to circumvent the Contractor's obligations under 24 CFR part 135. (f) Noncompliance with HUD's regulations in 24 CFR part 135 may result in sanctions, termination of this Contract for default, and debarment or suspension from future HUD assisted contracts. (g) With respect to work performed in connection with section 3 covered Indian housing assistance, section 7(b) of the Indian Self -Determination and Education Assistance Act (25 U.S.C. 450e) also applies to the work to be performed under this Contract. Section 7(b) requires that to the greatest extent feasible (i) preference and opportunities for training and employment shall be given to Indians, and (ii) preference in the award of contracts and subcontracts shall be given to Indian organizations and Indian -owned Economic Enterprises. Parties to this contract that are subject to the provisions of section 3 and section 7(b) agree to comply with section 3 to the maximum extent feasible, but not in derogation of compliance with section 7(b). 24 CFR §135.38 52. Gender Neutral - Gender References When necessary, unless the context clearly requires otherwise, any gender -specific or gender -neutral term in this Contract (for example, he, she, it, etc.) is to be read as referring to any other gender or to no gender. 53. Patent Riahts and Inventions Contractor shall comply with the requirements and regulations pertaining to patent rights with respect to any discovery or invention which arises or is developed in the course of or under such contract. (2 CFR 200 Appendix II (f) and Rights to Inventions in 37 CFR Part 401). Rights to Inventions Made Under a Contract or Agreement - If the Federal award meets the definition of "funding agreement" under 37 CFR §401.2 (a) and the Subrecipient wishes to enter into a contract with a small business firm or nonprofit organization regarding the substitution of parties, assignment or performance of experimental, developmental, or research work under that "funding agreement," the Subrecipient must comply with the requirements of 37 CFR Part 401, "Rights to Inventions Made by Nonprofit Organizations and Small Business Firms Under Government Grants, Contracts and Cooperative Agreements," and any implementing regulations issued by the awarding agency. 54. Enemy Efficiency The Contractor shall comply with the mandatory standards and policies relating to energy efficiency which are contained in the state energy conservation plan issued in compliance with the Energy Policy and Conservation Act (42 U.S.C. 6201). (2 CFR 200 Appendix II (h)). 55. System for Award Management (SAM) All contractors and subcontractors must be searched AND cleared (not suspended or debarred) prior to authorization to work on the project. 56. Solid Waste Disposal Act Contractor must comply with section 6002 of the Solid Waste Disposal Act, as amended by the Resource Conservation and Recovery Act. The requirements of Section 6002 include procuring only items designated in guidelines of the Environmental Protection Agency (EPA) at 40 CFR part 247 that contain the highest percentage of recovered materials practicable, consistent with maintaining a satisfactory level of competition, where the purchase price of the item exceeds $10,000 or the value of the quantity acquired during the preceding fiscal year exceeded $10,000; procuring solid waste management services in a manner that maximizes energy and resource recovery; and establishing an affirmative procurement program for procurement of recovered materials identified in the EPA guidelines. 57. Procurement of Recovered Materials (a) In the performance of this contract, the Contractor shall make maximum use of products containing recovered materials that are EPA- designated items unless the product cannot be acquired — I. Competitively within a timeframe providing for compliance with the contract performance schedule; 2. Meeting contract performance requirements; or 3. At a reasonable price. (c) Information about this requirement, along with the list of EPA -designate items, is available at EPA's Comprehensive Procurement Guidelines web site, https://www.epa.gov/ 58. Domestic Preference a. As appropriate and to the extent consistent with law, Contractor should, to the greatest extent practicable, provide a preference for the purchase, acquisition, or use of goods, products, or materials produced in the United States (including but not limited to iron, aluminum, steel, cement, and other manufactured products). b. For purposes of section (a) above i. "Produced in the United States' means, for iron and steel products, that all manufacturing processes, from the initial melting stage through the application of coatings, occurred in the United States. ii. "Manufactured products" means items and construction materials composed in whole or in part of non-ferrous metals such as aluminum; plastics and polymer -based products such as polyvinyl chloride pipe; aggregates such as concrete; glass, including optical fiber; and lumber. STATE REQUIREMENTS 58. Verification No Bovcott Israel As required by Chapter 2270, Government Code, CONTRACTOR hereby verifies that it does not boycott Israel and will not boycott Israel through the term of this Agreement. For purposes of this verification, "boycott Israel" means refusing to deal with, terminating business activities with, or otherwise taking any action that is intended to penalize, inflict economic harm on, or limit commercial relations specifically with Israel, or with a person or entity doing business in Israel or in an Israeli -controlled territory, but does not include an action made for ordinary business purposes. 59. Foreian Terrorist Oraanizations. Pursuant to Chapter 2252, Texas Government Code, [Company] represents and certifies that, at the time of execution of this Agreement neither [Company], nor any wholly owned subsidiary, majority -owned subsidiary, parent company or affiliate of the same (i) engages in business with Iran, Sudan, or any foreign terrorist organization as described in Chapters 806 or 807 of the Texas Government Code, or Subchapter F of Chapter 2252 of the Texas Government Code, or (ii) is a company listed by the Texas Comptroller of Public Accounts under Sections 806.051, 807.051, or 2252.153 of the Texas Government Code. The term "foreign terrorist organization" in this paragraph has the meaning assigned to such term in Section 2252.151 of the Texas Government Code. ENVIRONMENTAL CONDITIONS 60. [For Contracts > $150K1 Clean Air Act and the Federal Water Pollution Control Act The Contractor or subcontractor shall comply with all applicable standards, orders or regulations issued pursuant to the Clean Air Act (42 U.S.C. 7401-7671q) and the Federal Water Pollution Control Act as amended (33 U.S.C. 1251-1387). Violations must be reported to the Federal awarding agency and the Regional Office of the Environmental Protection Agency (EPA). 2 CFR 200 APPENDIX 11 (G) 61. Lead -Based Paint The Subrecipient agrees that any construction or rehabilitation of residential structures with assistance provided under this Agreement shall be subject to HUD Lead -Based Paint Regulations at 24 CFR 570.608, and 24 CFR Part 35, Subpart B. Such regulations pertain to all CDBG-assisted housing and require that all owners, prospective owners, and tenants of properties constructed prior to 1978 be properly notified that such properties may include lead -based paint. Such notification shall point out the hazards of lead -based paint and explain the symptoms, treatment and precautions that should be taken when dealing with lead -based paint poisoning and the advisability and availability of blood lead level screening for children under seven. The notice should also point out that if lead -based paint is found on the property, abatement measures may be undertaken. The regulations further require that, depending on the amount of Federal funds applied to a property, paint testing, risk assessment, treatment and/or abatement may be conducted. 62. Flood Disaster Protection In accordance with the requirements of the Flood Disaster Protection Act of 1973 (42 U.S.C. 4001), the Subrecipient shall assure that for activities located in an area identified by the Federal Emergency Management Agency (FEMA) as having special flood hazards, flood insurance under the National Flood Insurance Program is obtained and maintained as a condition of financial assistance for acquisition or construction purposes (including rehabilitation). 63. Other Conditions Any special conditions such as mitigation measures will be carried out as instructed by the Environmental Review Record. Enter Mitigation Measures from County Environmental Review Record as applicable CALHOUN COUNTY, TEXAS GENERAL CONDITIONS General Conditions apply to all advertised Invitations to Bid (hereinafter called Bid), Request for Proposals (hereinafter called RFP), Request for Qualifications (hereinafter called RFQ), Contracts/Agreements/Leases (hereinafter called Contract); however these may be superseded in whole or in part by the scope, special requirements, specifications or special sections of Texas Government Code and/or Texas Local Government Code. Governing Law: Bidder/Vendor is advised that the Bid, RFP, RFQ and/or Contract shall be fully governed by the laws of the State of Texas and that Calhoun County may request and rely on advice, decisions and opinions of the Attorney General of Texas and the County Attorney concerning any portion of the Bid, RFP, RFQ and/or Contract. All parties agree that the venue for any litigation arising from this Bid, RFP, RFQ, and/or Contract shall be held in Port Lavaca, Calhoun County, Texas. Completion of Bid, RFP, RFQ, and/or Contract Forms: Once the Bid, RFP, RFQ, and/or Contract is released for bidding, Calhoun County will not answer any questions except through an addendum that has been approved by Calhoun County Commissioners Court or at a mandatory pre -bid meeting. Complete, sign, and return to the Calhoun County Judge's Office the required number of Bid forms, RFP forms, RFQ forms, and/or Contracts, and any other required information by the day and time the Bid, RFP, RFQ, and/or Contract is due. The Bid, RFP, RFQ, and/or Contract must be signed and dated by an officer, employee or agent who is duly authorized to execute this Bid, RFP, RFQ, and/or Contract, and affirms that this company, corporation, firm, partnership or individual has not prepared this Bid, RFP, RFQ, and/or Contract in collusion with any other bidder/vendor or any official or employee of Calhoun County, and that the contents of this Bid, RFP, RFQ and/or Contract as to prices, terms or conditions of said Bid, RFP, RFQ, and/or Contract have not been communicated by the individual signing nor by any employee or agent to any other person engaged in this type of business or to any official or employee of Calhoun County prior to the official opening of this Bid, RFP, RFQ and/or Contract. The use of liquid paper or white out is not acceptable and may result in the disqualification of the bidders/vendors Bid, RFP, RFQ, and/or Contract. If an error is made, the bidder/vendor must draw a line through the error and initial each change. All responses typed or handwritten in ink must be clear and legible. Submission of Sealed Bid, RFP, RFQ, and/or Contract: All Bids, RFPs, RFQs, and/or Contracts must be delivered to the County Judge's Office in a SEALED envelope. When submitting a SEALED Bid, RFP, RFQ, and/or Contract the envelope must be taped and/or glued closed in order for it to be accepted as a SEALED Bid, RFP, RFQ and/or Contract. The bidder/vendor must submit the original and required number of copies of their completed Bid, RFP, RFQ and/or Contract and any additional required information/forms in a SEALED envelope to the Calhoun County Judge's Office, Calhoun County Courthouse, 211 South Ann Street, 3rd Floor, Suite 301, Port Lavaca, Texas. The Bid, RFP, RFQ, and/or Contract will specify the date and time due. The cell phone in the County Judge's office or the cell phone of the County Auditor's Representative is the official clock that will be used in determining the time the Bid, RFP, RFQ, and/or Contract is received and the time deadline that the Bid, RFP, RFQ and/or Contract will be opened. A late delivery with an early postmark or delivery of the Bid, RFP, RFQ and/or Contract to the wrong office will not suffice. Bids, RFPs, RFQs, and/or Contracts received after the deadline will not be considered for award, regardless of whether or not the delay was outside of the control of the submitting bidder/vendor. The door to the County Judge's office will be closed once the due date and time has been reached and no other bids will be accepted. Calhoun County will not be responsible for the delivery of your Bid, RFP, RFQ, and/or Contract to the office of the Calhoun County Judge. Calhoun County is not responsible for late deliveries due to postal mail or other mail delivery services delays. Calhoun County is not responsible for the delivery of the Bid, RFP, RFQ, and/or Contract to the wrong office. Calhoun County does not accept faxed or emailed Bids, RFPs, RFQs, and/or Contracts. If the bidder/vendor would like to confirm the delivery of their Bid, RFP, RFQ and/or Contract, the bidder/vendor may call the Calhoun County Judge's office at 361-553-4600. Late Bids, RFPs, RFQs, and/or Contracts will not be accepted. Bids, RFPs, RFQs, and/or Contracts received after the deadline will not be opened and shall be considered void and unacceptable. Bids, RFPs, RFQs, and/or Contracts must be submitted in a SEALED 9 x 12 or larger envelope, addressed as follows: Richard H. Meyer, County Judge, Calhoun County Courthouse, 211 S. Ann St., Suite 301, Port Lavaca, TX 77979. The outside of the SEALED envelope must be clearly marked: SEALED BID (RFP, RFQ or Contract) and the name of the Bid, RFP, RFQ or Contract. If the Bid, RFP, RFQ, and/or Contract is sent by UPS, FedEx or other delivery service, the outside of this envelope must be clearly marked: SEALED Bid (RFP, RFQ or Contract) and the name of the Bid, RFP, RFQ, or Contract. Withdrawal of Bid. RFP, RFQ, and/or Contract: A bidder/vendor may withdraw their Bid, RFP, RFQ, and/or Contract before Calhoun County's acceptance of the Bid, RFP, RFQ and/or Contract without prejudice to the bidder/vendor, by submitting a written request for its withdrawal to the Calhoun County Judge and mail or hand deliver to the address the Bid, RFP, RFQ, and/or Contract was submitted to. A Bid, RFP, RFQ and/or Contract that was opened are not subject to amendment, alteration, or change for the purpose of correcting an error in the Bid, RFP, RFQ, and/or Contract price. Bids, RFPs, RFQs, and/or Contracts containing an error may be offered "as is" or withdrawn by the bidder/vendor in accordance with applicable State Laws. Opening and Award of Bid. RFP, RFQ, and/or Contract: Bidders/vendors are invited to be present atthe opening and awarding of the Bid, RFP, RFQ and/or Contract. Governing Forms: In the event of any conflict between the terms and provisions of these conditions, the Bid, RFP or RFQ specifications or contract, if applicable, shall govern. In the event of any conflict of interpretation of any part of this overall document, Calhoun County's interpretation shall govern. Addendums: When specifications are revised, the Calhoun County Auditor's Office will send each bidder/vendor that received a Bid, RFP, RFQ and/or Contract packet the addendum once it has been approved by Calhoun County Commissioners Court. No addendum can be sent out until Calhoun County Commissioners Court has approved the addendum or approved the addendum to be sent out by the Engineer with the approval from the County Commissioner or County Department in charge of the project. Indemnification/Hold Harmless: The successful bidder/vendor shall defend, indemnify and hold Calhoun County and its officials, agents, and employees harmless from all suits, actions, or for personal injury, death and/or property damage arising from any cause whatsoever, resulting directly or indirectly from bidder's/vendor's performance. Bidder/vendor shall procure and maintain, with respect to the subject matter of this Bid, RFP, RFQ, and/or Contract, appropriate insurance coverage including, as a minimum, general liability and property damage, workers' compensation, employer's liability and auto insurance with adequate limits to cover bidder's/vendors liability as may arise directly or indirectly from work performed under terms of this Bid, RFP, RFC, and/or Contract. Certification of such coverage shall name, by policy endorsement, Calhoun County as an additional insured and be provided to Calhoun County upon request. Waiver of Subrogation:' Bidder/vendor and bidder's/vendor's insurance carrier shall waive any and all rights whatsoever with regard to subrogation against Calhoun County and its respective officials, employees, and insurers as an indirect party to any suit arising out of personal or property damages resulting from bidder's/vendor's performance under this Bid, RFP, RFQ and/or Contract. Insurers and all policies of insurance provided shall contain a provision and/or endorsement stating that the insurance carriers and underwriters waive all rights of subrogation in favor of Calhoun County and its respective officials, employees, and insurers. Bonds: If the Bid, or RFP, requires submission of bid or proposal guarantee and performance bond, there will be a separate page explaining those requirements. Bids or RFPs submitted without the required bid bond or cashier's checks are not acceptable. Taxes: Calhoun County is exempt from all sales tax (state, city and county sales tax) and federal excise taxes under Section 151.'309 of the Texas Tax Code. Tax exempt forms will be furnished upon request to the bidder/vendor. Tax exempt forms can be obtained from the Calhoun County Auditor's Office. Bidder/vendor is to issue its Texas Resale Certificate to vendors and subcontractors for such items qualifying for this exemption, and further, bidder/vendor should state these items at cost. Pricing: Prices for all products/goods, services, and/or contracts shall be firm forthe duration of the Bid, RFP, and/or Contract and shall be stated on the Bid, RFP, and/or Contract form. Prices shall be all inclusive. All prices must be written in ink or typewritten and must be legible. Pricing on all transportation, freight, and other charges are to be prepaid by the bidder/vendor and included in the Bid, RFP, and/or Contract prices. If there are any additional charges of any kind, other than those mentioned above, specified or unspecified, bidder/vendor must indicate the items required and their costs or forfeit the right to payment for such items. Additional charges added to the Bid, RFP, and/or Contract prices may void the Bid, RFP, and/or Contract. Where unit pricing and extended pricing differ, unit pricing prevails. Inspections: Calhoun County reserves the right to inspect any products/goods or service location for compliance with specifications and requirements and needs of the using department before accepting them. When applicable, Calhoun County reserves the right to enter upon any County leased premises at any time to inspect said premises. Testing: Calhoun County reserves the right to test equipment, supplies, materials, and products/goods bid, proposed, and/or agreed upon for quality, compliance with specifications and ability to meet the needs of the user. Should the equipment, supplies, materials, products/goods and/or services fail to meet requirements and/or be unavailable for evaluation, the Bid, RFP, and/or Contract is subject to rejection. Material Safety Data Sheets: Under the "Hazardous Communications Act", commonly known as the "Texas Right To Know Act", a bidder/vendor must provide to Calhoun County with each delivery, material safety data sheets which are applicable to hazardous substances defined in the Act. Failure of the bidder/vendor to furnish this documentation will be cause to reject any Bid, RFP, and/or Contract applying thereto. Awards: Calhoun County reserves the right to award this Bid, RFP, RFQ, and/or Contract on the basis of lowest and/or best Bid, RFP, RFQ and/or Contract that met specifications in accordance with the laws of the State of Texas, to waive any formality or irregularity, to make awards to more than one bidder/vendor, to reject any or all Bids, RFPs, RFQs, and/or Contracts and to be the sole judge in determining which Bid, RFP, RFQ and/or Contract will be most advantageous to Calhoun County. Calhoun County will evaluate and may award a Bid, RFP, RFQ, and/or Contract based on lowest and/or best Bid, RFP, RFQ and/or Contract meeting specifications. "Lowest and/or best Bid, RFP, RFQ and/or Contract" means a bid or offer providing the best value considering associated direct and indirect costs, including transport, maintenance, reliability, life cycle, warranties, the county's past experience with the bidder/vendor and customer service after a sale. Calhoun County reserves the right to accept and/or reject any/all of the options Bid, any/all of the RFPs, any/all of the RFQs, and/or any/all of the Contracts as it deems to be in the best interest of the County. An award is final only upon formal execution by Calhoun County Commissioners Court. Per Local Government Code, Sec. 262.027, Calhoun County reserves the right to reject all Bids, RFPs, RFQs, and/or Contracts and to go out for new Bids, RFPs, RFQs, and/or Contracts. In the event of tie Bids, RFPs, RFQs, and/or Contracts, the winning Bid, RFP, RFQ, and/or Contract is determined per the Texas Local Governmental Code 262.027(b). Calhoun County, Texas is an Affirmative Action/Equal Opportunity Employer. The County does not discriminate on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age or handicapped status in employment or the provision of services. Section 3 Residents, Minority Business Enterprises, Small Business Enterprises, Women Business Enterprises, and labor surplus area firms are encouraged to submit Bids, RFPs, RFQs, and/or Contracts. Assignment: The successful bidder/vendor may not assign, sell, sublease or otherwise transfer the Bid, RFP, RFQ, and/or Contract without first obtaining the written approval of Calhoun County Commissioners Court. A change in ownership or management shall cancel the Bid, RFP, RFQ and/or Contract unless a mutual agreement is reached with the new owner or manager to continue the Bid, RFP, RFQ and/or Contract under the awarded provisions and approved by Calhoun County Commissioners Court. Term of the Bid, RFP, RFQ, and/or Contract: If the Bid, RFP, RFQ, and/or Contract is intended to cover a specific time period, said time will be given in the specifications, instructions, and/or contracts. Obligation of the Bid, RFP, RFQ, and/or Contract: Bids, RFPs, RFQs, and/or Contracts are awarded only upon formal execution by Calhoun County Commissioners Court. If a contract is required, the Calhoun County Judge or other person authorized by Calhoun County Commissioners Court must sign the contract before it becomes binding on Calhoun County. No person is authorized to sign contracts until authorized by Calhoun County Commissioners Court. Calhoun County is not responsible for any contract signed without Commissioners Court approval. Delivery: All items shall be shipped F.O.B. inside (orsite location) delivery unless otherwise stated in the specifications. Default in promised delivery (without accepted reasons) orfailure to meet specifications, authorizes Calhoun County to purchase supplies from the next lowest bidder/vendor that met specifications. Resections: Articles not in accordance with samples and specifications must be removed by the bidder/vendor at the bidder's/vendor's expense. All disputes concerning quality of equipment, supplies, materials, products/goods, and/or services delivered under this Bid, RFP, RFQ, and/or contract will be determined by Calhoun County Commissioners Court or their designated representative. Termination: Calhoun County reserves the right to terminate the Bid, RFP, RFQ and/or Contract for default if the bidder/vendor breaches any of the terms therein, including warranties of bidder/vendor or if the bidder/vendor becomes insolvent or commits acts of bankruptcy. Such right of termination is in addition to and not in lieu of any other remedies, which Calhoun County may have in law or equity. Default may be construed as, but not limited to, failure to deliver the proper products/goods and/or services within the proper amount of time, and/or to properly perform any and all services required to Calhoun County's satisfaction and/or to meet all other obligations and requirements. Bids, RFPs, RFQs, and/or Contracts may be terminated without cause upon thirty (30) days written notice to either party unless otherwise specified. The bidder/vendor or Calhoun County must state therein the reasons for such cancellation. Calhoun County reserves the right to award cancelled Bid, RFP, RFC, and/or Contract to the next lowest and best bidder/vendor that met specifications and is deemed to be in the best interest of Calhoun County. Delinquent Property Taxes: Calhoun County reserves the right to reject any Bid, RFP, RFQ, and/or Contract submitted by a bidder/vendor owing delinquent property taxes to Calhoun County, Texas. If the bidder/vendor subsequently becomes delinquent in the payment of Calhoun County taxes this may be grounds for cancellation of the Bid, RFP, RFQ, and/or Contract. Despite anything to the contrary, if the bidder/vendor is delinquent in payment of Calhoun County taxes at the time of invoicing, bidder/vendor assigns any payments to be made under this Bid, RFP, RFQ and/or Contract to the Calhoun County Tax Assessor Collector for the payment of delinquent taxes. Certificate of Interested Parties — Form 1295 Section 2252.908 was added to the Government Code by the 84" Texas Legislature through adoption of House Bill 1295. Senate Bill 255 adopted by the 85' Legislature Regular Session amended the law effective for contracts entered into or amended on or after January 1, 2018. Additional exemptions from Form 1295 requirement were added for 1) a contract with a publicly traded business entity, including a wholly owned subsidiary of the business entity, 2) a contract with an electric utility as defined by Section 31.002 ofthe Utilities Code, or 3) a contract with a gas utility as defined by Section 121.001 of the Utilities Code. Notarization of Form 1295 has been replaced by an unsworn statement under penalty of perjury by an authorized representative of the business entity. The Texas Ethics Commission promulgated rules to implement the law and established an online portal: https://www.ethics.state.tx.us/whatsnew/elf—info—forml295.htm. The law states that a County may not enter into a contract with a business entity unless a Certificate of Interested Parties (Form 1295) has been completed and provided to the County at the time the contract is considered for action by Commissioners Court. The term "business entity" includes a sole proprietorship, partnership or corporation (whether for -profit or non-profit). The term "contract" includes amendment, extension or renewal of an existing contract (Bids, RFPs, and/or RFQs also require Form 1295). The law does not apply to a Bid, RFP, RFQ and/or Contract between the County and another governmental entity or state agency. The county is required to file Form 1295 with the state within thirty (30) days of approving a contract, and/or awarding a Bid, RFP, RFQ and/or Contract with a business entity. Governmental transparency is the objective of the law. A business entity must generate Form 1295 online. A business entity must use the application at the Texas Ethics Commission website to enter the required information on Form 1295 and print a copy of the completed form, which will include a certification of filing that will contain a unique certification number and date filed in the box marked "Office Use Only" located at the top right hand corner of the form. An authorized agent of the business entity must sign and complete the bottom portion of the printed copy of the form affirming under the penalty of perjury that the completed form is true and correct. Calhoun County Commissioners Court will not consider for action any Contract with a business entity unless it is accompanied by a completed and signed Form 1295 or a signed statement declaring the provision of the law under which the business entity is exempt. A business entity will generate Form 1295 online after notification of award and submit with their signed contract. (See Attachment Ato General Conditions) No later than thirty (30) days after Calhoun County Commissioners Court approves a contract with a business entity, the Calhoun County Clerk will file acknowledgement of receipt of the Form 1295 with the Texas Ethics Commission. The Texas Ethics Commission will post the completed Form 1295 to its website within seven (7) business days after Calhoun County acknowledges receipt of the form. Debarment Bidder/vendor certifies that at the time of submission of its (their) Bid, RFP, RFQ and/or Contract, the bidder/vendor, as well as the bidder's/vendor's principals, are not on the federal government's list of suspended, ineligible or debarred bidders/vendors and that the bidder/vendor and its (their) principals have not been placed on this list between the time of the Bid, RFP, RFQ and/or Contract submission and the time of execution of the Bid, RFP, RFQ and/or Contract. A print out of the search results that includes the record date showing that the Company, and its Principals, if any, have an active registration with the System for Award Management (www.SAM.gov) AND are not debarred or suspended nor otherwise on the Excluded Parties List System (EPLS) in the System for Award Management (SAM) must be included with the bidder's/vendor's Bid, RFP, RFQ, and/or Contract. If bidder/vendor or its (their) principals are placed on this list during the term of the Bid, RFP, RFQ and/or Contract, the bidder/vendor shall notify the Calhoun County Auditor. False certification or failure to notify may result in termination of the Bid, RFP, RFQ and/or Contract for default. Invoices and Payments: All invoices are subject to approval by the Calhoun County Auditors Office. Invoices shall be billed to Calhoun Countyto the attention of the County Department that the invoice pertains to and, if applicable, have all necessary backup information needed. Invoices shall be itemized (detailed) and free of sales tax (state, city and county sales tax) and federal excise taxes, if applicable. Invoices that are not billed to Calhoun County to the attention of the County Department that the invoice pertains to, not itemized (detailed) and/or free of sales tax (state, city and county sales tax) and federal excise taxes, if applicable, maybe returned to the bidder/vendor for corrections. Calhoun County will not incur any fees and/or charges for this request and/or delay in payment of the invoice(s) that was originally submitted incorrectly. Approval of payment of all invoices will be made once the purchase order and invoice(s) are properly and timely submitted to the Calhoun County Treasurers Office by the appropriate County department. Each County department is responsible for submitting their purchase orders for payment to the Calhoun County Treasurer's Office by the deadline time and date set forth by the Treasurer's office. No payment can be made or mailed out until approved by Calhoun County Commissioners Court. Purchase order due dates/times and Commissioners Court dates/times are subject to change. Calhoun County's obligation is payable only and solelyfrom funds available forthe purpose of this purchase. Lack of funds shall render the order null and void to the extent funds are not available and any delivered but unpaid goods will be returned to the seller by the county. Gratuities: Calhoun County may, by written notice to the bidder/vendor, cancel any order and/or service without liability, if it is determined by Calhoun County that gratuities, in the form of entertainment, gifts, or otherwise were offered or given by the bidder/vendor, or any agent or representative of the bidder/vendor to any official, employee, or agent of Calhoun County with a view toward securing a Bid, RFP, RFQ, Contract, order, and/or service. In the event a Bid, RFP, RFQ, Contract, order, and/or service is canceled by Calhoun County pursuant to this provision, the County shall be entitled, in addition to any other rights and remedies, to recover or withhold the amount of the cost incurred by bidder/vendor in providing such gratuities. Warranty Product: Bidder/vendor warrants that products/goods sold to and/or services provided to Calhoun County shall conform to the highest commercial and/or professional standards in the industry and laws established by the U.S. Department of Labor, U.S. Department of Homeland Security, Occupational Safety and Health Administration and OSHA Act of 1970. In the event products/goods sold and/or services provided do not conform to OSHA Standards, where applicable, Calhoun County shall return the product/item for correction or replacement at the bidder's/vendors expense. In the event that services do not conform to OSHA Standards, Calhoun County may immediately stop the services and seek reimbursement for said services at the bidder's/vendor's expense. In the event the bidder/vendor fails to make the appropriate correction within a reasonable time, correction made by Calhoun County shall be at the bidders/vendor's expense. Bidder/vendor shall not limit or exclude any implied warranties and any attempt to do so shall render this Bid, RFP, RFQ, and/or Contract voidable at the option of Calhoun County. Bidder/vendor warrants that the products/goods and/or services furnished and/or performed will conform to the specifications, scope of work, general conditions, drawings, and/or descriptions listed in the Bid, RFP, RFQ and/or Contract and to the sample(s) furnished by bidder/vendor, if any. In the event of a conflict between the specifications, scope of work, general conditions, drawings, and/or descriptions, the specifications shall govern. All products/goods must be new, in first class condition, unless otherwise specified. The design, strength and quality of materials must conform to the highest standards of manufacturing practice. Products/goods, and/or services supplied and/or performed under this Bid, RFP, RFQ, and/or Contract shall be subject to Calhoun County's approval. Successful bidder/vendor shall warrant that all products/goods and/or services shall conform to the proposed specifications and/or all warranties as stated in the Uniform Commercial Code and be free from all defects in material, workmanship and title. Any products/goods and are services found defective or not meeting specifications shall be picked up and promptly replaced or corrected to Calhoun County's satisfaction by the successful bidder/vendor at no expense to Calhoun County. Cancellation: Calhoun County shall have the right to cancel for default all or any part of the undelivered portion of an order and/or services if bidder/vendor breaches any of the terms hereof including warranties of bidder/vendor, or if the bidder/vendor becomes insolvent or files for protection under the bankruptcy laws. Such rights of cancellation are in addition to and not in lieu of any other remedies, which Calhoun County may have in law or equity. Calhoun County shall not incur any fees and/or charges related to the cancellation. The bidder/vendor shall be responsible for any fees and/or charges that are related to the cancellation. Force Maieure• Force Majeure means a delay encountered by a party in the performance of its obligations under this Bid, RFP, RFQ, and/or Contract, which is caused by an event beyond the reasonable control of that party. Without limiting the generality of the foregoing, "Force Majeure" shall include but not be restricted to the following types of events: acts of God or public enemy; acts of governmental or regulatory authorities; fires, floods, epidemics or serious accidents; unusually severe weather conditions; strikes, lockouts, or other labor disputes; and defaults by subcontractors. In the event of a Force Majeure, the affected party shall not be deemed to have violated its obligations under this Bid, RFP, RFQ, and/or Contract, and the time for performance of any obligations of that party shall be extended by a period of time necessary to overcome the effects of the Force Majeure, provided that the foregoing shall not prevent this Bid, RFP, RFQ, and/or Contract from terminating in accordance with the termination provisions. If any event constituting a Force Majeure occurs, the affected party shall notify the other parties in writing, within twenty-four (24) hours, and disclose the estimated length of delay, and cause of the delay. Waiver: No claim or right arising out of a breach of any Bid, RFP, RFC, and/or Contract can be discharged in whole or in part by a waiver or renunciation of the claim or right unless the waiver or renunciation is supported by consideration and is in writing signed by the aggrieved party. Applicable Law: To the extent it is applicable, this Bid, RFP, RFQ and/or Contract shall be governed by the Uniform Commercial Code. Whenever the term "Uniform Commercial Code" is used it shall be construed as meaning the "Uniform Commercial Code" as adopted in the State of Texas as effective and in force on the date of this Bid, RFP, RFC, and/or Contract. Otherwise, Texas state and federal law shall apply. Prohibition against Personal Interest in Bids, RFPs, RFQs, and/or Contracts: No official, employee, or agent of Calhoun County shall have financial interest, direct or indirect, in any Bid, RFP, RFQ, and/or Contract with Calhoun County, orshall be financially interested, directly or indirectly, in the sale/lease to Calhoun County of any land, materials, supplies, orservice, except on behalf of Calhoun County as an official, employee, or agent. Any willful violation of this section shall constitute malfeasance in office, and any official, employee, or agent guilty thereof shall be subject to disciplinary action under applicable laws, statutes and codes of the State of Texas. Any violation of this section, with the knowledge, expressed or implied of the company, corporation, firm, partnership, or individual contracting with Calhoun County shall render the Bid, RFP, RFQ, and/or Contract involved voidable by the Calhoun County Commissioners Court. Insurance: Proof (copy of bidder's/vendor's current insurance) of the below listed insurance may be required to be returned with the Bid, RFP, RFQ, and/or Contract. As additional security for Calhoun County and as separate obligations of bidder/vendor not in conjunction with any other provisions of the Bid, RFP, RFQ, and/or Contract, bidder/vendor agrees to carry and maintain during the term of the Bid, RFP, RFQ and/or Contract the minimum insurance coverages stated below. Before commencing work, the successful bidder/vendor shall be required, at his own expense, to furnish the Calhoun County Auditor within ten (10) days of notification of award with a certificate(s) of liability insurance (Form ACORD 25 or equivalent) showing, at least, the following minimum insurance coverage to be in force throughout the term of the Bid, RFP, RFQ, and/or Contract. Higher rates and/or additional coverage may apply depending upon type of Bid, RFP, RFQ and/or Contract. o General Liability ($100,000/$300,000 or greater) o Workers' Compensation (at Statutory Limits) o Employers Liability ($1,000,000 or greater) o Auto Insurance ($100,000 BIPP/$300,000 BIPO/$100,000 PD or greater) o Professional Liability Insurance (if applicable) o Farm Liability Insurance (if applicable) Coverages shall apply on an occurrence basis. The certificate(s) must reflect, by policy endorsement, that Calhoun County, Texas is an additional insured on all required policies. Each certificate of liability insurance (Form ACORD 25 or equivalent) to be furnished by successful bidder's/vendor's insurance agent shall include, by endorsement to the policy, a statement that a notice shall be given to the Calhoun County Auditor by certified mail thirty (30) days prior to cancellation, material change, or non -renewal in coverage. Calhoun County's receipt of or failure to object to any insurance certificates or policies submitted by the bidder/vendor does not release or diminish in any manner the liability or obligations of the bidder/vendor or constitute a waiver of any of the insurance requirements forthe Bid, RFP, RFQ and/or Contract. Replacement certificate(s) of liability insurance (Form ACORD 25 or equivalent) evidencing continuation of such coverage and naming, by policy endorsement, Calhoun County as an additional insured, shall be furnished to the Calhoun County Auditor's office priorto the expiration of the current policies. Should bidder/vendor at any time neglect, refuse to provide, or cancel the insurance required, Calhoun County shall have the right to terminate the Bid, RFP, RFC, and/or Contract or pursue any remedy available by law. The insurance coverage requirements in the Bid, RFP, RFQ, and/or contract will in no way be construed as limiting the scope of indemnification. OSHA Requirements: Bidder/vendor must meet all Federal and State OSHA requirements. The bidder/vendor hereby guarantees to Calhoun County that all materials, supplies, equipment and/or services listed on the Bid, RFP, RFQ Contract, Purchase Order or Invoice shall conform to the requirements, specifications and standards promulgated by the U.S. Department of Labor under the Occupational Safety and Health Act of 1970, as amended and in force at the date hereof. Protest Procedures: All protests and disputes will be held in Port Lavaca, Calhoun County, Texas. Any actual or prospective bidder/vendor who believes they are aggrieved in connection with or pertaining to a Bid, RFP, RFQ and/or Contract may file a protest. The protest must be delivered in writing to the Calhoun County Auditor's Office, in person or by certified mail return receipt requested prior to award. The written protest must include: o Name, mailing address and business phone number of the protesting party; o Appropriate identification of the Bid, RFP, RFC, and/or Contract being protested; o A precise statement of the reasons for the protest; and o Any documentation or other evidence supporting the protest and any alleged claims. The Calhoun County Auditor's Office will attempt to resolve the protest, including at the County Auditor's option, meeting with the protesting party. If the protest is successfully resolved by mutual agreement, written verification of the resolution, with specifics on each point addressed in the protest, will be forwarded to Calhoun County Commissioners Court. If the Calhoun County Auditor's Office is not successful in resolving the protest, the protesting party may request in writing that the protest be considered by Calhoun County Commissioners Court. Applicable documentation and other information applying to the protest will be forwarded to Calhoun County Commissioners Court, who will promptly review such documentation and information. If additional information is required, Calhoun County Commissioners Court will notify the protesting party to provide such information. The decision of Calhoun County Commissioners Court will be final. Public Information Act: All governmental information is presumed to be available to the public. Certain exceptions may apply to the disclosure of the information. Bidder/Vendor waives any obligation to the release to the public of any documents submitted in accordance with the Bid, RFP, RFC, and/or Contract. Governmental bodies shall promptly release requested information that is not confidential by law, either constitutional, statutory, or by judicial decision, or information for which an exception to disclosure has not been sought. CALHOUN COUNTY AUDITOR To request information from Calhoun County, please contact: Calhoun County Auditor Calhoun County Courthouse Annex II 202 S Ann St, Suite B Port Lavaca, TX 77979 Phone: 361-553-4610 Fax: 361-553-4614 The Packet, Invitation for Bids, Request for Proposals and/or Request for Qualifications are posted on Calhoun County's website, www.calhouncotx.org, under Public Notices, Bid Notices and Results. ATTACHMENT A CALHOUN COUNTY, TEXAS GENERAL CONDITIONS CERTIFICATE OF INTERESTED PARTIES FORM 1295 A business entity will generate Form 1295 online after notification of award and submit with their signed contract. Form 1295 must be filled out and submitted online, printed, complete #6, signed and returned with the Agreement, Contract, or Lease. See Calhoun County, Texas —Policy of Compliance TO FILL OUT FORM 1295: Go to: https://www.ethics.state.tx.us/File 1. If you have an account, login and proceed with the processor if you do not have an account, follow the instructions to set up an account and then proceed with the process. 2. Submit and print a copy of the form which will contain a unique certification number and date submitted in the upper right hand box that is marked "Office Use Only". 3. The Respondent or an authorized agent of the Respondent must sign and date the printed copy of the form (making sure all of #6 is completed). 4. The completed Form 1295 must be included with your Agreement, Contractor Lease, when it is submitted to Calhoun County. For help in filling out the form: #1 Name of Business Entity filing the form, and the City, State and Country of the Entity's place of business #2 Calhoun County, Texas (Also, if applicable, insert name of County Department) #3 • Contract number, if not given, can be the year or dates associated with the Agreement, Contract, Lease or if for a Bid, RFP, or RFQ, the Bid, RFP, RFQ number and dates the Bid, RFP, RFQ pertains to • Description is description of Agreement, Contract, Lease or name of Bid, RFP, RFQ On #4 and #5, complete only the one that applies to you #4 Fill in the correct information if this applies OR #5 Mark an X in the Box if this applies #6 Fill in the correct information, submit and print After printing, the respondent or an authorized agent of the respondent must sign and date (making sure all of #6 is completed) When you print you should see a Certificate Number and Date in the upper right hand box that is marked "Office Use Only". CERTIFICATE OF INTERESTED PARTIES FORM 1295 OFFICE USE ONLY Complete Nos. 1 - 4 and 6 if there are interested parties. Complete Nos. 1, 2, 3, 5, and 6 if there are no interested parties. •`� 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. 2 Name of governmental entity or state agency that is a party to the contract for which the form is being filed. ♦ 3 Provide the identification number used by the governmental entity or state agency to tkQ identify the contract, and provide a description of the services, goods, or other property to be provided ue contract. 4 Name of Interested Party City, State, Country ature of Interest (check applicable) (place of business) Controllin 9 Intermediary • Cr Check only ifthe re' ad Party. El 6 UNSWORN DEC•Lt@ N My name is �`` , and my date of birth is My addre� (street) (city) (state) (zip code) (country) ender penalty of perjury that the foregoing is true and correct. Executed in County, State of on the day of , 20 (month) (year) Signature of authorized agent of contracting business entity (Declarant) ADD ADDITIONAL PAGES AS NECESSARY Form provided by Texas Ethics Commission www.ethics.state.tx.us Revised 12/2212017 Calhoun County, Texas POLICY OF COMPLIANCE SECTION 2252.908 TEXAS GOVERNMENT CODE Approved by Commissioners Court January 28, 2016 Amended by Commissioners Court January 31, 2018 and September 14, 2022 BACKGROUND Section 2252.908 was added to the Government Code by the 8411 Texas Legislature through the adoption of House Bill 1295. The law states that the County may not enter into a contract with a business entity unless a Certificate of Interested Parties (Form 1295) is provided to the county at the time the contract is considered for action by Commissioner's Court. The term "business entity" includes a sole proprietorship, partnership or corporation (whether for -profit or non-profit). The term "contract" includes amendment, extension or renewal of an existing contract. The law does not apply to a contract between the County and another governmental entity or state agency. The county is required to file Form 1295 with the state within 30 days of approving a contract with a business entity. Governmental transparency is the objective of the law. Senate Bill 255 adopted by the 85th Legislature Regular Session amended the law effective for contracts entered into or amended on or after January 1, 2018. Additional exemptions from Form 1295 requirement were added for 1) a contract with a publicly traded business entity, including a wholly owned subsidiary of the business entity, 2) a contract with an electric utility as defined by Section 31.002 of the Utilities Code, or 3) a contract with a gas utility as defined by Section 121.001 of the Utilities Code. Notarization of Form 1295 has been replaced by an unsworn statement under penalty of perjury by an authorized representative of the business entity. The Texas Ethics Commission promulgated rules to implement the law and established an online portal https://www.ethics.state.tx.us/whatsnew/elf_ info _form1295.htm. A business entity will generate Form 1295 online. Calhoun County will acknowledge online the receipt of Form 1295 after a contract is executed. Within seven business days, Form 1295 will be available for public viewing on the Commission's website. COMPLAINCE Calhoun County Commissioners Court will not consider for action any contract with a business entity unless it is accompanied by a completed, signed Form 1295 or a signed statement declaring the provision of the law under which the business entity is exempt. No later than 30 days after Commissioner's Court approves a contract with a non-exempt business entity, the County Clerk will file acknowledgement of receipt of the Form 1295 with the Texas Ethics Commission. MINORITY/FEMALE GOALS AND TIMETABLES The female employment goal is effective as of April 1980 and is currently 6.9%. The percentages for minority participation in Texas are: Texarkana Area: Texarkana & Bowie Co. 19.7 Non-MSA Counties of Camp, Cass, Lamar, Morris, Red River & Titus 20.2 Tvler-Lonaview Area: Longview, Gregg Co. & Harrison Co. 22.8 Tyler & Smith Co. 23.5 Non-MSA Counties of Anderson, Angelina, Cherokee, Henderson, Marion, Nacogdoches, Panola, 22.5 Rusk, San Augustine, Shelby, Upshur & Wood Beaumont -Port Arthur Area: Beaumont, Port Arthur, Orange, Hardin Co., Jefferson Co., & Orange Co. 22.6 Non-MSA Counties of Jasper, Houston, Newton, Sabine, & Tyler 22.6 Houston Area: Bryan, College Station & Brazos Co. 23.7 Galveston, Texas City & Galveston Co. 28.9 Houston, Brazoria Co., Fort Bend Co., Harris Co., Liberty Co., Montgomery Co. & Waller Co. 27.3 Non-MSA Counties of Austin, Burleson, Calhoun, Chambers, Colorado, DeWitt, Fayette, Goliad, 27.4 Grimes, Jackson, Lavaca, Leon, Madison, Matagorda, Polk, Robertson, San Jacinto, Trinity, Victoria, Walker, Washington, & Wharton Austin Area: Austin, Hays Co., Travis Co., & Williamson Co. 24.1 Non-MSA Counties of Bastrop, Blanco, Burnet, Caldwell, Lee & Llano 24.2 Waco, Killeen, Temple Area: Killeen, Temple, Bell Co. & Coryell Co. 16.4 Waco & McLennan Co. 20.7 Non-MSA Counties of Bosque, Falls, Freestone, Hamilton, Hill, Lampasas, Limestone, Milam & Mills 18.6 Dallas, Fort Worth Area: Dallas, Fort Worth, Collin Co., Dallas Co., Denton Co., Ellis Co., Hood Co., Johnson Co., Kaufman 18.2 Co., Parker Co., Rockwall Co., Tarrant Co. & Wise Co. Sherman, Denison & Grayson Co. 9.4 Non-MSA Counties of Cooke, Delta, Erath, Fannin, Franklin, Hopkins, Hunt, Jack, Montague, 17.2 Navarro, Palo Pinto, Rains, Somervell, & Van Zandt Wichita Falls Area: Wichita Falls, Clay Co. & Wichita Co. 12.4 Non-MSA Counties of Archer, Baylor, Cottle, Foard, Herdsman, Wilbarger & Young 11.0 Abilene Area: Abilene, Callaghan Co., Jones Co. & Taylor Co. 11.6 Non-MSA Counties of Brown, Coleman, Comanche, Eastland, Fisher, Haskell, Kent, Knox, Mitchell, 10.9 Nolan, Scurry, Shackleford, Stephens, Stonewall & Throckmorton San Angelo Area: San Angelo & Tom Green Co. 19.2 Non-MSA Counties of Coke, Concho, Crockett, Irion, Kimble, McCullough, Mason, Menard, Reagan, 20.0 Runnels, San Saba, Schleicher, Sterling, Sutton & Terrell San Antonio Area: Laredo & Webb Co. 87.3 San Antonio, Bexar Co., Comal Co. & Guadalupe Co. 47.8 Non-MSA Counties of Atascosa, Bandera, Dimmit, Edwards, Frio, Gillespie, Gonzales, Jim Hogg, 49.4 Karnes, Kendall, Kerr, Kinney, La Salle, McMullen, Maverick, Medina, Real, Uvalde, Val Verde, Wilson, Zapata & Zavala Corpus Christi Area: Corpus Christi, Nueces Co. & San Patricio Co. 41.7 Non-MSA Counties of Aransas, Bee, Brooks, Duval, Jim Wells, Kenedy, Kleberg, Live Oak & 44.2 Refugio Brownsville, McAllen, Harlingen Area: Brownsville, Harlingen, San Benito & Cameron Co. 71.0 McAllen, Pharr, Edinburg & Hidalgo Co. 72.8 Non-MSA Counties of Starr & Willacy 72.9 Odessa. Midland Area: Midland & Midland Co. 19.1 Odessa & Ector Co. 15.1 Non-MSA Counties of Andrews, Crane, Glasscock, Howard, Loving, Martin, Pecos, Reeves, Upton, 18.9 Ward & Winkler El Paso Area: El Paso & El Paso Co. 57.8 Non-MSA Counties of Brewster, Culbertson, Hudspeth, Jeff Davis & Presidio 49.0 Lubbock Area: Lubbock & Lubbock Co. 19.6 Non-MSA Counties of Bailey, Borden, Cochran, Crosby, Dawson, Dickens, Floyd, Gaines, Garza, 19.5 Hale, Hockley, King, Lamb, Lynn, Motley, Terry & Yoakum Amarillo Area: Amarillo, Potter Co. & Randall Co. 9.3 Non-MSA Counties of Armstrong, Briscoe, Carson, Castro, Childress, Collingsworth, Dallam, Deaf 11.0 Smith, Donley, Gray, Hall, Hansford, Hartley, Hemphill, Hutchinson, Lipscomb, Moore, Ochiltree, Oldham, Parmer, Roberts, Sherman, Swisher, & Wheeler Federal Labor Standards Provisions U.S. Department of Housing and Urban Development Office of Davis -Bacon and Labor Standards A. APPLICABILITY The Projector Program to which the construction work covered by this Contract pertains is being assisted by the United States of America, and the following Federal Labor Standards Provisions are included in this Contract pursuant to the provisions applicable to such Federal assistance, (1) MINIMUM WAGES (1) All laborers and mechanics employed or working upon the site of the work will be paid unconditionally and not less often than once a week, and without subsequent deduction or rebate on any account (except such payroll deductions as are permitted by regulations Issued by the Secretary of Labor under the Copeland Act (29 CFR Part 3)), the full amount of wages and bona fide fringe benefits (or cash equivalents thereof) due at time of payment, computed at rates not less than those contained in the wage determination of the Secretary of Labor (which is attached hereto and made a part hereof), regardless of any contractual relationship which may be alleged to exist between the contractor and such laborers and mechanics. Contributions made or costs reasonably anticipated for bona fide fringe benefits under Section 1(b)(2) of the Davis -Bacon Act on behalf of laborers or mechanics are considered wages paid to such laborers or mechanics, subject to the provisions of 29 CFR 5.5(a)(1)(iv); also, regular contributions made or costs incurred for more than a weekly period (but not less often than quarterly) under plans, funds, or programs, which cover the particular weekly period, are deemed to be constructively made or incurred during such weekly period. Such laborers and mechanics shall be paid the appropriate wage rate and fringe benefits on the wage determination for the classification of work actually performed, without regard to skill, except as provided in 29 CFR 5.5(a)(4). Laborers or mechanics performing work in more than one classification may be compensated at the rate specified for each classification for the time actually worked therein: Provided, that the employer's payroll records accurately set forth the time spent in each classification In which work is performed. The wage determination (including any additional classification and wage rates conformed under 29 CFR 55(a)(1)(II) and the Davis -Bacon poster (WH1321)) shall be posted at all times by the contractor and its subcontractors at the site of the work in a prominent and accessible place,. where it can be easily seen by the workers. (ii) Additional Class cations. (A) Any class of laborers or mechanics which is not listed in the wage determination and which Is to be employed under the contract shall be classified in conformance with the wage determination. HUD shall approve an additional classification and wage rate and fringe benefits therefor only when the following criteria have been met: (1) The work to be performed by the classification requested Is not performed by a classification in the wage determination; (2) The classification is utilized in the area by the construction industry; and (3) The proposed wage rate, including any bona fide fringe benefits, bears a reasonable relationship to the wage rates contained in the wage determination. (B) If the contractor, the laborers and mechanics to be employed in the classification (if known), or their representatives, and HUD or its designee agree on the proposed classification and wage rate (Including the amount designated for fringe benefits, where appropriate), a report of the action taken shall be sent by HUD or Its designee to the Administrator of the Wage and Hour Division ("Administrator"), Employment Standards Administration, U.S. Department of Labor, Washington, D.C. 20210. The Administrator, or an authorized representative, will approve, modify, or disapprove every additional classification action within 30days of receipt and so advise HUD or Its designee or will notify HUD or Its designee within the 30-day period that additional time is necessary. (Approved by the Office of Management and Budget ("OMB") under OMB control number 1235-0023.) (C) In the event the contractor, the laborers or mechanics to be employed in the classification or their representatives, or HUD or its designee do not agree on the proposed classification and wage rate (including the amount designated for fringe benefits, where appropriate), HUD or its designee shall refer the questions, Including the views of all interested parties and the recommendation of HUD or its designee, to the Administrator for determination. The Administrator, or an authorized representative, will Issue a determination within 30 days of receipt and so advise HUD or its designee or will notify HUD or its designee within the 30-day period that additional time is necessary. (Approved by the Office of Management and Budget under OMB Control Number 1235-0023.) form HUD-4010 (07/2021) Previous editions are obsolete Page 1 of 5 ref. Handbook 1344.1 (D) The wage rate (including fringe benefits, where appropriate) determined pursuant to subparagraphs (1)(11)(B) or (C) of this paragraph, shall be paid to all workers performing work in the classification under this Contract from the first day on which work is performed in the classification. (iii) Whenever the minimum wage rate prescribed in the contract for a class of laborers or mechanics includes a fringe benefit which is not expressed as an hourly rate, the contractor shall either pay the benefit as stated In the wage determination or shall pay another bona fide fringe benefit or an hourly cash equivalent thereof. (iv) If the contractor does not make payments to a trustee or other third person, the contractor may consider as part of the wages of any laborer or mechanic the amount of any costs reasonably anticipated in providing bona fide fringe benefits under a plan or program, Provided, that the Secretary of Labor has found, upon the written request of the contractor, that the applicable standards of the Davis -Bacon Act have been met. The Secretary of Labor may require the contractor to set aside in a separate account assets for the meeting of obligations under the plan or program. (Approved by the Office of Management and Budget under OMB Control Number 1235.0023.) (2) Withholding. HUD or its designee shall, upon its own action or upon written request of an authorized representative of the U.S. Department of Labor, withhold or cause to be withheld from the contractor under this contract or any other Federal contract with the same prime contractor, or any other Federally -assisted contract subject to Davis -Bacon prevailing wage requirements which is held by the same prime contractor, so much of the accrued payments or advances as may be considered necessary to pay laborers and mechanics, including apprentices, trainees and helpers, employed by the contractor or any subcontractor the full amountof wages required by the contract. In the event of failure to pay any laborer or mechanic, including any apprentice, trainee or helper, employed or working on the site of the work, all or part of the wages required by the contract, HUD or its designee may, after written notice to the contractor, sponsor, applicant, or owner, take such action as may be necessary to cause the suspension of any further payment, advance, or guarantee of funds until such violations have ceased, HUD or its designee may, after written notice to the contractor, disburse such amounts withheld for and on account of the contractor or subcontractor to the respective employees to whom they are due. The Department of Labor shall make such disbursements in the case of direct Davis -Bacon Act contracts. (3) Payrolls and basic records. (� Maintaining Payroll Records. Payrolls and basic records relating thereto shall be maintained by the contractor during the course of the work and preserved for a period of three years thereafter for all laborers and mechanics workingat the site of the work. Such records shall contain the name, address, and social security number of each such worker, his or her correct classif cation(s), hourly rates of wages paid (including rates of contributions or costs anticipated for bona fide fringe benefits or cash equivalents thereof of the types described in Section 1(b)(2)(B) of the Davis -Bacon Act), daily and weekly number of hours worked, deductions made, and actual wages paid. Whenever the Secretary of Labor has found, under 29 CFR 5.5(a)(1)(iv), that the wages of any laborer or mechanic include the amount of any costs reasonably anticipated in providing benefits under a plan or program described In Section 1(b)(2)(B) of the Davis -Bacon Act, the contractor shall maintain records which show that the commitment to provide such benefits is enforceable, that the plan or program is financially responsible, and that the plan or program has been communicated in writing to the laborers or mechanics affected, and records which show the costs anticipated or the actual cost incurred In providing such benefits. Contractors employing apprentices or trainees under approved programs shall maintain written evidence of the registration of apprenticeship programs and certification of trainee programs, the registration of the apprentices and trainees, and the ratios and wage rates prescribed in the applicable programs. (Approved by the Office of Management and Budget under OMB Control Numbers 1235-0023 and 1215-0018) (ii) Certified Payroll Reports. (A) The contractor shall submit weekly, for each week in which any contract work is performed, a copy of all payrolls to HUD or its designee If the agency is a party to the contract, but if the agency is not such a party, the contractor will submit the payrolls to the applicant sponsor, or owner, as the case may be, for transmission to HUD or Its designee. The payrolls submitted shall set outacourately and completely all of the information required to be maintained under 29 CFR 5.5(a)(3)(i), except that full social security numbers and home addresses shall not be included on weekly transmittals. Instead, the payrolls only need to include an individually Identifying number for each employee (e.g., the last four digits of the employee's social security number). The required weekly payroll information may be submitted in any form desired. Optional Form WH-347 is available for this purpose from the Wage and Hour Division,Web site at https://www.dol.gov/agencies/whd/forms or its successor site. The prime contractor is responsible for the submission of copies of payrolls by all subcontractors. form HUD-4010 (07/2021) Previous editions are obsolete Page 2 of 5 ref. Handbook 1344.1 Contractors and subcontractors shall maintain the full social security number and current address of each covered worker, and shall provide them upon request to HUD or Its designee if the agency is a party to the contract, but if the agency is not such a party, the contractor will submit the payrolls to the applicant sponsor, or owner, as the case may be, for transmission to HUD or its designee, the contractor, or the Wage and Hour Division of the U.S. Department of Labor for purposes of an investigation