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2024-07-10 Final PacketI NOTICE. OF MEFTING — 7/10/2024 July 10, 2024 MEETING MINUTES OF CALHOUN COUNTY COMMISSIONERS' COURT MET IN A REGULAR MEETING AT 10:00 A.M. IN THE COMMISSIONERS, COURTROOM IN THE COUNTY COURTHOUSE AT 211 S. ANN STREET SUITE 104 PORT LAVACA, CALHOUN COUNTY, TEXAS. THE FOLLOWING MEMBERS WERE PRESENT: Richard Meyer David Hall Vern Lyssy Joel Behrens Gary Reese (ABSENT) Anna Goodman By: Kaddie Smith The subject matter of such meeting is as follows: 1) Call meeting to order. County Judge Commissioner Pct 1 Commissioner Pct 2 Commissioner Pct 3 Commissioner Pct 4 County Clerk Deputy Clerk Meeting was called to order at loam 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. Joel Behrens thanked Bayside Beach Church for giving aid to residents in need. Page 1 of 4 N011C:E OF MEETING— 7/10/2024 5) Consider and take necessary action on re -appointments of Teddy Hawes and Louis (Buzzy) Dillon to the West Side Calhoun County Navigation District. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 6) Consider and take necessary action to accept anonymous donation to the Sheriffs Office to be deposited into the Motivation account (2697-001-49082-679) in the amount of $250.00. (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 contract with Lester Contracting, Inc. for Bid No. 2024.05 Seadrift Drainage Improvements Project for Calhoun County, Texas under Texas General Land Office Contract No. 22-085-014-D245 and authorize the County Judge to sign. (GDR) Scott Mason explained the project. RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct+4 SECONDER: Joey Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 8) Consider and take necessary action to approve the Asbestos Abatement Proposal with KMAC Construction Services, Inc. for $10,660.00 and any demolition and/or any Structural Removal for the Courthouse Parking lot Project. (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 2 of 4 NOIICE 01 MEETING - 7/10/2024 9) Consider and take necessary action remove the following items from Sheriff's Office Inventory. They were stolen out of unit while at training. (RHM) A. APX8000 PORT ABLE RADIO SERIAL #579CXT6259 ASSET #565-0977 B. ASER GUN X26P SERIAL #Xl200A8X4 ASSET #565-0850 *** For reference attached is a list of items stolen but not on inventory. RESULT: APPROVED [UNANIMOUS]' MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct'2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 10) Consider and take necessary action to approve the May and June donation, surplus/salvage and waste lists for the Calhoun County Library. (RHM) RESULT: APPROVED[UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 11)Accept Monthly Reports from the following County Offices: i. Justice of the Peace, Pct 1— June 2024 ii. Justice of the Peace, Pct 2 — June 2024 III. Justice of the Peace, Pct 3 — June 2024 iv. Floodplain Administration — June 2024 v. District Clerk — June 2024 vi. Texas Agrilife Extension Service — May 2024 a. 4-H and Youth Development b. Agriculture and Nature Resources c. Family and Community Health d. Coastal and Marine RESULT: APPROVED [UNANIMOUS]; MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 12. Consider and take necessary action on any necessary budget adjustments. (RHM) 1►159M Page 3 of 4 ' NOTICE OF MEE-I ING - 7/1.0/2024 13. Approval of bills and payroll. (RHM) MMC Bills RESULT: APPROVED{UNANIMOUS];; MOVER:, David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese County Bills 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 4 "A-MI0I_IC��>\II"I I�II(�\ �IIIII All Agenda Items Properly Numbered ✓ Contracts Completed and Signed All 1295's Flagged for Acceptance (number of 1295's ) v1 All Documents for Clerk Signature Flagged (All documents needing to be attested to need to be signed day of Commissioner's Court.) On this � day of 2024, the packet far the day of 2024 Commissioners' Court Regular Session was sub itte rom the Calhoun County Judge's office to the Calhoun County Clerk's ffice. Y Calhoun County3udge/Assist i t NOTICE OF MILLING — 711012024 RichaTd H. Meyer County judge David Hall, Commissioner, Precinct 1 Vern Lyssy, Commissioner, Precinct 2 Joel Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 MEETING The Commissioners' Court of Calhoun County, Texas will meet on Wednesday, July 10, 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 �FILED The subject matter of such meeting is as follows: AT .' L��,{�� wo'CLCCK_,A--M 1) Call meeting to order. JUL 0 5 2024 ANNARGOODUAN 2) Invocation. COUNTY(C�L�CR�K�CALHHOUNN COUNTY, TEXAS 3) Pledges of Allegiance. 4) General Discussion of Public Matters and Public Participation. 5) Consider and take necessary action on re -appointments of Teddy Hawes and Louis (Buzzy) Dillon to the West Side Calhoun County Navigation District. (RHM) 6) Consider and take necessary action to accept anonymous donation to the Sheriffs Office to be deposited into the Motivation account (2697-001-49082-679) in the amount of $250.00. (RHM) 7) Consider and take necessary action to approve the contract with Lester Contracting, Inc. for Bid No. 2024.05 Seadrift Drainage Improvements Project for Calhoun County, Texas under Texas General Land Office Contract No. 22-085-014-D245 and authorize the County Judge to sign. (GDR) 8) Consider and take necessary action to approve the Asbestos Abatement Proposal with KMAC Construction Services, Inc. for $10,660.00 and any demolition and/or any Structural Removal for the Courthouse Parking lot Project. (RHM) Page 1 of 2 NOI ICF OF MFETING — 7/10/2024 9) Consider and take necessary action remove the following items from Sheriffs Office Inventory. They were stolen out of unit while at training. (RHM) A. APX8000 PORT ABLE RADIO SERIAL #579CXT6259 ASSET #565-0977 B. ASER GUN X26P SERIAL #Xl200A8X4 ASSET #565-0850 *** For reference attached is a list of items stolen, but not on inventory.*** 10) Consider and take necessary action to approve the May and June donation, surplus/salvage and waste lists for the Calhoun County Library. (RHM) 11) Accept Monthly Reports from the following County Offices: L Justice of the Peace, Pct 1— June 2024 ii. Justice of the Peace, Pct 2 — June 2024 iii. Justice of the Peace, Pct 3 — June 2024 iv. Floodplain Administration — June 2024 v. District Clerk — June 2024 vi. Texas Agrilife Extension Service — June 2024 a. 4-H and Youth Development b. Agriculture and Nature Resources c. Family and Community Health d. Coastal and Marine 12. Consider and take necessary action on any necessary budget adjustments. (RHM) 13. Approval of bills and payroll. (RHM) i Richard H. Meyer, County Ju e Calhoun County, Texas A copy of this Notice has been placed on the inside bulletin board of the Calhoun County Courthouse, 211 South Ann Street, Port Lavaca, Texas, which is readily accessible to the general public during regular business hours. 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.calhouncc)tx.org under "Commissioners' Court Agenda" for any official court postings. Page 2 of 2 I NOTICE 01: MEETING— 7/10/2024 July 10, 2024 MEETING MINUTES OF CALHOUN COUNTY COMMISSIONERS' COURT MET IN A REGULAR MEETING AT 10:00 A.M. IN THE COMMISSIONERS' COURTROOM IN THE COUNTY COURTHOUSE AT 211 S. ANN STREET SUITE 104 PORT LAVACA, CALHOUN COUNTY, TEXAS. THE FOLLOWING MEMBERS WERE PRESENT: Richard Meyer David Hall Vern Lyssy Joel Behrens Gary Reese (ABSENT) Anna Goodman By: Kaddie Smith The subject matter of such meeting is as follows: 1) Call meeting to order. County Judge Commissioner Pct 1 Commissioner Pct 2 Commissioner Pct 3 Commissioner Pct 4 County Clerk Deputy Clerk Meeting was called to order at loam 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. Joel Behrens thanked Bayside Beach Church for giving aid to residents in need. Page 1 of 10 ' N0110E OE MEETING — 7/10/2024 5) Consider and take necessary action on re -appointments of Teddy Hawes and Louis (Buzzy) Dillon to the West Side Calhoun County Navigation District. (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 2 of 10 Gary D. Reese County Commissioner County of Calhoun Precinct 4 July 2, 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 July 10, 2024. • Consider and take necessary action on re -appointments of Teddy Hawes and Louis (Buzzy) Dillon to the West Side Calhoun County Navigation District. S, cerely, Gary D. Reese GDR/at P.O. Box 177 — Seadrift, Texas 77983 —email: gm.ree_sc@calhouncoix.ore — (361) 785-3141— Fax (361) 785-56D2 7 C�. aq %o : 6INtx 151orveg 6u zl' --7e-d4 iLi1y�wej wa do( 4, /c 7�o he l e, A1Paeli eW to the 136Ax p( al' r�e �� y't From: > Sent: Tuesday, July 9, 2024 3:34 PM To: aarv.reese@calhouncotx.org Subject: Commissioner CAUTION: This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe. M r. Reese I Louis Dillon would like to continue as a Commissioner on the Calhoun West District Navigation Board. Sent from myiPhone Calhoun County Texas NOTICE OF MEETING - 7/1.0/2024 6) Consider and take necessary action to accept anonymous donation to the Sheriffs Office to be deposited into the Motivation account (2697-001-49082-679) in the amount of $250.00. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct i SECONDER: Vern Lyssy, Commissioner Pct2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese: Page 3 of 10 CALHOUN COUNTY, TEXAS COUNTY SHERIFF'S OFFICE 211 SOUTH ANN STREET PORT LAVACA, TEXAS 77979 PHONE NUMBER (361) 553-4646 FPAX NUMBER (361) 553-4668 MEMO TO: RICHARD MEYER, COUNTY JUDGE SUBJECT: ACCEPT DONATION TO SHERIFF'S OFFICE DATE: JULY 10, 2024 Please place the following item(s) on the Commissioner's Court agenda for the date(s) indicated: AGENDA FOR JULY 10, 2024 * 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 $250.00. Sincerely, Bobbie Vickery Calhoun County Sheriff NOTICE OF MEETING — 7/10/2024 7) Consider and take necessary action to approve the contract with Lester Contracting, Inc. for Bid No. 2024.05 Seadrift Drainage Improvements Project for Calhoun County, Texas under Texas General Land Office Contract No. 22-085-014-D245 and authorize the County Judge to sign. (GDR) Scott Mason explained the project. RESULT: APPROVED [UNANIMOUS] MOVER: GaryReese,,' Commissioner Pct 4 SECONDER: " Joel Behrens, Commissioner Pct 3 AYES:'` Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 4 of 10 Gary D. Reese County Commissioner County of Calhoun Precinct 4 July 2, 2024 Honorable Richard Meyer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 Dear Judge Meyer: Please place the following item on the Commissioners' Court Agenda for July 10, 2024. • Consider and take necessary action to approve the contract with Lester Contracting, Inc. for Bid No. 2024.06 Seadrift Drainage Improvements Project for Calhoun County, Texas under Texas General Land Office Contract No. 22-085-014- D248 and authorize the County Judge to sign. Sincerely, fA� Gary D. Reese GDR/at P.O. Box 177 —Seadrift, Texas 77983 —email: gary.reeser<calhouncotx,,org — (361) 785-3141 — Fax (361) 785-5602 ATTORNEY'S REVIEW CERTIFICATION Bid No. 2024.05 — Seadrift Drainage Improvements Project — GLO Contract No. 22-085-014-13245 for Calhoun County, Texas I, the undersigned, 30 g]fA fit Zz�tQUI° 7. the duly authorized and acting legal representative of the 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 respective parties; and that the agreements shall constitute valid and legally binding obligations upon the parties executing the same in accordance with terms, conditions and provisions thereof. Attorney's signature: Y VL t Z��ate: G% 20 Print Attorney's Name: fYG \`D 1iL�Z Texas State Bar Number: J4 b 5DgK Standard Form of Agreement for Construction Contracts THIS AGREEMENT made this the 5th day of June, 2024, by and between LESTER CONTRACTING, INC. a corporation organized and existing under the laws of the State of Texas hereinafter called the "Contractor', and CALHOUN COUNTY, TEXAS hereinafter called the "County." WITNESSETH, that the Contractor and the County for the considerations stated herein mutually agree as follows: ARTICLE 1. Statement of Work. The Contractor shall furnish all supervision, technical personnel, labor, materials, machinery, tools, equipment and services, including utility and transportation services, and perform and complete all work required for the construction of the Improvements embraced in the Project; namely Bid No. 2024.05 - Seadrift Drainage Improvements Project - GLO Contract No. 22-085-014-D245 for Calhoun County, Texas for the Community Development Block Grant - Mitigation (CDBG- DR) project, all in strict accordance with the contract documents including all addenda thereto, numbered One (1), dated April 26, 2024, all as prepared by G&W Engineers, Inc. acting and in these contract documents preparation, referred to as the "Engineer'. ARTICLE 2. The Contract Price. The County will pay the Contractor for the performance of the Contract in current funds, for the total quantities of work performed at the unit prices stipulated in the Bid for the several respective items of work completed subject to additions and deductions in amount of Six Million Ninety Six Thousand Five Hundred Thirty Eight Dollars and 50 Cents ($6,096,538.50). ARTICLE 3. The Contract. The executed contract documents shall consist of the following components: a. This Agreement b. Addenda c. Invitation for Bids d. Instructions to Bidders e. Signed Copy of Bid f. General Conditions g. Calhoun County Conditions h. Special Conditions g. i. Performance Bond j. Payment Bond k. Technical Specifications I. Drawings m. Other ARTICLE 4. Performance. Work, in accordance with the Contract dated June 5, 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 650 consecutive calendar days thereafter. The date of completion of all WORK is therefore established by the Notice to Proceed Letter This Agreement, together with other documents enumerated in this ARTICLE 3, which said other documents are as fully a part of the Contract as if hereto attached or herein repeated, forms the Contract between the parties hereto. In the event that any provision in any component part of this Contract conflicts with any provision of any other component part, the provision of the component part first enumerated in this ARTICLE 3 shall govern, except as otherwise specifically stated. IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be executed in 4 original copies on the day and year first above written. LESTER CONTRACTING INC. (Contractor) By Name/Title /\ uLs w jar S T4 �1bm� CALHOUN COUNTY (County) -), By Name/Title: Richard H. Meyer. County Judge QD SCHEDULE PROJECT NAME: BID NO. 2024.06 - SEADRIFT DRAINAGE IMPROVEMENTS PROJECT DUE DATE: MAY 9 2024 BEFORE 2:00:00 P.1111. BIDDER NAME: iP-<T7-)P nFt[FtN/ =, BASE 11110 F SCOPE: The project shall consist of ditch improvements including vegetation removal, regrading, reshaping and channel liner; removal and replacement of culverts; installation of storm sewer; bridge construction and roadway reconstruction associated with the drainage improvements in Seadrift, Texas. Base Bid Itsm 4 TxDOT ITEM CODE ITEMDESCRIPTIONUNIT ITEM BID QUANTITY UNIT PRICE TOTAL, BID ?RICE 1 01046017 REMOVING CONIC (DRIVEWAYS) SY 44 -75.00 -1-3o y,ob 2 0110 6001 EXCAVATION (ROADWAY) CY 657 ,E OO 63 o ) 3 01106002 EXCAVATION (CHANNEL) CY 242 -7�,p0 r.�, (�IJ o. 0o 4 01326005 EMBANKMENT(FINAL)(ORD COMP)(TYC). CY 116 o.", oa 15,050. 5 0132 6999 EMBANK (CHAN N EQ(FI NAL)(OC)(TY CY 539 ano•�� lo-] �oo.�� 6 01626002 BLOCKSOODING SY 1269 45, 6 j.(•.Oc) 7 01646005 BROADCASTSEED (PERM)(URBAN)(SANDY) SY 9905 'fib qTz, i5O 8 0247 6057 FL BS (CMP IN PLC)(TYE GR1.2)(FNAL POS) CY 291 9 02606012 QK(DRY) LIME (HYD, COM OR QK(SLURRY) OR TON 16�IS✓Oa / 0Un 00 10 02606079 LIME TRT(SUBGRADE)(6") SY 1365,Oo 11 03106027 PRIME COAT (MC-30 OR AE-P) GAL 335 61.00 3,UIs'•� 12 03166001 ASPH (MULTI OPTION) GAL 447 13.0b 13 0316 6246 AGGR (TY-PB GR-3 SAC-B) CY 13 30000 14 04006005 CEM STABIL BKFL CY 1959 112,00 ,21q qo?. 00 15 0400 6008 CUT & RESTOR ASPH PAVING SY 2206 /go = 00 16 0409 6002 PRESTR CONC PIQ18 IN SQ)(HPC) LF 576 51Z.00 lcp(o qqz ,0o 17 04206014 CL C CONC(ABUT)(HPC) CY 39.2 'J�om60 17 C7�U,GJ 18 04226008 REINF CONC SLAB (SLAB eEAM)(HPC) SF 2080- ' 00 �L/6r�lb0 00 19 0425 6010 PRESTR CONC SLAB BEAM (5SB12) LF 395 °,! 0.00 zq2, 5O0• Oa 20 04326003 RIPRAP(CONC)(61N) CY 15 gZ000 13gdQ00 21 04326033 RIPRAP (STONE PROTECTION)(181N) CY 219 g70.60 22 0450 6018 RAIL (TY T631) LF 208 1V j . 00 30 160.00 23 0460 6002 CMP (GAL STL 18 IN) LF 15 !60. DO r oe1 �70, 00 24 0462 6005 CONC BOX CULV (4FTX4FT) LF 52 00-00 3" NU0.011 25 0462 6007 CONC BOX CULV (SFTX3FT) LF 166 (0(00 0a log, 5,60, 0co EEse aid Continued Item # x-DOT I l Eiil CODE T ENJ DESCRIPTION ITSM UNIT BID QUANTITY UNIT PRICE TOTAL BID PRICE 55. 0540 6001 MTL W-BEAM GD FEN (TIM POST) LF 92 56 05406016 DOWNSTREAM ANCHOR TERMINAL EA 4 'JCS �• pa CD �. SECTION +�l) 57 05446001 GUARDRAIL END TREATMENT EA 4 / �yj tl TUD u- (INSTALL) GLjl1.r 1 58 0644 6001 IN SM RD SN SUP&AMTY10BWG(1)(SA)(P) EA 15 -7r ffcD fit; S • 59 0644 6076 REMOVE SM RD SN SUP&AM EA 15 U,00 -co 60 0658 6073 INSTL OM ASSM (OM- EA 8 00 g GD 2Y)(WC)GND(BI) • 61 07526004 TREE TRIMMING/BRUSH REMOVAL(CHANNELS) AC 1.11 �'I tP7�Ga�).CD %!,U'fU•� 62 0752 9999 TREE AND BRUSH REMOVAL AC 1.13 v k—, S (CHANNEL) � 63 0760 6001 DITCH CLEANING AND RESHAPING LF 5484 J 00 00 (FOOT) • 64 09996001 ENGIN EERED TURF(HYDROTU RFZ SF 40675 14.00 5169 �50 00 OR EQUIV) 65 09996002 MODIFY SEAWALL PANEL FOR EA 4 �D. coL GY J 00 OUTFALL • 66 3076 6043 D-GR HMA TY-.D PG70-22 (LEVEL -UP) TON 192 -�x0• Ct� r `��. Oc7 67 4122 6004 THERMO PIPE(18")(HDPE)(TY S)(CSB) LF 644 00 j C0 68 4122 6005 THERMO PIPE(24")(HDPE)(TY S)(CSB) LF 316 �SQ, 00 L,7 4Z).01) 69 4122 6006 THERMO PIPE(36")(HDPE)(TY S)(CSB) LF 49 �;,Z(�, 0d Or) 70 41226021 THERMO PIPE(30")(HDPE)(TY S)(CSB) LF 569 230 130?7Q. 00 71 50486002 FLOATING TURBIDITY BARRIER(FUR LF 90 nn 72 5048 6003 FLOATING TURBIDITY BARRIER LF 90 Z,? DO (REMOVE) 73 7218 6013 PIPE ENCASEMENT (12" STQ LF 32 �Z)(j, Cb -7 00 Total Base Bid (Base Bid +$60,000,00 Testing Allowance)! (p, U�<n 53S . 51, ALTERNATE BID 101 REPLACES ITEM 0999 6001 ENGINEER TUB Item TxDOT ITEM I ITEM DFSCRIPTIOPI ITEM BID UNIT PRICE TOTAL BID PRICE # CODE I UNIT QUANTITY A01 1 0432 6002 RIPRAP (CONC)(SIN) CY 619 -560. 00 3 f Q, 4S Q• 00 OWNER'S OPTION A - 9TH ST LEFT DITCH CONCRETE LINER additional worst Item It TxDOT ITEM ITEM DESCRIPTION CODE ITEM UNIT BID UANTITY UNIT PRICE TOTAL BID PRICE B01 B0432 6003 1 RIPRAP (CONC)(61N) CY 227 • S:0.00 13/, (�,(C.00 OWNERS OPTION A+ $4,000.00 Allowance = f 3s; (060.110 GENERAL CONDITIONS - PART I FOR CONSTRUCTION 1. Contract and Contract Documents a. The project to be constructed pursuant to this contract will be financed with assistance from the General Land Office (GLO) through the Community Development Block Grant — Mitigation (CDBG-MIT) fund and is subject to all applicable Federal and State laws and regulations. b. The Plans, Specifications and Addenda shall form part of this contract and the provisions thereof shall be binding upon the parties as if they were herein fully set forth. 2. Definitions Whenever used in any of the Contract Documents, the following meanings shall be given to the terms here in defined: (a) The term "Contract" means the Contract executed between Calhoun County, hereinafter called the "County" and Lester Contracting. Inc., hereinafter called "Contractor", of which these GENERAL CONDITIONS, form a part. (b) The term "Project Area" means the area within the specified Contract limits of the Improvements contemplated to be constructed in whole or in part under this contract. (c) The term "Engineer" means (G & W Engineers Inc.), Engineer in charge, serving the County with architectural or engineering services, his successor, or any other person or persons, employed by the County for the purpose of directing or having in charge the work embraced in this Contract. (d) The term "Contract Documents" means and shall include the following: Executed Contract, Addenda (if any), Invitation for Bids, Instructions to Bidders, Signed Copy of Bid, General Conditions, Special Conditions, Technical Specifications, and Drawings (as listed in the Schedule of Drawings). 3. Supervision By Contractor (a) Except where the Contractor is an individual and personally supervises the work, the Contractor shall provide a competent superintendent, satisfactory to the Engineer, on the work at all times during working hours with full authority to act as Contractor's agent. The Contractor shall also provide adequate staff for the proper coordination and expediting of his work. (b) The Contractor shall be responsible for all work executed under the Contract. Contractor shall verify all figures and elevations before proceeding with the work and will be held responsible for any error resulting from his failure to do so. 4. Subcontracts (a) The Contractor shall not execute an agreement with any subcontractor or permit any subcontractor to perform any work included in this contract until Contractor has verified the subcontractor has been cleared (not suspended or debarred) to participate in federally funded contracts. U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT COMMUNITY DEVELOPMENT BLOCK GRANT PROGRAM CONTRACTOR'S CERTIFICATION CONCERNING LABOR STANDARDS AND PREVAILING WAGE REQUIREMENTS TO (appropriate recipient) DATE PROJECT NUMBER (if any) C/O PROJECT NAME r 1. The undersigned, having executed a contract with 1,- A l Du for the construction of the above -identified project, acknowledges that: (a) The Labor Standards provisions are included in the aforesaid contract, (b) Correction of any infractions of the aforesaid conditions, including infractions by any subcontractors and any lower tier subcontractors, is Contractor's responsibility. Certifies that: (a) Neither Contractor nor any firm, partnership or association in which it has substantial interest is designated as an ineligible contractor by the Comptroller General of the United States pursuant to Section 5.6(b) of the Regulations of the Secretary of Labor, Part 5 (29 CFR, Part 5) or pursuant to Section 3(a) of the Davis -Bacon Act, as amended. (b) No part of the aforementioned contract has been or will be subcontracted to any subcontractor if such subcontractor or any firm, corporation, partnership or association in which such subcontractor has a substantial interest is designated as an ineligible contractor pursuant to any of the aforementioned regulatory or statutory provisions. 3. Contractor agrees to obtain and forward to the aforementioned recipient within ten days after the execution of any subcontract, including those executed by subcontractors and any lower tier subcontractors, a Subcontractor's Certification Concerning Labor Standards and Prevailing Wage Requirements executed by the subcontractors. 4. Certifies that: (a) The legal name and the business address of the undersigned are: LokJ I -zn(_. (1) A SINGLE PROPRIETORSHIP 1 (3) A CORPORATION ORGANIZED IN THE STATE OF (2) A PARTNERSHIP 1 (4) OTHER ORGANIZATION (Describe) (c) The name. title and address of the owner, partners or officers of the undersigned are: NAME TITLE ADDRESS �J�z� Tf. �(LSid� kn � Ilti E<fe1 br. �u✓j 1 AJc�c� i 1-74 11 Sa, p ��R tn'�AiSa•.� �. d The names and addresses of all other persons having a substantial interest in the undersigned, and the nature of the interest are: NAME ADDRESS NATURE OF INTEREST (a) The names, addresses and trade classifications of all other building construction contractors in which the undersigned has a substantial L, -5�/ , _-y v� . (Contractor) Dale CERTIFICATE OF INTERESTED PARTIES FORM 1295 loll Complete Nos. 1- 4 and 6 4 there are interested ponies. OFFICE USE ONLY Complete Nos.1, 2, 3.5, and 6 if there are no interested parties. CERTIFICATION OF FILING Certificate Number: 2024-1179761 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. Lester Contracting, inc. Port Lavaca, TX United States Date Filed: 2 Name o governmental entity or state agency that is a party to the contract for which the form is being filed. 06124/2024 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 ofthe services, goods, or other property to be provided under the contract. GLO No.22-085-014-D245 Bid No. 2024.05 - Seadrift Drainage Improvements Project GLO Contract No. 22-085.014-D245 4 Name of Interested Party City, State, Country (place of business) Nature of interest (check applicable) Controlling Intermediary Lester, Jr., Ken Port Lavaca, TX United States X 5 Check only if there Is NO Interested Parry. ❑ 6 UNSWORN DECLARATION My name is 6aa and my date of birth is My address is I declare under penalty of perjury that the foregoing is true and correct. Executed in CA'��OL1 yt County, State of�Rx(l. S ,on the�day of au— ,20 t � (month) (year) � Signature of authonzed agefit of contracting business entity (Daciamnp orms provided by Texas Ethics Commission www.ethics.state.tx.us Version V4.1.0.078aba0 SECTION 504 CERTIFICATION POLICY OF NONDISCRIMINATION ON THE BASIS OF DISABILITY The l,�•,MAL�"qja :PC'does not discriminate on the basis of disability status in the admission or access to, or treatment or employment in, its federally assisted programs or activities. (Name)_ 0-4nAm 1yq- (Address) lihuJlt- S �04\(\ City State Zip Telephone Number (3�J ) S� A - o� i Voice ( ) TDD Wk 66AAhas been designated to coordinate compliance with the nondiscrimination requirements contained in the Department of Housing and Urban Development's (HUD) regulations implementing Section 504 (24 CFR Part 8. dated June 2, 1988). CHILD SUPPORT STATEMENT FOR NEGOTIATED CONTRACTS AND GRANTS Under Section 231.006, Family Code, the vendor or applicant certifies that the individual or business entity named in this contract, bid, or application is eligible to receive the specified grant, loan, or payment and acknowledges that this contract may be terminated and payment may be withheld if this certification is inaccurate. Section 231.006, Family Code, specifies that a child support obligor who is more than 30 days delinquent in paying child support and a business entity in which the obligor is a sole proprietor, partner, shareholder, or owner with an ownership interest of at least 25% is not eligible to receive payments from state funds under a contract to provide property, materials, or services; or receive a state -funded grant or loan. List below the name and ownership percentage of the individual or sole proprietor and each partner, shareholder, or owner with an ownership interest of at least 25% of the business entity submitting the bid or application. N4A(M.E/ OWNERSHIP BY % A child support obligor or business entity ineligible to receive payments described above remains ineligible until all arrearage have been paid or the obligor is in compliance with a written repayment agreement or court order as to any existing delinquency. The undersigned proposer certifies that he or she, is the proposing individual, or the sole proprietor of the proposing business, and is eligible under Section 231.006 of the Texas Family Code, to receive the payments of State funds which may be disbursed in connection with a contract arising from this solicitation, The undersigned each further acknowledges that a contract resulting from this solicitation may be terminated and payment may be withheld if the certification provided herein is found to be inaccurate. Signature — Company Official �_x\A rn 60todl- - �kcr ,'�� Printed/Typed Name and Title LP,� L6J1�� znc, Printed/Type Firm Name Date DOCUMENT NO. 00417 TRENCH SAFETY SYSTEMS INDEMNITY AGREEMENT OWNER: Calhoun County CONTRACTOR: Lester Contracting, Inc. ENGINEER: G & W Engineers, Inc., Port Lavaca, Calhoun County, Texas PROJECT: Bid No. 2024.05 — Seadrift Drainage Improvements Project — GLO Contract No. 22- 085-014-D245 for Calhoun County, Texas CONTRACTOR has entered into a contract with OWNER for the construction of the Project. ENGINEER has designed the Project on behalf of OWNER, but has not designed any trench safety systems for the Project that may be required by applicable federal, state and/or local laws. CONTRACTOR, in its contract with OWNER, has agreed to prepare, and to conform all trenching work to plans for trench safety systems meeting the standards of applicable laws. CONTRACTOR, as part of its consideration to OWNER for the contract for the construction of the Project, agrees that it will be solely responsible for compliance with its trench safety plans and with all applicable standards of federal, state and/or local laws relating to trench safety. CONTRACTOR further agrees to hold harmless, indemnify, and defend OWNER and ENGINEER, and all officers, agents and employees of either OWNER or ENGINEER, from and against any and all claims, demands or causes of action of any nature, character or description in connection with the presence, or in any way arising out of, the use or construction of trenches or trench safety systems as part of the Project. EXECUTED, this day of 20 Lester Contragting, Inc. Calhouy-_I:Zunty, Texas By: a1w nunk� By: I Officer's Name: 'AV!A Officer's Name: Richard H. Meyer Title of Officer: Sl tahz n. Title of Officer: Calhoun County Judge G&W Engineers, Inc. (Contractor's Seal) By: a ussl'� f"�. er's Name: Marla Jasek, P.E. f "�. Title of Engineer: Project Engineer Bond No. 30184146 TEXAS STATUTORY PERFORMANCE BOND (Public Works) KNOW ALL MEN BY THESE PRESENTS: THAT, Lester Contracting, Inc. 3677 Highway 35 South, Port Lavaca, Tx 77979 (hereinafter called the Principal), as principal, and Continental Casualty Company, 151 N. Franklin St., Chicago, IL 60606 , a corporation organized and existing under the laws of the State of Illinois licensed to do business in the State of Texas and admitted to write bonds, as surety, (hereinafter called the Surety), are held and firmly bound unto Calhoun County, Texas (hereinafter called the Obligee), in the amount of Six Million Ninety Six Thousand, Five Hundred Thirty Eight Dollars & 50/100 Dollars ($ 6-096,53R 50 ) for the payment whereof, the said Principal and Surety bind themselves, and their heirs, administrators, executors, successors, and assigns, jointly and severally, firmly by these presents. WHEREAS, the Principal has entered into a certain contract with the Obligee, dated the 5th day of June 1 2024, for Calhoun County -Seadrift Drainage Improvements Project GLO #22-085-014-D245 which contract is hereby referred to and made a part hereof as fully and to the same extent as if copied at length herein. NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION IS SUCH, That if the said Principal shall faithfully perform the work in accordance with the plans, specifications and contract documents, then, this obligation shall be null and void; otherwise to remain in full force and effect; PROVIDED, HOWEVER, that this bond is executed pursuant to the provisions of Chapter 2253 of the Texas Government Code and all liabilities on this bond shall be determined in accordance with the provisions, conditions and limitations, of said Chapter to the same extent as if it were copied at length herein. IN WITNESS WHEREOF, the said Principal and Surety have signed and sealed this instrument this 5th day of June 2024 Witness: (if Individual or Firm) Attest: Leticia Ballejo Witness A (if corporation) Form F5558 (Seal) (Seal) (—L'esstter ntr g, Inc. �---f' . (Seal) Ken Lester Jr. President Principal Continental Casualty Company (Seal) _ Surety By:�v.9 si -;? Kristie Rodriguez Atto -in-F POWER OF ATTORNEY APPOINTING INDIVIDUAL ATTORNEY -IN -FACT Know All Men By These Presents, That Continental Casualty Company, an Illinois insurance company, National Fire Insurance Company of Hartford, an Illinois insurance company, and American Casualty Company of Reading, Pennsylvania, a Pennsylvania insurance company (herein called "the CNA Companies"), are duly organized and existing insurance companies having their principal offices in the City of Chicago, and State of Illinois, and that they do by virtue of the signatures and seals herein affixed hereby make, constitute and appoint Gary Grissom, Laurie J Barnes, Ronda Brown, Denise Dugan, James Russell, Ana Rodriguez, Kristie Rodriguez, Shanna Wagner, Coy Sunderman, J D Steanson, Individually of Austin, TX, their true and lawful Attomey(s)-in-Fact with full power and authority hereby conferred to sign, seal and execute for and on their behalf bonds, undertakings and other obligatory instruments of similar nature - In Unlimited Amounts - and to bind them thereby as fully and to the same extent as if such instruments were signed by a duly authorized officer of their insurance companies and all the acts of said Attorney, pursuant to the authority hereby given is hereby ratified and confirmed. This Power of Attorney is made and executed pursuant to and by authority of the By -Laws and Resolutions, printed on the reverse hereof, duly adopted, as indicated, by the Boards of Directors of the insurance companies. In Witness Whereof, the CNA Companies have caused these presents to be signed by their Vice President and their corporate seals to be hereto affixed on this 29th day of August, 2023. �21CPx"GASUA INSURgyc LAvAW oe,ps, ,g�p F � 2 OORPORArE Off.c7� YNtaPPORgTFO u 2 A o a IULY 31. of SEAL s� tsoz 1R97 � RARaF� s • Continental Casualty Company National Fire Insurance Company of Hartford American Casualty Company of Reading, Pennsylvania Larry Kasten Vice President State of South Dakota, County of Minnehaha, as: On this 29th day of August, 2023, before me personally came Larry Kasten to me known, who, being by me duly sworn, did depose and say: that he resides in the City of Sioux Falls, State of South Dakota; that he is a Vice President of Continental Casualty Company, an Illinois insurance company, National Fire Insurance Company of Hartford, an Illinois insurance company, and American Casualty Company of Reading, Pennsylvania, a Pennsylvania insurance company described in and which executed the above instrument; that he knows the seals of said insurance companies; that the seals affixed to the said instrument are such corporate seals; that they were so affixed pursuant to authority given by the Boards of Directors of said insurance companies and that he signed his name thereto pursuant to like authority, and acknowledges same to be the act and deed of said insurance companies. 