2024-08-07 Final PacketNOTICE OF MEFTING — 8/7/2024
August 7, 2024
MEETING MINUTES
OF CALHOUN COUNTY COMMISSIONERS' COURT
MET IN A REGULAR MEETING AT 10:00 A.M. IN THE COMMISSIONERS,
COURTROOM IN THE COUNTY COURTHOUSE AT 211 S. ANN STREET
SUITE 104 PORT LAVACA, CALHOUN COUNTY, TEXAS.
THE FOLLOWING MEMBERS WERE PRESENT:
Richard Meyer
David Hall
Vern Lyssy
Joel Behrens
Gary Reese
(ABSENT) Anna Goodman
By: Kaddie Smith
The subject matter of such meeting is as follows:
1. Call meeting to order.
County Judge
Commissioner Pct 1
Commissioner Pct 2
Commissioner Pct 3
Commissioner Pct 4
County Clerk
Deputy Clerk
Meeting was called to order at 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.
Judge Meyer explained that it was National Purple Heart Day and there will be a
ceremony tonight at the VFW at 5:30pm
Page 1 of 5
I NOTICE OF MEE FING — 8/7/2024
5. Public Hearing concerning the adoption of an Order to Participate in the Texas Enterprise
Zone Program and to Nominate Union Carbide Corporation. (RHM)
Regular Session closed at 10:02am
Gabriel from Dow and Omar from Union Carbide introduced
themselves and Anne Marie Odefey explained the program.
Regular Session opened at 10:05am
6. Consider and take necessary action to the Order to Participate in the Texas Enterprise
Zone Program and to Nominate Union Carbide Corporation. (RHM)
RESULT: APPROVED [UNANIMOUS]
MOVER: David Hall, Commissioner Pct 1
SECONDER: Vern Lyssy, Commissioner Pct 2
AYES: Judge Meyer, CommissionerHall, Lyssy, Behrens, Reese
7. Consider and take necessary action on approving the Interlocal Agreement between
Calhoun County E911 and Calhoun County for insurance coverage for E911. (DEH)
RESULT: APPROVED [UNANIMOUS]
MOVER: David Hall,;Commissioner Pct 1
SECONDER: Vern Lyssy, Commissioner Pct 2
AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese
8. Consider and take necessary action on acknowledging the increase of $240,000 in funds
in GLO Contract No. 20-065-064-C182 Amendment No. 5. (DEH)
RESULT: APPROVED [UNANIMOUS]
MOVER: David Hai11, Commissioner Pct 1
SECONDER: Vern Lyssy, Commissioner Pct 2
AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese'
9. Consider and take necessary action to award the contract to the most responsible and
responsive bidder of Fun Abounds, Inc. and to negotiate profit and achieve a final
contract price not to exceed to bid proposal of $733,795.95 for Bid No. 2024.08 -
Infrastructure at Little Chocolate Bayou County Park Playground Improvements Phase 2
for Calhoun County, Texas — Texas General Land Office Contract No. 20-065-064-C182
and Calhoun County 2020 CDBG-DR Contract Work Order No. E-1. (DEH)
Pass
Page 2 of 5
NOTICE OF MEE I INC — 8/7/2024
10. Consider and take necessary action allowing Precinct 1, 2, 3 and 4 commissioners to apply
for a line of credit through Crossroads Tire Service, Tire Pros and authorize all appropriate
signatures. (DEH)
RESULT: APPROVED [UNANIMOUS]
MOVER: Gary Reese, Commissioner Pct 4
SECONDER: Joel Behrens, Commissioner Pct 3
AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese
11. Consider and take necessary action for approving payment for additional work performed
by Infiniti Communications for the installation of a fiber/copper trunk hand -hole and
attach to an existing underground cable entry conduit at the adult detention center in the
amount of $8,950.00 and the final payment to Infiniti Communications for the previously
awarded Combined Dispatch Cable installation contract in the amount of $59,922.00.
(DEH)
RESULT: APPROVED [UNANIMOUS]
MOVER: Vern Lyssy, Commissioner Pct 2
SECONDER: Joel Behrens, Commissioner Pct 3
AYES: Judge Meyer, Commissioner: Hall, Lyssy, Behrens, Reese
12. Consider and take necessary action on approving and authorizing the IT Coordinator Ron
Reger to purchase 4 CAD workstations and 1 Fire Server from Dell Technologies in the
amount of $10,056.55 using the Tribal Consistency Fund. (DEH)
Commissioner Hall explained there was a typo on the agena item
and it should readFile Server instead of Fire Server.
RESULT: APPROVED [UNANIMOUS]
MOVER: David Hall,' Commissioner Pct 1
SECONDER: Joel Behrens, Commissioner Pct 3
AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese
13. Consider and take necessary action on offering ancillary products to Calhoun County
District Attorney and the Calhoun County E-911 District. (DEH)
Motion was withdrawn and Judge suggested to table the item.
Page 3 of 5
NOTICE OF MEEi1NG — 8/7/2024
14. Consider and take necessary action to change the Chief Deputy from salary exempt to
hourly non-exempt. (RHM)
4
ange was necessary.
:SULT: APPROVED [UNANIMOUS]
)VER: Vern Lyssy, Commissioner Pct 2
CONDER: Gary Reese, Commissioner Pct 4
'ES: Judge Meyer, CommissionerHall, Lyssy, Behrens, Reese
15. Consider and take necessary action on Asbestos Abatement Proposal for 312 S. Ann St.,
Port Lavaca, TX and authorize the County Judge to sign. (RHM)
pass
16. Consider and take necessary action to approve agreement #30704571 Dewitt Poth &
Sons/Great America Financial Services for Copy Machine Lease for the Emergency
Communications Division and allow the Emergency Communication Director to Sign
Agreement. (RHM)
RESULT: APPROVED [UNANIMOUS]
MOVER: Joel Behrens, Commissioner Pct 3
SECONDER: Gary Reese, Commissioner Pct 4
AYES: Judge Meyer, Commissioner` Hall, Lyssy, Behrens, Reese
17. Accept Monthly Reports from the following County Offices:
i. Floodplain Administration — July 2024
ii. Justice of the Peace #1— July 2024
Justice of the Peace #2 — July 2024
RESULT: APPROVED [UNANIMOUS]
MOVER: Vern Lyssy, Commissioner Pct 2
SECONDER: Gary Reese, Commissioner Pct 4
AYES:`' Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese
Page 4of5
I NOTICE OF MFFTING — 8/7/2024
18. Consider and take necessary action on any necessary budget adjustments. (RHM)
None
19. Approval of bills and payroll. (RHM)
MMC Bills:
RESULT:
APPROVED [UNANIMOUS]
MOVER:
David Hall, Commissioner Pct l
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.
Adjourned 10:25am
Page 5 of 5
C .'��j,#JjC (ill C �9\Tj-1\
fTI"IT 1 .J"` ( l�l� fir'PACKET COMPLETION SHEET
All Agenda Items properly Numbered
Ll-� Contracts Completed and Signed
All 1295's Flagged foT Acceptance
(number of 1295's)
All Documents for Clerk Signature Flagged
(All documents needing to be attested to need to be
signed day of Commissioner's Court.)
On this h day of 2024, the packet
for the '��h day of 2024 Commissioners'
Court Regular Session was submi ed from the Calhoun County Judge's office
to the Calhoun County Clerk's Office.
bL4)
Calhoun County Judge/Assist° t
August 7, 2024
GEND
NO IOf NlI LTING 8/7/1024
Richard H. Meyer
County judge
David Hall, Commissioner, Precinct 1
Vern Lyssy, Commissioner, Precinct 2
Joel Behrens, Commissioner, Precinct 3
Crary Reese, Commissioner, Precinct 4
MEETING
The Commissioners' Court of Calhoun County, Texas will meet on --
Wednesday,
August 7, 2024 at 10:00 a.m. in the Commissioners' Courtroom in the County Courthouse at
211 S. Ann Street, Suite 104, Port Lavaca, Calhoun County, Texas.
AGENDA
The subject matter of such meeting is as follows:
AT :2 U FILED
C�M
1. Call meeting to order. AUG 02 2024
2. Invocation. COUNTY cvrrcSueTv-tExns
3. Pledges of Allegiance.
4. General Discussion of Public Matters and Public Participation.
5. Public Hearing concerning the adoption of an Order to Participate in the Texas Enterprise
Zone Program and to Nominate Union Carbide Corporation. (RHM)
6. Consider and take necessary action to the Order to Participate in the Texas Enterprise Zone
Program and to Nominate Union Carbide Corporation. (RHM)
7. Consider and take necessary action on approving the Interlocal Agreement between
Calhoun County E911 and Calhoun County for insurance coverage for E911. (DEH)
8. Consider and take necessary action on acknowledging the increase of $240,000 in funds in
GLO Contract No. 20-065-064-C182 Amendment No. 5. (DEH)
9. Consider and take necessary action to award the contract to the most responsible and
responsive bidder of Fun Abounds, Inc. and to negotiate profit and achieve a final contract
price not to exceed to bid proposal of $733,795.95 for Bid No. 2024.08 - Infrastructure at
Little Chocolate Bayou County Park Playground Improvements Phase 2 for Calhoun County,
Texas — Texas General Land Office Contract No. 20-065-064-C182 and Calhoun County
2020 CDBG-DR Contract Work Order No. E-1. (DEH)
Page 1 of 2
i NOT ICE OF MIfIING-8/7/2.02.4
10. Consider and take necessary action allowing Precinct 1, 2, 3 and 4 commissioners to apply
for a line of credit through Crossroads Tire Service, Tire Pros and authorize all appropriate
signatures. (DEH)
11. Consider and take necessary action for approving payment for additional work performed by
Infiniti Communications for the installation of a fiber/copper trunk hand -hole and attach to
an existing underground cable entry conduit at the adult detention center in the amount of
$8,950.00 and the final payment to Infiniti Communications for the previously awarded
Combined Dispatch Cable installation contract in the amount of $59,922.00. (DEH)
12. Consider and take necessary action on approving and authorizing the IT Coordinator Ron
Reger to purchase 4 CAD workstations and 1 Fire Server from Dell Technologies in the
amount of $10,056.55 using the Tribal Consistency Fund. (DEH)
13. Consider and take necessary action on offering ancillary products to Calhoun County District
Attorney and the Calhoun County E-911 District. (DEH)
14. Consider and take necessary action to change the Chief Deputy from salary exempt to
hourly non-exempt. (RHM)
15. Consider and take necessary action on Asbestos Abatement Proposal for 312 S. Ann St.,
Port Lavaca, TX and authorize the County Judge to sign. (RHM)
16. Consider and take necessary action to approve agreement #30704571 Dewitt Poth &
Sons/Great America Financial Services for Copy Machine Lease for the Emergency
Communications Division and allow the Emergency Communication Director to Sign
Agreement. (RHM)
17. Accept Monthly Reports from the following County Offices:
i. Floodplain Administration — July 2024
- H. Justice of the Peace #1— July 2024
iii. Justice of the Peace #2 — July 2024
18. Consider and take necessary action on any necessary budget adjustments. (RHM)
19. Approval of bills and payroll. (RHM)
eL
Ri and H. Meyer, Coun�Jud
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.calhouncotx.org under "Commissioners' Court Agenda' for any official court postings.
Page 2 of 2
# 04
NOTICE OF MEETING — 8/7/2d24
August 7, 2024
MEETING MINUTES
OF CALHOUN COUNTY COMMISSIONERS' COURT
MET IN A REGULAR MEETING AT 10:00 A.M. IN THE COMMISSIONERS'
COURTROOM IN THE COUNTY COURTHOUSE AT 211 S. ANN STREET
SUITE 104 PORT LAVACA, CALHOUN COUNTY, TEXAS.
THE FOLLOWING MEMBERS WERE PRESENT:
Richard Meyer
David Hall
Vern Lyssy
Joel Behrens
Gary Reese
(ABSENT) Anna Goodman
By: Kaddie Smith
The subject matter of such meeting is as follows:
1. Call meeting to order.
County Judge
Commissioner Pct 1
Commissioner Pct 2
Commissioner Pct 3
Commissioner Pct 4
County Clerk
Deputy Clerk
Meeting was called to order at 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.
Judge Meyer explained that it was National Purple Heart Day and there will be a
ceremony tonight at the VFW at 5:30pm
Page 1 of 16
# 05
NOTICE OF MEETING — 8/7/2024
5. Public Hearing concerning the adoption of an Order to Participate in the Texas Enterprise
Zone Program and to Nominate Union Carbide Corporation. (RHM)
Regular Session closed at 1002am`
Gabriel from Dow and Omar from Union Carbide introduced
themselves and Anne Marie Odefey explained the program.
Regular Session opened at 10:05am
Page 2 of 16
i PUBLIC HLAMNO -8/7/2p211
Richard H. Meyer
County judge
David Hall, Commissioner, Precinct I
Vern Lyssy, Commissioner, Precinct 2
Joel Behrens, Commissioner, Precinct 3
Gary Reese, Commissioner, Precinct 4
I II . III "1' ,
z The Commissioners' Court of Calhoun County, Texas will meet on Wednesday,
August 7, 2024 at 10:00 a.m. in the Commissioners' Courtroom in the County Courthouse,
211 S. Ann Street, Suite 104, Port Lavaca, Calhoun County, Texas.
NOTICE OF PUBLIC HEARING ON THE ADOPTION OF AN ORDER TO PARTICIPATE IN
THE TEXAS ENTERPRISE ZONE PROGRAM AND TO NOMINATE UNION CARBIDE
CORPORATION
NOTICE IS HEREBY GIVEN that the hearing will take place on August 7, 2024 at 10 a.m. at
the Commissioner's Court located at 211 South Ann Street, Suite 104, Port Lavaca, TX 77979.
All citizens and interested persons are encouraged to attend this hearing and present their views
to the Commissioner's Court.
The Calhoun Commissioner's Court will hold a public hearing and consider comments regarding
the adoption of an Order to participate in the Texas Enterprise Zone Program and to nominate
Union Carbide Corporation located at 7501 North State Highway 185 Port Lavaca, TX 77979, to
the Office of the Governor Economic Development and Tourism as aTexas Enterprise Project.
The hearing will include discussion of tax and/or other business incentives available in Calhoun
County.
FILED
AT I I `' O O'CLOCK I M
JUL 18 2024
CoutiTY CLERK N COUMY, TEXAS
oewiTM'
Z7�—
Richard H. Meyer, County Judge
Calhoun County, Texas
This public notice was posted on the official bulletin board of Calhoun County at 211 South Ann
Street, Port Lavaca, TX 77979 on , 2024 at (time).
Posted by: Application.
Page 1 of 2
PUBLICHEARING- 8/7/2024
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.calhouncotx.org under "Commissioners' Court Agenda' for any official court postings.
Page 2 of 2
N01lCF OF MEF..TING — S/7/2024
6. Consider and take necessary action to the Order to Participate in the Texas Enterprise
Zone Program and to Nominate Union Carbide Corporation. (RHM)
RESULT:
APPROVED [UNANIMOUS]
MOVER:
David Hall,Commissioner Pct 1
SECONDER:,
Vern Lyssy, Commissioner Pct 2
AYES:
Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese
Page 3 of 16
August 7, 2024
By my signature
following docum,
H. MEYER
211 S. Ann Street, Suite 301- Port Lavaca, Texas 77979
(361) 553-4600 - Email: richard.meyer@calhouncotx.org
County Judge
I certify the attached are true and correct duplicate copies of the
1. Letter dated July'22, 2024 to Ms. Adriana Cruz
2. Notice of Public Hearing that was posted at the Calhoun County Courthouse Bulletin
Board on July 18, 2024.
Sin y,
Richard Meyer
Calhoun County Judge
www.calhouncotx.org
RICHARD H. MEYER
Calhoun County judge
211 S. Ann Street, Suite 301 - Port Lavaca, Texas 77979
(361) 553-4600 - Fax (361) 553-4444 - Email: richard.meyer@calhouncotx.org
July 22, 2024
Ms. Adriana Cruz
Executive Director
Office of the Governor
Economic Development & Tourism
1100 San Jacinto Boulevard, 3rd Floor
Austin, Texas 78701
RE: Nomination of Union Carbide Corporation for Texas Enterprise Project Status
Dear Ms. Cruz:
Union Carbide Corporation requested a nomination from Calhoun County to the Texas Economic
Development Bank for consideration and designation as a Texas Enterprise Zone Project. The
following public notice concerning this public hearing will be published in the Port Lavaca Wave
newspaper and posted on the official bulletin board at the Calhoun County Bulletin on or before
July 31, 2024.
NOTICE OF PUBLIC HEARING ON THE ADOPTION OF AN ORDER ' TO
PARTICIPATE IN THE TEXAS ENTERPRISE ZONE PROGRAM AND TO NOMINATE
UNION CARBIDE CORPORATION
The Calhoun County Commissioner's Court will hold a public hearing and consider
comments regarding the adoption of an Order to participate in the Texas Enterprise Zone Program
and to nominate Union Carbide Corporation located at 7501 North State Highway 185 Port Lavaca,
TX 77979, to the Office of the Governor Economic Development and Tourism as a Texas
Enterprise Project. The hearing will include discussion of tax and/or other business incentives
available in Calhoun County.
The hearing will take place on August 07, 2024 at 10 a.m.at the Commissioner's Court
located at 211 South Ann Street, Suite 104, Port Lavaca, TX 77979. All citizens and interested
persons are encouraged to attend this hearing and present their views to the Commissioner's Court.
For additional information, please contact me at 361.553.4600.
Sine
Richard Meyer, v
County Judge
Calhoun County
www.calhouncotx.org
AN ORDER OF THE COMMISSIONER'S COURT OF CALHOUN
COUNTY, TEXAS, ORDAINING THE COUNTY'S PARTICIPATION IN
THE TEXAS ENTERPRISE ZONE ACT, CHAPTER 2303, TEXAS
GOVERNMENT CODE (THE "ACT"), IDENTIFYING AVAILABLE
TAX INCENTIVES, DESIGNATING A LIAISON FOR
COMMUNICATION WITH INTERESTED PARTIES, NOMINATING
UNION CARBIDE CORPORATION TO THE OFFICE OF THE
GOVERNOR, ECONOMIC DEVELOPMENT AND TOURISM ("EDT")
THROUGH THE ECONOMIC DEVELOPMENT BANK (THE "BANK")
AS AN ENTERPRISE PROJECT; AND PROVIDING AN EFFECTIVE
DATE.
WHEREAS, the Commissioner's Court of Calhoun County ("County") desires to create
the proper economic and social environment to induce the investment of private resources
in productive business enterprises located in severely distressed areas of the County and to
provide employment to residents of those areas; and
WHEREAS, the County finds that it is in full compliance with Chapter 2303, Texas
Government Code prior to nomination of an eligible business; and
WHEREAS, the Project or activity is located in the County's jurisdiction in an area
designated as an enterprise zone; and
WHEREAS, pursuant to Chapter 2303, Subchapter F of the Act, Union Carbide
Corporation has applied to the County for designation as an Enterprise Project; and
WHEREAS, the County finds that Union Carbide Corporation meets the criteria for tax
relief and other incentives adopted by the County on the grounds that it will be located at
the qualified business site, will create a higher level of employment, economic activity and
stability; and
WHEREAS, with proper notice to the public, a public hearing to consider this Order was
held by the Commissioner's Court of Calhoun County on August 7th 2024.
NOW THEREFORE, BE IT ORDAINED BY THE COMMISSIONER'S
COURT OF CALHOUN COUNTY, TEXAS:
status.
SECTION 1.
THAT the County nominates Union Carbide Corporation for Enterprise Project
Order No.
Page 1 of 5
SECTION 2.
THAT, as required by Section 2303.4051 (b) of the Act, the local incentives
identified and summarized in the attached Exhibit "A", at the election of the governing
body, may be made available to the nominated Project in Calhoun County.
SECTION 3.
THAT the enterprise zone areas within the County are reinvestment zones in
accordance with the Texas Tax Code, Chapter 312.
SECTION 4.
THAT the Calhoun County Commissioner's Court directs and designates the
County Judge, or his designee, as the County's liaison to communicate and negotiate with
the EDT through the Bank and Enterprise Project(s) and to oversee enterprise zone
activities and communications with qualified businesses and other entities in an enterprise
zone or affected by an Enterprise Project.
SECTION 5.
THAT, the County finds that Union Carbide Corporation meets the criteria for
designation as an Enterprise Project under Chapter 2303, Subchapter F of the Act on the
following grounds:
(a) Union Carbide Corporation is a "qualified business" under Section
2303.402 of the Act because it is engaged in the active conduct of a trade
or business at a qualified business site within the governing body's
jurisdiction, located inside an enterprise zone, and at least twenty-five
(25%) of its new employees at the qualified business site will be residents
of an enterprise zone, economically disadvantaged individuals, or veterans;
and
(b) There has been and will continue to be a high level of cooperation between
public, private, and neighborhood entities within the jurisdiction of the
County; and
(c) The designation of Union Carbide Corporation as an Enterprise Project will
contribute significantly to the achievement of the plans of the County for
development and revitalization of the area.
Order No.
Page 2 of 5
SECTION 6.
THAT the Enterprise Project shall take effect on the date of designation of the
enterprise project by EDT and terminate five (5) years after the date of designation.
SECTION 7.
THAT this Order shall take effect from and after its passage as the law and charter
in such case provides.
PASSED, APPROVED, AND ADOPTED BY THE COMMISIONER'S
COURT OF CALHOUN COUNTY, TEXAS on the 7th of August, 2024.
Calhoun County, Texas
r
By.
Richard Meyer, Con Ju e
Order No.
Page 3 of 5
Exhibit A
Name of Incentive
Description of Incentive
1
Local Sales Tax Refund
The County may allow sales and use tax refunds.
2
Tax Abatement
Property tax abatements available that exempt from taxation
a portion of the increased value in real property and fixed
personal property
3
Tax Increment Financing
Tax Increment Financing
4
Freeport Exemption
Exemptsgoods-in-transit from ad valorem taxes
5
Foreign Trade Zones
Allows delay of payment of U.S. Customs import duties
6
Chapter 380/381
Municipalities and counties are authorized to offer
incentives designed to promote economic development
7
Other Tax Deferrals, Tax
Other Tax Deferrals, Tax Refunds or Tax Incentives
Refunds or Tax
Incentives
8
Zoning
Zoning changes are available to residents
Changes/Variances
9
Building Code
Building code exemptions are available to residents
Exemptions
10
Impact/Inspection Fee
Impact/inspection fee exemptions are available to residents
Exemptions
11
Streamlined Permitting
County may allow permit applications and supporting
materials to be tendered to one department for distribution
to the appropriate County departments.
12
Improved Police and/or
Safety and protection of County residents is made a priority
Fire Protection
by improving our police and fire protection services
13
Community Crime
Safety and protection of County residents is made a priority
Prevention Programs
through local crime prevention programs
14
Special Public
Transportation options or reduced fares have been made
Transportation Routes or
available to the public
Reduced Fares
15
Capital Improvements in
The County may provide resources for a capital
Water and Sewer
improvement plan related to water and sewer service
Facilities
16
Road Repair
The County is responsible for maintaining and repairing
public streets and alleys inside County limits
17
Creation or
Maintain parks and promote healthy lifestyle for County
Improvements of Parks
residents
18
Low -Interest Loans for
Low -Interest loans for housing rehabilitation or new
Housing Rehabilitation
construction are available
Order No.
Page 4 of 5
or New Construction
19
Transfer Abandoned
Abandoned housing may be transferred to individuals or
Housing to Individuals
community ground
or Community Ground
20
Low -Interest Loans for
Low interest loads are available to businesses
Business
21
Use of Surplus School
Surplus school building may be used for incubators
Buildings for Incubators
22
Provision of Publicly
Publicly owned land may be provided for development
Owned Land for
purposes
Development Purposes
23
One -Stop Permitting,
One -stop permitting, problem resolution center or
Problem Resolution
ombudsmen
Center or Ombudsmen
24
Promotion and
Promotion and marketing services are offered
Marketing Services
25
Job Training and
Job training and employment skills programs are offered
Employment Skills
Programs
26
Vocation Education
Vocational education is offered
27
Customized Job Training
Customized.job training is offered
Order No.
Page 5 of 5
NOTICE OF MEETING -- 8/7/2024
7. Consider and take necessary action on approving the Interlocal Agreement between
Calhoun County E911 and Calhoun County for insurance coverage for E911. (DEH)
RESULT: APPROVED [UNANIMOUS]
MOVER: David Hall, Commissioner Pct 1
SECONDER:: Vern Lyssy, Commissioner Pct 2
AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese
Page 4 of 16
David E. Hall
Calhoun County Commissioner, Precinct 41
202 S. Ann
Port Lavaca, TX 77979
Honorable Richard Meyer
Calhoun County Judge
211 S. Ann
Port Lavaca, TX 77979
RE: AGENDA ITEM
Dear Judge Meyer,
(361)552-9242
Fax (361)553-8734
Please place the following item on the Commissioners' Court Agenda for August 7th, 2024.
• Consider and take necessary action on approving the Interlocal Agreement between
Calhoun County E911 and Calhoun County for insurance coverage for E911.
Sincer y
David . Hall
DEH/apt
GENERAL INTERLOCAL AGREEMENT
THE STATE OF TEXAS
COUNTY OF CALHOUN
This INTERLOCAL AGREEMENT (the "Agreement") is made pursuant to chapter 791
of the Texas Government Code (The Interlocal Cooperation Act) and is entered into by and
between CALHOUN COUNTY ("County"), acting by and through its governing body, the
Calhoun County Commissioners Court, and the CALHOUN COUNTY E911 EMERGENCY
COMMUNICATIONS DISTRICT, Texas ("E-911"), acting by and thought its governing body,
the Calhoun County E911 Emergency Communication District.
WITNESSETH
In consideration of the mutual covenants and agreements set forth in this Contract,
and other good and valuable consideration stated herein below, County and E-911 hereby
mutually agree as follows:
ARTICLE I.
PURPOSE
It is the purpose of this contract to improve and encourage the efficiency and effectiveness
of the County and E-911 by authorizing the fullest range of intergovernmental cooperation.
Specifically, the County is hereby contracting and agreeing with E-911 to provide
county health, dental and vision insurance to E-911 employees. E-911 agrees to reimburse
the County for the monthly premium. This includes the county paid portion as well as the
portion that is the employee's responsibility. The total amount to be paid to the county is
13 427.04 per employee for the year and as it increases from time to time. E-911
employees wishing to enroll in the County insurance policies shall abide by all rules and
procedures required of county employees regarding enrollment in the County health
insurance. This reimbursement shall be monetary or in -kind services between E-911 and
the County. The County must give prior written approval for in -kind reimbursement from
E-911.
ARTICLE II.
AUTHORITY
This Contract is entered into by the parties hereto, pursuant to the Texas
lnterlocal Cooperation Act, Section 791.002 of the Texas Government Code. The
authority for the legislation is set out in said Interlocal Cooperation Act.
This Contract shall be governed by and subject to the laws of the State of
Texas and, specifically, any of the terms and conditions of this Contact are subject to
and shall be construed in accordance with the construction of the Texas lnterlocal
Cooperation Act recited hereinabove.
ARTICLE Ill.
CONSIDERATION
In consideration for the County providing the governmental functions and
services as set out hereinabove, E-911 hereby agrees to pay the County the sum of
$13,427.04 per E-911 employee per year. This yearly sum is due on the anniversary date
of the execution of this Contract.
ARTICLE IV.
TERMS AND CONDITIONS
Unless mutually initiated, cancelled, or terminated earlier, with thirty (30) days written
notice, this Agreement shall commence on October 1, 2024. This Agreement shall expire at
midnight on September 30, 2025. This contract maybe extended for three (3) annual renewals
with the renewal fees and payments for each successive year.
Each party paying for the performance of governmental functions or services must
make those payments from current revenues.
2 of 4
ARTICLE V.
SEVERABILITY
If any provision of the Contract is held invalid, such invalidity shall not affect
other provisions or applications of the Contract which can be given effect without the
invalid provision or application, and to that end, the provisions of this Contract are
declared to be severable.