or audit of compliance with prevailing wage requirements. It Is not a violation of this subparagraph for a prime contractor to require a subcontractor to provide addresses and social security numbers to the prime contractor for Its own records, without weekly submission to HUD or Its designee. (Approved by the Office of Management and Budget under OMB Control Number 1235.0008.) (B) Each payroll submitted shall be accompanied by a "Statement of Compliance," signed by the contractor or subcontractor or his or her agent who pays or supervises the payment of the persons employed under the contract and shall certify the following: (1) That the payroll for the payroll period contains the information required to be provided under 29 CFR 5.5(a)(3)(11), the appropriate information is being maintained under 29 CFR 5.5(a)(3)(i), and that such Information is correct and complete; (2) That each laborer or mechanic (Including each helper, apprentice, and trainee) employed on the contract duringthe payroll period has been paid the full weekly wages earned, without rebate, either directly or indirectly, and that no deductions have been made either directly or indirectly from the full wages earned, other than permissible deductions as set forth in 29 CFR Part 3; (3) That each laborer or mechanic has been paid not less than the applicable wage rates and fringe benefits or cash equivalents for the classification of work performed, as specified in the applicable wage determination Incorporated into the contract; and (C) The weekly submission of a properly executed certification set forth on the reverse side of Optional Form WH-347 shall satisfy the requirement for submission of the "Statement of Compliance" required by subparagraph (a)(3)(i)(b)• (D) The falsification of any of the above certifications may subject the contractor or subcontractor to civil or criminal prosecution under Section 1001 of Title 18 and Section 3729 of Title 31 of the United States Code. (it!) The contractor or subcontractor shall make the records required under subparagraph (a)(3)(1) available for inspection, copying, or transcription by authorized representatives of HUD or its designee or the U.S. Department of Labor, and shall permit such representatives to interview employees during working hours on the job. If the contractor or subcontractor fails to submit the required records or to make them available, HUD or its designee may, after written notice to the contractor, sponsor, applicant, or owner, take such action as maybe necessary to cause the suspension of any further payment, advance, or guarantee of funds. Furthermore, failure to submit the required records upon request or to make such records available maybe grounds for debarment action pursuant to 29 CFR 5.12. (4) Apprentices and Trainees. (i) Apprentices. Apprentices will be permitted to work at less than the predetermined rate for thework they performed when they are employed pursuant to and individually registered in a bona fide apprenticeship program registered with the U.S. Department of Labor, Employment and Training Administration, Office of Apprenticeship Training, Employer and Labor Services, or with a State Apprenticeship Agency recognized by the Office, or if a person is employed in his or her first 90 days of probationary employment as an apprentice In such an apprenticeship program, who is not Individually registered in the program, but who has been certified by the Office of Apprenticeship Training, Employer and Labor Services, or a State Apprenticeship Agency (where appropriate), to be eligible for probationary employment as an apprentice. The allowable ratio of apprentices to journeymen on the job site in any craft classification shall not be greater than the ratio permitted to the contractor as to the entire work force under the registered program. Any worker listed on a payroll at an apprentice wage rate, who is not registered or otherwise employed as stated above, shall be paid not less than the applicable wage rate on the wage determination for the classification of work actually performed. In addition, any apprentice performing work on the job site in excess of the ratio permitted under the registered program shall be paid not less than the applicable wage rate on the wage determination for the work actually performed. Where a contractor is performing construction on a project in a locality other than that in which Its program is registered, the ratios and wage rates (expressed in percentages of the journeyman's hourly rate) specified in the contractor's or subcontractor's registered program shall be observed. Every apprentice must be paid at not less than the rate specified in the registered program for the apprentice's level of progress, expressed as a percentage of the journeymen hourly rate specified in the applicable wage determination. Apprentices shall be paid fringe benefits in accordance with the provfsions of the a renticeshi ro ram. form HUD-4010 (07/2021) Previous editions are obsolete Page 3 of 5 ref. Handbook 1344.1 If the apprenticeship program does not specify fringe benefits, apprentices must be paid the full amount of fringe benefits listed on the wage determination for the applicable classification. If the Administrator determines that a different practice prevails for the applicable apprentice classification, fringe benefits shall be paid In accordance with that determination. In the event the Office of Apprenticeship Training, Employer and tabor Services, or a State Apprenticeship Agency recognized by the Office, withdraws approval of an apprenticeship program, the contractor will no longer be permitted to utilize apprentices at less than the applicable predetermined rate for the work performed until an acceptable program is approved. (ii) Trainees. Except as provided in 29 CFR 5.16, trainees will not be permitted to work at less than the predetermined rate for the work performed, unless they are employed pursuant to and individually registered In a program which has received prior approval, evidenced by formal certification by. the U.S. Department of Labor, Employment and Training Administration. The ratio of trainees tojourneymen on the job site shall not be greater than permitted under the plan approved by the. Employment and Training Administration. Every trainee must be paid at not less than the rate specified in the approved program for the trainee's level of progress, expressed as a percentage of thejourneyman hourly rate specified in the applicable wage determination. Trainees shall be paid fringe benefits in accordance with the provisions of the trainee program. If the trainee program does not mention fringe benefits, trainees shall be paid the full amount of fringe benefits listed on the wage determination unless the Administrator of the Wage and Hour Division determines that there is an apprenticeship program associated with the correspond ingiourneyman wage rate on the wage determination which provides for less than full fringe benefits for apprentices. Any employee listed on the payroll at a trainee rate who is not registered and participating in a training plan approved by the Employment and Training Administration shall be paid not less than the applicable wage rate on the wage determination for the work actually performed. In addition, any trainee performing work on the job site in excess of the ratio permitted under the registered program shall be paid not less than the applicable wage rate on the wage determination for the work actually performed. In the event the Employment and Training Administration withdraws approval of a training program, the contractor will no longer be permitted to utilize trainees at less than the applicable predetermined rate for the work performed until an acceptable program is approved. (III) Equal employment opportunity. The utilization of apprentices, trainees, and journeymen under 29 CFR Part 5 shall be in conformity with the equal employment opportunity requirements of Executive Order 11246, as amended, and 29 CFR Part 30. (5) Compliance with Copeland Act requirements. The contractor shall comply with the requirements of 29 CFR Part 3, which are Incorporated by reference in this Contract. (6) Subcontracts. The contractor or subcontractor will insert in any subcontracts the clauses contained in subparagraphs (1) through (11) in this paragraph (a) and such other clauses as HUD or Its designee may, by appropriate instructions, require, and a copy of the applicable prevailing wage decision, and also a clause requiring the subcontractors to include these clauses In any lower tier subcontracts. The prime contractor shall be responsible for the compliance by any subcontractor or lower tier subcontractor with all the contract clauses In this paragraph. (7) Contract termination; debarment. A breach of the contract clauses in 29 CFR 5.5 may be grounds for termination of the contract and for debarment as a contractor and a subcontractor as provided in 29 CFR 5.12. (8) Compliance with Davis -Bacon and Related Act Requirements. All rulings and interpretations of the Davis -Bacon and Related Acts contained in 29 CFR Parts 1, 3, and 5 are herein incorporated by reference in this Contract. (9) Disputes concerning labor standards. Disputes arising out of the labor standards provisions of this Contract shall not be subject to the general disputes clause of this Contract. Such disputes shall be resolved in accordance with the procedures of the U.S. Department of Labor set forth in 29 CFR Parts 5, 6, and 7. Disputes within the meaning of this clause include disputes between the contractor (or any of its subcontractors) and HUD or Its designee, the U.S. Department of Labor, or the employees or their representatives. (10) Certification of Eligibility. (i) By entering Into this Contract, the contractor certifies that neither It (nor he or she) nor any person or firm who has an interest in the contractor's firm is a person or firm ineligible to be awarded Government contracts by virtue of Section 3(a) of the Davis -Bacon Actor 29 CFR 5.12(a)(1) or to be awarded HUD contracts or participate In HUD programs pursuant to 24 CFR Part 24. form HUD-4030 (07/2021) Previous editions are obsolete Page 4 of 5 ref. Handbook 1344.1 (ii) No part of this Contract shall be subcontracted to any person or firm ineligible for award of a Government contract by virtue of Section 3(a) of the Davis -Bacon Actor 29 CFR 5.12(a)(1) or to be awarded HUD contracts or participate In HUD programs pursuant to 24 CFR Part 24. (III) Anyone who knowingly makes, presents, or submits a false, fictitious, or fraudulent statement, representation or certification is subject to criminal, civil and/or administrative sanctions, Including fines, penalties, and imprisonment (e.g., 18 U.S.C. §§ 287, 1001, 1010, 1012; 31 U.S.C. §§ 3729, 3802. (11) Complaints, Proceedings, or Testimony by Employees. No laborer or mechanic, to whom the wage, salary, or other labor standards provisions of this Contract are applicable, shall be discharged or in any other manner discriminated against by the contractor or any subcontractor because such employee has filed any complaint or instituted or caused to be instituted any proceeding or has testified or is about to testify in any proceeding under or relating to the labor standards applicable under this Contract to his employer. B. CONTRACT WORK HOURS AND SAFETY STANDARDS ACT The provisions of this paragraph (b) are applicable where the amount of the prime contract. exceeds $100,000. As used in this paragraph, the terms laborers" and✓'mechanics' Include watchmen and guards. (1) Overtime requirements. No contractor or subcontractor contracting for any part of the contract work, which may require or involve the employment of laborers or mechanics, shall require or permit any such laborer or mechanic In any workweek in which the individual is employed on such work to work in excess of 40 hours in such workweek, unless such laborer or mechanic receives compensation at a rate not less than one and one-half times the basic rate ofpay for all hours worked In excess of 40 hours in such workweek. see as CFR ss 5,0 (a) for current rate (2) Violation; liability for unpaid wages; liquidated damages. In the event of any violation of the clauses Fin in subparagraph B(1) of this paragraph, the contractor, and any subcontractor responsible therefor, shall be liable for e unpaid wages. In addition, such contractor and subcontractor shall be liable to the United States (in the case of w k done under contract for the District of Columbia or a territory, to such District or to such territory) for liquidated dam es. Such liquidated damages shall be computed with respect to each Individual laborer or mechanic, including watchm and guards, employed in violation of the clause set forth in subparagraph B(1) of this paragraph, in the sum 27 r each calendarday on which such individual was required or permitted to work in excess of the standard workwee o 40 hours without payment of the overtime wages required by the clause set forth in subparagraph B(1) of this paragraph. In accordance with the Federal Civil Penalties Inflation Adjustment Act of 1990 (28 U.S.C. § 2461 Note), the Department of Labor adjusts this civil monetary penalty for inflation no later than January 15 each year. (3) Whhholdingfor unpaid wages and liquidated damages. HUD or its designee shall, upon its own action or upon written request of an authorized representative of the U.S. Department of Labor, withhold or muse to be withheld from any moneys payable on account of work performed by the contractor or subcontractor under any such contract, or any other Federal contract with the same prime contract, or any other Federally -assisted contract subject to the Contract Work Hours and Safety Standards Act which Is held by the same prime contractor, such sums as may be determined to be necessary to satisfy any liabilities of such contractor or subcontractor for unpaid wages and liquidated damages, as provided in the clause set forth in subparagraph B(2) of this paragraph. (4) Subcontracts. The contractor or subcontractor shall insert in any subcontracts the clauses set forth in subparagraph B(1) through (4) of this paragraph and also a clause requiring the subcontractors to Include these clauses in any lower tier subcontracts. The prime contractor shall be responsible for compliance by any subcontractor or lower tier subcontractor with the clauses set forth In subparagraphs B(1) through (4) of this paragraph. C. HEALTH AND SAFETY The provisions of this paragraph (c) are applicable where the amount of the prime contract exceeds $100,000. (1) No laborer or mechanic shall be required to work in surroundings or under working conditions which are unsanitary, hazardous, or dangerous to his or her health and safety, as determined under construction safety and health standards promulgated by the Secretary of Labor by regulation. (2) The contractor shall comply with all regulations issued by the Secretary of Labor pursuant to 29 CFR Part 1926 and failure to comply may result in imposition of sanctions pursuant to the Contract Work Hours and Safety Standards Act, (Public Law 91-54, 83 Stat 96), 40 U.S.C. § 3701 at seq. (3) The contractor shall Include the provisions of this paragraph in every subcontract, so that such provisions will be binding on each subcontractor. The contractor shall take such action with respect to any subcontractor as the Secretary of Housing and Urban Developmentor the Secretary of Labor shall direct as a means of enforcing such provisions. form HUD-4010 (07/2021) Previous editions are obsolete Page 5 of 5 ref. Handbook 1344.1 Title 29: Labor PART 3—CONTRACTORS AND SUBCONTRACTORS ON PUBLIC BUILDING OR PUBLIC WORK FINANCED IN WHOLE OR IN PART BY LOANS OR GRANTS FROM THE UNITED STATES Contents §3.1 Purpose and scope. §3.2 Definitions. §3.3 Weekly statement with respect to payment of wages. §3.4 Submission of weekly statements and the preservation and inspection of weekly payroll records. §3.5 Payroll deductions permissible without application to or approval of the Secretary of Labor. §3.6 Payroll deductions permissible with the approval of the Secretary of Labor. §3.7 Applications for the approval of the Secretary of Labor. §3.8 Action by the Secretary of Labor upon applications. §3.9 Prohibited payroll deductions. §3.10 Methods of payment of wages. §3.11 Regulations part of contract. AUTHORITY: R.S. 161, sec. 2, 48 Stat. 848; Reorg. Plan No. 14 of 1950, 64 Stat. 1267; 5 U.S.C. 301; 40 U.S.C. 3145; Secretary's Order 01-2008; and Employment Standards Order No. 2001-01. SOURCE: 29 FR 97, Jan. 4, 1964, unless otherwise noted. §3.1 Purpose and scope. This part prescribes "anti -kickback" regulations under section 2 of the Act of June 13, 1934, as amended (40 U.S.C. 276c), popularly known as the Copeland Act. This part applies to any contract which is subject to Federal wage standards and which is for the construction, prosecution, completion, or repair of public buildings, public works or buildings or works financed in whole or in part by loans or grants from the United States. The part is intended to aid in the enforcement of the minimum wage provisions of the Davis -Bacon Act and the various statutes dealing with federally assisted construction that contain similar minimum wage provisions, including those provisions which are not subject to Reorganization Plan No. 14 (e.g., the College Housing Act of 1950, the Federal Water Pollution Control Act, and the Housing Act of 1959), and in the enforcement of the overtime provisions of the Contract Work Hours Standards Act whenever they are applicable to construction work. The part details the obligation of contractors and subcontractors relative to the weekly submission of statements regarding the wages paid on work covered thereby; sets forth the circumstances and procedures governing the making of payroll deductions from the wages of those employed on such work; and delineates the methods of payment permissible on such work. §3.2 Definitions. As used in the regulations in this part: (a) The terms building or work generally include construction activity as distinguished from manufacturing, furnishing of materials, or servicing and maintenance work. The terms include, without limitation, buildings, structures, and improvements of all types, such as bridges, dams, plants, highways, parkways, streets, subways, tunnels, sewers, mains, powerlines, pumping stations, railways, airports, terminals, docks, piers, wharves, ways, lighthouses, buoys, jetties, breakwaters, levees, and canals; dredging, shoring, scaffolding, drilling, blasting, excavating, clearing, and landscaping. Unless conducted in connection with and at the site of such a building or work as is described in the foregoing sentence, the manufacture or furnishing of materials, articles, supplies, or equipment (whether or not a Federal or State agency acquires title to such materials, articles, supplies, or equipment during the course of the manufacture or furnishing, or owns the materials from which they are manufactured or furnished) is not a building or work within the meaning of the regulations in this part. (b) The terms construction, prosecution, completion, or repair mean all types of work done on a particular building or work at the site thereof, including, without limitation, altering, remodeling, painting and decorating, the transporting of materials and supplies to or from the building or work by the employees of the construction contractor or construction subcontractor, and the manufacturing or furnishing of materials, articles, supplies, or equipment on the site of the building or work, by persons employed at the site by the contractor or subcontractor. (c) The terms public building or public work include building or work for whose construction, prosecution, completion, or repair, as defined above, a Federal agency is a contracting party, regardless of whether title thereof is in a Federal agency. (d) The term building or work financed in whole or in part by loans or grants from the United States includes building or work for whose construction, prosecution, completion, or repair, as defined above, payment or part payment is made directly or indirectly from funds provided by loans or grants by a Federal agency. The term includes building or work for which the Federal assistance granted is in the form of loan guarantees or insurance. (e) Every person paid by a contractor or subcontractor in any manner for his labor in the construction, prosecution, completion, or repair of a public building or public work or building or work financed in whole or in part by loans or grants from the United States is employed and receiving wages, regardless of any contractual relationship alleged to exist between him and the real employer. (f) The term any affiliated person includes a spouse, child, parent, or other close relative of the contractor or subcontractor; a partner or officer of the contractor or subcontractor; a corporation closely connected with the contractor or subcontractor as parent, subsidiary, or otherwise, and an officer or agent of such corporation. (g) The term Federal agency means the United States, the District of Columbia, and all executive departments, independent establishments, administrative agencies, and instrumentalities of the United States and of the District of Columbia, including corporations, all or substantially all of the stock of which is beneficially owned by the United States, by the District of Columbia, or any of the foregoing departments, establishments, agencies, and instrumentalities. [29 FR 97, Jan. 4, 1964, as amended at 38 FIR 32575, Nov. 27, 1973] §3.3 Weekly statement with respect to payment of wages. (a) As used in this section, the term employee shall not apply to persons in classifications higher than that of laborer or mechanic and those who are the immediate supervisors of such employees. (b) Each contractor or subcontractor engaged in the construction, prosecution, completion, or repair of any public building or public work, or building or work financed in whole or in part by loans or grants from the United States, shall furnish each week a statement with respect to the wages paid each of its employees engaged on work covered by this part 3 and part 5 of this title during the preceding weekly payroll period. This statement shall be executed by the contractor or subcontractor or by an authorized officer or employee of the contractor or subcontractor who supervises the payment of wages, and shall be on the back of Form WH 347, "Payroll (For Contractors Optional Use)" or on any form with identical wording. Copies of Form WH 347 may be obtained from the Government contracting or sponsoring agency or from the Wage and Hour Division Web site at http://www.dol.gov/esa/whd/forms/wh347instr.htm or its successor site. (c) The requirements of this section shall not apply to any contract of $2,000 or less (d) Upon a written finding by the head of a Federal agency, the Secretary of Labor may provide reasonable limitations, variations, tolerances, and exemptions from the requirements of this section subject to such conditions as the Secretary of Labor may specify. [29 FR 97, Jan. 4, 1964, as amended at 33 FR 10186, July 17, 1968; 47 FR 23679, May 28, 1982; 73 FR 77511, Dec. 19, 2008] §3.4 Submission of weekly statements and the preservation and inspection of weekly payroll records. (a) Each weekly statement required under §3.3 shall be delivered by the contractor or subcontractor, within seven days after the regular payment date of the payroll period, to a representative of a Federal or State agency in charge at the site of the building or work, or, if there is no representative of a Federal or State agency at the site of the building or work, the statement shall be mailed by the contractor or subcontractor, within such time, to a Federal or State agency contracting for or financing the building or work. After such examination and check as may be made, such statement, or a copy thereof, shall be kept available, or shall be transmitted together with a report of any violation, in accordance with applicable procedures prescribed by the United States Department of Labor. (b) Each contractor or subcontractor shall preserve his weekly payroll records for a period of three years from date of completion of the contract. The payroll records shall set out accurately and completely the name and address of each laborer and mechanic, his correct classification, rate of pay, daily and weekly number of hours worked, deductions made, and actual wages paid. Such payroll records shall be made available at all times for inspection by the contracting officer or his authorized representative, and by authorized representatives of the Department of Labor. (Reporting and recordkeeping requirements in paragraph (b) have been approved by the Office of Management and Budget under control number 1215-0017) [29 FIR 97, Jan. 4, 1964, as amended at 47 FIR 145, Jan. 5, 19821 §3.5 Payroll deductions permissible without application to or approval of the Secretary of Labor. Deductions made under the circumstances or in the situations described in the paragraphs of this section may be made without application to and approval of the Secretary of Labor: (a) Any deduction made in compliance with the requirements of Federal, State, or local law, such as Federal or State withholding income taxes and Federal social security taxes. (b) Any deduction of sums previously paid to the employee as a bona fide prepayment of wages when such prepayment is made without discount or interest. A bona fide prepayment of wages is considered to have been made only when cash or its equivalent has been advanced to the person employed in such manner as to give him complete freedom of disposition of the advanced funds. (c) Any deduction of amounts required by court process to be paid to another, unless the deduction is in favor of the contractor, subcontractor, or any affiliated person, or when collusion or collaboration exists. (d) Any deduction constituting a contribution on behalf of the person employed to funds established by the employer or representatives of employees, or both, for the purpose of providing either from principal or income, or both, medical or hospital care, pensions or annuities on retirement, death benefits, compensation for injuries, illness, accidents, sickness, or disability, or for insurance to provide any of the foregoing, or unemployment benefits, vacation pay, savings accounts, or similar payments for the benefit of employees, their families and dependents: Provided, however, That the following standards are met: (1) The deduction is not otherwise prohibited by law; (2) It is either: (i) Voluntarily consented to by the employee in writing and in advance of the period in which the work is to be done and such consent is not a condition either for the obtaining of or for the continuation of employment, or (ii) provided for in a bona fide collective bargaining agreement between the contractor or subcontractor and representatives of its employees; (3) No profit or other benefit is otherwise obtained, directly or indirectly, by the contractor or subcontractor or any affiliated person in the form of commission, dividend, or otherwise; and (4) The deductions shall serve the convenience and interest of the employee. (a) Any deduction contributing toward the purchase of United States Defense Stamps and Bonds when voluntarily authorized by the employee. (f) Any deduction requested by the employee to enable him to repay loans to or to purchase shares in credit unions organized and operated in accordance with Federal and State credit union statutes. (g) Any deduction voluntarily authorized by the employee for the making of contributions to governmental or quasi - governmental agencies, such as the American Red Cross. (h) Any deduction voluntarily authorized by the employee for the making of contributions to Community Chests, United Givers Funds, and similar charitable organizations. (1) Any deductions to pay regular union initiation fees and membership dues, not including fines or special assessments: Provided, however, that a collective bargaining agreement between the contractor or subcontractor and representatives of its employees provides for such deductions and the deductions are not otherwise prohibited by law. Q) Any deduction not more than for the "reasonable cost' of board, lodging, or other facilities meeting the requirements of section 3(m) of the Fair Labor Standards Act of 1938, as amended, and part 531 of this title. When such a deduction is made the additional records required under §516.25(a) of this title shall be kept. (k) Any deduction for the cost of safety equipment of nominal value purchased by the employee as his own property for his personal protection in his work, such as safety shoes, safety glasses, safety gloves, and hard hats, if such equipment is not required by law to be furnished by the employer, if such deduction is not violative of the Fair Labor Standards Act or prohibited by other law, if the cost on which the deduction is based does not exceed the actual cost to the employer where the equipment is purchased from him and does not include any direct or indirect monetary return to the employer where the equipment is purchased from a third person, and if the deduction is either (1) Voluntarily consented to by the employee in writing and in advance of the period in which the work is to be done and such consent is not a condition either for the obtaining of employment or its continuance; or (2) Provided for in a bona fide collective bargaining agreement between the contractor or subcontractor and representatives of its employees. [29 FR 97, Jan. 4, 1964, as amended at 36 FIR 9770, May 28, 1971] §3.6 Payroll deductions permissible with the approval of the Secretary of Labor. Any contractor or subcontractor may apply to the Secretary of Labor for permission to make any deduction not permitted under §3.5. The Secretary may grant permission whenever he finds that: (a) The contractor, subcontractor, or any affiliated person does not make a profit or benefit directly or indirectly from the deduction either in the form of a commission, dividend, or otherwise; (b) The deduction is not otherwise prohibited by law; (c) The deduction is either (1) voluntarily consented to by the employee in writing and in advance of the period in which the work is to be done and such consent is not a condition either for the obtaining of employment or its continuance, or (2) provided for in a bona fide collective bargaining agreement between the contractor or subcontractor and representatives of its employees; and (d) The deduction serves the convenience and interest of the employee. §3.7 Applications for the approval of the Secretary of Labor. Any application for the making of payroll deductions under §3.6 shall comply with the requirements prescribed in the following paragraphs of this section: (a) The application shall be in writing and shall be addressed to the Secretary of Labor. (b) The application need not identify the contract or contracts under which the work in question is to be performed. Permission will be given for deductions on all current and future contracts of the applicant for a period of 1 year. A renewal of permission to make such payroll deduction will be granted upon the submission of an application which makes reference to the original application, recites the date of the Secretary of Labor's approval of such deductions, states affirmatively that there is continued compliance with the standards set forth in the provisions of §3.6, and specifies any conditions which have changed in regard to the payroll deductions. (c) The application shall state affirmatively that there is compliance with the standards set forth in the provisions of §3.6. The affirmation shall be accompanied by a full statement of the facts indicating such compliance. (d) The application shall include a description of the proposed deduction, the purpose to be served thereby, and the classes of laborers or mechanics from whose wages the proposed deduction would be made. (a) The application shall state the name and business of any third person to whom any funds obtained from the proposed deductions are to be transmitted and the affiliation of such person, if any, with the applicant. [29 FR 97, Jan. 4, 1964, as amended at 36 FR 9771, May 28, 1971] §3.8 Action by the Secretary of Labor upon applications. The Secretary of Labor shall decide whether or not the requested deduction is permissible under provisions of §3.6; and shall notify the applicant in writing of his decision. §3.9 Prohibited payroll deductions. Deductions not elsewhere provided for by this part and which are not found to be permissible under §3.6 are prohibited. §3.10 Methods of payment of wages. The payment of wages shall be by cash, negotiable instruments payable on demand, or the additional forms of compensation forwhich deductions are permissible under this part. No other methods of payment shall be recognized on work subject to the Copeland Act. §3.11 Regulations part of contract. All contracts made with respect to the construction, prosecution, completion, or repair of any public building or public work or building or work financed in whole or in part by loans or grants from the United States covered by the regulations in this part shall expressly bind the contractor or subcontractor to comply with such of the regulations in this part as may be applicable. In this regard, see §5.5(a) of this subtitle. U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT COMMUNITY DEVELOPMENT BLOCK GRANT PROGRAM CONTRACTOR'S CERTIFICATION CONCERNING LABOR STANDARDS AND PREVAILING WAGE REQUIREMENTS TO (appropriate recipient) DATE PROJECT NUMBER (if any) C/O PROJECT NAME The undersigned, having executed a contract with for the construction of the above -identified project, acknowledges that: (a) The Labor Standards provisions are included in the aforesaid contract, (b) Correction of any infractions of the aforesaid conditions, including infractions by any subcontractors and any lower tier subcontractors, is Contractor's responsibility. 2. Certifies that: (a) Neither Contractor nor any firm, partnership or association in which it has substantial interest is designated as an ineligible contractor by the Comptroller General of the United States pursuant to Section 5.6(b) of the Regulations of the Secretary of Labor, Part 5 (29 CFR, Part 5) or pursuant to Section 3(a) of the Davis -Bacon Act, as amended. (b) No part of the aforementioned contract has been or will be subcontracted to any subcontractor if such subcontractor or any firm, corporation, partnership or association in which such subcontractor has a substantial interest is designated as an ineligible contractor pursuant to any of the aforementioned regulatory or statutory provisions. 3. Contractor agrees to obtain and forward to the aforementioned recipient within ten days after the execution of any subcontract, including those executed by subcontractors and any lower tier subcontractors, a Subcontractor's Certification Concerning Labor Standards and Prevailing Wage Requirements executed by the subcontractors. 4. Certifies that: (a) The legal name and the business address of the undersigned are: (1) A SINGLE PROPRIETORSHIP I (3) A CORPORATION ORGANIZED IN THE STATE OF (2) A PARTNERSHIP 1 (4) OTHER ORGANIZATION (Desuibe) (a) The names, addresses and trade classifications of all other building construction contractors in which the undersigned has a substantial Date By (Contractor). (INSERT Project Specific Wage Decisionl GLO SIGNAGE REQUIREMENTS All signs shall be placed in a prominent, visible public location at the construction site, and legible from at least three (3) feet distance. Permanent signage is required on any public building or facility funded under this Contract. Please refer to the plans and specifications for further details. For other construction projects (e.g., water transmission lines, sewer collection lines, drainage, roadways, housing rehabilitation) funded under this Contract, temporary signage shall be placed in a prominent location at the construction project site or along a major thoroughfare within the locality. All signage required shall contain the following "This project is funded by the Texas General Land Office of the State of Texas, to provide for disaster recovery and restoration of infrastructure for communities impacted by Hurricane Harvey. The funds have been allocated by the United States Department of Housing and Urban Development through the Community Development Block Grant Program." CERTIFICATE OF INTERESTED PARTIES FORM 1296 A business entity will generate Form 1295 online after notification of award and submit with their signed contract. Form 1295 must be filled out and submitted online, printed, complete #6, signed and returned with the Agreement, Contract, or Lease. See Calhoun County, Texas - Policy of Compliance Go to: https://www.ethics.state.tx.us/File If you have an account, log in and proceed with the process or if you do not have an account, follow the instructions to set up an account and then proceed with the process. 2 Submit and print a copy of the form which will contain a unique certification number and date submitted in the upper right hand box that is marked "Office Use Only". 3. The Respondent or an authorized agent of the Respondent must sign and date the printed copy of the form (making sure all of #6 is completed). 4. The completed Form 1295 must be included with your Agreement, Contractor Lease, when it is submitted to Calhoun County. #1 Name of Business Entity filing the form, and the City, State and Country of the Entity's place of business #2 Calhoun County, Texas (Also, if applicable, insert name of County Department) #3 Bid No. 2024.08 — Infrastructure at Little Chocolate Bayou County Park Playground Improvement Phase 2 Project - GLO Contract No. 20-085-064-C182 On #4 and #5, complete only the one that applies to you #4 Fill in the correct information if this applies OR #5 Mark an X in the Box if this applies #6 Fill in the correct information, submit and print After printing, the respondent or an authorized agent of the respondent must sign and date (making sure all of #6 is completed) When you print you should see a Certificate Number and Date in the upper right hand box that is marked "Office Use Only". CERTIFICATE OF INTERESTED PARTIES FORM 1295 OFFICE USE ONLY Complete Nos. 1 • 4 and 6 if there are interested parties. Complete Nos. 1, 2, 3, 5, and 6 if there are no interested parties. f Name of business entity filing form, and the city, state and country of the business.` entity's place of business. 2 Name of governmental entity or state agency that is a parry to the contract which the form is being filed. jjjiii���kM dentify the contract, 3 Provide the Identification number used by the governmental entity or state agency to tff and provide a description of the services, goods, or other property to be providedRUA�e contract. N4 V 4 Name of Interested Party City, State, Country :11atu re of Interest (check applicable) Controlling Intermediary (place of business) r 5 Check only if there- I terestetl Party. ❑ 6 UNSWORNDEtC11��\ N My name is and my date of birth is _ My addre , 1 n� --��``JJ'` (straetl (city) (slate) (zip code) (country) �,ld'gnder penatly of Penury that the foregoing is hue and correct. Executed In County, State of __ , on the ^ day of __! 20T (month) (year) Signature of authorized agent of contracting business entity (Declarant) ADD ADDITIONAL PAGES AS NECESSARY urrn provided by vexas ermcs commission w .ethicsstate.lx.us Revised 12222017 Calhoun County, Texas POLICY OF COMPLIANCE SECTION 2252.908 TEXAS GOVERNMENT CODE Approved by Commissioners Court January 28, 2016 Amended by Commissioners Court January 31, 2018 and September 14, 2022 i-21WINCT-0611JEF01 Section 2252.908 was added to the Government Code by the 841h Texas Legislature through the adoption of House Bill 1295. The law states that the County may not enter into a contract with a business entity unless a Certificate of Interested Parties (Form 1295) is provided to the county at the time the contract is considered for action by Commissioner's Court. The term "business entity" includes a sole proprietorship, partnership or corporation (whether for -profit or non-profit). The term "contract" includes amendment, extension or renewal of an existing contract. The law does not apply to a contract between the County and another governmental entity or state agency. The county is required to file Form 1295 with the state within 30 days of approving a contract with a business entity. Governmental transparency is the objective of the law. Senate Bill 255 adopted by the 85'h Legislature Regular Session amended the law effective for contracts entered into or amended on or after January 1, 2018. Additional exemptions from Form 1295 requirement were added for 1) a contract with a publicly traded business entity, including a wholly owned subsidiary of the business entity, 2) a contract with an electric utility as defined by Section 31.002 of the Utilities Code, or 3) a contract with a gas utility as defined by Section 121.001 of the Utilities Code. Notarization of Form 1295 has been replaced by an unsworn statement under penalty of perjury by an authorized representative of the business entity. The Texas Ethics Commission promulgated rules to implement the law and established an online portal https://www.ethics.state.tx.us/whatsnew/elf_ info_form1295.htm. A business entity will generate Form 1295 online. Calhoun County will acknowledge online the receipt of Form 1295 after a contract is executed. Within seven business days, Form 1295 will be available for public viewing on the Commission's website. COMPLAINCE Calhoun County Commissioners Court will not consider for action any contract with a business entity unless it is accompanied by a completed, signed Form 1295 or a signed statement declaring the provision of the law under which the business entity is exempt. No later than 30 days after Commissioner's Court approves a contract with a non-exempt business entity, the County Clerkwill file acknowledgement of receipt of the Form 1295 with the Texas Ethics Commission. SECTION 504 CERTIFICATION POLICY OF NONDISCRIMINATION ON THE BASIS OF DISABILITY The does not discriminate on the basis of disability status in the admission or access to, or treatment or employment in, its federally assisted programs or activities. (Name) (Address) City State Zip Telephone Number ( ) Voice ( ) TDD has been designated to coordinate compliance with the nondiscrimination requirements contained in the Department of Housing and Urban Development's (HUD) regulations implementing Section 504 (24 CFR Part 8. dated June 2, 1988). CHILD SUPPORT STATEMENT FOR NEGOTIATED CONTRACTS AND GRANTS Under Section 231.006, Family Code, the vendor or applicant certifies that the individual or business entity named in this contract, bid, or application is eligible to receive the specified grant, loan, or payment and acknowledges that this contract may be terminated and payment may be withheld if this certification is inaccurate. Section 231.006, Family Code, specifies that a child support obligor who is more than 30 days delinquent in paying child support and a business entity in which the obligor is a sole proprietor, partner, shareholder, or owner with an ownership interest of at least 25% is not eligible to receive payments from state funds under a contract to provide property, materials, or services; or receive a state -funded grant or loan. List below the name and ownership percentage of the individual or sole proprietor and each partner, shareholder, or owner with an ownership interest of at least 25% of the business entity submitting the bid or application. NAME OWNERSHIP BY % A child support obligor or business entity ineligible to receive payments described above remains ineligible until all arrearage have been paid or the obligor is in compliance with a written repayment agreement or court order as to any existing delinquency. The undersigned proposer certifies that he or she, is the proposing individual, or the sole proprietor of the proposing business, and is eligible under Section 231.006 of the Texas Family Code, to receive the payments of State funds which may be disbursed in connection with a contract arising from this solicitation. The undersigned each further acknowledges that a contract resulting from this solicitation may be terminated and payment may be withheld if the certification provided herein is found to be inaccurate. Signature — Company Official Printed/Type Firm Name Printed/Typed Name and Title Date DOCUMENT NO. 00417 TRENCH SAFETY SYSTEMS INDEMNITY AGREEMENT OWNER: Calhoun County CONTRACTOR: (company name) ENGINEER: G & W Engineers, Inc., Port Lavaca, Calhoun County, Texas PROJECT: Bid No. 2024.08 — Infrastructure at Little Chocolate Bayou County Park Playground Improvements Phase 2 Project — GILD Contract No. 20-065-064-CI82 for Calhoun County, Texas CONTRACTOR has entered into a contract with OWNER for the construction of the Project. ENGINEER has designed the Project on behalf of OWNER, but has not designed any trench safety systems for the Project that may be required by applicable federal, state and/or local laws. CONTRACTOR, in its contract with OWNER, has agreed to prepare, and to conform all trenching work to plans for trench safety systems meeting the standards of applicable laws. CONTRACTOR, as part of its consideration to OWNER for the contract for the construction of the Project, agrees that it will be solely responsible for compliance with its trench safety plans and with all applicable standards of federal, state and/or local laws relating to trench safety. CONTRACTOR further agrees to hold harmless, indemnify, and defend OWNER and ENGINEER, and all officers, agents and employees of either OWNER or ENGINEER, from and against any and all claims, demands or causes of action of any nature, character or description in connection with the presence, or in any way arising out of, the use or construction of trenches or trench safety systems as part of the Project. EXECUTED, this day of 20 CONTRACTOR OWNER By: By: Officer's Name: Officer's Name: Richard H. Meyer Title of Officer: Title of Officer: Calhoun County Judge ENGINEER (Contractor's Seal) By: Engineer's Name: Scott P. Mason, P.E. Title of Engineer: Project Engineer PAYMENT BOND KNOW ALL MEN BY THESE PRESENTS that: (Corporation / Partnership) and (Name of Contractor or Company) (Address) hereinafter called Principal, (Name of Surety Company) (Address) hereinafter called Surety, are held and firmly bound unto Calhoun County. Texas (Name of Recipient) 211 South Ann Street, Third Floor, Ste. 301, Port Lavaca. Texas hereinafter called OWNER, in the penal sum of $ Dollars, $ (Recipient's Address) in lawful money of the United States, for this payment of which sum well and truly to be made, we bind ourselves, successors, and assigns, jointly and severally, firmly by these presents. THE CONFIDENTIALITY OF THIS OBLIGATION is such that whereas, the Principal entered into a certain contract with the OWNER, dated the _ day of a copy of which is hereto attached and made a part hereof for the construction of: Bid No. 2024.08 — Infrastructure at Little Chocolate Bayou County Park Playground Improvements Phase 2 Project — GLO Contract No. 20-066-064-C182 for Calhoun County, Texas (Project Name) NOW, THEREFORE, if the Principal shall promptly make payment to all persons, firms, SUB -CONTRACTORS, and corporations furnishing materials for or performing labor in the prosecution of the WORK provided for in such contract, and any authorized extension or modification thereof, including all amounts due for materials, lubricants, oil, gasoline, coal and coke, repairs on machinery, equipment and tools, consumed or used in connection with the construction of such WORK, and all insurance premiums on said WORK, and for all labor, performed in such WORK whether by SUB- CONTRACTOR or otherwise, then this obligation shall be void; otherwise to remain in full force and effect. PROVIDED, FURTHER, that the said Surety, for value received hereby stipulates and agrees that no change, extension of time, alteration or addition to the terms of the contract or to WORK to be performed thereunder or the SPECIFICATIONS accompanying the same shall in any way affect its obligation on this BOND, and it does hereby waive notice of any such change, extension of time, alteration or addition to the terms of the contract or to the WORK or to the SPECIFICATIONS. PROVIDED, FURTHER, that no final settlement between the OWNER and the CONTRACTOR shall abridge the right of any beneficiary hereunder, whose claim may be unsatisfied. IN WITNESS WHEREOF, this instrument is executed in counter -parts, each on of (Number) which shall be deemed an original, this the day of ATTEST: (Principal Secretary) (SEAL) (Witness as to Principal) (Address) ATTEST: By By (Principal) (Address) (Surety) (Witness as to Surety (Attorney in Fact) (Address) (Address) (s) NOTE: Date of BOND must not be prior to date of Contract. If CONTRACTOR is Partnership, all partners should execute BOND. a40*010JIULPl4Ye]IIs] KNOW ALL MEN BY THESE PRESENTS that: (Name of Contractor or Company) (Address) hereinafter called Principal, and (Name of Surety Company) (Address) hereinafter called Surety, are held and firmly bound unto Calhoun County. Texas (Name of County) 211 South Ann Street, Third Floor, Ste. 301, Port Lavaca. Texas (County's Address) hereinafter called OWNER, in the penal sum of $ Dollars ($ _) in lawful money of the United States, for the payment of which sum well and truly to be made we bind ourselves, successors, and assigns, jointly and severally, firmly in these presents. THE CONDITION OF THIS OBLIGATION is such that whereas, the Principal entered into a certain contract with the OWNER dated the day of , a copy of which is hereto attached and made a part hereof for the construction of: Bid No. 2024.08 — Infrastructure at Little Chocolate Bayou County Park Playground Improvements Phase 2 Project— GLO Contract No. 20-066-064-C182 for Calhoun County, Texas NOW THEREFORE, if the Principal shall well, truly and faithfully perform its duties in all the undertakings, covenants, terms, conditions, and agreements of said contract during the original term thereof, and any extensions thereof which may be granted by the OWNER, with or without notice to the Surety and during the one year guaranty period, and if he shall satisfy all claims and demands incurred under such contract, and shall fully indemnify and save harmless the OWNER from all costs and damages which it may suffer by reason of failure to do so, and shall reimburse and repay the OWNER all outlay and expense which the OWNER may incur in making good any default, then this obligation shall be void, otherwise to remain in full force and effect. PROVIDED FURTHER, that the said Surety, for value received hereby stipulates and agrees that no change, extension of time, alteration or addition to the terms of the contract or to WORK to be performed thereunder or the SPECIFICATIONS accompanying the same shall in any way affect its obligation on this BOND, and it does hereby waive notice of any such change, extension of time, alteration or addition to the terms of the contract or to the WORK or to the SPECIFICATIONS. PROVIDED, FURTHER, that no final settlement between the OWNER and the Principal shall abridge the right of any beneficiary hereunder, whose claim may be unsatisfied. IN WITNESS WHEREOF, this instrument is executed in counterparts, each one of which shall be deemed an original, this the day of ATTEST: (Principal) By (s) (Principal Secretary) (SEAL) (Witness as to Principal) (Address) (Address) ATTEST: (Surety) By (Witness as to Surety) (Attorney in Fact) (Address) (Address) NOTE: Date of BOND must not be prior to date of Contract. If PRINCIPAL/CONTRACTOR is Partnership, all partners should execute BOND. rINSERT Contractor's Liability Insurancel Texas General Land Office Community Development Block Grant (CDBG) Disaster Recovery Program Code of Federal Regulations Title 24- Housing and Urban Development Date: 2003-04-01 Original Date: 2003-04-01 Title: Section 135.38-Section 3 Clause Context: Title 24- Housing and Urban Development. Subtitle B- Relating to Housing and Urban Development . Chapter 1- Office of Assistant Secretary for Equal Opportunity, Department. Part 135 Economic Opportunities for Low -and Very Low -Income Persons. Subpart B- Economic Opportunities for Section 3 Residents and Section 3 Business Concerns. § 13538 Section 3 clause. All section 3 covered contracts shall include thefoilowing clause (referred to as the section 3 clause): A. The work to be performed underthis contract is subject to the requirements of section 3 of the Housing and Urban Development Act of 1968, as amended, 12 U.S.C. 1701u (section 3). The purpose of section 3 isto ensure that employment and other economic opportunities generated by HUD assistance or HUD -assisted projects covered by section 3, shall, to the greatest extent feasible, be directed to low- and very low-income persons, particularly persons who are recipients of HUD assistance for housing. B. The parties to this contract agree to complywith HUD's regulations in 24 CFR part 135, which implement section 3. As evidenced by their execution of this contract, the parties to this contract certifythat they are under no contractual or other impediment that would prevent them from complying with the part 135 regulations. C. The contractor agrees to send to each labor organization or representative of workers with which the contractor has a collective bargaining agreement or other understanding, if any, a notice advising the labor organization or workers' representative of the contractor's commitments underthis section 3 clause, and will post copies of the notice in conspicuous places at the work site where both employees and applicants for training and employment positions can see the notice. The notice shall describe the section 3 preference, shall set forth minimum number and job titles subject to hire, availability of apprenticeship and training positions, the qualifications for each; and the name and location of the person(s) taking applications for each of the positions; and the anticipated date the work shall begin. D. The contractor agrees to include this section 3 clause in every subcontract subject to compliance with regulations in 24 CFR part 135, and agrees to take appropriate action, as provided in an applicable provision of the subcontract or in this section 3 clause, upon a finding that the subcontractor is in violation of the regulations in 24 CFR part 135. The contractor will not subcontract with any subcontractor where the contractor has notice or knowledge that the subcontractor has been found in violation of the regulations in 24 CFR part 135. E. The contractor will certify that any vacant employment positions, including training positions, that are filled (1) after the contractor is selected but before the contract is executed, and (2) with persons other than those to whom the regulations of 24 CFR part 135 require employment opportunities to be directed, were not filled to circumvent the contractor's obligations under 24 CFR part 135. F. Noncompliance with HUD's regulations in 24 CFR part 135 may result in sanctions, termination of this contract for default, and debarment or suspension from future HUD assisted contracts. G. With respect to work performed in connection with section 3 covered Indian housing assistance, section 7(b) of the Indian Self -Determination and Education Assistance Act (25 U.S.C. 450e) also applies to the work to be performed under this contract. Section 7(b) requires that to the greatest extent feasible (i) preference and opportunities for training and employment shall be given to Indians, and (ii) preference in the award of contracts and subcontracts shall be given to Indian organizations and Indian -owned Economic Enterprises. Parties to this contract that are subject to the provisions of section 3 and section 7(b) agree to comply with section 3 to the maximum extent feasible, but not in derogation of compliance with section 7(b). Texas General Land Office Community Development Block Grant (CDBG) Disaster Recovery Program [Code of Federal Regulations] [Title 24, Volume 1] [Revised as of April 1, 2003] From the U.S. Government Printing Office via GPO Access [CITE: 24CFR135.92] [Page 704-707] TITLE 24--HOUSING AND URBAN DEVELOPMENT CHAPTER I --OFFICE OF ASSISTANT SECRETARY FOR EQUAL OPPORTUNITY, DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT PART 135--ECONOMIC OPPORTUNITIES FOR LOW- and VERY LOW-INCOME PERSONS Table of Contents Appendix to Part 135 I. EXAMPLES OF EFFORTS TO OFFER TRAINING AND EMPLOYMENT OPPORTUNITIES TO SECTION 3 RESIDENTS (1) Entering into "first source" hiring agreements with organizations representing Section 3 residents. (2) Sponsoring a HUD -certified ' ' Step -Up" employment and training program for section 3 residents. (3) Establishing training programs, which are consistent with the requirements of the Department of Labor, for public and Indian housing residents and other section 3 residents in the building trades, (4) Advertising the training and employment positions by distributing flyers (which identify the positions to be Filled, the qualifications required, and where to obtain additional information about the application process) to every occupied dwelling unit in the housing development or developments where category 1 or category 2 persons (as these terms are defined in Sec. 135,34) reside. (5) Advertising the training and employment positions by posting flyers (which identify the positions to be filled, the qualifications required, and where to obtain additional information about the application process) in the common areas or other prominent areas of the housing development or developments. For HAs, post such advertising in the housing development or developments where category 1 or category 2 persons reside; for all other recipients, post such advertising in the housing development or developments and transitional housing in the neighborhood or service area of the section 3 covered project. (6) Contacting resident councils, resident management corporations, or other resident organizations, where they exist, in the housing development or developments where category 1 or category 2 persons reside, and community organizations in HUD assisted neighborhoods, to request the assistance of these organizations in notifying residents of the training and employment positions to be filled. (7) Sponsoring (scheduling, advertising, financing or providing in -kind services) a job informational meeting to be conducted by an HA or contractor representative or representatives at a location in the housing development or developments where category 1 or category 2 persons reside or in the neighborhood or service area of the section 3 covered project. (8) Arranging assistance in conducting job interviews and completing job applications for residents of the housing development or developments where category 1 or category 2 persons reside and in the neighborhood or service area in which a section 3 project is located. [[Page 705]] (9) Arranging for a location in the housing development or developments where category 1 persons reside, or the neighborhood or service area of the project, where job applications may be delivered to and collected by a recipient or contractor representative or representatives. (10) Conducting job interviews at the housing development or developments where category 1 or category 2 persons reside, or at a location within the neighborhood or service area of the section 3 covered project. (11) Contacting agencies administering HUD Youthbuild programs, and requesting their assistance in recruiting HUD Youthbuild program participants for the HA's or contractor's training and employment positions. (12) Consulting with State and local agencies administering training programs funded through ]TPA or JOBS, probation and parole agencies, unemployment compensation programs, community organizations and other officials or organizations to assist with recruiting Section 3 residents for the HA's or contractor's training and employment positions. (13) Advertising the jobs to be filled through the local media, such as community television networks, newspapers of general circulation, and radio advertising. (14) Employing a job coordinator, or contracting with a business concern that is licensed in the field of job placement (preferably one of the section 3 business concerns identified in part 135), that will undertake, on behalf of the HA, other recipient or contractor, the efforts to match eligible and qualified section 3 residents with the training and employment positions that the HA or contractor intends to fill. (15) For an HA, employing section 3 residents directly on either a permanent or a temporary basis to perform work generated by section 3 assistance. (This type of employment is referred to as ' 'force account labor" in HUD's Indian housing regulations. See 24 CFR 905.102, and Sec. 905.201(a)(6).) (16) Where there are more qualified section 3 residents than there are positions to be filled, maintaining a file of eligible qualified section 3 residents for future employment positions. (17) Undertaking job counseling, education and related programs in association with local educational institutions. (18) Undertaking such continued job training efforts as may be necessary to ensure the continued employment of section 3 residents previously hired for employment opportunities. (19) After selection of bidders but prior to execution of contracts, incorporating into the contract a negotiated provision for a specific number of public housing or other section 3 residents to be trained or employed on the section 3 covered assistance. (20) Coordinating plans and implementation of economic development (e.g., job training and preparation, business development assistance for residents) with the planning for housing and community development. Texas General Land Office Community Development Block Grant (CDBG) Disaster Recovery Program NEW HIRES SECTION 3 MONTHLY COMPLIANCE REPORT Reporting Month Economic Opportunities for Low and Very Low -Income Persons This form is dishibuted to the General Contractor (GC) at the Pre -Construction Meeting. GC is also required to provide this form to any subcontractor firms that they anticipate hiring for this project. CONTRACTOR INFORMATION Name of Business: Address of Business: Authorized Representative for this contract: _ Authorized Signatory: ADDITIONALLY, PLEASE REVIEW AND COMPLY WITH STEPS I.3 BELOW: the each applicable reporting 2. When you hire a Section 3 resident in connection with this project, you must also complete this form and submit it to the Section 3 Coordinator identified above. Even if there were no new hires this form must be completed and submitted to the Section 3 Coordinator idenfified above. ❑ 1 have not hired any new employees during the reporting Month specified. I have hired 7 Section 3 employess andlor F-7 non -Section 3 employees during the reporting month shown here. The following is a list of the new hires and the trades: New Hire Name Job CategorylTrade Full-time? Yes or No -- ----- ---- ----- --- -- -- ----- --—(�--------- 1. I� 2. 1 iKen one or more of the tomwing recruitment ste Provide a brief description of actions taken: ❑ Placed signs or posters at prominent places in each of the above listed areas. Photographs were taken to document this action. 11 have advertised to fill vacancy(ies) at the site(s), where work is taking place, in connection with this project. !List advertisements (name publication, e.g. Work in Texas, Houston Chronicle, andfor website(s): ❑ Distributed employment flyers to the administrative office of the local Public Housing Authority. Provided notice of, positions available to the Texas Workforce Commission for potential applicants. Provide copy of notice. ❑ Contacted employment referrals or Youthbuikt Program referrals. List contacts: Contacted with applicable parties to ensure that any HUD Youthbuild programs currently operating in the project(s) area/ ❑ assistance will take place. ❑ Kept a log of all applicants and indicate the reasons why Section 3 Residents who applied were not hired. Retained copies of any employment applications completed by public housing, Section 8 certificate or voucher holders or other ❑ Section 3 Residents. El representatives a notice about Section 3 training and employment requirements and opportunities to labor organizations or to worker with whom our firm has a collective bargaining or other agreement. 3. Verification ❑ 1 have attached proof of all checked items. Authorized Name and Signature Attested By: Date/TlmeField - -- Text � 3 AL o g�', 99 = a 4 'n^ v ea m Ll $83 w Ro Sc 2 m3 �' � N 8•. 