The URL can be used to link to this page

2024-05-01 Final PacketNOTICE OF MEET ING — 5/01/2024 May 1, 2024 MEETING MINUTES OF CALHOUN COUNTY COMMISSIONERS' COURT MET IN A REGULAR MEETING AT 10:00 A.M. IN THE COMMISSIONERS, COURTROOM IN THE COUNTY COURTHOUSE AT 211 S. ANN STREET SUITE 104 PORT LAVACA, CALHOUN COUNTY, TEXAS. THE FOLLOWING MEMBERS WERE PRESENT: Richard Meyer David Hall Vern Lyssy 3oel Behrens Gary Reese Anna Goodman By: Kaddie Smith The subject matter of such meeting is as follows: 1. Call meeting to order. County3udge Commissioner Pct 1 Commissioner Pct 2 Commissioner Pct 3 Commissioner Pct 4 County Clerk Deputy Clerk Meeting was called to order at 10am 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 20 NOTICE OF MEETING — 5/01/2024 5. Hear Memorial Medical Center Report. Erin Clevenger gave the report. 6. Consider and take necessary action to accept anonymous donation to the Sheriff's Office to be deposited into the Motivation account (2697-001-49082- 679) in the amount of $75.00. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER:Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 7. Consider and take necessary action to approve the Final Plat of Megan Wright Subdivision. (DEH) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 8. Consider and take necessary action to purchase 0.495 acres of land, A0017 Valentin Garcia, Tract Pt 18, Port Lavaca, TX from Thomas Toney for $300 plus closing cost, and allow Commissioner Vern Lyssy to sign any and all paperwork. (VLL) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 9. Public Hearing on Petition to Vacate Tract 1116, Tract 1117, Tract 1030, and Tract 1031 of the American, Townsite Subdivision as shown by plat recorded in Volume Z, Pages 2 & 3 of the Plat Records of Calhoun County, Texas. (GDR) 10. Consider and take necessary action on Petition to Vacate Tract 1116, Tract 1117, Tract 1030, and Tract 1031 of the American Townsite Subdivision as shown by plat recorded in Volume Z, Pages 2 & 3 of the Plat Records of Calhoun County, Texas. (GDR) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 2 of 5 NOTICE OF MEETING — 5/01/2024 11.Consider and take necessary action to approve Preliminary Plat of Seco La Baya Subdivision, a replat of Tracts 1116, 1117, 1030, and 1031 of The American Townsite Subdivision. (GDR) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct i AYES: Judge 'Meyer, Commissioner Hall, Lyssy, Behrens, Reese 12. Consider and take necessary action to approve Final Plat of Seco La Baya Subdivision, a replat of Tracts 1116, 1117, 1030, and 1031 of The American Townsite Subdivision. (GDR) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 13.Consider and take necessary action to approve Addendum No. 1 for Bid No. 2024.05 - Seadrift Drainage Improvements Project - GLO Contract No. 22-085- 014-D245 for Calhoun County, Texas. (GDR) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 14. Consider and take necessary action for the Calhoun County Commissioners' Court to authorize a letter of support for the Calhoun Port Authority (CPA) application to the United States Department of Transportation's (USDOT) Maritime Administration for Fiscal (FY) 2024 Port Infrastructure Development Program (PIDP) competitive grant program for Calhoun Port Authority Port Improvement Project and Judge Meyer sign all related documents. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Joel Behrens, Commissioner Pct 3 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 3 of 5 I NO FICE OF MEETING —'/01/2024 15. Consider and take necessary action to approve Change Order No. 1 for the REBID - Lane Road Drainage Improvements for Calhoun County, Texas -Texas General Land Office Contract No. 20-065-064-C182 and Calhoun County 2020 CDBG-DR Contract Work Order No. B-1 and authorize County Judge to sign. (GDR) RESULT:,'APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 16. Consider and take necessary action to approve Change Order No. 2 for the REBED - Lane Road Drainage Improvements for Calhoun County, Texas -Texas General Land Office Contract No. 20-065-064-C182 and Calhoun County 2020 CDBG-DR Contract Work Order No. B-1 and authorize County Judge to sign. (GDR) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 17.Consider and take necessary action to approve executed agreement for the Recycle Waste Transfer Station Project for Calhoun County, Texas project and authorize County Judge to sign. (VLL) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 18.Consider and take necessary action to approve and have the EMS Director sign the ESO "3rd Party Pre -Hospital Integration" agreement, to integrate Pulsara and ESO. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 4 of 5 NOTICE OF MEETING — 5/01/2024 19. Consider and take necessary action to declare the attached list of items for the Calhoun County Auditor's Office as Surplus Salvage. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Joel Behrens, Commissioner Pct 3 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 20. Consider and take necessary action to declare the attached list of items for the Calhoun County Auditor's Office as Waste. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Joel Behrens, Commissioner Pct 3 AYESe Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 21. Accept Monthly Reports from the following County Offices: i. District Clerk — March 2024 RESULT: ' APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 22. Consider and take necessary action on any necessary budget adjustments. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 23. Approval of bills and payroll. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Adjourned 10:40 Page 5 of 5 CALHOUl`b COUNTY�i�.pA�YllA�Vll ®ISSI7A`®ERE' C®�L RT SHEET PACXET CO V All Agenda Items Properly Numbered ✓ Contracts Completed and Signed i All 1295's Flagged for Acceptance (number of 1295's 2 ) All Documents for Clerk Signature Flagged (All documents needing to be attested to need to be signed day of Commissioner's Court.) IA On this 1,5 day of d' l 2024, the packet for the 1_ day of iTal 2024 Commissioners' Court Regular Session was submitted Mom the Calhoun County Judge's office to the Calhoun County Clerk's Office. Calb - L, V houn County udge/Assi 59JInt I NOT ICE OF NII I_l INC7 'i/07002/1 Richard H. Meyer County judge David Ball, Commissioner, Precinct 1 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 1, 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 7: ✓ / FILED The subject matter of such meeting is as follows: A? 0CLOCK�i m 1. Call meeting to order. APR 2 6 2024 2. Invocation. co� c/� e�1cN%&0$u�'C"ouNTv, rexa 3. Pledges of Allegiance. I)MI 4. General Discussion of Public Matters and Public Participation. 5. Hear Memorial Medical Center Report. 6. Consider and take necessary action to accept anonymous donation to the Sheriff's Office to be deposited into the Motivation account (2697-001-49082-679) in the amount of $75.00. (RHM) 7. Consider and take necessary action to approve the Final Plat of Megan Wright Subdivision. (DEH) 8. Consider and take necessary action to purchase 0.495 acres of land, A0017 Valentin Garcia, Tract Pt 18, Port Lavaca, TX from Thomas Toney for $300 plus closing cost, and allow Commissioner Vern Lyssy to sign any and all paperwork. (VLL) 9. Public Hearing on Petition to Vacate Tract 1116, Tract 1117, Tract 1030, and Tract 1031 of the American Townsite Subdivision as shown by plat recorded in Volume Z, Pages 2 & 3 of the Plat Records of Calhoun County, Texas. (GDR) 10. Consider and take necessary action on Petition to Vacate Tract 1116, Tract 1117, Tract 1030, and Tract 1031 of the American Townsite Subdivision as shown by plat recorded in Volume Z, Pages 2 & 3 of the Plat Records of Calhoun County, Texas. (GDR) Page 1 of 3 I NOT ICE OF MI I IN 5/01/2024 11. Consider and take necessary action to approve Preliminary Plat of Seco La Baya Subdivision, a replat of Tracts 1116, 1117, 1030, and 1031 of The American Townsite Subdivision. (GDR) 12. Consider and take necessary action to approve Final Plat of Seco La Baya Subdivision, a replat of Tracts 1116, 1117, 1030, and 1031 of The American Townsite Subdivision. (GDR) 13. Consider and take necessary action to approve Addendum No. 1 for Bid No. 2024.05 - Seadrift Drainage Improvements Project - GLO Contract No. 22-085-014-D245 for Calhoun County, Texas. (GDR) 14. Consider and take necessary action for the Calhoun County Commissioners' Court to authorize a letter of support for the Calhoun Port Authority (CPA) application to the United States Department of Transportation's (USDOT) Maritime Administration for Fiscal (FY) 2024 Port Infrastructure Development Program (PIDP) competitive grant program for Calhoun Port Authority Port Improvement Project and Judge Meyer sign all related documents. (RHM) 15. Consider and take necessary action to approve Change Order No. 1 for the REBID - Lane Road Drainage Improvements for Calhoun County, Texas -Texas General Land Office Contract No. 20-065-064-C182 and Calhoun County 2020 CDBG-DR Contract Work Order No. B-1 and authorize County Judge to sign. (GDR) 16. Consider and take necessary action to approve Change Order No. 2 for the REBED - Lane Road Drainage Improvements for Calhoun County, Texas -Texas General Land Office Contract No. 20-065-064-C182 and Calhoun County 2020 CDBG-DR Contract Work Order No. B-1 and authorize County Judge to sign. (GDR) 17. Consider and take necessary action to approve executed agreement for the Recycle Waste Transfer Station Project for Calhoun County, Texas project and authorize County Judge to sign. (VLL) 18. Consider and take necessary action to approve and have the EMS Director sign the ESO "3rd Party Pre -Hospital Integration" agreement, to integrate Pulsara and ESO. (RHM) 19. Consider and take necessary action to declare the attached list of items for the Calhoun County Auditor's Office as Surplus Salvage. (RHM) 20. Consider and take necessary action to declare the attached list of items for the Calhoun County Auditor's Office as Waste. (RHM) 21. Accept Monthly Reports from the following County Offices: i. District Clerk — March 2024 22. Consider and take necessary action on any necessary budget adjustments. (RHM) 23. Approval of bills and payroll. (RHM) Page 2 of 3 NO-1 C-1 01 M[I1ING-5/01/202d 9hardH. FUeyer, County 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 continuouslyfor 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 3 of 3 #5 ' NOTICE OF MEETING -- 5/01/2024 5. Hear Memorial Medical Center Report. Erin Clevenger gave the report. Page 2 of 20 #6 ' NOTICE OF MEETING- 5/01/2024 6. Consider and take necessary action to accept anonymous donation to the Sheriff's Office to be deposited into the Motivation account (2697-001-49082- 679) in the amount of $75.00. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 3 of 20 CALHOUN COUNTY, TEXAS COUNTY SHERIFF'S OFFICE 211 SOUTH ANN STREET PORT LATVACA, TEXAS 77979 PHONE NUMBER (361) 553-4646 FAX NUMBER (361) 553-4668 MEMO TO: RICHARD MEYER, COUNTY JUDGE SUBJECT: ACCEPT DONATION TO SHERIFF'S OFFICE DATE: MAY 1, 2024 Please place the following item(s) on the Commissioner's Court agenda for the date(s) indicated: AGENDA FOR MAY 1, 2024 * Consider and take necessary action to accept anonymous donation to the Sheriff's Office to be deposited into the Motivation account (2697-00149082-679) in the amount of $75.00. Sincerely, fbbie ckery Calhoun County Sheriff 9 NOTICE OF MEETING-5/01/2024 7. Consider and take necessary action to approve the Final Plat of Megan Wright Subdivision. (DEH) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 4 of 20 • us' Land Surveying+Aerial Imaging 91nce1991 April 16, 2024 David Hail County Commissioner Precinct #1 305 Henry Barber Way Port Lavaca, TX 77979 RE: Megan Wright Subdivision Dear Commissioner Hall, Please consider this letter as my request to have the following item placed on the April 24, 2024 Commissioner's Court agenda: Consider and take the necessary action to approve the Final Plat of Megan Wright Subdivision. If I can provide additional information, please do not hesitate to contact me. Sin rely, Te ryT. Rdick, R.P.L.S. C.E.O. ��JJ (526350) Victoria San Antonio Cuero 2004 N. Commerce Victoria, TX 77901 12661 Silicon Drive San Antonio, TX 78249 104 E. French Street Cuero, TX 77954 i.lrbansurveying.cC9m 361-578-9837 210-267-8854 361-277-9061 Firm #: 10021100 Firm #: 10193843 Firm 4:10021101 ... r��,•� r+, ti r:1 , o m m D z A €Ge O� c o o 6-5 z IN Kp$� x 9FF e am C • r. 9 PR �'Y s ♦4 ob\ �R JAIL ad a= 8 ..xb2" z8 9 , l•G p 2s :�v i 0sn Y 3 nil a � I sm gg N 1sm a nil: is: go! 15 3" i asIs.is a 10 1 e'� o I m "^ n' "88 @: s i mo@g "€m N 2 im 6� m iH uy BA1— m4� o ��` o Nos N �' �=$E p a •�� Sap � co�yx £a a gm� � � a x�� e z /// ///��'/ gm Ong"; JyUN A C '�xm 89 9 '8 83 an: i O gd€ r a WIN, Sg n H gig Mon SIX Hui H n s g H �a #s NOTICE OF MEETING -- 5/01/2024 8. Consider and take necessary action to purchase 0.495 acres of land, A0017 Valentin Garcia, Tract Pt 18, Port Lavaca, TX from Thomas Toney for $300 plus closing cost, and allow Commissioner Vern Lyssy to sign any and all paperwork. (VLL) RESULT:" APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behr7Reese Page 5 of 20 Vern Lyssy Calhoun County Commissioner, Precinct #2 5812 FM 1090 Port Lavaca, TX 77979 April 22, 2024 Honorable Richard Meyer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Meyer: Please place the following item on the next Commissioners' Court Agenda (361) 552-9656 Fax (361) 553-6664 • Consider and take necessary action to purchase 0.495 acres of land, A0017 Valentin Garcia, Tract Pt 18, Port Lavaca, TX from Thomas Toney for $300 plus closing cost, and allow Commissioner Vern Lyssy to sign any and all paperwork. Sincere) , Vern Lyssy VUIj .. �Vul' luu Ir A. B. TYPE OF LOAN U.S. DEPARTMENT OF HOUSING &URBAN DEVELOPMENT 1. ❑ FHA 2Q Fmi 3. [nConv. Unins. 4. Q VA 5. Conv. Ins. . SETTLEMENT STATEMENT 6. FILE NUMBER: 7. LOAN NUMBER: 23.12.0664 8. MORTGAGE INS CASE NUMBER; C. NOTE: This form Is furnished to give you a statement of actual settlement costs. Amounts paid to and by the settlement agent are, shown. Items morlred "(POC)' were paid outsfq's the closing,. they are shown hereforinf0rmational purposes and are n0tincfudet m the totals. 1.0 Was (p.12.08a41411 D. NAME AND SS OF BUYER: - E. NAME AND ADDRESS OF SELLER: F. NAME AND ADDRESS OF LENDER: Calhoun County Thomas B. Toney 107 Ashwood Dr. Summerville, SC 29485 G. PROPERTY LOCATION: H. SETTLEMEN I AGENT: A0017 VALENTIN GARCIA, TRACT PT 18. Gulf Coast Title Company I. SETTLEMENT DATE: ACRES .495, (ROAD) - Apol 12, 2024 PLACE OF SETTLEMENT: Port Lavaca, TX 77979 Calhoun County, Texas Sailboat Drive Port Port Lavaca, TX 77979 DISBURSEMENT DATE: April 12, 2024 J. SUMMARY OF BUYER'S TRANSACTION K. SUMMARY OF SELLER'S TRANSACTION 100. GROSS AMOUNT DUE FROM BUYER: 400. GROSS AMOUNT DUE TO SELLER: 101. PersonalContract roe gales rice P 102 Personal 300.00 401. Contract sales rice 300.00 10Settlement char as to bu er line 1400 1,222.77 4 2. Personal propert 104. 4. 403 404. ' 1 S. 405 Adjustments for Items paid by seller in advance 106 C1 /Town taxes Adjustments for items sld b p ysellerin advance 107. Cdun taxes 406. Cit flown taxes 108 Assessments 407. County taxes 109. 408. Assessments 110. 4 1 410. 411. 112. 120. GROSSAMOUNTDUE FROMBUYER 1,522.77 412. 420. GROSSAMOUNT DUE TO SELLER ,300.00 200. AMOUNTS PAID BY OR IN BEHALF OF BUYER: 500. REDUCTIONS IN AMOUNT DUE TO SELLER: 201. Da osit or earnest m0ney 202. Prind al amount of new loans 1 5 1. Excess de call see instructions 502. Settlement char as to seller line 1400 Exislih loans taken sub ect to 6a3, Existingcan s taken subject to 204. 2 5. 504. Pa off of first m0 a e loan 20 505. Pa off of second mort a e loan 207 . 50 . 208. 507. 09. 08. Adjustments for items unpaid by sailer 09 210. Ci /Town taxes Adjustments for items unpaid by seller 11. Coun taxes , Cil ITown taxes pjy511. 212. Assessments Coun taxes 213 512. Assessments 214. 3 216. 514. 5 15. 216. 1 21 517, 2, 8 518.519 219. 220. TOTAL PAID BY/FOR BUYER 0.00 520. TOTAL REDUCTIONAMOUNT DUE SELLER 0.00 300. CASH AT SETTLEMENT FROMITO BUYER: 600. CASH AT SETTLEMENT TO FROM SELLER: 301. Grose amount due from Buyer Line 120 , 10 6 Gross amount due to Seller Line 420 302 Less amount paid b lfor Buyer Line 220 ( 1 602. Less reductions due Seller Line 520 300.00 ( O.DO 303. CASH FROM BUYER 1,522.77 603. CASH TO SELLER 300.00 L. SETTLEMENT CHARGES 700. TOTAL COMMISSION Based on Price % PAID FROM BUYER'S FUNDSAT SETTLEMENT PAID FROM SELLER'S FUNDSAT SETTLEMENT Division Of Commission (line 700) as Follows., 701. to 702. t0 703, Commission Paid at Settlement Z 04 to 8D0. ITEMS PAYABLE IN CONNECTION WITH LOAN 801. Loan Orl inalion Fee % to ' 802. Loan Discount % to 803. Ap ralsai fee 804. Credit re ort to 8o5. lender's ins ec0on fee to 808. 'Mort a e Insurance a Iicafion fee to 807. Assumption fee to 808 to 809 to 810. to 11 90U. ITEMS REQUIRED BY LENDER TO BE PAID IN ADVANCE 211. Interest From 04/12/24 t 05/01/24 $ /da 19 days %, 902. ortgaga Insurance premium for month to 903. Hazarcl insurance premium for year to 904. for Year to 9D5 1000. RESERVES DEPOSITED WITH LENDER 1001. Hazard insurance Months per Month Mort age insurance Months glI Sper Month 11002. 1003. City ropert taxes Months $ per Month 1004. Coun roperty taxes Months per Month 1005. Annual assessments Months $ er Month 1006. onths $ per Month 1007. Months a $ per Month 1008. Months Month 1100. TITLE C ARGES 1101. Settlement or ciosin fee to Guif Coast Title Company 500.00 1102. Abstract or=a sew p 1103, Title examination to 1104. Title insurance binder to 1105. Document re aretlon to Roberts, Odefe , Witte & Wall, LLP 150.00 1108..Nota fees to 11 Gueran Fee to (Includes above Item numbers: 1108. Title insurance to (Includes above Item numbers: ) 1109, Lender's coverage 1110. Owner's coverage 1111. Tax Certificate Fee to Gulf Coast Title Com an 10.00 1112. Overnight Mail Fee to Roberts, Odstay, Witte &Wall, LLP 50.00 1113. to 1200. GOVERNMENT RECORDING AND TRANSFER CHARGES 1201. Recordin fees: Dead 38.00• Morlpape Releases 38.00 1202. Cit /Coun tax/stamps: Deed Mortgage 1203. State tax/stamps: Deed Morta e 1204. Notice to Purchaser to Calhoun County Clark 37.00 1205. to 1300. ADDITIONAL SETTLEMENT CHARGES 1301. urveY t0 1302. Pest ins action to 1303. 2022 Pro elt Taxes PID 28334 to CCA 287.77 130obits Note Fee to BancBery 150.00 1305. tc 1400: TOTAL SETTLEMENT CHARGES (Enter on Lines 103. Section J and 502, Section K) 1.222.77 0.00 . PMtetl on 04117124 Buyer: uamoun County Saller: Thomas B. Toney 107 Ashwood Dr. 3ummervIlle, SC 29486 Lender: Settlement Agent: Gulf CoastTltle Company (361)661.2300 Place of Settlement: 2121 Sailboat Drive Port t.avacat, TX 77979 Settlement bate; April 12, 2024 Disbursement Date: April 12, 2024 Praparty Location: A0017 VALENTIN GARCIA, TRACT PT 18, ACRES .496, (ROAD) Port Lavaca, TX 77979 Calhoun County, Texas Calhoun C unty Fay: Nam : ssy . Tltle. Commissioner Pct 2 _ fttod on 04112IZ4 at a;32'.OGAM by Waardo 23.12•6664130 ' Pegs 1 or 1. GF No; 23-12-0664 NOTICE TO PURCHASER The real property described below, which you are about to purchase, is located in the CALHOUN COUNTY GROUNDWATER CONSERVATION DISTRICT. The district has taxing authority separate from any other taxing authority, and may, subject to voter approval, issue an unlimited amount of bonds, As of this date, the most recent rate of taxes levied by the district on real property located in the district is $0.007000 on each $100.00 of assessed valuation. If the District has not yet levied taxes, the most recent projected rate of debt service tax, as of this date, is $0.00 The total amount of bonds which have been approved by the voters and which have been or may, at this date, be issued is $-0-, and the aggregate initial principal amounts of all bonds issued for one or more of the specified facilities of the district and payable in whole or in part from property taxes is $-0-. The propose of this district is to provide water, sewer, drainage, or flood control facilities and services within the district through the issuance of bonds payable from properly taxes. The cost of these utilities facilities is not included in the purchase price of your property, and these utility facilities are owned by the district. The district has the authority to adopt and impose a standby fee on property in the district that has water, sewer, sanitary, or drainage facilities and services available but not connected and which does not have a house, building, or other improvement located thereon and does not substantially utilize the utility capacity without holding an election on the matter, Currently the District does not impose a standby fee. An unpaid standby fee is a personal obligation of the person that owned the property at the time of imposition and is secured by a lien on the property. Any pet -son may request a certificate from the district stating the amount, if any, of unpaid standby fees on a tract of property in the district. The legal description of the property which you are acquiring is as follows: All of that certain tract or parcel containing 0.17 acre situated in the Valentine Garcia Survey, Abstract No. 17 of Calhoun County, Texas and being apart of the same property described as 301.81 acres in Affidavit of Verification and Ratification of Survey dated September 12, 1977 conveyed to W.H. Bauer, Jr, and Curtis F. Nelson recorded in Volume 306, Page 203 of the Deed Records of Calhoun County, Texas. This 0.17 acre is more particularly described by metes and bounds description on Exhibit "A" attached. EFFECTIVE April 12, 2024 Thomas B. Toney STATE OF SOUTH CAROLINA COUNTY OF C� E C i V E— L E CERTIFICATE OF ACKNOWLEDGMENT Before me, die undersigned Notary Public, on this day personally appeared Thomas B. Toney, who is personally lrnown to me (or proved to me on the oath of or through ) to be the person whose name is subscribed to the foregoing instrument, and who has acknowledged to me that he/she executed the instrument for the purposes and considerations expressed, Giyen under my hand and seal of office on this 19- day of April, 2024. &4&4f Notary Public in and for the State of South Carolina 3 COMMISSION i EXPIRES PURCHASER IS ADVISED THAT THE INFORMATION SHOWN ON THIS FORM IS SUBJECT TO CHANGE BY THE DISTRICT AT ANYTIME. THE DISTRICT ROUTINELY ESTABLISHED TAX RATE DURING THE MONTHS OF SEPTEMBER THROUGH DECEMBER OF EACH YEAR, EFFECTIVE FOR THE YEAR IN WHICH THE TAX RATES ARE APPROVED BY THE DISTRICT. PURCHASER IS ADVISED TO CONTACT THE DISTRICT TO DETERMINE THE STATUS OF ANY. CURRENT OR PROPOSED CHANGES TO THE INFORMATION SHOWN ON THIS FORM. The undersigned purchaser hereby acknowledges receipt of the forgoing notice at or prior to execution of a binding contract for the purchase of the real propertydescribed in such notice or at closing of purchase of the real property, EFFECTIVE April L2, 2024 Calhoun on" By; Name; ern L ss Title: Commissioner Pct 2 STATE OF TEXAS " COUNTY OF CALHOUN § CERTIFICATE OF ACKNOWLEDGMENT Before me; the undersigned NRRt�ary Public, on this day personally appeared �M _(Name), as t�INlNA_SS oL (Title) ofCalhoun County, who is Personally known to me (or proved to me on the oath of or through to be the person whose name is subscribed to the foregoing instrument, and who has aclmowiedged .to me that he/she executed the instrument for the purposes and considerations expressed, Given under my hand and seal of office on this. l y day of Ma 24 zlgil NotaryPubl• the State o Texas 75f02 2026 AFTER RECORDING RETURN TO: PREPARED IN THE 'OFFICE -OF! Gulf Coast Title Company Roberts, Odefey, Witte &' Wall, LLP 2121 Sailboat Drive 2206 N. Hwy 35, , P.O. Box 9 Port Lavaca, TX 77979 Port Lavaca, TX 77979 PROPERTY DESCRIPTION 0.17 ACRE STATE OF TEXAS } COUNTY OF CALHOUN } All of that certain tract or parcel containing 0.17 acre situated in the Valentine Garcia Survey, Abstract No. 17 of Calhoun County, Texas and being a part of the same property described as 301.81 acres in Affidavit of Verification and Ratification of Survey dated September 12, 1977 conveyed to W. H. Bauer, Jr., and Curtis F. Nelson recorded in Volume 305. Page 203 of the Deed Records of Calhoun County, Texas. This 0.17 acre is more particularly described by metes and bounds as follows: BEGINNING at an existing 6/8 inch iron rod (N=13,437,082.54; E=2,724,556.75) located in the Northeast line of Highbluff Road and at the South corner of a 0.932 acre tract described in deed recorded in Volume 169, Page 413 of the Calhoun County Official Records for the West comer of this 0.17 acre being described; from which an existing 1/2 inch iron pipe located in the Northeast line of Highbluff Road bears: North 47' 59' 06" West a distance of 260.64 feet; THENCE North 53' 14' 10" East, crossing a portion of the said 301.81 acre tract with the Southeast line of the said 0,932 acre tract, passing a 5/8 inch iron rod with plastic cap set on line at a distance of 181.00 feet and continuing a total distance of 245.02 to the existing shoreline of Lavaca Bay and at the East corner of the said 0.932 acre tract for the North corner of this 0.17 acre being described; THENCE with the existing shoreline of Lavaca Bay and the Northeast lines of the said 301.81 acre tract along the following courses and distances: South 52' 32' 70" East a distance of 5.18 feet; South 06' 31' 18" East a distance of 4.36 feet; South 35' 49' 00" East a distance of 16.26 feet; South 55' 18' 36' East a distance of 6.52 feet to the North corner of a 10 acre tract described in deed recorded in Volume 302, Page 829 of the Calhoun County Official Records for the East corner of this 0,17 acre being described; THENCE South 53' 14' 10" West, with the Southeast line of the said 301.81 acre tract and the Northwest line of the said 10 acre tract, passing a 5/8 inch iron rod with plastic cap set on line at a distance of 50.00 feet and continuing a total distance of 239.85 feet to a 5/8 inch iron rod with plastic cap set at the intersection of the Northeast line of Highbluff Road and the Southeast line of Maxwell Ditch Road for the South comer of this 0.17 acre being described; THENCE North 47' 59' 06" West, with the Northeast line of Highbluff Road, a distance of 31.80 feet to the PLACE OF BEGINNING, containing within these metes and bounds 0.17 acre. The bearings and coordinates recited herein are Texas State Plane South Central Zone NAD'83 Grid based on Station HAPC-0219 on the RTK network. This property description and a plat were prepared from a survey made on the ground under my direction on August 30, 2023. G & NGINEERS, INC. TBP S FIRM NO. 10022100 Henry A. Danysh Registered Professional Ldnd Surveyor, No. 5088 9917-052.doo EXHIBIT" " Page E of NOTICE OF CONFIDENTIALITY RIGHTS: IF YOU ARE A NATURAL PERSON, YOU MAY REMOVE OR STRIKE ANY OR ALL OF THE FOLLOWING INFORMATION FROM ANY INSTRUMENT THAT TRANSFERS AN INTEREST IN REAL PROPERTY BEFORE IT IS FILED FOR RECORD IN THE PUBLIC RECORDS: YOUR SOCIAL SECURITY NUMBER OR YOUR DRIVER'S LICENSE NUMBER, Gulf Coast Title Company GF No.: 23-12-0664 GENERAL WARRANTY DEED Date: April 12, 2024 Grantor: Thomas B. Toney, a person dealing with his separate non -homestead property Grantor's Mailing Address: 105 Ashwood Dr„ Summerville, SC 29486 Grantee: Calhoun County Grantee's Mailing Address: 5812 FM 1090 N, Port Lavaca, TX 77979 Consideration: $10.00 cash and other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged. Property (Including any Improvements): All of that certain tract or parcel containing 0.17 acre situated In the Valentine Garcia Survey, Abstract No. 17 of Calhoun County, Texas and being a part of the same property described as 301.81 acres in Affidavit of Verification and Ratification of Survey dated September 12, 1977 conveyed to W.H. Bauer, Jr. and Curtis F. Nelson recorded in Volume 306, Page 203 of the Deed Records of Calhoun County, Texas. This 0,17 acre is more particularly described by metes and bounds description on Exhibit "A" attached. Reservations from Conveyance: None. Exceptions to Conveyance and Warranty: None, except all easements, restrictions, reservatlons or any other documents appearing of record affecting the above described property. GRANTEE IS TAKING THE PROPERTY IN AN ARM'S-LENGTH AGREEMENT BETWEEN THE PARTIES. THE CONSIDERATION WAS BARGAINED ON THE BASIS OF AN "AS IS, WHERE IS" TRANSACTION AND REFLECTS THE AGREEMENT OF THE PARTIES THAT THERE ARE NO REPRESENTATIONS OR EXPRESS OR IMPLIED WARRANTIES, EXCEPT THOSE CONTAINED IN THE PURCHASE CONTRACT, THIS DEED, AND THE OTHER CLOSING DOCUMENTS. GRANTEE HAS NOT RELIED ON ANY INFORMATION OTHER THAN GRANTEE'S INSPECTION AND THE REPRESENTATIONS AND WARRANTIES EXPRESSLY CONTAINED IN THE PURCHASE CONTRACT, THIS DEED, AND THE OTHER CLOSING DOCUMENTS. Grantor, for the Consideration and subject to the Reservations from Conveyance and the Exceptions to Conveyance and Warranty, grants, sells, and conveys to Grantee the Property, together with all and singular the rights.and appurtenances thereto in anyway belonging, to have and to hold it to Grantee and Grantee's heirs, successors, and/or assigns forever. Grantor binds Grantor and Grantor's heirs, successors, and/or assigns to warrant and forever defend all and singular the Property to Grantee and Grantee's heirs, successors, and/or assigns against every person whomsoever lawfully claiming or to claim the same or any part thereof, except as to the Reservations from Conveyance and the Exceptions to Conveyance and Warranty, When the context requires, singular nouns and pronouns include the plural. GRANTOR: Thomas S. Toney STATE OF SOUTH CAROLINA COUNTY OF 1Je PC —LEY CERTIFICATE OF ACKNOWLEDGMENT Before me, the undersigned Notary Public, on this day personally appeared Thomas B. Toney, who Is personally known to me (or proved to me on the oath of or through to be the person whose name Is subscribed to the foregoing Instrument, and who has acknowledged to me that he/she executed the instrument for the purposes and considerations expressed. Given under my hand and seal of office on this /9, day of April, 2024. Notary Public in and for the State of South Carolina `1`11Qg1411��'t' VN P ` mQ,�1��c 2 ' MY �C1 i i commisslotd EXPIRES P`., 3128/2026,;`•Z O' ........... AGREED TO AND ACCEPTED BY: 11 Calhoun Cc ty By: �r Name v ern Lyssy Title: Commissioner, Pct. 2 STATE OF TEXAS COUNTY OF CALHOUN CERTIFICATE OF ACKNOWLEDGMENT on :rsonally appeared of Calhoun County, or through uuu w„u 14aa aartnaw,eugea 10 me met ne(she .executed the Instrument for the.: purpo considerations expressed; Given under my hand and seal of offlce,on this day of'Ma 2024. WPob r the State of Texas 9EE91 AFTER RECORDINGRETURN TO: PREPARED IN THE OFFICE OF: Gulf Coast Title Company Roberts, Odefsy, Witte'& Wall, LLP 2121 Sailboat Drive 2206 N. HWy 35, , P.O. Box 9 Port Lavaca, TX 77979 Port Lavaca, TX 77979 PROPERTY DESCRIPTION 0.17 ACRE STATE OF TEXAS } COUNTY OF CALHOUN } All of that certain tract or parcel containing 0.17 acre situated in the Valentine Garcia Survey, Abstract No. 17 of Calhoun County, Texas and being a part of the same property described as 301.81 acres in Affidavit of Verification and Ratification of Survey dated September 12, 1977 conveyed to W. H. Bauer, Jr., and Curtis F. Nelson recorded in Volume 306, Page 203 of the Deed Records of Calhoun County, Texas, This 0.17 acre is more particularly described by metes and bounds as follows: BEGINNING at an existing 5/8 inch iron rod (N=13,437,082.54; E=2,724,556.75) located in the Northeast line of Highbluff Road and at the South comer of a 0.932 acre tract described in deed recorded in Volume 169, Page 413 of the Calhoun County Official Records for the West corner of this 0.17 acre being described; from which an existing 1/2 inch iron pipe located in the Northeast line of Highbluff Road bears: North 47° 59' 06" West a distance of 260.64 feet; THENCE. North 53" 14' 10" East, crossing a portion of the said 301.81 acre tract with the Southeast line of the said 0.932 acre tract, passing a 5/8 inch iron rod with plastic cap set on line at a distance of 181.00 feet and continuing a total distance of 245.02 to the existing shoreline of Lavaca Bay and at the East corner of the said 0.932 acre tract for the North corner of this 0.17 acre being described; THENCE with the existing shoreline of Lavaca Bay and the Northeast lines of the said 301.81 acre tract along the following courses and distances: South 520 32' 70' East a distance of 5.18 feet; South 06° 31' 18" East a distance of 4.36 feet; South 350 49' 00" East a distance of 16.26 feet; South 55" 16' 38" East a distance of 6.52 feet to the North corner of a 10 acre tract described in deed recorded in Volume 302, Page 829 of the Calhoun County Official Records for the East corner of this 0.17 acre being described; THENCE South 53' 14' 10" West, with the Southeast line of the said 301.81 acre tract and the Northwest line of the said 10 acre tract, passing a 5/8 inch iron rod with plastic cap set on line at a distance of 50.00 feet and continuing a total distance of 239.85 feet to a 5/8 inch iron rod with plastic cap set at the intersection of the Northeast line of Highbluff Road and the Southeast line of Maxwell Ditch Road for the South corner of this 0.17 acre being described; THENCE North 470 59' 06" West, with the Northeast line of Highbluff Road, a distance of 31.80 feet to the PLACE OF BEGINNING, containing within these metes and bounds 0.17 acre. The bearings and coordinates recited herein are Texas State Plane South Central Zone NAD'83 Grid based on Station HAPC-0219 -on the RTK network. This property description and a plat were prepared from a survey made on the ground under my direction on August 30, 2023. G & W NGINEERS, INC. TBP S FIRM NO. 10022100 Henry A. Danysh Registered Professional Ldnd Surveyor, No. 508E EXHIBIT " : " Page I Of 017A62.doe 0 REAL ESTATE TRANSACTION WITHOUT TITLE RESEARCH UATC: 111)ril 12, 2024. BUYERS: Calhoun County - SELLER: Thotuas R. Toucy: -a you have atscmctLd us to prepare ccrmin Ic,al docunic ats affecting die Title to rural csinte, We huge QOV performed any title research., ow ptepv Lion of there doctvnents dtd not include .research as to owngmlap of the property, cuaecmess of the dnsuipdon of the-pt ol?arty, riscoacnm, encroadunents taxes, judymretw or od;er lams, or ae.mss to the prolictl Re bens,-Udctey, Wittt and \fall, LLp and Gulf Ctnrt'Lide Cahn ray, have undreciken no do g with.r¢specr,cq-the .r= Iuahty gr gtuhnaty of iho tine or rather ittten:ac i'. TAX PRORATION AGREEMENT Date: April 12, 2024 Purchaser: Calhoun County Seller: Thomas B. Toney Re: All of that certain tract or parcel containing 0.17 acre situated In the Valentine Garcia Survey, Abstract No. 17 of Calhoun County, Texas and being a part of the same property described as 301.81 acres in Affidavit of Verification and Ratification of Survey dated September 12, 1977 conveyed to W.H. Bauer, Jr. and Curtis F. Nelson recorded In Volume 306, Page 203 of the Deed Records of Calhoun County, Texas. This 0,17 acre is more particularly described by metes and bounds description on Exhibit "A" attached. This indicates our understanding of the handling of the property taxes in the referenced transaction, Since the property taxes for the current tax year cannot be determined at this time, the purchasers will be given a credit for their share of the current year's taxes up to the settlement date, in consideration of which purchaser will pay the full tax for the year when taxes are due. This amount is based on an estimate only, since current figures are not yet available, ANY DIFFERENCES IN THE AMOUNT OWED AND THE AMOUNT CREDITED, WHEN FINALLY CALCULATED BY THE CALHOUN COUNTY APPRAISAL DISTRICT, WILL BE ADJUSTED BY BOTH PARTIES WITHOUT THE AID OF GULF COAST TITLE, The purchasers have also been made aware that they must provide a copy of the recorded deed to the Central Appraisal District in order to have the taxes changed into their names and file for any exemptions that may apply. All parties understand that Gulf Coast Title Company will not be responsible for any differences In the tax proration, PROPERTY TAXES WERE NOT PRORATED PURCHASERS: SELLERS: Calhou o aty By; Thomas B. Toney U Name: ssy Tltie: Commissioner. Pct. 2 Tax Proration Agreement 23-12-0664 AGREEMENT REGARDING LEGAL FEES (GULF COAST TITLE COMPANY) RE: REAL ESTATE TRANSACTION DATE: April 12, 2024 BUYER/BORROWER: Calhoun County SELLER: Thomas B. Toney PROPERTY: All of that certain tract or parcel containing 0.17 acre situated in the Valentine Garcia Survey, Abstract No, 17 of Calhoun County, Texas and being a part of the same property described as 301.81 acres In Affidavit of Verification and Ratification of Survey dated September 12, 1977 conveyed to W.H. Bauer, Jr. and Curtis F. Nelson recorded In Volume 306, Page 203 of the Deed Records of Calhoun County, Texas. This 0.17 acre Is more particularly described by metes and bounds description on Exhibit "A" attached. Status of ROBERTS. ODEFEY. WITTE & WALL, LLP nstrum Legal Ients Involved in the above referenced loan and real property transaction have been prepared for BUYERIBORROWER and/or SELLER by the law firm of ROBERTS, ODEFEY, WITTE & WALL, LLP. The undersigned acknowledge that ROBERTS, ODEFEY, WITTE & WALL, LLP has acted only as counsel to the GULF COAST TITLE COMPANY, and has not, in any manner, undertaken to assist or render legal advice to the undersigned Buyer/Borrower or Seller with respect to the loan, or the purchase, or the sale of the real property described above, or with respect to any of the documents or Instruments being executed in connection with the sale and/or loan. The Buyer/Borrower and Seller further acknowledge that he may retain their own counsel for advice regarding the loan, or purchase, or sale of the real property, or to review and render advice concerning any of the documents or instruments being executed in connection with the transaction. In preparing legal documents for this transaction, ROBERTS, ODEFEY, WITTE & WALL, LLP will use general documents that are commonly used in similar transactions, however, either party may achieve an advantage by Including special provisions in these documents such as limitation or extension of warranties, among others. Such special provisions are, of course, subject to negotiation, and may be readily agreed to by the other party in the transaction. GULF COAST TITLE COMPANY and ROBERTS, ODEFEY, WITTE & WALL, LLP will not Include any special provisions In the transfer documents unless specifically requested and agreed to by both parties. GULF COAST TITLE COMPANY and ROBERTS, ODEFEY, WITTE & WALL, LLP will not participate In negotiations over these provisions or give legal advice about them. Consequently you should consult with an attorney regarding these matters. If GULF COAST TITLE COMPANY has not performed escrow services in this transaction both Buyer/Borrower and Seller are responsible for reporting this transaction to the IRS. 2. $uVerlBorrower's and Settees Responsibility for Payment of Fees Buyer/Borrower and Seller acknowledge their obligation to pay the legal fees Incurred in connection with the preparation of legal instruments and loan documentation by making, at the loan closing, a payment in the amount set forth In Paragraph No.4 directly to ROBERTS, ODEFEY, WITTE & WALL, LLP. 3. Description of Legal Services Performed The nature and extent of the legal services performed in connection with this transaction are as follows: For Buyer/Borrower: For Seller: Warranty Deed 4. Basis for Fee and Amount of Fee The fee is intended to provide fair compensation for the above described services taking Into consideration the time and labor required, the complexities of the questions involved and the skill required to perform such services. Other considerations include the expertise of ROBERTS, ODEFEY, WITTE & WALL, LLP in the complexities of the real estate practice, the necessary overhead associated with the rendering of such services and the assumption of risk by the firm in the rendering of said services. The fee established for the above described legal services Is $160 00. This amount does not include a charge for preparation of the Truth in Lending Disclosure Statement. The Buyer/Borrower and Seller hereby acknowledge receiving and reading a copy of this statement, and by his or her signature affirms his or her acknowledgement of the accuracy of the statements contained in Paragraph Nos, 1 and 2 above. Agreement Regarding Legal Fees 23-12-0664 BUYER/BORROWER: SELLER: Calhoun County By: � )-,—, 4111� Name: Title: Commissioner, Pct. 2 Thomas B. Toney Agreement Regdrding Legal Fees 23-12.0664 #9 NOTICE OF MEETING- 5/01/2024 9. Public Hearing on Petition to Vacate Tract 1116, Tract 1117, Tract 1030, and Tract 1031 of the American Townsite Subdivision as shown by plat recorded in Volume Z, Pages 2 & 3 of the Plat Records of Calhoun County, Texas. (GDR) Page 6 of 20 Gary D. Reese County Commissioner County of Calhoun Precinct 4 April 23, 2024 Honorable Richard Meyer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Meyer: Please place the following item on the Commissioners' Court Agenda for May 1, 2024. • Public Hearing on Petition to Vacate Tract 1116, Tract 1117, Tract 1030, and Tract 1031 of the American Townsite Subdivison as shown by plat recorded in Volume Z, Pages 2 & 3 of the Plat Records of Calhoun County, Texas. Sincerely, J D. �o Gary Reese GDR/at P.O. Box 177 — Seadrift. Texas 77983 — email: earv.reese&Dcalhouncouc.or8 — (361) 785-3141 — Fax (361) 785-5602 Richard H. Meyer County judge David Hall, Commissioner, Precinct I Vern Lyssy, Commissioner, Precinct 2 Joel Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 NOTICE OF PUBLIC HEARING ,-1- _E: a.,.:s _ , _. -: �... -. :-. The Commissioners' Court of Calhoun County, Texas will meet on Wednesday, May 1, 2024 at 10:00 a.m. in the Commissioners' Courtroom in the County Courthouse, 211 S. Ann Street, Suite 104, Port Lavaca, Calhoun County, Texas. NOTICE IS HEREBY GIVEN that the Calhoun County Commissioners' Court will hold a Public Hearing in the Commissioners' Courtroom, 211 S. Ann Street, Suite 104, in Port Lavaca, Texas, on May 1, 2024 at 10:00 a.m. regarding a request to Vacate Tract 1116, Tract 1117, Tract 1030, and Tract 1031 of the American Townsite Subdivision as shown by plat recorded in Volume Z, Pages 2 & 3 of the Plat Records of Calhoun County, Texas. This notice is in accordance with Section 111.007 and Section 111.0075 of the Texas Local Government code. t Richard H. Meyer, ounty e 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. g. ✓ FILED AT O'CLOCK�[eM COUNTY C/LEj C/{?