4s+ • •w.e! M. BENTM1�� S (R NOTARY PUSLIC(R� S SOUTH DMOTA SEnL I..'.u.nnn.un............. .+ My Commission Expires March 2, 2026 M. Bent Notary Public CERTIFICATE I; D. Johnson, Assistant Secretary of Continental Casualty Company, an Illinois insurance company, National Fire Insurance Company of Hartford, an Illinois insurance company, and American Casualty Company of Reading, Pennsylvania, a Pennsylvania insurance company do hereby certify that the Power of Attorney herein above set forth is still in force, and further certify that the By -Laws and Resolutions of the Board of Directors of the insurance companies printed on the reverse hereof is still in force. In testimony whereof I have hereunto subscribed my name and affixed the seal of the said insurance companies this 5th day of June, 2024. Aps. GA 0,S 4 y 4y 1NSUR AvaRroA Continental Casualty Company 0 .�� '�o National Fire Insurance Company of Hartford E' a g F- OORP.RATf $ ; yb,� 0CaPPOR4TFa a American Casualty Company of Reading, Pennsylvania Z O y IULY 31, o� SEAL 4� lsoz 1a97 � Rpah� b • D. Johnson Assistant Secretary Form F6853-4-2023 Go to www.cnasuretv.com > Owner / Obligee Services > Validate Bond Coverage, if you want to verify bond authenticity. Authorizing By -Laws and Resolutions This Power of Attorney is signed by Larry Kasten, Vice President of each of the CNA Companies (as defined in the Power of Attorney), who has been authorized pursuant to the below Bylaws and Resolutions to execute power of attorneys on behalf of each of the CNA Companies. ADOPTED BY THE BOARD OF DIRECTORS OF CONTINENTAL CASUALTY COMPANY: This Power of Attorney is made and executed pursuant to and by authority of the following resolution duly adopted by the Board of Directors of the Company at a meeting held on May 12, 1995: "RESOLVED: That any Senior or Group Vice President may authorize an officer to sign specific documents, agreements and instruments on behalf of the Company provided that the name of such authorized officer and a description of the documents, agreements or instruments that such officer may sign will be provided in writing by the Senior or Group Vice President to the Secretary of the Company prior to such execution becoming effective." This Power of Attorney is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of the Company by unanimous written consent dated the 25" day of April, 2012: "Whereas, the bylaws of the Company or specific resolution of the Board of Directors has authorized various officers (the "Authorized Officers") to execute various policies, bonds, undertakings and other obligatory instruments of like nature; and Whereas, from time to time, the signature of the Authorized Officers, in addition to being provided in original, hard copy format, may be provided via facsimile or otherwise in an electronic format (collectively, "Electronic Signatures"); Now therefore be it resolved: that the Electronic Signature of any Authorized Officer shall be valid and binding on the Company." This Power of Attorney may be signed by digital signature and sealed by a digital or otherwise electronic -formatted corporate seal under and by the authority of the following Resolution adopted by the Board of Directors of the Company by unanimous written consent dated the 27th day of April, 2022: "RESOLVED: That it is in the best interest of the Company to periodically ratify and confirm any corporate documents signed by digital signatures and to ratify and confirm the use of a digital or otherwise electronic -formatted corporate seal, each to be considered the act and deed of the Company." ADOPTED BY THE BOARD OF DIRECTORS OF NATIONAL FIRE INSURANCE COMPANY OF HARTFORD: This Power of Attorney is made and executed pursuant to and by authority of the following resolution duly adopted by the Board of Directors of the Company by unanimous written consent dated May 10, 1995: "RESOLVED: That any Senior or Group Vice President may authorize an officer to sign specific documents, agreements and instruments on behalf of the Company provided that the time of such authorized officer and a description of the documents, agreements or instruments that such officer may sign will be provided in writing by the Senior or Group Vice President to the Secretary of the Company prior to such execution becoming effective." This Power of Attorney is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of the Company by unanimous written consent dated the 25'b day of April, 2012: "Whereas, the bylaws of the Company or specific resolution of the Board of Directors has authorized various officers (the "Authorized Officers") to execute various policies, bonds, undertakings and other obligatory instruments of like nature; and Whereas, from time to time, the signature of the Authorized Officers, in addition to being provided in original, hard copy format, may be provided via facsimile or otherwise in an electronic format (collectively, "Electronic Signatures"); Now therefore be it resolved: that the Electronic Signature of any Authorized Officer shall be valid and binding on the Company." This Power of Attorney may be signed by digital signature and sealed by a digital or otherwise electronic -formatted corporate seal under and by the authority of the following Resolution adopted by the Board of Directors of the Company by unanimous written consent dated the 27th day of April, 2022: "RESOLVED: That it is in the best interest of the Company to periodically ratify and confirm any corporate documents signed by digital signatures and to ratify and confirm the use of a digital or otherwise electronic -formatted corporate seal, each to be considered the act and deed of the Company." ADOPTED BY THE BOARD OF DIRECTORS OF AMERICAN CASUALTY COMPANY OF READING, PENNSYLVANIA: This Power of Attorney is made and executed pursuant to and by authority of the following resolution duly adopted by the Board of Directors of the Company by unanimous written consent dated May 10, 1995: "RESOLVED: That any Senior or Group Vice President may authorize an officer to sign specific documents, agreements and instruments on behalf of the Company provided that the name of such authorized officer and a description of the documents, agreements or instruments that such officer may sign will be provided in writing by the Senior or Group Vice President to the Secretary of the Company prior to such execution becoming effective." This Power of Attorney is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of the Company by unanimous written consent dated the 25a day of April, 2012: "Whereas, the bylaws of the Company or specific resolution of the Board of Directors has authorized various officers (the "Authorized Officers") to execute various policies, bonds, undertakings and other obligatory instruments of like nature; and Whereas, from time to time, the signature of the Authorized Officers, in addition to being provided in original, hard copy format, may be provided via facsimile or otherwise in an electronic format (collectively, "Electronic Signatures"); Now therefore be it resolved: that the Electronic Signature of any Authorized Officer shall be valid and binding on the Company. This Power of Attorney may be signed by digital signature and sealed by a digital or otherwise electronic -formatted corporate seal under and by the authority of the following Resolution adopted by the Board of Directors of the Company by unanimous written consent dated the 27th day of April, 2022: "RESOLVED: That it is in the best interest of the Company to periodically ratify and confirm any corporate documents signed by digital signatures and to ratify and confirm the use of a digital or otherwise electronic-fornatted corporate seal, each to be considered the act and deed of the Company." TEXAS STATUTORY PAYMENT BOND (Public Works) Bond No. 30184146 KNOW ALL MEN BY THESE PRESENTS: THAT, Lester Contracting, Inc. 3677 Highway 35 South, Port Lavaca, Tx 77979 (hereinafter called the Principal), as principal, and Continental Casualty Company, 151 N. Franklin St., Chicago, IL 60606 , a corporation organized and existing under the laws of the State of Illinois licensed to do business in the State of Texas and admitted to write bonds, as surety, (hereinafter called the Surety), are held and firmly bound unto Calhoun County, Texas Six Million, Ninety Six Thousand, Five Hundred Thirty Eight Dollars & 50/100 (hereinafter called the Obligee), in the amount of Dollars ($,O�S4R� 50 ) for the payment whereof, the said Principal and Surety bind themselves, and their heirs, administrators, executors, successors, and assigns, jointly and severally, firmly by these presents. WHEREAS, the Principal has entered into a certain contract with the Obligee, dated the 5th day of June 2024 , for Calhoun County -Seadrift Drainange Improvements Project GLO # 22-085-014-D245 which contract is hereby referred to and made a part hereof as fully and to the same extent as if copied at length herein. NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION IS SUCH, That if the said Principal shall pay all claimants supplying labor and material to him or a subcontractor in the prosecution of the work provided for in said contract, then, this obligation shall be null and void; otherwise to remain in full force and effect; PROVIDED, HOWEVER, that this bond is executed pursuant to the provisions of Chapter 2253 of the Texas Government Code and all liabilities on this bond shall be determined in accordance with the provisions, conditions and limitations of said Chapter to the same extent as if it were copied at length herein. IN WITNESS WHEREOF, the said Principal and Surety have signed and sealed this instrument this 5th day of June 2024 Witness: (if Individual or Firm) Atte t: eticlaBalle)o Witness J (if Corporation) Form F6137 (Seal) ester n tmg,Inc. (seal) (Seal) Ken Lester Jr. President Principal yContinental Casualty Company Surety (Seal) By: Kristie Rodriguez Attorn -i -Fa POWER OF ATTORNEY APPOINTING INDIVIDUAL ATTORNEY -IN -FACT Know All Men By These Presents, That Continental Casualty Company, an Illinois insurance company, National Fire Insurance Company of Hartford, an Illinois insurance company, and American Casualty Company of Reading, Pennsylvania, a Pennsylvania insurance company (herein called "the CNA Companies"), are duly organized and existing insurance companies having their principal offices in the City of Chicago, and State of Illinois, and that they do by virtue of the signatures and seals herein affixed hereby make, constitute and appoint Gary Grissom, Laurie J Barnes, Ronda Brown, Denise Dugan, James Russell, Ana Rodriguez, Kristie Rodriguez, Sharma Wagner, Coy Sunderman, J D Steanson, Individually of Austin, TX, their true and lawful Attomey(s)-in-Fact with full power and authority hereby conferred to sign, seal and execute for and on their behalf bonds, undertakings and other obligatory instruments of similar nature - In Unlimited Amounts - and to bind them thereby as fully and to the same extent as if such instruments were signed by a duly authorized officer of their insurance companies and all the acts of said Attorney, pursuant to the authority hereby given is hereby ratified and confirmed. This Power of Attorney is made and executed pursuant to and by authority of the By -Laws and Resolutions, printed on the reverse hereof, duly adopted, as indicated, by the Boards of Directors of the insurance companies. In Witness Whereof, the CNA Companies have caused these presents to be signed by their Vice President and their corporate seals to be hereto affixed on this 29th day of August, 2023. AS pv.G �4 pOAPOAATE Z • 9 ou SEAL g 1891 ANY(PContinental Casualty Company National Fire Insurance Company of Hartford L�Y1CQRPD94rr0 American Casualty Company of Reading, Pennsylvania IDLY 31. € ISO b • Larry Kasten Vice President State of South Dakota, County of Minnehaha, as: - On this 29th day of August, 2023, before me personally came Larry Kasten to me known, who, being by me duly sworn, did depose and say: that he resides in the City of Sioux Falls, State of South Dakota; that he is a Vice President of Continental Casualty Company, an Illinois insurance company, National Fire Insurance Company of Hartford, an Illinois insurance company, and American Casualty Company of Reading, Pennsylvania, a Pennsylvania insurance company described in and which executed the above instrument; that he knows the seals of said insurance companies; that the seals affixed to the said instrument are such corporate seals; that they were so affixed pursuant to authority given by the Boards of Directors of said insurance companies and that he signed his name thereto pursuant to like authority, and acknowledges same to be the act and deed of said insurance companies. fr...r.w................. +' M.BENT '+ rDNOTAAV PUBLIC� SOUTH DAKOT SEAL frrerrr..rr.rnenn.ee.nee.i My Commission Expires March 2, 2026 M. Bent Notary Public CERTIFICATE I, D. Johnson, Assistant Secretary of Continental Casualty Company; an Illinois insurance company, National Fire Insurance Company of Hartford, an Illinois insurance company, and American Casualty Company of Reading, Pennsylvania, a Pennsylvania insurance company do hereby certify that the Power of Attorney herein above set forth is still in force, and further certify that the By -Laws and Resolutions of the Board of Directors of the insurance companies printed on the reverse hereof is still in force. In testimony whereof I have hereunto subscribed my name and affixed the seal of the said insurance companies this 5th day of June, 2024. GAS Ugtry ?Al 1NSURgy �AVANY Ob 2 pOPPORAip Q O i. \NC9RP99gr�� '... G • 2 4 `(A� a `4 JULY u, U SEALr 1897 & HAP1F� b • Continental Casualty Company National Fire Insurance Company of Hartford American Casualty Company of Reading, Pennsylvania (,—o - jeo_�� D. Johnson Assistant Secretary Form F6853-4-2023 Go to www.cnasuretV.com > Owner / Obligee Services > Validate Bond Coverage, if you want to verify bond authenticity. Authorizing By -Laws and Resolutions This Power of Attorney is signed by Larry Kasten, Vice President of each of the CNA Companies (as defined in the Power of Attorney), who has been authorized pursuant to the below Bylaws and Resolutions to execute power of attorneys on behalf of each of the CNA Companies. ADOPTED BY THE BOARD OF DIRECTORS OF CONTINENTAL CASUALTY COMPANY: This Power of Attorney is made and executed pursuant to and by authority of the following resolution duly adopted by the Board of Directors of the Company at a meeting held on May 12, 1995: "RESOLVED: That any Senior or Group Vice President may authorize an officer to sign specific documents, agreements and instruments on behalf of the Company provided that the name of such authorized officer and a description of the documents, agreements or instruments that such officer may sign will be provided in writing by the Senior or Group Vice President to the Secretary of the Company prior to such execution becoming effective." This Power of Attorney is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of the Company by unanimous written consent dated the 251h day of April, 2012: "Whereas, the bylaws of the Company or specific resolution of the Board of Directors has authorized various officers (the "Authorized Officers") to execute various policies, bonds, undertakings and other obligatory instruments of like nature; and Whereas, from time to time, the signature of the Authorized Officers, in addition to being provided in original, hard copy format, may be provided via facsimile or otherwise in an electronic format (collectively, "Electronic Signatures"); Now therefore be it resolved: that the Electronic Signature of any Authorized Officer shall be valid and binding on the Company." This Power of Attorney may be signed by digital signature and sealed by a digital or otherwise electronic -formatted corporate seal under and by the authority of the following Resolution adopted by the Board of Directors of the Company by unanimous written consent dated the 271h day of April, 2022: "RESOLVED: That it is in the best interest of the Company to periodically ratify and confirm any corporate documents signed by digital signatures and to ratify and confirm the use of a digital or otherwise electronic -Formatted corporate seal, each to be considered the act and deed of the Company." ADOPTED BY THE BOARD OF DIRECTORS OF NATIONAL FIRE INSURANCE COMPANY OF HARTFORD: This Power of Attorney is made and executed pursuant to and by authority of the following resolution duly adopted by the Board of Directors of the Company by unanimous written consent dated May 10, 1995: "RESOLVED: That any Senior or Group Vice President may authorize an officer to sign specific documents, agreements and instruments on behalf of the Company provided that the name of such authorized officer and a description of the documents, agreements or instruments that such officer may sign will be provided in writing by the Senior or Group Vice President to the Secretary of the Company prior to such execution becoming effective." This Power of Attorney is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of the Company by unanimous written consent dated the 25U day of April, 2012: "Whereas, the bylaws of the Company or specific resolution of the Board of Directors has authorized various officers (the "Authorized Officers") to execute various policies, bonds, undertakings and other obligatory instmments of like nature; and Whereas, from time to time, the signature of the Authorized Officers, in addition to being provided in original, hard copy format, may be provided via facsimile or otherwise in an electronic format (collectively, "Electronic Signatures"); Now therefore be it resolved: that the Electronic Signature of any Authorized Officer shall be valid and binding on the Company." This Power of Attorney may be signed by digital signature and sealed by a digital or otherwise electronic -formatted corporate seal under and by the authority of the following Resolution adopted by the Board of Directors of the Company by unanimous written consent dated the 27th day of April, 2022: "RESOLVED: That it is in the best interest of the Company to periodically ratify and confirm any corporate documents signed by digital signatures and to ratify and confirm the use of a digital or otherwise electronic -formatted corporate seal, each to be considered the act and deed of the Company." ADOPTED BY THE BOARD OF DIRECTORS OF AMERICAN CASUALTY COMPANY OF READING, PENNSYLVANIA: This Power of Attorney is made and executed pursuant to and by authority of the following resolution duly adopted by the Board of Directors of the Company by unanimous written consent dated May 10, 1995: "RESOLVED: That any Senior or Group Vice President may authorize an officer to sign specific documents, agreements and instruments on behalf of the Company provided that the name of such authorized officer and a description of the documents, agreements or instruments that such officer may sign will be provided in writing by the Senior or Group Vice President to the Secretary of the Company prior to such execution becoming effective." This Power of Attorney is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of the Company by unanimous written consent dated the 25" day of April, 2012: "Whereas, the bylaws of the Company or specific resolution of the Board of Directors has authorized various officers (the "Authorized Officers") to execute various policies, bonds, undertakings and other obligatory instruments of like nature; and Whereas, from time to time, the signature of the Authorized Officers, in addition to being provided in original, hard copy format, may be provided via facsimile or otherwise in an electronic format (collectively, "Electronic Signatures"); Now therefore be it resolved: that the Electronic Signature of any Authorized Officer shall be valid and binding on the Company." This Power of Attorney may be signed by digital signature and sealed by a digital or otherwise electronic -formatted corporate seal under and by the authority of the following Resolution adopted by the Board of Directors of the Company by unanimous written consent dated the 27th day of April, 2022: "RESOLVED: That it is in the best interest of the Company to periodically ratify and confirm any corporate documents signed by digital signatures and to ratify and confirm the use of a digital or otherwise electronic -formatted corporate seal, each to be considered the act and deed of the Company." Figure: 28 TAC §1.601(a)(3) 1 IMPORTANT NOTICE To obtain information or make a complaint: 2 You may contact Continental Casualty Company, National Fire Insurance Company of Hartford, American Casualty Company of Reading, PA and Continental Insurance Company at 312-822-5000. 3 You may call Continental Casualty Company, National Fire Insurance Company of Hartford, American Casualty Company of Reading, PA and Continental Insurance Company's toll -free telephone number for information or to make a complaint at: 4 You may also write to Continental Casualty Company, National Fire Insurance Company of Hartford, American Casualty Company of Reading, PA and Continental Insurance Company at: CNA Surety 151 North Franklin, 17th Floor Chicago, IL 60606 5 You may contact the Texas Department of Insurance to obtain information on companies, coverages, rights or complaints at: 1-800-252-3439 6 You may write the Texas Department of Insurance: P.O. Box 149104 Austin, TX 78714-9104 Fax: (512) 490-1007 Web: www.tdi.texas.gov E-Mail: ConsumerProtection@tdi.texas.gov 7 PREMIUM OR CLAIM DISPUTES: Should you have a dispute concerning your premium or about a claim you should contact Continental Casualty Company, National Fire Insurance Company of Hartford, American Casualty Company of Reading, PA and Continental Insurance Company first. If the dispute is not resolved, you may contact the Texas Department of Insurance. 8 ATTACH THIS NOTICE TO YOUR POLICY: This notice is for information only and does not become a part or condition of the attached document. Form F8277-6-2018 AVISO IMPORTANTE Para obtener informacion o para someter one queja: Puede comunicarse con Continental Casualty Company, National Fire Insurance Company de Hartford, American Casualty Company de Reading, PA y Continental Insurance Company al 312-822-5000. Usted puede Ilamar al numero de telefono gratis de Continental Casualty Company, National Fire Insurance Company de Hartford, American Casualty Company de Reading, PA y Continental Insurance Company's para informacion o para someter one queja al: 1-877-672-6115 Usted tambien puede escribir a Continental Casualty Company, National Fire Insurance Company de Hartford, American Casualty Company de Reading, PA y Continental Insurance Company: CNA Surety 151 North Franklin, 17th Floor Chicago, IL 60606 Puede comunicarse con el Departamento de Seguros de Texas para obtener informacion acerca de companies, coberturas, derechos o quejas al: 1-800-252-3439 Puede escribir al Departamento de Seguros de Texas: P.O. Box 149104 Austin, TX 78714-9104 Fax: (512) 490-1007 Web: www.tdi.texas.gov E-Mail: ConsumerProtection@tdi.texas.gov DISPUTAS SOBRE PRIMAS O RECLAMOS: Si tiene one dispute concerniente a su prima o a on reclamo, debe comunicarse con el Continental Casualty Company, National Fire Insurance Company de Hartford, American Casualty Company de Reading, PA y Continental Insurance Company primero. Si no se resuelve la dispute, puede entonces comunicarse con el deparamento (TDI). UNA ESTE AVISO A SU POLIZA: Este aviso as solo para proposito de informacion y no se convierte en parte o condicion del documento adjunto. State of Texas Claim Notice Endorsement To be attached to and form a part of Bond No. 30184146 In accordance with Section 2253.021(f) of the Texas Government Code and Section 53.202(6) of the Texas Property Code any notice of claim to the named surety under this bond(s) should be sent to: CNA Surety 151 North Franklin, 17th Floor Chicago, IL 60606 Telephone: 1-877-672-6115 Form F6944-6-2018 LESTCON-01 TXKRODRIGUEZ ACORO' CERTIFICATE OF LIABILITY INSURANCE DAT7/1/2 DI024 7/1/24 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CRNTACT Kristie Rodriguez N ME: Assured Partners Austin 1120 S Capital of Texas Hwy Bldg 3, Suite 300 PHONE FAX INC, No, Eau: (979) 475.1173 INC, No): ADDRESS: Kristie.Rodriguez@assuredpartners.com Austin, TX 78746 INSURERS AFFORDING COVERAGE NAICN INSURER A:BITCOInsurance Companies INSURED INSURER B:BItcoGeneral Insurance Corporation INSURERC:TeXas Mutual Insurance Company 22945 Lester Contracting, Inc. INSURER D: Lloyds Of London Underwriters (AIIN# AA1120098) P.O. Box 986 Port Lavaca, TX 77979 INSURERS: INSURER F: COVERAGES CERTIFICATE NUMBER- RFVISION NIIMRFR- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECTTOWHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, - EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OFINSURANGE ADDLSUBR NSD MD POLICY NUMBER POLICY EFF POLICYEXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑X OCCUR Lmtd Wksite Poll $1M X X CLP3737767 1213112023 12131/2024 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RoccuD ce $ 300,000 X MED EXP An one man $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY jE LOD OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS-COMP/OPAGG $ 2,000,000 $ B AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS AUTOS ONLY AUTOS ONLY X X CAP3737749 12131/2023 1213112024 COMaBIaEDISINGLE LIMIT (EaX $ 1,000,000 BODILY INJURY Per demon)$ BODILY INJURY Per accident $ PRid. nl AMAGE Pe $ $ B X UMBRELLALIAB EXCESS LRB X OCCUR CLAIMS -MADE X X CUP3737768 1213112023 12131/2024 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 DED X RETENTIONS 10,000 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECULVE YIN OFFICERMIEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA X TSF0001298772 1213112023 12I3112024 X I STATUTE OTH- E. L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT 5 1,000,000 A D Leased/Rented Prof/Poll Liab CLP3737767 ANE4946824.23 J 1213112023 12/31/2023 1213112024 1213112024 Per Item Aggregate 690,000 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space Is required) Calhoun County -Seadrift Drainage Improvements Project GLO # 22-085-014-D245 All policies (except for workers compensation/employers liability) include Calhoun County as an additional insured for all insurance requirements, by policy endorsement, along with County's employees and owner's engineer (G&W Engineers, Inc. as additional insured. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Calhoun County, Texas tY THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 211 South Ann St Port Lavaca, TX 77979 AUTHORIZED REPRESENTATIVE ') Y ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD THIS ENDORSEME T CHANGES THE POLICY. PLEASE READ fT CAREFULLY. If =• - •• - This endorsement modifies insurance provided under the following: ��.uuo:,« � o� a �.• ��:-•.:,i It is agreed that the provisions listed below apply only upon the entry of an QX in the box next to the caption of such provision. A OX Broad Form Named Insured B. rX Bodily Injury Extension C. U Employee As Insureds - Health Care Services D. ❑X Nonom-ed Watercraft Liability E. QX Liberalization F. OX Chartered Aircraft G. ❑X Coverage Territory Broadened H. U Ivledicaf Payments - Increased Units L QX Expanded Expected or Intended Exception J. [ Property Perils Legal Liability K ❑X Broadened Supplementary Payments SECTION II -VWIO ISAN INSLIRED , Paragraph 3 is deleted and replaced by the following: 3 Any organization you newly acquire or form, except for a partnership, joint venture or limited liability conpany, and over which you maintain majority ownership or interest (51% or more) or for which you have assumed the active management, will qualify as a Named Insured if there is no other similar insurance available to that organization. However: a. Coverage under this provision is afforded only until the end of the policy period or the 12- month anniversary of the policy inception date, whichever is earlier; b. Coverage A does not apply to "bodily injury' or "property damage" that occurred before you acquired or fom>ed the organization; a Coverage B does not apply to "personal and advertising injury" arising out of an offense oorrrritted before you acquired or formed the organization. SECTION V - DEFINRLONS , Paragraph 3, is deleted and replaced by the following: 3. "Bodily injury" means bodily injury, siclmess or disease sustained by a person, including mental anguish or death resulting from any of these, at any time. Mental anguish means any type of mental or emotional illness or disease. SECTION II - VNiO IS AN INSURED , Item 2a(1)(d) is deleted. GL-2784 (09/11) -1- SECTION I - COVERAGES, COVERAGE A, 2 EXCLUSIONS , Item g.