3 n D: o= — e° 8 w On 3 m G)y C ClC n..3N Cme �a IC.0 rt%�jN�N{U� enmN�C ET s'air o'� 3 ,o�.o o �I A..40 c ,5T ,n �. $ :S %' �= g(p� to .R p 0a8 m nos N 3y Fh' mnM� m.m m �Qw a c rn � v C N N ^ Ul m aw N mQ Ogq22� G � m 8 W3'3 esen 3 v gag 8 O �m do � o n � � 8 � C, d�4�eMwIM m� o. 5. 08 n vr IN, u sm nQ n p @@ 0 fi"o 3� E4 ASSURANCES - CONSTRUCTION PROGRAMS OMB Number: 404P0009 Public reporting burden for this collection of infdmialion is estimated to average 15 minutes per response, including time for reviewing Instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden., to the Office of Management and Budget, Paperwork Reduction Project (0348-0042), Washington, DC 20503. PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT AND BUDGET. SEND IT TO THE ADDRESS PROVIDED BY THE SPONSORING AGENCY, NOTE: Certain of these assurances may not be applicable to your project or program. If you have questions, please contact the Awarding Agency. Further, certain Federal assistance awarding agencies may require applicants to certify to additional assurances. If such is the case, you will be notified. As the duly authorized representative of the applicant:, I certify that the applicant: i. Has the legal authority to apply for Federal assistance. and the institutional, managerial and financial capability (including funds sufficient to pay the non -Federal share of project costs) to ensure proper planning, management and completion of project described in this application. 2. Will give the awarding agency, the Comptroller General of the United States and, if appropriate, the State, the right to examine all records, books, papers, or documents related to the assistance; and wih establish a proper accounting system in accordance with generally accepted accounting standards or agency directives. 3. NMI not dispose of, modify the use of, or change the terms of the real property title or other interest in the side and faciirties without permission and instructions from the awarding agency. Will record the Federal awarding agency directives and will include a covenant in the title of real property acquired in whole or in part with Federal assistance funds to assure non- discrimination during the useful life of Ole project 4. Will comply with the requirements of the assistance awarding agency with regard to the draffing, review and approval of construction plans and specifications. 5. Will provide and maintain competent and adequate engineering supervision at the construction site to ensure that the complete work conforms with the approved plans and specifications acid will furnish progressive reports and such other information as may be required by the assistance awarding agency or State- r. Will initiate and complete the work within the applicable time frame after receipt of approval of the awarding agency. 7. Witl establish safeguards to prohibit employees from using their positions for a purpose that constitutes or presents the appearance of personal or organizational conflict of interest, or parsonal gain_ B. Will comply with the Intergovernmental Personnel Act of 1970142 U.S.C. §§47284763) relating to prescribed standards of inerit systems for programs funded under one of the 19 statutes or regulations specified in Appendix A of OPM's Standards for a Ment System of Personnel Administration (5 C.F.R. 900, Subpart F). 9. Will comply with the Lead -Based Paint Poisoning Prevention Act (42 U.S.C. §§4801at seq.) which prohibits the use of lead based paint in construction or rehabilitation of residence structures. 10, Will comply with all Fodoral statutes relating to non - discriminated. These include but are not limited to: (a) Title VI of the Civil Rights Act of 1964 (P.L. 88-352) which prohibits discrimination on the basis of race, color or national origin; (b) Tits IX of the Education Amendments of 1972, as amended (20 U.S.C. §§1681 1683, and 1685-1686), which prohibits discrimination on the basis of sex; (c) Section 504 of the Rehabilitation Act of 1973, as amended (29) U.S.C. §794), which prohibits discrimination on the basis of handicaps. (d) the Age Discrimination Act of 1975. as amended (42 U.S.C. §§6101-6107), which prohibits discrimination on the basis of age; (a) the Drug Abuse Office and Treatment Act of 1972 (P. L. 92-255), as amended relating to nondiscrimination on the basis of drug abuse. (0 the Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment and Rehabilitation Act of 1970 (P.L. 91-616), as amended, relating to nondiscrimination on the basis of alcohol abuse or alcoholism; (g) §§523 and 527 of the Public Health Service Act of 1912 (42 U.&C §§290 dd-3 and 290 as 3), as amended, retailing to confidentiality of alcohol and drug abuse patient records; (h) Title Vlll of the Civil Rights Act at 1968 (42 U.S.C. §§3601 at seq,).. as amended, relating to nondiscrimination in the sale, rental or finandrig of housing; (I)any other nondiscrimination provisions in the specific statue(s) under which application for Federal assistance is being made; and 6) the requirements of any other nondiscrimination statue(s) which may apply to the application. Previme. Edition Usable Authorized for Loca Reproduction Standard Farm 424D (Rev. 7-97) Prescnbad by OMB Circular M102 12 13. Will comply, or has already complied, with the requiraments of Titles It and III of the Urifomr Relocation Assistance and Real Property Acquisition PollCies Act of 1970 (P.L 91.646) which provide for fair and equitable treatment of persons displaced or whose property is acquired as a result of Federal and federallyassistad Programs. These requirements apply to all interests in real property acquired for project purposes regardless of Federal participation In purchases. Will comply with the provisions of the Hatch Act (5 U.S.C. §§1501-1508 and 7324.7328) which limit the political activities of employees whose principal employment activities are funded in wholeor in part with Federal funds. Will comply, as applicable, with the previsions of the Davis - Bacon Act (40 U S.C. §§276a to 276a-7), the Copeland Act (40 U.S.C. §276c and 18 U,S.C. §8741, and the Contract Work Hours and Safety Standards Act (40 U.S.C.. §§327• 333) regarding labor standards for fedemtly-assisted construction subagreements. 14, Will comply with flood insurance purchase requirements of Section 102(a) of the Flood Disaster Protection Actof 1973 P.L. 93-234) which requires recipients in a special flood hazard area to participate in the program and to purchase flood Insurance if the total cast of insurable construction and acquisition is $10.000 or more 15Will comply with onvironmental standards which may be prescribed pursuant to the following; (a) institution of environmental quality control pleasures under the National Environmental Policy Act of 1969 (P,L. 91. 190) and Executive Order (ED) 11514; (b) notification of violating facilities pursuant to ED 11738, (c) protection of wetlands pursuant to ED 11090, (d) evaluation of flood hazards in fldodplams in accordance with ED 11988; (a) assurance of project consistency with the approved State management program developed under the Coastal Zone Management Act of 1972 (16 U.S.C. §§1451 at ini (f) conformity of Federal actions to Slate (Clean Air) implementation Plans under Section 176(c) of the Clean Air Act of 1955, as amended (42 U.S.C. §§7401 at seq.); (g) Protection of underground sources of drinking water under the Safe Drinking Water Act of 1974, as amended (P,L- 93-$23); and, (h) protection of endangered species under the Endangered Species Act of 1973, as amended (P.L. 93-205), 16. Will comply with the Wild and Scenic Rivers Act of 1968 (16 U.S.C, §§1271 at seq.) related to protecting components or potential components of the national wild and scenic rivers system. 17 Will assist the awarding agency in assuring compliance with Section 106 of the National Historic Preservation Act of 1966, as amended (16 U.S,C. §470), ED 11593 (identification and protection of historic properties), and the Archaeological and Historic Preservation Act of 1974 (16 U.S-C. §§469a-1 at seq), 18. Will cause to be performed the required financial and compliance audits in accordance with the Single Audit Act Amendments of 1996 and OMB Circular No. A-133, "Audits of States, Local Governments, and Non -Profit Organizations." 19, Will comply with all applicable requirements Of all other Federal laws, executive orders, regulations,and policies governing this program. 20. Will comply with the requirements of Section 106(g) of the Trafficking Victims Protection Act (TVPA) of 2000, as amended (22 U.S.C. 7104) which prohibits grant award recipients or a sub -recipient from (1) Engaging in severe forms oftrafficking in persons during the period of time that the award is in effect (2) Procuring a commercial sex act during the period of time that the award is in effect or (3) Using forced labor in the performance of the award or subawards under the award. SF-4241) (Rev. 7-97) Sack AttacameatC Page u of to For the purposes of this document, the terns "governmental entities" shall have the same meaning as dellned in Chapter 2251 of the Texas Govenmient Code. To TlIE e 'rENT APPLICAmt.E, Subrecipient affirms and agrees to the following, without exception; 1. Subrecipient represents and warrants that.. in accordance with Section 2155.005 or the Texas Government Code, neither Subrecipient nor the f9nn, corporation, partnership, or institution represented by Subrecipient, or anyone acting for such a firm, corporation, partnership, or institution has (1) violated any provision of the 'texas Free Enterprise and Antitrust Act of 1983, Chapter 15 of the Texas Business and Commerce Code, or the rederal antitrust laves, or (2) communicated directly or indirectly the contents of this Contract or any solicitation response upon which this Contract is based to any competitor or any other person engaged in the saute line of business as Subrecipient. 2. if the Contract is for services, Subrecipient shall comply with Section 2155.4441 of the Texas Government Code, requiring the purchase of products and materials produced in the State of Texas in performing service contracts, but for contracts subject to 2 CFR 200, only to the extent such compliance is consistent with 2 CFR 200.319. 3. Under Section 231.006 of the Family Code, the vendor or applicant [Subrecipient] certifies that the individual or business entity limited in this Contract, bid or application is not ineligible to receive the specified grant, loam. or payment and aclatowledgcs that this Contract may be terminated and payment may be withheld if this certification is inaccurate. [Not applicable to conducts with governmental entities.] 4. A bid or an application for a contract, grant. or loan paid from state fiatds must include the manic and social security number of the individual or sole proprietor and each partner, shareholder. or owner with an ownership interest of at least 25 percent of the business entity submitting the bid or application. Subrecipient certifies it has submitted this inrornation to the GLG. [Not applicable to contracts trith governmental entities.] 5. If the Contract is for the purchase or lease of computer equipment, as defined by Texas Health and Safety Code Section 361.952(2). Subrecipient certifies that it is in compliance with Subchapter Y. Chapter 361 of the '[exits Health and Safety Code, related to the Computer Equipment Recycling Progrmn and the Texas Commission on Environmental Quality rules in Title 30 'rexas Administrative Code Chapter 328. 6. Subrecipient represents and warrants that it has not given, otTered to give, nor intends to give at any time hereafter any economic opportunity, future employment, gill, loan, gratuity, special discount. nip, favor. or service to a public servant in connection with the Contract. 7. Subrecipient agrees that any payments due under the Contract shall be applied towards any debt or delinquency that is owed by Subrecipient to the State of'rexas. Aftachment C Page 2 or no S. Upon request of the GLO. Subrecipient shall provide copies of its most recent business continuity and disaster recovery plans. 9. If the Contract is for consulting services governed by Texas Govenument Code Chapter 2254. Subchapter B, in accordance with Section 2254.033 of the Texas Government Code, relating to consulting services, Subrecipient certifies that it does not employ an individual who has been employed by the GLO or another agency at any tune during the two years preceding the SubrecipienVs submission of its offer to provide consulting services to the GLO or, in the alternative Subrecipient, in its offer to provide consulting services to the GLO, disclosed the following: (i) the nature of the previous employment with the GLO or other state agency; (ii) the date the employment was tenninated,, and (iii) the annual rate of compensation for the employment at the time of its termination. 10. If the Contract is not for architecture, engineering, or construction services, except as otherwise provided by statute, rule, or regulation, Subrecipient must use the dispute resolution process provided for in Chapter 2260 of the 'Texas Govenument Code to attempt to resolve any dispute arising under the Contract. NOTHING IN THIS SECTION SHALL. BE CONSTRUED AS A WAIVER OF SOVEREIGN IMMUNITY BY THE GLO OR, IF APPLICABLE, OF GOVERNMENTAL IMMUNITY BY SUBRECIPIENT. 11. If the Contract is for architecture, engineering, or construction services, subject to Texas Government Code Section 2260.002 and Texas Civil Practice and Remedies Code Chapter• 1 14. and except its otherwise provided by statute, rule, or regulation, Subrecipient shall use the dispute resolution process provided for in Chapter 2260 of the Texas Government Code to atterupt to resolve all disputes arising under this Contract. Except as otherwise provided by statute, rule, or regulation, in accordance with the'I'exius Civil Practice and Remedies Code, Section 114.005, claims encompassed by Texas Government Code, Section 2260.002(3) and Texas Civil Practice and Remedies Code Section 114.002 shall be governed by the dispute resolution process set forth below in subsections (a)-(d). NOTHING IN THIS SECTION SHALL BE CONSTRUED AS A WAIVER OF SOVEREIGN IMMIrNI'IY BY THE GLO OR. IF APPLICABLE, OF GOVERNMENTAL IMMUNITY BY SUBRECIPIENT, a. Notwithstanding Texas Government Code, Chapter 2260.002(3) and Chapter 114.012 and any other statute or applicable law, if Subrecipient's claim for breach of contract cannot be resolved by the Parties in the ordinary course of business, Subrecipient may make a claim against the GLO for breach of contract and the GLO may assert a counterclaim against Subrecipient as is contemplated by Texas Govenument Code, Chapter 2260, Subchapter B. In such event, Subrecipient must provide written notice to the GLO of a claim for breach of the Contract not later than the 180th day after time date of the event giving rise to the claim. The notice must state with particularity: (1) the nature of the alleged breach; (2) the amount Subrecipient seeks as damages; and (3) the legal theory of recovery. b. The chief administrative officer, or if designated in the Connect. -mother officer of the GLO, shall examine the claim and any counterclaim and negotiate with Subrecipient in an etlort to resolve them. The negotiation must begin no later than time 120th day alter the AllaclnnenlC page Jar ]0 date the claim is received as is contemplated by'Texas Government Code, Chapter 2260, Section 2260.052. c. If the negotiation under paragraph (b) above results in the resolution of some disputed issues by agreement or in a settlement, the Parties shall reduce the agreement or settlement to writing and each Party shall sign the agreement or settlement. A partial settlement or resolution of a claim does not waive a Party's rights under this Contract as to the parts of the claim that are not resolved. d. If a claim is not entirely resolved under paragraph (b) above, on or before the 270th day after the date the claim is filed with the GLO, unless the Parties agree in writing to an extension of time, the Parties may agree to mediate a claim made under this dispute resolution procedure. This dispute resolution procedure is Subrecipient's sole and exclusive process for seeking a remedy for an alleged breach of contract by the GLO if the Parties are unable to resolve their disputes as described in this section. e. Nothing in the Contract shall be construed as a waiver of the state's or the GLO's sovereign immunity, or. if applicable. the governmental immunity of Subrecipient. This Contract shall not constitute or be construed as a waiver of any of the privileges, rights, defenses, remedies, or humanities available to the State of Texas or Subrecipient. 'file failure to enforce, or any delay in the enforcement, of any privileges, rights, defenses, remedies, or immunities available to the State of Texas or, if applicable, of Subrecipient under this Contract or under applicable Inv shall not constitute a waiver of such privileges, rights, defenses, remedies or immunities or be considered as a basis for estoppel. The GLO does not waive any privileges, rights, defenses, or immunities available to it by entering into this Contract or by its conduct, or by the conduct of any representative of the GLO, prior to or subsequent to entering into this Contract. Subrecipient does not waive any privileges, rights, defenses, or immunities available to it by entering into this Contract or by its conduct, or by the conduct of any representative of the GLO, prior to or subsequent to entering into this Contract. f. Except as otherwise provided by statute, rule, or regulation, compliance with the dispute resolution process provided for in Texas Government Code, Chapter 2260. subehapter B and incorporated by reference in subsection (a)-(d) above is a condition precedent to the Subrecipient: (1) tiling suit pursuant to Chapter 114 of the Civil Practices and Remedies Codc; or (2) initiating a contested case bearing pursuant to Subehapter C of Chapter 2260 of the 'Texas Government Code. 12. If Chapter 2271 of the Texas Government Code applies to this Contract, Subrecipient verifies that it does not boycott Israel and will not boycott Israel during the terns of the Contract. 13. This Contract is contingent upon the continued availability or lawfhl appropriations by the Texas Legislature. Subrecipient understands that all obligations of the GLO under this Contract are subject to the availability of fiends. If such fluids are not appropriated or become unavailable, the GLO ntav terminate the Contract. 'tile Contract shall not be construed as creating a debt on behalf of the GLO in violation of Article III, Section 49a of the Texas Constitution. Aaaclnnott C Page J a(10 14. Subrecipient certifies that it is not listed in the prohibited vendors list authorized by Executive Order 13224, "Blocking Property and Prohibiting Transactions with Persons Who Commit, Threaten to Commit, or Support Terrorism", published by the United States Department of the Treasury. Office of Foreign Assets Control. 15. In accordance with Section 609.003 of the Texas Government Code, relating to contracting with the executive head of it state agency, Subrecipient certifies that it is not (1) the executive bead of the GLO, (2) a person who at any tine during the four years before the effective date of the Contract was the executive head or the GLO, or (3) a person who employs a current or former executive head of the GLO. 16. Subrecipient represents and warrants that all statements and infomnation prepared and submitted in connection with this Contract are current, complete, true, and accurate. Submitting a false statement or making a material misrepresentation during the performance of this Contract is a material breach or contract and nay void the Contract or be grounds for its termination. 17. Pursuant to Section 2155.004(a) of the Texas Government Code, Subrecipient certifies that neither Subrecipient nor any person or entity represented by Subrecipient has received compensation from the GLO to participate in the preparation of the specifications or solicitation on which this Contract is based. Under Section 2155.004(b) of the Texas Government Code, Subrecipient certifies that the individual or business entity named in this Contract is not ineligible to receive the specified Contract and acknowledges that the Contract may be temninated and payment withheld if this certification is inaccurate. This Section does not prohibit Subrecipient from providing free technical assistance. 18. Subrecipient represents and warrants that it is not engaged in busmess with Iran, Sudan, or a foreign terrorist organization, as prohibited by Section 2252.152 of the Texas Government Code. 19. In accordance with Section 2252.901 of the Texas Government Code, for the categories of contracts listed in that section. Subrecipient represents and warrants that none of its employees including, but not luniled to, those authorized to provide services under the contract, were employees of the GLO during the twelve (12) month period immediately prior to the date of execution of the contract. Solely for professional services contracts as described by Chapter 2254 of the Texas Government Code, Subrecipient further represents and warrants that if a fornner employee of the GLO was employed by Subrecipient within one year of the employee's leaving the GLO, then such employee will not perform services on projects with Subrecipient that the employee worked on while employed by the GL,O. 20. The Contract shall be governed by aid construed in accordance with the laws of the State of Texas, without regard to the conflicts of law provisions. The venue of any suit arising under the Contract is fixed in any court of competent jurisdiction of Travis County, Texas, unless the specific venue is otherwise identified in a statute which directly names or otherwise identifies its applicability to any Party. Attachment C Page 5 of IO 21. IF THE CONTRACT IS NOT FOR ARCHITECTURE OR ENGINEERING SERVICES GOVERNED BY TEXAS GOVERNMENT CODE CHAPTER 2254. SUBRECIPIENT, TO THE EXTENT ALLOWED BY LAW, SHALL DEFEND, INDEMNIFY AND HOLD HARMLESS TILE STATE OF TEXAS :AND THE GLO, AND/OR TIIEIR OFFICERS, AGENTS. EMPLOYEES, REPRESENTATIVES, CONTRACTORS, ASSIGNEES, AND/OR DESIGNEES FROM ANY AND ALL LIABILITY, ACTIONS, CLAIMS, DEMANDS, OR SUITS, AND .ALL RELATED COSTS, ATTORNEY FEES, AND EXPENSES ARISING OUT OF. OR RESULTING FROM ANY ACTS OR OMISSIONS OF SUBRECIPIENT OR ITS AGENTS, EMPLOYEES, SUBCONTRACTORS, ORDER FULFILLERS, OR SUPPLIERS OF SUBCONTRACTORS IN THE EXECUTION OR PERFORMANCE OF THE CONTRACT AND ANY PURCHASE ORDERS ISSUED UNDER THE CONTRACT. TLIE DEFENSE SHALL BE COORDINATED BY SUBRECIPIENT WITH THE OFFICE.: OF THE 'TEXAS ATTORNEY GENERAL WHEN TEXAS STATE AGENCIES ARE NAMED DEFENDANTS IN .ANY LAWSUIT AND SUBRECIPIENT MAY NOT AGREE TO ANY SETTLEMENT WITI-I01--TT FIRST OBTAINING THE CONCURRENCE FROM THE. OFFICE OF THE TEXAS ATTORNEY GENERAL. SUBRECIPIENT AND THE GLO SHALL. FURNISH TIMELY WRITTEN NOTICE TO EACH OTHER OF ANY SUCH CLAIM. [Not applicable to contracts with governmental entities.) 22.IF THE CONTRACT IS FOR ARCHITECTURE OIL ENGINEERING SERVICES GOVERNED BY TEXAS GOVERNMENT CODE CHAPTER 2254, SUBRECIPIENT, TO THE EXTENT ALLOWED BY LAW, SHALL INDEMNIFY AND HOLD HARMLESS THE STATE OF TEXAS AND THE GLO, AND/OR THEIR OFFICERS, AGENTS, EMPLOYEES. REPRESENTATIVES, CONTRACTORS, ASSIGNEES, AND/OR DESIGNEES FROM ANY AND ALL LIABILITY, ACTIONS, CLAIMS, DEMANDS, OR SUITS, AND ALL, RELATED DAMAGES, COSTS, ATTORNEY FEES, AND EXPENSES TO TILE EXTENT CAUSED BY, ARISING OUT OF, OR RESULTING FROM ANY ACTS OF NEGLIGENCE, INTENTIONAL TORTS, WILLFUL MISCONDUCT. PERSONAL, INJURY OR DAMAGE TO PROPERTY, AND/OR OTHERWISE RELATED TO SUBRECIPIENT'S PERFORMANCE, AND/OR FAILURES TO PAY A SUBCONTRACTOR OR SUPPLIER BY THE SUBRECIPIENT OR ITS AGENTS, EMPLOYEES, SUBCONTRACTORS. ORDER FULFILLERS, CONSULTANTS UNDER CONTRACT TO SUBRFCIPIENT, OR ANY OTHER ENTITY OVER WHICH THE CONTRACTOR EXERCISES CONTROL, OR SUPPLIERS OF SUBCONTRACTORS IN THE EXECUTION OR PERFORMANCE OF TILE CONTRACT. THE DEFENSE SHALL, 13E COORDINATED BY SUBRECIPIENT WITH THE OFFICE: OF THE TEXAS ATTORNEY GENERAL WHEN TEXAS STATE AGENCIES ARE NAMED DEFENDANTS IN ANY LAWSUIT AND SUBRECIPIENT MAY NOT AGREE TO ANY SETTLEMENT WITHOUT FIRST OBTAINING THE CONCURRENCE FROM THE OFFICE OF THE TEXAS ATTORNEY GENERAL. SUBRECIPIENTAND THE GLO,SHALL FURNISH TIMELY WRITTEN NOTICE TO EACH OTHER OF ANY SUCH CLAIM. [Not applicable to contacts with governmental entities.] 23. TO THE EXTENT ALLOWED BY LAW, SUBRECIPIENT SIIALL DEFEND. INDEMNIFY, .AND HOLD HARMLESS THE GLO .AND TIIE STATE OF TEXAS FROM Allucrnnenl C Page 6 at 10 AND AGAINST ANY AND ALL CLAIMS, VIOLATIONS, MISAPPROPRI.ATIONS OR INFRINGEMENT OF ANY PATENT, TRADEMARK, COPYRIGHT, TRADE SECRET OR OTHER INTELLECTUAL PROPERTY RIGHTS AND/OR OTIiER INTANGIBLE PROPERTY, PUBLICITY OR PRIVACY RIGHTS, AND/OR IN CONNECTION WITLI OR ARISING FROM: (1) THE PERFORMANCE OR ACTIONS OF SUBRECIPIENT PURSUANT TO THIS CONTRACT; (2) ANY DELIVVERABLE. WORK PRODUCT, CONFIGURED SERVICE OR OTHER SERVICE PROVIDED HEREUNDER; AND/OR (3) THE GLO'S AND/OR SUBRECIPIENT'S USE OF OR ACQUISITION OF ANY REQUESTED SERVICES OR OTHER ITEMS PROVIDED TO TLIE GLO BY SUBRECIPIENT OR OTHERWISE TO WHICH THE 01.0 HAS ACCESS AS A RESULT OF SUBRECIPIENT'S PERFORMANCE UNDER TLIE CONTRACT. SUBRECIPIENT AND THE GLO SHALL FURNISH TIMELY WRITTEN NOTICE TO EACLI OTLIER OF ANY SUCH CLAIM. SUBRECIPIENT SHALL, BE LIABLE TO PAY ALL COSTS OF DEFENSE, INCLUDING .ATTORNEYS' FEES. THE DEFENSE SHALL BE COORDINATED BY SUBRECIPIENT WITLI THE OFFICE OF THE TEXAS ATTORNEY GENERAL (OAG) WHEN TEXAS STATE AGENCIES ARE NAMED DEFENDANTS IN ANY LAWSUIT AND SUBRECIPIENT MAY NOT AGREE TO ANY SETTLEMENT WITHOUT FIRST OBTAINING THE CONCURRENCE FROM OAG. IN ADDITION. SUBRECIPIENT WILL REIMBURSE THE GLO AND THE STATE OF TEXAS FOR ANY CLAIMS, DAMAGES, COSTS, EXPENSE'S OR OTHER AMOUNTS, INCLUDING, BUT NOT JAMITED TO, A17ORNEYW FEES AND COURT COSTS, ARISING FROM ANY SUCH CLAIM. IF THE GLO DETERMINES THAT' A CONFLICT EXISTS BETWEEN ITS INTERESTS AND 'THOSE OF SUBRECIPIENT OR IF THE GLO 1S REQUIRED BY APPLICABLE LAW TO SELECT SEPARATE COUNSEL. 'THE GLO WILL BE PERMITTED TO SELECT SEPARATE COUNSEL AND SUBRECIPIENT WILL PAY ALL REASONABLE COSTS OF THE GLO'S COUNSEL. [Not applicable to contracts with governmental entities.] 24. Subrecipient has disclosed in writing to the GLO all existing or lmown potential conflicts of interest relative to the performance of the Contract. 25. Sections 2155.006 and 2261.053 of the Texas Government Code prohibit state agencies from accepting a solicitation response or awarding a contract that includes proposed financial participation by a person who, in the past rive years, has been convicted of violating a federal law or assessed a penalty in connection with a contract involving relief for Hurricane Rita, Hurricane Katrina, or any other disaster, as defined by Section 418.004 of the Texas Governnent Code, occurring after September 24. 2005. Under Sections 2155.006 and 2261.053 of the Texas Government Code. Subrecipient certifies that die individual or business entity named in this Contract is not ineligible to receive the specified Contract and acknowledges that this Contract may be terminated and payment withheld if this certification is inaccurate. 26. Subrecipient understands that the GLO will comply with the Texas Public Infomtation Act (Chapter 552 of the Texas Government Code) as interpreted by.judicial rulings mid opinions of the Attorney General of the State of Texas. Iufortation, documentation, and other material related to this Contract may be suhiect to public disclosure pursuant to the Texas Public Infor nation Act. In accordance with Section 2252,907 of the Texas Government ,mlaclanenl C Page 7 of 10 Code, Subrecipient shall mike any information created or exchanged with the State/GLO pursuant to the Contract, and not otherwise excepted from disclosure under the Texas Public Infonuation Act, available fit a format that is accessible by the public at no additional charge to the Slate or the GLO. 27. The person executing this Contract certifies that he/she is duly authorized to execute this Contract on his/her own behalf or on behalf of Subrecipient aid legally empowered to contractually bind Subrecipient to the terms and conditions of the Contract and related documents. 28. If the Contract is for architectural or engineering services, pursuant to Section 2254.0031 of the Texas Government Code, which incorporates by reference Section 271.904(d) of the Texas Local Goverment Code, Subrecipient shall perform services (1) with professional skill and care ordinarily provided by competent engineers or architects practicing under the same or similar circumstances and professional license, and (2) as expeditiously as is prudent considering the ordinary professional skill and care of a competent engineer or architect. 29. The stale auditor may conduct an audit or investigation of any entity receiving fluids from the state directly tinder the Contract or indirectly through a subcontract under the Contract. The acceptance of funds directly under the Contract or indirectly through a subcontract under the Contract acts as acceptance of the authority of the state auditor, under the direction of the legislative audit conmtittee, to conduct all audit or investigation in connection with those funds. Under the direction of the legislative audit committee, an entity that is the subject of an audit or investigation by the state auditor must provide the state auditor with access to any infomnation the state auditor considers relevant to the investigation or audit. Subrecipient shall ensure that this paragraph concerting the authority to audit fluids received indirectly by subcontractors through the Contract and the requirement to cooperate is included in any subcontract it awards. The GLO may unilaterally amend tine Contract to comply with any rules and procedures of the state auditor in the implementation and enforcement of Section 2262.154 of line Texas Govertinent Code. 30. Subrecipient certifies that neither it nor its principals are debarred, suspended, proposed for debarment, declared ineligible, or otbenvise excluded from participation in the Contract by any state or federal agency. 31. Subrecipient expressly acknowledges that funds ntay not be expended in conmection with the purchase of an automated information system unless that system meets certain statutory requirements relating to accessibility by persons with visual impairments. .Accordingly, Subrecipient represents and warrants to the GLO that any technology provided to the GLO for purchase pursuant to this Contract is capable, either by vbtue of features included within the technology or because it is readily adaptable by use with other technology, of. providing equivalent access for effective use by both visual and non -visual means; presenting information, including prompts used for interactive communications, in formals intended for non -visuals use; and being integrated into networks for obtaining, retrieving, and disseminating information used by individuals who are not blind or visually impaired. For purposes of this Section (lie phrase "equivalent access" means a substantially similar ability to communicate with or make use of the technology, zither directly by features incorporated Attachment C Page s or to within the technology or by other reasonable means such as assistive devices or services which would constitute reasonable accommodations under the Americans With Disabilities Act or similar stale or rederal laws. Examples of methods by which equivalent access may be provided include, but are not limited to, keyboard alternatives to mouse commands and other means of navigating graphical displays, and customizable display appearance. 32. If the Contract is for the purchase or lease of covered television equipment, as defined by Section 361.971(3) of the 'Texas Health and Safety Code, Subrecipient certifies its compliance with Subchapter 7„ Chapter 361 of the 'Texas Health and Safety Code, related to the Television Equipment Recycling program. 33. pursuant to Section 572.069 of tile Texas Govenunent Code, Subrecipient certifies it has not employed and will not employ a former state officer or employee who participated in a procurement or contract negotiations for the GLO involving Subrecipient within two (2) years after the date that the contract is signed or the procurement is tenninated or withdrawn. This certification only applies to former state officers or employees whose state service or employment coased on or after September I, 2015. 34. The GLO does not tolerate any type of fraud. GLO policy promotes consistent, legal, and ethical organizational behavior by assigning responsibilities and providing guidelines to enforce controls. Any violations of law, agency policies, or standards of ethical conduct will be investigated, and appropriate actions will be taken. Subrecipient shall report :my possible fraud, waste, or abuse that occurs in comnection with the Contract to the GLO's Fraud Reporting hotline at (877) 888-0002. 35. The requirements of Subehapter J. Chapter 552, Government Code, may apply to this Contract and Subrecipient agrees that the Contract call be tenninated if Subrecipient knowingly or intentionally tails to comply with a requirement of that subchapter. 36. If Subrecipient, in its performance of the Contract, has access to it state computer system or database. Subrecipient must complete a eybersecurity training program certified under Texas Goveri rent Code Section 2054519, as selected by the GLO. Subrecipient must complete the cybersecurity training program during the initial term of the Contract and during any renewal period. Subrecipient must verify in writing to the GLO its completion of the cybersecurity trainnng program. 37. Under Section 2155.0061, Texas Government Code, Subrecipient certifies that the entity mined in this Contract is not ineligible to receive the specified Contract and acknowledges that this Contract may be tertnninated and payment withheld if this certification is inaccurate. [Not applicable to contracts with governmental entities.1 38. Subrecipient certities'that it does not require its customers to provide any documentation certifying the customer's COVID-19 vaccination or post -transmission recovery on entry to, to gain access to, or to receive service from Subrecipient's business. Subrecipient acknowledges that such a vaccine or recovery requirement would make Subrecipient ineligible for a stale-fiunded contract. Attxchme tC Page 9 of 10 39. pursuant to Government Code Section 2274.0102, Subrecipient certifies that neither it nor its parent company, nor any affiliate of Subrecipient or its parent company, is: (1) majority owned or controlled by citizens or governmental entities of China, Iran, North Korea, Russia, or any other country designated by the Governor under Government Code Section 2274.0103. or (2) headquartered in any of those countries. 40. If Subrecipient is required to make a verification pursuant to Section 2274.002 of the Texas Government Code, Subrecipient verifies that Subrecipient does not boycott energy companies and will not boycott energy companies during the term of time Contract. If Subrecipient does not make that verification, Subrecipient must notify the GLO and state why the verification is not required. 41. If Subrecipient is required to make a verification pursuant to Section 2274.002 of the Texas Government Code, Subrecipient verities that it (1) does not have a practice, policy, guidance, or directive that discriminates against a "firearm entity" or "fircanm trade association" as those temps are defined in Texas Government Code section 2274.001 and (2) will not discriminate during the term of the Contract against a firealmt entity or fireann trade association. If Subrecipient does not make that verification, Subrecipient must notify the GLO and state why the verification is not required. 42. If Subrecipient is a "professional sports team" as defined by 'Texas Occupations Code Section 2004.002, Subrecipient will play the United States national anthem at the beginning of each team sporting event held at Subrecipient's hone venue or other venue controlled by Subrecipient for the event, Failure to comply with this obligation constitutes a default of this Contract, and immediately subjects Subrecipient to the penalties for default, such as repayment of money received or ineligibility for additional moncy. In addition, Subrecipient may be debarred from contracting with the State. The GLO or the Attorney General may strictly enforce this provision. 43. To the extent Section 552.371 of the Texas Government Code applies to Subrecipient and the Contract, in accordance with Section 552.372 of the Texas Government Code. Subrecipient must (a) preserve all contracting information related to the Contract in accordance with the records retention requirements applicable to the GLO for the duration of the Contract, (b) no later than the tenth business day after the date of the GLO's request, provide to the GLO any contracting information related to the Contract that is in Subrecipient's custody or possession. and (c) on temmination or expiration of the Contract, either (i) provide to the GLO at no cost all contracting infommation related to the Contract that is in Subrecipient'% custody or possession or (ii) preserve the contracting information related to the Contract in accordance with the records retention requirements applicable to the GLO. Except as provided by Section 552.374(c) of the Texas Government Code, the requirements of Subehapter J, Chapter 552, Government Code, may apply to the Contract and Subrecipient agrees that the Contract may be temtinated if Subrecipient knowingly or intentionally fails to comply with a requirement of that subchapter. 44. If the Contract is for consulting services governed by Chapter 2254 of the'rexas Government Code, Subrecipient, upon completion of the Contract, must give the GLO a compilation, in a Altadment C Page 10 or 10 digital meditmi agreed to by the Parties, of all documents, films, recordings, or reports Subrecipient compiled in connection with its performance underthe Contract. ATTORNEY'S REVIEW CERTIFICATION Bid No. 2024.08 — Infrastructure at Little Chocolate Bayou County Park Playground Improvements Phase 2 Project — GLO Contract No. 20-066-064-C182 for Calhoun County, Texas I, the undersigned, representative of the Calhoun County, do hereby certify as follows: the duly authorized and acting legal I have examined the attached contract(s) and surety bonds and am of the opinion that each of the agreements may be duly executed by the proper parties, acting through their duly authorized representatives; that said representatives have full power and authority to execute said agreements on behalf of the respective parties; and that the agreements shall constitute valid and legally binding obligations upon the parties executing the same in accordance with terms, conditions and provisions thereof. Attorney's signature: Print Attorney's Name: Texas State Bar Number: Date: CONTRACTOR'S FINAL PAYMENT AFFIDAVIT County: Calhoun County, Texas Contractor: CDBG-MIT No: 20-065-064-C182 Date: BEFORE ME, THE UNDERSIGNED AUTHORITY, on this day personally appeared who being duly sworn, on oath, says that he is a duly authorized representative of Contractor, and that all terms of the Contract for the completion of certain public works described as Bid No. 2024.08 — Infrastructure at Little Chocolate Bayou County Park Playground Improvements Phase 2 Project — GLO Contract No. 20-065-064-C182 for Calhoun County, Texas have been satisfactorily completed and that ALL sums of money for payrolls, bills for material and equipment, and other indebtedness connected with the Work for the Owner or its property might in any way be responsible to the best of my knowledge and belief, have been paid or will be paid or otherwise satisfied within thirty days after receipt of final payment from the Owner, or within the period of time required by Article 601f, Vernon's Civil Statutes. Payments not made in full at the time of this affidavit are listed below. FINAL PAYMENTS pending as of this date hereof are: None Pending As Listed Below Individual or Co. Name Mailing Address Amount Owed Signature Title Affidavit must be signed by an individual owner or partner in partnership, or by a person authorized by by-laws or Board of Directors to sign for a corporation. If Contractor is a joint venture or partnership of individuals, either may sign, but if a joint venture in which a corporation is a party, separate affidavits must be executed by each corporation and by each individual owner or partnership. In the event subcontractors, laborers, or material suppliers have not been paid in full, the Contractor shall list here on the amount owed and the name and address of each subcontractor, laborer, or material supplier to whom such payment is owed. Sworn and Subscribed before me this, the (SEAL) Notary Public in and for County, Texas day of _,20 TECHNICAL SPECIFICATIONS FOR THE BID NUMBER 2024.08 INFRASTRUCUTRE AT LITTLE CHOCOLATE BAYOU COUNTY PARK PLAYGROUND IMPROVEMENTS PHASE 2 PROJECT FOR CALHOUN COUNTY, TEXAS WEST AUSTIN STREET PORT LAVACA, TEXAS TEXAS GENERAL LAND OFFICE CONTRACT NO.20-065-064-C182 MAY 2024 This project is funded by the Texas General Land Office of the State of Texas, to provide for disaster recovely and restoration of infrastructure for communities impacted by Hurricane Harvey. The funds have been allocated by the United States Department of Housing and Urban Development through the Community Development Block Grant Disaster Relief Program Prepared by: G & W ENGINEERS, INC. 205 WEST LIVE OAK PORT LAVACA, TEXAS 77979 (361)552-4509 G & W Engineers, Inc. Texas Registered Engineering Firm F-04188 Project No. 5310.01 le t ^'gyp IJY 7'er! a SGOTP P. MASON .............. o'•. 127893 :n Approved By: Scott P. Mason, P.E. Texas Serial No. 127893 Date: TABLE OF CONTENTS TECHNICAL SPECIFICATIONS: DIVISION 1 - GENERAL REQUIREMENTS: 01025 Application for Payment Requirements 01340 Shop Drawings, Product Data, and Samples 01410 Inspection, Testing, and Guarantee 01500 Temporary Facilities 01525 Trench Excavation Safety Requirements 01700 Contract Closeout Requirements DIVISION 2 - SITE WORK: 02050 Demolition 02111 Clearing, Rough Grading, Compaction and Finish Grading 02220 Structural Earthwork 02512 Asphaltic Concrete Pavement 02845 Site Signage DIVISION 3 - CONCRETE: 03100 Concrete Formwork 03200 Concrete Reinforcement 03300 Cast -In -Place Concrete 03342 Finishing, Quality Control, Tolerances END OF TABLE DIVISION 1 - GENERAL REQUIREMENTS SECTION 01025 - APPLICATION FOR PAYMENT REQUIREMENTS In order for CONTRACTOR to receive Progress Payments under the Contract, the following items shall be submitted to ENGINEER for review. a. An Application for Payment, certified and sworn as correct by CONTRACTOR, in accordance with Article 14.02.A.I of the General Conditions, unless otherwise amended by the Supplementary Conditions, b. A sworn certification of no claims and appropriate waivers of liens in accordance with Article 14.02.A.2 of the General Conditions, unless otherwise amended by the Supplementary Conditions. Such certification and waivers shall be as found herein as the "CONTRACTOR's CONDITIONAL WAIVER AND RELEASE ON PROGRESS PAYMENT", and if applicable, the "SUBCONTRACTOR's CONDITIONAL WAIVER AND RELEASE ON PROGRESS PAYMENT". 01025-1 CONTRACTOR's CONDITIONAL WAIVER AND RELEASE ON PROGRESS PAYMENT THE STATE OF TEXAS COUNTY OF Project: BID NUMBER 2024.08 —INFRASTRUCTURE AT LITTLE CHOCOLATE BAYOU COUNTY PARK PLAYGROUND IMPROVEMENTS PHASE 2 PROJECT FOR CALHOUN COUNTY, TEXAS Job No. 5310.011e On receipt by the signer of this document of a check from CALHOUN COUNTY (maker of check) in the sum of $ payable to (payee or payees of check) and when the check has been properly endorsed and has been paid by the bank on which it is drawn, this document becomes effective to release any mechanic's lien right, any right arising from a payment bond that complies with a state or federal statute, any common law payment bond right, any claim for payment, and any rights under any similar ordinance, rule, or statute related to claim or payment rights for persons in the signer's position that the signer has on the property or easements of CALHOUN COUNTY (owner) located at Magnolia Beach — Ocean Drive, Port Lavaca, Texas to the following extent: BID NUMBER 2024.08 - INFRASTRUCTURE AT LITTLE CHOCOLATE BAYOU COUNTY PARK PLAYGROUND IMPROVEMENTS PHASE 2 PROJECT FOR CALHOUN COUNTY, TEXAS (job description). This release covers a progress payment for all labor, services, equipment, or materials furnished to the property or to CALHOUN COUNTY (person with whom signer contracted) as indicated in the attached statement(s) or progress payment request(s), except for unpaid retention, pending modifications and changes, or other items furnished. Before any recipient of this document relies on this document, the recipient should verify evidence of payment to the signer. The signer warrants that the signer has already paid or will use the funds received from this progress payment to promptly pay in full all of the signer's laborers, subcontractors, materialmen, and suppliers for all work, materials, equipment, or services provided for or to the above referenced project in regard to the attached statement(s) or progress payment request(s). 01025-2 (CONTRACTOR'S NAME) Signed Print N Title: SUBSCRIBED AND SWORN TO BEFORE ME by on 20_, to certify which witness my hand and seal of office. Notary Public, State of Texas 01025-3 SUBCONTRACTOR'S CONDITIONAL WAIVER AND RELEASE ON PROGRESS PAYMENT THE STATE OF TEXAS COUNTY OF Project: BID NUMBER 2024.08 -INFRASTRUCTURE AT LITTLE CHOCOLATE BAYOU COUNTY PARK PLAYGROUND IMPROVEMENTS PHASE 2 PROJECT FOR CALHOUN COUNTY, TEXAS Job No. 5310.011e On receipt by the signer of this document of a check from (maker of check) in the sum of $ payable to (payee or payees of check) and when the check has been properly endorsed and has been paid by the bank on which it is drawn, this document becomes effective to release any mechanic's lien right, any right arising from a payment bond that complies with a state or federal statute, any common law payment bond right, any claim for payment, and any rights under any similar ordinance, rule, or statute related to claim or payment rights for persons in the signer's position that the signer has on the property or easement of CALHOUN COUNTY (owner) located at Magnolia Beach — Ocean Drive, Port Lavaca, Texas (location) to the following extent BID NUMBER 2024.08 - INFRASTRUCTURE AT LITTLE CHOCOLATE BAYOU COUNTY PARK PLAYGROUND IMPROVEMENTS PHASE 2 FOR CALHOUN COUNTY, TEXAS Ebb description). This release covers a progress payment for all labor, services, equipment, or materials furnished to the property or to (person with whom signer contracted) as indicated in the attached statement(s) or progress payment request(s), except for unpaid retention, pending modifications and changes, or other items furnished. Before any recipient of this document relies on this document, the recipient should verify evidence of payment to the signer. The signer warrants that the signer has already paid or will use the funds received from this progress payment to promptly pay in full all of the signer's laborers, subcontractors, materialmen, and suppliers for all work, materials, equipment, or services provided for or to the above referenced project in regard to the attached statement(s) or progress payment request(s). 01025-4 (SUBCONTRACTOR'S NAME) Signed By:, Print Name Title: AND SWORN TO BEFORE ME by on 20_, to certify which witness my hand and seal of office. Notary Public, State of Texas END OF SECTION 01025-5 DIVISION 1 - GENERAL REQUIREMENTS SECTION 01340 - SHOP DRAWINGS, PRODUCT DATA AND SAMPLES .01 GENERAL: a. Submit shop drawings, product data and samples required by specification sections. b. Shop drawings, product data and samples are not considered a part of Contract Documents. C. Schedule submissions at least 10 days before reviewed submittals will be needed. .02 CONTRACTOR RESPONSIBILITIES: a. Review shop drawings, project data and samples prior to submission. b. Verify: 1. Field measurements. 2. Field construction criteria. 3. Catalog numbers and other data. 4. Conformance with submission requirements. C. Coordinate each submittal with Contract Documents and the work requirements to prevent any delay in the work. d. CONTRACTOR's responsibility for errors and omissions is not relieved by ENGINEER's review of submittals. e. At time of submission and in writing, notify ENGINEER of submittal deviations from Contract Documents. f. CONTRACTOR's responsibility for deviations from Contract Documents is not relieved by ENGINEER's review of submittals, unless ENGINEER gives written acceptance of specific deviations. g. Begin no Work related to submittals until return of submittals with ENGINEER's stamp and initials or signature indicating review. h. Distribute copies after ENGINEER's review. 01340-1 .03 ENGINEER'S DUTIES: a. Review submittals with reasonable promptness to prevent any delay in the Work. b. Review for conformance with: 1. Design concept of project. 2. Contract Documents. C. Review of a separate item does not constitute review of an assembly in which the item functions. d. Return to CONTRACTOR those submittals which do not meet the requirements and require correction and resubmission. e. Affix stamp and initials or signature certifying review of submittal. f. Return reviewed submittals to CONTRACTOR for distribution. .04 PREPARATION REQUIREMENTS: a. Shon Drawings: 1. Preparation by a qualified detailer. 2. Sheet size same as Contract Drawings. 3. Identify details by reference to sheet and detail numbers on Contract Drawings. 4. Include on the drawing all information required for submission or prepare a transmittal letter. 5. Prepare one reproducible transparency and one opaque print of each shop drawing. b. Product Data: I. Modify manufacturer's standard schematic drawings to delete or supplement information as applicable. 2. For manufacturer's catalog sheets, brochures, diagrams, schedules, performance charts, illustrations and other descriptive data: (a) Clearly mark each copy to identify pertinent materials, products or models. (b) Show dimensions and clearances required. 01340-2 (c) Show performance characteristics and capacities. (d) Show wiring diagrams and controls. 3. Include on the data all information required for submission or prepare a transmittal letter. 4. Prepare number of copies which the CONTRACTOR requires for distribution plus two copies to be retained by ENGINEER. C. Samples: 1. Obtain office samples of sufficient size and quantity to clearly illustrate: (a) Functional characteristics of products or materials with integrally related parts and attachment devices. (b) Full range of color samples. 2. Erect field samples and mock-ups at the project site in an acceptable location. Construct each sample complete, including work of all trades required in finished work. 3. Include on transmittal letter all information required for submission. 4. Prepare the number of samples specified in specification sections. .05 SUBMISSION REQUIREMENTS: a. Submit shop drawings, product data and samples in the form and quantity specified. b. Accompany submittals with a transmittal letter in duplicate, as required. C. Include the following information for each submittal: 1. Date and revision dates. 2. Project title and number. 3. The names of: (a) ENGINEER (b) CONTRACTOR (c) Subcontractor (d) Supplier (e) Manufacturer (I) Separate detailer when pertinent. 01340-3 4. Identification of product or material. 5. Relation to adjacent structure of materials. 6. Field dimensions clearly identified as such. 7. Specification section number. 8. Applicable standards, such as ASTM number or Federal Specification. 9. A blank space, 4" x 4", for ENGINEER's review stamp. 10. Identification of deviations from Contract Documents. 11. CONTRACTOR's stamp, initialed or signed, certifying review of submittal, verification of field measurements and compliance with Contract Documents. .06 RESUBMISSION REQUIREMENTS: a. Shop Drawings: 1. Revise initial drawings as required and resubmit as specified for initial submittal. 2. Indicate on drawings any changes which have been made other than those requested by ENGINEER. b. Product Data and Samples: Submit new data and samples as required for initial submission. .07 DISTRIBUTION AFTER REVIEW: a. Distribute copies of shop drawings and product data which carry ENGINEER's stamp to: 1. CONTRACTOR's file 2. Job site file 3. Record document file 4. Other prime CONTRACTORS 5. Subcontractors 6. Supplier 7. Fabricator b. Distribute samples as directed. After review, samples may be used in construction. END OF SECTION 01340-4 DIVISION 1 - GENERAL REQUIREMENTS SECTION 01410 - INSPECTION. TESTING AND GUARANTEE .01 GENERAL: These requirements supplement those provided under Article 13 of the General Conditions. .02 INSPECTION: a. Inspector: A representative of ENGINEER or OWNER will be assigned authority to observe and inspect the Work. b. Working Days: Inspectors are not required to work on Saturdays, Sundays or legal holidays. If CONTRACTOR plans work on a Saturday, Sunday or legal holiday 'p' for arrangements should be made for an inspector not later than 48 hpurs on the working days before the Saturday, Sunday or legal holiday. C. Uninspected Work: Any Work performed on Saturday, Sunday, or a legal holiday without benefit of any inspection may require removal and replacement if directed ,by ENGINEER. Removal and replacement will be completed at no additional cost. .03 TESTING: a. The cost of preparing and testing, and the cost of other laboratory services requr"red for establishing the concrete mix, and redesigning the mix, if necessary, shall be borne by CONTRACTOR. These tests shall also include, but not necessarily limited to: Compaction Testing, Concrete Strength Testing, Concrete Slump Testing, Subgrade Stabilization Depth Testing, Subgrade Gradation Testing, Base Material Testing, Asphalt Placement Testing and Density Testing. b. CONTRACTOR shall furnish at his own expense, suitable evidence that all the materials he proposes to incorporate into the Work are in accordance with the Specifications. Mill tests for reinforcing steel and cement will be acceptable if it is definite that the test sheets apply to the material being furnished. Manufacturer's or supplier's test results will be acceptable for such items as pipe and fittings, when it is definite that the materials being furnished is that to which the test results apply. Should CONTRACTOR fail to provide the above information, ENGINEER shall have the right to require tests to be made by OWNER's laboratory to obtain the information and the cost therefore shall be borne by CONTRACTOR. 01410-1 03/30/21 C. In any event, ENGINEER may have further tests made by commercial laboratory, or may make tests himself, to ensure that the Specifications are complied with by CONTRACTOR. Costs of these tests will be borne by CONTRACTOR. Should OWNER wish to have a third -party testing performed to confirm test results supplied by CONTRACTOR then those tests shall be paid for by OWNER, unless those results come back with unsatisfactory construction and/or materials. Should results come back unsatisfactory then the cost associated with the OWNER's testing shall be paid for by CONTRACTOR and retested at CONTRACTOR's expense. Work shall not commence further until OWNER and ENGINEER are provided evidence showing that unsatisfactory results and areas have been addressed and receiving passing results. .04 GUARANTEE: a. CONTRACTOR shall deliver to ENGINEER upon completion of all Work under the Contract his written guarantee, in the form of SECTION 01700 - CONTRACT CLOSEOUT REQUIREMENTS, made out to OWNER, guaranteeing all of the Work under the Contract to be free from faulty materials in every particular and free from improper workmanship; and against injury from proper and usual wear; and agreeing to replace or to re -execute without cost to OWNER such Work as may be found to be improper or imperfect; and to make good all damage caused to other Work or materials, due to such required replacement or re -execution. This guarantee shall be made to cover a period of one (1) year from the date of completion of all Work under this Contract, as evidenced by ENGINEER's final certificate. This guarantee must be furnished to ENGINEER and approved by ENGINEER before acceptance and final payment is made. b. CONTRACTOR shall provide OWNER with copies of all guarantees or warranties which have been made to CONTRACTOR by suppliers or subcontractors as required hereunder, together with an assignment of such warranties and guarantees to OWNER; however, such assignment shall not relieve CONTRACTOR of the responsibility (stated in subparagraph a. above) in case of failure of subcontractors or suppliers to fulfill the provisions of such warranties or guarantees. C. Neither the final certificate, nor payment, nor any provision in the Contract Documents shall relieve CONTRACTOR of responsibility for neglect of faulty materials or workmanship during the period covered by the guarantee. END OF SECTION 01410-2 03/30/21 DIVISION 1- GENERAL REQUIREMENTS SECTION 01500 - TEMPORARY FACILITIES .01 FIELD OFFICE: If CONTRACTOR is required (or is so inclined) to provide a Temporary Field Office, said office shall be placed, unless otherwise approved in writing, at a site selected by CONTRACTOR and approved by ENGINEER. The building shall be weatherproof and be provided with doors and locks, electric illumination and adequate ventilation. The floor of the building shall be raised above the ground. A complete set of Contract Drawings and Specifications shall be kept in the temporary office throughout the construction period and shall be accessible for use by OWNER and ENGINEER. The building shall be maintained in a clean condition throughout the Contract period and shall be removed from the site upon completion of all Work. .02 SANITARY FACILITIES: CONTRACTOR shall make all arrangements and furnish all materials required to obtain any needed sanitary facilities and to satisfy the requirements of local or state health authorities, ordinances, and laws. .03 STORAGE OF MATERIALS: a. No materials shall be stored nor shall any equipment be parked on adjacent property without the expressed consent of owner of the property concerned. b. Secure and watertight storage facilities of suitable size with floors raised above the ground shall be provided for materials liable to damage from exposure to the weather. Other materials shall be stored on blocks off the ground. Materials shall be so placed as to permit easy access for inspection and identification. Any material which has deteriorated, become damaged, or otherwise unfit for use, shall not be used in the Work, and shall be immediately removed from the site by CONTRACTOR. Upon completion of all Work or when directed, CONTRACTOR shall remove storage facilities from the site. .04 TEMPORARY UTILITIES: CONTRACTOR shall arrange for and secure all temporary connections for water, electricity, gas and other services needed by him for the proper execution of his operations. Costs for these services shall be paid for by CONTRACTOR. 01500-1 .05 BARRICADES AND WARNINGS: a. The safety of the public shall of primary importance during construction. In all respects provisions for public safety shall be CONTRACTOR's responsibility. b. Should conditions be such that the public safety is involved, the Contractor shall provide warning lights which shall be kept burning between the hours of sunset and sunrise. Barricades and warnings shall be in accordance with Item 502, "Barricades, Signs and Traffic Handling" of the Standard Specifications for Construction and Maintenance of Highways, Streets, and Bridges, as adopted by the Texas Department of Transportation (November 2014 edition). END OF SECTION 01500-2 DIVISION 1 - GENERAL REQUIREMENTS SECTION 01525 - TRENCH EXCAVATION SAFETY REQUIREMENTS .01 GENERAL: This Specification shall govern all the Work under the Contract related to trench excavations which will exceed a depth of five feet. .02 REFERENCES: a. For all excavation of trenches which will exceed a depth of five feet, CONTRACTOR's trench excavation safety procedures shall in all respects meet the current standards established by the U.S. Department of Labor, Occupational Safety and Health Administration (OSHA) on excavation, trenching and shoring, including, but not limited to, (Subpart P, Part 1926), of the Code of Federal Regulations, all of which are incorporated herein by reference. b. Document No. 00220 - Geotechnical Data (Soil Report) of these Specifications contains information pertaining to trench safety considerations. .03 RESPONSIBILITY: CONTRACTOR has the sole and exclusive responsibility for the sufficiency of the trench excavation safety systems utilized. CONTRACTOR shall specifically agree that neither OWNER nor ENGINEER has such responsibility, and CONTRACTOR will not rely on OWNER or ENGINEER or any of their representatives for inspection, design, supervision, construction or any other aspect of trench excavation safety protection. CONTRACTOR and its sureties shall defend, indemnify and hold harmless OWNER and its officers, agents, and employees from all suits, actions, or claims of any character, name and description including attorneys' fees and expenses brought for any injuries to persons or damages to property in connection withthe negligence of CONTRACTOR in the inspection, design, engineering, supervision, construction, safety devices or other activity connected with the trench excavation safety protection under this Agreement. So much of the money due CONTRACTOR under this Contract as shall be considered necessary by OWNER may be retained for the use of OWNER, or in case no money is due, the sureties shall be held, until all suits, actions, and claims shall have been settled and satisfactory evidence to that effect furnished OWNER. CONTRACTOR and its sureties expressly agree to defend. or any condition of the OWNER's property. CONTRACTOR shall, at his own expense, investigate all such claims and demands, attend to their settlement or other disposition, defend all actions based thereon and pay all charges of attorneys and all other costs and expenses of any kind arising from any such liability, damage, loss, claims, demands, and action's. END OF SECTION 01525-1 DIVISION 1 - GENERAL REQUIREMENTS SECTION 01700 -CONTRACT CLOSEOUT REQUIREMENTS Before final acceptance by OWNER, the following items must be submitted and accepted by ENGINEER: a. Final Inspection completed b. Bound manuals of servicing or operating instructions with recommended lubricants for all equipment C. CONTRACTOR's Guarantee. CONTRACTOR shall deliver to OWNER, upon completion of all Work, his written guarantee, found herein as "CONTRACTOR'S GUARANTEE". This guarantee shall be made to cover a period of one (1) year from the date of completion of all Work, and must be furnished to and approved by OWNER before acceptance and final payment is made. Neither the final payment, nor any provision stated above, shall relieve CONTRACTOR of responsibility for neglect of faulty materials or workmanship during the period covered by the guarantee. d. All other guarantees and warranties properly assigned to OWNER CONTRACTOR shall provide OWNER with copies of all guarantees or warranties which have been made to CONTRACTOR by suppliers or subcontractors, together with an assignment of such warranties and guarantees to OWNER; however, such assignment shall not relieve CONTRACTOR of the responsibility (stated in his guarantee) in case of failure of subcontractors or suppliers to fulfill the provisions of such warranties or guarantees. Neither the final payment, nor any provision stated above, shall relieve CONTRACTOR of responsibility for neglect of faulty materials or workmanship during the period covered by the guarantee. e. CONTRACTOR's Conditional Waiver and Release on Final Payment CONTRACTOR shall deliver to OWNER, upon completion of all Work, a final sworn certification of no claims and waiver of liens in accordance with Article 14.07 of the General Conditions, unless otherwise amended by the Supplementary Conditions. Such certification and waiver shall be found herein as the "CONTRACTOR's CONDITIONAL WAVIER AND RELEASE ON FINAL PAYMENT", and if applicable, the "SUBCONTRACTOR'S CONDITIONAL WAVIER AND RELEASE ON FINAL PAYMENT". f. Final Application for Payment. 