}Q�,j88�/�j�'��O�U�N/�,T{�YJ�, TEXAS DERUTMW • " "'" Page 1 of 1 # 10 NOTICE OF MEEFING - 5/01/2024 10. Consider and take necessary action on Petition to Vacate Tract 1116, Tract 1117, Tract 1030, and Tract 1031 of the American Townsite Subdivision as shown by plat recorded in Volume Z, Pages 2 & 3 of the Plat Records of Calhoun County, Texas. (GDR) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall,, Lyssy, Behrens, Reese Page 7 of 20 Gary D. Reese County Commissioner County of Calhoun Precinct 4 April 23, 2024 Honorable Richard Meyer Calhoun County, Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Meyer: Please place the following item on the Commissioners' Court Agenda for May 1, 2024. • Consider and take necessary action on Petition to Vacate Tract 1116, Tract 1117, Tract 1030, and Tract 1031 of the American Townsite Subdivison as shown by plat recorded in Volume Z, Pages 2 & 3 of the Plat Records of Calhoun County, Texas. Sincerely, Gary. Ree GDR/at P.O. Box 177 - Seadrift, Texas 77983 — email: earv.reesencalhouncomora — (361) 785-3141 — Fax (361) 785.5602 NO I-I(:E OF MEETING — 5/01/2024 II. Consider and take necessary action to approve Preliminary Plat of Seco La Baya Subdivision, a replat of Tracts 1116, 1117, 1030, and 1031 of The American Townsite Subdivision. (GDR) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 8 of 20 Gary D. Reese County Commissioner County of Calhoun Precinct 4 April 23, 2024 Honorable Richard Meyer Calhoun Countyjudge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Meyer: Please place the following item on the Commissioners, Court Agenda for May 1, 2024. • Consider and take necessary action to approve Preliminary plat of Seco La Baya Subdivision, a replat of Tracts 1116, 1117, 1030, and 1031 of The American Townsite Subdivision. Sincerely, fA Gary D. Reese GDR/at P.O. Box 177 — Seadrift, Texas 77983 — email: ZM.reese r calhouncoa.o — (361) 785-3141 — Fax (361) 785-5602 x "a: $"ev8'_R�R gt 9:a5.'. C9 :£v 8 F£G R^'R£ 8g "'"6 b': £L6"^ 8. 8`F 8 i8n 3'i'-.•.^. 'q: Rafi '6-q� i vSy^g"3.= 3 IMP o , R $z '^'ag^s s• $p qe e9F. Per i:;M.':z INN. .', R-yb2•R>.'o g•;C'i . ARF pS:9g._ G. , ., $R.'. aFM Hat 6 P F'::'P .^LS. ': z m A. '_ ".s'.S:n.. `p-a 9.a:S R,"::A a.E ]'...' RL Ali _ Fi". F" �._be R m:mLs� !: .. q4'^":R§:'.^cGo Ni a>:s y'R 92.`,5R •."'a Fe'gRe pmL:ai" saR�Sp 3GeYi 6m-G:Ica- 8i o R£p ICI 9 g a?R RP` 3P>.': :9fy _ "^^^S"^ :bR:' "9vi ^.R b.'.B:SAY. y'd>R� RL.A gi '.a"as dGe^P3•. 8"L m pL a R .^Y" .4'e "^". R:^: '.la aae. "e.S" C." .^M •. G 2 - A66R All A'"PP z S n ] ..^. £''.: p.ml R _z tMa 8'a?'a R'a �eq eFina. aanRAP #RRFa ..FeR ¢_p>vig� m ?�mlvm o " G A9p ^H 8=••^i: R"^.L '-a.-M 5_x 9m:£ ." _ X"8. _ E'..^]B a RI _ " 9 e o R ^':ji-9"mac .:m3� 6d:g.x ; RA3 " R.a v a 9i8 ",9?= mGm. ] FIi Fm.. n 3P n ? e=gym e_: £ G?.b A. F.'. s_Sia:.a>L Sea;A AiA m 'o RM ve4:Fa= isR"n"; i :M"^36 T i _ CRY,S ec'9 ;a^ a. 'e®:2 '�Rq.'.p EF:. S@iB..E`"o am m-Yreo ."�°' a `�"A,R' E: ' i ^ + 'P =.C= �i� " 4. •.',..'a 'a�S:"p8:. "8.. ^8i= v .man,"e 3F.^" fiA.',a a•9'S>man5 ',i.a !�ki£6".�e8a M— ° e= feF?. =@ ?^°se ..... _ ee z F. . ... .af aia :.R6 84S'e -- ^$ .^.'.v I.P mv_3�L:i ";l .ids bi `a aj C:: s3m a�a8"•e ^e "P �s6R6oP. "> 4` 9:F <ooto .2=•"-A€A _° '.s 3a FF=i,F; _ an "' "•. F �i $� 6��m y I�v`__/,+'Y SJS. J2, mat.' �' ev mi-10 Xl 'el i 16 M3 LRN 9 m6F NIw -.k IP M3 ilp naa^: cR. uMLL _ 1¢sn sal oRu ¢o_xv ¢xi 9m62_ 3.'w xsr s¢ns'[ i¢b ! x¢1r ssm[ mte If 111ii II j ^s s^�" 3 gin:= K atT'i i111 Le Pag ":-:_a - mill 1 ell 01 �II�Vx�m �l. _=lg Z. a le r 9 I YY 559-42'62"W 510.68's' yM M- ==S - :3i3 :.jz n ys E:6a 6 f t'1 "Yy5 O R.4 a _ _ ?mc c o cc 0 0 $ VI ; Z I #12 NOTICE OF MEETING - 5/01/2024 12.Consider and take necessary action to approve Final Plat of Seco La Baya Subdivision, a replat of Tracts 1116, 1117, 1030, and 1031 of The American Townsite Subdivision. (GDR) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 9 of 20 Gary D. Reese County Commissioner County of Calhoun Precinct 4 April 23, 2024 Honorable Richard Meyer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Meyer: Please place the following item on the Commissioners' Court Agenda for May 1, 2024 • Consider and take necessary action to approve Final Plat of Seco La Baya Subdivision, a replat of Tracts 1116, 1117, 1030, and 1031 of The American Townsite Subdivision. Sincerely, r\�� Gary D. Reese GDR/at P.O. Box 177 —Seadrift. Texas 77983 —email: aarv.reese t calhouncoix.gM — (361) 785-3141 —Fax (361) 785-5602 - EY o ^ m�-Y �xixG 9 iaaF. O R � S�Ee .09'OIS M.2Y.LO .656 rw �I < F _ — M.-- —'y ip? it " yyrxirna .on f�j - 4 r '.. won. e �� b' �ri `V .O[ ��i . ' Fe$ ^e I ik,� - - :; SZG it a, I` ma a :• . _._._ _--,-" -_-_ 3 a-.-" B,R' _ _ _ -ixii exit/ life i4� __,.c.a_ _m_so_s�L . Axn m 99`o Rge'a m I I IM. I 11 r I.w ly�i I is�l I I aip ee FO bON � �.1°`iv k5 Y. `e4. Yk9 °z:Y - eG" BBi Ors )` im�z p _E". pPa 5ds Foo gigr�E 31Yf3 '-.e G 3xL(q.r 0 � Y a`8 _ oiY A. ai hips zee e"=e gs;; all "^ [EC 8� :6G8 k..e` 3:"< «"8 uY E„ `•F�" 3 6 :'_ i" n •G ictl =YE e:"=.p "thus: E i a"Eg `".• Ila =:� _.:' :9 �? _ 81$s8 a.3g ISO M 1h HOUR 3'=. G` 4EE: 1 k: G a.yy id«« d 5 'k` d FEE _ . s«I«e PIN 9`" k =[d:: EF" _ '.e""=e" S:€,Ba'Y F k 'E.: ::«Y.'. E 6- : :S'.:: £"_ 9EE. i_B:"Yb h:G e - ?kE=E =7• �_€ " i "." a �E�S'e g` a SSS fey„BEGga " d,.a 8 SE . DRI ."e8 e.'..£_ =x.6p Y2Ya« a " ao a §89 „. :yYS..^.:":e_ :AC!' E�' 'A^"= al �[ :pe: z 9e.`.ikd.^ R8 `o_A. F.' kstk^Y Y^ b0A« k :eoE H::E.Y&i:i a Se S eaE iubo"EYi= 3e 'nl `«E.oE :_.h o ^°. j:: v F$ - `�.: Ibe _ tl='gP _-.b..gg'" _= G.:'"•_ �A`�y •Y:.-.::Cie MW, e " c«Ee"el5 •""."' E IR"e= .e;£ .. £a:. _ h r £.e ese `. ."G�3:e�.1x •_ .�€e:w« Ie"•:'R E G:B €•`a€he ."Y.G" £x�d Y ":.L €'i y._ :8a _ 3 5 .R• •.%CY 'Nil G^k£`Y ��ESE-: "i "a ¢ IAd.`V`^_^ .€« as€•`"E�ia"ef Yg.SBEYL"u93+:!^�� 'Nil H. _ as .a .2 °``a e,"z;y ^aY�SO-R aEE=' E «a"^" aa:Ye `1' Y."Se'S"« 9"b ..u: " 6 h• Yy�e FS tla `� u :F I "� `s. S...p IYS:e=io C £.G b.°.8 •eESR3'a-; b":A ::^Eo "- 8Gb vee'3ex e'�;=«a a=" ='E. Mi e««=g« L is! p' `§ '`'2.Sb �' ^' :8 _.bdb <`4: «: £.: aE-R:".".. 1..Y«'1 Us o:aa CSb ['=.Y."'..:.SO:Be #13 NOTICE OF MEETING — 5/01/2024 13.Consider and take necessary action to approve Addendum No. 1 for Bid No. 2024.05 - Seadrift Drainage Improvements Project - GLO Contract No. 22-085- 014-D245 for Calhoun County, Texas. (GDR) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 10 of 20 Gary D. Reese County Commissioner County of Calhoun Precinct 4 April 25, 2024 Honorable Richard Meyer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Meyer: Please place the following item on the Commissioners, Court Agenda for May 1, 2024. • Consider and take necessary action to approve Addendum No. 1 for Bid No. 2024.05 - Seadrift Drainage Improvements Project - GLO Contract No. 22-085-014- D245 for Calhoun County, Texas. Sincerely, f)� Gary Deese GDR/at P.O. Box 177 —Seadrift, Texas 77983 —email: &arv.reesc (calhounco1x oE9 — (361) 785-3141 — Fax (361) 785-5602 ADDENDUM NO.1 to the CONTRACT DOCUMENTS FOR SEADRIFT DRAINAGE IMPROVEMENT PROJECT GLO Contract No. 22-085-014-D245 FOR CALHOUN COUNTY , TEXAS April 25, 2024 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. 5310.013a Approved * ............................... SCOTT P. MASON .................. 127893 //ON#�� 2 )r"v f Scott P. Mason, P.E. Texas Serial No. 127893 Date: Page I oft Clarifications to the original Contract Documents, Contract Drawings and/or Specifications have been deemed necessary, and in certain cases, revisions to the original Contract Documents, Contract Drawings and/or Specifications are required. If discrepancies and/or inconsistencies exist between these specified revisions and the original Contract Documents, Contract Drawings and/or Specifications, said Addendum No. 1 shall govern. CONTRACT DOCUMENTS AND DRAWINGS: 1. Pre -Bid Meeting attendance sheet As requested on CivCastUSA, the pre -bid meeting attendance sheet has been included in the addendum. 2. Questions and Answers from Pre -Bid Meeting and Pre -Bid Minutes The questions and answers shall be incorporated into the bid documents and are considered official and binding to the contract via this addendum number 1. Pre -Bid minutes are also attached to this addendum. 3. Questions and Answers from CivCastUSA The questions and answers shall be incorporated into the bid documents via this addendum number I and are considered official and binding to the contract for all questions and answers up to the publishing of this addendum. Any question and answers after this date are not included and binding. 4. Geotechnical Boring Logs and Report Included the full geotechnical report that includes additional technical information and additional boring locations than shown in the boring logs on the plan set. 5. Tax Exempt Status The Calhoun County will issue a tax exemption certificate for materials paid for and approved that are permanently utilized with this project. Sales Tax on supplies, tools, etc. that are not a permanent part of this project are taxable and shall be the responsibility of the contractor. Page 2 of ADDENDUM NO 1 (April 25 2024) Seadn/t Uralnoge 1nDrovem1 P-7eI r Calhoun Cornry, T (Job 5310.013a) OLO Camma No. 22-085-014-D245 9 NO / ) Art $ ■ , 7 ¥ d \ � , . Qc = ƒ ` / G&WENGINEERS, INC. 206 W. Live Oak • Port Lavaca, TX 77979 • p: (361)552-4509 • f: (361)552-4987 TBPE Firm Registration No. F4188 • TBPLS Firm Registration No. 10022100 Pre -Bid Meeting April 16a' 10:00 am G&W Project #: 5310.013a Seadrift Drainage Improvements — PRE -BID Conference — MEETING MINUTES Held at County Commissioners office in Seadrift, Texas Attendees: hi Person: See Sign in Sheet uploaded to CivCASTUSA.com Remote call ins: Marla Jaska - G&W Engineers Katy Sellers - KSBR Introductions - Project description from contract documents - Main parts of the project primarily consist of two bridges, two culvert crossing and ditch and culvert improvements along 9a` street - Last Questions are to be asked no later than 04/19/24 5pm - Last questions must be asked on CivCastUSA - The forms of the contract documents must be filled out completely, instructions are provided in the contract documents Question: What was the other bid document requirement stated and what does "local' mean in terms of the local hiring preference stated in the bid documentation? - Answer: Local preference means to attempt to get local sub -contractors for the project. Typically, "local" will be within 60 miles but as this project is in a more rural location the exact range is undefined. It is required that the contractor make an attempt to hire local if possible. The contractor must also adhere to the Davis Bacon wage rate requirements. - Bid items preferences, alternate items, and options were discussed - Question: what are the specific time requirement for working? What days are available for work? Are there working hour requirements? - Answer: Differed answer to Commissioner Gary Reese. Hours are not specific but should be within sunrise to sunset. Working days are flexible but would like to request no work on Sundays. - Call for any other plan related questions. Question: Can both of the bridges be worked on at the same time? Answer: With proper traffic control & emergency vehicle coordination. Coordination with the city and authorities need to be notified Engineering 0 Consulting Planning I Surveying G&WENGINEERS,INC. Meeting Minutes (Continued) - Question: The Barricading bid item is lump sum, how will that be paid out to the contractor? - Answer: Barricade payment is defined in the note for Item 502 on plan sheet C4. L The note reads as follows: "This item will be measured by the Lump Sum. The contractor will specify the number of calendar days to complete the work in the bid submittal. The payment for lump sum will be distributed equally for the bid duration of the project. The number of payments for the lump sum item will be calculated as the number of days bid, divided by 30 and rounded up to the nearest whole number to determine the number of monthly payments for barricades. If the contractor finishes the project in less than the number of days bid, the remaining balance for this item will be paid on the final estimate. If the project is not completed within the estimated number of working days, the contractor will not receive additional payment for this item unless time is justified and added by Change Order." - Question: Do the rebar in the bridge need to be epoxy coated? - Answer: Epoxy -coated reinforcing steel is required for the abutments and beam slab as stated in the note for Item 440 on plan C4.1. In addition, calcium nitrite inorganic corrosion inhibitor is required in the precast concrete piling, abutments, beams slab and precast beams as stated in the note s for Items 409, 421 and 425 on plan sheets C4.1. - Question: Can the contractor block the water at the bridge locations to work at the bridge locations? - Answer: No, the water at the bridge location must be able to flow freely since they are tidally influenced. Since the bridge will span is wider than the existing culvert structure the water should not affect the building of the bridge. The riprap of the abutment should end before or at the water line which will not require blocking the flow in the channel. - Contractor wanted clarification on buildability of abutments - Engineer explained that the span between abutments is larger than the current culvert span. The bridge components should be out of the existing water line. - Question: Please clarify the ditch cleaning if the water cannot be blocked off? - Answer: The Ditch cleaning will consist of a typical ditch cleaning upstream of the tidally affected area with tops, sides, and bottom of the ditch with the addition of the installation of the Hydroturf product. Downstream of the tidally affected are the cleaning area will consist of only the sides and tops of the banks leaving the tidally affected area alone. - Question: Are the boring logs for the site available? - Answer: The Geotech boring logs are shown for the Yd and 4d' Street bridge layouts on sheets C10.3 and C10.4. The full Geotech boring data report taken for the project can be found in the addendum. G&WENGINEERS,INC. Meeting Minutes (Continued) Question: Is there a predetermined disposal site for the debris and shrubbery cleared? Answer: The contractor is responsible for disposal of all debris and shrubbery in accordance with all applicable state, local and federal requirements as per the note 10 under the Contractor General Responsibilities on plan sheet C4.0. There are no specific provisions regarding a disposal site for the debris. The City's disposal site is only open on Fridays but it is possible that arrangements can be made to open the site on other days for the contractor if the contractor wishes to pursue this route. Reiterated that the Bid is due 5/9/24 by 2pm and that bids must be mailed or personally delivered Reiterated that any additional questions must be asked on CivCastUSA no later than Friday 04/19/24 by 5pm Meeting adjourned Planning G&WENGINEERS, INC. 206 W. Live Oak • Port Lavaca, TX 77979 • p: (361)552-4509 • f: (361)552-4987 TBPE Firm Registration No. F4188 • TBPLS Firm Registration No. 10022100 G&W Project #: 5310.013a Seadrift Drainage Improvements Project — Request for Information Responses Cutoff Time April 19, 2024 at 5:00 PM EMAILED RFI's: None PREBID CONFERNCE RFIs March 10, 2022 —10:00 AM: The plans were made with certain materials and products in mind. Alternatives to specified materials / products can be reviewed on a case -by -case basis but the stated product or materials in the plans are preferred. Only true, accurate, and determined to be equals will be allowed. 2. Will the engineer consider paying for 1' of Cement Stabilized Bac)fi11 as bedding under Box Culverts and Pipe to pose as seal slab /stable bedding. j Sand bedding is specified for the 91" Street storm sewer and driveway structures as shown on the backfill details on plan sheets C5.2 and C5.3. Please bid as shown in the plans. An alternative bedding type may be approved but it will be at the contractor's expense. Is there Geo Tech for the length ofproject available you can share. The Geotech boring logs are shown for the 3" and 4t6 Street bridge layouts on plan sheets C10.3 and C10.4. The full Geotech boring data report taken for the project can be found in the addendum. V. Would you please post the pre bid meeting attendees list?] A copy of the attendee sign in sheet will be attached to the addendum. 5: Are there an additional bride details ou can share?', Y g Y The bridge is a typical TxDOT design for a prestress concrete beam slab bridge. All applicable TxDOT standards have been included in the plans on sheets C6.1, C6.2 and C6.3. Pre -bid Meeting Ouestions I. What Does "local " mean in terms of the local hiring preference stated in the bid documentation?, Local preference means to attempt to get local sub -contractors for the project. Typically, L°local" will be within 60 miles but as this project is in a more rural location the exact range is undefined. It is required that the contractor make an attempt to hire local if possible. �. What was the other bid document requirement stated?� The contractor must adhere to the Davis Bacon wage rate requirements. Engineering Consulting 0 Planning Surveying G&WENGINEERS,INC. 3.- Since the project is in a residential looking area, are there speck working time requirements?] Specific times are not specified in the plans. Sunrise to sunset would be within reason. Working on Saturday is acceptable but not Sunday. Coordinate any unusual work times with the Engineer and City. 4. Can the contractor work on both bridges at the same time Yes, but please notify and work with the City and emergency services to coordinate dates and available routes for emergency vehicles. 5._ The barricading is bdd out lump sum, how will that be paid out to the contractor?i Barricade payment is defined in the note for Item 502 on plan sheet C4.1. The note reads as follows: "This item will be measured by the Lump Sum. The contractor will specify the number of calendar days to complete the work in the bid submittal. The payment for lump sum will be distributed equally for the bid duration of the project. The number of payments for the lump sum item will be calculated as the number of days bid, divided by 30 and rounded up to the nearest whole number to determine the number of monthly payments for barricades. If the contractor finishes the project in less than the number of days bid, the remaining balance for this item will be paid on the final estimate. If the project is not completed within the estimated number of working days, the contractor will not receive additional payment for this item unless time is justified and added by Change Order." 6. Does the rebar in the bridge need to be epoxy coated?! Epoxy -coated reinforcing steel is required for the abutments and beam slab as stated in the note for Item 440 on plan C4.1. In addition, calcium nitrite inorganic corrosion inhibitor is required in the precast concrete piling, abutments, beams slab and precast beams as stated in the notes for Items 409,421 and 425 on plan sheets C4.1. 7. Can the contractor block the water at the bridge locations to work at the bridge locations? No, the water at the bridge location must be able to flow freely since they are tidally influenced. Since the bridge will span is wider than the existing culvert structure the water should not affect the building of the bridge. The riprap of the abutment should end before or at the water line which will not require blocking the flow in the channel. 8. Please clarify the ditch cleaning if the water cannot be blocked ? The Ditch cleaning will consist of a typical ditch cleaning upstream of the tidally affected area with tops, sides, and bottom of the ditch with the addition of the installation of the Hydroturf product. Downstream of the tidally affected are the cleaning area will consist of only the sides and tops of the banks leaving the tidally affected area alone. 9._ Are the boring logs for the site available?! The Geotech boring logs are shown for the 3rd and 41h Street bridge layouts on sheets C10.3 and C10.4. The full Geotech boring data report taken for the project can be found in the addendum. Engineering Consulting Planning Surveying G&WENGINEERS,INC. 10: Is therea predetermined disposal site for the debris and shrubbery cleared?j The contractor is responsible for disposal of all debris and shrubbery in accordance with all applicable state, local and federal requirements as per the note 10 under the Contractor General Responsibilities on plan sheet C4.0. There are no specific provisions regarding a disposal site for the debris. The City's disposal site is only open on Fridays but it is possible that arrangements can be made to open the site on other days for the contractor if the contractor wishes to pursue this route. Engineering Consulting Planning 0 Surveying WNW. Neywnw vr 7ac 111 _.M. AHVNMn3dd --v v ��, '"' Ak'8 D cfVN NOUVO01 3�joe --------------- - 7 TO. !I iIN-DOCIZ) i31HGV3S oSSA :7, 7 -.4 -01 map,- ki IN Q A,' tlh I 'ift this 4 2 JAP S-Im"n z FT MANT asqr 7 k"? OTT co IM, L soy It- M ITT, _A Ro T to M g -11 W ki w 1k, jw W1. zi 01, will �t. ---------- IT A ij 46" R�j WA, I 4-il f oil # TV LFA Opill 1, 1 fog �K Z 4i soft its TSI LABORATORIES, INC. GEOTECHNICAL ENGINEERING STUDY Calhoun County — GLO - CDBG - MIT Project Seadrift, Texas 1810 S. Laurent St. * Victoria, TX 77901 * 361-578-6933 TSI LABORATORIES, INC. TBPE FIRM REGISTRATION NO: F-9236 1810 SOUTH LAURENT VICTORIA, TEXAS 77901 September 19, 2022 Scott Mason, P.E. G&W Engineers, Inc. 205 W. Live Oak Port Lavaca, TX 77979 Telephone 361-578-6933 Fax 361-578-2601 Email: tsilabvictoria@gmail.com Subject: Calhoun County - GLO - CDBG - MIT Project Seadrift, Texas TSI File No.: V-221264 Dear Mr. Mason, We are pleased to submit this report of our geotechnical engineering study for the Calhoun County - GLO - CDBG - MIT Project in Seadrift, TX. The findings and a description of the exploration and testing procedures are presented in the report along with our site preparation recommendations. We appreciate the opportunity to assist in this phase of the project. Please feel free to contact us, if you have any questions regarding this report or if we may be of further service. Respectfully submitted, TSI Laboratories, Inc. 93944 ,,.; Michael Tater, President. Daniel Tesfai, P.E. GEOTECHNICAL ENGINEERING STUDY Calhoun County — GLO — CDBG - MIT Project Seadrift, Texas Prepared For: Scott Mason, P.E. G&W Engineers, Inc. Prepared By: TSI LABORATORIES, INC. TBPE Firm Registration No.: F-9236 Victoria, Texas September 19, 2022 TSI Project Number: V-221264 TSI LABORATORIES, INC. TABLE OF CONTENTS INTRODUCTION............................................................................................... Authorization and Scope.................................................................................. ProjectDescription........................................................................................... FIELD AND LABORATORY TESTING........................................................... FieldTesting..................................................................................................... LaboratoryTesting........................................................................................... SUBSURFACE CONDITIONS Groundwater .......................... RECOMMENDATIONS......................................................... Minimum Embedment Requirement .................................... Drilled Straight Shafts.......................................................... DrivenPiles.......................................................................... Settlement Considerations.................................................... Sheet Piles Recommendations .............................................. Lateral Earth Pressure........................................................... Foundation Construction...................................................... Driven Pile Foundation Installation ...................................... Foundation Construction Monitoring ................................... Pavement Design Recommendation ..................................... SiteGrading.......................................................................... RollingPattern...................................................................... Weather Limitations............................................................. GENERAL COMMENTS APENDIX ............................... TSI LABORATORIES, INC. I......................1 .......................1 .......................1 ....................... l .......................1 ....................... 2 ....................... 2 ....................... 3 .......................................................... 3 ........................................................... 3 ........................................................... 3 ........................................................... 4 ........................................................... 6 ........................................................... 7 ........................................................... 7 ........................................................... 8 ........................................................... 9 ........................................................... 9 ........................................................... 9 .........................................................10 .........................................................10 .........................................................10 .........................12 ..........13 Calhoun County - GLO — CDBG — MIT Project Seadrift, TX GEOTECHNICAL ENGINEERING STUDY Calhoun County — GLO - CDBG - MIT Project Seadrift, TX INTRODUCTION Authorization and Scope TSI Laboratories, Inc. (TSI) was retained to provide geotechnical study services by Scott Mason with G&W Engineers, Inc. The purpose of this study was to determine and evaluate the stratification and engineering properties of the site subsurface soils. TSI will provide geotechnical engineering recommendations and guidelines for use in site preparation, foundation design, and related site improvements planned for the Calhoun County GLO-CDBG—MIT - Project in Seadrift, Texas. Project Description The proposed project involves the design and construction of 4 bridges, retaining wall and pavement design for rebuilding 9' street. Based on the results of the study the bridge and retaining wall could be supported by straight shaft or driven pile foundation system. FIELD AND LABORATORY TESTING Field Testing The site soils were explored by drilling five (5) 50-foot-deep borings for the bridges and four (4) 20-foot-deepborings. Boring locations were determined by the client and shown on the respective site plan. Soil was sampled continuously at 2-foot intervals to 10-foot depth with an additional sample taken at 5-foot depth intervals. The sampling method is determined based on the encountered soils. Cohesive soils were sampled by hydraulically pushing a 3-inch diameter, thin -walled steel tube a distance of about 24-inches. Our field sampling procedures were in general accordance with ASTM D1587. For each recovered sample, our representative extruded the sample in the field, visually classified the soil, and measured the penetration resistance using a pocket penetrometer. Granular soils were sampled as part of the Standard Penetration Test (SPT) by driving a 2-inch diameter split -barrel sampler. The sampler was driven 18-inches by a 140-pound hammer falling 30-inches in general accordance with the ASTM D1586. Our representative recorded the number of blows required to drive the sampler through three consecutive 6-inch intervals. As permitted by ASTM D1586, sampling was terminated if 50-blows were recorded within any single 6-inch TSI LABORATORIES, INC. Calhoun County - GLO — CDBG — MIT Project Seadrift, TX interval. The sum of blows required to penetrate the final 12-inches is known as the SPT "N" value. A portion of the recovered sample was wrapped in aluminum foil and placed into a sample container and transported to our laboratory for testing. Laboratory Testing The soil samples selected for laboratory testing were examined and visually classified by the sample's representative of the various soil strata encountered. Atterberg limits, moisture contents and percent fines tests were performed to assist in classifying the soils according to Unified Soil Classification System (ASTM D2487). Unconfined compressive strength tests were also performed to provide indicators of soil strength. The classification test results are presented on the boring logs. The test procedures are described in the Appendix. SUBSURFACE CONDITIONS Soil classifications are described in detail in the Boring Logs provided in the Appendix and summarized in the table below. Boring No. Soil Type Ground water table B-1 0-8' CH 8-20' SC 11' B-2 2 Coarse/shell base 10.0" 0-1' SC 1-13' OUCH 13-20' SM-SC 12' B-3 2 Coarse/shell base 18.0" 1-6' CH 6-18' SC/ SM-SC 18-20' CH 12' B-4 2 Coarse/ shell base 10.0" 1-6' CH 6-28' SC/ SM-Sc 28-50' CL 10, B-5 0-4' CL 4-23' SM-SC 23-43' CL 43-50' CH 7' B-6 0-4' CL 4-28' SC 28-50' CL 6' B-7 0-6 CH/CL 6-28' SM-SC 28-50' CL 7' 0-20' SM-SC g FB 0-33' SC/ SM-SC 33-50' CH g' The site soil has been evaluated by performing various field and laboratory tests on the subsurface samples recovered during the drilling operations. The types of tests conducted on the subsurface samples and the results of the tests are tabulated on the Logs of Borings, which are provided in the Appendix. The properties of each stratum are discussed below. The corresponding boring logs, depicting the stratum soil descriptions, type of sampling used during sample retrieval, laboratory test data, and other field data, is presented in the Appendix at the end of this report. The key to the boring log symbols and soil classifications Sheet, which defines the terms and descriptive symbols used on each boring log, is also presented in the Appendix. TSI LABORATORIES, INC. Calhoun County - GLO — CDBG — MIT Project Seadrift, TX Groundwater Groundwater was encountered between 6 to 12-foot in all of the borings during drilling operations as indicated in the table above. It is noted that groundwater levels fluctuate with seasonal climatic variations and the contractor should verify that groundwater will not adversely affect design or construction at this site. RECOMMENDATIONS The foundation system for the proposed bridge and retaining wall must satisfy two independent engineering criteria with respect to the soil conditions. First, the foundation system should be designed with an appropriate factor of safety against bearing capacity failure of the foundation soils. Second, the movement of the foundation system due to compression (consolidation) or expansion (swell) of the soils supporting the foundation system must be within tolerable limits for the structure. Minimum Embedment Requirement We recommend that the design of the shafts or piles consider the following minimum embedment requirements: The shafts or piles should have a depth of embedment adequate for support of the imposed axial and lateral loads. Computation of design capacities of the shafts or piles should provide for reductions in capacities due to construction -related disturbance and shrink -swell of surficial soils with changes in moisture. Shafts or piles should penetrate into the base stratum (the stratum in which the shaft or pile tip is placed) at least two (2) times their diameter or width. Drilled Straight -Shafts Drilled straight shafts may be utilized to support the proposed bridge. The drilled shafts if extended to a depth of 15 to 23-foot of the existing grade, the shafts should be sized for a net dead plus sustained live load bearing pressure of 3,200 psf or a net total load bearing pressure of 4,800 psf, whichever condition results in a larger bearing surface. However, if extended below 24-foot and below a net dead plus sustained live load bearing pressure of 3.8 ksf or a net total load bearing pressure of 5.7 ksf. The same value can also be used for the cast in place box culvert with 15 inches thick perimeter beams. The shafts should contain sufficient vertical reinforcing steel throughout the entire shaft length to resist uplift (tensile) forces due to post -construction heave of the clayey soils. The magnitude of uplift is difficult to predict and will vary with in -situ moisture contents. For purposes of establishing sufficient reinforcing to resist uplift, the uplift pressures can be approximated by using a uniform uplift pressure of 550 psf over the perimeter of the shaft embedded. The amount of reinforcing steel required can be computed by assuming the dead load of the structure TSI LABORATORIES, INC. Calhoun County - GLO — CDBG — MIT Project Seadrift, TX surcharges the shaft, that the above estimated tensile force acts vertically on the shaft, and that the shaft embedment acts as a rigid anchor. However, in no case should the percentage of steel be less than 0.5% (based on 40 ksi steel). Drilled shaft edge -to -edge spacing of less than two (2) shaft diameters will require axial capacity reduction. TSI should be contacted for additional recommendations if the clear spacing between drilled shafts is less than two shaft diameters. Allowable side shear value of 1,100 psf with an assumed factor of safety of at least two (2) may be used to aid in resisting axial compressive loads on the piers. The side shear should be neglected for fill material, the upper 5-foot of soil in contact with the pier shaft, and within one (1) pier diameter of the bottom of the shaft. Driven Piles Driven concrete piles may be used to support the proposed bridges. The allowable unit skin and end bearing capacities provided in the following table are recommended for the design of full displacement driven piles. The friction factor defines the increase in pile friction capacity as a function of depth. These values include a factor of safety of 2. Allowable tension can be taken as 80% of the friction value. The end bearing factor can be used to estimate end bearing capacity. These values include a factor of safety of 2.5. Penetration' (foot) Allowable Unit Skin Friction (psf) Allowable Unit End Bearing Pressure' (psi) 0 to 5 Disregard 6 to 13 250 Disregard 14 to 30 325 3,260 31 to 50 360 3,580 ' Penetration below grade existing at the time of field investigation ' Neglect for pile dimension less than 2-foot The parameters required for p-y curves and designs from the boring logs are listed in the table below: Soil Type 7 C 4) K I Ka *Eso Medium Dense Silty Sand (SM) 115 0 24 60 0.60 - Stiff Clay (CH) 105 1,400 0 140 0.53 1 0.007 * Values estimated from known correlations. TSI LABORATORIES, INC. Calhoun County - GLO — CDBG — MIT Project Seadrift, TX Where: y = Wet Unit Weight, pcf c = soil cohesion, psf � = Angle of internal Friction, deg Ko = Lateral Earth Pressure Coefficients, At -Rest K = modulus of subgrade cyclic reaction (pci) Driven piles generally derive most of their load carrying capacity from skin friction. Therefore, end bearing is normally negligible for driven piles. We recommend the allowable unit end bearing values presented in the above table should be neglected if the selected driven pile dimension is less than 2-foot. In addition, the allowable unit skin friction and unit end bearing values provided in the above table are recommended for driven concrete (full displacement) piles. TSI should be contacted for additional recommendations if driven piles other than full -displacement concrete piles are planned to be utilized at this site. Lateral resistance of driven piles is primarily developed by passive resistance of the soil against the side of the pile. A detailed