(2) is replaced with: (2) A watercraft you do not own that is: (a) Less than 51 feet long; and (b) Not being used to carry persons or property for a charge. E UBERAUZAITON 10. Liberalization If we adopt a change in our forms or rules which would broaden the coverage of this policy without an additional premium charge, the broader coverage will apply. This extension is effective upon the approval of such broader coverage in your state of domicile. SECTION 1- COVERAGES , Coverage A, Exclusions, Item 2g.(6) is added: (6) An aircraft in which you have no ownership interest and that you have chartered with crew. SECTION V - DEFINITIONS , Item 4.a. is replaced with: a. The United States of America (including its territories and possessions), Canada, Bermuda, the Bahamas, the Cayman Islands, British Virgin Islands and Puerto Rico. H. MEDICAL PAYMEMTS- INCREASED uMTS Unless COVERAGE G - MBDICAL PAYMENTS is excluded from this policy: SECTION I - COVERAGES , Coverage C, Insuring Agreement, Item c. is added: c The medical expense limit provided by this policy shall be the greater of: (1) $10,000; or (2) The amount shown in the declarations. I. EXPANDED EXPECTED or INTENDED EXCEPTION SECTION I - COVERAGES , 2 Exdusions Item a. is amended as follows: a. Expected or Intended Injury - "bodily injury" or "property damage" expected or intended from the standpoint of the insured. This exclusion does not apply to "bodily injury" or "property damage" resulting from the use of reasonable force to protect persons or property. GL-2784 (09/11) -2- J. PROPERTY PERILS LEGAL LIABILITY A SECTION I - COVERAGES, COVERAGE A, 2 Exclusions, the last paragraph following exclusion % is replaced with: Exclusion o. through rL, do not apply to damage by fire, moosion, snake, water damage, sprinkler leakage, or lightning to premises while rented to you or temporarily occupied by you with the permssion of the owner. A separate limit of insurance applies to this coverage as described in SECITON III - LIMITS OF INSURANCE . B. SECTION III - LIMITS OF INSURANCE , Item 6. is replaced with: & Subj act to & above, the Damage to Premises Rented to You Limit is the most we will pay under Coverage A for damages because of "property damage" to any one premises Mile rented to you, or in the case of damages by fire, explosion, smoke, water damage, sprinkler leakage or lightning, while rented to you or temporarily occupied by you with the permission of the owner, arising out of any one fire, expbsion, smoke, water damage, sprinkler leakage or lightning incident. The Damage to Prerrses Rented to You Limit provided by this policy shall be the greater of: 2. The amount shown in the declarations. C. SECTION IV - CONNERCIAL GENERAL LIABILITY COMMONS, Item 4.b.(1xa)C1f) is replaced with: (ii) That is fire, euoosion, smoke, water damage, sprinkler leakage or lightning insurance for premises while rented to you or temporarily occupied by you with the permission of the owner. D. SECTION V- DERNITIONS , Item 9.a is replaced with: a A contract for a lease of premises. Hwvever, that portion of the contract for a lease of prerrses that indemnifies any person or organization for damage by fire, explosion, smoke, water damage, sprinkler leakage or lightning to prerrses while rented to you or temporarily occupied by you with the permission of the owner is not an "insured contract." SECTION I - COVERAGES, SUPPLEMENTARY PAYMENTS - Coverages A and B, Item 1.b. and 1.d. are replaced with: 1.b. The cost of bail bonds required because of accidents or traffic law vitiations arising out of the use of any vehicle to which the Bodily Injury Liability Coverage applies. We do not have to furnish these bonds. 1.d Al reasonable expenses incurred by the insured at our request to assist us in the investigation or defense of the claim or "suit," including actual loss of earnings up to $500 a day because of time off from work GL-2784 (09/11) -3- This endorsement modifies insurance provided under the following: •• o-•� moo•, •• o-� •- It is agreed that the provisions listed below apply only upon the entry of an FX in the box next to the caption of such provision. A F_X] Partnership and Joint Venture Extension M. FX Construction Project General Aggregate Units B. EX ContractorsAutornaticAdditionalInsured Coverage —Ongoing Operations C. OX Automatic Waiver of Subrogation D. OX Extended Notice of Cancellation, Nonrenewal E OX Unintentional Failure to Disclose Hazards F. 0 Broadened Mobile Equipment G. OX Personal and Advertising Injury - Contractual Coverage H. OX Nonemployment Discrimination I. 0 Liquor Liability J. 0 Broadened Conditions K Automatic Additional Insureds — Equipment Leases L 0 Insured Contract Extension - Railroad Property and Construction Contracts N. OX Fellow Employee Coverage O. U Care, Custody or Control P. 0 Electronic Data Liability Coverage Q OX Consolidated Insurance Program Residual Liability Coverage R OX Automatic Additional Insureds —Managers or Lessors of Premises S. 0 Automatic Additional Insureds —State or Govemmental Agency or Political Subdivisions —Permits or Authorizations T. 0 Contractors Automatic Additional Insured Coverage —Completed Operations U. OX Additional Insured —Engineers, Architects or Surveyors The following provision is added to SECTION 11- WHO IS AN INSURED : The last full paragraph which reads as follows: No person or organization is an insured with respect to the conduct of any current or past partnership, joint venture or limited liability company that is not shown as a Named Insured in the Declarations is deleted and replaced with the following: With respect to the conduct of any past or present joint venture or partnership not shown as a Named Insured in the Declarations and of which you are or were a partner or member, you are an insured, but only with respect to liability arising out of "your worm' on behatl of any partnership or joint venture not shown as a Named Insured in the Declarations, provided no other similar liability insurance is available to you for "your work" in connection with your interest in such partnership orjoint venture. GL- 3088 (10t19) -1- SECTION II — WHO IS AN INSURED is amended to include as an additional insured any person or organization who is required by written contract to be an additional insured on your policy, but only with respect to liability for "bodily injury', "property damage" or "personal and advertising injury' caused, in Mole or in part, by: 1. Your acts or omissions; or 2 The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the project(s) designated in the written contract. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply This insurance does not applyto "bodily injury' or "property damage" occurring after: 1. Al work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2 That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in perforrring operations for a principal as a part of the same project. This insurance is excess of all other insurance available to the additional insured, whether primary, excess, contingent or on any other basis, unless the written contract requires this insurance to be primary. In that event, this insurance will be primary relative to insurance policy(s) which designate the additional insured as a Named Insured in the Declarations and we will not require contribution from such insurance if the written contract also requires that this insurance be non-contributory. But with respect to all other insurance under which the additional insured qualifies as an insured or additional insured, this insurance v"ill be excess. G AUTOMATIC WAIVER OF Item 8. of SECTION IV - CONUMAL GE13DAL UA6IUfY CONDITIONS, is deleted and replaced with the following: EL Transfer of Rights of Recamy Against Others to Us and Autocratic Waiver of Subrogc orL a. If the insured has rights to recover all or part of any payment vve have made under this Coverage Form, those rights are transferred to us. The insured must do nothing after loss to impair those rights. Al our request, the insured will bring "suit" or transfer those rights to us and help us enforce them b. If required by a written contract executed prior to loss, we waive any right of recovery we may have against any person or organization because of payments we make for injury or damage arising out of "your work" for that person or organization. Item A.2 b. of the CONNION POUCY CONDITIONS , is deleted and replaced with the following: Alb. 60 days before the effective date of the cancellation if we cancel for any other reason. GL-3088 (10/19) -2- Item 9. of SECTION IV - COMMERCIAL GENERAL LIABILITY CONDMONS, is deleted and replaced with the following: a. If we choose to nonrenew this policy, we will mail or deliver to the first Named Insured shown in the Declarations written notice of the nonrenewal not less than 60 days before the expiration date. b. If we do not give notice of our intent to nonrenew as prescribed in a. above, it is agreed that you may extend the period of this policy for a rra)dmum additional sixty (60) days from its scheduled expiration date. Where not otherwise prohibited by law, the eAsting terms, conditions and rates will remain in effect during that extension period. It is further agreed that so long as it is not otherwise prohibited by law, this one time sixty day extension is the sole remedy and liquidated damages available to the insured as a result of our failure to give the notice as prescribed in 9 a above. E. UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS Although we relied on your representations as to eAsting and past hazards, if unintentionally you should fail to disclose all such hazards at the inception date of your policy, we will not deny coverage under this Coverage Form because of such failure. Item 1211 of SECTION V- DEFIMTONS , is deleted and replaced with the following: 12b. Vehicles maintained for use solely on or next to premises, sites or locations you own, rent or occupy. Exclusion 2e. of SECTION I, COVERAGE B is deleted. Unless "personal and advertising injury' is excluded from this policy: Item 14, of SECTION V- DERNITIONS , is amended to include: "Personal and advertising injury' also means embarrassment or humiliation, mental or emotional distress, physical illness, physical impairment, loss of earning capacity or monetary loss, which is caused by "discrimination." SECTION V - DERNflONS , is amended to include: "Discrimination" means the unlawful treatment of irxGviduals based on race, color, ethnic origin, age, gender or religion. Item 2 Exclusions of SECTION I, COVERAGE B , is amended to include: "Personal and advertising injury"arising out of "discrim nation" directly or indirectly related to the past employment, employment or prospective employment of any person or class of persons by any insured; "Personal and advertising injury' arising out of "disairnination" by or at your, your agents or your "employees" direction or with your, your agents or your "employees" knowledge or consent; GL, U88 (10/19) -3- 'Personal and advertising injury' arising out of "discrimination" directly or indirectly related to the sale, rental, lease or sublease or prospective sale, rental, lease or sublease of any dwelling, permanent lodging or premises by or at the direction of any insured; or Fines, penalties, specific performance or injunctions levied or imposed by a governmental entity, or governmental code, law, or statute because of "discrimination." I. LIQUOR LIABILITY Exdusion 2c. of SECTION I, COVERAGE A , is deleted. Items 2a and 2b. of SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS, are deleted and replaced with the following: 2 Duties In The Event Of Occurrence, Offense, palm Or Suit: a You must see to it that we are notified of an "occurrence" or an offense which may result in a claim as soon as practicable after the "occurrence" has been reported to you, one of your officers or an "employee" designated to give noticeto us. Notice should include: (1) How, when and where the "occurrence" or offense took place; (2) The names and addresses of any injured persons and witnesses; and (3) The nature and location of any injury or damage arising out of the "oocurrenod' or offense. b. If a claim is made or "suit" is brought against any insured, you must: (1) Record the specifics of the claim or "suit" and the date received as soon as you, one of your officers, or an "employee" designated to record such information is notified of it; and (2) Notify us in writing as soon as practicable after you, one of your officers, your legal department or an "employee" you designate to give us such notice learns of the claims or "suit." 2.a If you report an "occurrence" to your workers compensation insurer which develops into a liability claim for which coverage is provided by the Coverage Form, failure to report such "occurrence" to us at the time of "occurrence" shall not be deemed in violation of paragraphs 2.a., 2b., and 2a However, you shall give written notice of this "occurrence" to us as soon as you are made aware of the fact that this "occurrence" may be a liability claim rather than a workers oompensation claim SECTION II - WHO IS AN INSURED is amended to include any person or organization with whom you agree in a written equipment lease or rental agreement to name as an additional insured with respect to liability for "bodily injury', "property damage" or "personal and advertising injury' caused, at least in part, by your maintenance, operation, or use by you of the equipment leased to you by such person or organization, subject to the following additional exclusions. The insurance provided to the additional insured does not apply to: 1. "Bodily injury' or "property damage" occurring after you cease leasing the equipment. 2 "Bodily injury' or "property damage" arising out of the sole negligence of the additional insured. GL-3088 (10/19) -4- 3. "Property damage" to: a. Property owned, used or occupied by or rented to the additional insured; or L Property in the care, custody or control of the additional insured or over which the additional insured is for any purpose exercising physical control. This insurance is excess of all other insurance available to the additional insured, whether primary, excess, contingent or on any other basis, unless the written contract requires this insurance to be primary. In that event, this insurance will be primary relative to insurance policy(s) which designate the additional insured as a Named Insured in the Declarations and we will not require contribution from such insurance if the written contract also requires that this insurance be rxxrcontributory. But with respect to all other insurance under which the additional insured qualifies as an insured or additional insured, this insurance will be excess. Item 9. of SECTION V - DERMONS , is deleted and replaced with the following. % "Insured Contract" means: a. A contract for a lease of premises. However, that portion of the contract for a lease of premises that indemnifies any person or organization for damage by fire to premises while rented to you or temporarily occupied by you with permission of the owner is not an "insured contract'; h A sidetrack agreement; a Any easement or license agreement; d An obligation, as required by ordnance, to indemnify a municipality, except in connection with work for a municipality, e. An elevator maritenance agreement; f. That part of any other contract or agreement pertaining to your business (including an indermification of a municipality in connection with work performed for a municipality) under Mich you assume the tort liability of another parry to pay for "bodily injury" or "property damage" to a third person or organization. Tort liability means a liability that would be imposed by law in the absence of any contract or agreement. Paragraph f. does not include that part of any contract or agreement: (1) That indemnifies an architect, engineer or surveyor for injury or damage arising out of: (a) Preparing, approving, or failing to prepare or approve, maps, shop drawngs, opinions, reports, surveys, field orders, change orders or drawings and specifications; or (b) Giving directions or instructions, or falling to give them, if that is the primary cause of the injury or damage; or (2) Under which the insured, if an architect, engineer or surveyor, assumes liability for an injury or damage arising out of the insured's rendering or failure to render professional services, including those listed in (1) above and supervisory, inspection, architectural or engineering activities. GL,9088 (10/19) -5- This modifies SECTION III - LIMITS OF INSURANCE. A For all suns which can be attributed only to ongoing operations at a single construction project for which the insured becomes legally obligated to pay as damages caused by an "occurrence" under SECTION I - COVERAGE A, and for all medical expenses caused by aoddents under SECTION I - COVERAGE C: 1. A separate Construction Project General Aggregate Limit applies to each construction project, and that limit is equal to the amount of the General Aggregate Limit shown in the Declarations. 2 The Constriction Project General Aggregate Lunt is the most we will pay for the sum of all damages under COVERAGE A, except damages because of "bodily injury" or "property damage" included in the "products-coirpleted operations hazard," and for medical expenses under COVERAGE C regardless of the number of: a. Insureds; b. Claims made or "suits" brought; or a Persons or organizations malting daims or bringing "suits." 3. Any payments made under COVERAGE A for damages or under COVERAGE C for medical expenses shall reduce the Construction Project General Aggregate Limit for that construction project. Such payments shall not reduce the General Aggregate Limit shown in the Declarations nor shall they reduce any other Construction Project General Aggregate Limit for any other construction project. 4. The limits shown in the Declarations for Each Occurrence, Fire Damage and Medical Expense continue to apply. However, instead of being subject to the General Aggregate limit shown in the Declarations, such lints will be subject to the applicable Construction Project General Aggregate Limit. B. For all sums which cannot be attributed only to ongoing operations at a single construction project for which the insured becomes legally obligated to pay as damages caused by an "occurrence" under SECTION I - COVERAGE A, and for all medical expenses caused by accidents under SECTION I - COVERAGE C : 1. Any payments made under COVERAGE A for damages or under COVERAGE C for medical expenses shall reduce the amount available under the General Aggregate Limit or the Products - Completed Operations Aggregate Limit, whichever is applicable; and 2 Such payments shall not reduce any Construction Project General Aggregate Lirrit. C. Payments for damages because of "bodily injury' or "property damage" included in the "products - completed operations hazard" will reduce the Products -Completed Operations Aggregate Limit, and not reduce the General Aggregate Limit nor the Construction Project General Aggregate Limit. D. If a construction project has been abandoned, delayed, or abandoned and then restarted, or if the authorized contracting parties deviate from plans, blueprints, designs, specifications or timetables, the project will still be deemed to be the same constriction project. E The provisions of SECTION III - LIMITS OF INSURANCE not otherwise modified by this endorsement shall continue to be applicable. GL-3088 (10/19) -& Exclusion 2e. Employers Liability of SECTION I, COVERAGE A, is deleted and replaced with the following: 2e. "Bodilyinjury'to (1) An "employee" of the insured arising out of and in the course of: (a) Employment by the insured; or (b) Performing duties related to the conduct of the insureds business; or (2) The spouse, child, parent, brother or sister of that "employee" as a consequence of paragraph (1) above. This exclusion applies: (1) Whether the insured may be liable as an employer or in any other capacity, and (2) To any obligation to share damages with or repay someone else who must pay damages because of the injury. This exclusion does not apply to: (1) Uability assumed by the insured under an "insured contract"; or (2) Liability arising from any action or omission of a co -"employee" while that co -"employee" is either in the course of his or her employment or perforating duties related to the conduct of your business. Item 2.a. (1)(a) of SECTION If - VIMO IS AN INSURED , is deleted and replaced with the following: 2a. (1N To you, to your partners or members (if you are a partnership or joint venture) or to your members (if you are a lirrted liability corrpany), or to your 'volunteer workers" while perforating duties related to the conduct of your business. • . •� •- *..uI•e Exclusion 2jA of SECTION I, COVERAGE is deleted and replaced with the following: 2jA Personal property in the care, custody or control of the insured. However, for personal property in the care, custody or control of you or your "employees," this exclusion applies only to that portion of any loss in excess of $25,000 per occurrence, subject to the following terms and conditions: (a) The most that we will pay under this provision as an annual aggregate is $100,000, regardless of the number of occurrences. (b) This provision does rat apply to "employee" owned property or any property that is rrssing where there is not physical evidence to show what happened to the property. (c) The aggregate limit for this coverage provision is part of the General Aggregate Limit and SECTION III - WITS OF INSURANCE is changed accordingly. (d) In the event of damage to or destruction of property covered by this exception, you shall, if requested by us, replace the property or furnish the labor and materials necessary for repairs thereto, at actual cost to you, exclusive of prospective profit or overhead charges of any nature. GL,9088 (10/19) -7- (a) $2,500 shall be deducted from the total amount of all sums you became obligated to pay as damages on account of damage to or destruction of all property of each person or organization, including the loss of use of that property, as a result of each "occurrence." Our limit of liability under the endorsement as being applicable to each "occurrence" shall be reduced by the amount of the deductible indicated above; however, our aggregate limt of liability under this provision shall not be reduced by the amount of such deductible. The conditions of the policy, including those with respect to duties in the event of "occurrence," dairns or "suit" apply irrespective of the application of the deductible amount. We may pay any part or all of the deductible amount to effect settlement of any daim or "suit" and, upon notification of the action taken, you shall promptly reimburse us for such part of the deductible amount as has been paid by us. P. ELECTRONIC DATA LIABILITY COVERAGE A Exclusion 2.p. of COVERAGE A — BODILY INJURY AND PROPERTY DAMAGE LIABILITY in SECTION I —COVERAGES is replaced by the following: 2 Exclusions This insurance does not apply to: p Access Or Disclosure Of Confidential Or Personal Information And Data -Related Liability Damages arising out of: (1) Any access to or disclosure of any person's or organization's confidential or personal information, including patents, trade secrets, processing methods, customer lists, financial information, credit card information, health information or any other type of nonpublic information; or (2) The loss of, loss of use of, damage to, corruption of, inability to access, or inability to manipulate "electronic data" that does not result from physical injury to tangible property This exclusion applies even if damages are claimed for notification costs, credit monitoring expenses, forensic expenses, public relations expenses or any other loss, cost or expense incurred by you or others arising out of that wimich is described in Paragraph (1) or (2) above. However, unless Paragraph (1) above applies, this exclusion does not apply to damages because of "bodily injury'. EL The following added to Paragraph EXCLUSIONS of SEC11ON I — COVERAGE B — PERSONAL h ADVERTISING 2 Exclusions This insurance does not apply to: "Personal and advertising injury' arising out of any access to or disclosure of any person's or organization's confidential or personal information, including patents, trade secrets, processing methods, customer lists, financial information, credit card information, health information or any other type of nonpublic information. This exclusion applies even if damages are claimed for notification costs, credit monitoring expenses, forensic expenses, public relations expenses or any other loss, cost or expense incurred by you or others arising out of any access to or disclosure of any person's or organization's confidential or personal information. GL-3088 (lQ 19) C. The following definition is added to Section V—DEFINITIONS : "Electronic data' means information, fads or programs stored as or on, created or used on, or transmitted to or from computer software (including systems and applications software), hard or floppy disks, CD-ROMS, tapes, drives, cells, data processing devices or any other media which are used with electronically controlled equipment. D. For the purposes of this coverage, the definition of "property damage" in SECTION V— DEFINITIONS is replaced by the following: "Property damage" means: a Physical injury to tangible property, including all resulting loss of use of that property. Al such loss of use shall be deemed to occur at the time of the physical injury that caused it; K Loss of use of tangible property that is not physically injured. All such loss of use shall be deemed to occur at the time of the "occurrence" that caused it; or c. Loss of, loss of use of, damage to, corruption of, inability to access, or inability to properly manipulate "electronic data", resulting from physical injury to tangible property. All such loss of "electronic data" shall be deemed to occur at the time of the "occurrence" that caused it. For the purposes of this insurance, "electronic data" is riot tangible property. VVIth respect to 'bodily injury', "property damage", or 'personal and advertising injury' arising out of your ongoing operations; or operations included within the "produdscorrpleted operations hazard', the policy to Mich this coverage is attached shall apply as excess insurance over coverage available to'yod' under a Consolidated Insurance Program (such as an Omer Controlled Insurance Program or Contractors Controlled Insurance Program). Coverage afforded by this endorsement does not apply to any Consolidated Insurance Program involving a "residential project" or any deductible or insured retention, specified in the Consolidated Insurance Program. The following is added to Section V— Definitions "Residential project" means any project where 30% or more of the total square foot area of the structures on the project is used or is intended to be used for human residency. This includes but is not lirrited to single or mxltifarrly housing, apartments, condominiums, townhouses, cooperatives or planned unit developments and appurtenant structures (inducing pods, hot tubs, detached garages, guest houses or any similar structures). A "residential project' does not include military owned housing, collegaluniversity owned housing or donTritories, long term care facilities, hotels, motels, hospitals or prisons. All other terns, provisions, exclusions and limitations of this policy apply. SECTION II — WHO IS AN INSURED is amended to include: Any person or organization with whom you agree in a written contract or written agreement to name as an additional insured but only with respect to liability arising out of the ownership, maintenance or use of that part of the premises, designated in the written contract or written agreement, that is leased to you and subject to the following additional exclusions: GL-3088 (10/19) -9- This insurance does not apply to: 1. Any "occurrence" which takes place after you cease to be a tenant in that premises. 2 Structural alterations, new construction or demolition operations perforated by or on behalf of the additional insured listed in the written contract or written agreement. This insurance is excess of all other insurance available to the additional insured, whether primary, excess, contingent or on any other basis, unless the written contract requires this insurance to be primary. In that event, this insurance will be primary relative to insurance policy(s) which designate the additional insured as a Named Insured in the Declarations and we will not require contribution from such insurance 9 the written contract also requires that this insurance be noncontributory. But with respect to all other insurance under which the additional insured qualifies as an insured or additional insured, this insurance will be excess. S. AUTOMATIC ADDITIONAL INSUREDS — STATE OR GOVERNMENTAL AGENCY OR POLITICAL SUBDIVISIONS—PERVITS OR ALMiMZATiONS SECTION II — WHO IS AN INSURED is amended to include any state or govemmental agency or subdivision or political subdivision with wham you are required by written contract, ordnance, law or building code to name as an additional insured subject to the following provisions: This insurance applies only with respect to operations performed by you or on your behalf for which the state or govemrnental agency or subdivision or political subdivision has issued a permit or authorization. This insurance does not apply to: 1. "Bodily injury', "property damage" or "personal and advertising injury' arising out of operations performed for the federal government, state or municipality; or 2 "Bodily injury' or "property damage" included within the "products -completed operations hazard' This insurance is excess of all other insurance available to the additional insured, whether primary, excess, contingent or on any other basis, unless the written contract requires this insurance to be primary. In that event, this insurance will be primary relative to insurance policy(s) which designate the additional insured as a Named Insured in the Declarations and we will not require contribution from such insurance if the written contract also requires that this insurance be noncontributory. But with respect to all other insurance under which the additional insured qualifies as an insured or additional insured, this insurance will be excess. SECTION II — WHO IS AN INSURED is amended to include as an additional insured any person or organization who is required by written contract to be an additional insured on your policy for cor pleted operations, but only with respect to liability for "bodily injury' or "property damage" caused, in whole or in part, by 'Wur work' at the project designated in the contract, performed for that additional insured and included in the "products-corrpleted operations hazard". This insurance is excess of all other insurance available to the additional insured, whether primary, excess, contingent or on any other basis, unless the written contract requires this insurance to be primary. In that event, this insurance will be primary relative to insurance policy(s) which designate the additional insured as a Named Insured in the Declarations and we will not require contribution from such insurance if the written contract also requires that this insurance be non-contributory. But with respect to all other insurance under which the additional insured qualifies as an insured or additional insured, this insurance will be excess. GL-3088 (10/19) -10- SECTION II — WHO IS AN INSURED is amended to include as an additional insured any architect, engineer or surveyor who is required by written contract to be an additional insured on your policy, but only with respect to liability for "bodily injury', "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omssions; or 2 The acts or orrssions of those acting on your behalf; in the performance of your ongoing operations perfomred by you or on your behalf. This includes such architect, engineer or surveyor, who may not be engaged by you, but is contractually required to be added as an additional insured to your policy. With respect to the insurance afforded to these additional insureds, 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 services, including: 1. The preparing, approving, or failing to prepare or approve maps, drawings, opinions, reports, surveys, change orders, designs or specifications; or 2 Supervisory, inspection or engineering services. This insurance is excess of all other insurance available to the additional insured, whether primary, excess, contingent or on any other basis, unless the written contract requires this insurance to be primary. In that event, this insurance will be primary relative to insurance policy(s) which designate the additional insured as a Named Insured in the Declarations and we will not require contribution from such insurance if the written contract also requires that this insurance be non-contributory. But with respect to all other insurance under which the additional insured qualifies as an insured or additional insured, this insurance will be excess. GL-M (10/19) -11- ��I��''.