01700-1 CONTRACTOR'sGUARANTEE do hereby make the , being of (hereinafter called "CONTRACTOR"), following statements to CALHOUN COUNTY (hereinafter called "OWNER") in relation to the completed project known as BID NUMBER 2024.08 - INFRASTRUCTURE AT LITTLE CHOCOLATE BAYOU COUNTY PARK PLAYGROUND IMPROVEMENTS PHASE 2 PROJECT FOR CALHOUN COUNTY, TEXAS. I guarantee... That all of the completed Work is free from faulty materials in every particular, That all of the completed Work is free from improper workmanship, and That no injury will occur from proper and usual wear, That OWNER has been assigned all guarantees and/or warranties originally made to CONTRACTOR by suppliers and subcontractors, if any. (Such assignment does not relieve CONTRACTOR of the responsibility stated in each guarantee and/or warranty in case of failure of suppliers or subcontractors to fulfill the provisions of such guarantees and/or warranties.) I agree... That the execution of the final certificate or the receipt of the final payment does not relieve CONTRACTOR of the responsibility for neglect of faulty materials or workmanship during the period covered by this Guarantee, To replace or to re -execute without cost to OWNER such Work as may be found to be improper or imperfect, and To make good all damage caused to other Work or materials, due to such required replacement or re -execution. This Guarantee is in effect as of the day of 20_ and shall cover a period of ONE (1) FULL YEAR from said effective date. (CONTRACTOR) Signed By: Print Name/Title: Date: 01700-2 CONTRACTOR'S CONDITIONAL WAIVER AND RELEASE ON FINAL PAYMENT THE STATE OF TEXAS COUNTY OF Project: BID NUMBER 2024.08 - INFRASTRUCTURE AT LITTLE CHOCOLATE BAYOU COUNTY PARK PLAYGROUND IMPROVEMENTS PHASE 2 PROJECT FOR CALHOUN COUNTY, TEXAS. Job No. 5310.11e On receipt by the signer of this document of a check from CALHOUN COUNTY (maker of check) in the sum of $ payable to I (payee or payees of check) and when the check has been properly endorsed and has been paid by the bank on which it is drawn, this document becomes effective to release any mechanic's lien right, any right arising from a payment bond that complies with a state or federal statute, any common law payment bond right, any claim for payment, and any rights under any similar ordinance, rule, or statute related to claim or payment rights for persons in the signer's position that the signer has on the property or easements of CALHOUN COUNTY (owner) located at Magnolia Beach — Ocean Drive, Port Lavaca, Texas (location) to the following extent: BID NUMBER 2024.08 - INFRASTRUCTURE AT LITTLE CHOCOLATE BAYOU COUNTY PARK PLAYGROUNDIMPROVEMENTS PHASE 2 PROJECT FOR CALHOUN COUNTY, TEXAS. (job description). This release covers the final payment to the signer for all labor, services, equipment, or materials furnished to the property or to CALHOUN COUNTY (person with whom signer contracted). Before any recipient of this document relies on this document, the recipient should verify evidence of payment to the signer. The signer warrants that the signer has already paid or will use the funds received from this final payment to promptly pay in full all of the signer's laborers, subcontractors, materialmen, and suppliers for all work, materials, equipment, or services provided for or to the above referenced project up to the date of this waiver and release. 01700-3 (CONTRACTOR) Signed By: Print Name: Title: SUBSCRIBED AND SWORN TO BEFORE ME by on 20. to certify which witness my hand and seal of office. Notary Public, State of Texas My Commission Expires: 01700-4 SUBCONTRACTOR'S CONDITIONAL WAIVER AND RELEASE ON FINAL PAYMENT THE STATE OF TEXAS COUNTY OF I Project: BID NUMBER 2024.08 - INFRASTRUCTURE AT LITTLE CHOCOLATE BAYOU COUNTY PARK PLAYGROUND IMPROVEMENTS PHASE 2 PROJECT FOR CALHOUN COUNTY, TEXAS. Job No. 5310.011e On receipt by the signer of 'this document of a check from (maker of check) in the sum of $ payable to (payee or payees of check) and when the check has been properly endorsed and has been paid by the bank on which it is drawn, this document becomes effective to release any mechanic's lien right, any right arising from a payment bond that complies with a state or federal statute, any common law payment bond right, any claim for payment, and any rights under any ,similar ordinance, rule, or statute related to claim or payment rights for persons in the signer's position that the signer has on the property or easements of CALHOUN COUNTY (owner) located at Magnolia Beach — Ocean Drive, Port Lavaca, Texas (location) to the following extent: BID NUMBER 2024.08 - INFRASTRUCTURE AT LITTLE CHOCOLATE BAYOU COUNTY PARK PLAYGROUND IMPROVEMENTS PHASE 2 PROJECT FOR CALHOUN COUNTY, TEXAS (job description). This release covers the final payment to the signer for all labor, services, equipment, or materials furnished to the property or to (person with whom signer contracted). Before any recipient of this document relies on this document, the recipient should verify evidence of payment to the signer. The signer warrants that the signer has already paid or will use the funds received from this final payment to promptly pay in full all of the signer's laborers, subcontractors, materialmen, and suppliers for all work, materials, equipment, or services provided for or to the above referenced project up to the date of this waiver and release. 01700-5 (SUBCONTRACTOR) Signed By:. Print Name: Title: SUBSCRIBED AND SWORN TO BEFORE ME by on 20_, to certify which witness my hand and seal of office. Notary Public, State of Texas My Commission Expires: END OF SECTION END OF DIVISION 01700-6 DIVISION 2 - SITE WORK SECTION 02505 - GRAVEL SURFACED AREAS .01 GENERAL: This Work includes the performance of all operations necessary for the placement and compaction of a gravel surfaced area at locations designated on Contract Drawings. .02 MATERIALS: Surface material for the area shall be crushed stone or crushed or uncrushed gravel mixed with approved binder and shall be Type A or B, Grade 2 material conforming to Item 247, "Flexible Base" of the Standard Specifications for Construction and Maintenance of Highways, Streets, and Bridges, as adopted by the Texas Department of Transportation (November 2014 edition). .03 CONSTRUCTION METHODS: a. Entire area to be surfaced shall be stripped in accordance with Section 02110 - Clearing and Finish Grading of these Specifications. b. Cut and fill as required to bring stripped surface to appropriate subgrade to accept surface material. All fill material shall be approved by ENGINEER. Compact entire area over which surface material is to be placed by sheep -foot rollers or other approved method to provide a uniform compaction of 95% modified density in accordance with ASTM Standard 1557. C. Surface material deposited upon subgrade shall be spread and shaped the same day. Surface material shall be deposited, mixed and shaped in such a manner as to prevent "nests" of segregated coarse or fine material. Thickness of the finished surface material shall be not less than eight inches (8") compacted in place. Material shall be compacted by approved methods to obtain uniform compaction of 95% modified density. Material shall be watered or dried to provide a moisture content between optimum moisture and five percent (5%) above optimum moisture during compaction process. Finished surface shall be a smooth, graded surface satisfactory to ENGINEER and shall transition to existing surrounding surface elevations. END OF SECTION 02505-1 DIVISION 2 - SITE WORK SECTION 02111— CLEARING, ROUGH GRADING. COMPACTION AND FINISH GRADING .01 GENERAL: The Work covered under this section of the Specifications shall include furnishing all labor, materials and equipment and performing all operations necessary to complete all clearing and grubbing, disposal of surplus materials, rough grading, compaction of embankments, finish grading, and the performance of all other miscellaneous sitework operations required to complete the project as shown on the drawings and specified herein. .02 SITE CLEARING: a. Clearing: All areas of new construction shall be cleared of all brush, weeds, rubbish, wire, debris and all other objectional matter to a line five (5) feet outside the proposed Work. b. Stripping: Remove all topsoil and organic materials within areas to be excavated and/or areas to receive embankment, for a depth of at least six (6) inches, or until bottom of existing topsoil layer is reached. Topsoil material shall be stockpiled separately and spread at locations and finished to grade. C. Grubbing: Remove all stumps, roots,etc., within the areas to be excavated to a depth of at least one (1) foot below the existing ground surface. In areas to receive embankment, remove all stumps, roots, etc., to a depth of at least one (1) foot below the existing ground surface. All holes remaining after clearing and grubbing shall be backfilled and the entire area bladed to prevent ponding of water and to provide drainage, unless otherwise directed. .03 PROCESSING OF CLEARED, STRIPPED AND GRUBBED MATERIAL: a. Stockpiling: Excavated material which is to be used for backfilling and grading may be deposited in storage piles at points convenient for rehandling. Location of storage piles shall not endanger the Work, obstruct roads and driveways, or restrict drainage channels, and will be acceptable to ENGINEER. Topsoil to be used for finish grading shall be stockpiled separately from other materials. b. Disposal of Excess and Unsuitable Materials: All suitable excavated materials in excess of that needed in the formation of embankments shall be disposed of at designated spoil disposal areas within the limits of the project. Material shall be placed in a uniform layer not to exceed twelve (12) inches thick over the entire designated area, graded and shaped to drain. Unsuitable unclassified excavation 02111-1 shall be known as "waste" and shall be disposed of by CONTRACTOR. The waste shall be disposed of in such manner as to not create a public nuisance, and disposal shall conform to State laws. CONTRACTOR may not utilize any public rights -of -way or public lands for waste disposal. .04 ROUGH GRADING AND COMPACTION: a. Material Furnish approved material capable of forming stable fill from required excavation within the agreed mitigation ponding area. b. Construction Backfill tree -stump holes or other minor excavations with approved material and tamp. Restore the ground surface, including any material disked loose or washed out, to its original slope. Compact the ground surface by sprinkling in accordance with the current TxDOT Item 204, "Sprinkling," and by rolling using equipment complying with the current TxDOT Item 210, "Rolling," when directed. Scarify and loosen the unpaved surface areas, except rock, to a depth of at least 6 inches, unless otherwise shown on the plans. Bench slopes before placing material. Begin placement of material at the toe of slopes. Do not place trees, stumps, roots, vegetation, or other objectionable material in the embankment. Simultaneously re -compact scarified material with the placed embankment material. Do not exceed the layer depth specified in "Compaction" herein. Earth fill is mainly composed of material other than rock. Construct fill in successive layers, evenly distributing materials in lengths suited for sprinkling and rolling. Construct the fill in layers approximately parallel to the finished grade for the full width of the area, unless otherwise shown on the plans. Construct the fill to the grades shown on the plans. Ensure that each section of the fill conforms to the detailed sections or slopes, if any. Move the material dumped in piles or windrows by blading or by similar methods and incorporate it into uniform layers. Featheredge or mix abutting layers of dissimilar material for at least 100 ft. to ensure there are no abrupt changes in the material. Break down clods or lumps of material and mix embankment until a uniform material is attained. Apply water free of industrial wastes and other objectionable matter to achieve the uniform moisture content specified for compaction. Roll and sprinkle each layer in accordance with "Compaction" herein. 02111-2 C. Compaction Compaction of the material shall be provided by sheep -foot rollers or other approved method. Begin rolling longitudinally at the sides and proceed toward the center, overlapping on successive trips by at least 1/2 the width of the roller. Alternate roller trips to attain slightly different lengths. Do not allow the loose depth of any layer to exceed 8 inches, unless otherwise approved. Provide a uniform compaction of 95% modified density in accordance with ASTM Standard 1557 at a moisture content between optimum moisture and five (5) percent above optimum moisture. .05 FINISH GRADING: a. Grade all areas indicated on drawings or as required to suit construction operations. b. Grading shall be carefully finished at elevations shown against building and other structures. C. In ungraded areas, backfill shall be placed around outside of structures to approximate level of adjacent ground but modified to assure positive drainage away from structures. d. A qualified engineer shall set lines, batterboards and grades. e. Grading changes shall be even between indicated finish elevations and contours, without sharp breaks, low spots, etc., to provide positive drainage. .06 UNDERGROUND UTILITIES: Determine location of underground utilities before doing any excavation work. If a live utility line is damaged, the proper utility shall be notified immediately for required action. CONTRACTOR is responsible for repair to the line, at no cost to OWNER. .07 CLEANUP: Prior to final acceptance of the complete project, CONTRACTOR shall remove all tools, scaffolding,; temporary structures and debris from the site and areas of the Work. Any washes, ruts or other depressions that have occurred shall be leveled to give all areas where the Work was accomplished a smooth finish and neat appearance. END OF SECTION 02111-3 DIVISION 2 - SITE WORK SECTION 02220 - STRUCTURAL EARTHWORK .01 GENERAL: This Work includes furnishing all plant, labor, equipment and materials, and performing of all operations required for proper completion of excavation, backfill, stripping, shoring and bracing as required, dewatering of excavations as required, rough and finish grading, compacting, and disposal of surplus earth, together with all other miscellaneous site work and earthwork operations required to complete the project as shown on drawings and specified herein. .02 PROTECTION OF EXISTING FACILITIES: Prior to any operations, existing facilities and/or permanent objects including trees and shrubs shall be adequately protected. Any costs resulting from damage to any property due to negligence and/or lack of adequate protection shall be borne by CONTRACTOR. .03 EXCAVATION: a. General: Excavation shall be unclassified and includes removal of all types of materials encountered without exception. Make all excavation to lines and grades indicated on drawings. Completed excavations shall be within tolerances hereinafter specified. b. Shoring, Bracing and Dewatering: All shoring, bracing and dewatering of excavations required to properly and safely complete the Work as shown on the drawings, shall be provided by CONTRACTOR. Shoring and bracing shall be provided as required to prevent the excavation from extending beyond the specified or indicated limits and as required to protect workmen. Excavations shall be kept dewatered while construction therein is in progress. Shoring, bracing and sheeting shall be removed as the excavations are backfilled in a manner to prevent injurious caving. C. Excavation for Structures: Excavation shall extend sufficient distance from walls, beams and footings to allow for placing and removing forms, installation of facilities and for inspection. No excavation shall be made outside vertical plane three (3) feet beyond footing, beam or wall line, except where specified or shown otherwise on drawings, and no excavation shall be made beyond the lines indicated on drawings. Excavation for slabs, beams or footings that bear on earth shall not be carried below elevation indicated; if carried below indicated elevation, thickness of footing or height of wall shall be increased as directed. Perform excavation of last four (4) inches of material to grade for bottom of slabs, beams or footings immediately prior to placing compacted sand beds or other base 02220-1 material. Protect open excavations from excessive rainfalls or drying. After completion of excavation and prior to commencement of the Work on structure, excavation will be inspected to insure that suitable foundation surfaces have been reached and that surfaces have been properly prepared to receive concrete walls, piers, slabs or other parts of structure. d. Stockpiling: Excavated material which is to be used for backfilling and grading may be deposited in storage piles at points convenient for rehandling. Location of storage piles shall not endanger the Work, obstruct roads and driveways, or restrict drainage channels, and will be acceptable to ENGINEER. Topsoil to be used for finish grading shall be stockpiled separately from other materials. e. Disposal of Excess and Unsuitable Materials: All suitable excavated materials in excess of that needed in the formation of embankments shall be disposed of at designated spoil disposal areas within the limits of the project. Material shall be placed in a uniform layer not to exceed twelve (12) inches thick over the entire designated area, graded and shaped to drain. Unsuitable unclassified excavation shall be known as "waste" and shall be disposed of by CONTRACTOR. .04 FILL AND BACKFILL: a. General: Complete fill and backfill to lines and grades indicated on drawings or elsewhere specified. Fill and backfill shall conform to requirements specified herein. Suspend backfill operations in field during times of inclement weather or other unsatisfactory conditions when desired results cannot be obtained. b. Use of Excavated Materials: Suitable materials from the excavation may be used as fill and backfill except where select materials are indicated on drawings or herein specified. Any objectionable material which may be encountered, such as peat, silt, muck, topsoil, organic materials, debris or other extraneous material, will be rejected. C. Sand Beds: Under slabs shall be a clean bank sand suited to purpose and obtained from an approved off -site source. Material shall be free of clay lumps or other foreign material, plasticity index shall not exceed 3.0 and not more than 10% of the material by weight shall pass the 200-mesh sieve. d. Backfill at Structures: Place backfill as far as practicable as the Work progresses. Remove forms, shoring, bracing, etc., before backfilling is started. No backfill shall be placed against concrete until directed. Take care to prevent wedging action of backfill against a structure. Step slopes bounding excavation or serrate to prevent such wedge action. Place backfill in successive horizontal layers of not more than eight (8) inches when rolling equipment is used and not more than four (4) inches when mechanical hand tampers are used. e. Cement Stabilized Material: Material for Cement Stabilized Backfill, where designated, shall be in accordance with the requirements of Item 275, "Cement 02220-2 Treatment (Road -Mixed)" of the Standard Specifications for Construction and Maintenance of Highways, Streets, and Bridges, as adopted by the Texas Department of Transportation (November 2014 edition). .05 COMPACTION: a. General: Place all fill and backfill in uniform layers not to exceed 8" and compact to 95% of Standard Density (ASTM D 698) at not less than 100% of optimum moisture content. Methods to secure the optimum moisture content shall be CONTRACTOR's responsibility and shall be such that uniform density will be obtained over entire area and depth of material being compacted. Fill material shall be thoroughly broken up before being spread into uniform layers. b. Compaction Equipment: Compaction equipment shall conform to the requirements of Item 210, 'Rolling" of the Standard Specifications for Construction and Maintenance of Highways, Streets, and Bridges, as adopted by the Texas Department of Transportation (November 2014 edition). END OF SECTION 02220-3 DIVISION 2 - SITEWORK SECTION 02512 - ASPHALTIC CONCRETE PAVEMENT .01 GENERAL: This Work includes the furnishing of all plant, labor, equipment and materials and performing all operations required for the placement of asphaltic concrete pavement as indicated on the Contract Drawings and specified herein. All work shall comply with the applicable sections of the "Standard Specifications for Construction and Maintenance of Highways, Streets, and Bridges", as adopted by the Texas Department of Transportation (Nov. 2014 edition). .02 MATERIALS: a. Sub -base - Where indicated on the plans, all subbase for asphaltic concrete pavement shall be stabilized to the depth indicated on the drawings with a percent by weight additive, and shall be confirmed by laboratory tests for application material and percentage to ensure that additive will reduce the plasticity index to less than fifteen (15). Cost associated with this testing to be borne on contractor. b. Base - Flexible base material shall be Type A, Grade 1 crushed stone as specified in Item 247, "Flexible Base" of the Standard Specifications for Construction and Maintenance of Highways, Streets, and Bridges, as adopted by the Texas Department of Transportation (Nov. 2014 edition). Material shall be deposited, mixed and shaped to provide a uniform mixture without segregation of fine and course material. Where base material is added to existing base and then cement stabilized where shown on the plans as "Reclaimed Base,", the flexible base material may be Type A, Grade 2 crushed stone. C. Reclaimed Base - Where indicated on the plans, the base for asphaltic concrete pavement shall consist of a reclamation of the existing base material, combined with additional base material as specified herein, as needed, to achieve a minimum 8" of base and a minimum 4" crown, or as otherwise indicated on the drawings. After scarifying an 5-6" depth of the existing base, existing asphalt and any additional base, Portland cement shall be mixed at a rate of 5% by dry weight in accordance with TxDOT Item 275. Mixing of the cement and compaction should be performed as soon as possible before hydration of the cement occurs. The mixture shall be compacted to a minimum of 95% of the modified proctor maximum dry density at optimum moisture content. 02512-1 .03 d. Asphalt — as specified in Item 300, "Asphalts, Oils, and Emulsions" of the Standard Specifications for Construction and Maintenance of Highways, Streets, and Bridges, as adopted by the Texas Department of Transportation (Nov. 2014 edition). Prime coat/Underseal: RC-250 Cut -Back Asphalt 2"d course: AC-15P or CRS-2P e. Seal -coat 1st course: Type PB, Grade 3 2"d course: Type PB, Grade 4 (if applicable) f. Hot -Mix Asphaltic Concrete Pavement Hot -Mix application aggregate shall conform to the applicable requirements as defined in Item 340, 'Dense -Graded Hot -Mix Asphalt (Method)" of the Standard Specifications for Construction and Maintenance of Highways, Streets, and Bridges, as adopted by the Texas Department of Transportation (Nov. 2014 edition). The asphaltic concrete pavement shall consist of a T, concrete with a mat thickness of not less than 3 conforming to the applicable requirements of Item 340, Asphalt (Method)" of the Standard Specifications Maintenance of Highways, Streets, and Bridges, as Department of Transportation (Nov. 2014 edition). INSTALLATION: a. Subbase pe D Hot -Mix asphaltic nches after compaction 'Dense -Graded Hot -Mix for Construction and adopted by the Texas Stabilization of subbase shall conform to Items 260, 265 or 275 of the Standard Specifications for Construction and Maintenance of Highways, Streets, and Bridges, as adopted by the Texas Department of Transportation (Nov. 2014 edition). Compaction of subbase material shall be provided by sheep -foot rollers or other approved methods to provide a uniform compaction of 95% modified density in accordance with ASTM Standard 1557 at a moisture content within two (2) percent of the optimum moisture content. b. Base Flexible base material deposited upon the subgrade shall be spread and shaped the same day. Flexible base material shall be deposited, mixed and shaped in such a manner to prevent "nests" of segregated coarse or fine material. Thickness of the base material shall be not less than eight (8) inches compacted in place. Material shall be compacted by approved methods to obtain a uniform compaction of 95% modified density and a smooth, graded surface satisfactory to ENGINEER. Base 02512-2 Material shall be watered or dried to provide a moisture content between optimum moisture and five (5) percent above optimum moisture during the compaction process. C. Primer/Underseal Coat Before the application of primer coat, the surface of flexible base shall be cleaned by sweeping or other approved methods. Primer coat shall be applied when, in the opinion of ENGINEER, the base is thoroughly dry and satisfactory to receive prime coat. Asphaltic material for primer/underseal coat shall be applied at a rate of 0.25 gallons per square yard. d. Sealcoat — shall be constructed in accordance with the applicable requirements of Item 316, "Surface Treatment," of the Standard Specifications for Construction and Maintenance of Highways, Streets, and Bridges, as adopted by the Texas Department of Transportation (Nov. 2014 edition). Asphaltic material for the seal coat shall be applied at a rate of 0.35 gallons per square yard with 1 CY per 85 SY of aggregate for first course and 0.30 gallons per square yard with 1 CY per 110 SY of aggregate for second course. e. Asphaltic concrete (Hot -mix) Tack coat — apply a tack coat to seal coat prior to placement of asphaltic concrete. 2. Placement The asphaltic concrete mixture, which has been heated and prepared as specified, shall be hauled to the project in tight vehicles previously cleaned of foreign material. The mixture shall be at a temperature between 300F and 350`k' when laid. ENGINEER shall determine the lowest acceptable temperature; a variance of 30OF upward shall be allowed. CONTRACTOR shall spread the material into place with approved mechanical finishing machine of screening or tamping type. A track - mounted finish machine shall be used to place the base course directly on an earth subgrade. 2. Surface Course Material A surface course 2 inches or less in thickness may be spread in one lift. Lifts shall be spread in such a manner that when compacted, the finished course is smooth, of uniform density and to section, line and grade as shown on the Drawings. Laying in Restricted Areas If use of a paver is impractical, asphalt surface courses may be spread and 02512-3 finished by hand. Wood or steel forms may be used rigidly supported to assure correct grade and cross section. Materials shall be carefully placed to avoid segregation of the mix. Broadcasting of the material shall not be permitted. Any lumps that do not break down readily shall be removed. 4. Rolling Rolling shall begin while pavement is still hot and as soon as it will bear the roller without undue displacement or hair cracking. To prevent adhesion of surface mixture to the roller, CONTRACTOR shall keep the wheels properly moistened with water. Excessive use of water shall not be permitted. The surface shall be compressed thoroughly and uniformly, first with power -driven, three -wheel, or tandem rollers weighing from 8 to 10 tons. Subsequent compression shall be obtained by starting at the side and rolling longitudinally toward the center of the pavement, overlapping on successive trips by at least one-half width of the rear wheels. Alternate trips shall be made slightly different in length. Rolling shall continue until no further compression can be obtained and rolling marks are eliminated. A tandem roller shall be used for the final rolling. Double coverage with an approved pneumatic roller on asphaltic concrete surface shall be acceptable after flat wheel and tandem rolling has been completed. 5. Hand Tamping Along walls, curbs, headers and similar structures, and in locations not accessible to rollers, the mixture shall be compacted thoroughly with a vibrating plate compactor. 6. Density CONTRACTOR shall compact the surface course to a density not less than 95 percent of the maximum possible density of a voidless mixture composed of the same materials in like proportions. If, during the construction, the results of density tests show that the compacted surface course has a density less than 95 percent, additional rolling with a three - wheel or pneumatic roller shall be required. Such rolling shall be done before the mix cools. Surface Tests The completed surface when tested with a 16-foot straightedge laid parallel to the centerline of the pavement shall show no deviation in excess of 1/16 inch per foot from the nearest point of contact. The maximum ordinate measured from the face of straightedge shall not exceed 1/4 inch at any point. CONTRACTOR shall furnish approved templates for checking subgrade in finished sections. The strength and rigidity of templates shall be such that if a support is transferred to center, no deflection in excess of 1/8 inch will be observed. 02512-4 8. Construction Joints CONTRACTOR shall place courses as nearly continuously as possible. The roller shall pass over unprotected ends of freshly laid mixture only when the mixture has become chilled When work is resumed, the laid materials shall be cut back to produce a slightly beveled edge for the full thickness of the course. Old material which has been cut away shall be removed and the new mix shall be laid against the fresh cut. 9. Defective Pavement CONTRACTOR shall recompact pavement sections not meeting specified densities or replace them with new asphaltic concrete material. CONTRACTOR shall replace them with new material sections or surface course pavement not meeting surface test requirements or having an unacceptable surface texture. Asphalt pavement sections shall be patched in accordance with procedures established by the Asphalt Institute. Asphalt pavement sections which do not meet the specifications shall be replaced at no additional cost to OWNER. 10. Acceptance Cores may be taken from finished hot -mix asphaltic concrete. Acceptance for pavement shall be governed by quality and thickness of cores if requested by the ENGINEER. END OF SECTION 02512-5 DIVISION 2 - SITE WORK SECTION 02845 - SITE SIGNAGE 01. TEMPORARY PROJECT SIGNAGE: All CDBG-DR construction projects utilizing CDBG-DR funding must have temporary signage. CONTRACTOR shall furnish and erect temporary signage in a prominent location at the construction project site or along a major thoroughfare within the locality that is not blocked or obscured; and is legible from at least three (3) feet of distance. A photo must be submitted to ENGIEER. Required Text: This project is funded by the Texas General Land Office of the State of Texas, to provide for disaster recovery and restoration of infrastructure for communities impacted by Hurricane Harvey. The funds have been allocated by the United States Department of Housing and Urban Development through the Community Development Block Grant Disaster Relief Program. .02 PERMANENT SIGNAGE: Permanent signage identifying the location as a CDBG-DR-funded project is required for any CDBG-DR funded public building. Upon completion of project, CONTRACTOR shall furnish and erect permanent signage. Requirements of permanent signage include: 1. Placement in a prominent visible public location; 2. Formatted to fit the architectural design of the building; 3. Legible from at least three (3) feet of distance; 4. Minimum size of 12" x 20" with lettering no smaller than 'h inch; 5. Constructed out of aluminum baked -on enamel finish. Required Text: This project is funded by the Texas General Land Office of the State of Texas, to provide for disaster recovery and restoration of infrastructure for communities impacted by Hurricane Harvey. The funds have been allocated by the United States Department of Housing and Urban Development through the Community Development Block Grant Disaster Relief Program. END OF SECTION END OF DIVISION 02845-1 DIVISION 3 - CONCRETE SECTION 03100 - CONCRETE FORMWORK .01 GENERAL: a. Description This section shall govern all formwork for cast -in -place concrete with shoring, bracing and anchorage, openings for other work, form accessories and form stripping. b. References 1. ACI 347, Recommended Practice for Concrete Formwork 2. ACI 301, Specifications for Structural Concrete for Buildings, Chapter 4 3. ACI 318, Building Code Requirements for Reinforced Concrete 4. PS-1, Construction and Industrial Plywood C. Design Requirements Design, engineer and construct formwork, shoring and bracing to conform to code requirements listed in references; resultant concrete to conform to required shape, line and dimension. d. Submittals 1. Submit under provisions of Section 01340, Shop Drawings, Product Data, and Samples. 2. Indicate pertinent dimensions, materials, bracing, and arrangement of joints and ties on Shop Drawings. e. Quality Assurance 1. Perform Work in accordance with ACI 301, 318, and 347. 2. Maintain one copy of each document on site. £ Regulatory Requirements Conform to applicable code for design, fabrication, erection and removal of formwork. 03100-1 .02 PRODUCTS: a. Wood Form Materials Plywood Douglas Fir species; APA high density overlaid or APA B-B Plyform Class I Panels; sound, undamaged sheets with clean, true edges. 2. Lumber Southern Pine species; No. 2 grade; with grade stamp clearly visible. b. Prefabricated Forms - Preformed Steel Forms Minimum gage matched, tight fitting, stiffened to support weight of concrete without deflection detrimental to tolerances and appearance of finished surfaces. C. Formwork Accessories 1. Form Ties Snap -off type, galvanized metal, adjustable length, cone type, with waterproofing washer, 1 in. back break dimension, free of defects that could leave holes larger than 1'/4 in. in the concrete surface; Penta-Tie manufactured by Burke or approved equal. 2. Form Release Agent Colorless mineral oil which will not stain concrete, absorb moisture or leave a film which will inhibit subsequent finish work; Burke Release manufactured by Burke or approved equal. 3. Corners Chamfered, wood strip type; 3/4 x 3/4 in. maximum possible lengths. 4. Nails, Spikes, Lag Bolts, Through Bolts, Anchorages Sized as required, of sufficient strength and character to maintain formwork in place while placing concrete. .03 EXECUTION: a. Examination Verify lines, levels, and centers before proceeding with formwork. Ensure that dimensions agree with Drawings. 03100-2 b. Erection - Formwork 1. Erect formwork, shoring, and bracing to achieve design requirements in accordance with requirements of ACI 301 and 347. 2. Provide bracing to ensure stability of formwork. Shore or strengthen formwork subject to over -stressing by construction loads. 3. Arrange and assemble formwork to permit dismantling and stripping. Do not damage concrete during stripping. permit removal of remaining principal shores. 4. Align joints and make watertight. Keep form joints to a minimum. 5. Obtain approval before framing openings in structural members which are not indicated on Drawings. 6. Provide chamfer strips on external corners of pile caps, retaining walls and other exposed corners. C. Application - Form Release Agent 1. Apply form release agent on formwork in accordance with manufacture's recommendations. 2. Apply prior to placement of reinforcing steel, anchoring devices and embedded items. 3. Do not apply form release agent where concrete surfaces will receive applied coverings which are affected by agent. Soak inside surfaces of untreated forms with clean water. Keep surfaces coated prior to placement of concrete. d. Inserts, Embedded Parts, And Openings 1. Provide form openings where required for items to be embedded in or passing through concrete work. 2. Locate and set in place items which will be cast directly into concrete. 3. Coordinate Work of other sections in forming and placing openings, slots, reglets, recesses, chases, sleeves, bolts, anchors, and other inserts. 4. Install accessories in accordance with manufacturer's instruction, straight, level, and plumb. Ensure items are not disturbed during concrete placement. 5. Provide temporary ports or openings in formwork where required to facilitate cleaning and inspection. Locate openings at bottom of forms to allow flushing water to drain. 03100-3 6. Close temporary openings with tight fitting panels, flush with inside face of forms, and neatly fitted so joints will not be apparent in exposed concrete surfaces. e. Form Cleaning 1. Clean and remove foreign matter within forms as erection proceeds. 2. Clean formed cavities of debris prior to placing concrete. 3. Flush with water or use compressed air to remove remaining foreign matter. Ensure that water and debris drain to exterior through clean -out ports. f. Formwork Tolerances Construct formwork to maintain tolerances required by ACI 301 and Section 03342, Finishing, Quality Control, Tolerances g. Field Quality Control 1. Inspect erected formwork, shoring, and bracing to ensure that supports, fastenings, wedges, ties, and items are secure. 2. Do not reuse wood formwork more than three times for concrete surfaces to be exposed to view without written approval from OWNER. Do not patch formwork. h. Form Removal 1. Do not remove forms or bracing until concrete has gained sufficient strength to carry its own weight and imposed loads. 2. Loosen forms carefully. Do not wedge pry bars, hammers, or tools against finish concrete surfaces scheduled for exposure to view. 3. Store removed forms in such manner that surfaces to be in contact with fresh concrete will not be damaged. Discard damaged forms. 4. Forms and supports shall remain in place under pile caps for at least seven days and on the sides of pile caps, rail pads and walls for at least three days. END OF SECTION 03100-4 DIVISION 3 - CONCRETE SECTION 03200 - CONCRETE REINFORCEMENT .01 GENERAL: a. Description This section shall govern the furnishing and placing of all reinforcing steel bars, wire fabric and accessories for concrete incorporated in the Work. b. References 1. ACE 301, Structural Concrete for Buildings. 2. ACI 318, Building Code Requirements for Reinforced Concrete. 3. ACI SP-66, American Concrete Institute, Detailing Manual. 4. ANSI/ASTM A 82, Cold Drawn Steel Wire for Concrete Reinforcement. 5. ANSI/ASTM A 185, Welded Steel Wire Fabric for Concrete Reinforcement. 6. ANSI/AWS DI A, Structural Welding Code for Reinforcing Steel. 7. ASTM A 615, Deformed and Plain Billet Steel Bars for Concrete Reinforcement. 8. ASTM A 706, Low -Alloy Steel Deformed Bars for Concrete Reinforcement. 9. ASTM A 775, Epoxy -Coated Reinforcing Steel Bars. 10. CRSI, Concrete Reinforcing Steel Institute Manual of Practice. 11. CRSI 63, Recommended Practice for Placing Reinforcing Bars. 12. CRSI 65, Recommended Practice for Placing Bar Supports, Specifications, and Nomenclature. C. Submittals 1. Submit under provisions of Section 01340, Shop Drawings, Product Data, and Samples. 2. Shop Drawings Indicate bar sizes, spacings, locations, and quantities or reinforcing steel and wire fabric; bending and cutting schedules; and supporting and spacing devices. 03200-1 3. Submit mill certificates for each heat of steel to be furnished indicating strength and chemistry. 4. Submit qualified welding procedure for welding of reinforcing steel. Include in submittal all items contained in Appendix A of AWS D1.4. 5. , Submit copies of manufacturer's data for bar chairs, bolsters, spacers, etc. d. Quality Assurance 1. Perform work in accordance with CRSI 63, 65, and Manual of Practice, ACI 301, ACI Sp-66, and ACI 318. 2. All welding procedures and welders shall be qualified in accordance with AWS DIA by an AWS-certified welding inspector approved by OWNER. Full section tension and macro -etch tests shall be conducted in accordance with AWS DIA, Chapter 6. 3. Production welding shall not commence until a qualified welding procedure has been established and approved by OWNER. .02 PRODUCTS: a. Reinforcement 1. Typical Reinforcing Steel ASTM A 615, 60 ksi, yield grade, deformed steel bars, plain finish. 2 Reinforcing Steel for Welding ASTM A 706, 60 ksi, yield grade, deformed low -alloy steel bars, plain finish. 3. Epoxy Coating Scotchkote Brand Fusion Bonded Epoxy Coating 213, manufactured by 3M, St. Paul, Minnesota, applied by electrostatic spray method in strict accordance with ASTM A 775, except that the thickness of the coating shall be not less than 6 mils (150 microns) nor greater than 11 mils (275 microns). b. Accessory Materials 1. Tie Wire Minimum 16 gauge, annealed type. Use plastic coated wire with epoxy coated reinforcing. 2 Chairs, Bolsters, Bar Supports, Spacers Sized and shaped for strength and support of reinforcement during concrete placement conditions. 03200-2 Special Chairs, Bolsters, Bar Supports, and Spacers Adjacent to Epoxy -Coated Reinforcement or Weather Exposed Concrete Surfaces, use plastic coated, steel type or plastic type; size and shape as required. C. Fabrication Fabricate concrete reinforcing in accordance with ACI 318. 2. Weld reinforcement in accordance with ANSFAWS 131.4. No splices in reinforcing, except where specially called for on the drawings, will be permitted without prior written approval from OWNER. 4. Sheared ends of epoxy coated reinforcing and/or epoxy coating that is damages shall be repaired with a compatible epoxy coating conforming to ASTM A 775 in accordance with the manufacturer's recommendations prior to installation. d. Delivery Bundles of reinforcing bars shall be delivered to the site with tags showing quantity, grade, size, and suitable identification to allow checking, sorting and placing. Store all reinforcing steel off ground on protective cribbing and protect from oil, grease, dirt, or other deleterious materials. Epoxy coated reinforcing shall be covered after delivery to prevent exposure to sunlight until needed for use. .03 EXECUTION: a. Placement Place, support and secure reinforcement against displacement. Do not deviate from required position. 2. Accommodate placement of formed openings 3. Where epoxy -coated reinforcing is required by the drawings, all handling and hoisting shall be done by nylon lifting slings or padded wire rope slings; bundles of bars shall be lifted to prevent bar -to -bar abrasion; spreader bars shall be used for lifting bundles, or the bundles shall be lifted at the third points with nylon or padded slings. Bundling bands shall be padded or made of nylon. Coated bars shall be padded or made of nylon. Coated bars shall be stored on padded or wooden cribbing bars or bundles of bars shall not be dragged over the ground or over other bars. 4. Plastic coated tie wire shall be used for tying epoxy coated rebar. 03200-3 5. Vertical stirrups shall always pass around the main reinforcement and be attached securely thereto. 6. Reinforcing steel shall be spaced its required distance from the form surface by means of approved hot dip galvanized metal spacers with plastic coated tips or plastic spacers. 7. All reinforcing steel shall be tied at all intersections; except that where spacing is less than 1 ft. in each direction, alternate intersections only need be tied. 8. Reinforcement shall be supported and tied in such a manner that a sufficiently rigid cage of steel is provided. If the cage is not adequately supported to resist settlement or floating upward of the steel, overturning of truss bars or movement in any direction during concrete placement, permission to continue concrete placement will be withheld until corrective measure are taken. Sufficient measurements shall be made during concrete placement to ensure that the reinforcement remains in the proper position. 9. Mats of wire fabric shall overlap each other sufficiently to maintain a uniform strength and shall be fastened securely at the ends and edges. Lap ends and edges a minimum of one square. b. Tolerances 1. Unless otherwise shown on Drawings, dimensions shown for reinforcement are to the centers of the bars. 2. In the plane of the steel parallel to the nearest surface of concrete, bars shall not vary from plan placement by more that 1/12 of the spacing between bars. 3. In the plane of the steel perpendicular to the nearest surface of concrete, bars shall not vary from plan placement by more than 1/4 in. 4. Cover of concrete to the nearest surface of steel shall meet the above requirement but shall never be less that 3 in. unless otherwise shown on Drawings. C. Welding 1. All welding of reinforcing steel shall be performed in accordance with AWS D1.4. 2. Welding process used to place welds shall be either shielded metal arc (SMAW) or flux cored are (FCAW) welding. 03200-4 d. Cleaning Reinforcement 1. Reinforcement shall be cleaned of all rust, mill scale, oil, paint or other deleterious materials prior to placing concrete. 2. All damaged epoxy coating shall be repaired with a compatible epoxy coating conforming to ASTM A775 prior to pouring concrete. e. Field Quality Control Testing (a) CONTRACTOR shall provide, at no cost to OWNER, one welded connection sample for full section tension tests in accordance with AWS DIA for every 200 production connections. OWNER will pay for all tests which pass. Failure of production weld samples to meet tension test requirement shall be cause for automatic rejection. (b) All rebar welds shall be inspected and tested by OWNER before acceptance. CONTRACTOR shall remove all slag from each weld at no cost to OWNER. Any rebar weld which, in the opinion of OWNER, appears faulty shall be removed and the bar rewelded at no cost to OWNER. CONTRACTOR, at his option, may choose to have such rejected welds examined by a certified testing agency. If examination indicates acceptable quality, the defective welds shall be removed and replaced by CONTRACTOR at no additional cost to OWNER. 2. Reinforcement shall be inspected by OWNER's representative prior to placing concrete. Provide a minimum of 24 hours advance notice of completion of reinforcement placement to OWNER for scheduling of field inspection. END OF SECTION 03200-5 DIVISION 3 - CONCRETE SECTION 03300 - CAST -IN -PLACE CONCRETE .01 GENERAL: a. Description This Section shall govern all work necessary for providing materials, mixing, proportioning, testing, placing, finishing, and curing of all plain and reinforced cast -in -place normal weight concrete. b. Quality Assurance Material and Work shall conform to the requirements of standards, codes, and recommended practices required in this Section. In conflicts between industry standards, required standards and this specification or this specification and the local building code, the more stringent requirement shall govern. C. Applicable Standards and Test Methods The following documents are referred to in this Section and shall be available at the project site: 1. ACI 301-84(R-88), Specifications For Structural Concrete For Buildings 2. ACI 304 R-85, Guide For Measuring, Mixing, Transporting, And Placing Concrete 3. ACI 305 R-77 (82), Placing Concrete In Hot Weather 4. ACI 306 R-88, Placing Concrete In Cold Weather 5. ACI 309 R-89, Guide For Consolidation Of Concrete 6. ACI 318-89 (R-89), Building Code Requirement For Reinforced Concrete 7. ASTM C 31-84, Making And Curing Concrete Test Specimens In The Field 8. ASTM C 33-86, Standard Specifications For Concrete Aggregates 9. ASTM C 39-86, Standard Test Method For Comprehensive Strength Of Cylindrical Specimens 10. ASTM C 94-86, Standard Specifications For Ready -Mixed Concrete 03300-1 11. ASTM C 138-81, Standard Test Method For Unit Weight, Yield, And Air Content (Gravimetric) Of Concrete 12. ASTM C 143-78, Standard Test Method For Slump Of Portland Cement Concrete 13. ASTM C 150-85, Standard Specification For Portland Cement 14. ASTM C 171-69el, (Reapproved 1980) Standard Specifications For Sheet Materials For Curing Concrete 15. ASTM C 173-78, Standard Test Method For Air Content Of Freshly Mixed Concrete By The Volumetric Method 16. ASTM C 231-81el, Standard Test Method For Air Content Of Freshly Mixed Concrete By The Pressure Method 17. ASTM C 260-86, Standard Specification For Air -Entraining Admixtures For Concrete 18. ASTM C 309-81, Liquid Membrane -Forming Compounds For Curing Concrete 19. ASTM C 494-86, Standard Specification For Chemical Admixtures For Concrete d. Submittals 1. Concrete Mixing Design (a) CONTRACTOR shall submit, at least ten working days in advance of placing concrete, a mix design for each type and strength of concrete specified which is prepared by a reputable testing laboratory. (b) Include copies of test reports showing that the mix has been successfully tested to produce concrete with the properties specified and will be suitable for the job conditions. 2. Submit name and location of sources of cement, aggregates, chemical admixtures and fly ash propose for use on this project. 3. Submit independent laboratory reports or manufacturer's certification that all other concrete materials proposed for used on this project meet the requirements of Article .02 of this Section. 03300-2 .02 PRODUCTS: a. Concrete Materials Portland Cement (a) Portland cement Type I or Type II conforming to ASTM C 150, including the low alkali provisions of Table IA of that specification. In addition, the tricalcium aluminate content of Type I cement shall not exceed 12 percent. (b) Type I or Type II cement, at CONTRACTOR's option, may be used for nonhydraulic abovegrade structures. (c) For all hydraulic and belowgrade structures and sewers, use Type II cement. At CONTRACTOR'S option, fly ash may be used in combination with any cement as long as all requirements of these Specifications are met. The fly ash may be combined at the batch plant or during the production of the cement (Type IP cement). For the combination fly ash and cement, the cement and fly ash shall comply with these Specifications. 2. Fly Ash (a) The pozzolan to be used in combination with cement, as previously specified for use in all hydraulic and belowgrade structures and sewers, or in combination with cement or other structures, shall be Class F fly ash conforming to ASTM C 618-87. (b) Pozzolan shall be tested in conformance with ASTM C 311. The analysis shall show those items pertinent to this Specification. Source acceptance shall be at the discretion of ENGINEER based on data submitted. Continuing quality analysis shall be submitted throughout the life of the project from the source approved. Under no circumstances shall the pozzolan source be changed without the retesting and providing of new submittals for ENGINEER's review. The Supplier shall certify that all shipments meet the conditions of this Specification. 3. Aggregates shall conform to ASTM C 33-86, "Standard Specification for Concrete Aggregates". 4. Water shall be clean and free from deleterious materials, drinkable. 03300-3 13 C. 5. Air -Entraining Admixtures (a) Conforming to the requirement of ASTM C 260-86, (b) "Standard Specification for Air -Entraining Admixtures for Concrete", "Micro Air" or "MB-VR", manufactured by Master Builders shall be used. (c) The air -entraining admixture shall provide a total air content as specified in Article .02 of this Section. Selection Of Proportions Concrete shall be composed of portland cement, fly ash fine aggregate, coarse aggregate, water and, as specified, Master Builders' Micro -Air or MB-VR air - entraining admixture. Proportions of ingredients shall produce concrete that will work readily into corners and angles of forms, bond to reinforcement, without segregation or excessive bleed water forming on the surface. Proportioning of materials shall be in accordance with ACI 211.1-89, "Recommended Practice for Selecting Proportions for Normal and Heavyweight Concrete", except as modified herein. Concrete Qualities Required All concrete incorporated in the Work shall have the minimum 28-day compressive strength of 4000 pounds per square inch (PSI). Unless otherwise noted on the drawings. 2. Minimum cement or combined cement plus fly ash content when fly ash is used for performance and durability, regardless of design strength, shall be 517 pounds per cubic yard for concrete with 1-1/2-inch maximum size aggregate, 540 pounds per cubic yard for 1-inch maximum size aggregate. CONTRACTOR shall increase cement content or the combined cement plus fly ash content, when fly ash is used, as required to meet strength requirements. 3. The amount of fly ash used shall not exceed 25 percent or be less than 15 percent of the total weight of fly ash plus cement. 4. Minimum cementitious material requirements shall be as follows: (a) For 4000 PSI (f�) at 28 days (1) Maximum water/cementitious ratio = .48 (2) Minimum cementitious - 517# 03300-4 (b) For 5000 PSI (f.) at 28 days (1) Maximum water/cementitious ratio = .40 (2) Minimum cementitious - 611 # (c) For 6000 PSI (f�) at 28 days (1) Maximum water/cementitious ratio = .40 (2) Minimum cementitious - 658# 5. Proportions of ingredients shall be selected by past field experience or in lieu of past performance, laboratory trial mixes to produce placability, slump, specified strength and properties specified. 6. Determinations of required average strength (fc,) shall be in accordance with ACI 318-89, 'Building Code Requirements for Reinforced Concrete", and evaluations of compressive strength results of field concrete shall be in accordance with ACI 214-77 (Reaffirmed 1989), "Recommended Practice for Evaluation of Strength Test Results of Concrete". 7. Average strength shall exceed specified compressive strength as required in accordance with ACI 318-89. 8. Concrete shall be air -entrained and the total air content required (air - entrained and entrapped air) shall be: Nominal Max. Size Coarse Aggregate Total Air Content 1-1/2" 4-1/2%+- 1% NOTE: Air -entrainment shall not be required when Class "F" fly ash is used in the concrete mix design on projects south of IH-20, Texas Department of Transportation Standard Specifications, Item 420. 9. The Concrete shall be proportioned and produced to yield the following slumps when placed: Type of Construction Slumn Tolerance Reinforced Foundation Walls & Footings 3 in. f 1 in. Columns, Beams, Walls, Structural Slabs 2 in. f 1 in. Slabs -On -Grade Roadways 2 in. t 1 in. Heavy Mass Construction 1 %2 in. t /2 in. Drilled Piers 6 in. f 1 in. 03300-5 .03 EXECUTION: a. Production Of Concrete 1. Concrete shall be ready -mixed, batched, mixed and transported in accordance with ASTM C 94-86, "Specification for Ready -Mixed Concrete". 2. Plant equipment and facilities shall conform to the "Checklist for Certification of Ready -Mixed Concrete Production Facilities" of the National Ready Mixed Concrete Association. b. Placing 1. Preparation CONTRACTOR shall provide access for delivery provide sufficient equipment and manpower to rapidly place all concrete. (a) Work shall be in accordance with ACI 304R-89 "Recommended Practice for Measuring, Mixing, Transporting, and Placing Concrete". (b) Formwork shall be completed and snow, ice, water, and debris removed from within forms. (c) Expansion joint material, anchors, and all embedded items shall have been positioned. (d) Subgrades shall be sprinkled sufficiently to eliminate water loss from concrete. (e) Concrete shall not be placed on frozen ground. 2. Conveying Concrete shall be placed rapidly by methods to prevent segregation or loss of quality. 3. Placement (a) Concrete shall be deposited continuously or when continuous placement is not possible, construction joints shall be located as approved by OWNER. Concrete shall be placed as nearly as possible to its final position. Avoid rehandling. (b) Concrete shall be consolidated by vibration, spading, rodding or tamping, as stated in ACI 309R-87, "Guide for Consolidation of Concrete". Work concrete around reinforcement, embedded items and into corners; eliminate air or stone pockets and other causes of honeycombing, pitting, or planes of weakness. 03300-6 C. Weather Conditions Cold Weather Concrete shall conform to ACI 306R-88 "Standard Specifications for Cold Weather Concreting". A non -chloride accelerator may be used with ENGINEER'S approval. Non -chloride accelerator shall be Pozzutec 20, manufactured by Master Builders. Hot Weather Concrete shall conform with ACI 305R-89 on "Hot Weather Concreting" (a) Provisions shall be made for windbreaks, shading, fog spraying, sprinkling or wet cover when necessary. (b) Use an evaporation retardant and finishing aid, "Confilm", by Master Builders. (c) Maximum concrete placing temperature when used in a bridge slab or in top slab of a direct traffic culvert shall be 8.' F and the maximum concrete placing temperature when used in other applications shall be 9!� F, Texas Department of Transportation Standard Specifications, Item 420. d. Finishing Finish concrete materials as specified in Section 03342, Finishing, Quality Control, Tolerances. 2. For curing methods, field quality control, and tolerances, refer to Section 03342, Finishing, Quality Control, Tolerances. END OF SECTION 03300-7 DIVISION 3 - CONCRETE SECTION 03342 - FINISHING. QUALITY CONTROL AND TOLERANCES .01 GENERAL: a. Description This Section shall govern all work with respect to finishing, quality control, and tolerances for all concrete surfaces of the type and grade of concrete being placed. b. Applicable Standards and Test Methods The following documents are referred to in this Section and shall be available at the project site: 1. ACI 301-84(R-88), Specifications For Structural Concrete For Buildings 2. ACI 318-83 (R-86), Building Code Requirement For Reinforced Concrete 3. ASTM C 31-84, Making And Curing Concrete Test Specimens In The Field 4. ASTM C 39-86, Standard Test Method For Comprehensive Strength Of Cylindrical Specimens 5. ASTMC 138-81, Standard Test Method For Unit Weight, Yield, And Air Content (Gravimetric) Of Concrete 6. ASTM C 143-78, Standard Test Method For Slump Of Portland Cement Concrete 7. ASTM C 171-69el, (Reapproved 1980) Standard Specifications For Sheet Materials For Curing Concrete 8. ASTM C 173-78, Standard Test Method For Air Content Of Freshly Mixed Concrete By The Volumetric Method 9. ASTM C231-81el, Standard Test Method For Air Content Of Freshly Mixed Concrete By The Pressure Method 10. ASTM C 260-86, Standard Specification For Air -Entraining Admixtures For Concrete 11. ASTM C 309-81, Liquid Membrane -Forming Compounds For Curing Concrete 03342-1 .02 EXECUTION: a. General Finish Requirements 1. Unless otherwise specified, the finish of all exposed concrete surfaces shall be what is generally termed a plywood finish, which means a finish which will normally be obtained when well -designed, mortar -tight plywood forms are used. Repairing of surface defects and hand rubbing will be required on all exposed surfaces only where patching of honeycomb is necessary or where form design or construction or general workmanship produce gradual surface defects exceeding 1/4 in. in a 10-ft. straightedge or abrupt defects exceeding 1/8 in. Offsets caused by displaced or misplaced form sheathing or form sections, by loose knots in forms,. or by otherwise defective form lumber will be considered as abrupt surface defects. 2. Concrete surfaces; both above and below the backfill, shall have all metal form ties removed not less than 3/4 in. back from the faces of the concrete. The holes shall be cleaned and wire brushed to remove laitance, form oil, and other foreign material; and then shall be filled with non -shrink grout. Slabs -on -grade shall have a broom finish, unless otherwise specified, and formed sides. This finish shall be applied immediately behind the bull float operation. Curing shall begin immediately after texturing. Dusting freshly placed concrete surfaces with cement or a mixture of sand and cement before or during the finishing operations is strictly prohibited. b. Pier, Foundation, and Wall Top Finishes Unless otherwise specified, the tops of column piers, small equipment foundations and similar foundations are to be grouted, scored, and all laitance, grease, dirt, or other deleterious materials removed. 2. The surface elevation shall be checked and additional concrete removed, if necessary, to allow for the specified thickness of grout. 3. The tops of all concrete walls shall be given a wood float finish. 4. In areas where a greater degree of finish is specified, it will be necessary to allow the concrete to begin to set before finishing. C. Concrete Curing and Protection General The freshly placed concrete shall be protected from premature drying and excessive cold or hot temperatures. Curing shall start immediately after placing and finishing, and shall continue for not less than 28 days. 03342-2 2. Curing Methods (a) Perform curing of concrete by use of curing compound, by moist curing, by moisture -retaining cover, or by combinations thereof. Material and method of curing shall be approved by ENGINEER. (b)Apply curing compound as soon as finish is completed. (c) On formed surfaces a curing method shall begin immediately upon form removal. (d) Approved methods for Rheoplastic Concrete include: Ponding or continuous sprinkling, continuous wet mats, sand kept continuously wet and liquid membrane -forming compounds. (1) Application of waterproof sheet material shall conform to ASTM C 171-69 (Reapproved 1986), "Standard Specification for Sheet Materials for Curing Concrete". (2) Applications of membrane -forming compounds shall conform to ASTM C 309-81, "Standard Specification for Liquid Membrane -Forming Compounds Curing Concrete". (e) The type of curing and procedure utilized shall be verified in the Preconstruction Meeting. d. Field Quality Control 1. Materials and operations shall be tested and inspected by CONTRACTOR as work progresses. Failure to detect defective work shall not prevent rejection when defect is discovered, nor shall it obligate OWNER for final acceptance. 2. The following testing services shall be performed by a testing service approved by OWNER: All costs associated with these testing services shall be borne by CONTRACTOR unless otherwise noted. (a) Secure composite samples in accordance with "Standard Method of Sampling Fresh Concrete", ASTM C 172-82. (b) Mold and cure four specimens from each test required in accordance with standard "Method of Making and Curing Concrete Test Specimens in the Field", ASTM C 31-85. (c) Test specimens in accordance with "Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens," ASTM C 39-86. Two specimens shall be tested at 28 days for acceptance and two shall be tested at 7 days for information. (d) Make one strength test for each 50 cu. yd. or fraction thereof, and for each mix design of concrete placed in any one day. 03342-3 e. (e) Determine slump of normal -weight concrete sample for each strength test in accordance with "Standard Test Method for Slump of Portland Cement Concrete", ASTM C 143-76. (f) Determine total air content of normal -weight concrete sample for each strength test in accordance with "Standard Test Method for Air Content of Freshly Mixed Concrete by the Pressure Method", ASTM C 231-82 or "Standard Test Method for Air Content of Freshly Mixed Concrete by the Volumetric Method", ASTM C 173-78. 3. CONTRACTOR shall provide an area of protection for the test specimens free from damage or vibration at the job -site for the first 24 hours. 4. CONTRACTOR shall provide an enclosed, insulated box for immediate test cylinder storage after manufacture at the job site. 5. The manufacturer of (3) 6" X 12" test cylinder may be required by ENGINEER. Utilize procedure for manufacture according to ASTM C 31-84. The time of test and frequency shall be dictated by ENGINEER. These specimens shall be used to perform AASHTO T-277-83, "Standard Method of Test for Rapid Determination of the Chloride Permeability of Concrete". Tolerances Formwork shall be constructed in such a manner as to produce concrete surfaces that conform to the established dimensions, grades, and lines within the limits specified in Table below: TOLERANCES FOR FORMED SURFACES Variation from the plumb: In the lines and surface of columns, walls and in equip- ment foundations. ii. For exposed corner columns, control joint grooves, and other conspicuous lines In 10 ft. In any story of 20 ft. max Maximum for entire height In 10 ft. In any bay of 20 ft. max. Variation from the level or from In 10 ft. grades shown on Drawings, In any bay of 20 ft. max. except for grout caps and slabs Variation from the level or from grades shown on Drawings for grout caps. 03342-4 Maximum for entire length 1/4 in. 3/8 in. 1 in. 1/4 in. 1/2 in. 1/4 in. 3/8 in. 3/4 in. 1/16 in. TOLERANCES FOR FORMED SURFACES (cont Variation of the linear building In any bay of 20 ft. max. lines, or equipment foundations, from established position in plan and related position of columns, walls and partitions. Variation in cross -sectional dimensions of columns and beams, equipment foundations, and in the thickness of slabs and walls. Footings: i. Variation of plan dimensions ii. Misplacement or eccentricity iii. Reduction in thickness Variation in the sizes and locations of floor openings and wall openings. Variation in location of sleeves, waterstops, expansion joints, and other inserts. Variation in steps: i. In a flight of stairs ii. In consecutive steps 03342-5 1/2 in. Maximum for entire length 1 in. -1/4 in. +1/2 in. Concrete only. (Does not -1/2 in. apply to anchor bolts, +2 in. dowels, or reinforcing.) 