lateral load analysis of the proposed piles was beyond the scope of this study. If requested, a detailed lateral capacity analysis of the proposed driven piles can be provided for this project. Design of piles should also include an evaluation of the structural capacity of the pile which may limit the allowable capacity. Any pile splices must provide positive load transfer both in compression and tension since driving displacement piles within clayey soils could result in heave. As the pile is driven, it displaces soil upward toward the surface. This upward soil movement can "drag" the adjacent piles up and lift them off of their bearing layer causing tension along the piles. Pile groups subjected to axial loads can be influenced by numerous factors which may include pile type, size and length, pile spacing, overall group size, loading conditions, installation procedures, and soil type and strength. With a center -to -center spacing of at least three (3) pile widths, the group effect should be insignificant on the load carrying capacity of the piles. Therefore, the combined axial load capacity for such a group may be taken as the sum of the individual pile capacities in the group. Post construction settlements of single isolated piles will depend on the elastic properties of the pile, the applied load, and the interaction of the soil and pile. Settlement is anticipated to be primarily elastic and will occur relatively rapidly as load is applied. Significant consolidation settlement due to applied load is not anticipated at this site for the pile capacities given. Our experience indicates that single, isolated piles loaded to about one-half of their ultimate capacity should experience settlement of less than one inch. Post construction settlements of groups of piles are generally greater than single isolated piles for the same load per pile. Based on the previously recommended spacing, we anticipate that settlement of the pile group should be one inch or less under working loads. In general, differential settlements should be on the order of one-half to two-thirds of the total settlement. TSI LABORATORIES, INC. 5 9 'NNI'Sl1801V808V1191 uolloeaalvi oaniongs Ilos dq uugl uolionalsuoo 3o (I!Ienb aqi Xq aaom paiotdml si saaid pallup 3o osuodspa luamalliaS •gout-v/E uegl ssai aq of polvun;so si saa[d luaasfpe uoowaq luouioluas [tllupap331P `saald polonaisuoo put? pau2Isop ,ilaadoad ao3 •luamalllas acid luiol agi 30 %SL of os gouoaddu p[noo luamalllas Itliuoap33lp 3o iunomt oql •saald ivaoefpe uoomloq an000 os[u feut ivamallias [elluaaa331Q •uoilonaisuoo Sulanp SnUan000 ivamallias aqi 3o Isom LPim ollstlo /Cilaemud aq lllm saaid Itnpinlpui gltouoq lupmplpoS •scald polliap polonalsuoo put pauSIsap Xlaadoad ao3 gout -I lnogt oq pinogs `saansspad Su[auoq paiuoipul aqi uo postq `sluamaµias Itioy suoip8aapisuo3 ivautalllas •alid uaeiap u jo filglgt;d000t agi3o uollunitna uI Ielogouoq aq ueo uofleuuo3ui gonS •uoiieilelsui slid agi 3o paooaa snonuiluoo a sapinoad osie put `uoiltiltisui olld 3ulanp ,i2aau0 aamun:q put' sassaals dulniap aolluom uuo yQd agy •uollellelsul alld OuTanp (V(ld) ,<aazXILuV Bulelacf apd„ a 3o osn pgl pumum000a om `uoillppt ul •figotduo paalnboa agi apinoad of pol[eisul aq pinogs slid mou t `SI!ouduo aiunbopu aluolpui iou dtl-aa aqi `luauLSpnf s aaaui8ug Itolugoaloa) agi uI `p[nogs alld agi3o tli[Igeldaooe agi anoad of uollaaoslp s,aoloealuoo aqi iu pauaaoiaad aq pinogs del-oa oqy -sand ,Cgauau aagio 3o uollellulsui aqi aagt pue amll posdtlo alquitns u aagt paddtl-aa oq Xmu slid aql 'gidap poulumlopaad aql molaq gldop alquloaaddu ue it pelnuuo3 sulniap ,Cq uani8 sonitn aoutlsisaa Iuuiuuai aqi uugl aamol oouulspaa u sliglqxa alld u 3I •aIglssod31 `sAlop Xuu inogllm gldop u2ispp sli of upn[ap pq pings olid e `.Oulnlap of aouelsisaa pasuaaoul oonpoad uto uolidnualui �ulanp do-las asneoag uolleaaplsuoo Saepuooas t st lunoo molq gllm gidap (aisop) paumuolopaad e of uanup aq pinogs solid uoilpnpoad -slid aql jo sallloudto Itlxu puu Imalu[ aqi loa,Ilu uuo ii poufs Ouiliupaad suunp posloaaxa aq pinogs aaeo amaaixg •aouulslsaa uotiota3 ulNs 3o ivamdolanap oql alomoad of ozis olld pgl mp glplm uI ssal sag3ui-17 inoqu oq pinogs uoiltnuoxo pa[Iupoad aqy •san000 1esn3aa ssolun q;dap luowpogma aild luug agl anogt ioo3-s uugi aadaap pualxo 2ulIIpppad pinogs saoueismnaalo ou appufl •gidap luompagma Itug paltdioilue aqi uegl ssal Itgmamos gidap u of Sui[Iupoad jiq p3leli[Iou3 oq XPLu stpdop luamppgmp pololdmoo of sand SUTAIJQ •uoilel[elsul alld3o poglam lualogla Isom aqi Buiuluualop uI applsuoo of solgeiaen ,Cuero agi •Io ma3 u /iluo aau Iuamdlnbo .Oulnlap put `slupmpambpa owl luauupogma `sallaadoad Ifos put olld •uoilulluisul Oulanp si anualaadxo ilim alit[ uanup a sspgs lspleaai pill `suolltnip lsom ul •smalsxs uoilupuno3 slid iulu2lspp pue Sulsoogo upgm uollmoplsuoo aadoad uaniS pq pinogs uoplltisui alld3o spoglam pug sloajja agZ •olls sigl ie panaasgo silos dputs agl olul gidap algeipaaddt Xut of uoilualauad analgoe of ,faesswou aq ,fem Sull[ppoad legl aludlolluu am •suinlap 5ulanp sanppo uolltalouad of aouuistsaa anTssapxa 3I suolltaiauod uSisop agi anolgoe of paambaa aq Xtm Suliiaf palloaluoo ao `4ui[Iuppad `apnpmobl •auo[e Buin[ap ,Cq pagslidmoom aq fIgnjoid pinogs sand aqi 3o uolltllmsul pgy X.L `uFapeas ;oofoad .LIW — OHQO — O'ID - Auno0 unoglu0 Calhoun County - GLO — CDBG — MIT Project Seadrift, TX Improper pier installation could result in differential settlements significantly greater than we have estimated. In addition, larger magnitudes of settlement should be expected if the soil is subjected to bearing pressures higher than the allowable values presented in this report. Sheet Pile Recommendations Retaining structures must be designed in a way such that serviceability and ultimate limit states are not reached. Serviceability limit states are mostly associated with excessive deflection of the structures toward the open space and away from the ground they support. This leads to a corresponding loss of ground behind the retaining structure; if a structure is present there, it may be damaged by the resulting settlements. Ultimate limit states include bearing capacity failure, sliding, overturning and general stability of the retaining structure and the soil it supports. Additionally, the retaining structure has to retain structural integrity through its useful life. The sheet piles can be installed by vibratory hammers as sand liquefaction due to the vibration aids the rate of advance. For short sheet piles, jacking can be quite efficient, as agile, hydraulic machines now exist that can quickly push sheet piles into the ground. Lateral Earth Pressure Below -grade walls or retaining structures may be used for some structures in the facility. The walls will be subject to lateral earth pressures from a combination of soil pressure, hydrostatic water pressure, and surcharge loads. The earth pressure, ah, for soils adjacent to the below -grade walls, is expected to approach at -rest conditions and may be computed as: 6h = KeyH where K. = At -rest earth pressure coefficient = 0.47 y = Unit weight of the adjacent soil, lb./ft3= 56 H = Wall height, foot Lateral earth pressures resulting from the soil are calculated by multiplying the equivalent fluid density of the surrounding soils, defined as Key, by the depth below the ground surface. For water pressures, multiply the unit weight of water by the depth below the ground surface, finished grade, or 100-year flood elevation, whichever is greater. The equivalent fluid densities of 80 pcf for moist and 37 pcf for submerged can be used. These values do not include a hydrostatic pressure component. The sum of the pressures resulting from soil and water, acting as a triangular distribution, should be used for the wall design. Engineering Design Manuals often specifies that lateral loads due to surcharge loading from cranes and H-20 trucks shall be included. Lateral earth pressures from uniformly distributed surcharge loads can be calculated by using a rectangular stress distribution of the imposed vertical load multiplied by the appropriate lateral earth pressure coefficient. For this reason, a lateral earth pressure coefficient of 0.52 to 0.65 may be used. TSI LABORATORIES, INC. Calhoun County - GLO — CDBG — MIT Project Seadrift, TX If there is movement of sheet pile bulkhead during its service life, both active and passive pressures will be mobilized. Based on existing surface at time of drilling operations, coefficients of 0.36 and 2.77 up to 13-foot depth, 0.49 and 2.03 between 14 to 40-foot depth and below that 0.30 and 3.26 may be used for calculation earth pressures for Active and Passive Rankine earth pressure, respectively. A surcharge imposed on the soil adds to the lateral earth pressure exerted against the retaining wall due to the loading on the piling of the mooring structure. This added pressure must, be considered in the design, and can be computed as: P'= gHKa Where q = surcharge load H = height of the wall Ka = coefficient of active earth pressure = (I -sink)/ (1+sink) Below -grade walls should be checked against failure due to overturning, sliding, and overall slope stability. Such analysis can only be performed during a detailed study once the dimensions of the bulkheads are known. The boring logs indicate that the soil conditions encountered should not pose any difficulty to the dredging contractor. The maximum side slope conditions should not exceed two (2) horizontals to one (1) vertical ratio. Foundation Construction Drilled Straight -Shafts The drilling contractor should be experienced in the subsurface conditions observed at the site, and the excavations should be performed with equipment capable of providing clean bearing area, free of water. Drilled straight -shaft foundations should be installed in general accordance with the procedures presented in 'Drilled Shafts: Construction Procedures and Design Methods," by Reese, L. C. and O'Neill, M. W., FHA Publication No. FHWA-IF-99-025, 1999 and "Standard Specification for the Construction of Drilled Piers", ACI Publication No. 336.1-01, 2001. Foundation installation should be closely monitored by a qualified technician experienced in drilled straight -shaft installation techniques. At a minimum, the technician should monitor shaft excavation, note any unusual installation occurrences, monitor concrete placement, and generally evaluate if foundation installation is being performed in accordance with the project specifications. As stated previously, groundwater was observed in all the borings during drilling. Based on the subsurface and groundwater conditions observed at the borings, the installation of drilled straight -shafts will require the use of temporary steel casing. We recommend that provisions be TSI LABORATORIES, INC. Calhoun County - GLO — CDBG — MIT Project Seadrift, TX incorporated into the plans and specifications to utilize casing to control sloughing and/or groundwater seepage during shaft construction. To evaluate the constructability of drilled straight -shafts and the potential variability of groundwater conditions, we recommend at least two test shafts prior to the installation of production shafts. The installation of test shafts should be observed by TSI. If casing is used and seepage persists, the water accumulating in the foundation excavation should be pumped out. The condition of the bearing surface should be evaluated immediately prior to placing concrete. Where casing is used, removal of the casing should be performed with extreme care and under proper supervision to minimize mixing of the surrounding soil and water with the fresh concrete. Rapid withdrawal of the casing may develop a suction that could cause the soil and water to flow into the excavation. An insufficient head of concrete in the casing during withdrawal could also allow the water to intrude into the wet concrete. The casing must be removed in order to utilize the skin friction values previously provided. Under no circumstances should loose soil be placed in the annulus between the casing and the drilled shaft sidewalls. Driven Pile Foundation Installation Piling should be installed in accordance with TxDOT Standard Specifications for Construction and Maintenance of Highways, Streets and Bridges, 2014, Items 404 and 409. If piles are to be installed to any appreciable depth, a pile drivability analysis should be performed. A drivability analysis will help in evaluating the pile -hammer combination best suited for pile installation, reducing the need for installation aids, and reducing the risk of pile damage resulting from excessive driving stresses. Foundation Construction Monitoring The performance of the recommended foundation systems for the proposed structures will be highly dependent upon the quality of construction. Thus, we recommend that foundation installation be monitored full time by an experienced TSI soil technician under the direction of our geotechnical engineer. PAVEMENT RECOMMENDATIONS We anticipate that the subgrade will consist of low to medium plasticity, surficial on -site soils. We recommend that the top HMAC and base material be recycled and stabilized with a minimum of 5% cement by weight and used as base material. This percentage is typically equivalent to about 30 pounds of cement per square yard per 6-inch treated depth. On top, additional 3-inches of crushed limestone or crushed concrete meeting the requirements of TxDOT 2014 Standard Specifications Item 247, Type A, B, or D, Grade 1 should be added. The base material should be compacted to at least 95% of the Modified Effort (ASTM D1557) maximum dry density at a moisture content within 2% of the optimum moisture content. TSI LABORATORIES, INC. 9 Calhoun County - GLO — CDBG — MIT Project Seadrift, TX Upon completion of the base section the surface should be primed and 2%z-inches of type "D" HMAC be placed. The asphaltic surface shall meet the requirements of the current TxDOT 2014 Specification Item 340 for Dense Graded Hot Mix Asphalt (small quantity) for projects with total production of less than 5,000 tons and TxDOT 2014 Specifications Item 341 Dense Graded Hot Mix Asphalt for projects with total production of 5,000 tons or greater. The hot mix asphaltic surface will be compacted to between 3.0 and 8.5% in place air voids in conformance with the specification. It is recommended that the testing required by this specification be performed during production. The target design laboratory density should be 97% of the maximum theoretical density for from Rice Test. Site Grading On most project sites, the site grading is accomplished relatively early in the construction phase. As construction proceeds, rainfall and surface water saturates in some areas, heavy traffic from concrete trucks and other delivery vehicles disturbs the subgrade. As a result, the pavement subgrades, initially prepared early in the project, should be carefully evaluated as the time for pavement construction approaches. We recommend the moisture content and density of the top 8-inches of the subgrade be evaluated and the pavement subgrades be proof rolled two (2) days prior to commencement of actual paving operations. Areas not in compliance with the required ranges of moisture or density should be moisture conditioned and recompacted. Particular attention should be paid to high traffic areas that were rutted and disturbed earlier and to areas where backfilled trenches are located. Areas where unsuitable conditions are located should be repaired by removing and replacing the materials with properly compacted fills. Rolling Pattern A minimum compaction temperature of 1757 (80°C) is the cutoff point, because after this point, the mat temperature is so low that compaction possibilities decrease rapidly. In some cases, the material is too hot to be properly compacted. This is noticeable from the instability of the material under the roller. It is essential that the first pass be made as soon as possible so that the temperature relationships mentioned above will be maintained. The greatest part of compaction is attained with the first breakdown pass. To eliminate or minimize compactor marks the final finishing passes may have to be delayed until the mat cools to the proper temperature. Weather Limitations Adverse weather conditions would affect the quality of the asphaltic concrete pavement. These include, but are not limited to the following: 1. Frozen subgrade as evident by the fact that a shaded surface thermometer reads 327 or less, or the subgrade is excessively hard, or the entrapped water has turned to ice. 2. For thin lifts temperature requirements such as 80°F. 3. Muddy subgrade due to the material being too wet. TSI LABORATORIES, INC. 10 Calhoun County - GLO — CDBG — MIT Project Seadrift, TX 4. Standing water on the subgrade (this can usually be remedied by using pumps and/or an air hose). 5. A light rain is sometimes OK as long the mat does not cool down too quickly. The pavement design methods described above are intended to provide structural sections with adequate thickness over a particular subgrade such that wheel loads are reduced to a level the subgrade can support. The support characteristics of the subgrade for pavement design do not account for shrink/swell movements of an expansive clay subgrade. Thus, the pavement may be adequate from a structural standpoint, yet still experience cracking and deformation due to shrink/swell related movement of the subgrade. Post -construction subgrade movements and some cracking of pavements are not uncommon for clayey subgrade conditions such as those observed at this site. Minimizing moisture changes in the subgrade is important to reduce shrink/swell movements. Although cement treatment will help to reduce such movement/cracking this movement/cracking cannot be economically eliminated. TSI LABORATORIES, INC. 11 Calhoun County - GLO — CDBG — MIT Project Seadrift, TX GENERAL COMMENTS TSI should be retained to review the final design plans and specifications so comments can be made regarding interpretation and implementation of our geotechnical recommendations in the design and specifications. TSI also should be retained to provide testing and observation during excavation, grading, foundation, and construction phases of the project. The analysis and recommendations presented in this report are based upon the data obtained from the borings performed at the indicated locations and from other information discussed in this report. This report does not reflect variations that may occur between borings, across the site, or due to the modifying effects of weather. The nature and extent of such variations may not become evident until during or after construction. If variations appear, we should be immediately notified so that further evaluation and supplemental recommendations can be provided. The scope of services for this project does not include either specifically or by implication any environmental or biological (e.g., mold, fungi, and bacteria) assessment of the site or identification or prevention of pollutants, hazardous materials, or conditions. If the owner is concerned about the potential for such contamination or pollution, other studies should be undertaken. For any excavation construction activities at this site, all Occupational Safety and Health Administration (OSHA) guidelines and directives should be followed by the Contractor during construction to insure a safe working environment. In regard to worker safety, OSHA Safety and Health Standards require the protection of workers from excavation instability in trench situations. This report has been prepared for the exclusive use of our client for specific application to the project discussed and has been prepared in accordance with generally accepted geotechnical engineering practices. No warranties, either expressed or implied, are intended or made. Site safety, excavation support, and dewatering requirements are the responsibility of others. In the event that changes in the nature, design, or location of the project as outlined in this report are planned, the conclusions and recommendations contained in this report shall not be considered valid unless TSI reviews the changes and either verifies or modifies the conclusions of this report in writing. TSI LABORATORIES, INC. 12 Calhoun County - GLO — CDBG — MIT Project Seadrift, TX APPENDIX Boring Locations Map Log of Borings Laboratory Test Results Symbols and Terms Used on Boring Log Field and Laboratory Testing Procedures Important Information About Your Geotechnical Engineering Report TSI LABORATORIES, INC. 13 B 1� ■ " �. E B-4 B-2 a B6 �. B-3 # (• � 1 ti i e � k 8-8 ! Beach Front,w Pavilion & Park °* "' Loci of Borin PROJECT: Calhoun County- GLD -CDBG - Mil Project BORING NO.: B-1 Seadrift, TX PROJECT NO.: V-221264 DATE: 08/18/22 CLIENT: G&W Engineers, Inc. SURFACE ELEV.: N/A LAB. NO.: L-001 FIELD DATA LABORATORY DATA DRILLING METHOD(S) : Dry Auger0-20.0' GROUNDWATER INFORMATION: i orcGroundwater was encountered at 11.0' um 2 UO Utii imi "Afte�ejrg v�F, w owp y�>w aw nw Q� ii m a o o sf o, —¢ DESCRIPTION OF STRATUM 2z SErg UN LL FAT CLAY - with sand, very dark gray (CH) P=4.5+ P=4.5+ 23 105 56 20 36 78 7.2 4.6 - brown and light brown (CH) P=3.5 P=3.0 $ 0 P=2.5 18 109 24 13 11 37 0.9 6.6 CLAYEY SAND - brown and light brown (SC) N=21 20 23 12 11 40 16 -light red (SC) N=45 25 23 13 10 16 Boring terminated at 20.0' 24 32 40 48 58 ® Steel Tube Sample REMARKS: TS ® Split Spoon Sample i Laboratories,lnc. Disturbed Sample Log of Boring PROJECT: Calhoun County- GLO-CDBG-Mil Pmject BORING NO.: B-2 Seadrift, TX PROJECT NO.: V-221264 DATE: 08/18/22 CLIENT: G&W Engineers, Inc. SURFACE ELEV.: N/A LAB. NO.: L-001 FIELD DATA LABORATORY DATA DRILLING METHOD(S) : DryAugerO-20.0' � GROUNDWATER INFORMATION: o Groundwater was encountered at 12.0' Sdzo yU¢zz°te> VAtterberg w c- oowp`'ow DESCRIPTION OF STRATUM z rc 2Coarse P=4.0 14 30 Shell Base - 10.0" P=3.0 70 24 46 CLAYEY SAND - dark gray (SQ FAT CLAY - dark gray (CH) P=2.5 35 89 69 24 45 85 1.7 4.5 P=3.0 8 P=4.0 17 116 32 12 20 78 2.1 LEAN CLAY - with sand, dark gray (CL) N=14 SILTY CLAYEY SAND - light brown (SM-SC) 16 N=20 21 22 16 6 23 Boring terminated at 20.0' 24 32 40 48 56 ® Steel Tube Sample REMARKS: Boring began to cave in at 13.0' TS ® Split Spoon Sample v7 Disturbed Sample Laboratories, Inc. Log of Boring PROJECT: Calhoun County - GLO - CDBG - Mit Project BORING NO.: B-3 Seadrift, TX PROJECT NO.: V-221264 DATE: 08/29/22 CLIENT: G&W Engineers, Inc. SURFACE ELEV.: N/A LAB. NO.: L-001 FIELD DATA LABORATORY DATA DRILLING METHODS): Dry AugerO-20.0' Aserte umitsw g GROUNDWATER INFORMATION: O m o z z z z Groundwater was encountered at 12.0' d$ i p 55 agOWrL mz as N� O' , u a �� ? 7e DESCRIPTION OF STRATUM ii N z 1 a W w M ii 8 —a" a E 05 °° t a 0 2 Coarse =4.5+ Flex Base/Shell Base - 18.0" CLAYEY SAND - reddish brown SC FAT CLAY - with sand, brown and gray (CH) P=4.0 31 91 63 20 43 77 2.5 2.5 - brown (CH) P=3.5 CLAYEY SAND - light brown (SC) 8 P=4.0 17 116 35 16 19 48 1.9 7.6 N=14 21 22 15 7 24 SILTY CLAYEY SAND - light brown (SM-SC) 16 N=22 17 50 20 30 65 FAT CLAY - light brown (CH) Boring terminated at 20.0' 24 32 40 48 56 ® Steel Tube Sample REMARKS: Boring began to cave in at 10.0' TS ® Split Spoon Sample A i Disturbed Sample Laboratories, Inc. Loa of Boring PROJECT: Calhoun County- GLO - CDBG - Mil Project BORING NO.: B-4 Seadrift, TX PROJECT NO.: V-221264 DATE: 8/26/22 CLIENT: G&W Engineers, Inc. SURFACE ELEV.: N/A LAB. NO.: L-001 FIFAA5LABORATORY DATA DRILLING METHOD(S) : Dry Auger 0-50.0' Afterberg GROUNDWATER INFORMATION: rLimits%zo Groundwater was encountered at 10.0' �y5,a U j .E C i � . y� O ? V D G w Vioa E a aDESCRIPTION OF STRATUM _i 024 2 Coarse Flex Base & Shell Base - 10.0" 32 89 70 25 45 76 1.7 1.3 CLAYEY SAND - dark brown SCFAT CLAY - with sand, dark brown (CH) - light brown (CH) P=3.5 17 113 26 12 14 34 0.8 1.3 CLAYEY SAND- organgish brown (SC) 8 I P=3.5 N=14 28 20 15 5 18 SILTY CLAYEY SAND - organish brown (SC) 15 N=21 24 N=26 31 23 13 10 24 CLAYEY SAND - organish brown (SC) N=51 LEAN CLAY -with sand and gravel, orangish brown (CL) 32 - reddish brown (CL) N=69 28 49 18 31 79 N=76 40 N=70 25 41 20 21 73 - organish brown (CL) 48 - light brown (CL) N=88 30 Boring terminated at 50.0' 56 ® Steel Tube Sample REMARKS: Boring began to cave in at 11.0' Tc ® Split Spoon Sample •7 i Disturbed Sample Laboratories, Inc. Log of Boring PROJECT: Calhoun County - GLO- CDBG - Mill Project BORING NO.: B-5 Seadrift, TX PROJECT NO.: V-221264 DATE: 8/29/22 CLIENT: G&W Engineers, Inc. SURFACE ELEV.: N/A LAB. NO.: L-001 FIELD DATA LABORATORY DATA DRILLING METHOD(S) : DryAuger O-50.0' h Anerbarg mits % GROUNDWATER INFORMATION: m LL z o z Groundwater was encountered at 7.0' r F N w wgoUo olzx a �'Q zMC j D rc t a oD vzi di DESCRIPTION OF STRATUM o m z r n rc rc s o J d i- E Vl I m w P=3.5 LEAN CLAY - brown and red (CL) P=3.0 17 115 47 18 29 52 7.6 5.4 .' P=2.5 20 115 26 16 10 33 1.3 3.5 CLAYEY SAND - light brown (SC) N=13 8 N=19 21 24 13 11 26 N=22 SILTY CLAYEY SAND -light brown (SM-SC) 16 N=25 24 21 14 7 13 24 N=28 LEAN CLAY -with sand, light brown (CL) N=44 23 31 14 17 75 32 T=62 - red (SC) N=60 40 N=70 FAT CLAY - red (CH) 48 N=87 30 60 21 39 95 Boring terminated at 50.0' 56 ® Steel Tube Sample REMARKS: Boring began to cave in at 11.0' Tc ® Split Spoon Sample a7 I Disturbed Sample Laboratories, Inc. Loa of Boring PROJECT: Calhoun County - GLO- CDBG -Mit Project BORING NO.: B-6 Seadrift, TX PROJECT NO.: V-221264 DATE: 09/02/22 CLIENT: G&W Engineers, Inc. SURFACE ELEV.: NIA LAB. NO.: L-001 FIELD DATA LABORATORY DATA DRILLING METHOD(S) : DryAuger O-50.0' GROUNDWATER INFORMATION: oQrcGroundwater was encountered at 6.0' tL U0.n:O� "Ads�ejrg ��Nw az rc DESCRIPTION OF STRATUM rcft2 w 0 w <1 0 P=2 0 LEAN CLAY - dark gray (CL) 16 49 19 30 56 17 113 35 14 21 41 1.0 5.7 CLAYEY SAND - light gray (SC) N=17 8 N=28 ::- N=8 27 23 14 9 12 16 N=19 light red (SC) 24 N=25 N=45 22 28 14 14 55 LEAN CLAY - light red (CL) 32 - with sand, red (CL) N=63 N=69 40 N=65 25 47 18 29 75 48 N=86 Boring terminated at 50.0' 56 ® Steel Tube Sample REMARKS: Boring began to cave in at 6.0' Tc ® Split Spoon Sample •7 Disturbed Sample Laboratories, Inc. Log of Boring PROJECT: Calhoun County- GLO- CDBG-MItProject BORING NO.: B-7 Seadrift, TX PROJECT NO.: V-221264 DATE: 09/02/22 CLIENT: G&W Engineers, Inc. SURFACE ELEV.: NIA LAB. NO.: L-001 FIELD DATA LABORATORY DATA DRILLING METHOD(S) : DryAugerO-50.0' Aae mite fts % GROUNDWATER INFORMATION: F m o S rc Groundwater was encountered at 7.0' LL agOr[�wOWF p U Z S U w F J a T J I4iU� pJp ZQW 7 F-� uzl pr7i j � u _ t e N dZ K DESCRIPTION OF STRATUM a o s y mzrap z r a a: rc 0 f �2 o 2, s s f m op N 0 P=3 5 LEAN CLAY - dark gray (CL) P=4.5 22 98 73 23 50 72 3.1 3.6 FAT CLAY - with sand, gray (CH) LEAN CLAY - light brown (CL) N=13 SILTY CLAYEY SAND - light brown (SM-SC) 8 N=19 21 29 13 16 22 N=22 16 N=25 28 22 14 8 13 CLAYEY SAND - light brown (SC) 24 N=28 - light red (SC) N=44 LEAN CLAY - red (CL) 32 With sand, red (CL) N=60 N=72 23 47 18 29 83 40 N=68 48 N=86 Boring terminated at 50.0' 56 ® Steel Tube Sample REMARKS: TS ® Split Spoon Sample Disturbed Sample Laboratories, Inc. Loa of Boring PROJECT: Calhoun County- GLO- CDBG-Mit Project BORING NO.: B-8 Seadrift, TX PROJECT NO.: V-221264 DATE: 09/02/22 CLIENT: G&W Engineers, Inc. SURFACE ELEV.: N/A LAB. NO.: L-001 FIELD DATA LABORATORY DATA DRILLING METHOD(S) : Dry AugerO-20.0' rg GROUNDWATER INFORMATION: F Li mils m= % m t� o $ rc Groundwater was encountered at 8.0' w O z d 2 w a' pg0KK j3' w j Z' y= pZ K w o m- o o Y rc 3 w o a DESCRIPTION OF STRATUM o w z�nrcrc o a s sn .6 � 0;; P=3 5 CLAYEY SAND - with gravel, gray (SC) .: P=2.75 15 110 45 20 25 29 1.5 8.4 gray (SC) P=1.0 N=13 18 17 11 6 30 SILTY CLAYEY SAND - light gray (SM-SC) 8 N=20 N=21 16 N=24 29 24 13 11 13 CLAYEY SAND - light gray (SC) Boring terminated at 20.0' 24 32 40 48 56 ® Steel Tube Sample REMARKS: Boring began to cave in at 8.0' 1" c ® Split Spoon Sample I Disturbed Sample Laboratories, Inc. Lo of Borin PROJECT: Calhoun County - GLO- CDBG -Mit Project BORING NO.: B-9 Seadrift, TX PROJECT NO.: V-221264 DATE: 09/02/22 CLIENT: G&W Engineers, Inc. SURFACE ELEV.: N/A LAB. NO.: L-001 FIELD DATA LABORATORY DATA DRILLING METHOD(S) : DryAugerO-50.0' Atteiberg Limits GROUNDWATER INFORMATION: r o �' p Groundwater was encountered at 8.0' LL a o rc imCy� .E .E !yea Fs a 38rzti twi~¢ �UOwK F� Wpa Z°a 7 z W fp rc Je 6 o$ OZFdp z n rc a }9y§ i? 8 g s —a� E rw—n °° y a DESCRIPTION OF STRATUM :. P=3.5 19 105 48 20 28 44 2.4 15.0 CLAYEY SAND - with gravel, dark gray (SC) P=2.75 - with gravel, dark gray (SC) �. P=1.0 21 107 31 12 19 45 1.4 15.0 - gray (SC) N=11 SILTY CLAYEY SAND - light gray (SM-SC) 8 N=20 N=20 20 20 12 8 22 16 N=26 24 N=27 CLAYEY SAND - light red (SC) N=44 - red (SC) 32 .10 N=60 28 58 23 35 86 FAT CLAY - red(CH) N=68 40 N=66 32 61 25 36 95 48 N=85 Boring terminated at 50.0' 56 ® Steel Tube Sample REMARKS: Boring began to cave in at 8.0' Tc ® Split Spoon Sample 1 •7' Disturbed Sample Laboratories, Inc. KEY TO SYMBOLS Symbol Description Strata symbols Low plasticity clay ® High plasticity clay Poorly graded clayey silty sand Clayey sand Soil Samplers Steel Tube Sample Split Spoon Sample Disturbed Sample Consistency of Sands & Gravels Consistency -Penetrations Resistance (N)* Blows Per Foot Very Loose 0-4 Loose 4 - 10 Medium Dense 10 - 30 Dense 30 - 50 Very Dense Over 50 Consistency/Strength of Clays & Silty Clays Consistency Undrained Shear Strength, tsf Pocket Penetrometer (p) Very Soft Less than 0.125 0 - 0.5 Soft 0.125 - 0.25 0.5 -1.0 Firm 0.25 - 0.50 1.0 -1.75 Stiff 0.50 - 1.0 1.75 - 3.5 Very Stiff 1.0-2.0 3.5-4.5 Hard Over 2.0 Over 4.5 *N=Number of Blows from 140 lb. hammer falling 30"to drive a 1-3/8" Id. split barrel sample (ASTM D-1586) Soil Grain Analysis US Standard Sieves #d0 #981) Boulders Cobbles Gravel I Sand Silt Clay Coarse I Fine Coarse I Medium Fine KII all 152 76.2 19.1 4.76 2.0 0.420 0.074 0.002 Soil Grain Size in Millimeters ASTM D-2488 For classification of fine-orained soh; and flne-uglined fragum of coarse -grained solls. Equation of "A" - line Horizontal PI 4 25.5, at = to LL = then PI = 0�73 r 'Bm --- Equation of - line Vertical at LL = 16 to Pl a 7, then PI = 0.9 (LL - S) V� V MH-m OH --- — -- -- ,:c,_tHt ,.. ML Qla QL i I 0 10 16 20 30 40 so 60 70 80 -W 100 110 UQtttD L2MIr (LL) FIELD AND LABORATORY TESTING PROCEDURES (TEST PROCEDURES ARE PRESENTED FOR INFORMATIONAL PURPOSES) FIELD TESTING A. Boring Procedure Between Samples The borehole is extended downward, between samples, by continuous flight, hollow or solid stem augers or by rotary drilling techniques using bentonite drilling fluid or water. B. Penetration Test and Split -Bartel Sampling of Soils ASTM D-1586 This sampling method consists of driving a 2-inch outside diameter split barrel sampler using a 140 pound hammer freely falling through a distance of 30 inches. The sampler is first seated 6 inches into the material to be sampled and then driven an additional 12 inches. The number of blows required to drive the sampler the final 12 inches is known as the Standard Penetration Resistance. Recovered samples are first classified as to color and texture by the driller. Later, in the laboratory, the driller's field classification is reviewed by the soils engineer who examines each sample. C. Thin -Walled Tube Geotechnical Sampling ASTM D-1587 This method consists of pushing thin walled steel tubes, usually 3 inches in diameter, into the soils to be sampled using hydraulic or other means. Cohesive soils are usually to be sampled in this manner and relatively undisturbed samples are recovered. D. Soil Investigation and Sampling by Auger Borings ASTM D-1452 This method consists of angering a hole and removing representative soil samples from the auger flight or bit at 5 foot depth intervals or with each change in substrata. Disturbed sampled are obtained and this method is, therefore, limited to situations where it is satisfactory to determine the approximate subsurface profile. E. Diamond Core Drilling for Site Investigation ASTM D-2113 This method consists of advancing a hole into hard strata by rotating a single or double tube core barrel equipped with a cutting bit. Diamond, tungsten carbide, or other cutting agents may be used for the bit. Wash water is used to remove the cuttings and cool the bit. Normally, a 2 inch outside diameter by 1-3/8 inch inside diameter (NX) coring bit is used unless otherwise noted. The rock or hard material recovered within the core barrel is examined in the field and in the laboratory and the cores are stored in partitioned boxes. The core recovery is the length of the material recovered and is expressed as a percentage of the total distance penetrated. F. Visual — Manual Soil Classification Procedure ASTM D-2488 This procedure is a visual — manual soil classification methodology for the description of soil for engineering purposed when precise soils classification is not required. LABORATORY TESTING A. Atterberg Limits: Liquid Limit, Plastic Limit and Plasticity Index of Soils ASTM D-4318, TEX 104-E, 105-E and 106-E Atterberg Limits determine the soil's plasticity characteristics. The soil's Plasticity Index (PI) is representative of this characteristic and is the difference between the Liquid Limit (LL) and the Plastic Limit (PL). The LL is the moisture content at which the soil will flow as a heavy viscous fluid. The PL is the moisture content at which the soil begins to lose its plasticity. The test results are presented on the boring logs adjacent to the appropriate sampling information. B. Particle Size Analysis of Soils ASTM D-422 and TEX I10-E Grain size analysis tests are performed to determine the particle size and distribution of the samples tested. The grain size distribution of the soils coarser than the Standard Number 200 sieve is determined by passing the sampled through a standard set of nested sieves. C. Laboratory Determination of Water (Moisture) Content of Soil and Rock ASTM D-2216 and TEX 103-E The moisture content of soil is defined as the ratio, expressed as a percentage, of the weight of water in a given soil mass to the weight of solid particles. It is determined by measuring the wet and oven dry weights of a soil sample. The test results are presented on the boring logs. D. Unconfined Compressive Strength of Cohesive Soil ASTM D-2166 The unconfined compressive strength of soil is determined by placing a section of an undisturbed sample into a loading frame and applying an axial load until the sample failsin shear. The test results are presented on the boring logs adjacent to the appropriate sampling information. E. California Bearing Ratio (CBR) of Lab Compacted Soils ASTM D-1883 The CBR test is performed by compacting soil in a 6 inch diameter mold at the desired density, soaking the sample for four days under a surcharge load approximating the pavement weight and then testing the soils in punching shear. A 2 inch diameter piston is forced into the soil to determine the resistance to penetration. The CBR is the ratio of the actual load required to produce 0.1 inches of penetration to that producing the same penetration in a standard crushed stone. F. Swell Test ASTM D-4546 The swell test is performed by confining a 1 inch thick specimen in a 2-1/2 inch diameter stainless steel ring and loading the specimen to the approximate overburden pressure. The test specimen is then inundated with distilled water and allowed to swell for 48 hours. The volumetric swell is measured as a percentage of the total volume and is converted mathematically to linear swell. G. Compaction Tests ASTM D-698, D-1557, TEX 113-E or 114-E The compaction test is performed by compacting soil in a steel mold at varying moisture contents. Layers are compacted using a hammer weight and number of blows per layer which vary with the different test procedures. ASTM D-698, D-1557, TEC I l3-E and 114-E. The data is plotted and the maximum weight and optimum moisture content is determined. H. Classification of Soils for Engineering Purposes Unified Soil Classification System, D-2487 This standard describes a system for classifying mineral and organ -mineral soils for engineering purposes based on laboratory determination of particle -size characteristics, liquid limit, and plasticity index and shall be used when precise classification is required. RECOMMENDED SPECIFICATIONS FOR PLACEMENT OF SELECT FILL 1. General The soils engineer shall be the owners representative to control the placement of compacted fill. The soils engineer shall approve the subgrade preparation, the fill materials, the method of placement and compaction, and shall give written approval of the completed fill. 2. Preparation of Existing Ground All topsoil, plants and other organic material shall be removed. The exposed surface shall be scarified, moistened if necessary, and compacted in the manner specified for subsequent layers of fill. 3. Select Fill Material Fill shall have a liquid limit of less than 35 and a Plasticity Index between 8 and 18, The fill shall contain no organic material or other perishable material, and no stones larger than 6 inches. Fill material shall be approved by the soils engineer. 4. Placing Select Fill Fill materials shall be placed in horizontal layers not exceeding 8 inches thickness after compaction. Successive loads of material shall be dumped so as to secure even distribution, avoiding the formation of layers of lenses of dissimilar materials. The contractor shall route hill hauling equipment to distribute travel evenly over the fill area. 5. Compaction of Select Fill a. Moisture Control: The moisture content of the fill material shall be distributed uniformly throughout each layer of the material. The allowable range of moisture content during compaction shall be within plus two (+2) and minus two (-2) percentage points of the optimum moisture content. The contractor may be directed to add necessary moisture to the material either in the borrow area or upon the fill surface or to dry the material, as directed by the soils engineer. The drying of cohesive soils between lifts to moisture contents less than 70% of optimum before the placement of subsequent lifts shall be avoided or the fill reworked at the proper moisture content. b. Compaction: The material in each layer shall be compacted to obtain proper densities. Compaction by the hauling equipment alone will not be considered sufficient. Structural fills, including pavement subgrade, subbase, and base, shall be compacted to densities equivalent to the percentages of the Standard Proctor (ASTM D-698) or Modified Proctor (ASTM D-1557) maximum dry density listed in the table below. The Texas Department of Highways and Public Transportation Method TEX I13-E or TEX I14-E compaction test, which varies the compactive effort with soil type, may be substituted for the Standard or Modified Proctor methods and percentages listed in the table below. PERCENT COMPACTION Fine Grained Soils Coarse Grained Soils Area ASTM D-698 (Standard) ASTM D-1557 or TEX 114-E Modified or TEX 113-E Within five (5) feet of building lines, under footings, floor slabs, slab -on -grade foundation and structures attached to 95 95+ the building i.e. walls, patios, steps) More than five (5) feet beyond building lines, under walks, 90 90 and fill area to be landscaped Pavement subgrade and subbase, including lime treated 95 95+ soils Soils classified as coarse grained soils are those with more than 50%, by weight, retained on the No. 200 Standard Sieve. 