ARTICLE VI.
TERMINATION
If E-91 I defaults in the payment or any obligation in the Agreement, Calhoun County
is authorized to terminate this Agreement immediately without notice.
It is understood and agreed that either parry may terminate this Agreement prior to
the expiration of the terms set forth above, without cause, upon thirty (30) days prior written
notice to the other party.
ARTICLE VII.
NOTICE
Any notice required to be given under the provisions of this Agreement shall be in
writing and shall be served when it shall have been deposited, enclosed in a wrapper with
the proper postage thereon, and duly registered or certified, return -receipt requested, in a
Unites States Post Office, addressed to the parties at the following addresses:
To Calhoun County: Calhoun County
211 S. Ann Street, Suite 300
Port Lavaca, TX 77979
Attn: County Judge
To E-911: Calhoun County E911
Emergency Communications District
426 West Main Street, Suite B
Port Lavaca, Texas 77979
Either parry may designate a different address by giving the other party ten (10)
days written notice.
ARTICLE VIII.
PRIOR NEGOTIATIONS
The parties agree that this Agreement contains all of the terms and conditions of
the understanding of the parties relating to the subject hereof. All prior negotiations,
discussions, correspondence and preliminary understandings between the parties and
others relating hereto are superseded by this Agreement.
ARTICLE IX.
VENUE
Exclusive venue for any action arising out of or related to this Agreement shall be
in Calhoun County, Texas.
ARTICLE X.
MISCELLANEOUS PROVISIONS
This instrument constitutes the entire Agreement between the County and E-911
relating to the rights and obligations assumed. Any oral or written representations or
modifications concerning this instrument shall be of no force and effect excepting a
subsequent modification in writing signed by both parties. This Agreement may be executed
in duplicate counterparts, each having equal force and effect of an original. This Agreement
shall become binding and effective only after it has been authorized and approved by both
parties, as evidenced by the signature of the appropriate authority, pursuant to an order of the
Commissioners Court of the County and the council of E-911 authorizing such execution.
This Agreement supersedes any prior understandings or written or oral agreements
between the parties respecting the subject matter of this Contract.
No amendment, modifications, or alteration of the terms of this Contract shall be
binding unless it is in writing, dated subsequent to the date of this Contract, and duly executed
by the parties to this Contract.
If, as a result of a breach of this Contract by either party, the other party employs an
attorney or attorneys to enforce his rights under this Contract, then the defaulting party agrees
to pay the other parties' reasonable attorney's fees and costs incurred to enforce this Contract.
This Contract shall be binding upon and inure to the benefits of the parties hereto,
their respective heirs, executors, administrators, legal representatives, successors and assigns.
SIGNATURE PAGE TO FOLLOW
3 of 4
EXECUTED IN DUPLICATE ORIGINALS, retained by each party hereto.
Effective the %ay of--,u 9 k 2024.
CALH COUNTY, TEXAS E-91I
By: Richard H. Meyer, Coun u ge F--Ovales, Executive Director
IC
David,Hall, Commissioner, Precinct 1
Vern Lyssy, Commissioner, Precinct 2
4Jo ehrens, Commissioner, Precinct 3
Gar Re se, Commi ner, Precinct 4
ATTEST:
By: Anna Goodman, County Clerk,
Calhoun County, Texas
4 of 4
ATTEST:
By: Galen Johnson, Bo'ard Chairman
�d�2,r ✓+
By: oe Garcia Boa( ember
By: Joe eyes, Bo rd Member
By: JohK Warren, UQd Member
By: Dustin JXinj Board Member
By: David HalfjBoard Member
NOTICE OF MEETING-8/7/2024
8. Consider and take necessary action on acknowledging the increase of $240,000 in funds
in GLO Contract No. 20-065-064-C182 Amendment No. 5. (DEH)
RESULT: APPROVED [UNANIMOUS]
MOVER: David Hall, Commissioner Pct 1
SECONDER: Vern Lyssy, Commissioner Pct 2
AYES: Judge Meyer, CommissionerHall, Lyssy, Behrens, Reese
Page 5of16
David E. Hall
Calhoun County Commissioner, Precinct #1
202 S. Ann
Port Lavaca, TX 77979
Honorable Richard Meyer
Calhoun County Judge
2115. Ann
Port Lavaca, TX 77979
RE: AGENDA ITEM
Dear Judge Meyer,
(361)552-9242
Fax(361)553-8734
Please place the following item on the Commissioners' Court Agenda for August 7th, 2024.
• Consider and take necessary action on acknowledging the increase of $240,000.00 in
funds in GLO Contract No. 20-065-064-C182 Amendment No. 5.
Sincer
David . Hall
DEH/apt
DocuSign Envelope ID: 22DB9E3C-87E9-03F5.83E2-64BC6813AEC4
AMENDMENT No. 5 TO
GLO CONTRACT No. 20-065-064-C182
THE GENERAL LAND OFFICE (the "GLO") and CALHOUN COUNTY ("SUbrecipient"), each a
"Party" and collectively "the Parties" to GLO Contract No. 20-065-064-C182 (the "Contract'),
desire to amend the Contract.
WHEREAS, the Parties desire to extend the Contract term; and
WHEREAS, the Parties desire to revise the Revised Performance Statement, Budget, and
Benchmarks for Infrastructure Projects to accurately reflect all Project Activities, the addition of
grant funds to the Project Budget, and the redistribution of funds between Budget line items; and
WHEREAS, the Parties desire to revise the Revised General Affirmations to reflect updated terms;
NOW, THEREFORE, the Parties agree as follows:
i. SECTION 1.01(b) of the Contract is amended by adding funding in the amount of
$240,000.00 for a total amount not to exceed $6,176,548.00 for the duration of this Contract.
2. SECTION 3.01 of the Contract is amended to reflect a termination date of February 28, 2025.
3. ATTACHMENT A-1 to the Contract, Revised Performance Statement, Budget, and
Benchmarks for Infrastructure Projects, is deleted in its entirety and replaced with the
Revised Performance Statement, Budget, and Benchmarks for Infrastructure Projects,
attached hereto and incorporated herein in its entirety for all purposes as ATTACHMENT A-2.
4. ATTACHMENT C-1 to the Contract, Revised General Affirmations, is deleted in its entirety
and replaced with the Revised General Affirmations, attached hereto and incorporated
herein in its entirety for all purposes as ATTACHMENT C-2.
5. This Amendment shall be effective upon the earlier of the date of the last signature or
February 29, 2024.
6. The terms and conditions of the Contract not amended herein shall remain in force and effect.
SIGNATURE PAGE FOLLOWS
Amendment No.5
GLO Contract No. 20-065-064-CI82
Page i of i
DowSign Envelope ID: 22DB9E3G-B7E943F5.83E2.64BC6813AEC4
SIGNATURE PAGE FOR AMENDMENT No. 5 TO
GLO CONTRACT No. 20-065-064-C182
GENERAL LAND OFFICE
�ed by:
fl X'Tfh%ns, Chief Clerk
Date of execution: 2/29/2024
OGC _
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SDD
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ATTACHED TO THIS AMENDMENT:
CALHOUN COUNTY
M.Sipnad by:
KfIIAJ, KRAAL{"
Y?R:K4N a¢ka yer
Title: County Judge
Date of execution: 2/29/2024
ATTACHMENT A-2 Revised Performance Statement, Budget, and Benchmarks for
Infrastructure Projects
ATTACHMENT C-2 Revised General Affirmations
DocuSign Envelope ID: 22DB9E3C-B7E9.43F5-83E2-64BC8813AEC4 Attachment A-2
Amendment No.5
GLO Contract No. 20-065-064-C182
Page 1 of
CALHOUN COUNTY
20-065-064-C182
PERFORMANCE STATEMENT
Hurricane Harvey caused damage throughout Calhoun County (Subrecipient). Heavy rainfall and
high winds caused flooding and damage to homes, streets, and public facilities. Undersized
culverts and inadequate drainage facilities throughout the county prohibited stormwater from
draining effectively. This inundated the drainage system and threatened public health, safety, and
welfare. Subrecipient will conduct drainage and public facilities Infrastructure improvements to
facilitate proper stormwater conveyance to reduce the impact of future flooding and ensure
emergency response systems are fully operational during emergency situations.
Subrecipient shall perform the Activities identified herein for the target area specified in its
approved Texas Community Development Block Grant Disaster Recovery Supplemental Grant
Application to aid areas most impacted by Hurricane Harvey. The persons to benefit from the
Activities described herein must receive the prescribed service or benefit, and all eligibility
requirements must be met to fulfill contractual obligations.
The grant total is $6,176,548.00. Subrecipient will be required to maintain a detailed Budget
breakdown in the official system of record of the GLO's Community Development and
Revitalization division (GLO-CDR).
Flood and Drainage Facilities
Subrecipient shall install culverts and end treatments, excavate ditches, replace drainage pipes and
complete associated appurtenances. Construction shall take place at the following locations within
the county.
Flood and
Proposed
Drainage
Location
HUD
Census
Block
Facilities
Approximate Lat/Long
Performance
Tract
Group
Measures
Drainage Ditch
Upstream on SH-185 mid -
Channel ]
way between White Rd. and
Miles west of
Morales Road to 3.21 miles
18,600 LF
0005.00
2
Lane Road
to the south
28.399271,-96.622587
Intersection of Wittnebert
Rd. and Carabajal Rd. to
Drainage
approx. 2,300 LF southwest
2,400 LF
0005.00
2
Basin
of start point
28.403966,-96.618509
These Activities shall benefit one hundred eighty (180) persons. Of these persons, one hundred
fifteen (115), or sixty-three and eighty-nine hundredths percent (63.89%), are of low to
moderate income.
DocuSign Envelope ID:
Flood and Drainage Facilities
Attachment A-2
Amendment No. 5
GLO Contract No. 20-065-064-C182
Page 2 of 5
Subrecipient shall install storm sewer outfalls, culverts, and end treatments; excavate ditches; and
complete associated appurtenances. Construction shall take place at the following locations within
the county.
Flood and
Proposed
Location
HUD
Census
Block
Drainage
Facilities
Approximate Lat/Long
Performance
Tract
Group
Measures
Alamo Beach
Area between Cox Street
Drainage Area
and San Jacinto Street
11,000 LF
0004.00
1
28.570070,-96.566364
Alamo Beach
Area between San Jacinto
Drainage Area
Street and Fannin Street
11,000 LF
0004.00
I
2
28.572885,-96.567686
Alamo Beach
Area between Lee Street and
Drainage Area
E. Sunrise Street
2,975 LF
0004.00
1
3
28.575191,-96.566273
Alamo Beach
Area between Fannin Street
Drainage Area
and E. Skyview Avenue
7,200 LF
0004.00
1
4
28.576220,-96.568050
Alamo Beach
Area between E. Skyview
Drainage Area
Avenue and Sunset Avenue
8,700 LF
0004.00
1
5
28.578390,-96.568508
Alamo Beach
Area between E. Skyview
Drainage Area
Avenue and Travis Street
6,700 LF
0004.00
1
6
28.580839-96.569466
Alamo Beach
Area between W. Kruse
Drainage Area
Street to Carrigan Avenue
9,300 LF
0004.00
1
7
28.582579,-96.573338
These Activities shall benefit two thousand two hundred forty (2,240) persons. Of these
persons, one thousand two hundred sixty-five (1,265), or fifty-six and forty-seven hundredths
percent 56.470/o), are of low to moderate income.
REMAINDER OF PAGE INTENTIONALLY LEFT BLANK
DocuSign Envelope ID: 22DBgE3C-B7EO43F6-83E2.64BC6813AEC4 Attachment A-2
Amendment No. 5
GLO Contract No. 20-065-064-CI82
Page 3 of 5
Fire Protection Facilities and Equivment
Subrecipient shall demolish and dispose of the existing Magnolia Beach Fire Station, construct a
new fire station and new ADA-compliant parking lot, install a generator, and complete associated
appurtenances. Construction shall take place at the following locations within the county. The
environmental review and engineering were completed under this grant. Due to costs overrun, the
remainder of this project will be completed through a different funding source.
Proposed
Public
Location
HUD
Census
Block
Facilities
Approximate Lat/Long
Performance
Tract
Group
Measures
Magnolia
873 Margie Tewmey Road #1
One (1) Public
0002.00
2,4
Beach Fire
Port Lavaca, Texas
Facility
0004.00
1,2
Station
28.55982,-96.54321
These Activities shall benefit six thousand eight hundred ninety-five (6,895) persons. Of these
persons, three thousand five hundred thirty (3,530), or fifty-one and twenty hundredths percent
51.201/6), are of low to moderate income.
Parks. Playgrounds and Other Recreational Facilities
Subrecipient shall furnish and install covered picnic areas, new parking facilities, playground
equipment, lighted ADA-compliant 6-foot wide walking paths, rebuild a road bridge; remove and
replace 2 ADA-compliant fishing piers; and complete associated appurtenances. Construction
shall take place at the following location within the county.
Proposed
Public
Location
HUD
Census
Block
Facilities
Approximate Lat/Long
Performance
Tract
Group
Measures
Little
Locations throughout the Park
One (1) Public
0002.00
2,4
Chocolate
Bay Park
28 598288,-96.638933
Facility
0004.00
1
These Activities shall benefit five thousand two hundred eighty (5,280) persons. Of these
persons, two thousand eight hundred eighty-five (2,885), or fifty-four and sixty-four
hundredths percent 54.64% , are of low to moderate income.
REMAINDER OF PAGE INTENTIONALLY LEFT BLANK
DocuSign Envelope ID: 22DB9E3C-B7E9-43F5.83E2.64SC6813AEC4
Attachment A-2
Amendment No. 5
GLO Contract No. 20-065-064-Cl82
Page 4 of 5
Specially Authorized Public Facilities and Improvements
Subrecipient shall install a specialized repeater system at the county's Radio Towers, install
equipment at the command and control center, and complete associated appurtenances.
Construction shall take place at the following locations within the county.
Proposed
Public Facilities
Location
HUD
Census
Block
Approximate Lat/Long
Performance
Tract
Group
Measures
0001.00
1,2,3
Calhoun County
211 S. Ann Street
One (I) Public
0002.00
1,2,3,4
Courthouse
Port Lavaca, Texas
Facility
0003.00
1,2
Control Center
28.612818,-96.626118
0004.00
1,2,3,4
0005.00
1,2,3,4
0001.00
1,2,3
484 Airline Drive
0002.00
1,2,3,4
Port Lavaca Radio
Port Lavaca, Texas
One (1) Public
0003.00
1,2
Tower
Facility
28.59793,-96.64917
0004.00
1,2,3,4
0005.00
1,2,3,4
0001.00
1,2,3
3220 W. Harrison Avenue
0002.00
1,2,3,4
Port O'Connor
Port O'Connor Texas
One Public
0003.00
1,2
Radio Tower
Facility
a
28.43836, -96 44861
0004.00
1,2,3,4
0005.00
1,2,3,4
0001.00
1,2,3
Union Carbide
7501 SH 185 North
One Public
0002.00
1,2,3,4
Radio Tower
Seadrift Texas
a
Facicility
0003.00
1,2
28.415740,-96.713147
0004.00
1,2,3,4
0005.00
1,2,3,4
These Activities shall benefit twenty-one thousand four hundred five (21,405) persons. Of
these persons, eight thousand nine hundred ninety (8,990), or forty-two percent (42%), are of
low to moderate income. These Activities will meet the Urgent Need National Objective.
REMAINDER OF PAGE INTENTIONALLY LEFT BLANK
DowSign Envelope ID: 22DB9E3C-B7E9.43F5.83E2.64BC6813AEC4
BUDGET
Attachment A-2
Amendment No. 5
GLO Contract No. 20-06."64-C182
Page 5 of 5
HUD Activity Type
Grant Award .
` Other
•Funds .
Total
Rehabilitation/Reconstruction of Public improvements
$2,600,875.00
$0.00
$2,600,875.00
Rehabilitation/Reconstruction of Public Facilities -LMI
$1,992,330.50
$0.00
$1,992,330.50
Rehabilitation/Reconstruction of Public Facilities — UN
$1,583,342.50
$0.00
$1,583,342.50
; OTAL,„'.-$6,176,548:00`.
_. $0.00 '-
$6,176,548.0t1
MILESTONES
Not -To Exceed Draw_Percentages
- `.Milestones-
Construction
Engineering
Grant
Speciai
Environmental
Acquisition.
Funds
-` Funds
Administration
Environmental;
Funds
Funds
Funds •
.Funds
Project Kick -Off
Meeting and Start-up
15%
Documentation
Engineering
Contract Executed
30%
Environmental
Contract Executed
30%
100% Design
Approval
60%
Special
Environmental
100%
Report Approval
Authority to Use
Grant Funds
50%
100%
Acquisition Start
100%
Bid Advertisement
70%
60%
Construction Notice
to Proceed
85%
85%
85%
As -Built Plans/
COCC/FWCR
100%
100%
95%
Grant Completion
Report Approval
100%
DocuSign Envelope ID: 22DB9E3C-B7E943F5.83E2.64BC6813AEC4
Attachment C-2
Amendment No.5
GLO Contract No. 20-065-064-CI82
Page I of 9
GENFRAL AFFiRMAmNs
TO THE EXTENT APPLICABLE, Subrecipient affirms and agrees to the following, without exception:
l . Subrecipient represents and warrants that, in accordance with Section 2155.005 of the Texas
Government Code, neither Subrecipient nor the firm, corporation, partnership, or institution
represented by Subrecipient, or anyone acting for such a firm, corporation, partnership, or
institution has (1) violated any provision of the Texas Free Enterprise and Antitrust Act of
1983, Chapter 15 of the Texas Business and Commerce Code, or the federal antitrust laws, or
(2) communicated directly or indirectly the contents of this Contract or any solicitation
response upon which this Contract is based to any competitor or any other person engaged in
the same line of business as Subrecipient.*
2. Subrecipient shall not assign its rights under the Contract or delegate the performance of its
duties under the Contract without prior written approval from the GLO. Any attempted
assignment or delegation in violation of this provision is void and without effect. This
provision does not apply to subcontracting.
3. if the Contract is for services, Subrecipient shall comply with Section 2155.4441 of the
Texas Government Code, requiring the purchase of products and materials produced in the
State of Texas in performing service contracts, but for contracts subject to 2 CFR 200, only
to the extent such compliance is consistent with 2 CFR 200.319.
4. Under Section 231.006 of the Family Code, the vendor or applicant [Subrecipient] certifies
that the individual or business entity named in this Contract, bid or application is not
ineligible to receive the specified grant, loan, or payment and acknowledges that this
Contract may be terminated and payment may be withheld if this certification is inaccurate,
in addition to other remedies set out in Section 231.006(f) of the Family Code.*
5. A bid or an application for a contract, grant, or loan paid from state funds must include the
name and social security number of the individual or sole proprietor and each partner,
shareholder, or owner with an ownership interest of at least 25 percent of the business entity
submitting the bid or application. Subrecipient certifies it has submitted this information to
the GLO.*
6. if the Contract is for a "cloud computing service" as defined by Texas Government Code
Section 2157.007, then pursuant to Section 2054.0593(d)-(f) of the Texas Government Code,
relating to cloud computing state risk and authorization management program, Subrecipient
represents and warrants that it complies with the requirements of the state risk and
authorization management program and Subrecipient agrees that throughout the term of the
Contract it shall maintain its certifications and comply with the program requirements in the
performance of the Contract.
7. If the Contract is for the purchase or lease of computer equipment, as defined by Texas
Health and Safety Code Section 361.952(2), Subrecipient certifies that it is in compliance
with Subchapter Y, Chapter 361 of the Texas Health and Safety Code, related to the
Computer Equipment Recycling Program and the Texas Commission on Environmental
Quality rules in Title 30 Texas Administrative Code Chapter 328.
8. if the Contract authorizes Subrecipient to access, transmit, use, or store data for the GLO,
then in accordance with Section 2054.138 of the Texas Government Code, Subrecipient
certifies that it will comply with the security controls required under this Contract and will
' This section does not apply to a contract with a -governmental entity" as defined in Texas Government Code Chapter 2251.
�n�wwuunu nm
DocuSign Envelope ID: 22DB9E3C-B7E9.43F6.83E2-64BC6813AEC4
Attachment C-2
Amendment No. 5
GLO Contract No. 20-065-064-CI82
Page 2 of 9
maintain records and make them available to the GLO as evidence of Subrecipient's
compliance with the required controls.
Subrecipient represents and warrants that it has not given, offered to give, nor intends to
give at any time hereafter any economic opportunity, future employment, gift, loan,
gratuity, special discount, trip, favor, or service to a public servant in connection with the
Contract.
10. Subrecipient agrees that any payments due under the Contract shall be applied towards any
debt or delinquency that is owed by Subrecipient to the State of Texas.
11. Upon request of the GLO, Subrecipient shall provide copies of its most recent business
continuity and disaster recovery plans.
12. if the Contract is for consulting services governed by Texas Government Code Chapter 2254,
Subchapter B, in accordance with Section 2254.033 of the Texas Government Code, relating
to consulting services, Subrecipient certifies that it does not employ an individual who has
been employed by the GLO or another agency at any time during the two years preceding the
Subrecipient's submission of its offer to provide consulting services to the GLO or, in the
alternative Subrecipient, in its offer to provide consulting services to the GLO, disclosed the
following: (i) the nature of the previous employment with the GLO or other state agency; (ii)
the date the employment was terminated; and (iii) the annual rate of compensation for the
employment at the time of its termination.*
13. If the Contract is not for architecture, engineering, or construction services, then except as
otherwise provided by statute, rule, or regulation, Subrecipient must use the dispute
resolution process provided for in Chapter 2260 of the Texas Government Code to attempt to
resolve any dispute arising under the Contract. NOTHING IN THIS SECTION SHALL BE
CONSTRUED AS A WAIVER OF SOVEREIGN IMMUNITY BY THE GLO OR, 1F
APPLICABLE, OF GOVERNMENTAL IMMUNITY BY SUBRECIPIENT.
14. If the Contract is for architecture, engineering, or construction services, then subject to Texas
Government Code Section 2260.002 and Texas Civil Practice and Remedies Code Chapter
114, and except as otherwise provided by statute, rule, or regulation, Subrecipient shall use
the dispute resolution process provided for in Chapter 2260 of the Texas Government Code
to attempt to resolve all disputes arising under this Contract. Except as otherwise provided by
statute, rule, or regulation, in accordance with the Texas Civil Practice and Remedies Code,
Section 114.005, claims encompassed by Texas Government Code, Section 2260.002(3) and
Texas Civil Practice and Remedies Code Section 114.002 shall be governed by the dispute
resolution process set forth below in subsections (a)-(d). NOTHING IN THIS SECTION
SHALL BE CONSTRUED AS A WAIVER OF SOVEREIGN IMMUNITY BY THE GLO
OR, IF APPLICABLE, OF GOVERNMENTAL IMMUNITY BY SUBRECIPIENT.
a. Notwithstanding Texas Government Code, Chapter 2260.002(3) and Chapter 114.012
and any other statute or applicable law, if Subrecipient's claim for breach of contract
cannot be resolved by the Parties in the ordinary course of business, Subrecipient may
make a claim against the GLO for breach of contract and the GLO may assert a
counterclaim against Subrecipient as is contemplated by Texas Government Code,
Chapter 2260, Subchapter B. In such event, Subrecipient must provide written notice to
the GLO of a claim for breach of the Contract not later than the 180th day after the date
I This section does not apply to a contract with a "governmental entity" as defined in Texas Government Code Chapter 2251.
WO NARMO
DocuSign Envelope ID: 22DB9E3C-B7E9-43F5.83E2-64BC6813AEC4
Attachment C-2
Amendment No. 5
GLO Contract No. 20-065-064-Ci82
Page 3 of 9
of the event giving rise to the claim. The notice must state with particularity: (1) the
nature of the alleged breach; (2) the amount Subrecipient seeks as damages; and (3) the
legal theory of recovery.
b. The chief administrative officer, or if designated in the Contract, another officer of the
GLO, shall examine the claim and any counterclaim and negotiate with Subrecipient in
an effort to resolve them. The negotiation must begin no later than the 120th day after the
date the claim is received, as is contemplated by Texas Government Code, Chapter 2260,
Section 2260.052.
c. If the negotiation under paragraph (b) above results in the resolution of some disputed
issues by agreement or in a settlement, the Parties shall reduce the agreement or
settlement to writing and each Patty shall sign the agreement or settlement. A partial
settlement or resolution of a claim does not waive a Party's rights under this Contract as
to the parts of the claim that are not resolved.
d. If a claim is not entirely resolved under paragraph (b) above, on or before the 270th day
after the date the claim is filed with the GLO, unless the Parties agree in writing to an
extension of time, the Parties may agree to mediate a claim made under this dispute
resolution procedure. This dispute resolution procedure is Subrecipient's sole and
exclusive process for seeking a remedy for an alleged breach of contract by the GLO if
the Parties are unable to resolve their disputes as described in this section.
e. Nothing in the Contract shall be construed as a waiver of the state's or the GLO's
sovereign immunity, or, if applicable, the governmental immunity of Subrecipient. This
Contract shall not constitute or be construed as a waiver of any of the privileges, rights,
defenses, remedies, or immunities available to the State of Texas or Subrecipient. The
failure to enforce, or any delay in the enforcement, of any privileges, rights, defenses,
remedies, or immunities available to the State of Texas or, if applicable, of Subrecipient
under this Contract or under applicable law shall not constitute a waiver of such
privileges, rights, defenses, remedies or immunities or be considered as a basis for
estoppel. The GLO does not waive any privileges, rights, defenses, or immunities
available to it by entering into this Contract or by its conduct, or by the conduct of any
representative of the GLO, prior to or subsequent to entering into this Contract.
Subrecipient does not waive any privileges, rights, defenses, or immunities available to it
by entering into this Contract or by its conduct, or by the conduct of any representative of
the GLO, prior to or subsequent to entering into this Contract.
f. Except as otherwise provided by statute, rule, or regulation, compliance with the dispute
resolution process provided for in Texas Government Code, Chapter 2260, subchapter B
and incorporated by reference in subsection (a)-(d) above is a condition precedent to the
Subrecipient: (1) filing suit pursuant to Chapter 114 of the Civil Practices and Remedies
Code; or (2) initiating a contested case hearing pursuant to Subchapter C of Chapter 2260
of the Texas Government Code.
15. If Chapter 2271 of the Texas Government Code applies to this Contract, Subrecipient verifies
that it does not boycott Israel and will not boycott Israel during the term of the Contract.*
16. This Contract is contingent upon the continued availability of lawful appropriations by the
Texas Legislature. Subrecipient understands that all obligations of the GLO under this
* This section does not apply to a contract with a "governmental entity" as defined in Texas Government Code Chapter 2251.
mm112uwnnma
DocuSign Envelope to: 22DB9E3C-B7E943F5-83E2-64BC6B13AEC4
Attachment C-2
Amendment No. 5
GLO Contract No. 20-065-064-C182
Page 4 of 9
Contract are subject to the availability of funds. If such funds are not appropriated or become
unavailable, the GLO may terminate the Contract. The Contract shall not be construed as
creating a debt on behalf of the GLO in violation of Article III, Section 49a of the Texas
Constitution.
17. Subrecipient certifies that it is not listed in the prohibited vendors list authorized by
Executive Order 13224, "Blocking Property and Prohibiting Transactions with Persons Who
Commit, Threaten to Commit, or Support Terrorism", published by the United States
Department of the Treasury, Office of Foreign Assets Control.
18. In accordance with Section 669.003 of the Texas Government Code, relating to contracting
with the executive head of state agency, Subrecipient certifies that it is not (1) the executive
head of the GLO, (2) a person who at any time during the four years before the effective date
of the Contract was the executive head of the GLO, or (3) a person who employs a current or
former executive head of the GLO.
19. Subrecipient represents and warrants that all statements and information prepared and
submitted in connection with this Contract are current, complete, true, and accurate.