2% of footing width in the direction of misplacement but not more than 2 in. max. (concrete only). Does not apply to anchor bolts, dowels, or reinforcing. Portion of specified -5% thickness. t1/4 in. fl/4 in. Riser t1/8 in. Tread f1/4 in. Riser t1/16 in. Tread t1/8 in. Unless otherwise specified, anchor bolt centers may vary up to 1/8 in. from the locations shown on Drawings; however, the variation in the dimension measured from center to center of any two bolts in an anchor bolt group may not vary more than 1/8 in. An anchor bolt group is defined as the set of anchor bolts which receive a complete equipment base assembly or a single fabricated steel shipping piece. The location of inserts, such as waterstops, and expansion joints, may deviate from that shown on the drawing by 1/4 inch. Tolerances shown on Drawings shall take precedence over the tolerances specified in this Section. Permissible surface defects of exposed concrete surfaces are specified in Article .02 this Section and are to be distinguished from the tolerances described above. END OF SECTION END OF DIVISION 03342-6 at; FILE NO. Ima";mu 11 CALHOUN COUNTY, TEXAS PLAYGROUNDIMPROVEMENTS G & 11 ENGINEERS, INC. • IIR:MEH®16 . OURVEYM6 • CON90LTIM • PLANIM Ea6 W. Gw Os! Et Port law Tim 77M (SU)55E-4EOP RI NO. i } � NEW PLAY STRUCTURE MIN. REO CAPACITY: 440 AGES 5 TO 12 67' X 68' AREA: 4530 SF TOTAL EVENTS: 75 RAMP ACCESSIBLE EVENTS: 17 -r i r i MUSIC PLAY x a 1Va ayrr LprW ae. FOIW G & W ENGINEERS. INC. . mullal Ni . NONYiYOl6 . WN"14m • PLMo➢16 20 N. Na Oak Nt. Port Israoa, TY T/PlN (0 O50-450 rk n CALHOUN COUNTY, TEXAS EXISTING CONDITIONS G & 1��/ ENGINEERS, INC. . gAplmOlp . NURTE 70 . QO)19UL'HN6 • PLIi71@!G 205 x Ifw oek et PoA IAA Te 7TV/Y (M)5-50 WY FILE NO. CALHOUN COUNTY, TEXAS SHADEIMPROVEMENTS BOUNDARY OF SERVICE IMPROVEMENTS 7,575 SF. 6 5 Z4 bl f F _..._ Gq �/ f� i�1�.� 6�Y,Yr M FWE• �I ENGINEERS, INC. • majallm . 90RY14Y16 . Wt190A1t16 • PLtlU>Q76 = W. TA" Ikk OL Pmt 1.w 4m� T9YY0 (801)E6E—�60i M i 1 BCI BURKE SHADEPLAY MAX OR EQUAL; TWO a POST HIP: 15'X22'X70' M 6� t 5j 1 .4 z4.l�y FILENO. CALHOUN COUNTY, TEXAS SURFACEIMPROVEMENTS G & W ENGINEERS, INC.T_T • IIAn'llIm . BORYLYOI6 . CONOgL'@A • PLAIRM M R. Lt" 0•k BL Poet 1 .w Tm 77M (ae)eae— \02 \\\ ® - ! � \ - « ; \ k bo #10 I NOTICE OF MEETING — 5/15/2024 10.To correspond with the recently approved amendment to the GIO-County contract for GLO CDBG-DR 20-065-064-C182, Calhoun County recommends a contract extension and budget increase for KSBR LLC, to complete their scope of work as Grant Administration for this contract. The County also authorizes the judge to sign this amendment and execute the amended contracts. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner;Pct 4 SECONDER: David Hall, Commissioner Pct 1 AYES: Commissioner Hall, Lyssy, Reese Page 7 of 13 AMENDMENT TO THE GRANT ADMINISTRATION CONTRACT FOR CALHOUN COUNTY'S GENERAL LAND OFFICE CONTRACT NO.20-065-064-C182 KSBR, LLC ("Contractor/Grant Administration) and CALHOUN COUNTY ("County/Subrecipient") and collectively, ("the Parties") desire to amend the Grant Administration Contract ("the Contract") regarding the County's General Land Office (GLO) Contract No. 20-065-064-C182 ("the Project"). WHEREAS, the Parties desire to extend the Contract term; WHERAS, the Parties desire to revise the Contract Budget; WHEREAS, the Parties desire to revise the Project Performance Statement, Project Budget, and Project Benchmarks to accurately reflect all Project Activities, the addition of grant funds to the Project Budget, and the redistribution of funds between Budget line items; and WHEREAS, the Parties desire to revise the General Affirmations to reflect updated terms; NOW, THEREFORE, the Parties agree as follows: 1. SECTION 2.01 of the Contract is amended to reflect a termination date of February 28, 2025. 2. SECTION 3.01 of the Contract is amended by adding funding in the amount of $2,864.50 for a total amount not to exceed $355,578.00 for the duration of this Contract. 3. ATTACHMENT A to the Contract, Performance Statement, is deleted in its entirety and replaced with the Revised Performance Statement, Project Budget, and Benchmarks for Infrastructure Projects, attached hereto and incorporated herein in its entirety for all purposes as ATTACHMENT A-2. 4. ATTACHMENT C to the Contract, General Affirmations, is deleted in its entirety and replaced with the Revised General Affirmations, attached hereto and incorporated herein in its entirety for all purposes as ATTACHMENT C-2. 5. This Amendment shall be effective upon the earlier of the date of the last signature or April 30, 2022. 6. The terms and conditions of the Contract not amended herein shall remain in force and effect. SIGNATURE PAGE FOR AMENDMENT TO THE GRANT ADMINISTRATION CONTRACT FOR CALHOUN COUNTY' S GLO CONTRACT NO.20-065-064-C 182 CAVUN UNTY Richard Meyer, County Judge 5--/ 5- ?= Date of Execution ATTACHED TO THIS AMENDMENT: Attachment A-2: Revised Performance Statement Attachment C-2: Revised General Affirmations KSBR LLC Katy Se lers, Principal 05/09/24 Date of Execution DocuSign Envelope ID: 22DB9E3C-B7E9-43F5-83E2-64BC6813AEC4 Attachment A-2 Amendment No. 5 The next 8 pages make u the Revised Performance Statement GLO Contract No. 20-065-age I o82 p g p Page r5 CALHOUN COUNTY 20-065-064-C182 PERFORMANCE STATEMENT Hurricane Harvey caused damage throughout Calhoun County (Subrecipient). Heavy rainfall and high winds caused flooding and damage to homes, streets, and public facilities. Undersized culverts and inadequate drainage facilities throughout the county prohibited stormwater from draining effectively. This inundated the drainage system and threatened public health, safety, and welfare. Subrecipient will conduct drainage and public facilities Infrastructure improvements to facilitate proper stormwater conveyance to reduce the impact of future flooding and ensure emergency response systems are fully operational during emergency situations. Subrecipient shall perform the Activities identified herein for the target area specified in its approved Texas Community Development Block Grant Disaster Recovery Supplemental Grant Application to aid areas most impacted by Hurricane Harvey. The persons to benefit from the Activities described herein must receive the prescribed service or benefit, and all eligibility requirements must be met to fulfill contractual obligations. The grant total is $6,176,548.00. Subrecipient will be required to maintain a detailed Budget breakdown in the official system of record of the GLO's Community Development and Revitalization division (GLO-CDR). Flood and Drainage Facilities Subrecipient shall install culverts and end treatments, excavate ditches, replace drainage pipes and complete associated appurtenances. Construction shall take place at the following locations within the county. Flood and Proposed Drainage Location HUD Census Block Facilities Approximate Lat/Long Performance Tract Group Measures Drainage Ditch Upstream on SH-185 mid - Channel 1.5 way between White Rd, and Miles west of Morales Road to 3.21 miles 18,600 LF 0005.00 2 Lane Road to the south 28.399271,-96.622587 Intersection of Witmebert Drainage Rd. and Carabajal Rd. to Basin approx. 2,300 LF southwest 2,400 LF 0005.00 2 of start point 28.403966,-96.618509 These Activities shall benefit one hundred eighty (180) persons. Of these persons, one hundred fifteen (115), or sixty-three and eighty-nine hundredths percent (63.89%), are of low to moderate income. DocuSign Envelope ID: 22DB9E3C-B7E943F5-83E2.64BC6813AEC4 Attachment A-2 Amendment No. 5 GLO Contract No. 20-065-064-C182 Page 2 of 5 Flood and Drainage Facilities Subrecipient shall install storm sewer outfalls, culverts, and end treatments; excavate ditches; and complete associated appurtenances. Construction shall take place at the following locations within the county. Flood and Proposed Drainage Location HUD Census Block Facilities Approximate Lat/Long Performance Tract Group Measures Alamo Beach Area between Cox Street Drainage Area and San Jacinto Street 11,000 LF 0004.00 1 1 1 28.570070,-96,566364 Alamo Beach Area between San Jacinto Drainage Area Street and Fannin Street 11,000 LF 0004.00 1 2 28.572885,-96.567686 Alamo Beach Area between Lee Street and Drainage Area E. Sunrise Street 2,975 LF 0004.00 1 3 28.575191,-96.566273 Alamo Beach Area between Fannin Street Drainage Area and E. Skyview Avenue 7,200 LF 0004.00 1 4 28.576220,-96.568050 Alamo Beach Area between E. Skyview Drainage Area Avenue and Sunset Avenue 8,700 LF 0004.00 1 5 28.578390,-96.568508 Alamo Beach Area between E. Skyview Drainage Area Avenue and Travis Street 6,700 LF 0004.00 1 6 28.580839,-96.568466 Alamo Beach Area between W. Kruse Drainage Area Street to Carrigan Avenue 9,300 LF 0004.00 1 7 1 28.582579,-96.573338 These Activities shall benefit two thousand two hundred forty (2,240) persons. Of these persons, one thousand two hundred sixty-five (1,265), or fifty-six and forty-seven hundredths percent (56.47%), are of low to moderate income. REMAINDER OF PAGE INTENTIONALLY LEFT BLANK DocuSign Envelope ID: 22DB9E3C-B7E9-43F5-83E2-64BC6813AEC4 Attachment A-2 Amendment No. 5 GLO Contract No. 20-065-064-C182 Page 3 of 5 Fire Protection Facilities and Equipment Subrecipient shall demolish and dispose of the existing Magnolia Beach Fire Station, construct a new fire station and new ADA-compliant parking lot, install a generator, and complete associated appurtenances. Construction shall take place at the following locations within the county. The environmental review and engineering were completed under this grant. Due to costs overrun, the remainder of this project will be completed through a different funding source. Proposed Public Location HUD Census Block Facilities Approximate Lat/Long Performance Tract Group Measures Magnolia 873 Margie Tewmey Road #1 Beach Fire Port Lavaca, Texas One Public .00 2,4 Station 1 28.55982,-96.54321 Facility 0004.00 1,2 These Activities shall benefit six thousand eight hundred ninety-five (6,895) persons. Of these persons, three thousand five hundred thirty (3,530), or fifty-one and twenty hundredths percent 51.20% , are of low to moderate income. Parks, Plaverounds and Other Recreational Facilities Subrecipient shall fumish and install covered picnic areas, new parking facilities, playground equipment, lighted ADA-compliant 6-foot wide walking paths, rebuild a road bridge; remove and replace 2 ADA-compliant fishing piers; and complete associated appurtenances. Construction shall take place at the following location within the county. Proposed Public Location HUD Census Block Facilities Approximate Lat/Long Performance Tract Group Measures Little Locations throughout the Park One (1) Public 0002.00 2,4 Chocolate Bay Park 1 28.598288,-96.638933 Facility 0004.00 1 These Activities shall benefit five thousand two hundred eighty (5,280) persons. Of these persons, two thousand eight hundred eighty-five (2,885), or fifty-four and sixty-four hundredths percent 54.64% , are of low to moderate income. REMAINDER OF PAGE INTENTIONALLY LEFT BLANK DocuSign Envelope ID: 22DB9E3C-B7E9-43F5-83E2-64BC6813AEC4 Attachment A-2 Amendment No. 5 GLO Contract No. 20-065-064-C182 Page 4 of 5 Specially Authorized Public Facilities and Improvements Subrecipient shall install a specialized repeater system at the county's Radio Towers, install equipment at the command and control center, and complete associated appurtenances. Construction shall take place at the following locations within the county. Proposed Public Facilities Location HUD Census Block Approximate Lat/Long Performance Tract Group Measures 0001.00 1,2,3 Calhoun County 211 S. Ann Street 0002.00 1,2,3,4 Courthouse Port Lavaca, Texas One Public 0003.00 1,2 Control Center 28.612818,-96.626118 ac Facility 0004.00 1,2,3,4 0005.00 1,2,3,4 0001.00 1,2,3 484 Airline Drive 0002.00 1,2,3,4 Port Lavaca Radio One (1) Public Tower Port Lavaca, Texas Facility 0003.00 1,2 28.59793,-96.64917 0004.00 1,2,3,4 0005.00 1,2,3,4 0001.00 1,2,3 3220 W. Harrison Avenue 0002.00 1,2,3,4 Port O'Connor Port O'Connor Texas One Public 0003.00 1,2 Radio Tower ac Facilit y 28.43836,-96.44861 0004.00 1,2,3,4 0005.00 1,2,3,4 0001.00 1,2,3 7501 SH 185 North 0002.00 1,2,3,4 Union Carbide Seadrift, Texas One (1) Public 0003.00 1,2 Radio Tower Facility 28.415740,-96.713147 0004.00 1,2,3,4 0005.00 1,2,3,4 These Activities shall benefit twenty-one thousand four hundred five (21,405) persons. Of these persons, eight thousand nine hundred ninety (8,990), or forty-two percent (42%), are of low to moderate income. These Activities will meet the Urgent Need National Objective. REMAINDER OF PAGE INTENTIONALLY LEFT BLANK DocuSign Envelope ID: 22DB9E3C-B7E9-43F5-83E2-64BC6813AEC4 Attachment A-2 Amendment No. 5 GLO Contract No. 20-065-064-C182 Page 5 of 5 BUDGET HUD Activity; Type Grant Award Other Funds Total Rehabilitation/Reconstruction of Public Improvements $2,600,875.00 $0.00 $2,600,875.00 Rehabilitation/Reconstruction of Public Facilities - LMI $1,992,330.50 $0.00 $1,992,330.50 Rehabilitation/Reconstruction of Public Facilities — UN $1,583,342.50 $0.00 $1,583,342.50 TOTAL 1 $6,176,548.00 $0.00 $6,176,548.00 MILESTONES Not -To -Exceed Draw Percentages .:Milestones Construction Engineering Grant. ..Special Environmental Acquisition Funds Funds Administration Environmental Funds.. Funds Funds Funds Project Kick -Off Meeting and Start-up 15% Documentation Engineering Contract Executed 30% Environmental Contract Executed 30% 100%Design Approval ° 60% Special Environmental 100% Report Approval - Authority to Use Grant Funds 50% 100% Acquisition Start 100% Bid Advertisement 70% 60% Construction Notice to Proceed g5% 85% 85% As -Built Plans/ COCC/FWCR 100% 100% 95/o ° Grant Completion Report Approval 100% DocuSign Envelope ID: 22DB9E3C-B7E9-43F5-83E2-64BC6813AEC4 Attachment C-2 The next 9 pages make up the Revised General Affirmations Amendment No.5 GLO Contract No. 20-065-064-C182 Page 1 of ENERAL AFFIRMATION TO THE EXTENT APPLICABLE, Subrecipient affirms and agrees to the following, without exception: 1. Subrecipient represents and warrants that, in accordance with Section 2155.005 of the Texas Government Code, neither Subrecipient nor the firm, corporation, partnership, or institution represented by Subrecipient, or anyone acting for such a firm, corporation, partnership, or institution has (1) violated any provision of the Texas Free Enterprise and Antitrust Act of 1983, Chapter 15 of the Texas Business and Commerce Code, or the federal antitrust laws, or (2) communicated directly or indirectly the contents of this Contract or any solicitation response upon which this Contract is based to any competitor or any other person engaged in the same line of business as Subrecipient.* 2. Subrecipient shall not assign its rights under the Contract or delegate the performance of its duties under the Contract without prior written approval from the GLO. Any attempted assignment or delegation in violation of this provision is void and without effect. This provision does not apply to subcontracting. 3. If the Contract is for services, Subrecipient shall comply with Section 2155.4441 of the Texas Government Code, requiring the purchase of products and materials produced in the State of Texas in performing service contracts, but for contracts subject to 2 CFR 200, only to the extent such compliance is consistent with 2 CFR 200.319. 4. Under Section 231.006 of the Family Code, the vendor or applicant [Subrecipient] certifies that the individual or business entity named in this Contract, bid or application is not ineligible to receive the specified grant, loan, or payment and acknowledges that this Contract may be terminated and payment may be withheld if this certification is inaccurate, in addition to other remedies set out in Section 231.006(f) of the Family Code.* 5. A bid or an application for a contract, grant, or loan paid from state funds must include the name and social security number of the individual or sole proprietor and each partner, shareholder, or owner with an ownership interest of at least 25 percent of the business entity submitting the bid or application. Subrecipient certifies it has submitted this information to the GLO.* 6. If the Contract is for a "cloud computing service" as defined by Texas Government Code Section 2157.007, then pursuant to Section 2054.0593(d)-(f) of the Texas Government Code, relating to cloud computing state risk and authorization management program, Subrecipient represents and warrants that it complies with the requirements of the state risk and authorization management program and Subrecipient agrees that throughout the term of the Contract it shall maintain its certifications and comply with the program requirements in the performance of the Contract. 7. If the Contract is for the purchase or lease of computer equipment, as defined by Texas Health and Safety Code Section 361.952(2), Subrecipient certifies that it is in compliance with Subchapter Y, Chapter 361 of the Texas Health and Safety Code, related to the Computer Equipment Recycling Program and the Texas Commission on Environmental Quality rules in Title 30 Texas Administrative Code Chapter 328. 8. If the Contract authorizes Subrecipient to access, transmit, use, or store data for the GLO, then in accordance with Section 2054.138 of the Texas Government Code, Subrecipient certifies that it will comply with the security controls required under this Contract and will * This section does not apply to a contract with a "governmental entity" as defined in Texas Government Code Chapter 2251. 01092024� DocuSign Envelope ID: 22DB9E3C-B7E9.43F5.83E2-64BC6813AEC4 Attachment C-2 Amendment No. 5 GLO Contract No. 20-065-064-C182 Page 2 of 9 maintain records and make them available to the GLO as evidence of Subrecipient's compliance with the required controls. 9. Subrecipient represents and warrants that it has not given, offered to give, nor intends to give at any time hereafter any economic opportunity, future employment, gift, loan, gratuity, special discount, trip, favor, or service to a public servant in connection with the Contract. 10. Subrecipient agrees that any payments due under the Contract shall be applied towards any debt or delinquency that is owed by Subrecipient to the State of Texas. 11. Upon request of the GLO, Subrecipient shall provide copies of its most recent business continuity and disaster recovery plans. 12. If the Contract is for consulting services governed by Texas Government Code Chapter 2254, Subchapter B, in accordance with Section 2254.033 of the Texas Government Code, relating to consulting services, Subrecipient certifies that it does not employ an individual who has been employed by the GLO or another agency at any time during the two years preceding the Subrecipient's submission of its offer to provide consulting services to the GLO or, in the alternative Subrecipient, in its offer to provide consulting services to the GLO, disclosed the following: (i) the nature of the previous employment with the GLO or other state agency; (ii) the date the employment was terminated; and (iii) the annual rate of compensation for the employment at the time of its termination.* 13. If the Contract is not for architecture, engineering, or construction services, then except as otherwise provided by statute, rule, or regulation, Subrecipient must use the dispute resolution process provided for in Chapter 2260 of the Texas Government Code to attempt to resolve any dispute arising under the Contract. NOTHING IN THIS SECTION SHALL BE CONSTRUED AS A WAIVER OF SOVEREIGN IMMUNITY BY THE GLO OR, IF APPLICABLE, OF GOVERNMENTAL IMMUNITY BY SUBRECIPIENT. 14. If the Contract is for architecture, engineering, or construction services, then subject to Texas Government Code Section 2260.002 and Texas Civil Practice and Remedies Code Chapter 114, and except as otherwise provided by statute, rule, or regulation, Subrecipient shall use the dispute resolution process provided for in Chapter 2260 of the Texas Government Code to attempt to resolve all disputes arising under this Contract. Except as otherwise provided by statute, rule, or regulation, in accordance with the Texas Civil Practice and Remedies Code, Section 114.005, claims encompassed by Texas Government Code, Section 2260.002(3) and Texas Civil Practice and Remedies Code Section 114.002 shall be governed by the dispute resolution process set forth below in subsections (a)-(d). NOTHING IN THIS SECTION SHALL BE CONSTRUED AS A WAIVER OF SOVEREIGN IMMUNITY BY THE GLO OR, IF APPLICABLE, OF GOVERNMENTAL IMMUNITY BY SUBRECIPIENT. a. Notwithstanding Texas Government Code, Chapter 2260.002(3) and Chapter 114.012 and any other statute or applicable law, if Subrecipient's claim for breach of contract cannot be resolved by the Parties in the ordinary course of business, Subrecipient may make a claim against the GLO for breach of contract and the GLO may assert a counterclaim against Subrecipient as is contemplated by Texas Government Code, Chapter 2260, Subchapter B. In such event, Subrecipient must provide written notice to the GLO of a claim for breach of the Contract not later than the 180th day after the date * This section does not apply to a contract with a "governmental entity" as defined in Texas Government Code Chapter 2251. MWUMa DocuSign Envelope ID: 22DB9E3C-B7E9-43F5-83E2-64BC6813AEC4 Attachment C-2 Amendment No. 5 GLO Contract No. 20-065-064-C182 Page 3 of 9 of the event giving rise to the claim. The notice must state with particularity: (1) the nature of the alleged breach; (2) the amount Subrecipient seeks as damages; and (3) the legal theory of recovery. b. The chief administrative officer, or if designated in the Contract, another officer of the GLO, shall examine the claim and any counterclaim and negotiate with Subrecipient in an effort to resolve them. The negotiation must begin no later than the 120th day after the date the claim is received, as is contemplated by Texas Government Code, Chapter 2260, Section 2260.052. c. If the negotiation under paragraph (b) above results in the resolution of some disputed issues by agreement or in a settlement, the Parties shall reduce the agreement or settlement to writing and each Party shall sign the agreement or settlement. A partial settlement or resolution of a claim does not waive a Party's rights under this Contract as to the parts of the claim that are not resolved. d. If a claim is not entirely resolved under paragraph (b) above, on or before the 270th day after the date the claim is filed with the GLO, unless the Parties agree in writing to an extension of time, the Parties may agree to mediate a claim made under this dispute resolution procedure. This dispute resolution procedure is Subrecipient's sole and exclusive process for seeking a remedy for an alleged breach of contract by the GLO if the Parties are unable to resolve their disputes as described in this section. e. Nothing in the Contract shall be construed as a waiver of the state's or the GLO's sovereign immunity, or, if applicable, the governmental immunity of Subrecipient. This Contract shall not constitute or be construed as a waiver of any of the privileges, rights, defenses, remedies, or immunities available to the State of Texas or Subrecipient. The failure to enforce, or any delay in the enforcement, of any privileges, rights, defenses, remedies, or immunities available to the State of Texas or, if applicable, of Subrecipient under this Contract or under applicable law shall not constitute a waiver of such privileges, rights, defenses, remedies or immunities or be considered as a basis for estoppel. The GLO does not waive any privileges, rights, defenses, or immunities available to it by entering into this Contract or by its conduct, or by the conduct of any representative of the GLO, prior to or subsequent to entering into this Contract. Subrecipient does not waive any privileges, rights, defenses, or immunities available to it by entering into this Contract or by its conduct, or by the conduct of any representative of the GLO, prior to or subsequent to entering into this Contract. f. Except as otherwise provided by statute, rule, or regulation, compliance with the dispute resolution process provided for in Texas Government Code, Chapter 2260, subchapter B and incorporated by reference in subsection (a)-(d) above is a condition precedent to the Subrecipient: (1) filing suit pursuant to Chapter 114 of the Civil Practices and Remedies Code; or (2) initiating a contested case hearing pursuant to Subchapter C of Chapter 2260 of the Texas Government Code. 15. If Chapter 2271 of the Texas Government Code applies to this Contract, Subrecipient verifies that it does not boycott Israel and will not boycott Israel during the term of the Contract.* 16. This Contract is contingent upon the continued availability of lawful appropriations by the Texas Legislature. Subrecipient understands that all obligations of the GLO under this * This section does not apply to a contract with a "governmental entity' as defined in Texas Government Code Chapter 2251. 01092024AO:MB DocuSign Envelope ID: 22DB9E3C-B7E9-43F5-83E2-64BC6813AEC4 Attachment C-2 Amendment No. 5 GLO Contract No. 20-065-064-C182 Page 4 of 9 Contract are subject to the availability of funds. If such funds are not appropriated or become unavailable, the GLO may terminate the Contract. The Contract shall not be construed as creating a debt on behalf of the GLO in violation of Article III, Section 49a of the Texas Constitution. 17. Subrecipient certifies that it is not listed in the prohibited vendors list authorized by Executive Order 13224, `Blocking Property and Prohibiting Transactions with Persons Who Commit, Threaten to Commit, or Support Terrorism", published by the United States Department of the Treasury, Office of Foreign Assets Control. 18. In accordance with Section 669.003 of the Texas Government Code, relating to contracting with the executive head of a state agency, Subrecipient certifies that it is not (1) the executive head of the GLO, (2) a person who at any time during the four years before the effective date of the Contract was the executive head of the GLO, or (3) a person who employs a current or former executive head of the GLO. 19. Subrecipient represents and warrants that all statements and information prepared and submitted in connection with this Contract are current, complete, true, and accurate. Submitting a false statement or making a material misrepresentation during the performance of this Contract is a material breach of contract and may void the Contract or be grounds for its termination. 20. Pursuant to Section 2155.004(a) of the Texas Government Code, Subrecipient certifies that neither Subrecipient nor any person or entity represented by Subrecipient has received compensation from the GLO to participate in the preparation of the specifications or solicitation on which this Contract is based. Under Section 2155.004(b) of the Texas Government Code, Subrecipient certifies that the individual or business entity named in this Contract is not ineligible to receive the specified Contract and acknowledges that the Contract may be terminated and payment withheld if this certification is inaccurate. This Section does not prohibit Subrecipient from providing free technical assistance.* 21. Subrecipient represents and warrants that it is not engaged in business with Iran, Sudan, or a foreign terrorist organization, as prohibited by Section 2252.152 of the Texas Government Code.* 22. In accordance with Section 2252.901 of the Texas Government Code, for the categories of contracts listed in that section, Subrecipient represents and warrants that none of its employees including, but not limited to, those authorized to provide services under the contract, were employees of the GLO during the twelve (12) month period immediately prior to the date of execution of the contract. Solely for professional services contracts as described by Chapter 2254 of the Texas Government Code, Subrecipient further represents and warrants that if a former employee of the GLO was employed by Subrecipient within one year of the employee's leaving the GLO, then such employee will not perform services on projects with Subrecipient that the employee worked on while employed by the GLO.* 23. The Contract shall be governed by and construed in accordance with the laws of the State of Texas, without regard to the conflicts of law provisions. The venue of any suit arising under the Contract is fixed in any court of competent jurisdiction of Travis County, Texas, unless the specific venue is otherwise identified in a statute which directly names or otherwise identifies its applicability to any Party. * This section does not apply to a contract with a "governmental entity" as defined in Texas Government Code Chapter 2251. 01092024A ,1 DocuSign Envelope ID: 22DB9E3C-B7E9.43F5-83E2-64BC6813AEC4 Attachment C-2 Amendment No. 5 GLO Contract No. 20-065-064-C182 Page 5 of 9 24. IF THE CONTRACT IS NOT FOR ARCHITECTURE OR ENGINEERING SERVICES GOVERNED BY TEXAS GOVERNMENT CODE CHAPTER 2254, SUBRECIPIENT, TO THE EXTENT ALLOWED BY LAW, SHALL DEFEND, INDEMNIFY AND HOLD HARMLESS THE STATE OF TEXAS AND THE GLO, AND/OR THEIR OFFICERS, AGENTS, EMPLOYEES, REPRESENTATIVES, CONTRACTORS, ASSIGNEES, AND/OR DESIGNEES FROM ANY AND ALL LIABILITY, ACTIONS, CLAIMS, DEMANDS, OR SUITS, AND ALL RELATED COSTS, ATTORNEY FEES, AND EXPENSES ARISING OUT OF, OR RESULTING FROM ANY ACTS OR OMISSIONS OF SUBRECIPIENT OR ITS AGENTS, EMPLOYEES, SUBCONTRACTORS, ORDER FULFILLERS, OR SUPPLIERS OF SUBCONTRACTORS IN THE EXECUTION OR PERFORMANCE OF THE CONTRACT AND ANY PURCHASE ORDERS ISSUED UNDER THE CONTRACT. THE DEFENSE SHALL BE COORDINATED BY SUBRECIPIENT WITH THE OFFICE OF THE TEXAS ATTORNEY GENERAL WHEN TEXAS STATE AGENCIES ARE NAMED DEFENDANTS IN ANY LAWSUIT AND SUBRECIPIENT MAY NOT AGREE TO ANY SETTLEMENT WITHOUT FIRST OBTAINING THE CONCURRENCE FROM THE OFFICE OF THE TEXAS ATTORNEY GENERAL. SUBRECIPIENT AND THE GLO SHALL FURNISH TIMELY WRITTEN NOTICE TO EACH OTHER OF ANY SUCH CLAIM.* 25.IF THE CONTRACT IS FOR ARCHITECTURE OR ENGINEERING SERVICES GOVERNED BY TEXAS GOVERNMENT CODE CHAPTER 2254, SUBRECIPIENT, TO THE EXTENT ALLOWED BY LAW, SHALL INDEMNIFY AND HOLD HARMLESS THE STATE OF TEXAS AND THE GLO, AND/OR THEIR OFFICERS, AGENTS, EMPLOYEES, REPRESENTATIVES, CONTRACTORS, ASSIGNEES, AND/OR DESIGNEES FROM ANY AND ALL LIABILITY, ACTIONS, CLAIMS, DEMANDS, OR SUITS, AND ALL RELATED DAMAGES, COSTS, ATTORNEY FEES, AND EXPENSES TO THE EXTENT CAUSED BY, ARISING OUT OF, OR RESULTING FROM ANY ACTS OF NEGLIGENCE, INTENTIONAL TORTS, WILLFUL MISCONDUCT, PERSONAL INJURY OR DAMAGE TO PROPERTY, AND/OR OTHERWISE RELATED TO SUBRECIPIENT'S PERFORMANCE, AND/OR FAILURES TO PAY A SUBCONTRACTOR OR SUPPLIER BY THE SUBRECIPIENT OR ITS AGENTS, EMPLOYEES, SUBCONTRACTORS, ORDER FULFILLERS, CONSULTANTS UNDER CONTRACT TO SUBRECIPIENT, OR ANY OTHER ENTITY OVER WHICH SUBRECIPIENT EXERCISES CONTROL, OR SUPPLIERS OF SUBCONTRACTORS IN THE EXECUTION OR PERFORMANCE OF THE CONTRACT. THE DEFENSE SHALL BE COORDINATED BY SUBRECIPIENT WITH THE OFFICE OF THE TEXAS ATTORNEY GENERAL WHEN TEXAS STATE AGENCIES ARE NAMED DEFENDANTS IN ANY LAWSUIT AND SUBRECIPIENT MAY NOT AGREE TO ANY SETTLEMENT WITHOUT FIRST OBTAINING THE CONCURRENCE FROM THE OFFICE OF THE TEXAS ATTORNEY GENERAL. SUBRECIPIENT AND THE GLO SHALL FURNISH TIMELY WRITTEN NOTICE TO EACH OTHER OF ANY SUCH CLAIM.* 26. TO THE EXTENT ALLOWED BY LAW, SUBRECIPIENT SHALL DEFEND, INDEMNIFY, AND HOLD HARMLESS THE GLO AND THE STATE OF TEXAS FROM AND AGAINST ANY AND ALL CLAIMS, VIOLATIONS, MISAPPROPRIATIONS OR INFRINGEMENT OF ANY PATENT, TRADEMARK, COPYRIGHT, TRADE SECRET OR OTHER INTELLECTUAL PROPERTY RIGHTS AND/OR OTHER INTANGIBLE * This section does not apply to a contract with a "governmental entity" as defined in Texas Government Code Chapter 2251. 01a92W.ME DocuSign Envelope ID: 22DB9E3C-B7E9-43F5-83E2-64BC6813AEC4 Attachment C-2 Amendment No. 5 GLO Contract No. 20-065-064-082 Page 6 of 9 PROPERTY, PUBLICITY OR PRIVACY RIGHTS, AND/OR IN CONNECTION WITH OR ARISING FROM: (1) THE PERFORMANCE OR ACTIONS OF SUBRECIPIENT PURSUANT TO THIS CONTRACT; (2) ANY DELIVERABLE, WORK PRODUCT, CONFIGURED SERVICE OR OTHER SERVICE PROVIDED HEREUNDER; AND/OR (3) THE GLO'S AND/OR SUBRECIPIENT'S USE OF OR ACQUISITION OF ANY REQUESTED SERVICES OR OTHER ITEMS PROVIDED TO THE GLO BY SUBRECIPIENT OR OTHERWISE TO WHICH THE GLO HAS ACCESS AS A RESULT OF SUBRECIPIENT'S PERFORMANCE UNDER THE CONTRACT. SUBRECIPIENT AND THE GLO SHALL FURNISH TIMELY WRITTEN NOTICE TO EACH OTHER OF ANY SUCH CLAIM. SUBRECIPIENT SHALL BE LIABLE TO PAY ALL COSTS OF DEFENSE, INCLUDING ATTORNEYS' FEES. THE DEFENSE SHALL BE COORDINATED BY SUBRECIPIENT WITH THE OFFICE OF THE TEXAS ATTORNEY GENERAL (OAG) WHEN TEXAS STATE AGENCIES ARE NAMED DEFENDANTS IN ANY LAWSUIT AND SUBRECIPIENT MAY NOT AGREE TO ANY SETTLEMENT WITHOUT FIRST OBTAINING THE CONCURRENCE FROM OAG. IN ADDITION, SUBRECIPIENT WILL REIMBURSE THE GLO AND THE STATE OF TEXAS FOR ANY CLAIMS, DAMAGES, COSTS, EXPENSES OR OTHER AMOUNTS, INCLUDING, BUT NOT LIMITED TO, ATTORNEYS' FEES AND COURT COSTS, ARISING FROM ANY SUCH CLAIM. IF THE GLO DETERMINES THAT A CONFLICT EXISTS BETWEEN ITS INTERESTS AND THOSE OF SUBRECIPIENT OR IF THE GLO IS REQUIRED BY APPLICABLE LAW TO SELECT SEPARATE COUNSEL, THE GLO WILL BE PERMITTED TO SELECT SEPARATE COUNSEL AND SUBRECIPIENT WILL PAY ALL REASONABLE COSTS OF THE GLO'S COUNSEL.* 27. Subrecipient has disclosed in writing to the GLO all existing or known potential conflicts of interest relative to the performance of the Contract. 28. Sections 2155.006 and 2261.053 of the Texas Government Code prohibit state agencies from accepting a solicitation response or awarding a contract that includes proposed financial participation by a person who, in the past five years, has been convicted of violating a federal law or assessed a penalty in connection with a contract involving relief for Hurricane Rita, Hurricane Katrina, or any other disaster, as defined by Section 418.004 of the Texas Government Code, occurring after September 24, 2005. Under Sections 2155.006 and 2261.053 of the Texas Government Code, Subrecipient certifies that the individual or business entity named in this Contract is not ineligible to receive the specified Contract and acknowledges that this Contract may be terminated and payment withheld if this certification is inaccurate.* 29. The person executing this Contract certifies that he/she is duly authorized to execute this Contract on his/her own behalf or on behalf of Subrecipient and legally empowered to contractually bind Subrecipient to the terms and conditions of the Contract and related documents. 30. If the Contract is for architectural or engineering services, pursuant to Section 2254.0031 of the Texas Government Code, which incorporates by reference Section 271.904(d) of the Texas Local Government Code, Subrecipient shall perform services (1) with professional skill and care ordinarily provided by competent engineers or architects practicing under the same or similar circumstances and professional license, and (2) as expeditiously as is prudent considering the ordinary professional skill and care of a competent engineer or architect.* * This section does not apply to a contract with a "governmental entity" as defined in Texas Government Code Chapter 2251 01092024A DocuSign Envelope ID: 22DB9E3C-B7E9-43F5-83E2-64BC6813AEC4 Attachment C-2 Amendment No. 5 GLO Contract No. 20-065-064-C182 Page 7 of 9 31. The state auditor may conduct an audit or investigation of any entity receiving funds from the state directly under the Contract or indirectly through a subcontract under the Contract. The acceptance of funds directly under the Contract or indirectly through a subcontract under the Contract acts as acceptance of the authority of the state auditor, under the direction of the legislative audit committee, to conduct an audit or investigation in connection with those funds. Under the direction of the legislative audit committee, an entity that is the subject of an audit or investigation by the state auditor must provide the state auditor with access to any information the state auditor considers relevant to the investigation or audit. Subrecipient shall ensure that this paragraph concerning the authority to audit funds received indirectly by subcontractors through the Contract and the requirement to cooperate is included in any subcontract it awards. The GLO may unilaterally amend the Contract to comply with any rules and procedures of the state auditor in the implementation and enforcement of Section 2262.154 of the Texas Government Code. 32. Subrecipient certifies that neither it nor its principals are debarred, suspended, proposed for debarment, declared ineligible, or otherwise excluded from participation in the Contract by any state or federal agency. 33. If the Contract is for the purchase or lease of covered television equipment, as defined by Section 361.971(3) of the Texas Health and Safety Code, Subrecipient certifies its compliance with Subchapter Z, Chapter 361 of the Texas Health and Safety Code, related to the Television Equipment Recycling Program. 34. Pursuant to Section 572.069 of the Texas Government Code, Subrecipient certifies it has not employed and will not employ a former state officer or employee who participated in a procurement or contract negotiations for the GLO involving Subrecipient within two (2) years after the date that the contract is signed or the procurement is terminated or withdrawn. This certification only applies to former state officers or employees whose state service or employment ceased on or after September 1, 2015. 35. The GLO shall post this Contract to the GLO's website. Subrecipient understands that the GLO will comply with the Texas Public Information Act (Texas Government Code Chapter 552, the "PIA"), as interpreted by judicial rulings and opinions of the Attorney General of the State of Texas (the "Attorney General"). Information, documentation, and other material in connection with this Contract may be subject to public disclosure pursuant to the PIA. In accordance with Section 2252.907 of the Texas Government Code, Subrecipient is required to make any information created or exchanged with the GLO or the State of Texas pursuant to the Contract, and not otherwise excepted from disclosure under the PIA, available to the GLO in portable document file (".pdf') format or any other format agreed upon between the Parties that is accessible by the public at no additional charge to the GLO or the State of Texas. By failing to mark any information that Subrecipient believes to be excepted from disclosure as "confidential" or a "trade secret," Subrecipient waives any and all claims it may make against the GLO for releasing such information without prior notice to Subrecipient. The Attorney General will ultimately determine whether any information may be withheld from release under the PIA. Subrecipient shall notify the GLO's Office of General Counsel within twenty-four (24) hours of receipt of any third -party written requests for information and forward a copy of said written requests to PIALeealna elo.texas.gov. If a request for information was not written, Subrecipient shall forward the third parry's contact information to the above -designated e-mail address. * This section does not apply to a contract with a "governmental entity" as defined in Texas Government Code Chapter 2251. 01092024M NO DocuSlgn Envelope ID: 22DB9E3C-B7E9-43F5-83E2-64BC6813AEC4 Attachment C-2 Amendment No. 5 GLO Contract No. 20-065-064-C182 Page 8 of 9 36. The GLO does not tolerate any type of fraud. GLO policy promotes consistent, legal, and ethical organizational behavior by assigning responsibilities and providing guidelines to enforce controls. Any violations of law, agency policies, or standards of ethical conduct will be investigated, and appropriate actions will be taken. Subrecipient must report any possible fraud, waste, or abuse that occurs in connection with the Contract to the GLO in the manner prescribed by the GLO's website, http://glo.texas.gov. 37. If Subrecipient, in its performance of the Contract, has access to a state computer system or database, Subrecipient must complete a cybersecurity training program certified under Texas Government Code Section 2054.519, as selected by the GLO. Subrecipient must complete the cybersecurity training program during the initial term of the Contract and during any renewal period. Subrecipient must verify in writing to the GLO its completion of the cybersecurity training program. 38. Under Section 2155.0061, Texas Government Code, Subrecipient certifies that the entity named in this Contract is not ineligible to receive the specified Contract and acknowledges that this Contract may be terminated and payment withheld if this certification is inaccurate.* 39. Subrecipient certifies that it does not require its customers to provide any documentation certifying the customer's COVID-19 vaccination or post -transmission recovery on entry to, to gain access to, or to receive service from Subrecipient's business. Subrecipient acknowledges that such a vaccine or recovery requirement would make Subrecipient ineligible for a state -funded contract. 40. Pursuant to Government Code Section 2275.0102, Subrecipient certifies that neither it nor its parent company, nor any affiliate of Subrecipient or its parent company, is: (1) majority owned or controlled by citizens or governmental entities of China, Iran, North Korea, Russia, or any other country designated by the Governor under Government Code Section 2275.0103, or (2) headquartered in any of those countries.* 41. If Subrecipient is required to make a verification pursuant to Section 2276.002 of the Texas Government Code, Subrecipient verifies that Subrecipient does not boycott energy companies and will not boycott energy companies during the term of the Contract. If Subrecipient does not make that verification, Subrecipient must notify the GLO and state why the verification is not required.* 42. If Subrecipient is required to make a verification pursuant to Section 2274.002 of the Texas Government Code, Subrecipient verifies that it (1) does not have a practice, policy, guidance, or directive that discriminates against a "firearm entity" or "firearm trade association" as those terms are defined in Texas Government Code section 2274.001 and (2) will not discriminate during the term of the Contract against a firearm entity or firearm trade association. If Subrecipient does not make that verification, Subrecipient must notify the GLO and state why the verification is not required.* 43.If Subrecipient is a "professional sports team as defined by Texas Occupations Code Section 2004.002, Subrecipient will play the United States national anthem at the beginning of each team sporting event held at Subrecipient's home venue or other venue controlled by Subrecipient for the event. Failure to comply with this obligation constitutes a default of this Contract, and immediately subjects Subrecipient to the penalties for default, such as repayment of money received or ineligibility for additional money. In addition, Subrecipient * This section does not apply to a contract with a "governmental entity" as defined in Texas Government Code Chapter 2251 01092024A Me DocuSign Envelope to: 22DB9E3C-B7E9-43F5-83E2-64BC6813AEC4 Attachment C-2 Amendment No. 5 GLO Contract No. 20-065-064-CI82 Page 9 of 9 may be debarred from contracting with the State. The GLO or the Attorney General may strictly enforce this provision.* 44. To the extent Section 552.371 of the Texas Government Code applies to Subrecipient and the Contract, in accordance with Section 552.372 of the Texas Government Code, Subrecipient must (a) preserve all contracting information related to the Contract in accordance with the records retention requirements applicable to the GLO for the duration of the Contract, (b) no later than the tenth business day after the date of the GLO's request, provide to the GLO any contracting information related to the Contract that is in Subrecipient's custody or possession, and (c) on termination or expiration of the Contract, either (i) provide to the GLO at no cost all contracting information related to the Contract that is in Subrecipient's custody or possession or (ii) preserve the contracting information related to the Contract in accordance with the records retention requirements applicable to the GLO. Except as provided by Section 552.374(c) of the Texas Government Code, the requirements of Subchapter J, Chapter 552, Government Code, may apply to the Contract and Subrecipient agrees that the Contract may be terminated if Subrecipient knowingly or intentionally fails to comply with a requirement of that subchapter.* 45. If the Contract is for consulting services governed by Chapter 2254 of the Texas Government Code, Subrecipient, upon completion of the Contract, must give the GLO a compilation, in a digital medium agreed to by the Parties, of all documents, films; recordings, or reports Subrecipient compiled in connection with its performance under the Contract.* 46. If subject to 2 CFR 200.216, Subrecipient shall not obligate or expend funding provided under this Contract to: (a) procure or obtain; (b) extend or renew a contract to procure or obtain; or (c) enter into a contract to procure or obtain equipment, services, or systems that uses covered telecommunications equipment or services, as defined in Public Law 115-232, Section 889, as a substantial or essential component of any system, or as critical technology as part of any system. 47. To the extent Texas Government Code Chapter 2252, Subchapter G applies to the Contract, any iron or steel product Subrecipient uses in in its performance of the Contract that is produced through a manufacturing process, as defined in Section 2252.201(2) of the Texas Government Code, must be produced in the United States. * This section does not apply to a contract with a "governmental entity" as defined in Texas Government Code Chapter 2251. o1o12.24 lB NOTICE OF MEETING - 5/15/2024 11.To correspond with the recently approved amendment to the GLO-County contract for CDBG-DR contract 20-065-064-C182, Calhoun County recommends a contract extension and budget increase for G&W Engineering, Inc., to complete their scope of work as Engineer for this contract. The County also authorizes the judge to sign this amendment and execute the amended contracts. (RHM) RESULT:,, APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Commissioner Hall, Lyssy, Reese Page 8 of 13 AMENDMENT TO THE PROFESSIONAL ENGINEERING SERVICES CONTRACT FOR CALHOUN COUNTY'S GENERAL LAND OFFICE (GLO) CONTRACT NO.20-065-064-C182 G&W ENGINEERS, INC. ("Contractor/Engineer") and CALHOUN COUNTY ("County/Subrecipient") and collectively, ("the Parties") desire to amend the Professional Engineering Services Contract ("the Contract") regarding the County's General Land Office (GLO) Contract No. `20-065-064-C182 ("Project"). WHEREAS, the Parties desire to extend the Contract Term; WHERAS, the Parties desire to revise the Contract Budget; WHEREAS, the Parties desire to revise the Work Orders to accurately reflect all Project Activities, the addition of grant funds to the Project Budget, and the redistribution of funds between Project Budget line items; and WHEREAS, the Parties desire to revise the General Affirmations to reflect updated terms; NOW, THEREFORE, the Parties agree as follows: 1. SECTION 1.03, of the Contract, is noted to reflect that the Engineer's work is pursuant to any amendments. made to the County's GLO contract; attached hereto and incorporated herein in its enti4ty for all purposes is a Revised Performance statement as Attachment F; 2. SECTION 201 of the Contract, is amended to reflect a termination date of February 28, 2025; 3. SECTION 3.01 of the Contract, is amended by adding funding in the amount of $22,207.00 for a total amount not to exceed $584,125.00 for the duration of this Contract; 4. ATTACHMENT B to the Contract, General Affirmations, is deleted in its entirety and replaced with the Revised General Affirmations, attached hereto and incorporated herein in its entirety for all purposes as ATTACHMENT B-2. 5. ATTACHMENT C, Work Orders, to the Contract, are amended as listed below, attached hereto, and incorporated herein in its entirety for all purposes as ATTACHMENT C-2. a. Work Order No. 13-1 of the Contract, is amended by redistributing Project funds and bringing the budget for Engineering Services from $104,418.00 to $124,875.00; b. Work Order No. C-1 of the Contract, has been terminated by the County, bringing the budget for Engineering Services from $127,500.00 to $89,250.00 for work completed before the County decided to terminate the project; c. Work Order No. E-1 of the Contract, is amended by redistributing Project funds and bringing the budget for Engineering Services from $135,000.00 to $175,000.00; 6. This Amendment shall be effective upon the earlier of the date of the last signature or April 30, 2022; and 7. The terms and conditions of the Contract not amended herein shall remain in force and effect. SIGNATURE PAGE FOR AMENDMENT TO THE GRANT ADMINISTRATION CONTRACT FOR CALHOUN COUNTY'S GLO CONTRACT NO. 20-065-064-C182 70U=OUNTY chard eyer, County Judge Y6` Date of Execution ATTACHED TO TMS AMENDMENT: Attachment B-2: Revised General Affirmations G&W Engineers Inc. Brian P. Novian, President 05/15/2024 Date of Execution Attachment C-2: Revised Work Order Attachments B-1, C-1, E-1 Attachment F: Revised Performance Statement DocuSign Envelope ID: 22DB9E3C-B7E9-43F5-83E2-64BC6813AEC4 Attachment B-2 Amendment No. 5 GLO Contract No. 20-065-064-C182 Page 1 of 9 TO THE EXTENT APPLICABLE, Subrecipient affirms and agrees to the following, without exception: 1. Subrecipient represents and warrants that, in accordance with Section 2155.005 of the Texas Government Code, neither Subrecipient nor the firm, corporation, partnership, or institution represented by Subrecipient, or anyone acting for such a firm, corporation, partnership, or institution has (1) violated any provision of the Texas Free Enterprise and Antitrust Act of 1983, Chapter 15 of the Texas Business and Commerce Code, or the federal antitrust laws, or (2) communicated directly or indirectly the contents of this Contract or any solicitation response upon which this Contract is based to any competitor or any other person engaged in the same line of business as Subrecipient.* 2. Subrecipient shall not assign its rights under the Contract or delegate the performance of its duties under the Contract without prior written approval from the GLO. Any attempted assignment or delegation in violation of this provision is void and without effect. This provision does not apply to subcontracting. 3. If the Contract is for services, Subrecipient shall comply with Section 2155.4441 of the Texas Government Code, requiring the purchase of products and materials produced in the State of Texas in performing service contracts, but for contracts subject to 2 CFR 200, only to the extent such compliance is consistent with 2 CFR 200.319. 4. Under Section 231.006 of the Family Code, the vendor or applicant [Subrecipient] certifies that the individual or business entity named in this Contract, bid or application is not ineligible to receive the specified grant, loan, or payment and acknowledges that this Contract may be terminated and payment may be withheld if this certification is inaccurate, in addition to other remedies set out in Section 231.006(f) of the Family Code.* 5. A bid or an application for a contract, grant, or loan paid from state funds must include the name and social security number of the individual or sole proprietor and each partner, shareholder, or owner with an ownership interest of at least 25 percent of the business entity submitting the bid or application. Subrecipient certifies it has submitted this information to the GLO.* 6. If the Contract is for a "cloud computing service" as defined by Texas Government Code Section 2157.007, then pursuant to Section 2054.0593(d)-(f) of the Texas Government Code, relating to cloud computing state risk and authorization management program, Subrecipient represents and warrants that it complies with the requirements of the state risk and authorization management program and Subrecipient agrees that throughout the term of the Contract it shall maintain its certifications and comply with the program requirements in the performance of the Contract. 7. If the Contract is for the purchase or lease of computer equipment, as defined by Texas Health and Safety Code Section 361.952(2), Subrecipient certifies that it is in compliance with Subchapter Y, Chapter 361 of the Texas Health and Safety Code, related to the Computer Equipment Recycling Program and the Texas Commission on Environmental Quality rules in Title 30 Texas Administrative Code Chapter 328. 8. If the Contract authorizes Subrecipient to access, transmit, use, or store data for the GLO, then in accordance with Section 2054.138 of the Texas Government Code, Subrecipient certifies that it will comply with the security controls required under this Contract and will * This section does not apply to a contract with a "governmental entity" as defined in Texas Government Code Chapter 2251. 01092024A .M DocuSign Envelope to: 22DB9E3C-B7E9-43F5-83E2-64BC6813AEC4 Attachment B-2 Amendment No. 5 GLO Contract No. 20-065-064-C182 Page 2 of 9 maintain records and make them available to the GLO as evidence of Subrecipient's compliance with the required controls. 9. Subrecipient represents and warrants that it has not given, offered to give, nor intends to give at any time hereafter any economic opportunity, future employment, gift, loan, gratuity, special discount, trip, favor, or service to a public servant in connection with the Contract. 10. Subrecipient agrees that any payments due under the Contract shall be applied towards any debt or delinquency that is owed by Subrecipient to the State of Texas. 11. Upon request of the GLO, Subrecipient shall provide copies of its most recent business continuity and disaster recovery plans. 12. If the Contract is for consulting services governed by Texas Government Code Chapter 2254, Subchapter B, in accordance with Section 2254.033 of the Texas Government Code, relating to consulting services, Subrecipient certifies that it does not employ an individual who has been employed by the GLO or another agency at any time during the two years preceding the Subrecipient's submission of its offer to provide consulting services to the GLO or, in the alternative Subrecipient, in its offer to provide consulting services to the GLO, disclosed the following: (i) the nature of the previous employment with the GLO or other state agency; (ii) the date the employment was terminated; and (iii) the annual rate of compensation for the employment at the time of its termination.* 13. If the Contract is not for architecture, engineering, or construction services, then except as otherwise provided by statute, rule, or regulation, Subrecipient must use the dispute resolution process provided for in Chapter 2260 of the Texas Government Code to attempt to resolve any dispute arising under the Contract. NOTHING IN THIS SECTION SHALL BE CONSTRUED AS A WAIVER OF SOVEREIGN IMMUNITY BY THE GLO OR, IF APPLICABLE, OF GOVERNMENTAL IMMUNITY BY SUBRECIPIENT, 14. If the Contract is for architecture, engineering, or construction services, then subject to Texas Government Code Section 2260.002 and Texas Civil Practice and Remedies Code Chapter 114, and except as otherwise provided by statute, rule, or regulation, Subrecipient shall use the dispute resolution process provided for in Chapter 2260 of the Texas Government Code to attempt to resolve all disputes arising under this Contract. Except as otherwise provided by statute, rule, or regulation, in accordance with the Texas Civil Practice and Remedies Code, Section 114.005, claims encompassed by Texas Government Code, Section 2260.002(3) and Texas Civil Practice and Remedies Code Section 114.002 shall be governed by the dispute resolution process set forth below in subsections (a)-(d). NOTHING IN THIS SECTION SHALL BE CONSTRUED AS A WAIVER OF SOVEREIGN IMMUNITY BY THE GLO OR, IF APPLICABLE, OF GOVERNMENTAL IMMUNITY BY SUBRECIPIENT. a. Notwithstanding Texas Government Code, Chapter 2260.002(3) and Chapter 114.012 and any other statute or applicable law, if Subrecipient's claim for breach of contract cannot be resolved by the Parties in the ordinary course of business, Subrecipient may make a claim against the GLO for breach of contract and the GLO may assert a counterclaim against Subrecipient as is contemplated by Texas Government Code, Chapter 2260, Subchapter B. In such event, Subrecipient must provide written notice to the GLO of a claim for breach of the Contract not later than the 180th day after the date a This section does not apply to a contract with a "governmental entity" as defined in Texas Government Code Chapter 2251. 01092024nnnm DocuSign Envelope ID: 22DB9E3C-B7E9-43F5-83E2-64BC6813AEC4 Attachment B-2 Amendment No. 5 GLO Contract No. 20-065-064-CI82 Page 3 of 9 of the event giving rise to the claim. The notice must state with particularity: (1) the nature of the alleged breach; (2) the amount Subrecipient seeks as damages; and (3) the legal theory of recovery. b. The chief administrative officer, or if designated in the Contract, another officer of the GLO, shall examine the claim and any counterclaim and negotiate with Subrecipient in an effort to resolve them. The negotiation must begin no later than the 120th day after the date the claim is received, as is contemplated by Texas Government Code, Chapter 2260, Section 2260.052. c. If the negotiation under paragraph (b) above results in the resolution of some disputed issues by agreement or in a settlement, the Parties shall reduce the agreement or settlement to writing and each Party shall sign the agreement or settlement. A partial settlement or resolution of a claim does not waive a Party's rights under this Contract as to the parts of the claim that are not resolved. d. If a claim is not entirely resolved under paragraph (b) above, on or before the 270th day after the date the claim is filed with the GLO, unless the Parties agree in writing to an extension of time, the Parties may agree to mediate a claim made under this dispute resolution procedure. This dispute resolution procedure is Subrecipient's sole and exclusive process for seeking a remedy for an alleged breach of contract by the GLO if the Parties are unable to resolve their disputes as described in this section. e. Nothing in the Contract shall be construed as a waiver of the state's or the GLO's sovereign immunity, or, if applicable, the governmental immunity of Subrecipient. This Contract shall not constitute or be construed as a waiver of any of the privileges, rights, defenses, remedies, or immunities available to the State of Texas or Subrecipient. The failure to enforce, or any delay in the enforcement, of any privileges, rights, defenses, remedies, or immunities available to the State of Texas or, if applicable, of Subrecipient under this Contract or under applicable law shall not constitute a waiver of such privileges, rights, defenses, remedies or immunities or be considered as a basis for estoppel. The GLO does not waive any privileges, rights, defenses, or immunities available to it by entering into this Contract or by its conduct, or by the conduct of any representative of the GLO, prior to or subsequent to entering into this Contract. Subrecipient does not waive any privileges, rights, defenses, or immunities available to it by entering into this Contract or by its conduct, or by the conduct of any representative of the GLO, prior to or subsequent to entering into this Contract. f. Except as otherwise provided by statute, rule, or regulation, compliance with the dispute resolution process provided for in Texas Government Code, Chapter 2260, subchapter B and incorporated by reference in subsection (a)-(d) above is a condition precedent to the Subrecipient: (1) filing suit pursuant to Chapter 114 of the Civil Practices and Remedies Code; or (2) initiating a contested case hearing pursuant to Subchapter C of Chapter 2260 of the Texas Government Code. 15. If Chapter 2271 of the Texas Government Code applies to this Contract, Subrecipient verifies that it does not boycott Israel and will not boycott Israel during the term of the Contract.* 16. This Contract is contingent upon the continued availability of lawful appropriations by the Texas Legislature. Subrecipient understands that all obligations of the GLO under this * This section does not apply to a contract with a "governmental entity" as defined in Texas Government Code Chapter 2251. 01092024n ,a DocuSign Envelope ID: 22DB9E3C-B7E9.43F5.83E2-64BC6813AEC4 Attachment B-2 Amendment No. 5 GLO Contract No. 20-065-064-C182 Page 4 of 9 Contract are subject to the availability of funds. If such funds are not appropriated or become unavailable, the GLO may terminate the Contract. The Contract shall not be construed as creating a debt on behalf of the GLO in violation of Article III, Section 49a of the Texas Constitution. 17. Subrecipient certifies that it is not listed in the prohibited vendors list authorized by Executive Order 13224, `Blocking Property and Prohibiting Transactions with Persons Who Commit, Threaten to Commit, or Support Terrorism", published by the United States Department of the Treasury, Office of Foreign Assets Control. 18. In accordance with Section 669.003 of the Texas Government Code, relating to contracting with the executive head of a state agency, Subrecipient certifies that it is not (1) the executive head of the GLO, (2) a person who at any time during the four years before the effective date of the Contract was the executive head of the GLO, or (3) a person who employs a current or former executive head of the GLO. 19. Subrecipient represents and warrants that all statements and information prepared and submitted in connection with this Contract are current, complete, true, and accurate. Submitting a false statement or making a material misrepresentation during the performance of this Contract is a material breach of contract and may void the Contract or be grounds for its termination. 20. Pursuant to Section 2155.004(a) of the Texas Government Code, Subrecipient certifies that neither Subrecipient nor any person or entity represented by Subrecipient has received compensation from the GLO to participate in the preparation of the specifications or solicitation on which this Contract is based. Under Section 2155.004(b) of the Texas Government Code, Subrecipient certifies that the individual or business entity named in this Contract is not ineligible to receive the specified Contract and acknowledges that the Contract may be terminated and payment withheld if this certification is inaccurate. This Section does not prohibit Subrecipient from providing free technical assistance.* 21. Subrecipient represents and warrants that it is not engaged in business with Iran, Sudan, or a foreign terrorist organization, as prohibited by Section 2252.152 of the Texas Government Code.* 22. In accordance with Section 2252.901 of the Texas Government Code, for the categories of contracts listed in that section, Subrecipient represents and warrants that none of its employees including, but not limited to, those authorized to provide services under the contract, were employees of the GLO during the twelve (12) month period immediately prior to the date of execution of the contract. Solely for professional services contracts as described by Chapter 2254 of the Texas Government Code, Subrecipient further represents and warrants that if a former employee of the GLO was employed by Subrecipient within one year of the employee's leaving the GLO, then such employee will not perform services on projects with Subrecipient that the employee worked on while employed by the GLO.* 23. The Contract shall be governed by and construed in accordance with the laws of the State of Texas, without regard to the conflicts of law provisions. The venue of any suit arising under the Contract is fixed in any court of competent jurisdiction of Travis County, Texas, unless the specific venue is otherwise identified in a statute which directly names or otherwise identifies its applicability to any Party. * This section does not apply to a contract with a "governmental entity" as defined in Texas Government Code Chapter 2251 01092024An:mm DocuSlgn Envelope ID: 22DB9E3C-B7E9-43F5.83E2-64BC6813AEC4 Attachment B-2 Amendment No. 5 GLO Contract No. 20-065-064-C182 Page 5 of 24. IF THE CONTRACT IS NOT FOR ARCHITECTURE OR ENGINEERING SERVICES GOVERNED BY TEXAS GOVERNMENT CODE CHAPTER 2254, SUBRECIPIENT, TO THE EXTENT ALLOWED BY LAW, SHALL DEFEND, INDEMNIFY AND HOLD HARMLESS THE STATE OF TEXAS AND THE GLO, AND/OR THEIR OFFICERS, AGENTS, EMPLOYEES, REPRESENTATIVES, CONTRACTORS, ASSIGNEES, AND/OR DESIGNEES FROM ANY AND ALL LIABILITY, ACTIONS, CLAIMS, DEMANDS, OR SUITS, AND ALL RELATED COSTS, ATTORNEY FEES, AND EXPENSES ARISING OUT OF, OR RESULTING FROM ANY ACTS OR OMISSIONS OF SUBRECIPIENT OR ITS AGENTS, EMPLOYEES, SUBCONTRACTORS, ORDER FULFILLERS, OR SUPPLIERS OF SUBCONTRACTORS IN THE EXECUTION OR PERFORMANCE OF THE CONTRACT AND ANY PURCHASE ORDERS ISSUED UNDER THE CONTRACT. THE DEFENSE SHALL BE COORDINATED BY SUBRECIPIENT WITH THE OFFICE OF THE TEXAS ATTORNEY GENERAL WHEN TEXAS STATE AGENCIES ARE NAMED DEFENDANTS IN ANY LAWSUIT AND SUBRECIPIENT MAY NOT AGREE TO ANY SETTLEMENT WITHOUT FIRST OBTAINING THE CONCURRENCE FROM THE OFFICE OF THE TEXAS ATTORNEY GENERAL. SUBRECIPIENT AND THE GLO SHALL FURNISH TIMELY WRITTEN NOTICE TO EACH OTHER OF ANY SUCH CLAIM.* 25.IF THE CONTRACT IS FOR ARCHITECTURE OR ENGINEERING SERVICES GOVERNED BY TEXAS GOVERNMENT CODE CHAPTER 2254, SUBRECIPIENT, TO THE EXTENT ALLOWED BY LAW, SHALL INDEMNIFY AND HOLD HARMLESS THE STATE OF TEXAS AND THE GLO, AND/OR THEIR OFFICERS, AGENTS, EMPLOYEES, REPRESENTATIVES, CONTRACTORS, ASSIGNEES, AND/OR DESIGNEES FROM ANY AND ALL LIABILITY, ACTIONS, CLAIMS, DEMANDS, OR SUITS, AND ALL RELATED DAMAGES, COSTS, ATTORNEY FEES, AND EXPENSES TO THE EXTENT CAUSED BY, ARISING OUT OF, OR RESULTING FROM ANY ACTS OF NEGLIGENCE, INTENTIONAL TORTS, WILLFUL MISCONDUCT, PERSONAL INJURY OR DAMAGE TO PROPERTY, AND/OR OTHERWISE RELATED TO SUBRECIPIENT'S PERFORMANCE, AND/OR FAILURES TO PAY A SUBCONTRACTOR OR SUPPLIER BY THE SUBRECIPIENT OR ITS AGENTS, EMPLOYEES, SUBCONTRACTORS, ORDER FULFILLERS, CONSULTANTS UNDER CONTRACT TO SUBRECIPIENT, OR ANY OTHER ENTITY OVER WHICH SUBRECIPIENT EXERCISES CONTROL, OR SUPPLIERS OF SUBCONTRACTORS IN THE EXECUTION OR PERFORMANCE OF THE CONTRACT. THE DEFENSE SHALL BE COORDINATED BY SUBRECIPIENT WITH THE OFFICE OF THE TEXAS ATTORNEY GENERAL WHEN TEXAS STATE AGENCIES ARE NAMED DEFENDANTS IN ANY LAWSUIT AND SUBRECIPIENT MAY NOT AGREE TO ANY SETTLEMENT WITHOUT FIRST OBTAINING THE CONCURRENCE FROM THE OFFICE OF THE TEXAS ATTORNEY GENERAL. SUBRECIPIENT AND THE GLO SHALL FURNISH TIMELY WRITTEN NOTICE TO EACH OTHER OF ANY SUCH CLAIM.* 26. TO THE EXTENT ALLOWED BY LAW, SUBRECIPIENT SHALL DEFEND, INDEMNIFY, AND HOLD HARMLESS THE GLO AND THE STATE OF TEXAS FROM AND AGAINST ANY AND ALL CLAIMS, VIOLATIONS, MISAPPROPRIATIONS OR INFRINGEMENT OF ANY PATENT, TRADEMARK, COPYRIGHT, TRADE SECRET OR OTHER INTELLECTUAL PROPERTY RIGHTS AND/OR OTHER INTANGIBLE * This section does not apply to a contract with a "governmental entity" as defined in Texas Government Code Chapter 2251. DocuSign Envelope ID: 22DB9E3C-B7E9-43F5-83E2.64BC6813AEC4 Attachment B-2 Amendment No. 5 GLO Contract No. 20-065-064-C182 Page 6 of PROPERTY, PUBLICITY OR PRIVACY RIGHTS, AND/OR IN CONNECTION WITH OR ARISING FROM: (1) THE PERFORMANCE OR ACTIONS OF SUBRECIPIENT PURSUANT TO THIS CONTRACT; (2) ANY DELIVERABLE, WORK PRODUCT, CONFIGURED SERVICE OR OTHER SERVICE PROVIDED HEREUNDER; AND/OR (3) THE GLO'S AND/OR SUBRECIPIENT'S USE OF OR ACQUISITION OF ANY REQUESTED SERVICES OR OTHER ITEMS PROVIDED TO THE GLO BY SUBRECIPIENT OR OTHERWISE TO WHICH THE GLO HAS ACCESS AS A RESULT OF SUBRECIPIENT'S PERFORMANCE UNDER THE CONTRACT. SUBRECIPIENT AND THE GLO SHALL FURNISH TIMELY WRITTEN NOTICE TO EACH OTHER OF ANY SUCH CLAIM. SUBRECIPIENT SHALL BE LIABLE TO PAY ALL COSTS OF DEFENSE, INCLUDING ATTORNEYS' FEES. THE DEFENSE SHALL BE COORDINATED BY SUBRECIPIENT WITH THE OFFICE OF THE TEXAS ATTORNEY GENERAL (OAG) WHEN TEXAS STATE AGENCIES ARE NAMED DEFENDANTS IN ANY LAWSUIT AND SUBRECIPIENT MAY NOT AGREE TO ANY SETTLEMENT WITHOUT FIRST OBTAINING THE CONCURRENCE FROM OAG. IN ADDITION, SUBRECIPIENT WILL REIMBURSE THE GLO AND THE STATE OF TEXAS FOR ANY CLAIMS, DAMAGES, COSTS, EXPENSES OR OTHER AMOUNTS, INCLUDING, BUT NOT LIMITED TO, ATTORNEYS' FEES AND COURT COSTS, ARISING FROM ANY SUCH CLAIM. IF THE GLO DETERMINES THAT A CONFLICT EXISTS BETWEEN ITS INTERESTS AND THOSE OF SUBRECIPIENT OR IF THE GLO IS REQUIRED BY APPLICABLE LAW TO SELECT SEPARATE COUNSEL, THE GLO WILL BE PERMITTED TO SELECT SEPARATE COUNSEL AND SUBRECIPIENT WILL PAY ALL REASONABLE COSTS OF THE GLO'S COUNSEL.* 27. Subrecipient has disclosed in writing to the GLO all existing or known potential conflicts of interest relative to the performance of the Contract. 28. Sections 2155.006 and 2261.053 of the Texas Government Code prohibit state agencies from accepting a solicitation response or awarding a contract that includes proposed financial participation by a person who, in the past five years, has been convicted of violating a federal law or assessed a penalty in connection with a contract involving relief for Hurricane Rita, Hurricane Katrina, or any other disaster, as defined by Section 418.004 of the Texas Government Code, occurring after September 24, 2005. Under Sections 2155.006 and 2261.053 of the Texas Government Code, Subrecipient certifies that the individual or business entity named in this Contract is not ineligible to receive the specified Contract and acknowledges that this Contract may be terminated and payment withheld if this certification is inaccurate.* 29. The person executing this Contract certifies that he/she is duly authorized to execute this Contract on his/her own behalf or on behalf of Subrecipient and legally empowered to contractually bind Subrecipient to the terms and conditions of the Contract and related documents. 30. If the Contract is for architectural or engineering services, pursuant to Section 2254.0031 of the Texas Government Code, which incorporates by reference Section 271.904(d) of the Texas Local Government Code, Subrecipient shall perform services (1) with professional skill and care ordinarily provided by competent engineers or architects practicing under the same or similar circumstances and professional license, and (2) as expeditiously as is prudent considering the ordinary professional skill and care of a competent engineer or architect.* * This section does not apply to a contract with a "governmental entity" as defined in Texas Government Code Chapter 2251. MW.24mo DocuSign Envelope ID: 22DB9E3C-B7E9-43F5-83E2-64BC6813AEC4 Attachment B-2 Amendment No. 5 GLO Contract No. 20-065-064-C182 Page 7 of 9 31. The state auditor may conduct an audit or investigation of any entity receiving funds from the state directly under the Contract or indirectly through a subcontract under the Contract. The acceptance of funds directly under the Contract or indirectly through a subcontract under the Contract acts as acceptance of the authority of the state auditor, under the direction of the legislative audit committee, to conduct an audit or investigation in connection with those funds. Under the direction of the legislative audit committee, an entity that is the subject of an audit or investigation by the state auditor must provide the state auditor with access to any information the state auditor considers relevant to the investigation or audit. Subrecipient shall ensure that this paragraph concerning the authority to audit funds received indirectly by subcontractors through the Contract and the requirement to cooperate is included in any subcontract it awards. The GLO may unilaterally amend the Contract to comply with any rules and procedures of the state auditor in the implementation and enforcement of Section 2262.154 of the Texas Government Code. 32. Subrecipient certifies that neither it nor its principals are debarred, suspended, proposed for debarment, declared ineligible, or otherwise excluded from participation in the Contract by any state or federal agency. 33. If the Contract is for the purchase or lease of covered television equipment, as defined by Section 361.971(3) of the Texas Health and Safety Code, Subrecipient certifies its compliance with Subchapter Z, Chapter 361 of the Texas Health and Safety Code, related to the Television Equipment Recycling Program. 34. Pursuant to Section 572.069 of the Texas Government Code, Subrecipient certifies it has not employed and will not employ a former state officer or employee who participated in a procurement or contract negotiations for the GLO involving Subrecipient within two (2) years after the date that the contract is signed or the procurement is terminated or withdrawn. This certification only applies to former state officers or employees whose state service or employment ceased on or after September 1, 2015. 35. The GLO shall post this Contract to the GLO's website. Subrecipient understands that the GLO will comply with the Texas Public Information Act (Texas Government Code Chapter 552, the "PIA"), as interpreted by judicial rulings and opinions of the Attorney General of the State of Texas (the "Attorney General"). Information, documentation, and other material in connection with this Contract may be subject to public disclosure pursuant to the PIA. In accordance with Section 2252.907 of the Texas Government Code, Subrecipient is required to make any information created or exchanged with the GLO or the State of Texas pursuant to the Contract, and not otherwise excepted from disclosure under the PIA, available to the GLO in portable document file (".pdf') format or any other format agreed upon between the Parties that is accessible by the public at no additional charge to the GLO or the State of Texas. By failing to mark any information that Subrecipient believes to be excepted from disclosure as "confidential" or a "trade secret," Subrecipient waives any and all claims it may make against the GLO for releasing such information without prior notice to Subrecipient. The Attorney General will ultimately determine whether any information may be withheld from release under the PIA. Subrecipient shall notify the GLO's Office of General Counsel within twenty-four (24) hours of receipt of any third -party written requests for information and forward a copy of said written requests to PIALegal(a,elo.texas.gov. If a request for information was not written, Subrecipient shall forward the third parry's contact information to the above -designated e-mail address. " This section does not apply to a contract with a "governmental entity" as defined in Texas Government Code Chapter 2251. 01092024 MD DocuSign Envelope ID: 22DB9E3C-B7E9-43F5.83E2-64BC6813AEC4 Attachment B-2 Amendment No. 5 GLO Contract No. 20-065-064-C182 Page 8 of 9 36. The GLO does not tolerate any type of fraud. GLO policy promotes consistent, legal, and ethical organizational behavior by assigning responsibilities and providing guidelines to enforce controls. Any violations of law, agency policies, or standards of ethical conduct will be investigated, and appropriate actions will be taken. Subrecipient must report any possible fraud, waste, or abuse that occurs in connection with the Contract to the GLO in the manner prescribed by the GLO's website, http://glo.texas.gov. 37. If Subrecipient, in its performance of the Contract, has access to a state computer system or database, Subrecipient must complete a cybersecurity training program certified under Texas Government Code Section 2054.519, as selected by the GLO. Subrecipient must complete the cybersecurity training program during the initial term of the Contract and during any renewal period. Subrecipient must verify in writing to the GLO its completion of the cybersecurity training program. 38. Under Section 2155.0061, Texas Government Code, Subrecipient certifies that the entity named in this Contract is not ineligible to receive the specified Contract and acknowledges that this Contract may be terminated and payment withheld if this certification is inaccurate.* 39. Subrecipient certifies that it does not require its customers to provide any documentation certifying the customer's COVID-19 vaccination or post -transmission recovery on entry to, to gain access to, or to receive service from Subrecipient's business. Subrecipient acknowledges that such a vaccine or recovery requirement would make Subrecipient ineligible for a state -funded contract. 40. Pursuant to Government Code Section 2275.0102, Subrecipient certifies that neither it nor its parent company, nor any affiliate of Subrecipient or its parent company, is: (1) majority owned or controlled by citizens or governmental entities of China, Iran, North Korea, Russia, or any other country designated by the Governor under Government Code Section 2275.0103, or (2) headquartered in any of those countries.* 41. If Subrecipient is required to make a verification pursuant to Section 2276.002 of the Texas Government Code, Subrecipient verifies that Subrecipient does not boycott energy companies and will not boycott energy companies during the term of the Contract. If Subrecipient does not make that verification, Subrecipient must notify the GLO and state why the verification is not required.* 42. If Subrecipient is required to make a verification pursuant to Section 2274.002 of the Texas Government Code, Subrecipient verifies that it (1) does not have a practice, policy, guidance, or directive that discriminates against a "firearm entity" or "firearm trade association" as those terms are defined in Texas Government Code section 2274.001 and (2) will not discriminate during the term of the Contract against a firearm entity or firearm trade association. If Subrecipient does not make that verification, Subrecipient must notify the GLO and state why the verification is not required.* 43.If Subrecipient is a "professional sports team" as defined by Texas Occupations Code Section 2004.002, Subrecipient will play the United States national anthem at the beginning of each team sporting event held at Subrecipient's home venue or other venue controlled by Subrecipient for the event. Failure to comply with this obligation constitutes a default of this Contract, and immediately subjects Subrecipient to the penalties for default, such as repayment of money received or ineligibility for additional money. In addition, Subrecipient * This section does not apply to a contract with a "governmental entity" as defined in Texas Government Code Chapter 2251 0109202dMO DocuSign Envelope ID: 22DB9E3C-B7E9-43F5.83E2-64BC6813AEC4 Attachment B-2 Amendment No. 5 GLO Contract No. 20-065-064-C1S2 Page 9 of 9 may be debarred from contracting with the State. The GLO or the Attorney General may strictly enforce this provision.* 44. To the extent Section 552.371 of the Texas Government Code applies to Subrecipient and the Contract, in accordance with Section 552.372 of the Texas Government Code, Subrecipient must (a) preserve all contracting information related to the Contract in accordance with the records retention requirements applicable to the GLO for the duration of the Contract, (b) no later than the tenth business day after the date of the GLO's request, provide to the GLO any contracting information related to the Contract that is in Subrecipient's custody or possession, and (c) on termination or expiration of the Contract, either (i) provide to the GLO at no cost all contracting information related to the Contract that is in Subrecipient's custody or possession or (ii) preserve the contracting information related to the Contract in accordance with the records retention requirements applicable to the GLO. Except as provided by Section 552.374(c) of the Texas Government Code, the requirements of Subchapter J, Chapter 552, Government Code, may apply to the Contract and Subrecipient agrees that the Contract may be terminated if Subrecipient knowingly or intentionally fails to comply with a requirement of that subchapter.* 45. If the Contract is for consulting services governed by Chapter 2254 of the Texas Government Code, Subrecipient, upon completion of the Contract, must give the GLO a compilation, in a digital medium agreed to by the Parties, of all documents, films, recordings, or reports Subrecipient compiled in connection with its performance under the Contract.* 46. If subject to 2 CFR 200.216, Subrecipient shall not obligate or expend funding provided under this Contract to: (a) procure or obtain; (b) extend or renew a contract to procure or obtain; or (c) enter into a contract to procure or obtain equipment, services, or systems that uses covered telecommunications equipment or services, as defined in Public Law 115-232, Section 889, as a substantial or essential component of any system, or as critical technology as part of any system. 47. To the extent Texas Government Code Chapter 2252, Subchapter G applies to the Contract, any iron or steel product Subrecipient uses in in its performance of the Contract that is produced through a manufacturing process, as defined in Section 2252.201(2) of the Texas Government Code, must be produced in the United States. * This section does not apply to a contract with a "governmental entity" as defined in Texas Government Code Chapter 2251. 01092024n ,a For Purposes of the Amendment to this Contract; the next 27 Pages will be known as Attachment C-2. prainage Improvements Along Lane Road Work Order No. B-1 Pursuant to the Contract (Contract) between the County of Calhoun (County) and G & W Engineers, Inc. (Provider) for professional engineering services, as authorized under the County- GLO Contract No. 20-065-064-C182, Provider is authorized to perform the services described below, subject to the Scope of Services; Tasks / Deliverables / Timeframes / Special Conditions; Benchmarks / Budget; and any other conditions of this Work Order. This Work Order modifies and amends the Contract, all provisions of which not specifically amended herein shall remain in full force and effect. This project will improve drainage in the Lane Road area of Calhoun County in connection with the Performance Statement stated in Attachment A of the County-GLO Contract. The project will include the installation of culverts and end treatments, ditch excavation, and associated appurtenances. It is estimated that approximately 25,000 linear feet of drainage channels will be constructed and approximately 30 storm sewer infrastructure pipes, including upgrading existing pipes both in size and quantity, will be installed. SCOPE OF SERVICES Provider shall perform some of the engineering duties listed in Attachment C of the Contract, to include, but not be limited to, preliminary and final design, bid advertisement and recommendation, construction phase oversight engineering services, review and recommendation of contractor and sub -contractor pay application(s), and preparation of as -built designs. Provider will coordinate with the Grant Administrator and the Environmental Services provider to supply any and all necessary documents to support Environmental Clearance and proper permitting. Provider will follow the Reporting Requirements in Section 1.05 of the Contract. Additional scope description is outlined below, along with task schedules and payment benchmarks. TASKS / DELIVERABLES / TIMEFRAME / SPECIAL CONDITIONS Task 1—Application/ Start -Up Documents. Provider will assist the County with the preparation of application and start-up documents for a U.S. Department of Housing and Urban Development Community Development Block Grant— Disaster Recovery, and execute a Work Order with the County upon award. Deliverables: 1. Executed Work Order for this project. One (1) paper and one (1) electronic copies Timeframe: Work Order shall be executed within fourteen (14) days of receipt from County. Page 1 of 9 Task 2 — Data Collection. As necessary, Provider will perform topographic surveys to document current conditions kind for project design. Surveys will be performed to delineate between private and public property, including delineation of county and state-owned lands from private lands, and to identify drainage easement ownership. Additional surveys may be needed as the project proceeds. Deliverables: 1. Topographic survey overlaid with a property ownership map and survey descriptions, consisting of AutoCAD drawings that include points and descriptors, one (1) foot contours showing all features surveyed and ASCII file containing all surveyed points (Northing, Easting, Elevation, Descriptor). • One (1) paper and one (1) electronic copies Timefratne: Completed within twelve (12) weeks of execution of this Work Order. Task Analysis/Study and Reporting. Provider will perform data analysis to evaluate necessary design criteria and critical path items for the project site. The analysis will result in recommendations in the form of a report to be incorporated into Conceptual Design. Deliverables: 1. Information and data collected shall be incorporated into the Conceptual Design Report, Timeframe: Review copy provided to County within four (4) weeks from the time of completion of Task 2. Additional Scheduling Requirements: Party Action Schedule Provider Furnish one (1) electronic review copy of the Within four (4) weeks of the completion of Task Report and other Study and Report Phase 2. deliverables to County and Grant Administrator. County Submit comments regarding Report and other Within two (2) weeks of the receipt of Report Study and Report Phase deliverables to and other Study and Report Phase Provider and Grant Administrator, deliverables from Provider. Provider Fumish one(1) electronic copy of the revised Within one (1) week of the receipt of County Report and other Study and Report Phase comments regarding the Report and other Study deliverables to County and Grant and Report Phase deliverables. Administrator. Page 2 of 9 Provider will prepare a construction design to correspond with the available construction budget and preliminary design plans. Cost estimates will be provided for establishing final design criteria based upon data collected for the project and Task 3. Preliminary design plans based upon collected data and Task 3 will be submitted to County and the Grant Administrator for review. Deliverables: 1. Preliminary design plans and updated construction estimates based upon results of Task 3. • One (1) paper and one (I) electronic copies Timeframe: Review copies of the Preliminary Design plans and construction estimate shall be provided to County within eight(8) weeks of Task 3 being considered complete. Additional Scheduling Requirements: Party Action Schedule Provider Furnish one (1) electronic review copy of the Within eight (8)weeks of County authorization t Preliminary Design Phase documents, proceed with Task 4. opinion of probable construction cost, and other Preliminary Design Phase deliverables to County and Grant Administrator. County Submit comments regarding Preliminary Within two (2) weeks of the receipt of Design Phase documents, opinion of Preliminary Design Phase documents, opinion of probable construction cost, and other probable construction cost, and other Preliminary Preliminary Design Phase deliverables to Design Phase deliverables from Provider. Provider. Provider Furnish one (1) electronic copy of the revised Within one (1) week of the receipt of County Preliminary Design Phase documents, opinion comments regarding the Preliminary Design of probable construction cost, and other Phase documents, opinion of probable Preliminary Design Phase deliverables to construction cost, and other Preliminary County and Grant Administrator, Design Phase deliverables. Task 5 — Final Design and Other Final Design Documents. Provider will provide 90% construction plans and 100% final construction plans to County and the Grant Administrator. Construction plans shall consist of detailed design plans establishing a clear and concise plan for County, and shall be signed and sealed by a Texas registered professional engineer with designation on the plans as "Approved for Bidding" as the result of County review and approval. Deliverables: 1. 100% completion level construction plans, signed and sealed, and marked "Approved for Bidding." Page 3 of 9 • One (1) paper, one (1) electronic copy to County; one (1) electronic copy to the Grant Administrator Timeframe: 90% plans provided to County within six (6) weeks of Task 4 being considered complete. Additional Scheduling Requirements: Party Action Schedule Provider Furnish one(]) electronic review copy of the Within six (6) weeks of County authorization t Final Design Documents (90% set) proceed with Task 5. deliverables to County and Grant Administrator. County Submit comments regarding Final Design Within two (2) weeks of the receipt of Final Documents (90% set) deliverables to Design Documents (90% set) deliverables from Provider. Provider. Provider Famish one (1) electronic copy of the revised Within two (2) weeks of the receipt of County Final Design Plans in the form of 100% comments regarding the Final Design completion, signed and sealed plan deliverables Documents (90% set) deliverables. to County and Grant Administrator. Provider will aid County with soliciting a construction contractor and perform other necessary pre - construction activities. Provider will provide the following services: a. Prepare a bid advertisement, advertise the bid, and distribute bid documents to prospective bidders. b. Participate in a pre -bid meeting in Calhoun County to meet with potential bidders to discuss project details, answer questions, and review or clarify the scope of construction work. c. Assemble and submit to County a written document containing an attendees list and the pre -bid meeting minutes, listing questions and answers for distribution to all interested parties. d. Prepare addendum(s) to the Project Manual (Bid Package), if needed. Deliverables: For each deliverable, digital copies are to be sent to County and the Grant Administrator. 1. Written summary of the pre -bid meeting (submitted within three (3) business days of meeting). 2. Addendum to the bid documents, if needed (submitted within five (5) business days of the last day to submit comments/questions). 3. Bid Advertisement(s) Timeline: Completed within (8) weeks of Task 5 being considered complete. Page 4 of 9 Additional Scheduling Requirements: Party Action Schedule Provider Construction Contact Documents,thedraft Within one (1) week of County authorization tc bidding -related documents (or requests for proceed with Task 6. proposals or other construction procurement documents), and any other Bid Phase deliverable to County and Grant Administrator. County Submit comments and instructions regarding the Within two (2) weeks of the receipt of the final final Drawings and Specifications, assembled Drawings and Specifications, assembled drafts of other drafts of other Construction ContractDocuments, Construction Contract Documents, the draft bidding- thedmft bidding -related documents (orrequests related documents (or requests for proposals or other for proposals or other construction procurement construction procurement documents), and any other documents), and any other Bid Phase Bid Phase deliverables from Provider. deliverables, to Provider. Provider Fumish one (1) copy of the revised final Within one (1) week of the receipt of County Drawings and Specifications, assembled comments and instructions regardingthefinal Construction Contract Documents, bidding- related Drawings and Specifications, assembled drafts of other documents (or requests for proposals or other Construction Contract Documents, the draft bidding - construction procurement documents}, and any related documents (or requests for proposals or other other Bid Phase deliverables, to County and construction procurement documents), and any other Grant Administrator. Bid Phase deliverables. Provider Conduct Pre -Bid meeting Within 15 days of Bid Advertisement. Task 7 — Bid Proposals and Selection of Contractors. Provider will assist County in the review of submitted proposals for conformance with project requirements. Provider will summarize cost proposals in tabulated format for comparison. Provider will assist County in reviewing bidder qualifications and assist with contract negotiations. Deliverables: 1. Bid Tabulation Summary. 2. Recommendation of Award. 3. Notice to Proceed (to be provided to the selected contractor within two (2) business days of Calhoun County Commissioners Court approval of the contractor). Timeline: Complete Recommendation for Award for presentation to County and digital copies of each deliverable are to be sent to County and the Grant Administrator within two (2) weeks of bid closing. Task 8 — Construction Phase Services. The County will administer the construction contract (Contract Documents) with assistance from Provider, who will generally monitor construction progress and spot-check construction to provide reasonable assurances that the work is being constructed in reasonable conformity with the Page 5 of 9 drawings, general conditions, technical specifications, applicable permits, and the construction contract. It is anticipated that construction - including mobilization and demobilization of workers and equipment - will require approximately 32 weeks. Provider will provide the following services: On -Site Services: Provider will, with assistance from the County's on -site representative, directly observe and monitor the selected contractor (Contractor) work to determine the progress and quality of the work, identify discrepancies, and report significant discrepancies to Contractor and County. Provider will provide a part-time on -site representative who will be present on average one (1) day every one (1) week; County will provide an on -site representative the balance of the time during construction. The County's on -site representative will perform construction observations on behalf of Provider and report directly to Provider during construction no less than once per week or on an `as needed' basis. During construction, Provider will: 1. Document conditions within and adjacent to the project area to be used by the contractor, including hock routes and access/staging areas - prior to the contractor's mobilization to the site. 2. Review Contractor construction submittals. 3. Attend a pre -construction meeting with Contractor and County at the project site. Written minutes of the pre -construction meeting will be submitted to County, Contractor and Grant Administrator. 4. At a minimum, conduct weekly site visits to spot check Contractor's progress and construction for compliance with the Contract Documents. a. Check Contractor's mobilization/demobilization. b. Check Contractor's work for compliance with applicable permit(s) and GLO contract performance statements. c. Keep detailed records of the contractor's operation and of significant events that affect the work, with assistance from County's on -site representative. d. Maintain a complete construction observation logbook of each weekly progress report. e. Provide interpretation of the Contract Documents. f. Ensure record drawings and re -line plans are being kept onsite. S. Take representative photographs of the construction and compile them in a document to photo -document construction before, during, and after construction. 6. Provide a written summary of the contractor's progress on a monthly basis to the Grant Administrator or as requested in addition to a monthly report as a situation arises. 7. Prepare Construction Field Directives and Change Orders as needed. 8. Check the construction work for substantial compliance with the drawings, general conditions, technical specifications, applicable permits, and the construction contract. 9. Conduct final completion `walk through' with County and Contractor. Assist in the preparation of a final punch list and project close-out. Project close-out will consist of field verification that the project was constructed in compliance with the drawings, general conditions, technical specifications, applicable permits, and the construction contract. Page 6 of 9 Deliverables: Digital copies of each deliverable are to be sent to County and Grant Administrator. 1. Pre -construction meeting minutes (submitted within three (3) business days of meeting; digital copy sent to the contractor) 2. Field inspection reports and logbook (field reports to be submitted weekly) Administration Services: Provider will provide the following additional services during construction: a. Check the work for substantial compliance with the drawings, general conditions, technical specifications, applicable permits, and the construction contract. b. As may be requested by County, prepare Change Order(s) for approval by County and Contractor. c. Review applications for payment from the contractor, including compliance with the Davis -Bacon Act. Validate the work completed at the time of application for payment. Recommend payment or rejection of application for payment, as deemed appropriate and prepare letters of recommendation regarding pay applications to County and Grant Administrator. d. Provide monthly financial updates and track construction expenditures and percent project completion. e. Schedule and attend monthly progress meetings to be attended by County and the contractor. Meetings will be held monthly or as deemed appropriate. Prepare meeting agendas and distribute minutes of the meetings to the County, Contractor and the Grant Administrator. Deliverables: Digital copies of each deliverable are to be sent to County and the Grant Administrator. 1. Change Orders, if needed. 2. Written financial updates (due with monthly progress reports). 3. Written meeting agendas and minutes (agendas due three (3) days before meetings; minutes due within three (3) business days of meeting). As part ofthe project closeout, Provider will detemiine construction completion and schedule and attend a project close-out meeting with the County and the Contractor. Subsequently, Provider will issue a Project Completion Report to recommend issuance of a Certificate of Construction Completion. Specific details include: preparation of a standard Completion Report at the conclusion of construction. Provider will review and approve any close-out documents submitted by the Contractor as pail of the final report. The Completion Report, signed by a professional engineer, will include the following elements: a. Project contact information b. Project location, design description, project details and as -built feature descriptions c. Project cost work summary and work item breakdown d. Construction and construction oversight cost summary e. Construction sequence, activity, problem summary, change orders and field adjustment descriptions Page 7 of 9 f. Miscellaneous comments/documents regarding construction g. Significant construction dates. Deliverables: 1. Project Completion Report: one (1) hard copy and one (1) copy on flash drive or electronic file submission to County and one (1) digital copy to the Grant Administrator (all copies due within three (3) weeks of construction completion). 2. As -built drawings: due by the close of business no later than thirty (30) days after completion of a construction project to the County and the Grant Administrator. 3. A copy of the executed Certificate of Construction Completion ("COCC") for a completed project which must include a final, as built report of quantities, drawings, and specifications used during the course of the project, with justification as to any variances from original plans to County and Grant Administrator. 4. Before, during and after construction photographs to County and the Grant Administrator. Provider shall submit invoices to the Grant Administrator at the completion of each Benchmark, in accordance with the ProjectBudget/Payment Schedule provided below. Requests for payment must be supported by documentation as required under the Contract, such as invoices, receipts, statements, stubs, tickets, time sheets, and any other documentation that, in the judgment of the Grant Administrator, provides full substantiation of reimbursable costs incurred. All invoices, reimbursement documents, and deliverables submitted must prominently display "Drainage Improvements Along Lane Road" and "Work Order No. B-1." Failure to include this identification may significantly delay Payment under this Work Order. PROJECTBUDGETIPAYMENT SCHEDULE Total compensation due tU P vi e f ervi es p�Ovid o gErfDr a ursu$ t to this Work llge e�a}�rTvvepry our �pousan�d jg t'Huntlreri�an� venty riv Order shall not exceed • ..e ::ansas - sa: ---- 83r32 s BHP szHiie388 1 tsars Dollars (6444344S,899. Invoices shall be paid in accordance with the Project Budget below: $ 124,875.00 Benchmarks/Deliverables Amount Paid Per Benchmark Benchmark 1 -Prepare application and Start -Up documents $ 31,325.40 Benchmark 2 - 100% Design approved by County !$ 31,325.40 Benchmark 3 - Prepare documents and advertise bid(s) $ 10,441.80 Benchmark 4 - Issue Construction NTP to contractors $ 16,660 W $ 25,891.20 Benchmark 5 - Prepare As-Builts and receive approval from $ 19,66;14e- $ 25,891.20 County for completion of Project. Total Budget for This Work Order V941448199- $ 124,875.00 Page 8 of 9 Termination or Interruption of Work: The County reserves the right to halt or defer all or any portion of the work included in the Scope of Services of this Work Order any time during the performance period. If such an event occurs, the Parties agree that the schedule and budget may require renegotiation. Amendments to Work Order: Material changes to this Work Order may only be made by written agreement of both Parties. All Pasties to the Contract executed this Work Order, to be effective as of the date signed by the last party. CO T OF CALHOUN r Richard H. Meyer Calhoun County Judge Date of execution: 7-28--14�' G &, �W ENGINEERING, INC. Brian P. Novian President % Date of execution: -314110_10 Page 9 of 9 MAGNOLIA BEACH FIRE STATION Work Order No. C-1 Pursuant to the Contract (Contract) between the County of Calhoun (County) and G & W Engineers, Inc. (Provider) for professional engineering services, as authorized under the County- GLO Contract No. 20-065-064-C182, Provider is authorized to perform the services described below, subject to the Scope of Services; Tasks / Deliverables / Timeframes / Special Conditions; Benchmarks / Budget; and any other conditions of this Work Order. This Work Order modifies and amends the Contract, all provisions of which not specifically amended herein shall remain in full force and effect. This project will help protect the Magnolia Beach area with the construction of a new fire station. A new generator and associated accessories will also be installed. Activities will be conducted in connection with the Performance Statement stated in Attachment A of the County-GLO Contract. The new fire station will consist of a 60' x 100' engineered metal building including reinforced concrete slab foundation, interior walls, and electric roll -up doors. A 75kW generator including electrical connections, automatic transfer switch, reinforced concrete slab, and all other necessary items will be installed. A reinforced concrete ADA-compliant parking lot and driveways for building access will be constructed. SCOPE OF SERVICES Provider shall perform some of the engineering duties listed in Attachment C of the Contract, to include, but not be limited to, preliminary and final design, bid advertisement and recommendation, construction phase oversight engineering services, review and recommendation of contractor and sub -contractor pay application(s), and preparation of as -built designs. Provider will coordinate with the Grant Administrator and the Environmental Services provider to supply any and all necessary documents to support Environmental Clearance and proper permitting. Provider will follow the Reporting Requirements in Section 1.05 of the Contract. Additional scope description is outlined below, along with task schedules and payment benchmarks. TASKS / DELIVERABLES / SPECIAL CONDITIONS Task 1—Aanlication/ Start -Up Documents. Provider will assist County with the preparation of application and start-up documents for a U.S. Department of Housing and Urban Development Community Development Block Grant — Disaster Recovery, and execute a Work Order with County upon award. Deliverables: 1. Executed Work Order for this project. One (1) paper and one(]) electronic copies Page 1 of 9 Timeframe: Work Order shall be executed within fourteen (14) days of receipt from County. Task 2—Data Collection. As necessary, Provider will perform topographic surveys to document current conditions and for project design. Surveys will be performed to delineate between private and public properly, including delineation of county and state-owned lands. Additional surveys may be needed as the project proceeds. Provider shall also provide a Geotechnical Study for the project which shall include borings, material testing and a written report signed by a Texas registered Professional Engineer. Deliverables: 1. Topographic survey overlaid with a property ownership map and survey descriptions, consisting of AutoCAD drawings that include points and descriptors, one (1) foot contours showing all features surveyed and ASCII file containing all surveyed points (Northing, Easting, Elevation, Descriptor). • One (1) paper and one (1) electronic copies 2. Geotechnical Report of the findings from soil testing. • One (1) paper and one (1) electronic copies Timeframe: Completed within ten (10) weeks of execution of this Work Order. Task 3 Analysis/Study and Reporting. Provider will perform data analysis to evaluate necessary design criteria and critical path items for the project site. The analysis will result in recommendations in the form of a report to be incorporated into Conceptual Design. Deliverables: 1. Information and data collected shall be incorporated into the Conceptual Design Report. Timeframe: Review copy provided to County within three (3) weeks from the time of completion of Task 2. Additional Scheduling Requirements: Party Action Schedule Provider Furnish one (1) electronic review copy of the Within three (3) weeks of the completion of Task Report and other Study and Report Phase 2. deliverables to County and the Grant Administrator. County Submit comments regarding Report and other Within two (2) weeks ofthe receipt of Report Study and Report Phase deliverables to and other Study and Report Phase Provider. deliverables from Provider. Page 2 of 9 Provider Furnish one(]) electronic copy of the revised Within one (1) week of the receipt of County Report and other Study and Report Phase comments regarding the Report and other Study deliverables to County and the Grant and Report Phase deliverables. Administrator. Task 4 —Preliminary Design. Cost Estimates, and other Prelirninary Design documents. Provider will prepare a construction design to correspond with the available construction budget and shall include preliminary design plans. Cost estimates will be provided for establishing final design criteria based upon data collected for the project and Task 3. Preliminary design plans based upon collected data and Task 3 will be submitted to County for review. Deliverables: 1. Preliminary design plans and updated construction estimates based upon results of Task 3 to County. • One (1) paper and one (1) electronic copies Timeframe: Review copies of the Preliminary Design plans. Construction estimate shall be provided to County within six (6) weeks of Task 3 being considered complete. Additional Scheduling Requirements: Par Action Schedule Provider Furnish one (1) electronic review copy of the Within six (6) weeks of County authorization t Preliminary Design Phase documents, proceed with Task 4. opinion of probable construction cost, and other Preliminary Design Phase deliverables to County and the Grant Administrator. County Submit comments regarding Preliminary Within two (2) weeks of the receipt of Design Phase documents, opinion of Preliminary Design Phase documents, opinion of probable construction cost, and other probable construction cost, and other Preliminary Preliminary Design Phase deliverables to Design Phase deliverables from Provider. Provider. Provider Furnish one (1) electronic copy of the revised Within one (1) week of the receipt of County Preliminary Design Phase documents, opinion comments regarding the Preliminary Design of probable construction cost, and other Phase documents, opinion of probable Preliminary Design Phase deliverables to construction cost, and other Preliminary County and the Grant Administrator. Design Phase deliverables, Task 5 — Final Design and Other Final Design Documents. Provider will provide 90% construction plans and 100% final construction plans to County. Construction plans shall consist of detailed design plans establishing a clear and concise plan for County, and shall be signed and sealed by a Texas registered professional engineer with designation on the plans as "Approved for Bidding" as the result of County review and approval. Page 3 of 9 Deliverables: 1. 100% completion level construction plans, signed and sealed, and marked "Approved for Bidding." • One (1) paper and one (1) electronic copies to County; one (1) electronic copy to the Grant Administrator Timeframe: 90% plans provided to County within six (6) weeks of Task 4 being considered complete. Additional Scheduling Requirements: Party Action Schedule Provider Furnish one (1) electronic review copy of the Within six (6) weeks of County authorization tc Final Design Documents (90% set) proceed with Task 5. deliverables to County and the Grant Administrator. County Submit comments regarding Final Design Within two (2) weeks of the receipt of Final Documents (90% set) deliverables to Design Documents (90% set) deliverables from Provider. Provider. Provider Furnish one (1) electronic copy of the revised Within two (2) weeks of the receipt of County Final Design Plans in the form of 100% comments regarding the Final Design completion, signed and sealed plan deliverables Documents (90% set) deliverables. to County and the Grant Administrator. Provider will aid County with soliciting a construction contractor and perform other necessary pre - construction activities. Provider will provide the following services: a. Prepare a bid advertisement, advertise the bid, and distribute bid documents to prospective bidders. b. Participate in a pre -bid meeting in Calhoun County to meet with potential bidders to discuss project details, answer questions, and review or clarify the scope of construction work. c. Assemble and submit to County a written document containing an attendees list and the pre -bid meeting minutes, listing questions and answers for distribution to all interested parties. d. Prepare addendum(s) to the Project Manual (Bid Package), if needed. Deliverables: For each deliverable, digital copies are to be sent to County and the Grant Administrator. 1. Written summary of the pre -bid meeting (submitted within three (3) business days of meeting). 2. Addendum to the bid documents, if needed (submitted within five (5) business days of the last day to submit comments/questions). 3. Bid Advertisement(s) Page 4 of 9 Timeline: Completed within (8) weeks of Task 5 being considered complete. Additional Scheduling Requirements: Part), Action Schedule Provider Construction Contract Documents, the draft Within one (1) week of County authorization tc bidding -related documents (or requests for proceed with Task6. proposals or other construction procurement documents), and any other Bid Phase deliverable to County and the Grant Administrator. County Submit comments and instructions regarding the Within two (2) weeks of the receipt of the final final Drawings and Specifications, assembled Drawings and Specifications, assembled drafts of other drafts of other Construction ContractDocuments, Construction Contract Documents, the draft bidding- thedraft bidding -related documents (orrequests related documents (or requests for proposals or other for proposals or other construction procurement construction procurement documents), and any other documents), and any other Bid Phase Bid Phase deliverables from Provider. deliverables, to Provider. Provider Furnish one (1) electronic copy of the revised Within one (1) week of the receipt of County final Drawings and Specifications, assembled comments and instructions regardingthefrml Construction Contract Documents, bidding- related Drawings and Specifications, assembled drafts of other documents (or requests for proposals or other Construction Contract Documents; the draft bidding - construction procurement documents), and any related documents (or requests for proposals or other other Bid Phase deliverables, to County and the construction procurement documents), and anyother Grant Administrator. Bid Phase deliverables. Provider Conduct Pre -Bid meeting Within 15 days of Bid Advertisement. Task 7 — Bid Proposals and Selection of Contractors. Provider will assist County in the review of submitted proposals for conformance with project requirements. Provider will summarize cost proposals in tabulated format for comparison. Provider will assist County in reviewing bidder qualifications and assist with contract negotiations. Deliverables 1. Bid Tabulation Summary. 2. Recommendation of Award. 3. Notice to Proceed (to be provided to the selected contractor within two (2) business days of Calhoun County Commissioners Court approval of the contractor). Timeline: Complete Recommendation for Award for presentation to County and digital copies of each deliverable are to be sent to County and the Grant Administrator within two (2) weeks of bid closing. Task 8 — Construction Phase Services. The County will administer the construction contract (Contract Documents) with assistance from Provider, who will generally monitor construction progress and spot-check construction to provide reasonable assurances that the work is being constructed in reasonable conformity with the Page 5 of 9 drawings, general conditions, technical specifications, applicable permits, and the construction contract. It is anticipated that construction - including mobilization and demobilization of workers and equipment - will require approximately 24 weeks. Provider will provide the following services: On -Site Services: Provider will, with assistance from the County's on -site representative, directly observe and monitor the selected contractor (Contractor) work to determine the progress and quality of the work, identify discrepancies, and report significant discrepancies to Contractor and County. Provider will provide a part-time on -site representative who will be present on average one (1) day every one (1) week. County will provide an on -site representative the balance of the time during construction. The County's on -site representative will perform construction observations on behalf of Provider and report directly to Provider during construction no less than once per week or on an `as needed' basis. During construction, Provider will: 1. Document conditions within and adjacent to the project area to be used by Contractor, including truck routes and access/staging areas - prior to Contractor's mobilization to the site. 2. Review Contractor construction submittals. 3. Attend a pre -construction meeting with Contractor and County at the project site. Written minutes of the pre -construction meeting will be submitted to County, Contractor and the Grant Administrator. 4. At a minimum, conduct weekly site visits to spot check Contractor's progress and construction for compliance with the Contract Documents. a. Check Contractor's mobilization/demobilization. b. Check Contractor's work for compliance with applicable permit(s) arrd GLO contract performance statements. c. Keep detailed records of Contractor's operation and of significant events that affect the work, with assistance from the County's on -site representative. d. Maintain a complete construction observation logbook of each weekly progress report. e. Provide interpretation of the Contract Documents. f. Enure record drawings and re -line plans are being kept onsite. 5. Take representative photographs of the construction and compile them in a document to photo -document construction before, during, and after construction. 6. Provide a written summary of Contractor's progress on a monthly basis to the Grant Administrator as requested, in addition to a monthly report as a situation arises. 7. Prepare Construction Field Directives and Change Orders as needed. 8. Check the construction work for substantial compliance with the drawings, general conditions, technical specifications, applicable permits, and the construction contract. 9. Conduct final completion `walk through' with County and Contractor. Assist in the preparation of a final punch list and project close-out. Project close-out will consist of field verification that the project was constructed in compliance with the drawings, general conditions, technical specifications, applicable permits, and the construction contract. Page 6 of 9 Deliverables: Digital copies of each deliverable are to be sent to County and the Grant Administrator. 1. Pre -construction meeting minutes (submitted within t1tree (3) business days of meeting; digital copy sent to Contractor) 2. Field inspection reports and logbook (field reports to be submitted weekly) Administration Services: Provider will provide the following additional services during construction: a. Check the work for substantial compliance with the drawings, general conditions, technical specifications, applicable permits, and the construction contract. b. As may be requested by County, prepare Change Order(s) for approval by County and Contractor. c. Review applications for payment from Contractor, including compliance with the Davis - Bacon Act. Validate the work completed at the time of application for payment. Recommend payment or rejection of application for payment, as deemed appropriate and prepare letters of recommendation regarding pay applications to County and the Grant Administrator. d. Provide monthly financial updates and track construction expenditures and percent project completion. e. Schedule and attend monthly progress meetings to be attended by County and Contractor. Meetings will be held monthly or as deemed appropriate. Prepare meeting agendas and distribute minutes of the meetings to County and Contractor. Deliverables: 1. Change Orders, if needed. 2. Written financial updates (due with monthly progress reports). 3. Written meeting agendas and minutes (agendas due three (3) days before meetings; minutes due within three (3) business days of meeting). Task 9—PrQiect Closeout, As-Builts and Completion of Project. As part of the project closeout, Provider will determine construction completion and schedule and attend a project close-out meeting with County and Contractor. Subsequently, Provider will issue a Project Completion Report to recommend issuance of a Certificate of Construction Completion. Specific details include preparation of a standard Completion Report at the conclusion of construction. Provider will review and approve any close-out documents submitted by Contractor as part of the final report. The Completion Report, signed by a professional engineer, will include the following elements: a. Project contact information b. Project location, design description, project details and as -built feature descriptions c. Project cost work summary and work item breakdown d. Construction and construction oversight cost summary e. Construction sequence, activity, problem summary, change orders and field adiustment descriptions f. Miscellaneous comments/documents regarding construction g. Significant construction dates Page 7 of 9 1. Project Completion Report: one (1) hard copy and one (1) copy on flash drive or electronic file submission to County and one (1) digital copy to the Grant Administrator (all copies due within three (3) weeks of construction completion). 2. As -built drawings due by the close of business no later than thirty (30) days after completion of a construction project to County and the Grant Administrator. 3. A copy of the executed Certificate of Construction Completion ("COCC") for a completed project whichmust include a final, as built report of quantities, drawings, and specifications used during the course of the project, with justification as to any variances from original plans to County and the Grant Administrator. 4. Before, during and after construction photographs to County and the Grant Administrator. u Provider shall submit invoices to the Grant Administrator at the completion of each Benchmark, in accordance with the Project Budget/Payment Schedule provided below. Requests for payment must be supported by documentation as required under the Contract, such as invoices, receipts, statements, stubs, tickets, time sheets, and any other documentation that, in the judgment of the Grant Administrator, provides full substantiation of reimbursable costs incurred. All invoices, reimbursement documents, and deliverables submitted must prominently display "Magnolia Beach Fire Station" and "Work Order No. C-1"Failure to include this ideritificatio -may siguific 1IX delay pagment.lmderShis Wnrk Order• : i u ► . 1171/ld Total compensation due to Provider for services provided or performed pursuant to this Work MeTh Order shall not exceed 0 e#6,NoaAdUmwHundredand5t{y__--_4 ,,,__ „__k Dollars ($•1-7;3AA,AA} Invoices shall be paid in accordance with the Project Budget below: $89,250.00 Benchmarks/Deliverables Amount Paid Per Benchmark Benchmark 1 - Prepare application and Start -Up documents $38,250.00 Benchmark 2 - 100% Design approved by County $38,250.00 Benchmark 3 - Prepare documents and advertise bid(s) $12,750.00 Tle.+rl,ma,•L A T ,n ro tnnntiw N t........t......t..,... m. n�rr'rsTv� _ $0 $191 AA $0 County for completion of Project. . -TetaLBudget for This Work Order $1,27-1599,9& $89,250.00 „Terrninntinn or Tnterruntion of Work: County reserves the right to halt or defer all or any portion of the work included in the Scope of Services of this Work Order any time during the performance period. If such an event occurs, the Parties agree that the schedule and budget may require renegotiation. Page 8 of 9 Amendments to Work Order: Material changes to this Work Order may only be made by written agreement of both Parties. All Parties to the Contract executed this Work Order, to be effective as of the date signed by file last party. CO T C OF CALHOUN t Ifi chard HAfeyer Ll Calhoun County Judge Date of execution:, G & W ENGINEERING, rNC. Brian P. Novian President Date of execution:/'G ds Page 9 of 9 Infrastructure at Little Chocolate Bayou County Park Work Order No. E-1 Pursuant to the Contract (Contract) between the County of Calhoun (County) and G & W Engineers, Inc. (Provider) for professional engineering services, as authorized under the County- GLO Contract No. 20-065-064-Cl82, Provider is authorized to perform the services described below, subject to the Scope of Services; Tasks / Deliverables / Timeframes / Special Conditions; Benchmarks / Budget; and any other conditions of this Work Order. This Work Order modifies and amends the Contract, all provisions of which not specifically amended herein shall remain in full force and effect. PROJECT DESCRIPTION This project will improve the infrastructure and amenities at Little Chocolate Bayou County Park in connection with the Performance Statement stated in Attachment A of the County-GLO Contract. The project will include the construction of a new vehicular bridge, new pedestrian bridges and fishing piers, and improvements to walking paths, parking and playground equipment. SCOPE OF SERVICES Provider shall perform some of the engineering duties listed in Attachment C of the Contract, to include but not be limited to preliminary and final design, bid advertisement and recommendation, construction phase oversight engineering services, review and recommendation of contractor and sub -contractor pay application(s), and preparation of as -built designs. Provider will coordinate with the Grant Administrator and the Environmental Services provider to supply any and all necessary documents to support Environmental Clearance and proper permitting. Provider will follow the Reporting Requirements in Section 1.05 of the Contract. Additional scope description is outlined below, along with task schedules and payment benchmarks. TASKS / DELIVERABLES / SPECIAL CONDITIONS Task 1—Anolication/ Start-Uo Documents. Provider will assist County with the preparation of application and start-up documents for a U.S. Department of Housing and Urban Development Community Development Block Grant —Disaster Recovery, and execute a Work Order with County upon award. Deliverables: 1. Executed Work Order for this project. One(]) paper, one (1) electronic copies Timeframe: Work Order shall be executed within fourteen (14) days of receipt from County. Page 1 of 9 Task 2—Data Collection. As necessary, Provider will perform topographic surveys to document current conditions and for project design. Surveys will be performed to delineate between private and public property, including delineation of county and state-owned lands from private lands. Additional surveys may be needed as the project proceeds. Provider shall also provide a Geotechnical Study for the project, which shall include borings, material testing and a written report signed by a Texas registered Professional Engineer. Deliverables: 1. Topographic survey overlaid with a properly ownership map and survey descriptions, consisting of AutoCAD drawings that include points and descriptors, one (1) foot contours showing all features surveyed and ASCII file containing all surveyed points (Northing, Easting, Elevation, Descriptor). s One (1) paper and. one (1) electronic copies 2. Geotechnical Report of the findings from soil testing. • One (1) paper and one (1) electronic copies Timeframe: Completed within twelve (12) weeks of execution of this Work Order to County. Task 3 Analysis/Study and Reporting. Provider will perform data analysis to evaluate necessary design criteria and critical path items for the project site. The analysis will result in recommendations in the form of a report to be incorporated into Conceptual Design. Deliverables: 1. Information and data collected shall be incorporated into the Conceptual Design Report. Timeframe: Review copy provided to County and the Grant Administrator within three (3) weeks from the time of completion of Task 2. Additional Scheduling Requirements: Party Action Schedule Provider Furnish one (1) electronic review copy of the Within three (3) weeks of the completion of Task Report and other Study and Report Phase 2. deliverables to County and Grant Administrator. County Submit comments regarding Report and other Within three (3) weeks of the receipt of Study and Report Phase deliverables to Report and other Study and Report Phase Provider, deliverables from Provider. Provider Furnish one (1) electronic copy of the revised Within one (1) week of the receipt of County Report and other Study and Report Phase comments regarding the Report and other Study deliverables to County and Grant and Report Phase deliverables. Administrator. Page 2 of 9 Task 4 —Preliminary Design Cost Estimates and other Preliminary Design documents Provider will prepare a construction design to correspond with the available construction budget and shall include preliminary design plans. Cost estimates will be provided for establishing final design criteria based upon data collected for the project and Task 3. Preliminary design plans based upon collected data and Task 3 will be submitted to County for review. Deliverables: 1. Preliminary design plans and updated construction estimates based upon results of Task 3 to County. • One (1) paper and one (1) electronic copies Timeframe: Review copies of the Preliminary Design plans and construction estimate shall be provided to County within six (6) weeks of Task 3 being considered complete. Additional Scheduling Requirements: Par Action Schedule Provider Furnish one (1) electronic review copy of the Within six (6) weeks of County authorization to Preliminary Design Phase documents, proceed with Task 4. opinion of probable construction cost, and other Preliminary Design Phase deliverables to County and Grant Administrator. County Submit comments regarding Preliminary Within three (3) weeks of the receipt of Design Phase documents, opinion of Preliminary Design Phase documents, opinion of probable construction cost, and other probable construction cost, and other Preliminary Preliminary Design Phase deliverables to Design Phase deliverables from Provider. Provider. Provider Furnish one (1) electronic copy of the reviEDesignPhase (1) week of the receipt of County Preliminary Design Phase documents, opinregarding the Preliminary Design of probable construction cost, and otuments, opinion of probable Preliminary Design Phase deliverables cost, and other Preliminary County and Grant Administrator. se deliverables. Task 5 — Final Design and Other FinalDesign Documents Provider will provide 90% construction plans and 100% final construction plans to County. Construction plans shall consist of detailed design plans establishing a clear and concise plan for County, and shall be signed and sealed by a Texas registered professional engineer with designation on the plans as "Approved for Bidding" as the result of County review and approval. Deliverables: 1. 100% completion level construction plans, signed and sealed, and marked "Approved for Bidding." Page 3 of 9 • One (1) paper and one (1) electronic copy to County; one (1) electronic copy to the Grant Administrator Timeframe: 90% plans provided to County within six (6) weeks of Task 4 being considered complete. Additional Scheduling Requirements: Party Action Schedule Provider Furnish one (1) electronic review copy of the Within six (6) weeks of County authorization tc Final Design Documents (90% set) proceed with Task 5. deliverables to County and Grant Administrator. County Submit comments regarding Final Design Within three (3) weeks of the receipt of Final Documents (90% set) deliverables to Design Documents (90% set) deliverables from Provider. Provider. Provider Furnish one (1) electronic copy of the revised Within two (2) weeks of the receipt of County Final Design Plans in the form of 100% comments regarding the Final Design completion, signed and sealed plan deliverables Documents (90% set) deliverables. to County and Grant Administrator. i aJn u — r-ruparattun ur Ulu mucutuents attu tiUyeluSe Dlut St. Provider will aid County with soliciting a construction contractor and perform other necessary pre - construction activities. Provider will provide the following services: a. Prepare a bid advertisement, advertise the bid, and distribute bid documents to prospective bidders. b. Participate in a pre -bid meeting in Calhorm County to meet with potential bidders to discuss project details, answer questions, and review or clarify the scope of construction work. c. Assemble and submit to County a written document containing an attendees list and the pre -bid meeting minutes, listing questions and answers for distribution to all interested parties. d. Prepare addendum(s) to the Project Manual (Bid Package), if needed. Deliverables: For each deliverable, digital copies are to be sent to County and the Grant Administrator. 1. Written summary of the pre -bid meeting (submitted within three (3) business days of meeting). 2. Addendum to the bid documents, if needed (submitted within five (5) business days of the last day to submit comments/questions). 3. Bid Advertisement(s) Timeline: Completed within (8) weeks of Task 5 being considered complete. Page 4 of 9 Additional Scheduling Requirements: Party Action Schedule Provider Construction Contract Documents, the electronic Within one (1) week of County authorization to draft bidding -related documents (orrequests for proceed with Task 6. proposals or other construction procurement documents), and any other Bid Phase deliverables to County and Grant Administrator. County Submit comments and instructions regarding the Within three (3) weeks of the receipt of the final final Drawings and Specifications, assembled Drawings and Specifications, assembled drafts of other drafts of other Construction ContractDocuments, Construction Contract Documents, the draft bidding. thedraft bidding -related documents (orrequests related documents (or requests for proposals or other for proposals or other construction procurement construction procurement documents), and any other documents), and any other Bid Phase Bid Phase deliverables from Provider. deliverables, to Provider. Provider Furnish one (1) electronic copy of the revised Within one (1) week of the receipt of County final Drawings and Specifications, assembled comments and instructions regardingthe final Construction Contract Documents, bidding- related Drawings and Specifications, assembled drafts of other documents (or requests for proposals or other Construction Contract Documents, the draft bidding. construction procurement documents), and any related documents (or requests for proposals or other other Bid Phase deliverables, to County and construction procurement documents), and any other Grant Administrator. Bid Phase deliverables. Provider Conduct Pre -Bid meeting Within 15 days of Bid Advertisement. Task 7— Bid Proposals and Selection of Contractors Provider will assist County in the review of submitted proposals for conformance with project requirements. Provider will summarize cost proposals in tabulated format for comparison. Provider will assist County in reviewing bidder qualifications and assist with contract negotiations. Deliverables: 1. Bid Tabulation Summary. 2. Recommendation of Award. 3. Notice to Proceed (to be provided to the selected contractor within two (2) business days of Calhoun County Commissioners Court approval of the contractor). Timeline: Complete Recommendation for Award for presentation to County and digital copies of each deliverable are to be sent to County and the Grant Administrator within two (2) weeks of bid closing. Task S — Construction Phase Services. Page 5 of 9 County will administer the construction contract (Contract Documents) with assistance from Provider, who will generally monitor construction progress and spot-check construction to provide reasonable assurances that the work is being constructed in reasonable conformity with the drawings, general conditions, technical specifications, applicable permits, and the construction contract. It is anticipated that construction - including mobilization and demobilization of workers and equipment - will require approximately 24 weeks. Provider will provide the following services: On -Site Services: Provider will, with assistance from the County's on -site representative, directly observe and monitor the selected contractor (Contractor) work to determine the progress and quality of the work, identify discrepancies, and report significant discrepancies to Contractor and County. Provider will provide a pan -time on -site representative who will be present on average one (1) day every one (1) week; County will provide an on -site representative the balance of the time during construction. The County's on -site representative will perform construction observations on behalf of Provider and report directly to Provider during construction no less than once per week or on an `as needed' basis. During construction, Provider will: 1. Document conditions within and adjacent to the project area to be used by Contractor, including truck routes and access/staging areas - prior to the Contractor's mobilization to the site. 2. Review Contractor construction submittals. 3. Attend a pre -construction meeting with Contractor and County at the project site. Written minutes of the pre -construction meeting will be submitted to County and Contractor. 4, At a minimum, conduct weekly site visits to spot check Contractor's progress and construction for compliance with the Contract Documents. a. Check the Contractor's mobilization/demobilization. b. Check Contractor's work for compliance with applicable permit(s) and GLO contract performance statements. c. Keep detailed records of Contractor's operation and of significant events that affect the work, with assistance from the County's on -site representative. d. Maintain a complete construction observation logbook of each weekly progress report. e. Provide interpretation of the Contract Documents. f. Ensure record drawings and re -line plans are being kept onsite. 5. Take representative photographs of the construction and compile them in a document to photo -document construction before, during, and after construction. 6. Provide a written summary of Contractor's progress on a monthly basis to the Grant Administrator or as requested in addition to a monthly report as a situation arises. 7. Prepare Construction Field Directives and Change Orders as needed. 8. Check the construction work for substantial compliance with the drawings, general conditions, technical specifications, applicable permits, and the construction contract. 9. Conduct final completion `walk through' with County and Contractor. Assist in the preparation of a final punch list and project close-out. Project close-out will consist of field verification that the project was constructed in compliance with the drawings, general conditions, technical specifications, applicable permits, and the construction contract. Page 6 of 9 Deliverables: Digital copies of each deliverable are to be sent County and the Grant Administrator. 1. Pre -construction meeting minutes (submitted within three (3) business days of meeting; digital copy sent to the Contractor) 2. Field inspection reports and logbook (field reports to be submitted weekly) Administration Services: Provider will provide the following additional services during construction: a. Check the work for substantial compliance with the drawings, general conditions, technical specifications, applicable permits, and the construction contract. b. As may be requested by County, prepare Change Order(s) for approval by County and Contractor. c. Review applications for payment from the Contractor, including compliance with the Davis -Bacon Act. Validate the work completed at the time of application for payment. Recommend payment or rejection of application for payment, as deemed appropriate and prepare letters of recommendation regarding pay applications to County and the Grant Administrator. d. Provide monthly financial updates and track construction expenditures and percent project completion. e. Schedule and attend monthly progress meetings to be attended by County and Contractor. Meetings will be held monthly or as deemed appropriate. Prepare meeting agendas and distribute minutes of the meetings to County, Contractor and the Grant Administrator. Deliverables: 1. Change Orders, if needed. 2. Written financial updates (due with monthly progress reports). 3. Written meeting agendas and minutes (agendas due three (3) days before meetings; minutes due within three (3) business days of meeting). 1 215ll7—r IUICUL l Au3GVYl. t-iluulJ auu �UIIILJ ILVII va A AV Mc'. As part ofthe project closeout, Provider will determine construction completion and schedule and attend a project close-out meeting with County and Contractor. Subsequently, Provider will issue a Project Completion Report to recommend issuance of a Certificate of Construction Completion. Specific details include preparation of a standard Completion Report at the conclusion of construction. Provider will review and approve any close-out documents submitted by Contractor as part of the final report. The Completion Report, signed by a professional engineer, will include the following elements: a. Project contact information b. Project location, design description, project details and as -built feature descriptions c. Project cost work summary and work item breakdown d. Construction and construction oversight cost summary Page 7 of 9 e. Construction sequence, activity, problem summary, change orders and field adjustment descriptions f. Miscellaneous comments/documents regarding construction g. Significant construction dates. Deliverables: 1. Project Completion Report: one (1) hard copy and one (1) copy on flash drive or electronic file submission to County and one (1) digital copy to the Grant Administrator (all copies due within three (3) weeks of construction completion). 2. As -built drawings due by the close of business no later than thirty (30) days after completion of a construction project to County and the Grant Administrator. 3. A copy of the executed Certificate of Construction Completion ("COCC") for a completed project which must include a final, as built report of quantities, drawings, and specifications used during the course of the project, with justification as to any variances from original plans to County and the Grant Administrator. 4. Before, during and after construction photographs to County and the Grant Administrator. REIMBURSEMENT Provider shall submit invoices to the Grant Administrator at the completion of each Benchmark, in accordance with the Project Budget/Payment Schedule provided below. Requests for payment must be supported by documentation as required under the Contract, such as invoices, receipts, statements, stubs, tickets, time sheets, and any other documentation that, in the judgment of the Grant Administrator, provides full substantiation of reimbursable costs incurred. All invoices, reimbursement documents, and deliverables submitted must prominently display "Infrastructure at Little Chocolate Bayou County Park" and "Work Order No. E-1." Failure to include this identification may significantly delay payment under this Work Order. PROJECT BUDGET/PAYMENT SCHEDULE Total compensation due to Provider for services provided or performed pursuant to this Work Order shall not exceed Or -- Pinrtaeea i�z3e ra "saner' Dollars ($11334999..90 . Invoices shall be paid in accordance with the Project Budget below: $175,000.00 Benchmarks/Deliverables Amount Paid Per Benchmark Benchmark 1 - Prepare application and Start -Up documents $40,500.00 Benchmark 2 - 100% Design approved by County $40,500.00 Benchmark 3 - Prepare documents and advertise bid(s) $13,500.00 Benchmark 4 - Issue Construction NTP to contractors W9,-959-99- $40,250.00 Benchmark 5 - Prepare As-Builts and receive approval from $;=9,990.0e9— $40,250.00 County for completion of Project. Page 8 of 9 Total Budget for This Work Order $435;H99e90 $175,000.00 Termination or Interruption of Work: County reserves the right to halt or defer all or any portion of the work included in the Scope of Services of this Work Order any time during the performance period. If such an event occurs, the Parties agree that the schedule and budget may require renegotiation. Amendments to Work Order: Material changes to this Work Order may only be made by written agreement of both Parties. All Parties to the Contract executed this Work Order, to be effective as of the date signed by the last party. OF CALHOUN Richard H. Meyer Calhoun County Ju ge Date of execution:_3 — Z 5' —20 G & W ENG EERING, INC. Brian P. ovian President / Date of execution:✓!L 1.� so Page 9 of 9 DocuSign Envelope ID: 22DB9E3C-B7E9-43F5.83E2-64BC6813AEC4 Attachment F Amendment No. 5 GLO Contract No. 20-065-064-C182 Page 1 of 5 CALHOUN COUNTY 20-065-064-C182 PERFORMANCE STATEMENT Hurricane Harvey caused damage throughout Calhoun County (Subrecipient). Heavy rainfall and high winds caused flooding and damage to homes, streets, and public facilities. Undersized culverts and inadequate drainage facilities throughout the county prohibited stormwater from draining effectively. This inundated the drainage system and threatened public health, safety, and welfare. Subrecipient will conduct drainage and public facilities Infrastructure improvements to facilitate proper stormwater conveyance to reduce the impact of future flooding and ensure emergency response systems are fully operational during emergency situations. Subrecipient shall perform the Activities identified herein for the target area specified in its approved Texas Community Development Block Grant Disaster Recovery Supplemental Grant Application to aid areas most impacted by Hurricane Harvey. The persons to benefit from the Activities described herein must receive the prescribed service or benefit, and all eligibility requirements must be met to fulfill contractual obligations. The grant total is $6,176,548.00. Subrecipient will be required to maintain a detailed Budget breakdown in the official system of record of the GLO's Community Development and Revitalization division (GLO-CDR). Flood and Drainage Facilities Subrecipient shall install culverts and end treatments, excavate ditches, replace drainage pipes and complete associated appurtenances. Construction shall take place at the following locations within the county. Flood and Proposed Drainage Location HUD Census Block Facilities Approximate Lat/Long Performance Tract Group Measures Drainage Ditch Upstream on SH-185 mid - Channel 1.5 way between White Rd. and Miles west of Morales Road to 3.21 miles 18,600 LF 0005.00 2 Lane Road to the south 28.399271,-96.622587 Intersection of Wittnebert Drainage Rd. and Carabajal Rd. to Basin approx. 2,300 LF southwest 2,400 LF 0005.00 2 of start point 28.403966,-96.618509 These Activities shall benefit one hundred eighty (180) persons. Of these persons, one hundred fifteen (115), or sixty-three and eighty-nine hundredths percent (63.89%), are of low to moderate income. DocuSign Envelope ID: 22DB9E3C-B7E9-43F5-83E2-64BC6813AEC4 Attachment F Amendment No. 5 GLO Contract No. 20-065-064-C182 Page 2 of 5 Flood and Drainage Facilities Subrecipient shall install storm sewer outfalls, culverts, and end treatments; excavate ditches; and complete associated appurtenances. Construction shall take place at the following locations within the county. Flood and Proposed Drainage Location HUD Census Block Facilities Approximate Lat/Long Performance Tract Group Measures Alamo Beach Area between Cox Street Drainage Area and San Jacinto Street 11,000 LF 0004.00 1 1 1 28.570070,-96.566364 Alamo Beach Area between San Jacinto Drainage Area Street and Fannin Street 11,000 LF 0004.00 1 2 28.572885,-96.567686 Alamo Beach Area between Lee Street and Drainage Area E. Sunrise Street 2,975 LF 0004.00 1 3 28.575191,-96.566273 Alamo Beach Area between Fannin Street Drainage Area and E. Skyview Avenue 7,200 LF 0004.00 1 4 28.576220,-96.568050 Alamo Beach Area between E. Skyview Drainage Area Avenue and Sunset Avenue 8,700 LF 0004.00 1 5 28.578390,-96.568508 Alamo Beach Area between E. Skyview Drainage Area Avenue and Travis Street 6,700 LF 0004.00 1 6 28.580839,-96.568466 Alamo Beach Area between W. Kruse Drainage Area Street to Carrigan Avenue 9,300 LF 0004.00 1 7 1 28.582579,-96.573338 These Activities shall benefit two thousand two hundred forty (2,240) persons. Of these persons, one thousand two hundred sixty-five (1,265), or fifty-six and forty-seven hundredths percent 56.47% , are of low to moderate income. REMAINDER OF PAGE INTENTIONALLY LEFT BLANK DocuSign Envelope ID: 22DB9E3C-B7E9-43F5.83E2-64BC6813AEC4 Attachment F Amendment No. 5 GLO Contract No. 20-065-064-C182 Page 3 of 5 Fire Protection Facilities and Equipment Subrecipient shall demolish and dispose of the existing Magnolia Beach Fire Station, construct a new fire station and new ADA-compliant parking lot, install a generator, and complete associated appurtenances. Construction shall take place at the following locations within the county. The environmental review and engineering were completed under this grant. Due to costs overrun, the remainder of this project will be completed through a different funding source. Proposed Public Location HUD Census Block Facilities Approximate Lat/Long Performance Tract Group Measures Magnolia 873 Margie Tewmey Road #1 Beach Fire Port Lavaca, Texas One Public .00 2,4 Station 28.55982,-96.54321 Facility 0004.00 1,2 These Activities shall benefit six thousand eight hundred ninety-five (6,895) persons. Of these persons, three thousand five hundred thirty (3,530), or fifty-one and twenty hundredths percent 51.20% , are of low to moderate income. Parks, Playgrounds and Other Recreational Facilities Subrecipient shall furnish and install covered picnic areas, new parking facilities, playground equipment, lighted ADA-compliant 6-foot wide walking paths, rebuild a road bridge; remove and replace 2 ADA-compliant fishing piers; and complete associated appurtenances. Construction shall take place at the following location within the county. Proposed Public Location HUD Census Block Facilities Approximate Lat/Long Performance Tract Group Measures Little Locations throughout the Park One (1) Public 0002.00 2,4 Chocolate BayPark 28.598288,-96.638933 Facility 0004.00 1 These Activities shall benefit five thousand two hundred eighty (5,280) persons. Of these persons, two thousand eight hundred eighty-five (2,885), or fifty-four and sixty-four hundredths percent (54.640/o), are of low to moderate income. REMAINDER OF PAGE INTENTIONALLY LEFT BLANK DocuSign Envelope ID: 22DB9E3C-B7E9-43F5-83E2-64BC6813AEC4 Attachment A-2 Amendment No. 5 GLO Contract No. 20-065-064-082 Page 4 of 5 Specially Authorized Public Facilities and Improvements Subrecipient shall install a specialized repeater system at the county's Radio Towers, install equipment at the command and control center, and complete associated appurtenances. Construction shall take lace at the following locations within the co rity. Proposed Public Facilities Location HUD Census Block Approximate Lat/Long Performance Tract Group Measures 0001.00 1,2,3 Calhoun County 211 S. Ann Street 0002.00 1,2,3,4 Courthouse Port Lavaca Texas One Public 0003.00 1,2 Control Center 28.612818,-96.626118 a Facicility 0004.00 1,2,3,4 0005.00 1,2,3,4 0001.00 1,2,3 484 Airline Drive 0002.00 1,2,3,4 Port Lavaca Radio Port Lavaca, Texas One (1) Public 0003.00 1,2 Tower Facility 28.59793,-96.64917 0004.00 1,2,3,4 0005.00 1,2,3,4 0001.00 1,2,3 3220 W. Harrison Avenue 0002.00 1,2,3,4 Port O'Connor One Public Radio Tower Port O'Connor Texas acility Faci 0003.00 1,2 28.43836,-96.44861 0004.00 1,2,3,4 0005.00 1,2,3,4 0001.00 1,2,3 7501 SH 185 North 0002.00 1,2,3,4 Union Carbide Seadrift, Texas One (1) Public 0003.00 1,2 Radio Tower Facility 28.415740,-96.713147 0004.00 1,2,3,4 0005.00 1,2,3,4 These Activities shall benefit twenty-one thousand four hundred five (21,405) persons. Of these persons, eight thousand nine hundred ninety (8,990), or forty-two percent (42%), are of low to moderate income. These Activities will meet the Urgent Need National Objective. REMAINDER OF PAGE INTENTIONALLY LEFT BLANK DocuSign Envelope ID: 22DB9E3C-B7E9-43F5-B3E2-64BC6813AEC4 Attachment F Amendment No. 5 GLO Contract No. 20-065-064-C182 Page 5 of 5 BUDGET HUD Activity Type Grant Award Other Funds Total Rehabilitation/Reconstruction of Public Improvements $2,600,875.00 $0.00 $2,600,875.00 Rehabilitation/Reconstruction of Public Facilities - LMI $1,992,330.50 $0.00 $1,992,330.50 Rehabilitation/Reconstruction of Public Facilities — UN $1,583,342.50 $0.00 $1,583,342.50 TOTAL 1 $6,176,548.00 $0.00 $6,176,548.00 MILESTONES Not -To -Exceed Draw Percentages Milestones Construction Engineering Grant Special ` Environmental Acquisitions Funds Funds Administration Environmental Funds Funds'. Funds Funds Project Kick -Off Meeting and Start-up 15% Documentation Engineering Contract Executed 30% Environmental Contract Executed 30% 100%Design Approval ° 60 /o Special Environmental 100% Report Approval Authority to Use Grant Funds 50% 100% Acquisition Start 100% Bid Advertisement 70% 60% Construction Notice to Proceed 85% 85% 85% As -Built Plans/ COCC/FWCR 100% 100% 95% Grant Completion Report Approval 100% #12 NO110E OF MEFTING - 5/15/2Q24 12.Public Hearing concerning Petition to Vacate Club Grounds, Bayside Beach as recorded in Volume Z, Page 28 of the Plat Records of Calhoun County, Texas. (DEH) Regular Session closed at'10:14am Terry Ruddick explained the Petition to Vacate. Regular session opened at 10:16am Page 9 of 13 #13 NC)-ricE (:)E MEE-rINC; - 5/15/2024 13.Consider and take necessary action to Vacate Club Grounds, Bayside Beach as recorded in Volume Z, Page 28 of the Plat Records of Calhoun County, Texas. (DEH) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Gary Reese, Commissioner Pict 4 AYES: Commissioner Hall, Lyssy, Reese Page 10 of 13 • • U81 Land Surveying+Aerial Imaging Since 1891 May 9, 2024 David Hall County Commissioner Precinct #1 305 Henry Barber Way Port Lavaca, TX 77979 RE: Indianola Club Grounds Dear Commissioner Hall, Please consider this letter as my request to have the following items placed on the May 15, 2024 Commissioner's Court agenda: Public Hearing concerning Petition to Vacate Club Grounds, Bayside Beach as recorded In Volume Z, Page,28 of the Plat Records of Calhoun County, Texas. Consider and take necessary action to Vacate Club Grounds, Bayside Beach as recorded in Volume Z, Page 28 of the Plat Records of Calhoun County, Texas. If I can provide additional information, please do not hesitate to contact me. Sincerely, 0 Terry T. Ru ick, R.P.L.S. C.E.O. (526207.01) 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 381-578-9837 210-267-8654 361-277-9061 Firm 9: 10021100 Firm M 10193843 Firm 9: 10021101 7 ) as • • U81 Land Surveying+Aerial Imaging olnan1991 PETITION TO VACATE Club Grounds Bayside Beach THE STATE OF TEXAS) THE COUNTY OF CALHOUN) KNOW ALL MEN BY THESE PRESENTS: That the undersigned being the designated agent of the owners of the property described as Club Grounds, Bayside Beach as recorded in Volume Z, Page 28 of the Plat Records of Calhoun County, Texas do hereby petition the Calhoun County Commissioner's Court to Vacate said tracts of land, in accordance with Sections 206 and 207 of the Subdivision Regulations and Recreational Vehicle Park Regulations Adopted by Calhoun County Commissioner's Court on November 29, 2004 and amended on December 13, 2007. The property is proposed to be re -platted in accordance with a plat submitted to the Calhoun County Commissioner's Court. The petition will be considered by the Calhoun County Commissioner's Court on May 15, 2024. at 10:00 am. 2004 N. Commerce Victoria, TX 77901 361-578-9837 (S26207.01) 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 210-287-8654 361-277-9061 Firm th 10021100 Firm H: 10193B43 Firm H: 10021101 W =. /vN, ..�' <. ('��:%((^�-. NOTICE OF MEETINC3 — 5/15/2024 14. Accept Monthly Reports from the following County Offices: i. District Clerk — April, 2024 ii. Justice of the Peace No. 1 — April 2024 iii. Justice of the Peace No. 2 — April, 2024 iv. Justice of the Peace No. 3 — April, 2024 v. Justice of the Peace No. 4 — April, 2024 vi. Justice of the Peace No. 5 — April, 2024 — 1st revision vii. Sheriff Department — April, 2024 RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Gary Reese, Commissioner`Pct 4 AYES: Commissioner Hall, Lyssy, Reese Page 11 of 13 *Treasurer Receipt Numbers: F2024APR006,024,031,042 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS COURT NAME: DISTRICT CLERK MONTH OF REPORT: APRIL YEAR OF REPORT: 2024 ACCOUNT NUMBER ACCOUNT NAME DEBIT CREDIT 1000-00144190 SHERIFF'S SERVICE FEES $1,628.41 1000-001-44140 JURY FEES $306.00 1000-001-44045 RESTITUTION FEE $0.00 1000-001-44020 DISTRICT ATTORNEY FEES $0.00 1000-001-49010 REBATES -PREVIOUS EXPENSE $0.00 1000-001-49030 REBATES-ATTORNEY'S FEES $743.19 1000-001-44058 DISTRICT CLERK ELECTRONIC FILING FEES $0.00 1000-001-44322 TIME PAYMENT REIMBURSEMENT FEES $101.44 1000-001-43049 STATE REIMB- TITLE IV-D COURT COSTS $0.00 DISTRICT CLERK FEES CERTIFIED COPIES $331.70 CRIMINAL COURT $7.51 CIVIL COURT $2,266.50 STENOGRAPHER $715.00 CIV FEES DIFF $0.00 1000-00144050 DISTRICT CLERK FEES $3,320.71 1000-999-20771 FAMILY VIOLENCE FINE $51.69 1000-999-10010 CASH - AVAILABLE $6,151.44 2706-001-44055 FAMILY PROTECTION FEE $0.00 2706-999-10010 CASH - AVAILABLE $0.00 2740-001-45055 FINES - DISTRICT COURT $2,808.17 2740-999-10010 CASH - AVAILABLE $2,808.17 2620-001-44055 APPELLATE JUDICIAL SYSTEM $143.00 2620-999-10010 CASH - AVAILABLE $143.00 2648-001-44055 COURT FACILITY FEE FUND $572.00 2648-999-10010 CASH - AVAILABLE $572.00 2670-001-44055 COURTHOUSE SECURITY $577.96 2670-999-10010 CASH - AVAILABLE $577.96 2673-001-44055 CRT RECS PRESERVATION FUND- CO $10.00 2673-999-10010 CASH - AVAILABLE $10.00 2725-001-44055 LANGUAGE ACCESS FUND $85.80 2725-999-10010 CASH - AVAILABLE $85.80 2739-001-44055 RECORD MGMT/PRSV FUND - CLERK $958.66 2739-999-10010 CASH - AVAILABLE $958.66 2737-001-44055 RECORD MGMT/PRSV FUND -DIST CLRK $0.47 2737-999-10010 CASH - AVAILABLE $0.47 2731-001-44055 LAW LIBRARY $1,001.00 2731-999-10010 CASH - AVAILABLE $1,001.00 2663-001-44050 CO & DIST CRT TECHNOLOGY FUND $0.73 2663-999-10010 CASH - AVAILABL $0.73 7040-999-20740 BREATH ALCOHOL TESTING - STATE $0.00 7040-999-10010 CASH -AVAILABLE $0.00 2667-001-44055 CO CHILD ABUSE PREVENTION FUND $0.84 2667-999-10010 CASH - AVAILABLE $0.84 7502-999-20740 JUDICIAL & COURT PERSONNEL TRAINING FUND -STATE $5.00 7502-999-10010 CASH-AVAILABE $5.00 7383-999-20610 DNA TESTING FEE -County $0.22 7383-999-20740 DNA TESTING FEE - STATE $1.97 7383-999-10010 CASH - AVAILABLE $2.19 7405-999-20610 EMS TRAUMA FUND - COUNTY $24.47 7405-999-20740 EMS TRAUMA FUND - STATE $22028 7405-999-10010 CASH - AVAILABLE $244.75 7070-999-20610 CONSOL. COURT COSTS - COUNTY $022 7070-999-20740 CONSOL. COURT COSTS - STATE $1.96 7070-999-10010 CASH - AVAILABLE $2.18 7072-999-20610 STATE CONSOL. COURT COSTS- COUNTY $157.27 7072-999-20740 STATE CONSOL. COURT COSTS- STATE $1,415.44 7072-999-10010 CASH- AVAILABLE $1,572.71 2698-001-44030-010 DRUG CRT PROG FEE - COUNTY (PROGRAM) $2.56 2698-999-10010-010 CASH - AVAILABLE $2.56 7390-999-20610-999 DRUG COURT PROG FEE - COUNTY (SVC FEE) $0.51 7390-999-20740-999 DRUG COURT PROG FEE - STATE $2.04 7390-999-10010-999 CASH -AVAILABLE $2.55 7865-999-20610-999 GRIM - SUPP OF IND LEGAL SVCS - COUNTY $0.00 7865-999-20740-999 GRIM - SUPP OF IND LEGAL SVCS - STATE $0.04 7865-999-10010-999 CASH - AVAILABLE $0.04 7760-999-20790-010 CRIM - DUE TO STATE - NONDISCLOSURE FEE $0.00 7760-999-10010-010 GRIM - DUE TO STATE - NONDISCLOSURE FEE $0.00 7950-999-20610 TIME PAYMENT - COUNTY $0.80 7950-999-20740 TIME PAYMENT - STATE $0.80 7950-999-10010 CASH - AVAILABLE $1.60 7505-999-20610 JUDICIAL SUPPORT -GRIM - COUNTY $0.03 7505-999-20740 JUDICIAL SUPPORT-CRIM - STATE $028 7505-999-10010 CASH - AVAILABLE $0.31 7505-999-20740-010 JUDICIAL SALARIES -CIVIL - STATE(42) $42.00 7505-999-10010-010 CASH AVAILABLE $42.00 2740-001-45050 BOND FORFEITURES $0.00 2740-999-10010 CASH - AVAILABLE $0.00 2729-001-44034 PRE-TRIAL DIVERSION FUND $0.00 2729-999-10010 CASH - AVAILABLE $0.00 7857-999-20610 JURY REIMBURSEMENT FUND- COUNTY $0.22 7857-999-20740 JURY REIMBURSEMENT FUND- STATE $1.93 7857-999-10010 CASH - AVAILABLE $2.15 7860-999-20610 STATE TRAFFIC FINE- COUNTY $0.00 7860-999-20740 STATE TRAFFIC FINE- STATE $0.00 7860-999-10010 CASH - AVAILABLE $0.00 7403-999-22888 DIST CRT- ELECTRONIC FILING FEE- CIVIL $30.00 7403-999-22991 DIST CRT - ELECTRONIC FILING FEE - CRIMINAL $0.88 CASH - AVAILABLE $30.88 LOCAL CONSOL. COURT COST 1000-001-44050 DISTRICT CLERK FEES $340.03 1000-999-10010 CASH - AVAILABLE $340.03 2739-001-44055 RECORD MGMT/PRSV FUND - COUNTY $212.52 2739-999-10010 CASH - AVAILABLE $212.52 2669-001-44050 COUNTY JURY FUND $8.50 2669-999-10010 CASH - AVAILABLE $8.50 2670-001-44055 COURTHOUSE SECURITY $85.01 2670-999-10010 CASH - AVAILABLE $85.01 2663-001-44050 CO & DIST CRT TECHNOLOGY FUND $34.00 2663-999-10010 CASH - AVAILABLE $34.00 2676-001-44050 COUNTY SPECIALTY COURT FUND $212.52 2676-999-10010 CASH - AVAILABLE $212.52 TOTAL: $892.58 7855-999-20784-010 DIST CRT - DIVORCE & FAMILY LAW - STATE $0.00 7855-999-20657-010 DIST CRT - DIVORCE & FAMILY LAW - COUNTY $0.00 7855-999-20792-010 DIST CRT -OTHER THAN DIVORCE/FAMILY LAW - STATE $0.00 7855-999-20658-010 DIST CRT -OTHER THAN DIVORCE/FAMILY LAW - COUNTY $0.00 7855-999-20740-010 DIST CRT - OTHER CIVIL PROCEEDINGS - STATE 9.50 7855-999-20610-010 DIST CRT - OTHER CIVIL PROCEEDINGS - COUNTY 0.50 7855-999-20790-010 DUE TO STATE - NONDISCLOSURE FEE $0.00 7855-999-10010-010 CASH - AVAILABLE 10.00 2677-001-44050-999 COUNTY DISPUTE RESOLUTION FUND $429.00 2677-999-10010-999 CASH - AVAILABLE $429.00 7858-999-20740-999 DIST CLK - DUE TO STATE CONSOLIDATED FEE 2022 $1,835.60 7858-999-10010-999 CASH AVAILABLE $1,835.60 TOTAL (Distrib Req to Oper Acct) $18,278.75 $17,386.17 DUE TO OTHERS (Distrib Req(s) attached) ATTORNEY GENERAL (RESTITUTION) 0.00 OUT -OF -COUNTY SERVICE FEES 360.00 REFUND OF OVERPAYMENTS 650.00 DUE TO OTHERS 146.08 TOTAL DUE TO OTHERS $1,156.08 REPORT TOTAL - ALL FUNDS 18,542.25 PLUS AMT OF RETURNED CKS 0.00 LESS: TOTAL TREASURER'S RECEIPTS (18,542.25) Revised 04/03/23 OVER / (SHORT) $0.00 DISTRICT COURT APRIL STATE COURT COSTS REPORT 2024 APRIL SECTION I: REPORT FOR OFFENSES COMMITTED COLLECTED COUNTY STATE 01 /1 /20 - Present 157.27 1,415.44 01/01/04 - 12/31/19 _ $2.18 0.22 1.96 09/01/01 - 12/31/03- 09/01 /99 - 08/31 /01 - 09/01 /97 - 08/31 /99- 09/01/95-08/31/97- 09/01/91-08131/95 ... - DNA TESTING FEES 2.19 0.22 1.97 EMS TRAUMA FUND 244.75 24.48 220.27 JUV. PROS. DIVERSION FEES JURY REIMBURSEMENT FEE $2.15 0.22 1.93 INDIGENT DEFENSE FUND $0.04 0.00 $0.04 STATE TRAFFIC FEES - $0.00 - $0.00 DRUG CRT PROG FEE $5.11 $3.07 2.04 SECTION II: AS APPLICABLE STATE POLICE OFFICER FEES FAILURE TO APPEAR/PAY FEES - - JUD. FUND-CONST. CO. CRT. ....................................... .... .. .. ....... JUD. FUND -STATUTORY CO. CRT. MOTOR CARRIER WEIGHT VIOLATIONS TIME PAYMENT FEE $1.60 0.80 0.80 DRIVING RECORD FEE JUDICIAL SUPPORT FEES $0.31 0.03 0.28 ELECTRONIC FILING FEE - CR $0.88 $0.88 NONDISCLOSURE FEES -CR $0.00 $0.00 TOTAL STATE COURT COSTS $1,831.92 $ 186.31 $ 1,645.61 CIVIL FEES REPORT APRIL COLLECTED COUNTY STATE BIRTH CERTIFICATE FEES MARRIAGE LICENSE FEES DECL. OF INFORMAL MARRIAGE ELECTRONIC FILING FEE - CV NONDISCLOSURE FEES - CV 0 JUROR DONATIONS JUSTICE CRT. INDIG FILLING FEES STAT PROS CRT INDIG FILING FEES STAT PROS CRT JUDIC FILING FEES STAT CNTY CRT INDIG FILING FEES STAT CNTY CRT JUDIC FILING FEES STAT CNTY CRT -JUDICIAL SUPPORT CONST CNTY CRT INDIG FILING FEES CNST CNTY CRT JUDIC FILING FEES DIST CRT DIV & FAMILY LAW DIST CRT OTHER THAN DIV/FAM LAW DIST CRT OTHER CIVIL FILINGS FAMILY PROTECTION FEE JUDICIAL SUPPORT FEE JUDICIAL & COURT PERSONNEL TRANING FEE 2 2022 STATE CONSOLIDATED FEE 12 COUNTY DISPUTE RESOLUTION FUND TOTAL CIVIL FEES REPORT $30.00 $0.00 $30.00 $0.00 $0.00 $0.00 - - $10.00 0.50 9.50 $42.00 $42.00 $5.00 - $5.00 $1,835.60 $1,835.60 429.00 429.00 $ 2,351.60 $ 0.50 $ 2,351.10 TOTAL BOTH REPORTS $ 4,183.52 $ 186.81 $ 3,996.71 CALHOUN DISTRIBUTION COUNTY REQUEST 201 West Austin DR# 420 A 45415 PAYEE PAYOR Name: Calhoun County Oper. Acct. Official: Anna Kabela Address: Title: District clerk City: State: Zip: Phone: ACCOUNT NUMBER DESCRIPTION AMOUNT 7340-999.20759-999 District Clerk Monthly Collections - Distribution $17,386.17 APRIL 2024 V# 967 TOTALI 17,386.17 Signature of fficial Date MONTH OF REPORT YEAR OF REPORT REVISED 02/02/2022 ADMINISTRATION FEE -ADMF 30.00 BREATH ALCOHOL TESTING - BAT 0.00 CONSOLIDATED COURT COSTS -CCC 135.02 STATE CONSOLIDATED COURT COST-2020 2,401.09 LOCAL CONSOLIDATED COURT COST-2020 542.18 COURTHOUSE SECURITY -CHS 13.50 CLIP 0.00 CIVIL JUSTICE DATA REPOSITORY FEE- CJDR 0.12 CORRECTIONAL MANAGEMENT INSTITUTE - CMI 0.00 CR 0.00 CHILD SAFETY - CS O.DD CHILD SEATBELT FEE -CSBF 0.00 CRIME VICTIMS COMPENSATION -CVC 0.00 DPSC/FAILURE TO APPEAR - OMNI -DPSC 115.13 ADMINISTRATION FEE FT VFTP (aka OMNI). 2020 117.12 ELECTRONIC FILING FEE -EEF 0.00 FUGITIVE APPREHENSION - FA 0.00 GENERAL REVENUE -OR 0.00 CRIM- IND LEGAL SVCS SUPPORT -IOF 6.74 JUVENILE CRIME & DELINQUENCY -JCD 0.00 JUVENILE CASE MANAGER FUND- JCMF 8.05 JUSTICE COURT PERSONNEL TRAINING -JCPT 0.00 JUROR SERVICE FEE -JSF 13.50 LOCAL ARREST FEES -LAF 146.43 LEMI 0.00 LEDA 0.00 LEOC 0.00 OCL 0.00 PARKS& WILDLIFE ARREST FEES -PWAF 36.38 STATE ARREST FEES -SAF 21.9D SCHOOL CROSSING/CHILD SAFETY FEE- SCF 0.00 SUBTITLE C -SUBC 38.02 STATE TRAFFIC FINES -EST 9.1.19-STF 346.74 TABC ARREST FEES -TAF 0.00 TECHNOLOGY FUND -TF 13.50 TRAFFIC -TFC 3.61 LOCAL TRAFFIC FINE-2020 20.81 TIME PAYMENT -TIME 55.02 TIME PAYMENT REIMBURSEMENT FEE-2020 382.32 TRUANCY PREVENTIOMDIVERSION FUND -TPDF 6.74 LOCAL& STATE WARRANT FEES'-WRNT 1,013.73 COLLECTION SERVICE FEE-MVBA -CSRV 2,357.72 DEFENSIVE DRIVING COURSE -DDC 0.00 DEFERRED FEE - OFF 0.00 DRIVING EXAM FEE- PROV OL 0.00 FILING FEE -FFEE 0.00 STATE CONSOLIDATED CIVIL FEE -2022 42.00 LOCAL CONSOLIDATED CIVIL FEE -2022 66.00 FILING FEE SMALL CLAIMS- FFSC 0.00 JURY FEE -JF 0.00 COPIES/CERTIFED COPIES - CC 0.00 INDIGENT FEE -CIFF or INOF 0.00 JUDGE PAY RAISE FEE -JPAY 20.25 SERVICE FEE -SFEE 0.00 OUT -OF -COUNTY SERVICE FEE 0.00 ELECTRONIC FILING FEE- EEF CV 0.00 EXPUNGEMENTFEE-EXPG 0.00 EXPIRED RENEWAL -EXPR 0.00 ABSTRACT OF JUDGEMENT -AOJ 0.00 ALLWRITS-WOP/WOE 150.00 DPS FTA FINE -DPSF 1,354.27 LOCAL FINES - FINE 6,964.98 LICENSE & WEIGHT FEES -LWF 0.00 PARKS & WILDLIFE FINES -PWF 2,133.03 SEATBELT/UNRESTRAINED CHILD FINE - SEAT 0.00 JUDICIAL& COURT PERSONNEL TRAINING-JCPT 0.00 ' OVERPAYMENT (OVER $10)-OVER 60.00 ' OVERPAYMENT($10 AND LESS) - OVER 0.00 RESTITUTION - REST 0.00 PARKS & WILDLIFE -WATER SAFETY FINES-WSF 0.00 MARINE SAFETYPARKS&WILDLIFE -MSO 0.00 TOTAL ACTUAL MONEY RECEIVED ENTER LOCAL WARRANT FEES 577.98 RECORD ON TOTAL PAGE OF HILL COUNTRYSOFTANARE MO. REPORT STATE WARRANT FEES $435.77 RECORD ON TOTAL PAGE OF HILL COUNTRY SOMAPE MO. REPORT O CCISD-50% of Fine on JV cases NO U"EASE INCLUDE D.R. REQUESTING DISBURSEMENT O DA RESTITUTION FUND 0.00 PIFASE INCLUDE D.R. REQuesnxc DlssuasEMErvT NO OF OVERPAYMENTS 60.00 PLEASEINCLDDE D.R. REQUESTING DISaURSEMENT IF -COUNTY SERVICE FEE 0.00 PIFasEINCWOE D.R. REQUEsnrvc mseURSEMENT BONDS 0.00 PUEASEINCLUCE 6R. REQUESTING DISSURSEMENTQF REQUIRED) TOTAL DUE TO OTHERS $60.00 ACTUAL Treasurer's Receipts MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 5/1/2024 COURT NAME: JUSTICE OF PEACE NO. 1 MONTH OF REPORT: APRIL YEAR OF REPORT: 2024 ACCOUNT NUMBER ACCOUNT NAME AMOUNT CR 1000-001-45011 FINES 8,639.20 CR 1000-001-44190 SHERIFF'S FEES 1,119.63 ADMINISTRATIVE FEES: DEFENSIVE DRIVING 0.00 CHILD SAFETY 0.00 TRAFFIC 24.42 ADMINISTRATIVE FEES 147.12 EXPUNGEMENT FEES 0.00 MISCELLANEOUS 0.00 CR 1000-001-44361 TOTAL ADMINISTRATIVE FEES 171.54 CR 1000-001-44010 CONSTABLE FEES -SERVICE 150.00 CR 1000-001-44061 JP FILING FEES 0.00 CR 1000-001-44090 COPIES / CERTIFIED COPIES 0.00 CR 1000-001-49110 OVERPAYMENTS (LESS THAN $10) 0.00 CR 1000-001-44322 TIME PAYMENT REIMBURSEMENT FEE 382.32 CR 1000-001-44145 SCHOOL CROSSING/CHILD SAFETY FEE 0.00 CR 1000-999-20741 DUE TO STATE -DRIVING EXAM FEE 0.00 CR 1000-999-20744 DUE TO STATE-SEATBELT FINES 0.00 CR 1000-999-20745 DUE TO STATE -CHILD SEATBELT FEE 0.00 CR 1000-999-20746 DUE TO STATE -OVERWEIGHT FINES 0.00 CR 1000-999-20770 DUE TO JP COLLECTIONS ATTORNEY 2,357.72 TOTAL FINES, ADMIN. FEES & DUE TO STATE $12,820.41 CR 2670-001-44061 COURTHOUSE SECURITY FUND $199.89 CR 2720-001-44061 JUSTICE COURT SECURITY FUND $3.38 CR 2719-001-44061 JUSTICE COURT TECHNOLOGY FUND $168.41 CR 2699-001-44061 JUVENILE CASE MANAGER FUND $8.05 CR 2730-001-44061 LOCAL TRUANCY PREVENTION & DIVERSION FUND $193.64 CR 2669-001-44061 COUNTY JURY FUND $3.87 CR 2728-001-44061 JUSTICE COURT SUPPORT FUND $50.00 CR 2677-001-44061 COUNTY DISPUTE RESOLUTION FUND $10.00 CR 2725-001-44061 LANGUAGE ACCESS FUND $6.00 STATE ARREST FEES DPS FEES 91.53 P&W FEES 7.28 TABC FEES 0.00 CR 7020-999-20740 TOTAL STATE ARREST FEES 98.81 CR 7070-999-20610 CCC-GENERAL FUND 13.50 CR 7070-999-20740 CCC-STATE 121.52 DR 7070-999-10010 135.02 CR 7072-999-20610 STATE CCC- GENERAL FUND 240.11 CR 7072-999-20740 STATE CCC- STATE 2,160.98 DR 7072-999-10010 2,401.09 CR 7860-999-20610 STF/SUBC-GENERAL FUND 1.80 CR 7860-999-20740 STF/SUBC-STATE 34.22 DR 7860-999-10010 36.02 CR 7860-999-20610 STF- EST 9/1/2019- GENERAL FUND 13.87 CR 7860-999-20740 STF- EST 9/1/2019- STATE 332.87 DR 7860-999-10010 346.74 Page 1 of 3 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 5/1/2024 COURT NAME: JUSTICE OF PEACE NO. 1 MONTH OF REPORT: APRIL YEAR OF REPORT: 2024 CR 7950-999-20610 CR 7950-999-20740 9 C • 1 GIi]W TP-GENERAL FUND TP-STATE 55.02 27.51 27.51 Page 2 of 3 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 5/1/2024 COURT NAME: JUSTICE OF PEACE NO. 1 MONTH OF REPORT: APRIL YEAR OF REPORT: 2024 CR 7480-999-20610 CIVIL INDIGENT LEGAL-GEN. FUND 0.00 CR 7480-999-20740 CIVIL INDIGENT LEGAL -STATE 0.00 DR 7480-999-10010 0.00 CR 7865-999-20610 CRIM-SUPP OF IND LEG SVCS-GEN FUND 0.67 CR 7865-999-20740 CRIM-SUPP OF IND LEG SVCS-STATE 6.07 DR 7865-999-10010 6.74 CR 7970-999-20610 TUFTA-GENERAL FUND 38.38 CR 7970-999-20740 TL/FTA-STATE 76.75 DR 7970-999-10010 115.13 CR 7505-999-20610 JPAY - GENERAL FUND 2.03 CR 7505-999-20740 JPAY-STATE 18.22 DR 7505-999-10010 20.25 CR 7857-999-20610 JURY REIMB. FUND- GEN. FUND 1.35 CR 7857-999-20740 JURY REIMB. FUND- STATE 12.15 DR 7857-999-10010 13.50 CR 7856-999-20610 CIVIL JUSTICE DATA REPOS.- GEN FUND 0.01 CR 7856-999-20740 CIVIL JUSTICE DATA REPOS.- STATE 0.11 DR 7856-999-10010 0.12 CR 7502-999-20740 JUD/CRT PERSONNEL TRAINING FUND- STATE 0.00 DR 7502-999-10010 0.00 7998-999-20740 TRUANCY PREVENT/DIV FUND - STATE 3.37 7998-999-20701 JUVENILE CASE MANAGER FUND 3.37 DR 7998-999-10010 6.74 7403-999-22889 ELECTRONIC FILING FEE - CV STATE 0.00 DR 7403-999-22889 0.00 7858-999-20740 STATE CONSOLIDATED CIVIL FEE 42.00 42.00 TOTAL (Distrib Req to OperAcct) $16,740.82 DUE TO OTHERS (Distrib Req Attchd) CALHOUN COUNTY ISD 0.00 DA - RESTITUTION 0.00 REFUND OF OVERPAYMENTS 60.00 OUT -OF -COUNTY SERVICE FI 0.00 CASH BONDS 0.00 PARKS & WILDLIFE FINES 1,813.08 WATER SAFETY FINES 0.00 TOTAL DUE TO OTHERS $1,873.08 TOTAL COLLECTED -ALL FUNDS $18,613.90 LESS: TOTAL TREASUER'S RECEIPTS $18,613.90 REVISED 02/02/2022 OVER/(SHORT) $0.00 Page 3 of 3 CALHOUN DISTRIBUTION COUNW REQUEST 201 West Austin DR# 450 A 45413 PAYEE PAYOR Name: Calhoun County Oper. Acct. Official: Hope Kurtz Address: Title: Justice of the Peace, Pct. 1 City: State: Zip: Phone: ACCOUNT NUMBER DESCRIPTION AMOUNT 7541-999-20759.999 JP1 Monthly Collections - Distribution $16,740.82 APRIL 2024 V# 967 TOTALI 16,740.82 Signature orOfficw Date ENTER COURT NAME: JL%'nCE OF PEACE NO.2 'ENTER MONTH OF REPORT RENTER Mra YEAR OF REPORT II2dQ2A CODE:: NJOUM ... ..CASH BONDS, .y» , .. >.q.. 7 ADMINISTRATIONFEE-ADMF% 0.60' BREATH ALCOHOL: TESTING -BA "0.Q0 CONSOLIDATED COURT COSTS -CCC 189.68' STATE CONSOLIDATED COURT COST- 2020 LOCAL CONSOLIDATED COURT COST-2020 176.18' COURTHOUSESECURITY -CHS : 16.63+ : CJP 0.00: CIVIL JUSTICE DATA REPOSITORY FEE -CJDR- 0.01: CORRECTIONAL MANAGEMENT INSTITUTE -CMI .QAQ:- - - ' CR OAO. CHILD SAFETY -:CS OAQ--' CHILD SEATSELT FEE- CSBF : 9.00, CRIME VICTIMS COMPENSATION -CVC 0.00: DPSCIFAILURE TO APPEAR-OMNI-OPSC 4MOO' ADMINISTRATION FEE FTAIFTP,Oka OMNI}2020- 1.18 - - ELECTRONIC F0.INGFEE -EEF OAO; FUGITIVE APPREHENSION -FA 0.00; - GENERAL REVENUE-GR OAq' CRIM- IND LEGALSVCS SUPPORT -IDF' 9.32.'' JUVENILE CRIME &DEUNQUENCY-JCO 0190_ JUVENILE CASE MANAGER FUND -JCMF- 11.85' - - JUSTICE COURT PERSONNEL TRAINING -JCPrr 0.q0;' JUROR SERVICE FEE -JSF 18.63. LOCAL ARREST FEES -LAF' 12LAL - LEMI OW LEOC ' OCL Q:OQk PARKS&WILDLIFE ARREST FEES - PWAF,� 20 -.. STATE ARREST FEES -SAP SCNOOLCROSSINGICHILD SAFETY FEE -SOF ,.Q00:„- ' SUBTITLE C-BUBO iQTq' STATE TRAFFIC FINES-EST9.1.19-STF TABC ARREST FEES-TAF' 'O;Q,Oy TECHNOLOGY FUND -TF- 'A3 TRAFFIC-:TFC 2JIV - LOCAL TRAFFIC FINE- 2020-', 1BAI1 TIME PAYMENT -TIME'' 16,47,. TIME PAYMENT REIMBURSEMENTFEE. 2020 ;' 1.101 TRUANCY PREVENTIONIDIVERSION FUND -TPOF' 9 LOCAL& STATE WARRANT FEES -WRNT" 289.7 COLLECTION SERVICE FEE-MVBA-CSRV TWA; DEFENSIVE DRIVING COURSE -DOC' fQ.aq., DEFERRED FEE - OFF .,WB( DRIVING NG EXAM FEE-PROV OL 'OA0` FIUNGFEE-FFEE STATE CONSOLIDATED. CIVIL FEE -2022 �. LOCAL CONSOLIDATED CIVIL FEE -2022 FILING FEE SMALL CLAIMS -FFSC .. 0.{141 -' JURYFEE-JF .',0,00{ GOPIESICERTIFED COPIES -CC Q' INDIGENT FEE -CIFF Or INDF '0_QM< '- JUDGE PAY RAISE FEE- JPAY SERVICE FEE -SFEE OUT -OF -COUNTY SERVICE FEE U ELECTRONIC FILING FEE -EEFCV OAC:: --EXPUNGEMENT FEE -EKPG 0.00'-. EXPIRED RENEWAL -EXPR 0.00`. ABSTRACT OF JUDGEMENT -AOJ oAot, ALLWRITS-WOP/WOE O.OQ DPSFTA FINE -DPSF 210as LOCAL FINES -FINE 1,567,4Q1 ..LICENSE &WEIGHT FEES -LWF -..PARKS & WILOLIFEFINES ; PWF 046' SEATBELTAJNREBTROJNEDCHILD FINE -SEAT PAR LL -JUDICCO& COURT PERSONNEL �ICPT `4E .OVERPAYMENT (OVER $10)- OVER • OVERPAYMENT($10AND LESS) -OVER OAQ' RF-STDUTION-REST QAO: PARKS & WILDLIFE -WATER SAFETY FINES-WSF MARINE SAFETY PARKS &: WILDLIFE -MSO %, 0.9 - TOTAL ACTUAL MONEY RECEIVED : 83L03 - - TTYPE: AMOUNT TOTALWARRANTFEES ` 289.78 ENTER LOCAL WARRANT FEES,',? MGWONTOTALPAGEOFIaLLOOUMMeOFTwA W.P RT STATE WARRANT. FEES $182.93.:KMMONTOTALPAGEWM000N WFMW MG.REPOU DUE TO OTHERS:, AMOUNT DUE TO CCISD-60% 0f F81e 0n JV cases %EREEINCLUDE D.R.MQMnNQDlseu MW DUETO DARESTITIMON FUND 0.00� KMWINCLUM UR.MOUMMOseURSEI&W REFUND OF OVERPAYMENTS - [: 0.00 INCLUDE am.FrauesnNGmswma OUT -OF -COUNTY SERVICE FEE. ' . O.00. FLUAM MUDS DRrEuuesnxo mseuwsEA�NT CASH BONDS 0.00.. mFAMMUDE D.RMQUE0NGDIBWRBEAEM(IFREWIRED) TOTAL WETOOTHERB -00. TREASURERS RECEIPTS FOR MONTH: AMOUNT. Calculate from ACTUAL Treasurers Receipts TOTAL TREAS. RECEIPTS- 4;931.03, CALHOUN DISTRIBUTION COUNTY REQUEST 201 West Austin DR# 450 A 45413 PAYEE Name: Calhoun County Oper. Acct. Address: City: State: Zip: Phone: PAYOR Official: Title: Thomas Dio Justice of the Peace, Pct. 2 ACCOUNT NUMBER - DESCRIPTION - AMOUNT. 7542.999-20759-999 JP2 Monthly Collections - Distribution $4,931.03 April 2024 V# 967 J, Signature of Offica Date TOTAL 4,931.03 ENTER COURT NAME: JUSTICE OF PEACE NO. 3 ENTER MONTH OF REPORT APRIL ENTER YEAR OF REPORT 2022` 2024 CODE AMOUNT. CASH BONDS .REVISED 02/02/2021 ADMINISTRATION FEE -ADMF BREATHALCOHOLTESTING -BAT CONSOLIDATED COURT COSTS -CCC 60-60 STATE CONSOLIDATED COURT COST-2020 491.90 LOCAL' CONSOLIDATED COURT COST-. 2020 111.07 - COURTHOUSE SECURITY -CHS 6.07 CJP CIVIL JUSTICE DATA REPOSITORY FEE =CJOR 0.10 CORRECTIONAL MANAGEMENT INSTITUTE-CMI CR CHILD 'SAFETY -CS CHILD. SEATSELT FEE - CSSF CRIME VICTIMS COMPENSATION -CVC ' DPSC/FAILURE TO APPEAR -OMNI-OPEC 15.52 ADMINISTRATION FEE FTAIFTP (aka OMNI} 2020 ELECTRONIC FILING FEE -EEF FUGITIVE APPREHENSION - FA GENERAL REVENUE -Ell CRIM—IND LEGAL.SVCS SUPPORT -IDF 3.03 JUVENILE CRIME & DELINQUENCY —JCD -. JUVENILE CASE MANAGER FUND -JCMF 1.70 JUSTICE COURT PERSONNEL TRAINING -JCPT JUROR SERVICE FEE -JSF 6.07 '. LOCAL ARREST FEES -LAF 27.26 LEMI LEDA - - LEOC OCL - PARKS& WILDLIFE ARREST FEES .-PWAF STATE ARREST FEES -SAP 20.00 SCHOOL CROSSINGICHILD SAFETY FEE S-SCF SUBTITLE C-SUBC STATE TRAFFICFINES•EST 9;1,14 STF 230.71 TABC ARREST FEES -TAF TECHNOLOGY FUND -TF 6.07 TRAFFIC -TFC LOCAL. TRAFFIC FINE- 2020 13.84 - -TIME PAYMENT -TIME TIME PAYMENT REIMBURSEMENT FEE-2020 20.36 - TRUANCY PREVENTIONIDIVERSIONFUND '-TPOF 2.00 LOCAL& STATE WARRANT FEES- WRNT 175,86 COLLECTION SERVICE FEE-MVBA-CSRV 203.01 DEFENSIVE DRIVING COURSE -DDC DEFERRED FEE -OFF DRIVINGEXAMFEE- PROVOL -. FILING FEE -FFEE STATE CONSOLIDATED CIVIL FEE -.2022 168.00 LOCAL. CONSOLIDATED CIVIL FEE -2022 241.05 FILING. FEE.SMALLCLAIMS -FFSC JURY FEE -JF COPIESICERTIFED COPIES -CC INDIGENT. FEE -CIFF orINDF JUDGE PAY RAISE .FEE —JPAY 9.10 SERVICE FEE -SFEE 22.92 OUT -OF -COUNTY SERVICE FEE ELECTRONIC FILING FEE -EEF CV EXPUNGEMENT FEE -EXPG - EXPIRED RENEWAL -EXPR -ABSTRACT OF JUDGEMENT -AOJ ALLWRITS-WOP/WOE DPS FTA FINE -DPSF --LOCAL FINES - FINE 1,120.85 LICENSE & WEIGHT FEES -.LWF PARKS & WILDLIFE FINES —PWF " SEATBELTIUNRESTRAINED CHILD FINE - SEAT JUDICIAL& COURT PERSONNEL TRAININGJCPT ' OVERPAYMENT (OVER $10)-OVER ' OVERPAYMENT ($10 AND LESS) - OVER RESTITUTION -REST - PARKS & WILDLIFEWATER SAFETY FINESWSF MARINE: SAFETY PARKS & WILDLIFE -MSO TOTAL ACTUAL: MONEY RECEIVED $2,957.21- TYPE: AMOUNT TOTAL WARRANT FEES 176.86 ENTER LOCAL WARRANT FEES 125. RECORD ONT01&FGEOF HUMSOFTNn MO.x RF STATE WARRANT FEES REPOM DUE TO OTHERS: AMOUNT. DUE TOCCISD-50% of. Fine on JV cases 0.00 BEADS MUDE D.R NEOUESTING D6BUP2E 1WT DUE TO DA RESTITUTION FUND OA0 a.FnsE IJDE o.R x UESTMDlssuRa Blt REFUND. OF OVERPAYMENTS I : 0.00 nFnsElNauDE DRREGUMTINGDIasURWW OUT -OF -COUNTY SERVICE FEE 0.00 KMEIN JDE D.RaEWWrNGI)eWR8WMT CASH BONDS 0,00 0. EINMUM D.R PEUUESTING(N8URWM (IF REWIRED) TOTAL DUE TO OTHERS 0,00 TREASURERS. RECEIPTS FOR MONTH: AMOUNT A H,CH ,M.O,B .2 Cslsulete from ACTUAL Treasurers Receipts W2,7 ,._._ - TOTAL TREAS. RECEIPTS. 2, 7.21 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 5/1/2024 COURT NAME: JUSTICE OF PEACE NO.3 MONTH OF REPORT: APRIL YEAR OF REPORT: 2024 ACCOUNTNUMBER ACCOUNTNAME AMOUNT CR 1000-001-45013 FINES 1,120.85 OR 1000-00144190 SHERIFF'S FEES 209.12 ADMINISTRATIVE FEES. DEFENSIVE DRIVING 0.00 CHILD SAFETY 0.00 TRAFFIC 13.84 ADMINISTRATIVE FEES 0.00 EXPUNGEMENT FEES 0.00 MISCELLANEOUS 0.00 OR 1000-001-44363 TOTAL ADMINISTRATIVE FEES 13.84 OR 1000-001-44010 CONSTABLE FEES -SERVICE 22.92 OR 1000-001-44063 JP FILING FEES 0.00 OR 1000-001-44090 COPIES / CERTIFIED COPIES 0.00 OR 1000-001-49110 OVERPAYMENTS (LESS THAN $10) 0.00 OR 1000-001-44322 TIME PAYMENT REIMBURSEMENT FEE 20.36 OR 1000-001-44145 SCHOOL CROSSING/CHILD SAFETY FEE 0.00 OR 1000-999-20741 DUE TO STATE -DRIVING EXAM FEE 0.00 OR 1000-999-20744 DUE TO STATE-SEATBELT FINES 0.00 OR 1000-999-20745 DUE TO STATE -CHILD SEATBELT FEE 0.00 OR 1000-999-20746 DUE TO STATE -OVERWEIGHT FINES 0.00 OR 1000-999-20770 DUE TO JP COLLECTIONS ATTORNEY 203.01 TOTAL FINES, ADMIN. FEES & DUE TO STATE $1,590.10 OR 2670-001-44063 COURTHOUSE SECURITY FUND $43.43 OR 2720-001-44063 JUSTICE COURT SECURITY FUND $1,52 OR 2719-001-44063 JUSTICE COURT TECHNOLOGY FUND $37.80 OR 2699-001-44063 JUVENILE CASE MANAGER FUND $1.70 OR 2730-001-44063 LOCAL TRUANCY PREVENTION & DIVERSION FUND $39.67 OR 2669-001-44063 COUNTY JURY FUND $0.79 OR 2728-001-44063 JUSTICE COURT SUPPORT FUND $102.64 OR 2677-001-44063 COUNTY DISPUTE RESOLUTION FUND $36,53 OR 2725-001.44003 LANGUAGE ACCESS FUND _ _$21.92' STATE ARREST FEES _ DPS FEES 14.00 P&W FEES 0.00 TABC FEES 0.00 OR 7020-999-20740 TOTAL STATE ARREST FEES 14.00 OR 7070-999-20610 CCC-GENERAL FUND 6.07 OR 7070-999-20740 CCC-STATE 54.62 DR 7070-999-10010 60.69 OR 7072-999-20610 STATE CCC- GENERAL FUND 49.19 OR 7072-999-20740 STATE CCC- STATE 442.71 DR 7072-999-10010 491.90 OR 7860-999-20610 STF/SUBC-GENERAL FUND 0.00 OR 7860-999-20740 STF/SUBC-STATE 0.00 DR 7860-999-10010 0.00 OR 7860-999-20610 STF- EST 9/1/2019- GENERAL FUND 9.23 OR 7860-999-20740 STF- EST 9/1/2019- STATE 221.48 DR 7860-999-10010 230.71 Page 1 of 2 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 5/1/2024 COURT NAME: JUSTICE OF PEACE NO.3 MONTH OF REPORT: APRIL YEAR OF REPORT: 2024 CR 7950-999-20610 TP-GENERAL FUND 0.00 CR 7950-999-20740 TP-STATE 0.00 DR 7950-999-10010 0.00 CR 7480-999-20610 CIVIL INDIGENT LEGAL-GEN. FUND 0.00 CR 7480-999-20740 CIVIL INDIGENT LEGAL -STATE 0.00 DR 7480-999-10010 0.00 CR 7865-999-20610 CRIM-SUPP OF IND LEG SVCS-GEN FUND 0.30 CR 7865-999-20740 CRIM-SUPP OF IND LEG SVCS-STATE 2.73 DR 7865-999-10010 3.03 CR 7970-999-20610 TUFTA-GENERAL FUND 5.17 CR 7970-999-20740 TUFTA-STATE 10.35 DR 7970-999-10010 15.52 CR 7505-999-20610 JPAY - GENERAL FUND 0.91 CR 7505-999-20740 JPAY - STATE 8.19 DR 7505-999-10010 9.10 CR 7857-999-20610 JURY REIMB. FUND- GEN. FUND 0.61 CR 7857-999-20740 JURY REIMB. FUND- STATE 5.46 DR 7857-999-10010 6.07 CR 7856-999-20610 CIVIL JUSTICE DATA REPOS: GEN FUND 0.01 CR 7856-999-20740 CIVIL JUSTICE DATA REPOS: STATE 0.09 DR 7856-999-10010 0.10 CR 7502-999-20740 JUD/CRT PERSONNEL TRAINING FUND- STATE 0.00 DR 7502-999-10010 0.00 7998-999-20740 TRUANCY PREVENT/DIV FUND - STATE 1.00 7998-999-20701 JUVENILE CASE MANAGER FUND 1.00 DR 7998-999-10010 2.00 7403-999-22889 ELECTRONIC FILING FEE - CV STATE 0.00 DR 7403-999-22889 0.00 7858-999-20740 STATE CONSOLIDATED CIVIL FEE 168.00 168.00 TOTAL (Distrib Req to OperAcct) $2,957.21 DUE TO OTHERS (Distrib Req Attchd) CALHOUN COUNTY ISD 0.00 DA - RESTITUTION 0.00 REFUND OF OVERPAYMENT: 0.00 OUT -OF -COUNTY SERVICE FI 0.00 CASH BONDS 0.00 PARKS & WILDLIFE FINES 0.00 WATER SAFETY FINES 40 0.00 TAL DUE TO OTHERS $0.00 TOTAL COLLECTED -ALL FUNDS $2,967.21 LESS: TOTAL TREASUEWS RECEIPTS $2,957.21 REVISED 02/02/2021 OVER/(SHORT) $0.00 Page 2 of 2 OS/07/2024 08121Calhoun County JP 4 (FAX)3617852179 P.002/005 ENTER COURT NAME: IJUSTICE OF PEACE Na 4 ENTER MONTH OF REPORT APRIL ENTER YEAR OF REPORT 2024 CODE AMOUNI CASH BONDS ADMINISTRATION FEE-AOMF BREATH ALCOHOL TESTING- SAT CONSOLIDATED COURT COSTS -CCC 320.00 STATE CONSOLIDATED COURT COST-2020 469.17 LOCAL CONSOLIDATED COURT COST-2020 103.69 COURTHOUSE SECURITY• CHS 17.00 CUP CIVIL JUSTICE DATA REPOSITORY FEE -ODOR OAO CORRECTIONAL MANAGEMENT INSTITUTE -CMI OR CHILD 3APETY-CS Ism CHILD SEATBELT FEE- CSBF CRIME VICTIMS COMPENSATION -CVC DPSCIFAILURE TO APPEAR -OMNI-OPSC 14C.00 ADMINISTRATION FEE FTATTP(aka OMNO-2020 54.07 ELECTRONIC FILING FEE -EEF FUGITIVE APPREHENSION - FA GENERALREVENUE-GR GRIM- WD LEGAL SVCS SUPPORT- IDF 16.00 JUVENILE CRIME & DELINQUENCY-JCO JUVENILE CASE MANAGER FUND -JCMF 6.00 JUSTICE COURT PERSONNEL TRAININO-JCPT JUROR SERVICE FEE -JSF 32.00 LOCAL ARREST FEES -LAP 02.01 LEMI LEDA LEDO OCL PARKS & WILDLIFE ARREST FEES - PWAF STATE ARREST FEES -SAP 15.00 SCHOOL CRDSSINGICHILD SAFETY FEE -SCF SUBTITLE C -SUBC 90.00 STATE TRAFFIC FINE&EST9.1.19-STF 11SA6 TASCARRESTFEES-TAF TECHNOLOGY FUND-TF 32.00 TRAFFIC-TFC 040 LOCAL TRAFFIC FIN&2020 7.11 TIMEPAYMENT-TIME TIME PAYMENT REIMBURSEMENT FEE• 2020 19.98 TRUANCY PREVENTION/DIVERSION FUND -TPDF 12.00 LOCAL & STATE WARRANT FEES- WRNT COLLECTION SERVICE FEE-MVBA-CSRV 663.66 DEFENSIVE DRMNG COURSE- DOC DEFERRED FEE -OFF DRIVING EXAM FEE- PROV DL FlLWGFEE-FFEE STATE CONSOLIDATED CIVIL FEE -2022 21.00 LOCAL CONSOLIDATED CIVIL FEE -2022 33.00 FILING FEE SMALL CLAIMS - FFBC JURYFEE-JF COPIE=ERTIFED COPIES -CC INDIGENT FEE- CIFF 4r INOF JUDOEPAYRNBEFEE-JPAY 40.00 SERVICEFEE-BFEE OU-OFCOVNTY SERVICE FEE ELECTRONIC FILING FEE -EEF CV EXPUNGEMENTFEE-EXPG EXPIRED RENEWAL-EXPR ABSTRACT OF JUDGEMENT. AOJ ALLWRITS-WOP/WOE MAO 009"AFINE-DPSF 60.00 LOMFINES-FINE IA47.88 LICENSE& WEIGHT FEES -LWF PARKS WILDLIFE FINES -PWF SEATBELTAINRESTRAINEO CHILD FINE -SEAT • JUDICIAL & COURT PERSONNEL TRAININ&JCPY • OVERPAYMENT (OVER SIG) -OVER • OVERPAYMENT (51 D AND LESS) -OVER RESTNUTION-REST PARKS & WILDLIF&WATER SAFETY FINES-WSF MARINE SAFETY PARKS & WILDLIFE -MSO TOTAL ACTUAL MONEY RECEIVED E4.321.40 PE: AMOUNT TOTALWARRANT FEES 0.0 ENTER LOCAL WARRANT FEES w.mwatmuvAa40eNuaounmrwnw,vEw.rEooBr STATEWARRANYFEE3 90.09 MCGMQNTOT&.PAG9mRQOXAORTSORWJFEMaRPM DUETOOTHERS: AMOUNT DUETOCCI9D-50%vf FIn9Qn JV Oases 0A0 rLEm4rAx1IM8OxxEmRemppeKauDlDn DUETO DARESTRUTION FUND 0.c ruartnnuoa QxeaMRMnRaspmt0pm REFUND OF OVERPAYMENTS 0.00 PIFAErFauG40AFJp11RIR31NpDWpRpiM6Nf OUY-OF-CCUNTY SERVICE FEE 0.00 00Xiw0AFMQMMN&9 MD= CASH BONDS 0.00 KAMEWR906 ORmWi lRGB14al"WRREwo" TOTAL DUE TO OTHERS EDAO TAEASURBRSRECEIPTS FOR MONTH: AMOUNT CASH, CH ,M. A & URtOffOARS 54,321.40 CAMW11e94MACRIALTIMwr4Ye Rmtpa TOTAL TREAS. RSCEIPTS 34,021A0 05/07/2024 08:22Calhoun County JP 4 (FAX)3617852179 P.003/005 $17/2024 COURT NAME: JUSTICE OF PEACE NO.4 MONTH OF REPORT: APRIL YEAR OF REPORT: 2024 ACCOUNTNUMBER ACCOUNTNAME AMOUNT CR 1000-001-45014 FINES 2,007.86 CR 1000-001.44190 SHERIFF'S FEES 74.01 ADMINISTRATIVE PEES: DEFENSIVE DRIVING 0.00 CHILD SAFETY 15.00 TRAFFIC 16.11 ADMINISTRATIVE FEES 54.07 EXPUNGEMENT FEES 0.00 MISCELLANEOUS 0.00 CR 1000-001-44364 TOTAL ADMINISTRATIVE FEES 85.18 CR 1000-001-44010 CONSTABLE FEES -SERVICE 20.00 CR 1000-OD144064 JP FILING FEES 0.00 CR 1000.001.44090 COPIES/CERTIFIED COPIES 0.00 CR 1000-00149110 OVERPAYMENTS (LESS THAN $10) 0.00 CR 1000-001-44322 TIME PAYMENT REIMBURSEMENT FEE 19.98 CR 1000-001-44145 SCHOOL CROSSING/CHILD SAFETY FEE 0.00 CR 1000.999-20741 DUE TO STATE -DRIVING EXAM FEE 0.00 CR 100MOS-20744 DUE TO STATE-SEATBELT FINES 0.00 CR 1000-999-20745 DUE TO STATE -CHILD SEATBELT FEE 0.00 CR 1000-999.20746 DUE TO STATE -OVERWEIGHT FINES 0.00 CR 1000-999-20770 DUE TO JP COLLECTIONS ATTORNEY 663.66 TOTAL FINES, ADMIN. FEES & DUE TO STATE $2,870.68 CR 2670-001.44064 COURTHOUSE SECURITY FUND $49.04 CR 2720-001-44064 JUSTICE COURT SECURITY FUND $4.25 CR 2719-001-44064 JUSTICE COURT TECHNOLOGY FUND $61.63 CR 2699-001-44084 JUVENILE CASE MANAGER FUND $5.00 CR 2730-001-44084 LOCAL TRUANCY PREVENTION & DIVERSION FUND $37.03 CR 2669-001-44064 COUNTY JURY FUND $0.74 CR 2728-00144064 JUSTICE COURT SUPPORT FUND $25.00 CR 2677-001-44084 COUNTY DISPUTE RESOLUTION FUND $5.00 �R 2725-0D1-44064 LANGUAGE ACCESS FUND $3.00 STATEARRESTPEES DPS FEES 3.00 P&W FEES 0.00 TABC FEES 0.00 CR 7020-999-20740 TOTAL STATE ARREST FEES 3.00 CR 7070-999-20610 CCC-GENERAL FUND 32.00 CR 7070-999.20740 CCC-STATE 288.00 DR 7070-999-10010 320.00 CR 7072-999-20610 STATE CCC- GENERAL FUND 45.92 CR 7072-999-20740 STATE CCC- STATE 413.25 DR 7072-999.10010 469.17 CR 7860-999.20010 STF/SUBC-GENERAL FUND 4.50 CR 7860-999-20740 STF/SUBC-STATE 85.50 DR 7880-999-10010 90.00 CR 785D-999-20610 STF- EST 9/1/2019- GENERAL FUND 4.74 CR 7860.999-20740 STF- EST 9/112019- STATE 113.72 DR 7860-999.10010 118.46 Page 1 of 3 05/07/2024 08:22Calhoun County JP 4 (FAX)3817852179 P. 004/005 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 8172024 COURT NAME: JUSTICE OF PEACE NO.4 MONTH OF REPORT: APRIL YEAR OF REPORT: 2024 CR 7950-999.20610 TP-GENERAL FUND 0.00 CR 79$0-999-20740 TP-STATE 0.00 DR 7950-999-10010 0.00 Page 2 of 3 05/07/2024 08:22Calhoun County JP 4 (FAX)3617852179 P.005/005 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 5/7/2024 COURT NAME: JUSTICE OF PEACE N0.4 MONTH OF REPORT: APRIL YEAR OF REPORT. 2024 CR 7480-999-20610 CIVIL INDIGENT LEGAL-GEN. FUND 0.00 CR 74OM99-20740 CIVIL INDIGENT LEGAL -STATE 0.00 OR 7480-999-10010 0.00 CR 7865-999-20610 CRIM-SUPP OF IND LEG SVCS-GEN FUND 1.60 CR 7866-999-20740 CRIMSUPP OF IND LEG SVCS-STATE 14.40 DR 7865-999.10010 18.00 CR 7970-999-20610 TUFTA-GENERALIFUND 46.67 CR 7970-999-20740 TUFTA-STATE 93.33 DR 7970-999.10010 140.00 CR 750&999-20010 JPAY- GENERAL FUND 4.80 CR 7SM999-20740 JPAY-STATE 43.20 DR 7505-999-10010 48.00 CR 7857-999-20610 JURY REIMB. FUND- GEN. FUND 3.20 CR 7857-999-20740 JURY REIMB. FUND- STATE 28.80 DR 7857-999-10D10 32.00 CR 7866-999-20610 CIVIL JUSTICE DATA REPOS: GEN FUND 0.04 CR 7856-999-20740 CIVIL JUSTICE DATA REPOS - STATE 0.36 DR 7058-999-10010 0.40 �R 7502-999-20740 JUD/CRT PERSONNEL TRAINING FUND. STATE 0.00 DR 7502-999-10010 0.00 7998-999-20740 TRUANCY PREVENT/DIV FUND - STATE 6.00 7998-999-20701 JUVENILE CASE MANAGER FUND 6.00 DR 7998-999-10010 12.00 7403-999-22889 ELECTRONIC FILING FEE - CV STATE 0.00 DR 7403-999-22889 0.00 7858-999.20740 STATE CONSOLIDATED CIVIL FEE 21.00 21.00 TOTAL (Distrib Reg to OperAccq $4,321.40 DUE TO OTHERS (Distrib Req Attchrq CALHOUN COUNTY ISD 0.00 DA - RESTITUTION 0.00 REFUND OF OVERPAYMENTS 0.00 OUT -OF -COUNTY SERVICE FI 0.00 CASH BONDS 0.00 PARKS & WILDLIFE FINES r 0.00 WATER SAFETY FINES0.00 �TOTAL DUE TO OTHERS $0.00 TOTAL COLLECTED -ALL FUNDS $4,321.40 LESS: TOTAL TREASUER'S RECEIPTS $4,321.40 OVER/(SHORT) $0.00 Page 3 of 3 n n K 'aa yy yp py yp �p (W (roil N il�r[^r'kM L9yybnQT rtbN N rH mHbu'�H mrm T. 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V} 4 0 0 0 O O 0 0 0 0 0 0 O 0 0 0 0 0 r O 0 0 0 0 0 0 0 0 0 0 0 0 O M OO N NOOO41 N O4i Q O u7 L1O OO G1 41 n n n 0 n n n n n n o n 0 n 0 0 n n n n 00 80000000000 0 m mm mmmmmmmmmmmmm+lmmmm 0 m C yyH N tl W Ol b fn Y W Y m I-` Y W N Y N J N N W t0 a W o W O 0 O OI O A �➢ F• m N W W J m N O O O O O O O Ili O N m W J O m VI a O O O N O O O O d O O O J O N a �p fn O OI U O1 l0 O O a O Y N m O� Y 4 W N m m m 4 0 0 O O O O O o 0 0 0 0 0 0 0 0 0 0 0 0 O 0 0 o p p o 0 0 0 o p o 0 0 o Q p o o p o 0 a N W W U1 Y Y m U1 Y J A m Y Y W �O O O O O tl� O W m O O m O O b N W N OJ O a N O O O O O O O O W O N m W J O m N a O O O N O O O O O O O O J O V1 a tO In O m Uf O1 tO O O a O N Y 1-+ Y UI V J UI OI O� l0 a Y Y W (n Y m 1+ W N Y N J N Y O O p O O O O W o N m W J O m (n a O 4 O N O O o o O p p p J O N a Ip (n o p\ U m 10 O o> O 0 o p O o o OO p d o p o o p p o 0 o p p p o O p O O O O O o o O O O o 0 0 o O O O O O O O O O O O O O O O O O O O O O O 6 O O O O J+ Y Y Y J O O O A O O O m O O m W J m J VI a a O O m O Y Y F+ a m rn m N a Y O W N W W O m O OI O O m O O O O F' N O O A W O O O O o O N O O O O O N O O o Y O O O m O O a o O O O N O O O O O tP O O O m m O O N O O N O P M P Cp P (D P P P 6 W m n N m n£ m n O n O m n 4 cHi� n C tHii n P cri� n N in n P aHn n P tHir n b P n n a n (L a T tc n r N P N O N fJ N 2' N JI N N n� Y n• N � N 2 N i 0 i ryd O P Oh' O P O Y O W N K N o N H hri 3 C OH n 9C n KKC n A Cf [C" 3 4 2 H Z M o Ca m m� cAc 7� a a a a a C]a 3m N P J N N N O O O O O O O O O O O N N N N N N N N N N N a a a a a a a a a a a z 1+ N H W N N N N N W W O O O O O O O O P O O O n n £ n C C r 4 n Y N W N u+ vl o O O O O O O W m N m W W W W N O N W W W O N N O O O O O O W O N O n n m n n c n P N W a O O O P a N O Y O O W O 0 0 O H N a a o ip 0 0 0 0 0 o O 30 F+ W P � m m o 0 p o 0 0 0 0 Y O O 0 W W W W W W J J J J J J m m m m W m o O m o O w O m m O M m o N yy b H 7.1 m N O J H O rn N Y W H O a m YJ m H m Z m z m W N O o: IH-1 nY,..zi r COn rtb r�3 r- rtz rcI a 7o a ao a o a o a`No N 4 N H O N R O N H CI N H C N N N d O A 6 H w d O a d O A N I Z 1 y I N 1 a rvOi A d G W RJo HO o O W o So O O fn O b O b W b b OM H H M O Li 'A H N � ICa O H N N O R) UI A A a O W N N N N N N N N N N O O O O O O a A a a g b Rf O H] m m N O r () O x� 7 n H tli A W m Ut m N .� A b S O N N O q O O O O S nY. 2 H fOI A A COI n gg n O y O O O O O z (I ZCZ 1�1 O K H H � O y 5 r\ H ly N W N N N m N y\ L9 (I O b O O O O O •b N rC CI n H O n r m n H S N S 2 N C [S+1 K O O H O O PE C7J pIm vm,�m n r m w m o no Y U H 0 p o lD o o O 66 [q o W q o o O o p y Z M r hppp H O to m o p a' O \ I,p m .y. N Y Y Y N b W W m b o A o 0 o q b 0 N n mai W O COI H H C 3 o m A O to q 0 0 0 0 0 0 rn N q m O O a 4 O Y H w O J N O O O O O O O O O SHERIFF'S OFFICE MONTHLY REPORT Apr-24 BAIL BOND FEE $ 480.00 CIVIL FEE $ 750.50 CASH BOND $ - JP#1 $ 4,285.50 JP#2 $ 251.50 JP#3 $ 446.50 JP#4 JP#5 SEADRIFT MUN. $ 395.00 PC MUN $ 3,182.40 PROPERTY SALE PRE-INDITMENT TOTAL: $ 9,791.40 prv� #15 ' NOTICF OF MEE PING 5/15/2024 15. Consider and take necessary action on any necessary budget adjustments. (RHM) 2024 RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: David Hall, Commissioner Pct 1 AYES: Commissioner Hall, Lyssy, Reese Page 12 of 13 �1 V 11 w IL a i a 0 O LU y H j a U 0 ui U O Poo M H = o = N = rS = =0 =_O ZZ __ L =Z W =G/ = w = d w =p J 0 0 w Q K F z U g o Z 0 a Z C Z i L _ 01ol zz 9 9 Z Z e rn rn w a w w D $, M M M N ofN w 0 a ) 6 2 2 2 2 2 J z § q § 2 2 IN a z zz :z ;o % z iw ia § :w o iz 2 @ , s . .LLI � § :§ ■ § :w B lu � moo coo BE / 0 ui ui � z 2 � � 2 § $ ; i§E § Bee 21 al 21 ( § k ƒ ; § ;k ;o ;z ;z �§ :IL :§ O O V �1 1 m Z C N N C W N V N 6 N fM0_ fM0_ 0 O O m <h C6 a = OO M M EBB ��r =W w» = tT W N N o mO t0 t0 OV = V O OD fA n O� = O J y N N y fR N V A M _Z p fMp O B 65 i B M M ZZ � N� i 4A !R p = =Z W f9 N W !A iR (A f9 H M _ CWC W yy 00 = r =d =W 00 cc 3 _ r =v 2 =Q oQ=W h W O~ OF =Q W y _3 W � .°� =Z o H) J K z qaW C 0000 ¢ =rt J U' g zW N zzZZ=p ZZg w hW ern¢ y p � rnrnm0, V =F y O � rnrn rn W V rn rn rn rn Z __�% W v rn rn o Z w w _ W Q O rn EL U C z a =� N W�ww _E O W = v O Puf = W a �Z-,ozzQ� aD z eQ°U3 z m N 0a. aOz =Z Is wy D a. O� =F a 0 y W w H _ W aHU _ H a = �m O 0 �ovmilu =d O C I o0 �m O O z 'F z W Id W a aW L6 J aW Q WEz =_ Z � o WS 'F Z z z Q W = C C z 2 _ Q a 0 F U W m Q 0 O z a z O 0 w rc a z U. z W ul C Q la W f awe e w 0 N oo of o W WC9 fR iR f9 M CD 0 z z CCe rn rn �z w LL cc)o z LL O O H 0 0 w K H (7 0 zz F- 9 h $ o m J F 0 z O a F y z °a z J a 0 0 J U. m a 0 19 a 3 W z s. w v 0 LLI LU .l N O aza C LU 'm J Z w J z O m a CW Z C G ` ~, r` Z W G z a 1 g e W 0 z WW" C L L w v W lu W lu Z z O m y W s z W d z i z F �I 0 W 0 LL N W C 6 a �I 6 N NI n k a z I- z LLI � L 0 � § B % to 21 \| k a z � ■ � � § k � LU � � 2 � \ § ■0 co )k §\} Sa 22 \\ , @ z � z § §2± ■ z ( b ¥ w z 9 H z z 7 am V � rn a a � a W Zi N i �7 z y z i o _ LLI ' W LLI m Q 0 d Ul z > q O = N N Lu N 'W h = U i Z e^p N z iW Z lu � Z W of �• W !� o a zlu 0 0 0 � � N N v r o M M r w as #16 NOTICE 01= MEEllNG, — 5/15/2024 16. Approval of bills and payroll. (RHM) MMC RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Commissioner Hall, Lyssy, Reese County Bills RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Commissioner Hall, Lyssy, Reese Adjourned 10:19am Page 13 of13 mHNcozmammxm ro[tl H O h]?+£ VJ H E oiH x (] H x tj H b HH O H M M RAC OH H y H K xx n t3 d H N H H H 3i H2O H W 13 N K H m 00 x m H ❑r❑ tz•]H H H m z H O x m H w r m d H M m 3 C ro ro 0 z H n v d ro ro ro m m m ro ro ro ro K K N ro ro ro ro m HK K H ro 7070 r000 0 rroy�roo H N E H m m t n t n m t n �G y o 0 o r C off' o 0 0 x 000 w rrr ore L�+l m w w w N N N 000 N N N iP 1P A b ro b ro ro ro ro ro ro ro ro ro rozrozzza�zxxzz Y Lf 10 w w Y m to J W J W l0 O1 Y 10 �l N Y� m 01 Y m w Y N � a1 b N Y N N O �P Y �P N l0 iP W W O 01 m :P 61 w m O iP O O V J F' W O O O N N Ot �P m 0 ll1 4 P nn 00 r yC G OOa flm3 o0a nm 09 m y m W m m LA n Z n O O OZ Z a Z .m0 AO�G ym ym m m O m H Am D r N j O W O N O N O O O O VUi O O 0 9 a a a a -11 f f f f m m m m O O O O O w 0 O w o O w e O o O W P P VOi lOA U qq w yryA >-ajF c>) 0�-1 <a= f> CO o ni m� >0 o ��_ C) nNn z n O y � C v O w y n 'Go r C 9 O C m m r m y � S 9y m N W W W P O a AO o n� n� m m n m m �+ y S N ma 'm x m y o n A � W O U U U W N W A u Q p�3 x3 D 00 3 fmD ma2 r2 X�n hmu a �n vv Z OD n0 ^' ma a C° n m 0 n tC- O z y y A a 0 o r 6 W R 0 0 > a � z c C < < n 3 y Z n a a m zb� 0 m m < m < m n� z r � y x O O I O U N z oz 2Zr a A 3r mY nD y aw oW A A C � � m r n W U W J W T P.J O L a U N N N O W O NW b U b Vj b b O O O O O 80 00 ( - ( ) ) )§ E E \ / ®~ ( $ ; o k \ \ \ \ \ x \ }#)! ,o,o \ / )//j`\k)k k\§( �(\\ 900 k 00w •;;; ((/// §d) �(� 2_2;;4 ` !-] » `(\ §; ! \\� X/ c !� R. ® §§ ;# \ \\) ( � f / I | { [/0 0E/ 2) > )� } \ k[� `)E )2 2g @2§ " ® /)! ;#! ) `2 !§; )§; E k® vz§ `¥! ! \\ \§ 7a \ \ ) , t \ � �� ; O O O O 3 y 7C T` Z -C E A N to O O N O � y z m m y m m n n' y O U O U O O O N u W U O O UOi O N O V�i O W A W W O 9 C a a 3 O D D w w w w w tNi� u N O O O O O U N N N N < W y ohn wy <w y ohn F �o y nno wy hn u,m Ty rnm x my y 3 [�11hn S yK �a m O O O S S O O O N w �n W O� O T r' m n 0 h y a °c N y > lOn W O O to O O O to O N O N O rn ny F may a 10 yo o o> a D m m z Z O G ?: m < D�. m R c m yn O n m 0 y O r N M d N w W A ym°a >a wa Av nv nmA z�4 23>�> ttn^' y> yb np NDz ca�79 n N zN � N C rw mGO a rD- y a u � O O (Jn N VPi T O O O O S O c 3 3m r m G r Am zm �m m m m a yZ z z< MZ 3Z � j ti o o � 'n A p y0i 0 N ..J W N A 0 o c m `" m r m Z r G yo C) 9 tom" O Vmi S m W W N W W W W pC nr yZy t+1 F Om Om N a a y a a m m A < < y y m m N m u_ w w 0O w b O O O O w N $ o o n t) fPi i O Jo a m pm rm mZm zm mm wm mWw Ofan yM ndn yOn xm rm p m o W— < m cpi n z p$ f � 0 mnr yA ,w � n �a ma m3 mo 9� a °n z N A J J J �O IV O A O O J Q T b A b o C i.f i.f L Q n myg y n r mnrC z -1 4 z < N O z a 0 0 0 0 o n a a VOi U VOi tpn U (7 G O O O O 8 � w m $ O O m R a n D y n m m E 0 FA y ti y Z 0 0 O m m A A A 3 G n z y A C r � O,n a w w w rJ m y y A P I O O O O 3 3 _ P � U N'i � Ny 3 U N W'i W � Yn nLy O U W N U A O W A D N A on z m 3 a x m m IJ W W O` W p IA U 0 0 A O O C \ j ! k`, r5 q § !2 ( \§ \( r §§■ )!; « )) - ) ;0-4 ) . § ; § § / & ( q ) ! !\ � 2 §! ! § $ E � ) � � 2 @Q= \ ! }a (§q] )(\ )f �E5� ] ` ! 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Plaza -correction of nursing home insurance payment deposited into MMC Operating 94.68 5/9/2024 MMC Operatingto Tuscany Village -correction of nursing home insurance payment deposited into MMC operating in error 5,712.00 5/9/2024 MMC Operating to Bethany -correction of nursing home insurance payment deposited into MMC Operating in error 23,802.07 TOTAL TRANSFERS BETWEEN FUNDS $ 29623.16 NURSING HOME UPL EXPENSES 5/13/2024 Nursing Home UPL-Cantex Transfer 591,884.08 5/13/2024 Nursing Home UPL-Nexion Transfer 45,635.42 5/13/2024 Nursing Home UPL-HMG Transfer 37,019,35 5/13/2024 Nursing Home UPL-Tuscany Transfer 97,989.21 5/13/2024 Nursing Home UPL-HSLTransfer 73,114.40 QIPP CHECKS TO MMC 5/13/2024 Ashford - Molina Q2 & March Wellpoint QIPP 21,440,23 5/13/2024 Broadmoor- Molina Q2'& March Wellpoint QIPP 8,006.51 5/13/2024 Crescent- Molina Q2 & March Wellpoint QIPP 5,942.12 5/13/2024 Fort Bend - Molina Q2 & March Wellpoint QIPP 6,769.25 5/1312024 Solera - Molina Q2 & March Wellpoint QIPP 5,822.77 5/13/2024 Tuscany -Molina Q2 & March Wellpoint QIPP 14,739.18 TRANSFER OF FUNDS BETWEEN NURSING HOMES 5/13/2024 Gulf Pointe to Tuscany Village -Tuscany Village Claim payment deposited into Gulf Pointe in 8,200.00 TOTAL NURSING HOME UPL EXPENSES $ 916i562.52 TOTAL INTER -GOVERNMENT TRANSFERS $ _ GRANDTOTAL DISBURSEMENTS APPROVED May 25, 2024 $ 1,698,662.02 5/9124, 11:56 AM tmp_cw5report4131B60292552681259.html RECEIVED 13YTHE COUNTY AUDITOR ON MEMORIAL MEDICAL CENTER 05/09/2024 0 11;54 MAY 0 9 2024 AP Open Invoice List ap_open_lnvoice.template Due Dates Through: 05/31/2024 Vendor# Vendor Name CALHOUN COUNTY, TEXAS Class Pay Code 11283 ACE HARDWARE 15521 / Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Not d +� 022924 04/30120202/29/20203125/202 2,817.75 0.00 0.00 2.817.75 SUPPLIES J 33124 041301202 03/31/202 04/25/202 1,144.01 0.00 0.00 1,144.01 J043024 04/30/202 041301202 05125/202 760.24 0.00 0.00 760.24 r SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 11283 ACE HARDWARE 15521 4,722.00 0.00 0.00 4,722.00 Vendor# Vendor Name Class Pay Code 10950 ACUTE CARE INC Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net INVIS08 05/091202 05/011202 05/20/202 1,400.00 0.00 0.00 1,400.00 / V RFID FEE Vendor Totals: Number Name Gross Discount No -Pay Net 10950 ACUTE CARE INC 1,400.00 0.00 0.00 1,400.00 Vendor#1Vendor Name Class Pay Code At680 YAIRGAS USA, LLC - CENTRAL DIV M Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net J 5507737702 04130/202 041301202 05/251202 960.89 0.00 0.00 960.89 ✓ OXYGEN ,/ 9149256921 05/08/202 04125/202 06120/202 124.40 0.00 0.00 124.40 SUPPLIES J 9149396475 051081202 04/30/202 05/25/202 2,587,69 0.00 0.00 S 7%s-� BULK `>w-e�- �CCUG -,G" C%' o2 S�,D J 9149541772 051091202 05/01/202 05/26/202 32.87 0.00 0.00 32.87 REFILL Vendor Totals: Number Name Gross Discount No -Pay Net A1680 AIRGAS USA, LLC - CENTRAL DIV 3,706.85 0.00 0.00 3,705,85 Vendor# Vendor Name Class Pay Code A1746 ^/ ALPHA TEC SYSTEMS INC M Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay 04/301202 04126/202 05/25/202 Gross 150,69 Discount No -Pay Net -JINV-00124180 0.00 0.00 155.69 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net A1746 ALPHA TEC SYSTEMS INC 156.69 0.00 0.00 166.69 Vendor# {Vendor Name Class Pay Code 14028 AMAZON CAPITAL SERVICES Invoice# Comment Tran Ot Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net ,J1RN3-7XL9.1QHT 04130/202 04/221202 05/221202 269.98 0.00 0.00 269.98 SUPPLIES / 197Y-4K9W-97NP 04/301202 04/30/202 05/301202 55.80 0.00 0.00 55.80 J SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 14028 AMAZON CAPITAL SERVICES 325.78 0.00 0.00 325.78 Vendor#) Vendor Name Class Pay Code A22161 AQUA BEVERAGE COMPANY M Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net J 143622 04/30/202 03/211202 04/15/202 50.00 0.00 0.00 50.00 WATER 91e:1!/C:/Users/ltrevino/cpsilmemmed.cpsinet.com/u88125/data_5/tmp_cw5report4131860292552681259.htm1 1/16 519/24, 11:56 AM tmp_cw5report4131860292552681259.html 145736 04/30/202 031311202 04125/202 12.00 0.00 WATER Vendor Totals: Number Name Gross Discount A2218 AQUA BEVERAGE COMPANY 82.00 0.00 Vendor# /vendor Name Class Pay Code a1150 J BAXTER HEALTHCARE W Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross 82317028 05101/202 05101/202 05/261202 3,071.40 SUPPLIES J82316065 05101/202 05/011202 05126/202 631.20 SPECTRUM Vendor Totals: Number Name Gross 81150 BAXTER HEALTHCARE 3,702.60 Vendor# /Vendor Name Class Pay Code j 11544 BAY STORAGE Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross 20240264 05/09/20205/01120205/311202. 2,820.00 JUNE-NOV 24 Vendor Totals: Number Name Gross 11544 BAY STORAGE 2,820,00 Vendor# /' (Vendor Name Class pay Code B1220 ,f BECKMAN COULTER INC M JInvoice# Comment Tran Dt Inv Ot Due Dt Check Dt Pay Gross 5487696 041291202 04121/202 05M 6/202 1,935.15 SUPPLIES 1 */ 4530502 04/29/202 04121/202 06/16/202 1,484.00. SUPPLIES J 111072033 D4/30/20201/03/20201/28/202 976.20 SUPPLIES 111293409 05101/202 05/01/202 051261202 79.00 SUPPLIES j 111293615 05101120205101 t20205126/202 3,617.66 J111296297 SUPPLIES 05/01/20205/02/20205/27/202 644.20 SUPPLIES 111297698 05107/202 051031202 05/28/202 199.09 SUPPLIES J 4532201 05/071202 05/03/202 05/28/202 1,484.00 CONTRACT Vendor Totals; Number Name Gross B1220 BECKMAN COULTER INC 10,419.30 Vendor# Vendor Name Class Pay Code 10024J BECTON, DICKINSON & CO (BD) Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross 9112643677 04/30/202 D4/23/20205/231202 273.25 SUPPLIES Vendor Totals: Number Name Grass 10024 BECTON, DICKINSON & CO (BD) 273.25 Vendor# Vendor Name Class Pay Code 81601 BOHLS BEARING & POWER TRANS M Invoice# Comment. Tran Dt Inv Dt Due Dt Check Dt Pay Gross 283527 05106120205107120205/20/202 143.80 BEARING INSERT Vendor Totals: Number Name Gross B1601 BOHLS BEARING & POWER TRANS 143.80 Vendor# Vendor Name Class Pay Code file:/I/C;/Users/Itrevinotcpsi/memmed.cpsinet.comlu88125/data 5/tmp_cw5report4131860292552681259.html 0.00 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 Discount 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 No -Pay 0.00 No -Pay 0.00 No -Pay 0.00 0.00 0.00 0,00 0,00 0.00 0.00 0.D0 No -Pay 0.00 No -Pay 0.00 No -Pay 0.00 Discount No -Pay 0.00 0.00 Discount No -Pay 0.00 0.00 12.00 v Net 62,00 Net 3,071.40 631.20 J Net 3,702,60 Net 2,820.00 Net 2,820.00 Net 1.935.15 1.484.00 976,20 / 79.00 J 3,617.66 644.20 199.09^ 1.484.00 � Net 10,419.30 Net 273.25 Net 273.25 Net 143.80 i Not ✓ 143.8D 2116 5/9124, 11:56 AM tmp_cw5report4131860292552681259,htrr 81655 JBOSTON SCIENTIFIC CORPORATION M / Invoice# Comment Tran Ot Inv DI Due Dt Check Ot Pay Gross +/ 998562494 04/30/20204/2220205/22/202 590.00 SUPPLIES Vendor Totals: Number Name Gross B1655 BOSTON SCIENTIFIC CORPORATION 590.00 Vendor# /Vendor Name Class Pay Code 87800 #f BRIGGS HEALTHCARE M JInvoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross B458558 04/30/202 04/291202 05/29/202 152.90 ER REGISTER BOOK - VendorTotals: Number Name Gross 81800 BRIGGS HEALTHCARE 152.90 Vendor#/Vendor Name Class Pay Code C1048 CALHOUN COUNTY w JInvoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross 52955439 04/30/202 04126/202 05126/202 1.342.05 ELECTRICITYtD�Q N.Vi1�}t �i(,l• SX 52955441 q44,30/20204/26/20205/26/202 34,428,74 / ELECTRICITY "O�V� W` �X �f 52955443 04/30/20204/26/20206/26/202 19.85 ELECTRICITY �A� D��j V W V V,A(J, 52925084 0/30/2 D4126/20205/26/202 8,47 ELECTRICITY N y/ 1/52955568 2046/2020W1202505.25 ELECTRICITY 10 1 W . N;kt 6A �` r, ( X Vendor Totals: Number Name .1 N. a Gross C1048 CALHOUN COUNTY 36,304.36 Vendor#/ Vendor Name Class Pay Code C1325 :/ CARDINAL HEALTH 414, INC. w nvolce# Comment Tran Dt Inv Ot Due Dt Cheek Dt Pay Gross 8003496571 04/30/20204/20/20205/15/202 212.37 SUPPLIES -J8003501606 04/30/20204/30/20205/25202 962.80 SUPPLIES Vendor Totals: Number Name Gross C1325 CARDINAL HEALTH 414, INC. 1,175,17 Vendor#r Vendor Name Class Pay Code 15186 J CLARITY ENROLLMENT SOLUTIONS JInvoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross 1388 04/302D202/01/20203/021202 360.00 CARRIER CONNECTION/ � 496 04/301202 04101/202 05101/202 358.50 CARRIER CONNECTION 1556 06/08120205/01/202051311202 301.50 CARRIER INTEGR VendorTotals: Number Name Gross 15188 CLARITY ENROLLMENT SOLUTIONS 11080.00 Ventlor#/Vendor Name Class Pay Code 11030 :/ COMBINED INSURANCE Invoice# Comment Tran Ot Inv Dt Due Ot Check Ot Pay Gross J050124 05/01120205101/202051011202 60132 PAYROLLDEDUCT Vendor Totals: Number Name Gross 11030 COMBINED INSURANCE 601.72 Vendor# Vendor Name Class Pay Code fileal/C,./Userslitrevino/cpsi/memmed.opsinet.comlu8Bt25/data 5/tmp_cw5report4131860292552681259,him1 Discount No -Pay Net 0.00 0.00 590.00 / V Discount No -Pay Not 0.00 0.00 590.00 Discount No -Pay Net 0.00 0.00 152.90 J Discount No -Pay Net 0.00 0.00 152.90 Discount No -Pay Net 0.00 0.00 1,342.05 D,00 0.00 34.428.74 D.00 0.00 19.85 0.00 0.00 8.47 f 0.00 0.00 595:LfB, Discount No -Pay Net 0.00 0.00 36,304.36 Discount No -Pay Net 0.00 0.00 212.37 0100 0100 962.80.J Discount No -Pay Net 0.00 0.00 1,175.17 Discount No -Pay Net 0.00 0.00 1 360.00 V 0.00 0.00 358.50 J 'J 0.00 0-00 361.50 Discount No -Pay Net 0.00 0.00 1..080.00 Discount No -Pay Net 0.00 0100 501.72 ' �r Discount No -Pay Net 0.00 0.00 501.72 3/16 5/9/24, 11:56AM tmp_cw5report4131860292552681259.html C2552JCREST HEALTHCARE SUPPLY Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 0296786 04/30/202 04129/202 05/291202 263A0 0.00 0.00 263.10 SUPPLIES Vendor Totals: Number Name dross Discount No -Pay Net C2552 CREST HEALTHCARE SUPPLY 263.10 0.00 0100 263.10 Vendor# /Vendor Name Class Pay Code 12044 ,� CULLIGAN ULTRAPURE INC. Invoice# Comment Tran Di Inv Dt Due Dt Check Ot Pay Gross Discount No -Pay Net J 04302024 04/301202 04130/202 05/22/202 34.65 0.00 0.00 34.65 WATER J Vendor Totals: Number Name Gross Discount No -Pay Net 12044 CULLIGAN ULTRAPURE INC. 34.65 0.00 0.00 34.65 Vendor# J Vendor Name Class Pay Code 11368 d CYRACOM LLC Invoices Comment Tran Dt Inv Dt Due DL Check Dt Pay Gross Discount No -Pay Net J 2024028284 04/29/20204130120205/30/202 474.79 0.00 0.00 474.79 INTERPRETATION Vendor Totals: Number Name Gross Discount No -Pay Net 11368 CYRACOM LLC 474.79 0.00 0.00 474.79 Vendor#S Vendor Name Class Pay Code 10060 DETAR HOSPITAL ICP JInvoice# Comment Tran Ot Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net DTR2404020 04/30/20205/01/20205/20/202 498.33 0.00 0.00 498.33 LAB SERV APRIL Vendor Totals Number Name Gross Discount No -Pay Net 10060 DETAR HOSPITAL 498.33 0.00 0.00 498.33 Vendor#Vendor Name Class Pay Code J 10368 DEWITT POTH & SON Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net ` J 754187.0 04129/20204129/202051241202 633.17 0.00 0.00 633.17 •/ SUPPLIES 754442.0 05/06/20205/01120205/261202. 164.85 0.00 0.00 164.85 V SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 10358 DEWITT POTH & SON 798.02 0.00 0.00 798.02 Vendor#/ Vendor Name Class Pay Cade 11011 '`r DIAMOND HEALTHCARE CORP Invoice# Comment Tran Ot Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net IN20056203 04/30/202 05/01/202 05/261202 31,144.68 0.00 0.00 31,144.58 / APR BEH HEALTH J IN20056204 04/30/20205/01/20205/26/202 19,166,67 0.00 0.00 19,165.67 APR CPR Vendor Totals: Number Name Gross Discount No -Pay Net 11011 DIAMOND HEALTHCARE CORP 50,311.25 0.00 0.00 50,31 L25 Vendor# Vendor Name Class Pay Coda 10789 DISCOVERY MEDICAL NETWORK INC Invoice# Comment Tran Ot Inv Dt Due Dt Check IN Pay Gross Discount No -Pay Net J MMC043024 04/30120204/30120205/01/202 147,081.83 0.00 0.00 147,081.83� PHYSICIAN SERV � I' U I J' _ t { I r5Q I : L"1 `t "i 1 Vendor Totals: Number Name Gross Discount No -Pay Net 10789 DISCOVERY MEDICAL NETWORK INC 147,081.83 0.00 0.00 147,081.83 Vendor# /Vendor Name Class Pay Code 10842 DOOR CONTROL SERVICES, INC Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay J Gross Discount No -Pay Net SMINV372173 04/30/202 04/16/202 007/202 5,387.91 0.00 0.00 5,387.91 J file:///C:/Userslltrevino/cpsi/memmed.cpainet.com/u88125/data 5/tmp_cw5report4131860292552681259.html 4/16 619124. 11:56AM tmp_cw5report4131860292552681259.html DOOR REPAIR Vendar Totals: Number Name Gross Discount No -Pay Net . 10842 DOOR CONTROL SERVICES, INC 5,887.91 0.00 0.00 5.387.91 Vendor# (Vendor Name Class Pay Code 11291 J DOWELL PEST CONTROL Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 28118 04/30/202 04/29/20 05p101/2/0�2\,� 160.00 0.00 0.00 160.00 1/ p 'n PEST CONTROLrnOS , Zt(110J11'�l-U t / W J 28119 04/30/202 04/291202 05/01/202 105.00 0.00 0.00 / 105.00 / PEST CONTROL .� 28110 041301202 041291202 05101/202 260.00 0,00 0.00 260.00 V PEST CONTROL J 28111 04130/20204120/20205/24/202 505.00 0.00 0.00 505.00 PESTCONTROL Vendor Totals: Number Name Gross Discount No -Pay Net 11291 DOWELL PEST CONTROL 1,030,00 0.00 0.00 1.030.00 Vendor#/ Vendor Name Class Pay Code J C2510 EVIDENT M Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net JA2405031378 04129/202 05103/202 06128/202 19,631,00 0.00 0.00 19,631.00� MONTHLY TECH SUPPORT Vendor Totals: Number Name Gross Discount No -Pay Net C2510 EVIDENT 19.631.00 0.00 0.00 19,631.00 Vendor# /Vendor Name Class Pay Code R1185 V FARAH JANAK JInvoice# Comment Tian Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 050224 05l002 115.24 0.00 0.00 115.24 �5115/202 f „r TRAVEL REIMB 11 q j`NryWW Vendor Totals: Number Name ��� Grbs9 Discount No -Pay Net R1165 FARAH JANAK 115.24 0.00 0.00 115.24 Vendor# VendorName Class Pay Code F1400 FISHER HEALTHCARE M Invoice# Comment Tran Dt Inv Ot Due Dt Check Dt Pay Gross Discount No -Pay Net J / 1706439 D4/30/2020412PJ202051171202 234.37 0.00 0.00 234.37\✓ SUPPLIES J 1744689 04130/202 04123/202 05/1 M02 5,979J6 0.00 0.00 5,979.16 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net F1400 FISHER HEALTHCARE 6.213.53 0.00 0.00 6,213.53 Vendor#/Vendor Name Class Pay Code 10599 J FORVIS Invoice# Comment. Tran Dt Inv Dt Due Dt Check Dt Pay J Gross Discount No -Pay Net 2077129 04/30/20204127/20205/22/202 12,075,00 0.00 0.00 12,075.00 / OSH AUDIT J Vendor Totals: Number Name Gross Discount No -Pay Net 10599 FORVIS 12,075.00 0.00 0.00 12,075,00 Vendor#/ Vendor Name Class Pay Code 14156 FUJI FILM Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay J Gross Discount No -Pay Net 91475183 04/29120204/25120205/25/202 7,908.33 0.00 0.00 7,908,33� CONTRACT Vendor Totals: Number Name Gross Discount No -Pay Net 14156 FUJI FILM 7,908.33 0.00 0.00 7,908,33 Vendor#/ Vendor Name Class Pay Code 10283 „f GEHEALTHCARE Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net file:///C,./Users/ltravino[cpsVmemmed.cpsinet.com/u88125/date_5/tmp_cw5report4l3l86O292552681259.html 5/16 5/9/24, 11:56AM tmp_cw5report413l860292552681259.htm1 J 6002655005 04/30/202 04/25/202 05/20/202 903.00 0.00 LOGIO S7 J 6002659192 05/08/20205/01120205/26/202 61.67 0.00 IMAGING CONTRACT 6002659190 05IM202 05/01/202 05/26/202 86.67 0.00 IMAGING CONTRACT J 6002659191 05108/202 05101/202 05/26/202 2,422.50 0.00 IMAGING CONTRACT 11 6002659523 05108/20205/01/20205/261202 998.34 0.00 IMAGING CONTRACT J 6002659196 05/081202 05/01/202 05126/202 51685.83 0.00 IMAGING CONTRACT J 6002659189 05108/202 05/01/202 05126/202 3,588.58 0.00 IMAGING CONTRACT Vendor Totals: Number Name Gross Discount 10283 GEHEALTHCARE 13,726.59 0,00 Ventlor#/ Vendor Name Class Pay Code 13060 J GENZYME CORPORATION Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount ./ 7030544506 04/301202 08/05/202 11113/202 2,296.05 0.00 INVENTORY -,/ 7030508850 05/09/202 05/05/202 08113/202 2.304.50 0.00 INVENTORY. Vendor Totals: Number Name Gross Discount 13060 GENZYME CORPORATION 4.600,55 0.00 Vendor# Vendor Name Class Pay Code W1300 '/ GRAINGER M Invoice# Comment Tran Dt Inv Dt Due Ot Check DI Pay 9097762745 Gross Discount 04/30/202 04/24/202 05/19/202 121 A4 0.00 SUPPLIES Vendor Totals: Number Name Gross Discount W1300 GRAINGER 121.84 0.00 Vendor#/ Vendor Name Class Pay Code 12948 GREAT AMERICA FINANCIAL SVCS f Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount d 36482348 05/09/202 05/02/202 05131/202 10,357.60 0.00 Vendor Totals: Number Name Gross Discount 12948 GREAT AMERICA FINANCIAL SVCS 10,357.60 0.00 Vendor# Vendor Name Class Pay Cade G0401 J GULF COAST DELIVERY Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay -/043024 Gross Discount 04129 02 4130/20205/301202 125.00 0.00 SLIDES/LAS �� 'Z,l, - LAJ JqJ Z� Vendor Totals: Number Name Gross Discount G0401 GULF COAST DELIVERY 125.00 0.00 Vendor#/ Vendor Name Class Pay Code G1210-X GULF COAST PAPER COMPANY M JInvoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount 2529791 04/29/202 04/30/202 05/30/202 1.039.71 0.00 SUPPLIES Vendor Totals: Number Name Gross Discount /y'' G1210 GULF COAST PAPER COMPANY 1.039.71 0.00 Vendo! Vendor Name Class Pay. Code J 11784 HALF LEAGUE STORAGE Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount file:///C.'/Users/ltrevino/cpsl/memmed,cpainel.com/u88l25/data 5(tmp_cw5rePort4131860292552881259.html 0.00 903.00 J 0.00 61.67 0.00 86.67 ✓/ 0.00 2,422,50-/ 0.00 998.34 OW 6,665.83 0.00 3, aazli � No -Pay Net 0.00 13,726.59 No -Pay 0,00 Net 2,206.05 0.00 2,304.50 J No -Pay Net 0.00 4,600.55 No -Pay Net 0,00 121.84 No -Pay Net 0.00 121.84 No -Pay Net 0.00 10.357.60 No -Pay Net 0.00 10,357.60 No -Pay Net 0.00 125.00 No -Pay Net 0.00 125.00 No -Pay Net 0.00 1,039.71 J No -Pay Net 0.00 1,089.71 No -Pay Net 6116 5/9/24, 11:56AM tmp_cw5report4131860292552681259.html J021224 04/30/20202/12/20203/01/202 360.00 0.00 0.00 ! 360.00 J FEB-APR 24 / 1 050124 051091202 05/01/202 05120/202 360.00 0.00 0.00 360.00 MAY-JULY 24 Vendor Totals: Number Name Gross Discount No -Pay Not 11784 HALF LEAGUE STORAGE 720.00 0.00 0.00 720.00 Vendor#/Vendor Name Class Pay Code 10334 -/ HEALTH CARE LOGISTICS INC Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net J 309419289 04/30/202 04/16/202 05/11/202 1,808,64 0.00 0100 1,808,e4� SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 10334 HEALTH CARE LOGISTICS INC 1,808.64 0.00 0.00 1,608.84 Ventlor#/,Vendor Name Class Pay Code 12380 J HEALTH SOLUTIONS DIETETICS Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net .,� 042624 041301202 04126/202 05115/202 3,400.00 0.00 0.00 3,400.00 DIETICIAN SERV / Vendor Totals: Number Name Gross Discount No -Pay Not \l 12380 HEALTH SOLUTIONS DIETETICS 3,400.00 0.00 0.00 3,400.00 Vendor#/ Vendor Name Class Pay Code HIM6 HENRY SCHEIN INC. nvoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Grass Discount No -Pay Net 794097200 04/29/202 03/26/202 04/261202 51.76 0.00 0.00 51.76 SUPPLIES. Vendor Totals: Number Name Gross Discount No -Pay Net H1269 HENRY SCHEIN INC. 61.76 0.00 0.00 51.76 Vendor#j Vendor Name Class Pay Code H1399 HILL -ROM COMPANY, INC M Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay J Gross Discount No -Pay Net 3328990 04/30/202 031311202 04/30/202 300.70 0.00 0.00 300.70 SUPPLIES / J 1852234 04/30/202 04/09/202 05/07/202 156.91 0.00 0.00 156.91 ai SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net H1399 HILL -ROM COMPANY, INC 457.61 0.00 0.00 457.61 Vendor#/Vendor Name Class Pay Code 15208 HOSPITAL CARE CONSULTANTS INC. / Invoice# Comment Tran Dt Inv Dt Due Di Check Ot Pay Gross Discount No -Pay Net 1/ 6513 04130/20203/31/20205/12/202 13,983.00 0.00 0.00 13,983.00 HOSPITAUST J Vendor Totals: Number- Name Gross Discount No -Pay Net 15208 HOSPITAL CARE CONSULTANTS INC. 13,983.00 0.00 0,00 13.983.00 Vendor# / Vendor Name Class Pay Code 12228 J INNOVATIVE STERILIZATION Invoice# Comment Tran Dt Inv Dt Due Ot Check Ot Pay Gross Discount No -Pay Net J 30860 04/301202 04/24/202 05/24f202 853,47 0.00 0.00 853AV SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 12228 INNOVATIVE STERILIZATION 853.47 0.00 0.00 853.47 Vendor# Vendor Name Class Pay Code 1486P INTERNATIONAL BIOMEDICAL Invoice# Comment Tran Dt Inv Ot Due Ot Check Dt Pay J Gross Discount No -Pay Net 190968 04/30/202 (14/221202 05/221202 224.82 0.00 0.00 224.82 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 91e:11/C:/Users/ltrevino%psi/memmed.cpsinet.com/u88125/data 5ttmp_cw5report4131860292552681259.html 7116 519/24, 11:56 AM tmp_cw5report4l3l860292552681259.htmI 14864 INTERNATIONAL BIOMEDICAL 224.82 0.00 0.00 224.82 Ventlor#/Vendor Name Class Pay Code 11200 J IRON MOUNTAIN Invoice# Comment Tran Dt Inv Dt Due Ot Check Dt Pay Gross Discount No -Pay Net JLBT659 04/29/20204/30/20205130/202 1,367.85 D.00 0.00 1,367,85 SHREDDING / Vendor Totals: Number Name Gross Discount No -Pay Net V 11200 IRON MOUNTAIN 1,367.85 0.00 0.00 1,367.85 Vendor# VendorName Class Pay Code 11108 J ITERSOURCE CORPORATION Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net J 711761 05108/202 05/011202 05/02/202 250.00 0.00 0.00 250.00 MONTHLY PHONE SUPPORT ,/ Vendor Totals: Number Name Gross Discount No -Pay Net 1110E ITERSOURCE CORPORATION 250.00 0.00 0.00 250.00 Vendor# Vendor Name Class Pay Code L1288 LANGUAGE LINE SERVICES W Invoice# Comment Tran Dt Inv Ot Due Dt Check Dt Pay Gross Discount No -Pay Net 11292574 04129120204/30120205/25/2132 95.46 0.00 0.00 95.46 INTERPRETATION y Vendor Totals; Number Name. Gross Discount No -Pay Net 1_1288 LANGUAGE LINE SERVICES 95.46 0,00 0.00 95.46 Vendor#gyp Vendor Name Class Pay Code L1640v" LOWE'S BUSINESS ACCT/SYNCB W / Invoice# Comment Tran Dt Inv Dt Due DI Check Ot Pay Gross Discount No -Pay Net ✓ 050224 05/09120205/02/20205/28/202 426.15 0.00 0.00 426.15 SUPPLIES 1 !�. Vendor Totals: Number Name Gross Discount No -Pay Net L1640 LOWE'S BUSINESS ACCT/SYNCB 426.15 0.00 0.00 426,15 Vendor# /Vendor Name Class Pay Code 10972 �t M G TRUST / Invoice# Comment Tran Dt Inv Ot Due DI Check Dt Pay Gross Discount No -Pay Net �f 050624 05/08120205/OB/20205/151202 895.00 0.00 0.00 895,00 PAYROLLDEDUCT J Vendor Totals: Number Name Gross Discount No -Pay Net 10972 M G TRUST 695.00 0.00 0.00 895:00 Vendor#/ Vendor Name Class Pay Code M2178d MCKESSON MEDICAL SURGICAL INC Invoice# Comment Tran Dt Inv Ot Due Dt Check Dt Pay Gross Discount No -Pay Net �21976336 04117/20204/15/20205/30/202 79.30 0.00 0.00 / 79,30J SUPPILES J 22OD8675 04/29/202 04123/202 05108/202 1,079.58 0.00 0,00 1,079.58 SUPPLIES ,/22029204 04/291202 041261202 05/111202 95.15 0.00 0.00 9615 V SUPPLIES ` J 22030406 04/291202 04/26/202 05/11/202 69.97 0.00 0.00 / 69.97 J SUPPLIES J 22037568 04129/202 04/291202 051141202 679,63 0.00 0.00 679.83 SUPPLIES 1/22043546 04/30/20204/30/20205115/202 501.27 0.00 0.00 501.27 SUPPLIES 22039925 04/30/202 04/301202 05M 5/202 85.47 0.011 0.00 85.47 ✓� SUPPLIES Vendor Totals; Number Name Gross Discount No -Pay Net M2178 MCKESSON MEDICAL SURGICAL INC 2,590.67 O.Oo 0.00 2,590.57 Vendor# Vendor Name Class Pay Code file:///C:/Usersflrevino/cpsUmommed.cpsinet.com/u88125/data_5/tmp pwSrepart4131860292552681259.htmt 8116 519124. 11:5/6,AM tmp_cw5report4l3l860292552681259.htmI 1114Y/ MEDICAL DATA SYSTEMS, INC. Invoice# Comment Tran Ot Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 191904 04/301202 04/301202 05/251202 232.92 0,00 0.00 232.92 BUS SERV f ✓ .� 191764 04130/202 04/301202 05125/202 30.44 0.00 0.00 30.44 COLLECTION FEES J 191763 04130120204130/20205/25/202 1,705.56 0.00 0.00 1,705.56 COLLECTION FEES J 191762 04/301202 04/301202 05125/202 1,723.67 0.00 0.00 1,723.67 ✓ COLLECTION FEES Vendor Totals: Number Name Gross Discount No -Pay Net 11141 MEDICAL DATA SYSTEMS, INC. 3,692.59. 0.00 0.00 3,692.59 Vendor#�Vendor Name Class Pay Code M2470 MEDLINE INDUSTRIES INC M Invoice# Comment Tran Ot Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net J 2315408774 04/24/202 04/16/202 05/111202 239.36 0.00 0.00 239.36 SUPPLIES J 2316242380 04129/202 04123/202 05/181202 68.79 0.00 0.00 68.79 J SUPPLIES 2316242381 04/29/20204/23/20205/18/202 591.23 0.00 0.00 591.23 % SUPPLIES J 2316668148 04/29120204/25/20205/ M02 252.34 0.00 0.00 252.34 SUPPLIES 2317113579 04/29120204/30/20205/25/202 263.12 0.00 0.00 263.12 / SUPPLIES / J J 2317113580 0412DI202 04/30/202 051251202 36.37 0.00 0.00 36,37 SUPPLIES / J 2317394241 05107/202 05102/202 05/271202 340.38 0.00 0.00 340.38 `✓ SUPPLIES ./ 2317627350 05107/202 05/03/202 05128/202 27.36 0.00 0.00 27.36 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net M2470 MEDLINE INDUSTRIES INC 1,818.95 0.00 0.00 1,818,95 Vendor#Vendor Name Class Pay Code 10963 MEMORIAL MEDICAL CLINIC Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net / J050624 05/081202 051061202 051151202 58.ao 0.00 0.00 58.80 J PAYROLL DEDUCT Vendor Totals: Number Name Gross. Discount No -Pay Net 10963 MEMORIAL MEDICAL CLINIC 58.80 0.00 0.00 58.80 Vendor# /Vendor Name Class Pay Code 10911 ,/ MOLINA HELATHCARE TEXAS Invoice# Comment Tran Dt Inv Ot Due Dt Check Dt Pay Gross Discount No -Pay Net 050814 04130/20205/08/20205115/202 44,200.83 0.00 0.00 44,200.83`� YR 6COMP 1 RECON Vendor Totals: Number Name Gross Discount No -Pay Net 10911 MOLINA HELATHCARE TEXAS 44,200.83 0.00 0.00 44,200,83 Vendor# Vendor Name Class Pay Code 10536 V MORRIS 8 DICKSON CO, LLC Invoice# J1942509 Comment Tran Dt Inv Dt Due Ot Check Dt Pay Gross Discount No -Pay Net / J b5/08/202051011202051111202 34.56 0.00 0.00 34.56 J INVENTORY 193942A 05/08/202 05/01/202 05111/202 549.28 0.00 0.00 549.28 / INVENTORY -r 1941380 05/08/20205/01/20205/11/202 25.78 0.00 0.00 25,78 ✓ INVENTORY 01e:/1/C:tUserslltrovino/cpsitmemmed.cpsinet.com/uBB125fdata 5/tmp_"5report4l31860292552681259.html 9116 619/24, 11:56 AM trap_cw5report4131860292552681259.html r J ,J 1942511 05108/202 05/011202 08/11/202 1,068.57 0.00 0.00 1,068.57 J INVENTORY - ,/ 1942510 05/081202 05101/202 06/11/202 998.61 0.00 0.00 908.61 v INVENTORY ) 1930426 05/0B/20205/01/202051111202 6,605.39 0.00 0.00 6,505.39 INVENTORY J 1947052 05/08/2D206102/20205/12/202 469.87 0.00 0.00 469.87 INVENTORY / J 1945556 05/08/202 05/021202 05/12/202 630.75 0.00 0.00 530,75 ✓ INVENTORY J 1947051 05108/20205/02/20205/12I202 5.19 0100 0.00 5.19 INVENTORYf 1944764 05/08/202 05/021202 05112/202 1,602.31 0.00 0.00 1,602.31 INVENTORY .,� 1946867 06/081202 05/021202 05/12/202 162.89 0.00 0.00 162.89 INVENTORY 1952107 05108/202 051051202 051151202 1,930.00 0.00 0.00 1,930.00 J INVENTORY 1953359 05/08/202 05/051202 05/15/202 76.37 0.00 0.00 76.37 INVENTORY J 1952105 05108/20205105P20205/151202 8.48 0.00 0.00 8.48 " INVENTORY 1952106 05/08/20205/05120205/15/202 51.56 0100 0.00 51.56 INVENTORY 1953360 Y 05108/202 05105/202 05/151202 475.72 0.00 0.00 475,72 INVENTORY .� 1955804 051OW202 05/06/202 05116/202 107.58 0.00 0.00 107.58 ✓ INVENTORY J 1957850 05108/202 05/061202 051161202 1.185.38 0.00 0.00 / 1,165.38 V INVENTORY J 1957851 051081202 05/061202 05/161202 512.96 0.00 0.00 512.96,/ INVENTORY. ,f 1959492 05/08/20205/06/202006/202 599.38 0.00 0.00 599.38 INVENTORY 1957091 05108/202 05/0002 05/161202 68.32 0.00 0.00 68.32 INVENTORY J 195BB05 051OW202 061061202 05116/202 621.46 0.00 0.00 / 621.46 ✓ INVENTORY J 1957852 0510EV202 05106/202 051161202 631.55 0100 0.00 631,55 INVENTORY _ Vendor Totals: Number Name Gross Discount No -Pay Net 10536 MORRIS & DICKSON CO, LLC 18,221.96 0.00 0.00 18,221,96 Vendor#/Vendor Name Class Pay Code 13548 J NACOGDOCHES TRANSCRIPTION Invoice# Comment Tran Dt Inv Dt Due Ot Check DI Pay Gross Discount No -Pay Net 8362 04130/202 04/30/202 05/10/202 167.58 0.00 0.00 167,58 / TRANSCRIPTION iA I 3.I !�►� LA I IAR { Zt`�C I 1 Vendor Totals: Number Name Gross Discount No -Pay Net 13548 NACOGDOCHES TRANSCRIPTION 167.58 0.00 0.00 167.58 Vendor# / Vendor Name Class Pay Code 12316 1 NCS PEARSON, INC. Invoice# J5627005 Comment Tran Dt Inv Ot Due Dt Check Dt Pay Gross Discount No -Pay Net 04130/20208103120109/03/201 -355.37 0.00 0.00 -355.37 / CREDIT MEMO SUPPLIES J 24810670 04130120202108/202 03/08/202 57.70 0.00 0,00 57.70 -/ file:///ClUserslltravino/cpsitmommed.cps[net.com/u88l25/data 5/tmp_pw5report4l31860292552681259.html 10M6 5/9124, 11:56/AM tmp_cwSreport4l3l860292552681259.htmI J J 25063493 04/30/202 031121202 041121202 906.15 0.00 0.00 906.15 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 12316 NOS PEARSON, INC. 608.48 0.00 0.00 608.48 Vendor#/ Vendor Name Class Pay Cade 12096 NEOGENOMICS LABORATORIES Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net / .,/ 7526132 041301202.04/30120205/20/202 360.00 0.00 0.00 360.00 LAB SERV VendorTotals:.Number Name Gross Discount No -Pay Net 12096 NEOGENOMICS LABORATORIES 360.00 0.00 0.00 360,00 Vendor# /Vendor Name Class Pay Code N1234 l NFPA W JInvoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay. Gross Discount No -Pay Net 050724 05109/20205/07/20205/251202 175.00 0.00 0.00 175.00 ✓ NFPA RENEWAL Vendor Totals: Number Name Gross Discount No -Pay Net N1234 NFPA 176,00 0.00 0.00 175.00 Vendor# Vendor Name Class Pay Code 10868,7 NOVABIOMEDICAL / Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt. Pay Gross Discount No -Pay. Net J 91291409 04/30/202 03106/202 04/06/202 60.00 0.00 0.00 60.00 `f SUPPLIES J9131 SU65 04130/202 04/22/202 05120/202 144.00 0,00 0.00 / 144.00 ,J SUPPLIES J J 91317929 04/30/20204126/20205126/202 1,974.38 0.00 0.00 1,974.38 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 10868 NOVA BIOMEDICAL 2,178.38 0.00 0.00 2,178.38 Vendor#Vendor Name Class Pay Code N1800 NURSES CHOICE CORPORATION W Invoice# Comment Tran Dt Inv Dt Due Dt Check. Dt Pay Gross Discount No -Pay Net J 0171329-1N 04130/20204/23/20205123/202 120.00 0.00 0.00 120.00 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net N1800 NURSES CHOICE CORPORATION 120.00 0.00 0.00 120.00 Vendor#/ Vendor Name Class Pay Code 01500J OLYMPUS AMERICA INC M Invoice# Comment Tran 01 Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net J 36150968 041301202 04/29/202 06/241202 611.08 0.00 0.00 611.08 SUPPLIES j Vendor Totals: Number Name Dross Discount No -Pay Net 01500 OLYMPUS AMERICA INC 611.08 0.00 0.00 611.08 Vendor# Vendor Name Class Pay Code 01416 ✓ ORTHO CLINICAL DIAGNOSTICS /Invoice# Comment Tran Dt Inv Ot Due Dt Check Dt Pay Gross Discount No -Pay Net / l 1853507080 04130/20204123120205/23/202 - 752.16 0.00 0,00 752.16 J SUPPLIES / -V 1853609349 04/30/202(14/23/20205/23f202 234.78 0.00 0.00 234.78 SUPPLIES ./853510323. 04/30120204124/20205/24/202 180.19 0.00 0.00 180.19 ./ SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 01416 ORTHO CLINICAL DIAGNOSTICS 1,167.13 0.00 0.00 1,167.13 Vendor#J Vendor Name Class Pay Code 10152 PARTSSOURCE, LLC 01e:!/IC:/Userslltrevino/cpsilmemmed.cpslnet.com/u861251date 5/imp_cw5report4131850292552681259.html 11116 519124. 11:56 AM tmp_cw5report4131860292552681259,html Comment Tran Dt Inv Dt Due Dt Check Dt Pay Grass Discount No -Pay Net 1 JInvoice# 05227624 04/301202 041171202 05/171202 195.40 0.00 0.00 195.40 SUPPLIES � -,� 05229694 04/30/20204/18/20205/18/202 138.71 0.00 0.00 138.71 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 10152 PARTSSOURCE, LLC 334.11 0.00 0.00 334.11 Vendor# Vendor Name Class Pay Cade S0905 J PERFORMANCE HEALTH M Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net J IN97564694 04129/202 04/26/202 051211202 229.54 0.00 0.00 229.54 SUPPLIES Vendor Tclals: Number Name Gross Discount No -Pay Net S0905 PERFORMANCE HEALTH 229.54 0.00 0.00 229.54 Vendor* /Vendor Name Class Pay Code 11932 PRESS GANEY ASSOCIATES, INC. Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net J IN000646877 04/30/202 041301202 05/30/202 2,838.92 0.00 0.00 2,838.92 CONTRACTFEES ✓ Vendor Totals: Number Name Gross Discount No -Pay Net 11932 PRESS GANEY ASSOCIATES, INC. 2.838.92 0.00 0.00 2,838.92 Vendor#/Vendor Name Class Pay Code 14536 J OLIVA PHARMA INC Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net J76952988195 04129/202 04/251202 05/25/202 211.68 0.00 0100 211,68 INVENTORY Vendor Totals: Number Name Grass Discount No -Pay Net 14536 QUVA PHARMA INC 211.68 0.00 0.00 211.68 Vendor# Vendor Name Class Pay Code 14920 REPUBLIC SERVICES, INC, Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Nat J 0065462 04/30/202 04/26/202 05/16/202 1,738.62 0.00 0.00 1,738.62� WASTE DISPOSAL Vendor Totals: Number Name Gross Discount No•Pay Net 14920 REPUBLIC SERVICES, INC. 1,738.62 0,00 0.00 1,738.62 Vendor# Vendor Name Class Pay Code 11764 ROBERT RODRIQUEZ Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 042824 05108/202 04128/202 05/151202 20.48 0.00 0.00 20,48 REIMBURSEMENT Vendor Totals: Number Name Gross Discount No -Pay Net 11764 ROBERT RODRIQUEZ 20.4E 0.01) 0.00 20.48 Vendor# Vendor Name Class Pay Cade 10936 SIEMENS FINANCIAL SERVICES Invoice# Comment Tran Dt Inv Dt Due Dt Check DI Pay Gross Discount No -Pay Net f 56382400044015 04/29/20204/29/20205/19/202 1,333.33 0.00 0.00 11333.33 LEASE / J 56382400043123 04/30/202 04/24/202 05/14/202 4,038.24 0.00 0.00 4,038.24 LEASE Vendor Totals: Number Name Gross Discount No -Pay Net 1093E SIEMENS. FINANCIAL SERVICES 5,371.57 0,00 0.00 5,371.67 Vendorp /Vendor Name Class Pay Code S2001 ./ SIEMENS MEDICAL SOLUTIONS INC M Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net J 116537333 04/30120204/24/202051191202 3.507.72 0.00 0.00 3,507.72 LUMINOS AGILE MAX OIeYAC:fUsers/ltrevinolcpsi/memmed,cpsinst.com/u68i25ldata_5/tmp_CwSreport4l31860292552681259.himl 12/16 5/9/24, 11:56 AM tmp_pw5report413l86O292552681259.htmI Vendor Totals: Number Name Gross Discount No -Pay Net S2001 SIEMENS MEDICAL SOLUTIONS INC 3,507.72 0.00 0.00 3,507.72 Vendor# /Vendar Name Class Pay Code l 1298 ! SOUTH TEXAS BLOOD & TISSUE CEN Invoice# Comment Tran 01 Inv Dt Due Dt Chock Dt Pay Gross Discount No -Pay Net / J 107040093 04/30/20204/30/20205/251202 4,953,00 0.00 0100 4,953.00,! 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Gross Discount No -Pay Net T2539 T-SYSTEM, INC 6,130.42 0.00 0.00 6.130.42 Vendor# f/endor Name Class Pay Code 11015 ,/ TED RODRIGUEZ Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 050824 05/0820205/0820205/15202 425.00 0.00 0.00 425,00 , TRAUMA COURSE Vendor Totals: Number Name Gross Discount No -Pay Net 11015 TED RODRIGUEZ 425.00 0.00 0,00 425.00 Vendor# Vendor Name Class Pay Code T2204 /TEXAS MUTUAL INSURANCE CO W Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net / J005647976A 0413=0204/1820205/08202 10.00 0.00 0.00 10,00%/ J LATE FEE / 1005706813 04/30/20205/OB/20205/26/202 4,760.00 0.00 0.00 4,760.00 INSURANCE 'A' -2y 5J 2A Vendor Totals: Number Name Gross Discount No -Pay Not T2204 TEXAS MUTUAL INSURANCE CO 4,770.00 0.00 0.00 4,770.00 Vendor# Vendor Name Class Pay Code file:///C:/Userslitrevino/cpsl/memmed.cpslnetcom/u88125/data_5/tmp_cw5report4131860292552681259.html 13110 6/9124, 11:56 M tmp_cw5report4131860292552681259.html 15396 f THIRD COAST DISTRIBUTING LLC I voice# Comment Tran Dt Inv Dt Due Ot Check Dt Pay Gross Discount WPay Net 42924 04/29/202 04/29/202 05/15/202 1,058.48 0.00 0.00 1,058.48 SUPPLIES 026525 05108/202 05107/202 05120/202 39.48 0.00 0.00 39.48 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 15396 THIRD COAST DISTRIBUTING LLC 1,097.96 0.00 0.00 1,097.96. Vendor#J Vendor Name Class Pay Code 11908 TMS SOUTH Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net J INV120506 04/30/20204/30/20205/30/202 379.08 0.00 0.00 379.08 SUPPLIES J/ Vendor Totals: Number Name Gross Discount No -Pay Net 11908 TMS SOUTH 379.08 0.00 0.00 379.08 Vendor#. IVendor Name Class Pay Code 14372 J TRIAGE, LLC Comment Tran Ot Inv Dt. Due Ot Check Dt Pay Gross Discount No -Pay Net 1Invoice# 1NV1796952747 04/30/20204120120205/2e/202 3,467.50 0.00 0.00. 3,467.50� S SHAW Vendor Totals: Number Name Gross Discount No -Pay Net 14372 TRIAGE, LLC 3,467.60 0.00 0.00 3,467,50 Vendor# / Vendor Name Class Pay Code 13616 J TRIOSE, INC Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net J TF11183995 04/29120204/30/20205/15/202 78.71 0.00 0.00 78.71 FREIGHT Vendor Totals: Number Name Gross Discount No -Pay Net 13616 TRIOSE, INC 78.71 0.00 0,00 78.71 Vendor# �(endor Name Class Pay Code 11067 TRIZETTO PROVIDER SOLUTIONS Invoice# Comment Tran Dt Inv Ot Due Dt Check Dt Pay Gross Discount No,Pay Net J35FK042400 04/30/202 04/01/202 04126/202 1,637.97 0.00 0.00 1,637,97 J PT STATEMENTS J Vendor Totals: Number Name Gross Discount No -Pay Net 11067 TRIZETTO PROVIDER SOLUTIONS 1,637.97 0.00 0,00 1,637.97 Vendor# Vendor Name J Class Pay Code U1064 UNIFIRST HOLDINGS INC Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net J2921029642 04/29/20204/11/20205/06/202 174.02 0.00 0.00 / 174.02 ,/ LAUNDRY J 2921029641 04/29/202 04/11/202 05/06/202 107.28 0.00 0.00 / 107.28 V LAUNDRY J 2921029646 04/30/202 04111/202 05/051202 282,90 0.00 0= 282,90 J LAUNDRY ,I 2921029647 04/301202 04111/202 05/06/202 295.72 0.00 0.00 ` 295,72 v LAUNDRY J 2921029645 04/30/202 04/11/202 051OW02 315.80 0.00 0.00 315.80 '✓ / LAUNDRY ,/ 2921029648 04/30120204111/20205/O6/202 121.51 0.00 0.00 121.51 LAUNDRY J, 2921029644 04/30/202 04/11/202 051001202 30.70 0.00 0.00 30.70 J LAUNDRY „ 2921029643 04130/202 04/111202 05106/202 2,335.95 0100 0.00 2,335.95 J LAUNDRY 3,144,26 0.00 0.00 3.144,26 J 2921030503 041301202 04/22/202 05/17/202 Ble:l/IC:/Userslltrevinokpsilmemmed.cpsinat.com/u88125/date_Sltmp cw5report413166G292552681259,html 14/16 5/9124, 11:66 AM tmp_cw5report4131860292552681259.html / 'Y 2921030504 LAUNDRY 04/30/202 04/22t202 06/17/202 102.07 LAUNDRY 6290000135 04/301202 04/23/202 05/18/202 -16,64 J CREDIT 2921030825 04/301202 04/25/202 05120/202 279.07 J LAUNDRY 2921030826 04/30/20204/25/20206120/202 113.81 LAUNDRY J 2921030822 04130/202 04/26/202 05/20/202 35.83 LAUNDRY f 2921030820 04/30/20204/25/202.05120/202 239,38 LAUNDRY 2921030824 04/30/20204/25/20205/201202 282.90 LAUNDRY J 2921030823 04/30/20204/25/202051201202 316.80 LAUNDRY J 2921030819 04/30/20204/26120205/20/202 133.38 J2921030821 LAUNDRY 04130/202 04125/202 05120/202 2,887.07 LAUNDRY J2921031024 04/30/202 04/29/202 05/24/202 3,121,53 LAUNDRY j 2921031025 04/30/202 04/29/202 05/24/202 102.07 LAUNDRY 1 .l 2921031369 05/02/202 05/021202 05/27/202 316.90 12921031367 LAUNDRY 05/02/20205/02/20205/27/202 3,106.57 LAUNDRY J 2921031366 05/02/20205102/20205/27/202 111.49 LAUNDRY "/2921031371 05/02120205/02/20205127/202 279.07 LAUNDRY 1/2921031366 05/02/202 05/021202 05/27/202 248.40 LAUNDRY / y 2921031365 051021202 051021202 05/271202 134.56 J LAUNDRY 2921031372 05/02/20205/02/20205/27/202 113.81 LAUNDRY 2921031370 05/02/20205/02/20205127/202 282.90 LAUNDRY 2921031579 05/021202 05/05/202 05/31/202 102.07 LAUNDRY 2921031578 OV02/202 05/06/202 05/31/202 3,350.66 LAUNDRY Vendor Totals: Number Name Gross U1064 UNIFIRST HOLDINGS INC 22,450A4 Vendor# Vendor Name Class Pay Code U2000 ,J US POSTAL SERVICE Invoice# J050324 Comment Tran Ot Inv Dt Due Dt Check Dt Pay Gross 05/08/20205/03/20205/04/202 2,200.00 POSTAGE Vendor Totals: Number Name Gross U2000 US POSTAL SERVICE 2,200.00 Vendor# /�/endor Name Class Pay Code 15444 V VANDERBILT HEALTH file:tqC:/Userslltrevinolcpsilmemmed.cpsinet.com/u88125/data 5/tmp_cw5report4131860292552681259.html 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Discount 0.00 0.00 102.07 J 0.00 -16.64 ✓ 0.00 279.07 ✓ 0.00 113.81 ✓ 0.00 35.83 J 0.00 239.38 J 0.00 282.90 v 0.00 315,80 ✓ 0.00 133.38 1/ 0,00 2,887.07J 0.00 3,121.53 ✓ 0.00 102.07 ✓ 0.00 316,90. ✓r 0.00 3,106.57 0.00 111.49 0.00 279.07✓/ 0.00 248.40 0.00 134.56 J 0.00 113.814 0.00 282.90 v' 0.00 102.07 f 0.00 3,350.66 ✓ No -Pay Net 0.00 22,450.84 Discount No -Pay Net 0.00 0.00 2,200.00V Discount No -Pay Net 0.00 0.00 2,200.00 16116 5/9/24, 11:56 AM trap_cw5report4131860292552681259,html Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay J C100048265 04130/202 04101/202 05/16/202 450.00 0.00 0.00 APRIL -JUNE 24 Vendor Totals: Number Name Gross Discount No -Pay 15444 VANDERBILT HEALTH 450.00 0.00 0.00 Vendor# Vendor Name Class Pay Code 11280 V VICTORIA ADVOCATE Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount ND -Pay J 0331419 04/30/20204130/20205101/202 25,60 0.00 0.00 NEWSPAPER Vendor Totals: Number Name 11280 VICTORIA ADVOCATE Vendor# /Vendor Name Class Pay Code 14612 J WAGEWORKS Invoice# Comment Tran Dt Inv Of Due Dt Check Dt Pay J INV6475604 04/30/202 04/24/202 05124/202 MONTHLY COMPLIANCE/FSA Vendor Totals: Number Name 14612 WAGEWORKS Vendor#JVendor Name Class Pay Code 12548 WAGEWORKS, INC JInvoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay 043024 04/30/202 04130/202 05/151202 Vendor Totals: Number. Name 12548 WAGEWORKS, INC il, o;l.Y'ulimlaN Grand Totals: Gross Discount 521.670.94 0.00 Gross Discount No -Pay 25.60 0.00 0.00 Gross Discount No -Pay 548.75 It= 0.00 Gross Discount No -Pay 548.75 0.00 0.00 Net 450.00 / V Net 450.00 Net 25,60 / Net V 25.60 Net 548.76� Net 548,75 Gross Discount No -Pay Net 131,25 0.00 0.00 131.25 Gross Discount No -Pay Net 131.25 0.00 0.00 131.25 No -Pay Net 0.00 521,670.94 521 670 94 7 2- -` U 5 2 1 15 4 1 o �05°57 APPROVED ON MAY 0 9 2024 CALHtJ1.INUN UAWI T&S tile://tC:/Users/itrevinotcpsi/memmed.cpsinet.com/u68l25/data_5/tmp_cw5report4131860292552681259.hlml 16/16 r. =1 CITIBANK CORPORATE CARD Account Statement LMMMM 1 A M 06W110 AMO— MASyAccountInquiries: Toll From 1-(800}2484553u - intemaScnM: 1-L804L-954.7314 Account Number: XXXXXXXX_XXXX-9457 TODITTY: 1-(SM-MS-7276 � Summary OFACCOunt ACtivity Not an invoice. For Vour records nniv z Of Send Notice .A., PC) X6125.. SOUX amer FALLS Service 17.612sto: Statement closing bate OSI03r CITIBANK,ANK. N.A., PO BOX 8125, SIOU% FALLS SC 57117.6125 DMus t w na;.'ee i _..... ... Transactions DatO Dale MCC RWTWrenee Numher_ De4cnP8MnA.McNMn NOTICE MEMO ITEMS() LISTED BELOW ....... ............. 04108 0417 5065 65432864098200105247927 1 WIDESPREAD ELECTRICAL 877499-7077m BOD33 USA .f16058 ./ 04%6 � O4n5 9399 0513437410760DO392451SO 2 NPDB NPDB.HRSAGCV FAIRPAX VA 22033 USA ,11i0 04716 ON16 6OSS 66432864107202910567839 3 N107SU918 AWCREDENTIALING a004R141336a 60511 80611 USA ` J440p �,i ON27 ON78 8220 2524Ta041070012271341B1 4 VCMARKETPLACE VICTORIA TX USA ✓44M �/ 09118 04119 04/78 8999 554328641092035476WAS6 5 PMATREDENDAUNG 800-62143M L 60611 USA ✓ 04118 Saw 05134374"OSMOS5865282 6 NPOBNPDBNRSA.GOV FAIRFAX VA 22M3 USA ,/am 250 ti N1077M521 �/ 04119 0418 0399 0513437411060OM865369 7 NPDB NPDB.HRSA.GCV FAIRFAX VA 22033 USA V250 1,11077M786 04124 04123 7399 5543W74114291142265473 8 ACHC CARY NC J 0424 WR4 6OE6 554328NI1520SM982358 9 29114226540 WIDESPREAD ELECTRICAL 877.999,707700 27613 SM33 USA USA �/`j22492 MS 04720 5085 851406141159W019922893 10 REGIONALSTEELPRODUCT VICTORIA TX 772M USA .% 13m v" OV30 04129 9399 051343741216000M78248 11 NPOB NPDB.K;tMGCV FAIRFAX VA 22033 .USA. j zoo./ =01 Me W82 W457374121200873400064 12 N108129721 TMIASHOMTALAS9m AUSTIN TX 78701 USA JJ V'3,yN.00 0501 "M 9399 051343741226ODC5407M31 13 NPDBNPDS.HRSA,GOV FAIRFAX VA 22033 USA 261 N10804272 of .� (Sol 04CO 93M 05134374122600(54076414 14 NPD0NPOB.HRSAGOV FAIRFAX VA 22033 USA ✓ 250 .' OM OS�03 1S NMA%R630 PMA'CREDENTALING 80"21413360. 60611 USA J-44M CW02 OS/02 9p 0543288412220764.973780f 9 03134374 246000421279M (' ,1 i10 NPDB NPOIA.HR6AGIN RNRFA% VA 'r 22D33 N SA v� 2M Nta633D97z _. ./ .r/` I; NOTICE: SEE REVERSE SIDE FOROAPORTANT INFORMATION Pa941 cf4 �'�s. CITIBANIS N.A. Account Number etl PO BOX6125 XXXX-XXXX-)O=-9457 SIOUX FALLS SD 57117.6125 Statement Closing Date May 03, 2024 ROS14ANDA S THOMAS 2D2 S ANN ST PORT LAVACA TX 7797942m 00007905040 Not an Invelce. Forywreclir0amly, Account:_ )00CX.)=.)=,g457 Transactions (con't) Pool Tmns. .. _ _.. _. .. ......... ._.._...._ ..... _ .. _. .. �4 �= M11Cc R¢Rlenea, Number .••_. OetertPOoNW©bon _..� 05/03 05�02 9399 057343741R46000421RB036 17 NPDB NPO9 HRSA.GOVFAIRrAx Amount VA - R2033 USA N108331288 I U5103 0&03 8999 WA3R884124203340615260 t8 AMA'CREOEM0ILINO 800-621-8335IL 60511 USA F '"""" "'" TOTAL AMOUNT OF MEMO ITEM(S): 94,844,44I APPROVEjo ON MAY 10 2024 t;ALW�I�i� CblIN7V)� T�QAt; Page 3 of 4 Oe --- --..__ ------ . ANpaKaLolardlahn GNdnmedlibry,ONlelepNnelntlenopen eren tlH ...... _- PeymcnG YoumH ta\adpa/Ineeem yowmdMduayy h6mtivM a¢euMenMe 20 MYReddy.GI1MeWMOMrSONIn IeMgmnenumherOpaTeden Mahan[al muNC pmueer.Pleaze oe Meteeme NgONeatlaudo nottd\e dm Mmeemer Me MabmentmRpeRO mMaagenC0llbgtram GM. ¢one pHnent lmMR enahk0 (a caWebas. It" N by eia, press.'mo wHkNnea 41fie. 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YiAZ [IYNImeM.mm9oN Page 2 dy4 /( II If ry --I r Account: XXXX•XXXXXXXX.9457 Page 4 of 4 MEMORIAL ORIAL MEDICAL CENTER PURCUASE ORDER Bill To: 815 N. VIRGINIA ST. PORT LAVACA, TX 77979 PHONE: (361) 552-6713 FAX:' (361)552-0312 Vendor Name., Vendor Address: Vendor Phone #: Vendor Fax #: Ship To: 815 N. VIRGINIA $T. FORT LAVACA, TX 77979 PHONE: (361)552.6713 FAX: I (36I/) 552.0312 Date: P.O. # Account # Initiated B a Lida No. Qly. Cslotog Number Description .,.� Unit Cost Unit Meas. Extended Cost r' 4 5 6 g .— NPDe) - I ov' Irv! ( Y`MA VG ����PIG�� f R u AMAMA �;�ci � � Mf1Yl(fbY''I/1 s V, FO 5'v. vo Est. Freight Est. Total Cost TOTAL COST tI Nt C. Contact: Date: Dept. Dimator Quoted By: Dir. Nursing Buyer. E.T.A. Dir. Clinical Services CFO ZI i Administrator '✓ �.:=LU'..(1''1'�s);t�-t_.. MEMORIAL MEDICAL, CENTER PURCHASE ORDER Bill To: 815 N. VIRGINIA ST. Ship To: 815 N. VIRGINIA ST, PORT LAVACA, TX 77979 PORT LAVACA, TX 77979 PHONE: (361) 552-6713 PHONE: (361) 552-6713 FAX:' (361) 552-0312 t FAX: (361)552-0312 Vendor Name: ( >L')'l �%!%l l�l _ r5 ,{ �" Date: Vendor Address: P.O. # _ Vendor Phone #: Account# Vendor Fax #: Initiated By:, Date Required ExpenseN Department DelivcrTo Form#9401 Qty. Catalog Number Descripdort Unit Cost Unit Extended NaUnit t 1 Mus. Cost r4' go z 5 two n4f)/nr pA . v0. r}r 7 ( / T�, m-�LI A, .0 ' eve l �tx{L C.tr_O • VVII G,PriGt�{' G✓p'al oK t to � IGt FrXLAkj m r i C M Phr- t 'G !!_nlll/L!. A1AA.t.54tr �, r,„o ✓,..v. , JsSL Freight Est Total Cost " V --t � 9s'aW- rscctt TOTAL COST Contact: Date: Dept. Director Qucted By: Dir. Nursing Buyer. E.T.A. Dir. Clinical Services CFO (� _ Administrator l.�l"-' �..�e-uy�.tlY'1.G��3 �.J MEMORIAL MEDICAL CENTER PURCUASE ORDER Bill To: S 15 N. VIRGINIA ST. Ship To: 815 N. VIRGINIA ST. PORT LA.VACA. TX 77979 PORT L.AVACA, TX 77979 PHONE: (361) 552-6713 PHONE: (36I) 552.6713 FAX: (361) 552-0312 FAX: r(361)552.0312 Vendor Name: i 1 ? ✓�L,�iLg Date: Ll Vendor Address: Vendor Phone #: Vendor Fax #: P.O.# Account # Initiated By: une r Descri tion p Unit Colt It Meas. Extended Can 4 1.1. , u 0 + .� f V E )kJ Pro v rt L'j iil' 50 z 5000U%��3% j^ / tjY) _ z � 50 .. 92 +Uu .;. 0)%t ry) rnq f vri 5 1 5 9ti 2 .. 5 0+ + N E)fb - I h� i- anry I I arc 6 5/:0�r,p 0-050 + ,9 is 4..0 + 92.5 0 , b'v1.i �wt �� 2.50 .. r�y { j� -..'t�i�.. !.^I')..I.N,l�i -�.U"I��!'t''`y ia� 9 E' E; • 00 t to Ll0 $ .h ESL Freight Est. Total Cost TOTAL COST NOTES: G- contact: Dale: Dept. Director ' Quoted By."' Die Nursing Buyer. E.T.A. Dit Clinical Services CFO Administrator_ Vs-/ �f=Ft•'�pri'�T� § §§ | q �! |: \ !| ou} � k Z - Wui )j � et �E CD §; § 0UA \ §� � | � § | k z\ � ! |!!» < ! ! 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S Szk-aNN N 3 o� N N N N W L q 1` �q c O N N a c .01 O ld W ul _ COMPTROLLERJEXAS.GOV ED (2) Confirmation: You Have Filed Successfully Sales and Use Tax Period Ending 04/30/2024 (2404) Taxpayer ID: Taxpayer Name: Entered By: Cahlin Clevenger User ID: MEMORIAL MEDICAL CENTER Email Address: Reference Number: 13424063086 Taxpayer Address: Date and Time of Filing: 815 N VIRGINIA ST PORT LAVACA, TX Telephone Number: (361) 552-0272 05113/2024, 08:45:22 AM 77979-3025 IF Address: 24.116.195.218 PAYM ENT SU MMARY Electronic Check Payment Reference Number: 13424063598 Type of Bank. Account: Checking State Amount: $1,55B.36 Trece Number: 75705546 Accountholder Name: Local Amount: $498.67 Memorial Medical Center Amount to Pay: $2,057.03 Bank Routing Number. Electronic Check: $2,057.03 Bank Account Number: Payment Effective Date: 05/17/2024 CREDIT SUMMARY Credits Taken Are you taking credit to reducetaxes due on this return? No Licensed Customs Broker Exported Sales Did you refund sales tax for this filing period on items exported No outside the United States based on a Texas Licenced Customs Broker Export Certifications? LOCATION SUMMARY Loco Total Texas Sales Taxable Sales Taxable Subjeetto State Subjecto, Purchases Tax(Rate.11625) State Tax Due Local Tax Local Tax Rate Local Tax Due 00004 25,059 25,059 0.00 25,059 1,566.19 25,059 0.02 501.18 SubTatal 25,059 25,059 0 25,059 1,566.19 25,059 501.18 Total Tax for Locations Total Tax Due: Timely filing Discount: Balance Due: Pending Payments: Total Amount Due and Payable: 2,067.37 92,067.37 -810.34 $2,057.03 - $0,00 $2,057.03 ( State amount due Is S1,558.36) ( Local amount duels $498.67 ) Date/Time 05-09.2024 / 02:56 PM Submitted By cclevenger256 Pay Date 04-30.2024 Employee Deposits $76,142.50 Employer Contributions $109,536.14 Group Term life Premiums $0.00 Total $185.678.64 J Comments Payroll File April 2024 Retirem(eenn`t�U)pload.xlsx c Q Q5 av "$ :no z - nv mn:: SH a ^a `sse^z '2 s z'-e's a-z<2aes sssgss='sssssag€ 'jSSSaSzaS M1 aSSSaa aS^>SSaSz $z;393.a'"a'a'v:"aE$:ss$$$"e535a5EE's3_,$^at; HISSES I'll C Ila mlE1 4 -' 1535 0 INIx' a$:4Fga41 ................. °aao...... ...... 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Y' StVi73.,. • 1,3fOW - 30.391.W - B,SSgOO },ifi5,00 t\NN WxSh LHlNr1\4n5 panMorGw."..NVOJAM"fl WS po ., 56145.1ili InAMRC NUM01CNA 9Ui MCWMSMt IlI11H5110fm11 S.y515 50MZ4 WAIMUMµWCNCMIM5MIMOXRil1W)i / S,S15.W 516=4 "NO-ICNONO:WMIWFI C1tM0.W313511 }W5.15 N3ei SAfitA3 5,913aO 3,001.31 TWAM iA4A.19 039.000.90 )1i10.)i lOAAI 31T0f.98 AMR 47,2046 591,M.07 Ca1H IMS Uvetvalw Account Nanle '4367 MEMORIAL MEDICAL CENTER- $1.106,303.00 $1.088.511.87 $1.106.303.08 51,379,089.47 OPERATING '4366 MEMORIAL_—�-- MEDICAL CENTER - $543.86 $543.86 $543.86 $543.68 CLINIC SERIES 2014 '4373 MEMORIAL MEDICAL CENTER- $437.82 $437,82 5437.82 $437.82 PRIVATEWAIVER CLEARING 4351 MEMORIAL J MEDICAL CENTE0.l ✓ $172.832.19 / $205,974.53 5172,832.19 5107,771.60 NH ASXFORD 4403 MEMORIAL MEDICALCENIERI / $142,109.23 S187,01IA3 $142,109.23 $81,604.76 NH BROADMOOR J '"It MEMORIAL MEDICAL CENTER ✓ $16B4O04.91/ $248.422.31 $168,004.91 $141.059.75 NH CRESCENT '4438 MEMORIAL MEDICAL CENTER SOLERA AT WEST, g120,057.fi4/✓ $121.018,27 S120,057.64 $82,931Z HOUSTON '4446 MEMORIAL MEDICALCENTERI S46,763,71 �J $54,764.61 S46,763.71 $27.548.15 NH FORT BEND -44S4MEMORIAL MEDICAL NH GOLDEN CREEK 545,BB7.69 $47,243.89 $45,887.89 S43,338.14 HEALTHCARE '5433 MMC 42H GULF POINTEPLAZA- $858.11 $1,160.12 $858.11 $858.11 PRIVATE PAY '6441 MMC -NH GULF POINTEPLAZA- $46,319.36 S50,065.97 S45,319.35 S43.541.35 MEDICAREIMEDICAID -5506 MMC-NH BETHANY SENIOR $73,408.81 574,297.79 $73.408.81 S72,262.94 LIVING '3407 MMC -NH TUSCANY VILLAGE $112,828.38 $112.828.38 $112,828.36 $99,163.22 '3030 MMC•BETHANY SR LIVING -DACA $100.00 $100.00 SIOD,00 $100.00 MC -MONEY MARKE MARKETFUNO $111.493.32 $111,493.32 $111,493.32 S111,493.32 Total Balance $2,146.948.30 $2,303,874.17 $2,146,948.30 $2,191,743.72 Reoon 4ereTaH4 on 01I3,202408MA7 MI CDT P., 2 o12 Memorial Medical Center Nursing Nome UPL Weekly Nexion Transfer Prosperity Accounts 5/13/2024 prvleus as&lava xame Nemba TnmemOm /hanahr•In xx�'��NNn Ewa go" 163.563.II 363,3I0.]6 45,635A1 APPROVED ON dttdnt ynkmwrgn/tyOtNen CmeA MAY 13 2921 Nexbn Neatrhat GeMen Creek Welhpvgofitnk N.A. hndlnp wod4 Today'ifie51nng6 Begnu - 45,66).B9 bank fielenu 45,837.89 Vubnte leaysln ealanu 100.00 C.itlYiMRUNIie, TE7tAS Note: Cell, bofonra o/aver Ssm wAb. Nam/ORd so he.." A. Note 2. Eaeb nrcn unt Ate a hone balance of $1 oo Iho r MMC daponfW m open ooroun[ to Be hanAerned to Nursln3 Aprlllmerm 151A7 / Me]gmeet J Sune lntaert AdiuN Wgnw/TranegrAml 05.635A3 ./ Aoomyed: lL_ �"t,1 ?_TYOi.J—(! lii Ll"�/�(ti "\/l,lil�•� .0 nE1pSSANT05 - S/13/1014 IyNN WrrAlylNnJm\NN OYLirmJerfummary\Sbla\NN VPITnmleraummery5.13.1e _ MMC90RTION W91/Camp1 Tnndxdj DING t qIN/COmp2 QIN/@ P9 6UPI9 OPITI NH MRMON ylp/IIW II'M [IW]WTW [o o[Pu38u55LIN1]91 - ERE,M f/10/AN M[YlN X11WNSVCN[11.SIMiM]Ii3[mL 11.112 S/g4 WIRE WT NEXIONNUITIEdWa E0l0INCMfv NC MAE. 5/9ppllt3]5/IMXffIRRCN tV fIfPu1iN35S9]f]I191 y9).(O - g•gg)AO f/9)Spu E0l0[MCME[NUITMMCO[P p101u 91[CMW3 MCA} - 3,611.51 W!B-ffMON((UIMIMTNSOMIL3WLMI3}6 E 50 0o..W simm, M} EW.WW I4.5 WME' Wp[MMFALTMfCMPIZ2035691W0 L9W 94 O 1,115A snot. LU9W ",OU 1.W.60 II90fiO 1/1MSTCRC003WSSS17"I;#I 1S}}0 I5i.10 , /190MORANSNMiCRC ERUW55uM 1W1].. 3}].W E/1g3E 00lpMCRUNGITMIRCOF9}M15I9OOMW I AG 1150 _36�]1O]f ,/� ISpS.C,i sl 4,615.43 ommlcns Uvnrvinw Account Nonte •4367 MEMORIAL MEDICAL CENTER• $1,106,303,08 51,088,511.87 S1,106,303.08 $1,379,089,47 OPERATING '4365 MEMORIAL u MEDICAL CENTER• $543.86 $643.06 $543.86 S543.86 CLINIC SERIES 2014 '4373 MEMORIAL MEDICAPRIVATL AIV ER• PRIVATE WAIVER $437.82 $437.82 $437.82 $437.82 CLEARING '4361 MEMORIAL MEOICALCENTER1 $172,832,19 $205.974.53 $172,832.19 S107,771,60 NH ASHFORD •4403 MEMORIAL -- ��- MEDICALCENTERI $142,109.23 $187,011,43 $142,109.23 S81,604.76 NHSROAOMOOR � �-^,-- •4411 MEMORIAL MEDICAL CENTER I S168,004.91 $248,422.31 5168,004.91 $141,059.75 NN CRESCENT •4436 MEMORIAL MEDICAL CENTERI WEST S120,057.64 $121,018.27 $120.057.64 $82,931.23 HO8TONOUSTON ..__._ •4446 MEMORIAL MEDICAL CENTER $46.703.71 $54.764.61 $46,763.71 $27,548.15 NN FORT BEND '4454 MEMORIAL MODICALINX GOLDENCREEK S45,887.89 . $47,243.69 S45,887.89 943.338.14 HEALTHCARE 'S433 MMC .NN GULF POINTEPLAZA• $868.11 $1.16D.12 $858.11 $858.11 PRIVATE PAY '5441 MMC -NH GULF POINTEPLA2A• $46.319.35 SSO,065.97 $45,319.35 S43.541.35 MEDMAREIMEOICAID •5606 MMC AN BETHANY SENIOR $73,408.81 $74.297.79 $73,408.01 $72.262.94 WING '3407M Y VILLAGE -NH TUSCA $112,828.39 $112,828.38 $112,828.38 $99,163.22 MMC •13AANY SR LI •IR LIVING DATCA $100.00 $100.00 $100.00 $100.00 '2998 M 46a6MMIO MONEY T FUNO S111,493.32 $111,493.32 $111,493.32 S111,493.32 Total Balance $2.146,948.30 $2.303.874.17 $2,146,948.30 $2,191,743.72 Rep" On OWIM024 OR 35:47 MI COT Pepa 2 e12 Memorial Medical Center Nursing Home UPL Weekly HMG Transfer P spefity Accounts 5/13/2024 enwm xuN Nmm • _�. •w4ryln WMGMIG4vNYnM.xYR na:.w JJJ n01ee er4ndn[ 9uMW Tamhm1—calo e+6m. Tnmhf4W inmheh L9,afma w4 TaM ee Imin ewn,e xux e sse.0 - ese.s nan)ej uns miw,. ese.0 v,n.nn "aft / / I eyunulwe/rnw..emf >slv. /J YID,/9.W /J a."10 se4mun[ v..A;m 1 mwmeem V e.l.m. rmaenOu[ inWh.m /maeaM 9.eMn rW,Y. n.eutln1,1:9, J xmnex.31 P9.fl .9.16911 n9.i19.1f / T.a19d9 4eS WanW 09.9191E ✓ V„Ln<e APPROVED ON MAY 13 2024 ;E.. emgon•Sr. W.eexew,nearome xunx: eom e,mrnl Mseeen6alameySlltl MetMMCafwuneroNMa,Mw1 \ 0. 4eMln &I,nW ras. / arlmryymfnminwTwurry "asse rn1/ P4wruYM,Rnnr9a4m3 st9nas TniPL1MNf![0.9 )l.A9A6 PNPP[W PEIMfPNIM S/IS/10H 1'.Wr Wr,lNimmhn\xx V9,Snmhr SvmnaryltlivWNY.I Tr,min S.mm,ry E.11 i, mMCPORTION QIPP/Camp QIPP/ComP4 TMmleroua / TMAfflTJA QIpP/Cpmpl 2 QIPP/CPmP3 6bPH gIPP TI AN PORTION MMC PORTION QIPP/Comp QIPP/Camp4 ' TmAd4141m TM� QIPP/CamPl 2 QIPP/ComP3 &4pR QIPPII NNPORTION 5/10/3024 MERCHANT MN8000BPOSIT4991851089910001 1,T2800 - 1.778.80 5/9/20O MERCHANt RANKC00MOSIT 49M78S1920991R001 1.196N - 1,296.00 5/8/2O2a peppalt 21&A - 215.26 5/8/2024 MERCHANT BANRCOQEPOSIT~11SI66699100001 5/6/2024 MERCHANT PANRCO OEPOSIT490785188899100001 J 240.00 - / 240.0 - 41,640.56 - 41.640.56 45d69.8i. OSA6&BI.� 45.26942 45,16&02 oelenueu uvervlew Account Name '4357MEMORIAL MEDICAL CENTER $1,106.303.08 §1.OB8,511.87 $1,106,303.08 $1,379,089A7 OPERATING .4386 MEMORIAL MEDI MEDICALCENTER- $543.86 $543.86 $543,86 5543.86 CLINIC SERIES 2014 '4373 MEMORIAL MEDICALCENTER- PRIVATE WAIVER $437.82 $437.82 $437.82 $437.82 CLEARING 43S1 MEMORIAL - MEDICAL CENTER I S172,832.19 $205,974.53 S172,832,19 $107.771.60 NH ASHFORD '4403 MEMORIAL MEDICALCENTER/ $142,109.23 $187,011.43 $142,109.23 $81.604.76 NHSROAOMOOR '4411 MEMORIAL ME0ICALCENTER/ S168,004.91 $248.422.31 $168.004.91 $141,059.75 NH CRESCENT '4439 MEMORIAL MEDICAL CENTER SOLERA AT WEST S120.057.64 $121.018.27 $120.057.64 $82,931.23 HOUSTON '4446 MEMORIAL _ MEDICAL CENTER $46,763.71 554,764.61 $46,763.71 S27.548.15 NHFORTBEND '4454MEMORIAL MEDICALINH GOLDEN CREEK $45,887.89 $47,243.89 $45,887.89 $43.338.14 HEALTHCARE 'S433 MMC -NH GULF POINTE PLAZA- ✓ $858.11 , $1,160.12 $858.11 $858.11 PRIVATE PAY 'S441 MMC -NH GULF / POINTS PLAZA- $45,319.35 J $50.065.97 $45,319.35 $43.541.35 MEOICARERAEOICAID R '5606 MMC -NH �- BETHANYSENIOR $73.408.01 $74,297.79 $73,408.81 S72,262.94 LIVING TTJIDTMM VAN ILLAGE VILLILLAGE $112,828.38 $112,828.38 $112,828.38 $99,163.22 '3600 MMC -BETHANY SR LIVING -DACA $100.00 $100.00 $100.00 $100.00 '2990MMC-MONEYMARKEO S111,493.32 $111,493.32 S111,493.32 $111,493.32 Total Balance $2.146,940.30 $2,303,BT4.17 $2,146.948.30 $2,191,743.72 ROW leiumee m euuamsaL35:41 PN COT h3e 202 Memarial Medical Center Nursing Home UPL Weekly Tuscany Transfer Prosperity Accounts 5/13/1034 mm�w. B.lbnb[ N.Mne H.me � M.mm.t •^ Baxew .S Sl,Olf.al J J APPROVED ON MAY 13 2024 x.ee: wavE.l..rna..erucaou+verwnrl.neamrnenwun9nwr<. x.tnE:E.rn.rm.nrnm eem. e.nnnassswm.rnrmca<w.r.en.v.nm Cp Nay qUp }'pp CALHoRNOUNTI;'TEXAS nm..11.8. 9neNB Tnminr.a r. lv mlu TM •e bolo BaWm xurA Nome/ IRfllBIB E.909.E3 Bank Baann IQ.B1flB0' Voiam. I..,. Yhnp IIem Marinaelmd Morn QIPP K719.10 ael.ne.l.nu/Sr.ntat.ramr ltnsns.a a.M.46 nn Ana,r. •.�T.ti�.( j�i A(,Li� AxoB��nxros s/u/xou MMC PORTION QIPP/Camp QIPP/Camp QIpP/Comp Transfer-Oue Traasrer4n 1 QIPP/Comp2 3 amt.... QIPPTI NHPORTION - 12,465.52 - 12,465.52 - / 1,199-sa 1,199.64 51,936.83 ,� 35,0BB.Op -35,088.00 - 642.00 / 642.D0 • 33,026.61 6,451.74 8,910.93 4r16&13 4j89S.81 14,719.18 �/. 8,Q87A/ - 30,512.47 7.31434 - 30,51147 ., r _,..I._... S/30/2024 NNB.EOi0I HCCIMM PMT ]460030114 e0 W p21Q3 t 5/10/2024 HNB-ECHOHCOAIMPMT746063411440000214925 5/9/2024 WIRE OUTVRIA6E POSTACUTE HEALTH SERVICE 5/8/2024 Deposit 5/9/2024 O.p40t 6/B/102�M0UNAXFAt1NCARMOUNAACN 031]9I394100p016 SIM024 HNB-ECHOHCCIAIMPMT746ME411440 241236 5/7/2024 HNB-EOIO HCQAIMPMT 7460D3411440D0020058S $16/2024 HNB- E010 HCCLAIMPMT 74600341144000 2b 1 7.814.34 1.979.60 1,979,80 5L936.83 112,72838./ 6ASS.7a s33093 aAAA sa 21 oetallcea wyowlew Account Namo '4357 MEMORIAL MEDICAL CENTER- $1.106,303.08 51,088,511.87 S1,106,303.08 S7,379,089,47 OPERATING —_-�-�--- '4365 MEMORIAL --T_-- _ MEDICAL CENTER • $543.88 $543.86 $543.86 $543.86 CLINIC SERIES 2014 •4373 MEMORIAL MEDICAL CENTER- $437,82 $437.82 $437.82 $437.82 PRIVATS WAIVER CLEARING '4381 MEMORIAL-- MEDICALCENTERt $172,832.19 8205,974.53 $172,832.19 $107.771.60 NHASHFORO •u03 MEMORIAL MEDICALCENTERI $142,109.23 $187.011.43 $142.109,23 $81.604.76 NH BROADMOOR '"It MEMORIAL MEDICAL CENTER $168,004.91 S248.422.31 $168,004.91 $141.059.75 NH CRESCENT •4434 MEMORIAL MEDICAL CENTER SOLERA AT WEST $120,057.64 $121.018.27 S120,057.64 S82,981.23 HOUSTON '4446 MEMORIAL MEDICAL CENTER $46.763.71 $54.764.61 $46,763.71 527,548.15 NH FORT BEND '4454 MEMORIAL —� MEDICALINN GOLDEN CREEK $45.887.89 $47.243,89 $45,887.89 $43,338,14 HEALTHCARE 'S433 MMC -NH GULF POINTEPLA7A• - $858.11 $7,160.12 $858.11 $858.11 PRIVATE PAY 'WI MMC-NH GULF POINTEPLA2A• $46,319.35 $50.065.97 $45,319.35 $43,541.35 MEDICAREIMEOICAID '6606 MMC -NH BETHANY SENIOR $73,408.81 $74.297.79 S73,408.81 572,262.94 LIVING •3467 MMC-NH $112.828.38 $112,828.38 5112,828.3B $99,183.22 TUSCANYVILLAGE� '3660 MMC •SETHANY $100.00 $100.00 $100.00 S100.00 SR LIVING • DACA -2098 MMC-MONEY MARKETFUND $111,493.32 S111,493.32 $111.493.32 S111,493.32 Total Balance $2.146.948.30 $2,303,874,17 $2.146,948.30 $2,191,743.72 R.paneenmelee en ON13Re24 D3:33;47 "CDT Pee. 2.I2 Memorial Medical center Nursing Home UPL Weeki, HSLT,.mler /3A000YMS 5)13/2024/1024 ew.raa• � � vramaa � •aauM urinnF{ Mrdinn rwe.rr+edunew sW.»aW aWsna uaumnw n.eoen ✓ APPROVED ON MAY 13 2024 xaw; rsmreww.a. olaw.fapw waeeumgeredlo 0,nwxaMma. xow): each weow[em vM.r l ,l efSJW@atMMedfMvwdw.7ATYH ppJrO AID I GALHO�tJ COUNP' MS w w.n is e,wl. Was aoduM.w+e tw.,l M.YMI.I.11 ^ulmlallwll 46unu1 Axoeewo Mrrtw s/»4mo cwx vw.wrwwrwswx vvuw.n., s.mmuwWx,Wx xnnMnw a�m,as» x LIIVIMR NNVRNg1YMNN[fGIMIMtp)pNJ�}m ISJ sn/lo:p aMJRervY...l Sn/NN WIR[QUI'POMGVRGXX.IL[ Sn/NN pepovt 9nn024X 50Wip)X NCfWMIM}NNB1NllNJ]IM Sn/ID34 w *ft !n/MN 911 wormwm: QJpi111 S/Rnpip NNf SECMH OMW746N3)Ma)S VJ2 Sn/IDN NHB[fNOX[[LWIaMi)Jid]iIIMWCONI})6 S/)/IDN Mlµ}N XUMNX9V[M[fIMMIM)J)16WHIM1116} MMCPQRMN I3IN1_l9J f1;lIS�� WPP/Qwt QIPP/MTp2 QIPP/@M)3 QIPP/GmOpWPH QIPPJI NXPQRVON ✓/ laps+J woo I,Jne1 J59.92p6} / IANO.fp 33,290. J 390.N - 9.131.91 M.93 9,Mv IAaL.RI 3,79"} J.3S5.p} p3Jl.Jp 2,10012 I19830 ]A9L3N 3A9B 30 1 13Rp3 � 3,311.83 omauwu �vurwuw Account Name '4367 MEMORIAL MEDICAL CENTER- $1,106.303.08 $1,088,511.87 $1,10B1303.08 S1,379,089.47 OPERATING '436S MEMORIAL MEOICALCENTER- $543.86 $543.86 $543.86 $543.86 CLINIC SERIES 2014 '4373 MEMORIAL MEDICAL CENTER- PRIVATE WAIVER $437.82 $437.82 S437.82 $437.82 CLEARING •4381 MEMORIAL v. MEOICALCENTERI $172,832.19 $205,974.53 S172,832.19 $107,771.60 NH ASHFORD '4403 MEMORIAL ._._ MEDICAL CENTER S142,109.23 $187.011.43 $142,109.23 $81.604.76 NHSROAOMOOR '"It MEMORIAL }_. �_--- MEDICALCENTERI $168.004.91 $248,422.31 $168,004.91 S141,059.75 NH CRESCENT '4438 MEMORIAL MEDICA A C RI OL8 ATWE WEST $120,057.64 $121,018.27 $120,067.84 $82,931.23 HOUSTON '4446 MEMORIAL MEDICAL CENTER $46.763.71 $54.764.61 S46.763.71 S27,548.15 NHFORTBEND W54 MEMORIAL MEDICALINH GOLDEN CREEK $45,887.89 547,243.89 $45,887.89 S43,338.14 HEALTHCARE '8433 MMC -NH GULF POINTEPLAZA- $858.11 $1,160.12 $868.11 $858.11 PRIVATE PAY '5441 MMC-NH GULF POINTEPLA7A- $45.319.35 $60,065.97 $45,319.35 S43,541.35 MEDICAREIMEOICAID '$$DO MMC -NH BETHANY SENIOR ✓ $73,408.01 / $74,297.79 $73.408.81 LIVING ✓� S72,262.94 407 MMC -NH '3 0CA TUSCANY VILLAGE Sl12.328,38 S112,828.38 ^$112.828.38 $99,163,22 •3000 MMC -BETHANY $100.00 $100.00 $100.00 $100.00 SR LIVING - DACA '2999 MMC-MONEY $111.493.32 $111,493.32 $111,493.32 $111.493.32 MARKETFUND Total Balance $2.146.948.30 $2,303,874.17 $2,146,948.30 $2,191,743.72 An0al6arorMe0 an 091120240&15:4l PM CDT Pa2e202 MEMORIAL MEDICAL CENTER P MEMORIAL MEDICAL CENTER A CHECK REQUEST Date Requested: 5/13/2024 Y APPROVED ON E IvItIl, 13 2024 E CAHWRAMS FOR ACCT USE ONLY ❑ Imprest Cash ❑ A/P Check ❑ Mail Check to Vendor ❑ Return Check to Dept AMOUNT: $ 21,440.23 ,/ G/L NUMBER: 10255040 EXPLANATION: MOLINA Q2 AND MARCH QIPP HOPITAL PORTION REQUESTED BY: CAITLIN CLEVENGER AUTHORIZED BY: s fi3h+ MEMORIAL MEDICAL CENTER CHECK REQUEST 5 MEMORIAL MEDICAL CENTER Date Requested: 5/13/2024 A Y APPROVED ON E UY 13g2024 E CABHOUNUG7yRLINR'IMS AMOUNT: $ 8,006.51c/ EXPLANATION: MOLINA Q2 AND MARCH QIPP HOPITAL PORTION REQUESTED BY: CAITLIN CLEVENGER FOR ACCT USE ONLY ❑ Imprest Cash ❑ A/P Check ❑ Mall Check to Vendor ❑ Return Check to Dept G/L NUMBER: 10255040 AUTHORIZED BY: I 1 MEMORIAL MEDICAL CENTER CHECK REQUEST P MEMORIAL MEDICAL CENTER A Y E APPROVED ON E MAY 13 2024 ma:f�)�l�a{!I!ICt�a a Date Requested: FOR ACCT USE ONLY ❑ imprest Cash ❑ A/P Check ❑ Mail Check to Vendor ❑ Return Check to Dept 5/13/2024 AMOUNT: $ 5,942.12.. GA NUMBER: 10255040 EXPLANATION: MOLINA Q2 AND MARCH QIPP HOPITAL PORTION REQUESTED BY: CAITLIN CLEVENGER AUTHORIZED BY: MEMORIAL MEDICAL CENTER CHECK REQUEST P MEMORIAL MEDICAL CENTER A Y E Date Requested: 5/13/2024 APPAOV5D ON E MAY NN1 3ppl2027T4 qq �A�HOU� C;OUNi�nI7�XA5 FOR ACCT USE ONLY ❑ Imprest Cash ❑ A/P Check ❑ Mail Check to Vendor ❑ Return Check to Dept AMOUNT: $ 6,769.25✓ G/L NUMBER: 10255040 EXPLANATION: MOLINA Q2 AND MARCH QIPP HOPITAL PORTION REQUESTED BY: CAITLIN CLEVENGER AUTHORIZED BY: r 5f(312 MEMORIAL MEDICAL CENTER P MEMORIAL MEDICAL CENTER A CHECK REQUEST Date Requested: 5/13/2024 Y E APPROVED ON MAY'l 3 2024 E AMOUNT: EXPLANATION _4w40A AWIWP�ls $ 5,822.77 t/ FOR ACCT USE ONLY ❑ Imprest Cash ❑ A/P Check ❑ Mail Check to Vendor ❑ Return Check to Dept G/L NUMBER: 10255040 MOLINA Q2 AND MARCH QIPP HOPITAL PORTION REQUESTED BY: CAITLIN CLEVENGER AUTHORIZED BY: MEMORIAL MEDICAL CENTER CHECK REQUEST P MEMORIAL MEDICAL CENTER A Date Requested: Y APPROVED ON E MAY 3 2024 E ��pp EIt �"•,i4&INRNI AS AMOUNT: EXPLANATION: S 14,739.18./ FOR ACCT USE ONLY ❑ imprest Cash ❑ A!P Check ❑ Mail Check to Vendor ❑ Return Check to Dept G/L NUMBER: MOLINA Q2 AND MARCH QIPP HOPITAL PORTION REQUESTED BY: CAITUN CLEVENGER AUTHORIZED 5/13/2024 10255040 � /kk(B/)) k\K§\ (k ƒ � : • ® � � ■■§§■� |||§§)§§ )/ /!/�/ ! ■ ■3��;.! . MEMORIAL MEDICAL CENTER CHECK REQUEST P Tuscany Village / Date Requested: 5/13/2024 A Y E APPROVED ON E MAY t�N13p2200274pp CA!OI)N COUNTY,I PAS AMOUNT: EXPLANATION: FOR ACCT USE ONLY ❑ Imprest Cash ❑ A/P Check ❑ Mail Check to Vendor ❑ Return Check to Dept 5 8,200.00 ✓ G/L NUMBER: 21400007 CLAIM PAYMENT OWED BY GULF POINTE TO TUSCANY ,/ REQUESTED BY: CAITLIN CLEVENGER AUTHORIZED BY: (� Z