�7 � M t0. � '• '� �._ �_� �. .Sidi This endorsement modifies insurance provided under the following: CO1VMERCIAL GENERAL UA131UTY COVERAGE PART Section II — Who is An Insured is amended to include as an additional insured any person or organization who is required by written contract to be an additional insured on your policy for completed operations, but only with respect to liability for "bodily injury' or "property damage" caused, in whole or in part, by 'your work" at the project designated in the contract, performed for an additional insured and included in the "products -completed operations hazard". If the written contract or an additional insured endorsement required by the written contract requires that the additional insured be provided with coverage for "bodily injury' or "property damage" caused solely by their own negligence, then Section II — Who is An Insured cited immediately above does not apply and is replaced Section II — Who is An Insured is amended to include as an additional insured any person or organization required by the written contract to be an additional insured on your policy for completed operations, but only with respect to liability for "bodily injury' or "property damage" arising out of "your work' at the project designated in the contract, performed for an additional insured and included in the "productstorripleted operations hazard". Regardless of which of the aforementioned Section II — Who is An Inswed amendments is applicable to the additional insured, the insurance afforded to the additional insured: 1. will only apply if the written contract requiring additional insured coverage was signed into effect by you and an additional insured prior to any "bodily injury' or "property damage" occurring for which this coverage is sought; and 2. will only apply to the extent not prohibited by the law governing the project; and 3. will not apply to "property damage" in connection with a project where "your work' on the project was completed and where the duration of the additional insured coverage requirement in the written contract governing 'your work' on that project had expired by the time that "property damage" first occurred; and 4. will not apply to "property damage" in connection with a project where 'your work' on the project was completed and where the "property damage" occurred after the minimum time required for completed operations coverage in the written contract, if any, has expired. The Limits of Insurance applicable to the additional insured under this endorsement are the rrnimum limits specified in the written contract requiring this coverage, or as stated in Section III —Urnitsof Insurance of the Commercial General Liability Coverage Form, whichever is less. These Limits of Insurance are inclusive of and not in addition to the Limits of Insurance described in Section III of that form This insurance is excess of all other insurance available to the additional insured, whether excess, contingent or on any other basis, unless the written contract requires this insurance to be primary. In that event, this insurance will be primary relative to insurance policy(s) which designates the additional insured as a Named Insured and we will not require contribution from such insurance if the written contract also requires that this insurance be non-contributory. But with respect to all other insurance which the additional insured qualifies as an insured or additional insured, this insurance will be excess. Includes copyrighted material of Insurance Services Office, Inc. with its permission GL-5057 (10/16) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL UABIUTY COVERAGE PART Section II — Who is An Insured is amended to include as an additional insured any person or organization who is required by written contract to be an additional insured on your policy, but only with respect to liability for "bodily injury' or "property damage" caused, in whole or in part, by "your work" at the project designated in the contract, performed for an additional insured and which occurred during your ongoing operations for that additional insured. If the written contract or an additional insured endorsement required by the written contract requires that the additional insured be provided with coverage for "bodily injury' or "property damage" caused solely by their own negligence, then Section II — Who is An Insured cited immediately above does not apply and is replaced by - Section II — Who is An Insured is amended to include as an additional insured any person or organization required by the written contract to be an additional insured on your policy, but only with respect to liability for "bodily injury" or "property damage" arising out of "your work" at the project designated in the contract, performed for an additional insured and which occurred during your ongoing operations for that additional insured. Regardless of which of the aforementioned Section II — Who is An Insured amendments is applicable to the additional insured, the insurance afforded to the additional insured: 1. will only apply if the written contract requiring additional insured coverage was signed into effect by you and an additional insured prior to any "bodily injury' or "properly damage" occurring for which this coverage is sought; and 2. will only apply to the extent not prohibited by the law governing the project; and 3. will not apply to "bodily inj ury' or "property damage" occurring after: a A[ work inducing materials, parts or equipment fumished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or b. That portion of "your work' out of which the "bodily injury' or "property damage" arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. The Units of Insurance applicable to the additional insured under this endorsement are the rrnimum limits specified in the written contract requiring this coverage, or as stated in Section III —Units of Insurance of the Corr amcial General Uability Coverage Form, whichever is less. These Units of Insurance are inclusive of and not in addition to the Limits of Insurance described in Section III of that form This insurance is excess of all other insurance available to the additional insured, wmether excess, contingent or on any other basis, unless the written contract requires this insurance to be primary. In that event, this insurance will be pdrnary relative to insurance policy(s) which designates the additional insured as a Flamed Insured and we will not require contribution from such insurance if the written contract also requires that this insurance be non-contributory. But with respect to all other insurance which the additional insured qualifies as an insured or additional insured, this insurance will be excess. Includes copyrighted material of Insurance Services Office, Inc. with its penrission GL-5058 (10/16) IL-0-UN51 The following modifies insurance provided under: With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. Broad Form Named Insured 2 - Automatic Waiver of Subrogation 3- Automatic Additional Insured 4 - Primary and Noncontributory- Other Insurance Condition 5 - Unintentional Failure to Disclose Hazards 6 - Extended Notice of Cancellation, Non -Renewal 7 - Men We Do Not Renew 8 - Notice of Knowledge of Acddent or Loss 9 - Employees as Insured anmgg-• . r,� y -,�� 10 - Errployee Fired Autos 11- Bodily Injury Extension 12 - Fired Auto Physical Damage 13 - Enhanced Supplementary Payments 14 - Fellow Employee Coverage for Designated Positions 15- Physical Damage —Transportation Expenses 16- Rental Reirrbursement Coverage 17 - Loan/Lease Cap Coverage 18 - Accidental Air Bag Discharge Coverage SECTION II. A 1. - WHO IS AN INSURED -Paragraph d. is added: d Any organization you newly acquire or form, except for a partnership, joint venture or limited liability company, and over which you maintain majority ownership or interest (51%or more) or for Mich you have assumed the active management, will qualify as a Named Insured if there is no other similar insurance available to that organization. However, coverage under this provision is only afforded until the end of the policy period or the 12-month anniversary of the policy inception date, whichever is earlier. �11IlVei4redrG17h.,PI= 14F Section IV — Business Auto Conditions, Paragraph AS, Transfer of Rights of Recovery Against Others to Us, is deleted and replaced with the folowing: EL If the insured has rights to recover all or part of any payment we have made under this Coverage Form, those rights are transferred to us. The insured mast do nothing after loss to impair those rights. At our request, the insured will bring "suit' or transfer those rights to us and help us enforce them b. If required by a written contract executed prior to loss, we waive any right of recovery we may have against any person or organization because of payments we make for damages under this coverageforrn. APL0402 (10/17) -11- a AUfOMATICADDITIONALINSURED SECTION II — VNiO IS AN INSURED, Paragraph All, is amended to indude as an "insured" any person or organization who is required by written contract or agreement to be an additional insured on your policy, but only with respect to liability arising out of operations performed by you or on your behalf for the additional insured. The following is added to the Other Insurance Condition in the Business Auto Coverage Form and the Other Insurance - Primary And Excess Insurance Provisions in the Motor Carrier Coverage Form and supersedes any provision to the contrary: This Coverage Forms Covered Autos Liability Coverage is primary to and will not seek contribution from any other insurance available to an "insured" under your policy provided that: 1. Such "insured" is a Named Insured under such other insurance; and 2 You have agreed in writing in a contract or agreement that this insurance would be primary and mold not seek contribution from any other insurance available to such "insured". 5. uNIMFNiIONAL FAILURE TO DISCLOSE HAZARDS Although we relied on your representations as to existing and past hazards, if unintentionally you should fail to disclose all such hazards at the inception date of your policy, we will not deny coverage under this Coverage Form because of such failure. The COMMON POLICY CONDITIONS , Item Alb. is deleted and replaced with the following: A.2.b. 60 days before the effective date of the cancellation if we cancel for any other reason. SECTION IV— BUSINESS AUTO CONDITIONS , is amended to add Item B.9. a If we choose to nonrenew this policy, we will mail or deliver to the first Named Insured shown in the Declarations written notice of the nonrenev%d not less than 60 days before the expiration date. b. If we do not give notice of our intent to nonrenew as prescribed in a above, it is agreed that you may extend the period of this policy for a maximum additional sixty (60) days from its scheduled expiration date. Where not othenMse prohibited by law, the existing terms, conditions and rates will remain in effect during that extension period. It is further agreed that so long as it is not otherwise prohibited by law, this one-time sixty-day extension is the sole remedy and liquidated damages available to the insured as a result of our failure to give the notice as prescribed in 9. a above. B. NOTICE OFIWOWLEDGEOFACCIDENT ORLOSS SECTION IV - BUSINESS AUTO CONDITIONS , Item Ala is deleted and replaced with the following: 2 Duties in the Event of Accident, Claim Suit or Loss: a You must see to it that we are notified of an "accident" "claim", "suit" or "loss" which may result in a claim as soon as practicable after the "occurrence" has been reported to you, a partner, a member, an officer, or an employee designated to give notice to us. Notice should include: (1) Flow, when and where the "accident" or "loss" occurred; AP-0402 (10/1) -2- (2) The "insureds" name and address; and (3) To the extent possible, the names and addresses of any injured persons and witnesses. hliodi i�i �og. � .. • The following is added to the Section II - Covered Autos Liability Coverage, Paragraph Al. Who Is An Insured provision: Any "employee" of yours is an "insured" while using a covered "auto" you don't own, hire or borrow in your business or your personal affairs. The following is added to the Who Is An Insured Provision: An "employee" of yours is an "insured' while operating an "auto" hired or rented under a contract or agreement in an "employee's" name, with your pemrission, while performing duties related to the conduct of your business. Paragraph 5.b. of the Other Insurance Condition in the Business Auto Coverage Form and Paragraph 5.f. of the Other Insurance- PrimaryAnd Excess Insurance Provisions Condition in the Motor Carder Coverage Form are replaced by the following: For Hired Auto Physical Damage Coverage, the following are deemed to be covered "autce" you own: 1. Any covered "auto" you lease, hire, rent or borrow, and 2. Any covered "auto" hired or rented by your "employee" under a contract in an "employee's" name, with your pemrission, while performing duties related to the conduct of your business. However, any "auto" that is leased, hired, rented or borrowed with a driver is not a covered "auto". 11. BODILY INJURYB(TENSION SECTION V - DE RWONS , Paragraph C. is deleted and replaced by the follonang: C. "Bodily injury' means bodily injury, sickness or disease sustained by a person, including mental anguish or death resulting from any of these, at any time. Mental anguish means any type of mental or emotional illness or disease. 12. HIRED AUTO PHYSICAL DAMAGE G Fired Auto Physical Damage If Comprehensive, Specified Causes of Loss or Collision coverage is provided under this policy, then Fired Auto Physical Damage is provided for that coverage part subject to the following: (1) The most we will pay for any one "accident" or "loss" under this Hired Auto Physical Damage Coverage is the lesser of: (a) The anyone "Accident" or "Loss" amount of $100,000; AP-0402 (10/17) -3- (b) The actual cash value; or (c) Cost of repair. Our obligation to pay for a loss in c.(1) above will be reduced by a deductible. The deductible will be equal to the largest deductible applicable to any owned "auto" for that coverage. The deductible will be waived for "loss" caused by fire or lightning. (2) Subject to paragraph c.(1). above, we will provide coverage equal to the broadest physical damage coverage applicable to any covered "auto" shown in the declarations. (3) When you are required by written contract to indemnify a lessor for actual financial loss because of loss of use of a hired "auto" resulting from a covered "accident" or "loss", we will cover that financial loss subject to the limit specified in paragraph c.(1). � ro• � � o 0 SECTION IIA2.a, COVERAGE EXTENSIONS, Supplementary Payments (2) and (4) are replaced by the following: (2) Up to $2,500 for the cost of bail bonds (including bonds for related traffic laws vitiations) required because of an "accident" we cover. We do not have to furnish these bonds. (4) At reasonable expenses incurred by the "insured" at our request, including actual loss of earnings up to $350 a day because of time off from work 14. FELLOW EMPLOYEE COVERAGE FOR DESIGNATED POSITIONS The Fellow Errployee Exclusion contained in Section II.B.5. does not apply to the following positions or job titles: foreman, supervisor, manager, officer, partner or other senior level "employee". Coverage is excess over all other collectible insurance. SECTION IILA a. Transportation Expenses , is replaced by the following: a Transportation Ems We will pay up to $50 per day to a maximum of $1,500 for temporary transportation expense incurred by you because of the total theft of a covered "auto". We will pay only for those covered "autos" for which you carry either Conprehensive or Specified Cause of Loss Coverage. We will pay for temporary transportation expenses incurred during the period beginning 48 hours after the theft and ending, regardless of the policy's expirations, when the covered "auto" is returned to use or we pay for its "loss". For autos provided with temporary transportation expense, the following physical damage coverage will apply'. (1) The most we will pay for any one "accident" or "loss" under the temporary transportation expense physical damage coverage is the lessor of: (a) The any one "Acddent" or "Loss" amount of $100,000; (b) The actual cash value; or (c) Cost of repair. Our obligation to pay for a Ices in a(1) above will be reduced by a deductible. The deductible will be equal to the largest deductible applicable to any owned "auto" for that coverage. The deductible will be waived for "loss" caused by fire or lightning. AR0402 (10y17) -4- (2) Subject to paragraph a.(1). above, we will provide coverage equal to the broadest physical damage coverage applicable to any covered "auto" shown in the declarations. (3) Men you are required by written contract to indemnify a lessor for actual finandal loss because of loss of use of a hired "auto" resulting from a covered "accident" or "loss", we Wil cover that financial loss subject to the limit specified in paragraph a.(1). SECTION IIIAA - Coverage Fxderrkns - Paragraph d. is added. d If you carry Comprehensive, Specified Causes of Loss or Collision coverage for the damaged covered "auto" as provided under this policy, then Rental Reimbursement Coverage is provided for that coverage part subject to the following: 1. We will pay for rental reimbursement expenses incurred by you for the rental of an "auto" because of "loss" other than theft, to a covered "auto". Payment applies in addition to the othenMse applicable amount of each coverage you have on a covered "auto". No deductibles apply to this coverage. 2 We will only pay for those expenses incurred during the policy period beginning 24 hours after the "loss" and ending, regardless of the poligs expiration, with the lesser of the following number of days: (a) The number of days reasonably required to repair or replace the covered "auto'; or, (b) 30 days. (c) Our payment is limited to the lesser of the following amounts: (1) Necessary and actual expenses incurred; or (2) $50 per day. 17. LOAWLEASEGAP COVERAGE Physical Damage Coverage is amended by the addition of the following: 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 d the "auto" at the time of the loss and the "outstanding balance" of the loan/lease, not to exceed $2,500 for any one vehicle or $25,000 annually in aggregate. For the purposes of this endorsement, "outstanding balance' means the amount you ova on the loardease at the time of Ices less any amounts representing taxes, overdue payments, penalties, interest or charges resulting from overdue payments, additional mileage charges, excess wear and tear charges or lease termination fees, 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. SECTION III.B.3.a - Exclusions . This exdusion does not apply to the accidental discharge of an air bag. AP-0402 (10/17) -5- NOTICE 01= MEE FING 7/1.0/2024 8) Consider and take necessary action to approve the Asbestos Abatement Proposal with KMAC Construction Services, Inc. for $10,660.00 and any demolition and/or any Structural Removal for the Courthouse Parking lot Project. (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 5 of 10 KMAC CONSTRUCTION SERVICES, INC. 9819 Ball Street SAN ANTONIO TEXAS 78217 Office — 210-599-6528 — Fax — 210-599-2824 June 26, 2024 TO: Calhoun County 211 S. Ana St. Port Lavaca, Texas 77979 RE: Asbestos Abatement 308 S. Ann St. ASBESTOS ABATEMENT PROPOSAL KMAC Construction Services, Inc, submits the following proposal for your review and consideration. SCOPE OF WORK: KMAC will provide labor, supplies, materials, equipment and standard insurance to accomplish the removal and disposal of asbestos containing 750 Sq. Ft. ceiling texture. Abatement will all be done using full containment under negative pressure, wet methods. A copy of the manifest will be provided to the owner at the completion of the project. All work will be performed following OSHA, EPA, TDH, Federal, State and local rules and regulations. PRICING: Our price for asbestos abatement is : $ 10,660.00 EXCLUSIONS: Air Monitoring and Consulting Fees TDH Fees(Not Required) DURATION: 5 Days TERMS: Due Upon Completion (C.O.D.) If you have any questions regarding the above scope of work, please do not hesitate to contact me. Sincerely, Mark Mata Project Manager / Estimator Purchase Order #: a" Please sign and return proposal if accepted: Date KMAC CONSTRUCTION SERVICES, INC. 9819 Ball Street SAN ANTONIO TEXAS 78217 Office - 210-599-6528 - Fax - 210-599-2824 June 26, 2024 TO: Calhoun County 211 S. Ana St. Port Lavaca, Texas 77979 RE: Asbestos Abatement 308 S. Ann St. ASBESTOS ABATEMENT PROPOSAL KMAC Construction Services, Inc, submits the following proposal for your review and consideration. SCOPE OF WORK: KMAC will provide labor, supplies, materials, equipment and standard insurance to accomplish the removal and disposal of asbestos containing 750 Sq. Ft. ceiling texture. Abatement will all be done using full containment under negative pressure, wet methods. A copy of the manifest will be provided to the owner at the completion of the project. All work will be performed following OSHA, EPA, TDH, Federal, State and local rules and regulations. PRICING: Our price for asbestos abatement is : $ 10,660.00 EXCLUSIONS: Air Monitoring and Consulting Fees TDH Fees(Not Required) DURATION: 5 Days TERMS: Due Upon Completion (C.O.D.) If you have any questions regarding the above scope of work, please do not hesitate to contact me. Sincerely, Mark Mats Project Manager / Estimator Purchase Order #: t Please sign and return proposal if accepted: —id - 2�z-F Date wLAM'�'M KMAC Construction Services, Inc. SERVINt3` �TEXps�� 9819 Ball Street, San Antonio, Texas 78217 July 2, 2024 Calhoun Co. Demolition 211 S. Ann Street Port Lavaca, Tx 77979 PROPOSAL KMAC will provide the labor, supplies, materials, equipment, and our standard insurance to accomplish the Scope as noted below and as outlined in our site visit and plans, at the above referenced project. All work will be performed following OSHA, EPA, TDH, Federal, State, and Local regulations. This proposal is based on one (1) mobilization, working daytime hours and unrestricted access. Our standard General Liability Insurance of $2,000,000.00. No Excess Liability, No Umbrellas. EXCESS LIABILITY IS $1,350.00 PER $1,000,000.00 OF EXCESS COVERAGE PER COVERAGE YEAR. All materials removed become the property of KMAC unless otherwise specified in plans and specs. All retainage released no more than 60 days after completion of our services. See general exclusions on page 2 that may apply to this project unless otherwise notated within this proposal. Please note that, if accepted, this Proposal is to be executed by both parties and shall become an exhibit of the contract. SCOPE OF WORK AND PRICING (prices are guaranteed for30 days from the date of this letter) Demolition of existing structures (308 & 312 Ann St.) as indicated by Calhoun Co. Haul off and disposal *Cost for the above selective scope of work...........................................................................................................................$18,500.00 Alternates KMAC Construction Services, Inc. Est/mating Department 9819 Ball Street San Antonio, TX 78217 T-210.599.6528 F-210.599.2824 Bids@KMACsa.com SERVING TEXAS SINCE 1992 EXCLUSIONS (unless otherwise specified) 1. Asbestos abatement 2. Backfill 3. Condition of items removed for salvage or stock after removal 4. Construction fence 5. Dust protection and/ or barricade walls 6. Equipment to dig up or remove pipe 7. Excess Liability 8. Float/ level floor for new work % Grout/ adhesives from Floors and walls (prep for new work) 10. MEP disconnects, capping, and/or reroutes 11. Overtime, weekends, and/or holidays 12. Patch/ repair surface for new work 13. Payment and Performance Bonds 14. Permits and/or any associated fees 35. Preparation of existing epoxy floor Other: KMAAC Construction Services, Inc. 9819 Ball Street, San Antonio, Texas 78217 16. Relocation of owner's salvage items (unless specified in proposal) 17. Removal/ relocation/ repair (if damaged) of sprinkler heads 18. Repair landscape 19. Road closures/barricades 20. Saw cuts/Trenching 21. Security of workspace 22. Shoring/bracing 23, Site demolition 24. SWIPP Controls 25. Tax 26. TX Dept. of State Health Services 27. Trash chute/ Hoist elevator 28. Utility work/ disconnects and reroutes 29. Water/ Electrical services (Must be provided by others) 30. All other work not specified within this proposal ACKNOWLEDGEMENT Please sign to confirm your acceptance of the above said terms we propose for the demolition project located at Should you have any questions regarding this proposal please do not hesitate to contact me directly. Thank you and we look forward to our future business together. Sincerely, Ruben Vidales, Project Coordinator KMAC Construction Services, Inc. E: Ruben@KMACsa.com M: (210) 380-7618 KMAC Construction Services, Inc. Esrimating Department 9819 Ball Street San Antonio, TX 78217 T-210.599.6528 F-210.599.2824 BidSCo1KMACSa.c0m 2 Form W-V (Rev. October 2018) Department of the Treasury Internal Revenue Service Request for Taxpayer Identification Number and Certification ► Go to www.irs.gov/FbmfW9 for instructions and the latest information. Jame (as shown on your Income tax return). N KMAC Construction Services, Inc. 3usiness name/disregarded entity name, if difi 3 Check appropriate box for federal tax classification of the person whose name is entered on line 1. Check only one of the following seven boxes. a p ❑ Individual/sole proprietor or ❑ C Corporation ® S Corporation ❑ Partnership ❑ Trust estate c single -member LLC S❑ Limited liability company. Enter the tax classification (C=C corporation, S=5 corporation, P=Partnership)► S `o Note: Check the appropriate box in the line above for the tax classification of the single -member owner. Do not check LLC if the LLC is classified as a single -member LLC that is disregarded from the owner unless the owner of the LLC is a o another LLC that is not disregarded from the owner for U.S. federal tax purposes. Otherwise, a single -member LLC the 0 is disregarded from the owner should check the appropriate box for the tax classification of its owner. y ❑ Other (see Instructions) ► y 5 Address (number, street, and apt, or suite no.) See instructions. Requester's name ti 9819 Ball Street Enter your TIN in the appropriate box. The TIN provided must match the name given on line 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. 4 Exemptions (codes apply only to certain entities, not individuals; see Instructions on page 3): Exempt payee code If any) 5 Exemption from FATCA reporting code (If any) (MWres roe U.S.) 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. •"`J" Signature of Here I U.S. person I. Data► 7I01/2024 General Section references are to the Internal Revenue Code unless otherwise noted. Future developments. For the latest information about developments related to Form W-9 and its instructions, such as legislation enacted after they were published, go to www.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. ff 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 1 of1 Complete Nos. 1- 4 and 6 if there are interested parties. OFFICE USE ONLY Complete Nos. 1, 2, 3, 5, and 6 if there are no interested parties. CERTIFICATION OF FILING Certificate Number: 2024.1185843 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. KMAC Construction Services, Inc. San Antonio, TX United States Date Filed: 07/10/2024 2 Name of governmental entity or state agency that is a party to the contract for which the form is being filed. Calhoun County Date Acknowledged: 3 Provide the identification number used by the governmental entity or state agency to track or identify the contract, and provide a description of the services, goods, or other property to be provided under the contract. 