Submitting a false statement or making a material misrepresentation during the performance
of this Contract is a material breach of contract and may void the Contract or be grounds for
its termination.
20. Pursuant to Section 2155.004(a) of the Texas Government Code, Subrecipient certifies that
neither Subrecipient nor any person or entity represented by Subrecipient has received
compensation from the GLO to participate in the preparation of the specifications or
solicitation on which this Contract is based. Under Section 2155.004(b) of the Texas
Government Code, Subrecipient certifies that the individual or business entity named in this
Contract is not ineligible to receive the specified Contract and acknowledges that the
Contract may be terminated and payment withheld if this certification is inaccurate. This
Section does not prohibit Subrecipient from providing free technical assistance.*
21. Subrecipient represents and warrants that it is not engaged in business with Iran, Sudan, or a
foreign terrorist organization, as prohibited by Section 2252.152 of the Texas Government
Code.*
22. In accordance with Section 2252.901 of the Texas Government Code, for the categories of
contracts listed in that section, Subrecipient represents and warrants that none of its
employees including, but not limited to, those authorized to provide services under the
contract, were employees of the GLO during the twelve (12) month period immediately prior
to the date of execution of the contract. Solely for professional services contracts as
described by Chapter 2254 of the Texas Government Code, Subrecipient further represents
and warrants that if a former employee of the GLO was employed by Subrecipient within one
year of the employee's leaving the GLO, then such employee will not perform services on
projects with Subrecipient that the employee worked on while employed by the GLO.*
23. The Contract shall be governed by and construed in accordance with the laws of the State of
Texas, without regard to the conflicts of law provisions. The venue of any suit arising under
the Contract is fixed in any court of competent jurisdiction of Travis County, Texas, unless
the specific venue is otherwise identified in a statute which directly names or otherwise
identifies its applicability to any Party.
* This section does not apply to a contract with a "governmental entity" as defined in Texas Government Code Chapter 2251.
n111111.WNII
DocuSign Envelope ID: 22DB9E3C-B7E9 43F5-83E2.648C6813AEC4
Attachment C-2
Amendment No. 5
GLO Contract No. 20-065-064-C182
Page 5 of 9
24.IF THE CONTRACT IS NOT FOR ARCHITECTURE OR ENGINEERING SERVICES
GOVERNED BY TEXAS GOVERNMENT CODE CHAPTER 2254, SUBRECIPIENT, TO
THE EXTENT ALLOWED BY LAW, SHALL DEFEND, INDEMNIFY AND HOLD
HARMLESS THE STATE OF TEXAS AND THE GLO, AND/OR THEIR OFFICERS,
AGENTS, EMPLOYEES, REPRESENTATIVES, CONTRACTORS, ASSIGNEES,
AND/OR DESIGNEES FROM ANY AND ALL LIABILITY, ACTIONS, CLAIMS,
DEMANDS, OR SUITS, AND ALL RELATED COSTS, ATTORNEY FEES, AND
EXPENSES ARISING OUT OF, OR RESULTING FROM ANY ACTS OR OMISSIONS
OF SUBRECIPIENT OR ITS AGENTS, EMPLOYEES, SUBCONTRACTORS, ORDER
FULFILLERS, OR SUPPLIERS OF SUBCONTRACTORS IN THE EXECUTION OR
PERFORMANCE OF THE CONTRACT AND ANY PURCHASE ORDERS ISSUED
UNDER THE CONTRACT. THE DEFENSE SHALL BE COORDINATED BY
SUBRECIPIENT WITH THE OFFICE OF THE TEXAS ATTORNEY GENERAL WHEN
TEXAS STATE AGENCIES ARE NAMED DEFENDANTS IN ANY LAWSUIT AND
SUBRECIPIENT MAY NOT AGREE TO ANY SETTLEMENT WITHOUT FIRST
OBTAINING THE CONCURRENCE FROM THE OFFICE OF THE TEXAS ATTORNEY
GENERAL. SUBRECIPIENT AND THE GLO SHALL FURNISH TIMELY WRITTEN
NOTICE TO EACH OTHER OF ANY SUCH CLAIM.*
25.IF THE CONTRACT IS FOR ARCHITECTURE OR ENGINEERING SERVICES
GOVERNED BY TEXAS GOVERNMENT CODE CHAPTER 2254, SUBRECIPIENT, TO
THE EXTENT ALLOWED BY LAW, SHALL INDEMNIFY AND HOLD HARMLESS
THE STATE OF TEXAS AND THE GLO, AND/OR THEIR OFFICERS, AGENTS,
EMPLOYEES, REPRESENTATIVES, CONTRACTORS, ASSIGNEES, AND/OR
DESIGNEES FROM ANY AND ALL LIABILITY, ACTIONS, CLAIMS, DEMANDS, OR
SUITS, AND ALL RELATED DAMAGES, COSTS, ATTORNEY FEES, AND
EXPENSES TO THE EXTENT CAUSED BY, ARISING OUT OF, OR RESULTING
FROM ANY ACTS OF NEGLIGENCE, INTENTIONAL TORTS, WILLFUL
MISCONDUCT, PERSONAL INJURY OR DAMAGE TO PROPERTY, AND/OR
OTHERWISE RELATED TO SUBRECIPIENT'S PERFORMANCE, AND/OR FAILURES
TO PAY A SUBCONTRACTOR OR SUPPLIER BY THE SUBRECIPIENT OR ITS
AGENTS, EMPLOYEES, SUBCONTRACTORS, ORDER FULFILLERS,
CONSULTANTS UNDER CONTRACT TO SUBRECIPIENT, OR ANY OTHER ENTITY
OVER WHICH SUBRECIPIENT EXERCISES CONTROL, OR SUPPLIERS OF
SUBCONTRACTORS IN THE EXECUTION OR PERFORMANCE OF THE
CONTRACT. THE DEFENSE SHALL BE COORDINATED BY SUBRECIPIENT WITH
THE OFFICE OF THE TEXAS ATTORNEY GENERAL WHEN TEXAS STATE
AGENCIES ARE NAMED DEFENDANTS IN ANY LAWSUIT AND SUBRECIPIENT
MAY NOT AGREE TO ANY SETTLEMENT WITHOUT FIRST OBTAINING THE
CONCURRENCE FROM THE OFFICE OF THE TEXAS ATTORNEY GENERAL.
SUBRECIPIENT AND THE GLO SHALL FURNISH TIMELY WRITTEN NOTICE TO
EACH OTHER OF ANY SUCH CLAIM.*
26. TO THE EXTENT ALLOWED BY LAW, SUBRECIPIENT SHALL DEFEND,
INDEMNIFY, AND HOLD HARMLESS THE GLO AND THE STATE OF TEXAS FROM
AND AGAINST ANY AND ALL CLAIMS, VIOLATIONS, MISAPPROPRIATIONS OR
INFRINGEMENT OF ANY PATENT, TRADEMARK, COPYRIGHT, TRADE SECRET
OR OTHER INTELLECTUAL PROPERTY RIGHTS AND/OR OTHER INTANGIBLE
* This section does not apply to a contract with a "governmental entity' as defined in Texas Government Code Chapter 2251.
III.0IN.1 M11
DocuSign Envelope ID: 22DB9E3C-B7E943F5-83E2-64BC6813AEC4
Attachment C-2
Amendment No. 5
GLO Contract No. 20-065-064-C182
Page 6 of 9
PROPERTY, PUBLICITY OR PRIVACY RIGHTS, AND/OR IN CONNECTION WITH
OR ARISING FROM: (1) THE PERFORMANCE OR ACTIONS OF SUBRECIPIENT
PURSUANT TO THIS CONTRACT; (2) ANY DELIVERABLE, WORK PRODUCT,
CONFIGURED SERVICE OR OTHER SERVICE PROVIDED HEREUNDER; AND/OR
(3) THE GLO'S AND/OR SUBRECIPIENT'S USE OF OR ACQUISITION OF ANY
REQUESTED SERVICES OR OTHER ITEMS PROVIDED TO THE GLO BY
SUBRECIPIENT OR OTHERWISE TO WHICH THE GLO HAS ACCESS AS A RESULT
OF SUBRECIPIENT'S PERFORMANCE UNDER THE CONTRACT. SUBRECIPIENT
AND THE GLO SHALL FURNISH TIMELY WRITTEN NOTICE TO EACH OTHER OF
ANY SUCH CLAIM. SUBRECIPIENT SHALL BE LIABLE TO PAY ALL COSTS OF
DEFENSE, INCLUDING ATTORNEYS' FEES. THE DEFENSE SHALL BE
COORDINATED BY SUBRECIPIENT WITH THE OFFICE OF THE TEXAS
ATTORNEY GENERAL (OAG) WHEN TEXAS STATE AGENCIES ARE NAMED
DEFENDANTS IN ANY LAWSUIT AND SUBRECIPIENT MAY NOT AGREE TO ANY
SETTLEMENT WITHOUT FIRST OBTAINING THE CONCURRENCE FROM OAG. IN
ADDITION, SUBRECIPIENT WILL REIMBURSE THE GLO AND THE STATE OF
TEXAS FOR ANY CLAIMS, DAMAGES, COSTS, EXPENSES OR OTHER AMOUNTS,
INCLUDING, BUT NOT LIMITED TO, ATTORNEYS' FEES AND COURT COSTS,
ARISING FROM ANY SUCH CLAIM, IF THE GLO DETERMINES THAT A CONFLICT
EXISTS BETWEEN ITS INTERESTS AND THOSE OF SUBRECIPIENT OR IF THE
GLO IS REQUIRED BY APPLICABLE LAW TO SELECT SEPARATE COUNSEL, THE
GLO WILL BE PERMITTED TO SELECT SEPARATE COUNSEL AND
SUBRECIPIENT WILL PAY ALL REASONABLE COSTS OF THE GLO'S COUNSEL.*
27. Subrecipient has disclosed in writing to the GLO all existing or known potential conflicts of
interest relative to the performance of the Contract.
28. Sections 2155.006 and 2261.053 of the Texas Government Code prohibit state agencies from
accepting a solicitation response or awarding a contract that includes proposed financial
participation by a person who, in the past five years, has been convicted of violating a federal
law or assessed a penalty in connection with a contract involving relief for Hurricane Rita,
Hurricane Katrina, or any other disaster, as defined by Section 418.004 of the Texas
Government Code, occurring after September 24, 2005. Under Sections 2155.006 and
2261.053 of the Texas Government Code, Subrecipient certifies that the individual or
business entity named in this Contract is not ineligible to receive the specified Contract and
acknowledges that this Contract may be terminated and payment withheld if this certification
is inaccurate.*
29. The person executing this Contract certifies that he/she is duly authorized to execute this
Contract on his/her own behalf or on behalf of Subrecipient and legally empowered to
contractually bind Subrecipient to the terms and conditions of the Contract and related
documents.
30. If the Contract is for architectural or engineering services, pursuant to Section 2254.0031 of
the Texas Government Code, which incorporates by reference Section 271.904(d) of the
Texas Local Government Code, Subrecipient shall perform services (1) with professional
skill and care ordinarily provided by competent engineers or architects practicing under the
same or similar circumstances and professional license, and (2) as expeditiously as is prudent
considering the ordinary professional skill and care of a competent engineer or architect.*
* This section does not apply to a contract with a "governmental entity" as defined in Texas Government Code Chapter 2251.
nluv:nNAn Ala
DocuSign Envelope to: 22DB9E3C-87E9-43F5-83E2-64BC6813AEC4
Attachment C-2
Amendment No. 5
GLO Contract No. 20-065-064-CI82
Page 7 of 9
31. The state auditor may conduct an audit or investigation of any entity receiving funds from the
state directly under the Contract or indirectly through a subcontract under the Contract. The
acceptance of funds directly under the Contract or indirectly through a subcontract under the
Contract acts as acceptance of the authority of the state auditor, under the direction of the
legislative audit committee, to conduct an audit or investigation in connection with those
funds. Under the direction of the legislative audit committee, an entity that is the subject of
an audit or investigation by the state auditor must provide the state auditor with access to any
information the state auditor considers relevant to the investigation or audit. Subrecipient
shall ensure that this paragraph concerning the authority to audit funds received indirectly by
subcontractors through the Contract and the requirement to cooperate is included in any
subcontract it awards. The GLO may unilaterally amend the Contract to comply with any
rules and procedures of the state auditor in the implementation and enforcement of Section
2262.154 of the Texas Government Code.
32. Subrecipient certifies that neither it nor its principals are debarred, suspended, proposed for
debarment, declared ineligible, or otherwise excluded from participation in the Contract by
any state or federal agency.
33. If the Contract is for the purchase or lease of covered television equipment, as defined by
Section 361.97](3) of the Texas Health and Safety Code, Subrecipient certifies its
compliance with Subchapter Z, Chapter 361 of the Texas Health and Safety Code, related to
the Television Equipment Recycling Program.
34. Pursuant to Section 572.069 of the Texas Government Code, Subrecipient certifies it has not
employed and will not employ a former state officer or employee who participated in a
procurement or contract negotiations for the GLO involving Subrecipient within two (2)
years after the date that the contract is signed or the procurement is terminated or withdrawn.
This certification only applies to former state officers or employees whose state service or
employment ceased on or after September 1, 2015.
35. The GLO shall post this Contract to the GLO's website. Subrecipient understands that the
GLO will comply with the Texas Public Information Act (Texas Government Code Chapter
552, the "PIA"), as interpreted by judicial rulings and opinions of the Attorney General of the
State of Texas (the "Attorney General"). Information, documentation, and other material in
connection with this Contract may be subject to public disclosure pursuant to the PIA. In
accordance with Section 2252.907 of the Texas Government Code, Subrecipient is required
to make any information created or exchanged with the GLO or the State of Texas pursuant
to the Contract, and not otherwise excepted fi•om disclosure under the PIA, available to the
GLO in portable document file (".pdf') format or any other format agreed upon between the
Parties that is accessible by the public at no additional charge to the GLO or the State of
Texas. By failing to mark any information that Subrecipient believes to be excepted from
disclosure as "confidential" or a "trade secret," Subrecipient waives any and all claims it may
make against the GLO for releasing such information without prior notice to Subrecipient.
The Attorney General will ultimately determine whether any information may be withheld
from release under the PTA. Subrecipient shall notify the GLO's Office of General Counsel
within twenty-four (24) hours of receipt of any third -party written requests for information
and forward a copy of said written requests to PIALegal@glo.texas.gov. If a request for
information was not written, Subrecipient shall forward the third parry's contact information
to the above -designated e-mail address.
n This section does not apply to a contract with a "governmental entity" as defined in Texas Government Code Chapter 2251.
um>:minnnm
DocuSign Envelope ID: 22DB9E3C.B7E9.43F5-83E2-64BC8913AEC4
Attachment C-2
Amendment No. 5
GLO Contract No. 20-065-064-C782
Page g of 9
36. The GLO does not tolerate any type of fraud. GLO policy promotes consistent, legal, and
ethical organizational behavior by assigning responsibilities and providing guidelines to
enforce controls. Any violations of law, agency policies, or standards of ethical conduct will
be investigated, and appropriate actions will be taken. Subrecipient must report any possible
fraud, waste, or abuse that occurs in connection with the Contract to the GLO in the manner
prescribed by the GLO's website, htto://glo.texas.gov.
37. If Subrecipient, in its performance of the Contract, has access to a state computer system or
database, Subrecipient must complete a cybersecurity training program certified under Texas
Government Code Section 2054.519, as selected by the GLO. Subrecipient must complete
the cybersecurity training program during the initial term of the Contract and during any
renewal period. Subrecipient must verify in writing to the GLO its completion of the
cybersecurity training program.
38. Under Section 2155.0061, Texas Government Code, Subrecipient certifies that the entity
named in this Contract is not ineligible to receive the specified Contract and acknowledges
that this Contract may be terminated and payment withheld if this certification is inaccurate.*
39. Subrecipient certifies that it does not require its customers to provide any documentation
certifying the customer's COVID-19 vaccination or post -transmission recovery on entry to,
to gain access to, or to receive service from Subrecipient's business. Subrecipient
acknowledges that such a vaccine or recovery requirement would make Subrecipient
ineligible for a state -funded contract.
40. Pursuant to Government Code Section 2275.0102, Subrecipient certifies that neither it nor its
parent company, nor any affiliate of Subrecipient or its parent company, is: (1) majority
owned or controlled by citizens or governmental entities of China, Iran, North Korea, Russia,
or any other country designated by the Governor under Government Code Section
2275.0103, or (2) headquartered in any of those countries.*
41. If Subrecipient is required to make a verification pursuant to Section 2276.002 of the Texas
Government Code, Subrecipient verifies that Subrecipient does not boycott energy
companies and will not boycott energy companies during the term of the Contract. If
Subrecipient does not make that verification, Subrecipient must notify the GLO and state
why the verification is not required.*
42. If Subrecipient is required to make a verification pursuant to Section 2274.002 of the Texas
Government Code, Subrecipient verifies that it (1) does not have a practice, policy, guidance,
or directive that discriminates against a "firearm entity" or "firearm trade association" as
those terms are defined in Texas Government Code section 2274.001 and (2) will not
discriminate during the term of the Contract against a firearm entity or firearm trade
association. If Subrecipient does not make that verification, Subrecipient must notify the
GLO and state why the verification is not required.*
43.If Subrecipient is a "professional sports team" as defined by Texas Occupations Code
Section 2004.002, Subrecipient will play the United States national anthem at the beginning
of each team sporting event held at Subrecipient's home venue or other venue controlled by
Subrecipient for the event. Failure to comply with this obligation constitutes a default of this
Contract, and immediately subjects Subrecipient to the penalties for default, such as
repayment of money received or ineligibility for additional money. In addition, Subrecipient
* This section does not apply to a contract with a "governmental entity" as defined in Texas Government Code Chapter 2251.
11110acN.vxma
DocuSign Envelope ID: 22DB9E3C-B7E943F5.83E2-64BC6813AEC4
Attachment C-2
Amendment No. 5
GLO Contract No. 20-065-064-CI82
Page 9 or 9
may be debarred from contracting with the State. The GLO or the Attorney General may
strictly enforce this provision.*
44. To the extent Section 552.371 of the Texas Government Code applies to Subrecipient and the
Contract, in accordance with Section 552.372 of the Texas Government Code, Subrecipient
must (a) preserve all contracting information related to the Contract in accordance with the
records retention requirements applicable to the GLO for the duration of the Contract, (b) no
later than the tenth business day after the date of the GLO's request, provide to the GLO any
contracting information related to the Contract that is in Subrecipient's custody or
possession, and (c) on termination or expiration of the Contract, either (i) provide to the GLO
at no cost all contracting information related to the Contract that is in Subrecipient's custody
or possession or (ii) preserve the contracting information related to the Contract in
accordance with the records retention requirements applicable to the GLO. Except as
provided by Section 552.374(c) of the Texas Government Code, the requirements of
Subchapter J, Chapter 552, Government Code, may apply to the Contract and Subrecipient
agrees that the Contract may be terminated if Subrecipient knowingly or intentionally fails to
comply with a requirement of that subchapter.*
45. If the Contract is for consulting services governed by Chapter 2254 of the Texas Government
Code, Subrecipient, upon completion of the Contract, must give the GLO a compilation, in a
digital medium agreed to by the Parties, of all documents, films, recordings, or reports
Subrecipient compiled in connection with its performance under the Contract.*
46.If subject to 2 CFR 200.216, Subrecipient shall not obligate or expend funding provided
under this Contract to: (a) procure or obtain; (b) extend or renew a contract to procure or
obtain; or (c) enter into a contract to procure or obtain equipment, services, or systems that
uses covered telecommunications equipment or services, as defined in Public Law 115-232,
Section 889, as a substantial or essential component of any system, or as critical technology
as part of any system.
47. To the extent Texas Government Code Chapter 2252, Subchapter G applies to the Contract,
any iron or steel product Subrecipient uses in in its performance of the Contract that is
produced through a manufacturing process, as defined in Section 2252.201(2) of the Texas
Government Code, must be produced in the United States.
. This section does not apply to a contract with a "governmental entity" as defined in Texas Government Code Chapter 2251.
amvnnurznm
# 09
NOTICE OF MEETING; — 8/7/2024
9. Consider and take necessary action to award the contract to the most responsible and
responsive bidder of Fun Abounds, Inc. and to negotiate profit and achieve a final
contract price not to exceed to bid proposal of $733,795.95 for Bid No. 2024.08 -
Infrastructure at Little Chocolate Bayou County Park Playground Improvements Phase 2
for Calhoun County, Texas — Texas General Land Office Contract No. 20-065-064-C182
and Calhoun County 2020 CDBG-DR Contract Work Order No. E-1. (DEH)
Pass
Page 6 of 16
Debbie Vicke
From: David.Hall@calhouncotx.org (David Hall) <David.Hall@calhouncotx.org>
Sent: Wednesday, July 31, 2024 2:24 PM
To: Debbie.Vickery@calhouncotx.org; richard.meyer@calhouncotx.org
Subject: FW: Recommendation of Award and Agenda Item Request - LCB Park Playground Phase
Attachments: ROA - LCB Playground Phase 2 Bid No. 2024.08 - 073124.pdf; 2024.08 Bid Opening
Table 070224.pdf; 2024.08 Bid Itemized Table 070224.pdf, 2024.08 Bid Analysis Table 1 -
073124.pdf, 2024.08 Bid Analysis Table 2 - 073124.pdf
Importance:
High
From: smason@gwengineers.com <smason@gwengineers.com>
Sent: Wednesday, July 31, 2024 2:20 PM
To: David.Hall@calhouncotx.org
Cc: Tadonna Thigpen' <ladonna.thigpen@calhouncotx.org>; angela.torres@calhouncotx.org; 'Katy Sellers' <katy@ksbr-
Ilc.com>;'Veronica Pauda' <veronica@ksbr-llc.com>; candice.villarreal@calhouncotx.org;'demi.cabrera'
<demi.cabrera@calhouncotx.org>;'Arnold Hayden' <Arnold.Hayden@calhouncotx.org>;'Sara Rodriguez'
<Sa ra. Rodriguez @ ca l ho u ncotx.o rg>
Subject: Recommendation of Award and Agenda Item Request - LCB Park Playground Phase 2
Importance: High
CAUTION: This email originated from outside of the organization. Do not click links or open attachments unless
you recognize the sender and know the content is safe.
David,
Please see the attached letter of recommendation and bid tables.
We are also recommending and requesting and agenda item be placed on court to the tune of:
Consider and take necessary action to award the contract to the most responsible and responsive bidder of
Fun Abounds, Inc. and to negotiate profit and achieve a final contract price not to exceed to bid proposal of
$733,795.95 for Bid No. 2024.08 - Infrastructure at Little Chocolate Bayou County Park Playground
Improvements Phase 2 for Calhoun County, Texas —Texas General Land Office Contract No. 20-065-
064-C182 and Calhoun County 2020 CDBG-DR Contract Work Order No. E-1
Excited to hopefully move forward on this project.
Scoff P. Maw , P.E.
Lead Project Engineer
G&W Engineers, Inc.
G&WENGINEERS, INC.
206 W. Live Oak • Port Lavaca, TX 77979 • p: (361)552-4509 • f: (361)552-4987
TBPE Firm Registration No. F04188
July 31, 2024
Honorable Richard H. Meyer, County Judge
Calhoun County Courthouse
211 S. Ann St., 31 Floor, Suite 301
Port Lavaca, TX 77979
RE: LETTER OF RECOMMENDATION
Bid No. 2024.08 — Infrastructure at Little Chocolate Bayou County Park Playground
Improvement Phase 2 Project - GLO Contract No. 20-065-064-C182 for Calhoun Co., Tx
Dear Honorable Judge & County Commissioners,
Bids for construction of the above referenced project were received at the County Judge's office until
2:00 p.m., Tuesday, July 2, 2024, at which time Bids were publicly opened and read aloud.
The enclosed Bid Opening Table and Bid Itemized Table indicate there were a total of four (4)
responsive bidders submitting bids and one (1) non -responsive bidder.
A detailed and thorough analysis of the responsive bids was performed by G&W Engineers, Inc. and
KSBR, LLC on behalf of the County. We only analyzed documents as submitted. Special attention and
analysis were given to review the bids based on the following parameters:
• Responsive and Responsible proposals
• Best Value (Cost Analysis of Amenities, Playground Size, Capacity)
• Accessibility and Inclusive Items
• Use of minority and women owned businesses (if certification included in submittal)
• Percentages of Contract to be used towards the actual playground equipment as compared to
costs towards ancillary items
Therefore, after careful analysis, we recommend that the Construction Contract be awarded to Fun
Abounds, Inc. This bidder proved to be the most responsible and responsive bid by offering over 65%
of their costs towards the playground equipment. They also included the greatest number of requested
amenity items. They plan to use minority/women owned firms. Overall, Fun Abounds represents the
greatest value to the County.
If the County concurs with this recommendation, and upon your direction, we will prepare a
Construction Contract package immediately and deliver it to Fun Abounds, Inc. We also recommend
the County consider 2 CFR 200.324 (b) and authorize the Judge to negotiate to achieve a fair and
Engineering Consulting Planning Surveying
G&WENGINEERS,INC.
206 W. Live Oak • Port Lavaca, TX 77979 • p: (361)662-4609 • f: (361)662-4987
TBPE Firm Registration No. F04188
reasonable profit when determining the final contract price. The contract price will not exceed the
analyzed bid cost price of $733,975.75
Please call me @ (361) 552-4509 if you have any questions.
Sincerely,
Scott P. Mason, P.E.
G & W Engineers, Inc.
Enclosures: Bid Opening & Bid Analysis and Bid Itemized Tables
cc: Katy Sellers, KSBR-LLC
file 5310.011e
Engineering Architecture Planning Surveying
G & W Engineers, Inc. BID OPENING TABLE Date: July 2, 2024
205 W. Live Oak Time: 2:00 p.m.
Port Lavaca, TX 77979
Bid No. 2024.08 — Infrastructure at Little Chocolate Bayou County Park Playground Improvement Phase 2 Project
-GLO Contract No. 20-065-064-C182 for Calhoun County, Texas
Bidders
Bid
Bond
Acknowledges
Addendum No.
1
Acknowledges
Addendum No.
2
Calendar
Dens
Total Base Bid
Kraftsman, LP dba Kraftsman Commercial
Playgrounds and Water Parks
Yes
Yes
Yes
No Days
Written
$698,860.69
Playground Solutions of Texas, Inc.
Yes
Yes
Yes
100
Written Amt. $699,935.13
Actual Amt. $699,885.63
The Playwell Group
Non -Responsive Bid
Park Place Recreation Designs
Yes
Yes
Yes
150
$699,653.50
fun abounds, Inc. - Payton Palmer -Newton
Yes
Yes
Yes
150
$733,795.95
Page 1 5310.011e
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#10
I NOTICE OF MEETING — 8/7/2024
10. Consider and take necessary action allowing Precinct 1, 2, 3 and 4 commissioners to apply
for a line of credit through Crossroads Tire Service, Tire Pros and authorize all appropriate
signatures. (DEH)
RESULT: APPROVED [UNANIMOUS]
MOVER: Gary Reese, Commissioner Pet 4
SECONDER: Joel Behrens, Commissioner Pct 3
AYES: Judge Meyer, Commissioner'Hall, Lyssy, Behrens, Reese'
Page 7 of 16
David E. Hall
Calhoun County Commissioner, Precinct #1
202 S. Ann
Port Lavaca, TX 77979
Honorable Richard Meyer
Calhoun County Judge
211 S. Ann
Port Lavaca, TX 77979
RE: AGENDA ITEM
Dear Judge Meyer,
(361)552-9242
Fax(361)553-8734
Please place the following item on the Commissioners' Court Agenda for August 7th, 2024.
Consider and take necessary action allowing Precinct 1, 2, 3, and 4 commissioners to apply
for a line of credit through Crossroads Tire Service, Tire Pros and authorize all appropriate
signatures.