6. Comparison Testing Field density tests for the determination of the compaction of the fill shall be performed by TSI Laboratories, Inc. in accordance with recognized procedures for making such tests. A representative number of tests shall be made in each compacted lift at locations selected by the soils engineer or his/her representative. For general structural and paving fills, we suggest one test per 3,000 square feet per lift with a minimum of three tests per lift. IMPORTANT INFORMATION ABOUT YOUR GEOTECHNICAL ENGINEERING REPORT The following observations and suggestions are provided to help you better utilize your geotechnical engineering report and to reduce construction problems and delays related to the soil and groundwater conditions. REPORT IS BASED UPON SPECIFIC SITE AND PROJECT A geotechnical report is based on a subsurface exploration conducted on a specific site and planned using specific project information. The project information typically includes structure size and configuration, type of construction, and general location on the site. Limitations, such as existing buildings or utilities, specific foundation requirements for structures, budget limitations, and the level of risk assumed by the client may affect the scope of the exploration. Since the report applies to a specific structure and site, the geotechnical report should not be used in the following circumstances unless the geotechnical engineer has reviewed the changes and concurs in the use of the report. • When the nature of the proposed structure is changed, such as an office building instead of a warehouse or parking garage, or a refrigerated warehouse instead of one which is not refrigerated • When the size, configuration, or floor elevations is changed • When the location of the structure on the site is changed • When there is a change of ownership FINDINGS ARE PROFESSIONAL ESTIMATES The actual subsurface conditions are determined only at the boring locations and only at the time the samples are taken. The information is extrapolated by the geotechnical engineer who then renders professional opinions regarding the characteristics of the subsurface materials, the behavior of the soils during construction, and appropriate foundation designs. No exploration, however complete, can be assured of sampling the entire range of soil conditions. The soils may vary between or beyond the borings and stratum transitions may be more gradual or more abrupt, and all types of oils and rock existing on the site may not be found in the borings. The geotechnical engineer is often retained during construction to evaluate variances and recommend solutions to problems encountered on the site. SUBSURFACE CONDITIONS CAN CHANGE Grading operations on or close to the site, floods, groundwater fluctuations, utility construction, and utility leaks are among the events that can change the subsurface conditions. The geotechnical engineer should a kept apprised of such events. GEOTECHNICAL SERVICES ARE PERFORMED FOR SPECIFIC PURPOSES AND PERSONS A geotechnical report may have been made to evaluate foundation alternatives only, for preliminary site evaluation, or for other limited purposes. The exploration may also have been limited by the direction of the client, budget limitations, or the level of risk assumed by the client. Therefore, no one other than the original client should use the report for its intended purpose or other purposes without conferring with the geotechnical engineer. GEOTECHNICAL REPORTS ARE SUBJECT TO MISINTERPRETATION Geotechnical reports are based on the project information available at the time the report was made and the judgment and opinions of the geotechnical engineer. This specialized information is subject to misinterpretation by other design professionals, contractors and owners. The geotechnical engineer should be retained during the design process to interpret the recommendations and review the adequacy of the plans and specifications relative to geotechnical issues. The boring logs should no be separated from the geotechnical report, but, rather the entire report should be made available to the contractors and others needing this information. TSI LABORATORIES, INC. GEOTECHNICAL ENGINEERING STUDY SUPPLEMENTAL REPORT Calhoun County-GLO-CDBG-MIT 3'd Street & 4`h Street Seadrift, TX 1810 S. Laurent St. * Victoria, TX 77901 * 361-578-6933 TSI LABORATORIES, INC. TBPE FIRM REGISTRATION NO: F-9236 1810 SOUTH LAURENT VICTORIA, TEXAS 77901 May 19, 2023 G & W Engineers Scott Mason 205 W. Live Oak Port Lavaca, TX 77979 Subject: Calhoun County-GLO-CDBG-MIT Yd Street & 4th Street Seadrift, TX TSI File No.: V-231109 Dear Mr. Mason, Telephone 361-578-6933 Fax 361-578-2601 Email: tsilabvictoria@gmail.com We are pleased to submit this supplemental report of our geotechnical engineering study for additional borings for the Calhoun County-GLO-CDBG-MIT on Yd Street & 4"' Street in Seadrift, TX. The findings and a description of the exploration and testing procedures are presented in the report along with our site preparation recommendations. We appreciate the opportunity to assist in this phase of the project. Pease feel free to contact us if you have any questions regarding this report or if we may be of further service. Respectfully submitted, TSI Laboratories, Inc. Michael Tater, President. Daniel Tesfai, P.E. GEOTECHNICAL ENGINEERING STUDY SUPPLEMENTAL REPORT Calhoun County-GLO-CDBG-MIT 3rd & 4th Street Seadrift, Texas Prepared For: Scott Mason G&W Engineers, Inc. Prepared By: TSI LABORATORIES, INC. TBPE Firm Registration No.: F-9236 Victoria, Texas May 19, 2023 TSI Project Number: V-231109 TSI LABORATORIES, INC. TABLE OF CONTENTS INTRODUCTION ................... Authorization and Scope ...... Project Description ............... FIELD AND LABORATORY TESTING...... Field Testing ................................................ Laboratory Testing ...................................... SUBSURFACE CONDITIONS RECOMMENDATIONS................................................... Minimum Embedment Requirement .............................. Drilled Straight Shafts .................................................... DrivenPiles.................................................................... Settlement Considerations .............................................. Sheet Piles Recommendations ........................................ Lateral Earth Pressure ..................................................... Foundation Construction ................................................ Driven Pile Foundation Installation ................................ Foundation Construction Monitoring ............................. GENERAL COMMENTS I_\»I6I11]►'� TSI I.ABO A ORIE , INC. 1 1 1 ...........................1 ...........................1 ...........................2 ........................................................2 c ................................3 ................................3 ................................4 ................................6 ..............7 ..............8 ........................................................................10 1 Calhoun County-GLO-CDBG-MIT 3rd & 4th Street Seadrift, TX GEOTECHNICAL ENGINEERING STUDY SUPPLEMENTAL REPORT Calhoun County-GLO-CDBG-MIT 3rd & 4th Street Seadrift, TX INTRODUCTION Authorization and Scope TSI Laboratories, Inc. (TSI) was retained to provide geotechnical study services for additional borings by Scott Mason with G&W Engineers, Inc. The purpose of this study was to determine and evaluate the stratification and engineering properties of the site subsurface soils. TSI will provide geotechnical engineering recommendations and guidelines as a supplemental report for use in site preparation, foundation design, and related site improvements planned for the Calhoun County GLO-CDBG—MIT Project located on 3rd & 4th Street in Seadrift, Texas. This supplemental report shall be used in conjunction with the original report, identified as TSI Project No. V-221264. Project Description The proposed project involves taking additional borings for the design and construction of bridges, a retaining wall and pavement design for rebuilding 3rd and 41h street. Based on the results of the study the bridge and retaining wall could be supported by straight shaft or driven pile foundation system. FIELD AND LABORATORY TESTING Field Testing The site soil was explored by drilling additional three (3) 50-foot-deep borings. Boring locations were determined by the client and shown on the respective site plan. Soil was sampled continuously at 2-foot intervals to 10-foot depth with an additional sample taken at 5-foot depth intervals. The sampling method is determined based on the encountered soils. Cohesive soils were sampled by hydraulically pushing a 3-inch diameter, thin -walled steel tube a distance of about 24-inches. Our field sampling procedures were in general accordance with ASTM D1587. For each recovered sample, our representative extruded the sample in the field, visually classified the soil, and measured the penetration resistance using a pocket penetrometer. TSI LABORATORIES, INC. Calhoun County-GLO-CDBG-MIT 3rd & 4th Street Seadrift, TX Granular soils were sampled as part of the Standard Penetration Test (SPT) by driving a 2-inch diameter split -barrel sampler. The sampler was driven 18-inches by a 140-pound hammer falling 30-inches in general accordance with the ASTM D1586. Our representative recorded the number of blows required to drive the sampler through three consecutive 6-inch intervals. As permitted by ASTM D1586, sampling was terminated if 50-blows were recorded within any single 6-inch interval. The sum of blows required to penetrate the final 12-inches is known as the SPT "N" value. A portion of the recovered sample was wrapped in aluminum foil and placed into a sample container and transported to our laboratory for testing. Laboratory Testing The soil samples selected for laboratory testing were examined and visually classified by the sample's representative of the various soil strata encountered. Atterberg limits, moisture contents and percent fines tests were performed to assist in classifying the soils according to Unified Soil Classification System (ASTM D2487). Unconfined compressive strength tests and direct shear tests were also performed to provide indicators of soil strength. The classification test results are presented on the boring logs. The test procedures are described in the Appendix. SUBSURFACE CONDITIONS Soil classifications are described in detail in the Boring Logs provided in the Appendix and summarized in the table below. Boring No. Soil Type Ground water table B-1 0-28' SC 33-50' CH/CL 8' B-2 10.0" (GC) 1-6' CL 6-23' SM 23-50' CL/CH 12' B-3 0-28' SC 28-43' CL 43-50' SC 12' The site soil has been evaluated by performing various field and laboratory tests on the subsurface samples recovered during the drilling operations. The types of tests conducted on the subsurface samples and the results of the tests are tabulated on the Logs of Borings, which are provided in the Appendix. The properties of each stratum are discussed below. The corresponding boring logs, depicting the stratum soil descriptions, type of sampling used during sample retrieval, laboratory test data, and other field data, is presented in the Appendix at the end of this report. The key to the boring log symbols and soil classifications Sheet, which defines the terms and descriptive symbols used on each boring log, is also presented in the Appendix. TSI LABORATORIES, INC. Calhoun County-GLO-CDBG-MIT 3rd & 4th Street Seadrift, TX RECOMMENDATIONS The foundation system for the proposed bridge and retaining wall must satisfy two (2) independent engineering criteria with respect to the soil conditions. First, the foundation system should be designed with an appropriate factor of safety against bearing capacity failure of the foundation soils. Second, the movement of the foundation system due to compression (consolidation) or expansion (swell) of the soils supporting the foundation system must be within tolerable limits for the structure. Minimum Embedment Requirement We recommend that the design of the shafts or piles consider the following minimum embedment requirements: The shafts or piles should have a depth of embedment adequate for support of the imposed axial and lateral loads. Computation of design capacities of the shafts or piles should provide for reductions in capacities due to construction -related disturbance and shrink -swell of surficial soils with changes in moisture. Shafts or piles should penetrate into the base stratum (the stratum in which the shaft or pile tip is placed) at least two (2) times their diameter or width. Drilled Straight -Shafts Drilled straight shafts may be utilized to support the proposed bridge. The drilled shafts if extended to a depth of 15 to 28-foot from the existing grade, the shafts should be sized for a net total load bearing pressure of 4.4 ksf, whichever condition results in a larger bearing surface. However, if extended below 28-foot and below a net total load bearing pressure of 5.3 ksf. The same value can also be used for the cast in place box culvert with 15-inches thick perimeter beams. The shafts should contain sufficient vertical reinforcing steel throughout the entire shaft length to resist uplift (tensile) forces due to post -construction heave of the clayey soils. The magnitude of uplift is difficult to predict and will vary with in -situ moisture contents. For purposes of establishing sufficient reinforcing to resist uplift, the uplift pressures can be approximated by using a uniform uplift pressure of 475 psf over the perimeter of the shaft embedded. The amount of reinforcing steel required can be computed by assuming the dead load of the structure surcharges the shaft, that the above estimated tensile force acts vertically on the shaft, and that the shaft embedment acts as a rigid anchor. However, in no case should the percentage of steel be less than 0.5% (based on 40 ksi steel). Drilled shaft edge -to -edge spacing of less than two (2) shaft diameters will require axial capacity reduction. TSI should be contacted for additional recommendations if the clear spacing between drilled shafts is less than two shaft diameters. TSI LABORATORIES, INC. Calhoun County-GLO-CDBG-MIT 3rd & 4th Street Seadrift, TX An allowable side shear value of 1 ksf with an assumed factor of safety of at least two (2) may be used to aid in resisting axial compressive loads on the piers. The side shear should be neglected for fill material, the upper 5-foot of soil in contact with the pier shaft, and within one (1) pier diameter of the bottom of the shaft. Driven Piles Driven concrete piles may be used to support the proposed bridges. The allowable unit skin and end bearing capacities provided in the following table are recommended for the design of full displacement driven piles. The friction factor defines the increase in pile friction capacity as a function of depth. These values include a factor of safety of 2. Allowable tension can be taken as 80% of the friction value. The end bearing factor can be used to estimate end bearing capacity. These values include a factor of safety of 2.5. Penetration' (foot) Allowable Unit Skin Friction (psf) Allowable Unit End Bearing Pressure' (psf) 0 to 5 Disregard 6 to 13 230 Disregard 14 to 28 320 3,190 29 to 50 375 3,760 'Penetration below grade existing at the time of field investigation. ' Neglect for pile dimension less than 2-foot The parameters required for p-y curves and designs from the boring logs are listed in the table below: Soil Type y C rp K K. *Eso Medium Dense Silty Sand (SM) 115 0 22 62 0.63 Stiff Clay (CH) 105 1,300 0 132 0.55 0. 007 * Values estimated from known correlations. Where: y = Wet Unit Weight, pcf c = soil cohesion, psf � = Angle of internal Friction, deg Ko = Lateral Earth Pressure Coefficients, At -Rest K = modulus of subgrade cyclic reaction (pci) Driven piles generally derive most of their load carrying capacity from skin friction. Therefore, end bearing is normally negligible for driven piles. We recommend the allowable unit end bearing values presented in the above table should be neglected if the selected driven pile dimension is less than 2-foot. In addition, the allowable unit skin friction and unit end bearing values provided in the TSI LABORATORIES, INC. Calhoun County-GLO-CDBG-MIT 3rd & 4th Street Seadrift, TX above table are recommended for driven concrete (full displacement) piles. TSI should be contacted for additional recommendations if driven piles other than full -displacement concrete piles are planned to be utilized at this site. Lateral resistance of driven piles is primarily developed by passive resistance of the soil against the side of the pile. A detailed lateral load analysis of the proposed piles was beyond the scope of this study. If requested, a detailed lateral capacity analysis of the proposed driven piles can be provided for this project. Design of piles should also include an evaluation of the structural capacity of the pile which may limit the allowable capacity. Any pile splices must provide positive load transfer both in compression and tension since driving displacement piles within clayey soils could result in heave. As the pile is driven, it displaces soil upward toward the surface. This upward soil movement can "drag" the adjacent piles up and lift them off of their bearing layer causing tension along the piles. Pile groups subjected to axial loads can be influenced by numerous factors which may include pile type, size and length, pile spacing, overall group size, loading conditions, installation procedures, and soil type and strength. With a center -to -center spacing of at least three (3) pile widths, the group effect would be insignificant on the load carrying capacity of the piles. Therefore, the combined axial load capacity for such a group may be taken as the sum of the individual pile capacities in the group. Post construction settlements of single isolated piles will depend on the elastic properties of the pile, the applied load, and the interaction of the soil and pile. Settlement is anticipated to be primarily elastic and will occur relatively rapidly as load is applied. Significant consolidation settlement due to applied load is not anticipated at this site for the pile capacities given. Our experience indicates that single, isolated piles loaded to about one-half of their ultimate capacity should experience settlement of less than one inch. Post construction settlements of groups of piles are generally greater than single isolated piles for the same load per pile. Based on the previously recommended spacing, we anticipate that settlement of the pile group should be one inch or less under working loads. In general, differential settlements should be on the order of one-half to two-thirds of the total settlement. The installation of the piles should preferably be accomplished by driving alone. However, predrilling, or controlled jetting may be required to achieve the design penetrations if excessive resistance to penetration occurs during driving. We anticipate that predrilling may be necessary to achieve penetration to any appreciable depth into the sandy soils observed at this site. The effects and methods of pile installation should be given proper consideration when choosing and designing pile foundation systems. In most situations, the greatest stress a driven pile will experience is during installation. Pile and soil properties, embedment length requirements, and driving equipment are only a few of the many variables to consider in determining the most efficient method of pile installation. TSI LABORATORIES, INC. 5 Calhoun County-GLO-CDBG-MIT 3rd & 4th Street Seadrift, TX Driving piles to completed embedment depths may be facilitated by predrilling to a depth somewhat less than the anticipated final embedment depth. Under no circumstances should predrilling extend deeper than 5-foot above the final pile embedment depth unless refusal occurs. The predrilled excavation should be about 4-inches less in width than the pile size to promote the development of skin friction resistance. Extreme care should be exercised during predrilling since it can affect the lateral and axial capacities of the pile. Production piles should be driven to a predetermined (design) depth with blow count as a secondary consideration. Because set-up during interruption can produce increased resistance to driving, a pile should be driven to its design depth without any delays, if possible. If a pile exhibits a resistance lower than the terminal resistance values given by driving formulae at an appreciable depth below the predetermined depth, the pile may be re -tapped after a suitable elapsed time and after the installation of other nearby piles. The re -tap should be performed at the contractor's discretion to prove the acceptability of the pile. Should, in the Geotechnical Engineer's judgment, the re -tap not indicate adequate capacity, a new pile should be installed to provide the required capacity. In addition, we recommend the use of a "Pile Driving Analyzer" (PDA) during pile installation. The PDA can monitor driving stresses and hammer energy during pile installation, and also provides a continuous record of the pile installation. Such information can be beneficial in evaluation of the acceptability of a driven pile. Settlement Considerations Total settlements, based on the indicated bearing pressures, should be about 1-inch for properly designed and constructed drilled piers. Settlement beneath individual piers will be primarily elastic with most of the settlement occurring during construction. Differential settlement may also occur between adjacent piers. The amount of differential settlement could approach 50 to 75% of the total pier settlement. For properly designed and constructed piers, differential settlement between adjacent piers is estimated to be less than 3/4-inch. Settlement response of drilled piers is impacted more by the quality of construction than by soil structure interaction. Improper pier installation could result in differential settlements significantly greater than we have estimated. In addition, larger magnitudes of settlement should be expected if the soil is subjected to bearing pressures higher than the allowable values presented in this report. Sheet Pile Recommendations Retaining structures must be designed in a way such that serviceability and ultimate limit states are not reached. Serviceability limit states are mostly associated with excessive deflection of the structures toward the open space and away from the ground they support. This leads to a corresponding loss of ground behind the retaining structure; if a structure is present there, it may be damaged by the resulting settlements. Ultimate limit states include bearing capacity failure, TSI LABORATORIES, INC. Calhoun County-GLO-COBG-MIT 3rd & 4th Street Seadrift, TX sliding, overturning and general stability of the retaining structure and the soil it supports. Additionally, the retaining structure has to retain structural integrity through its useful life. The sheet piles can be installed by vibratory hammers as sand liquefaction due to the vibration aids the rate of advance. For short sheet piles, jacking can be quite efficient, as agile, hydraulic machines now exist that can quickly push sheet piles into the ground. Lateral Earth Pressure Below -grade walls or retaining structures may be used for some structures in the facility. The walls will be subject to lateral earth pressures from a combination of soil pressure, hydrostatic water pressure, and surcharge loads. The earth pressure, ah, for soils adjacent to the below -grade walls, is expected to approach at -rest conditions and may be computed as: ah = KoyH where Ko = At -rest earth pressure coefficient = 0.53 y = Unit weight of the adjacent soil, lb./ft3= 56 H = Wall height, foot Lateral earth pressures resulting from the soil are calculated by multiplying the equivalent fluid density of the surrounding soils, defined as Koy, by the depth below the ground surface. For water pressures, multiply the unit weight of water by the depth below the ground surface, finished grade, or 100-year flood elevation, whichever is greater. The equivalent fluid densities of 80 pcf for moist and 37 pcf for submerged can be used. These values do not include a hydrostatic pressure component. The sum of the pressures resulting from soil and water, acting as a triangular distribution, should be used for the wall design. Engineering Design Manuals often specify that lateral loads due to surcharge loading from cranes and H-20 trucks shall be included. Lateral earth pressures from uniformly distributed surcharge loads can be calculated by using a rectangular stress distribution of the imposed vertical load multiplied by the appropriate lateral earth pressure coefficient. For this reason, a lateral earth pressure coefficient of 0.52 to 0.65 may be used. If there is movement of sheet pile bulkhead during its service life, both active and passive pressures will be mobilized. Based on existing surface at time of drilling operations, coefficients of 0.56 and 1.82 up to 13-foot depth, 0.47 and 2.12 between 14 to 28-foot depth and below that 0.35 and 2.85 may be used for calculation earth pressures for Active and Passive Rankine earth pressure, respectively. A surcharge imposed on the soil adds to the lateral earth pressure exerted against the retaining wall due to the loading on the piling of the mooring structure. This added pressure must, be considered in the design, and can be computed as: TSI LABORATORIES, INC. Calhoun County-GLO-CDBG-MIT 3rd & 4th Street Seadrift, TX P'= gHKa Where q = surcharge load H = height of the wall Ka = coefficient of active earth pressure = (I -sink)/ (1+sink) Below -grade walls should be checked against failure due to overturning, sliding, and overall slope stability. Such analysis can only be performed during a detailed study once the dimensions of the bulkheads are known. The boring logs indicate that the soil conditions encountered should not pose any difficulty to the dredging contractor. The maximum side slope conditions should not exceed two (2) horizontals to one (1) vertical ratio. Foundation Construction Drilled Straight -Shafts The drilling contractor should be experienced in the subsurface conditions observed at the site, and the excavations should be performed with equipment capable of providing clean bearing area, free of water. Drilled straight -shaft foundations should be installed in general accordance with the procedures presented in 'Drilled Shafts: Construction Procedures and Design Methods," by Reese, L. C. and O'Neill, M. W., FHA Publication No. FHWA-IF-99-025, 1999 and "Standard Specification for the Construction of Drilled Piers", ACI Publication No. 336.1-01, 2001. Foundation installation should be closely monitored by a qualified technician experienced in drilled straight -shaft installation techniques. At a minimum, the technician should monitor shaft excavation, note any unusual installation occurrences, monitor concrete placement, and generally evaluate if foundation installation is being performed in accordance with the project specifications. As stated previously, groundwater was observed in all the borings during drilling. Based on the subsurface and groundwater conditions observed at the borings, the installation of drilled straight -shafts will require the use of temporary steel casing. We recommend that provisions be incorporated into the plans and specifications to utilize casing to control sloughing and/or groundwater seepage during shaft construction. To evaluate the constructability of drilled straight -shafts and the potential variability of groundwater conditions, we recommend at least two test shafts prior to the installation of production shafts. The installation of test shafts should be observed by TSI. If casing is used and seepage persists, the water accumulating in the foundation excavation should be pumped out. The condition of the bearing surface should be evaluated immediately prior to placing concrete. Where casing is used, removal of the casing should be performed with TSI LABORATORIES, INC. Calhoun County-GLO-CDBG-MIT 3rd & 4th Street Seadrift, TX extreme care and under proper supervision to minimize mixing of the surrounding soil and water with the fresh concrete. Rapid withdrawal of the casing may develop suction that could cause the soil and water to flow into the excavation. An insufficient head of concrete in the casing during withdrawal could also allow the water to intrude into the wet concrete. The casing must be removed in order to utilize the skin friction values previously provided. Under no circumstances should loose soil be placed in the annulus between the casing and the drilled shaft sidewalls. Driven Pile Foundation Installation Piling should be installed in accordance with TxDOT Standard Specifications for Construction and Maintenance of Highways, Streets and Bridges, 2014, Items 404 and 409. If piles are to be installed to any appreciable depth, a pile drivability analysis should be performed. A drivability analysis will help in evaluating the pile -hammer combination best suited for pile installation, reducing the need for installation aids, and reducing the risk of pile damage resulting from excessive driving stresses. Foundation Construction Monitoring The performance of the recommended foundation systems for the proposed structures will be highly dependent upon the quality of construction. Thus, we recommend that foundation installation be monitored full time by an experienced TSI soil technician under the direction of our geotechnical engineer. TSI LABORATORIES, INC. Calhoun County-GLO-CDBG-MIT 3rd & 4th Street Seadrift, TX GENERAL COMMENTS TSI should be retained to review the final design plans and specifications so comments can be made regarding interpretation and implementation of our geotechnical recommendations in the design and specifications. TSI also should be retained to provide testing and observation during excavation, grading, foundation, and construction phases of the project. The analysis and recommendations presented in this report are based upon the data obtained from the borings performed at the indicated locations and from other information discussed in this report. This report does not reflect variations that may occur between borings, across the site, or due to the modifying effects of weather. The nature and extent of such variations may not become evident until during or after construction. If variations appear, we should be immediately notified so that further evaluation and supplemental recommendations can be provided. The scope of services for this project does not include either specifically or by implication any environmental or biological (e.g., mold, fungi, and bacteria) assessment of the site or identification or prevention of pollutants, hazardous materials, or conditions. If the owner is concerned about the potential for such contamination or pollution, other studies should be undertaken. For any excavation construction activities at this site, all Occupational Safety and Health Administration (OSHA) guidelines and directives should be followed by the Contractor during construction to insure a safe working environment. In regard to worker safety, OSHA Safety and Health Standards require the protection of workers from excavation instability in trench situations. This report has been prepared for the exclusive use of our client for the specific application to the project discussed and has been prepared in accordance with generally accepted geotechnical engineering practices. No warranties, either expressed or implied, are intended or made. Site safety, excavation support, and dewatering requirements are the responsibility of others. In the event that changes in the nature, design, or location of the project as outlined in this report are planned, the conclusions and recommendations contained in this report shall not be considered valid unless TSI reviews the changes and either verifies or modifies the conclusions of this report in writing. TSI LABORATORIES, INC. 10 Calhoun County-GLO-CDBG-MIT 3rd & 4th Street Seadrift, TX APPENDIX Boring Locations Map Log of Borings Laboratory Test Results Symbols and Terms Used on Boring Log Field and Laboratory Testing Procedures Important Information About Your Geotechnical Engineering Report TSI LABORATORIES, INC. 11 Log of Boring PROJECT: Calhoun County-GLO-CDBG-MIT BORING NO.:B8-A/S-1 3rd & 4th Street Seadrift, TX PROJECT NO.: V-231109 DATE: 04/04/23 CLIENT: G&W Enginneers SURFACE ELEV.: N/A LAB. NO.: L-001 FIELD DATA LABORATORY DATA DRILLING METHOD(S) : DryAuger 0-50.0' Anerberg Umlts% GROUNDWATER INFORMATION: wxi o f mzr z rczt Groundwater was encountered at 8.0' 21 go oK Fae w j h -ze �� o mz irci No =- Vi w ne of y a rc o Ei DESCRIPTION OF STRATUM CLAYEY SAND - with gravel, dark brown (SC) 6 N=6 - dark gray (SC) P=3.5 23 101 34 14 20 48 1.1 15.0 . P=2.5 16 33 16 17 36 -brown (SC) 8 P=2.5 26 17 12 5 22 SILTY CLAYEY SAND - dark gray (SC-SM) ; N=5 CLAYEY SAND - light gray (SC) 16 N=7 - dark gray (SC) 24 2 N=24 - brown (SC) N=47 24 54 18 36 70 SANDY FAT CLAY - brown and gray (CH) 32 N=71 N=73 40 00 N=70 25 42 16 26 70 SANDY LEAN CLAY - brown and gray (CL) 48 N=82 -brown (CL) Boring terminated at 50.0' 56 ® Steel Tube Sample REMARKS: ® Split Spoon Sample TSI Disturbed sample Laboratories, Inc. Log of Boring PROJECT: Calhoun County-GLO-CDBG-MIT BORING NO.08-13/8-2 3rd & 4lh Street PROJECT NO.: V-231109 Seadrift, TX DATE: 04/04/23 CLIENT: G&W Enginneers SURFACE ELEV.: N/a LAB. NO.: L-001 FIELD DATA LABORATORY DATA DRILLING METHOD(S) : Dry Auger0-50.0' ^nen'erg Limits ls % GROUNDWATER INFORMATION: m LL z o y z Groundwater was encountered at 12.0' d 2 W T Fo o OL— Ogz U Jde WO j 0 L` Na K2 F R w a mOaO rc= m n zw pp LL� O E o a o-� G u tii DESCRIPTION OF STRATUM 0 7 26 12 14 18 CLAYEY GRAVEL - with sand, brown and dark brown (GC) P=3.5 SANDY LEAN CLAY - dark brown (CL) - light gray (CL) P=3.0 25 96 39 14 25 53 1.1 8.0 P=2.5 $ N=3 27 17 17 0 12 SAND- with silt, light gray(SP-SM) ixi:vc rtraa: i kfoi,i cn:n: i i3i di N=4 28 19 19 0 16 SILTY SAND - light gray (SM) 16 .... N=8 24 N=25 23 27 13 14 65 SANDY LEAN CLAY - reddish brown (CL) N=46 FAT CLAY - reddish brown (CH) 32 N=67 N=68 LEAN CLAY - with sand, reddish brown (CL) 40 N=70 48 - brown (CL) N=80 Boring terminated at 50.0' 56 ® Steel Tube Sample REMARKS: Tg ® Split Spoon Sample Disturbed Sample Laboratories, Inc. Log of Boring PROJECT: Calhoun County-GLO-CDBG-MIT BORING NO.:B7-A/B-3 3rd & 41h Street PROJECT NO.: V-231109 Seadrift, TX DATE: 04/04/23 CLIENT: G&W Enginneers SURFACE ELEV.: N/a LAB. NO.: L-001 FIELD DATA LABORATORY DATA DRILLING METHOD(S) : DryAugerO-50.0' Aaerberg Limits % GROUNDWATER INFORMATION: o )>0 £ Groundwater was encountered at 12.0' OOWraii U torc4DoM W W oI m� a ¢� mzrd '8 W °°tn 32Z�� y a,rc�rc E LL DESCRIPTION OF STRATUM 0 CLAYEY SAND - with gravel and shell, dark gray (SC) .: P=3.5 11 115 29 13 16 32 P=3.5 P=3.5 17 20 15 5 28 SILTY CLAYEY SAND - light brown (SC-SM) 8 brown (SC-SM) P=3.0 N=4 26 35 15 20 33 CLAYEY SAND - light gray (SC) 16 N=7 27 18 18 0 13 SILTY SAND - light gray(SM) 24 N=23 reddish brown (SM) N=41 IN SANDY LEAN CLAY - reddish brown (CL) 32 N=62 23 37 14 23 67 N=66 40 N=71 CLAYEY SAND -with gravel, brown (SC) 48 . N=81 27 44 17 27 43 Boring terminated at 50.0' 58 ® Steel Tube Sample REMARKS: Tg ® Split Spoon Sample Disturbed Sample Laboratories,inc. F C O a E O d j7 32 Hertz. Displacement, in. ON :E Horiz. Displacement, in. Sample Type: Laboratory molded Description: Dark gray Clay w/ Gray sand Assumed Specific Gravity= 2.70 Remarks: Figure 123 N Y Y 7 2 MEMO :MEMO :::Msmm��fi��fi��ME��mONI�I�I��I�I�I��I�I��Mmoommsommosommi MMUMIUM; �I�I�I�G Nowmomossommosommom��I�I��G�l�l� ll I�momI�I�I�mI�I�I�mmI�I�mI�I�I�I��Iti�l�l� UNION IME��fi►.�� I•EN��l �ENE��fni�� Nf�N��G��\�� EMOe�� oon.a�� No NONE �iiiiiiiiiiiiiiiiiiiii��iiiiiii Sample No. Water Content, % Dry Density, pcf p Saturation, % = Void Ratio Diameter, in. Water Content, % Dry Density, pcf Saturation, % Void Ratio Diameter, in. Height, in. Normal Stress, ksf Fail. Stress, ksf Displacement, in. Ult. Stress, ksf Displacement, in. Strain rate, in./min. Client: TSI Laboratories, Inc. Normal Stress, ksf 1 2 3 38.6 38.6 38.6 82.9 84.5 84.0 100.9 104.9 103.5 1.0323 0.9937 1.0070 2.500 2.500 2.500 34.6 33.0 30.0 87.6 89.2 93.6 101.1 100.4 101.1 0.9242 0.8890 0.8013 2.500 2.500 2.500 0.947 0.948 0.897 1.000 2.000 4.000 0.985 1.594 3.005 0.482 0.326 0.317 0.985 1.594 3.005 0.482 0.326 0.317 0.001 0.001 0.001 Project: V-231109 Calhoun Cc Glo Bridges Location: B8-AB-1 Depth: 18-20 ft. Proj. No.: 92225176 Date Sampled DIRECT SHEAR TEST REPORT Terracon Consultants, Inc. 15 5 1 Horiz. Displacement, in. Horiz. Displacement, in. Sample Type: Laboratory molded Description: Gray Sand w/clay lumps Assumed Specific Gravity= 2.7 Remarks: Figure 1 M8 Yi 1 % = IL ONE ■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■.. III IN WEEPW MEN 0 or MEN ■0 ■■■■■■■■■■■■■■■■■Pi■■■■■■MENNow �►!7A�■■■�■■■■i■■i■■i■■i■■i■■i■■i■■i�■■ii■■■■i■■ii■■■■■■■■■■MMEEMN ■■■■ NONE MEN iiii■■ iiENiiM®EM■ Normal Stress, ksf Sample No. 1 2 3 Water Content, % 25.4 25.4 25.4 Dry Density, pcf 93.8 94.8 94.6 p Saturation, % 85.9 88.0 87.6 = Void Ratio 0.7971 0.7783 0.7813 Diameter, in. 2.500 2.500 2.500 Height, in. 1.000 1.000 1.020 Water Content, % 24.2 28.4 24.7 Dry Density, pcf 93.8 94.8 94.6 Saturation, % 82.0 98.4 85.2 Void Ratio 0.7971 0.7783 0.7813 Diameter, in. 2.500 2.500 2.500 Height, in. 1.000 1.000 1.020 Normal Stress, ksf 1.000 2.000 4.000 Fail. Stress, ksf 0.989 1.594 3.022 Displacement, in. 0.488 0.326 0.122 Ult. Stress, ksf 0.989 1.594 3.022 Displacement, in. 0.488 0.326 0.122 Strain rate, in./min. 0.005 0.005 0.005 Client: TSI Laboratories, Inc. Project: V-231109 Calhoun Co Glo Bridges Location: 1218-121B-2 Depth: 18-20 ft. Proj. No.: 92225176 Date Sampled: DIRECT SHEAR TEST REPORT Terracon Consultants, Inc. Horiz. Displacement, in. :0 Horiz. Displacement, in. Sample Type: Laboratory molded Description: Reddish brown Fat Clay w/sand Assumed Specific Gravity= 2.75 Remarks: f 3 2 N MONSOONmossonom iiiiiiiMENESEiiiiiii Monsoon manownsom��i MONSOONMEMOosono�� monsoons0 M no NO ME��fi�� !24 No NMNE��fi�� 1 �� MEN MOMEMM M Normal Stress, ksf Sample No. 1 2 3 Water Content, % 24.2 24.2 24.2 Dry Density, pcf 102.5 101.6 100.8 p Saturation, % 98.8 96.5 94.8 = Void Ratio 0.6743 0.6900 0.7028 Diameter, in. 2.500 2.500 2.500 Water Content, % 25.5 25.9 24.4 Dry Density, pcf 102.5 101.6 100.8 Saturation, % 104.1 103.2 95.6 Void Ratio 0.6743 0.6900 0.7028 Diameter, in. 2.500 2.500 2.500 Normal Stress, ksf 1.000 2.000 4.000 Fail. Stress, ksf 0.634 1.212 2.165 Displacement, in. 0.128 0.215 0.302 Ult. Stress, ksf 0.634 1.212 2.165 Displacement, in. 0.128 0.215 0.302 Strain rate, in./min. 0.001 0.001 0.001 Client: TSI Laboratories, Inc V-231109 Calhoun Co Glo Bridges Location: B7-A/13-3 Depth: 23-25 ft. Proj. No.: 92225176 Date Sampled DIRECT SHEAR TEST REPORT Terracon Consultants, Inc. KEY TO SYMBOLS Symbol Description Strata symbols Low plasticity clay ® High plasticity clay Poorly graded clayey silty sand Clayey sand Soil Samplers Steel Tube Sample Split Spoon Sample Disturbed Sample Consistency of Sands & Gravels Consistency Penetration Resistance (N)* Blows Per Foot Very Loose 0-4 Loose 4 - 10 Medium Dense 10 - 30 Dense 30 - 50 Very Dense Over 50 Consistency/Strength of Clays & Silty Clays Consistency. Undrained Shear Strength, tsf Pocket Penetrometer (p) Very Soft Less than 0.125 0 - 0.5 Soft 0.125-0.25 0.5-1.0 Firm 0.25 - 0.50 1.0 - 1.75 Stiff 0.50 - 1.0 1.75 - 3.5 Very Stiff 1.0-2.0 3.5-4.5 Hard Over 2.0 Over 4.5 *N=Number of Blows from 140 lb. hammer falling 30"to drive a 1-3/8" Id. split barrel sample (ASTM D-1586) Soil Grain Analysis US Standard Sieves 6" 3" '/," #4 #10 940 #200 Boulders Cobbles Gravel Sand Silt Clay Coarse Fine Coarse Medium Fine 152 76.2 19.1 4.76 2.0 0.420 0.074 0.002 E.2 4V Soil Grain Size in Millimeters ASTM D-2488 For dassirycation or tflne•erained soils and frne-anined fraetinn of PONw,ong i soils. Equation of W - line s, �— Hontontal at PI = 4 to LL = 25,5, „"}- then PI = 0,73 (LL - 20) aJ •y, Q` `--+-�' F. �� ----� Equation of'U' •- line o ------ ------t-- .