2024-0070 308 S. Anne Street: Asbestos Abatement: 750 sq. ft of ceiling texture 4 Name of Interested Party City, State, Country (place of business) Nature of interest (check applicable) Controlling Intermediary 5 Check only if there is NO Interested Party. X 6 UNSWORN DECLARATION My name is Kevin McIntyre and my date of birth is My address is -- -0 - _-. -= -- (street) (city) (state) (zip code) (country) I declare under penalty of perjury that the foregoing is true and correct. Executed in Bexar County, State of Texas on the 10th day of July .20 24 . (month) (year) Signature of avKorized agent of contracting business entity (Declarant) Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V4.1.0.d378aba0 I NOTICF_ OF MFFTING - 7/10/202.4 9) Consider and take necessary action remove the following items from Sheriff's Office Inventory. They were stolen out of unit while at training. (RHM) A. APX8000 PORT ABLE RADIO SERIAL #579CXT6259 ASSET #565-0977 B. ASER GUN X26P SERIAL #Xl200A8X4 ASSET #565-0850 *** For reference attached is a list of items stolen but not on inventory. RESULT: APPROVED [UNANIMOUS] MOVER: David Hail, Commissioner Pct I SECONDER:` Vern Lyssy, Commissioner Pct2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese' Page 6 of 10 CALHOUN COUNTY, TEXAS COUNTY SHERIFF'S OFFICE 211 SOUTH ANN STREET PORT LAVACA, TEXAS 77979 PHONE NUMBER (361) 553-4646 FP X NUMBER (361) 553-4668 MEMO TO: RICHARD MEYER, COUNTY JUDGE SUBJECT: REMOVE ITEMS FROM INVENTORY DATE: 49*01(4�4 July 2, 2023 Please place the following item(s) on the Commissioner's Court agenda for the date(s) indicated: July 10, 2024 the following AGENDA FOR 3i3NM49;9994 * Consider and take necessary action removeserreral items from Sheriffs Office Inventory. They were stolen out of unit while at training. See list below: *APX8000 PORTABLE RADIO SERIAL #579CXT6259 ASSET #565-0977 *TASER GUN X26P SERIAL ffXl200A8X4 ASSET #565-0850 for reference * ATTACHED IS A LIST OF ITEMS TAKEN BUT NOT ON INVENTORY Sincerely, Bobbie Vickery Calhoun County Sheriff Aw,, Fmd F, I3t Items stolen from Calhoun County I * t19D Green Tactical Vest 4§30 J APX8OCOPortable radio serial#579CTrA259 &IACM 1519tWTA! RYOC4 # Slay- 001-11 TaserGun X26PserlaltFXl2ggABX4 '&D4 C� AS5ck #G(a6—U$ Monocular 100 Digital Camera 01160 Surfire miniflashilght 4aw (2) sets handcuffs 6 (1)handcuffholder *40 (1) molle tactical vest Safe life Defense % +(1) Teser attachment for molle vest $110 (1) Black patrol bag *Wv — (1) Tan tactical backpack qQ Ear protection for range *34 Eye protection for range 6 ( 5 SX Level 11 AF female structured panel soft trauma plate 5x7 Safariland vest. (SBA 1220902.57 $$a ,be p NOTICE OF MEETING — 7/10/2024 10) Consider and take necessary action to approve the May and June donation, surplus/salvage and waste lists for the Calhoun County Library. (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 7of10 From: dsanchez(a)cclibramom (Dina Sanchez) To: debbie.vickew(a)calhouncotK.om Subject: Commissioner"s Court Agenda Date: Wednesday, July 3, 2024 7:51:23 AM Attachments: CCLBScan.odf CAUTION: This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe. Good morning, can you please add this to the agenda for the next meeting: Consider and take necessary action to approve the May and June donation, surplus/salvage and waste lists. Thank you, Dina Sanchez Calhoun County Library Director (361)552-7323 Calhoun County Texas Calhoun County Public Library System (361) 552-7323 200 W. Mahan Port Lavaca,'Ibxus 77979 Report May 2024 The following materials have been donated to the Calhoun County Public Library System during the month of May 2oz4 Books Donor 2 Barry Hunter 6 Sidney Siezer 7 Theresa Carbajal 1 Barbara Willoughby 74 Sheryl Marwitz 95 Unknown paperbacks Donor 39 Cynthia Nichols 1 Margaret Claiborne 1 Charles Willoughby 29 Unknown DVD Donor 3 Barry Hunter 10 Unknown Others Donor 1 Box of Goldfish crackers Cynthia Medina 1 Bag of crochet supplies Sidney Siezer 24 VHS Beatrice Calhoun County Public Library System (361)552-7323 200 W. Mahan Port Lavaca,'Ibxas 77979 Report May 2024 I would like the following to be declared Surplus/Salvage 85 Books 13 DVD 24 VMS 43 Pbk Calhoun County Public Library System (361) 552-7323 2W W. Mahan Port Lavaca,1xim 77979 Report May 2024 I would like the following items to be declared waste 13 Books 8 VHS Calhoun County Public Library System (361) 552-7323 2W W. Mahan Port Lavaca, Te ms 77979 Report June 2024 The following materials have been donated to the Calhoun County Public Library System during the month of June 2024 Books Donor 3 Nita Pool 28 Leena Harral 89 Dorothy Caldwell 126 Unknown Paperbacks Donor 34 Unknown DVD 3 Others 7 car trash bags 11 tote bags 7 cups 7 pens 7 cc holders for phone 7 hand soaps 7 screen wipes 7 koozies Donor Barry Hunter Donor Advance America 10 tote bags Texas Credit Corporation Calhoun County Public Library System (361)552-7323 200 W. Mahan Port Lavaca, Texas 77979 Report June 2024 I would like the following to be declared Surplus/Salvage 109 Books 17 Pbk 3 DVD Calhoun County Public Library System (361) 552-7323 200 W. Mahan Port Lavaca, lbm 77979 Report June 2024 I would like the following items to be declared waste 54 Book 9 Paperbacks Calhoun County Library Waste Declaration form inventory # Description Serial # Reason for waste declaration Main Monttor#25 Am monitor ASLMIZ072225 Obsolete Main Monitor#39 Acer Model V223w monitor ETLC308137027074BU248 Obsolete Main Monnor#55 viewSonlc V515453 TST153921322 Obsolete Main Monnor#43 Dell P221Ot n/a Obsolete Main Monitor#56 Acer#VA2433WM ETLGT0O0430 I46CF4080 Obsolete Main Monitor#57 VlewSonie VA2431WM RPX114122314 obsolete n/a Asus MOnitar#VH198T AILMIZO25108 Obsolete LIB-0022 Sanyo 40"LED TV ME2AI612102386 Obsolete M Mouse #75 Dell MS1161:1 CN-0PRDV9-L0300.96L-15SI Obsolete M Mouse #76 Dell MO56UOA G0O02FNE Obsolete M Mouse #77 Dell M5116t1 CN-0PRDV9-LO30D-95G-0HD3 Obsolete M Mouse #86 HP SM-2022 CT FCMHHOCJPAR2FK Obsolete M Mouse #87 HP MOFYUO CT. FCMHHOAHD28J39 Obsolete M Mouse #88 HP MOFYUO CT: FCMHHOAHD28J2Y Obsolete M Mouse # 89 HP MOFYUO. CT: FCMHHOAHD28J2C Obsolete M Mouse # 90 HP MOFYUO CT: FCMHHOAKZ29BPA Obsolete M Mouse #92 HP MOFYUO CT: FCMHHOAHD28J4U Obsolete M Mouse #93 HPMOFYUO CT. FCMHHOAHD28J21 Obsolete M Mouse#95 HPMOFYUO CT. FCMHHOAHD2BJ47 Obsolete PCMouse#12 HP FCMHHOAHDBKWNS Obsolete M Mouse # 19 HP CT, FATSKOJ9WYL240 Obsolete M Mouse#27 Logitech M-U0O26 1514HS01IU68 Obsolete M Mouse#33 Dell M-UVDELI OC8639 Obsolete M Mouse#59 Dell M-UVDELI LNA42250425 Obsolete M Mouse#60 Logitech M-U0O26 1514HS0105TS Obsolete M Mouse # 62 HP MOFYUO CT- FCMHHOA6786GGK Obsolete M Mouse#70 HP MOFYUO CT- FCMHHOCVABAOMY Obsolete M Mouse#78 DelIMS116t1 CN-0PRDV9-LO300.96L-155G Obsolete M Mouse#50 Logitech 5100 1514HS0102M8 Obsolete 18 Mice Logitech, Dell, HP obsolete 650-0029 Wooden Bookcase on rollers acquired 1/1/1980 Broken 650-W69 Light green metal table 38a80X29 acquired 1/1/1980 Rusty & broken wheal LIB-0034 Pdnter HP Laselet 1200 sedes acquired in 2001 broke NOTICE OF MEE f1NG - 7/10/2024 11) Accept Monthly Reports from the following County Offices: i. Justice of the Peace, Pct 1- June 2024 ii. Justice of the Peace, Pct 2 - June 2024 III. Justice of the Peace, Pct 3 - June 2024 iv. Floodplain Administration - June 2024 v. District Clerk - June 2024 vi. Texas Agrilife Extension Service - May 2024 a. 4-H and Youth Development b. Agriculture and Nature Resources c. Family and Community Health d. Coastal and Marine RESULT: APPROVED[UNANIMOUS], MOVER: Vern Lyssy, Commissioner Pct'2 SECONDER: Gary Reese, Commissioner Pct 4 AYES:' Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 8 of 10 NTER MONTH OF REPORT NTER YEAR OF REPORT CODE CASHBONDS ADMINISTRATION FEE -ADMF BREATH ALCOHOL TESTING -BAT CONSOLIDATED COURT COSTS- CCC STATE CONSOLIDATED COURT COST- 202C LOCAL CONSOLIDATED COURT COST- 2020 COURTHOUSE SECURITY -CHS CJP CIVIL JUSTICE DATA REPOSITORY FEE- CJDR CORRECTIONAL MANAGEMENT INSTITUTE - CMI CR CHILD SAFETY - CS CHILD SEATBELT FEE- CSBF CRIME VICTIMS COMPENSATION - CVC DPSCIFAILURE TO APPEAR- OMNI - OPSC ADMINISTRATION FEE FTAIFTP (aka OMNI). 2020 ELECTRONIC FILING FEE- EEF JUVENILE CASE MANAGER FUND - )STICE COURT PERSONNEL TRAINING - JUROR SERVICE FEE LOCALARRESTFEES PARKS & WILDLIFE ARREST FEES -I STATE ARREST FEES CHOOL CROSSINGICHILD SAFETY FEE SUBTITLE C - 7 STATE TRAFFIC FINES -EST 9.1.19 TABC ARREST FEES TECHNOLOGYFUNI TRAFFIC LOCAL TRAFFIC FINE - TIME PAYMENT - TIME PAYMENT REIMBURSEMENT FEE- 4NCY PREVENTION/DIVERSION FUND-' LOCAL & STATE WARRANT FEES - V COLLECTION SERVICE FEE-MVBA- ( DEFENSIVE DRIVING COURSE- DEFERRED FEE DRIVING EXAM FEE- PRC E UONSUUDATED CIVIL FEE - 21 CONSOLIDATED CIVIL FEE - 21 FILING FEE SMALL CLAIMS -FF JURY FEE - REVISED 0210212022 0.00 0.00 0.00 0.00 0.00 0.00 a.00 0'00 116.07 0.00 0.00 0.00 130 0.00 4.14 0.00 3AO 125,95 0,00 0.00 0.00 0.00 53;57 8.02 0.00' 0.00' 522AS 726.81 1,927.51 105.00 JUDGE PAY RAISE FEE -JPAY 5.10 SERVICEFEE-SFEE 0.00 OUT -OF -COUNTY SERVICE FEE 0.00 ELECTRONIC FILING FEE -EEF CV 0100 EXPUNGEMENT FEE -EXPG 0.00 EXPIRED RENEWAL -EXPR 0.00 ABSTRACT OF JUDGEMENT -AOJ 040 ALL WRITS-WOP/WOE 0.00 DIGS FTA FINE -DPSF 792A8 LOCALFINES-FINE 3.708.67 'OVERPAYMENT -OVERPAYMENT($10 R PARKS & WILDLIFE -WATER: MARINE SAFETY PARK: TOTAL ACTUAL ENTER LOCAL STATE 0.00 0.00 0.00 0.00 0.00 REPORT V.YV PLEBS-e INCLUDE OR REQUESTING)SBURSENBNT 0.00 PIfASE U.'CIUDE DR FEQUESiINGpdBURSENENi 0.00 ft SEINCLVDE DR RZOUESTINQOISBURSEMENT 0.00 PLEASEINCLUDE OR REQUESTINGUIDUFURNe-NT 0.00 PIWEINCLUCE DR REQUESTINQddBURSENENTIGREQUIREDI Treasurors Receipts MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 7/1/2024 COURT NAME: JUSTICE OF PEACE NO.1 MONTH OF REPORT: JUNE YEAR OF REPORT: 2024 ACCOUNTNUMBER ACCOUNTNAME AMOUNT CR 1000-001-45011 FINES 4,816.47 CR 1000-001-44190 SHERIFF'S FEES 860.65 ADMINISTRATIVE FEES. DEFENSIVE DRIVING 10.00 CHILD SAFETY 0.00 TRAFFIC 31.35 ADMINISTRATIVE FEES 960.18 EXPUNGEMENT FEES 0.00 MISCELLANEOUS 0.00 CR 1000-001-44361 TOTAL ADMINISTRATIVE FEES 1,001.53 CR 1000-001-44010 CONSTABLE FEES -SERVICE 0.00 CR 1000-001-44061 JP FILING FEES 0.00 CR 1000-001-44090 COPIES / CERTIFIED COPIES 0.00 CR 1000-001-49110 OVERPAYMENTS (LESS THAN $10) 0.00 CR 1000-00144322 TIME PAYMENT REIMBURSEMENT FEE 198.91 CR 1000-00144145 SCHOOL CROSSING/CHILD SAFETY FEE 0.00 CR 1000-999-20741 DUE TO STATE -DRIVING EXAM FEE 0.00 CR 1000-999-20744 DUE TO STATE-SEATBELT FINES 0.00 CR 1000-999-20745 DUE TO STATE -CHILD SEATBELT FEE 0.00 CR 1000-999-20746 DUE TO STATE -OVERWEIGHT FINES 0.00 CR 1000-999-20770 DUE TO JP COLLECTIONS ATTORNEY 1,927.51 TOTAL FINES, ADMIN. FEES & DUE TO STATE $8,805.07 CR 2670-001-44061 COURTHOUSE SECURITY FUND $182.20 CR 2720-001-44061 JUSTICE COURT SECURITY FUND $0.85 CR 2719-001-44061 JUSTICE COURT TECHNOLOGY FUND $150.05 CR 2699-001-44061 JUVENILE CASE MANAGER FUND $4.14 CR 2730-001-44061 LOCAL TRUANCY PREVENTION & DIVERSION FUND $183.32 CR 2669-001-44061 COUNTY JURY FUND $3.67 CR 2728-001-44061 JUSTICE COURT SUPPORT FUND $12500 CR 2677-001-44061 COUNTY'DISPUTE RESOLUTION FUND $26,00. CR 2725-001-44061, LANGUAGE ACCESS FUND $15:00 STATE ARREST FEES DPS FEES 42.99 P&W FEES 10.71 TABC FEES 0.00 CR 7020-999-20740 TOTAL STATE ARREST FEES 53.70 CR 7070-999-20610 CCC-GENERAL FUND 3.40 CR 7070-999-20740 CCC-STATE 30,65 DR 7070-999-10010 34.05 CR 7072-999-20610 STATE CCC- GENERAL FUND 227.30 CR 7072-999-20740 STATE CCC- STATE 2,045.72 DR 7072-999-10010 2,273.02 CR 7860-999-20610 STF/SUBC-GENERAL FUND 0.00 CR 7860-999-20740 STF/SUBC-STATE 0.00 DR 7860-999-10010 0.00 CR 7860-999-20610 STF- EST 9/l/2019- GENERAL FUND 20.90 CR 7860-999-20740 STF- EST 9/l/2019- STATE 501.55 DR 7860-999-10010 522.45 Page 1 of 3 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 7/1/2024 COURT NAME: JUSTICE OF PEACE NO.1 MONTH OF REPORT: JUNE YEAR OF REPORT: 2024 CR 7950-999-20610 TP-GENERAL FUND 12.50 CR 7950-999-20740 TP-STATE 12.50 DR 7950-999-10010 25.00 Page 2 of 3 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 7/1/2024 COURT NAME: JUSTICE OF PEACE NO.1 MONTH OF REPORT: JUNE YEAR OF REPORT: 2024 CR 7480-999-20610 CIVIL INDIGENT LEGAL-GEN. FUND 0.00 CR 7480-999-20740 CIVIL INDIGENT LEGAL -STATE 0.00 DR 7480-999-10010 0.00 CR 7865-999-20610 CRIM-SUPP OF IND LEG SVCS-GEN FUND 0.17 CR 7865-999-20740 CRIM-SUPP OF IND LEG SVCS-STATE 1.53 DR 7865-999-10010 1.70 CR 7970-999-20610 TUFTA-GENERAL FUND 0.00 CR 7970-999-20740 TUFTA-STATE 0.00 DR 7970-999-10010 0.00 CR 7505-999-20610 JPAY - GENERAL FUND 0.51 CR 7505-999-20740 JPAY-STATE 4.59 DR 7505-999-10010 5.10 CR 7857-999-20610 JURY REIMB. FUND- GEN. FUND 0.34 CR 7857-999-20740 JURY REIMB. FUND- STATE 3.06 DR 7857-999-10010 3.40 CR 7856-999-20610 CIVIL JUSTICE DATA REPOS: GEN FUND 0.00 CR 7856-999-20740 CIVIL JUSTICE DATA REPOS: STATE 0.00 DR 7856-999-10010 0.00 CR 7502-999-20740 JUD/CRT PERSONNEL TRAINING FUND- STATE 0.00 DR 7502-999-10010 0.00 7998-999-20740 TRUANCY PREVENT/DIV FUND - STATE 0.85 7998-999-20701 JUVENILE CASE MANAGER FUND 0.85 DR 7998-999-10010 1.70 7403-999-22889 ELECTRONIC FILING FEE - CV STATE 0.00 DR 7403-999-22889 0.00 7858-999-20740 STATE CONSOLIDATED CIVIL FEE 105.00 105.00 TOTAL (Distrih Req to OperAccq $12,519.42 DUE TO OTHERS (Distrih Req Attchd) CALHOUN COUNTY ISD 0.00 DA - RESTITUTION 0.00 REFUND OF OVERPAYMENT; 0.00 OUT -OF -COUNTY SERVICE FI 0.00 CASH BONDS 0.00 PARKS & WILDLIFE FINES 1,786.82 WATER SAFETY FINES 0.00 TOTAL DUE TO OTHERS $1.786.82 TOTAL COLLECTED -ALL FUNDS $14,306.24 LESS: TOTAL TREASUER'S RECEIPTS $14,306.24 REVISED 02/02/2022 OVER/(SHORT) $0.00 Page 3 of 3 CALHOUN COUNTY 201 West Austin PAYEE Name: Calhoun County Oper. Acct. Address: City: State: Zip: Phone: Signature of Official Date /a, DISTRIBUTION REQUEST DR# 450 A 45474 PAYOR Official: Hope Kurtz Title: Justice of the Peace, Pct. 1 ENTER MONTH OF REPORT Juu nut LPr FG vt NU. 2 June ENTER YEAR OF REPORT 2024 .CODE AMOUNT CASH BONDS 0.00' ADMINISTRATION FEE-AOMF 10.00' BREATH ALCOHOL TESTING -BAT:' ':6.06 CONSOLIDATED COURT COSTS ---CCC" 177.31, :.STATE CONSOLIDATED COURT COST-2020 776.69' LOCAL CONSOLIDATED COURT COST- 2020 ' . TOGAS COURTHOUSE SECURITY -CHS 21.741 CMLJUSTICE DATA REPOSITORY FEE -CJDR °. -0.20s CORRECTIONAL MANAGEMENT INSTITUTE -CMI 0:00 OR ? 0:0p1 CHILD SAFETY -CS 0.06 CHILD SEATBELT FEE -CSBF A:00' CRIME VICTIMS COMPENSATION -CVC 0.00. DPSCIFAILURE TO APPEAR -OMNI-DPSC 135.69 ADMINISTRATION FEE FTAIFTP (aka OMN0- 2020 20160 ELECTRONIC FILING FEE -EEF ;0:00: FUGITIVE APPREHENSION -FA 0.00" GENERAL REVENUE-GR 0.00 CRIM- IND LEGAL SVCS SUPPORT -IDF 10.87- JUVENILE CRIME & DELINQUENCY -JCD - -. DAD'. JUVENILE CASE MANAGER FUND -JCMF 10.00t JUSTICE COURT PERSONNEL TRAINING-JCPT - 9.60 JUROR SERVICE FEE -JSF 'r 21i74. LOCAL ARREST FEES -LAF 42.45d LEMI 6.00: LEGO ::' 'p:001 OCL 6.60; PARKS& WILDLIFE ARREST FEES -PWAF - O.00' STATE ARREST FEES -SAF _271o5F SCHOOL CROSSING(CHILD SAFETY FEE -SCF 6.06i SUBTITLE C-SUBC 0.001 STATE TRAFFIC FINES -EST 9.1.1& STF 440.36' . TABC ARREST FEES -TAP 6.06' TECHNOLOGY FUND-TF' 2174 TRAFFIC • TFC 0.0p LOCAL TRAFFIC FINE-2020 26,78! TIME TIME PAYMENT. -TIME 0.56'. TIME PAYMENT FEE-202C 9&53:. TRUANCY PREVENTIONIDIVERSION FUND -TPOF 9.87. LOCAL& STATE WARRANT FEES -WRNT ;'- 45510i COLLECTION SERVICE FEE-MVBA-CSRV : 005i81; DEFENSIVE DRIVING COURSE- DDC 10.011 DEFERRED FEE -OFF " CAP1 DRIVING EXAM FEE- PROV OL j . 0.00: .FILING FEE - FFEE -' 0.00. STATE CONSOLIDATED CMLFEE-2022 f05.00, LOCAL CONSOLIDATED CIVIL FEE -202, 165.00! FILING FEE SMALL CLAIMS -FFSC 9.0 ' JURY FEE -JF ':'. 0:00' COPIESICERTIFED COPIES. CC 0.00 INDIGENT FEE -CIFF or INDF :. 0.00. JUDGE PAY. RAISE FEE -JPAY 32.61+ SERVICE.FEE-SFEE'- '0:06• OUT -OF -COUNTY SERVICE FEE 0.00 ELECTRONIC FILING FEE -EEF CV :6100, EXPUNGEMENTFEE-EXPG 0,00- EXPIRED RENEWAL -EXPR '0.00 ABSTRACT OF JUDGEMENT-AOJ 0.00: ALLWRTTS-WOP/WOE'.. 0.00' CPS FTAFINE -DPSF' 218;03; LOCAL FINES - FINE 2,814.01, LICENSE & WEIGHT FEES -LWF 0.00.' PARKS & WILDLIFE FINES -PWF 0,001 SEATBELTAJNRESTRAINED CHILD FINE -SEAT 0:00, JUDICIAL B COURT PERSONNEL TRAININGJCPT 0.06, OVERPAYMENT (OVER $10)-OVER - O,QO. ` OVERPAYMENT (S70 AND LESS) -OVER 000 RESTnIMON-REST 0.00.. PARKS& WILDLIFE -WATER SAFETY FINES-WSF 0.00 MARINE SAFETY PARKS & WILDLIFE -MSO MCI) TOTAL ACTUAL MONEY RECEIVED 58,789,00 'PE: )TAL WARRANT FEES AMOUNT 455.20 ENTER LOCAL WARRANT FEES , W-67 RECOH)ONTOTUPAGEOFNULwuxmrWFTwWW RsroRt STATE WARRANT'FEES $88.53 R,WROONTOTAL PACE OF HILL COUNTRY SOFlWW WREPoRT JE TO OTHERS: AMOUNT JE TO CCISD- 50% of Fine an JVwsu O.OD`PIEASEINCLUM DR FEOUESRNGDWIJAEENT Jr TO DARESTTIUTION FUND O.00 PLEASE INCLUDE DR KQLFSTING WOURSEMENT :FUND OF OVERPAYMENTS JT-OF-COUNTY SERVICE FEE 0.00 KDWINCLUce DR RE1111IIG DSWFHIIWFT LSH BONDS 0.00 P IE IKLOM DR r�OLIESFmDD%L,,WT O.OD PLFAEEINCLUM DRRECUESRNGONURSEAENTUFFEWIRED) TOTAL DUE TO OTHERS $0.00 EASURERS RECEIPTS FOR MONTH: AMOUNT BH, CHECKS, M.Oa&E EDR pt` '.387118.00- krei mew., CaIwlate from ACTUAL Tmuu,e, ReeNpk MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 7/1/2024 ACCOUNT NUMBER CR 1000-001-45012 CR 1000-001-44190 CR 1000-001-44362 CR 1000-001-44010 CR 1000-001-44062 CR 1000-001-44090 CR 1000-001-49110 CR 1000-001-44322 CR 1000-001-44145 CR 1000-999-20741 CR 1000-999-20744 CR 1000-999-20745 CR 1000-999-20746 CR 1000-999-20770 COURT NAME: JUSTICE OF PEACE NO. 2 MONTH OF REPORT: June YEAR OF REPORT: 2024 ADMINISTRATIVE FEES: DEFENSIVE DRIVING CHILD SAFETY TRAFFIC ADMINISTRATIVE FEES EXPUNGEMENT FEES MISCELLANEOUS CR 2670-001-44062 CR 2720-001-44062 CR 2719-001-44062 CR 2699-001-44062 CR 2730-001-44062 CR 2669-001-44062 OR, 27264)6144062 - CR 2677-00144062 CR 2725-001-44662 STATE ARREST FEES DPS FEES P&W FEES TABC FEES CR 7020-999-20740 CR 7070-999-20610 CR 7070-999-20740 CR 7072-999-20610 CR 7072-999-20740 CR 7860-999-20610 CR 7860-999-20740 CR 7860-999-20610 CR 7860-999-20740 DR 7070-999-10010 DR 7072-999-10010 DR 7860-999-10010 DR 7860-999-10010 ACCOUNTNAME AMOUNT FINES 3,033.35 SHERIFF'S FEES 501.61 10.00 0.00 26.78 30.00 0.00 0.00 TOTAL ADMINISTRATIVE FEES 66.78 CONSTABLE FEES -SERVICE 0.00 JP FILING FEES 0.00 COPIES / CERTIFIED COPIES 0.00 OVERPAYMENTS (LESS THAN $10) 0.00 TIME PAYMENT REIMBURSEMENT FEE 99.53 SCHOOL CROSSING/CHILD SAFETY FEE 0.00 DUE TO STATE -DRIVING EXAM FEE 0.00 DUE TO STATE-SEATBELT FINES 0.00 DUE TO STATE -CHILD SEATBELT FEE 0.00 DUE TO STATE -OVERWEIGHT FINES 0.00 DUE TO JP COLLECTIONS ATTORNEY 965.81 TOTAL FINES, ADMIN. FEES & DUE TO STATE $4,667.08 COURTHOUSE SECURITY FUND $74.53 JUSTICE COURT SECURITY FUND JUSTICE COURT TECHNOLOGY FUND $5 44 JUVENILE CASE MANAGER FUND $69 27 LOCAL TRUANCY PREVENTION & DIVERSION FUND $10.00 COUNTY JURY FUND $59.41 JUSTICE COURT SUPPORT FUND ' . $119 196. 19 $1$1 COUNTY DISPUTE' RESOLUTION FUND LANGUAGE ACCESS FUND .00 $1000 23.12 0.00 0.00 TOTAL STATE ARREST FEES 23.12 CCC-GENERAL FUND CCC-STATE 17.74 159.63 177.37 STATE CCC- GENERAL FUND STATE CCC- STATE 77.67 699.02 776.69 STF/SUBC-GENERAL FUND STF/SUBC-STATE 0.00 0.00 0.00 STF- EST 9/1/2019- GENERAL FUND 17.85 STF- EST 9/1/2019- STATE 428.51 448.36 Page 1 of 2 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 7/1/2024 COURT NAME: JUSTICE OF PEACE NO. 2 MONTH OF REPORT: June YEAR OF REPORT: 2024 CR 7950-999-20610 TP-GENERAL FUND 0.28 CR 7950-999-20740 TP-STATE 0.28 DR 7950-999-10010 0.56 CR 7480-999-20610 CIVIL INDIGENT LEGAL-GEN. FUND 0.00 CR 7480-999-20740 CIVIL INDIGENT LEGAL -STATE 0.00 DR 7480-999-10010 0.00 CR 7865-999-20610 CRIM-SUPP OF IND LEG SVCS-GEN FUND 1.09 CR 7865-999-20740 CRIM-SUPP OF IND LEG SVCS-STATE 9.78 DR 7865-999-10010 10.87 CR 7970-999-20610 TUFTA-GENERAL FUND 45.23 CR 7970-999-20740 TUFTA-STATE 90.46 DR 7970-999-10010 135.69 CR 7505-999-20610 JPAY- GENERAL FUND 3.26 CR 7505-999-20740 JPAY - STATE 29.35 DR 7505-999-10010 32.61 CR 7857-999-20610 JURY REIMB. FUND- GEN. FUND 2.17 CR 7857-999-20740 JURY REIMB. FUND- STATE 19.57 DR 7857-999-10010 21.74 CR 7856-999-20610 CIVIL JUSTICE DATA REPOS: GEN FUND 0.02 CR 7856-999-20740 CIVIL JUSTICE DATA REPOS.- STATE 0.18 DR 7856-899-10010 0.20 CR 7502-999-20740 JUD/CRT PERSONNEL TRAINING FUND- STATE 0.00 DR 7502-999-10010 0.00 7998-999-20740 TRUANCY PREVENT/DIV FUND - STATE 7998-999-20701 JUVENILE CASE MANAGER FUND 3.44 DR 7998-999-10010 3.44 6.87 7403-999-22889 ELECTRONIC FILING FEE - CV STATE DR 7403-999-22889 0.00 0.00 7858-999-20740 STATE CONSOLIDATED CIVIL FEE 105.00 105.00 TOTAL (Distrib Req to OperAccry $6.789.00 DUE TO OTHERS (Distrib Req Attchd) CALHOUN COUNTY ISD DA - RESTITUTION 0.00 REFUND OF OVERPAYMENTS 0.00 OUT -OF -COUNTY SERVICE FE 0.00 CASH BONDS 0.00 PARKS & WILDLIFE FINES 0.00 WATER SAFETY FINES 0.00 TOTAL DUE TO OTHERS 0.00 $0.00 TOTAL COLLECTED -ALL FUNDS $6,789.00 LESS: TOTAL TREASUER'S RECEIPTS $6,789.00 OVER/(SHORT) $0.00 Page 2 of 2 CALHOUN COUNTY 201 West Austin PAYEE Name: Calhoun County Oper. Acct. Address: City: State: Zip: Phone: Signature of Official Date DISTRIBUTION REQUEST DR# 450 A 45474 PAYOR Official: Thomas Dio Title: Justice of the Peace, Pct. 2 :NTER COURT NAME: '-NTER MONTH OF REPORT :NTER YEAR OF REPORT 2022 GOVE CASH BONDS ADMINISTRATION FEE -.ADMF BREATH ALCOHOL TESTING - BAT CONSOLIDATED COURT COSTS • CCC iSTATE 'CONSOLIDATED 'COURT COST-2020 - > LOCAL CONSOLIDATED COURT COST-. 2020 COURTHOUSE SECURITY -CHS CJP CHILD BE .CRIME VICTIMS Cl -ELECTRONIC FILING FEE FUGITIVE APPREHENSIOI GENERAL REVENUE GRIM - IND LEGAL.SVCS SUPPORT JUVENILE CRIME & DELINQUENCY JUVENILE CASE MANAGER. FUND - JUSTICE COURT PERSONNEL: TRAINING - JUROR SERVICE FEE LOCAL. ARREST FEES PARKS & WILDLIFE ARREST FEES - I '. CT�TC �OOCCT CGCC SUB STATE TRAFFIC FINES-1 TABC ARRI )TECHNOL LOCAL TRAP TIME P. COLLECTIONSI DEFENSIV DR[ LOCAL CONSOLIDAT FILING FEE SN COPIES/CEP INDIGENI JUDGE PA S OUT -OF -CO ELECTRONIC IF EXPUNC EXPIRE ABSTRACT OF ALL D LICENSE .&V PARKS &Wit OVERPA 1 TOTAL ACTUAL MONEY RECEIVE RANT FEES STATE WARRANT FEES_ 4ERS' DUE TO.DA RESTITUTION FUND REFUND OF OVERPAYMENTS OUT -OF -COUNTY SERVICE FEE CASH BONDS - " TOTAL DUE TO C REVISED 02/02/2021 10.00 972.23 219.54 10.00 1.29 - S.27 73.12 486.09 29,17 38.84 50.00 163.60 SMOG 84.00 132.00 160.00 1,447.37 8,900.42. AMOUNT - 80.00. G 1RECOROONTOT&PAGEOFHELCOIINIRYSOFRNPAE MO. RFPIXiT YOU:W RE WONTa&PP.GEOF HLLCWMM&OFlWPAEMO. PEPoRT AMOUNT _0.00 RWEINMUDEDARMUESMGOISBURSEMEM 0.00 RUSEMUDEORREQUESTING01EBMSEMEM 0.00. RWERcIVDED.RRE9VESTMGDISBURSEMEM 0.00 RFPSEINCUDED.RR EBTINGOISBURBEMEM 0.00 RF/SEINMUDED.RH£ MNGDIBWMEMEM(IFROUIMO) IERS $0.00 ACTUAL Treasurer's Receipts MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 7/2/2024 COURT NAME: JUSTICE OF PEACE NO.3 MONTH OF REPORT: JUNE YEAR OF REPORT: 2024 ACCOUNTNUMBER ACCOUNTNAME AMOUNT CR 1000-001-45013 FINES 1,447.37 CR 1000-001-44190 SHERIFF'S FEES 103.77 ADMINISTRATIVE FEES: DEFENSIVE DRIVING 30.00 CHILD SAFETY 0.00 TRAFFIC 29.17 ADMINISTRATIVE FEES 20,00 EXPUNGEMENT FEES 0.00 MISCELLANEOUS 0.00 CR 1000-001-44363 TOTAL ADMINISTRATIVE FEES 79.17 CR 1000-001-44010 CONSTABLE FEES -SERVICE 150.00 CR 1000-001-44063 JP FILING FEES 0.00 CR 1000-001-44090 COPIES / CERTIFIED COPIES 0.00 CR 1000-001-49110 OVERPAYMENTS (LESS THAN $10) 0.00 CR 1000-001-44322 TIME PAYMENT REIMBURSEMENT FEE 36.84 CR 1000-00144145 SCHOOL CROSSING/CHILD SAFETY FEE 0.00 CR 1000-999-20741 DUE TO STATE -DRIVING EXAM FEE 0.00 CR 1000-999-20744 DUE TO STATE-SEATBELT FINES 0.00 CR 1000-999-20745 DUE TO STATE -CHILD SEATBELT FEE 0.00 CR 1000-999-20746 DUE TO STATE -OVERWEIGHT FINES 0,00 CR 1000-999-20770 DUE TO JP COLLECTIONS ATTORNEY 163.50 TOTAL FINES, ADMIN. FEES & DUE TO STATE $1,980.65 CR 2670-001-44063 COURTHOUSE SECURITY FUND $76.84 CR 2720-001-44063 JUSTICE COURT SECURITY FUND $0.00 CR 2719-001-44063 JUSTICE COURT TECHNOLOGY FUND $62.73 CR 2699-001-44063 JUVENILE CASE MANAGER FUND $1.29 CR 2730-001-44063 LOCAL TRUANCY PREVENTION & DIVERSION FUND $78.41 CR 2669-001-44063 COUNTY JURY FUND $1.57 CR 272"01-44063 JUSTICE COURT SUPPORT FUND $100.00 CR 2677-001-44063 COUNTY DISPUTE RESOLUTION FUND $20.00 i CR 2725-001-44063 LANGUAGE ACCESS FUND $12.00 STATE ARREST FEES DPS FEES 24.62 P&W FEES 0.00 TABC FEES 0.00 CR 7020-999-20740 TOTAL STATE ARREST FEES 24.62 CR 7070-999-20610 CCC-GENERAL FUND 0.00 CR 7070-999-20740 CCC-STATE 0.00 DR 7070-999-10010 0.00 CR 7072-999-20610 STATE CCC- GENERAL FUND 97.22 CR 7072-999-20740 STATE CCC- STATE 875.01 DR 7072-999-10010 972.23 CR 7860-999-20610 STF/SUBC-GENERAL FUND 0.00 CR 7860-999-20740 STF/SUBC-STATE 0.00 DR 7860-999-10010 0.00 CR 7860-999-20610 STF- EST 9/1/2019- GENERAL FUND 19.44 CR 7860-999-20740 STF- EST 9/1/2019- STATE 466.65 DR 7860-999-10010 486.09 Page 1 of 2 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 7/2/2024 COURT NAME: JUSTICE OF PEACE NO.3 MONTH OF REPORT: JUNE YEAR OF REPORT: 2024 CR 7950-999-20610 TP-GENERAL FUND 0.00 CR 7950-999-20740 TP-STATE 0.00 DR 7950-999-10010 0.00 CR 7480-999-20610 CIVIL INDIGENT LEGAL-GEN. FUND 0.00 CR 7480.999-20740 CIVIL INDIGENT LEGAL -STATE 0.00 DR 7480-999-10010 0.00 CR 7865-999-20610 CRIM-SUPP OF IND LEG SVCS-GEN FUND 0.00 CR 7865-999-20740 CRIM-SUPP OF IND LEG SVCS-STATE 0.00 DR 7865-999-10010 0.00 CR 7970-999-20610 TUFTA-GENERAL FUND 0.00 CR 7970-999-20740 TUFTA-STATE 0.00 DR 7970-999-10010 0.00 CR 7505-999-20610 JPAY - GENERAL FUND 0.00 CR 7505-999-20740 JPAY - STATE 0.00 DR 7505-999-10010 0.00 CR 7857-999-20610 JURY REIMB. FUND- GEN. FUND 0.00 CR 7857-999-20740 JURY REIMB. FUND- STATE 0.00 DR 7857-999-10010 0.00 CR 7856-999-20610 CIVIL JUSTICE DATA REPOS: GEN FUND 0.00 CR 7856-999-20740 CIVIL JUSTICE DATA REPOS: STATE 0.00 DR 7856-999-10010 0.00 CR 7502-999-20740 JUD/CRT PERSONNEL TRAINING FUND- STATE 0.00 DR 7502-999-10010 0.00 7998-999-20740 TRUANCY PREVENT/DIV FUND - STATE 0.00 7998-999-20701 JUVENILE CASE MANAGER FUND 0.00 DR 7998-999-10010 0.00 7403-999-22889 ELECTRONIC FILING FEE - CV STATE 0.00 DR 7403-999-22889 0.00 7858-999-20740 STATE CONSOLIDATED CIVIL FEE TOTAL (Distrib Req to OperAcct) $3,900.42 DUE TO OTHERS (Distrib Req Attchd) CALHOUN COUNTY ISD 0.00 DA - RESTITUTION 0.00 REFUND OF OVERPAYMENT; 0.00 OUT -OF -COUNTY SERVICE FI 0.00 CASH BONDS 0.00 PARKS & WILDLIFE FINES 0.00 WATER SAFETY FINES 0.00 TOTAL DUE TO OTHERS $0.00 -4'0--'TOTAL COLLECTED -ALL FUNDS $3,900.42 �,,,Z-^ESS: TOTAL TREASUER'S RECEIPTS $3,900.42 REVISED 02/02/2021 OVER/(SHORT) $0.00 Page 2 of 2 Calhoun CountyFloodplain Admii2istrra tion 211 South Ann Street, Suite 301 Port Lavaca, TX 77979-4249 Phone: 361-553-4455/Fax: 361-553-4444 e-mail: derek.waltonocalhouncotx.org June 2024 Development Permits Report For Commissioners Court: July 10th, 2024 New Homes - 3 Renovations/Additions - 0 Mobile Homes - 0 Boat Barns/Storage Buildings/Garages - 3 Commercial Buildings/RV Site - 2 (plane hangar, tower improvement) Addition - 0 Fence - 0 Pool - 0 Drainage - 0 Pipeline - 0 Total Fees Collected: $480.00 Receipt numbers: 925889, 925886, 925887, 925888, 925890, 925891, 925892, 925893 Treasurer Receipt Numbers: F2024SUN004, 015,024,029 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS COURT NAME: DISTRICT CLERK MONTH OF REPORT: JUNE YEAR OF REPORT: 2024 ACCOUNT NUMBER ACCOUNT NAME DEBIT CREDIT 1000-00144190 SHERIFF'S SERVICE FEES $1,968.94 1000-001.44140 JURY FEES $148.54 1000-001-44045 RESTITUTION FEE $0.00 1000-001rI4020 DISTRICT ATTORNEY FEES $0.00 10OD-00149010 REBATES -PREVIOUS EXPENSE $0.00 1000-001-49030 REBATES -ATTORNEYS FEES $1,422.44 1000-001-44058 DISTRICT CLERK ELECTRONIC FILING FEES $0.00 100D-001-44322 TIME PAYMENT REIMBURSEMENT FEES $127.93 1000-00143049 STATE REIMB- TITLE N-D COURT COSTS $0.00 DISTRICT CLERK FEES CERTIFIED COPIES $193.70 CRIMINAL COURT $8.61 CIVIL COURT $1,831.20 STENOGRAPHER $371.33 CN FEES DIFF $0.00 1000-001-44050 DISTRICT CLERK FEES $2,404.84 100D-999-20771 FAMILY VIOLENCE FINE $100.00 1000-999-10010 CASH - AVAILABLE $6,172.69 27DS-001.44055 FAMILY PROTECTION FEE $0.00 2706-999-10010 CASH -AVAILABLE $0.00 2740-001-45055 FINES - DISTRICT COURT $2,322.24 2740-999-10010 CASH -AVAILABLE $2,322.24 2620-001-44055 APPELLATE JUDICIAL SYSTEM $74.27 2620-999-10010 CASH - AVAILABLE $74.27 2648-001.44055 COURT FACILITY FEE FUND $297.08 2848-999-10010 CASH -AVAILABLE $297.08 2670-001-44055 COURTHOUSE SECURITY $303.16 2670-999-10010 CASH - AVAILABLE $303.15 2673-001-44055 CRT RECS PRESERVATION FUND- CO $10.00 2673-999-10010 CASH - AVAILABLE $10.00 2725-001-44055 LANGUAGE ACCESS FUND $44,56 2725-999-10010 CASH - AVAILABLE $44.56 2739-001-44055 RECORD MGMTIPRSV FUND -CLERK $533.25 2739-999-10010 CASH - AVAILABLE $533.25 2737-001-44056 RECORD MGMT/PRSV FUND -DIST CLRK $0.64 2737-999-10010 CASH -AVAILABLE $0.54 2731-007-04056 LAW LIBRARY $519.88 2731-999-10010 CASH - AVAILABLE $619.88 2663-001-44050 CO & DIST CRT TECHNOLOGY FUND $0.86 2683.999-10010 CASH-AVAILABL $0.85 704D-999-20740 BREATH ALCOHOL TESTING - STATE $0.00 7040-999-10010 CASH - AVAILABLE $0.00 2657-001-44055 CO CHILD ABUSE PREVENTION FUND $0.35 2667-999-10010 CASH -AVAILABLE $0.35 7502-999-20740 JUDICIAL & COURT PERSONNEL TRAINING FUND -STATE $5.00 7502-999-10010 CASH-AVAILABE $5.00 7383-999-20610 DNA TESTING FEE - County $3.20 7383-999-20740 DNA TESTING FEE - STATE $28.80 7383-999-10010 CASH -AVAILABLE $32.00 7405.999-20610 EMS TRAUMA FUND - COUNTY $27.20 7405-999-20740 EMS TRAUMA FUND - STATE $244.80 7405-999-10010 CASH - AVAILABLE $272.00 7070-999-20810 CONSOL. COURT COSTS - COUNTY $12.24 7070.999-20740 CONSOL. COURT COSTS - STATE $110.20 707G-999-10010 CASH -AVAILABLE $122.44 7072-999-20610 STATE CONSOL. COURT COSTS- COUNTY $193.77 7072-999-20740 STATE CONSOL. COURT COSTS- STATE $1,743.94 7072-999-10010 CASH- AVAILABLE $1,937.71 2698-001-44030-010 DRUG CRT PROG FEE - COUNTY (PROGRAM) $15.31 2698-999-10010.010 CASH -AVAILABLE $15.31 7390.999-20610-999 DRUG COURT PROG FEE - COUNTY (SVC FEE) $3.06 7390-999-20740-999 DRUG COURT PROG FEE -STATE $12.25 7390-999-10010-999 CASH -AVAILABLE $15.31 7885-999-20810.999 CRIM - SUPP OF IND LEGAL SVCS - COUNTY $0.18 7865-999-20740.999 CRIM - SUPP OF IND LEGAL SVCS - STATE $1.86 7865-999.10010-099 CASH - AVAILABLE $1.84 7760-999-2079D-010 CRIM - DUE TO STATE - NONDISCLOSURE FEE $0.00 776D-999-10010-010 CRIM - DUE TO STATE - NONDISCLOSURE FEE $0.00 7950.999-20810 TIME PAYMENT- COUNTY $7.26 7950-998-20740 TIME PAYMENT - STATE $7.25 7950-999-10010 CASH -AVAILABLE $14.51 7505-989-20610 JUDICIAL SUPPORT-CRIM - COUNTY $0,55 7505-999-20740 JUDICIAL SUPPORT-CRIM - STATE $4.96 7505-999-10010 CASH - AVAILABLE $5.51 7505-999-20740-010 JUDICIAL SALARIES -CIVIL - STATE(42) $42.00 7505-999-10010-010 CASH AVAILABLE $42.00 274G-00145050 BOND FORFEITURES $0.00 2740.999-10010 CASH - AVAILABLE $0.00 272MOI-44034 PRE-TRIAL DIVERSION FUND $0.00 2729-999-10010 CASH -AVAILABLE $0.00 7857-999-20610 JURY REIMBURSEMENT FUND- COUNTY $0.40 7857-999-20740 JURY REIMBURSEMENT FUND- STATE $3.64 7857-999-10010 CASH - AVAILABLE $4.04 7860-999-20610 STATE TRAFFIC FINE- COUNTY $0.00 7860-999-20740 STATE TRAFFIC FINE- STATE $0.00 7880-99GI-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 $1.06 CASH - AVAILABLE $31.06 0 DISTRICT CLERK FEES $418.98 0 CASH - AVAILABLE $418.98 5 RECORD MGMT/PRSV FUND - COUNTY $261.86 0 CASH -AVAILABLE $261.88 0 COUNTY JURY FUND $10.47 0 CASH - AVAILABLE $10.47 5 COURTHOUSE SECURITY $104.74 0 CASH - AVAILABLE $104.74 0 CO 8 DIST CRT TECHNOLOGY FUND $41.90 0 CASH -AVAILABLE $41.90 D COUNTY SPECIALTY COURT FUND $261.86 0 CASH - AVAILABLE $261.86 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 DIVORCEIFAMILY LAW - STATE $0.00 7855-999-20658-010 DIST CRT -OTHER THAN DNORCE/FAMILY LAW - COUNTY $0.00 7855-999.20740-010 DIST CRT - OTHER CIVIL PROCEEDINGS - STATE 9.50 7855-999-20610-010 DIST CRT - OTHER CIVIL PROCEEDINGS - COUNTY 0.50 7855-999-20790-010 DUE TO STATE - NONDISCLOSURE FEE $0.00 7855.999-10010-010 CASH -AVAILABLE 10.00 2877-001.4405D-999 COUNTY DISPUTE RESOLUTION FUND $222.81 2677-999-10010.929 CASH - AVAILABLE $222.81 7858-999-2074"99 DIST CLK - DUE TO STATE CONSOLIDATED FEE 2022 $1,407.72 785"99-10010-999 CASH AVAILABLE $1,407.72 TOTAL (DIstrlb Req to Oper Acct) $16,517.76 $15,517.94 DUE TO OTHERS (Dlsbib Req(s) attached) ATTORNEY GENERAL (RESTITUTION) 0.00 OUT -OF -COUNTY SERVICE FEES 75.00 REFUND OF OVERPAYMENTS 0.00 DUE TO OTHERS 442.23 TOTAL DUE TO OTHERS $517.23 REPORT TOTAL - ALL FUNDS 16,036.17 PLUS ANT OF RETURNED CKS 0.00 LESS: TOTAL TREASURER'S RECEIPTS (18,035,17) Revised 04/03123 OVER I (SHORT) $0.00 DISTRICT COURT STATE COURT COSTS REPORT SECTION I: REPORT FOR OFFENSES COMMITTED O1/1120 - Present 01/01/04-12131/19 09/01/01-12/31/03 09/01/99 - 08/31/01 09/01/97 - OB/31/99 0910lt95 - 08/31/97 DNA TESTING FEES EMS TRAUMA FUND JUV. PROS. DIVERSION FEES JURY REIMBURSEMENT FEE INDIGENT DEFENSE FUND STATE TRAFFIC FEES DRUG CRT FROG FEE SECTION II: AS APPLICABLE STATE POLICE OFFICER FEES FAILURE TO APPEARIPAY FEES JUD. FUND-CONST. CO. CRT. JUD. FUND -STATUTORY CO. CRT. MOTOR CARRIER WEIGHT VIOLATIONS TIME PAYMENT FEE DRIVING RECORD FEE JUDICIAL SUPPORT FEES ELECTRONIC FILING FEE - CR NONDISCLOSURE FEES - CR TOTAL STATE COURT COSTS CIVIL FEES REPORT BIRTH CERTIFICATE FEES MARRIAGE LICENSE FEES DECL. OF INFORMAL MARRIAGE ELECTRONIC FILING FEE - CV NONDISCLOSURE FEES - CV 0 JUROR DONATIONS JUSTICE CRT. INDIG FILLING FEES STAT PROB CRT INDIG FILING FEES STAT PROS CRT JUDIC FILING FEES STAT CNTY CRT INDIG FILING FEES STAT CNTY CRT JUDIC FILING FEES STAT CNTY CRT -JUDICIAL SUPPORT CONTT CNTY CRT INDIG FILING FEES CNST CNN CRT JUDIC FILING FEES DIST CRT DIV & FAMILY LAW p� DIST CRT OTHER THAN DIV/FAM LAW_0� DIST CRT OTHER CIVIL FILINGS_ 2 FAMILY PROTECTION FEE___ JUDICIAL SUPPORT FEE JUDICIAL & COURT PERSONNEL TRANING FEE 2 2022 STATE CONSOLIDATED FEE 5 COUNTY DISPUTE RESOLUTION FUND TOTAL CIVIL FEES REPORT JUNE 2024 JUNE 12.24 110.20 32.00 3.20 28.80 272.00 27.20 244.80 $4.04 0.40 3.64 $1.84 OAS $1.66 $0.00 - $0.00 $30.62 $18.37 12.25 $14.51 7.26 7.25 $5.51 0.55 4.96 $1.06 $1.06 $0.00 $0.00 $2,421.73 $ 263.17 $ 2,158.56 JUNE COLLECTED COUNTY STATE $30.00 $0.00 $30.00 $0.00 $0.00 $0.00 $10.00 0.50 9.50 $42.00 $42.00 $5.00 - $5.00 $1,407.72 $1.407.72 222.81 222.81 $ 1.717.53 $ 0.50 $ 1.717.03 TOTAL BOTH REPORTS $ 4.139.26 $ 263.67 $ 3,875.59 CALHOUN COUNTY 201 West Austin DISTRIBUTION REQUEST DR# 420 A 45476 PAYEE PAYOR Name: Calhoun County Oper. Acct. Official: Anne Kabela Address: Title: District Clerk City: State: Zip: Phone: ACCOUNT NUMBER DESCRR*110N AMOUNT 7340.999.20759-999 District Clerk Monthly Collections • Distribution $15,517.94 JUNE 2024 TOTAL 15,517.94 t Signature of Offldal Date I I i i � C N ' o .9- DO 1 TI w - '�.