DEH/apt
IM ROSAPPLICATIONFOR CREDIT 361827 7694
361 894 8705
Company Name Applicants Name
Mailing Address
Shipping Address
Phone Number
Fax Number -
Type of Business Years in Business
Circle One: Proprietorship Partnership Corporation Other
Federal I.D. # or Social Security If
BANKING, FINANCIAL INFORMATION
Name Account Number Officers Name Telephone
CREDIT REFERENCES
Name City, State Telephone Fax
Have you ever filed bankruptcy or had legal collection action taken against you? Yes or No
Read Carefully Before Signing: I/We certify the foregoing information has been supplied truthfully, accurately and voluntarily and therefore
authorize Crossroads Tire Service to investigate my/our credit worthiness, credit history and financial responsibility through any credit bureau or
by any other reasonable means, including direct contact with past and present creditors.
I/We understand that payment terms are NET 30 and I/we agree to make payment promptly in accordance with terms.
It is fully understood by the applicant and each maker, surety or endorser here on this application that each jointly and severally waives grace,
demand, presentment, notice, protect and consents that time of payment may or not be extended without notice. The credit applicant herein
indicated fully agrees to pay all interest or finance charges (not to exceed 9.9%annually) asstipulated on the invoice. It is specifically agreed
and stipulated that if this matter consisting of unpaid charges supported by invoice and accrued interest charges Is placed in the hands of an
attorney or any other parry for collection, or collected through suit, probate or bankruptcy proceedings we joint and severally agree to pay any
and all reasonable fees, attorney's fees and all costs as may be awarded in addition to the principle and Interest due at the time of collection of
payment or said principle and interest in full.
n-:.j as--- Au*!% rW uA T'itin
nato
iAo55ROp�
CREDIT CHECK AUTHORIZATION
Consent for Individual Credit Record Check
I, hereby consent to a release of information regarding my credit
history to CROSSROADS TIRE SERVICE LLC. This consent expires 12 months after date signed.
Name (printed)
Date of Birth
Social Security/Account Number
Home Mailing Address (Include city, state and zip code)
Maiden Name (if applicable)
Other Names Used
Facility Name
Signature
7
Date signed .
Consent for Business Credit Record Check
I, an authorized representative for the business
identified below, hereby consent to a release of credit history regarding this business to
CROSSROADS TIRE SERVICE LLC. This consent expires 12 months after date signed.
Name of Business
Business-Mailing.Address-_
Other Names (dba's) Used by this Business
Name of Authorized Representative
Title of Representative
Signature
Date Signed
One form must be completed for each business with an ownership interest of 10% or more in the applicant.
A Credit Record Check consent form is required for each individual and each organization which hold 10%
or more interest in either the business or the management service (operator). Photocopy additional forms as
needed. Credit records kept confidential unless disclosure is court -ordered.
EMAIL: crossroadstiresllc@gmail.com
NOTICF OF MEETING -- 8/7/2024
11. Consider and take necessary action for approving payment for additional work performed
by Infiniti Communications for the installation of a fiber/copper trunk hand -hole and
attach to an existing underground cable entry conduit at the adult detention center in the
amount of $8,950.00 and the final payment to Infiniti Communications for the previously
awarded Combined Dispatch Cable installation contract in the amount of $59,922.00.
(DEH)
RESULT: APPROVED [UNANIMOUS]
MOVER:" Vern Lyssy, Commissioner Pct 2
SECONDER: Joel Behrens, Commissioner Pct 3
AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese
Page 8 of 16
David E. Hall
Calhoun County Commissioner, Precinct #1
202 S. Ann
Port Lavaca, TX 77979
Honorable Richard Meyer
Calhoun County Judge
211 S. Ann
Port Lavaca, TX 77979
RE: AGENDA ITEM
Dear Judge Meyer,
(361)552-9242
Fax(361)553-8734
Please place the following item on the Commissioners' Court Agenda for August 7th, 2024.
Consider and take necessary action on Consider and take necessary action for approving
payment for additional work performed by Infiniti Communications for the installation of a
fiber/copper trunk hand -hole and attach to an existing underground cable entry conduit at the
adult detention center in the amount of $8,950.00 and the final payment to Infiniti
Communications for the previously awarded Combined Dispatch Cable Installation contract in
the amount of $59,922.00
Sincer ly
David . Hall
DEH/apt
j, Infaniri
Communications
Technologies
Infiniti Communications Technologies Inc. Tel. 361-576-1153
302 Kerh Blvd www.vcscompanies.com
Victoria, TX 77904
Calhoun County
Attn: Ron Reger
Calhoun County Information Technology
117 W Ash St
Port Lavaca TX 77979
PLEASE PAY BY t ® . INVOICE DATE
08/14/2024 vo e
07/15/2024
INVOICE NO. 272949 - FINAL INVOICE
Order No.:
Contract Awarded to ICT
Site:
New Combined Dispatch Bldg.
Site Contact:
Salesperson:
Les Richter
Additional Customer -Requested Work (New Handhole) - PROJECT: Network Cabling & Component Installation
TDB-25P24-AL-8 Copper Cable - Multi-pr./OSP/25pr•
_ _
600:00
0ENA1/NS
C-25 BET 25pr. -110 In/Out w/Cover
C-2
2.00
U64830BA36-P `Hand Hole Base 24X36X24 w/ Lid
- --
00 -
— Misc.freight, installation supplies & hardware, etc.)
1.00
251159 Solid State Protection Module with PTC, 5 PIN, 75V
- —
_
50.00
Labor
20.00 hrs
Labor
j
20.00 hrs
Labor _
20.00 hrs
Sub -Total ex Tax
Tax j
Total;
Claim Amount (100.00%) I
Claim Remaining (0.00%) 1�_
$8,950.00
$0.00;
_ $ ,950.00"
$8,950.00:
$0.00 I
Remit To Address: Sub -Total ex Tax $8,950.00
Infiniti Communications Technologies, Inc. Tax $0.00
302 Kerh Blvd. Total Inc Tax $8,950.00
Victoria, TX 77904 Amount Applied $0.00
Balance Due $8,950.00
Page 1/2
Infiniti Communications Technologies Inc. Tel. 361-576-1153
hInfiniti 302 Kerh Blvd www.vcscompanies.com
Communications Victoria, TX 77904
Technologies
PLEASE PAY BY a INVOICE DATE
0811412024 0711512024
INVOICE NO.272949 - FINAL INVOICE
Additional Customer -Requested Work (New
Handhole) -PROJECT: Network Cabling & $8,950.00 ; 100.00 j $8,950.00' 100.00$8,950.00
Page 212
I,., Infrniti
Communications
Ct�a Technologies
Infiniti Communications Technologies Inc. Tel. 361-576-1153
302 Kerh Blvd www.vcscompanies.com
Victoria, TX 77904
Calhoun County
Attn: Ron Reger
Calhoun County Information Technology
117 W Ash St
Port Lavaca TX 77979
INVOICE DATE
0AYBY 7/15/20240PLEAS4108/124
7.,
INVOICE NO. 272061 - PROGRESS INVOICE NO. 1
Order No.:
Contract Awarded to ICT
Site:
New Combined Dispatch Bldg.
Site Contact:
Salesperson:
Les Richter
PROJECT: Network Cabling & Component Installation (Fiber & Copper)
6P4P24-.., Cat 6 Cable - Plenum/Blue/250MHz
15000.00
nn nn
L_V-492RU-HF_OT; (Horizontal Wire Manager (2RU)
3.00
69586-U48
f Patch Panel - Cat 6/48-port (Leviton)
3.00
10250-712
j Ladder Tray (12" x Tx 10)
i 5.00
10595-712
Rack Mounting Plate -12"
11421-712
Wall -Angle Support Bracket -12"
4.00__
35521-703 __
Vertical Wire Manager - 84" x 6"
3.00
55053-703
Equipment Rack - FM/7'xl9'/2-post BLACK
2.00
40153-012
MTGB (Main Telecommunications Ground Buss Bar)
1.00____'
10610-019
_
Equipment Rack Ground Bar Assembly
1.00
AT1601-BU
Cat 6 Patch Cable - Blue/1 ft.
90.00
AT1610-BU _
, Patch Cable - Cat 6/1 Oft./Blue
I 90.00 J
CCH-01 U
RM FO Enclosure -1 U
e nn-- .
- FAN-BT25-12 _ Buffer Tube Fan -out Kit -12-strand
i
2.00
95-200-99-Z FO Connector (SM/LC)
_ _
1.00
283GR 1000 Innerduct - 373-CeiVDetectable
1000 _
_
300.00
Columbia Electric - 3" PVC Conduit(3" EMT Conduit - Associated Fittings
Walk -behind Trencher w/Trailer - Daily Rate
2.00
Misc. (P&P Bond {est.))
i 1.00
Misc. (FO consumables, fuel, freight, installation supplies & hardware, etc.)
1 1.00
Page 1/3
Infiniti Communications Technologies Inc. Tel. 361-576-1153
11 Infiniti 302 Kerh Blvd www.vcscompanies.com
Communications Victoria, TX 77904
Technologies
PLEASE PAY BY 1!. _ �� ,a INVOICE DATE
08/14/2024 ;£ ^ 07/15/2024
INVOICE NO.272061 - PROGRESS INVOICE NO. 1
PROJECT: Network Cabling & Component Installation (Fiber & Copper)
Technician - Level I
Sub -Total ex Tax
Tax
Total
Claim Amount (100.00%)
Claim Remaining (0.00%)
hrs
Remit To Address: Sub -Total ex Tax $59,922.00
Infiniti Communications Technologies, Inc. Tax $0.00
302 Kerh Blvd. Total Inc Tax $59,922.00
Victoria, TX 77904 Amount Applied $0.00
Balance Due $59,922.00
Page 213
Infiniti
Communications
Technologies
P
Orders
& Component
Handhole) - PROJECT: Network Cabling &
Infiniti Communications Technologies Inc. Tel. 361-576-1153
302 Kerh Blvd www.vcscompanies.com
Victoria, TX 77904
PLEASE PAY BY Mee
NVOICE DATE08/14/2024 j 07/15/2024
INVOICE NO. 272061 - PROGRESS INVOICE NO. 1
$59,922.00 1 100.00 j $59,922.00 j 100.00 $59,922.00
$59,922.001100.001 $59,922.00 100.00I sso.g22.00
$8,950.00! 0.001 $0.00 j 0.00 1 $0.00
0.00
Page 313
#12
I NOI ICE OF MEETING-8/7/2024
12. Consider and take necessary action on approving and authorizing the IT Coordinator Ron
Reger to purchase 4 CAD workstations and 1 Fire Server from Dell Technologies in the
amount of $10,056.55 using the Tribal Consistency Fund. (DEH)
Commissioner Hall explained there was a typo on the agena item
and it should read 'File Server instead of Fire Server.
RESULT: APPROVED [UNANIMOUS]
MOVER: David Hall, Commissioner Pct 1
SECONDER: Joel Behrens, Commissioner Pct 3
AYES:. Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese
Page 9 of 16
David E. Hall
Calhoun County Commissioner, Precinct #1
202 S. Ann
Port Lavaca, TX 77979
Honorable Richard Meyer
Calhoun County Judge
211 S. Ann
Port Lavaca, TX 77979
RE: AGENDA ITEM
Dear Judge Meyer,
(361)552-9242
Fax(361)553-8734
Please place the following item on the Commissioners' Court Agenda for August 7th, 2024.
• Consider and take necessary action on approving and authorizing the IT Coordionator Ron
Reger to purchase of 4 CAD workstations and 1 File Server from Dell Technologies in the amount
of $10,056.55 using the Tribal Consistency Fund
Sincer
David . Hall
DEH/apt
DDGLLTechnologies
A quote for your consideration.
To retrieve this eQuote online, log in to your Dell Premier Page and search for
your eQuote number under ".Quotes" in the top menu bar.
Quote No.:
3000179538670
Total (USD):
$10,056.55
eQuote Name:
Communications Department
eQuote Creator:
ron.reger@calhouncotx.org
Quoted On:
Jul. 31, 2024
Expires By:
Aug. 30, 2024
Company Name:
Customer Number:
Premier Page Name: CALHOUN COUNTY, TEXAS -(EMC)
Authorized Buyer: sarah.hall@calhouncotx.org
Contract Name:
Contract Code:
Customer Agreement Number:
Billing Address:
Pricing Summary
1. New OptiPlex Micro
Premier discount
2. PowerEdge R260 Tailor Made
Premier discount
Texas Department of Information Resources (TX DIR)
C000000O06841
TX DIR-TSO-3763
Qty Unit Price Discounted Subtotal
Unit Price
4 $2,248.90
$1,056.98
$4,227.92
- $1,191.92
1 $13,495.72
$5,062.18
$5,062.18
- $8,433.54
Subtotal:
$9,290.10
Shipping:
$0.00
Estimated Tax:
$766.45
Total (USD): $10,056.55
Shipping Address:
Calhoun County IT
Reger Ron
117 W Ash St
Port Lavaca, TX 77979-2912
Shipping Method:
FREE Standard Delivery
Product Details
1.
City
New OptiPlex Micro
(210-BKXK) 4
Order Code: s012do702Omffusr
Unit Price
$1,056.98
Subtotal
$4,227.92
Module
Description
Product Code
SKU
city
OptiPlexMicro
GY210ZN
1
Form Factor
OptiPlex Micro Form Factor 7020
210-BKXK
(7020)
Processor
Intel® CoreTM IS 14500T vPro® (24MB cache, 14 cores, 20 threads, up to 4.8 GHz)
GCHQ1_8W
338-CNCP
i
Operating System
Windows 11 Pro, English, Brazilian Portuguese, French, Spanish
G010VWE
619-ARSB
1
Microsoft
GW397SC
1
Application
Microsoft Office Professional 2021
630-ABMF
Software
Memory
16 GB:1 x16 GB, DDR5
GKM62V1
370-BBPX
1
Hard Drive
M.2 2230 512GB PCIe NVMe SSD Class 35
GGSK3R9
400-BQSB,773-
1
BBBC
Additional Hard
G780XKR
1
Drive
No Additional Hard Drive
q01-AANH
Chassis Options
OpllPlex Micro with 35W CPU
GHC48FL
329-BJWL
1
Power Cord
Power Cord (US) for 180W Adapter
GiS6LHJ
450-AAZN
1
Wireless
Intel@ Wi-Ft 6E AX211, 2x2, 802.1 tax, BluetoothO wireless card, internal antenna
G9DT0IU
555-BHDU,555-
1
BHDV
Wireless Driver
Wireless Driver, Intel AX211
G4HT6MY
555-BKJP
1
Serial Port
No PCIe add -in -card
GVEYOQ7
492-BBFF
1
Adapter ,
Additional Video
USB Type-C Module with DP Alt Mode and Power Delivery
GUBIL7W
382-BBLP
1
Ports
Keyboard
Dell Multimedia Wired Keyboard - KB216 Black- US English
GZDPBCt
580-ADJC
1
Mouse
Dell Optical Mouse -MS116(Black)
GWDQT30
570-ABIE
1
Back Cover
No Cable Cover
GDT2C7Z
325-BCZQ
1
External Speakers
No External Speaker
GTNM7E2
817-BBBC
1
Software Stack
Dell Additional Software
G71ROOM
634-CHFP
1
Operating System
OS -Windows Media Not Included
GLA90Q1
620-AALW
1
Recovery Options
ENERGY STAR
ENERGY STAR Qualified
G6J34SM
387-BBLW
1
Documentation
Safety/Environment and Regulatory Guide (English/French Multi -language)
G7RBOGY
340-AGIK
1
System Monitoring
Watch Dog SRV
GU1 BEH4
379-BFMR
1
Options
Placemat
QSG 7020 MFF
GX1_A3PK
340-DMHG
1
EAN/UPC Labels
Print on Demand Label
GLBM3TR
389-BDQH
1
TPM Security
Trusted Platform Module (Discrete TPM Enabled)
GJMDKT6
329-BBJL
1
Shipping Material Shipping Material
Label
Low:FSJ Reg label for 90W adaptor
Intel
Responsiveness
IRST Driver
Technologies
Processor Label
Intel® Core"" 5 Processor Label
Transportation
from ODM to
DT BTS/BTP Shipment
region
Protect your new
PC
No anti -virus software
Power Supply
90 Watt A/C Adapter
Windows AutoPilotNo AuloPilot
Adapter
No Additional Cable
Stands and
Mounts
No Stand or Mount
FGA Module
MIFFS-1 H25_012D/US/BTS
EPEAT 2018
EPEAT 2018 Registered (Gold)
Speakers
Internal Speaker
TAA
No Federal Order
Systems
Management
No Out -of -Band Systems Management
CPS
Intel® Connectivity Performance Suite
Micro
Mounting Option
No Stand or Mount
Dell
Sewices:Hardware3Y Basic Onsite Service after remote diagnosis with Hardware -Only Support
Services
PowerEdge R26O Tailor Made
2. (210-BLVL)
ofimmmoof Order Code: pe_r260_tm
GQKNZ4O
340-CQYN,389- 1
BBUU
GCMZQA4
389-FGFB 1
GN9A4HD
658-BFSV
G2HQMXF
340-CUEW 1
GL091MP
800-BBIP
GD4K19S
1
650-AAAM
GAQ9RF8
450-ALFO i
GYEO2AP
340-CKSZ 1
GIX0L8M
379-BBCY 1
GJO5ZSE
1
575-BBBI
FG0020
998-GSCK 1
GBUBCHM
379-BDZB 1
G870O1E
520-BBFQ 1
GUSAI9Y
340-ACQQ 1
GAKYM2B
1
631-BBQD
G671LVC
640-BBSX 1
GJO5ZSE
1
575-BBBI.
NBD3
803-8583,803-8590
Qty Unit Price
Subtotal
1 $5,062.18
$5,062.18
Module
Description
Base
PowerEdge R260 Server
Trusted Platform
Module
Trusted Platform Module 2.0 V3
Chassis
Configuration
2.5" Chassis with up to 6 Hot Plug Drives and Cabled PSU (SAS/SATA), 1 CPU
Processor
Intele Xeon® E-2414 2.6G, 4C/4T, 12M Cache, Turbo, HT (55W) DDR5
Processor Thermal
Configuration
Heatsink
Memory
rtormance Optimized
Performance Type
Memory DIMM
Type and Speed
5600MT/s UDIMMs
Memory Capacity
(2) 16GB UDIMM, 5600MT/s ECC
RAID
Configuration
C5, RAID 10 for HDDs or SSDs in pairs (Matching Type/Speed/Capacity)
RAID/Intemal
Storage
PERC H355 Adapter LP
Controllers
Hard Drives (4) 480GB SSD SATA Read Intensive 6Gbps 512 2.5in Hot -plug AG Drive, 1 DWPD
Product Code
SKU
City
G23GAUB
210-BLVL
1
GGXIVDO
1
461-AAIG
GIHG4J9
1
470-BCGC
G02QSEG
338-CMQW
1
GXT81WO
1
412-BBHK
GH9QBEI
1
370-AAIP
GEFXZH3
1
370-BCBM
G038K7A
370-BBZG
2
GCEXLO1
1
780-BCDQ
GAD20O1
1
405-ABCU
G3ZJMOK
400-AXTV
4
BIOS and
GJ0594B
1
Advanced System
Performance BIOS Setting
384-BBBL
Configuration
Settings
Advanced System
GSFTG4Y
1
UEFI BIOS Boot Mode with GPT Partition
800-BBDM
Configurations
Advanced System
G91ONL3
1
Configurations
No Energy Star
387-BBEY
Fans
No additional Fan
GN209WT
384-BDQS
i
Power Supply
Single, Cabled Power Supply, 450W, Platinum
GYR97XU
450-AJGV
1
(2) NEMA 5-15P to C13 Wall Plug, 125 Volt, 15 AMP, 10 Feet (3m), Power Cord, North
G749Q3L
2
Power Cords
50-AALV
4
America
PCIe Riser
Riser Config 1, Gen4 Riser
GMCOXID
330-BCRX
1
erEdge R260 Motherboard with Broadcom 5720 Dual Port 1Gb On -Board LOM,
GS6VHD8
1
Motherboard
MX
329-BKGC
Bezel
PowerEdge I Standard Bezel
G7K3AEF
325-BFQZ,350-
1
BCXZ
Boot Optimized
G6V317C
1
Storage Cards
No BOSS
780-BCZL
Operating System
Windows Server 2022.Standerd,16CORE,FI,No Med,No CAL, Multi Language
GNYOLDG
634-BYJY
1
Windows Server 2022 Standard,16CORE,DF Recovery Image, Multi Lang, (Downgrade
GSUNFAX
1
OS Media Kits
not included)
528-CSCP
Licenses
Windows Server 2022 Standard Edition, Add License,16CORE,NO MEDIA/KEY
GHGW9DP
634-BYJV
1
Client Access
GWPJ06M
1
10-pack of Windows Server 2022/2019 Device CALs (Standard or Datacenter)
634-BYKC
Licenses
Embedded
G6XGHNV
1
Systems
iDRAC9, Express 16G
634-CCNS
Management
Password
iDRAC,Factory Generated Password, No OMQR
G61PYE9
379-BCRG
1
IDRAC Service
GX95LG2
1
iDRAC Service Module (ISM), NOT Installed
379-BCOX
Modul
Module
Group Manager
IDRAC Group Manager, Disabled
GTVA94K
379-BCQY
1
Rack Rails
11-1/21.1 2/4-Post Static Rails
GR4J9DT
770-BBHI
1
System
GVRYSM7
1
No Systems Documentation, No OpenManage DVD Kit
631-AACK
Documentation
Shipping
PowerEdge R260 Shipping
GCKBZMV
340-DMNB
1
Shipping Material
PowerEdge R260 Shipping Material
GOHB18S
340-DMMZ
1
Regulatory
PowerEdge R260 CCC Marking, No CE Marking
G07JM40
389-FHXJ
1
Services:
1 Year Basic Hardware Warranty Repair 5X10 HW-Only 5x10 Next Business Day
G5UFP9S
1
Hardware Support
Onsite-Disci SINS
710-7671,710-7675
Deployment
NOINSTL
1
Services
No Installation
900-9997
Need Help?
ep We're here to answer any of your Order Support questions. Contact Us.
CONNECT WITH DELL: 11 X IM
Terms of Sale
This Quote will, if Customer issues a purchase order for the quoted Items that is accepted by Supplier, constitute a contact between the entity Issuing this Quote ('Supplier) and the
entity to whom this Quote was Issued ("Customer). Unless otherwise stated herein, pricing is valid for thirty days from the date of this Quote. All product, pricing and other
information is based on the latest Information available and is subject to change. Supplier reserves the right to cancel this Quote and Customer purchase orders arising from pricing
eroa. Taxes and/or freight charges listed on this Quote are only estimates. The final amounts shall be stated on the relevant Invoice. Additional freight charges will be applied If
Customer requests expedited shipping. Please indicate any tax exemption status on your purchase order and send your tax exemption certificate to Tax_Deparlment@dell.com or
ARSalesTaxigIemocom, as applicable.
Governing Terms: This Quote is subject to: (a) a separate written agreement between Customer or Customers affiliate and Supplier or a Supplier's affiliate to the extent that it
expressly applies to the products and/or services In this Quote or, to the extent there is no such agreement, to the applicable set of Deirs Terms of Sale (available at
waw.dell.coMlerms or wenvAell.comfuemterms), or for clourims-aService offerings, the applicable cloud terms of service (identified on the Offer Specific Terms referenced below)
and (b) the terms referenced herein (collectively. the "Governing Terms'). Different Governing Terms may apply to different products and services on this Quote. The Governing
Terms apply to the exclusion of all terms and conditions incorporated in or referred to in any documentation submitted by Customer to Supplier.
Supplier Software Licenses and Services Descriptions: Customers use of any Supplier software is subject to the license terms accompanying the software, or in the absence of
accompanying terms, the applicable terms posted on wermDell.comleula Descriptions and terms for Supplier4mande i standard services are staled at
www.dell.com/serviceconiracts/global or for certain infrastructure products at www.dellemc.comlenas/customer ervices/product-warrentyand-servisedescdptions.hbn.
OfferSpecilic, Third Party and Program Specific Terms: Customers use of third -party software is subject to me license terms Met accompany the software. Certain Supplier -
branded and third -parry products and services listed on this Quote are subject to additional, specific terms stated on wwwdell.com/offeringspedficlerms (`Offer Specific Terms').
In case of Resale only: Should Customer procure any products or services for resale, whether on standalone basis or as pad of a solution, Customer shall include the applicable
software license terms, services terms, and/or affer-spedfc terms in a written agreement with the end -user and provide written evidence of doing so upon receipt of request from
Supplier.
In seen of Financing only: If Customer intends to enter into a financing arrangement ("Financing Agreement") for the products and/or services on this Quote with Dell Financial
Services LLC or other funding source pre -approved by Supplier ("FS"), Customer may issue its purchase order to Supplier or to FS. If issued to FS, Supplier will fulfill and invoice FS
upon confirmation that: (a) FS Intends W enter into a Financing Agreement with Customer for this order, and (b) FS agrees to procure these Items from Supplier. Notwithstanding the
Financing Agreement, Customers use (and Customers resale of and the end -users use) of these items in the order is subject to the applicable goveming agreement between
Customer and Supplier, except that fine shall transfer from Supplier to FS instead of to Customer. If FS notifies Supplier after shipment that Customer is no longer pursuing a
Financing Agreement for these items, or if Customer hits to enter into such Financing Agreement within 12D days after shipment by Supplier, Customer shall pramplly pay the
Supplier invoice amounts directly to Supplier.
Customer represents that this transaction does not Involve: (a) use of U.S. Government funds: (Id use by or resale to the U.S. Government; or (c) maintenance and support ofthe
product(s) listed in this document within classified spaces. Customer further represents that this transaction does not require Suppliers compliance with any statute, regulation or
information technology standard applicable to a U.S. Government procurement.
For certain products shipped to end users in California, a Stale Environmental Fee will be applied to Customers invoice. Supplier encourages customers to dispose of electronic
equipment pmpedy.
Electronically linked terms and descriptions are available in hard copy upon request.
Dell Marketing LP. U.S. only. Dell Marketing LP. is [mated at One Dell Way, Mail Stop 8129, Round Rock, TX 78682
#13
NOTICE OF MEE-DING - 8/7/2024
13. Consider and take necessary action on offering ancillary products to Calhoun County
District Attorney and the Calhoun County E-911 District. (DEH)
Motion was withdrawn and Judge suggested to table the item.
Page 10 of 16
David E. Hall
Calhoun County Commissioner, Precinct #1
202 S. Ann
Port Lavaca, TX 77979
Honorable Richard Meyer
Calhoun County Judge
211 S. Ann
Port Lavaca, TX 77979
RE: AGENDA ITEM
Dear Judge Meyer,
(361)552-9242
Fax(361)553-8734
Please place the following item on the Commissioners' Court Agenda for August 7th, 2024.
Consider and take necessary action on offering ancillary products to Calhoun County District
Attorney and the Calhoun County E-911 District
Sincer 2
David . Hall
DEH/apt
#14
NO-] ICE OF MEETING — 8/7/2024
14. Consider and take necessary action to change the Chief Deputy from salary exempt to
hourly non-exempt. (RHM)
*foi
nended Joe Garcia
ry.
rm
explained why this
t z_
a 4'
Hall, Lyssy, Behrens, RE
Page 11 of 16
CALHOUN COUNTY, TEXAS
COUNTY SHERIFF'S OFFICE
211 SOUTH ANN STREET
PORT LAVACA, TEXAS 77979
PHONE NUMBER (361) 553-4646
FAX NUMBER (361) 553-4668
MEMO TO: RICHARD MEYER, COUNTY JUDGE
SUBJECT: CHANGE CHIEF DEPUTY SALARY
DATE: AUGUST 7, 2024
Please place the following item(s) on the Commissioner's Court agenda for the date(s)
indicated:
AGENDA FOR AUGUST 7, 2024
* Consider and take necessary action to change the Chief Deputy from
salary exempt to hourly non exempt.