-- Vert¢ai at LL = 16 to PI = 7, - then PI = 0.9 (LL - 8) co - + J �, MH R 0H a ru au 99 306 110 UQUtU Ltt4r (LL) FIELD AND LABORATORY TESTING PROCEDURES (TEST PROCEDURES ARE PRESENTED FOR INFORMATIONAL PURPOSES) FIELD TESTING A. Boring Procedure Between Samples The borehole is extended downward, between samples, by continuous flight, hollow or solid stem augers or by rotary drilling techniques using bentonite drilling fluid or water. B. Penetration Test and Split -Bartel Sampling of Soils ASTM D-1586 This sampling method consists of driving a 2-inch outside diameter split barrel sampler using a 140 pound hammer freely falling through a distance of 30 inches. The sampler is first seated 6 inches into the material to be sampled and then driven an additional 12 inches. The number of blows required to drive the sampler the final 12 inches is known as the Standard Penetration Resistance. Recovered samples are first classified as to color and texture by the driller. Later, in the laboratory, the driller's field classification is reviewed by the soils engineer who examines each sample. C. Thin -Walled Tube Geotechnical Sampling ASTM D-1587 This method consists of pushing thin walled steel tubes, usually 3 inches in diameter, into the soils to be sampled using hydraulic or other means. Cohesive soils are usually to be sampled in this manner and relatively undisturbed samples are recovered. D. Soil Investigation and Sampling by Auger Borings ASTM D-1452 This method consists of angering a hole and removing representative soil samples from the auger flight or bit at 5 foot depth intervals or with each change in substrata. Disturbed sampled are obtained and this method is, therefore, limited to situations where it is satisfactory to determine the approximate subsurface profile. E. Diamond Core Drilling for Site Investigation ASTM D-2113 This method consists of advancing a hole into hard strata by rotating a single or double tube core barrel equipped with a cutting bit. Diamond, tungsten carbide, or other cutting agents may be used for the bit. Wash water is used to remove the cuttings and cool the bit. Normally, a 2 inch outside diameter by 1-3/8 inch inside diameter (NX) coring bit is used unless otherwise noted. The rock or hard material recovered within the core barrel is examined in the field and in the laboratory and the cores are stored in partitioned boxes. The core recovery is the length of the material recovered and is expressed as a percentage of the total distance penetrated. F. Visual — Manual Soil Classification Procedure ASTM D-2488 This procedure is a visual — manual soil classification methodology for the description of soil for engineering purposed when precise soils classification is not required. LABORATORY TESTING A. Atterberg Limits: Liquid Limit, Plastic Limit and Plasticity Index of Soils ASTM D4318, TEX 104-E, 105-E and 106-E Atterberg Limits determine the soil's plasticity characteristics. The soil's Plasticity Index (PI) is representative of this characteristic and is the difference between the Liquid Limit (LL) and the Plastic Limit (PL). The LL is the moisture content at which the soil will flow as a heavy viscous fluid. The PL is the moisture content at which the soil begins to lose its plasticity. The test results are presented on the boring logs adjacent to the appropriate sampling information. B. Particle Size Analysis of Soils ASTM D-422 and TEX 110-E Grain size analysis tests are performed to determine the particle size and distribution of the samples tested. The grain size distribution of the soils coarser than the Standard Number 200 sieve is determined by passing the sampled through a standard set of nested sieves. C. Laboratory Determination of Water (Moisture) Content of Soil and Rock ASTM D-2216 and TEX 103-E The moisture content of soil is defined as the ratio, expressed as a percentage, of the weight of water in a given soil mass to the weight of solid particles. It is determined by measuring the wet and oven dry weights of a soil sample. The test results are presented on the boring logs. D. Unconfined Compressive Strength of Cohesive Soil ASTM D-2166 The unconfined compressive strength of soil is determined by placing a section of an undisturbed sample into a loading frame and applying an axial load until the sample fails in shear. The test results are presented on the boring logs adjacent to the appropriate sampling information. E. California Bearing Ratio (CBR) of Lab Compacted Soils ASTM D-1883 The CBR test is performed by compacting soil in a 6 inch diameter mold at the desired density, soaking the sample for four days under a surcharge load approximating the pavement weight and then testing the soils in punching shear. A 2 inch diameter piston is forced into the soil to determine the resistance to penetration. The CBR is the ratio of the actual load required to produce 0.1 inches of penetration to that producing the same penetration in a standard crushed stone. F. Swell Test ASTM D-4546 The swell test is performed by confining a 1 inch thick specimen in a 2-1/2 inch diameter stainless steel ring and loading the specimen to the approximate overburden pressure. The test specimen is then inundated with distilled water and allowed to swell for 48 hours. The volumetric swell is measured as a percentage of the total volume and is converted mathematically to linear swell. G. Compaction Tests ASTM D-698, D-1557, TEX I I3-E or 114-E The compaction test is performed by compacting soil in a steel mold at varying moisture contents. Layers are compacted using a hammer weight and number of blows per layer which vary with the different test procedures. ASTM D-698, D-1557, TEC 113-E and 114-E. The data is plotted and the maximum weight and optimum moisture content is determined. H. Classification of Soils for Engineering Purposes Unified Soil Classification System, D-2487 This standard describes a system for classifying mineral and organo-mineral soils for engineering purposes based on laboratory determination of particle -size characteristics, liquid limit, and plasticity index and shall be used when precise classification is required. RECOMMENDED SPECIFICATIONS FOR PLACEMENT OF SELECT FILL 1. General The soils engineer shall be the owners representative to control the placement of compacted fill. The soils engineer shall approve the subgrade preparation, the fill materials, the method of placement and compaction, and shall give written approval of the completed fill. 2. Preparation of Existing Ground All topsoil, plants and other organic material shall be removed. The exposed surface shall be scarified, moistened if necessary, and compacted in the manner specified for subsequent layers of fill. 3. Select Fill Material Fill shall have a liquid limit of less than 35 and a Plasticity Index between 8 and 18. The fill shall contain no organic material or other perishable material, and no stones larger than 6 inches. Fill material shall be approved by the soils engineer. 4. Placing Select Fill Fill materials shall be placed in horizontal layers not exceeding 8 inches thickness after compaction. Successive loads of material shall be dumped so as to secure even distribution, avoiding the formation of layers of lenses of dissimilar materials. The contractor shall route hill hauling equipment to distribute travel evenly over the fill area. 5. Compaction of Select Fill a. Moisture Control: The moisture content of the fill material shall be distributed uniformly throughout each layer of the material. The allowable range of moisture content during compaction shall be within plus two (+2) and minus two (-2) percentage points of the optimum moisture content. The contractor may be directed to add necessary moisture to the material either in the borrow area or upon the fill surface or to dry the material, as directed by the soils engineer. The drying of cohesive soils between lifts to moisture contents less than 70% of optimum before the placement of subsequent lifts shall be avoided or the fill reworked at the proper moisture content. b. Compaction: The material in each layer shall be compacted to obtain proper densities. Compaction by the hauling equipment alone will not be considered sufficient. Structural fills, including pavement subgrade, subbase, and base, shall be compacted to densities equivalent to the percentages of the Standard Proctor (ASTM D-698) or Modified Proctor (ASTM D-1557) maximum dry density listed in the table below. The Texas Department of Highways and Public Transportation Method TEX 113-E or TEX 114-E compaction test, which varies the compactive effort with soil type, may be substituted for the Standard or Modified Proctor methods and percentages listed in the table below. PERCENT COMPACTION Fine Grained Soils Coarse Grained Soils Area ASTM D-698 (Standard) ASTM D-1557 or TEX 114-E Modified or TEX 113-E Within five (5) feet of building lines, under footings, floor slabs, slab -on -grade foundation and structures attached to 95 95+ the building i.e. walls, patios, steps) More than five (5) feet beyond building lines, under walks, and fill area to be landscaped 90 90 Pavement subgrade and subbase, including lime treated soils 95 95+ Soils classified as coarse grained soils are those with more than 50%, by weight, retained on the No. 200 Standard Sieve. 6. Comparison Testing Field density tests for the determination of the compaction of the fill shall be performed by TSI Laboratories, Inc. in accordance with recognized procedures for making such tests. A representative number of tests shall be made in each compacted lift at locations selected by the soils engineer or his/her representative. For general structural and paving fills, we suggest one test per 3,000 square feet per lift with a minimum of three tests per lift. IMPORTANT INFORMATION ABOUT YOUR GEOTECHNICAL ENGINEERING REPORT The following observations and suggestions are provided to help you better utilize your geotechnical engineering report and to reduce construction problems and delays related to the soil and groundwater conditions. REPORT IS BASED UPON SPECIFIC SITE AND PROJECT A geotechnical report is based on a subsurface exploration conducted on a specific site and planned using specific project information. The project information typically includes structure size and configuration, type of construction, and general location on the site. Limitations, such as existing buildings or utilities, specific foundation requirements for structures, budget limitations, and the level of risk assumed by the client may affect the scope of the exploration. Since the report applies to a specific structure and site, the geotechnical report should not be used in the following circumstances unless the geotechnical engineer has reviewed the changes and concurs in the use of the report. • When the nature of the proposed structure is changed, such as an office building instead of a warehouse or parking garage, or a refrigerated warehouse instead of one which is not refrigerated • When the size, configuration, or floor elevations is changed • When the location of the structure on the site is changed • When there is a change of ownership FINDINGS ARE PROFESSIONAL ESTIMATES The actual subsurface conditions are determined only at the boring locations and only at the time the samples are taken. The information is extrapolated by the geotechnical engineer who then renders professional opinions regarding the characteristics of the subsurface materials, the behavior of the soils during construction, and appropriate foundation designs. No exploration, however complete, can be assured of sampling the entire range of soil conditions. The soils may vary between or beyond the borings and stratum transitions may be more gradual or more abrupt, and all types of oils and rock existing on the site may not be found in the borings. The geotechnical engineer is often retained during construction to evaluate variances and recommend solutions to problems encountered on the site. SUBSURFACE CONDITIONS CAN CHANGE Grading operations on or close to the site, floods, groundwater fluctuations, utility construction, and utility leaks are among the events that can change the subsurface conditions. The geotechnical engineer should a kept apprised of such events. GEOTECHNICAL SERVICES ARE PERFORMED FOR SPECIFIC PURPOSES AND PERSONS A geotechnical report may have been made to evaluate foundation alternatives only, for preliminary site evaluation, or for other limited purposes. The exploration may also have been limited by the direction of the client, budget limitations, or the level of risk assumed by the client. Therefore, no one other than the original client should use the report for its intended purpose or other purposes without conferring with the geotechnical engineer. GEOTECHNICAL REPORTS ARE SUBJECT TO MISINTERPRETATION Geotechnical reports are based on the project information available at the time the report was made and the judgment and opinions of the geotechnical engineer. This specialized information is subject to misinterpretation by other design professionals, contractors and owners. The geotechnical engineer should be retained during the design process to interpret the recommendations and review the adequacy of the plans and specifications relative to geotechnical issues. The boring logs should no be separated from the geotechnical report, but, rather the entire report should be made available to the contractors and others needing this information. NOTICE OF MEETING - .5/01/2024 14.Consider and take necessary action for the Calhoun County Commissioners' Court to authorize a letter of support for the Calhoun Port Authority (CPA) application to the United States Department of Transportation's (USDOT) Maritime Administration for Fiscal (FY) 2024 Port Infrastructure Development Program (PIDP) competitive grant program for Calhoun Port Authority Port Improvement Project and Judge Meyer sign all related documents. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Joel Behrens, Commissioner Pct 3 SECONDER: Gary Reese, Commissioner''Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 11 of 20 #14 RICHARD H. MEYER Calhoun County Judge 211 S. Ann Street, Suite 301 - Port Lavaca, Texas 77979 (361) 553-4600 - Fax (361) 553-4444 - Email: richard.meyer@calhouncotx.org May 1, 2024 The Honorable Pete Buttigieg Secretary of the United States Department of Transportation 1200 New Jersey Avenue, SE Washington, DC 20590 Dear Secretary Buttigieg: The Calhoun County Commissioners' Court supports the Calhoun Port Authority (CPA) application to the United States Department of Transportation's (USDOT) Maritime Administration for Fiscal (FY) 2024 Port Infrastructure Development Program (PIDP) competitive grant program for Calhoun Port Authority Port Improvement Project. (Project) CPA is requesting $27.2 million in FY2024 PIDP grant funds and will provide a local match of 6.8 million which brings the project total cost to 34.1 million. CPA is actively engaged in improving the Port including deepening and widening the Matagorda Ship Channel from 38 to 47 feet and expanding its services to support larger vessels and transport green ammonia and E-Fuels. Calhoun Port Authority is currently working to add infrastructure, including three new liquid docks, a new 12-inch pipeline, and potential future expansion of its short line railroad. This project has had limited federal funding allocated as of 2022 and funding award from the PIDP grant program will be beneficial to businesses served by the Port Authority. The Port has been in existence for more than 175 years and is an important economic catalyst for Texas and the Gulf Coast. The Marine Terminals on the Matagorda ship Channel generate more than 48,000 jobs nationwide and also helps generate annual business revenues of nearly $12.32 billion. Additionally, approximately 3,817 direct jobs are generated by port -related activity including manufacturing, transportation, construction, and other services. Furthermore, the Port is closely connected to US 59, US 87, State Highway (SH) SH 35, and SH 172, close to nearby regional airports, and connects the Northern Railway short line railroad to Union Pacific. We strongly recommend awarding the funds requested for the proposed CPA improvements. The Calhoun County Commissioners' Court would like to thank USDOT for its consideration of this Project. Sincere Richard H. Meyer Calhoun County Judge www.calhouncotx.org #15 NOTICE OF MEETING - 5/01/2024 15.Consider and take necessary action to approve Change Order No. 1 for the REBID - Lane Road Drainage Improvements for Calhoun County, Texas -Texas General Land Office Contract No. 20-065-064-C182 and Calhoun County 2020 CDBG-DR Contract Work Order No. B-1 and authorize County Judge to sign. (GDR) RESULT: APPROVED [UNANIMOUS] MOVER:" Gary Reese, Commissioner'Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 12 of 20 Gary D. Reese County Commissioner County of Calhoun Precinct 4 April 25, 2024 Honorable Richard Meyer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Meyer: Please place the following item on the Commissioners, Court Agenda for May 1, 2024. • Consider and take necessary action to approve Change Order No. 1 for the REBID - Lane Road Drainage Improvements for Calhoun County, Texas -Texas General Land Office Contract No. 20-065-064-C182 and Calhoun County 2020 CDBG-DR Contract Work Order No. B-1 and authorize County Judge to sign. Sincerely, T 0 Gary D. Reese GDR/at P.O. Box 177 - Seadrift. Texas 77983 - email: gary rcesenenalhouncon ore - (361) 785-3141 - Fax (361) 785-5602 CHANGE ORDER PROJECT LANE ROAD DRAINAGE IMPROVEMENTS DATE OF ISSUANCE OWNER Calhoun __--6/23/2023 EFFECTIVE DATE OWNER'sContract No. GLO CONTRACT NO. 20-065-064-CI82 No. One (1) 5/19/2023 CONTRACTOR JRB Services, LLC — ENGINEER G & W ENGINEERS, INC. _ 5310.011b You are directed to make the following changes in the Contract Documents. Description: Increase in Scope and Contract Time Reason for Change Order: Additional Culverts (Not Know during survey/design) Additional days due to weather conditions and rain days Attachments (List documents supporting change) CHANGE IN CONTRACT PRICE: CHANGE IN CONTRACT TIMES: Original Contract Price Original Contract Times 270 Days $ 678,771.63 Substantial Completion: Ready for fatal payment: May 19, 2023 dgserdxn Net changes from previous Change Orders No. _to No. _ Net changes from previous Change Orders No. =to No. $ - — N/A — d.Y. .-- Contract Price prior to this Change Order Contract Times prior to this Change Order $ 678,771.63 Substantial Completion: N/A Ready for final payment: drysardd. Net Increase (deeresse) of this Change Order Net Increase (deerease) of this Change Order 28,778.37 _ 90 - - do Contract Price with all approved Change Orders Contract Times with all approved Change Orders $ 707,550.00 Substantial Completion: Ready for final payment: August 17, 2023 dsrrwdna RECOMME�HED: Wi ..(Amhod Bienrwrt) ° C & W Engineers, Inc. Date: APPROYW. ACCEPT D By: y: n�xxr(Amhwlr.d SlSn.turt) Contrec�or(Aullwiued SISn.�urt) Calhoun County JRB Services, LLC Date: 5- 1 — LO L At Date u a o ' m w N N ea N CO N o m m C0 M N m m N N C) u .0 a JF=1 it O u t N .3 m f0 0 m #16 NOTICE OF MEETING - 510112024 16. Consider and take necessary action to approve Change Order No. 2 for the REBED - Lane Road Drainage Improvements for Calhoun County, Texas -Texas General Land Office Contract No. 20-065-064-C182 and Calhoun County 2020 CDBG-DR Contract Work Order No. B-1 and authorize County Judge to sign. (GDR) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES:, Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 13 of 20 Gary D. Reese County Commissioner County of Calhoun Precinct 4 April 25, 2024 Honorable Richard Meyer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Meyer: Please place the following item on the Commissioners' Court Agenda for May 1, 2024. • Consider and take necessary action to approve Change Order No. 2 for the REBID - Lane Road Drainage Improvements for Calhoun County, Texas -Texas General Land Office Contract No. 20-065-064-C 182 and Calhoun County 2020 CDBG-DR Contract Work Order No. B-1 and authorize County Judge to sign. Surely, Gary Deese GDR/at P.O. Box 177 — Seadrift. Texas 77983 — email: Rrv.reese e6calhouncomoree6calhouncomore — (361) 785-3141 — Fax (361) 785-5602 #17 NOTICE OF MEETING — 5/01/2024 17. Consider and take necessary action to approve executed agreement for the Recycle Waste Transfer Station Project for Calhoun County, Texas project and authorize County Judge to sign. (VLL) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner:Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 14 of 20 ATTORNEY'S REVIEW CERTIFICATION BID NUMBER 2024.04 - RECYCLE WASTE TRANSFER STATION PROJECT I, the undersigned, it 60 )j 9C 1 14-1" , the duly authorized and acting legal representative of CALHOUN COUNTY, do hereby certify as follows: 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 representative 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: �� Date: Z5 Print Attorney's name: xcW lot Texas State Bar Number: STANDARD FORM OF AGREEMENT FOR MATERIALS CONTRACT THIS AGREEMENT made this the 27th day of March, 2024, by and between Con -Metal Contractors, Inc. (a corporation organized and existing under the laws of the State of Texas) hereinafter called the "Contractor", and CALHOUN COUNTY 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 Number 2024.04 - Recycle Waste Transfer Station Protect, for the County, all in strict accordance with the contract documents including all addenda thereto, numbered One (1), dated February 28, 2024, all as prepared by G&W Engineers, Inc., acting and in these contract documents preparation. 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 Six Hundred Fifty Thousand Four Hundred Fifty -Two Dollars and Seventy -Five Cents ($650,452.75). 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 General Conditions h. Special Conditions i. Performance Bond j. Payment Bond k. Technical Specifications I. Drawings m. Other ( ARTICLE 4. Performance. Work, in accordance with the Contract dated March 27, 2024, 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 270 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 copies on the day and year first above written. c VIC- (The tra11 Name/Title_ I,xit'(64-) OoWyi5 - V1 (( L� eS34 — caused this Agreement to be executed in triplicate original CALHOUN-COUNTY (County, By Name/Title: Richard H. Meyer. County Judge BID Rovlsnd Addendum No. 1 02.211-2024 PROJECT NAME: Bid Number 2024.04 - Recycle Waste Transfer Station Proiect DUE DA'f F4 Tuesd M rch 12 024 Wore :00:00 .m. NAME: ('[7h— Agl7— WORK SCOPE is Bids are invited for items and quantities of work generally as follows: a new 5,250 SF Recycling Transfer Station Building. The structure will be a pre-engineered Metal building. The facility will have reinforced concrete foundation, various concrete (push) walls, grading of the site, drainage improvements, new limestone roadway pavement and concrete approach ramps. BASE BID Item QuantityjUnit Unit Price Total Bid Price 1. Furnish all necessary equipment, 1 materials, and labor foro�?� ��U POfbarricades, demobilization, /�Ol]mobilization, and insurance. 2. Furnish all necessary equipment, i materials, and labor for the installation of the building foundation complete in place, including select fill as designed��oS�P3� and includes incorporated concrete push walls and in accordance with the drawings and specifications 3. Furnish all necessary equipment, 1 LS materials, and labor for the installation of the pre-engineered metal building, siding, gutter /E30r repo �, �� Q(]L? system, and roof in accordance with the drawings and specifications. This item includes any engineering cost/fees to receive stamped PEMB drawings from manufacturer. Total Base Bid I `f 7'7� OWNER'S OPTIONS Item Quantity Unit Unit Price Total Bid Price Option 1) Furnish all necessary 3,470 SF equipment, materials, and labor for the G1 q Installation of the 8" thick reinforced concrete pavement in accordance with $34,491.80 the drawings and specifications OWNER'S OPTIONS Continued.. Item Quantity Unit Unit Price Total Bid Price Option 2) Furnish all necessary 17.160 SF equipment, materials, and labor for the installation the 8" thick limestone $ ` of / pavement (complete in place and in final position) in accordance with the drawings $112,741.20 and specifications Option 3) Furnish all necessary 77 LF equipment, materials, and labor for the installation of the 24" HDPE storm pipe in accordance with the drawings and 7,90U.20 specifications Option 4) Furnish all necessary 77 LF equipment, materials, and labor for the installation of the 15" HDPE storm pipe in accordance with the drawings and specifications $4,000.15 Option 5) Furnish all necessary 2 EA equipment, materials, and labor for the installation of the precast concrete safety oo/� end treatments for 15" storm pipes in accordance with the drawings and specifications Option 6) Furnish all necessary 2 EA equipment, materials, and labor for the installation of the precast safety end a treatments for 24" storm pipes in accordance with the drawings and specifications Option 7) Furnish all necessary 370 LF equipment, materials, and labor for the installation of the drainage swales in ,. kq-' *49,9 accordance with the drawings and �q,299.40 specifications Option 8) Furnish all necessary 1 LS equipment, materials, and labor for the 1 installation of the general fill material and j ncl u ,4 n site grading in accordance with the GQ IOO �e LiCI fIS drawings and specifications. Use/reuse of excavated onsite materials from foundation excavation acceptable. M Corporate Certifications I, av --Z , certify that I am the OMer rV-We of the corporation named as Contractor herein; that who signed this Agreement on behalf of the Contractor, was then Q I 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 (Co(porate Secretary) Please indicate above with N/A to all blanks'above if LLC and authorized person signature at Corporate Secretary. SPECIFICATION —NOTES Calhoun County is receiving Bids for items and quantities of work generally as follows: Bids are invited for items and quantities of work generally as follows: A new 5,250 SF Recycling Transfer Station Building. The structure will be a pre-engineered Metal building. The facility will have reinforced concrete foundation, various concrete (push) walls, grading of the site, drainage improvements, new limestone roadway pavement and concrete approach ramp. County to provide: i. Unsecured place to store contractor equipment and vehicles 2. Unsecured area to store excess materials required for construction. The BIDDER, in compliance with the invitation forbids for Bid Number 2024.04 - Recycle Waste Transfer Station Protect, 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 proposal is a part. These price(s) are firm and shall not be subject to adjustment provided this Proposal is accepted within thirty (30) days after the time set for receipt of proposals. BIDDER hereby agrees to commence work under this contract on or before a date to be snecifie�.d, �irj a�,�written "Notice to Proceed" to be issued by the County and to substantially complete within -�a consecutive calendar days as stipulated in the specifications. BIDDER further agrees to pay as liquidated damages, the sum of $300.00 for each consecutive calendar day. I hereby acknowledge the receipt of the following addenda: 1.No - ( 2. 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 Su ontractor Ou 110 1 GLJ 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: I • o. 30X As `i'ptY1-E(1iY1441a Phone: Q I — J Ja — 4D +. EIN or Tax ID No.: Signature: Name and Title: it c-c Email Address: Va© �..r � 407 c -n 0l, . ie / "•✓ c . e 0K , CERTIFICATE OF INTERESTED PARTIES FORM 1295 loll Complete Nos. I.4 and 6 if there are interested parties. Complete Nos.1. 2, 3, 5, and 6 it there are no interested patties. OFFICE USE ONLY CERTIFICATION OF FILING Certificate Number: 2024-1152708 1 Name of business entity filing form, and the city, stale aid country of the runtiness entity's place of business. Con -Metal Contractors, Inc. Port Lavaca, TX United States Date Rled: 04/2512024 2 Name of governmental entity or slate agency that is a party to the contract or whicht to orm s being fitetl. Calhoun County, Texas Date Acknowledged: 3 Provide the identification number used by the governmental entity or state agency to track or identify the contract, and provide a description of the services, goods, or other property to be provided under llte contract. Bid Number 2024.04 - Recycle W Bid Number 2024.04 - Recycle Waste Transfer Station Project 4 Name of Interested Party City, State, Country (place of business) Nature of interest (check applicable) Controlling Intermediary 5 Check only if there is NO Interested Party. ❑ X 6 UNSWORN DECLARATION y� w' My name is F f e'n 00 kA) 1 h My address B wwiim I declare under penalty of perjtuy that file foregoing is true and correct, Executed in Ceunry, State at Tr_Vc,s ,on the tXday of 20 month) (year) � Signature of authorized agent of contracting business entity (Oadaranl) r.--•--... -., , — �„n,,,aa,.. www.emics.mate.tx.us Version V3.5.1.5b35d027 BOND # 4407243 PAYMENT BOND KNOW ALL MEN BY THESE PRESENTS that: Con -Metal Contractors, Inc. of Contractor or P.O. Box 25, Point Comfort, TX 77978 (Address) a (Corporation / Partnership) and 6300 Corporation , hereinafter called Principal, of FL 34240 hereinafter called Surety, are held and firmly .bound unto of hereinafter called OWNER, in the penal sum of $ Six Hundred Fifty Thousand Four Hundred Fifty -Two & 75/100 Dollars, $ 650,452.75 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 27th day of March, 2024 a copy of which is hereto attached and made a part hereof for the construction of: Bid Number 2024.04 - Recycle Waste Transfer Station Protect 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 Three (3) counter -parts, each on of (Number) which shall be deemed an original, this the 25thday of April. 2024 ATTEST: o41 —. (Principal Secretary) (SEAL) as -P.O. Box 25, Point Comfort, TX 77978 (Address) ATTEST: Con -Metal Contractors. Inc. (Principal) pp nn BY Point Comfort, TX 77978 FCC] Insurance Company (Surety) '� /<�- By (Witness ab Surety (Attorney in Fact) Debra Lee Moon 5057 Keller Springs Rd, Ste 200 6300 University Parkway, Sarasota, FL 34240 (Address) Addison, TX 75001 (Address) NOTE: Date of BOND must not be prior to date of Contract. If CONTRACTOR is Partnership, all partners should execute BOND. BOND # 4407243 PERFORMANCE BOND KNOW ALL MEN BY THESE PRESENTS that! Con -Metal Contractors, Inc. (Name of Contractor or Company) P.O. Box 25, Point Comfort, TX 77978 a Corporation hereinafter called Principal, and FCCllnsurance (Name 6300 University Parkway, Sarasota, FL 34240 hereinafter called Surety, are held and firmly bound unto of Grant 211 South Ann Street Third Floor Ste. 307 Port Lavaca Texas (Grant Reciptenrs Address) hereinafter called OWNER, in the penal sum of $ Six Hundred Fifty Thousand Four Hundred Fifty -Two & 751100 $650,452.75 Dollars ($ ) 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 27th day of _ March, 2024 , a copy of which is hereto attached and made a part hereof for the construction of. Bid Number 2024.04 - Recycle Waste Transfer Station Project 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 _ Three (3) counterparts, each one of which shall be deemed an original, this the 25th day of _ April, 2024 ATTEST: Con -Metal Contractors, Inc. (Principal) —'� � (Principal Secretary) BY (SEAL) r ness as to rincipal P.O. Box 25, Point Comfort, TX 77978 (Address) P.O. Box 25, Point Comfort, TX 77978 (Address) ATTEST: FCCI Insurance Company ( '(Surety) By (Witne § rely) , (Attorney in Fact) Debra Lee Moon 5057 Keller Springs Rd, Ste 200 6300 University Parkway, Sarasota, FL 34240 (Address) Addison, TX 75001 (Address) NOTE: Date of BOND must not be prior to date of Contract. If PRINCIPALICONTRACTOR Is Partnership, all partners should execute BOND. CERTIFICATE AS TO CORPORATE PRINCIPAL I. �w 41 , certify that I am the ,�p�j�U the Corporation named as Principal in t within nd; t at , Secretary of bond on behalf of the Principal was thenIlk , who is signed the said his signature thereto is genuine; and that said bon was duly signed sealed, and attested to, for andsignature and in behalf of said corporation by authority of this governing body. Corporate —Seal Title:2 Cl3 r J �y cSilGrs r [L * Power -of -attorney for person signing for Surety Company must be attached to bond. GI OUP NICE FOC I° GENERAL POWER OF ATTORNEY Know all men by these presents: That the FCCI Insurance Company, a Corporation organized and existing under the laws of the State of Florida (the "Corporation") does make, constitute and appoint: Troy Russell Key; Debra Lee Moon; Andrea Rose Crawford; Sandra Lee Roney; Colin E. Conly; John R. Ward; Monica Ruby Veazey; Thomas Douglas Moore; Emily Allison Mlkeska; Allyson W. Dean; Andrew Gareth Addison; Patrick Thomas Coyle; Michael Donald Hendrickson; Bryan Kelly Moore; Elizabeth Ortiz; Ana Owens; Betty J. Reeh; Faith Ann Hilly Each, its true and lawful Attorney -In -Fact, to make, execute, seal and deliver, for and on its behalf as surety, and as its act and deed in all bonds and undertakings provided that no bond or undertaking or contract of suretyship executed under this authority shall exceed the sum of (not to exceed $30,000,000.00): $30,000,000.00 This Power of Attorney is made and executed by authority of a Resolution adopted by the Board of Directors. That resolution also authorized any further action by the officers of the Company necessary to effect such transaction. The signatures below and the seal of the Corporation may be affixed by facsimile, and any such facsimile signatures or facsimile seal shall be binding upon the Corporation when so affixed and in the future with regard to any bond, undertaking or contract of surety to which it is attached. In witness whereof, the FCCI Insurance Company has caused these presents to be signed by its duly authorized officers and its corporate Sealto behereunto affixed, this 23rd day of July , 2020. Attest: �/rww`a l bV' LUQ� yVNnNCF0.., Christina D. Welch, President Christopher Shoucair, FCCI Insurance Company EVP, CFO, Treasurer, Secretary FCCI Insurance Company State of Florida .,,.... County of Sarasota Before me this day personally appeared Christina D. Welch, who is personally known to me and who executed the foregoing document for the purposes expressed therein. My commission expires: 2/27/2027 esssYMM vm Lip ,�Z) $ark caTM7wa9rxauws fth3F*UWV.2 Notary Public r State of Florida County of Sarasota Before me this day personally appeared Christopher Shoucair, who is personally known to me and who executed the foregoing document for the purposes expressed therein. My commission expires: 2l27/2027 moymw , r�a�ertiltma VNI so-r4m9eysr= Notary Public CERTIFICATE I, the undersigned Secretary of FCCI Insurance Company, a Florida Corporation, DO HEREBY CERTIFY that the foregoing Power of Attorney remains in full force and has not been revoked; and furthermore that the February 27,.2020 Resolution of the Board of Directors, referenced in said Power of Attorney, is now in force. Dated this 25th day of> April 2024 of Christopher Shoucair, EVP, CFO, Treasurer, Secretary FCCI Insurance Company 1-IONA-3592-NA-04. 712021 IMPORTANT NOTICE To obtain information or make a complaint: You may call FCCI Insurance Group's (FOCI)" toll -free telephone number for information or to make a complaint at1-800-226-3224, You may also write to FCCI Insurance Group Compliance Department e-mail at StateComolaints(Mfccl-aroun Com+ For Claims, you may write to FCCI Insurance Group Claim Department e-mail at newclaim0fcci-aroun com. You may contact the Texas Department of Insurance to obtain information on companies, coverages, rights or complaints at 1-800-252-3439. You may write the Texas Department of Insurance: PO Box 149104 Austin TX 78714-9104 Fax: 1-512.475-1771 Web: htto://www.tdi.state.tx.us E-mail: ConsumerProtection(atdl state.txus PREMIUM OR CLAIM DISPUTES Should you have a dispute concerning your premium or about a claim you should contact FCCI first. If the dispute is not resolved, you may contact the Texas Department of Insurance. ATTACH THIS NOTICE TO YOUR BOND This notice is for information only and does not become a part or condition of the attached documents. `The FCCI Insurance Group includes the following Insurance carriers: Brierfield Insurance Company, FCCI Advantage Insurance Company, FCCI Commercial Insurance Company, FCCI Insurance Company, Monroe Guaranty Insurance Company, and National Trust Insurance Company, 1-BD-TX-21690-NTP-11-12 Page 1 of 1 Copyright 2012 FCCI Insurance Group. ACORo® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 4/25/2024 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an. ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. Astatement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . PRODUCER Acrisure Texas Risk Advisors & Insurance Services, LLC 5057 Keller Springs Rd. Suite 200 Addison TX75001 CONTACT Service Team PRONE FA% • 800.880.6689 y, No): 210-696-8414 Eo AIL . service ib-tx.com INSURERIS1 AFFORDING COVERAGE NAIC0 INSURERA: Hartford Fire Insurance Company 19682 BR-1797482 INSURED CONMETA-01 Con Metal Contractors, Inc. Con -Metal Concrete, LLC INSURERS: Trumbull Insurance Company 27120 INSURER C: Navigators Insurance Company 42307 INSURER D : Texas Mutual Insurance Company 22945 2998 FM 3084 Port Lavaca TX 77979 INSURER E: Navigators Specialty Insurance Company 36056 INSURER F: COVERAGES CERTIFICATE NUMBER: 127241538 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL POLICYNUMBER POLICY EFF POLICY EXP MIDOIYW LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS•MADE Fx1OCcUR 46UEABB2PPW 1/11/2024 1/11/2025 EACH OCCURRENCE $1,000,000 D—AUTi GETO RENTED PREMISES 1 $100.000 MED EXP (Any oneperson) $10,000 PERSONAL&ADV INJURY _ $1,000,000 GEN'L AGGREGATE LIMITAPPLIES PER: POLICY ff] jECT LOG GENERAL AGGREGATE $2,000,000 PRODUCTS-COMP/OPAGG $2,000,000 $' OTHER: B AUTOMOBILE LIABILITY 46UEABC2Z46 1/11/2024 1/11/2025 COMBINED SINGLE LIMIT feesccitlem $1,000,000 X BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED' AUTOS ONLY AUTOS I BODILY INJURY (Per accident) $ X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE ROPE t $ 8 C UMBRELLALIAB X OCCUR H023EXC9358631V 6/22/2023 6/21/2024 EACH OCCURRENCE $5.000,000 X AGGREGATE $5,000,000 EXCESS LIAR I CLAIMS -MADE OED I I RETENTION $ D WORKERSCOMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRIETOWPARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED7 � NIA 0001169053 5I23/2023 5/23/20T4 X SEHT TE ERH E.L. EACH ACCIDENT $1,000,000. E.L. DISEASE - EA EMPLOYEE $1,000,000 (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $1,000.000 E Pollution Liability CH24ECPZOFWY61C 1/11/2024 1/11/2025 Each Incident Limit 1,000.000 Aggregate 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if mom space is required) The General Liability and Auto Liability policies include blanket additional insured endorsement [HS2483 07113, HA9916 12/211 as required in a written contract with the Named Insured, The General Liability, Auto Liability, Excess Liability and Workers Compensation policies include a blanket waiver of subrogation endorsements [CG2404 12/19, HA2011 01/20, NAV-ECD-6012 01111. WC420304B] as required In a written contract with the Named Insured. The General Liability, Auto Liability & Excess Liability Policies Include blanket primary and non-contributory wording endorsement [HS2483 07/13, HA9916 12/21, NAV-EXC-348A 01/111 as required in written contract with the Named Insured. Notice of Cancellation per [IH0307 06/11. WC420601]. Excess Liability policy follows form of the General Liability, Auto Liability and Workers Compensation policies subject to policy terms and conditions. Auturo Perez & Isabel Perez are excluded on the WC Calhoun County, Texas 211 South Ann Street Third Floor, Suite 301 Port Lavaca, TX 77979 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTH�UHULtUU REPRESENTATIVE i v'dt 171988.2015 ACORD reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD licy 4: 46UEABB2PPW THC HARTFORD THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS OPTION IV This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) I Designated Project(s) Or Location(s) All, except Additional Insureds that are insured under separate additional insured endorsement on this policy. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. With respect to those person(s) or organization(s) shown in the Schedule above when you have agreed in a written contract or written agreement to provide insurance such as is afforded under this policy to them, Subparagraph f., Any Other Party, under the Additional Insureds When Required By Written Contract, Written Agreement Or Permit Paragraph of Section 11 — Who Is An Insured is replaced with the following: f. Any Other Party Any other person or organization who is not an insured under Paragraphs a. through e. above, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" arising out of: (1) Your ongoing operations performed for such additional insured at the project(s) or location(s) designated in the Schedule; (2) Premises owned by or rented to you and shown in the Schedule; or (3) "Your work" for the additional insured at the project(s) or location(s) designated in the Schedule and included within the "products -completed operations hazard", but only if: (a) The written contract or written agreement requires you to provide such coverage to such additional insured at the project(s) or location(s) designated in the Schedule; and (b) This Coverage Part provides coverage for "bodily injury" or "property damage" included within the "products -completed operations hazard". The insurance afforded to the additional insured shown in the Schedule applies: (1) Only if the "bodily injury" or "property damage" occurs, or the "personal and advertising injury" offense is committed: (a) During the policy period; and (b) Subsequent to the execution of such written contract or written agreement; and (c) Prior to the expiration of the period of time that the written contract or written agreement requires such insurance be provided to the additional insured. (2) Only to the extent permitted by law; and Form HS 24 83 07 13 Page 1 of 2 © 2013, The Hartford (Includes copyrighted material of Insurance Services Office, Inc., with its permission.) (3) Will not be broader than that which you are required by the written contract or written agreement to provide for such additional insured. With respect to the insurance afforded to the person(s) or organization(s) that are additional insureds under this endorsement, the following additional exclusion applies: This insurance does not apply to "bodily Injury", "property damage" or "personal and advertising injury" arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services, Including: (1) The preparing, approving, or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders, designs or specifications; or (2) Supervisory, inspection, architectural or engineering activities. The limits of insurance that apply to the additional insured shown in the Schedule are described in the Limits Of Insurance section. How this insurance applies when other insurance is available to the additional insured is described in the Other Insurance Condition in Section IV — Commercial General Liability Conditions, except as otherwise amended below. B. With respect to insurance provided to the person(s) or organization(s) that are additional insureds under this endorsement, the When You Add Others As An Additional Insured To This Insurance subparagraph, under the Other Insurance Condition of Section IV — Commercial General Liability Conditions is replaced with the following: When You Add Others As An Additional Insured To This Insurance (a) Primary Insurance When Required By Contract This insurance is primary if you have agreed in a written contract or written agreement that this insurance be primary. If other insurance is also primary, we will share with all that other insurance by the method described in Paragraph (c) below. This insurance does not apply to other insurance to which the additional insured in the Schedule has been added as an additional insured. (b) Primary And Non -Contributory To Other Insurance When Required By Contract This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured in the Schedule is a Named Insured under such other insurance; and (ii) You have agreed in a written contract or written agreement that this Insurance would be primary and would not seek contribution from any other insurance available to the additional insured in the Schedule. (c) Method Of Sharing If all of the other insurance permits contribution by equal shares, we will follow this method also. Under this approach, each insurer contributes equal amounts until it has paid its applicable limit of insurance or none of the loss remains, whichever comes first. If any of the other insurance does not permit contribution by equal shares, we will contribute by limits. Under this method, each insurer's share is based on the ratio of its applicable limit of insurance to the total applicable limits of insurance of all insurers. All other terms and conditions in the policy remain unchanged, Page 2 of 2 Form HS 24 83 07 13 W1110U IIIJu1tlW 1 U111VIC141 VUIIIItlIAUI.Ij 11JU. p 4U11'IVICIGI 4V1Iu1010j uuI lolicy #: 46UEABB2PPW COMMERCIAL GENERAL LIABILITY CG 24 04 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART ELECTRONIC DATA LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART DESIGNATED SITES POLLUTION LIABILITY LIMITED COVERAGE PART DESIGNATED SITES PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART UNDERGROUND STORAGE TANK POLICY DESIGNATED TANKS SCHEDULE Name Of Person(s) Or Organization(s): Per List on file with Agency Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV — Conditions: We waive any right of recovery against the payments we make under this Coverage Part. right of recovery against such person(s) or org organization(s) shown in the Schedule above. person(s) or organization(s) shown In the Schedule above because of Such waiver by us applies only to the extent that the insured has waived its anization(s) prior to loss. This endorsement applies only to the person(s) or CG 24 0412 19 © Insurance Services Office, Inc., 2018 Page 1 of 1 licy #.'46UEABC2Z46 u ,rHE HARTFORD THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COMMERCIAL AUTOMOBILE BROAD FORM ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM To the extent that the provisions of this endorsement provide broader benefits to the "insured" than other provisions of the Coverage Form, the provisions of this endorsement apply. 1. BROAD FORM INSURED Paragraph .1. - WHO IS AN INSURED - of Section II - Liability Coverage is amended to add the following: d. Subsidiaries and Newly Acquired or Formed Organizations The Named Insured shown in the Declarations is amended to include: (1) Any legal business entity other than a partnership or joint venture, formed as a subsidiary in which you have an ownership interest of more than 50% on the effective date of the Coverage Form. However, the Named Insured does not include any subsidiary that is an "insured" under any other automobile policy or would be an "insured" under such a policy but for its termination or the exhaustion of its Limit of Insurance. (2) Any organization that is acquired or formed by you and over which you maintain majority ownership. However, the Named Insured does not include any newly formed or acquired organization: (a) That is a partnership or joint venture, (b) That is an "insured" under any other policy, (c) That has exhausted its Limit of Insurance under any other policy, or (d) 180 days or more after its acquisition or formation by you, unless you have given us notice of the acquisition or formation. Coverage does not apply to "bodily injury" or "property damage" that results from an "accident" that occurred before you formed or acquired the organization. e. Employees as Insureds (1). Any "employee" of yours while using a covered "auto" you don't own, hire or borrow in your business or your personal affairs. f. Lessors as Insureds (1). The lessor of a covered "auto" while the "auto" is leased to you under a written agreement if: (a) The agreement requires you to provide direct primary insurance for the lessor and (b) The "auto" is leased without a driver. Such a leased "auto" will be considered a covered "auto" you own and not a covered "auto" you hire. g. Additional Insured if Required by Contract (1) When you have agreed, in a written contract or written agreement, that a person or organization be added as an additional insured on your business auto policy, such person or organization is an "insured", but only to the extent such person or organization is liable for "bodily injury" or "property damage" caused by the conduct of an "insured" under paragraphs a. or b. of Who Is An Insured with regard to the ownership, maintenance or use of a covered "auto." The insurance afforded to any such additional insured applies only if the "bodily injury" or "property damage" occurs: (a) During the policy period, and (b) Subsequent to the execution of such written contract, and Form HA 99 1612 21 Page 1 of 5 (Includes copyrighted material of Insurance Services Office, Inc. with its permission.) (c) Prior to the expiration of the period of time that the written contract requires such insurance be provided to the additional insured. (2) How Limits Apply If you have agreed in a written contract or written agreement that another person or organization be added as an additional insured on your policy, the most we will pay on behalf of such additional insured is the lesser of: (a) The limits of insurance specified in the written contract or written agreement; or (b) The Limits of Insurance shown in the Declarations. Such amount shall be a part of and not in addition to Limits of Insurance shown in the Declarations and described in this Section. (3) Additional Insureds Other Insurance If we cover a claim or "suit" under this Coverage Part that may also be covered by other insurance available to an additional insured, such additional insured must submit such claim or "suit" to the other insurer for defense and indemnity. However, this provision does not apply to the extent that you have agreed in a written contract or written agreement that this insurance is primary and non-contributory with the additional insured's own insurance. (4) Duties in The Event Of Accident, Claim, Suit or Loss If you have agreed in a written contract or written agreement that another person or organization be added as an additional insured on your policy, the additional insured shall be required to comply with the provisions in LOSS CONDITIONS 2. - DUTIES IN THE EVENT OF ACCIDENT, CLAIM , SUIT OR LOSS — OF SECTION IV — BUSINESS AUTO CONDITIONS, in the same manner as the Named Insured. 2. Primary and Non -Contributory if Required by Contract Only with respect to insurance provided to an additional insured in A.1.g. - Additional Insured If Required by Contract, the following provisions apply: (1) Primary Insurance When Required By Contract This insurance is primary if you have agreed in a written contract or written agreement that this insurance be primary. If other insurance is also primary, we will share with all that other insurance by the method described in Other Insurance 5.d. (2) Primary And Non -Contributory To Other Insurance When Required By Contract If you have agreed in a written contract or written agreement that this insurance is primary and non-contributory with the additional insured's own insurance, this insurance is primary and we will not seek contribution from that other insurance. Paragraphs (1) and (2) do not apply to other insurance to which the additional insured has been added as an additional insured. When this insurance is excess, we will have no duty to defend the insured against any "suit" if any other insurer has a duty to defend the insured against that "suit". If no other insurer defends, we will undertake to do so, but we will be entitled to the insured's rights against all those other insurers. When this insurance is excess over other insurance, we will pay only our share of the amount of the loss, if any, that exceeds the sum of: (1) The total amount that all such other insurance would pay for the loss in the absence of this insurance; and (2) The total of all deductible and self -insured amounts under all that other insurance. We will share the remaining loss, if any, by the method described in SECTION IV- Business Auto Conditions, B. General Conditions, Other Insurance 5.d. 3. AUTOS RENTED BY EMPLOYEES Any "auto" hired or rented by your "employee" on your behalf and at your direction will be considered an "auto" you hire. The SECTION IV- Business Auto Conditions, B. General Conditions, 5. OTHER INSURANCE Condition is amended by adding the following: e. If an "employee's" personal insurance also applies on an excess basis to a covered "auto" hired or rented by your "employee" on your behalf and at your direction, this insurance will be primary to the "employee's" personal insurance. 4. AMENDED FELLOW EMPLOYEE EXCLUSION EXCLUSION 5. - FELLOW EMPLOYEE - of SECTION II - LIABILITY COVERAGE does not apply if you have workers ' compensation insurance in -force covering all of your "employees". Coverage is excess over any other collectible insurance. Page 2 of 5 Form HA 99 16 12 21 5. HIRED AUTO PHYSICAL DAMAGE COVERAGE If hired "autos" are covered "autos" for Liability Coverage and if Comprehensive, Specified Causes of Loss, or Collision coverages are provided under this Coverage Form for any "auto" you own, then the Physical Damage Coverages provided are extended to "autos" you hire or borrow, subject to the following limit. The most we will pay for "loss" to any hired "auto" is: (1) $100,000; (2) The actual cash value of the damaged or stolen property at the time of the "loss"; or (3) The cost of repairing or replacing the damaged or stolen property, whichever is smallest, minus a deductible. The deductible will be equal to the largest deductible applicable to any owned "auto" for that coverage. No deductible applies to "loss" caused by fire or lightning. Hired Auto Physical Damage coverage is excess over any other collectible insurance. Subject to the above limit, deductible and excess provisions, we will provide coverage equal to the broadest coverage applicable to any covered "auto" you own. We will also cover loss of use of the hired "auto" if it results from an "accident", you are legally liable and the lessor incurs an actual financial loss, subject to a maximum of $1000 per "accident". This extension of coverage does not apply to any "auto" you hire or borrow from any of your "employees", partners (if you are a partnership), members (if you are a limited liability company), or members of their households. 6. PHYSICAL DAMAGE -ADDITIONAL TEMPORARY TRANSPORTATION EXPENSE COVERAGE Paragraph A.4.a. of SECTION III - PHYSICAL DAMAGE COVERAGE is amended to provide a limit of $50 per day and a maximum limit of $1,000. 7. LOAN/LEASE GAP COVERAGE Under SECTION III - PHYSICAL DAMAGE COVERAGE, in the event of a total "loss" to a covered "auto", we will pay your additional legal obligation for any difference between the actual cash value of the "auto" at the time of the "loss" and the "outstanding balance" of the loan/lease. "Outstanding balance" means the amount you owe on the loan/lease at the time of "loss" less any amounts representing taxes; overdue payments; penalties, interest or charges resulting from overdue payments; additional mileage charges; excess wear and tear charges; lease termination fees; security deposits not returned by the lessor; costs for extended warranties, credit life Insurance, health, accident or disability insurance purchased with the loan or lease; and carry-over balances from previous loans or leases. 8. AIRBAG COVERAGE Under Paragraph B. EXCLUSIONS - of SECTION III - PHYSICAL DAMAGE COVERAGE, the following is added: The exclusion relating to mechanical breakdown does not apply to the accidental discharge of an airbag. 9. ELECTRONIC EQUIPMENT - BROADENED COVERAGE a. The exceptions to Paragraphs BA - EXCLUSIONS - of SECTION III - PHYSICAL DAMAGE COVERAGE are replaced by the following: Exclusions 4.c. and 4.d. do not apply to equipment designed to be operated solely by use of the power from the "auto's" electrical system that, at the time of "loss", is: (1) Permanently installed in or upon the covered "auto'; (2) Removable from a housing unit which is permanently installed in or upon the covered "auto'; (3) An integral part of the same unit housing any electronic equipment described in Paragraphs (1) and (2) above; or (4) Necessary for the normal operation of the covered "auto" or the monitoring of the covered "auto's" operating system. b. Section III, Physical Damage Coverage, Limit of Insurance, Paragraph C.2, is amended to add the following: $1,500 is the most we will pay for "loss" in any one "accident" to all electronic equipment (other than equipment designed solely for the reproduction of sound, and accessories used with such equipment) that reproduces, receives or transmits audio, visual or data signals which, at the time of "loss", is: (1) Permanently installed in or upon the covered "auto" in a housing, opening or other location that is not normally used by the "auto" manufacturer for the installation of such equipment; (2) Removable from a permanently installed housing unit as described in Paragraph 2.a, above or is an integral part of that equipment; or (3) An Integral part of such equipment. Form HA 99 1612 21 Page 3 of 5 c. For each covered "auto", should loss be limited to electronic equipment only, our obligation to pay for, repair, return or replace damaged or stolen electronic equipment will be reduced by the applicable deductible shown in the Declarations, or $250, whichever deductible is less. 10. EXTRA EXPENSE - BROADENED COVERAGE Under Paragraph A. - COVERAGE - of SECTION III - PHYSICAL DAMAGE COVERAGE, we will pay for the expense of returning a stolen covered "auto" to you. 11. GLASS REPAIR - WAIVER OF DEDUCTIBLE Under Paragraph D. - DEDUCTIBLE - of SECTION III - PHYSICAL DAMAGE COVERAGE, the following is added: No deductible applies to glass damage if the glass is repaired rather than replaced. 12. TWO OR MORE DEDUCTIBLES Under Paragraph D. - DEDUCTIBLE - of SECTION III - PHYSICAL DAMAGE COVERAGE, the following is added: If another Hartford Financial Services Group, Inc. company policy or coverage form that is not an automobile policy or coverage form applies to the same "accident", the following applies: (1) If the deductible under this Business Auto Coverage Form is the smaller (or smallest) deductible, it will be waived; (2) If the deductible under this Business Auto Coverage Form is not the smaller (or smallest) deductible, it will be reduced by the amount of the smaller (or smallest) deductible. 13. AMENDED DUTIES IN THE EVENT OF ACCIDENT, CLAIM, SUIT OR LOSS The requirement in LOSS CONDITIONS 2.a. - DUTIES IN THE EVENT OF ACCIDENT, CLAIM, SUIT OR LOSS - of SECTION IV - BUSINESS AUTO CONDITIONS that you must notify us of an "accident" applies only when the "accident" is known to: (1) You, If you are an individual; (2) A partner, if you are a partnership; (3) A member, if you are a limited liability company; or (4) An executive officer or insurance manager, if you are a corporation. 14. UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS If you unintentionally fail to disclose any hazards existing at the inception date of your policy, we will not deny coverage under this Coverage Form because of such failure. 15. HIRED AUTO - COVERAGE TERRITORY SECTION IV, BUSINESS AUTO CONDITIONS, PARAGRAPH B. GENERAL CONDITIONS, 7. - POLICY PERIOD, COVERAGE TERRITORY - is added to include the following: (6) For short-term hired "autos", the coverage territory with respect to Liability Coverage is anywhere in the world provided that if the "insured's" responsibility to pay damages for "bodily injury" or "property damage" is determined in a "suit," the "suit" is brought in the United States of America, the territories and possessions of the United States of America, Puerto Rico or Canada or in a settlement we agree to. 16. WAIVER OF SUBROGATION Paragraph 5. TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US - of SECTION IV - BUSINESS AUTO CONDITIONS A. Loss Conditions is amended by adding the following: We waive any right of recovery we may have against any person or organization with whom you have a written contract that requires such waiver because of payments we make for damages under this Coverage Form. 17. RESULTANT MENTAL ANGUISH COVERAGE The definition of"bodily injury" in SECTION V- DEFINITIONS, C. is replaced by the following: "Bodily injury" means bodily injury, sickness or disease sustained by any person, including mental anguish or death resulting from any of these. 18. EXTENDED CANCELLATION CONDITION Paragraph 2. of the COMMON POLICY CONDITIONS - CANCELLATION - applies except as follows: If we cancel for any reason other than nonpayment of premium, we will mail or deliver to the first Named Insured written notice of cancellation at least 60 days before the effective date of cancellation. 19. HYBRID, ELECTRIC, OR NATURAL GAS VEHICLE PAYMENT COVERAGE In the event of a total loss to a "non -hybrid" auto for which Comprehensive, Specified Causes of Loss, or Collision coverages are provided under this Coverage Form, then such Physical Damage Coverages are amended as follows: a. If the auto is replaced with a "hybrid" auto or an auto powered solely by electricity or natural gas, we will pay an additional 10%, to a maximum of $2,500, of the "non -hybrid" auto's actual cash value or replacement cost, whichever is less, Page 4 of 5 Form HA 99 16 12 21 b. The auto must be replaced and a copy of a bill of sale or new lease agreement received by us within 60 calendar days of the date of'loss," c. Regardless of the number of autos deemed a total loss, the most we will pay under this Hybrid, Electric, or Natural Gas Vehicle Payment Coverage provision for any one 'loss" Is $10,000. For the purposes of the coverage provision, a. A "non -hybrid" auto is defined as an auto that uses only an internal combustion engine to move the auto but does not include autos powered solely by electricity or natural gas. b. A "hybrid" auto is defined as an auto with an internal combustion engine and one or more electric motors; and that uses the internal combustion engine and one or more electric motors to move the auto, or the internal combustion engine to charge one or more electric motors, which move the auto. 20. VEHICLE WRAP COVERAGE In the event of a total loss to an "auto" for which Comprehensive, Specified Causes of Loss, or Collision coverages are provided under this Coverage Form, then such Physical Damage Coverages are amended to add the following: In addition to the actual cash value of the "auto", we will pay up to $1,000 for vinyl vehicle wraps which are displayed on the covered "auto" at the time of total loss. Regardless of the number of autos deemed a total loss, the most we will pay under this Vehicle Wrap Coverage provision for any one 'loss" is $5,000. For purposes of this coverage provision, signs or other graphics painted or magnetically affixed to the vehicle are not considered vehicle wraps. Form HA 99 16 12 21 Page 5 of 5 Ig111 iV IIIJUI GV. IV111V1q\ql VV11U q4. WI J, IIIV.4 UVI YIVIGlCI1l V11 V 104Q... 'olicy M 46UEABC2Z46 THE �f HHARTFORD THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF SUBROGATION This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. Paragraph 5. Transfer Of Rights Of Recovery Against Others To Us under SECTION IV - BUSINESS AUTO CONDITIONS in the Business Auto Coverage Form and Paragraph 5. Transfer Of Rights Of Recovery Against Others To Us under SECTION V — MOTOR CARRIER CONDITIONS in the Motor Carrier Coverage Form is amended by adding the following: We waive any right of recovery we may have against any person or organization per written contract or agreement that requires such waiver because of payments we make for damages under this Coverage Form. Form HA 20 1101 20 Page 1 of 1 © 2020, The Hartford (Includes copyrighted material of Insurance Services Office, Inc. with its permission.) Acy #: 46UEABB2PPW & 46UEABC2Z46 M V V" V N vv 1V1 V V THE HARTFORD THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NOTICE OF CANCELLATION TO CERTIFICATE HOLDER(S) This policy is subject to the following additional Conditions: A. If this policy is cancelled by the Company, other than for nonpayment of premium, notice of such cancellation will be provided at least thirty (30) days in advance of the cancellation effective date to the certificate holder(s) with mailing addresses on file with the agent of record or the Company. B. If this policy is cancelled by the Company for nonpayment of premium, or by the insured, notice of such cancellation will be provided within (10) days of the cancellation effective date to the certificate holder(s) with mailing addresses on file with the agent of record or the Company. If notice is mailed, proof of mailing to the last known mailing address of the certificate holder(s) on file with the agent of record or the Company will be sufficient proof of notice. Any notification rights provided by this endorsement apply only to active certificate holder(s) who were issued a certificate of insurance applicable to this policy's term. Form IH 03 07 06 11 Page 1 of 1 © 2011, The Hartford Tpexasmutu @ WORKERS' COMPENSATION INSURANCE WORKERS' COMPENSATION AND EMPLOYERS LIABILITY POLICY WC420304B Agent copy TEXAS WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT This endorsement applies only to the insurance provided by the policy because Texas is shown in item 3.A. of the Information Page. We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule, but this waiver applies only with respect to bodily injury arising out of the operations described in the schedule where you are required by a written contract to obtain this waiver from us. This endorsement shall not operate directly or indirectly to benefit anyone not named in the Schedule. The premium for this endorsement is shown in the Schedule. Schedule 1. () Specific Waiver Name of person or organization (X) Blanket Waiver Any person or organization for whom the Named Insured has agreed by written contract to furnish this waiver. 2. Operations: All Texas operations 3. Premium: The premium charge for this endorsement shall be 2.00 percent of the premium developed on payroll in connection with work performed for the above person(s) or organization(s) arising out of the operations described. 4. Advance Premium: Included, see Information Page This endorsement changes the policy to which It is attached effective on the inception date of the policy unless a different dale is indicated below. (The following "attaching clause" need be completed only when this endorsement is issued subsequent to preparation of the policy.) This endorsement, effective on 5123/23 at 12:01 a.m. standard time, forms a part of: Policy no. 0001169053 of Texas Mutual Insurance Company effective on 5/23/23 Issued to: Con Metal Contractors, Inc. & Con -Metal Concrete, LLC This is not a bill NCCI Carrier Code: 29939 PO Box 12058, Austin, TX 78711-2058 1 of 1 texasmutual.com 1 (800) 859-5995 1 Fax (800) 359-0650 Authorized representative 5/24/23 WC420304B Tpextasmutu ®R WORKERS' COMPENSATION INSURANCE WORKERS' COMPENSATION AND WC 42 06 01 EMPLOYERS LIABILITY POLICY Insured copy TEXAS NOTICE OF MATERIAL CHANGE ENDORSEMENT This endorsement applies only to the Insurance provided by the policy because Texas is shown in Item 3.A. of the Information Page. In the event of cancellation or other material change of the policy, we will mail advance notice to the person or organization named in the Schedule. The number of days advance notice is shown in the Schedule. This endorsement shall not operate directly or indirectly to benefit anyone not named in the Schedule. 1. Number of days advance notice: 2. Notice will be mailed to: Schedule 30 PER LIST ON FILE This endorsement changes the policy to which it is attached effective on the inception date of the policy unless a different date is indicated below. (The following "attaching clause" need be completed only when this endorsementis issued subsequent to preparation of the policy) This endorsement, effective on 6/23/23 at 12:01 a.m, standard time, forms a part of: Policy no. 0001169053 of Texas Mutual Insurance Company effective on 5123/23 Issued to: Con Metal Contractors, Inc. & Con -Metal Concrete, LLC This is not a bill NCCI Carrier Code: 29939 PO Box 12058, Austin, TX 78711-2058 1 of 1 texasmutual.com 1 (800) 859-59951 Fax (800) 359-0650 I= Authorized representative 3/26/23 WC420601 Named Insured: Con Metal Contractors, Inc. & Con -Metal Concrete, LLC Policy Number: H023EXC9358631V COMMERCIAL EXCESS LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AMENDMENT OF CONDITIONS OTHERINSURANCE PRIMARY AND NON-CONTRIBUTING This endorsement modifies insurance provided under the following: COMMERCIAL EXCESS LIABILITY COVERAGE PART SCHEDULE When required by written contract executed before the 'loss." A. Section IV - Conditions, 9. Other Insurance is deleted and replaced by the following: 9. This insurance is excess over any other insurance available to the insured except: a. insurance that is purchased specifically to apply in excess of this policy; or b. insurance available to the person or organization shown in the Schedule of this endorsement as an additional insured on the 'controlling underlying insurance." When this Insurance applies on a primary and non-contributing basis, the Limits of Insurance available for the additional insured will be the lesser of: 1. the amounts shown in item 3 of the Declarations of this policy; or 2. the amount of insurance you are required to provide the additional insured in the written contract or agreement. All other terms of the policy remain unchanged. NAV-EXC-348A (01/11) Navigators Insurance Company Page 1 of 1 Contains copyrighted material of the Named Insured: Con Metal Contractors, Inc. & Con -Metal Concrete, LLC Policy Number: H023EXC9358631V THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF SUBROGATION SCHEDULE Name of Person or Organization: As required by written contract or agreement. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to SECTION IV - CONDITIONS, 13. Transfer of Rights of Recovery Against Others. We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization. This waiver applies only to the person or organization shown in the Schedule above. All other terms of the policy remain unchanged. NAV-ECD-6012 (01/11) Navigators Insurance Company Page 1 of 1 Contains copyrighted material of the #18 NOTICE OP MEETING 5/01/2024 18.Consider and take necessary action to approve and have the EMS Director sign the ESO "3rd Party Pre -Hospital Integration" agreement, to integrate Pulsara and ESO. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER:' Gary Reese, Commissioner Pct 4 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 15 of 20 7-1-F-.9A CUSTOMER CONTACT BILLING CONTACT Customer Calhoun County EMS (TX) Payor Calhoun County EMS (TX) Name Dustin Jenkins Name ERIKA ROJAS Email dustin.jenkins@calhouncotx.org Email erika.rojas@calhouncotx. org Phone 361-552-1140 Phone (361) 482-9528 Quote Date: 02/28/2024 Customer Name: Calhoun County EMS (TX) Quote#: Q-151603 Quote Expiration Date: 06/30/2024 ESO Account Manager: Wade Estes Address Billing Frequency Initial Term End Date 216 East Mahan Port Lavaca TX. 77979 Annual 12-31-2024 3rd Party Pre -Hospital Integration 3750 Incidents $395.00 Recurring Annual Recurring Fees $ 395.00 One -Time Fees $ 0.00 TOTAL FEES $ 395.00 For EHR, the following payment terms apply: . Fees are invoiced at the Billing Frequency 15 days after the Effective Date, with recurring fees due on the anniversary. Quote Date: 02/28/2024 Customer Name: Calhoun County EMS JX) Quote #: Q-151603 Quote Expiration Date: 06/30/2024 ESO Account Manager: Wade Estes TERMS AND CONDITIONS: 1. If the Customer indicated above has an ESO Master Subscription and License Agreement (MSLA) dated on or after February 20, 2017, then that MSLA will govern this Quote. Otherwise, Customer intends and agrees that this Quote adopts and incorporates the terms and conditions of the ESA and associated HIPAA business associate agreement hosted at the following web address, and that the products and services ordered above are subject thereto: https://www.eso.com/legal-terms/ 2. The Effective Date of this Quote shall be the date of Customer's signature 3. For the Initial Term, Customer shall pay a prorated amount of the Total Annual Recurring Fees based upon the Effective Date. Customer shall pay the Total Annual Recurring Fees (subject to any Fee increases in accordance with the Agreement) thereafter. 4. Customer is responsible for the payment of all Fees shown. ESO will accept Fee payment from a payor (if indicated above) if ESO has an appropriate agreement with the Payor. 5. ESO reserves the right to not accept any Quote signed after the Quote Expiration Date. Calhoun County EMS (TX) Signature: Print Name: �,7-1 'JJ-u S?'i"Y'J i` l"k t^'� Title: D>,geG-r-OR i7f �M &% Date: Quote Date: 02/28/2024 Customer Name: Calhoun County EMS (TX) Quote#: Q-151603 Quote Expiration Date: 06/3072024 ESO Account Manager: Wade Estes DocuSign Envelope ID: 6BFB5EE3-6808.47A7-A6EA-7977B32753E2 e4so Please fill in your contact information below: Name Email Phone Primary Business Contact Invoicing Contact Legal Contact Software Administrator Contact Privacy HIPAA Contact Tax Exempt YES OR NO If YES, return Exempt Certificate with Agreement Purchase Order Required? YES OR NO If YES, return PO with Agreement � Request for Taxpayer Give Form to the Form (Rev.October 2018) Identification Number and Certification requester. Do not Department of the Treasury send to the IRS. Internal Revenue Service ► Go to www,fra.govitFormW9 for instructions and the latest information. 1 Name (as shown on your income tax return). Name is required on this line; do not leave this line blank. ESO Solutions, Inc. 2 Business name/disregarded entity name, if different from above t0 mP 3 Check appropriate box for federal tax classification of the person whose name is entered on line 1. Check only one of the Y 4 Exemptions codes apply only to P ( PP Y Y ro following seven boxes. certain entities, not individuals; see a o ❑ Individual/sole proprietor or 17 C Corporation ❑ S Corporation ❑ Partnership. ❑ Trust/estate instructions on page 3): single -member LLC Exempt payee code (if any) 5 a ❑ Limited liability company. Enter the tax classification (C=C corporation, S-S corporation, P=Partnership)► `0 2 Note: Check the appropriate box in the line above for the tax classification of the single -member owner. Do not check Exemption from FATCA reporting c to LLC if the LLC is classified as a single -member LLC that is disregarded from the owner unless the owner of the LLC is aanother LLC that is not disregarded from the owner for U.S. federal tax purposes. Otherwise, a single -member LLC that f an code if y) u 0 is disregarded from the owner should check the appropriate box for the tax classification of Its owner. �j ❑ Other (see instructions)► (Applies to accounts maintained outside the U.S.) rn 5 Address (number, street, and apt. or suite no.) See instructions. Requester's name and address (optional) N m PO Box 679449 6 City, state, and ZIP code Dallas, TX 75267-9449 7 List account numbers) here (optional) Number Enter your TIN in the appropriate box. The TIN provided must match the name given online 1 to avoid backup withholding. For individuals, this is generally your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN, later. Note: If the account is in more than one name, see the instructions for line 1. Also see What Name and Number To Give the Requester for guidelines on whose number to enter. [tiMMnl©[e "MME Under penalties of perjury, I certify that: 1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and 2. 1 am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and 3. 1 am a U.S. citizen or other U.S. person (defined below); and 4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct. Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions for Part 11, later. �19n Signature of � _ 0 Here U.S. person► 't- , — Date ► 1/5/2023 General Instructions Section references are to the Internal Revenue Code unless otherwise noted. Future developments. For the latest information about developments related to Form W-9 and its instructions, such as legislation enacted after they were published, go to www.irs.gov/FormW9. Purpose of Form An individual or entity (Form W-9 requester) who is required to file an information return with the IRS must obtain your correct taxpayer identification number (TIN) which may be your social security number (SSN), individual taxpayer identification number (ITIN), adoption taxpayer identification number (ATIN), or employer identification number (EIN), to report on an information return the amount paid to you, or other amount reportable on an information return. Examples of information returns include, but are not limited to, the following. • Form 1099-INT (interest earned or paid) • Form 1099-DIV (dividends, including those from stocks or mutual funds) • Form 1099-MISC (various types of income, prizes, awards, or gross proceeds) • Form 1099-B (stock or mutual fund sales and certain other transactions by brokers) • Form 1099-S (proceeds from real estate transactions) • Form 1099-K (merchant card and third party network transactions) • Form 1098 (home mortgage interest), 1098-E (student loan interest), 1098-T (tuition) • Form 1099-C (canceled debt) • Form 1099-A (acquisition or abandonment of secured property) Use Form W-9 only if you are a U.S. person (including a resident alien), to provide your correct TIN. If you do not return Form W-9 to the requester with a TIN, you might be subject to backup withholding. See What is backup withholding, later. Cat. No. 10231X Form W-9 (Rev. 10-2018) CERTIFICATE OF INTERESTED PARTIES FORM 1295 1of1 Complete Nos. 1. 4 and 6 if mere are interested parties. OFFICE USE ONLY Complete Nos. 1, 2, 3, 6, and 6 if there are no Interested parties. CERTIFICATION OF FILING Certificate Number: 2024-1145823 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. ESO Solutions, Inc. Austin, TX United States Date Filed: 04al/2024 2 Name of governmental entity or state agency that is a party to the contract for which a form is being filed, Calhoun County EMS Date Acknowledged: 3 Provide the identification number used by the governmental entity or state agency to track or identify the contract, and provide a description of the services, goods, or other property to be provided under the contract. Q-151603 Pulsara to EHR integration 4 Name of Interested Party City, State, Country (place of business) Nature of Interest (check applicable) Controlling Intermediary 5 Check only it there is NO Interested Party. ❑ X 6 UNSWORN DECLARATION My name is Robert Mudd n and my date of birth is My address is istreffit (city) (state) (zip wool (country) I declare under penalty of periury that the foregoing is true and correct. Executed in Travis County, State of Texas , on the 26th day of 'April , 2024 (month) (year) Signature of authorized agent of contracting business entity (Declarant) vuua Inuwucu by i exas Ethics Commission www.ethics.state.tx.us Version V3.5.1.505027 #19 NOTICE OF MEETING -- 5/01./2024 19. Consider and take necessary action to declare the attached list of items for the Calhoun County Auditor's Office as Surplus Salvage. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Joel Behrens, Commissioner Pct 3 SECONDER: Gary Reese, Commissioner'Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 16 of 20 Debbie Vicke From: demi.cabrera@calhouncotx.org (demi.cabrera) <demi.cabrera@calhouncotx.org> Sent: Thursday, April 25, 2024 10:43 AM To: Debbie.Vickery@calhouncotx.org Cc: candice.villarreal@calhouncotx.org Subject: Agenda Items for May 1, 2024 Attachments: Waste List - 5-1-2024.pdf,, Surplus Salvage 5-1-2024.pdf Good Morning Debbie, Can you please place the following items on the agenda for Commissioners Court on May 1, 2024: Consider and take necessary action to declare the attached list of items for the Calhoun County Auditor's Office as Surplus Salvage Consider and take necessary action to declare the attached list of items for the Calhoun County Auditor's Office as Waste Thank you, ` izmi Cabrun Calhoun County ,08-si6tant Iluditor 361-553-*613 361-553-4614 (fax) Calhoun County Texas Calhoun County, Texas SURPLUS/SALVAGE DECLARATION REQUEST FORM Department Name: Auditors Office Requested By: Candice Villarreal N Inventory Number Description Reason for Surplus/Salvage Serial No. Declaration Brother HL-L6200DW Printer Doesn't print correctly 1 stapler Not needed 3 Phone stands Not needed 1 pencil/pen holder Not needed 2 boxes of fastners Not needed 1 box of ideal clamps Not needed Assorted paper clips Not needed 2 drawer black file cabinet Not needed 1 desk with side shelves Not needed 1 desk Not needed 1 black chair Not needed 2 big monitor stands with keyboard tray Not needed Multiple monitor arms Not needed Metal folder file Not needed All Items have been given to Maintenance for online auction ' NOTICE OF MEETING - 5/01/2024 20.Consider and take necessary action to declare the attached list of items for the Calhoun County Auditor's Office as Waste. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 17 of 20 Debbie Vickery From: demi.cabrera@calhouncotx.org (demi.cabrera) <demi.cabrera@calhouncotx.org> Sent: Thursday, April 25, 2024 10:43 AM To: Debbie.Vickery@calhouncotx.org Cc: candice.villarreal@calhouncotx.org Subject: Agenda Items for May 1, 2024 Attachments: Waste List - 5-1-2024.pdf, Surplus Salvage 5-1-2024.pdf Good Morning Debbie, Can you please place the following items on the agenda for Commissioners Court on May 1, 2024: Consider and take necessary action to declare the attached list of items for the Calhoun County Auditor's Office as Surplus Salvage • Consider and take necessary action to declare the attached list of items for the Calhoun County Auditor's Office as Waste Thank you, 'Dizmi Cabr¢ra Calhoun County ,56i6tant Auditor 361-553-4613 361-553-4614 UaX) Calhoun County Texas Calhoun County, Texas WASTE DECLARATION REQUEST FORM Department Name: Auditors Office Requested By: Candice Villarreal W Inventory Number Description Serial No. Reason for Waste Declaration I keyboard with mouse Does not work 1 keyboard Does not work 1 extra mouse Does not work #21 ' NOTICE OF MEETING — 5/01/2024 21. Accept Monthly Reports from the following County Offices: I. District Clerk — March 2024 RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 18 of 20 * Treasurer Receipt Numbers: F2024MAR005, 013,025,036 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS COURT NAME: DISTRICT CLERK MONTH OF REPORT: MARCH YEAR OF REPORT: 2024 ACCOUNT NUMBER ACCOUNT NAME DEBIT CREDIT 1000-001-44190 SHERIFF'S SERVICE FEES $2,491.47 1000-001-44140 JURY FEES $209.80 1000-00144045 RESTITUTION FEE $0.00 1000-001-44020 DISTRICT ATTORNEY FEES $0.00 1000-00149010 REBATES -PREVIOUS EXPENSE $3.15 1000-00149030 REBATES-ATTORNEY'S FEES $606.16 1000-001-44058 DISTRICT CLERK ELECTRONIC FILING FEES $0.00 1000-001-44322 TIME PAYMENT REIMBURSEMENT FEES $54.69 1000-00143049 STATE REIMB- TITLE IV-D COURT COSTS $0.00 DISTRICT CLERK FEES CERTIFIED COPIES $986.60 CRIMINAL COURT $6.68 CIVIL COURT $3,058.91 STENOGRAPHER $474.50 CIV FEES DIFF $0.00 1000-00144050 DISTRICT CLERK FEES $4,526.69 1000-999-20771 FAMILY VIOLENCE FINE $0.00 1000-999-10010 CASH -AVAILABLE $7,891.96 2706-00144055 FAMILY PROTECTION FEE $0.00 2706-999-10010 CASH - AVAILABLE $0.00 2740-001-45055 FINES - DISTRICT COURT $496.48 2740-999-10010 CASH - AVAILABLE $496:48 2620-001-44055 APPELLATE JUDICIAL SYSTEM $94.90 2620-999-10010 CASH - AVAILABLE $94.90 2648-001-44055 COURT FACILITY FEE FUND $379.60 2648-999-10010 CASH -AVAILABLE $379.60 2670-001-44055 COURTHOUSE SECURITY $385.51 2670-999-10010 CASH - AVAILABLE $385.51 2673-00144055 CRT RECS PRESERVATION FUND- CO $10.00 2673-999-10010 CASH - AVAILABLE $10.00 2725-001-44055 LANGUAGE ACCESS FUND $56.94 2725-999-10010 CASH - AVAILABLE $56.94 2739-00144055 RECORD MGMT/PRSV FUND - CLERK $566.46 2739-999-10010 CASH - AVAILABLE $566.46 2737-00144055 RECORD MGMT/PRSV FUND -DIST CLRK $10.43 2737-999-10010 CASH - AVAILABLE $10.43 2731-00144055 LAW LIBRARY $664.30 2731-999-10010 CASH - AVAILABLE $664.30 2663-00144050 CO & DIST CRT TECHNOLOGY FUND $0.67 2663-999-10010 CASH - AVAILABL $0.67 7040-999-20740 BREATH ALCOHOL TESTING - STATE $0.00 7040-999-10010 CASH -AVAILABLE $0.00 2667-00144055 CO CHILD ABUSE PREVENTION FUND $1.45 2667-999-10010 CASH - AVAILABLE $1.45 7502-999-20740 JUDICIAL & COURT PERSONNEL TRAINING FUND -STATE $0.00 7502-999-10010 CASH-AVAILABE $0.00 7383-999-20610 DNA TESTING FEE - County $0.40 7383-999-20740 DNA TESTING FEE - STATE $3.65 7383-999-10010 CASH - AVAILABLE $4.05 7405-999-20610 EMS TRAUMA FUND - COUNTY $14.25 7405-999-20740 EMS TRAUMA FUND - STATE $128.25 7405-999-10010 CASH - AVAILABLE $142.50 7070-999-20610 CONSOL. COURT COSTS - COUNTY $0.21 7070-999-20740 CONSOL. COURT COSTS - STATE $1.90 7070-999-10010 CASH - AVAILABLE $2.11 7072-999-20610 STATE CONSOL. COURT COSTS- COUNTY $68.73 7072-999-20740 STATE CONSOL. COURT COSTS- STATE $618.58 7072-999-10010 CASH- AVAILABLE $687.31 2698-001-44030-010 DRUG CRT PROG FEE - COUNTY (PROGRAM) $1.08 2698-999-10010-010 CASH -AVAILABLE $1.08 7390-999-20610-999 DRUG COURT PROG FEE - COUNTY (SVC FEE) $0.22 7390-999-20740-999 DRUG COURT PROG FEE - STATE $0.86 7390-999-10010-999 CASH -AVAILABLE $1.08 7865-999-20610-999 CRIM - SUPP OF IND LEGAL SVCS - COUNTY $0.00 7865-999-20740-999 CRIM - SUPP OF IND LEGAL SVCS - STATE $0.01 7865-999-10010-999 CASH - AVAILABLE $0.01 7760-999-20790-010 CRIM - DUE TO STATE - NONDISCLOSURE FEE $0.00 7760-999-10010-010 CRIM - DUE TO STATE - NONDISCLOSURE FEE $0.00 7950-999-20610 TIME PAYMENT - COUNTY $0.35 7950-999-20740 TIME PAYMENT - STATE $0.35 7950-999-10010 CASH - AVAILABLE $0.70 7505-999-20610 JUDICIAL SUPPORT -GRIM - COUNTY $0.01 7505-999-20740 JUDICIAL SUPPORT -GRIM - STATE $0.07 7505-999-10010 CASH -AVAILABLE $0.08 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 $0.26 7857-999-20740 JURY REIMBURSEMENT FUND- STATE $2.29 7857-999-10010 CASH -AVAILABLE $2.55 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 $0.80 CASH - AVAILABLE $30.80 000-001-44050 DISTRICT CLERK FEES $148.62 000-999-10010 CASH - AVAILABLE $148.62 739-001-44055 RECORD MGMT/PRSV FUND - COUNTY $92.89 739-999-10010 CASH -AVAILABLE $92.89 669-001-44050 COUNTY JURY FUND $3.72 669-999-10010 CASH - AVAILABLE $3.72 670-001-44055 COURTHOUSE SECURITY $37.15 670-999-10010 CASH - AVAILABLE $37.15 663-001-44050 CO & DIST CRT TECHNOLOGY FUND $14.86 663-999-10010 CASH - AVAILABLE $14.86 676-001-44050 COUNTY SPECIALTY COURT FUND $92.89 676-999-10010 CASH - AVAILABLE $92.89 TOTAL: $390.12 1 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 $49.00 7855-999-20658-010 DIST CRT -OTHER THAN DIVORCE/FAMILY LAW - COUNTY $1.00 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 60.00 2677-001-44050-999 COUNTY DISPUTE RESOLUTION FUND $284.70 2677-999-10010-999 CASH - AVAILABLE $284.70 7858-999-20740-999 DIST CLK - DUE TO STATE CONSOLIDATED FEE 2022 $1,045.36 7858-999-10010-999 CASH AVAILABLE $1,045.36 TOTAL (Dlstrib Req to Oper Acct) $13,643.27 $13,253.15 DUE TO OTHERS (Distrih Req(s) attached) ATTORNEY GENERAL (RESTITUTION) 0.00 OUT -OF -COUNTY SERVICE FEES 980.00 REFUND OF OVERPAYMENTS 80.00 DUE TO OTHERS 121.50 TOTAL DUE TO OTHERS $1,181.50 REPORT TOTAL - ALL FUNDS 14,434.65 PLUS AMT OF RETURNED CKS 0.00 LESS: TOTAL TREASURER'S RECEIPTS (14,434.65) Revised 04/03/23 OVER / (SHORT) $0.00 DISTRICT COURT STATE COURT COSTS REPORT SECTION I: REPORT FOR OFFENSES COMMITTED 01/1/20 - Present 01 /01 /04 - 12/31119 09/01/01 - 12131/03 09/01 /99 - 08/31 /01 09/01 /97 - 08/31/99- 09/01/95-08/31/97 09/01/91 - 08/31/95 COLLECTED $1.75 r'7, `"s%' MARCH COUNTY 68.73 0.18 0.04 - - MARCH 2024 STATE 618.58 1.57 0.32 - - - TOTALS $689.42 68.95 620.47 BAIL BONDS FEES DNA TESTING FEES 4.05 0.41 3.65 EMS TRAUMA FUND 142.50 14.25 128.25 JUV. PROB. DIVERSION FEES JURY REIMBURSEMENT FEE $2.55 0.26 2.29 INDIGENT DEFENSE FUND $0.01 0.00 $0.01 STATE TRAFFIC FEES $0.00 - $0.00 DRUG CRT PROG FEE $2.16 $1.30 0.86 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 $0.70 0.35 0.35 DRIVING RECORD FEE JUDICIAL SUPPORT FEES $0.08 0.01 0.07 ELECTRONIC FILING FEE - CR $0.80 $0.80 NONDISCLOSURE FEES - CR $0.00 $0.00 TOTAL STATE COURT COSTS $842.27 $ 85.53 $ 756.74 CIVIL FEES REPORT MARCH COLLECTED COUNTY STATE BIRTH CERTIFICATE FEES MARRIAGE LICENSE FEES DECL. OF INFORMAL MARRIAGE ELECTRONIC FILING FEE - CV $30.00 $30.00 NONDISCLOSURE FEES - CV 0 $0.00 $0.00 JUROR DONATIONS JUSTICE CRT. INDIG FILLING FEES STAT PROB CRT INDIG FILING FEES STAT PROB CRT JUDIC FILING FEES STAT CNTY CRT INDIG FILING FEES STAT CNTY CRT JUDIC FILING FEES STAT CNTY CRT -JUDICIAL SUPPORT CONTT CNTY CRT INDIG FILING FEES CNST CNTY CRT JUDIC FILING FEES DIST CRT DIV & FAMILY LAW �0 $0.00 - - DIST CRT OTHER THAN DIV/FAM LAW F 2, $50.00 1.00 49.00 DIST CRT OTHER CIVIL FILINGS 1.,$10.00 0.50 9.50 _. FAMILY PROTECTION FEE JUDICIAL SUPPORT FEE r 1� $42.00 $42.00 JUDICIAL & COURT PERSONNEL TRANING FEE 0 $0.00 - $0.00 2022 STATE CONSOLIDATED FEE 8 $1,045.36 $1,045.36 COUNTY DISPUTE RESOLUTION FUND 284.70 284.70 TOTAL CIVIL FEES REPORT $ 1,462.06 $ 1.50 $ 1,460.56 TOTAL BOTH REPORTS $ 2,304.33 $ 87.03 $ 2,217.30 CALHOUN DISTRIBUTION COUNTY REQUEST 201 West Austin DR# 420 A 45386 PAYEE PAYOR Name: Calhoun County Oper. Acct. Official: Anna kabela Address: Title: District clerk City: State: Zip: Phone: ACCOUNTNUMBER DESCRIPTION AMOUNT 7340-999.20759-999 District Clerk Monthly Collections - Distribution $13,253.15 MARCH 2024 V# 667 TOTALI 13,253.15 Signature of Official // Date # 22 NOTICE OF MEETING — 5J01.%2024 22. Consider and take necessary action on any necessary budget adjustments. (RHM) RESULT: APPROVED [UNANIMOUS] " MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 19 of 20 G a z 2 2 k % § % 7 2 2 z k a C3 §§��k\ 6 )� L\0 ]!) !!o E&DQ k00 ■�,e; §(§§2 k k :k )a :z iz )§ )� )L (§ b ■ B B■®§ ■■ a §\ �0d (\Z it k k LU � k � k 0 z r § � � § :U :z :1Z :L :■ :8 :■� ;■ .12 �§ . �o ;■ �§ :z �§ t :IL �§ ) t % k 0 z ;oUl ° Bo $ )■ / \� ■ ; 0 % to ■ z =) lu \ § z =mE B§0 §§aa B 2.z 000 222 ■,�, mom B I it k k « e @ 2 ; ° B( ) uj 2 §§j �� § § �20 ujE z }cl Sa § lzu §§]e/ % § ■;§ } 22aa 8�-- K § � § § 2we B (( 22 z LLI § to §§& k � ■ � ;LU z §z § $\\ kk 2 e ■ -/ ■ § )\ moo §mo b K ( ;a :z ;z :§ �§ oa °fA e ° §S & o cl 2 §92 ■ a B k ■ k LU 2 k \ � ;a :z ;z �§ .L :§ 0 UZ § § o00 §§§&; §■■�� § B2(§ ��a■ 46 § § §� 00 § � §■ � k z ko § §0 §Eg k.� \� K z ■�& � § �S 2 k L z . g § B �§ § j t [ k % ■ NO §\ « / O Fi V rail nl J F 0 z w f N ww 0 z C Z ❑ {` N z f O W o F ; 4 0 a a: W p w: 4 Q p' oe ro LLI W W ❑ � C 111 7 Z o Q m C m Z Z O z m a wlu W Z19 w ~ D W a Ow G z n la v c 6 C 6 01219 c C9 # 23 NOTICE OF MEETING.- 5/01/2024 23. Approval of bills and oavroll. (RHM) RESULT:,, APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 . SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Adjourned 10:40 Page 20 of 20 N N m ti C d� l0 H N N 0 0 0 0 N H w O H N M M W W N W O m O N m O 0 Q N f O f r C l N H m l M O w O N N N b M W W O N H N H N t0 V O N O O C H W m O C �(1 H H N rl W itl M 1p H C M aaaaaaaaaa a a as m M 4 W F F w � w W W W W w E. -tl W w W w F N w H E) o 0 a a o NNN W xi Pi W NNN w u m app� 0 roi noiM W O U O N w a a a E. W V O aaa > opo .4 O04 Vv"ONNN a O Opf N N N u W w A 0 0 o N N N o o o v v w w NNN 0.� 94 NN N N N N N N a W W �o 0 0 0 10 �O 10 �O 10 N N N N N � A14.F4a a am 000 R000 F F F pEll lU .al.4 W W W a.4.4b 0 0 ]z 0 0 oC a s .4 ot C O o a a a a H 444��a 44�w m m m°a a a awwwaaw.+.. N .+ Hu F a 0 a a D w a a H x u m� 0 H E- z aW ou m r E W 0 WPS E W 4 W W W W H a a F 0 0 a x a a a a F F a a W a a F W WW gCaO u u u UO rU2 U Q U W W W W qu E W N 4 w Ew wzo>m Q m 4� m ..1 mm cm: m mW o O y 0 y C y C oz o C y m m n n m Chi Czi D yy O y � O O g A p O = J p n 2 ,Q w O y O I n N m n C) a z n y me m N ° 9 "i w O O O O O O O O O O O p p p C Cn NN Om ZC nr �x DC rr C b2C �,vr yxC yar y5C 7�r yC pr yxC 'pr 7�. d n pp A �n n �n OEn �n �n 30 'y °x0 0 > GyO yyyp�yn N r r r r O b O P Q Obi q q q P b U N N U P J Co J V J U J U V A V A V O N C b � O• rt ° D �oZC 5 m-+ yZ ;Ja�m AC O l �= p N A mp m A O m o• N N A N Q` P pa b W � b A tPn VPi w U C O w U O O U b ^ W b J 1p U y W b W W O O n n gCo 99c.�c R C0 o 0 m d � R - = a 0 o n my y ,O Cn t~sl T AnA O �0 py rm yK C) m p y� a 0 CCA < O� A Z -n S n >Y o m o p z " m � 0 W P to N to U to In p' P A O Q O r o > a a o 08p n �" Ll O O .'d A A werl ?O o > O rAn O Or m a m > n r m y z m o z 9 z trw > z A o m Y Y y � n O O N N a a W z [� O O O W N W O � O N J N P W U W CO N O V A b 3 Gb N B O N �O A •� J — '� x a A ;N° n aa N Oun °c�myyb3 n°i o I � a yrOw oCt Zm o No>G3' Mw ma �>C�otNK-� Wza ag $>Ca3 x'�3 oyypm PC y9 p3 p$ 3g new E�' EO p yr m� Zy A A w Z t�tl y pyy R N N N N O � N N O VJi W Cu O O O o O w 00 00 00 00 v a OK > O O O O yy yy y m O m O m y mp to- H� Z ,ry 0 n razpe 't 3 rn S B a y HD m n m D m y 4 0 " n w mm C p < m m r n m y m C m H m y > m w o P P P W P P W P to P P P rt N N O O O O n O Oa O O O O 8. r n m n 3m y A Ym 9q Z m m <m n m 3m r D� r o X Dy ? r D yn ay yn X f]H �n 8NG m ssyH F3 rm �3 n 00 n m 3 =t 0 0 m ai-V 8 `° m Z �+ n 0 3 y m�0 r y m 0 a z A c ar A A p O j yN V P N P b A W C Cry y % H Y N O I �% O O Ci (� O P C CO P W N O pN Z U (i w P C pot NA V! oSvt2 NA V! OOp0 ;oN �O Df�/i mG D y00 ca a mr Ob �N y DL rnp C� nQ [qAA A w H AX! m N �-+O i� 0 0 f7 f] p N p A I' AY b G G n G Z Z 0 n my zr n m m S F Vi m 0 O O O A A w W y N O J to w O O O O O O P 91 b A lA P O P O OWi J VAi A W O W P P O O O mm mm m O 3 -zi O `n A O W O P W N J O O yC C y yq� mN y r m m > zr v y y Z Nm �y O y m b m N < C vm,v a < P P P P P P P U U U P qP O O O N N O O O O O O N < a xn xa N z3 3W a ? O y iN y Aa y r m 70� �n 4 Z Z� 2 O 3 o En a9 >En -m7 K m �O O nso C y � z N W L A U U N O V O O C O F P N P p W O b O Ce b F y333 03 03 3 3 a a3 03 a \ J J U N J Cy a .9 N N m �-ri 9 s .� O x� E� - m m e U Oa S P O O O O N U-J y n W O N W U U T Q O A A O O O n 6 O O O o S S o n 00 e mmOm ROm -4Om -qOmj 9 m y y H 0 0 m y w m H m 0 m 3 y ° in y ,Ynj O O m z y O N U AJP N � OPi N H w b w w P J P P A � r 6 rtn J O O .JP O A O A O .JC O N V N b N O J O O p OR. ry w m +� yp ym y OA y 07a OA j A H j� mr ym uZiy A�OmOY v�.s roytr' u>i y� !] �Dy f0A� A wA A0 w{ 0 j0 S yAAOZ� 00 00 {r A° p0 > C h y y w 'vym, O z n y0 yO yD b o iC �O-z7 m � � O r m y O O � -0 J J y P N pA� t-0n N r . _ O N N O• R 3 O A A A J q O A t'i n �n yci a(� mA �n m^°o Zb 03 A m 0 +r O O-n m m �0 Om O 0 0 [ 0y-1 -Gn ndt m >< >m W 0 m � P-0` �O HO w w z J Za tiN m m m yv H= �m m of P 3� a O 'nM. M 0 W 0 W A _ O J J J A J b J A J J U tNn W A U W U O lw O In O O O p O C U IN CO {n O In O O O O O O O p F u N J N y O O O I 16 p O N >y >y y y y r m i m n m 0 O -ni -ni -ni y-o a � � A � O O bin E T r wn mP0 non z� n 3 0� 0 a SO g0 c ZA 0+� m °z v, X °Si U m p U n N a n n O n n 0. be n< n < 9 n na z o� o m n n m Z a A � a oz G r � � r � o o ^ y U v I n 3 e A y - O b q � N A N � orn N m � �o mu w a � J S ° A V a P O to A W U N W m O 51 O O I O I O O 3 3 r rtmOnc me m`c m ^'� mn yw mn yy 7 � m� a < bm bm .om H H y u a x O W b U O W O O A N N N '? or, 0 30 3 3m 3-zi m � z z 0 b a P N A A O o �] zoo tfz9wx tim S nA� m O ASA q A A Oa o s In U Q 30 r� m y wr m nni m m O < m N C O 7� � y U O P P O O N O �z °o" n mm 9 0 m A m y n m n m � J W U p a � VJi O A N ay S °°a� gym. 7 �r zor °k b non a H o� J > C) ° o b y Q, J �' � o O O y = A (� O r H S n a n n Pi R r 6 00 N c z�n o z F9' < H Vi 3 p lOh O_ H IJ A 0 a d N P N U W T zi b W b O O W O W O O O I O O O O O 3 y Y Z C -d v -j a vX �a �C m 3 m n 3 O '� w m n m M y a O z o C N W N W W W W W W W b O T V b b b U U U u Vbi N N V O O O mn ym �x J9 rn 02 xn aC xn n� g n an r n-i oa n'� �w"yyo£o yy r A yD F y rm->3yai 0.2' 0� F m v hr-1 tF"n'n r t'n rCii z< m vmi a o n m � m z �z, J w tbi� w w ^� to O O ee b J T b CO O W O W A p A i W -i� O m m m ti m A y J A U O O N N Oi O O O Vbi N m �c z m ti � zo O m� 0 KO w O N R n rn^ A O O O O O O O O O p O �Z> �mXy`ra- �� r� �n �n n�nn rcni acne a 000 ZO Cnia nm Cnim ny�yi yn ym Cyni ymy ym Z z t'F n n r� rK rK r-c rG rG �< n O zN z zN Zy z� zN zy o m � U VNi lNA U VNi U U I D O b b W W N W W w W y zo N O U U A F A W C n O W O. S O� q N pa U .aCC O Vbi A J T W O U rt� a s N ro N C m C t a D A O� mc O O O O O O yymmmmy p N O O N J N U > O A O O C O pa0 Op a C yO y ao ^ A �ZO n n � n a N a o ° a n o rn- p m n r n m y �i O O O A A A A O N N O O O A A A p C°. ZZ proQ K Ry ony gn on Rn o-n '� '+ �za ym ° ada 0< N O O O O O O O O J ^ A N A N J O N J N J N N N N J N U Ce T 3 n C A y O O O O U O O O O O J O O J O O J O O J O O A T U O N b A S rt '3 ,N„p� Ax ''z rW ry rm r�' r� rm i:,�m W w m 02 o,_ O a O O\ J a °I s n A n 00 y m ao m oo ae ea w _ N CS. O -1 -1 9 0 o O N U U 'mil 1' d N m y N N J W w yq O A Oa oo O O O O C O 0 N N N N N N O O O O O O A w N A in O w J b O O m O C O O O 9 Vl m 3 O N 9 N O m N A OA. n< nt� go 8 $o $o $a 0 3o nCQ CO) o� o nDs na nDa W Z� Z W0 WO 3 rm- m rm- cm- cm- e Re N N N N N G u O b b B A O O o O O A V N w w ma ma mma m m mrmN .` zmbC mNaa mNnu n nnp y� jz)U T'D vD D 9` ;'D 9'D wan n< z ryp N QNQ N N N z P m r N a O b o b N U A O O W N O A N N � J J W N b A Oba 9 A > n A A yy� c 2 9 o o m r 2 m r m a < b z a m ar n m � y N N N W W W W W W yl W r P P U P N U b b b b b b b P U N U N O O O O N O O tbi� N N N N N N O O O O O p n ym y m 3a x> rn 0- 0-1 xn xn xn xn rn x x � n< < H �m y ac az az 02 o? oX �c ac c yc n n o^ �y m m -yop 0O AO =�d m� vmi vy m0 m0 WOO �y�fO -I ryy�.�O yyO �O wn Z w y z� m m-4 KO a o x a a< m m n n n n a < < n n A J J w P P W b U N Nw GO A N N U w w .p � Z O mw mm m rm-m za ma x+ �A m J �' N 3 m mow oo om Ax y� yo e n L] yrn 3 -)a Y m+�°n nw nP A C S' A rn vmiw ya. aO �+ -7 -9pl 9 n ,ma N y O > a 'a ,7a ro ,.AC S $ !" m m 'y n -3 t� Z F m S X --4 z o °z z N 'S to O Q Q O U P Q P P J W A A O O O S lA lbi� O � tJn O� J Vbi b O T tui� b N b ry o n n m 0 PC D A v w Y z 'o a a m a o 0 m n CC C n w D n r m C _A b m C 5 n p� rn a N N N W W w W yUi ywj O a A O N N O O O O ao zo R Q �g m m n n a a a w u C o n S m' a u (� 0 ro3 m D r m � H 9 r ti W W Iwii W tNiv W N N N N O O 0 0 0 0 0 0 °c a= ax >o no cyy ycy o q� moan o a�,ao A x°> Y ran � K z Ay.3 � o � rr_• -Zi '^ � O � { Z M m x x o W a 3 m .� .ao d 3 3 a K O 0� rcni m °z o o 3 n o 0 Oa N N �m W W W W J b W n A yw w x sA -i ,bm 'A n �WJ AF rnA y A F'�,yO .� '�1 F .m 1 aW n A < W J A A A O A 1 A r A x A Z p Wp w p A a nA a a y Hy b OV Or ry yrr n n N W g 2 S r X X av a mmi a J A A P b U v v m AO Q P O n n a A o -e � J O (i n C C n O O y y Z r n D m < n .C, .o m m y O O J J P Q OPi T P a a VPi � � r pT On. o pppppO` 3ob rOmn zn 33na M p 8p 08 0 Z n � Za a o.nm � o00?0 n na ZmZa mm mm r m m m OD n p n0 n n n n y m ~O O -mni z o N N N A N A N W O N O R N O N O N O N N N P N P N P N V U U O N Ca O R U W O U U U U U O U O U O U W J O w V O w J O Of W U N O O I Z O O O Oma A �`A [^A mp IfA Rr1A 11p mp Iri! W mm mA ma [rilA E'er EA aAD.j �7� a�m a WN Oon = bwa 1 -t \ nA nD zS=J N mN i0A 1 71 D ?` ?'a ] yy mm Dw_ n � n — � Oo ae oo W o0 0o A U U U A Z� A p b O O O O O M A U O 6 6 y o O Q N tVA W N O W U O — — m O N o b p T .Np qb N n _ p 0 p O y m9 O S yy m a m w C m c m vi m A J W W W W U N r A -22 D 3 nm r) n9 9n yn< Nn<� D D D z z aA a� O r c mOn m0(j O c c m� CCho y�y o�Z ya ACC3y �3a E o 0 o m m m m m3 O O Xm Z �O Oy mZ� OC= Z O O O 'D �'° b >O DO 'Y y0 m D� o �m mM a aD� mmm nnnn nm �� y e D D o v w u N N JJ a eo w o0 0� o� o� w w w w Ce b U N N 0 0 `o �o w o0 0o w A a z O eQ> SO CmD 00 0 [�*10 LLOrLL0 a0 or, 00 m000 <0000 O w0 y NOy z� ywn J� � "zip V A D_A .; •�_ J W'� � � nA A ` A_ A bA b mn P� Nwb Sn O \� CVDi. BOO Onv� OOO� A y C mE mtn �'° 2FF0 2 3 AN nrQ fa7 o7N N 9 b m D [ Q n n n 5 .rl �� bN nya Ao c bm C m 3� No �O ayy1 Oy n $ m m '�° a m z m 0 C 00 a v y A W m �Vi N r n L1 m � N b b O m a• W N JJp W q U W W J U U O� b b N D\ b b � A ea 74 , ( > k $ § k \ ƒ § 2 \ f i ƒ !2 |§ \ { q e o o R a 'a � Z Z O b b � C b A b b a. m a A w O� zo 5 c 0 O o S O .. a c 9 D � A F � � z T A J o a Ism + n U e �A a0 3o R up9 mgD o' rl m v' z°O A N o A A c�i a o 0 0 0 0 0 _ z z 5 9 'a ran m y A A R � 3 m m c � O e � � n ro e a w J n rn- 0 P I O O n .. o 0 0 'm s 0 0 R 0 e � 'mD S � � 3 H y o � � - R e n -� m r m x O z m m a n m y p r -I a n r N � e A � o 3 z °w F K N I G' M1 m � a zo c � .N.. 3 e m � 9 e ^ A N (� ..] � N T/pl = n_ b O a � N (] 0 -i � u n p a m a w 0 O n v a �o a �o 0 0 0 0 0 0 In 0 0 0 m n p a w y � a r v �' S °` y c � � z ��o z � C y yCO „Z,� O C x�'�1 y > � 0 ryO i A -i w _o N A 5 0 0 9 y 9 '''ypypyp9 v M M 3 � Z p e b N T N Q O� P b b A A _6 O O ! § § 2 \ ) \ r0 q § . \)` § §q!) !!@! § ) § ] ] 2 ] $ �°/ m $ | 7* §]2; , ! & 2 0 a 9 a � 3 zmz e �oY b n mn SO � r O z T N 0 n � O M O m g v y R' yy yy 3 3 � z z m 0 F y D 9 y � 3 3 m M 0 r A d N P N U O O n o o '- QS 9 and '3 5 3 z z H H N I C�i P r Io 7 0 A S N W N W O O A P O O 9 0 kl R O ]e 0 0 p d a m `AYVj O i z z H H a c O n R 3 3 y y 0 e e 5 G O O ° o o y � 3 z H H o � Q e A b b ° n c r m y O � n m z m r Cm Z O 9 D � z z -1 H o � Q � n e o n c r m ..i O n m z m 0 c O O C S m m y 9 _ 9 G N 3 Z Z H H 0 m e P � I W o. I� 0 0 4 ` § 2 § ; : \ � \ }\ \ ) \\ � m § \ . E :\]/ : G ! ) ) } | O Q Q 9 m $ 3 3 m 3 z m z o e � N A o n c r O n m z m 0 o a, r In O p n' n G 0 g o o b M m _° y & 3 3 m m y y y e 2 n C� Z O O n � R � b m rpn 5 N W N W O O O O P o a a 9 c o R P y � y y o. r c �o 6 0 a 0 0 � o o p o a ^ 3 m m 3 � y 0 R P N N w w rn o. ^ O �O O o a m ro o A m � R 3 � z z -7 -i e d b b G' A O A O O O �D Q V T O O O w bbf O ' y b �y�I a b b O m c ! z ! { - ; 2 z � 2 § �( ) _ / q ` \ 2 0 ) \ ■ . \ - 10 � ��) � } \)j ):. f ]0c2 ) ` 4 § 2 |/ ( ®( ( ( @ \ 600 000 §EK° E - #§ )/ » » ® & , MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR --May 1, 2024 TOTALS TO BE APPROVED -TRANSFERRED FROM ATTACHED PAGES TOTAL PAYABLES, PAYROLL AND ELECTRONIC BANK .PAYMENTS TOTAL TRANSFERS BETWEENFUNDS TOTAL NURSING HOME: UPI. EXPENSES TOTAL INTER -GOVERNMENT TRANSFERS 328,439.29 $. 20,592.67 $ 1,147,328.95 ✓ GRAND TOTAL DISBURSEMENTS APPROVED May 1, 2024 $ 1,496,360.91 MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR ---May 1, 2024 PAYABLES AND PAYROLL 4/25/2024 Weekly Payahles 224,413.66 4/25/2024 Patient Refunds 1,456.60 4/29/2024 McKesson-340B Prescription Expense 8,444.11 4/29/2024 Amerisource Bergen3408 Prescription Expense 530.56 Prosperity Electronic Bank Payments 4/29/2024 90 Degree Benefits - employee insurance claims 22,041.67 4/22.4/26/2024-Pay Plus -Patient Claims Processing Fee 1,296.13 5/1/2024 HPHG- health insurance claim payments 69,685.87 4/26/2024 ExpertPay- child support 570.69 TOTAL PAYABLES, PAYROLL AND ELECTRONIC BANK PAYMENTS $ 328,439.29 TRANSFER BETWEEN FUNDS FROM MMC TO NURSING HOMES. 4/25/2024 MMC Operating to Broadmoor-correction of nursing home payment deposited into MMC Operating 2,244.00 4/25/2024 MMC Operating to Golden Creek Healthcare -correction of nursing home insurance payment deposited Into MMC Operating in error 13,162.83. 4/25/2024 MMC Operating to Bethany -correction of nursing home Insurance payment deposited into MMC Operating in error 5,285.94 TOTAL TRANSFERS BETWEEN FUNDS $ 20,592.67 NURSING HOME UPL EXPENSES 4/29/2024 Nursing Home UPL-Cantex Transfer 541,420.97 4/29/2024 Nursing Home UPL-Nexion Transfer 22,152.06 4/29/2024 Nursing Home UPL-HMG Transfer 65,044.38 4/29/2024 Nursing Home UPL-Tuscany Transfer 380,407.73 4/29/2024 Nursing Home UPL-HSL Transfer 138,303.81 TOTAL NURSING HOME UPL EXPENSES $ 1,147,328.95 TOTAL INTER -GOVERNMENT TRANSFERS $ GRAND TOTAL DISBURSEMENTS APPROVED May 1, 2024 $ 1,496,360.91 4/25/24, 12:50 PM HAGPIVIIIOAYTH@ tmp_,cw5report7809215902202607305.html CsOt1NTY AuLIMOM ON 04/25/2024 APR 2 p 2024 MEMORIAL MEDICAL CENTER 0 12:50 AP Open Invoice List ap_openJnvoice,template Due Dates Through: 05/17/2024 Vendor# Vendor Name UA6NOUN UOUN`FY, fAM9 class Pay Code 11066 ACR Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 04942024 04125/202 04/24/202 05/01/202 2,700.00 0.00 0.00 2,700.00 ACR. MAMMO ACCRED Vendor Totals: Number Name Gross Discount No -Pay Net 11066 ACR 2,700.00 0.00 0.00 2,700.00 Vendor# /Vendor Nama Class Pay Cade R1200 J ADT COMMERCIAL Invoice# Comment Tran Ot Inv Ot Due 01 Check Dt Pay Gross Discount No -Pay Net J 154485515 04/241202 041021202 04127/202 53.61 0.00 0.00 53.61 FIRE MONITORING V i (;, !!> N % \ '- Li / 30 2L4 J Vendor Totals: Number Name Gross Discount No -Pay Net 81200 ACT COMMERCIAL 53.61 0.00 0100 53.61 Vendor# Vendor Name Class Pay Code J Al 360 AMERISOURCEBERGEN DRUG CORP w Invoke# Comment Tran Ot Inv Dt Due Dt Check Ot Pay Gross Discount No -Pay Net .i 3171430652 04/241202 04114/202 04/201202 867.00 0.00 0.00 867.00 INVENTORY j 31722B1203 04124JR0204/22/20204128/202 38.90 0.00 0,00 38.90 INVENTORY Vendor Totals: Number Name Gross Discount No -Pay Not A1360 AMERISOURCEBERGEN DRUG CORP 905.90 0.00 0.00 905.90 Vendor# Vendor Name Class Pay Code 12800 f AUTHORITYRX Invoice# Comment Tran Dt Inv DI Due Dt Check Dt Pay Gross Discount No -Pay Net J 7000050571 04/25120204/09/20204/10/202 7,810.68 0:00 0.00 7,810.68 340E Vendor Totals: Number Name Gross. Discount No -Pay Net 12800 AUTHORITYRX 7,810.68 0.00 0.00 7,810.68 Vendor#! Vendor Name Class Pay Code 81220%/ BECKMAN COULTER INC M Invoice# Comment Tran Dt Inv Dt Due Dt Check Ot Pay Gross Discount No -Pay Net J111179663 04/01/202031OW0203126=2 .2,108.27 0.00 0.00 2,108,27 SUPPLIES .� 111239603 04/17/202 0410PJ202 041271202 1,834.22 0.00 0.00 1,834.22 SUPPLIES 111237422 04/24/20204/02/20204/27/202 1.473.24 0100 0.00 1,473.24 SUPPLIES J 111246602 04/24/20204105/20204/30/202 4,470.76 0,00 0.00 4,470,76✓ CONTRACT .l 7359643 04/241202 04105/202 04130/202 7,357.15 0.00 0.00 7.357.15 -1 SUPPLIES J 5487232 04124/20204113120205/0B/202 5.016.58 0.00 0.00 5,016,58 MAINT CONTRACT J 111261603 041241202 041151202 051101202 1.288.45 0.00 0.00 1,288.45 J CONTRACT Vendor Totals: Number Name Gross Discount No -Pay Net B1220 BECKMAN COULTER INC 23,548.67 0100 0.00 23,548.67 Vendor# /Vendor Name Class Pay Code 13892 Y BLUE CROSS BLUE SHIELD REFUND Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 81e:11/C:/Userslltrevino/cpsilmemmed.cpsinet.com/u88125/data_51tmp_ ew5report7809215902202607305.html 1H7 4/25124, 12:60 PM tmp_cw5report7809215902202607305.html J257588 04/23/202 04/011202 05101/202 68.34 0.00 0.00 68.34 Vendor Totals: Number Name Gross Discount No -Pay Net 13892 BLUE CROSS BLUE SHIELD REFUND 68.34 Oleo 0.00 68.34 Vendor# /Vendor Name Class Pay Code d B1655 BOSTON SCIENTIFIC CORPORATION M / Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 998331967 041241202 04/10/202 04/24/202 397.00 0.00 0:00 397.00 SUPPLIES J Vendor Totals: Number Name Gross Discount No -Pay Net B1655 BOSTON SCIENTIFIC CORPORATION 397.00 Oleo 0.00 397.00 Vendor#/Vendor Name Class Pay Code 11224 J CABLES AND SENSORS Invoice# Comment Tran Dt Inv Ot Due Dt Check Dt Pay Gross Discount NoaPay Net J 168409 04/24/202041161202051161202 230,00 oleo 0.00 230.00 SUPPLIES Vendor Totals: Number. Name Gross. Discount No -Pay Net 11224 CABLES AND SENSORS 230.00 0.00 0.00 230.00 Vendor# Vendor Name Class Pay Code C1325J CARDINAL HEALTH 414, INC. W Invoice# Comment Tran Ot Inv Dt Due Dt Check Ot Pay Gross Discount No -Pay Net .� 8003488610 04/24/202 04/13/202 05108/202 156.47 0.00 0.00 155.47 SUPPLIES Vendor Totals: Number Name Grass Discount No -Pay Net C1325 CARDINAL HEALTH 414, INC. 155.47 0,00 0.00 155,47 Vendor#/Vendor Name Class Pay Code 14260 + CAREFUSION SOLUTIONS, LLC Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Grass Discount No -Pay Net 1002250334.6 04124/202 03113/202 04/131202 2.00 0.00 0.00 2.00 MAINT 1 J 1002260333-8 04124/202 03113/202 04113/202 1.,788.00 0.00 0.00 1,788.00 MAINT Vendor Totals: Number Name Gross Discount No -Pay Net 14260 CAREFUSION SOLUTIONS, LLC 1,700.00 0,00 0.00 1,790.00 Vendor# Vendor Name Class Pay Code C1992 J/ COW GOVERNMENT, INC. M Invoice# Comment Tran Ot Inv Dt Due Ot Check Dt Pay Gross Discount No -Pay Net J QM56459 041171202 04/02/202 05102/202 1,926.66 0.00 oleo / 1,928.66`/ SUPPLIES I PP95056 04/241202 02IW202 03115/202 306.55 0.00 0.00 306.55 ./ SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net C1992 COW GOVERNMENT, INC. 2,233.21 0.00 0,00 2,233.21 Vendor# Vendor Name Class Pay Code 12768 CHEMAQUA Invoice# Comment Tran Dt Inv Dt Due Dt :Check Dt Pay Gross Discount No -Pay Net 8645222 04/24/202 04/10/202 04/20/202 593.69 0.00 0,00 593,69 WATER TREATMENT / ✓ Vendor Totals: Number Name Gross Discount No -Pay Net 12788 CHEMAQUA 593,69 0.00 oleo 593.69 Vendor# r Vendor Name Class Pay Code 15412 /- Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 270503 04/231202.04/02/202 40,00 0.00 0.00 40.00 REFUND Vendor Totals: Number Name Grass Discount No -Pay Net file:tt/C:/Usera/Ilrevino/cpsi/memmed.cpsinet.com/u881251data 5/tmp_cw5report7809215902202607305,html 2111 4125/24, 12:50 PM tmp_cw5report7809215902202607305.html 15412 40.00 0.00 0.00 40.00 Vendor# Vendor Name Class Pay Code C1730 ✓ CITY OF PORT LAVACA W Invoice# Comment Tran Ot Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net .� 041524 04/241202 04115/202 05/061202 93.51 0.00 0.00 93.51 WATER /041524A 04/24/20204/15120205/06/202 397.49 0.00 0100 397,49 WATER 041524E 0412420204116/20205/06/202 2,897.03 0.00 0.00 2,897.03 ✓ WATER 041524C 04/24/20204/15120205106/202 76.01 0.00 0.00 76.01 WATER Vendar Totals; Number Name Gross Discount No -Pay Net C1730 CITY OF PORT LAVACA 3,464.04 0.00 0.00 3,464.04 Vendor# Vendor Name Class Pay Code 15116 ✓ COMPUGROUP MEDICAL - EMDS INC, Invoice# Comment Tran Ot Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 9090056765 04/24/20204119/20205MI1202 4,322.23 0.00 0.00 4,322.23- HOSTING STORAGE j 9090030004 041251202 12106/202 01106/202 257,72 0.00 0.00 257,72 EPOS SETUP J 9090034914 04/25/2021 PJ21120201/21/202 3,408.00 0.00 0.00 3.408.00 ✓ HOSTING 1 9090035104 04/25/2021 PJ21/20201/211202 3,681.20 0.00 0.00 3,581.20 'f HOSTING j 9090039621 04/25/202.01/29/20202/281202 3,785.68 0.00 0,00 .1,785.68 J HOSTING J 9090041258 04/25/202011311202 OPJ281202 76,242'.69 0.00 0.00 76,242.69 ANNUAL MAINT SUPPORT J 9090042534 04/25/20201/31/20202/281202 266.84 0.00 0.00 268.84 EPCS ANNUAL 9090042546 0425/20201/311202 OPJ28/202 515.44 0.00 0.00 515.44 EPOS PROOFING 9090046759 04125120202/27/202031271202 320.60 0.00 0.00 320,60 ANNUAL SUBSCRIPTION 9090052679 04126/202 03/291202 04/29/202 4,500.00 0.00 0.00 4,500.00 TECH FEE ./ 9090057288 04/261202 04/23/202 05/011202 11,308.50 0.00 0.00 11,308.50 HOSTING Vendor Totals: Number Name Gross Discount No -Pay Net 16116 COMPUGROUP MEDICAL -EMDS INC, 10B,510.90 0.00. 0,00 108,510.90 Vendor# Vendor Name Class Pay Code C1970 J CONMED CORPORATION M Invoice# Comment Tran Dt Inv Ot Due Dt Check Dt Pay Gross Discount No -Pay Net J 10542812 04/24/202 04/10/202 04124/202 120.00 0.00 0.00 120.00 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net C1970 CONMEO CORPORATION 120.00 0.00 0.00 120.00 Vendor# Vendor Name Class Pay Code 10646 COVIDIEN Invoice# Comment Tran Dt Inv Ot Due Ot Check Dt Pay Gross Discount No -Pay Net ,r 5871590260 04/241902.04102120204/12/202 444.48 0.00 0.00 444.48 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 10646 COVIDIEN 444.48 0.00 0.00 444'A8 Vendor# Vendor Name Class Pay Code file:l//C:/UsersAtrevino/cpsi/memmed.cpsinst.com/u118126/date_5/imp_cw5report7809215902202607305.html 3111 4/26/24, 12:50 PM tmp_cw5report7809215902202607305.html 11368 JCYRACOM LLC Invoice# Comment Tran Dt Inv Dt Due Dt Check Ot Pay Gross Discount ✓2024021264 04/171202 03/31/202 051151202 554.12 0.00 INTERPRETATION Vendor Totals: Number Name Gross Discount 11368- CYRACOM LLC 554,12 0.00 Vendor# Vendor Name Class Pay Code 10368 DEWITT POTH & SON Invoice# Comment Tran Dt Inv Dt Due Dt J 752164.0 Check Ot Pay Gross. Discount 04/24/202 04/10/202 05/051202 347.55 0.00 SUPPLIES ✓ 752497.0 04/24/202 04/12/20205107/202 17680 000 SUPPLIES Vendor Totals: Number Name Gross 10368 DEWITT POTH & SON 524.16 Vendor# /Vendor Name Class Pay Code 14800 ,J DIRECTV ENTERTAINMENT HOLDINGS Invoice# Comment Tran Dt Inv Dt Due Dt Check DI Pay Gross i08886220SX240412 04/24/202 04/12/202 05/01/202 ✓ 489.85 SATELLITE Vendor Totals:. Number Name Gross 14800 DIRECTV ENTERTAINMENT HOLDINGS 489.85 Vendor#/Vendor Name Class Pay Code 11291 J DOWELL PEST CONTROL llnvolcek Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross 27555 04/24/20204/12/20205107/202 50.00 PEST CONTROL-..7.Yir V 1 14/ 1 Vendor Totals: 1I I-q Number Name Gross 11291 DOWELL PEST CONTROL 50.00 Vendor# Vendor Name Class Pay Code F1100-� FEDERAL EXPRESS CORP. W Invoice# Comment Tran Ot Inv Dt Due Dt Check Dt Pay Gross 8.444.64906 04/25/202 03/211202 04/161202 57.28 FREIGHT J 8.452.46361 041251202 03/28/202 04122/202 106.25 FREIGHT J B-459.60507 04/251202 04104/202 04/291202 40,67 FREIGHT 8466-85589 04125/902 04/11/202 05106/202 118.16 FREIGHT J 8-473.96382 04/25/202 04/18/202 0&13/202 62.16 FREIGHT VandorTotals: Number Name Gross F1100 FEDERAL EXPRESS CORP. 374.52 Vendor#. �rendor Name Class Pay Code ✓FISHER F1400 HEALTHCARE M Invoice# Comment Tran DI Inv Dt Due Dt Check Ot Pay Gross 0285577 04101/202 02/28/202 03/24/202 240.55 J8314301 04/01/2021 PJ07/20201/01/202 4,641.43 1345154 0412412020008/202051031202 1,260.36 SUPPLIES / 1345155 04/24/202 04/08/202 05/03/202 853.58 SUPPLIES /1382018 04124/20204/09/20205/041202 52.60 BIe://1C:/Userslltrevino/cpsi/memmed.cpslnet.comlu88125/data 5/tmp_cw5report7809215902202607305.html Discount 0.00 Discount 0.00 Discount 0.00 Discount 0.00 Discount 0.00 Discount 0.00 0.00 0.00 0.00 0.00 Dfscount 0.00 No -Pay 0.00 No -Pay 0.00 No -Pay 0.00 0,00 No -Pay 0.00 No -Pay 0.00 No -Pay 0.00 No -Pay 0.00 No -Pay 0.00 NO -Pay 0.00 0.00 0.00 0.00 0.00 No -Pay 0.00 Net 564.12 J Net 554.12 Net 347.55 17s,fio J Net 624.15 Net 489.85 Net 489.85 Net 50,00 J Net 50.00 Net 57.28 ✓ 106.26 40.67 r 118.16 ✓ 52.16 ✓ Net 374.52 Discount No -Pay Net 0.00 0.00 240.55 ✓ 0.00 0.00 4,641.43 0.00 0.00 1,260.36 ✓ 0.00 0.00 853.58 0.00 0,00 52.60 4111 4/25124. 12.50 PM tmp_cw5report7809215902202607305.himl SUPPLIES VendorTotals: Number Name Gross Discount No -Pay Net F1400 FISHER HEALTHCARE 7,048.52 0.00 0.00 7,048.52 Vendor# Vendor Name Class Pay Code 12636 ./FUSION CLOUD SERVICES, LLC Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Not ✓1020160758 04/24/202 05/161202 05/16/202 875.41 0.00 0.00 875.41 / TELEPHONE Vendor Totals: Number Name Gross Discount No -Pay Net 12636 FUSION CLOUD SERVICES, LLC 875.41 0.00 0.00 875.41 Vendor# Vendor Name Class Pay Code J 12948 GREAT AMERICA FINANCIAL SVCS Invoice# Comment Tran Dt Inv Dt Due Dt Check Ot Pay J3394539BREV Gross Discount No -Pay Net 04/25/20204/281202.05/28@02 401.74 0.00 0.00 401.74 COPIER LEASE Vendor Totals: Number Name Gross Discount No -Pay Net 12248 GREAT AMERICA FINANCIAL SVCS 401.74 0.00 0.00 401.74 Vendor#/ Vendor Name Class Pay Code it984J GUERBET, LLC Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No.Pay Net �) 18747714 041171202 08126/202 041171202 633.50 0.00 0.00 833.50 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 11984 GUERBET, LLC 833.50 0100 0100 633,60 Vendor#/Vendor Name Class Pay Code 01210 J GULF COAST PAPER COMPANY M Invoice# Comment Tran Dt Inv Ot Out Dt Check Dt .Pay Gross Discount No -Pay Net 2524734 04124/202 041161202 05/161202 1,120.15 0.00 0.00 1,120.15 SUPPLIES Vendor Totals: Number Name. Gross Discount NaPay Net G1210 GULF COAST PAPER COMPANY 1,120.15 0.00 0.00 1,120.15 Vendor# /Vendor Name Class Pay Code 10530 J HUMANA Invoice# Comment Tran Dt Inv Ot Due Dt Check Or Pay Gross Discount No�Pay Net / J 265193. 