•,x�__. 00 OHO �O O'I, 004 - Gi M •--' i enm Nrz N , k � O N Od` wis d F 6'N C; yN N -or, I'.(jiW1HiF I V, U 04F c ° 7 F U.0 IF VUlU ID c S o c U U, I a a lAll aa u U� Vi�� i �U V °N O al , aH'Z: o UI o o� v C7U� T� `_ U 2 �3 a -CC' aic i CIU' d N e i >Ix 12 U ' H of W Q�bOD X _ ��'0 a, y mIr u, a� ,: d Qi U a � dl > w V x:d U da a v o 3 3 0' v; cg mIo"ea xU Q °1Z a v�jw d.� , ` p Vji•O. C, G{ ab9i O�:c'i m tip « H v« d rn- «; w �.t aiIxl VJ ICI U O O e�'I, b , I,{A 4 Y •O VI Q14 4 ��J� o UIaCI o Q a N 6' G F-,. �14 �x 4=7•" Q AI P U. U Imlol A. ,. V..- N N x I 1E N IQe N NhLN NINN N� N N N IN NN N N o� `ai � C1 M Y im 'nipl�0 h O f� p M 00 a � �IN N'. � Od'i� vi,.. �` d N'•Oj .' W-, "V"'s•' NIX I'o O O O .• .• .-• .-• N f�V! IQ, O.O �p O V «p C' I VI C i� a W �IC O aCi e ¢ R 4-H and Youth Development EXTENSION ACTIVITY REPORT TO COUNTY June 2024 Miles traveled: County Vehicle 936.8: Personal Vehicle 0 Selected maior activities since last report June 6 — Texas 4-H Roundup (College Station) June 7 — 4-H Video interviews June 10 — Matagorda County Star Award Interviews (Bay City) June 11 — Major Show Steer/Heifer Tag In-1 June 12-14 — DI 14-H Leadership Lab (Alleyton) June 17 — Tri-County Record Book Judging June 18 — 4-H Sportfishing Trip in POC June 19 — DeWitt County Star Award Interviews (Cuero) Major Show Steer Tag In-2 June 21 — 4-H Star Award/Scholarship Interviews June 24 — Refugio County Star Awar Interviews (Refugio) June 25 — Calhoun Library Program (Seadrift & POC) CCF Sheep/Goat/Swine Tag In June 26 — Calhoun Library Program (Port Lavaca) June 27 — 4-H Clover Kids Camp in POC COURT Direct Contacts by: Office: 8 E-mail: 129 Facebook Posts/Followers: 13 posts/675 followers Site: 22 Newsletters: 1 Instagram Posts/Followers: 9 posts/255 followers Phone/Texts: 27 4-H Enrollment: 176 youth; 29 adult volunteers Maior events for next month — July 2024 July 9 — Dl 1 4-H Jr. Leadership Lab (Rockport) CCF Steer/Heifer Clinic I July 11 — Dl 1 4-H Record Book Judging (Victoria) July 19 — 4-H Photography Camp July 24-26 — 4-H Prestige Leadership Conference (Canyon) July 30 — 4-H Welcome to the REAL -World Camp July 31 — 4-H Robotics Camp Emilee S. DeForest Calhoun CEA — 4-H and Youth Development June 2024 Texas A&M AgriLife Extension • The Texas A&M University System • College Station, Texas � �tl;' 7-e D — 7-0 z 5G Agriculture and Natural Resources EXTENSION ACTIVITY REPORT TO COUNTY COMMISSIONERS COURT June2024 Miles traveled: County Vehicle: 405 Personal Vehicle: 0 Selected maior activities since last report 3- South Texas Farm and Ranch Planning meeting 6'- 4-H round up Gala 7' — Garden Program 8' — Calhoun County Commercial Heifer Tag in 10' — TCAAA Teams Meeting 12' — RPL 1:1 Teams 17' — Tri District Record Book Judging 17' — Calhoun County Project Visit 18' — Crop Tour 20' — Moreman Gin Site Visit 19'h—Major Show Cattle Validation 23-25- Women Cotton Incorporated Tour North Carolina 27th — Hay Samples Each Wednesday Livestock Judging Practice Direct Contacts by: Office: 7 E-mail: 75 Facebook Posts/Followers: 15 posts/629 followers Site: 10 Newsletters: 0 Instagram Posts/Followers: 0 Post/ 0 followers Phone/Texts: 25 Major events for next month — July 2024 Each Wednesday Livestock Judging Practice Calhoun County Livestock Project Site Visits every Monday 9' — 3 Virtual Meetings I I'h — District Record Book Judging 14- 18 — National County Agents Association Conference 18-21- Texas Farm Bureau Young Fanner and Rancher Summer Social 30-31- State Aerilife Conference CEA — Aericulture and Natural Resources Texas A&M AgriLife Extension Calhoun July 1.2024 The Texas A&M University System • College Station, Texas 7 ice- Zoz-1� Family and Community Health EXTENSION ACTIVITY REPORT TO COUNTY COMMISSIONERS COURT June 2024 Miles traveled: 206 County Vehicle 374 Personal Vehicle Selected major activities since last report: . ➢ June Meetings- 4, 7, 18, 20, & 24 District 11, Memorial Medical Foundation Board, Southeast Regional Advisory Committee, United Way Board, Senior Citizen's Board, and Volunteer Steering Committee, ➢ June - 3, 5, 7, 10, 12, 14, 17, 19, 21, 24, 26, & 28 Strong People Strong Bodies Mornings (extension office auditorium and First United Methodist Church) - 3 classes a week. ➢ June 2-3 Healthy (South) Texas Youth Ambassador Summit - With Clay Brumfield - Our Ambassador ➢ June 5, 10, 12, 17, 19, 24, & 26 Walk Across Texas in the Pool ➢ June 7 Filming Diabetes Programs in Corpus Christi with Healthy South Texas ➢ June 10-13 Cooking Camp with YMCA ➢ June 13 Dinner Tonight Emergency Preparedness with Luke Drosche our Disaster Assessment and Recovery Agent with AgriLife -at the Fairgrounds - All are Welcome. ➢ June 14 Meeting with Golden Cresent MOMs Group Texas A&M School of Nursing ➢ June 17 County Record Book Judging in Calhoun County (with Aransas and Refugio Counties) ➢ June 20 HST Program Planning for the District here at the Bauer Exhibit Building ➢ June 23- 27 South Texas Judges and Commissioner's Conference in South Padre - working some of it ➢ June 25 Early Childhood Educators Training Direct Contacts by: Office: 3 Volunteers: 5 Facebook Page Post 49 Followers 710 Instagram Posts 28 Site: 6 Newsletters: 80 Facebook profile 1025+ Friends 3 posts Phone/Texts: 73 In Person Educational Participant Contacts - 415 Mai or events for next month - July 2024 ➢ July Meetings- 1, 2, 9, 11, 12, 16, & 18, Bay to Plate Planning, District 11, DSHS Steering Committee, Library Board, Memorial Medical Foundation Board, United Way Board, and Senior Citizen's Board ➢ July - 1, 3, 5, 8, 10, 12, 15, 17, 19, 22, 24, 26, 29 & 31 Strong People Strong Bodies Mornings (extension office auditorium and First United Methodist Church) - 3 classes a week. ➢ July 1, 3, 8, 10, 15, 17, 22, 24, 29 & 31 Walk Across Texas in the Pool ➢ July 2 Jam(m)ing Class in Aransas County ➢ July 2, 4, 9, 11, 16, 18, 23, 25 & 30 Water Aerobics Class ➢ July 8-11 Advanced Cooking Camp with YMCA ➢ July 17-19 Cooking Camp with The Harbor ➢ July 22-26 Texas Extension Agents for Family and Consumer Sciences Conference in Abilene ➢ July 23 Early Childhood Educators Training ➢ July 29 Jam(m)ing Class in Port Lavaca for Families ➢ July 30-Aug 1 Texas AgriLife Extension Conference in College Station Karen P. Lvssv Calhoun Name County 7�i�_ 2DZ'1G CEA - Family and Community Health June 2024 Title Date (Month -Year) Texas A&M AgriLife Extension • Texas A&M University System - College Station, Texas Coastal and Marine EXTENSION ACTIVITY REPORT TO COUNTY COMMISSIONERS COURT June 2024 Miles traveled: County Vehicle 521 Personal Vehicle 0 Selected major activities since last report. June 1 — Matagorda Bay Fishing Co -Op Oyster Farm Training Program June 3 — Calhoun County YMCA Summer Camp Program — Water Safety Kinder Camp June 4 — YMCA Camp Fishing and Crabbing at LCRA Park Jane 5 — LNRA Aquatic Education Program June 6 — PL Rotary Presentation Jane 11 — YMCA Water Safety June 12 — Aquatic Education at Lake Texans, / Matagorda Bay Fishing Cooperative Presentation at Calhoun Co. Commissioners Court June 13 — YMCA Kayak at Lake Texans June 19 — Road Flooding tour with DAR and TDEM June 20 — Lavaca Bay Foundation meeting with TXGLO Speaker June 21 — Freshwater fishing with YMCA June 24 — Seadrift Bait Stand site visit June 25 — YMCA Kayak Lake Texana June 27/28 — TAMU Spark 31) Printing Program for YMCA Direct Contacts by: Office: 4 Site: 3 Phone/Texts: 211 E-mail/Letters: 232 Newsletters: 0 Volunteers: 0 Major events for next month — July 2024 July —YMCA Summer Camp July 24/25 —UTMSI Shoreline Restoration Conference Name Coastal and Marine Agent Title Texas A&M AgriLife Extension Instagram Posts/Followers: 11/1014 Calhoun County June 2024 Date (Month -Year) The Texas University System • College Station, Texas NOTICE OF MEETING -- 7/10/2024 12. Consider and take necessary action on any necessary budget adjustments. (RHM) None Page 9 of 10 NO-IICE OF MEETING — 7/10/2024 13. Approval of bills and payroll. (RHM) MMC Bills RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct2 AYES:: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese County Bills RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1' SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 10 of 10 r-1 b m I(1 o m o 0 0 0 o N H n b O n H M N n 1(1 0 0 0 it1 H O b O �(1 H M b m n 0 Ifl Lfl N M M N n Ol W m m m ri M N ul M O 61 eM rl b H M Ot .i aaaaaaaaaaaaa E. O a 0 H P4 aW N P4 a a 04 OG mH wa a a a a a a H a OH q N N N N N N H W a W 7. 000 OO O O O m g W a N N N N N N N O q U mumwmumMrAF oz n n n n n n z W N ro 4 40aaaaHoP9cFsANO 0a00000aUaow 'VAN ia+N NN>Umaaa aaaaaaa°aroa H a 0 P. m m w H q 0 a r H U] x U H z w m £ [H� W W H P z F W 00 �aa V Vl UGH HW H a"H WW W •OH W E m H Z H 94 H C Wa Oq w W 7 z 4 xE maauuF w Q$o F3wcan�Wpoa a _a H H � U UHN a� W £U1mgkO H W 3 4 W O w rj W O W £ 4+7. 0'J W M Wm O U E+ H'.� S W N N N f5 R W N N h MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR ---July 10 2024 TOTALS TO BE APPROVED -TRANSFERRED FROM ATTACHED PAGES TOTAL PAYABLE$ PAYROLL ANO ELECTRONIC RANK'PAYMENTS TOTALTRANSFERS'BETWEEN FUNDS $'. 126,62&S9 TOTAL NURSINGHOMEUPLEXPENSES $. S3S,S18.23: TOTAL,INTERGOVERNMENTTRANSFERS__ _,,. �.. GRAND`TOTAL DISBURBEMENTS,AP.PKOVED;July 1012024' $ 1;Tbiy396:b6? v 0 0 c 7gI m m .00 N b N b Vf c as UI F f A O M O O O O M M b M O r V T V S x N O R O O ro q O r (y M O � P N eby M b M N � G �• w �W O a} w M M r 3 b X b o N M n O O M y O O O N w fw" 12^ x � y �Y F� z- zY zY VI VI Vi V� Vf VI V1 VI VI Vf M V1 N Vl �n r n n n rrn M rnn n r r h n M M M M M M M M M M M M IM�1 M M O O O O O O O O O O O O O O O N N N N N N N N N N N N N N N O O O O O O O 00 O O O O O O O n r r n h n r n r r r n r F� F. r r r r r r r r r r > r r r r W N W h W y W ul W H W y JN N y W h W N W Zy WyOZz zZ Z Z Z Z ZZZ Z0 O 0 Z Z ZwZ oF F JF- JF J1-' J1- J� JF J JF JF J JF J rr w J W J W J w J W J w J w J W J w J w J W J W J W J J W J xo xo xo xo xo xo xo xo xo xo xo xo xo �xo xo Vl N N M N N Vl N N fA VI [n Vl Vl fn (n N Vf Vl VI Vl Vl Vl fn VI VI V! N (II lA N N N N N N N N N N N N N N N O O O O O O O O O O O O O O O n ffi k ' ( z2 2 w£ ($\[\( f §\§)0 wOw §/ � e/ \§ \})) \ /\ƒ] §):2E27E \§\/\/)§ 5 $$\ /$ :9 | [ ( § 2 ; - ) e ; ; / § eu <-E:5w k ( %) wz/ $\/ (\5: X0 \\ ] $ ] 2 \ § § ® )( } - \ ®` 0 )§! § ) ) ( /)| / ) ( ( / � 0\ \ \ §, o 00 oe 0 o C W O O S V O Yf of e0 V O M rN+f y N �O/f N zce s r FW H O i r 3� v = LR �ci u� uu �� i o mIVU U U a(y1 [u U — Up V b d b a P Vf T h u Q in b 5 Jc J 7 �a J Ja E�z F d a No.n da I n U U U OF U N C J U N U N U N U N U N J um l U J O V1 P P P P P P n O N O R K R V C V1 M M N N N N N N rvpi O m ¢ Q ¢ w J w J O � a O U U O O J OQ V N a G 04 ¢O V z U > a a a a a z3 z o W X a U N N � vpl VOi W W W O O J O O vt O b O O b M M M Vl VI ymj `00 b b b � b h H 7 Z O Z U FO W Z O Q i w vi F W y7 F Z J z ppz O 0 0 M I M O; VOl T O a o U 0 a a O o < Zu ¢ u N 6 w u90 E p p m 0 b h Q �h OOOU OG% O O n b P V b h W U O a s ¢ u G W 6 a U> U y w F J m J w z 2 2 3u XO o� aao' CY O O N b Vml N O O Ym'f N w W Z a y w Q Z a � a H j z Q 0 w O 0 W J O z w Q OR 0 0 < N F e� F vy a } W z = = a 3 Q 4 ¢ J W k y a }F y F F F U Z Z> j 7 00 O 0 m ! \ \ \ \k / \ )on §(_ 2 2j[ §§) _ \\} ( z ) ) I ƒ i, / ! ! k�k\ )§ ^ (/ $ `-� }\\ $ §k \zo //$ t� )[� ) [/§§m \_: =me 22®� §§ } L [ ( \ \ /) ) \ \ \ \ _ \ ) ( U`U !§!§ \\\\ \\(/\ § § ! ® \§ \§ ) 2 2 2 § ( ( » ( /� ° ( ®w \ \\ )S2 «<««! ;( ) O O O 'O U M Vf P N O 00 h N N P o] L W O N ❑ G m y N .J `u a L x W ❑ a> a Yyl p U W ,y w w } (7 Q�/+a U tiO vi X 4 y. y� xzwz F m wN w ❑ m O n I^ N H N ¢ O zF�„ N V PVl N � O F b� _O04 b N h N of} V.Q.1 r '�1 w Vt o L" �O N b y N� is �O N Zw �QF N i V{❑{�� NQ i0 b N U1 N y i5� bv^¢ 05w iw b s b 2 j o np w h F w wy wUui w Wtl w w wOh waa' w w w❑U i i�= 7X G � E P � M b p y P M W O W O h h 8 Z P W Vfy W C � M CO O] ro N h O O rhn O O P N N N .M•. 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U V l Vj L' a t N V� U U Z U z uz U Z U Z uz U z U z U z P O O N N O O O O O O O b b `O b Vf Vl V1 h h v1 h 'r 0 N 00 U C ei b 1� O — P W b b pp vj O N N P ? a{ ep _ ^ b O O L N N N N N YY N O°Ya g og z a gY 0'gOm °wz� z _ y o rrrrr}a- a s a a a m m oa oz oM z „ M 3 a L r M O] W n V1 Vf VI E w m m m m m r n m h m ❑ Z H � N V1 h V1 VI O N N N u >on 0 0 0 0 0 0 0 a a a e a a O O O O O O H r Y r r> r z p r O r O r O w z > w z a ma�cep�p �o �o wo aQ O 9494 [aiJ W W C6 JF JF J� �U {ail Lail Y XX Y Y `.0 Y Cl a j j j j U eUe > m mmmmmU°U NO �O y0 im C U voi voi voi h h h v � o 0 0 v O O 0 0 0 0— N z J 0 w p Z ce F O J LL Q w F w Du AQ 0 a 0 n U u = Z F v F C}f1� Q LL=ml W 0 6 a' 0 M b VP1 y O M !hn b O _ m a z w ti p Y 3 eFJ-. w Q E U F o 0 J a O O u, W a rv= e e e e e `° e M F• r�l K N V h q h h M P m P N O R VI h O N O N O � � 0 ar" ter" QF- Od o o LL wz wz TQ SQ rnm w0 w0 OJ Hh hm 0 0 �n vi o o v tN'1 eN�f M M P � b N N M N b b b O � J N V1 rn O F h s n N u F d o o o p 0 I 0 r V N rvf O O W P b b P M V1 P N M O O O P P N W r P ry M b h O p r P N N 41 j U'E oo n Q m yy Zz 6Z w N h c L"< h C' O h C P C?a P Y Crt C'>W C � _ �' Cw M c0 `_> =Jp b N bS b b b b Q U b `y r> b � Y b� b4' �> Z6 za a a as - FS94 ag e P O O O N O v i- a v ry n P P r N h r n h b b r h N C O O F K Z ZZ �4' O z z hw h m v o O V H wz wz u z o� 0Z} oz h 40 Q O U u� a U OU ~ S O uXl tV.� J S O a 0x Z UOJ Z O U O S .U-t U 2 O' F U U m [+a. 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CZJ `� tai yF H C Sd OU Uz Uz Uz b O b r W b bZ b b.� bE. 0. b ro b b n d n d nd O M M d V1 q b M M M N M M M b V� r rp b b C Q o i 0 W W W U F ¢ 0 0 0 W a 0[W- Z i- hg o �3 �3 > z°U°UaaxUd 0 U N N V q P r0 P Q P a P a N P Vl N Vl V1 VI M M M M M M M M M M M N rp rp � Cl V] VI h VI VI n M Vf N VI Vl % b r0 r0 W a o � z b ¢ � U W (W] W 3 U Z94 a O d 41 S u u °a w za ° Cm Cm F O O O 9 N V w m M M 'c v o x F a o 3 o Y O N s Y N 3 .6 o f F2 F a 3x < A A 3 Ao as Ct orn vz o em �n C C mz z$ A q N A E - N Irl r r r M M M fr1 b � 1r+1 v z F F Z °' V C7 U U U O U U ❑ pQ U EZ aJ4J�lFJ WaJ� ZwJJa ZawJ0F wJJZa 0� awJJ0F ZwJma 0 w}Q yw}Q JZz ZZw 0 F OO a F y w > 0 jZ0 U U y 0 V h h b b b b b b b b b b b Y Q a F E:. v F § I! ■ \;( z ¥ k k§§ § k »( \ ga! $ 0z \/ ! o z o a >_ ` \ §)/ \)2((qZL k � \ } r ) / � > 0 0 d b P N O P W O ei n W % N a e O a b v p z 23 ti a m � `c a u� M� W N Vf O b P �b V Fg> '48. F a'z � << aoo m w y W n P P i"u Z V O Cr7 C�7 U d' W Q � m a {z z N u N Z Q z W O W V z W O S J 5 O S O U 9 U M o 0 0 o n J N b b b n F z W a O W J O Z N ur W Q Ci P rn Si � a m F i tzi] [Zil a e _ F q O E °z Q zz c 0 C U m n a V R S °-S ti F C Q > a = w F N � F U a a `S a F F w 5w$ i a 0 0 c vi v W U z � `o W v m � a a 0 U �n o W U Q z p F z W W u O F a U a Ci a a u a3 p a F F F s � f N K v 6 Q n g Z Z S 3II A A 1 i i E L A Z a 9 O U v�i a C� �c F 6 (7 F rn Uy a 4] a F E F � � a � E F E O O o MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR --July 10, 2024 PAYABLES AND PAYROLL 7/3/2024 Weekly Payables 7/9/2024 McKesson-340B Prescription Expense 7/9/2024 Amerisource Bergen340B Prescription Expense Prosperity Electronic Bank Payments 7/9/2024 90 Degree Benefits -employee insurance claims 7/9/2024 90 Degree Benefits - employee insurance claims 7/9/2024 90 Degree Benefits - employee insurance claims 7/9/2024 Credit Card Fees 7/9/2024 TCDR5 June Retirement 7/9/2024 Authnet Gateway 7/9/2024 Pay Plus -Patient Claims Processing Fee 7/9/2024 Credit Card Interchange 7/9/2024 Credit Card Discount 7/9/2024 Amerisource Bergen - Overage TOTAL'PAYABLP ,,PAYROLLANDELECTRONICBANKPAYMENTS TRANSFER BETWEEN FUNDS FROM MMC TO NURSING HOMES 7/3/2024 MMC Operating to Solera-Correction of insurance payment payment deposited into MMC Operating in error 7/3/2024 MMC Operating to Broadmoor-Correction of insurance payment deposited into MMC Operating in error 7/3/2024 MMC Operating to The Crescent -Correction of Insurance payment deposited into MMC Operating in error 7/3/2024 MMC Operating to Golden Creek Healthcare -Correction of insurance payment deposited into MMC Operating in error 7/3/2024 MMC Operating to Tuscany Village-Correctlon of insurance payment deposited Into MMC operating In error 7/3/2024 MMC Operating to Bethany -Correction insurance payment deposited Into MMC Operating in error tt)TAi I__NSFERS'BELIIYKWFUNRS NURSING HOME UPI. EXPENSES 7/9/2024 Nursing Home UPLCantex transfer 7/9/2024 Nursing Home UPL-Nexlon Transfer 7/9/2024 Nursing Home UPL-HMG Transfer 7/9/2024 Nursing Home UPL-Tuscany Transfer 7/9/2024 Nursing Home UPL-HSL Transfer TRANSFER OF FUNDS BETWEEN NURSING HOMES 7/9/2024 Crescent to Tuscany Tuscany insurance payment deposited Into Crescent in error 7/9/2024 Crescent to Tuscany -Tuscany insurance payment deposited into crescent in error 7/9/2024 Crescent to Tuscany -Tuscany Insurance payment deposited into Crescent in error TRYAL NUIRSING H61ME LJP.L6XP.ENSES 223,543.12 31,426.66 352.86 31,132.33 8,453.25 4S,S19.69 186.01 177,750.82 33.40 264.14 175.42 360.05 55.00 7,094,39 1,428.00 9,084.00 77,03D.11 14,088.00 17,901.09 266,703.70 138,001.69 41,297.15 54,586.63 25,535.06 2,594.00 4,000.00 2,800.00 $ 54AS2,74- S 535i5�8i23' TOTAL. INTEWGOVERNMENT-TRANSPERS $, a 3kAN0'TOTALpISBIiRBEfNEMISl1PNROVEQ9t11Y20;204 $ 1;181,R9Gi56 RECEIVED BYTHE COUIlM AUDffOR ON MEMORIAL MEDICAL CENTER 8/2024 JUL 0 3 2021, AP Open Invoice List 14:38 4:3 Due Dates Through: 07/2612024 Vendor#Vendor NamsC�try CO�ry.TpUg Class Pay Code 15344 3M HEALTH INFORMATION SYSTEMS Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay �PDL7478 06/21/20206/20120207120/202^ Gross 17.663.89 SOFTWARE 11 YtY� /IIID 4� - "-� I�1-11 - Wr VendorTotals: Number Name Gross 15344 3M HEALTH INFORMATION SYSTEMS 17,663.89 Vendor# Vendor Name Class Pay Code DACE 11283 HARDWARE 15521 Comment Tran Dt Inv Dt Due Of Check Dt Pay Gross fnvcice# 063024 06/30/20206/30/20207/251202 458.01 SUPPLIES Vendor Totals: Number Name 1IP83 ACE HARDWARE 15521 Vendor* Vendor Name Class Pay Code At 680 AIRGAS USA, LLC -CENTRAL DIV M Invoice# Comment Tran Dt Inv Dt Due Dt J9150962455 Check Of Pay 06/24/202 06118/202 071181202 OXYGEN J 9151162086 08/26/202 06/25/202 07/25/202 OXYGEN / J 9800994090 06/30/202 06127/202 07/221202 PROPERTY TAX Vendor Totals: Number Name A1680 AIRGAS USA, LLC - CENTRAL DIV Vendor#/Vendor Name Class Pay Code 14028 ,� AMAZON CAPITAL SERVICES Invoice# Comment Tran Dt Inv Dt Due Dt Check D1 Pay .I 19R4RYTT1YVM 06/20/20206/19/20207/19/202 SUPPLIES 1T6RKCMR4M9T 06/25/202 06125/202 07125/202 CEILING TILES J 11 RDDQJ36LOW 06/26/20206/18120207/181202 SUPPLIES JIMLNJK6RQ4LM ON61202 06/19/202 07/19/202 SUPPLIES JIHTMJ1JHL1VD 06/27120206/16/20207/161202 SUPPLIES Vendor Totals: Number Name 14028 AMAZON CAPITAL SERVICES Vendor# Vendor Name Class Pay Code 15456 J AMERITEX ELEVATOR SERVICES INC Invoice# Comment Tran DI Inv Dt Due Dt Check Dt Pay J 20241636 06/28/20207/01/20207/14/202 MNTHLY ELEVATOR MAINT Vendor Totals: Number Name 15456 AMERITEX ELEVATOR SERVICES INC Vendor# /Jendor Name Class Pay Code A2218 J AOUA BEVERAGE COMPANY M Jinvoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay 157517 06130/202 06/19/202 07/14/202 WATER 0 ap open_involce.template Discount No -Pay Net 0.00 0.00 17,663.89 J Discount No -Pay Net 0.00 0.00 17,663.89 Discount No -Pay 0.00 0.00 Gross Discount No -Pay 458.01 0.00 0.00 Net 458.01 / Net ✓ 458.01 Gross Discount No -Pay Net 314.42 0.00 0.00 5 s�c2Lw � 'aL q& L+1.0 368.02 0,00 0,00 368.02 ✓' 88.68 0.00 0.00 00.08 V Gross Discount No -Pay Net 771.12 OAO 0.00 771.12- Gross Discount No -Pay Net 34,70 0.00 0.00 34.70 354.32 0.00 0.00 354.32 136.98 0.00 0.00 136.98 ./ 226.00 0.00 0.00 226.00 J 166.17 0.00 0.00 166.17 Gross Discount No -Pay Net 918.17 0.00 0.00 918.17 Gross Discount No -Pay Net 750.00 0.00 0.00 750.00 v Gross Discount No -Pay Net 750,00 0.00 0.00 750.00 Gross Discount No -Pay Net 50.00 0.00 0.00 so.00 J J 157518 06/301202 06119/202 07/14/202 29.00 0.00 0.00 29.00 f WATER J 160097 06130/202 00/19/202 07114/202 12.00 0,00 0.00 / 12.00 V WATER Vendor Totals: Number Name Gross Discount No -Pay Net A2218 AQUA BEVERAGE COMPANY 91.00 0.00 0.00 91.00 Vendor#/Vendor Name Class Pay Code Bt160 J BAXTER HEALTHCARE W Invoice# Comment Tran Ot Inv Ot Due Dt Check Dt Pay Gross Discount No -Pay Net / 82520658 06/11/20206/19120207/14/202 42,75 0.00 0.00 42.75 J JSUPPLIES 82510660 O6/24/20206/17/20207112/202 369.34 0.00 0.00 369.34 �/ 82498892 06/26/202 06/13/202 07/081202 172.54 0,00 0.00 172.54 J SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net B1150 BAXTER HEALTHCARE 584.03 0.00 0.00 584.63 Vendor# Vendor Name Class Pay Code B1220 BECKMAN COULTER INC M JInvoice# Comment Tran Or Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net / 11354250 D5/31/20206/24/20207/19/202 794.83 0.00 0.00 794.83 SUPPLIES J111388415 06/11/202 061031202 07121/202 79.00 0.00 0.00 79.00 SUPPLIES / 5490034 06/26/202 06/21/202 07/16/202 1,935.15 0.00 0.00 1.935.15 SUPPLIES J 4537477 O6/2+6+/2nn0 061211202071161202 1 �1L`' -7 1.484.00 0.00 0.00 1,464.00 SERVICE CONTR lX 14 - .� 59182685 06126/202 061241202 07119/202 1,177.67 0.00 0.00 ` L177.57 ✓ SUPPLIES J 111396303 O8/26/20206125/20207/20/202 2,365.80 0.00 0.00 2,365.80 SUPPLIES .,/ 5490259 06126/20206/25/20207125/202 1,337.05 0.00 0.00 11337.05 �1 SUPPLIES ✓ 111399918 06/30/20206/26202 D7126/202 7.442.87 0.00 0.00 7,442.87 J SUPPLIES - Vendor Totals: ,Number Name Gross Discount No -Pay Net B1220 BECKMAN COULTER INC 16.616.27 0.00 0.00 16,61627 Vendor# /Jendor Name Class Pay Code B.501 ! BOHLS BEARING & POWER TRANS M Invoice# Comment Tran Dt Inv Ot Due Dt Check Dt Pay Gross Discount No -Pay Net J 283366 06/3020204/2520205/101202 219.16 0.00 0.00 219.15 ./ SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Not B1601 BOHLS BEARING & POWER TRANS 219.15 0.00 0.00 219.15 Vendor#/Vendor Name Class . Pay Code 14120 J CALHOUN COUNTY EMS Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net J202405 05/312020610320207120202 5280.00 0,00 0.00 5,280,00 MAY TRANSFERS d Vendor Totals: Number Name Gross Discount No -Pay Net 14120 CALHOUN COUNTY EMS 5,280.00 0.00 0.00 5,280.00 Vendor# /vendor Name Class Pay Coda 14064 CAPITALONE Invoice# Comment Tran Dl Inv Ot Due Dt Check DI Pay Gross Discount No -Pay Not -11656315004 0613020206/191202071191202 520.50 0.00 0,00 520.50 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 14064 CAPITALONE 520.50 0.00 0.00 520.50 Vendor# Vendor Name Class YCARDINAL Pay Code C1325 HEALTH 414, INC. W Invoice# Comment Tran Ot Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 8003545860 06/21/20206/09/20207/20/202 449.81 0.00 0.00 449.81 SUPPLIES J Vandor Totals: Number Name Gross Discount No -Pay Net C1325 CARDINAL HEALTH 414, INC. 449.81 0.00 0.00 449.81 Vendor# Vendor Name Class Pay Code A1825 `CARDINAL HEALTH 414,LLC M Invoice# Comment Tran Ot Inv Di Due Ot Check Dt Pay Gross Discount No -Pay Net 2w8692" S 06/26/20205/19/20207/141202 497.30 0.00 1 497.30 $QD�gz'41 OPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net A1826 CARDINAL HEALTH 414.LLC 497.30 0.00 0.00 497.30 Vendor# /Vendor Name Class Pay Code C1390 �/ CENTRAL DRUG Vv Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net J 060424 06126/202 06/261202 07126/202 38.80 0.00 0.00 38.80 INVENTORY V Vendor Totals: Number Name Gross Discount No -Pay Net C1390 CENTRAL DRUG 38.80 0.00 0.00 38.80 Vendor# Vendor Name. Class Pay Code 10792 J CHS ATHLETIC BOOSTER CLUB INC Invoice# Comment Tran Dt Inv Dt Due Dt J080124 06/30/20207AW20207/03/202 Check DI Pay Gross 450,00 Discount ' 0.00 No -Pay 0,00 Net 450,00� ADVERTISING Vendor Totals: Number Name Gross Discount No -Pay Net 10792 CHS ATHLETIC BOOSTER CLUB INC 450.00 0.00 0.00 450.00 Vendor# /Jendor Name Class Pay Code 13000 7 CLEARFLY Invoice# Comment Tran Ot Inv Dt Due Ot Check Dt Pay Gross Discount No -Pay Net f INV620688 07/01/202 07/011202 07/151202 1,179,34 0.00 0.00 1.179.34� PHONE Vendor Totals: Number Name Gross Discount No -Pay Net 13000 CLEARFLY 1.179.34 0.00 0.00 1,179.34 Vendor# Vendor Name Class Pay Code 11616 CONTROL SOLUTIONS Invoice# Comment Tran Dt Inv Dt Due Ot Check Dt Pay Gross Discount No -Pay Net _ %08280059 06130120206/26/20207/26/202 310.00 0.00 0.00 310.00 v � SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 11616 CONTROL SOLUTIONS 310.00 0.00 0.00 310.00 Vendor# /Vendor Name Class Pay Code 15520 CUSTOM ASSEMBLIES INC Invoice# Comment Tran DI Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net J INV7359 07/03/20206126120207/26MO2 384.84 0.00 0.00 384.84 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay, Net 15520 CUSTOM ASSEMBLIES INC 3B4.84 0.00 0.00 384.84 Vendor# endorName Class Pay Code 11368 � CYRACOM LLC Invoice# Comment Tran Dt Inv Dt Due Ot Check Dt Pay Gross Discount No -Pay Net 2024036048 05/261202 06/311202 07/15/202 270.18 0.00 0.00 270.18 INTERPRETATION Vendor Totals: Number .Name Gross Discount No -Pay Net 11368 CYRACOM LLC 270.18 0.00 0.00 270.18 Vendor# endor Name Class Pay Code 10368 DEWITT POTH & SON / Invoice#. Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net ./ 7592960 06/26/20206/19/20207/14/202 61.10 0.00 0.00 61.10.✓ SUPPLIES J7594580 06/26/202 061191202 07/141202 884.16 0.00 0.00 / 884.16✓ SUPPLIES / J 7598350 06126/20206/26/20207/21/202 65.02 0.00 0.00 65.02 SUPPLIES 7599350 06/26/202 061271202 07/22/202 67,58 0.00 0.00 67.58 V SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 10368 DEWITT POTH & SON 1,077.86 0.00 0.00 1,077.86 Vendor# Ventlor Name Class Pay Code Z/ 11291 DOWELL PEST CONTROL Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net '/Invoice# 30899 061261202 06/24/202 07/19/202 105.00 0.00 0.00 105.00 / PEST CONTROL J 30844 06/26/202 06/24/202 07124/202 505.00 0.00 0.00 505.00 PEST CONTROL J 30898 06/26/202 06124/202 07/24/202 160.00 0.00 0.00 160.00 J PESTCONTROL Vendor Totals; Number Name Gross Discount No -Pay Net 11291 DOWELL PEST CONTROL 770.00 0.00 0.00 770.00 Vendor# (Vendor Name Class Pay Code 14508. EITAN GROUP NORTH AMERICA, INC / Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay IN1054496 Gross Discount No -Pay Net ./ 06/25/20206/24120207/241202 468.00 0.00 0.00 468.001. SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 14508 EITAN GROUP NORTH AMERICA, INC 468.00 0.00 0,00 468.00 Vendor# Vendor Name Class Pay Code 14336 J FIRETRON, INC Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay / Grass Discount No -Pay Net 260902A 06/26/20206/21/20207/211202 025.00 0.00 0.00 625.00 V INSPECTION 295282 06126/202 06/24/202 07124/202 490.00 0.00 0.00 490.00 PULL STATION REPAIR Vendor Totals: Number Name Gross Discount No -Pay Net 14336 FIRETRON, INC 1,115,00 0.00 0.00 1.115.00 Vendor#/Vendor Name Class Pay Code F1400 v FISHER HEALTHCARE M Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay j Gross Discount No -Pay Net / 2894293 06/30120206106/20207/01/202 578.12 0.00 0.00 578.12 V SUPPLIES 3113486 071031202 06114/202 07/09/202 140.84 0.00 0.00 140.64 SUPPLIES J 3183898 07103/202 06/181202 07113/202 62.46 0.00 0.00 62.46 J SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net F1400 FISHER HEALTHCARE 781.42 0.00 0.00 781.42 Vendor# /Vendor Name Class Pay Code 11183 J FRONTIER Invoice# Comment Than Dt Inv Dt Due Ot Check Dt Pay Grass Discount No -Pay Net J083024 06/30/202 06/301202 07115/202 70.40 0,00 0.00 70.40 ✓ PHONE J 062324 07/01120206123/20207/17/202 65.16 0.00 0.00 65.16 TELEPHONE Vendor Totals: Number Name Gross Discount No -Pay Net 11183 FRONTIER 135.56 0.00 0.00 135.56 Vendor# endor Name Class Pay Code 14156 FUJI FILM Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net J 91500576 06126/20206125/2020712151/202 7,908.33 0.00 0.00 7,908.33 / VERTEX CONTRACT , I �G I ZN _ y� f �,,� I IL. v J Vendor Totals: Number Name Gross Discount No -Pay Net 14156 FUJI FILM 7,908.33 0.00 0.00 71908.33 Vendor# /Jendor Name Class Pay Code 12636 � FUSION CONNECT Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net J 1029203e47 06/30/202 06/161202 07/16/202 907.33 0.00 0.00 907.33 PHONE J Vendor Totals: Number Name Gross Discount No -Pay Nat 12636 FUSION CONNECT 907.33 0.00 0.00 907.33 Vendor## endor Name Class Pay Code 12404 GE PRECISION HEALTHCARE, LLC Invoice# Comment Tran Dt Inv DI Due Dt Check Dt Pay Gross Discount No -Pay Net 11202918563 06/26/202 06/181202 071181202 46.35 0.00 0.00 46.35� SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 12404 GE PRECISION HEALTHCARE, LLC 46.35 0.00 0.00 4635 Vendor# /Jendor Name Class Pay Code Y0956 ,f GETINGE USA SALES LLC Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net J6992610236 06/30/202 06h 11202 07/02/202 64.00 0.00 0.00 64.00 SUPPLIES J Vendor Totals: Number Name Gross Discount No -Pay Nat 10956 GETINGE USA SALES LLC 64.00 0.00 0.00 64.00 Vendor# endor Name Class Pay Code 11984 GUERBET, LLC Invoice# Comment Tran Dt Inv Dt Due Ot Check Dt Pay Gross Discount No -Pay Net J 18765213 07/03/20206126120207/261202 350.00 0.00 0.00 350,00 / SUPPLIES J Vendor Totals: Number Name Gross Discount No -Pay Net 11984 GUERBET, LLC 350.00 0.00 0.00 350.00 Vendor#/ Vendor Name Class Pay Code G0401 7 GULF COAST DELIVERY Invoice# Comment Tran Dt Inv Ot Due Dt Check Dt Pay Gross Discount No -Pay Net J062824 06133`0120206/28/20206/28/202 75.00 0.00 0.00 75.00 ' ,r DELIVERYI)YNIa,pV U��'2L�•1y�2�jl'L,1•` 1 Cb Vendor Totals: Number Name Gross Discount No -Pay Net G0401 GULF COAST DELIVERY 75.00 0.00 0100 75.00 Vendor# endor Name Class Pay Code G1210 GULF COAST PAPER COMPANY M Invoice# Comment Tran Ot Inv Dt Due Dt Check DI Pay Gross Discount No -Pay Net J2546608 06/25/202 06118/202 07/18/202 932.14 0.00 0.00 932.14,/ Vendor Totals: Number Name Gross Discount No -Pay Net G1210 GULF COAST PAPER COMPANY 932.14 0.00 0.00 932.14 Vendor# endor Name Class Pay Code H0032 H+H SYSTEM, INC. Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net J044034 06/26/202 06/181202 07118/202 45.58 0.00 0.00 45.58 SUPPLIES J Vendor Totals: Number Name Gross Discount No -Pay Net HOD32 H + H SYSTEM, INC. 45.58 0.00 0.00 45.58 Vendor# /Jendor Name Class Pay Code 12380 HEALTH SOLUTIONS DIETETICS Invoice# Comment Tran Ot Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net f 060724 06/301202 06119/202 07/01/202 3,400.00 0.00 0.00 3,400.00 DIETICIAN SERVICES Vendor Totals: Number Name Gross Discount No -Pay Net 12380 HEALTH SOLUTIONS DIETETICS 3,400A0 0.00 0.00 3,400.00 Vendor# endor Name Class Pay Code 10829 �/HEALTHSTREAM, INC. Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No-Pay Net f0356503 06/30/202 06/111202 07/111202 2,975.40 0.00 0.00 2,975.40� HSTREAM ANNUAL Vendor Totals: Number Name Gross Discount No -Pay Net 10829 HEALTHSTREAM, INC. 2.975.40 0.00 0.00 2,975.40 Vendor#/ Vendor Name Class Pay Code H0031 �1 HEB CREDIT RECEIVABLES DEPT308 Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net JInvoice# 157517 06/30/202 06/26/202 071251202 36.05 0.00 0.00 36.05 J Vendor Totals: Number Name Gross Discount No -Pay Net H0031 HEB CREDIT RECEIVABLES DEPT308 36.05 0.00 0.00 36.05 Vendor# Vendor Name Class Pay Code H0416 HOLOGIC INC Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net �Invoice# 10963090 06126/20206/04120P 07/1 M02 472.60 0.00 0.00 472.50 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net H0416 HOLOGIC INC 472.50 0.00 0.00 472.50 Vend Vendor Name Class Pay Code 1110 ITERSOURCE CORPORATION Invoice# Comment Tran Dt Inv Dt Due Dt Check DI Pay Gross Discount No -Pay Net 1711781 06/301202 071011202 07/011202 250.00 0.00 0.00 250.00 PHONE SERVICES ./ Vendor Totals: Number Name Gross Discount No -Pay Net 11108 ITERSOURCE CORPORATION 250.00 0.00 0.00 250.00 Vendor#%Vendor Name Class Pay Code 14540 J JINDAL X LLC Invoice# Comment Tran Dt Inv DI Due DI Check Dt Pay Gross Discount No -Pay Net J20242t13 06/30/20206/19/20207/D3/202 91000.00 0.00 0.00 REV CYCLE MGMT SERVICES Vendor Totals: Number Name Gross Discount No-Pay14540 /OOD.0 JINDAL X LLC 9,000.00 0.00 0.00 Vendor# /pendor Name Class Pay Code W1372J JOHN B WRIGHT LLC Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net J 070124 06/30/20207/01/2D207110/202 4,160.00 0.00 0.00 4,150.00 PEDIATRIC CALL �/ Vendor Totals: Number Name Gross Discount No -Pay Net W1372 JOHN B-WRIGHT LLC 4,150.00 0.00 0.00 4,150.00 Vendor# Name Class Pay Code /pendor K053O yr KCI USA M Invoice# Comment Tran Dt Inv Ot Due Dt Check Dt Pay Gross Discount No -Pay Net J32681956 05/26/20206/16120207116/202 1,324.02 0.00 0.00 1,324.02 J SUPPLIES Vendor Totals: Number Name Grass Discount No -Pay Net K0530 KCI USA 1,324.02 0.00 0.00 1,324.02 Vendor# /Vendor Name Class Pay Code K1048 KENTEC MEDICAL INC Irmoice# Comment Tran DI Inv Ot Due Dt Check Ot Pay Gross Discount No -Pay Net ✓1179301 06/30120206/25/20207125/202 281.50 0.00 0.00 281 A0 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net K1049 KENTEC MEDICAL INC 281,50 0.00 0.00 281.50 Vendor# Vendor Name Class Pay Code 1550Q f KXTS-TV lrlvoice# Comment Tran Ot Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net //707162 06/28/202 04128/202 07114/202 46.00 0.00 0.00 48.DO ADVERTISING Vendor Totals: Number Name Gross Discount No -Pay Net 15500 KXTS•TV 48.00 0.00 0.00 48.00 Vendor# Vendor Name Class Pay Code L1288 ./ LANGUAGE LINE SERVICES W Invoice# Comment Tran Dt Inv Dt Due Ot Check Dt Pay Gross Discount No -Pay Net J11313266 05/31/202 05131/202 07115/202 79.98 0.00 0.00 79.98 INTERPRETATION Vendor Totals: Number Name Gross Discount No -Pay Net L1288 LANGUAGE LINE SERVICES 79.98 0.00 0.00 79.98 Vendor# /Vendor Name Class Pay Code 10972 J M G TRUST Invoice# Comment Tran Ot Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net J062724 OW27/202 06/271202 06/271202 895.00 0.00 0.00 895.00� INSURANCE Vendor Totals: Number Name Gross Discount No -Pay Net 10972 M G TRUST 896.00 0.00 0.00 895.00 Vendor# /Vendor Name Class Pay Code M2178,/ MCKESSON MEDICAL SURGICAL INC Invoice# Comment Tran Dt Inv Dt Due Dt Check. Ot Pay Gross Discount No -Pay Net / J22272616 06/26/20206125/20207/101202 69,97 0.00 0.00 69.97 J SUPPLIES J 22272616 06/30/20206/25/20207/10/202 2,247.90 0.00 0.00 2,247.90 SUPPLIES J22278012 06/30/20206/26/20207/151202 683.33 0.00 0.00 683.33 v SUPPLIES J 22281526 06/3O/20206127/20207/12/202 354.10 0.00 0.00 / 354.10 J SUPPLIES J22267560 08/3O/20208/27120207/15/2O2 590.45 0.00 0.00 590.45 SUPPLIES / J22285196 O6/30/20206127120207/15/202 535.00 0.00 0.00 535.00 V SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net M2178 MCKESSON MEDICAL SURGICAL INC 4,480.75 0.00 0.00 4,480.75 Vendor# /Vendor Name Class Pay Code 10613EDIMPACT HEALTHCARE SYS, INC. A/P Invoice# Comment Tran Dt Inv DI Due Dt Check Dt Pay Gross Discount No -Pay Net J 062524 06130/202 001251202 06/251202 8.98 0.00 0.00 8.98 INDIGENT PHARM Vendor Totals: Number Name Grass Discount No -Pay Net 10613 MEDIMPACT HEALTHCARE SYS, INC. 8.98 0.00 0,00 8.98 Vendor# Vendor Name Class Pay Code M2470 JMEDLINE INDUSTRIES INC M Comment Tran DI Inv Ot Due Ot Check Dt Pay Gross Discount No -Pay Net //Invoice# ,/ 2323567719 06/111202 06/20/202 07115/202 -64.20 0.00 0.00 -64.20 SUPPLIES J2323750626 06111120206/21/20207116/202 437.12 0.00 0.00 437.12 f J 2303282984 06/191202011151202 OW09/202 846.41 0.00 0.00 846.41 SUPPLIES % J 2323328537 061201202 06/19/202 07/14/202 7,244.82 0.00 0.00 7,244.82 SUPPLIES J2323328536 06120120206/19/20207/14/202 1.651.41 0.00 0.00 1,661.41 SUPPLIES J 2317274479 06/24120205/01/20206126/202 1,692.61 0.00 0.00 1,692.61 SUPPLIES J /2317274481 06/24/202 05/01/202 05/20/202 99.90 0.00 0.00 99.90 SUPPLIES 2317274478 06/24/202 05/01/202 051261202 2,893.38 0.00 0.00 2,893.38 J SUPPLIES J 2317274484 06124/202 05/011202 05/26/202 290.14 0.00 0.00 290.14'� SUPPLIES % 2323328639 06126/20806/19/20207IW202 64.20 0.00 0.00 64.20 v SUPPLIES J 2323328638 06126/202 06119/202 071141202 51.63 0.00 0.00 51.63 SUPPLIES / 232V3719 00128/202 06126/202 07/2M02 24.55 0.00 0.00 24.66 2 -J 2324253746 SUPPLIES 06/26/202 06/26/202 07/21/202 106.45 0.00 0.00 % 106.45 J SUPPLIES J 2324253713 06/261202 06/26/202 07/21/202 131.22 0.00 0.00 131.22 SUPPLIES J2324253725 06/26/202 06/261202 07/21/202 10,532,78 0.00 0.00 10,532.78 SUPPLIES 2324253717 06126/20206/26120207/21/202 966.17 0.00 0.00 966.17 SUPPLIES J 2324258712 06/26/20206/26/202071211202 97.63 0.00 0.00 97.63 SUPPLIES J 2324253727 06/26/20206126/20207121/202 818.32 0.00 0.00 818.32 SUPPLIES J2324253744 06/26/20206/26/20207/21/202 99.02 0.00 0.00 99.02 2324253722 SUPPLIES 06/261202 06/26/202 07/211202 92.25 0.00 0.00 92.25 SUPPLIES / J 2323062254 06/27/202 06/17/202 07/121202 703.36 0.00 0.00 703.36 f SUPPLIES J2303784623 06/301202 01118/202 02/12/202 90.76 0,00 0.00 90.76 ✓ SUPPLIES J 2324450528 061301202 06/271202 07/22/202 •310,02 0.00 0.00 -310.02 J CREDIT Vendor Totals: Number Name Gross Discount No -Pay Net M2470 MEDLINEINOUSTRIESINC 28,559.91 0.00 0.00 28,559.91 Vendor#I Vendor Name Class Pay Cade 10963 -+ MEMORIAL MEDICAL CLINIC Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net JInvoice# 062724 06/27/202 06/271202 06/27/202 210.00 0.00 0.00 210.00 / PAYROLL DED v� Vendor Totals: Number Name Gross Discount No -Pay Net 10963 MEMORIAL MEDICAL CLINIC 210.00 0.00 0.00 210.00 Vendor# Vendor Name Class Pay Code M2621 MMC AUXILIARY GIFT SHOP Vd Invoice# J062724 Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross 205.88 Discount 0.00 No -Pay 0.00 Net 205.88 06/28120206/27/202071261202 Vendor Totals: Number Name Gross Discount No -Pay Net M2621 MMC AUXILIARY GIFT SHOP 205.88 0.00 0.00 205.88 Vendor# Vendor Name Class Pay Code 10536 MORRIS & DICKSON CO, LLC Invoice# Comment. Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net AC0878592 06/21/20207/13/20207/231202 0.00 0.00 0.00 0AM CREDIT 21 06/26120206/251202071141202 400.11 0.00 0.00 0 1 SUPPLIES 1^ 1 10 . n V C t, ✓CM33676 ✓ 06/281202060/20207/14/202 33.30 0.00 0.00 -33.30 CREDIT / J SC6465 06/28/20206/25120207/14(202 142.08 0.00 0.00 142.08 SUPPLIES 2150651 06/28/20206/26/20207/14/202 1,543.47 0.00 0.00 1,543.47 SUPPLIES 2147844 06/28/202 OW6120207/14/202 4,658.77 0.00 0.00 4,658.77 SUPPLIES J2190650 061281202 06/26/202 07/141202 50.74 0,00 0.00 50.74 J SUPPLIES J2150812 06128/202 06/26/202 07114/202 7,922.07 0.00 0,00 7,922,07 J2,49731 SUPPLIES 06/28120206l26l20207/14/202 11,744.52 0.00 0.00 11,744.52 SUPPLIES / .J 2147842 06/28/20206126/20207114/202 2,329,38 0.00 0.00 2,329.38 !/ V SUPPLIES JCM34586 00/281202 06/27/202 07/14/202 57.32 0.00 0,00 -57.32 J CREDIT J2152745 06/26/20206127/20207/14/202 2,351.60 0.00 0.00 2.351.60 ✓ JSC5464 SUPPLIES 06/281202 06/27/202 07/14/202 85.27 0.00 0.00 85.27 / SUPPLIES / J 2156040 06/28/202 06/271202 07/14/202 32.60 0.00 0.00 32.60 ! J SUPPLIES / f 2152751 06/281202 061271202 07/14/202 4,696.48 0.00 0.00 4,696.48 V SUPPLIES / J 2156041 06/281202 06/27/202 07/14/202 147.89 0.00 0.00 147.89 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 10536 MORRIS & DICKSON CO, LLC 36,014.36 0.00 0.00 36,014.36 Vendor# /Vendor Name Class Pay Code 01500 LYMPUS AMERICA INC M Invoice# 1 36450745 Comment Tran Dt Inv Dt Due Dt Check Dt Pay 06l90/20206/26120207/241202 Gross 145.00 Discount 0.00 No -Pay 0.00 Net 145.00 / \/ Vendor Totals: Number Name Gross Discount No -Pay Net 01500 OLYMPUS AMERICA INC 145.00 0.00 0.00 145.00 Vendor#/ Vendor Name Class Pay Code 01416J ORTHO CLINICAL DIAGNOSTICS Invoice# Comment Tran Dt Inv Dt Due DI / Check Dt Pay Gross Discount No -Pay Net J 1853597731 06/25/20206125/20207/25/202 455.15 0.00 0.00 455.15 SUPPLIES J1863594366 06125/202 06/251202 07/25/202 180.19 0.00 0.00 180.19 J1853583847 06/26/202 06/15/202 07/151202 752.16 0.00 0.00 752.16 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 01416 ORTHO CLINICAL DIAGNOSTICS 1.387.50 0.00 0.00 1,387.50 Vendor♦# endor Name Class Pay Code S0905 PERFORMANCE HEALTH M Invoice# Comment Tran Dt Inv Dt Due Dt JIN97730745 06/26/202 06/191202 07/141202 Check 01 Pay Gross 167.28 Discount 0.00 No -Pay 0.00 Net 167.28 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 80905 PERFORMANCE HEALTH 16728 0.00 0.00 167.28 Vendor# /Vendor Name Class Pay Code V P2100 PORT LAVACA WAVE W Invoice# Comment Tran Dt Inv Dt Due Dt J062724 061301202 06/27/202 07/22/202 Check Dt Pay Gross 476.25 Discount 0.00 No -Pay 0.00 Net 476,25 I ✓ Vendor Totals: Number Name Gross Discount No -Pay Net P2700 PORT LAVACA WAVE 47625 0.00 0.00 476.26 Vendor# Name Class Pay Code (uendor P2200 J POWER HARDWARE W Invoice# Comment Tran Ot Inv Dt Due Dt Check Dt Pay Grass Discount No -Pay Net J063024 06/301202 061301202 07/101202 239.98 0.00 0.00 239.98 SUPPLIES J Vendor Totals: Number Name Gross Discount No -Pay Net P2200 POWER HARDWARE 239.98 0.00 0.00 239.98 Vendor#1 Vendor Name Class Pay Code 14544,/ PRINT RITE INC. Invoice# Comment Tran Dt Inv Dt Due Dt J24263 06/26/20206/30/20207/20/202 Check Dt Pay Gross 257.97 Discount 0.00 No -Pay 0.00 Net 257.97 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 14544 PRINT RITE INC, 257.97 0.00 0.00 257.97 Vendor# Vendor Name Class Pay Code 14536 QUVA PHARMA INC Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net J 76953032862 06/261202 06/191202 07/191202 211.68 0.00 0.00 211.68 Vendor Totals: Number Name Gross Discount No -Pay Net 14536 QUVA PHARMA INC 211.68 0.00 0.00 211.68 Ventlor# /Vendor Name Class Pay Code 11080 RADSOURCE Invoice# Comment Tran Dt Inv Dt Due Dt Check Ot Pay Gross Discount No -Pay Not J PS1002109 06/261202 06/16/202 07/16/202 1,708.33 0.00 0.00 1,708.33 SAMSUNG GU60A J Vendor Totals: Number Name Gross Discount No -Pay Net 11080 RADSOURCE 'endar 1,708.33 0.00 0.00 1,708.33 Vendor# Name Class Pay Code 10554 JJJ REPUBLIC SERVICES#847 Invoice# Comment Tran lot Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 0847001342528 06/30/20206/24/20207116/202 1,738.62 ,l 0.00 0.00 1,738.62 J Vendor Totals: Number Name Gross Discount No -Pay Net 10554 REPUBLIC SERVICES #847 1,738.62 0.00 0.00 1,730.62 Vendor# Vendor Name Class Pay Code 11476 SAMS CLUB Invoice# Comment Tran Dt Inv Dt Due Dt f062024 Check DI Pay Gross Discount No -Pay Net OB/30/202 06/20/202 07/08/202 392.94 0.00 0.00 392.84,/ FOOD SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 11476 SAMS CLUB 392.84 0.00 0.00 392.84 Vendor# Vendor Name Class Pay Code 10938 SIEMENS FINANCIAL SERVICES Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net J56382400056916 06130/20206/291202 D7/19/202 1,333.33 0.00 0.00 1,333.33 J LEASE Vendor Totals: Number Name Gross Discount No -Pay Net 10930 SIEMENS FINANCIAL SERVICES 1.333.33 0.00 0.00 1,333.33 Vendor# VendorName Class Pay Code 82001 �J SIEMENS MEDICAL SOLUTIONS INC M Invoice# Comment Tran Ot Inv Ot Due Dt Check Dt Pay Gross Discount No -Pay Net J 116566450 06/30/202 06/241202 07124/202 3,507,72 0.00 0.00 3,507.72 LUMINOS AGILE MAX Vendor Totals: Number Name Gross Discount No -Pay Net 52001 SIEMENS MEDICAL SOLUTIONS INC 3,507.72 0.00 0.00 3.507.72 Vendor#,Vendor Name Class Pay Code 11296 I SOUTH TEXAS BLO00 & TISSUE CEN / Invoice# Comment Tran Dt Inv Dt Due Dt Check Ot Pay Gross Discount No -Pay Net / �j CM12411 05/31/20205/31120207/14/202 -3,633.00 0.00 0.00 -3,633.00 J CREDIT J107041245 06/21/202 06/151202 07/161202 9,465.00 0.00 0.00 9.465.00 BLOOD J107041745 06/30/202 06/301202 071251202 6,334.00 0.00 0.00 6,334.00 J JCM12619 06130/202 06/30/202 07/25/202 -1.870.00 0.00 0.00 -1,870.00 J CREDIT Vendor Tatals: Number Name Gross Discount No -Pay Net 11296 SOUTH TEXAS BLOOD & TISSUE CEN 10,296.00 0.00 0.00 10,296.00 Vendor# endot Name Class JSPBS Pay Code 12288 CLINICAL EQUIPMENT SRVC Invoice# Comment Tran Dt Inv Dt Due Dt Check DI Pay Grass Discount No -Pay Net JINV050000724 06130/202 07/01/202 071021202 9,836.92 0.00 0.00 9,838.92� PM CONTRACT Vendor Tatals: Number Name Grass Discount. No -Pay Net 12288 SPBS CLINICAL EQUIPMENT SRVC 91836.92 0.00 0.00 9,836.92 Vendor# Vendor Name Class Pay Code 10094 ST DAVIDS HEALTHCARE Invoice# Comment Tran Dt Inv DI Due Dt Check Dt Pay Grass Discount No -Pay Net JMMCPL202405 06/30/202 06/281202 06128/202 376.00 0.00 0.00 375.00� CONNECTIVITY FEE MAY Vendor Totals: Number Name Gross Discount No -Pay Net 10094 ST DAVIDS HEALTHCARE 375.00 0.00 0.00 375.00 Vendor#/ Vendor Name Class Pay Code 10845J STAPLES Invoice# Comment Tran Dt Inv Dt Due Ot J60058SQ46 061301202 06130/202 07126/202 Check Dt Pay Gross 42.91 Discount 0.00 No -Pay 0.00 Net. 42.91 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 10845 STAPLES 42.91 0.00 0.00 42.91 Vendor#� Vendor Name Class Pay Code S3940 STERIS CORPORATION M Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net / J12500961 06/25/202 06/171202 071171202 447.41 0.00 0.00 447.41 v SUPPLIES J 12530890 06/30/202 06/25/202 071201202 25.61 0.00 0.00 25.61 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 63940 STEPS CORPORATION 473.02 0.00 0.00 473.02 Vendor#//.tendor Name Class Pay Code S2830 7/ STRYKER SALES CORP M Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net J9206464865 06/26/202 06/18/202 071181202 907.10 0.00 0.00 907.10 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Not S2830 STRYKER SALES CORP 907.10 0100 0.00 907.10 Vendor# Vendor Name Class Pay Code 14212 SURGICAL DIRECT SOUTH Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 49340 O6/26/20206/25/20207/25/202 4,360.00 0A0 0.00 4,360.00 f j SUPPLIES � Vendor Totals: Number Name Gross Discount No -Pay Net 14212 SURGICAL DIRECT SOUTH 4,360.00 0.00 0.00 4,360.00 Vendor#/Vendor Name Class Pay Cade T1880 TEXAS DEPARTMENT OF LICENSING A/P Invoice# Comment Tran Dt Inv Dt Due Dt Check Ot Pay Gross Discount No -Pay Net J 06182024 06/26/202 06/18/202 07/18/202 60.00 0.00 0.00 60.00 ELEVATOR LICENSE RENEWAL Vendor Totals: Number Name Gross Discount. No -Pay Net T1880 TEXAS DEPARTMENT OF LICENSING 60.00 0.00 0.00 60.00 Vendor# /Vendor Name Class. Pay Code 11908 TMS SOUTH Invoice# Comment Tran Ot Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Not INV125822 06/25/20206/2512020712S202 376.72 0.00 0.00 376.72 Vendor Totals: Number Name Gross Discount No -Pay Net 11908 TMS SOUTH 376.72 0.00 0.00 376.72. VendorN/ Vendor Name Class Pay Code 14372 TRIAGE, LLC Invoice# Comment Tran Dt Inv Dl Due Dt Check Dt Pay Gross Discount No -Pay Net J INVI796975518 061211202 06/141202 07114/202 2,422.50 0.00 0.00 % 2.422.60 v STEVENSHAW / J INV1796977619 06/21/202 06121/202 071211202 2,992.50 0.00 0.00 2,992.50 v CONTRACTSTAFFRAD / INV1796975518 061241202 06/14/209 07/14/202 2,422.50 0.00 0.00 2,422.50 V STEVEN SHAW Vendor Totals: Number Name Gross Discount No -Pay Net 14372 TRIAGE, LLC 7.837.50 0.00 0.00 7,837.50 Vendor# Vendor Name Class Pay Code C25t0 �r TRUSRIDGE M Invoice# Comment Tran Ot Inv DI Due Dt Check Dt Pay Gross Discount No -Pay Net .J FD10SYNAPSYS1738 06/26/202 06121/202 071161202 556.90 0.00 0.00 556.00 J SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 02510 TRUERIDGE 556.90 0.00 0.00 556.90 Vendor# /vardor Name Class Pay Code 14208 J TRUSTED HEALTH, INC Invoice# INV68690 Comment Tran Ot Inv Dt Due Dt 06/27/20206/21/20207/21/202 Check Dt Pay Gross 2,890.00 Discount 0.00 No -Pay Net 2,890.00 0.00 ER STAFFING _ Vendor Totals: Number Name Gross Discount No -Pay Net 14208 TRUSTED HEALTH, INC 2,890.00 0.00 0.00 2,890.00 Vendor#/Vendor Name Class Pay Code U1064 UNIFIRST HOLDINGS INC /Invoice# J 2921034972 Comment Tran Dt Inv Dt Due Dt 06121/202 06/17/202 07/17/202 Check Dt Pay Gross 102.07 Discount 0.00 No -Pay 0.00 Net 102.07 LAUNDRY ��JJJ 2921035319 06121/20208/20120207/201202 2,728.41 0.00 0.00 2.728.41 LAUNDRY J 2921035320 06/21/202 06/201202 07/20/202 34.04 0.00 0.00 34.04 / LAUNDRY .� Jk 2921035324 06/21/20206/20/P0207/201202 111.61 D.00 0.00 111.61 LAUNDRY J 2921035321 06121/202 06120/202 071201202 315.80 0.00 0.00 315,80 LAUNDRY J 2921035322 06/21/202 06/20/202 07120/202 282.90 0.00 0.00 282.90 .% LAUNDRY J 2921035317 06121/20206/20/20207/20/202 128,80 0.00 0.00 128.80 J / LAUNDRY J 2921035318 06121/20206120/20207/201202 244,80 0.00 0.00 244.80 LAUNDRY J P921035579 06/26/202 06/24/202 07/191202 3,763.28 0.00 0.00 3,763.28 LAUNDRY 4[- 2921035580 06126/202 06124/202 07/24/202 102.07 0.00 0100 102.07 LAUNDRY ,J 2921035949 00/28/20206127/20207/22202 315.80 0.00 0.00 315.80 J 2921036180 06/30/202 07101/202 07126/202 3.257.57 0.00 0.00 3,257.57 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net U1064 UNIFIRST HOLDINGS INC 11,387.15 0.00 0.00 11,387.15 Vendor# endor Name Class Pay Code U2000 US POSTAL SERVICE Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net J 070124A 08/301202 07101/202 07/101202 2,200.00 0.00 0.00 2,200.00 POSTAGE Vendor Totals: Number Name Gross Discount. No -Pay Net U2000 US POSTAL SERVICE 2,200.00 0.00 0.00 2.200.00 Vendor) Vendor Name Class Pay Code 11280 VICTORIA ADVOCATE Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net j 0334695 06130/202 06130/202 081301'202 29.00 0.00 0.00 29.00 / NEWSPAPER J Vendor Totals: Number Name Gross Discount No -Pay Net 11280 VICTORIA ADVOCATE 29.00 0.00 0.00 29.00 Vendor#VendorNams Class Pay Code J 11110 WERFEN USA LLC Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net. J 9111,932246 06/111202 06/21/202 07/161202 875.55 0.00 0.00 875.55 J 9111539287 06130/202 06/261202 071211202 475.00 0.00 0.00 475.00 J SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 11110 WERFEN USA LLC 1,350.55 0.00 0.00 1,350.65 Vendor# j/endor Name Class Pay Code 10556 •JWOUND CARE SPECIALISTS Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net JInvoice# WCS00006764 06/28/202 06/011202 07/14/202 13,900.00 0.00 0.00 13,900.00 / MAY WOUNDCARE SERVICES ✓ Vendor Totals: Number Name Gross Discount No -Pay Not 10556 WOUND CARE SPECIALISTS 13,900.00 0.00 0.00 13,900.00 :?aport Smnmary Grand Totals: Gross Discount No -Pay Net 232,967.18 0.00 0.00 2 7.18 APPROVED ON JUL 03 2024 CA�F#0 $ N Ot_ �U()1TOR EX o q n ! " 1 T (_ Cls --trV . RJCJ..fiSTax "1 161'd-- I Co rr:e 2 9 0= 46 (_G (-r X_C trvk- 2-_70i,3.22 0, C ;. 1 - '(10 � r\� o i c.r✓ -'C'D � P rP�-2_, O'n 'P°j 2A a5t, 11 0 m=RCZlJVN STATEMENT As of: 0710512024 Pago:002 To ... proper eadEtoyour aecuurd, detach and Mores this nenywnY: 8000 Nub with your mmltunce DC: 8115 Customer INV SupplD: As of: 07/06/2024 Page: 002 Mail he Cam 80 00 MEMORIAL MEDICAL CENTER AMT DUE REMITTED VIA ACH DEBIT Territory:P: AP Statement for information only AMT DUE REMITTED VIA ACH DESK 815 N VIRGINIA STREET Customer. 632536 Statement for information only PORT LAVACA TX 77979 Data: 07106/2024 Cost: 632536 PLEASE CHECK ANY Date: 07106=24 ITEMS NOT PAID (a) gllbg Due ReceNablpatbnal Accused b1&36 Cash Amount P Amount P Re edusbN )ate Dab Number Reference Desodptbn Discount 9Nmss) F (net) F Plunder, rF column legend: P = Part Due Rum, F = Peters Due mum, dank = Current Due Nam 'OTAL National AW 632536 MEMORIAL MEDICAL CENTER Subbtalre 32,068.10 USD -mum Due: 0.00 Due If Paid On Rme: If Paid By 0710912024, USD 31.426.66 art Due: 0.00 Pay This Amount: 31,426.66 USD Disc teat if paid late: 641.44 ast POYment 2.451.97 If POM After 0710912024, Due If Pont Lab: 1910712017 Pay this Amount: 32.068.10 USD USD 32,066.19 31 1 1 9 7^ 92 + APPROVED ON 131.57 , JUL 08 m)4 �J 8 1. 2 5 + gg pp N�.177yy ppL� 15.94 + CARHSL RUT%O ATYL11}FY.43 Tti For AR Inquirics please contact 800-867-0333 MSKESSON STATEMENT As of: 07/05/2024 Page: 001 To wastes proper credit to your account, detach alel return this oomwm: 5000 elute with your nm8tnce OC: 8116 Customer Customer INV SupplOp As of- 07/05/2024 Peaa: 001 Mail to: Con : 8000 p WALMAR7 1098lM EM M® MEDUE REMITTED VIA ACH DEBIT Territory: 7001 MEMORIAL MEDICAL CENTER Statement for Information only AMT DUE REMITTED VIA ACH DEBIT VICKY HALISEH / Cust250342 71 Statement for information only 815 N VIRGINIA ST J Date: 07108/2024 612024 Date: 0710612024 PIMP LAVACA TX 77978 Cust: 256342 PLEASE CHECK ANY Date: 0710612024 ITEMS NOT PAID (.r) 411. Still Due Re.mva1t11fet1onal Amount O 36 Cash Amount P Amount P Feaelvable Data Date Number Salamanca Desoription olam M James) F (net) F Number Customer Number 250342 07102/2024 07/09/2024 07/02/2024 07109/2024 07/02/2024 07/09/2024 07102/2024 07/09/2024 07/0212024 07/0912024 07/02/2024 07/09/2024 07102/2024 07/09/2024 07/0212024 07/09/2024 07/0212024 07/09/2024 07/02/2024 07/09/2024 07102/2024 07/09/2024 07/0212024 07/09/2024 07/02/2024 07/09/2024 07/02/2024 07109/2024 07/02/2024 07/09/2024 07/02/2024 07/09/2024 07/02/2024 07/09/2024 07/02/2024 07/09/2024 07/02/2024 07/09/2024 07/0202024 07/09/2024 07/02/2024 07/09/2024 07/02/2024 07/09/2024 07/02/2024 07109/2D24 07/02/2024 07/09/2024 07/0212024 07/09/2024 07/0212024 07/09/2024 07/02/2024 07/09/2024 07/02/2024 07/09/2024 07/0212024 07/09/2024 07/02/2024 07/09/2024 07/0212024 07/09/2024 WALMAR7 1098IMEN MED 7508131167 7506131168 7506131169 7506131170 7506131171 7506131172 7506131173 7506131174 7506131175 7506131176 7506131177 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1151nvoice 5.70 334.95 0.08 0.08 328.25 0.08 0.08 7506131302 ✓ 75061313D3 ✓ 7508131304 07/0212024 07/09/2024 1506131305 201191509 1151nvarce 22.67 1.133.37 1,11070 7506131306 07/0212024 07/09/2024 7506131305 201814840 1151nvoIce 22.67 1,133.37 1,110.70 7506131306 07/0212024 07/02/2024 07/02/2024 07/02/2024 07/09/2024 07/0912024 07/09/2024 07/09/2024 7506131307 7506131308 7606131309 7506131310 112260446 112507938 11327017 113491644 1151nvcice 1151nvol. 1151nvoice 11$Invoice 1.01 1.01 1.01 1.01 50,69 50.69 50.69 50.09 49.66 49.68 49.68 49,68 ,1� 7608131307 ✓ 7506131308 ✓ 7506131309 7506131310 07/02/2024 07/0912024 7506131311 113659886 11511Waice 1.01 50.69 49.68 75061313ll 07/022024 07/0212024 07/02/2024 07/09/2024 07/09/2024 07/09/2024 7506131312 7606131313 7500131314 113694008 115684224 1159BSOSI 1161molce 1151nv01ce I15Invoice 1.27 1.01 1.01 63.37 50.69 BOAS 62.10 49.68 49.68 7506131312 ✓ 7506131313 1/ 1508131314 071D2/2024 07/09/2024 7506131315 116384277 1151nv01oe 0.76 36.02 37.26 7506131315 07/022024 07/02/2024 07/09/2024 07/09/2024 7506131316 7506131317 114803161 201329697 1151nvolce 1151nvoice 0.12 0.12 0.12 0.12 .� 7506131316 /� 7506131317 07/02/2024 07/02/2024 07/0912024 0710912024 7506131318 7506131319 114204504 113031048 1151nvoice 115mooice 0.55 1.11 27.56 55.64 27.01 64.63 ✓ 7506131318 ✓ 7606131310 �7506131320 07/0212024 07/09/2024 7506131320 145028316 1151nvoica 1.11 55.64 54.53 07/02/2024 07/09/2024 7506131321 116604680 1151nvoice 1.11 55.54 54.53 7506131321 07/0212024 07/09/2024 7506131322 113031048 1151woice 0.55 27.60 27.05 7506131322 f 07/02/2024 07/022024 07102/2024 07/022024 07/022024 07/0912024 07/09/2D24 07/09/2024 07/09/2024 07/0912024 7606131323 7506131324 7506131325 7606131326 7606131327 113413390 113452493 111498599 113817834 114007645 1151nvone, 1151nvoice 1151nvoice, 1151nvoice 1151molce 0.55 0.55 1.27 1.27 1.27 27.60 27.60 63.42 63.42 53.42 27.05 27.05 62.15 62.15 62.15 7506131323 ✓/ 7506131324 .// 7506131325 ./ 7500131320 '� 7506131327 07/0212024 07/09/2024 7506131328 114318096 1151nvoice 1.27 83.42 62.15 ✓ 7506131328 <a For AR Inquiries please contact 800-867-0333 MSKESSON awe t Boo WALMART 1098/MFM MED MS MEMORAL MEDICAL CENTER VICKY KALISEK 815 N VIRGINIA ST PORT LAVACA TX 77979 STATEMENT AMT DUE RB41ITED VIA ACH DEBIT Statement for Information only As of: OVO5/2024 Page: 003 DC: 8115 Customer INV SupplO: Territory: 7001 Cuatomer. 256342 Date: 07/06/2024 To emarm proper madit to year aeceurd, detach and return this stub with your remittance As a. 07/05/2024 Pepe: 003 Mail to: Comp: 8000 ANT DUE REMITTED VIA ACH DEBIT Statement for information only Coal: 255342 PLEASE CHECK ANY Dale: 07/0612024 ITEMS NOT PAID (1) ailing Dale Out Oma National gapeivabie Number Amount Reference 5a8 eT Description Cash Dlseourd Amount P (gross) F Amount (nee P Number F Number 07/0212024 07/02/2024 07/02/2024 07/0212024 0710202024 07/0212024 07/02/2024 07/02/2024 07/02/2024 07/02/2024 07/02/2024 07/02/2024 07/02/2024 07/02/2D24 07/02/2024 07/02/2024 07/02/2024 07(02/2024 07/02/2024 07102/2024 07/0212024 07/02)2024 07/0212024 07/0212024 07/0212024 07/0212024 OW02/2024 07/02/2024 07102/2024 07/0212024 07/02/2024 07/09/2024 07/09/2024 07/09/2024 07/09/2024 07/0912024 07/0912024 07/0912024 07/09/2024 07/09/2024 07/09/2024 07100/2024 07/09/2024 0710912024 07109/2024 07109/2024 07109/2024 07/09/2024 07109/2024 07109/2024 0710912024 07/09/2024 07/09/2024 07109/2024 07/09/2024 07/09/2D24 07/0912024 07109/2024 07/09/2024 07/09/2024 07/09/2024 07/09/2024 7506131329 7500131330 7506131331 7506131332 7506131333 7508131334 7506131335 7506131336 7506131337 7600131338 7506131339 7506131340 7506131341 7506131342 7506131343 7606131344 7506131346 7506131346 7506131347 7506131348 760813134D 7506131350 7506131351 7506131352 7506131353 7606131364 7506131355 7506131358 7508131357 7606131356 7506131359 115751266 116604680 200177764 112677682 112716669 t13661671 IISOS8401 116684224 201077442 201127703 201626650 111989603 112024496 112507938 112716669 112952239 114980753 115222714 116622000 201014317 201257403 201329697 201396026 112392234 116567149 113879846 113894008 112069474 112109110 112941228 113031048 1151nvolce 1151nvoice 1151nvalce 1151nvotce 1151mmlce 1151nvolce 1151nvoice 1151mmice 1151mmIce 1151nvoice 1151nvoice 1151nvome 1151nveice 1151nva1ce 1151nvoice 1151nveice 1151nvoice 1151nvoice 1161nvolce 115Mvaice 1151nvoice 1151nvoica 1151nvoice 1151nvoice 1151nvoice 1151nvoice 1151nvoice 14Slnvoice 1151nvoice 1161nvoice 1151nvoice 3.81 2.54 1.27 4.30 4.30 4.30 4.30 4.30 4.30 4.30 21.48 4.30 4.30 4.30 17,19 25.78 0.59 4.30 4.30 12.89 4.30 4.30 8.69 2.50 10.46 0.01 0.03 0.01 0.03 0.02 0.02 190.26 126.84 63.42 214.85 214.85 214.85 214.85 214.85 214.65 214,85 1.074.23 214.85 214,85 214.85 859.39 1,289.08 429.69 214.85 214.85 644.54 214.85 214.85 429.69 125.21 523.00 0.63 1.27 0.32 1.27. 0.95 0.95 186.45 124.30 62.15 210.5fi 210.55 210.66 210.65 211,56 210.55 21D,56 1,062.76 210.55 210.56 210.55 842.20 1,263.30 421.10 210,55 210.55 631.05 210.55 210.55 421.10 122.71 612.54 0.62 1.24 0.31 1.24 0.93 0.93 / J 7506131329 7506131330 �/ 7506131331 7506131332 7606131333 ✓ 7506131334 ✓ 7506131336 7500131336 760613/337 7606131338 J 7506131330 7506131340 7606131341 7606131342 -� 7606131343 7506131344 ✓ 7506131345 /� 7506131340 ✓ 7506131347 7506131348 7508131349 ✓! 7506131350 f 7506131351 .7 7506131352 7506131353 7506131354 J 7608131355 ✓ 7506131356 �/7506131357 ✓ 750:131358 J 700131359 For AR Inquiries please contact 800-867-0333 MSKESSON coiw.m: aosc WALMAR7 1098/MEM MM PHS MEMORIAL MEDICAL CENTER VICKY KALISEX 815 N VIRGINIA ST PORT LAVACA TX 77979 STATEMENT ANT DUE REMITTED VIA ACH DEBIT Statement for Informallon only As of: 07105/2024 Page: 004 DC: 8116 Customer INV SupplD: Tardtory: 7001 Customer: 256342 Dale: 07/0612024 To ensure pmper credit to. your account, detach entl Mum this stub with your remittance A. of: 07/05/2024 Page: 004 Mall to: Comp: 8000 AMT DUE REMITTED VIA ACH DEBIT Slatoment for information only Cum: 256342 PLEASE CHECK ANY Date: 07/O6/2024 ITEMS NOT PAID 11) Billing Oale 0. Oate ReuYabIP"Onl Number Account W7& Reference Dmflplfnn Ceah Discount Amoum P (gross) F Amount (net) P fbwNabla F Number 07/0212024 07/02/2024 07/02/2024 07/02/2024 07/02/2024 07/0212024 07102/2024 07/02/2024 07/02/2024 07/02/2024 07/02/2024 07/02/2024 07/02/2024 07/03/2024 0710312024 07103/2024 07/03/2024 071D412024 07/042024 07/04/2024 07/04/2024 07/04/2024 07/04/2024 D7/04/2024 07/0412024 07/09/2024 DTIO912024 071(19/2024 07109/2024 07/09/2024 07109/2024 OT/09/2024 07/09/2024 07109/2024 07109/2024 07/09/2024 07/09/2024 0710912024 07/09/2024 U7/09/2024 07/09/2024 07/09/2024 07/09/2024 07/0912024 0710912024 07/09/2024 07/09/2024 07/0912024 07M912024 07/09/2024 7606131360 7506131361 7506131302 7506131363 7506131364 7506131365 7506131366 7606131367 7506131308 7506131369 7506131370 7506131371 1506131372 75064GO109 7506400110 7500400111 75064GO112 7506632812 7506632813 7506632814 7506638226 7506638228 7606638229 7506638230 7506638231 113091601 115622000 115693402 200368941 111611449 111637243 111505665 111505665 111510254 111505665 111505665 111510254 111510254 111744583 112260445 115058401 11303ID48 112689559 115893496 114808543 113091601 115127426 113894008 113091601 113163410 1151nvolm 1151nvoice 1151nv01ce /151nvcice 1651nvoke 1951nvolce 1951nvcice /951nvoice 1631nvoice 1951nvoice 1951nvoice 1631nvoiee 163lnmice 1151nvoice 1151nvoice 1151nvoice 1151nvoice 1151nvolm 1151mic. 1151molm 1151nvcice 11 filwoice 1151nvalce 1151nvoice 1161nvolce 0.01 0.01 0.01 0.28 0.05 0.01 44.54 4.96 7.79 53.27 137.50 34,38 0.04 0.01 1.00 0.01 18.67 0.01 2.06 1.34 0.01 0.01 0.02 0.63 0.32 0.32 314.01 2.53 0.81 2.227.14 248.05 389.50 2,663.57 6,875.10 1.718.78 1.90 0.10 0.32 50.24 0.32 933.27 0.32 0.03 102.95 66.99 0.32 0.32 0.95 0.62 0.31 0.31 307.73 2.48 NO 2,182.60 243.09 381.71 2.610.30 6.737.00 1.684AD 1.86 0,10 0.31 49.24 0.31 914.60 0.31 0.03 100.89 65.66 0.31 0.31 0.93 / ter/ 7506131360 N 7506131361 7506131362 7606131363 / 7506131364 �/ 7506131365 7506131366 7606131367 7506131368 7606131369 ✓ 7506131370 7506131371 7506131372 -/ 7506400109 .�/ 7506400110 J/ 7606400111 ./// 7508400112 J 7500632812 J 7506832819 /�/ 1106632814 J 7506638226 7506638228 j 7506638229 J 7806638230 J 7506638231 For AR Inquiries please contact 800-867-0333 MSKESSON STATEMENT As of: 07106/2024 Page: 005 To mum proper cmdR to your am. detach and return this can+oaay. saw stm with your remittance Oct 8115 Customer INV SupplD: A. of: 07/05/2024 Pegs: 005 Man to: Comp: 8000 WALMARI' 1098/MBA MED PHS AMT DUE REMITTED VIA ACH DEBIT Terrill 7001 MEMORIAL MEDICAL CENTER Statement for information only AMT DUE REMITTED VIA ACH DEBIT VICKY NAUSEK Customer. 