Sincerely,
Al/
Bobbie Vickery
Calhoun County Sheriff
#15
' NOTICE OF MEET ING — H/7/2024
15. Consider and take necessary action on Asbestos Abatement Proposal for 312 S, Ann St.,
Port Lavaca, TX and authorize the County Judge to sign. (RHM)
Pass
Page 12 of 16
KMAC
CONSTRUCTION SERVICES, INC.
9819 Ball Street
SAN ANTONIO TEXAS 78217
Office — 210-599-6528 — Fax — 210-599-2824
July 25, 2024
TO: Calhoun County
211 S. Ana St.
Port Lavaca, Texas 77979
RE: Asbestos Abatement
310 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 window glazing throughout the house. Abatement will all be
done using N.E.S.H.A.P. guidelines 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 : $ 3,500.00
EXCLUSIONS: Air Monitoring and Consulting Fees
TDH Fees(Not Required)
DURATION: 2 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 #:
Please sign and return proposal if accepted:
Date
#16
NOTICE OF MEETING— 8/7/2024
16. Consider and take necessary action to approve agreement #30704571 Dewitt Poth &
Sons/Great America Financial Services for Copy Machine Lease for the Emergency
Communications Division and allow the Emergency Communication Director to Sign
Agreement. (RHM)
RESULT: APPROVED[UNANIMOUS]'
MOVER: Joel Behrens, Commissioner Pct 3
SECONDER:. Gary Reese, Commissioner Pct 4
AYES: Judge Meyer,Commissioner Hall, Lyssy, Behrens, Reese
Page 13 of 16
CALHOUN COUNTY EMERGENCY COMMUNICATIONS DIVISION
312 W. LIVE OAK ST I PORT LAVACA, TX 77979 PH: (361) 553-4646 FAX: (361) 553-4668
Honorable Richard Meyer
Calhoun County Judge
211 S. Ann St
Port Lavaca, TX 77979
Re: Agenda Item
Dear Judge Meyer,
Please place the following item on the next available Commissioner's Court Agenda;
Consider and take necessary action to approve agreement #3070451 Dewitt Poth &
Sons/Great America Financial Services for Copy Machine Lease for the Emergency
Communications Division and allow the Emergency Communication Director to Sign
Agreement.
Respectfully submitted,
6 �
Patrick Schubert
Director
Calhoun County Emergency Communications
GreatAmerica
Oa FINANCIAL SERVICES
HARD WORK • INTEGRITY • EXCELLENCE
July 26, 2024
County of Calhoun, Treasurer
211 S Ann Street
Port Lavaca, Texas 77979-4203
Re: Agreement No. 3070451 (the "Agreement')
To Whom It May Concern:
625 First Street SE, Suite 800
Cedar Rapids, IA 52401
Toll Free
We understand that you are contemplating entering into an agreement with GreatAmerica for
the lease/rental of certain office equipment ("Equipment') and that you desire to have
GreatAmerica sign the Agreement before you sign it. Ordinarily, we do not sign agreements
until after the lessee/customer has signed the document(s) and after we have confirmed with
the customer/lessee that the Equipment has been delivered and is satisfactory. However,
you have a strong desire that we sign the Agreement first, and we are okay with that
because you understand that, per the terms of the Agreement, the Agreement will not
become binding on us until we fund your vendor for the Equipment.
Accordingly, enclosed please find two copies of the Agreement bearing our original
signature, one of which has a legend in the margin that states as follows: "This is a copy.
This is a copy view of the authoritative copy held by the designated custodian." You may
keep the copy with that legend on it. The other copy will be our original. You will need to sign
our original and return it to us before we can fund your transaction.
If you have any questions, feel free to contact us.
Thank you.
Sincerely,
Lanny Wilkerson
Documentation Specialist II, Southwest Team
Tel. 844-360-3875
lwilkerson@greatamerica.com
www.greatamerica.com
AGREEMENT GREATAMERICA FINANCIAL SERVICES CORPORATION
G re q to m e y' i s�••• PAYMENT ADDRESS:
a 1 ' (�, PO Box 660831, Gallas TX 7526e-0831
1�IYM FINANCIAL 8 9 li V 1 C¢ IB.. AGREEMENT NO.: 3070451
CUSTOMER• •-
EQUIPMENT LOCATION: 312 West Live Oak Port Lavaca, TX 77979 (-PLUS TAX)
TERM IN MONTHS: 60 ANNUAL PAYMENT AMOUNT': $1,500.00 PURCHASE OPTION`: Fair Market Value
AGKEEMEN I. You want us to now pay your vendor for the equipment andlor sofware referenced nemin
("Equipment") and the amounts your Vendor included on the invoice to us for the Equipment for related
installation, training, and/or implementation costs, and you unconditionally agree to pay us the amounts
payable under the terms of this agreement ("Agreement") each period by the due date. The Agreement will
begin on the date the Equipment is delivered to you or any later date we designate. We may charge you a
one -lime origination fee of $125.00. If we do not receive by the due date, at the remittance address indicated
on your invoice, any amount payable to us, you will pay a late charge equal to: 11 the greater of ten (10) cents
for each dollar overdue ortwentyaix toilers ($26.00); or 2) the highest lawful charge, if less.
NET AGREEMENT. THIS AGREEMENT IS NON -CANCELABLE FOR THE ENTIRE AGREEMENT TERM.
YOU UNDERSTAND WE ARE PAYING FOR THE EQUIPMENT BASED ON YOUR UNCONDITIONAL
ACCEPTANCE OF IT AND YOUR PROMISE TO PAY US UNDER THE TERMS OF THIS AGREEMENT,
WITHOUT SET -OFFS FOR ANY REASON, EVEN IF THE EQUIPMENT DOES NOT WORK OR IS
DAMAGED, EVEN IF IT IS NOT YOUR FAULT.
EQUIPMENT USE You will keep the Equipment in good working order, use it for business purposes only, and
not modify or move it from its iri ial location without our consent. You must resolve any dispute you may have
concerning the Equipment with the manufacturer or Vendor. Payments under this Agreement may include
amounts you eve your Vendor under a separate arrangement (for maintenance, serves, supplies, etc.), which
amounts may be invoiced by us on your Vendors behalf for your convenience.
SOFTWAREMATA. Except as provided in this paragraph, references. to "Equipment' include any software
referenced above or installed on the Equipment. We do not own the software and cannot transfer any interest
in it to you. We are not responsible for the software or the obligations of you or the licensor under any license
agreement. You are solely responsible for protecting and removing any confidential datalimages stored on
the Equipment prior to its return for any reason.
NO WARRANTY. WE MAKE NO WARRANTIES, EXPRESS OR IMPLIED, INCLUDING WARRANTIES OF
MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE YOU HAVE ACCEPTED THE
EQUIPMENT "AS -IS". YOU CHOSE THE EQUIPMENT, THE VENDOR AND ANYIALL SERVICE
PROVIDER(S) BASED ON YOUR JUDGMENT. YOU MAY CONTACT YOUR VENDOR FOR A STATEMENT
OF THE WARRANTIES, IF ANY, THAT THE MANUFACTURER OR VENDOR IS PROVIDING. WE ASSIGN
TO YOU ANY WARRANTIES GIVEN TO US.
ASSIGNMENT. You may not sell, assign or sublease the Equipment or this Agreement without our written
consent. We may sell or assign this Agreement or our rights in the Equipment, in whole or in part, to a third
party without notice to you. You agree that if we do so, the assignee will have our rights but will not be subject
to any claim, defense, or setoff assedable against us or anyone else.
LAWIFORUM. This Agreement and any dery related to this Agreement will be governed by Iowa law. Any
dispute will be adjudicated in a state or federal court located in Linn County, Iowa. You consent to personal
jurisdiction and venue in such courts and waive transfer of venue. Each party waives any right to a jury Mal.
LOSS OR DAMAGE. You are responsible for any damage to or loss of the Equipment. No such loss or
damage will relieve you from your payment obligations hereunder. We are not responsible for, and you will
indemnity us against, any claims, losses or damages, including attorney fees, in any way relating to the
Equipment or data stored on I. This indemnity will survive the expirafmn of this Agreement. In no event will
we be liable for any consequential or indirect damages.
INSURANCE. You agree to maintain aummeroial general liability insurance acceptable b us. You also agree
to: 1) keep the Equipment fully insured against Ices at its replacement cost, with us named as loss payee; and
2) prowde proof of insurance satisfactory to us no later than 30 days following the commencement of this
Agreement, and thereafter upon our wditen request. If you fall to reunion property loss insurance satisfactory
to us and/or you fail to timely provide proof of such insurance, we have the option, but not the obligation, to
secure property loss insurance an the Equipment tram a carrier of our choosing in such tonns and amounts as
we deem reasonable to protect our interests. If we secure insurance an the Equipment, we will not name you
as an insured party, your interests may not be fully protected, and you will reimburse us the premium which
may be higher than the premium you would pay you obtained insurance, and which may result in a draft to
us through an investment in reinsurance. If you are current in all of your obligations under the Agreement at
the time of loss, any insurance proceeds received will be applied, at our option, to repair or replace the
Equipment or to pay us the remaining payments due or to became due under this Agreement, pus our
booked residual, both discounted at 3% per annum.
TAXES. We own the Equipment You will pay when due, efher directly or by reimbursing us, all taxes and
fees relating to the Equipment and this Agreement. Sales or use tax due upfront will be payable over the
term with a finance charge.
END OF TERM. Al the end of the term of this Agreement (or any renewal term) (the "End Dale"), this
Agreement will renew month to month unless a) we receive written notice from you, at lead 30 days prior
to the End Date, of your intent to return the Equipment and b) you timely return the Equipment to the
location designated by us, at your expense. if a Purchase Option is indicated above and you are not in
default on the End Date, you may purchase the Equipment from us "AS IS" for the Purchase Option price.
If the returned Equipment is not immediately available for use by another without need of repair, you will
reimburse us for 911 repair costs. You cannot payoff this Agreement, or return the Equipment prior to the
End Date without our consent. If we consent, we may charge you, in addition to other amounts owed, an
eady termination fee equal to 5% of the amount we paid for the Equipment.
DEFAULTIREMEDIES. If a payment becomes 10s days past due, or f you otherwise breach this Agreement
you will be in deauf, and we may require flat you return the Equipment to us at your expense and pay us: 1)
all past due amounts and 2) all remaining payments for the unexpired ten, plus our barked residual,
discounted at 3% per annum; and we may disable or repossess the Equipment and use all other legal
remedes available to us. You agree to Fey all costs and expenses (inducing reasonable attorney fees) we
incur in any dispute with you related to this Agreement. You agree to pay us interest an all past due amounts
at the mile of 1.5% per month, oral the highest rate allowed by applicable law, f less
UCC. You agree that this Agreement is (and/or shall be treated as) a "Finance Lease" as that tenn is
defined In Article 2A of the Udfarm Commercial Code ("UCC'). You agree to forgo the rights and
remedies provided under sections 507-522 of Article 2A of the UCC.
MISCELLANEOUS. This Agreement is the mire agreement between you and us rotating to the Equpment
and supersedes any prior representations or agreements, including any purchase orders. Amounts payable
under this Agreement may include a profit to us. The parries agree that the original hereof for enforcement and
peffedon purposes, and the sole °record" consNWng "chattel paper under the UCC, is the paper copy bereof
bearing If) the original or a copy of ether your manual signature or an electronically applied indication of your
intent to enter into this Agreement, and Ii) our anginal manual signature. If any provision of the Agreement is
unenforceable, the other provisions herein shell remain in full force and effect to the forest extent permided by
You hereby represent and warrant to us that as of the dale of the Agreement: (a) the Individual who executed the Agreement had full power and authority to execute the Agreement on your behalf. (b) all required
procedures necessary to make the Agreement a legal and binding obligation against you have been followed; (c) the Equipment will be operated and controlled by you and will be used far essential government purposes
for the entire term of the Agreement (d) that all payments due and payable for the current fiscal year are within the current budget and are within an available, unexhausted, and unencumbered appropriation; is) you
intend to pay all amounts payable under the terms of the Agreement when due, if funds are legally available to do so; (f) your obligations to remit amounts under the Agreement constitute a current expense and not a debt
under applicable state law, (g) no provision of the Agreement constitutes a pledge of your to or general revenues; and (h) you will comply with any applicable information reporting requirements of the tax code, which
may include 80381 or B038-GC Information Returns. If funds am not appropriated to pay amounts due under the Agreement for any future fiscal added, you shall have the right to return the Equipment and terminate the
Agreement on the last day of the fiscal period for which funds were available, without penalty or additional expense to you (other than the expense of returning the Equipment to the location designated by us), provided
that at least thirty (30) days prior to the start of the fscal period for which funds were not appropriated, your Chief Executive Officer (or Legal Counsel) delivers to us a certificate (or old ion) certifying that (a) you are a
state or a fully constituted political subdivision or agency of the slate In which you are located; (b) funds have not been appropriated for the applicable fiscal period to pay amounts due under the Agreement; (e) such non -
appropriation did not result from any act or future to act by you; and (d) you have exhausted all funds legally available for the payment of amounts due under the Agreement. You agree that thus paragraph shall only
THIS AGREEMENT IS NON -CANCELABLE FOR THE FULL AGREEMENT TERM.THIS AGREEMENT IS BINDING WHEN WE EXECUTE THIS AGREEMENT AND PAY FOR THE EQUIPMENT.
OWNER: Great91Annerica F1i�r ja�ncial Services Corporation .y CUSTOMER: As Stated Above -}
SIGNATURE' L n.✓(�(II Y/^---� GATE' ^r /P(p SIGNATURE' I X DATE: of ZL
PRINT NAME&TITLE: LANKH WzL6612Sa.1, DOil-'A&C'r-Al PRINT NAME &TITLE:
has been
SIGNATURE: X
VG01M(TL)_0510 07/23/24 135
Amendment
r"GreatAmerica
FINANCIAL SERVICES
This Amendment amends that certain agreement by and between GreatAmerica Financial Services Corporation ("Owner")
and Calhoun. County of DBA Treasurer ("Customer") which agreement is identified in the Owner's internal
books and records as Agreement No. 3070451 (the "Agreement"). All capitalized terms used in this Amendment,
which are not otherwise defined herein, shall have the meanings given to such terms in the Agreement. Owner and
Customer have mutually agreed that the following modifications be made to the Agreement.
The Section entitled INSURANCE is hereby deleted in its entirety and replaced with the following:
"You Agree: (a) to keep the Equipment fully insured against loss at its replacement cost; and (b) to maintain comprehensive public liability
insurance."
Except as specifically modified by this Amendment, all other terms and conditions of the Agreement remain in full force and
effect. If, and to the extent there is a conflict between the terms of this Amendment and the terms of the Agreement, the
terms of this Amendment shall control. A facsimile copy of this Amendment bearing authorized signatures may be treated as
an original. This Amendment is not binding until accepted by Owner.
GreatAmerica Financial Services Corporation Calhoun, County
Owner Customer
By: �-3-nl4)il-- By: x
Signature Signature
L-klYry Doc. SECT I�af/�Gk S�/7flGen4 e 0,:^cc¢or^
Print Name & Title Print Name & Title
Date Accepted: '��Z(v12`� Date: -2. `f
013475-V031ns 1107 7/ 61202410:13AM 135
CERTIFICATE OF INTERESTED PARTIES FORM 1295
loft
Complete Nos. l - 4 and 6 if there are interested parties.
OFFICE USE ONLY
Complete Nos.1. 2, 3, S. and 6 if there are no interested parties.
CERTIFICATION OF FILING
Certificate Number:
1
Name of business entity filing form, and the city, state and country of the business entity's place
of business.
2024-1198151
DeWitt Poth & Son
YOAKUM, TX United States
Date Filed:
2
Name of governmental entity or state agency that is a party to the contract for which the form is
o8/08f2024
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.
1936246
Copiers
4
Name of Interested Party
City, State, Country (place of business)
Nature of interest
(check applicable)
Controlling
I Intermediary
Dewitt Poth & Son, LLC
Yoakum, TX United States
X
6
Check only if there is NO Interested Party. ❑
6
UNSWORN DECLARATION
My name is JESSIE LEMKE , and mydate of birth is _
My address is
(street) (city) (state) (zip code) (country)
I declare under penalty of perjury that the foregoing is true and correct.
Executed in DEWITT County, State of TX on the 8 day of AUG 2024
(moms,) (year)
'signaturelftut orized agent of contracting business entity
to dsrant)
Farms provided by Texas Ethics Commission www.ethics.state.tx.k) Version V4.1.0.48da51f7
#17
NOTICE OF MEE- ING-8/7/2024
17. Accept Monthly Reports from the following County Offices:
i. Floodplain Administration — July 2024
ii. Justice of the Peace #1— July 2024
Justice of the Peace #2 — July 2024
RESULT: APPROVED EUNANIMOUS]
MOVER: Vern Lyssy, Commissioner Pct 2
SECONDER:,''Gary Reese, Commissioner Pct 4
AYES Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese
Page 14 of 16
Calhoun Count rFloodplain Administra Lion
211 South Ann Street, Suite 301
Port Lavaca, TX 77979-4249
Phone: 361-553-4455/Fax: 361-553-4444
e-mail: derek.walton@calhouncotx.org
July 2024 Development Permits Report For
Commissioners Court: August 7th, 2024
New Homes - 6
Renovations/Additions - 0
Mobile Homes - 0
Boat Barns/Storage Buildings/Garages - 3
Commercial Buildings/RV Site - 0
Addition - 0
Fence - 0
Pool - 0
Drainage - 0
Pipeline - 0
Total Fees Collected: $540.00
Receipt numbers: 925894, 925895, 925896, 925897, 925898, 925899, 925900,
(new receipt book) 920501, 920502
NITER YEAR OF REPORT
CODE
AMOUNT
12024
REVISED 02/022022
CASH BONDS
0.00
ADMINISTRATION FEE-ADMF
80.00
BREATH ALCOHOL TESTING - BAT
000
.CONSOLIDATED COURT COSTS -CCC
0,00
STATE CONSOLIDATED COURT COST-2020
3,340,62
LOCAL CONSOLIDATED COURT COST-2020
755.39
COURTHOUSE SECURITY -CHS
0.00
CJP
0.00
CIVIL JUSTICE DATA REPOSITORY FEE -CJDR
0.00
CORRECTIONAL MANAGEMENT INSTITUTE - CMI
0.00
CR
0.00
CHILDSAFETY-CS
0.00
CHILD SEATBELT FEE -CSBF
0.00
CRIME VICTIMS COMPENSATION -CVC
0.00
DPSC/FAILURE TO APPEAR - OMNI -OPSC
25.34
ADMINISTRATION FEE FTA FTP (aka OMNI)- 2020
179.34
ELECTRONIC FILING FEE -EEF
0.00
FUGITIVE APPREHENSION - FA
0.00
GENERAL REVENUE -GR
0.00
CRIM- IND LEGAL SVCS SUPPORT -IDF
0.00
JUVENILE CRIME & DELINQUENCY -JCD
0.00.
JUVENILE CASE MANAGER FUND-JCMF
6.83
JUSTICE COURT PERSONNEL TRAINING -JCPT
0.00
JUROR SERVICE FEE -JSF
0.00.
LOCAL ARREST FEES -LAF
155.52
LEMI
0.00
LEDA
0.00
PARKS& WILDLIFE ARREST FEES -PWAF
93.40
STATE ARREST FEES -SAF
20,87
CHOOL CROSSINGICHILO SAFETY FEE -SCF
O.OD
SUBTITLE C -SUBC
(1AO
STATE TRAFFIC FINES -EST 9.1.19-STF
625.30
TABC ARREST FEES -TAF
0.00
TECHNOLOGY FUND -TF
0.00.
TRAFFIC -TFC
0.00
LOCAL TRAFFIC FINE-2020
37.51.
TIME PAYMENT. TIME
25.00
TIME PAYMENT REIMBURSEMENT FEE-2020
234.10
ANCY PREVENTIONIDIVERSION FUND-TPOF
OAI
LOCAL& STATE WARRANT FEES -WRNT
719.22
COLLECTION SERVICE FEE-MVBA-CSRV
2.35338
DRIVING EXAM FEE- PROV OL
0.00
FILING FEE -FFEE
0.00
STATE CONSOLIDATED CIVIL FEE- 2022
210 K)
LOCAL CONSOLIDATED CIVIL FEE -2022
330.00
FILING FEE SMALL CLAIMS -FFSC
0.00
JURY FEE -JF
0.00
COPIESICERTIFED COPIES - CC
0.00
INDIGENT FEE -CIFF or INOF
0.00
JUDGE PAY RAISE FEE-JPAY
0.00
SERVICE FEE-SFEE
525.00
OUT -OF -COUNTY SERVICE FEE
0.00
ELECTRONIC FILING FEE -EEF CV
0.00
EXPUNGEMENTFEE-EXPG
O.OD
EXPIRED RENEWAL -EXPR
0.00
ABSTRACT OF JUDGEMENT -AOJ
0.00
ALLWRITS-WOP/WOE
0.00
DPSFTAFINE-DPSF
909.77
LOCAL FINES - FINE
4,821.32
LICENSE III, WEIGHT FEES -LWF
0.00
PARKS& WILDLIFE FINES -PWF
3,015.06
SEATBELT/UNRESTRAINED CHILD FINE -SEAT
0.00
JUDICIAL& COURT PERSONNEL TRAINING-JCPT
0.00
` OVERPAYMENT (OVER $10)-OVER
85.70
` OVERPAYMENT($10 AND LESS) - OVER
0.00
RESTRUTION-REST
0.00
PARKS &WILDLIFE -WATER SAFETY FINES-WSF
0.00
MARINE SAFETY PARKS& WILDLIFE -MSO
0.00
TOTAL ACTUAL MONEY RECEIVED
ENTER LOCAL WARRANT FEES 437.17 RECORD ON TOTAL PAGE OF RRuounTRY SOFTWARE MO REPORT
STATE WARRANT FEES
$282.05 RECORDON TOTAL PAGE OF mu COUNTRY SOFTIVAREC.O REPORT
AMOUNT
0% of Fine on JV cases
0.00 PIFASE INCLUDE O R REQUESTING 0SRUREEA2Nr
TUTION FUND
0.00 PEASE IRCmG DR REDUEsnr:cassuasEnla+r
ePAYMENTS
85.70 PLPAEER6LUDE DR REOUES11NO01SSURSEA•SUT
SERVICE FEE
0.00 PLEAEEINCLUDE OR REDUEsnttGD&BURSEMENT
0.00 PLEASE INC.DE DR REQUESTINGOISSUR.C'AIENr(IF REWIRED)
TOTAL DUE TO OTHERS
$85.70
Treasurer's Receipts
MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS
8/l/2024
COURT NAME: JUSTICE OF PEACE NO.1
MONTH OF REPORT: JULY
YEAR OF REPORT: 2024
ACCOUNT NUMBER
ACCOUNTNAME
AMOUNT
CR
1000-001-45011
FINES
6,183.35
CR
1000-001-44190
SHERIFF'S FEES
909.75
ADMINISTRATIVE FEES:
DEFENSIVE DRIVING
10.00
CHILD SAFETY
0.00
TRAFFIC
37.51
ADMINISTRATIVE FEES
345.34
EXPUNGEMENT FEES
0.00
MISCELLANEOUS
0.00
CR
1000-001-44361
TOTAL ADMINISTRATIVE FEES
392.85
CR
1000-001-44010
CONSTABLE FEES -SERVICE
525.00
CR
1000-001-44061
JP FILING FEES
0.00
CR
1000-001-44090
COPIES / CERTIFIED COPIES
0.00
CR
1000-001-49110
OVERPAYMENTS (LESS THAN $10)
0.00
CR
1000-001-44322
TIME PAYMENT REIMBURSEMENT FEE
234.10
CR
1000-001-44145
SCHOOL CROSSING/CHILD SAFETY FEE
0.00
CR
1000-999-20741
DUE TO STATE -DRIVING EXAM FEE
0.00
CR
1000-999-20744
DUE TO STATE-SEATBELT FINES
0.00
CR
1000-999-20745
DUE TO STATE -CHILD SEATBELT FEE
0.00
CR
1000-999-20746
DUE TO STATE -OVERWEIGHT FINES
0.00
CR
1000-999-20770
DUE TO JP COLLECTIONS ATTORNEY
2,353.38
TOTAL FINES, ADMIN. FEES & DUE
TO STATE
$10.598.43
CR
2670-001-44061
COURTHOUSE SECURITY FUND
$264.39
CR
2720-001-44061
JUSTICE COURT SECURITY FUND
$0.00
CR
2719-001-44061
JUSTICE COURT TECHNOLOGY FUND
$215.83
CR
2699-001-44061
JUVENILE CASE MANAGER FUND
$6.83
CR
2730-001-44061
LOCAL TRUANCY PREVENTION & DIVERSION
FUND
$269.78
CR
2669-001-44061
COUNTY JURY FUND
$5.40
CR
2728-001-4406d
JUSTICE COURT SUPPORT FUND
$25000
CR
2677-001-44061
COUNTY. DISPUTE; RESOLUTION FUND
$50;00
CR.
2725=001-44061
LANGUAGE ACCESS FUND
$30.00
STATE ARREST FEES
DPS FEES
60.58
P&W FEES
18.68
TABC FEES
0.00
CR
7020-999-20740
TOTAL STATE ARREST FEES
79.26
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
334.06
CR
7072-999-20740
STATE CCC- STATE
3,006.56
DR 7072-999-10010
3,340.62
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
25.01
CR
7860-999-20740
STF- EST 9/1/2019- STATE
600.29
DR 7860-999-10010
625.30
Page 1 of 3
MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS
8/1/2024 COURT NAME: JUSTICE OF PEACE NO.1
MONTH OF REPORT: JULY
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
8/l/2024
COURT NAME:
JUSTICE OF PEACE NO. 1
MONTH OF REPORT:
JULY
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
0.00
CR
7865-999-20740
CRIM-SUPP OF IND LEG SVCS-STATE
0.00
DR 7865-999-10010
0.00
CR
7970-999-20610
TL/FTA-GENERAL FUND
8.45
CR
7970-999-20740
TUFTA-STATE
16.89
DR 7970-999-10010
25.34
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
210.00
210.00
TOTAL (Distrib Req to OperAcct)
$15,996.17
DUE TO OTHERS (Distrib Req Attchd)
CALHOUN COUNTY ISO
0.00
DA - RESTITUTION
0.00
REFUND OF OVERPAYMENT;
85.70
OUT -OF -COUNTY SERVICE FI
0.00
CASH BONDS
0.00
PARKS & WILDLIFE FINES
2,562.80
WATER SAFETY FINES
0.00
TOTAL DUE TO OTHERS
$2,648.50
TOTAL COLLECTED -ALL FUNDS
$18,644.67
LESS: TOTAL TREASUER'S RECEIPTS
$18,644.67
REVISED
02/02/2022
OVER/(SHORT)
$0.00
Page 3 of 3
CALHOUN DISTRIBUTION
COUNTY REQUEST
201 West Austin DR# 450 A 45506
PAYEE PAYOR
Name: Calhoun County Oper. Acct. Official: Hope Kurtz
Address: Title:. Justice of the Peace, Pct. 1
City:
State:
Zip:
Phone:
ACCOUNT NUMBER DESCRIPTION AMOUNT
7541.999-20759-999 JP1 Monthly Collections - Distribution $15,996.17
JULY
2024
V# 967
TOTAL] 15,996.17
Signature of Official Date
MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS
8/1/2024 COURT NAME: JUSTICE OF PEACE NO.2
MONTH OF REPORT: July
YEAR OF REPORT: 2024
ACCOUNT NUMBER ACCOUNT NAME AMOUNT
CR 1000-001-45012 FINES 708.77
CR 1000-001-44190 SHERIFF'S FEES 246.27
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
CR 2670-001-44062
CR 2720-001-44062
CR 2719-001-14062
CR 2699-001-44062
CR 2730-001-44062
CR 2669-001-44062
CR 272S 0'bi-44062'
CR 2677-001-44062
CR 2726-001-44062
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
ADMINISTRATIVE FEES:
DEFENSIVE DRIVING
0.00
CHILD SAFETY
0.00
TRAFFIC
6.66
ADMINISTRATIVE FEES
10.00
EXPUNGEMENT FEES
0.00
MISCELLANEOUS
0.00
TOTAL ADMINISTRATIVE FEES
16.66
CONSTABLE FEES -SERVICE
375.00
JP FILING FEES
14.48
COPIES / CERTIFIED COPIES
0.00
OVERPAYMENTS (LESS THAN $10)
0.00
TIME PAYMENT REIMBURSEMENT FEE
7.92
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
234.21
TOTAL FINES, ADMIN. FEES & DUE TO STATE
$1,603.31
COURTHOUSE SECURITY FUND
$23.73
JUSTICE COURT SECURITY FUND
$2.37
JUSTICE COURT TECHNOLOGY FUND
$13.57
JUVENILE CASE MANAGER FUND
$13.32
LOCAL TRUANCY PREVENTION & DIVERSION FUND
$16.96
COUNTY JURY FUND
$0.34
JUSTICE COURT SUPPORT FUND
$12500
COUNTY DISPUTE RESOLUTION
FUND
$25:U0 ;
LANGUAGE;ACCESS+FUND
$ I5.U0,.
STATE ARREST FEES
DPS FEES
21.24
P&W FEES
1.00
TABC FEES
0.00
TOTAL STATE ARREST FEES
22.24
CCC-GENERAL FUND
9.48
CCC-STATE
85.29
DR 7070-999-10010
94.77
STATE CCC- GENERAL FUND
21.03
STATE CCC- STATE
189.31
DR 7072-999-10010
210.34
STF/SUBC-GENERAL FUND
1.82
STF/SUBC-STATE
34.65
DR 7860-999-10010
36.37
STF- EST 9/1/2019- GENERAL FUND
2.00
STF- EST 9/1/2019- STATE
48.00
DR 7860-999-10010
50.00
Page 1 of 2
MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS
8/1/2024
COURT NAME: JUSTICE OF PEACE NO. 2
MONTH OF REPORT: July
YEAR OF REPORT: 2024
CR
7950-999-20610
TP-GENERAL FUND
17.13
CR
7950-999-20740
TP-STATE
17.12
DR 7950-999-10010
34.25
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
0.47
CR
7865-999-20740
CRIM-SUPP OF IND LEG SVCS-STATE
4.27
DR 7865-999-10010
4.74
CR
7970-999-20610.
TL/FTA-GENERAL FUND
6.57
CR
7970-999-20740
TL/FTA-STATE
13.14
DR 7970-999-10010
19.71
CR
7505-999-20610
JPAY-GENERAL FUND
1.42
CR
7505-999-20740
JPAY - STATE
12.80
DR 7505-999-10010
14.22
CR
7857-999-20610
JURY REIMB. FUND- GEN. FUND
0.95
CR
7857-999-20740
JURY REIMB. FUND- STATE
8.53
DR 7857-999-10010
9.48
CR
7856-999-20610
CIVIL JUSTICE DATA REPOS: GEN FUND
0.01
CR
7856-999-20740
CIVIL JUSTICE DATA REPOS: STATE
0.13
DR 7856-999-10010
0.14
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
2.37
7998-999-20701
JUVENILE CASE MANAGER FUND
2.37
DR 7998-999-10010
4.74
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 (Distrib Req to Oper Acct) $2,444.60
DUE TO OTHERS (Distrib Req Attchd)
CALHOUN COUNTY ISD
0.00
DA - RESTITUTION
0.00
REFUND OF OVERPAYMENTS
0.00
OUT -OF -COUNTY SERVICE FE
0.00
CASH BONDS
0.00
PARKS & WILDLIFE FINES
88.40
WATER SAFETY FINES
0.00
TOTAL DUE TO OTHERS $88.40
TOTAL COLLECTED -ALL FUNDS $2,533.00
LESS: TOTAL TREASUER'S RECEIPTS $2,533.00
OVER/(SHORT) $0.00
Page 2 of 2
CALHOUN DISTRIBUTION
COUNTY REQUEST
201 West Austin DR# 450 A 45505
PAYEE PAYOR
Name: Calhoun County Oper. Acct. Official: Thomas Dio
Address: Title: Justice of the Peace, Pct. 2
City:
State:
Zip:
Phone:
.ACCOUNT NUMBER DESCRIPTION AMOUNT
7542-999-20759.999 JP2 Monthly Collections - Distribution $2,444.60
July
2024
V# 967
TOTAL 2,444.60
mgnacure or Urnciar uace
#18
' NOTICE OF MEE FING — 8/7/2Q24
18. Consider and take necessary action on any necessary budget adjustments. (RHM)
None
Page 15 of 16
#19
NOTICE OF MEETING — 8/7/2024
19. 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
Adjourned 10:25am
Page 16 of 16
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MEMORIAL MEDICAL CENTER
COMMISSIONERS COURT APPROVAL LIST FOR ---August 7, 2024
TOTALS TO BE APPROVED - TRANSFERRED FROM ATTACHED PAGES
TOTAL(P.AYABLES PAYROLL AND ELECTRONIC BANK PAYMENTS ,. $ 290,999.61.;
TOTAITRANSFERSSETWEEN FUNDS, „ , $ 3,830,631.21
TOTALNURSINGNOME UPL EXPENSES _ $ 710,121.63-
TOTAL;INTER-GOVER19MENTTRANSFERV $31,00.W `/
0RA19DTOTALWSBURSENIENTSAP.PROVE0Au9ust7,;2024' $ Ai'934,747.95 `�
MEMORIAL MEDICAL CENTER
COMMISSIONERS COURT APPROVAL LIST FOR ---August 7.2024
PAYABLES AND PAYROLL
8/1/2024 Weekly Payables
256,621,97
8/1/2024 Patient Refund
3,086.62
8/5/2024 McKesson-3408 Prescription Expense
3,278.43
8/5/2024 Amerisource Bergen-3408 Prescription Expense
10,757.16
Prosperity Electronic Bank Payments
9/5/2024 90 Degree Benefits -employee Insurance claims
15,771,50
B/5/2024 Authnet Gateway
32.50
8/5/2024 Expert Pay -Child Support
570.69
8/5/2024 Pay Plus -Patient Claims Processing Fee
880.84
'TOTALP.AYABLES> PAVROLLAND fLECTRGNICBANKPAYMENfS:.
$ 260,999i62;t
TRANSFERS BETWEEN FUNDS-MMC
8/5/2024 Transferfrom MMCOpt.Amountta Nexbank Money Market Account
3,650,000.00
TRANSFER BETWEEN FUNDS FROM MMCTO NURSING HOMES
8/1/2024 MMC Operating to The Crescent -Correction of Insurance payment deposited into MMC
Operating in error
12,036.00
8/1/2024 MMC Operating to Golden Creek Healthcare-Carrection of insurance payment deposited
into MMC Operating in error
93,377.41
8/1/2024 MMC Operating to Tuscany Village -Correction of insurance payment deposited into MMC
operating in error
14,184.00
8/1/2024 MMC Operating to Bethany -Correction insurance payment deposited into.MMC Operating
in error
61,023.80
iTOTAL'TRANSFERS.BETWEENiF,UNDS $ 3,83b'621.21
NURSING HOME UPL EXPENSES
8/5/2024 Nursing Home UPL-Cantex Transfer
200,069.98
8/5/2024 Nursing Home UPL-Nexlon Transfer
251,254.45
8/5/2024 Nursing Home UPL-HMG Transfer
7,899.2.9
8/5/2024 Nursing Home UPL-Tuscany Transfer
144,541.09
8/5/2024 Nursing Home UPL-HSLTransfer
14,362.12
TRANSFER BETWEEN FUNDS FROM NURSING HOMES TO MMC
8/5/2024 Golden Creek to MMC- MMC insurance payment deposited into Golden Creek in error
3,213,80
8/S/2024 Golden Creek to MMC-MMC insurance payment deposited Into Golden Creek in error
2,404.40
8/5/2024 Broadmoor to MMC-MMC insurance payment deposited into Broad moor in error
121.50
TRANSFER OF FUNDS BETWEEN NURSING HOMES
8/5/2024 Crescent to Tuscany -Tuscany insurance payment deposited into Crescent In error
33,298.00
8/5/2024 Ashford to Tuscany -Tuscany insurance payment deposited Into Ashford In error
2,700.00
8/5/2024 Crescent to Tuscany -Tuscany insurance payment deposited Into Crescent in error
52,267.00
7bTAI.�NUR5�NG NOME UPl`,EXPENSES _. _.
_.... .$ '79.0,321.'63
INTER-GOVERNMENT TRANSFERS
8/5/2024 Texas Health 8, Human Services Commission
$3,005.50
T0ALaINTER-0OVIERNMENTT'tZANS.$ERS�-- -
3�005,50=
GRANDTOTAL DISBURSOMENTS`APPROVED Augyst7; 2024, ,$. ,4,$14;74T S':
RECOVER 9Y THE
COUNM AUDITOR ON
08/01/2024 MEMORIAL MEDICAL CENTER
AUG O,I 2024 AP Open Invoice List
0
12:26
ap_apen_invoioe.template
Due Dales Throughr. 08/23/2024
Vendor# Vendor Ngp;}10)N CO NlfY,TEXAS Class Pay Code
13180 ADVANCED STERILIZATION PRODUCT
Invoice# Comment Tran Dt Inv Dt Due Ot Check Dt Pay
Gross
Discount
No -Pay
Net
J8020672985 07/31/20205113/20206/12/202
200.82
0.00
0.00
200.82
j 8020673250 07/31/202 05/131202 06/12/202
362.94
0.00
0.00
362.94
J8020680698 07131/202 05/281202 06/271202
100.77
0.00
0.00
100.77
./
Vendor Totals: Number Name
Gross
Discount
No -Pay
Net
13180 ADVANCED STERILIZATION PRODUCT
664.53
0.00
0.00
664.53
Vendor# Name Class Pay Code
(Vendor
/ A1680 .AIRGAS USA, LLC-CENTRAL DIV M
Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay
Gross
.Discount
No -Pay
Net
5507737703 071311202 04/30/202 05/30/202
277.65
0.00
0.00
277.65
OXYGEN
J 9150565560 071311202 06/06/202 071OW202
3,892.04
0.00
0.00
3,802.04
/
Vendor Totals: Number Name
Gross
Discount
No -Pay
Net
A1680 AIRGAS USA, LLC - CENTRAL DIV
4.169.69
0.00
0.00
4,169.69
Vendor# Vendor Name Class Pay Cade
A1705 ALIMED INC. M
JInvoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay
Gross
Discount
No -Pay
Net
RPSVO04303566 071031202 07108/202 08/17/202
200.49
0.00
0.00
200.49J
SUPPLIES
-� RPSV004304166 07/1 M02 07/091202 08/171202
973.24
0.00
0.00
973.24
SUPPLIES
Vendor Totals: Number Name
Gross
Discount
No -Pay
Net
A1705 ALIMED INC.
1,173.73
0.00
0.00
1,173.73
Vendor# Vendor Name Class Pay Code
A1746 ALPHA TEC SYSTEMS INC M
Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay
JINV00125864 07124/202 06/28/202 08/17/202
Gross
Discount
No -Pay
Net
568.50
0.00
0.00
568.50
SUPPLIES
d
Vendor Totals: Number Name
Gross
Discount
No -Pay
Net
A1746 ALPHA TEC SYSTEMS INC
568.50
0.00
0.01)
568.50
Vendor# /Vendor Name Class Pay Code
14028 AMAZON CAPITAL SERVICES
Invoice# Comment Tran Dt Inv Ot Due Dt Check Ot Pay
V�N40WWPW6NYR
Gross
Discount
No -Pay
Net
07/24/20207/18/20208/17/202
386.60
0.00
0.00
386.60
y
J,t QXD7494RNP 071241202 07123/202 08/22/202
212.30
0.00
0.00
212.30
I SUPPLIES
J 1GLIMWXG4WHD 07/24/202 071231202 081221202
62.54
0,00
0.00
62.54
f
SUPPLIES
J161H3XY1T1TC 07125/202A7/17/20208116/202
303.77
0.00
0.00
303.77
f IKJ7P1H6T739 07/25/202 07/21/202 08/20/202
26.98
0.00
0.00
25.98
J
Vendor Totals: Number Name
Gross
Discount
No -Pay
Net
14028 AMAZON CAPITAL SERVICES
991.19
0.00
0.00
991.19
Vendor# Vendor Name Class Pay Code
A2218 AQUA BEVERAGE COMPANY M
Invoice# Comment
Tran Dt Inv Dt Due Dt
Check Dt Pay
Gross
Discount
No -Pay
Nei
J 150903
07131/202 06/06/202 05/311202
60.50
0.00
0.00
60.50
WATER
Vendor Totals: Number
Name
Gross
Discount
No -Pay
Net
A2218
AQUA BEVERAGE COMPANY
60.50
0.00
0.00
60.50
Vendor# Vendor Name
Class
Pay Code
A2271 J ARTHREX, INC
W
Invoice# Comment
Tran Dt Inv Dt Due Dt
Check Dt Pay
Gross
Discount
No -Pay
Net
J 921350374
07/31/202 07/24/202 07/30/202
330.00
0.00
0.00
330.00
�
Vendor Totals: Number
Name
Gross
Discount
No -Pay
Net
A2271
ARTHREX, INC
330.00
0.00
0.00
330.00
Vendor# Vendor Name
Class
Pay Code
12800 AUTHORITYRX, LLC
Invoice# Comment
Tran DI Inv DI Due Ot
Check Dt Pay
Gross
Discount
No -Pay
Net
J 7000053606
081011202 071021202 08/01/202
7,327.74
0.00
0.00
7,327.74
`
Vendor Totals: Number
Name
Gross
Discount
No -Pay
Net✓
12800
AUTHORITYRX, LLC
7,327.74
0.00
0.00
7,327.74
Vendor# Vendor Name
'/
Class
Pay Code
14088 AZALEA HEALTH
Invoice# Comment
Tran Ot Inv Dt Due Dt
07/3y0�/,2�0�208/01/20208/011202
Check Dt Pay
Gross
594.00
Discount
0.00
No -Pay
0.00
Net
594.00
./107233
MONTHLY FEES JS1 /1 Deq
/
J
Vendor Totals: Number
Name J 0 V
Gross
Discount
No -Pay
Net
14088
AZALEA HEALTH
594.00
0.00
0.00
594.00
Ventlor# / Vendor Name
Class
Pay Code
81220 `1 BECKMAN COULTER INC M
Invoice# Comment
Tran Ot Inv Dt Due Dt
Check Dt Pay
Gross
Discount
No -Pay
Net
111418811
07/24/20207/03/20208/021202
520.24
0.00
0.00
520.24
k11300975
07129/20205/06/20206/05/202
8,201.60
0.00
0.00
8,201.60 %/
J111326711
07/29/202 051201202 06119/202
6,458.34
0.00
0.00
6,458.34 /
111325075
07129/202 05/201202 06119/202
318.03
0.00
0.00
318.03
J 5491359
07129/202 08/19/202
1,337,05
0.00
0.00
1,337.05 v
071251202
J111370824
07129/202 07/25/202 08119/202
143.19
0.00
0.00
143.19
Vendor Totals: Number
Name
Gross
Discount
No -Pay
Net
B1220
BECKMAN COULTER INC
16,978.45
0.00
0.00
16,978.45
Vendor#/ Vendor Name
Class
Pay Code
B1320J BEEKLEY CORPORATION M
Invoice# Comment
Tran Dt Inv Dt Due Dt
Check Dt Pay
Gross
Discount
No -Pay
Net
J MIN0122590
07124/202 07123/202 08/23/202
112.00
0.00
0.00
112.00
MIN0123038
071311202 07/31/202 07/31/202
99.50
0.00
0100
99.50
Vendor Totals: Number
Name
Gross
Discount
No -Pay
Not
81320
BEEKLEY CORPORATION
211.50
0.00
0.00
211.60
Vendor#Vendor Name
Class
Pay Code
11072- BIO-RAD LABORATORIES, INC
Invoice# Comment
Tran Ot Inv DI Due Dt
Check Dt Pay
Gross
Discount
No -Pay
Net
907451523 07/241202 07117/202 08/171202
1,339,78
0.00
0.00
1,339.78 /
J
Vendor Totals: Number Name
Gross
Discount
No -Pay
Net
11072 BIO-RAD LABORATORIES, INC
1,339.78
0.00
0.00
1,339,78
Vendor# ,Vendor Name Class
Pay Cede
CW48 CALHOUN COUNTY W
Invoice# Comment Tran Dt Inv Dt Due Dt
Check Dt Pay
Gross
Discount
No -Pay
Net
/
00359913 07131/202 07112/202 08107/202
28.18
0.00
0.00
28.18
FUEL
I J
Vendor Totals: Number Name
Gross
Discount
No -Pay
Net
C1048 CALHOUN COUNTY
28.18
0.00
0.00
28,18
Vendor# /Vendor Name Class
Pay Code
01992 �I COW GOVERNMENT, INC. M
JInvoice# Comment Tran Dt Inv Dt Due Dt
Check Dt Pay
Gross
Discount
No -Pay
Net
S801983 071241202 06/261202 07/26/202
891.22
0.00
0.00
891.22
J
Vendor Tatals: Number Name
Gross
Discount
No -Pay
Net
C1992 CDW GOVERNMENT, INC.
891.22
0.00
0.00
891.22
Vendor# / Vendor Name Class
Pay Cade
C1390v CENTRAL DRUG W
Invoice# Comment Tran Dt Inv Dt Due Dt
Check Dt Pay
Gross
Discount
No -Pay
Net
J 072224 071221202 07/22/202 08121/202
38,80
0.00
0,00
38.80
INVENTORY
J
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
J
15596 CHARLES OVERSTREET
Invoice# Comment Tran Dt. Inv Dt Due Dt
Check Dt Pay
Gross
Discount
No -Pay
Net
J 073124 07/311202 07131/202 07/31/202
120.00
0.00
0.00
120.00
J
Vendor Totals: Number Name
Gross
Discount
No -Pay
Net
15596 CHARLES OVERSTREET
120.00
0.00
0.00
120.00
Vendor# Name Class
Pay Code
/Vendor
11956 ./ CMT MEDICAL
Invoice# Comment Tran Dt Inv Dt Due Dt
Check Dt Pay
Gross
Discount
No -Pay
Net
1 4752800 07/31/202 051281202 08/27/202
229.43
0.00
0.00
229,43�
Vendor Totals: Number .Name
Gross
Discount
No -Pay
Net
11956 CMT MEDICAL
229.43
0100
0.00
229.43
Vendor# Vendor Name Class
Pay Code
11030 COMBINED INSURANCE
Invoice# Comment Tran Dt Inv Dt Due Dt
071311202 071301202 08/01/202
Check Dt Pay
Gross
501.72
Discount
0.00
No -Pay
0.00
Net
501.72�
1/080124
PAYROLL DEDUCT
Vendor Totals: Number Name
Gross
Discount
No -Pay
Net
1103D COMBINED INSURANCE
501.72
0.00
0.00
601.72
Vendor#/ Vendor Name Class
Pay Cade
C2157" COOPER SURGICAL INC M
Invoice# Comment Tran Dt Inv Dt Due Dt
Check Dt Pay
Gross
Discount
No -Pay
Net
CINV55000322760 07/24/202 07/021202 08/011202
1.300.47
0.00
0.00
1,300.47 /
Vendor Totals: Number Name
Gross
Discount
No -Pay
Net
C2157 COOPER SURGICAL INC
1,300.47
0.00
0.00
1,300.47
Vendor* Vendor Name Class
Pay Code
12884J CUSTOMIZED COMMUNICATION INC
Invoice# Comment Tran Dt Inv Dt Due Dt
Check Dt Pay
Gross
Discount
No -Pay
Net
J 154103
07117/20207/17120208/16/202
731.62
0.00
0.00
731.62
J
Vendor Totals: Number
Name
Gross
Discount
No -Pay
Net
12884
CUSTOMIZED COMMUNICATION INC
731.62
0.00
0.00
731.62
Vendor#Vendor Name
Class
Pay Code
J 15584 DANA GONZALEZ MD
Invoice#. Comment
Tran Or Inv Dt Due Dt
Check Dt Pay
Gross
Discount
No -Pay
Net
J072724
07/31/202 07/27/202 07/271202
7,815.19
0.00
0.00
7,815.19 /
J
OB CALL
Vendor Totals: Number
Name
Gross
Discount
No -Pay
Net
15584
DANA GONZALEZ MO
7,815.19
0.00
0.00
7.815.19
Vendor# Vendor Name
Class
Pay Code
1D368 JDEWITTPOTH&SON
Invoice# Comment
Tran Dt Inv 01 Due Dt
Check Dt Pay
Gross
Discount
No -Pay
Net
J7621740
07/24/20207/19/20208/131202
251.70
0.00
0.00
251.70
J 7604780
07131/202 07/04/202 07129/202
130.75
0.00
0.00
130.76
J 7604580
07/31/202 07/041202 07129/202
26.57
0.00
0.00
26.57
J 7608291
07/31/202071111202081051202
349.18
0.00
0.00
349.18
J 7620780
07/31/20207/22/20208116/202
507.15
0.00
0.00
507.15 J
J 7621741
07/31/202 07/24/202 08/18/202
I i AD
0.00
0.00
11.40 V1//
J 7624580
07131/202 07/251202 08119/202
103.12
0.00
0.00
103,12 J
J 7624581
07/31/202 07/26/202 08/20/202
43.02
0.00
0.00
43.02 ./
Vendor Totals: Number
Name
Gross
Discount
No -Pay
Net
10368
DEWITT POTH & SON
1,422.89
0.00
0.00
1,422.89
Vendor# Vendor Name
Class
Pay Code
11291 DOWELL PEST CONTROL
/ Invoice# Comment
Tran Dt Inv Dt Due Dt
Check Ot Pay
Gross
Discount
No -Pay
Net /
J 33481
07/30/202 07/29/202 07/29/202
105.00
0.00
0.00
105.00 ✓
PEST CONTROL
.j 33433
07/30/202 07/29/202 08/231202
505.00
0.00
0.00
505.00
PEST CONTROL
J33402 07131/202 07/29/202 07/29/202
260.00
0.00
0.00
260.00
MOSQUITO
TRTMNT
Vendar Totals: Number
Name
Gross
Discount
No -Pay
Net
11291
DOWELL PEST CONTROL
870.00
0.00
0.00
870,00
Vendor# /Vendor Name
Class
Pay Code
50501 v EVOQUA WATER TECHNOLOGIES
LLC
Invoice# Comment
906576672
Tran Ot Inv Dt Due Dt
071291202 07/26/202 08120/202
Check Dt Pay
Gross
718.13
Discount
0.00
No -Pay
0.00
Net J
718.13
1906576671
07/29/202 07/26/202 08/201202
648.34
0.00
0.00
648.34
Vendor Totals: Number
Name
Gross
Discount
No -Pay
Net
50501
EVOQUA WATER TECHNOLOGIES LLC
1,366.47
0.00
0.00
1,366.47
Ventlor#JVendor Name
Class
Pay Code
F7400 �/ FISHER HEALTHCARE
M
Invoice# Comment
Tran Ot Inv Dt Due Ot
Check Ol Pay
Gross
Discount
No -Pay
Net
`
,/ 3837398
07117/202 071161202 08/15/202
36.55
0.00
0.00
36.55
J3432886
07/24/202 06/27/202 08/171202
14.434.32
SUPPLIES
J 3622769
07124/20207/06/20208107/202
929.89
Vendor Totals: Number
Name
Gross
F1400
FISHER HEALTHCARE
15.400.76
Vendor# Vendor Name
Class Pay Code
10599 J FORVIS
Invoice# Comment
Tran Dt Inv Dt Due Dt Check Dt Pay
Gross
J2167461
26,250.00
r[n,077//t2I,`99/,20207/3112022�077//3r11202
\k 1\f\ W •60.\ V� �� MGross
Vendor Totals: Number
Name
10599
FORVIS
26,250.00
Vendor# Vendor Name
Class Pay Code
11984 JGUERBET,LLC
Invoice# Comment
Tran Dt Inv Dt Due Ot Check Dt. Pay
Gross
J18769193
07/25/202 07/171202 08117/202
350.00
Vendor Totals: Number
Name
11984
GUERBET, LLC
Vendor# �/endor Name
Class
Pay Code
G1210 •/
GULF COAST PAPER COMPANY M
J2554607
Invoice# Comment
Tran Dt Inv Dt Due Ot
071241202 07123/202 08122/202
Check Dt Pay
J2554504
07/241202 07/241202 08/231202
Vendor Totals: Number
Name
G1210
GULF COAST PAPER COMPANY
Name
Vendor# VITA
Class
Pay Code
11285 J
ITA RESOURCES INC
J
Invoice# Comment
Tran DI Inv Dt Due Dt
Check Dt Pay
MMC72024
071291202 07/01/202 07121/202
JMMCB2024
071311202 081011202 081211202
Vendor Totals: Number
Name
11286
ITA RESOURCES INC
Vendor#/Vendor
Name
Class
Pay Code
10972 ✓
M G TRUST
J
Invoice# Comment
Tran Dt Inv Dt Due Dt
Check Dt Pay
071224
07/29/20207/12/20207/25/202
Vendor Totals: Number
Name
10972
M G TRUST
Vendor# /Jendor Name
Class
Pay Code
15580 �
MARIA TORRES
Invoice# Comment
Tran Dt Inv Dt Due Dt
Check Dt Pay
/
J
072524
07/31/202 07125/202 07/25/202
OB CALL
Vendor Totals: Number
Name
15580
MAMATORRES
Vendor#
]Oendor Name
Class
Pay Code
M217B
MCKESSON MEDICAL SURGICAL INC
Invoice# Comment
Tran Dt Inv Dt Due Ot
Check Dt Pay
0.00
0.00
14,434.32
0.00
0.00
929.89
Discount
No -Pay
Net
0.00
D.00
15,400.76
Discount
No -Pay
Net
0.00
0.00
26,250.00
JJ
Discount
No -Pay
Net
0.00
0.00
26,250.00
Discount
0.00
Gross Discount
350.00 0.00
No -Pay
Net
0.00
350.00
No -Pay
Net
0.00
350.00
Gross
Discount
No -Pay
Net
876.00
0.00
0.00
876.00
116.30
0.00
0.00
116.30
Gross
Discount
No -Pay
Net
992.30
0.00
0.00
992,30
Gross
Discount
No -Pay
Net
31,090.62
0.00
0.00
31,090.62
0.00
0.00
31,141.25 J
31,141.25
Gross
Discount
No -Pay
Net
62,231.87
0.00
0.00
62,231.87
Gross
Discount
No -Pay
Net
895.00
0.00
0.00
895.00 ✓/
Gross
Discount
No -Pay
Net
895.00
0.00
0.00
895.00
Gross
Discount
No -Pay
Net
1,699.58
0.00
0.00
1.699.58.
J
Gross
Discount
No -Pay
Net
1,699.58
0.00
0.00
1,699.56
Gross
Discount
No -Pay
Net
22392926 07/171202 07/241202 08115/202
75.67
0.00
0.00
75.67
/22381365 07/17/20207/26/20208/15/202
514.21
0.00
0.00
514.21
J 22345394 07125120207113120208115/202
1,341.69
0100
0.00
1,341.69
Vendor Totals: Number Name
Gross
Discount
No -Pay
Net
M2176 MCKESSON MEDICAL SURGICAL INC
1,931.57
0.00
0.00
1.931.57
Vendor# j✓endor Name Class Pay Code
M2470 �/ MEDLINE INDUSTRIES INC M
,Invoice# Comment Tran DI Inv Dt Due Dt Check Dt Pay
Gross
Discount
No -Pay
Net
2325130007 071111202 07/031202 08117/202
4,127.46
0.00
0.00
4,127.46/
SUPPLIES
J2327132623 07/24/202 07/17/202 081111202
248.65
0.00
0.00
248.6,9
SUPPLIES
J2327132618 071241202 07/17/202 08/11/202
299.23
0.00
0.00
299.23
SUPPLIES
✓
2327406067 07124/202 07/18/202 08/12/202
-248.65
0.00
0.00
-248.65
J2327997168 07/24/202 071231202 08/17/202
24.55
0100
0A0
24.55y/
SUPPLIES
2325405125 07/31/202 07/00202 07/29/202
-104.94
0.00
0.00
-104.94
CREDIT
Vendor Totals: Number Name
Gross
Discount
No -Pay
Net
M2470 MEDLINE INDUSTRIES INC
4,346.30
0.00
0.00
4,346.30
Ventlor#/Vendor Name Class Pay Code
15672./ MELISSA WILSON MD
Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay
Gross
Discount
No -Pay
Net
J 072524 07/31/202 07125/202 071251202
6,629.72
0.00
0.00
6,629.72
018 CALL
/
Vendor Totals: Number Name
Gross
Discount
No -Pay
Net
15572 MELISSA WILSON MD
6,629.72
0.00
0.00
6,629.72
Ventlor# endor Name Class Pay Code
12204 MEMORIAL MEDICAL CENTER
Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay
Gross
Discount
No -Pay
Net
073024 07131120207130/20207/30/202
14.60.
0.00
0.00
14.50
VEHICLE INSPECT/REG10
Vendor Totals: Number Name
Gross
Discount
No -Pay
Net
12204 MEMORIAL MEDICAL CENTER
14,50
0.00
0.00
14.50
Vendor#/Vendor Name Class Pay Code
10963 1 MEMORIAL MEDICAL CLINIC
Invoice# Comment Tran Dt Inv Dt Due Ot Check Ot Pay
Gross
Discount
No -Pay
Net
J072524 07/291202 07125/202 07/25/202
66.00
0,00
0.00
65.00 `
1/
Vendor Totals: Number Name
Gross
Discount
No -Pay
Net
10963 MEMORIAL MEDICAL CLINIC
65.00
0.00
0.00
65.00
Vendor# Vendor Name Class Pay Code
10536.� MORRIS & DICKSON 00, LLC
Invoice# Comment Tran Ot Inv Dt Due Dt Check Di Pay
J2251337 07130120207124/20208/03/202
Gross
331.65
Discount
0.00
No -Pay
0.00
Net /
331.65 V
INVENTORY
1/2250174 07/301202 07/24/202 08/03/202
3,979.14
0.00
0.00
3,979.14✓
INVENTORY
1381 07/30/202 07124/202 08/031202
-703.88
0.00
0.00
-703.88
CREDIT
/
J2248996 07/30/20207124/20208103,202
11,678.43
0.00
0.00
11.678.43 V
J
INVENTORY
2248995
071301202 07124/202 08/03/202
INVENTORY
J 2251336
07/30/20207/24/20208/03/202
INVENTORY
11/605674
07/301202 071251202 08/04/202
INVENTORY
J 2257026
07/30/202 071251202 08/04/202
INVENTORY
✓ S05675
07/30/202 071251202 081041202
INVENTORY
J 2254099
07/30/20207/25120208/04/20e"
INVENTORY
2257027
07/30/202 071251202 08/041202
INVENTORY
2263636
071301202 07/28/202 08107/202
INVENTORY
_/2262580
071301202 07/281202 08/071202
INVENTORY
J 2263635
07/30/202 07/28/202 081071202
INVENTORY
J 2267479
07130/202 07/291202 08110/202
INVERNTORY
Vendor Totals:
Number Name
10536 MORRIS & DICKSON CO, LLC
Vendor# Vendor Name
Class
Pay Code
N1234 J NFPA
W
Invoice#
Comment Tran Dt Inv Dt Due Dt
Check DI Pay
073024
07/31/202 07/22/202 07/221202
NFPARENEWAL
Vendor Totals:
Number Name
N1234 NFPA
Vendor# /endor Name
Class
Pay Code
01416 V ORTHO CLINICAL DIAGNOSTICS
Comment Tran Dt Inv DI Due Dt
Check DI Pay
`/Invoice#
,/ 1853624767
07/24/202 07/14/202 08113/202
/ 1853632311
07/25/202 071181202 08117/202
Vendor Totals:
Number Name
01416 ORTHO CLINICAL DIAGNOSTICS
Vendor#andor Name
Class
Pay Code
OMa25 OWENS & MINOR
Invoice#
Comment Tran Dt Inv Dt Due Dt
Check Dt Pay
J2098726852
071241202 07123/202 08/221202
Vendor Totals:
Number Name
OM425 OWENS & MINOR
Vendor# Vendor Name
Class
Pay Code
15592
Invoice#
Comment Train Dt Inv Dt Due Dt
Check Dt Pay
072324
07/31/202 07/23/202 07/231202
REFUND
Vendor Totals:
Number Name
15592
Vendor# Vendor Name
Class
Pay Code
4,744.44
969.07
122.46
27,27
160.70
400,11
244.80
274.63
34.53
445.45
280.10
Gross
22,988.90
0.00
0.00
0.00
W6111
0.00
0.00
0.00
0.00
0.00
0.00
0.00
Discount
0.00
0.00 4,744.44
0.00
969.07
0.00
122,46
0.00
27.27 ✓
0.00
160.70 ✓
0.00
400.11
0.00
244.80 ✓
0.00
274.63
0.00
34.53 ✓
0.00
445.45
0.00
280.10
No -Pay
Net
0.00
22,988.90
Gross
Discount
No -Pay
Net
225.00
0.00
0.00
225,00
Gross
Discount
No -Pay
Net
225.00
0.00
0.00
225.00
Gross
Discount
No -Pay
Net
451.37
0.00
0.00
451.37
200,52
0.00
0.00
200.52
Gross
Discount
No -Pay
Net
651.89
0.00
0.00
651.89
Gross
Discount
No -Pay
Net
25.76
0.00
0.00
25.76
/
Gross
Discount
No -Pay
Net
25.75
0.00
0.00
25.76
Gross
Discount
No -Pay
Net
120.00
0.00
0.00
120.00
Gross
Discount
No -Pay
Net
120.00
0.00
0.00
120.00
14764 `r PL-CPR, LLC
Invoice# Comment Tran Dt Inv Dt Due Dt
Check Dt Pay
Gross
Discount
No -Pay
Net
J 323 07131120207/23/20207123/202
540.00
0.00
0.00
640.00 /
Vendor Totals: Number Name
Gross
Discount
No -Pay
Not
14764 PL-CPR, LLC
540.00
0.00
0.00
540.00
Vendor#/Vendor Name Class
Pay Code
12708 POC ELECTRIC, LLC
Invoice# Comment Tran Dt Inv Dt Due Dt
Check DI Pay
Gross
Discount
No -Pay
Net.
J080124 08/01120208/01/20208/011202
1.400.00
0100
0.00
1,400.00�
DEPOSIT TO REPLACE WATER P
-
Vendor Totals: Number Name
Gross
Discount
No -Pay
Net
12706 POC ELECTRIC, LLC
1,400.00
0.00
0.00
1,400.00
Vendor# Name Class
Pay Code
/vendor
11251 7/ RAPID PRINTING LLC
/Invoice# Comment Tran Dt Inv Dt Due Dt
Check Dt Pay
Gross
Discount
No -Pay
Net
✓ 24373 07131120207/26120208/05/202
400.00
0.00
0.00
400.00 /
PROMO BANNER
Vendor Totals: Number Name
Gross
Discount
No -Pay
Net
11251 RAPID PRINTING LLC
400.00
0.00
0.00
400.00
Vendor#/Vendor Name Class
Pay Code
15264 J REPUBLIC PAIN SPECIALISTS
Invoice# Comment Tran Ot Inv DP Due Dt
Check Dt Pay
Gross
Discount
No -Pay
Net
J35 07119/202 071191202 08/191202
4,000.00
0.00
0.00
4,000.00
Vendor Totals: Number Name
Gross
Discount
No -Pay
Net
15264 REPUBLIC PAIN SPECIALISTS
4,000.00
0.00
0.00
4,000.00
Vendor# / Vendor Name Class
Pay Code
15588 J -
Invoice# Comment Tran Dt Inv Dt Due Dt
Check Dt Pay
Gross
Discount
No -Pay
Net
J072324 07/31/20207123120207/23/202
160.00
0.00
0.00
160.00
REFUND
/
Vendor Totals: Number Name
Gross
Discount
No -Pay
Net
15588
160.00
0.00
0.00
160.00
Vendor# ,Vendor Name Class
Pay Code
12.472 �f SOMETHING MORE MEDIA, INC.
Invoice# Comment Tran Dt Inv Dt Due Dt
Check Dt Pay
Gross
Discount
No -Pay
Net
2206 071291202 071261202 08/10/202
2,669.76
0.00
0.00
2,669.78 /
✓
Vendor Totals: Number Name
Gross
Discount
No -Pay
Net
12472 SOMETHING MORE MEDIA, INC.
2,669.78
0.00
0.00
2,669.78
Vendor#/Vendor Name Class
Pay Code
12288J SPBS CLINICAL EQUIPMENT SRVC
Invoice# Comment Tran Dt Inv Dt Due Dt
Check Dt Pay
Gross
Discount
No -Pay
Net
J INV050000824 07/311202 08/011202 08/06/202
9,836.92
0.00
0.00
9,836.92 /
✓
AUG CONTRACT
Vendor Totals: Number Name
Gross
Discount
No -Pay
Net
12288 SPBS CLINICAL EQUIPMENT SRVC
9,836.92
0.00
0.00
9,836.92
Vendor# Name Class
Pay Code
10094 YT DAVIDS HEALTHCARE
YET DAVIDS
I\1
Invoice# Comment Tran Ot Inv Dt Due Dt
Check Dt Pay
Gross
Discount
No -Pay
Net
J MMOPL202406 07131/202 07130/202 071301202
375.00
0.00
0.00
375.00
CONNECTIVITY FEE JUNE
J
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
S3960 J STERICYCLE, INC
Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay
Gross
Discount
No -Pay
Net
J8007809243 071241202 071181202 08117/202
3,076.66
0.00
0.00
3,076.66
WASTE DISPOSAL
Vendor Totals: Number Name
Gross
Discount
No -Pay
Net
S3960 STERICYCLE, INC
3.076,66
0.00
0.00
3,076.66
Vendor#/Vendor Name Class Pay Code
10735 STRYKER SALES, LLC
Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay
19206744524
Gross
Discount
No -Pay
Net
071241202 07/221202 08/21/202
2,237,22
0.00
0.00
2,237.22
✓
SUPPLIES
-
Vendor Totals: Number Name
Gross
Discount
No -Pay
Net
10735 STRYKER SALES, LLC
2,237.22
0.00
0.00
2,237.22
Vendor## endor Name Class Pay Code
15056 TEXAS HEALTH & HUMAN SERVICES
Invoice# Comment Tran Dt Inv Dt Due Ot Check Dt Pay
Gross
Discount
No -Pay
Net
J073024 07/311202 07/301202 07130/202
2,632.06
0.00
0.00
2,632.06
VendorTotals: Number Name
Gross
Discount
No -Pay
Net
15056 TEXAS HEALTH & HUMAN SERVICES
2,632.06
0.00
0.00
2,632.06
Vendor# Name Class Pay Cede
/yrendor
T2204 J TEXAS MUTUAL INSURANCE CO W
nvolce# Comment Tran Dt Inv Dt Due Dt Check. Dt Pay
Gross
Discount
No -Pay
Net
032624 07131/202 03/26/202 041151202
8,867.80
0.00
0.00
8,867.80�
FINAL AUDIT ADJUSTMENT
Vendor Totals: Number Name
Gross
Discount
No -Pay
Not
T2204 TEXAS MUTUAL INSURANCE CO
8,867.80
0.00
0.00
8,867,80
Vendor# Vendor Name Class Pay Code
11908 TMS SOUTH
Invoice# Comment Tran Dt Inv Dt Due Dt Check. Dt Pay
Gross
Discount
No -Pay
Net
INV128111 07/24/202 07119/202 08/18/202
191.16
0.00
0.00
191,16
�!
SUPPLIES
VendorTotals: Number Name
Gross
Discount
No -Pay
Net
11908 TMS SOUTH
191.16
0.00
0.00
191116
Vendor# Name Class Pay Code
/uendor
14372 J TRIAGE, LLC
Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay
JINV1796990284 08/181202
Gross
3.182.50
Discount
0.00
No -Pay
0.00
.Net
3,182.50�
07/29/202 07/19/202
Vendor Totals: Number Name
Gross
Discount
No -Pay
Net
14372 TRIAGE, LLC
3,182.50
0.00
0.00
3,182,50
��/"""
Vendor# /vendor Name Class Pay Code
U1064J UNIFIRST HOLDINGS INC
Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay
J2921034367
Gross
Discount
No -Pay
Net
J
071191202 06/10/202 08/23/202
102.07
0.00
0.00
102.07
J2921034971A 07/19120206/17120208/23/202
3,534.89
0.00
0.00
3,534.99
J 2921037684 07/23/20207/18/202081171202
220.59
0.00
0.00
220.59
LAUNDRY
/
132.81
,%2921037676 07123/202 07/181202 08/17/202
132.81
0.00
0.00
/ LAUNDRY
/
J 2921037679 07/231202 071181202 08/171202
252.21
0.00
0.00
252.21
LAUNDRY
J2921037680 07/231202 07118/202 081171202
2.789,29
0.00
0.00
2,789.29
LAUNDRY
J2921037683 07/23/202 07/181202 08/17/202
LAUNDRY
1/2921037685 07123/202 07/181202 08/171202
LAUNDRY
J2921037682 07/23/20207118/20208117/202
LAUNDRY
J2921038265 07/29/202 07/251202 08/191202
LAUNDRY
J2921038530 07/30/202 07/29/202 08123/202
Vendor Totals: Number Name
U1064 UNIFIRST HOLDINGS INC
Vendor#/ Vendor Name Class Pay Code
11110 •/ W ERFEN USA LLC
/Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay
J 9111550118 07/03/202 07/09/202 08/17/202
SUPPLIES
J9111570732 07/31/202 07/291202 08/23/202
Vendor Totals: Number Name
11110 WERFEN USA LLC
Vendor#/Vendor Name Class Pay Code
10556r WOUND CARE SPECIALISTS
Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay
JWCS00006822 OW01120207/01/20207/301202
JUNE SERVICES
Vendor Totals: Number Name
10556 WOUND CARE SPECIALISTS
�port
Grand Totals: Gross Discount
256,621.87 0.00
APPROVED ON
g ACUoGUpT0 12024
CALHC E()t,NTftTEXAS
282.90
0.00
0.00
282.90
113.81
0.00
0.00
113.81,/
318.12
0.00
0.00
318.12 ✓
220.39
0.00
0.00
220.39 ,/
97.76
0.00
0.00
97.76 ✓
Gross
Discount
No -Pay
Net
8,064.84
0.00
0.00
8,064.84
Gross
Discount
No -Pay
Net /
1,176.75
0.00
0.00
1,176.75 ✓
1.367.43
0.00
0.00
1,367.43
Gross
Discount
No -Pay
Net
2,544.18
0.00
0.00
2,644.18
Gross
Discount
ND -Pay
Net
11,900.00
0.00
0.00
11,900.00
Gross
Discount
No -Pay
Net
111900.00
0.00
0.00
11,900.00
No -Pay
Net
0.00
256,621.67
RECEIVED BY THE
C(pON
RUN DATE:
08/01/24 MEMORIAL MI= CENTER
TIME:
12:27
AUG 0 ,I G624 EDIT LIST FOR
PATIERT
REFUNDS
ARID=0001
PATIENT
NINE"
rAUIOUN COUNTY, TEXAS
PAY PAT
PAYEE
NA.M6 DATE
AMOUNT
CODE TYPE
DESCRIPTION
41
1469944
01
073124
163.1T
✓ 2
REFWD FOR
/
1556100
01
77979
/
�(
073124
03.61
J 3
REFUND FOR
2588872
OL
77905
073124
✓
J
90.00
3
REFUND FOR
77465
ISB9329
01
073124
50.00
J 2
REFUND FOR
J
1592599
O1
77904
073124
648.20
✓
2
REFUND FOR
1593198
01
79120
073124
336.15
3
REFUND FOR
J
1595317
01
031.52366
/
073124
104.80
2
REFUND FOR
J
1596711
01
77993
073124
15.77
J 2
REFUND FOR
77979
1597988
01
073124
124.00
2
REFUND FOR
J
79120
1598839
D1
073124
169.40
J 2
REFUND FOR
1601969
01
79120
/
073124
373.90
V 2
REFUND
J
1605865
01
631952366
J
073124
82.78
2
RESN0
77971
1607392
01
073124.
641,55
2
REFUND
77979
1607661
dl
073124
131.75
!
2
REFUND
16095D4
O1
77962
073124
/
17.00
./ 2
REFUND !
78537
PAGE 1
APCMDIT
GL NUN
RUN DATE: 08/01/24 MEMORIAL MEDICAL CENTER PAGE 2
TINE: 12:27 EDIT LIST FOR PATIENT REFUNDS ARID-0001 APCDEDIT
PATIENT
NOMEER
J1609611
PAYEE NAME DATE
PAY PAT
AMOUNT CODE TYPE DESCRIPTION GL NUM
------------------------
14.59 2 REFUND FOR-
ARIM001 TOTAL 3086.62
TOTAL 3086.62
AUG 01 2024
:t
MWESSON STATEMENT
canren now
MEMOMAL MEDICAL CENTW ✓ / AMT DUE F ITTED VIA ACII D®IT
Ap Statement for Informatbn only
815 N VIRGINIA STREET J
PORT LAVACA TX 77979
As 0: 08/0212024
Page: 002 To enwm popr amdn a your
scoawlt, detaaN and alum Iha
Ault wnb Your nmlNancs
DC: Sit$
Customer IRV SupplD:
Aa of: 0810212024 Page:002
Mao too cc: B000
7wrnory.
AMT DUE R ITTED VIA ACH DEBIT
Cualamr: 632536
Statement for information only
Date: OSM312024
Curs: 632636 PEASE CHECK ANY
Date: 0810312024 TTBdB NOT PAID (+(
ftw� � 01.1 Account WvG _
Dofm9 Old Numwrwa W.. 'Ito Amount P AmwM P fbcnown,
Date Oats Number Roremma Dewdpfm DlecOUM (gma) F (mt( F NumMr
K conum , I4gand:
P - Pan Ow It...
F = Put.. Dun It... blank = Curren Ow itom
TOTAL Nelbnel
Aon 632536 MT3KOPog6 MEDICAL C@f792
6ubtatab: 3.348.01 USD
/
Future Dw:
0.00
Ow II Paitl Own Tuna:
It ftM W 0010612024.
LSD 3,278.43
Pant Dw:
129.39-
Pay This Amount: 3.278.43 UM
Doc iun N Paid mt.
69.58
Last Paymonl
2.451.D7
If PJd ANcr 0810612024,
D. If Paid W.
4810712017
Pay ma Amours: 3.348.01 USD
Uso 3.34B.01
APPROVED ON
/
/1
J �'v �1sC AUZ6J ,
AUG 05 2014
d 15 NZ02(�-
7e05 h
136•35 +
vlJf,.y9 0
CASHOMPPUARI WAS
i'it
For AR Inquiries please contact 800.867-0333
Canary 0000
WALMANT 9098/MEd MED M
MEMORIAL MEDICAL CENTER!/
VICXY XALISE(
$15 N VIRCINIA ST
PORE IAVACA TX 77979
wt:g Dcel ae
Customer Number 256342
07/29/2024 00/0612024
01/29/2024 0810612024
07129/2024 D8/06/2024
07130@024 D810612024
07130/2024 08/00/2024
07130/2024 DBIO012024
07/30/2024 D8/U6/2024
0113012024 DRIOB12024
OH3112024 D810612024
0713112024 08/06/2024
07191/2024 08/06/2024
01I3112024 08/06/2024
07131/2024 08106,2024
07131/2024 08106/2024
07/3112024 08/06/2024
0713112024 08/06/2024
0713112D24 08/0612024
07/31/2024 0810612024
0010112024 08/08/2024
08101/2024 08/0/2024
0810212024 OW06/2024
08/02/2024 08/08/2024
08/0212024 0010612D24
08102/2024 08/06/2024
08/0212024 08/06/2024
08/02/2024 08/06/2024
08102/2024 0010602024
06/0212024 08/06/2024
08/02/2024 08/0612024
STATEMENT
AMT DUE REMITTED VIA ACH D®li
Statement for informotlan only
WAIMANT 169811fi94 MED
7511269615
7511269616
rat 1269611
7511502421
7511602422
7511502423
7511516229
7511516230
7511788449
7511188459
75117R8451
7511768452
7511796453
7511786464
7511780456
7511768456
7511803532
7511803533
7512056525
7512056396
7512300436
7512300437
7512300438
7512300439
7512300440
T512300441
7512300442
1512300443
75t2300444
A. of: 08/02/2024 Page: 001
DC: $115
Customer INV Supp10:
Termory: 7001
Customer. 256342
Oats: 0810312024
To Name, proper Neal to your
accwa, alach and relem IbM
slab .1th your mWKUmee
A4 ot: 0810212024 Porte: 001
Mall to: c2p: 8000
AMT DUE REMITTED VIA ACH 0®IT
Statement for Information only
Crest: 266342 IKea9c CHECK ANY
Date: 08103/2024 R945 NOT PAID I,)
Cavl1 Amount P Amount P Reemeble
Description omma (gmeN F (mt) F Number
VHS
115222714
t15Mvofco
0.01
0.32
0.31 3(
J 7511269616
116454505
i151nvoice
0.01
0.63
0.62 k
✓/7511269616
204177320
1151nvnice
0.08
0.08,
J is 11269617
203882082
1151nvalce
4.22
210.82
206.60 X
✓7511602421
205147848
1151mmice
4.12
205.97
201 85 X
✓ 7511502422
115454505
1151moice
0.02
095
0,931(
✓7511502423
1166724/8
1151nv6ce
0.51
25.35
24.847(
✓751/516229
205441721
115lnvo1cc
16.48
823.88
607.40 X
✓ 1511516230
116004680
1151nmice
5.23
261.50
256.27 A
�/7511786449
206643054
115Mvoice
0.02
0.95
0.93
.,rX 7511788450
114454506
1151nvoice
0.02
0.95
0 93A
✓ 7511768451
116270035
115Mv9ke
0.02
0.95
0.93 X
✓/7511780452
114735193
1151welo.
0.03
1 48
1.45 K
.( 7511788453
205441721
115bmu:cx
4.12
205.97
201 as X
f7611700454
205441721
1151nvoes
0.08
0.05 \
7511788455
206572602
1151nvoice
0.03
4142
40.59(
✓7511788456
115019322
1151m,cicn
0,10
0.10
✓7611803532
115509102
115lm9ice
0.01
0.32
0.317(
✓7511803533
206692063
1151nvuice
0,02
1.06
1.04 r
J/ 7512056395
206692083
it Slnvoioa
0.01
D.63
0.62 %
✓
208643854
1151nvoice
0.01
0.32
0.31 A
,7512056396
✓ 7512300436
116270035
1151mmice
0,02
0.95
0.93 X
✓ 7512300437
203051223
1151nvolca
3.73
186.35
162.62 k
//7512300436
116604680
1151nvoica
5.22
281.50
256,27 J(
11T512300439
206794050
1151nvc1ce
1.66
82.04
01.16 k512300440
1512300441
115509102
1151e.iw
0.01
0.32
0.31 1(
•
205147M8
1/5lnvnim
5.23
261A1
256.18X
,/ 7512300442
205269451
1151moice
10.46
522.82
516.3a X
✓/.TS12300443
20514784E
IISleyoke
2.09
104.39
102.30 X
J 7612300444
for AR Inquiries please contact 900-867-0333
MSKESSON
STATEMENT
As M: 08/02/2029
Page: 002
To e MB to your
, pres gofer ndend
amse
ed. retlto lNe
�*wn. $000
stub will, year lnn8ha¢e
OC: 8115
As M: 08/0212024 Page: 002
WALMART 10981MOA Mm
MS ANT DUE REMITT® VIA qCH OMIT
Customer INV E1,400:
Dnit4ry: 7001
Mall to: Comp: 0000
MENOR1AL MEDICAL CENTER Sloananl for information only
AMT DUE HEMITT® VIA ACHE 08I1
VICKY KAUSB(
f
Cugemer. 256342
Slelamant to Information only
815 N VIRGINIA ST
J
Date: 0910312024
PORT IAVACA TX 72979
Cum: 256342 PIFABE CHECK ANY
Dale•. 0010312024 ORBS NOT PAID (1)
MIT;; Duo
ReuFaMr"atldW Acwuld /TB
Cash
Amount P
Amount P Ibceisable
Sete Out.
Number Rafe. Description Dbceod
1lpeeal F
(zt) F Number
PF column bgerW: P = Past
Ow Nam, F = Future Ow Item, b1emX = Camara Use, Item
TOTAL Customer Number 256]42 WALMART fO881Mwhim PNS
Subtotals:
3.204.31 USE
-
i Ow:
0.00
Ow it Pap On Time:
If Feld By 0810612024,
USS 3,140AS
hu Own:
0.00 Pay Thb Amast:
3.140.19
USE)
Sbe lest H Wd late: ✓
64.12
last Payment
5.539.14 H PaW After 0810612024.
0. If Pant late:
n7129/2024
Pay thb Amen :
3,204.31
USED
LAID 3,204.3E
A dN
815(W2-Y
AUG 116 2024
cA�N�
For AR inquiries please contact 800-867-0333
MSKESSON
STATEMENT
A. of: 08/0202024
Pape: 001
To. proper em08 W year
aoceent, Mach aad mum IMa
Timwnr ea.a
stub WBh your nmytanee
HER PHCY WHSE/MRU MED
Mi5
DC: 8115
Custanar INV SuD:
As oft. (8/0212024 Page: 001
Mal W. Camp: 8000
ANT DUE REMITTED VIA ACH DEBIT
MEMMAL MEDICAL C84TER Slatement for inioonailon only
Ton": 7001
AMT DUE REMITTED VIA ACH DEBIT
VICKY KAUSLTC
820405
Dam
Slalmmanl for information only
815 N VIRGINIA ST
Dam OBI03/2024
08/: 312024
PORT tAVACA TX 77979
Coat: 820405 ArASE CHECK ANY
Date: 081OW2024 ITEMS NOT PAID N)
E101p Ow
,,,JalWnol Account T 718
Gash
pmwnl P
Amoum P RewNaMe
pale Dale
NUMrer ImfereMa
Des von Dlewwt
larey) F
(wtl F Number
Cuslomer Marker 820405 HIM PHCY WHSEMEg MED MS
0712912024 08/0612024 7510988741 82407455-168163
1151nvoice 2.27
113.37
//
111.10 k - %510986741
06/02/2024 08/0212024
7512365759 MM M COR R CR
Pricing Car
35.10- P
38.10. P 1(-/7512366758
08102/2024 OBAHU2024
7512366760 MFC M COW IN
Pricing Car 0.10
5.15
5.053( J 7612366760
PF WWM Iega:W: P = PRO
Ow am, F = Future Ow Item, blank = Current Ow Ilmm
TOTAL: Customer Nwnba 820403 HED MICY WNSEMEM MED PHS
SWOON
80.42 USD
Future Dw:
0.00
Cw It Polo On TNW:
H Paid By 0810012024,
USD 78.05 �V
Past Oue:
3B.f0- Pay Thb Amount:
78.05
USD
OHe last It mid We:
2,37
Last Poy.w.
34.373.02 M Pant After 08111612024,
D. N PaIM talm
07/2212024
Pay this Amami:
60,42
USD
Usn 80.42
/}
AUG p024
a�5 �2621f
R�yy �706
GALHOUN �Ct)U"AS
For AR Inquiries please contact 800-867-0333
61 AV11TI IL"
r<ma..y amens
CVS PHCY 8923fMW MC NHS AMT DUE REMITTED VIA ACH DEBIT
MEMORIAL MEDICAL CENTER Slale Bent for Information only
VICKY KALISEK "j
815 N VIRGINIA ST -
POW tAVACA TX 77979
Daa9 Dale
As Mt 0810212024 page: 001 To seems peter orn61 to your
twustad, Morph are mum ads
Mult "h your Maldives,
DC: 9115 As of: 0010212024 Page: 001
Customer INV Supplo: Mail I.: Camp: 8000
Tavedory: ]ODt
AMT DUE frm VIA ACH DEBITCustomer. 835434 Sealemeni faror information only
Date: 0810=024
Cast: 835434 PLEASE CHECK ANY
Data: 08/0312024 ITWS NOT PAD 11)
Cash Amended P Assert P RMaNahls
Description Discount (gin) F (Mt) F Numllo
Customs Numtwr 835434
CVS PHCY 8923161011 Me PHS
07)3112D24 0100612024
7511606180
3420710 115lavace
07131/2024 08/0612024
7511686181
3420710 1151moico
W column legend: P e Pant Due Ham, F + Future Due
Item Mae6 • DuneM Due If..
TOTAL• Outdone, Number 835434 CV5 RICY 69230MEM
MC PHS
SubtedaM:
Fulurs Due:
0.00
N Paid W 0810612024,
Past use.
0A0
Pay This Amount:
last payment
5,539.14
N Post After 0810612024,
07/2902024
Pry tan Armand:
0.15
2.63
439.13 US0
APPROVED ON
AUGFT06 2200274pp
eunUfQitilT;f7UNfV, TENAS
7.67 7.52 k J/ 7511896180 El
128.63A J ]511666181
Due 11 Pad On Time:
USD
135.351�
136.35 USD Gifts lost N paid We:
--
2.78
Due K Paid We:
139.13 USD UUso
139.13
I
(202.
For AR Inquiries please contact 800-867-0333
WKESSON
A. of: 0910212924
"„' °°'
T. .. mpM asset ea'
P eth°y
STATEMENT
someone. detach mM IM4
Nub with from MmMn sa
cemn:Mr e000
OC: 8115
Culdamar INV SupplD:
As d: 09/02/2024
Mail is: 0 pe9000
CVS PHCY 7416IMEM MC PRS AMT DUE 11B47TTED VIA ACH DEST
Territory: 7001
MWOWAL MEDICAL CE14TM
Statement for mformatlon only
AMT DUE 1694ITTED VIA ACH OMIT
VICKY W1LISf0(
/
Customer. 835437
onl
Statement far information y
file N VIRGINIA ST
-f
Dale: OB10312024
PORT LAVACA TX 77979
CUM: 835437 PLEASE CHECK ANY
Date: 0810312024 R64S NOT PAW (+)
BYlhg Due
pepe...Na larral Account t1,336
Cash
Amount P
ATWM P Recehahb
Oate Dale
Number Rafamnce
Onealption Dimmed
(91a4 F
OM) F NMnbM
Coleman, Number 835437 CVS
PNCY 74161MEM MC MS
�7511812012
07MI/2024 08/0612024
7511812042 3416901
1151mmim 0.17
8.28
0.11 X L 1
07131/2024 07/3112024
7511825929 Undelivered U.5
1/SCYndit
25.17- P
25.17. P t 751182S929
—lit
0810212024 OB/0212024
7512356526 MFG M CORR CR
Rlcing Cor
66.12. P
66.12- P 3f s/7512366825
08/0212024 08/06/2024
7512366826 MFC PR CORK IN
RIcfg Car 0.14
7.16
III
7.02 A �/7512366926
PF column Iegied: P a Past DUa Item, F = Fulurs Dua it... bNN, = CMMM Due Item
TOTAL: Cuetanwr Number 835437 CVS RICY 14181MAA MG Me
SubtataN:
75.65. USO
Fufura Der.
0.00
Dua If Paid On Tim:
K Paid By 0810612024,
USD
Past Ow:
91.29- Pay Tab Amount:
76.15.
USD
Ulm told N Pend we:
0.31
tans payment
5.539.14 K Pend After 0810612024,
Due N Paid late:
07/29/2024
Pay this Amoral:
75.65-
USD
USO 75.85-
APAOM ON
c 15IzOz(f
AUG 05 2024
CALFIOUMN&
For AR Inquiries please contact 800-807-0333
AMERISOURCESERGEN DRUG CORP
12727 W. AIRPORT BLVD, ✓
SUGAR LAND TX 77478LI01
DEA: RA0269276
866451A655
Account Activlty
Document Due Reference
Date Date Number
07-29-2024-OB4 2024 3183229926
07-29.2024 OB419-2024 3183229927
07-20-2024 08.09. 24 3183229920
07-29-2024 08 2024 31"XIAI929
07-29.2024 OB49.2024 3103230970
07-29.2024 08-094D24 31832MVI
0749.2024 03491=4 3183230972
07-29.20N 08-09-2024 3183230973
07-3a-2024 084 2D24 31B3390057
0MI-2024 0849.2024 3183540W2
0 01-2024 08419.2024 3183871941
08-01-2024 N8 I!024 3183671942
0602-2024 05418-2024 3183519221
STATEMENT Statement Number: 67956349
Date: 08-02-2024
WALGREENS #12494 AM
MEMORIAL MEDICAL CENTER
1302 N VIRGINIA ST
PORT LAVACA TX 77979.2509
..APPROVED -ON-_-..
AMERISOURCESERGEN
AUG
PO Ba.9GVNo
05 2024
CHARLOTTE NO 2829e5223
CALH
Purchase Order
Docu
Number
Type
7Da71moe58
Inviiw
700718IS32
Inwice
7007194354
Inwiw
70071W6,I
iiwiw
7007198708
Invoice
7W7180505
fn noi.
7007191808
Invow
7007IM482
Invoiw
7007206051
Invoice
7007214423
I.W.
7007228804
In2GCe
7007MIuI78
In Ice
7007232484
Inv01Ce
Original
Amount
-........ . wee X
670,39 t
4,338,72 X
4.50
1.113.61 $
1.31 N
11.01 i
1.351
1.7ak
19.249811 1.0
30.56 N
3.373.594
loft
1UD1352547D970281B6
Sat - Fe Due In 7 daW
0.00
10.75716
O.w
iD,757.16
m.757 16
Last Receipt Amount Received Balance
Current
'o.767.16.1. ' - .1 15 Days D.DD 76�O.Days D.oD L. 81.80 Days 0.00 6150 Days D.w
Thank You for Your Payment Reminders
Date Amount Due Dale
De 02-MU (2.225.15) 088 024
ow
0.00
J 679.39
✓ 4.338.72
moo
✓4.50
0.00
J 1.113.61
0.00
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MEMORIAL MEDICAL CENTER
PROSPERITYBANR
ELECTRONIC TRANSFERS FOR OPERATING ACCOUNT —July 291 -Aug 4, 2024
Data 'Bank Deamplio,
8/2/2024 STATECOMPTRMTERNUO8309898/400012100002
8/2/2024 PAY PLUSACHfrons00D000031I38B1] ]010006918
8/2/2024 HPHG"MEMOR PREM MemMadM Ptlau 12312265
8/2/2024 EMPERTPAY MPERTPAY 7460030119ID00010460546
8/2/2024 AMERISOURCE BERG PAYMENTS 01MM776821W1302
8/2/2024 MEMORIAL MEDICAL PAYROLL 746003411113222650
8/W2024 AUFHNETGATEWAYSILUNG137357476104 M106
8/1/2024 PAY PLUS ACHTrans 000000033011962101001,06902
7/31/2024 IRS USATAWYMT 270461315472555 6103611002161
7/31/2024 PAY PLUS ACHTraus 000pMM5798210100O69W
7/M/2024 PAY PLUS ACHTmns OWW M75819610100p6974
7/30/2024 MCRESSON DRUG AUTO ACH ACH05105217910000124
7/30/20M HPHG LLC PORT LAVA MemMedClr Pluau 113122650
7/29/20M PAY PLUS ACHTrons 0Nb0003065458510100 i
MMCNotes
OSH IGT
.3rd Party Payer Fee
- Health Insurance Premium Payment
-Child Support Payment
- MOB Drug Program Expeme
Payroll
.3rd Party Payor Fee
-3m Parry Payor Fee
-Payroll Texas
- 3rd Parry Payer Fee
- 3rd Parry Payor Fee
- MOB Drug Program Expense
-Health Insurance Claim Payments
-31d Parry Payer Fee
CPSI"Handwdtlen
Amount Ched'p
3,005.SW' 110087
582.55/
800562
64,77171 4,_
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367,421.E Xt
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\I.TAQ2Jl0u ^p- "\t%Cdl)� August 5, 2024 rf
Andrew De Los Santos "y\-{y���/ ` 24
Mem4dal Mediral Center �1
PROSPERITY BANK -r a}yf OJ�g C� l�n �.214. -2-14CG
ELECTRONIC TRANSFERS FOR OPERATING ACCOUNT -ESTIMATED ACHS
Date Description q n
Andrew De Los Santos
Memorial Medical Center
0.00
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_Auguse5,2024
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MMC Operating
Memorial Medical Center
Bank Transfer Request
Account: NEXBANK Money Market
:ount Number: = Routing Number:
By:
By:
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�!Y�4`%Ytni.cr1 ri%{'t, Date: 8/1/2024
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AUG 0 1 20 •r AP Open Invoice List
12:11
Due Dates Through: 08/25/2024
Vendor#/ VendbALVSfiMAN 00OW YrY"A Class Pay Code
11824 THE CRESCENT
Comment Tran Dt Inv Dt Due Dt Check Dt Pay
Gross Discount
JInvoice#
072524A 07/31/20207/25/20208/24/202
6,120.00 0.00
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072524 07/31120207/27/202 8/24/202
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Gross Discount
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Repm'i Sumjimr v
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12,036.00 0.00
0.00
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08/01/2024
AUG 01 202A AP Open invoice List
12:12
Due Dates Through: 08/25/2024
Vendor#/Vendor
UAMOUN COUNTY, TIME Class Pay Code
11836
GOLDENCREEK HEALTHCARE
Invoicek Comment Tran Dt Inv Dt Due Dt Check Dt Pay
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072324 07/31/20207/23/202081241202
5,955.90
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93.377.41
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APPROVED AN 93,377.41 0.00
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93,377.41
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93,377.41
RECEIVED BY THE
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08/01l2024 AUG Oi 2OZG MEMORIAL MEDICAL CENTER
12:13 AP Open Invoice List
Due Dates Through: 08/25/2024
�
Vendor# /Vendor NamaeLHOUN COUNTY, TEXAS Class Pay Cade
�
13004 TUSCANY VILLAGE
Invoice;# Comment Tran Dt Inv Dt Due Dt Check Dt Pay
Gross
J 072224 07/311202 07/221202 08/241202
1,224.00
1 Y1S �yw .pup. i n+v MM(, OW inU(OIr
J 072424 07/31/202 07124/202 08124/202
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13004 TUSCANY VILLAGE
14,184.00
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14,184.00
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14,184.00
RECEIVED BY THE
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AUG 0 12024 MEMORIAL MEDICAL CENTER
08/01/2024
0
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12:12
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CAWOUNCOUNTY, TEXAS Due Dates Through:08/2512024
Vendor#/Vendor Name Class Pay Code
12792 �/ BETHANY SENIOR LIVING
JInvoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay
072224A 07/31120207/22/20208/24/202
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15,998.53
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1,299.69
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10,990.22
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19,307.48
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1 072624B 07131/20207/26/20208/24/202
2,448.00
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Gross
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No -Pay
Net
12702 BETHANY SENIOR LIVING
61,023.80
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61,023.80
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APPMOM IN 61,023.80 0.00
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Balances Overview
Account Name
•4357 MEMORIAL
MEDICAL-
$5,519,354.02
$5,460,482.9B
$5,519,354.02
$5,805,034.27
OPERATING
*4365 MMC - CLINIC
SERIES 2014
$545.91
$545.91
$545.91
$645.91
•4373MMC -PRIVATE
WAIVER CLEARING
$439.48
$439.48
$439.48
$439.48
*4381 MEMORIAL
MEDICAL INH
$49,067.85f,/
$49,067.85
$49,067,85
$69,027.39
ASHFORD
•4403 MEMORIAL
MEDICAL INH
$63,599.33,/,/
$70,007.33
$63,599.33
$68,296.02
BROADMOOR
"4411 MEMORIAL
MEDICAL INH
$100,409.16,/ f
$124,644.97
$100,409.16
$88,559.18
CRESCENT ./
•4438 MEMORIAL
MEDICAL I SOLERA �j
$68,783.84 ✓
$77,205.69
$68,783.84
$74,453.13
WEST HOUSTON
•4446 MEMORIAL
i
MEDICAL lNHFORV
$7,973.33
$9,693.33
$7,973.33
$12,098.75
BEND
•4454 MEMORIAL
MEDICAL INH
GOLDEN CREEK
$255,124.56
$256.864.96
$255,124.56
$277.465.66
HEALTHCARE
*4551 CAL CO
INDIGENT
$5,517.96
$5.517.96
$5,517.96
$5,517.96
HEALTHCARE
`5433 MMC -NH GULF
POINTEPLAZA-
$4,346.81
$4,346.81
$4,346.81
$4,322,81
PRIVATE PAY
•5441 MMC -NH GULF
POINTE PLAZA-
$7,999.29
$16,524.29
$7,999.29
$6,781.47
MEDICAREIMEDICAID
*5506 MMC -NH
BETHANY SENIOR
$14,581.38
$22,009.72
$14,581.38
$36,549.97
LIVING
*3407 MMCNN
TUSCANY VILLAGE
TUSC
$144,641.09
$147,610.79
$144,641.09
$158,449.39
• R LIVING -DAC ANY
SR LIVING • DACA
$100.00
$100.00
$100.00
$100.00
*2998 MMC -MONEY
MARKETFUNO
MAR
$5,038.90
$5,038.90
$5,038.90
$5,038.90
Total Balance $6,247,522.91 $6,250,100.97 $6,247,522.91 $6,612,680.29
Report generated on 08/05/2024 10:25:10 AM CDT Page 2 of 2
Memorial Medical Center
Nursing Home UPL
Weekly Neaion Transfer
Prasperity Accounts
8/5/2024
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Balances Overview
Account Name
*4357 MEMORIAL
MEDICAL-
$5,519,354.02
$5,460,482.98
$5,519,354.02
$5,805,034.27
OPERATING
`4365 MMC -CLINIC
SERIES 2014
$545.91
$545.91
$545.91
$545.91
*4373 MMC - PRIVATE
WAIVER CLEARING
$439.48
$439.48
$439.48
$439.48
•4381 MEMORIAL
MEDICAL I NH
$49,067.85
$49,067.85
$4%067.85
$69.027.39
ASHFORD
`4403 MEMORIAL
MEDICAL/NH
$63,599.33
$70,007.33
$63,599.33
$68,296.02
BROADMOOR
•4411 MEMORIAL
MEDICAL/NH
$100,409.16
$124,644.97
$100,409.16
$88,559.16
CRESCENT
•4438 MEMORIAL
MEDICAL / SOLERA @
$68,783.84
$77,205.69
$68,783.84
$74,453.13
WEST HOUSTON
*4446 MEMORIAL
MEDICAL / NH FORT
$7,973.33
$9,693.33
$7,973.33
$12,098.75
BEND
•4454 MEMORIAL
MEDICAL / NH /
GOLDEN CREEK J
/
$255,124.56 ./ f
$256,864.96
$265,124.56
$277,465.66
HEALTHCARE
`4551 CAL CO
INDIGENT
$5,517.96
$5,517.96
$5,517.96
$5,517.96
HEALTHCARE
•5433 MMC -NH GULF
POINTE PLAZA -
$4,346.81
$4,346.81
$4,346.81
$4,322.81
PRIVATE PAY
`5441 MMC -NH GULF
POINTE PLAZA -
$7,999.29
$16,524.29
$7,999.29
$6,781.47
MEDICAREIMEDICAID
•5506 MMC -NH
BETHANY SENIOR
$14.581,38
$22,009.72
$14,581.38
$36,549.97
LIVING
•3407 MMC -NH
TUSCANY VILLAGE
$144,641.09
$147,610.79
$144,641.09
$158,449.39
•3660 MMC -BETHANY
$100.00
$100.00
$100.00
$100.00
SR LIVING - DACA
*2998 MMC -MONEY
$6,038.90
$5,038.90
$5,038.90
$5,038.90
MARKET FUND
MAR
Total Balance
$6,247,522.91
$6,250,100.97
$6,247,522.91
$6,612,680.29
Report generated on 081051202410:25:10 AM CDT
Page 2 of 2
Memorial Medical [enter
Nursing Home UPI,
Weekly HMG Transfer
Prosperityattounn j
8/5/2024
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Balances Overview
Account Name
•4357 MEMORIAL
MEDICAL-
$5,519,354.02
$5,460,482.98
$5,519,354.02
$5,805,034.27
OPERATING
•4365 MMC - CLINIC
SERIES 2014
$546.91
$545.91
$545.91
$545.91
•4373 MMC - PRIVATE
WAIVER CLEARING
$439.48
$439.48
$439.48
$439.48
*4381 MEMORIAL
MEDICAL / NH
$49.067.85
$49,067.85
$49,067.85
$69,027.39
ASHFORD
*4403 MEMORIAL
MEDICAL INH
$63,599.33
$70,007.33
$63,599.33
$68,296.02
BROADMOOR
•4411 MEMORIAL
MEDICAL/NH
$100,409.16
$124.644.97
$100,409.16
$88,559.18
CRESCENT
*4438 MEMORIAL
MEDICAL I SOLERA @
$68,783.84
$77,205.69
$68,783.84
$74,453.13
WEST HOUSTON
*4446 MEMORIAL
MEDICAL / NH FORT
$7,973.33
$9,693.33
$7,973.33
$12,098.75
BEND
'4454 MEMORIAL
MEDICAL / NH
$255,124.56
$256,864.96
$255,124.56
$277,466.66
GOLDEN CREEK
HEALTHCARE
*4551 CAL CO
INDIGENT
$5,517.96
$5,517.96
$5.517.96
$5,517.96
HEALTHCARE
'5433 MMC -NH GULF
POINTE PLAZA -
/
/
$4,346.81 ✓
$4.346.81
$4.346.81
$4,322.81
PRIVATE PAY
MMC -NH GULF POIN
POINTS PLAZA •
/
$7,999 29 ✓
$16,524.29
$7,999.29
$6,781.47
MEDICARE/MEDICAID
*5606 MMC -NH
BETHANY SENIOR
$14,581.38
$22,009.72
$14,581.38
$36,549.97
LIVING
•3407 MMC -NH
$144,641.09
$147,610.79
$144,641.09
$158,449.39
TUSCANY VILLAGE
•3660 MMC-BETHANY
$100.00
$100.00
$100.00
$100.00
SR LIVING - DACA
•2998 MMC -MONEY
$5,038.90
$5,038.90
$5,038.90
$5,038.90
MARKETFUND
Total Balance $6,247,522.91 $6,250,100.97 $6,247,522.91 $6,612,680.29
Report generated on 08105/202410:25:10 AM CDT Page 2 of 2
Memorial Medical Center
Nursing Home UPL
Weekly Tuscany Transfer
Prosperity Accounts
8/5/2024
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-
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-
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-
2,589.42
e/I/2024 NOVRAS MULMON HC0AIMPM7 676201420003149
-
1.44SJ6
-
1,449.76
7/3212024 Added W Atwunt
I
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222.49
-
222A9
7/31/2024 WIRE OUT VILIAGE POST ACUTE HEALTH SERVICE
386.030.41
7/31AD24 Depwit
-
4.676.09
4,676.08
7/31/2024 DePaat
-
3511M.93
-
35,100,93
7/31/2024 D4Pma
-
2,860.00
-
2,960.00
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4,299A9
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3,300.00
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3,300.00
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-
36,2M.09
-
36,27%09
7/29/2024 DepWlt
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5.868.00
-
5,888.00
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10,607.0E
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7/29/2024 HN9-ECHO HCCLAIMPMT 746003411440OW291079
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2.709.53
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400,333.66
144,541A9
144,541,W9 l
Balances Overview
Account Name
*4357 MEMORIAL
MEDICAL-
$5,519,354.02
$5,460,482.98
$5.519,354.02
$5,805,034.27
OPERATING
*4365 MMC-CLINIC
SERIES 2014
SERIES
$545.91
$545.91
$545.91
$645.91
*4373 MMC -PRIVATE
WAIVER CLEARING
$439.48
$439.48
$439.48
$439.48
*4381 MEMORIAL
MEDICAL / NH
$49,067.85
$49,067.85
$49,067.85
$69,027.39
ASHFORD
*4403 MEMORIAL
MEDICAL tNH
$63,599.33
$70,007.33
$63,599.33
$68,296.02
BROADMOOR
*4411 MEMORIAL
MEDICAL INH
$100,409.16
$124,644.97
$100,409.16
$88,559.18
CRESCENT
*4438 MEMORIAL
MEDICAL / SOLERA @
$68,783.84
$77,205.69
$68,783.84
$74,453.13
WEST HOUSTON
*4446 MEMORIAL
MEDICAL I NH FORT
$7,973.33
$9,693.33
$7,973.33
$12,098.75
BEND
*4454 MEMORIAL
MEDICAL/NH
GOLDEN CREEK
$255,124.66
$256,864.96
$255,124.56
$277,465.66
HEALTHCARE
*4551 CAL CO
INDIGENT
$5,517.96
$5,517.96
$5,517.96
$5,517.96
HEALTHCARE
*5433 MMC -NH GULF
POINTEPLAZA-
$4,346.81
$4,346.81
$4,346.81
$4,322.81
PRIVATE PAY
*5441 MMC -NH GULF
POINTEPLAZA-
$7,999.29
$16,524.29
$7,999.29
$6,781.47
MEDICAREIMEDICAID
*5506 MMC -NH
BETHANY SENIOR
$14,581.38
$22,009.72
$14,581.38
$36,549.97
LIVING
/
/
TUSCANY VILLAGE J
TUSC NY VILLAGE
$144,641.09
$147,610.79
$144,641.09
$158,449.39
-BETHANY
SR LIVI- DACA
SR LIVING
$100.00
$100.00
$100.00
$100.00
*2998 MMC -MONEY
MARKET FUND
MAR
$5,038.90
$5,038.90
$5,038.90
$5,038.90
Total Balance $6,247,522.91 $6,250,100.97 $6,247,522.91 $6,612,680.29
Report generated on 081051202410:25:10 AM CDT Page 2 of 2
Memorial Medical Cent"
Nursing Home UPl
Weekly HSUransfer
ProsperityAccounts
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Balances Overview
Account Name
*4357 MEMORIAL
MEDICAL-
$6,519,354.02
$5,460,482.98
$5,519,354.02
$5,805,034.27
OPERATING
*4365 MMC - CLINIC
SERIES 2014
$546.91
$545.91
$545.91
$545.91
•4373 MMC - PRIVATE
WAIVER CLEARING
$439.48
$439.48
$439.48
$439.48
•4381 MEMORIAL
MEDICAL INH
$49,067.85
$49.067.85
$49,067.85
$69,027.39
ASHFORD
'4403 MEMORIAL
MEDICAL INH
$63,599.33
$70,007.33
$63,599.33
$68,296.02
BROADMOOR
•4411 MEMORIAL
MEDICAL NH
$100,409.16
$124,644.97
$100.409.16
$88,569.18
CRESCENT
*4438 MEMORIAL
MEDICAL I SOLERA @
$68,783.84
$77,205.69
$68,783.84
$74,453.13
WEST HOUSTON
*4446 MEMORIAL
MEDICAL I NH FORT
$7,973.33
$9,693.33
$7,973.33
$12,098.75
BEND
*4454 MEMORIAL
MEDICAL GOLDSN CREEK
GOLDE
$255,124.56
$256,864.96
$255,124.56
$277,465.66
HEALTHCARE
•4551 CAL CO
INDIGENT
$5,517.96
$5,517.96
$5,517.96
$5,517.96
HEALTHCARE
`5433 MMC -NH GULF
POINTEPLAZA-
$4,346.81
$4.346.81
$4,346.81
$4,322.81
PRIVATE PAY
•5441 MMC -NH GULF
POINTE PLAZA -
$7,999.29
$16,524.29
$7,999.29
$6,781.47
MEDICAREIMEDICAID
`5506 MMC -NH
BETHANY SENIOR .�
$14,581.38
$22,009.72
$14.581.38
$36,549.97
LIVING
•3407 MMC -NH
$144,641.09
$147,610.79
$144,641.09
$158,449.39
TUSCANY VILLAGE
'3660 MMC -BETHANY
$100.00 s
$100.00
$100.00
$100.00
SR LIVING -DACA
*2998 MMC -MONEY
$5,038.90
$5,038.90
$5,038.90
$5,038.90
MARKETFUND
Total Balance
$6,247,522.91
$6,250,100.97
$6,247.522.91
$6,612,680.29
Report generated on ON051202410:25:10 AM CDT Page 2 of 2
MEMORIAL MEDICAL CENTER
CHECK REQUEST f-t
M c Nnor�al V1fl (Nat Date Requested:
P A APPROVfiO ON FOR ACCT. USE ONLY
Y E AUG 0 5 2024 ❑ Imprest Cash
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MEMORIAL MEDICAL CENTER
CHECK REQUEST
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Date Requested: 1���—a�Q [�4'
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FOR ACCT. USE ONLY
❑ Imprest Cash
❑ A/P Check
❑ Voucher Check
G/L NUMBER: fD^' 0045 3000 )
EXPLANATION:0111 WlcmN i1JQS d.@'SOS %fj 12lkP1Y ACc'altk .'
REQUESTED B n AUTHORIZED BY: (lw�
CAT # 10303 /Rat 1600 (6 ).5 1,ZC) ) L�
MEMORIAL MEDICAL CENTER
CHECK REQUEST
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.
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A
Y AUG 06 2024
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FOR ACCT. USE ONLY
❑ Imprest Cash
❑ A/P Check
❑ Voucher Check
AMOUNT �i • J G/L NUMBER: 20t� J�a �OV
EXPLANATION: M
REQUESTED BY'^^"
AUTHORIZED BY?'-•J
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MEMORIAL MEDICAL CENTER
CHECK REQUEST
Tuscany Village Date Requested: 8/5/2024
APPROVED ON
G 05 2024
A., no ARIVAS
1/
$ 33,288.00 ✓
EXPLANATION: Claim pymnts owed from Crescent to Tuscany
FOR ACCT USE ONLY
❑ Imprest Cash
❑ A/P Check
❑ Mail Check to Vendor
❑ Return Check to Dept
GA NUMBER: 21400007
REQUESTED BY: Caitlin Clevenger AUTHORIZED BY: ivi f�>r , 3 AfL'JI! C J1
MEMORIAL MEDICAL CENTER
CHECK REQUEST
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Tuscany Village / Date Requested: 8/5/2024
A
YAPPROVED ON
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E CALHOUN COUNTY, RPAS
AMOUNT: $ 2,700.00 k
EXPLANATION: Claim pymnts owed from Ashford to Tuscany
FOR ACCT USE ONLY
❑ Imprest Cash
A/P Check
❑ Mail Check to Vendor
❑ Return Check to Dept
G/L NUMBER: 21400007
REQUESTED BY: Caitlin Clevenger AUTHORIZED BY:
6(S 120 z�(
MEMORIAL MEDICAL CENTER
CHECK REQUEST
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Tuscany Village •� Date Requested: 8/5/2024
A
Y APPROVED ON
E AUG 0 /5 �2024p��1i�
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FOR ACCT USE ONLY
❑ Imprest Cash
❑ H/P Check
❑ Mail Check to Vendor
❑ Return Check to Dept
AMOUNT: $ 52,267.00 ,/ G/LNUMBER: 21400007
EXPLANATION: Claim pymnts owed from Ashford to Tuscany
REQUESTED BY: Caitlin Clevenger AUTHORIZED BY:
Transaction Summary
Transaction Comalete
Trace
Texas Health and Human Services Commission
Memorial Medical Center County
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Page No:1 of 1
Run Date: 713112024
Run Time: 14:59:19