04/23/202 041041202 051041202 65.86 0.00 0.00 65.86 `7 PT RFND A WESTUNG 265808 04123/20204104/20205/04/202 175.31 0.00 0.00 175.31 PT RFNO WGAINES .J 224069 04/23/20204/23120205110/202 479.00 0.00 0.00 479.00 '✓ PT REFUND 0, SALYER Vendor Totals: Number Name Gross Discount No -Pay Net 10530 HUMANA 720.17 0.00 0.00 720,17 Vendor#/Vendor Name Class Pay Code J0150 d J & J HEALTH CARE SYSTEMS, INC Invoice# Comment Tran Ot Inv Dt Due Ot Check Dt Pay J938091588 04/171202 04/111202 05/111202 Gross 3,267.40 Discount 0.00 No -Pay 0.00 Net 3,267,40 SUPPLIES Vendor Totals: Number Name Gross Discount. No -Pay Net J0150 J & J HEALTH CARE SYSTEMS, INC 3,267.40 0.00 0.00 3,267.40 Vendor# Vendor Name class Pay Code J- 15420 Invoice# Comment Tran Dt Inv Dt DueDt CheokDt Pay Gross Discount No -Pay Net 041124 04/23/202 04/11/202 05/11/202 240.00 0.00 0100 240.00 PT REFUND Vendor Totals: Number Name. Gross Discount No -Pay Not 15420 240.00 0.00 0.00 240.00 file:///C:/Users/itrevina/cpsl/mommed.opsinst.com/u88l251data_5/tmp_pw5report7809215902202607305.himl 5/11 4125124. 12:50 PM Imp_cw5report78O9215902202607305.html Vendor# Vendor Name Class Pay Code K0530 ✓ KCI USA M Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount 32544656 04/24/20204/10120204/24J202 622.86 0.00 SUPPLIES 32552851 04/24/20204/15/20205/15/202 386.27 0.00 SUPPLIES �32551627 04/241202 04/15/202 05/15/202 336.27 0.00 SUPPLIES Vendor Totals: Number Name Gross K0530 KCI USA 1,295.39 Vendor#/ Vendor Name Class Pay Code D1710J KEEP-U-NEAT CLEANERS w / Invoice# Comment Tran Dt Inv Dt Due Dt Check DI Pay Gross f 040124 04124/202 04101/202 05/011202 1,975.00 LAUNDRY Vendor Totals: Number Name Gross D1710 KEEP-U-NEAT CLEANERS 1,975.00 Vendor# /Vendor Name Class Pay Code 14432 �/ LGC CLINICAL DIAGNOSTICS, INC. Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross J 90262802 04124/202 04/031202 04/241202 1,680.00 SUPPLIES Vendor Totals; Number Name Gross 14432 LGC CLINICAL DIAGNOSTICS, INC. 1,680.00 Vendor# Vendor Name Class Pay Code 15408 . Invoice# Comment Tran Dt Inv Dt Due Ot Check Dt Pay J273622 Gross 04/23/20204/03/20205/03/202 120.00 PT RFND Vendor Totals: Number Name Gross 15408 120.00 Vendor# Vendor Name Class Pay Code 10972 J MG TRUST Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross J 042224 04/241202 04/22/202 05/01 f202 1,140,86 PAYROLLDEDUCT Vendor Totals; Number Name Gross 10972 M G TRUST 1,140.86 Vendor#/Vendor Name Class Pay Code 15416 ✓- Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross ,/267709 041231202 03127/202 04127/202 120.00 REFUND Vendor Totals: Number Name Gross 15416 120.00 Vendor#� Vendor Name Class Pay Code M2178 MCKESSON MEDICAL SURGICAL INC Invoice# Comment Tran Dt Inv Dt. Due Dt Check Dt Pay Gross / J 21585303 04/01/202 01/16/202 01/311202 95.07 SUPPLIES 21961370 04117/202 04/111202 04/26t202 355.45 SUPPLIES f 21964208 04/17/202 041151202 04/301202 1,913.14 SUPPLIES �21973424 04124/202 04/131202 04/28/202 870,79 Sle:///C:/Userslltrevino/cpstlmemmed.cpainst.com/u88125/data 5/tmp_cw5report7809215902202607305.html Discount 0.00 No -Pay 0.00 0.00 0.00 No -Pay 0.00 Net 622.85 v/ 336.27 336.27 ✓ Net 1,295,39 Discount No -Pay Net 0.00 0.00 1,975.00 J Discount No -Pay Net 0.00 0.00 1,975.00 Discount No -Pay Net 0.00 0.00 1.680.00 Discount No -Pay Net 0.00. 0.00 1,680.00 Discount 0.00 Discount 0,00 Discount 0.00 Discount 0.00 Discount 0.00 Discount 0.00 No -Pay 0.00 No -Pay 0,00 No -Pay 0.00 No -Pay 0.00 No -Pay 0.00 No -Pay 0.00 Net 120.00 J Net 120.00 Net 1,140,86 Not 1,140.86 Not 120.00 Net 120,00 Discount No -Pay Net 0.00 0.00 95.07 0.00 0.00 355.45 0.00 0.00 1,913.14 f 0.00 0.00 870.79 6/11 4125124. 12:50 PM tmp_cw5repon7809215902202607305.html SUPPLIES J 21990813 04/241202 04/17/202 05/02/202 103.42. 0.00 0.00 103.42 V' SUPPLIES 21989918 04/24/202 04/17/202 05102/202 143.21 D.00 0.00 143.21 SUPPLIES ,21989917 04/24/20204/17120205/02/202 46.83 0.00 0.00 46.83 ✓ SUPPLIES J22000432 04124/20204119/20205/04/202 66.02 0.00 0.00 66,02 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net M2178 MCKESSON MEDICAL SURGICAL INC 3,593.93 0.00 0.00 3,693.93 Vendor Vendor Name Class. Pay Cade M2470 MEDLINE INDUSTRIES INC M Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Grass Discount No -Pay Net 2315349342 04117/20204/16/20205/11/202 28.70 0.00 0.00 28,70 SUPPLIES 2315349341 04/17/20204/16/20205/11/202 105,14 0.00 0.00 105,14 SUPPLIES / -/ 2315498635 04/24/202 04/17/202 051121202 2,472.08 0.00 0.00 2,472.08 SUPPLIES / J 2315498633 04/24/20204117/202051121202 248,65 0.00 0.00 248.65 SUPPLIES / J 2315498532 04/24120204/17120205/121202 40.50 0.00 0.00 40.50 SUPPLIES J 2315498631 04/241202.04/17/20205/1 PJ202 6.62 0.00 0.00 5.62 SUPPLIES f 2315490630 04/24120204/17120205/12/202 5.62 0.00 0.00 5,62 SUPPLIES 2315498629 04/24/202 04/17/202 05/121202 2,106.57 0.00 0.00 2.106.57 SUPPLIES f 2316498634 04/24/20204/171202051121202 530.61 0.00 0.00 630.51 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net M2470 MEDLINE INDUSTRIES INC 5.843.39 0.00 0.00 5,543.39 Vendor#J/ 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 J 042224 041241202 04/221202 05/011202 50.00 0.00 0.00 50.00 PAYROLLDEDUCT Vendor Totals: Number Name Gross Discount No -Pay Net 10963 MEMORIAL MEDICAL CLINIC 50.00 0.00 0,00 50.00 Vendor# Vendor Name Class Pay Cade 15428 J MERITAIN HEALTH Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 266404 04123/202 04/151202 05/15/202 63.12 0.00 0.00 63.12 PT REFUND E HERNANDEZ 1266453 04/23120204/15/202051151202 63.12 0.00 0.00 63.12 PT REFUND E HERNANDEZ Vendor Totals: Number Name Gross Discount No -Pay Net 15428 MERITAIN HEALTH 126.24 0.00 0.00 126.24 Vendor# /Vendor Name Class Pay Code M2621I/ MMC AUXILIARY GIFT SHOP w Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 041824 04/24/202 04/181202 05/011202 103,16 0.00 0.00 103.16 .f PAYROLLDEDUCT Vendor Totals: Number Name Grass Discount No -Pay Net file:/l/C:/UsersBtrevinolcpsi/memmed.cpsinet.cam/u88125/data_6/tmp_cw5report7809215902202607305.html 7111 4/25/24, '12:50 PM tmp_cw5report7809215902202607305.html M2621 MMC AUXILIARY GIFT SHOP 103.16 0.00 Vendor# Vendor Name Class Pay Code 10536 MORRIS $ DICKSON CO, LLD 0.00 103.16 Invoice# Comment Tran Dt Inv Dt Due Dt Chock Dt Pay Gross Discount No -Pay J 1882037 04/241202 04/16/202 04/261202 375.43 0,00 0.00 INVENTORY J1882036 04/241202 04/16/202 04/26/202 670.61 0.00 0.00 INVENTORY -� 1892611 04124/202 04118/202 04/28/202 642.43 0.00 0.00 INVENTORY J1891011 04124/202 04/18/202 04/28/202 819.30 0.00 0.00 INVENTORY J 1892610 041241202 04/18/202 04/281202 323.79 0.00 0.00 INVENTORY J1899725 04/24/202 04121/202 051011202 31114 0.00 0.00 INVENTORY ✓1899724 04/24/202 04/211202 05101/202 7.49 0.00 0.00 INVENTORY 1898388 04/24/20204/21120205/01/202 668.23 0.00 0.00 INVENTORY 1699726 041241202 041211202 051011202 970.54 0.00 0.00 INVENTORY f 1898386 04124120204/211202.05101/202. 286,22 0.00 0.00 INVENTORY -� 1902325 04124120204122/20205/02/202 218.31 0.00 0.00 / INVENTORY 1905486 04/241202 04122t202 05/021202 85.50 0.00 0.00 INVENTORY f CM20092 04/241202 04/22t202 05/02/202 -34,47 0.00 0,00 CREDIT 1 1906487 04124/20204/22/20205/021202 276.87 0.00 0.00 INVENTORY Vendor Totals: Number Name Grass .Discount No -Pay 10536 MORRIS & DICKSON CO, LLC 5,621.99 0.00 0.00 Vendor# Vendor Name Class Pay Code I J M2659 MXR IMAGING, INC M Invoice# Comment Tran Dt Inv Dt Due DI Check Dt Pay Gross Discount No -Pay J 880113725& 04/241202 04116/202 05/16/202 253.51 0.00 0.00 SUPPLIES VendorTotals:Number Name .Gross Discount No -Pay M2659 MXR IMAGING, INC 253.51 0.00 0.00 Vendor#r Vendor Name Class Pay Code 12388 ,/ NATIONAL FARM LIFE INSURANCE Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay J4197989. 04/241202 041151202 05/011202 2,672.04 0.00 0.00 INSURANCE Vendor Totals: Number Name Gross Discount No -Pay 12388 NATIONAL FARM LIFE INSURANCE 2,672.04 0.00 0.00 Vendort/ Vendor Name Class Pay Code 1$624 NEXION HEALTH AT NAVASOTA INC Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay J Gross Discount No -Pay TELEMED-20240202 04124120204/14/20208101/202 1,aouo 0.00 0.00 TELEMED Vendor Totals: Number Name Gross Discount No -Pay 13624 NEXION HEALTH AT NAVASOTA INC 1,000= 0.00 0.00 Vendor# Vendor Name Class Pay Code 91e:11/C:/Userslltrevino/cpsVmemmed.cpsinet.com/u88125/data 5/tmp pw5repart7809215902202607305.htmt Nei / 375.43 Y 670,61 642,43.'�/ 819,30 J 323,79 311.74 7.49 668.23 970.64 � 286,22-J/ 218,31 85.50 -34.47 / 270.87 t Net 6,621.99 Net 253,51 Net 253.51 Net 2,672.04 V Net 2,672.04 Not 1,000.00 f Net 1,000,00 8111 4126/24, 12:50 PM tmp_cw5repon7809215902202607305.html 10372 J PRECISION DYNAMICS CORP (PDC) Invoice# Comment Tran Dt Inv Ot Due Dt Check Dt Pay Gross Discount No -Pay Net f 935596155 04/24/202 041121202 05/121202 13624 0.00 0.01) 136.24- SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 10372 PRECISION DYNAMICS CORP (PDC) 136.24 0,00 0.00 136.24 Vendor# /Vendor Name Class Pay Code 14060 J RADCCM ASSOCIATES, LLC Invoice#. Comment Tran Ot Inv Ot Due DI J Check Dt Pay Gross Discount No -Pay Net INVO04456 04124120204119120205/19/202 900.00 0.00 0.00 900.00 NUC MED Vendor Totals: Number Name Gross Discount No -Pay Net 14060 RADCOM ASSOCIATES, LLC 900.00 0.00 0.00 900.00 Vendor# /Vendor Name Class Pay Code 11080 RADSOURCE Invoice# Comment Tran Dt Inv Dt Due Dt Check DI Pay Gross Discount No -Pay Net PSIOO1516 04/241202 04/161202 05111/202 1,708.33 0.00 0.00 1,708,33 SAMSUNG GU60A ✓ Vendor Totals: Number Name Gross Discount No -Pay Net 11080 RADSOURCE 1,708,33 0.00 0.00 1,708.33 Vendor Vendor Name Class Pay Code 15264 REPUBLIC PAIN SPECIALISTS JInvoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 26 04/261202 041011202 05/01 t202 14,000,00 0.00 0.00 14,000.00 / ✓ PROCEDURALSERV Vendor Totals: Number Name Gross Discount No -Pay Net 15264 REPUBLIC PAIN SPECIALISTS 14,000.00 0.00 0.00 14.000.00 Vendor#/ Vendor Name Class Pay Cade 11296 1 SOUTH TEXAS BLOOD & TISSUE .CEN Invoice# Comment Tran Dt inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net ,/107039763 04/24/202 04/15/202 05/1 O/202 3,387.00 0.00 0.00 3,387.00 ✓ BLOOD ,( CM12100 04124/20204115/20205/101202 -2,112.00 0.00 0.00 -2,112.00 ✓ BLOOD Vendor Totals: Number Name Gross Discount No -Pay Not 11296 SOUTH TEXAS BLOOD & TISSUE CEN 1,275,DO 0.00 0.00 1,275.00 Vendor Vendor Name Class Pay Code S3940 STERIS CORPORATION M J Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 12274280 041241202 04/10/202 05105/202 447.40 0.00 0.00 447.40"� SUPPLIES 12289372 041241202 04/15/202 05110/202 650.20 0.00 0.00 650.20 ✓ SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 83940 STERIS CORPORATION 1,097.60 0.00 0.00 1,097.60 Vendor#/Vendor Name Class Pay Code 14212 ^� SURGICAL DIRECT SOUTH Involce# Comment Tran Dt Inv Ot Due Dt Check Dt Pay Gross Discount No -Pay Net J 9335 04/24/202 04/231202 05/201202 3.600.00 0.00 0.00 3,600.00 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 14212 SURGICAL DIRECT SOUTH 3,600.00 0.00 0.00 3,600.00 Vendor# Vendor Name Class Pay Code 15012 TASHA NORMAN, FNP Invoice# Comment Tran Ot Inv Dt Due Ot Check Ot Pay Gross Discount No -Pay Net 041624 04124120204116/20205/01 t202 129.00 0.00 0.00 129,00 file:///C:/Userantrevinolepalimemmed..cpsinal.com/uBB125/data 6/Imp_cw5report7809215902202607305.html 9111 4125124. 12:50 PM tmp_cw5repon7809215902202607305.htm1 LINCENSE RENEWAL Vendor Totals: Number Name Gross Discount No -Pay Net 16012 TASHA NORMAN, FNP 129.00 0.00 0.00 129,00 Vendor# Vendor Name V Class Pay Code 15424 Invoice# Comment Tran Dt Inv Dt Due DI Check Dt Pay Gross Discount No -Pay Net 276142 04/231202 04/161202 05/161202 120.00 0.00 0.00 120.00 REFUND Vendor Totals: Number Name Gross Discount No -Pay Net 15424 120.00 0.00 0.00 120:00 Vendor#/ Vendor Name Class Pay Code T0420J TELEFLEX MEDICAL Invoice@ Comment. Tran Dt Inv Dt Due Dt Check 01 Pay Gross Discount No -Pay Net. 9508308478 04/24/202.04/12120204/241202 131.50 0.00 0100 131.50 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net v T0420 TELEFLEX MEDICAL 131.50 0.00 0.00 131.50 Vendor# Vendor Name JTRIOSE, Class Pay Code 13616 INC Invoice# Comment Iran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net TRI160672 04/24120203/28120P 04/10/202 103.87 0.00 0.00 103.87 FREIGHT 0800022163 04/24/202 03/311202 04/15/202 10.12 0.00 0.00 10.121/ FEE FREIGHTf JTR1181254 04/24/202 04/02/202 04/17/202 263.53 0.00 0.00 263.53' V FREIGHT JTRI181949 04/24/202 04109/202 04/24/202 148.54 0.00 0100 148.54 ✓ FREIGHT TRI182608 04/24/20204115120204130/202 86.47 0.00 0,00 86.47 ✓ J FREIGHT TH1183313 0425/20204123/20205/081202 343.06 0.00 0,00 343.00 FREIGHT Vendor Totals: Number. Name Gross. Discount No -Pay Net 13616 TRIOSE, INC 955.59 0.00 0.00 955.59 Verde Vendor Name Class Pay Code 110D1 ULINE Invoioa# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 1176749540 04124/202 0010/202 05/1 W202 1,063.17 0.00 0.00 1,063.17 SUPPLIES r/ Vendor Totals: Number Name Gross Discount No -Pay Net 11001 ULINE 1,063.17- 0.00 0100 1.068.17 VendorVendor Name Class Pay Code U1064 UNIFIRST HOLDINGS INC Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net J2921030186 04/24/202 04M 8/202 05/13/202 2,910.32 0.00 0.00 2,910.32 LAUNDRY 2921030189 0424/20204/18/20205M 31202 282.00 0.00 0.00 282.90 l2921030184 LAUNDRY 0424/20204/1820205113/202 134.52 0.00 0.00 134.52 J2921030188 LAUNDRY 0424/2020018120205M31202 315.80 0.00 0.00 315.80 /2921030190 LAUNDRY 04124/20204/18/20205113/202 311.35 0.00 0.00 311.35 J SUPPLIES 2921030185 0424120204/18/20205/131202 317.91 0.00 0.00 317.91 LAUNNRY file:l//C:/Usersftrevino/cpsUmemmed.cpsinet.comiuBB125/data_5/tmp_cw5report7B09216902202607305.html 10/11 4/26/24. 12:50 PM tmp_cw5report7809215902202607305.html 1/2921030191 04/24/202 04/18/202 05/13/202 123,94 0.00 0.00 123.94 v 1 LAUNDRY 2921030187 04/24/20204/18/20205113/202 39,46 0.00 0.00 39.46 ✓ LAUNDRY Vendor Totals: Number Name Gross Dlscount No -Pay Net U1064 UNIFIRST HOLDINGS INC 4,436.20 0.00 0.00 4,436.20 Papo,-t 8umrinry Grand Totals: Gross Discount No -Pay Net 224,413.66 0.00 0,00 224,413.66 APPROVED ON APR 22yy5 2024 CAR UtuP��UN�Y�RT�1rAS file:IIIC:IU$ersAlrevinolopsilmemmed.opsinet.comAi88125ldata_5/tmp_cw5report7809215902202607305.html 11/11 WTK RUN DATE: 04/25/24 COY A�UDFM ON MEMORIAL MEDICAL CENTER PAGE 1 7I149: 11:36 APR 2 6 2024 EDIT LIST FOR PATIENT REFUNDS ARID=0001 APCDEDIT PATIENT PAY PAT NUMBER PAYEE NAME CN.F4" 1Y g DATE AMOUNT CODE TYPE DESCRIPTION GL NUM 1521606 ✓ 15388% J}559146 V 1560799 ✓1575938 ✓1582639 ,/1586459 4588376 ✓1589095 ✓1589353 ./ 1595823 042324 76.54 2 REFUND FOR 042324 115. 18 • 2 REFUND FOR 042324 25.27 2 REFUND FOR 042324 500,00 2 REFUND FOR 042324 90.00. 3 REFUND FOR 042324 25.00 2 REFUND FOR 042324 21,80 3 REFUND FOR 042324 63.00 3 REFUND FOR 042324 40.00 2 REFUND FOR 042324 423.35 2 REFUND FOR 042324 ----------- 76.46 '............................ 2 REFUND FOR ARID=0001 TOTAL. 1456.60 ---------------------------------------------------------------------- TOTAL 1456.60 f3:7�A V APR 2 5 2024 CALHOGI31VDRAWWPAS §§ Z i ■� � \ 7 �§ � ! !) g / lk f ` jI'E \\ J W z §f W !: W /k � §k 0 \ §/ � § -� § 2 z §»jb � � . �\ | |� © | . . § , ON / —. ` ! ®CO & ! k C\j Lo | | ~ © % ■ ` � �\ O N N Z n N A � N O Q Q C U I- ; G �J 1i1 'x !,� V 7c X X X' x x -Ax -ex %C X >c XX N A m o m m N Q O. O m Q m'N ,..Q m N m VI=m O m O N N -. mmm m OI m d m � m O m N m A N n m O m Q m/m N m m d m m NN Om nO dOR ONW OPOmn u 2 a u 8 Y u 9.�,ay u 0 u u sail a a a u 0 o o 'o itl. d W m m m d N e W N m.A h m.N N N W mN01 mmNmA mmn IpmA Q de-m mm m N m:mm m m. mmm.000 m m mm mmm �� m m mr m n m^' p gm,�.m � am0 m m N N,.,R h OO n A h0 Am fep. O me O Q p 4 M1 h h m m Q m m m N a d d d Q m m m N Nm and d N NN N N O �y m m d m m e QI l m mom N N N N N N N N Q Q d Q d OI.m m m mm m mm Cd n n.A AA nn n n�r� nle�. rQ-��Id.n s o.0 0 0 o o o o o o o.o 0 0 It ` N N N ry.�V 1 N �V N N t'I N N 0 N 0V V ,COI, RO`l m M M N M: M m O O O O O v oe d'd ?d eQ eea d vdeQ dd i o000 0 0 i NOOOOOOO 0N 0 0 0 0 a .0Nd .o N.`QN m HI m a d d h N 1(1 N m m m I o 0 0 0 00 0 0 0 00 0 000000, G If G N N N h 7 N c 1p Q oc5i (10 L63 i N G W C > g c ® E We � a 0 r r^ v+ 6 v1 \ g� n IA Y/ (A U NX r ae=� W O > 2 Yt 1¢p- E X2 W 4 is a aa, tp N YY of m 99FF n! O mo mA yLL k±� v 0 d co �� N G 20 gas `m 'o N N j V II Y Im 0 0 O � k �o N O 11 m O LL o 'm A @ N S yyo om g O e S d� N N N II O O LL 2 q o O O O N N F J 80$ f 19SO m mI.mi m ri a Ono -OO N 0 M fn M O hh IC OC O 00 G U n U v� Q 'a a O CL !� w � ® §■( Bk 2 k| k)k k � Z §! W sE �, UJ §j Q ch § 2 Q !� LI � / )| � !!!0 ! \ E ! _ ,.2[ f... 3 2 . k |� �§§} 9999 £ a..4 ■! � § ®"m` 2 ■ �$�;#: t±f a \f | � � k " . {£ia! | { ! _ & |\/)\) e !22}} § ! \ Oz } m UN j\� \ uk k Z §f W !§ W F- )k §\ C �\ E mf k� �§ \ ! / | »I 1� � f § cq § \ §{ ; ;. �\ \� ! | �2 � ai Z §f W !§ W F- ki !i r Cl)\§ 2!� z ;§ E 0 U) vul �§ e� ! §§2;b / d1 BI w O m m to - M to Z w W I m O S N O m N 41 1p O 10 O m t0 N Lq m O a Ln N d m o 0 0 8 8 Q > c'c c 6c c e O C O N � g N ro c d m E ° s jewW xXrc p C* a p' v i \ z c H WN m i r3 N N N o �� j z o mm p o cs U N X ( W m N � � oar W Q 2 �: W m 'N 2 yg� d Q WgCL ¢o 3 � orc mo ® `{p M p p G E 9 O O O O O d Z P`lSSP1I p PO00000 n CCI_ CR `P\A {`e (7 � W i�i •"- �. d C2 in Qom m noa n !C p S � m u1~ to ^ l a O O O pN p N Q N b O LO aNN¢NNaN �N�ss N Y, 'a 9N CD coo co y aLO cY�� 0(3�NyRy6yN�NJR�J. ' AVdNt i.% O a In lonnm YI Ifl lIl 01 N 01 000808 m m m M m M M lol i E a n o y u wn c s :u i.dPS W cu 01 o E d v yd E v E N ` -i LL Q} L LL fL Ll V LL q p N 6 M 9. N 00 p>yv90L� E E Q N O G..M M T M T M. 1 V W s1 0 V W R � a P aoF- O a W N O mm O OC} O G' O Z Omi .-1n 8 ryMOI OpMiO O J 4gg0 QOQO IN-1 lmo 101gg0 O,q,qS++eY w �b u25spNMo825 °�""°N^ Qa QQ o W dfa..OT�O'y C.CC tiOn N p 2. rl a !pp'1 rl ^Y N iy a Z C W b nl O m lO M n m eV Q Q mom mo4pn� i:8 Fm�c.m-I-I aupi $$n oOpNp°�`m°�uln+,o W pS S g W 6 m Q Z a n on 3 a s uXi a� a i a i a dF c v a a v a< e v v v v N N N N N N N N N N N N o�oy ry00 ry00(0y00(0yo p \ \ \ NW \ \ ON \ \ \ \ \ e b b ID m tD m ON Q M N N e< o v e a a a c e a o e + o + o m I'D to 0 Ill Q, M N O 0o N rn i` p i0 ra p o Y ul 4 N W u; 0 1.0 ID It, U) O fn 1+9 a, il- Ol %a N a' M CAI CO IV mS 6 �I0 I I I I I I 1 Q 1 O nv na,wo 2 CO C.. C s VI Z C � a z Q w 0 Q - / J O ui z J � W ZO v Q � �bm6F �VVV�. Q O� 419 aci c�V uiaa add:►' Y1 Yl YI c c e a'ac 0 0 a y ait{S 1 � � Q 4125/24, 11:46 AM tmp_cw5report7055101158049358589.html RECEIVED BY THE COUNTY AUDrMH ON MEMORIAL MEDICAL CENTER 04/25/2024 0 11:45 APR 2 5 2024 AP Open Invoice List ap_open_invoice.template Dates Through: Vendor# j/andor Name CALHOUN COUNTY, ` IRW Class Pay Code 11832 BROADMOOR AT CREEKSIDE PARK JInvoice# Comment Tran Dt Inv Dt Due DI Check Dt Pay Gross Discount No -Pay Net 041924 041241202 04/191202 05/191202 2,244.00 0.00 0.00 2,244.00 / TRANSFER pI,� �(U p �. IJIiD MM& OP-6• Vendor Totals: Number N`me Gross Discount No -Pay Net 11832 BROADMOOR AT CREEKSIDE PARK 2,244.00 0.00 0.00 2,244,00 R'pori Saznn;ary' Grand Totals: Gross Discount No -Pay Net 2,244.00 0.00 0.00 2,244.00 APPROVED ON APR 2 5 2024 By CALH0% 11 INRlWRXAS file:///CJUsers/ltrevinolcpsi/memmed,cpsinet.comlu88125/data_5/tmp_cw5report7055101158049358589.html 1/1 4125/24, 11:45 AM lmp_cw5report1625191458728773259.html RECEIVED By--IM�, COUNTY ORMORIAL MEDICAL CENTER 04/25/2024 0 11:45 APR 2 5 2024 AP Open Invoice List. Dates Through: ap_open_invoice.template VendoMF Vendor Name �,°,�I �aes Pay Cotle CALHOUN OOUNfY,Y f/a 12792 BETHANY SENIOR LIVING Invoice# Comment Tmn Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net / J 041224 04/23/20204/12/202051181202 1,440.57 0.00 0.00 1,440.57 J TRANSFER iQU 1q - Pa"k JJ�p.1Al b yy Mc OPT. �( .&ror 041524 04/231202 04/15/202 05118/202 513.27 0.00 0.00 513.27 ✓ TRANSFER 1, J 041924 04/24/202 04/19/202 05/19/202 $,232.00 0.00 0.00 3,232.00 TRANSFER Vendor Totals: Number Name Gross Discount No -Pay Net 12792 BETHANY SENIOR LIVING 5.185.84 0100 0.00 5,185.84 rligpod Sumrnmy Grand Totals: Gross Discount No -Pay Net 5,185.84 0.00 0.00 5.185.84 APPROVED dN gy AApP''R 2 5A CAL140&' Ol41T ITR.4S flielliCaUserslltrevinotepsltmommed.cpsinetcom/uB8l25/date_51tmp_cw5report1625191458728773259.html 111 4125/24, 11:43 AM tmp_cw5report2228509573672416809.html FIECOVIIED by nt C0011l+AUWMK ON MEMORIAL MEDICAL CENTER 04/26/2024 11:43 APR 2U24 AP Open Invoice List Dates Through: Vendor# Vendor Name Class Pay Code � ��N bu y��" Haas GOLDENCREE�,p�K YR%PARE Invoice# Comment Tran Dt Inv Ot Due Dt Check Dt Pay Gross Discount 041224 04/231202 04/11/202 05118/202 9.116.89 0.00 TRANSFER NH i nJ. prnk. QI.Q,p. q" MM IS, opt. i.error J 041224A 04123/20204/12/20205118/202 1,187.83 0.00 TRANSFER J041524 04123/20204/15/20205/18/202 24.63 0.00 TRANSFER J041524A 041231202 041161202 051181202 126.82 0.00 TRANSFER J 041824A 04/23/20204/16120205118/202 537.75 0.00 TRANSFER J 041624B 04/23/202 04118/202 05/18/202 273.10 0.00 TRANSFER J041624 04123/202 04/16/202 05/18/202 593.68 0.00 TRANSFER ,/041924 04124/202 04119/202 05/191202 1,302.13 0,00 TRANSFER Vendor Totals: Number Name Gross Discount 11836 GOLDENCREEK HEALTHCARE 13,162.83 0.00 Grand Totals: Gross Discount No -Pay ApMWD ON 13,162.83 0.00 0.00 APPRa2 5p2024 BY CAW D�)N NG�Nt'i; TRAt 0 ap_open_i nvoice.template No -Pay 0.00 0,00 0.00 0.00 0.00 0.00 0.00 0.00 No,Pay, 0.00 Net 13,162.8-4 Net 9,116.894 1,187.83 J/ 24.63 126.82 537.75 273.10 v 593.68 1,302.1a Net 13,162.83 BIe:/I/C:lUserstitrevino/cpsilmommed.cpslnat.com/u88l25]data_5/tmp_gw5report2226509573672416809.html 1/1 FA Marred*1 meeka enter Nursing Hem<UPL Weakly Greex Tran)ler Pm)Peety Aetwnts / 4/2912024 J J J r In.Ye r I�rH r�M� u ruxrr W ,Meawry tSR.ffm I]I}NH N ]iyvl tH,aU.0 I27.141.14 I.MMnn ]4.6»aa YMmee n.wrSNlr tm,m Mvrw..rk.nwen w..Yr.wcwha.- M)nNHM.ry "An.. w.aw«xaww v,aw,H l HRtnxwln we n.nruaw YramrY«a.u.na j J j j J eRenaa lRn1e)✓m.H.0 / f JJ��J RL]nS..l )14HLID.�k11.ISLW / 127n642^84 + 116,735.76 + 102a598.05 + 80aLyu7.32 + 113,957e00 .nnun +X 5141 r420.97 0 .r«sLnn «lrnnµnnalY.wyyn, wX)�r.M«wwwerr.na,«amm�wanre«.owe r.«nw«.rr. 1wXNwtYlrwY«N�x Y0.1«xN Mr.n«.W:RMrwlrrnr]wlwnMµ. N.}. WYMM nt w..Mtrnn 4MI Wl«Nnnunnv] l»,HIY ,/J .xw M•nMHI1nn 1mM MNb. MFwO RI]{.q w.IIMMr NOnw RHLH / ve,)H}a /! RGmeu.rv4lrlNn MN 11Fns.)a II1.SH21 � 19LSf1.OS fJ MMS)Iw Ili,lN.» Vnlur; Ww6)Lu Imm nM0..,e r YY.en. ,..eee, RWI.fS / W. Fr.ren J agMler.«M«nu«ar« to;Ham ,/ le.»Rm awuow )I,.ram •. v«n,n Y.wM.nnn lmm Wn,ennhMw Lew.)) 7,m1ID Aen MNnn Nn Mnnn Iw.pnnn •/� rgwtauew/r,W«MI AUT-12 VFSe).» ILXISSLe J ft. W. 1»H)»✓ Vu4N n.wM.,W new APPROVED ON / ww NMuw eke{.." :.,u s. ie4H ✓ APR 9 2024 8 "en., � CA?H0WQWJWAS lunvnwtl agW.Nlm/Ir.WnNt WISH / V ror )umpww : le m v „ MronlSy—Wm,FNmk M�Z• _ lo,, _ , tH.oH4n m........... NM/GmD1 OIM/cHmp3 mmm"$ Wf1/Gmp41NpM DIW)1 MIDRNDN 4NNIW4 YN[COM1WNm ILNRNW]Mt11WINI9llgN 0.1LLM I.i1101 Ul6lylL uxt[pAMIINm ILIKyMMIM ifl01ull91[Cd I]A21.p1 II,pIFAI UIyMN WIPE pIRAMIMNDMEMLNGPFFfNTAIIp NLIM6f�� </1INDN NN6-[CXp NRWMIMf 119fONil MtldtlTfii - F.9iL11 6,N6.11 Mf/3pN YKKCDMMYxm HNCFWMIM]I62lILL9IDYO f}fip 5 U.3p. MMW1 4NCCpM4YNm PLN[MWI61)MFGNN9INW Waal $1.09419 M]/MN MN9. [UfYMfL41MIMf>IFWMlt1f[0-0INW IpyyH 1.0N.63 4NMWI YMC[ONMUNm NNfWNI1M1)NMNiIfInA IDMLM 20.µf)2 M11N11 NDVNK SfIWInNNfLNMIM$n91IEyDOl1lN - MT.M MItAI MYNN XW]NNYMRIIfV[NUWMPMF3NN9NII1W63 fpl.It 1Aa)41 A NWF HXB-[f]p NFLWMINf 11RyMIlLIW07lnyb I.µl.]p MINWI NMP.FNxINfMIMIMINffANIINµWl6lp}9 tAILB )ANA9 imum MINWI VN[WMMUHmHH[IWMIMf iflpOlfllfi0'd !}NA9 3516A9 M6 PMNµFANONRnm MMSPMNµMLS1 -- - 241 M6/]DN UMCffIMMUXITHNCCWMPM]]MDAHH91Tb 4N6/lYI1 nuxwmcxAooelrccwMrxrtlosloNlMGpu M6NW1 MEPLM NUMINNLNRWM]M)n16O1NRfA1] v»]m. wmpW uxrtN x[.uMLRKaxlEalx yf9/M]1 xx6-tCN0NCq,YM]fK]L6pONHNW WHOlf6 VIf/Mf1 MDYIIK bU1R0NIKtlPIMPMfyMfiynNML MI/ML MNM.f6FNL0MRl)KMMfMNLNµ}.MM' 1)NIl MU•W1 wYMGNYtlinn NLVNIMMI]NW]NN1HW MfIM6 YKK<OMMWm HMLCWM]M1lW)]14fIGU M]/M11 UNCFDMIMNm HMC<WMPMF)16WHlIfUgtl ML/A)1 MWRKSDl111MNxfCWMPMfy6fS11MM1U Wi/MII NNI-RNDM[LUIWMf ]YN)fNNMWISW] MNNm UKKLDMMWm H1NcwMPM]inooNLLflaem IN)NnL YN[LOMMYNm HIKCWM]Mf]]NGHNfInn U))/MN XWRKSDIUMNMLMINPN]yilf]13fH91ll IN]/MM MMM6FMxH[II]IBMMSIMM�glMllnll MNMN xx6•[CNON6CWNMT IMIPWIMMAU SENp WINK uXCLOMHuxmvlx[Lw6l Mr HMOHNaiMm M1/NM NpVIIK tIXMONMLMIMM1fM61S111MµW MI/Mi1 MNIMNUMRx SVCXCLWM]M]t]IfMHINMI] 13]61LM/ � 13L6f2fL V.� MMCPMRIDX dpOf59C.�1 IILMfMJ6 WPP/CpmDl WPI/Gm 3 IL9P1GmN yP1/Gm U ]e WMT NX ro0.]IDN .. Lalo'W - LOW.Os 1AM}f {,p3193 • LNS.W 6,N),3] L)19.DD 6.M9)] N16M65�� - 1951.10 1.959.60 ' .10,W - IM.ED A 6 .31O.0 st]O.M tatic SARZO - MOVIES - s - Lau" L5710 - I,n4.16 1.934. - E2w - 5]4.tS - M} SAI t9,%LM - LMLW 1.%LW - µ9Ny 11.1%.n - L916M 4.214.00 . N11y 4•111./3 - Rb.W / de.ao _ - AIfIM Sion" v AA)6 MMCPoRTOH Mile Tnn�MAul 7NN1!{Jy qIM/Cempl 4llPN/G 3 W/P1GmN QTIGmp16MOM QIPPT HNPoMINi 1NIImI1 MRN44tNNNR1]HMNf IMn%MOMnOnlMII - SAµ06 S,aM.M MNMN MXP. [(NDNCLWMPM\N600N1111Mµ111U4 l}6L06 4N6/Nl{ YMCCDMMUNm PlXN1MINMffNWNW fIµµ L,N 4.AMINE V)NIMI IXICGMMYMry P11N6V1MMfi4lMMlIf1MM - m Hg6 MNNI10lVM[D MfLL)Xp M[CIMMPM iII®1f1ffM] A,IffW N'N - A,1190 NNNII DEYpI[DNFNINI NfCWMPMi II®'NµffW "mat 1.610.% Mf/NI4 WMEpYi DVfIM NIKM WfLEMIIUIP 3A6,1N.µ% I/MN NX1.[LNDMLLW WMf N6µM11 1W1.f1 11 MImot Npi1 IMMt NNI•[CNONCLWMPMiI16MN11IMM569 SN 3,n] - MA/MN UNFtOMMUNMIINT]mMPMtt11MNU9NOW LIM, ,16L69 2 69.)1 INI(M]I UNCCpNMUMNHXSCWMPML)4bWfI1l9INW IA1N.N - IS,N6,N NWRumIV)IOx INMIMM1iN61111[OpM1 - {N,W 69RN MIM1 MI/N34 0[YOI[OMWIN NNFtW6VM(11DNp1611fIH 0.Npµ . 4.9f0,A0 NN/N)4 UX6LDNMUMT PINCNMMDM\]MWMI191NN LIWM 1,1%.d0 ONMU UNF[OMMYNm PIXRWMMI\i1ROH1191M]0 mull I4J]fidf Ammi{VMCCONMUMtt PIKUNIMPMINNOMI1fIfAtl I, m I,U9),50 423MU Xu1MxNexADD6MC<WM1M]M19GM1]0.WN 4N,µ 1,650.% NNNOS{ oLVOTO xfuMP NCIWMPMS )tWMiyl]31f IA.m." 1I IANN / 02AD11UNC[fIMMVMT'NNKI}IMPM]NfWM1191NW M1/lON.NMLMN11MfXfV[MCFWMPMt1tINN{IINMl � I M10.11 ✓ W4..µ 4AI/.91. J 1AIO.SI - MLS94µ MMCPORTOH TnnAU-0M hNltaln aPP/G 41M/GMPS WSP/G d WM/C9mp46GpN MMpT MMRTDN MNmN Y11CL0MMVXmrIXCTmM1NMi N600NNf1600o L.NH.W - 4A16W • N/wo UNC9fIMMVmNrINLCWMPM]N6nHLf1MM mEn MMMH WM[OW GXIU MML\XMIFMM(M III SAW.N� 3,563,76 VISHOlI NWµMMON[]nIIMN)PMMOMMMDNM1N1l R6N}O , MOON MRNA64NDNEN131AIKPPlof MWM1911L 6Aµµ - /.61f.M V1M0[I YHCCOMNVNmvIXfMWPM9 MiW11LLf10FN Iq,How 6,590,M MITW MWRKfOWINM N[[WMIMf Nf%11NGlIL9 )f)Olf0 ]O,SI6M VIS/MN NOVRKMLY9MX MRWMIMI6Iffi3URWLn NNLM MI64XfVC I1LlWA1PN9lIMnN11MN[ tfll.W 3L%L% InOA] M3/3DN M. ;W.19 1ldC Y' 1 LW[N'y2 tlR/4Nmm l OIR/CNNpt OIPP/ QIM/Gm le 0)M11 NM9ORTON ANNm11 MMNDMMIXI[[n19MMMmFtl].DO4[OTy6U - µ151M MNMN YNCLOMMUNIrv9LKKCLD1r4[3L19pNN91WM AfAO.]0 10,393411 INNNN YNCCO.NMYMINNKK(UWPMI'3A[GNII9IOM - &9b.i0 MYMN WIdIWIGNSEN xL91MC1NICEMi[M if m/.L3N.t1 3ALd1]./ ],3M.25 aAlflUl MNN0WIOXFINILMMrMMW7Mll®iNI11 - SpTA9 4/11/N14 NN9-ACMOLMON - 6,iN,n 5,61749 HcMi1NNIH11MRCEmx,%l M[/Mt/N0VOK 30MMN NCMINPMC[3631941V,W116 I,SNd1 6.61567 "PINVXC COMMVNmvINRMMIMi )IIMt11191GW - If]n.1f 3.19])4 AMNW4HEM" Ni "Gael 191M69 IN3MN MI, Hot KWHO674MUENEEHM 3TSf .140.x1 VM/NN YHCOMMVNOW6lRNNVIEtoWtall9II0 1"A, - 14945153 4WWo NOVRK SOLU]INI H(CWMPNT676311142OYE111 1111011 I6.2925L 413MMA WWXAWN009NRUIWMIN1MffiA2ppOp19 ISA2LW 411TNp31 NM9-RNOMCMMIIM(i16MHIl IMUTipm31 .1/ CEO" ! - 5,1360 VNNNI N[LLIX NUMMyVCKKCWMPM n41NN111n1i IJMN - 4,410,45 /I - 2,1IL66 NLl1].IOi I %]-02 / LLJ9n 00 ]CµIS SH:N).ld. % 97 SILIM 9] OHNIII'tltl llVtlf Vltl W Account Name '4357 MEMORIAL MEDICAL CENTER- $1,074,680.04 S928,043A4 $1,074,680.04 $1,424,543.02 OPERATING •4305 MEMORIAL �-��.�----��— MEDICALCENTER- $543.19 $543.19 $543.10 $643.19 CLINIC SERIES 2014 '4373MEMORIAL MEDICALCENTER. PRIVATE WAIVER $437.28 $437.28 $437.25 $437.28 CLEARING •4381 MEMORIAL MEDICALCENTERI $162,613.96 S192,543.77 $162,613.98 $143,476.95 NH ASHFORD '4403 MEMORIAL MEDICAL CENTER J J $129,754.14✓� $150.621.62 $129.754.14 $116,427.92 NHBROAOMOOR '1411 MEMORIAL MEDICAL CENTER / $112,380.22 $122,605.49 $112,380.23 $84,678.04 NH CRESCENT J •4438MEMORIAL MEDICALCENTERI SOLERA AT WEST / $124,545.12 4l $146.106.40 S124,545.12 $103,264.71 HOUSTON '44B MEMORIAL MEDICALCENTERI $91,478.05 , $94.090.15 $91,476.05 S83,436.29 NH FORT BEND •4494 MEMORIAL MEDICAL GOLDE CREEK $43,468.68 S43,523.96 S43,468.66 $42.708.02 HEALTHCARE 'S433 MMC-NH GULF POINTE PLAZA- $572.50 $572.50 $572.50 $672.60 PRIVATE PAY •S441 MMC-NH GULF POINTEPLAZA. $69.692.98 $69,692.98 S69,692.98 $57,946.51 MEDICAREIMEDICAID '5508 MMC -NH BETHANY SENIOR $159,136.37 S315,336.68 $159,136.37 S135,408.49 LIVING *340? M Y VILLAGE TUSCA S401,994.49 $401.994.49A $401.994.49 S401,994.49 '3080 MMC-BETHANY SR LIVING -GAGA $100.00 $100.00 $100.00 $100.00 '2858MMC-MONEY MARKETPUND $609.891.25 $609.891.25 S609,891.25 $609,891.25 Total Balance $2,981,288.28 $3.076.003.20 $2,981,288.28 $3,210.430.66 Rwmws•,aLe" NIM20240;10:M W CDT Pap2.f 2 Memorial Medical Center Nursing Home UPL Weekly Nexion Transfer Prosperity Accounts 4/29/2024 / / Pnvlour J J Raevnt artinnb5 PentlN2 ROM.. Numb' MIT TwnPl'Aut ETZ20f6 be orb I54,399.69 133,GB3.09 _ ,I6E.06 , Rwt4u In/ormoRan rar GoHm Gnk Wehn NwWeY elb fvr9PBank N.ftffkNAA Nat., enlybabnra 01.1 .000 wINbe NvnNfmdw thrnuralne hems. Note Y 6wh amunthm a)Age nwof$1WNmMMCdepaDNd wo"6 vmuw. APPROVED ON APR 2 9 2024 CAB iOEWCOUNTY��r es Todar4 tbnninR "wattoee Tnwrenedty NurPin2 • 43,463.66 Bank ealanw 49,46e.66 Vanww • leaveln Balanw lOO.ND SUPrflar gbruary 31,21fi.W f APO InNMO Mrylntenrt tunelwenb Rdlwt /Bna)tanra/TranM.rAmt�('�-\ Apo ad:l UV NNb9 UteSSANTOS 4f29/1024 IANN W'WTrnW.,ANN UPLT.V. W.M)202018 UPLTlwitrr 3 ."4A9.24 MMCYORiIgI WPPfGmpR TnaMw.Oet NYP/Umpl pIW/Um 3 gIPP 6m5 WpN pIP011 NH PYRTI XW 1(N/UTl TXMIMMI XLCWMPMf IWTM1UTtIT 1T NC �$VpQfPfp % >pN 760,0661 a/15/tU11NRE0Yf XCVYXMfLLMyWa fAlOfX[MfCMt DURN ✓ , alla/yp6a 1T1fffM16iMUq[p YfYNl6MU5fHTVT1 L"Us td]9l5 NIpO]a RyiNX FIWQ DEP,% Y 13191 O N.IS I3.TN15 UN/!OL MiNaYOIMIXWMTMI15NU55NS10[mUWI liq.W 1.N0.f0 a/]]/pTT TYNIM16fIUTgCYYV N1iMSS5UffU1l U59 R1.,9 .1"AwlXW., lmY .Xtcu,m.NWUtl[tl M / ,SN.tf / / / 5.154.0 >nnR>.a. uwaR i.aaaa / omR,u:es wvvlviaw Account Name -4307 MEMORIAL MEDICAL CENTER $1.074,880.04 $928,043.44 $1,074,660.04 $1,424.543.02 OPERATING 'a" MEMORIAL MEDICALCENTER- $543.19 $543.19 $543.10 $543.19 CLINIC SERIES 2014 '4373 MEMORIAL MEDICAL CENTER • PRIVATE WAIVER $g37.28 $437.28 $437.28 $437.28 CLEARING '4331 MEMORIAL J MEOICALCENTERI $162,613.98 $192.543.77 $162,613.98 $148,476.95 NNASNFORD '4403MEMORIAL MEDICALCENTERI $129,754.14 $160,621,62 $129,754.14 $116.427.92. NHBROADMOOR 4411 MEMORIAL MEDICAL CENTER $112.380.23 $122,505.49 $112,380.23 $84.678.04 NH CRESCENT '4438 MEMORIAL SOLEMEDICALATWESRI WEST $124,645.12 $146,106.40 $124,645.12 $103,264.71 HOUSTON XOUSTON '4446MEMORIAL� MEDICALCENTER/ 591,478.05 $94,090AS $91.478.06 $83,438.29 N14FORTSEND 'M54MEMORIAL MEDICALINH GOLDEN CREEK $43,468,66� $43,523.96 S43A68.66 $42,708.02 HEALTHCARE '5483 MEG NH GULF POINTE PLAZA $572.50 $572.50 $672.50 $672.50 PRIVATE PAY '5441 MIND NH GULP POINTE PLAZA- $69,692.98 569,692.98 $69,692.98 $51,946.51 MEDICAREIMEDICAIO '5506 MMC NH BETHANY SENIOR $159,136.37 $315,3$6.68 $159.136.37 $135,408.49 LIVING CNH TIIBANY TUSCANY VILLAGE 5401,994.49 3401,994.49 $401,994.49 5401,994.49 '3660MMC•BETANY H SR LIW MC BE $100.00 $100.OD $100.00 $100.00 MARKET FUND -MONEY '2999M FUND $609,891.25 $609,891.26 $609,891.25 $609,891.25 Total Balance $2,981,288.28 $3.076,003.20 $2.981.288.28 $3,210,430.66 Rewftwna ma m Ola9GON 0:10:35 AM CDT �V _._ r -- Pagg2e2 Memorial Medical [enter Nursing Home NPL Weekly HMG Transfer Prosperity Accounts 4/29/2024 J P.w— f agwntto0e XWgNmu annwt NunW. wgnW] 4hrc. Tnglu.0u1 TnmleMn mOnM wnMr4 p - f TnnA.ntd e ioG a ..I.. Nun 91x04 olnMfr 9,S9x]I af93.11 fN30 Nomads.. ]]1 so NN of mmin Wage ]0000 JaM•n Prq'fan au M. J wh artNm from n]-/ amwmmee � // aNN Noma m�..N.. mw irtwn �a .ww M i nunNan°"'' 13,N9.09 a,9M.M U.4Y.0 69.691.9] / i9AN81 &NWmn 69.N].H 000 VUNrce W:tiry u:'..NreJlf. wrt Na.: a:wwamndamsxonwlatm+uenramu..,,nt.9an'w. Nair. rgngn..nnq.mreew.ndssrowma�mcstwmrom.ygwfnn. APR •2 9 2024 I -ry��,yqp Inml Wgxyl/InOa.µN V941m1we]umm1rylNUµXNPlil9gh�lunFnryf l9N lnfwm Nlln(e 90Rm oanwrnmtenwv f,lLLaeJ aanm4l.rc.lmmleragt � ex�3f TOINTMX9Rg6 eT]63a 1r10NW tt109a11MOS 41B U J�nx - MMC PORTION pIPP/Came gIPP/E0mP0 T.,FkC t ✓'QIPP/Campl 2 COPP/COMP3 &UPu gIPPTI NH PORTION </23/NN WIREO11T HMGR kWd SNP,IP{amm9Nu1 5`453.21 - V25/W26 HNB-ECNONLCWMPMTT1600N1111000p1301B4 - N1.99 241.99 4/22/1024 HNB -E] OHUTAIMPMTT1600341111000020"M / 230.52 23052 5.03.21am" a-%O MMC PORTION QIPP/Camp QIPP/CamPO Tmm3anOa6 T.."..QIPP/OR%p2 2 QIPP/Cem3 &UPEP QIPPT) NH PORTION 4/26/2024 MERCHANT&WRCOOEPoRT19p78S16PM9lO l - S.ISI99 - 51131.99 41261202I NORIOIANNANUWMPMT67599242000017131W J// 6.5VA6 - 6,591A9 Ip5/2021 WIRE OW HMG RPtlI SNP, W-CPmmminl RAMS ,J Q23/2024 WPSTMEPCONT HCCUIMPMT 2501025)232I000 aim - 8I6.00 4/24/2024 NOMOMNTSMI(CDOMST6)Sf92dN00011/06W 16,618.13 - 48,678.13 1/22/202<MEUHAPCONRWOEPOAlWM3T65WMJl100001 - ),OISAO 3,OCSAO 1/]VSON WPSTMEPCONTRACHUWIMPMTN010033N 130p0 - )58.)6 - I )SB.iB fls99.05 65AM.30 65AN.3fl� 14.052.26 6931GA . 65.516.98 eaiun1ros wunnuw Account Name '4367 MEMORIAL —' MEDICAL CENTER- $1.074,680.04 $928,043.44 $1,074,680.04 $1.424.543.02 OPERATING '4366 MEMORIAL MEOICALCENTER- $543.19 $S43.19 $543.19 $543,19 CLINIC SERIES 2D74 '4373 MEMORIAL MEDICAL CENTER- PRIVATE WAIVER $g37.28 $437.28 $437.26 $43728 CLEARING _ -43M MEMORIAL ._""-.-- MEDICALCENTFRI $102,613.98 $192,543.77 $162,613.98 $148,476.96 NH ASHFORD '4403 MEMORIAL MEDICALCENTERI $129,754.14 $150,621.62 $129,754.14 $116,427.92 NII BROAOMOOR - '4411 MEMORIAL MEDICALCENTERI $112,380.23 $122,505.49 $112,380.23 $84.678.04 NH CRESCENT '436 MEMORIAL SOLEMEDICALATWESRI AT WEST $124,545.12 $146.105.40 $124,545.12 S103,264.71 HOUSTO xOUSTON -4446MEMORIAL v MEDICAL CENTER $91,478,06 $94,090.15 S91,478.05 $83,438,29 NNFORTSEND '4454 MEMORIAL GOLDSMEDICALEEK S43,468.66 $43.523.96 $43,468.66 $42,708.02 HEALTHCARE '5433 MMC AN GULF POINTE PLAZA- $572.50f $572.50 $572.60 $672.60 PRIVATE PAY '5441 MMC -NH GULF POINTEPLAZA. // $69.692.98 f S69,692.98 $69,692.95 $57,946,51 MEOICAREIMEDICAID ✓ 'S606MMC-NH BETHANY SENIOR $159.136.37 $315.336.68 5159,136.37 $135,408.49 LIVING '340?MMC-NN TUSCA VRLLAOE. T718C 5401.994A9 S401,994.49 $401,994,49 $401,994A9 e3660MMC -Y SR LIVINC.VACA OACA $100.00 $100.00 $100.00 $100.00 '2000 MT FUND NARKET-MONEY FUND $809.891.25 S609,891.25 $609,891.25 $609,891.25 Total Balance $2,991,280.28 $3,076,00320 $2,981,288.28 $3.210,430.66 Regan 3eeemiedo Uaa2D2e C&ID15"CDT Page 2 of Memorial Medical Center Nursing Home UPI Weekly Tuscany Transfer ProspuftVAccounts 4/29/2024 MmuM en1•nxs vmeuM n.ml.nwA..Im" ! ln umM wren. ewn.. trcn.ran / rrnn..a / cY.a.rw e...ae .m„ Yw x i slo,ls..n ueaW.M `/ 1Yo.IWas� eolsstn /eagWa» &nY W,nt! IOy991.n J VMYnn 4.W.InaaNvn HOW Meena rearvary 1.276 W WNIpvI,Vebrvq 11.21an ✓ ww.: wMYw.rc. a/am SA W ouNOr r.wyemaromenurxnoneme. 6but: tadatt.unrnm anm.ew�w. afSewune Msrcaeaweeetna.en ntmne. APPROVED ON APR 2 9 2024 CABHOUN CCJUN7Y'MS ✓V aGlurt Li..tN„Sn�.HrllmY M.AM � J axo6twonotsawros 4npeu 4/25/2029 WIREOWMW EPOSTAWTEHEALTHSERWCE 4/211=4 NOVITA550LUTI04 HC MPMT676201420000176 4/24/2M4 HNB-WOHC MPMT74600341144000p293W3 4/24/2W4 HN6- ECHO HCCIAIMPMT 74600341144000 1181 4/24/2014 HNB-ECHO HCCIAIMPMT 74=341144000D292181 4/24/2024 NOV0A WL=0NMaWMPMT6762014lW 149 4/22/2024 HN8-ECHOHLCUIMPMT746W3411Y0009203M0. MMC PORTION QIPP/COMP QIPP(Comp QIPP/Comp ran JdL/ Transfer -in 3 QIPP([Ompt 3 48Up3e QIPP TI NH PORTION 488,70T47✓ U77A6 - 9,277.26 599.62 - 599.92 16A1B.52 - 16,816.52 31393,31 - 1,283.31 289,764,02 289,764,82 61,564.W 61,564.00 488,707.671 3BOA07.73. 380A07,73 Daience5 vvervrcw Account Name '4367 MEMORIAL MEDICALCENTER- $1.074,680.04 $928,043.44 $1,074,680.04 $1.424,543.02 OPERATING '4365MEMORIAL• MEDICALCENTER - $543.19 $543.12 $543.19 $543.19 CLINIC SERIES 2014 'NT3 MEMORAL - __- - MEDICAL CENTER - PRIVATE WAIVER 5437,28 $437,28 $437.28 $437.28 CLEARING '4381 MEMORIAL "—`— MEDICAL CENTER £ $162,613,98 S192,543.77 $162,613.08 $148,476,95 NH ASHFORD '4403 MEMORIAL _ MEDICAL CENTER £ $129.754.14 $150,621.62 $129,754.14 S116,427.92 NHGROADMOOR '"it MEMORIAL MEDICAL CENTER £ $112,380,23 $122,505.49 $112,300.23 $84.678.04 NH CRESCENT '4439 MEMORIAL MEDICALCENTERI BOLERCHLBRO AT WEST $124.645.12 $146,106.40 $124,546,12 $103,264.71 MOUSTON •4446MEMORIAL i— MEDICALCENTERI $91,478.05 $94,090.15 $91.478.05 $83.438.29 NH FORT BEND '4454 MEMORIAL MEDICINH GOLDEN CREEK CREEK S43,468.66 $43,523.96 $43.468.66 $42,708.02 HEALTH HEALTHCARE '5433 MMC -NH GULF POINTE PLAZA. $572.30 $572.50 S572.50 $572.50 PRIVATE PAY 'SM1 MMC -NH GULF POINTEPLAZA• S69,692.98 $69,692.98 S69,692.98 $87,946.51 MEDICARENMEDICAID '5506 MMC -NH' BETHANY SENIOR S159,136.37 $315,336.68 $159.136.37 5735,006.48 LIVING / '3407 MMC -NH -- / $401,994AS $401,994.49 u TUSCANY VILLAGE ✓ $401.994.49 $401,994A9 SRLI MMC •BETHANY SR LIVING -BETA $100.00 $100.00 $100.00 $100.00 '29 MARKETFUNDNEY MARKETPUNO $509.891.25 $609.891,25 $609.691.25 $609.691.25 Total Balance $2.951.288.28 $3,076,003.20 $2,981,260.26 $3,210,430.66 Report Nnnaup an 01 202408:10:35 qM car Pepe 2.12 Memorial Medical Center Nursing Nome UPL Weekly NSLTransfer Prosperity Accounts 4/29/2024 ]nHew J Mrlk NuN Nome Xu]Ayr N rt, innl.Mr. 11,94 Il]d1691 I00r.Le XGe: onn e.wm. y.m,ttam wu w wmpnee ro m. nw]aq e.me. NXe x wG.rnwr nw. s..e rb,<r./slmG.r mMe erwuNa G own w.w�e 9aMiM v _ Matlimv J grrppr6bORnmlemtl,o APPROVED ON APR 2 9 2024 C HOOD b'iU�`i�,'VAS cµnw..lryrrm.Gnpx unrnmXrtw..m.pWx.µnunn.eNvmmmtry{]xa &n9 Bn4G 159,13637 J Wrhn . G.win e.Nn,. 196W / s.weGnawm 1a111.1e✓ g9rM11nGrtY MMYInGGX lu Imenn J gWnar ((w11./rn IIrIn, 1 1a311 �L J N1PRlw W lOf WI OI 1/39/3031 MMCPORT 7!_�tUMR CIM/Ca 1 CWIUmP3 WPIU p3 oPPComP PY WP9 NKMA71ON NGHH OPwn H,HIu 33,727.08 /Y/NNWMEOV)POPi WV NN.0 WAM.Y� f/SI/3VN NNB•ffNOMCWMPPn )fEWIP1lMWNH1Yl Him B11A) 4SVMN MFLL)NMV1NHfV[XR4IMIMLIAEWN1Wffi SyN s 1/3ylpN 'NA •[fNONC<YIMIMi>flt»YIINpH)1H3H - UIP03 1A35.W - On" )x"Is, - )0.SUSS ow"pKW IIH/SON XNB-ICXOX[MIMP1.rt ]fYpN31f1N.Cl1EYN9 - 13)3.36 LS)3.Se f/WAH MOVRb]OVIfM)N X[fWMPMgNIlI1WM163 / 5.336.Y 3.}36.10 VlSHNf M4)X XUMCNNCX[MIMMII i)fKOM11D16E w/ S]bWJ9 // / J }3,He<9 V IO6.W.H Yex3.e1,ma.,..� owmltuW Vvalview Account Name -43ST MEMORIAL MEDICAL CENTER- $1,074,080.04 $928,D43.44 $1.074,680.04 $1,424,543,02 OPERATING '4305 MEMORIAL -------- MEDICALCENTER- $543.19 $543.19 $543.19 $543.19 CLINIC SERIES 2014 '4373 MEMORIAL MEDICAL CENTER- PRIVATE WAIVER $437.28 $437.28 $437.28 $437.28 CLEARING 4381 MEMORLA MEDICAL CENTER S162,613.98 $192,543.77 $162,613.98 $148,476.95 NH ASHFORD '4403 MEMORIAL MEDICALCENTERI $129,754.14 $150,621.62 $129,754.14 $116.427.92 NH BROADMOOR '4411 MEMORIAL MEDICAL CENTER $112.380.23 S122,505.49 $112.380,23 $84.678.04 NN CRESCENT '4438 MEMORIAL MEDICALOLEATWESRI SOLERAN WE6T $124,545.12 S148,106.40 $124.60.12 $103,264.71 HOUSTON '4446MEMORML MEDICALCENTERI $91.478.05 $94,090.15 $91.478.05 $83,438.29 NH FORT BEND •M94 MEMORIAL OL GOLDEN GOLDEN CReEK $43,468.66 $43.523.96 $43,488.68 $42,708.02 HEALTHCARE '5437 MMC 41H GULF POINTEPLAZA- S67ZSO $572.50 $572.50 $572.60 PRIVATEPAY '5441 MMC -NH GULF POINTEPLA7A. $69,692.98 $69.692.98 $69,692.98 $57,946.51 MEDICAREIMEDICAID 'OMIS MMC 41N BETHANYSENIOR / S159.136,37 $315,336.68 -- LIVING S159,138.37 S135,408.49 '3407 MMC VILLAGE TUSCY VILL $401.994.49 $401,994A9 $ 01,994A9 S401.994A9 •3060 MMC 4IETHANY SR LIVING -DACA $100.00 $100.00 $100.00 $100.00 -MONEY MAR8ETFUND $609,891.25 $609.891.25 $609.891.25 $609.891.25 Total Balance $2,981,258.28 $3,076.003.20 $2.981,280.28 $3.210.430.06 Aapal9aNmUaan01Q3D01153:15:35AM COT _�---�- �—��-�— _„ Pap 2oR