256342 Statement for information only 815 N VIRGINIA ST Date.0 Data: 7/06/2024 PORT LAVACA TX 77978 Cunt: 256342 PLEASE CHECK ANY Date: 0710612024 ITEMS NOT PAID (1) Date Due stidnal Account 8 Cash Amount F P RecaWade Dale Date Number Number Mference Description Discount (gross) F (net) (net) F Numbar PF column legend: P = Pact Due Itmn, F - Future Don Item, blink = Current Due hem TOTAL• Customer Number 256342 WALMART 10961MEM MED pHs Sudatals: 31,834.68 LED Future Due: 0.00 Due If Paid On Time: If Paid By 0710912024, USO 31.197.92 Peat Due: 0.00 Pay This Amend: 31.197.92 LED DIW Iwt IF paid late: 636.76 Last Payment 2,397.56 If Pad After 0710912024, Due If Paid Late: 0710112024 Pay this Amount: 31,834.68 LED LED 31,834.66 APPROVED ON All; 70 9 �)�(II)d CABNDI NU TF. As For AR Inquiries please contact 800-867-0333 MWESSON STATEMENT As of: 07I05/2024 Page: 001 To cproper to your um, tletaeh and Mum this account, cam,ry: e000 stub with yaw remittance DC: 8115 Customer INV Si PP10: As of: 07/0512024 Page: 001 Mail to: Comp: 8000 CVS PRICY 8823/MEM MC fli6 AMT DUE REMITTED VIA ACH DEBIT Temtory: 7001 MEMORIAL MEDICAL CENTER / Statement for Information only AMT DUE REMITTED VIA ACH DEBIT VICKY KALISEK J Customer•. 835434 Statement for information only 815 N VIRGINIA ST Date: 07/06/2024 PORT LAVACA TX 77979 Cud: 835434 PLEASE CHECK ANY Data: 07/00/2024 ITEMS NOT PAID (1) SNIrm Due N Re..W b[a alfonal Account 991Sf96 Cash Around P Amount P IN net. Date Number luderenes Desmidlon Discount (goes) F (rot) F Number Customer Number 835434 CVS PHCY 89231MEM MC PHS 07/03/2024 07/09/2024 7506201026 3358338 115lnvoloe 0.06 2.60 // 2.74-1/7506291026 07/0312024 07/09/2024 7506291027 3358338 1151nvoice 2.63 131.46 128.83 ./ 7506291027 Pin column lea": P = Pam Due Neer, F = Fulum Due Item, blal, = Current Due Rem TOTAL• Customer Number 835434 CVS PRICY 8923(MEM MC PHS Subtmals: 134.28 USD Future Due: 0.00 Due If Paid On Time: If Paid 9y 0710912024, USD 131.57 Pest Due: 0.00 Pay This Amount: 131.57 USD Dine lost H pant late: 2.69 Last Payment 2,397.56 If Paid Attar 0710912024, Duo N Pant Late: 07/0112024 Pay this Amount: 134.20 USO USD 134.26 APPROVED ON JUL 09204p�pp CtLLMO N MLINTYDITEX,AS For AR Inquiries please contact 800-867-0333 MSKESSONSTATEMENT 7m of: 0710512024 Page: 001 To ensure Proper north to your ettount, dMoah and return tnla amwwr. sass stub with your remittance DC: 8115 Customer INV SupplD: As of: 07/0512024 Re 9x 001 Mall to: Comp. 8000 CVS PHCY 741BIMFM MC PHS AMT DUE REMITTED VIA ACH DEBIT Toudlory: 7001 MEMORIAL MEDICAL CENTER far Intormatlon only ANT DUE REMITTED VIA ACH DEBIT VICKY KALISEK CoatSletemenl 35437 62024 Statement for information only 815 N VIRGINIA ST Date: 071 Data: 07/O6/2024 PORT LAVACA TX 77979 Cori: 835437 PLEASE CHOCK ANY Date: 07/06/2024 ITEMS NOT PAID V) ENIDg Duo uu Recehable.H nal Account M5�16 Cash Amount P Amount P ReceNeble Date Due Number Rderanee Dowilptbn Olmunt (amal F (net) F Number Customer Number 835437 CVS PHCY 74181MEM MC PHS 07/03/2024 07/09/2024 7606423114 3357449 1151nvoloe 1.66 82.89 81.23 1 7606423114 0 PF column legend: P a pant Due Item, F v Future Due Item, blank v Current Due hem TOTAL Customer Number 835437 CVS PHCY 7416/MFM MC PHS Subtota4: 82.89 USD Future Due: 0.00 Due H And On Tlme: If Paid By 0710912024, USD 81.23 Past One: 0.00 Pay This Amount: 81.23 USD DM lost If paid hem. 1.66 lad Payment 2.397.56 9 Pod After 0710912024, Due It Paid Late: 07/0112024 Pay this Amount: 82.89 USD USD 82.89 APPROVED ON g JCCUL NN(11yy9 7O142 CAM For AR Inquiries please contact 800-867-0333 MSKESSON STATEMENT As of: 07/05/2024 Page: 001 To en8am Pto your ch and Mum this accent, detach ownaeo: eauu Nuh rv8h your mn8le. DC: 8115 As of: 07/05/2024 Page: 001 Customer INV SUPPID: Ma9 to: Comp: 8000 CVS PHCY 7475/MEM MC MS AMT DUE fEPA1TTED VIA AM DEBIT Territory: 7001 MEMORIAL MEDICAL CENTER. Statement for Information only AMT DUE RBAITTEC VIA ACH DEBIT VICKY KAUSEC Cuelomx: 835438 Statement for information only 815 N VIRGINIA ST Date: 07/0612024 PORr IAVACA TX 77979 cup: 835438 PLEASE CHECK ANY Dale: 07/0612024 ITEMS NOT PAID (1) B011rg Due NmbnH Account t�wgp5�it fMcelvable Ottey Cam Amount P Amount P ReeaWabl0 Date Date Number Reference Deaeiption Discount (prop) F (nM) F Number Customer Number 835438 CVS PHCY 747511118111 MC MS 07/0312024 07/09/2024 7606401248 3358690 1,Slnvolce 0.33 16.27 15.94 J 7506401248 O PF column legend: P • Pad Due Item, F = Future Due Item, blank = Curren Due Item TOTAL: Customer Number $35438 CVS PHCY 74751MBA MC PHS Subtotals: 16.27 USD Fulu , Due: 0.00 Duo If Pad On Time: If Paid By 0710912024, USD 15.94 Past Due: 0.00 Pay This Amount: 15.94 USD Dip lost H Pala late: 0.33 Last Payment 2,397.56 If Paid After 0710912024, Due If Paid late: 07/01/2024 pay thly Amount: 16.27 USD USD 16.27 APPROVED ON JUL y0 9 2011 CABNUI�NU CRUAT> S I For AR Inquiries please contact 800-867-0333 A STATEMENT Statement Number: 67779010 Anlensaurcegergen- Data: 07-05-2024 AMERISOURCEBERGEN DRUG CORP 12727 W. AIRPCRT BLVD. SUGAR LAND TX 77478.6101 DEA: RA0289276 866.451-9655 WALOREENS a124N 340E MEMORIAL MEDICAL CENTER / 1OCIM284IM7028106 13a2NMRGINIAST PORT LAVACATX 77979.2509 Sat - Fri Due in 1 tlag AMERISOURCEBERGEN PO Box 905223 CHARLOTTE NO 2829OM23 Due: 1 0t 1 252.06 0.00 352.86 352.86 Document Due Reference Purchase Order Document Original Last Receipt Amount Received Balance Date Dale Number Number Type Amount 07-01-2024 07-12-2024 3180255113 7CM31024 In"Ice 9.89 am on 07-01-2024 07-12-2024 3180235114 70M40939 Invoice 231.85 am 231.15 074Tb2024 01-12-2024 3fa0253115 7COSS498N Inviice 3.93 0.00 3.93 07-01-2024 07-12d024 3160255116 7G06950D18 Imvia 147 0.00 3.47 07-02-2024 07-12-2024 3180413667 7006958957 Innbe 24.24 0.00 24.24 ; a7.034024 07-12-2024 3180565816 70OM7858 Inveire Sal 0.00 9.81 0741&2024 07-12-2024 3180704000 7006975115 Inviice 69.67 - 0.00 69.67 Current 1-15 Days 16-30 Days 31.60 Days 61-90 Days 91-120 Days Over 120 Days 362AS 0,0D CDC 0.00 0.00 0.00 0.00 j Reminders Thank You for Your Payment Date Amount Due Date / Amount 07-05-2024 (283.35) 07-12.2024 J 352.06 Total Due.wi-i f A - ' 352.86 APROVED ON JUL 0 922024 LDUOpp�Igqpp SCAHO NNLW VV,V I fin./An aun 1 sNnlw[we VI mi N n I�) nw 15XAIeAnawu]ur" MMt. /wl.15u NVAn ynp MermwYw p] r MHmn snunN m6wy Ily ]i6ya !1 An 1[%well N./AN wy ItlwlXla(LXn My(aAXUy VR N/All __ l5il xi5t LL .$. 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NNmr liww4f a •lNmmL 5Mw[ w4 IwwnOxxtw[wfsro r 1w _ 4Wwi m4wi Nremm n>N rMwe wul 1vxHfroxWOMwM r alawi 4l4xrN wfmr r nm i w you �rNm �v nmmt uaN 1 vw[mxewawrtsM w o mow[ 4fu1w[ wmee 1mww e N ]ou lrww+xi nmmr wH 14oew,wnu w o rn annme fmnw xinuu _ _ we nwlw umwe nsM w r 4wwf mmme euww n1n u o mi mmmw i/m4[ sM4 umwuwssmrurcMM r uvwf 44we wwm }M NW 0 !m[IYW4 1/mml Sforl6 yMrpxlM[Oxmllmn0ueyxC rM 441m1 SryNmel�iM Nw H!w we INoblm 1/Nml SMIb 1 WIXM4Mb41s< 41Uwe NImW aswfse wN w[lere 10ON ymm r[mnxswwc4rwn5Wxu r a N14mN 4n/w[allwm ww 1 n o e m ux r N4 Nm 1 e1 0 wi nfwa. a yylOH.I_ 1nL4._. r vxlwwOOM r m 0 w f MYw[ 4sYwexwwu _ WMw APPPoven onr JUL 09Ei1?� MEMORIAL MEDICAL CENTER PROSPERITYBANK ELECTRONIC TRANSFERS FOR OPERATING ACCOUNT —July 1, 2024-July 7, 2024 Date Bank DesMotbn MMCNMes 7/5/2024 PAY PLUS ACHTmna 0000W0280379511010006974 -3rd Party Payor Fee 7/5/21024 EKPER AYEKPERTPAY74600341191000014183744 -Child Support Payment 7/5/20M AMERISOURCE BERG PAYMENT5010000D6g 21LKI0U2 - 3408 Drug Program Expense 7/5/2024 MEMORIAL MEDICAL PAYROLL 746003411113122650 -Payroll 7/3/2024 PAY PLUS ACHTrans 0130000027979979 M10006955 -3rd Party Payer Fee 713/20M MERCHANT BANKED FEE 971160913B8791000018687 - Credit Card Pmcmumg Fee 7/3/2024 MERCHANT BANKCD FEE 97116092MS91000U18687 - Credit Card Processing Fee 7/3/2024 MERCHANT BANKCD INTERCHNG 87116051388793000 - Credit Card Processing Fee 7/3/2024 MERCHANT BANKCD DISCOUNT97116141W839100➢0 - Credit Card Processing Fee 7/3/2024.MERCHANT BANKCD DISCOUNT 971IM13887910WO • Credit Card Processing Fee 7/2/2024 PAY PLUS ACHTrans 000000027726640101=6935 - 3rd Party Payor Fee 7/2/2024 MCKESSON DRUG AUTO ACH ACHOW64356910000116 - 3408 Drug Program Expense 7/2/2024 AIRHNETGATEWAY BILLING 136872940104000OI09 - 3M Party Payor Fee 7/1/2024 PAY PLUS ACHTrans 00000002767134210100069M -3rd Party Paym Fee s+t_'�— - July 9, 2024 Erin Clevenger 9— Memorial Medical Center PROSPERITY BANK ELECTRONIC TRANSFERS FOR OPERATING ACCOUNT--ESTIMATBD ACHE. Date 7/15/2024 Erin Cleyenger Memorial Medical Center Dew_Iptlon 19 21.11)(11124329 MMCNetef RB1Rement Funding =727.45 -. Y 9.2024 1,f7Y°C12 0 1 .Ci22 02 0 0.00 0 Amon 28.47 SM69 4♦ CC oa4l283.35 ae 360.453.8G1-*_' j 34.05 17G06 9.95 - 1 5012+ 19.95 340.10 154.22 2,397.56-X' 33A0 50.40 354,727.45 -I oz. 2-4cc.. APPROVED ON JUL 09';e+n ,A%COUNTY AUDITOi L N COUNTY' TE. C Amount 177,750.82 0 - 4 35 + + 1pIJ 154.22 + 1 510, 40 ,. C& �X 4! 0 176-06 + 9e 95 + 1,.3'.g.,. 01,, 0 CGrn-�vc,hy. I%5=42 . aiwt. Ji 2.:.,.0 0 - C C6 Nwwi- 19.95 4 0. )a I '860.05. 0 �l rkw 33>40 0 - C 2 6 7 � 1 4 ;. 1A6^Oi a 175.112 + 560.05 + +3.40 + 1,0 2=02 0 718124, 3:42 PM TCDRS Employer Portal - View Payroll Detail Date/Time 07.08-2024/03:48PM Submitted By mcumberland450 Pay Date 06.30.2024 Employee Deposits $72,891.38 Employer Contributions $104,859.44 Group Term Life Premiums $0.00 Total $177,750.82 Comments Payroll File June 2024 Retirement Upioad.xlsx hitps:ttomployers.tcdrs.org/Pages/Payroll/PayroilList\new.aspx?StatusMessage=84a3688e-8d2c4683-9775-7e462fab2BcO 1/1 R€C€tVIE13 BY TIHt COUNT'? At7CiiOR ON 07/03/2024 JUL 0 3 2024 14:55 F3A6kii0�N �fiFY, 7€�1� Vendor# endor Name 11828 SOLERA WEST HOUSTON MEMORIAL MEDICAL CENTER AP Open Invoice List Dates Through: 07/27/2024 Class Pay Code Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount J062424 . 06130/202 06/241202 07/27/202 7,094.39 0.00 TRANSFERk nS.Y t+l W.jt )4 ItrM(,0Qt. �n)JYDii1/ Vendor Totals: Number Name Gross Discount 11828 SOLERA WEST HOUSTON 7.094,39 0.00 Grand Totals: APPROVED ON JUL 03 2024 CABHOUn! I C4ti7l'liCXAS Flc�ari �Ui.xn.:ry Gross Discount No -Pay 7,094.39 0.00 0.00 0 ap_open_invoice.template No -Pay Net 0.00 7,094.39 No -Pay Net 0.00 7,094.39 Net 7,094.39 RECEIVED BY THE COUNTYAUDITOR ON 07/03/2024 JUL 0 3 202 1 MEMORIAL MEDICAL CENTER 14:43 AP Open Invoice List CALHOUN COUNTY,TENAS Due Dates Through: 07/27/2024 Vendor# 1Vendor Name Class Pay Code 11832 J BROADMOOR AT CREEKSIDE PARK Invoice# Comment Tran DI Inv Dt Due Dt Check Dt Pay J 062124A , 06/30/20,^'2^06,/21/20207/27/202 TRANSFER `M-VJ � C&.'I Ak0 1rll, OOf Vendor Totals: Number Name 11832 BROADMOOR AT CREEKSIDE PARK ,ic;rort Sumnury Grand Totals: Gross Discount 1,428.00 0.00 APPROVED ON JUL 03 20N CABY COUlNTyiJ�UDITOR M1'Ty TEXAS 0 ap_open_invoice,template Gross Discount No -Pay Net 1,428.00 0.00 0.00 1,428.00 Ifs uVor Grass Discount No -Pay Net 1,428.00 0.00 0.00 1.428.00 No -Pay 0.00 Net 1.428.00 RECEIVED BY THE COUNTY AUDITOR ON JUL 0 3 ZEC-- MEMORIAL MEDICAL CENTER 07/03/2024 14:44 CALHOUN COUNTY, TEXAS AP Open Invoice List Due Dates Through; 07/27l2024 Vendor# /Jendor Name Class Pay Code 11824 J THE CRESCENT Involce# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount V 062124A �006/30/20206//21/20207/27/202 0,840..0�00 0.00 TRANSFER,"S-QMq V.�n AbMML Q�- kV J 062624 061301202 061261202 07/27/202 2,244.00 0.00 TRANSFER Vendor Totals: Number Name Grass Dlsccunt 11824 THE CRESCENT 9,084.00 0.00 i _pori Surnmsr11 Grand Totals: Gross Discount No -Pay APPROVED ON 9-084.00 0.00 0.00 JUL 03 2024 BY (CP NTY,., oITOP CALI-IOLtn, COLT. TEXAS 0 ap_open_invcice.template No -Pay Net 0.00 6,840.00 0.00 2,244.00 No -Pay Net 0.00 9,084.00 Net 9,084.00 R�6�IVEI� UV THE �OUNfVAUUi�roaON MEMORIAL MEDICAL CENTER 07/03/2024 JUL 0 3 2K AP Open. invoice List 0 14:56 ap_open_invoice.template Dates Through: 07/27/2024 Vendor# Vendor UN COUNW, T@XA§ Class Pay Code 1 11836./ GOLDENCREEK HEALTHCARE Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net f 061824A 06/30/202 06118/202 07/27/202 217.00 0.00. 0.00 217.00 J TRANSFER' f.S • V rn.J-OU� .j ()-I b b 0-L'. l n -"ror - J062424 06/30/202 06/24/202 07/27/202 17,965.97 0.00 0.00 17,965.97 TRANSFER+ ` 1 • ✓ 062424A 06/301202 06/24/202 07127/202 4,508.84 0.00 0.00 / 4,508,84 TRANSFER r` - 1062424B 061301202 06124/202 07127/202 1.185.00 0.00 0.00 1,185.00 ✓ TRANSFER L• k r 062524 06/30/20206/25/20207/27/202 48,515.70 0.00 0.00 48.515.70 TRANSFER J062624 J 06130/20206/26120207127/202 575.04 0.00 0.00 575.04 TRANSFER .` , , J062624A 06130/20206126120207/27/202 4,062.56 0.00 0.00 / 4,062.56 TRANSFER , Vendor Totals: Number Name Gross Discount No -Pay Net 11836 GOLDENCREEK HEALTHCARE. 77,030.11 0.00 0.00 77,030.11 Grand Totals: Gross Discount No -Pay Net 77,030.11 0.00 0.00 77,030.11 APPROVED ON JUL 00Y3Al2,024 CALLHOUON *u- INiYI €XAS RECEIVED BY THE COUNTY AUDITOR ON MEMORIAL MEDICAL CENTER 07/03/2024 JUL O 3 2021 AP Open Invoice List 14:45 Due Dates Through: 07/27/2024 Vendor#1 Vendor NamCALHOUN COUNTY, TEXAS Class Pay Code 13004" TUSCANY VILLAGE Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount J 062124A , 06r/30120206121/20207127/202 408.00 0.00 TRANSFER `nS• {iY1�}'I . (j, ,P. 1 r 4-0 r)MG OP-,- i!1 .el fb r J 062624 06/30/202 06/261202 07/27/202 13,680.00 0.00 TRANSFER .r Vendor Totals: Number Name Gross Discount 13004 TUSCANY VILLAGE 14,088.00 0.00 Grand Totals: Grass APPROVED ON 14,088.00 JCCUppL d 3 2UC1N CALHOt1II (10 N , TEXAS ilCport 5u7 nw."ry Discount No -Pay 0.00 0.00 0 ap_open_Invoice.template No -Pay Net 0.00 408.00 J/ 0.00 13.680.00 J No -Pay Net 0.00 14,088.00 Net 14,088.00 G�'iE°A4� MEMORIAL MEDICAL CENTER 07l03/2024 JUL 0 3 29A AP Open Invoice List 14:45 Due Dates Through: 07/27/2024 Vendor# Vendor Nam�'g a Class Pay Code J 12792 BETHANY SENIOR LIVING Involce# Comment Tran DI Inv Dt Due Dt Check Dt Pay Gross Discount 062424A , 06/30120200/21/20207/27/202 164.70 0.00 TRANSFER ` )1y)G Dp-e.jr) V-Dh0 /252_/062524 71202 2,792.10 0.00 TRANSFER I, h J 062624 OM01202 06/261202 071271202 14,944.29 0.00 TRANSFER 4 t + Vendor Totals: Number Name Gross Discount 12792 BETHANY SENIOR LIVING 17,901.09 0.00 a;�nrt �,iar?nn::ry Grand Totals: Gross Discount No -Pay 17,901.09 0.00 0.00 APPROVED ON JUL 03 207n BY CppLINT.V Al1D'ITOFi CALHOUty CONNTY TF- AS 0 ap_open_invoice.template No -Pay 0.00 Net / 164.70 0.00 2,792.10 J 0.00 14,944.29 No -Pay Net 0.00 17,901.09 Net 17.901.09 MenmxelMs,fiula.le) Nursing Heae UVL Waeely Wtel Rlnsfe] Vlesperlty4WJun» 7/e/3024 J f J Yu0ss—s..n %Wy NrxrreyWf w.yeN«.ufN N Mu1d G.veW J � � ]]]A»W mssus ] ]1.]1101 I/Jj ]xllvl »,W1e ]]file V 3»AR31 3901769 lQM.m 72)19=50 + 719715-03 + 5139�9>22 + 70)709-95 + 2J6 7�-S-70 0 rdetMnowe•4ar HE».VI].nanN•wuwwvp Wd /m ]:3W enmrbrN]urb4m.W3rW wINKNNFINtldd.nwrr 4rX WaW ]«mIMIW V.l xwln]wu•M14]NrNV%Y«vxlum.uY3lN M.." gnI... IM... Y.nNeOw IWW YM.nIpXINN 1).l»O] ynlm.nn UYs xgsdm. N]ol nquXl.iw./IrunlrtAmr ra11RM W IH I. J e«1 e.on. al»l. vuY W Y.N In IMM% IWIO .ussm, wl 41.312 yneurw Is , w Fuml 1»» F..FYrW ]16M .9WeromMnmr.. y.,r iU3iM »»]31 eln Nubs Ix»x�l v.nW. Yen m.JW. IWAq YrYmyrVgw x»lW oJnl%mwr...Jm)duq 4)NW 4NIFbm1 ]Ww »%Porn] zsvl Iud Fl.rxl m.» Nwnwu,..N«nr«]nr su».0 J •�v.n.n. Miusss 3use.n Yrd FlJrd 1wW Mrn.nyrngVl ),ps]9 x493R11 - yWMnT 61.11 MNFYWr ee.11 IWFIPW f4% N4 WI IrY%rRrlblpinl 4»Rfi ]41ais J ye.Mxex 3ui aY V4ru ix3»N YYrnFeYrr. .—.0su rr 1WW 4u1,W APPROVED ON JUl 0 9 2024 yNIFIFM )1I.N gg NNer%W ]ll.» n nFl.nn lau CAMOPLO�GOf!)AWL�ITOR N8', TI RRA5 WWe.YW(frly.ryp raWu] Imnrluxn a m. Iwe¢ [uxnev[xem ){9lnu 7MMA H.S. ]ySOY MEUTH OUSHUCPM )IW VOCCN0!%Wi ]y)ON xF., M. 'DHl"..R) ona, LMXW i ]nnOY wlllE OIRµX)OPONF4T)GRF[[MFNIR ]n/Mll- M[x10GxOHn1]Ia MX] wou'l Ucacom , )nliOY xM-FCNONaWMIM WMTIIP00HIINX0 7MMAMC4TIHYMMnCNLCUIM)M)1]16WN11]W!1 M}/3011 XM-[FNOMGMW)Mt ]MtONIIMaDW]NO)6 TYIOY MM.[fNOMttWMIMiNWY11MWANNo! /InWP YX[COMMYNRYµMRWNIM)]IfMMlt91[d0 , ]rsrswl gW.II arsmN Mx-[dpxcnuxmn])MeeMuuopmlmnl )/,(MN Inl[-[dO MCCWMIMµN1Y1IMNOUW[9 anMtl MRPSWNImIMiM[gMMPM)I(Ml[II W3M )nnaS„NINLOYfGNIM MIµTH [M[CfXI[MM an/SOS, M.LIu0FM10Xgnu MMIMMMY.0Y�16111 1naSOS[ M1B-ENOXL[GIMIMF],NOYIIN0OA15DF13 ]n/SO)[MB[NOHCCWMNAr][FWNLLMOOAI[II[l[ 7MIW1 OrvINNWIMMe N[MIMpM iMWµII llliM 7MNz1 OHCCOMMY MwH=WMIM]N60OM11910M) )MSOY µIINIMNAOn[NFCW WMSIfnU1 [SFIXOI) )II/I011 MRNWfpMXnITPMMPMM WJID]gMTI11 )MUY M0-[ulo nawMM>NmYLLM60ow9:)u IRMNOX[COMMYXIISµNF[WUPMN101M111INW )MaM, GXCNAMUNIIYµKK[WNPMµFNMIM910[L WU IIVMIWNWHO OWiI M.NO PMIfi%S),SOLOIN )MSO2, MMN.9INFCO NKWMMIF311Iup[MMIOMS ]/)NWI PAW swg9m.m. ucwMM]NapYLLTlmI ]/In021 Ma•LmmNCCWMPM]I+NIPu19®1+19W ]1=4 YMumNSOL Na MFMIIW111L1NiN )1M]N[ NOVRKSOIHIIOMII[CMIMIMFS]BSfaiRl1011X ]INW[ HFµTHMMpXF9CNCMIMMn1[FON113N11 >MPN Np0111 ]n/]o:1 MRNxOEMl0xmmMM WMOORQIWTUT ]nMY MONIFµfOWIgxXGW1NMQn1lI2WAW ],3/N2, XW]nnYMN1+vLMGWMMn,OmµIINW l m/IDY wM WrF41nGx1µlnFu[ cexleµm 7nlM3,Tonda BMxROFMI6nF1Mn MRIMMMOOMAAOIT[/I ]/.1/Ml MXB-aMXttWMPM ],LWYIl11M "S" 711=1 OFMTON[µMPNUGwIM EIWMFIlI]BN ljz l nMNXµpxue N(CGIMPMNfWMI11NH1 7MM24MB• nMoxaWMPM>Ym1FIlFW W91)µ 71 ] 4YMLOMMYNXYµ N[[WMpMN{W)UI91WA l/I/an, 1M0NNNtlMaR Xa41M]MtILNMI1 tow "al 3P.O1h4Q'1.2 rnnWMnl WW/Camel gIPP/(Cmp2 NW/COmp3 glPllCpmWWN NWT 1 MPMON Lfnln - 9,007A6 IUM 1K91 .V/ 10L16.1! ]y0I5.]fi 111}91s] IL]KM - 13,]61,35 IP.IKµ 16.195.]0 J s.)1].0 � A1]L11 9)01,1 LRL00 ],LiPLPl TL3Ul0 1LSUl0 MN<PtI4T10N Tj,O�j jpy0l2111 qVP/Nlpl NM/COmp2 NM(CompO NW/faml[iNpN gIPIT HHPgn110M1 - 3.1 L .66 76. ]6.45 15 - 75}fiA6 INJRF]1 0v n - '17 69.33 UISU 11214M Mass 4,540.91 797LOO - ]sn.N ULT - 165.9E LKu 26alz LM0.50 - I.640.50 916.14 - 916.I4 1422, - YL]a - 169.M - 101..69 KML69 - KUL43 1,IKN U[Sa0 - LIHM U2400 IMOU 1910.63 ]L6KN - 11,615.00 J URN - & 9U1 69961 SM41 10.326.76 )LIUAi 701603 MMCKHMM, TrU,ha,O Innw 9 I NW/N111pL NW/[Om L NW CbUd L INmpMupN QIPPT NNMIRTCN 12047M 12a47.29 31930 - 229.10 S.MW ),T09.02 3,Nxox 3,fxxa2 ge.9uo - LM].,0 L6n.60 I,WLM - 4051:10 LML62 1906.61 4nam ll.moo SUITS 3,211,73 SILK MEW / S9LU - 3.615.17 MMCUMUR)N nTn •1 .9�2 .m ..FI] n COW/CaUp, WS tQ np2 NW/W LNW/CO NP S gMPT NNPGNOx iMmM PIp9W - L,W.n SAW.61 INSO1XwllµfOW110XN[gMMMM9W12WWlW / =70 90B.R )ni]OY nNJIu)WneW NaWMINI ]INtlNI1MlW - ✓/ ULU J e6LOl m/1p2+wMlaxrulnTLxwmuuefxnM In w.aKY MIMS. W WM 7MN16 NRVRµ NIIWONXCYWIMi6]63101501m]N W2=4 WINONTWnLXXFµ1NGPf aXRN NI ]nl]0][ NM-FWOHLCI.YNpM]4WY11,YtlN14lN] T]lM][ uehNNxlOriRXaWMMNW W111 WIM fTurn. 0M [OMNYNR' ]IXCMMIM]IKd1119NIXO /]I]OIS IM1N]µ N1W100NCLGIMPMnWIORMNIF ]/]/]OIaM1MN11NSCONLLWMWA15W9Y1610W]N61 >nn0], MMpMIMONB KKMIMPMI,1,]MOT,10 Wll] arilµ], UMOMNCCWMHUMMUµ'SM)M MMO /UlON nMNMMYNIIYRIKCWMM)IIRlIl1911.gV • n11xM1 - To.NN+II gIWIOH,ol Capp/romps NW/GmW OPPICSISIMMUSIUSNWT NNPORTW LRLN - 3,70110 21ASIM - 23.006.03 5,24921 5,1011 ISScow - IMMW lµ,N MUM 14M6,3 I'Aamu 1. mN M J TWM S L10L7LRtl 2RSUM iR,NLN Balances Overview Account Name •4357 MEMORIAL MEDICAL- $2,550,096.87 $2,522,932.44 $2,550,096.87 $3,081,727.60 OPERATING *4365 MMC - CLINIC $545.22 $545.22 $545.22 $545.22 SERIES 2014 •4373 MMC - PRIVATE $438.92 $438.92 $438.92 $438.92 WAIVER CLEARING •4381 MEMORIAL MEDICAL/NH $95586.29 $101,862.29 $95,686.29 $66,502.73 ASHFORD *4403 MEMORIAL MEDICAL INH $80,794.34 J $119,509.48 $80,794.34 $77,172.63 BROADMOOR *4411 MEMORIAL MEDICAL I NH $65.093.18 J $75.966.18 $65.093.18 $45,625.39 CRESCENT •4438 MEMORIAL MEDICAL I SOLERA (off $78,380.48 $95,374.79 $78.380.48 $50,843.25 WEST HOUSTON *4446 MEMORIAL MEDICAL I NH FORT $11,358.83 $11,368.83 $11,358.83 $7,382.05 BEND *4454 MEMORIAL MEDICAL INH $163,742.45 $166,027.45 $163,742.45 $30,508.79 GOLDEN CREEK HEALTHCARE •4551 CAL CO INDIGENT $9,670.62 $9,670.62 $9,670.62 $9,670.62 HEALTHCARE •5433 MMC -NH GULF POINTE PLAZA- $1,857.58 $1,857.58 $1,857.58 $1,551.96 PRIVATE PAY •5441 MMC -NH GULF POINTEPLAZA- $41,397.15 $41,397.15 $41,397.15 $906.00 MEDICAREIMEDICAID *5506 MMC -NH BETHANY SENIOR $83,770.22 $124,377.26 $83,770.22 $80,864.74 LIVING *3407MMC -NH $68,823.93 $84,249.36 $58,823.93 $48,995.67 TUSCANY VILLAGE *3660 MMC -BETHANY $100.00 $100.00 $100.00 $100.00 SR LIVING - DACA *2999 MMC-MONEY $5,034.00 $5,034.00 $5,034.00 $5,034.00 MARKET FUND MAR Total Balance $3,256,690.08 $3,360,701.57 $3,256,690.08 $3,507,869.57 Report generated on 0710012024 01:47:22 FM CDT Page 2 of 2 Memorial Medical Center Nursing Nome UPL Weekly Neaion Transfer Prosperity Amounts 7/9/2024 P.J f J Amount aeamnm9 i11" Is Number aobnm oamirenNenaul ww 240,041211 214,3032 Reume WrmaNanler Gaaen GeeY: NMfonaMoSnk.N.A. reek Wem Fvme BpnAN.A. Note: OMy hvhMa ojavtr 6&0ro wdl be fmnthned ro the n u NYq home. Nme2rfoM paceunehasname6alamN pj6100 that MMCdepmaedroopenatmunt. APPROVED ON JUL 09 2024 CALLHG1 JN COLINC LI T'' A INT911 PendON Benk&ebnte Vadenre baveln aYlanm 5uPedar AVNlQPP Claim paymenb awed m MMC )odapt assuming Amount to ae reMdened to Nurpnl BWn a Name 163,)6299 138,001.69 163R42A5 100.00 22.393.29 5,7D&93 AprltMtemat 15247 mWoNnot 235.56 IunembrMt 172S2 Adlub 6alan�outra d.r."t 10 / Approved: 5+a^"_ (✓�3�+^1JL� -/.1t36001..6699 EMNCSEVENM NI 719AM LINK Wwav)omrvANa urt)bmrer SummeM2Dleaa YR)nmlw wmm.rc 7,&24 IMU: Is"FM"Aut"m NIP M23M39420I79I J/I/IDM RJS/IMNIPMTMMDEPM31M3II1IKUII i/I/JW GDIgMCRll3MMTMIK PIP UZO MIlKmllll 7/I/1@A NFNiNM31MX3VCIXCNiMPMrvP3WM113N112 J/PIJOM WIRI WlNl1MIX XfLLiNMN/�NNGINQf[AMC I/II]@t iSYS/IXANSPMGmNlPM13MIMMMlJ 91 I/tI2GM RIS/IMXSPMTGmNlPM1PNYYIMMIl91 1/y2pi/ 1fM/CMW WMCDDIPMIPMI"v"Un VAIN ]313/IRMIiIMGCODIPM1fMIIII IW*Xl J/3/pM GGIDINGIIMfMTM[RC PIP I]MAC 51l0.tl1W MM[PDRDDM QM/pmp Ipp2.Lgl MXNM•In q�n/pm t Wrr/p 3 Wn/pmp5 W WPn MMRfiDN UAS11.22 IMMU I,GYW I�Wa xPI2W 1.R52.G kW.M aM2.K RAG. - AsIRn K D.M MSNI - nxNN J lml.m IWPID 2M,foA.ss ue.mva 1RRmvnue.aova�vn Balances Overview Account Name '4357 MEMORIAL MEDICAL- $2,550,096.87 $2,522,932.44 $2,550,096.87 $3,081,727.60 OPERATING *4365 MMC - CLINIC SERIES 2014 ERI $545.22 $545.22 $545.22 $545.22 *4373 PRIVATE WAIVE CLEARING WAIVER CLEARING $438.92 $438.92 $438.92 $438.92 '4381 MEMORIAL MEDICAL INH $95,586.29 $101,862.29 $95,586.29 $66,502.73 ASHFORD `4403 MEMORIAL MEDICAL/NH $80,794.34 $119.509.48 $80.794.34 $77,172.63 BROADMOOR '4411 MEMORIAL MEDICAL INH $65,093.18 $75,966.18 $65,093.18 $45,625.39 CRESCENT '4438 MEMORIAL MEDICAL I SOLERA $78,380.48 $95,374.79 $78,380.48 $50,843.25 WEST HOUSTON '4446 MEMORIAL MEDICAL I NH FORT $11,358.83 $11,358.83 $11,358.83 $7,382.05 BEND '4454 MEMORIAL MEDICAL I NH GOLDEN CREEK GOLDE $163,742.45 J $166,027.45 $163,742A5 $30,508.79 HEALTHCARE '4551 CAL CO INDIGENT $9,670.62 $9,670.62 $9,570.62 $9,670.62 HEALTHCARE •5433 MMC -NH GULF POINTEPLAZA- $1,857.58 $1,657.58 $1,857.58 $1,551.96 PRIVATE PAY '5441 MMC -NH GULF POINTEPLAZA- $41,397.15 $41.397.15 $41,397.15 $906.00 MEDICAREIMEDICAID '5506 MMC -NH BETHANY SENIOR $83,770.22 $124,377.26 $83,770.22 $80,864.74 LIVING *3407 MMC TUSCANY VILLLLAGE TUS $68,823.93 $84,249.36 $68,823.93 $48,995.67 - DACA 0 MMC -BETHANY SR LIVING SR LIVING $100.00 $100.00 $100.00 $100.00 *2998 MMC -MONEY MARKET FUND MAR $5,034.00 $5,034.00 $5,034.00 $5,034.00 Total Balance $3,256,690.08 $3,360,701.57 $3,256,690.08 $3,507,869.57 Report generates! on 0710812024 01.,47:22 PM COT Page 2 of 2 Memurlal Medical Center Nursing Home UPL _ Weekly HMG Transta PrMperity Accounts ]/9/2024 rmbM n.nnmbtr 1tlgn1 6e1nnML hndq inmh,ndb tlW Nam Seow. 4YM t T U pt In I •Re LWn e•Y.w Nunl Mont 1.120.9e 6310 - l,ef)Se natr.Mhr e.M hlmu l.as>sr nm nmwGlmn now J� / autmlemm�rtnnn.ranl L>srse p•mlm• J AI1bYMb M. n Num. eCNn{ N(Imlry — uN r 4.CM r horn cy.oe.M peNlry w nu T e bN ewers /TnmbmJla ./ xudvxom 1),5}S.II II,aDl1 M)9I I5 L1.39),IS �J e1�39),IS Bnl &Yna .1.391.15 Van.nn mn:,:,tr, map.xmins.am: APPROVED ON JUL 69 ?V4 Xwr. aurwmm o/ on+ss.pz..0 le tmwTmne to Me nwonp own. Xont Faem•wntl:uoCueaolmteyllMtlntMML wNtrtNn Ntnn((aYll. CRYHRONN'To lADfAns leue In e5hm! twm •a{ate.l.n•.rtnn•k•4ml M.19T.15 rprMTmxsems a3.mR.n mpR: �i�„ti c LRIXftIV[XGLR 1/9f1pI5 uWn w.UYT••mlmVptun. Tmtlnsu:amMICHNnuwvvlNe• wmm5)tN MMCPORTION gIPP/Con, amp/Q.p4 - Tnnbn049 Tjan&,.I* I OIPP/COMPl 2 copp/Co-P3 &upu QIPPTI HHPOBTION 115/2024 HNB- ECHO WCWMPMT]400M114400W20520] - W5.62 - 305.62 7/2/2024 HNB-EC MCWMPMT246W3413M00W292025 - 214.65 114.M 2/2120N HNB - ECHO WC MPMf]4E0p34114E0000292025 23.52 - 23.52 7/2/2ON HNB-ECHOH=WMPMTT4W 411"WW291303 - / 64.W M00 711120M HNB-EE HCCMIMPMT]4WW411MDW0231]33 ✓/ 28.81 18.61 GR&M MMCPORTION on Opp/Camp gIPP/C.P4 t TnmbMue fian+fervin qVP/Comp1 2 gIPP/Cp.P3 6bp34 QIPP II NN PORTION ]/5/20N MMCH4NTMNRW OEPONT49H2451BM991W001 40,491.15 40,491,25 7/312M WMEOMHMGRn MnS%F,IP-Cp01011N51 1IA15.11n� ]/1/20N MMWC MNRWOEPONT49MMS1M899I00001 / BM.W / - ✓ 808.00 11A2Sd1 41M7.0 4139).15 17425.11 41.297.15 4L9M.75 Balances Overview Account Name *4357 MEMORIAL MEDICAL- $2,550,096.87 $2,522,932.44 $2.550,096.87 $3,081,727.60 OPERATING *4365 MMC - CLINIC $545.22 $545.22 $545.22 $545.22 SERIES 2014 *4373 MMC - PRIVATE $438.92 $438.92 $438.92 $438,92 WAIVER CLEARING *4381 MEMORIAL MEDICAL INH $95,586.29 $101,862.29 $95,586.29 $66,502.73 ASHFORD *4403 MEMORIAL MEDICAL/NH $80,794.34 $119,509.48 $80,794.34 $77,172.63 BROADMOOR *4411 MEMORIAL MEDICAL INH $65,093.18 $75,966.18 $65.093.18 $45,625.39 CRESCENT *4438 MEMORIAL MEDICAL / SOLERA @ $78,380.48 $95,374.79 $78,380.48 $50,843.25 WEST HOUSTON *4446 MEMORIAL MEDICAL/NH FORT $11,358.83 $11,358.83 $11,358.83 $7,382.05 BEND *4454 MEMORIAL MEDICAL INH GOLDEN CREEK $163,742.45 $166,027.45 $163,742.45 $30,508.79 HEALTHCARE *4551 CAL CO INDIGENT $9,670.62 $9,670.62 $9.670.62 $9,670.62 HEALTHCARE *5433 MMC -NH GULF / POINTEPLAZA- $1,857.58 $1,857.58 $1,857.58 $1,551.96 PRIVATE PAY *5441 MMC -NH GULF POINTEPLAZA- $41,397.15 $41,397.15 $41,397.15 $906.00 MEDICARE/MEDICAID *5506 MMC -NH BETHANY SENIOR $83,770.22 $124,377.26 $83,770.22 $80.864.74 LIVING *3407 MMC-NH TUSCANY VILLAGE $68,823.93 $84,249.36 $68,823.93 $48,995.67 *3660 MMC -BETHANY $100.00 $100.00 $100.00 $100.00 SR LIVING - DACA *2998 MMC -MONEY $5,034.00 $5,034.00 $5,034.00 $5,034.00 MARKETFUND Total Balance $3,256,690.08 $3,360,701.57 $3,256,690.08 $3.507,869.57 Report generated on 0710812024 01:4722 PM CDT Page 2 of 2 Memorial Medical Center Numing HomeM Weekly Tm[any Transfer Prosperity Aanonts 7/9/2024 ooboo ANUM aM Nl Nnehl n,nMwrNp / R.omboo .Yp TUM bu T.. Wd.,. 1 4nu J 110IM3 iW.91e31 X3W.0 6ea13.91 X.w3.a) OmY B,hna 6&a11.91 VYYntn - APPROVED ON JUL 0 9 20Z4 nmaonrreMmm Watwssemwnernmtl ,romnenumn.3.w. CjXlebt3:etdattwntetstewt eImct t/Iw [hot Yaatwty to MA1OTVTE lnwlnphnw Imm .MtmaOA lkl37.30 Q aaWnerim9R,r� wnthralnl '/a• /'y^saslaa3 �P.Itd, VItM� we n[vtT/9/Iox 715/20M m"'It 7/5/2024 HNB-ECHOHCCIAIMPMT 746003411440000204499 7/3/2024 WINE WTVILLAGE POST ANTE HEALTH SERVICE 7IM024 HNB- 6CHO HCWMPMT 74=341144OOO 292693 7/2/2024 HNB-EC40HCCLAIMPMT745003411440000292303 7/l/2024 NOWASSOLUPONHOC NPM1676201420000109 MMCPORTION QIPP/Comp QIPp/Camp QIPp/Comp Transfer-Oul nsfer-M 1 QIPP/C9mp3 3 Mapse QIPPTI NHPOBTION 17.394,34 17,394.34 2A .92 - 2,433.92 403.970.12 - a' ae aae neS 1,119.78 4,454.55 Balances Overview Account Name *4357 MEMORIAL MEDICAL- $2,550,096.87 $2,522,932.44 $2,550,096.87 $3,081,727.60 OPERATING *4365 MMC - CLINIC $545.22 $645.22 $545.22 $545.22 SERIES 2014 *4373 MMC • PRIVATE $438.92 $438.92 $438.92 $438.92 WAIVER CLEARING *4381 MEMORIAL MEDICAL INH $95,586.29 $101,862,29 $95,586.29 $66,502.73 ASHFORD *4403 MEMORIAL MEDICAL INH $80,794.34 $119,509.48 $80,794.34 $77.172.63 BROADMOOR *4411 MEMORIAL MEDICAL INH $65,093.18 $75,966,18 $65,093.18 $45,625.39 CRESCENT *4438 MEMORIAL MEDICAL I SOLERA @ $78,380.48 $95,374.79 $78,380.48 $50,843.25 WEST HOUSTON *4446 MEMORIAL MEDICAL I NH FORT $11,358.83 $11,358.83 $11,358.83 $7,382.06 BEND *4454 MEMORIAL MEDICAL INH $163,742.45 $166,027.45 $163,742.45 $30,508.79 GOLDEN CREEK HEALTHCARE *4551 CAL CO INDIGENT $9,670.62 $9,670.62 $9,670.62 $9,670.62 HEALTHCARE *5433 MMC -NH GULF POINTEPLAZA- $1,857.58 $1,857.58 $1,857.58 $1,551.96 PRIVATE PAY *5441 MMC -NH GULF POINTEPLAZA- $41,397.15 $41,397.15 $41,397.15 $906.00 MEDICAREIMEDICAID *5506 MMC -NH BETHANYSENIOR $83,770.22 $124,377.26 $83,770.22 $80,864.74 LIVING *3407 MMC •NH $68,823.93 $84,249.36 $68,823.93 $48,995.67 TUSCANY VILLAGE *3660 MMC-BETHANY $100.00 $100.00 $100.00 $100.00 SR LIVING - DACA *2998 MMC -MONEY $5,034.00 $5,034.00 $5,034.00 $5,034.00 MARKET FUND MAR Total Balance $3,256,690.08 $3,360,701.57 $3,256,690.08 $3,507,869.57 Report generated an 07100/2024 01:47:22 PM CDT Page 2 of 2 Memorial Medlcal Center Nwsing Home OPL Weekly HSLTmnshr Prospedly Accounts T/gnoza e[.aRR aflWnl elpeav xRMI --•• uYiiu Sel,uez JJ R.naq rn.aW[I laMvfM Tnmfvnn fY[(nR[GlRWvfM TnmM1nn fY[avR[tl Rv��n! 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AUDITOR CALHOUJ ntk y TEXAS 4nI Ba]nR 1),))0.1] Vni lf]W In &Ynlf IC0.W SupNafnpil l4WS.tl WNee.Ymm)MOM4rmmarnemvw 1.IY (Mryv VrymvnfwllMtl/ItanfNM 17.2M.9H.61 .MI MNInn 1)I,al Mry M.mt 11S.1Y xM.FInnN lsaao •WnpYm mleelrM 25]_)3 fwxaaLedaeR )nI114N I:WM WMhI[LMhILViN VIITnMfnlommlM1\]all\NMVILiM.MSunnnV)W mmc9 w TUU,d,$6 93XL11Mrnl 41PP/Ompi Wq/tempi g1PP{tem9) GIP911'anMl1APN OIPP" Nff Rii )/L/S9M N93PXi OP90Y]NP9XnmM N91Y1G699plIW LNLaB 1,391.BB MW)KM ll]i2WH19bILS / 1}IlW 1,S12.W R[ OUT 1/3/fOt[ MR[ OUT VORf I/NXG ItlLLLt W ULC la],f51.9f V /3Rp]9 MWRtl a0lY91pXX6WMPM]fl4B1g0®1)L - 3A36.]] 3A]a.l) )/yLp]L XXL-[(XOXCMINMf)9HNB19Y[1m19llY - MAILS 60 Ilial.61 112M [ NOVIIbfOWMXXLIWMIMf 6)Na19]Mlll4 u99a Ls99.aB NOMb1OlY1WCH MM\6)Nal []M. / 961]a / 9a9.]a 71=2l /1/]OH XIYM WM.VISVCXLLYIM9Mil]4WHIWILS J 2,W32 Nt9m, A9A.a6 tliLm Balances Overview Account Name *4357 MEMORIAL MEDICAL• $2,550,096.87 $2,522,932.44 $2,550,096.87 $3,081,727.60 OPERATING •4365 MMC - CLINIC $545.22 $545.22 $545.22 $545.22 SERIES 2014 •4373 MMC - PRIVATE $438.92 $438.92 $438.92 $438.92 WAIVER CLEARING *4381 MEMORIAL MEDICAL/NH $95,586.29 $101,862.29 $95.586.29 $66,502.73 ASHFORD •4403 MEMORIAL MEDICAL/NH $80,794.34 $119,509.48 $80,794.34 $77,172.63 BROADMOOR •4411 MEMORIAL MEDICAL/NH $65,093.18 $75,966.18 $65,093.18 $46,625.39 CRESCENT •4438 MEMORIAL MEDICAL ISOLERAQ $78,380.48 $95,374.79 $78,380.48 $50,843.25 WEST HOUSTON *4446 MEMORIAL MEDICAL/NHFORT $11,358.83 $11,358.83 $11,358.83 $7,382.05 BEND •4454 MEMORIAL MEDICAL $163,742.45 $166,027.45 $163,742.45 $30.508.79 GOLDEN CREEK HEALTHCARE •4551 CAL CO INDIGENT $9,670.62 $9,670.62 $9,670.62 $9,670.62 HEALTHCARE `5433 MMC •NH GULF POINTEPLAZA- $1,857.58 $1,857.58 $1,857.58 $1,551.96 PRIVATE PAY `5441 MMC •NH GULF POINTEPLAZA- $41,397.15 $41,397.15 $41,397.15 $906.00 MEDICAREIMEOICAID *5506 MMC -NH BETHANY SENIOR $83,770.22 V $124,377.26 $83,770.22 $80,864.74 LIVING NH $68,823.93 $84,249.36 $68,823.93 $48,995.67 USCMMC• TANY VILLAGE USC *3660 MMC -BETHANY $100.00 $100.00 $100.00 $100,00 SR LIVING - DACA •2998 MMC -MONEY $5,034.00 $5,034.00 $5,034.00 $5,034.00 MARKETFUND Total Balance $3,256,690.08 $3,360,701.57 $3,256,690.08 $3,507,869.57 Report generated on 0710BJ2024 01:47:22 PM COT Page 2 of 2 Crescent J MEMORIAL MEDICAL CENTER CHECK REQUEST P J J Tuscany Date Requested: 7/9/2024 A Y APPROVE-D ON E "n 09 20?4 E BY Coui�7 .AWT�fi TE%A C.ALHOUN (.d7t!N S AMOUNT: EXPLANATION J FOR ACCT USE ONLY ❑ Imprest Cash ❑ A/P Check ❑ Mail Check to Vendor ❑ Return Check to Dept $ 2,800.00 G/L NUMBER: 21400007 Claim payment- Transfer from Crescent to Tuscany REQUESTED BY: Michelle Cumberland AUTHORIZED BY: MEMORIAL MEDICAL CENTER CHECK REQUEST P J J Tuscany Date Requested: 7/9/2024 A APPROVED ON YjU7 9 9 2024 E BY i;OUNT.Y, AFtU1TOcl .. ._. NTY TEXAS E i AMOUNT: $ 4,000.00 IIfe1Z_LdA014461W ❑ Imprest Cash ❑ A/P Check ❑ Mail Check to Vendor ❑ Return Check to Dept G/L NUMBER: 21400007 EXPLANATION: Claim payment -Transfer from Crescent to Tuscany REQUESTED BY: Michelle Cumberland AUTHORIZED 4 J MEMORIAL MEDICAL CENTER CHECK REQUEST P Tuscany Date Requested: 7/9/2024 A Y kIPWROVED ON! E JUL 09 9024 AMOUNT: EXPLANATION CA84CCOUNTY AUDiTOA ./ $ 2,594.00 FOR ACCT USE ONLY ❑ Imprest Cash ❑ A/P Check ❑ Mail Check to vendor ❑ Return Check to Dept G/L NUMBER: 21400007 Claim payment -Transfer from Crescent to Tuscany REQUESTED BY: Michelle Cumberland AUTHORIZED BY: