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2024-11-27 Final PacketNOTICE 01= MEETING—11/27/2024 November 27, 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: (NOT PRESENT)Rlchard Meyer David Hall (judge Pro Tem)Vern Lyssy Joel Behrens Gary Reese Anna Goodman By: Kaddie Smith The subject matter of such meeting is as follows: 1. Call meeting to order. County Judge Commissioner Pct 1 Commissioner Pct 2 Commissioner Pct 3 Commissioner Pct 4 County Clerk Deputy Clerk Meeting was called to order at 10 am by Commissioner Vern Lyssy. 2. Invocation. Commissioner David Hall 3. Pledges of Allegiance. US Flag: Commissioner Gary Reese Texas Flag: Commissioner Joel Behrens 4. General Discussion of Public Matters and Public Participation. Commissioner Vern Lyssy thanked the community for the outpour of support for the loss of Judge Richard Meyer. He asked the community to continue to pray for the family. Commissioner Lyssy asked for the sympathy cards received to be included in the official minutes. Commissioner Lyssy gave a brief update explaining they are waiting on answers from the County Attorney to determine how they should proceed with filling the position of County Judge. Amy Blanchett read a letter from Yvonne Hsaio, Director General for Taipei Economic and Cultural office in Houston. Amy also explained Formosa's tribute for Judge Richard Meyer. Page 1 of 4 I NOTICE OF MEETING-- 1.1/27/2024 5. Approve November 20, 2024 Commissioners' Court Meeting Minutes. (VLL) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Commissioner Hall, Lyssy, Reese 6. Consider and take necessary action to accept the attached list of Donations to the Calhoun County Library for the months of March -October 2024. (VLL) RESULT: APPROVED [UNANIMOUS] MOVER:, David Hall, Commissioner Pct 1 SECONDER: Gary Reese, Commissioner Pct 4 AYES:' Commissioner Hall, Lyssy, Reese 7. ' Consider and take necessary action to declare the attached list of items for the Calhoun County Library as Surplus/Salvage for the months of March -October 2024. (VLL) RESULT: APPROVED[UNANIMOUS] MOVER: Joel Behrens, Commissioner Pct 3 SECONDER: Gary Reese, Commissioner Pct 4 AYES:- Commissioner Hall, Lyssy, Reese 8. Consider and take necessary action to declare the attached list of items for the Calhoun County Library as Waste for the months March -October 2024. (VLL) RESULT: APPROVED [UNANIMOUS]` MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens,; Commissioner Pct 3 AYES:` Commissioner Hall, Lyssy, Reese 9. Consider and take necessary action to allow the Calhoun County Sheriffs Office to apply for the Enbridge Funding to purchase a 2025 Can*Am Defender MAX Lone Star HD 10 to be reimbursed at 100%. (VLL) RESULT: APPROVED [UNANIMOUS]' MOVER: Joel Behrens, Commissioner Pct 3 SECONDER: David Hall, Commission, Pct 1- AYES: Commissioner Hall, Lyssy, Reese Page 2 of 4 NOTICE OF MEETING - 11,12712024 10. Consider and take necessary action to accept donation to the Sheriffs Office from the Law Enforcement Partners to be deposited into the motivation account (2697-001-49082-679) in the amount of$1372.00. (VLL) RESULT: APPROVED [UNANIMOUS]` MOVER: Joel Behrens, Commissioner Pct 3 SECONDER: David Hall, Commissioner Pct 1 AYES: Commissioner Hall, Lyssy, Reese 11. Consider and take necessary action on the Release of the Only/Final Payment in the amount of $175,617.54 to Keith Staff dba Staff Concrete Construction for the Bid Number 2024.07 - Magnolia Beach — Ocean Drive Bulkhead Replacement Project for Calhoun County, Texas (DEH) RESULT: APPROVEDs[UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Commissioner Hall, Lyssy, Reese 12. Consider and take necessary action to approve Agreement with Loftin Equipment Company for Generator Maintenance. (VLL) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Commissioner Hall, Lyssy, Reese 13. Consider and take necessary action to approve the contract between Calhoun County and Shirley & Sons Construction Co., Inc. for Bid Number 2024.09 - Calhoun County Bill Sanders Park — Swan Point Bulkhead & Pier Construction and authorize County Judge to assign all documents. (VLL) RESULT: APPROVED[UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Commissioner Hall, Lyssy, Reese Page 3 of 4 NOTICE OF MFETING—11/27/2024 14. Accept Monthly Reports from the following County Offices: a) Tax-Assessor-Collector's — October 2024 RESULT: APPROVED [UNANIMOUS] MOVER: Joel Behrens, Commissioner Pct 3 SECONDER: Gary Reese,Commissioner Pct 4 AYES: Commissioner Hall, Lyssy, Reese 15. Consider and take necessary action on any necessary budget adjustments. (VLL) RESULT: APPROVED -[UNANIMOUS] MOVER: Gary Reese, Commissioner Pct4 SECONDER: ' Joel Behrens, Commissioner Pct 3 AYES: Commissioner Hall, Lyssy, Reese 16. Approval of bills and payroll. (VLL) MMC Bills: RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct I SECONDER: Gary Reese, Commissioner Pct 4 AYES: Commissioner Hall, ,Lyssy, Reese County Bills: RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Commissioner Hall, Lyssy, Reese Adjourned 1021am Page 4 of 4 A t I OV I WfLA All Agenda Items Properly Numbered Contracts Completed and Signed All 1295's Flagged for Acceptance (number of 1295's K I.- ✓ All Documents for Clerk Signature Flagged (All documents needing to be attested to need to be signed day of Commissioner's Court.) On this day of -.1 \ ,O 0 hq hVIC 2024, the packet for the --J7_day of LN,41hj1V1P-, 2024 Commissioners? Court Regular Session was submitted from the Calhoun County 3udge'is office to the Calhoun County Clerk's Office. vLU4 Calhoun County 3udge/Assistat Cl7�►i�: N01 Il:f OF Ulf k: SING 11/z7/?024 Richard H. Meyer County judge David Hall, Commissioner, Precinct 1 Vern Lyssy, Commissioner, Precinct 2 Joel Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 NOTICE OF MEETING The Commissioners' Court of Calhoun County, Texas will sneer on Wednesday, November 27, 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: Ai - Off/ FILED --� OTLOCK qp 1. Call meeting to order. NOV 2 2 2024 2. Invocation. qqpQ pppp99pp CUUN7YCLEgpp K CALH�UN CC'UN'T'Y,PTEXAS 3. Pledges of Allegiance. o`er m��t.i U%}'42ij'1 4. General Discussion of Public Matters and Public Participation. 5. Approve November 20, 2024 Commissioners' Court Meeting Minutes. (VLL) 6. Consider and take necessary action to accept the attached list of Donations to the Calhoun County Library for the months of March -October 2024. (VLL) 7. Consider and take necessary action to declare the attached list of items for the Calhoun County Library as Surplus/Salvage for the months of March -October 2024. (VLL) 8. Consider and take necessary action to declare the attached list of items for the Calhoun County Library as Waste for the months March -October 2024. (VLL) 9. Consider and take necessary action to allow the Calhoun County Sheriffs Office to apply for the Enbridge Funding to purchase a 2025 Can*Am Defender MAX Lone Star HD 10 to be reimbursed at 100%. (VLL) 10. Consider and take necessary action to accept donation to the Sheriffs Office from the Law Enforcement Partners to be deposited into the motivation account (2697-001-49082-679) in the amount of$1372.00. (VLL) Page 1 of 3 I NOTI(I Of- Mr f-TING 11/27/2024 11. Consider and take necessary action on the Release of the Only/Final Payment in the amount of $175,617.54 to Keith Staff dba Staff Concrete Construction for the Bid Number 2024.07 - Magnolia Beach — Ocean Drive Bulkhead Replacement Project for Calhoun County, Texas (DEH) 12. Consider and take necessary action to approve Agreement with Loftin Equipment Company for Generator Maintenance. (VLL) 13. Consider and take necessary action to approve the contract between Calhoun County and Shirley & Sons Construction Co., Inc. for Bid Number 2024.09 - Calhoun County Bill Sanders Park — Swan Point Bulkhead & Pier Construction and authorize County Judge to assign all documents. (VLL) 14. Accept Monthly Reports from the following County Offices: a) Tax -Assessor -Col lector's — October 2024 15. Consider and take necessary action on any necessary budget adjustments. (VLL) 16. Approval of bills and payroll. (VLL) Vern Lyssy, County'7udge —Pr o-Tem Calhoun County, Texas Page 2 of 3 # 04 NO] ICE OF MEETING-11/27/2024 November 27, 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: (NOT PRIESENT)Richard Meyer David Hall (Judge Pro Tem)Vern Lyssy Joel Behrens Gary Reese Anna Goodman By: Kaddie Smith The subject matter of such meeting is as follows: 1. Call meeting to order. County Judge Commissioner Pct 1 Commissioner Pct 2 Commissioner Pct 3 Commissioner Pct 4 County Clerk Deputy Clerk Meeting was called to order at 10 am by Commissioner Vern Lyssy. 2. Invocation. Commissioner David Hall 3. Pledges of Allegiance. US Flag: Commissioner Gary Reese Texas Flag: Commissioner Joel Behrens 4. General Discussion of Public Matters and Public Participation. Commissioner Vern Lyssy thanked the community for the outpour of support for the loss of Judge Richard Meyer. He asked the community to continue to pray for the family. Commissioner Lyssy asked for the sympathy cards received to be included in the official minutes. Commissioner Lyssy gave a brief update explaining they are waiting on answers from the County Attorney to determine how they should proceed with filling the position of County Judge. Amy Blanchett read a letter from Yvonne Hsaio, Director General for Taipei Economic and Cultural office in Houston. Amy also explained Formosa's tribute for Judge Richard Meyer. Page 1 of 13 Calhoun County Commissioners Court Public Participation Form NOTE: This Public Participation Form must be presented to the County Clerk or Deputy Clerk prior to the time the agenda item (or items) you wish to address are discussed before the Court. Instructions: Fill out all appropriate blanks. Please print or write legibly. NAME: 14ML / )J6/1 � ,lad ADDRESS: TELEPHONE: 3 (6 I , PLACE OF EMPLOYMENT: EMPLOYMENT TELEPHONE: 5 Do you represent any particular group or organization? NO (Circle one)t co If you do represent a group or organization, please provide the name, address and telephone number of the group or organization: Which agenda item (or items) do you wish to address? In general, are you for or against the agenda item (or items)? I hereby swear that any statement I make will be the truth and nothing but the truth to the best of my knowledge and ability. Signature: V TAIPEI ECONOMIC AND CULTURAL OFFICE IN HOUSTON 11 Greenway Plaza, Suite 2006 Houston, Texas 77046 Tel: (713) 626-7445 • Fax: (713) 626-0990 November 27, 2D24 To the Honorable Members of the Calhoun County Commissioners Court, Meyer Family and Distinguished Community Members, Today, I join you inspirit to honor and remember a valued representative of Calhoun County. On behalf of the Taipei Economic and Cultural Office in Houston, I extend my deepest condolences on the passing of the late County Judge Richard Meyer: Judge Meyer was more than just a leader for Calhoun County, but also a great advocate for our Taiwanese community in Texas. He was deeply committed to promoting economic development, and made significant contributions that attracted foreign investment to Texas, creating jobs and opportunities for the County. We thank Judge Meyer for his friendship and continuous support of Taiwan. To Judge Meyer's family and loved ones, we share in your sorrow and extend our support during this difficult time. Please know that his contributions and character will forever be remembered with gratitude and admiration. As we reflect on his remarkable life, let us commit to honoring his legacy by striving for the ideals that he upheld. May Judge Richard Meyer rest in eternal peace. With deepest sympathy and respect, Yv nne Hslao Director General Taipei Economic and Cultural Office in Houston tl-t• ' p —+� I V �© s -S3 4t L Ici 1 � � M R rn ~C5 r p 0 C j O fD -r # 05 NOTICE OF MEETING— 11/27/2024 5. Approve November 20, 2024 Commissioners' Court Meeting Minutes. (VLL) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pet 3 AYES: Commissioner Hall, Lyssy, Reese Page 2 of 13 NOTICE OF MEETING — 11/20/2024 Richard H. Meyer County judge David Hall, Commissioner, Precinct 1 Vern Lyssy, Commissioner, Precinct 2 Joel ]Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 The Commissioners' Court of Calhoun County, Texas met on Wednesday, November 20, 2024, at 10:00 a.m. in the Commissioners' Courtroom in the County Courthouse at 211 S. Ann Street, Suite 104, Port Lavaca, Calhoun County, Texas. Attached are the true and correct minutes of the above referenced meeting. Richard ey , Co my udge Calhoun County, Texas Anna Goodman, County Clerk Page 1 of 1 I NOTICE OF MEETING—11/20/2024 November 20, 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: t Richard Meyer David Hall (3udge Pro Tem)Vern Lyssy Joel Behrens Gary Reese Anna Goodman By: Kaddie Smith The subject matter of such meeting is as follows: 1. Call meeting to order. County3udge Commissioner Pct 1 Commissioner Pct 2 Commissioner Pct 3 Commissioner Pct 4 County Clerk Deputy Clerk Meeting was called to order at 10am by Commissioner Vern Lyssy. 2. Invocation. Commissioner David Hall 3. Pledges of Allegiance. US Flag: Commissioner Gary Reese Texas Flag: Commissioner Joel Behrens 4. General Discussion of Public Matters and Public Participation, Commissioner Vern Lyssy read Judge Richard Meyer's funeral arrangements. Steve Marwitz, Russell Cain, Jack Wu, Erin Clevenger, Candice Villarreal, Jonas Titus and Christian with Congressman Cloud's office gave their condolences to Judge Meyer's family and said a few words remembering Judge Meyer. Page 1 of 4 I NOTICE OF MEETING — 11/20/2024 S. Approve November 13, 2024 Commissioners' Court Meeting Minutes. (RHM) RESULT: APPROVED.'NA - - 11, �%.. I � � I C. orm �S r.y ees;6 David H ......... alli -C m-issioner R SECONDER AYE: torrimissioner.Aah I yssy, Re6se 6. Consider and take necessary action to approve a Proclamation declaring November, 2024 as . National Hospice and Palliative Care Month In Calhoun County. (RHM) pass 7. Consider and take necessary action on the Release of Retainage, Payment application No 15 - Final in the amount of $52,221.83 to BILS Construction, for the Calhoun County Combined Dispatch Facility. (DEH) ��$..Coltt MOsoWexplailifitid the Release oikeltall"age ULT RES David Hall; Commissioner Rct is L-SA Y _ Commissioner Hall, Lyssy, `Reese --a: 8. Consider and take necessary action to approve MOU between Calhoun County ISO and Calhoun County in reference to Truancy stipend for JP 1 Clerk In the amount of $7,000.00 for the period of January 1, 2025 through December 31, 2025 With the option to extended the agreement for three (3) annual renewals and authorize all appropriate signatures. (DEH) RIySULT -OVED-1 tVNA IMOU91Rav2,..: 7 I Hall, L MrniStionO Pct. I SECONDER:: Reese,. ownissioner Pbt Gary -C -4 AYES issioner K H Lyssy,. eese 9. Consider and take necessary action to accept anonymous donation to the Sheriffs Office to be deposited Into the Motivation account (2697-001-49082-679) in the amount of $75.00. (RHM) 77777: AE-90 M. �,l 4,.--,=fA00R6VlED [UNAN MO S1 Gar! Rees% C 4 Gary ommissia"r*r It David Hall, -sloh& Pict. AYES. r Commis signer Co imisslonein:-Haill Reese y. , 'y Page 2 of 4 NOTICE OF MEETING-11/20/2024 10. Consider and take necessary action to reschedule the Wednesday, December 26, 2024 Regular Commissioners Court Meeting to Monday, December 30, 2024 and cancel the January 1, 2025 Regular Commissioners Court meeting, due to the Christmas and New Year Holiday schedule. (RHM) 11. Accept Monthly Reports from the following County Offices: a) Justice of the Peace Pct 2 - October, 2024 RESU4Ti APRRQVED [UNANIMOUS] M�#if?Ci�s Joel Behrens Commissioner f�ct:.3 iEONbER Gary ReeseF.Colnmissioner lct,4 AYESA.Crrtmissicrier Hall, Lyssy, Reese - 12. Consider and take necessary action on any necessary budget adjustments. (RHM) RES�ILT APP,RQVED [UNANIMOUS] MYR _ Garjt Reese,'.Commissoner Pck4 5[E11E�t.:'c -Joel Behrens;}Con k 3 11YES� Commissioner Hafl, Ly§sy, Reese Page 3 of 4 NOTICE OF MEETING—11/20/2024 Page 4 of 4 # 06 NOI-ICE OF MEETING - 11/2712024 6. Consider and take necessary action to accept the attached list of Donations to the Calhoun County Library for the months of March -October 2024. (VLL) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct i SECONDER: Gary Reese, ,Commissioner Pct 4 AYES,-, Commissioner Hall, Lyssy, Reese Page 3 of 13 Debbie Vickery From: dsanchez@cclibrary.org (Dina Sanchez) <dsanchez@cclibrary.org> Sent: Wednesday, November 20, 2024 12:44 PM To: Debbie Vickery Subject: Commissioner's Court Agenda Attachments: CCLBScan.pdf CAUTiom This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe. Good afternoon, can you please add this to the agenda: Consider and take necessary action to accept the attached list of Donations to the Calhoun County Library for the months of March -October 2024 Consider and take necessary action to declare the attached list of items for the Calhoun County Library as Surplus/Salvage for the months of March -October 2024 Consider and take necessary action to declare the attached list of items for the Calhoun County Library as Waste for the months March -October 2024 Thank you, Dina Sanchez Calhoun County Library Director (361)552-7323 Calhoun County Texas i Calhoun County Public Library System (361)552-7323 200 W. Mahan Port Lavaca Ihm 77979 Report March 2024 The following materials have been donated to the Calhoun County Public Library System during the month of Mardi 2oi4 Books Donor 68 Unknown 7 Barry Hunter 4 Diana Sturn i Jane Taylor 4 Dee Kveton is Elaine Kelly 13 Ken Melgoza Paperbacks Donor 23 Unknown 6 Tammy Holder DVD Donor 14 Unknown 15 Barry Hunter Others Donor $99.60 Port O'Connor donation bucket $4$ •75 Seadrift donation bucket Calhoun County Public Library System (361) 552-7323 200 W. Mahan Port Lavaca, Tam 77979 Report April 2024 The following materials have been donated to the Calhoun County Public Ubrary System during the month of April 2024 Books Donor 81 Unknown 2 Barbara Willoughby 3 Barry Hunter 1 Jane Taylor 1 Courtney Herren 1 Samuel Lariou 1 Jason Mcqueen 5 Theresa Carbajal Paperbacks Donor 64 Unknown DVD Donor 13 Unknown 10 Barry Hunter Others Donor 9 cds Cynthia medina $25.00 To Port O'Connor from Salty Ragusin in memory of Susan Wallace $21 Seadrift donation bucket 2 vases To Port O'Connor from Farmers Market Calhoun County Public Library System (361)552-7323 200 W. Mahan Port Lavaca, 7kxas 77979 Report May 2024 The following materials have been donated to the Calhoun County Public Library System during the month of May zo24 Books Donor 2 Barry Hunter 6 Sidney Siezer 7 Theresa Carbajal 1 Barbara Willoughby 74 Sheryl Marwitz 95 Unknown Paperbacks Donor 39 Cynthia Nichols 1 Margaret Claiborne 1 Charles Willoughby 29 Unknown OVD Donor 3 Barry Hunter 10 Unknown Others Donor 1 Box of Goldfish crackers Cynthia Medina 1 Bag of crochet supplies Sidney Siezer 24 VHS Beatrice Air Curtain To Port O'Connor from Friends of the library $100.00 To Port O'Connor, expansion from Mary Oates $4.60 Port O'Connor donation bucket $75.00 To Port O'Connor from Angela Drexler in memory of Susan Wallace $100.00 To To Port O'Connor from Mary Hays in memory of Susan Wallace $16.34 Seadrift donation bucket Calhoun County Public Library System (361) 552-7323 200 W. Mahan Port L IVaca, lbaas 77979 Report June 2024 The following materials have been donated to the Calhoun County Public Library System during the month of June 2024 Books 3 28 89 126 Paperbacks 34 DVD 3 Others 7 car trash bags 11 tote bags 7 cups 7 pens 7 cc holders for phone 7 hand soaps 7 screen wipes 7 koozies 10 tote bags $8.86 $30.00 $25.00 1 Puzzle Donor Nita Pool Leena Harrel Dorothy Caldwell Unknown Donor Unknown Donor Barry Hunter Donor Advance America Texas Credit Corporation Seadrift donation box Port O'Connor Library donation box To Port O'Connor from Janak To Port O'Connor from Sarah Barnard Calhoun County Public Library System (361)552-7323 200 W, Mahan Port Lavaca, 7hxas 77979 Report July 2024 The following materials have been donated to the Calhoun County Public Library System during the month of July 2024 Books Donor 89 Unknown PaperPaperbac Donor 4 Unknown 11 Brenda Carter 2 Kathy Pullin DVD Donor 11 Unknown 25 Barry Hunter Others Donor 25 VHS Unknown 48 Audio Book Unknown $24.40 Main, Port Lavaca Library donation box $30.00 Port O'Connor donation box $3.69 Seadrift donation box $15.00 Unknown, Port O'Connor expansion Turtle Art To Port O'Connor from Brigid Berger Summer Sign To Port O'Connor from Maryann Claiborne Kids Toy To Port O'Connor from Brenda Carter Calhoun County Public Library System (361) 552.7323 200 W. Mahan Port Lavaca, n ms 77979 Report August 2024 The following materials have been donated to the Calhoun County Public Library System during the month of August 2024 Books Donor 79 Unknown 21 Alisa McCray 1 Barbara Willoughby Paperbacks Donor 93 Unknown DVD Donor 1 Unknown 6 Barry Hunter Others Donor $24.30 Main Library, Port Lavaca donation box $100.00 To Port O'Connor in memory of Barbara Sue Crouch $32.15 Port O'Connor Library donation box $6.05 Seadrift Library donation box Calhoun County Public Library System (361) 552-7323 200 W. Mahan Port Lavaca,lbias 77979 Report September 2024 The following materials have been donated to the Calhoun County Public Library System during the month of September 2024 Books Donor 93 Unknown 1 Alisa McCray 15 Bruce Ungil 2 Beverly Wyatt 32 Melanie Zambrano 83 Michelle McCabe 27 Richard Molina Paperbacks Donor B Richard Molina DVD 5 Others $500.00 $300.00 $12.81 $3.65 $1.05 3 historic photographs 2 Native American artifacts 6 puzzles 2 prints Donor Barry Hunter Donor To Port O'Connor from Mullet Tournament Anonymous to Main Library, Port Lavaca Main Library, Port Lavaca donations box Seadrift Library donation box Port O'Connor Library donation box To Port O Connor from Clark Anderson To Port O'Connor from Anderson family To Port O'Connor from Anderson family To Port O'Connor from Jayme Edwards Calhoun County Public Library System (361) ss2-7323 200 W. Mahan Port L ivaca,'Texas 77979 Report October 2024 The following materials have been donated to the Calhoun County Public Library System during the month of October 2024 Books Donor 59 Unknown 9 Marsha Buller Paperbacks Donor 137 Unknown OVD Donor 3 Marsha Buller 8 Barry Hunter Others Donor 4 VHS Marsha Buller 1 Ukulele Reagan Lockey $10.00 To Port O'Connor from Patricia Coffee in memory of Mary Covarrublas $50.00 Donation from Ellie Garcia to Calhoun County Library $18.90 Seadrift Donation Box $10D.00 To Port O'Connor Library from Anderson family In memory of Donny Haynes i Quilt To Port O'Connor from Linda Orrick $150.00 To Port O'Connor from The Garcia family in memory of Mary Covarmbias N01lCE OF MEETING -- 1.1/)_7/2024 7. Consider and take necessary action to declare the attached list of items for the Calhoun County Library as Surplus/Salvage for the months of March -October 2024. (VLL) RESULT: APPROVED [UNANIMOUS] MOVER: Joel Behrens, Commissioner Pct 3 SECONDER: Gary Reese, Commissioner Pct 4 AYES: ' Commissioner Hall, Lyssy, Reese Page 4 of 13 Debbie Vickery From: Sent: To: Subject: Attachments: CAUTION: the sender dsanchez@cclibrary.org (Dina Sanchez) <dsanchez@cclibrary.org> Wednesday, November 20, 2024 12:44 PM Debbie Vickery Commissioner's Court Agenda CCLBScan.pdf is Good afternoon, can you please add this to the agenda: not click links or open Consider and take necessary action to accept the attached list of Donations to the Calhoun County Library for the months of March -October 2024 Consider and take necessary action to declare the attached list of items for the Calhoun County Library as Surplus/Salvage for the months of March -October 2024 Consider and take necessary action to declare the attached list of items for the Calhoun County Library as Waste for the months March -October 2024 Thank you, Dina Sanchez Calhoun County Library Director (361) 552-7323 Calhoun County Texas Calhoun County Public Library System (361)552-7323 200 W. Mahan Port Lavaca, 'dares 77979 Report March 2024 I would like the following to be declared Surplus/Salvage 10 Books 6 Pbks Calhoun County Public Library System (361) 552-7323 200 W. Mahan Port Lavaca, Rim 77979 Report April 2024 1 would like the following to be declared Surplus/Salvage 21 Books Calhoun County Public Library System (361) 552.7323 zoo W. Mahan Port Lavaca, Tomas 77979 Report May 2024 I would like the following to be declared Surplus/Salvage 85 Books 13 DVD 24 VHS 43 Pbk Calhoun County Public Library System (361) 552,7323 200 W. Mahan Port Lavaca, Tem 77979 Report June 2024 I would like the following to be declared Surplus/Salvage 109 Books 17 Pbk 3 DVD Calhoun County Public Library System (361)552-7323 200 W. Mahan Port Lavaca, Tbxas 77979 Report July 2024 I would like the following to be declared Surplus/Salvage 17 Books 7 Paperbacks 13 DVD 48 Audio books Calhoun County Public Library System (361) 552-7323 200 W. Mabaa Port Lmca, lba 779" Report August 2024 I would like the following to be declared Surplus/Salvage 8 Books 5 Paperbacks 6 DVD Calhoun County Public Libnu7 System (361) SSZ7323 200 W. Mahan Port Lavaca, lbaes 77979 Report September 2024 I would like the following to be declared Surplus/Salvage 142 Books 8 Paperbacks 5 DVD Calhoun County Public Library System (361) 552-7323 200 W. Mahan Port Lavaca,'Ibxas 77474 Report October 2024 I would like the following to be declared Surplus/Salvage 22 Books 21 Paperbacks 11 DVDs 4 VHS ' NOTICE OF MEETING - 11/27%2024 8. Consider and take necessary action to declare the attached list of items for the Calhoun County Library as Waste for the months March -October 2024. (VLL) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pcf4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Commissioner Hall, Lyssy, Reese Page 5 of 13 Calhoun County Public Library System (361)352-7323 200 W. Mahan Port lavaca, It= 77979 Report March 2024 I would like the following items to be declared waste 18 Books Calhoun County Public Library System (361) 552-7323 200 W. Mahan Port Lavaca, Ibxas 77979 Report April 2024 I would like the following items to be declared waste 36 Pbks Calhoun County Public Library System (361) 552.7323 200 W. Mahan Port Lavaca,' bxu 77979 Report May 2024 I would like the following Items to be declared waste 13 Books 8 VHS Calhoun County Public Library System (361) 552-7323 200 W. Mahan Port Lavaca, lbxas 77979 Report June 2024 I would like the following items to be declared waste 54 Book 9 Paperbacks Calhoun County Public Library System (361) 552-7323 200 W. Mahan Port Lavaca,1b= 77979 Report July 2024 I would like the following items to be declared waste 43 Books 8 Paperbacks 25 VHS Calhoun Eepnq Wi "fr System zoo W. Mahan Port Lavaca, Tom 77979 1 would like the following items to be declared waste 9 Books 2 Paperbacks Calhoun County Public Library System (361) 552-7323 200 W. Mahan Port Lavaca,'Ibs 77979 Report September 2024 I would like the following items to be declared waste 78 Books 20 Paperbacks Calhoun County Public Library System (361)552-7323 200 W. Mahan Port Lavaca, '[> xas 77979 Report October 2024 I would like the following items to be declared waste 20 Books 64 Paperbacks # 09 ' NOTICE OF MEETING—1-1/27/2024 9. Consider and take necessary action to allow the Calhoun County Sheriffs Office to apply for the Enbridge Funding to purchase a 2025 Can*Am Defender MAX Lone Star HD 10 to be reimbursed at 100%. (VLL) RESULT: APPROVED [UNANIMOUS] MOVER: Joel Behrens, Commissioner Pct 3 SECONDER: David Hall, Commission, Pct 1 AYES: Commissioner Hall, Lyssy, Reese Page 6 of 13 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: COUNTY JUDGE SUBJECT: APPROVAL TO APPLY FOR GRANT DATE: NOVEMBER27,2024 Please place the following item(s) on the Commissioner's Court agenda for the date(s) indicated: AGENDA FOR November 27, 2024 * Consider and take necessary action to allow the Calhoun County Sheriff's Office to apply for the Enbridge Funding to purchase a 2025. Can* Am Defender MAX Lone Star HDI0 to be reimbursed at 100%. Sincerely, Bobbie Vickery Calhoun County Sheriff UNBRIDGE Apply for funding ENGLISH I FUAhTATc Enbridge's community investments are guided by a core set of criteria. We consider donation and sponsorship opportunities in communities where Enbridge operates that are: • Primarily within a 20-kilometer (10-mile) radius of our pipeline right-of-way or near our operations • Of prime importance to the community • Beneficial to the greatest possible number of people • Significant to the -long-term. interests of the community • Supportive of one of our three or s that we view as integral for a sustainable community Examples of qualified organizations • Community -based emergency services and organizations focused on safety planning and education • Organizations focused on education, mentorship, and building potential in youth • Social services agencies and organizations focused on empowering individuals to achieve their full potential • Environmental organizations with a focus on education and stewardship, habitat remediation and conservation, and energy transition • Indigenous communities and organizations focused on honoring Indigenous people and culture (ineligible organizations and funding requests Enbridge does not fund: • Organizations discriminating on the basis of race, religion, gender, or sexual orientation • Requests that benefit individuals • Religious, political organizations or special interest groups • 1Z.eereation or sports_ organizations, and events_ • Advertising, memberships, ticket sales, or lotteries • Mass -mailed or non -addressed solicitation • Endowment programs or funds • Crowd -sourced funding campaigns such as GoFundMe • Memorial campaigns • Project, program or any property recognizing or named for an individual • Statues or monuments • Travel -related costs To apply Funding applications for 2024 have closed. Enbridge's community investment program will re -open January 2, 2025. Please note Meeting Enbridge's core set of community investment criteria does not guarantee funding. In spite of our significant investment in communities, we are unable to support all worthy, well -qualified organizations. Criteria may vary by location. 2025 Can -Am Defender MAX Lone Star HD10 MSRP: $25,499 The Calhoun County Sheriff's Office is asking for the Can -Am Defender for several reasons. First it does not have hard doors allowing personnel to quickly exit the vehicle in an emergency situation. The Defender has a wench to ensure the vehicle does not get stuck in a situation. The Defender offers a drop -down tailgate to allow deputies to quick load people or equipment in the bed of the vehicle. The Defender is also a 4-seater allowing transportation of citizen and / or patients if they are able and to be seatbelted for safe transportation. E The remaining funds would be used to place emergency lighting on the vehicle allowing it to be rapidly deployable. We would also use founds to place identifying marking on the vehicle such as "SHERIFF" This funding would help ensure Deputies are performing these operations In the safest way possibly over the existing aging 4 wheelers. #10 I NOTICE OF MEETING — ] 1/2.7/2024 10. Consider and take necessary action to accept donation to the Sheriffs Office from the Law Enforcement Partners to be deposited into the motivation account (2697-001-49082-679) in the amount of$1372.00. (VLL) RESULT: APPROVED [UNANIMOUS] MOVER: Joel Behrens, Commissioner Pet 3 SECONDER: ' David Hall, Commissioner Pct 1 AYES::: Commissioner Hall, Lyssy, Reese Page 7 of 13 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: COUNTY JUDGE SUBJECT: ACCEPT DONATION TO SHERIFF'S OFFICE DATE: NOVEMBER 27, 2024 Please place the following item(s) on the Commissioner's Court agenda for the date(s) indicated: AGENDA FOR November 27, 2024 " Consider and take necessary action to accept donation to the Sheriff's Office from the Law Enforcement Partners to be deposited into. the Motivation account (2697-00149082-679) in the amount of $1372.00. Sincerely, A/1W, Bobbie Vickery Calhoun County Sheriff 2530 Scottsville Rd. Suite G LAW ENFORCEMENT Bowling Green, KY 42104 PARTNERS Office: 2�0-ti a'-nxs 1 www.lmeen Iorc emcntpa ri ners.coni Shdfiff VidkeiY, Thank you for choosing us and we will get started on your magnet project as soon as possible. If you have any questions, needs, or concerns, please do not hesitate to call or email at any time. Thank you again for trusting us, and we wish you the best of luck In the 2025 yearl Sincerely, Uf f GAWK and This Stiff at Law Eiifft6fili6fit Pfifffi&s P.S. Don't forget, we give a referral bonus of $250 to your agency for each agency you send our way that signs up to do a calendar project with our company. "bringing Community and Law Enforcement Together." NOTICE OF MEET ING — 11/27/2024 11. Consider and take necessary action on the Release of the Only/Final Payment in the amount of $175,617.54 to Keith Staff dba Staff Concrete Construction for the Bid Number 2024.07 - Magnolia Beach — Ocean Drive Bulkhead Replacement Project for Calhoun County, Texas (DEH) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Commissioner Hall, Lyssy, Reese Page 8 of 13 G&WENGINEERS, INC. 206 W. Live Oak • Port Lavaca, TX 77979 • p: (361)552-4509 f: (361)552-4987 TBPE Firm Registration No. F04188 November 20, 2024 Commissioner David Hall Calhoun County Precinct No. 1 202 S. Ann St. Port Lavaca, Texas 77979 RE: RECOMMENDATION FOR PAYMENT NO.1-FINAL Magnolia Beach — Ocean Drive Bulkhead Cap Replacement for Calhoun County, Texas Dear Commissioners' Court, We have reviewed Keith Staff dba Staff Concrete Construction's Invoice # STA-024-455 for the above referenced project. All work is complete and enclosed is the Recommendation for Payment No. 1- FINAL for the total amount of $175,617.54. The Contractor's Guarantee and the Contractor's Conditional Waiver and Release_ , on Ffnal Payment are also enclosed. Please call if you have any questions. Sincerely, G & W Engineers, Inc. cott cc: Keith Sta, f,�'dba Staff Concrete Construction Demi Cabrera, Calhoun County Assistant Auditor file 9115.029 • Consulting Planning OWNER's Project No. No. 1-FINAL RECOMMENDATION OF PAYMENT ENGINEER's Project No. 9115.029 Project Magnolia Beach — Ocean Drive Bulkhead Cap Replacement Project CONTRACTOR Keith Staff dint Staff Concrete Construction Magnolia Beach — Ocean Drive Contract for Bulkhead Cap Replacement Project Contract Date June 5, 2024 Application Date November 14, 2024 Application Amount $175,617.54 Period Start Date September 9, 2024 Period Ending Date November 14, 2024 To CALHOUN COUNTY Owner Attached hereto is the CONTRACTOR's Application for Payment for Work accomplished under the Contract through the date indicated above. To the extent that we have been present on the project site as outlined in our Engineering Agreement, we believe that the Application meets the requirements of the Contract Documents and includes the CONTRACTOR's Certificate stating that all previous payments to him under the Contract have been applied by him to discharge in full all of his obligations in connection with the Work covered by all prior Applications for Payments. In accordance with the Contract, the undersigned, subject to the limitation in the preceding paragraph, recommends payment to the CONTRACTOR of the amount due as shown below. Dated November 20 , 2024 Original Contract Price Net Change Orders (1) Current Contract Price Work to be Done G & W ENGNEERS, INC, 205 W. Live Oak St. Port Lavaca, Texas 77979 (361)552-4509 $ 173,617.54 $ 2,000.00 $ 175,617.54 G & W Engineers, Inc. By: G'. 'Stott P. Mason, P.E. STATEMENT OF WORK Work to Date $ 175,617.54 Amount Retained $ Subtotal $ 175,617.54 Previous Payments Recommended $ - Amount Due This Payment $ 175,617.54 RacPay No. 1-Final-Magnolia Beach -0cean W. Bulkhead Cap Replacement staff Concrete Construction Address: 4703 John Stockbeuer Victoria, TX 77904 Invoice INVOICE M STA-024-455 Date: 11/14/2024 Job oesonpion: Magnolia Beach - Ocean Drive Bulkhead Cap Replacement Project Phone: 361 920 4555 Paz: 361 485 0011 Email: staffconcrete@yahco.com Calhoun County 305 Henry Barber Way, Pon Lavaca,TX 77979 1 Mobilization LS 1 $11,0o0.00 1$11,000.00 2 Demo Existing Bulkhead Cap LS 1 $11,580.00 1$11,680.00 3 Concrete Bulkhead ILF 482 $ 161.25 $77,722.60. 4 T Wide Sidewalk LF 482 $ 39.22 $18,904.04 5 Tie -back Rods EA 92 $ 494.50 $45,494.00 6 Timber Wailer LF 482 $ 18.50 $8,917.00 7 4" Select Fill LS 1 $1,700.00 $1,700.00 - 8 ]Grade Topsoil CLS 1 $ 900.0o $900.00 9 Delete PVC Drains LS 1 $ (600.00) ($600.00) Total Due $176,617.54 Reminder: Please Term.: Balance due in 15 days. Include the Invoice REMITTANCE Customer Name: Calhoun County JOB Description a.s.r.... .e ..d..p a.pa.n..n INVOICE #: STA-024-456 Date: 11/14/2024 Amount Due: $175,617.54 Remittance amount: CONTRACTOR'S GUARANTEE I, S lC being 00?G✓ of Leh S � C lah (hereinafter called "CONTRACTOR'), do hereby make the following statements to CALHOUN COUNTY (hereinafter called "OWNER") in relation to the completed project known as BID NUMBER 2024.07 - MAGNOLIA BEACH — OCEAN DRIVE BULKHEAD CAP REPLACEMENT PROJECT FOR CALHOUN COUNTY, TEXAS. I guarantee... That all of the completed Work is free from faulty materials in every particular, That all of the completed Work is free from improper workmanship, and That no injury will occur from proper and usual wear, That OWNER has been assigned all guarantees and/or warranties originally made to CONTRACTOR by suppliers and subcontractors, if any. (Such assignment does not relieve CONTRACTOR of the responsibility stated in each guarantee and/or warranty in case of failure of suppliers or subcontractors to fulfill the provisions of such guarantees and/or warranties.) I agree... That the execution of the final certificate or the receipt of the final payment does not relieve CONTRACTOR of the responsibility for neglect of faulty materials or workmanship during the period covered by this Guarantee, To replace or to re -execute without cost to OWNER such Work as may be found to be improper or imperfect, and To make good all damage caused to other Work or materials, due to such required replacement or re -execution. This Guarantee is in effect as of the A_ day of /V 0yen 6e,-- 20L�, and shall oover a period of ONE (1) FULL YEAR from said effective date. Signed By: Print Name Date: 01700-2 CONTRACTOR'S CONDITIONAL WAIVER AND RELEASE ON FINAL PAYMENT THE STATE OF TEXAS § COUNTY OF C:al6u\) § Project: BID NUMBER 2024.07 - MAGNOLIA BEACH — OCEAN DRIVE BULKHEAD CAP REPLACEMENT PROJECT FOR CALHOUN COUNTY, TEXAS. Job No. 9115.029 On receipt by the signer of this document of a check from CALHOUN COUNTY (maker of check) in the sum of $ 175,617.54 payable to Staff Concrete Construction (payee or payees of check) and when the check has been properly endorsed and has been paid by the bank on which it is drawn, this document becomes effective to release any mechanic's lien right, any right arising from a payment bond that complies with a state or federal statute, any common law payment bond right, any claim for payment, and any rights under any similar ordinance, rule, or statute related to claim or payment rights for persons in the signer's position that the signer has on the property or easements of CALHOUN COUNTY (owner) located at Magnolia Beach — Ocean Drive, Port Lavaca, Texas . (location) to the following extent: BID NUMBER 2024.07 - MAGNOLIA BEACH — OCEAN DRIVE BULKHEAD CAP REPLACEMENT PROJECT FOR CALHOUN COUNTY, TEXAS. (Job description). This release covers the final payment to the signer for all labor, services, equipment, or materials furnished to the property or to CALHOUN COUNTY (person with whom signer contracted). Before any recipient of this document relies on this document, the recipient should verify evidence of payment to the signer. The signer warrants that the signer has already paid or will use the funds received from this final payment to promptly pay in full all of the signer's laborers, subcontractors, materiahnen, and suppliers for all work, materials, equipment, or services provided for or to the above referenced project up to the date of this waiver and release. 01700-3 Staff Concrete Construction (CONTRACTOR) T�Signed By: print Name: Keith Staff Title: SUBSCRIBED nm_ B3L s�SCRIBED AND SWORN TO BEFORE ME by VT on 1 /�to'ebAL�2 ) y 20to certify which witness my hand and seal of office. .- - DStaff Commission Sta My CommiWen lixplroa 1113012027 Notary ID134882884 Notary Publt C, State of Te as My Commission Expires:31ac)a 01700-4 #12 ' NOTICE OF MEETING -- 11/27/2024 12. Consider and take necessary action to approve Agreement with Loftin Equipment Company for Generator Maintenance. (VLL) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall,' Commissioner Pct 1 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Commissioner Hall, Lyssy, Reese Page 9 of 13 LOFTIN f KOWERHLERA POSYSTEMS Sourcewell 1220 N. 52nd St. I Phoenix, AZ 85008 1 Phone: 602-272-9466 or 800-437-4376 Fax 602-272-7582 1 www.loftinequip.com Planned Maintenance and Annual Service Aqreement Upon acceptance of this agreement, the servicing agent will perform the specified services on described equipment at intervals specified. Servicing Agent: Loftin Equipment Company Phoenix Branch 1220 N 52nd St Phoenix, AZ 85008 Proposal: IJW2023 Generator Set: Customer: Calhoun Count - Generac 211 S Ann St. PortLavace TX 177979 Email Address: 0 Att'n: I Everett Wood PH: 361-553-4499 ❑ New PM 1 ❑ Renewal PM Fax: 10 Make: JGenerac I Model: 15331990100 Serial: 12083909 1 KW: 300 PM Schedule and Pricing: Please Select Plant, Options and Terms OTY Description Price Per Inspection Price for Annual Full Service Total Annual Cost ❑ Monthly 8M/3Q Monthly $625.00 + $1,380.00 - $8,255.00 ❑ Quarter) 3Q/1A Quarterly @ $625.00 + $1,380.00 - $3,255.00 ❑ Semi -Annual 1SA/1A Semi -Annual @ $625.00 - + $1,380.00 - $2,006.00 ® Annual Only 1A Annual Full Service @ $1,430.00 - $1,430.00 Additional Service Available (please select): Pdce © Two (2) Hour Load Bank Test Per NFPA 110 (Annually) $860.00 ❑ Four 4 Hour Load Bank Test (Annually) $1,180.00 ❑ Diesel. Refueling Services can be provided at prevailing competitive rates. We can provide up to 100 gallons per visit and can be delivered during scheduled services. Any additional fuel requested is subject to delivery fees. ® Annual Diesel Fuel Analysis Test $85.00 ❑ Annual Engine Oil Analysis Test. $40.00 ® Annual Coolant Fluid Analysis Test $40.00 Prices are based on all services being completed between 8:00am and 5:00pm Monday - Friday. Except as otherwise noted, and assumes access for our service vehicle within 50 feet of generator on same level. Services to be performed are as described on page 2 of this agreement. This agreement Is not subject to alteration except as mutually agreed in writing. The base ten of this agreement Is one (1) year, unless otherwise specified. This agreement may be terminated at any time by either party upon 30 days written notice, or other notice as required by law addressed to last known address of the other party. No Claim for damages as a result of such termination shall arise against either party. The servicing agent may withdraw this proposal if not accepted within 30 days from the date of presentation. Air filters are installed on an "as needed" basis with additional cost to customer, Execution of contract is based on establishment of a credit account with Loftin Equipment Co. Payment by credit card or check at the time of service is acceptable. Load Bank ttisfing must a scheduled and done with scheduled PM maintenance. Additional Cost will result if scheduled separately. f Proposed By: Loftin Equipment Company Accepted By: q f ire �( (Servicing Agent) (ust }n r Printe me) ( ust er' ignature) Purchase Order #: PM Estimator jwright@loftinequip.com Date: Thursday, November 21, 2024 Date: LOFTIN f Planned Maintenance will be performed per the following schedule: Each Scheduled trip will include: ✓ Inspection of cooling system fan, fan blades, remote cooling fan motor. ✓ Inspection of all cooling system hoses and adjustment of hose clamps, if necessary. ✓ Inspection of engine belts, checking belt tension, and adjust if necessary. ✓ Inspection of the engine block heater for proper operation, temperature and flow. ✓ Inspection and cleaning of generator controller and area (if required). ✓ Inspection of gauges for proper operation and adjustment, if needed. ✓ Inspection of shut down functions, including emergency stop for proper operation. ✓ Inspection of Automatic Transfer Switch for proper operation (with or without load). ✓ Checking of settings for Automatic Transfer Switch. ✓ Verifying proper operation of Remote Annunciator panel. ✓ Checking of all bulbs in controller for proper operation. ✓ Generator set will be started and run, to verify proper operation of unit. ✓ Inspection and adjustment of all gauges. ✓ Inspection of anti-freeze/coolant level. ✓ Inspection of generator for oil, fuel, and coolant leaks. ✓ Inspection of exhaust system and silencer for leaks, cracks, and deterioration. ✓ Draining of moisture from exhaust piping (if equipped). ✓ Checking batteries for water level, level of charge and corrosion on terminals. ✓ Checking fuel system, including day tank or transfer tank (if equipped). Once a year, the following will also be performed: ✓ oil and Lubrication filters will be changed ✓ Inspection of air filter element. ✓ Fuel filters will be changed * Air filter can be replaced as needed, at an additional cost with customer approval. Service Charges: 1. No Services or Material are under this contract unless specifically referred to herein. 2. Replacement Parts will be billed at prices prevailing at time of use. 3. It is agreed that Loftin Equipment will supply labor and test equipment to perform the above -indicated planned maintenance, per the contracted pricing schedule. 4 Routine planned maintenance will be scheduled based on the most efficient routing possible for our technicians, customer will receive a notice from the service department informing them of the date and time the PM will be performed. If that date and time does not work for the customer, please call the service department a minimum of 24 hours prior to the scheduled date and time. 5 If customer does not call to cancel or reschedule a PM a minimum of 24 hours prior to the scheduled date and time, they will be charged the travel time and expense Sourcewell a LOFTIN Payment Terms: Net 30 Days, Upon Credit Approval Invoices not paid when due will have a finance charge of 1.5%per month assessed. The Venue for any Legal/Collection action shall be in the County where the equipment is located. If any Litigation/Collection action becomes necessary, the Prevailing Party shall be awarded the Attorney/Collection fees and Attomey/Collection expenses. The Prevailing Party shall be awarded all Interest Charges (1.5% per month) accrued on past due balances(s). Taxes and Environmental Fees: Prices do not include applicable federal, state, local, use, property, or excise taxes and/or environmental fees. If any such taxes/fees are imposed, the Service Agent will bill them to the customer as a separate item. In lieu of such taxes/fees, the customer shall provide with each order a tax exemption certificate, which shall be acceptable to the proper taxing authorities. Escalation: As of the date of this [Agreement], certain markets providing essential materials for the [Work] are experiencing or are expected to experience significant, industry -wide, economic volatility and uncertainty during the performance of this [Agreement] that may impact price, availability, and/or delivery time frames of such material ("Impacted Material"). In order to fairly allocate and accommodate the risk of such market fluctuations, [Owner] and [Loftin] agree that the method for calculating adjustments to the prices of Impacted Material items used in establishing the original [Contract Price] and listed in the attached Schedule A (`Baseline Price") shall be as follows: If during the course of the [ Work], an Impacted Material item experiences a price increase or decrease from its original Baseline Price as set forth in Schedule A, [Loftin] shall notify the [Owner] in writing within thirty (30) days for the date [Loftin] is made aware of such increase/decrease and shall include appropriate documentation substantiating the change from the Baseline Price. The [Contract Price] shall then be equitably adjusted to account for such change in price, but only for t he quantity of Impacted Material delivered on or after the date on which written notice of the change is given by [Loftin]. Such adjustment shall be limited to[Loftin's] direct costs of the increase/decrease, shall not include any additional mark-up for overhead and profit, and shall establish the new Baseline Price to be used for any further equitable price adjustments resulting from subsequent market fluctuations. No adjustment shall be made for any quantities of Impacted Materials scheduled for delivery under the terms of the [Agreement] prior to the date on which written notice of the change is given by [Loftin], unless the failure to deliver such quantities before that date is beyond the control of and without the fault of [Loftin]. If [Loftin] is delayed at any time in the commencement or progress of the [ Work] due to a delay in the delivery of, or unavailability of, an Impacted Material, beyond the control of and without the fault of [Loftin], [Loftin] shall be entitled to an equitable extension of the [Contract Time] and an equitable adjustment of the [Contract Price] directly attributable to such delay. The [Owner] and [Loftin] shall undertake reasonable steps to mitigate the effect of such delays. Notwithstanding any other provision to the contrary, [Loftin] shall not be liable to the [Owner] for any expenses, losses or damages arising from a delay in the delivery of an Impacted Material item not the fault of [Loftin]. Emergency Service: Emergency Service between scheduled services dates will provided at rates in effect at time of service for labor, parts, and travel. Travel rates will be only for travel to locations accessible by public roads. Lodging and other miscellaneous expenses shall be billed at cost. Customer Responsibility: The customer or customer's authorized agent shall maintain a regular record of service for review. Record of customer -performed service shall be kept and made available to servicing agent at time of scheduled maintenance call. Servicing Agent Responsibility: Insofar as practical, the servicing agent shall maintain a complete service history. It is agreed that this agreement covers only those items outlines and that it does not include any expense to repair damage caused by abuse, accident, theft, acts of a third person, forces of nature, alteration of equipment, or improper operation. The Servicing Agent agrees to maintain a representative stock of replacement parts and a competent factory trained service organization. The Servicing Agent shall not be responsible for failure to render the service due to causes beyond its control, including strikes, labor disputes, acts of God, etc., or any incidental or consequential damages. After each inspection, the customer will be furnished a written report detailing conditions found and advising further service, if necessary, to assure operational dependability of the equipment under this contract LOFTIN "The middle of a power failure is not the time to rind problems in your system" Plan Now To Protect Tomorrow The Loftin Equipment CompanyAdvantame: ➢ Cleanliness Guarantee — We will leave your site cleaner than when we arrived! ➢ Premium Fluids — We use only the highest quality fluids! ➢ Preferential Scheduling — Should a service emergency arise, your unit has priority! ➢ A modern fleet of self-contained rental sets are available with full 24/7 parts and service support! ➢ Dedicated Representative — You have a dedicated, inside person who handles information requests or service concerns! Why Should I Elect To Do Load Bank Testinn: You may never think about it until it's too late, but load bank testing goes a long way in saving you money! Here are the top reasons you should safeguard your system with load bank testing by Loftin Equipment Company: 1. By actually drawing power from the generator, load banking tests your system's capability without interrupting standard utility services to your facility. 2. The test is the only sure way to tell if your system is capable of handling the required load. 3. The test expels moisture and cleans carbon deposits out of the exhaust system and turbochargers. (common cause of "wet stacking") 4. Load bank testing can also help by fully loading the engine where "wet stacking" is evident. ER LOFTINf POWER SY5TEMS 1220 N. 52nd St. I Phoenix, AZ 85008 1 Phone: 602-272-9466 or 800-437-4376 Fax 602-272-7582 1 www.loftinequip.com Planned Maintenance and Annual Service Agreement Upon acceptance of this agreement, the servicing agent will perform the specified services on described equipment at intervals specified. Servicing Agent: Loftin Equipment Company Phoenix Branch 1220 N 52nd St Phoenix, AZ 85008 Proposal- IJW2O23 Customer: Calhoun Count - Generac 211 S Ann St. PortLavace TX 177979 Email Address: 0 AtVn: JEverettWood PH: 361-553-4499 ❑ New PM 1 ❑ Renewal PM Fax: 10 Generator Set: Make: lGenersic I Model: 15331990100 Serial: 12083909 1 KW: 1 300 PM Schedule and Pricing: Please Select Plant, Options and Terms QN Description Price Per Inspection Price for Annual Full Service Total Annual Cost 8M/3Q Monthl @ $625.00 + $1,380.00 - $8,255.00 iMonthl Quarterl 3Q/1A Quarter) $625.00 + $1,380.00 = $3,255.00 Semi -Annual 1SA11A Semi -Annual $625.00 + $1,380.00 - $2,005.00 Annual Onl 1A Annual Fuil Service $1,430.00 - $1,430.00 Additional Service Available (please select): Price ® Two 2) Hour Load Bank Test Per NFPA 110 (Annually) $860.00 ❑ Four 4 Hour Load Bank Test(Annually) $1,180.00 ❑ Diesel Refueling Services can be provided at prevailing competitive rates. We can provide up to 100 gallons per visit and can be delivered during scheduled services. Any additional fuel requested is subject to delivery fees. ® Annual Diesel Fuel Analysis Test $85.00 ❑ Annual Engine Oil Analysis Test $40.00 ® Annual Coolant Fluid Analysis Test $40.00 Prices are based on all services being completed between a:0uam and 5:0opm Monday - Friday. Except as otherwise noted, and assumes access for our service vehicle within 50 feet of generator on same level. Services to be performed are as described on page 2 of this agreement. This agreement is not subject to alteration except as mutually agreed in wining. The base term of this agreement is one (1) year, unless otherwise specified. This agreement may be terminated at any time by either party upon 30 days written notice, or other notice as required by law addressed to last known address of the other party. No Claim for damages as a result of such termination shall adse against either party. The servicing agent may withdraw this proposal if not accepted within 30 days from the date of presentation. Air filters are installed on an "as needed" basis with additional cost to customer. Execution of contract is based on establishment of a credit account with Loftin Equipment Co. Payment by credit card or check at the time of service is acceptable. Load Bank testing must be scheduled and done with scheduled PM maintenance. Additional Cost will result if scheduled separately. r 1 Proposed By: Loftin Equipment Company Accepted By: S' (Servicing Agent) a omers Pfinted Name) By: - uo (Cu tomer's Signature) Purchase Order* PM Estimator jwright@loftinequip.com Date: Thursday, November21, 2024 Date: LOFTIN Planned Maintenance will be performed per the following schedule: Each Scheduled trip will include: ✓ Inspection of cooling system fan, fan blades, remote cooling fan motor. ✓ Inspection of all cooling system hoses and adjustment of hose clamps, if necessary. ✓ Inspection of engine belts, checking belt tension, and adjust if necessary. ✓ Inspection of the engine block heater for proper operation, temperature and now. ✓ Inspectionand cleaning of generator controller and area (if required). ✓ Inspection of gauges for proper operation and adjustment, if needed. ✓ Inspection of shut down functions, including emergency stop for proper operation. ✓ Inspection of Automatic Transfer Switch for proper operation (with or without load). ✓ Checking of settings for Automatic Transfer Switch. ✓ Verifying proper operation of Remote Annunciator panel ✓ Checking of all bulbs in controller for proper operation. ✓ Generator set will be started and run, to verify proper operation of unit. ✓ Inspection and adjustment of all gauges. ✓ Inspection of anti-freeze/coolant level. ✓ Inspection of generator for oil, fuel, and coolant leaks. ✓ Inspection of exhaust system and silencer for leaks, cracks, and deterioration. ✓ Draining of moisture from exhaust piping (if equipped). ✓ Checking batteries for water level, level of charge and corrosion on terminals. ✓ Checking fuel system, including day tank or transfer tank (if equipped). Once a year, the following will also be performed: ✓ oil and Lubrication filters will be changed ✓ Inspection of air fitter element. ✓ Fuel filters will be changed * Air filter can be replaced as needed, at an additional cost with customer approval. Service Charges: 1. No Services or Material are under this contract unless specifically referred to herein. 2. Replacement Parts will be billed at prices prevailing at time of use. 3. It is agreed that Loftin Equipment will supply labor and test equipment to perform the above -indicated planned maintenance, per the contracted pricing schedule. 4 Routine planned maintenance will be scheduled based on the most efficient routing possible for our technicians, customer will receive a notice from the service department informing them of the date and time the PM will be performed. If that date and time does not work for the customer, please call the service department a minimum of 24 hours prior to the scheduled date and time. 5 If customer does not call to cancel or reschedule a PM a minimum of 24 hours prior to the scheduled date and time, they will be charged the travel time and expense Sourcewell �` LOFTIN Payment Terms: Net 30 Days, Upon Credit Approval Invoices not paid when due will have a finance charge of 1.5% per month assessed. The Venue for any Legal/Collection action shall be in the County where the equipment is located. If any Litigation/Collection action becomes necessary, the Prevailing Party shall be awarded the Attomey/Collection fees and Attorney/Collection expenses. The Prevailing Party shall be awarded all Interest Charges (1.5% per month) accrued on past due balances(s). Taxes and Environmental Fees: Prices do not include applicable federal, state, local, use, property, or excise taxes and/or environmental fees. If any such taxes/fees are imposed, the Service Agent will bill them to the customer as a separate item. In lieu of such taxes/fees, the customer shall provide with each order a tax exemption certificate, which shall be acceptable to the proper taxing authorities. Escalation: As of the date of this [Agreement], certain markets providing essential materials for the [Work] are experiencing or are expected to experience significant, industry -wide, economic volatility and uncertainty during the performance of this [Agreement] that may impact price, availability, and/or delivery time frames of such material ("Impacted Material"). In order to fairly allocate and accommodate the risk of such market fluctuations, [Owner] and [Loftin] agree that the method for calculating adjustments to the prices of Impacted Material items used in establishing the original [Contract Price] and listed in the attached Schedule A (`Baseline Price") shall be as follows: If during the course of the [Work], an Impacted Material item experiences a price increase or decrease from its original Baseline Price as set forth. in Schedule A, [Loftin] shall notify the [Owner] in writing within thirty (30) days for the date [Loftin] is made aware of such increase/decrease and shall include appropriate documentation substantiating the change from the Baseline Price. The [Contract Price] shall then be equitably adjusted to account for such change in price, but only for t he quantity of Impacted Material delivered on or after the date on which written notice of the change is given by [Loftin]. Such adjustment shall be limited to[Loftin's] direct costs of the increase/decrease, shall not include any additional mark-up for overhead and profit, and shall establish the new Baseline Price to be used for any further equitable price adjustments resulting from subsequent market fluctuations. No adjustment shall be made for any quantities of Impacted Materials scheduled for delivery under the terms of the [Agreement] prior to the date on which written notice of the change is given by [Loftin], unless the failure to deliver such quantities before that date is beyond the control of and without the fault of [Loftin]. If [Loftin] is delayed at any time in the commencement or progress of the [Work] due to a delay in the delivery of, or unavailability of, an Impacted Material, beyond the control of and without the fault. of [Login], [Loftin] shall be entitled to an equitable extension of the [Contract Time] and an equitable adjustment of the [Contract Price] directly attributable to such delay. The [Owner] and [Loftin] shall undertake reasonable steps to mitigate the effect of such delays. Notwithstanding any other provision to the contrary, [Loftin] shall not be liable to the [Ownerl for any expenses, losses or damages arising from a delay in the delivery of an Impacted Material item not the fault of [Loftin]. Emergency Service: Emergency Service between scheduled services dates will provided at rates ineffect at time of service for labor, parts, and travel. Travel rates will be only for travel to locations accessible by public roads. Lodging and other miscellaneous expenses shall be billed at cost. Customer Responsibility: The customer or customer's authorized agent shall maintain a regular record of service for review. Record of customer -performed service shall be kept and made available to servicing agent at time of scheduled maintenance call. Servicing Agent Responsibility: Insofar as practical, the servicing agent shall maintain a complete service history. It is agreed that this agreement covers only those items outlines and that it does not include any expense to repair damage caused by abuse, accident, theft, acts of a third person, forces of nature, alteration of equipment, or improper operation. The Servicing Agent agrees to maintain a representative stock of replacement parts and a competent factory trained service organization. The Servicing Agent shall not be responsible for failure to render the service due to causes beyond its control, including strikes, labor disputes, acts of God, etc., or any incidental or consequential damages. After each inspection, the customer will be furnished a written report detailing conditions found and advising further service, if necessary, to assure operational dependability of the equipment under this contract LOFTIN; "The middle of a Power failure is not the time to fend Problems in your system" Plan Now To Protect Tomorrow The Loftin Equipment Company Advantage: D Cleanliness Guarantee — We will leave your site cleaner than when we arrived! ➢ Premium Fluids — We use only the highest quality fluids! ➢ Preferential Scheduling — Should a service emergency arise, your unit has priority! ➢ A modern fleet of self-contained rental sets are available with full 24/7 parts and service support! ➢ Dedicated Representative —You have a dedicated, inside person who handles information requests or service concerns! Why Should I Elect To Do Load Bank Testing: You may never think about it until it's too late, but load bank testing goes a long way in saving you money! Here are the top reasons you should safeguard your system with load bank testing by Loftin Equipment Company: 1. By actually drawing power from the generator, load banking tests your system's capability without interrupting standard utility services to your facility. 2. The testis the only sure way to tell if your system is capable of handling the required load. 3. The test expels moisture and cleans carbon deposits out of the exhaust system and turbochargers. (common cause of "wet stacking") 4. Load bank testing can also help by fully loading the engine where "wet stacking" is evident. LOFTIN { Planned Maintenance will be performed per the following schedule: Each Scheduled trip will include: ✓ Inspection of cooling system fan, fan blades, remote cooling fan motor. ✓ Inspection of all cooling system hoses and adjustment of hose clamps, if necessary. ✓ Inspection of engine belts, checking belt tension, and adjust if necessary. ✓ Inspection of the engine block heater for proper operation, temperature and flow. ✓ Inspection and cleaning of generator controller and area (if required). ✓ Inspection of gauges for proper operation and adjustment, if needed. ✓ Inspection of shut down functions, including emergency stop for proper operation. ✓ Inspection of Automatic Transfer Switch for proper operation (with or without load). ✓ Checking of settings for Automatic Transfer Switch. ✓ Verifying proper operation of Remote Annunciator panel. ✓ Checking of all bulbs in controller for proper operation. ✓ Generator set will be started and run, to berify proper operation of unit. ✓ Inspection and adjustment of all gauges. ✓ Inspection of anti-freeze/coolant level. ✓ Inspection of generator for oil, fuel, and coolant leaks. ✓ Inspection of exhaust system and silencer for leaks, cracks, and deterioration. ✓ Draining of moisture from exhaust piping (if equipped). ✓ Checking batteries for water level, level of charge and corrosion on terminals. ✓ Checking fuel system, including day tank or transfer tank (if equipped). Once a year, the following will also be performed: ✓ oil and Lubrication filters will be changed ✓ Inspection of air filter element. ✓ Fuel filters will be changed * Air filter can be replaced as needed, at an additional cost with customer approval. Service Charges: 1. No Services or Material are under this contract unless specifically referred to herein. 2. Replacement Parts will be billed at prices prevailing at time of use. 3. It is agreed that Loftin Equipment will supply labor and test equipment to perform the above -indicated planned maintenance, per the contracted pricing schedule. 4 Routine planned maintenance will be scheduled based on the most efficient routing possible for our technicians, customer will receive a notice from the service department informing them of the date and time the PM will be performed. If that date and time does not work for the customer, please call the service department a minimum of 24 hours prior to the scheduled date and time. 5 If customer does not call to cancel or reschedule a PM a minimum of 24 hours prior to the scheduled date and time, they will be charged the travel time and expense Sourcewell 9k lease contact Jonathon Proctor at !1)roctor@Joft LOFTIN f Payment Terms: Net 30 Days, Upon Credit Approval Invoices not paid when due will have a finance charge of 1.5% per month assessed. The Venue for any Legal/Collection action shall be in the County where the equipment is located. If any Litigation/Collection action becomes necessary, the Prevailing Party shall be awarded the Attomey/Collection fees and Attorney/Collection expenses. The Prevailing Party shall be awarded all Interest Charges (1.5%per month) accrued on past due balances(s). Taxes and Environmental Fees: Prices do not include applicable federal, state, local, use, property, or excise taxes and/or environmental fees. If any such taxes/fees are imposed, the Service Agent will bill them to the customer as a separate item. In lieu of such taxes/fees, the customer shall provide with each order a tax exemption certificate, which shall be acceptable to the proper taxing authorities. Escalation: As of the date of this [Agreement], certain markets providing essential materials for the [Work] are experiencing or are expected to experience significant, industry -wide, economic volatility and uncertainty during the performance of this [Agreement] that may impact price, availability, and/or delivery time frames of such material ("Impacted Material"). In order to fairly allocate and accommodate the risk of such market fluctuations, [Owner] and [Loftin] agree that the method for calculating adjustments to the prices of Impacted Material items used in establishing the original [Contract Price] and listed in the attached Schedule A ("Baseline Price") shall be as follows: If during the course of the [Work], an Impacted Material item experiences a price increase or decrease from its original Baseline Price as set forth in Schedule A, [Loftin] shall notify the [Owner] in writing within thirty (30) days for the date [Loftin] is made aware of such increase/decrease and shall include appropriate documentation substantiating the change from the Baseline Price. The [Contract Price] shall then be equitably adjusted to account for such change in price, but only for t he quantity of Impacted Material delivered on or after the date on which written notice of the change is given by [Loftin]. Such adjustment shall be limited to[Loftin's] direct costs of the increase/decrease, shall not include any additional mark-up for overhead and profit, and shall establish the new Baseline Price to be used for any further equitable price adjustments resulting from subsequent market fluctuations. No adjustment shall be made for any quantities of Impacted Materials scheduled for delivery under the terms of the [Agreement] prior to the date on which written notice of the change is given by [Loftin], unless the failure to deliver such quantities before that date is beyond the control of and without the fault of [Loftin]. If [Loftin] is delayed at any time in the commencement or progress of the [Work] due to a delay in the delivery of, or unavailability of, an Impacted Material, beyond the control of and without the fault of [Loftin], [Loftin] shall be entitled to an equitable extension of the [Contract Time] and an equitable adjustment of the [Contract Price] directly attributable to such delay. The [Owner] and [Loftin] shall undertake reasonable steps to mitigate the effect of such delays. Notwithstanding any other provision to the contrary, [Loftin] shall not be liable to the [Owner] for any expenses, losses or damages arising from a delay in the delivery of an Impacted Material item not the fault of [Loftin]. Emergency Service: Emergency Service between scheduled services dates will provided at rates in effect at time of service for labor, parts, and travel. Travel rates will be only for travel to locations accessible by public roads. Lodging and other miscellaneous expenses shall be billed at cost. Customer Responsibility: The customer or customer's authorized agent shall maintain a regular record of service for review. Record of customer -performed service shall be kept and made available to servicing agent at time of scheduled maintenance call. Servicing Agent Responsibility: Insofar as practical, the servicing agent shall maintain a complete service history. It is agreed that this agreement covers only those items outlines and that it does not include any expense to repair damage caused by abuse, accident, theft, acts of a third person, forces of nature, alteration of equipment, or improper operation. The Servicing Agent agrees to maintain a representative stock of replacement parts and a competent factory trained service organization. The Servicing Agent shall not be responsible for failure to render the service due to causes beyond its control, including strikes, labor disputes, acts of God, etc., or any incidental or consequential damages. After each inspection, the customer will be famished a written report detailing conditions found and advising further service, if necessary, to assure operational dependability of the equipment under this contract LOFTIN "The middle of a power failure is not the time to find problems in your system" Plan Now To Protect Tomorrow The Loftin Equipment Company Advantage: ➢ Cleanliness Guarantee — We will leave your site cleaner than when we arrived! ➢ Premium Fluids — We use only the highest quality fluids! ➢ Preferential Scheduling — Should a service emergency arise, your unit has priority! ➢ A modern fleet of self-contained rental sets are available with full 24/7 parts and service support! ➢ Dedicated Representative — You have a dedicated, inside person who handles information requests or service concerns! Why Should I Elect To Do Load Bank Testing: You may never think about it until it's too late, but load bank testing goes a long way in saving you money! Here are the top reasons you should safeguard your system with load bank testing by Loftin Equipment Company: 1. By actually drawing power from the generator, load banking tests your system's capability without interrupting standard utility services to your facility. 2. The test is the only sure way to tell if your system is capable of handling the required load. 3. The test expels moisture and cleans carbon deposits out of the exhaust system and turbochargers. (common cause of "wet stacking") 4. Load bank testing can also help by fully loading the engine where "wet stacking" is evident. CERTIFICATE OF INTERESTED PARTIES FORM 1295 loft Complete Nos. 1-4 and 6 if there are interested parties. Complete Nos.1, 2, 3, 5, and 6 if there are no interested parties. OFFICE USE ONLY CERTIFICATION OF FILING Certificate Number: 2024-1241631 Date Filed: 11/20/2024 Date Acknowledged: Aa, V 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. Loftin Equipment Phoenix, AZ United States 2 Name of governmental entity or state agency that is a party tot the contract for which the form is being filed. County of Calhoun 3 Provide the identification number used by the governmental entity or state agency to track or identify the comiradt, and Orovide a description of the services, goods, or other property to be provided under the contract. TBD Generator sales & services 4 Name of Interested Party City, State, Country (place of business) Nature of interest (check applicable) Controlling I Intermediary 5 Check only if there is NO Interested Party. ❑ X 6 UNSWORN DECLARATION My name IsRod Dode and my date of birth is 7/2/1964 My address is 1220 N. 52nd St. Phoenix AZ 85008 USA (street) (city) (state) (zip code) (country) I declare under penalty of perjury that the foregoing is true and correct. Executed in Maricopa county, State of Arizona , on the 20thday of November20 24 n / S (month) (year) /Cr9Lii �BG� Signature of authorized agent of contracting business entity (Declarant) Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V4_t n Nrld9ace9 #13 NOTICE OF MEFFING -- 11/27/2024 13. Consider and take necessary action to approve the contract between Calhoun County and Shirley & Sons Construction Co., Inc. for Bid Number 2024.09 - Calhoun County Bill Sanders Park — Swan Point Bulkhead & Pier Construction and authorize County Judge to assign all documents. (VLL) RESULT: -APPROVED;[UNANIMOUS] MOVER: David Hall, Commissioner Pct'1 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Commissioner Hall, Lyssy, Reese Page 10 of 13 AGREEMENT BETWEEN OWNER AND CONTRACTOR THIS AGREEMENT is by and between CALHOUN COUNTY, (hereinafter called OWNER), and SHIRLEY & SONS CONSTRUCTION CO., INC., (hereinafter called CONTRACTOR). OWNER and CONTRACTOR, in consideration of the mutual covenants hereinafter set forth, agree as follows: ARTICLE 1 -WORK 1.01- CONTRACTOR shall complete all Work as specified or indicated in the Contract Documents. The Work is generally described as follows: Construction of 276 feet of vinyl bulkhead and a 233-foot timber pier at the Bill Sanders Park - Swan Point in Seadrift, Texas. ARTICLE 2 - THE PROJECT 2.01 The Project, for which the Work under the Contract Documents may be the whole or only a part, is generally described as the Bid No. 2024.09 - Calhoun County Bill Sanders Park - Swan Point Bulkhead & Pier Construction. ARTICLE 3 - ENGINEER 3.01 The Project has been designed by Urban Engineering who is hereinafter called ENGINEER and who is to act as OWNER's representative, assume all duties and responsibilities, and have the rights and authority assigned to ENGINEER in the Contract Documents in connection with the completion of the Work in accordance with the Contract Documents. ARTICLE 4 - CONTRACT TIMES 4.01 Time of the Essence A. All time limits for Milestones, if any, Substantial Completion, and completion and readiness for final payment as stated in the Contract Documents are of the essence of the Contract. 4.02 Days to Achieve Substantial Completion and Final Payment A. The Work will be substantially completed within 90 calendar days after the date when the Contract Times commence to run as provided in paragraph 2.03 of the General Conditions, and completed and ready for final payment in accordance with paragraph 14.07 of the General Conditions within 14 calendar days after the date of substantial completion. 4.03 Liquidated Damages A. CONTRACTOR and OWNER recognize that time is of the essence of this Agreement and that OWNER will suffer financial loss if the Work is not completed within the times specified in paragraph 4.02 above, plus any extensions thereof allowed in accordance with Article 12 of the General Conditions. The parties also recognize the delays, expense, and difficulties E25470.00-Agreement 00520 - 1 involved in proving in a legal or arbitration proceeding the actual loss suffered by OWNER if the Work is not completed on time. Accordingly, instead of requiring any such proof, OWNER and CONTRACTOR agree that as liquidated damages for delay (but not as a penalty), CONTRACTOR shall pay OWNER $300.00 for each day that expires after the time specified in paragraph 4.02 for Substantial Completion until the Work is substantially complete. After Substantial Completion, if CONTRACTOR shall neglect, refuse, or fail to complete the remaining Work within the Contract Time or any proper extension thereof granted by OWNER, CONTRACTOR shall pay OWNER $300.00 for each day that expires after the time specified in paragraph 4.02 for completion and readiness for final payment until the Work is completed and ready for final payment. ARTICLE 5 - CONTRACT PRICE 5.01 OWNER shall pay CONTRACTOR for completion of the Work in accordance with the Contract Documents an amount in current funds equal to the sum of the amounts determined pursuant to paragraph 5.01.A below: A. For all Unit Price Work, an amount equal to the sum of the established unit price for each separately identified item of Unit Price Work times the estimated quantity of that item as indicated in the Contractor's Bid in the amount of $591,200.00 for the Total Base Bid, attached hereto as an exhibit. As provided in paragraph 11.03 of the General Conditions, estimated quantities are not guaranteed, and determinations of actual quantities and classifications are to be made by ENGINEER as provided in paragraph 9.08 of the General Conditions. Unit prices have been computed as provided in paragraph 11.03 of the General Conditions. ARTICLE 6 - PAYMENT PROCEDURES 6.01 Submittal and Processing of Payments A. CONTRACTOR shall submit Applications for Payment in accordance with Article 14 of the General Conditions. Applications for Payment will be processed by ENGINEER as provided in the General Conditions. 6.02 Progress Payments; Retainage A. OWNER shall make progress payments on account of the Contract Price on the basis of CONTRACTOR's Applications for Payment on or about the first day of each month during performance of the Work as provided in paragraph 6.02.A.1 below. All such payments will be measured by the schedule of values established in paragraph 2.07.A of the General Conditions (and in the case of Unit Price Work based on the number of units completed) or, in the event there is no schedule of values, as provided in the General Requirements: E25470.00-Agreement Prior to Completion, progress payments will be made in an amount equal to the percentage indicated below but, in each case, less the aggregate of payments previously made and less such amounts as ENGINEER may determine or OWNER may withhold, in accordance with paragraph 14.02 of the General Conditions: a. Ninety percent (90%) of Work completed (with the balance being retainage); and b. Ninety percent (90%) of cost of materials and equipment not incorporated in the Work (with the balance being retainage). 00520 - 2 6.03 Final Payment A. Upon final completion and acceptance of the Work in accordance with paragraph 14.07 of the General Conditions, OWNER shall pay the remainder of the Contract Price as recommended by ENGINEER as provided in said paragraph 14.07. ARTICLE 7 - CONTRACTOR'S REPRESENTATIONS 7.01 In order to induce OWNER to enter into this Agreement, CONTRACTOR makes the following representations: A. CONTRACTOR has examined and carefully studied the Contract Documents and the other related data identified in the Bidding Documents. B. CONTRACTOR has visited the Site and become familiar with and is satisfied as to the general, local, and Site conditions that may affect cost, progress, and performance of the Work. C. CONTRACTOR is familiar with and is satisfied as to all federal, state, and local Laws and Regulations that may affect cost, progress, and performance of the Work. D. CONTRACTOR has carefully studied all: (1) reports of explorations and tests of subsurface conditions at or contiguous to the Site and all drawings of physical conditions in or relating to existing surface or subsurface structures at or contiguous to the Site (except Underground Facilities) which have been identified in the Supplementary Conditions as provided in paragraph 4.02 of the General Conditions and (2) reports and drawings of a Hazardous Environmental Condition, if any, at the Site which has been identified in the Supplementary Conditions as provided in paragraph 4.06 of the General Conditions. E. CONTRACTOR has obtained and carefully studied (or assumes responsibility for having done so) all additional or supplementary examinations, investigations, explorations, tests, studies, and data concerning conditions (surface, subsurface, and Underground Facilities) at or contiguous to the Site which may affect cost, progress, or performance of the Work or which relate to any aspect of the means, methods, techniques, sequences, and procedures of construction to be employed by CONTRACTOR, including applying the specific means, methods, techniques, sequences, and procedures of construction, if any, expressly required by the Contract Documents to be employed by CONTRACTOR, and safety precautions and programs incident thereto. F. CONTRACTOR does not consider that any further examinations, investigations, explorations, tests, studies, or data are necessary for the performance of the Work at the Contract Price, within the Contract Times, and in accordance with the other terms and conditions of the Contract Documents. G. CONTRACTOR is aware of the general nature of work to be performed by OWNER and others at the Site that relates to the Work as indicated in the Contract Documents. H. CONTRACTOR has correlated the information known to CONTRACTOR, information and observations obtained from visits to the Site, reports and drawings identified in the Contract Documents, and all additional examinations, investigations, explorations, tests, studies, and data with the Contract Documents. E25470.00 - Agreement 00520 - 3 I. CONTRACTOR has given ENGINEER written notice of all conflicts, errors, ambiguities, or discrepancies that CONTRACTOR has discovered in the Contract Documents, and the written resolution thereof by ENGINEER is acceptable to CONTRACTOR. J. The Contract Documents are generally sufficient to indicate and convey understanding of all terms and conditions for performance and furnishing of the Work. ARTICLE 8 - CONTRACT DOCUMENTS 8.01 Contents A. The Contract Documents consist of the following: 1. This Agreement; 2. Performance Bond; 3. Payment Bond; 4. Other Bonds; 5. General Conditions; 6. Supplementary Conditions; 7. General Conditions — Calhoun County 8. Specifications as listed in the Table of Contents of the Project Manual; 9. Drawings as listed on page 00015-1 of the Project Manual; 10. Addenda; 11. Exhibits to this Agreement (enumerated as follows): a. Notice to Proceed; b. CONTRACTOR's Bid; C. Documentation submitted by CONTRACTOR prior to Notice of Award. 12. The following which may be delivered or issued on or after the Effective Date of the Agreement and are not attached hereto: a. Written Amendments; b. Work Change Directives; C. Change Order(s). B. The documents described in paragraph 8.01.A are incorporated into this Agreement for all purposes as if set forth verbatim herein. C. There are no Contract Documents other than those listed above in this Article 8. E25470.00-Agreement 00520 - 4 D. The Contract Documents may only be amended, modified, or supplemented as provided in paragraph 3.04 of the General Conditions. E. All protests and disputes will be held in Port Lavaca, Calhoun County, Texas. ARTICLE 9 - MISCELLANEOUS 9.01 Terms A. Terms used in this Agreement will have the meanings indicated in the General Conditions. 9.02 Assignment of Contract A. No assignment by a party hereto of any rights under or interests in the Contract will be binding on another party hereto without the written consent of the party sought to be bound; and, specifically but without limitation, moneys that may become due and moneys that are due may not be assigned without such consent (except to the extent that the effect of this restriction may be limited by law), and unless specifically stated to the contrary in any written consent to an assignment, no assignment will release or discharge the assignor from any duty or responsibility under the Contract Documents. 9.03 Successors and Assigns A. OWNER and CONTRACTOR each binds itself, its partners, successors, assigns, and legal representatives to the other party hereto, its partners, successors, assigns, and legal representatives in respect to all covenants, agreements, and obligations contained in the Contract Documents. 9.04 Severability A. Any provision or part of the Contract Documents held to be void or unenforceable under any Law or Regulation shall be deemed stricken, and all remaining provisions shall continue to be valid and binding upon OWNER and CONTRACTOR, who agree that the Contract Documents shall be reformed to replace such stricken provision or part thereof with a valid and enforceable provision that comes as close as possible to expressing the intention of the stricken provision. E25470.00-Agreement [The rest of this page is intentionally blank.] 00520 - 5 IN WITNESS WHEREOF, OWNER and CONTRACTOR have caused this Agreement to be executed by their duly authorized officials in one original. Additional copies of the original executed Agreement will be distributed to all appropriate parties. The effective date of this Agreement will be l kNOffi6x a-1 , a0a4 . OWNER: CST M AttE TitIE Address for giving notices: Calhoun County Courthouse 211 S. Ann Street, Suite 301 Port Lavaca, Texas 77979 Designated Representative Name: Title: Address: Phone: Facsimile: E25470.00 - Agreement CONTRACTOR: SHIRLEY & SONS CONSTR TION CO., INC. By: Ro 4Rirley II. President (Corporate Sea[) Attest: Title: SfC ✓� Address for giving notices: P.O. Box 429 Cleveland, Texas 77328 License No (Where applicable) Agent for X hice) of Kq less`. (If Contractor is a corporation or a partnership, attach evidence of authority to sign.) Designated Representative: Name: I Title: _ Address: Phone: Facsimile: 00520 - 6 Performance Bond Any singular refer+enoo W Cmndactor. Sio ft Omww a9w p wiy slfia8l be considered pftd Idw 9ppfi08MC OONMACTOR (Nanreand Aiedressg Shirley & Sons Construction Co., Inc. P.O. Box 429 Cleveland, TX 77328-0429 OWNER (flame and Address)c Calhoun County 211 S. Ann Street, Suite 301 Port Lavaca, TX 77979 SWIM (NameamdAddress ofPMM*dFAMcfbuo )L Harco National Insurance Company 28420 Hardy Toll Road, Suite 200 Spring, TX 77373 Amount $591,200.00 Desc"13bon (Name ww Locoony Bid No. 2024.09 - Calhoun County Bill Sanders Park Swan Point Bulkhead & Pier Construction - Seadrift, Texas BOND Bond Number: HSHNSU0864019 (141KYY11Dev a��� Date (Not earlier tlmn Conbah:t Dam) Amount$591,200.00 Modifications to this Bond Form: None Surety and Contractor, imam tg to be tegatty bound hereby, subject to the temm printed an the reverse side heraoi do each cause this Perbmance Bond to be duty executed an ffs behalf by its audwrtwd officer, agent or. representative. +y CONTRACTORAS PRINCIPAL SURETY Company: Shirley & Suns Constructio Inc.(C RL Seal) Company: Harco National Insurance Company (CofP, W) -Signature: ,- (SEAL) Nameand de: Ronald R. Shirley, 11, President (Space ispraAMbdoatta(swM aasowkw"P .ffmquM) CONfRACiORAS PRiiCIPAL SURETY NameandTifec' s�arn®.g�mmmanemm --�� o�.,.mrhasrip - E The CO\'TRACTOR Bad the SweW. jowty and 9e,.w4h•. tend dsemsel as, them d A*N the OR1'aR has tesmmmed the CONMUCi0R's right w eoada m the hers, acmomas, odoswameuts, rumnsms and mss_tm to the Oaaa for the Comas. -and if the Smen•• eleem tow undo pm peph ^.1.1„tmtl.'a:tt4ace, paimmm:eoftheConowutiehis meotpmated herembyrttamm. tetmtdte:npmsibilitim ofihe'Smm• to the OUNIR 2W.101beaaeacer than &Mmfate CONTRACTOR=daabe Cmmaa, andtheae noithe Z l'd the CO\7RACj-40Gt perioraa the Cmmaet. the Sump• and The tt1fHVBRwule Soren sttn7 ache gtemerthm throe ofda:OtO?713Bmdathe 1 CONeRACTOR I= m abaawm under this Bone, Accept w pmtiegme in am n=. To a lime of tae—odshis BooA but sn!)jamanamttrimnm'bp .00triaanoesaspsaadedimpmarvb Il. ft O MM of the Balance of ten Coemaer Pike to aaium4 mcffan Bad dmo�naaB+eCmaaecdheSmon•adbligatai u�dmm6ae A t6t8maiciuOS\t!$tlS�'ndC>he 5u[etei ob7igmmemoea6m ®mdsGalt arse ages 6.L TBmtompmatalmn dde ODAiRACIOR doraaaaaismoedrrissx Wodcm9om t dfdteQmmmer, ML 77r Ofl:�RIm —,W the COMRACTMmA the Snow at den a68orou desofibed m puavvb m below tent ten OMER o a�6dedmc�aOD�iZi ACC70RDamC<affitamm�emlam8 gmevrpost m a asdaeme ai& the CONTRACTOR and ft Sooagm6e�LftalmatSn bdasda}sa@atamyno£smxst�mm dw� saeftodt of. I fptsttthe Camaat ME due OWNTA, the COMUCTOQ mad the Smay dgm dm CIMIRACIOR *a be alluaad a ammeof time m - ' do C®R boa sodt m ppoomm 8rottu " d&eOWNENs oak ifam; stdnwpw yen dedanaM\'03ACOORDeFm$a d 32 The OWNER has declined a CO:\iRACM DdaJt and f amW --4-aA the CD.%"MACr0rA zLda to omplmedleCooaen. Such CONTRACTORD4mdralmOtmthedstandm" 6mcoma•days ttea the CONTRACTOR and the Smay have rmehad minim m psosidodmpwpgh3J;an4 33. 7heOR2iFRhmttaraedmpaytheiitlmoeoftae t7mrmaaPticom: 33.1. IUSattmyinmaadmcouidda—efdmCootm t, 332. Another ooaatm or sdecsW pomt n to pwpo 43 to petdrm the comma 4.. A7mnthe OWNER hen safi+bed the cmditims of paegmph 3, the Sutery shall prmpdyttodmtlmSnmty'sapmseUbe one ofihehitmimg nvom: 4.L Menge lot• the CONTRACTOR, uth consent of the OWNS& to pedamumd amtptae rim codu=; err \, 42 iladmdue to pahm and emplae the Coact Welt d uA im agora of dtoogb bjdepetidm ems: or 43. Ohmia bids at mgotimed popmeh from 4tmlded tetmeams atsepmbte to the OWNER dr a conew fro perfoommm and completion of de Caamom Wow ft a amams to be pmpmed for et --A— by the OWNER and the aomeemr sehaM utb the OWNER'► aomoteoa, to be seamed witb pmfameoce and paymm bends mennedby a qudiSed smny egaisakm m de Bmlds bsmd on the Cumma, Bad pay m the OWNER the smottm of danmger m desagW inymagsoyh 6 in emrers afd: Balmce ofthe Coma named byde OWNER rmulft fins the CONTRACTOR Dd'm% or 4A Waim its daht m paAm and CMPW. NaW for eomptetiea, a clmm a am temmster and with tcosomme ptompntets tender the 4A7 Aber mrndaeaq deaemimdmamatm Emubchno W be bMem deOWtIIRmdmaemmpattiraalea&xtaeaammb deee®iad. anderpaymmdteieeamtheOWNE1Cm 4.42 Deny CobtliO•mwbaeoriapaetsdmtdytbeOW;+IfB eCmg $,, ; jt' de Surety does m pceaed m pmaided m pestmaph 4 mbb sttaomafe pmmp�SmeiSmatyfba9bedeemMmbeiadefmhmta'sBmdSBtmdsys `....-: 'nbti?aAiyn ad'm add'aitm! swam write fr® the t�WhaR to the saay. .;d�mifing ttta the saaary ptlarm in ObEattio® rsdir dirt BOA tad ft :p'Q$$ttaDbermdtdme>aeorem!'amak snadamdmOMML Dffir sowpstartem m p»aoddm peogmdL 4.4, rend den O'83t s:Sam tht ..mka8srtbt5ena9desa'hlmedpGtb�46ianim7emimpato,voffiam -.-.3�ttstaRas dhePloA.B@.sih�bm aaot0tdmat9latsangamre@c mttIDPBem 1 t 62 AMcimdl9 L4e'fV o88 aaocar enaaaa>o; 00NRACUM Dfat�amd tiers domshe asemm xam uiaaa'tlr5motpuffispfaa! 63 TupdzvA damtgm, er dfm b4mdmf dateagm m spaifmd m the Camtq Beam dtmr<Cs ormad by d&3v d pafameane or Mot- ofdeME ACEOR 7. The Sumer sma am be bable to due OWNER or arias SIC ab>✓xttilm of the COMMUCTOR deer one mo ehmd to the ConamL and the R,&— of de Camsme RkC slog rot be tttdsed"w tiff onamomrofvoyllh ®rind at�tiom. Nodefuoeactiaa sba0aamemdtuBao6maaypmmarmthy rdardmdteoWh7Rardsheim, aaamgaerYmeeuAo. & abestmsylsombyasitrs mtioeofmydmtBe, iododiggtdm8m aftim totbe Ceamam oolowdsubcoummp mcbewmdm and odaaUW&m. 9- ptq.pomedaR,legaterequimble, mderdis Baodmaybeimtimmedmmty amat ofamopeemsjurMcdoni idw 1oo.6eninutidtde Wadeapartefdm Wade is &—sedad st H beof CONTRACTOR Defadt err aVal' nm TemaaOwde CONTRACMRaatmdumhogaruv6mumymn saw dw Sure a fines of fe0s to peefom its obApfiam Bader din Bm4 by9teverooem from fftae pmiriam ofmMle to sma t imas id or m mite by im, themioianmpaiod of IiotCa6an saibdlem ametia m a tkimse in rim jati+d c&nofthestartfleabegTlinet,t^ lo. Nodm to tam Stt M. de OWNER or the CONTRACTOR dmR be mailed or deliamadmd tAridnessloancnthes*na¢epages IL Whm dais Bond ben been gmithW to comply uhh a smmtmy of odnt legal regncwrm is 69 lumtioa muse den CQaW was to bO.PcdbmbA troy pmrisiminthis BaatmnRietinswidseidstanttmyerle6attepscmmdtanbe deemed ddmed herefi m and pmWamns aanfmmhtg to such smamty ar calm hOd rteptitanm & 0 be named imcmpmmed bads The Ism is tam tbb Bend eha0 ere tomcatted m s ummmy bmd and oat m a eotomm larbmtl b2 Defmwom. lib. BslmeeofdeCmmeaYsim:lbetotalamemtpaysblebydmOR9g7t to de CONMCMR under de Connect Aber a0 paper edjanmem berm Um mmk, dmlaft allmmm to de ODNIRACMR of eo0 asaomb teaaad or m be rewind by den OWNER in Mdem"m of hm®ee a oiler ct,6-1hr duamm to ubitb the CONTRACTOR is emidcd, redtmml by a0 rasd and proper pgauenn made m err ten bdmlf efdeCONlRACPORumdatleCommm. 122 Cwum7begpmumbnaemdtOWAMRmdtheCMGRACIOR dd.99-d os do sipnmsePam io[5sdmg an comma Documents Bad 773. coNnuena Ddanb: imTaa of de CoNntACML vhcb bas erbtmsematitdmr ntuired, to pa9sm et abora6mm tetmply tsi6thetemusaddmCaarma. ILL OffiT37t 1h3eic imlare of dr OTiR3R, admb hen aridnr hen sta n1w rot admr4 m pmy tar CM40 ACM m rerymaf bw dr Crmttxa m m ptsdmm mad ampine arta�y ro&thr. aver mans 9MG-2 R Payment Bond A� rre6erencetocmrrm: er.Surety. OvmwerrcNimparty did b9 cand&nd plural vkmegVIliicatb. CM erred Shirley Sons onstruction o., Inca P.O. Box 429 Cleveland, TX 77328-0429 091IMER (Name and AddeKs): Calhoun County 211 S. Ann Street, Suite 301 Port Lavaca, TX 77979 S71A�'TYtAYaoreaardA®fPtbeegnal Plaosofbereeres]: Harco National Insurance Company 28420 Hardy Toll Road, Suite 200 Spring, TX 77373 DaW 1G ufMUK Amc u u: $591,200.00 Description (Nameaced Location): Bid No. 2024.09 - Calhoun County Bill Sanders Park Swan Point Bulkhead & Pier Construction - Seadrift, Texas BOND Bond Number HSHNSU0864019 �lr?v�c( Date (Not antler than Contract Date} �� Amount: $591,200.00 Modifications to We Bond Rum: None Surety and Contractor, hdendfng to be legally bound hereby, mMect to the terms printed on the reverse aide hereof, do each cause this Payment Bond to be duly executed on its behalf by its autlwrked officer, agent orrepresardagve. 1 CONTRACTOR AS PRINCIPAL Company: Shirley & Sons Construction Co., Inc. (Cap: Seal) Signahrre: (SEAL) Name and Tile; Ronald R. Shirley, II, President (Sp�e is proridad be�wtaetgnetwesotadd�rrelpeiles, Mtequired.) CONTRACTORASPRIWPAL . Cagy: (CmP• Seat) iQarrre card Tdlec SURETY Comparry: Harco National Insurance company,Varp. Seal) Sl9rraWra: / ' (SEAL) Name and Tine: James N. Berry. Atto ex In -Fact (Attach Po►ver of Almmey) I The COW@iBAC*OR and the Surety. jointly and severally. bind 8 Amounts owed Iby the OWNER to the CONTRACTOR under the tnemseaues. nheu trees, exeinmrs. ,administrators. successors and ContractsIballlbeased for the performance of The Contract and to satisy assigns as dhe OMER to pay der oawr materials and equipment claims. elf any. wader any Performance Bond. By the CONTRACTOR Carvil sa 0V as vanes .tor use do the hperformance of the Comirect. Anishag ad acre OWNER accepting this Bond. they agree that all Wtilinifis ostpowed herein byrefeeame. inds,eamagibyt he CONTRACTOR in tha.pedormance of the Contram `h as dedrrmed ra satisfy .obligations of ehe CONTRACTOR and the 2. I011W Befte OWNER Shisddlgtlltenslaali he null and vedif@ae 5eay Wder Oft Bond. subject to the OMERS priority to use the OOMIRRCT0H2 Muads/ernOo9rarslatllefon date Work 21. dM44radmactry, ter as San doe S. The Sgr4stat wr Me biable to M 09MA CIMMMS or others for t and cbIlliallims d to CONMCTOR MA ea etetared to the COW= itoa04t�9�eM4T1e16acilaGmreotampmsisOrmgferees cf 22 DAND&k bs=ulws ad hotat9hoomm the OWNM lam ag any Clamed atoIstr its Bm am am Vale elder Bela 8mtl no dVnS, darmtds. Oerli ar ties a8egmg wagattrmat by efgoOMsbmtlepamcet 1111100 Conlaadler by a'ry , , - I t or im W vft Iarrigaad ertar, lherieati�TasbCHmaasutt0erdfisBoM makdals or agfpraaa Itlr m In me PimIurlaarae of no 10. CONTRACTOR ad me Sa13y (at dr addresses described it *K bb to Cmtftd ar to mUM SubommaM p wdase ceders antl patera " 12) of aw dams. datm+t I bens or sits am dhwdaget[as. to m-detb+ise ofsuch d&K demands. Wrsersufts belle CONTRACTOR and this Sonty, and praroted them ism 11. He set or aMn she he omeraaned by a Cfemselt under the sad OWr16i0efbA rdarllart 61 aemtr dmtpetedjmfsdsliat m tla bcation iutNhidtthe work or part of the woks located order the ertprston of ON yeer 1 !fHtl resI I to Clamlan5, ties oI Fig ' a slap be and and vod if to from the dent (1) on oddidh the Claimant gave the rake required by CONTRACTOR prair"y maims papter4 dredy or blarecty, for all paragraph 4.1 or paragraph 4.7.3. of (2) an wtkh the fast labor or sumsen service lvas performed by anyme or the last maredaB or equipment were fimLsbd bywWm water the (krshurdan Caftcl, wt dieverd 4. McSw* shelf have noobfigdaetoClaanords;u dertfsBatl unit: (1) or (2) fast emus: If.tfe provisions of this paragraph am vdd or bs proldilled BVW 4.1. Ctammes who are eurptayad by or have a direct contract with as a MeowIn thejafsdctan oft sub me CONTRACTOR have gmat notice to the Surety (at the addresses described in paragraph 12) and sent a copy, or 12 Nmiae toth a Sumy, the OWNERort a CONTRACTORshef be mailed notice DOW,, to the OWNER, sling tat a dabs is bang or delivered In the addresses shown on do signature page. Actual made untie this Bond and, with sulesianbal aeewacy, this mW of notice by surety, the OWNER or Be CONTRACTOR, ercourdefthedem. bowaver momplished, shelf be sufficient dmnpfanoe as of the data isolivadatthe artaessshownon the BW40 pop 42 ClaBrants Who do not have a erect contract with go CONTRACTOR: 13. Whelk this Sold has been furnished to omnpy with a able" or other legal mpIrement in the locetan where the Contract was to be 1. Have furnished twitter! tuft to the CONTRACTOR and performed, any provilsion fro ties sond omtfictim with saki slehday or _ sold a copy,.or mtlom0areot to the OWNER, within 90 W regteranant shall be deemed deleted herehmn and provisions days aftertreyhglastperformed labor orWfurnWred bon(omingtosuch state"oratarlol;Mtequranedshag bedeemed malls 0i'equipmend fixtuded In to damslabng,with brompoatedlare4u. Taetntemfs,tlattllts9ardsha8heeosatadase substantial accincy, the amaet d to dein and the sWhtayBond and ndasemmn onlawblind. new dthe party to whom the materials were finished or supplied or for wham me Tabor was date or perfaraad, 14. Upon repast of any perm or any appealing to be a potential and beneficiary of fire Bad. the CONTRACTOR stag pimptir banish a copy dthis Soned orshe8 permit o cdpytobemme. 2. Have either received a mied[au in whole or b pad Tom the CONTRACTOR, or not received wnthif 30 days of 15. DEFINITIONS ' fanishuug the above niece any ananovestat ham the CONTRACTOR by which the CONTRACTOR had 15.1. Cent An WOvMMorerityhevblgac we mnWwfhthe McaWdthadabrawilbepaddkoctlyarkffffwW.anT CONTRACTOR or with a fasttier Subcontractor of to CONTRACTOR to hffRM tabor, mderials oregdpnerd for use 3. Not having been pad wTlhUMabove 30days, have sent inlfepmhpmanrsofgaCoNred:TtabuNmdtldssendstat . a Written notice to to Saey and sad a oW or nature be to Md de without Imitalbe t In the temre Vim, maferale of 9areof,to the OWNER, slieft0 taclaimfsbefngmede e**Merr toll part of weier, gm, tom, light, beet. ot, ' ceder Of Bad and eratosog a copy of to premiss gasolene, Nephew swim or mM eW#wwd used et the wdttion " afmtisladbthaC ONTRACtOR. Contract mtldfechdel and engineeatrg services regued fM . 5. .B a naItr8 speed by paragraph 4 is given by the OWNER to the i: - fCs SuDraurerms, and at Oft des f rwWctk C=RACTOt CONIRAf:IORrrbdlaSlrntyda[iSsrdfded a npllterliCS Eefr rtay (a assatal hl1M jtladCfiOnwllaeda ' 13bor.rre�ia6otequlnrltstttvaabo�iad . 8. Reserved 152 Contract: The agreement bebvem die OWNER and the 7.:..: ThoSuraWtntaldbsgd' CONiRPMORMerfetlmmesigrteasef✓a9K I I I nag .. mImea ndafMBmdshobeueftdtDranypaynlm4caade - CmtractOanalan6sardMargesdalera. : Bngoodtilithbythogardy. . - 153. OMER OelmR Faillove of the OWKI R, nb'tIe has nss11 been natmt#bt mar USMA to pay do COMMIW TOR as negmial try for condew m 1s p and ram nt Oorl�t9thttlBedwelea6Tb8ree1. POWER OF ATTORNEY Bond# HSHNSU0864019 HARCO NATIONAL INSURANCE COMPANY INTERNATIONAL FIDELITY INSURANCE COMPANY Member companies of [AT Insurance Group, Headquartered: 4200 Six Forks Rd, Suite 1400, Raleigh, NC 27609 KNOW ALL MEN BY THESE PRESENTS: That HARCO NATIONAL INSURANCE COMPANY, a corporation organized and existing underthe laws of the State of Illinois, and INTERNATIONAL FIDELITY INSURANCE COMPANY, a corporation organized and existing under the laws of the State of New Jersey, and having their principal offices located respectively in the cities of Rolling Meadows, Illinois and Newark, New Jersey, do hereby constitute and appoint - - JAMES N. BERRY Houston, TX their true and lawful attomey(s)4n-fact to execute, seal and deliver for and on its behalf as surety, any and all bonds and undertakings, contracts of indemnity and other writings obligatory in the nature thereof, which are or may be allowed, required or permitted by law, statute, rule, regulation, contract or otherwise, and the execution of such instrument(s) in pursuance of these presents, shall be as binding upon the said HARCO NATIONAL INSURANCE COMPANY and INTERNATIONAL FIDELITY INSURANCE COMPANY, as fully and amply, to all intents and purposes, as if the same had been duly executed and acknowledged by their regularly elected officers at their principal offices. This Power of Attorney is executed, and may be revoked, pursuant to and by authority of the By -Laws of HARCO NATIONAL INSURANCE COMPANY and INTERNATIONAL FIDELITY INSURANCE COMPANY and is granted under and by authority of the following resolution adopted by the Board of Directors of INTERNATIONAL FIDELITY INSURANCE COMPANY at a meeting duly held on the 13th day of December, 2018 and by the Board of Directors of HARCO NATIONAL INSURANCE COMPANY at a meeting held on the 13th day of December, 2018. "RESOLVED, that (1) the Chief Executive Officer, President, Executive Vice President, Senior Vice President, Vice President, or Secretary of the Corporation shall have the power to appoint, and to revoke the appointments of, Attomeys4n-Fact or agents with power and authority as defined or limited in their respective powers of attorney, and to execute on behalf of the Corporation and affix the Corporation's seal thereto, bonds, undertakings, recegnizances, contracts of indemnity and other written obligations in the nature thereof or related thereto; and (2) any such Officers of the Corporation may appoint and revoke the appointments of joint -control custodians, agents for acceptance of process, and Attomeys4n-fact with authority to execute waivers and consents on behalf of the Corporation; and (3) the signature of any such Officer of the Corporation and the Corporation's seal may be affixed by facsimile to any power of attorney or certification given for the execution of any bond, undertaking, recognizance, contract of indemnity or other written obligation in the nature thereof or related thereto, such signature and seals when so used whether heretofore or hereafter, being hereby adopted by the Corporation as the original signature of such officer and the original seal of the Corporation, to be valid and binding upon the Corporation with the same force and effect as though. manually affixed." IN WITNESS WHEREOF, HARCO NATIONAL INSURANCE COMPANY and INTERNATIONAL FIDELITY INSURANCE COMPANY have each executed and attested these presents on this 31st day of December, 2023 yJNJp STATE OF NEW JERSEY STATE OF ILLINOIS ty P40R9/. Py County of Essex County of Cook o SEAL '0' m 1904�+, 0. JEa Lr Michael F. Zurcher Executive Vice President, Harco National Insurance Company and Intemational Fidelity Insurance Company On this 31 at day of December, 2023 , before me came the individual who executed the preceding instrument, to me personally known, and, being by me duly sworn, said he is the therein described and authorized officer of HARCO NATIONAL INSURANCE COMPANY and INTERNATIONAL FIDELITY INSURANCE COMPANY; that the seals affixed to said instrument are the Corporate Seals of said Companies; that the said Corporate Seals and his signature were duly affixed by order of the Boards of Directors of said Companies. IN TESTIMONY WHEREOF, I have hereunto set my hand affixed my Official Seal, at the City of Newark, PZt1Y CnG2, New Jersey the day and year first above written. pUBL\G 9F °Op`N,0 Cathy Cruz a Notary Public of New Jersey My Commission Expires April 16, 2029 CERTIFICATION I, the undersigned officer of HARCO NATIONAL INSURANCE COMPANY and INTERNATIONAL FIDELITY INSURANCE COMPANY do hereby certify that I have compared the foregoing copy of the Power of Attorney and affidavit, and the copy of the Sections of the By -Laws of said Companies as set forth in said Power of Attorney, with the originals on file in the home office of said companies, and that the same are correct transcripts thereof, and of the whole of the said originals, and that the said Power of Attorney has not been revoked and is now in full force and effect. - IN TESTIMONY WHEREOF, 1 have hereunto set my hand on this day, WOV$1 bef- O"I, a09-4 A02198 Irene Martins, Assistant Secretary IMPORTANT NOTICE To obtain information or make a complaint: You may contact Harco National Insurance Company at: 1-800-333-4167 You may also write to: Harco National Insurance Company c/o IAT Surety at: Attn: Claims Department One Newark Center, 20"' Floor Newark, NJ 07102 You may contact the Texas Department of Insurance to obtain information on companies, coverages, rights or complaints at: 1-800-252-3439 You may write the Texas Department of Insurance: P. O. Box 149104 Austin, TX 78714-9104 Fax: (512) 490-1007 Web: www.tdi.texas.eov E-mail: ConsumerProtection(a�tdi.texas.sov PREMIUM OR CLAIM DISPUTES: Should you have a dispute concerning your premium or about a claim you should contact the agent or the company first. If the dispute is not resolved, you may contact the Texas Department of Insurance. ATTACH THIS NOTICE TO YOUR BOND: This notice is for information only and does not become a part or condition of the attached document. AVISO IMPORTANTE Para obtener informaci6n o para presenter una queja: Usted puede comunicarse con su Harco National Insurance Company al: 1-800-333-4167 Usted tambien puede escribir a Harco National Insurance Company c/o IAT Surety at: Attn: Claims Department One Newark Center, 20t6 Floor Newark, NJ 07102 Puede comunicarse con el Departamento de Seguros de Texas para obtener informacion acerca de companies, coberturas, derechos o quejas al: 1-800-252-3439 Puede escribir al Departamento de Seguros de Texas: P. O. Box 149104 Austin, TX 78714-9104 Fax:(512) 490-1007 Web: www.tdi.texas.gov E-mail: ConsumerProtection(d).tdi.texas.eov DISPUTAS SOBRE PRUVIAS O RECLAMOS: Si tiene una disputa concerniente a so prima o a on reclamo, debe comunicarse con el agente o Is companea primero. Si no se resuelve In disputa, puede entonces comunicarse con el departamento (TDI). UNA ESTE AVISO A SU FIANZA DE GARANTIA: Este aviso es solo para proposito de informacion y no se convierte en parte o condicion del documento adjunto. #14 NOTICE OF MEETING-11/27/2024 14. Accept Monthly Reports from the following County Offices: a) Tax -Assessor -Col lector's — October 2024 RESULT: APPROVED [UNANIMOUS] MOVER: Joel Behrens, Commissioner Pct 3 SECONDER: Gary Reese, Commissioner Pct:4 AYES:; Commissioner Hall, Lyssy, Reese Page 11 of 13 SUMMARY TAX ASSESSOR -COLLECTORS MONTHLY REPORT OCTOSER2024 COLLECTIONS DISBURSEMENTS Title Certificate Fees 419 $ 5,447.00 Title Fees Paid TXDMV $ 3,352.00 Title Fees Paid County Treasurer Salary Fund $ 2,095.00 Motor Vehicle Registration Collections $ 169,864.36 Disabled Person Fees $ 65.00 Postage $ 23.25 Global Additonal Collections Paid TXDMV $ 132,160.54 Paid TXDMV SP $ 19,720.18 Paid County Treasurer $ - Paid County Treasurer Salary Fund $ 5,685.20 DMV CCARDTRNSFEE $ 2,373.10 $ - GLAdditonalCollections $ - GLOBAL (IBC) Credit/Debit Card Fee's $ 1,721.88 GLOBAL Fees In Excess of Collections $ 654.81 MERCH SERVICES STATEMENT $ - Additional Postage -Vehicle Registration $ - PaidCountyTreasurer- Additional Postage $ - Motor Vehicle Sales & Use Tax Collections $ 516,811.93 Paid State Treasurer $ 516,811.93 Special Road/Bridge Fees Collected $ 21,100.00 Paid County Treasurer -R/B Fees $ 21,100.00 Texas Parks & Wildlife Collections $ 3,960.00 TPW GLOBAL CC TRANSACTION FEES $ 97.39 GLOBAL ADDITIONAL COLLECTIONS $ - Paid Texas Parks & Wildlife $ 3,566.00 Paid County Treasurer Salary Fund $ 395.00 P&W CCARDTRNSFEE $ 97.39 GLOBAL Addilonal Collections $ - GLOBAL (IBC) Credit/Debit Card Fee's $ 278.05 GLOBAL In Excess/Shortage of Collections $ (180.66) Boat/Motor Sales& Use Tax Collections $. 34,480.26 Paid State Treasurer $ 32,756.25 Paid County Treasurer, Salary Fund $ 1,724.01 TABC 5% CO COMMS FOR MONTH OF $ - TABC 5% CO COMMS FOR MONTH OF $ - Paid County Treasurer, Salary Fund $ - County Beer &Wine Collections - $ 310.00 Paid County Treasurer, County Beer & Wine $ 294.50 Paid County Treasurer, Salary Fund $ 18.50 INTEREST EARNED ON OFFICE ACCOUNT $ 169.40 Paid County Treasurer, Nev. East $ 0.12 Paid County Treasurer, all other dishicis $ 169.28 INTEREST EARNED ON PARKS AND WILDLIFE ACCOUNT $ 28.00 Paid County Treasurer, Interest on P&W Acc $ 28.00 INTEREST EARNED ON REFUND AlhOUNT $ 0.33 Paid County Treasurer, Interest on Refund Acc $ 0.33 Business Personal Property - Misc. Fees $ 1,313.77 Paid County Treasurer $ 1,313.77 Excess Funds $ - PaidCountyTreasurer $ - Overpayments $ 102.09 Current Tax Collections $ 16,442,418.05 Penalty and Interest - Current Roll $ - Discountforeariypaymentoftaxes $ 463,216.76 Delinquent Tax Collections $ 8,726.72 Penalty & Interest - Delinquent Roll $ 6,376.57 Delinquent Tax Collections Report 09/09/2024 thru 10113/2024 $ (621.91) Collections for Delinquent Tax Attorney $ 4,666.08 Advance - FM & L Taxes $ 7.04 Advance- County Ad Valorem Taxes $ 14,801,269.60 Paid County Treasurer - Nov. East $ 11,080.71 Paid County Treasurer- all other Districts $ 181,049.32 Delinquent Tax Collections Report 09/0912024 thru 10113/207A $ (621.91) Paid County Treasurer- Delinq Tax Atty. Fee $ 4,666.08 Payment in Lieu of Taxes $ - Paid County Treasurer- Navig. East $ - Paid County Treasurer- All other Districts $ - Special Farmers Fees Collected $ 40.00 Paid State Treasurer, Farmers Fees $ 40.00 Hot Check Collection Charges $ - Paid County Treasurers, Hot Check Charge - $ - Overage on Collection/Assessing Fees $ - Paid County Treasurer, overage refunded $ Escheats $ Paid County Treasurer -escheats $ TOTAL COLLECTIONS $ 16,204,357.29 TOTAL DISBURSEMENTS $ 16,204,357.29 TOTAL OF ABOVE /RECEIPTS PAID TO STATE AND COUNTY $ 16,204,357.29 KERRIBOYD Tax Assessor -Collector RtIR ARD H MEYER County Judge #15 NOTICE OF MEETING— 11/27/2024 15. Consider and take necessary action on any necessary budget adjustments. (VLL) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct`4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Commissioner Hall, Lyssy, Reese Page 12 of 13 cozmam O M b E W H tj b H H x HH off w n hl d b [7 ? 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O c z f4 A o af TL. 0 T T O rM M m 3 i z W In m a p� y C O a m m m a C v 0 O 0 coo z z z 0 H O W W A 00 00 A y0p z Z In a ---®�� B ±000 _§ fk§ ff2e�m §■■ �a88■ )k\)C3 m ■ z M| j % M= n Z) A ■ $ z). c 0 k� )� M/ j § CAk) � - ME rr! f ME z m I @ -I■ o C q\ m) c �k \ 1 2 ) § m M $ c m § � ME � ■■ . Z = m \ . z= P■ o k k t _ .g � § to \ ° \6 i i ■ m: § Ti k Mi 2: m Z: ; �; § § §; 2 §; m z, §o: a; m: P, k. o ■; k § k: _ } 2 § k v 7 m % q 2 ) § c § § k W AWf H m A � b m N O � N O m m Z C m O n r 0 0 0 A.Appt 0 0 N N O W m m O = O N A W N p Z T T m T m m m m m m m m m m m Z N Cl) CDn LL L C C zCC0)U)W Cfn Cl) VI U7 N cn -_i m mm mm O m m m m m m 0 0 0 0 O no c T -n T T T wmmmlTTmm -i DDDmm3 M 0 8 8 0 0 M m m m m m m v v v v v M M M M m m 2Z--Z-ZZ- zzzzz oc�o00 M zzzzz Z Z000000 s D D D D D D y Z Z Z Z Z Z n o = 9a i x a OE^' t0 tD W N OD J W m m a Z m z 0 0 m a 1 m m 1 0 a r m T T m N O In O a c a c m m m z c m V= m= a= 3= m= Z= c Z= O W _ N W= V = tD #16 NOTICE OF MFFTING - 11.1271)024 16. Approval of bills and payroll. (VLL) MMCBills: RESULT:-,APPROVED'[UNANIMOUS] MOVER: David Hall, Commissioner Pct' 1 SECONDER: Gary Reese, Commissioner Pet 4 AYES: Commissioner Hall, Lyssy, Reese County Bills: RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Commissioner Hall, Lyssy, Reese Adjourned 10:21am Page 13 of 13 5� O O J 3� R a o �i n m o 'q a n yyZ C m D p 3 C t°- Zt~'�- Zr�r m rj n v r 0 0 O m C O m m m O A Dm Z fA fy/) O m P P P P P P P P P P P P N w N to N S U H > N A O O A A A A O O O on n K K n < --n_II I a � n - n •n n m ti< yH N< hw m D n ° n� a n < O < m m m �m ,fz7a O O O O 3 m MOO O O m xxy x x ;^a .w0 r Z Y Z Z y F y 3o my,� A -Ai -Ai -Ai ya a F -i m -1 n m 9 D D D D n n K Dr y? b N N to A A b �p Z C7 O S O O O N M S W S W N O J N p i W > => on a w o ooX A' FA �2 ny ;^X •q- =� O Oa eon S A Z w CAA nZN O� O� '00— a o D O Q y C y O V a C A S L z 7 A n r x V m� [°" D N A Z �, =n �` (y}�s o' w N N P � ao P W N J VPi N W N J J A VNi J to N O W O b O b S lA O lA O N b b R P O O 00 O p Ap AO 00 00 O C C C Z Z C3 C$O y y Z r-1 .y-7 y 3 y vi y n n y Fr m m m m z f x x a a n n y z zz n n y � m E O p H q N n O O O r �n vn me y y m C w m p > n1 < n D m O y H to n C < N -xi m m U w q q q q q U In U U 1n U y q Q D) O b O U O U O U O N N N N N N N U U n O O O O O O O O p 00. 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LARXXtlA Nbt- U IBGaWYd - %1'nenpl Od m 10p 11n I -pi dutl'9 l l2 uql dO`l wptl ulel J N0l i{N'tl3d LN suai A A38 NOd NOI1tl01'Iddtl semi Aunap unaYlpp ZOO :abed [COP 900'0001 9Z] 1100 TOO 00TT 9K] 1100 900 0001 9a21 Eb:IT bZOd/9Z/11 037aFD1 :� BZML9Zl VZ0ZZE6Eg0DOP :;Uawrooa ejeldwoo T£,00e0 :aw61 Le401 ZEHM :'ON qoC 90'170'ZZOZ T0S'S00'000Z %je uo.Ls,la/L adeMU[J.j > s dJA podaa linsall pueS MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR --November 27, 2024 TOTALS TO BE APPROVED -TRANSFERRED FROM ATTACHED PAGES TOTAL PAYABLES?'PAYROLL AN6,ELECMON[C-'8ANK PAYMENTS T©TAL:TKANSFER6 B87WEEN FUNDS_ $ 143fBbGr8H�i TOTb14 NUILSING HOME UPL+EXPNSEY T,OTALINT{R GOVERNMEtSTTRANSEERS '. _.. S 1�309y828�5�. GRA1VbTOT`I1LDI99UIISE ENi`SYAPPRflVED'Noyember27;2b23 $ 3;Bb$;8$5;4& MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR --November 27, 2024 PAYABLES AND PAYROLL 11/21/2024 Weekly Payables 11/25/2024 McKesson-3408 Prescription Expense 11/25/2024-Amerisource Bergen-3400 Prescription Expense 11/25/2024 Amerisource Bergen-3408 Prescription Expense Prosperity Electronic Bank Payments 12/25/2014 90 Degree Benefits- employee Insurance claims 11/25/2024 90 Degree: Benefits -employee Insurance claims 11/25/2024 HPHG - healh insurance premium payment 12/1124 IV25/2024 Pay Plus-Patlent Claims Processing Fee 12/25/2024 Amerisource Bergen Overage TOTALPdYA - %PAYROW;", EL90"NIC BANk PAYAAENT'S 265,821,63 1,871.06 1,510.06 24.26 55,988.78 8,754.61 71,029.34 749.12 183.63 _.. $ 40$93449y' TRANSFER BETWEEN FUNDS FROM MMC TO NURSING HOMES 11/21/2024 MMC Operatingto Ashford -Correction of insurance payment deposited into MMC Operating In error 26,976.14 11/21/2024 MMC Operating. to Broadmoor-Correction of insurance payment deposited into MMC Operating in error 15,914.07 11/21/2024 MMC Operating to The Crescent -Correction of Insurance payment deposited into MMC Operating In error 11,329.51 11/21/2024 MMCOperating to Golden Creek Healthcare- Correction of Insurance payment deposited into MMC Operating In error 61,OS4.28 11/21/2024 MMC Operating to Tuscany Village -Correction of Insurance payment deposited Into MMC operating in error 75,285.83 11/21/2.024 MMC Operating to Bethany -Correction of insurance payment deposited Into MMC Operating In error 3,295.00 NURSING HOME UPL EXPENSES 11/25/2024 Nursing Home UPI. -Canter Transfer 1,295,267.89 11/25/2024 Nursing Home UPL-Nexion Transfer 89,858.55 11/25/2024 Nursing Home UPL-Tuscany Transfer 207,126.80 11/25/20Z4 Nursing Home UPL-HSLTransfer 103,632,30 TRANSFER BETWEEN FUNDS FROM NURSING HOMES TO MMC 11/2S/2024 Tuscany to.MMC-MMC Insurance paymentdeposited into Tuscany Village in error 324.27 INTER-GOVERNMENT TRANSFERS 11/25/2024 Accrued NH OIPP IGT 1,309,828.35 :-T$i I1gTEEL-C,O4E M NY"hlAN51;ER6, ie �iRA,ND,TOTALll13 tIRSEIy INj, APRpOQ,EiSNp,�taliih(Pr RECEIVED BY THE COUNTY AUDITOR ON 11/21/2024 NOV 21 2024 MEMORIAL MEDICAL CENTER 0 10:50 AP Open Invoice List ap opan_invoica.template Due Dates Through: 12f0612024 Vendor# N JWOUN COUNTY, TEXAS Class Pay Cade /Vendor 11237 �/ 3WON, LLC invoice# Comment Tran DI Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 1/4365 10/31/20211101/20212101/202 199.00 0.00 0.00 199.00� Vendor Totals: Number Name Gross Discount No -Pay Net 11237 3WON, LLD 199.00 0.00 0.00 199.00 Vendor# Vendor Name Class Pay Cade 131800/ ADVANCED STERIL17ATION.PRODUCT Invoice# Comment Tran Dt Inv Ot Due. Dt Check DI Pay Gross Discount Na-Pay Not J 8020775768 11/13120210131/20210131/202 879.90 0.00 0.00 679.90/ Vendor Totals: Number Name Gross Discount No -Pay Net 13180 ADVANCED STERILIZATION PRODUCT 879.90 0.00 0100 879.90 Vendor# Vendor Name Class Pay Code At 715. ALCO SALES&SERVICE CO M Invoice# Comment Tran Ot Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net J2966200114 11/01120211/11/202111191202 134.40 0.00 0.00 1$4.40 f Vendor Totals: Number Name Gross Discount No -Pay Net A1715 ALCO SALES & SERVICE CO 134.40 0,00 0.00 134,40 Vendor# Vendor Name Class Pay Code A1705 JALIMED INC, M Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay RPSVD043M046 10/08l20209/27/20210/121202 Grass 172.66 Discount 0.00 No -Pay 0,00 Net 172,86 J Vendor Totals: Number Name Gross Discount No -Pay Net A1705 ALIMED INC: 172.66 0.00 0100 172,66 Vendor#/Vendor Name Class Pay Code 14028 AMAZON CAPITAL SERVICES Invoice# Comment Tran Dt Inv Dt Due Dt Check DI Pay Gross Discount No -Pay Net 191CG7MDIXGJ 11/05/20211104/20212l04/202 46.61 0.00 0100 46.61 fllG49VWRHLNOA 11112120210/31/20211/301202 731,07 0.00 0.00 731,07 J IFRFTMJM46LM 1 VIIW0211/06120212/06/202 30.92 0.00 0.00 30.92 f Vendor Totals: Number Name Gross Discount No -Pay Net 14028 AMAZON CAPITAL SERVICES 808.60 0.00 0.00 808.60 Vendor#/Vendor Name Class Pay Code A2150d ANNOUNCEMENTS PLUS TOO AGAIN W Invoice# Comment Tran Dt. Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 6360 11/12120211101120212101/202 18.00 0.00 0.00 ! 18.00 �+ J5302 11/f3/2021013V20211/10/202 25.00 0.00 0.00 25.00 Vendor Totals: Number Name Gross Discount No -Pay Net A2150 ANNOUNCEMENTS PLUS TOO AGAIN 43.00 0.00 0.00 43.00 Vendor#/ Vendor Name Class Pay Cade A2271 �( ARTHREX, INC W Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net J922268363 11/12/20211108/20? 11/12/202 295.00 0,00 0100 295.00 1 Vendor Totals: Number Name A2271 ARTHREX, INC Vendor#/Vendor Name Class Pay Code B1150 J BAXTER HEALTHCARE W Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay f 80188662 11118/20208130/202091241202 ,f 80188663 iV16120206/30/20209/24/202 J 78193676 11/18/20202/2l/202031171202 80029245 11/19/202 08114/202 09/14/202 v Vendor Totals: Number Name B1150 BAXTER HEALTHCARE Vendor#/ Vendor Name Class Pay Code 81220 ,/ BECKMAN COULTER INC M Invoice# Comment Tran Dt Inv Dt Due. Dt Check Dt Pay ( 111670452 10/31120211/11/2021=81202 J455$674 11/05/20211/03/20212/03/202 J 7372065 11/05/20211/04/20212/04/202 J 111669351 11/O6/20211105/20211/301202 J 111673455 11/11/20211/071202121021202 J 111674740 11/12/20211/07120212/02/202 J 111675965 1 V12/2021110M0212/03/202 J111678357 11/12/202 11111/20212/06/202 Vendor Totals: Number Name. B1220 BECKMAN COULTER INC Vendor# Vendor Name Class Pay Code B1320 BEEKLEY CORPORATION M Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay JMIN0157018 11113120211/14/20211/191202 Vendor Totals: Number Name B1320 BEEKLEY CORPORATION Vendor# Vendor Name Class Pay Code 11072 BIO-RAD LABORATORIES, INC Invoice# Comment Ten Dt Inv Dt Due Dt Check Dt Pay / J 907746673 11/19120211105120211/18/202 Vendor Totals: Number Name 11072 810-RAD LABORATORIES, INC Vendor#/ Vendor Name Class Pay Code 01 --- CDW GOVERNMENT, INC. M 1 Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay AB4JX4LA 11/01120211/05120212/05/202 Gross Discount No -Pay Net 295.00 0.00 0.00 295.00 Gross Discount No -Pay Net -629.50 0100 0.00 -629.50 ✓/ -629.50 0.00 0.00 -829.50 1/ 2,466,00 0100 0.00 2,466.00 .% 93344 0.00 0.00 933.44 Gross Discount No -Pay Net 2.140.44 0.00 0.00 2,140.44 Gross Discount No -Pay Net 130.87 0.00 0.00 // 130.671/ 1,484.00 0.00 OW 1,484.00 ✓ 9,219.56 0.00 0.00 9,219,56 J 3,322.72 0.00 0.00 3.322.72 f 5,759.11 0.00 0.00 5,759.11 192.01 OAo 0.00 192.81 V 214,06 0.00 0.00 214.06 J 2,052.65 0100 0.00 Y 21052,55 Gross Discount No -Pay Net 22,375.48 0.00 0.00 22,375.48 Gross Discount No -Pay Net 398,00 0.00 0,00 388.00 1 v( Gross Discount No -Pay Net 398A0 0.OD 0.00 398.00 Gross Discount No -Pay Net 2,124.00 0.00 0.00 2,124.001/ Gross Discount No -Pay Net 2,124.00 0.00 0.00 2,124.00 Gross Discount No -Pay Net 212.90 0.00 0.00 212.90 Vendor Totals; Number Name Gross Discount No -Pay Net C1992 CDW GOVERNMENT, INC. 212.90 0.00 0.00 212,90 Vendor# Vendor Name Class Pay Code 13264J CERVEY, LLC J31718 Invoice# Comment Tran Dt Inv DI Due Ot 11/05/20211/05/20211/301202 Check Dt Pay Gross 1,650.00 Discount 0.00 No -Pay 0.00 Net 1,650.00 Vendor Totals: Number Name Gross Discount No -Pay Net J/ 13264 CERVEY, LLC 1.660.00 0,00 0.00 1,650.00 Ventlor# Vendor Name Class Pay Code 12768 f CHEMAQUA Invoice# Comment Tran Dt Inv Dt Due Ot Check Dt Pay Gross Discount No -Pay Net 8918025 11/18/20211/10/20211P20/202 593,69 0.00 0.00 59169 / Vendor Totals: Number Name Gross Discount No -Pay Net 1276B CHEMAQUA 593,69 0.00 0.00 593.69 Vendor# Vendor Name Class Pay Code 15188 J CLARITY ENROLLMENT SOLUTIONS Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 1837 11111/20211101/20212101/202 345.00 0.00 0.00 345.00 Jr Vendor Totals: Number Name Gross Discount No -Pay Net 15188 CLARITY ENROLLMENT SOLUTIONS. 345.00. 0100 0.00 345.00 Vendor# Vendor Name Class Pay Code 13000 JCLEARFLY J Invoice# Comment INV654410AB Tran Dt Inv Dt Due Dt 111201202 11/011202 111151202 Check Dt Pay Gross 1.217.28 Discount 0.00 No -Pay 0.00 Net 1,217.28 J Vendor Totals: Number Name Gross Discount No -Pay Net 13000 CLEARFLY 1,217.28 0.00 0.00 1,217.28 Vendor# Vendor Name Class Pay Code 10212 CLINICAL PATHOLOGY LABS Invoice# Comment Tran Ot Inv Dt Due Dt Check Ot Pay Grass Discount No -Pay Net J176562024100 10/31/20210/31/20211119/202 6,320.62 0,00 0.00 5,320.62 Vendor Totals: Number Name Gross Discount No -Pay Net 10212 CLINICAL PATHOLOGY LABS 5,320.62 0.00 0.00 6,320.62 Ventlor# Vendor Name Class Pay Code 14080 J CORROHEALTH, INC. Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Grass Discount No -Pay Net J921835 10/3l/20210/81/20211I30/202 2,896.90 0,00 0.00 2,896,90 % V Vendor Totals: Number Name Gross Discount No -Pay Net 14080 CORROHEALTH, INC.. 2,896.90 0.00 0.00 2,896.90 Ventlor# Vendor Name Class Pay Code 106461 COVIDIEN Invoice# Comment Tran Ot Inv Dt Due Dt. Check Dt Pay Gross Discount NaPay Net J 5870881865 11113/20201/05/20201/15/202. 940,84 0.00 0.00 940.84 / J/ J 5871032983 11/13/202 W122/20202/011202 94D.84 0.00 0.00 940.84 5871846934 11120/20205/01120205/111202. 940.84 0.00 0.00 040,84 Vendor Totals: Number Name Gross Discount No -Pay Net 10646 COVIDIEN 2,822.52 0.00 0.00 2,822.52 Vendor# Vendor Name Class Pay Code 1OD43 V CROSS COUNTRY STAFFING Invoice# Comment Tran Ot Inv Ot Due Dt Check Dt Pay Gross Discount No -Pay J 7394496 10/31/20211/01/20212/011202 1,580.00 0.00 0.00 Vendor Totals: Number Name 10043 CROSS COUNTRY STAFFING Vendor# Vendor Name Class Pay Code 14400 J CULINARY CONCESSIONS LLC Invoice# Comment Tran Dt Inv Ot Due Dt Check01 Pay / J INV00001637A 10/31120210/31/2021113D/202 Vendor Totals: Number Name 14400 CULINARY CONCESSIONS LLC Vendor# Vendor Name Class Pay Code 10006 JOUSTOM ASSEMBLIES, INC Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay JINVi 1857 11/11/20211111/20211/30/202 Vendor Totals: Number Name 10006 CUSTOM ASSEMBLIES, INC Vendor#/Vendor Name Class Pay Code 11368CYRACOM LLC Invoice# Comment Tran Dt Inv Dt Due Ot Check Dt Pay j 2024072615 J 11106/20210/3W0211/30/202 Vendor Totals: Number Name. 11368 CYRACOM LLC Vendor# Vendor Name Class Pay Code 11524 (DATA INNOVATIONS LLC. Invoice# Comment Tran Ot Inv Dt Due Dt Check Dt Pay 102690 11 /01 /20210/11 /202111051202 Vendor Totals: Number Name 11524 DATA INNOVATIONS LLC Vendor#. /Vendor Name Class Pay Code 10368 ✓ DEWITT POTH & SON Invoice# Comment Tram Dt Inv Dt Due Ot Check DI Pay J 77363D0 11/12/20211/06/20212/01/202 7736520 111121202111061202121011202 Vendor Totals; Number Name 10368 DEWITT POTH. & SON Vendor#(Vendor Name Class Pay Cade 10175 d DSHS CENTRAL LAB MC2004 Invoice# Comment J110524A Tran Dt Inv Dt Due. Dt 1112=021 V051202111301202 Check DI Pay Vendor Totals: Number Name 10175 DSHS CENTRAL LAB MC2004 Vendor# Vendor Name Class Pay Code 15240 JECLINICAL WORKS LLC Invoice# Comment Tran Dl Inv Dt Due Dt Check DI Pay / 003086024A J 10131120211/10/20212/011202 Vendor Totals: Number Name Gross Discount 1,580.00 0.00 Gross Discount 37,891.60 0.00 Gross Discount 37,891.60 0.00 No -Pay 0.00 Net ,,580.00 J Net 1,5ao.00 No -Pay Net 0.00 37.891.6V Na-Pay Net 0.00 37.891.60 Gross Discount No -Pay Net 385.04 0.00 0.00 385.04 Gross Discount No -Pay, Net 385.04 0.00 0.00 385.04 Gross Discount No.Pay Net 331.01 0.00 0.00 331.01 V Gross Discount No -Pay Net 331.01 0.00 0.00 331.01 Gross Discount No -Pay, Net 1.680.00 0100 0.00 1.680.00 Gross Discount No -Pay Net 1,680,00 0.00- 0.00 11680,00 Gross Discount No -Pay Net / 814.50 0.00 0.00 614.50 327.20 0.00 0.00 327.20 Gross Discount No -Pay Net 941.76 0.00 0.00 941.76 Gross Discount No -Pay, Net 680.30 040 0.00 686.30� Gross Discount No -Pay Net 68&30 0.00 0.00 686,30 Gross Discount No -Pay Net 475.25 0.00 0.00 476.25 Gross Discount No -Pay Net 15240 ECLINICAL WORKS LLD 475.25 0,00 0.00 475.25 Vendor# Vendor Name Class Pay Code 11091 J ECOLAB Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Grass Discount No -Pay Net J 6348872723 11/18120211/10/20212/01/902 231.38 0.00 0.00 231.38� Vendor Tatals: Number Name Gross Discount No -Pay Net 11091 ECOLAB 231.38 0.00 0.00 231.38 Vendor# Vendor Name Class Pay Code 14708 J EQUALIZE RCM. SERVICES Invoice# Comment Tran Dt Inv Dt Due DI Check Dt Pay Gross Discount No -Pay Net J538472 11/04120211/01120212/04/202 1,536.44 0.00 0.00 1,535.44 / 1 ��1. r'hDitt j �tb ✓ Vendor Totals:. Number Neale. Grass Discount No -Pay Net 14708 EQUALIZE RCM SERVICES 1,535A4 0.00 0.00 1,535,44 Vendont Vendor Name Class Pay Code 11944 �( EQUIFAX WORKFORCE SOLUTIONS Comment Tran Dt Inv Dt Due DI Check DI Pay Gress Discount No -Pay Net �Invoice# 2062839737A 10/31/20210/31/20211/30/202 10.09 0.00 0100 10.99� Vendor Totals: Number Name Gross Discount No -Pay Net 11944 EQUIFAX WORKFORCE SOLUTIONS 10.99 0:00 0.00 10.99 Vendor#/Vendor Name Class Pay Code 15832 ./ EVERON Invoice# Comment Train Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Nei J 156976727 11/19120211103120212/03/202 58.43 0.00 0.00 58A3 Vendor Totals: Number Name Gross Discount No -Pay Not 15832 EVERON 58.43 0,00 0.00 58.43 Vendor#/ Vendor Name Class Pay Cade S050'I J EVOQUA WATER TECHNOLOGIES LLC Invoice# Comment J Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay, Net 906740283 11/11/20211(06120212101/202 1,668.76 0.00 0.00 1,668.75 / ✓ Vendor Totals: Number Name Gross Discount No -Pay Net 50501 EVOQUA WATER TECHNOLOGIES LLC 1,668.75 0.00 0.00 1,668.75 Vendor#/ Vendor Name Class Pay Code Fy400J FISHER HEALTHCARE M Invoice# Comment J Tran Dt Inv Ot Due DI Check Dt Pay Gross Discount No -Pay Net 6630511 10/29/20211104/20212/011202 169.36 0.00 0.00 160.36 J 6664839 10/29/20211105120211/301202 736.36 0.00. 0.00 736.30 J6564042 10/31/20210/31/202111251202 645.39 0,00 0.00 645.39 6388819 11105120210/241202111301202 1,177.22 0.00 0.00 1,177.22 Vendor Totals; Number Name Gross Discount No -Pay Net F1400 FISHER HEALTHCARE 2.728.33 0.00 0.00 2,728.33 Vendor#/Vendor Name Class Pay Code 12404 +/ GE PRECISION HEALTHCARE, LLC Invoice# Comment J6002801396 Tran Dt Inv Dt Due Di Check Dt Pay 10/21/20211/01/20212/01,1202 Gross 998.34 Discount No -Pay Net / 0.00 0.00 998.34 J 6002801058 11/04120211/01/20212/01/202 86.87 0,00 0.00 86.67 J J6002801057 11/04/20211/01/20212/01/202 3,588.58 0.00 0.00 3,588.58 r J6002801060 11/04/20211/01/20212/01/202 61.67 0.00 0.00 61.67 / J 6002801059 11/04/20211/01/20212/01/202 2,422.50 0.00 0.00 2.422.50 6002801062 111041202 11/01/202 12101/202 6.666.83 0.00 0.00 5,665.83 ✓ 6002801374 11113/20211101/20212/01/202 216,10 0.00 0.00 216.10,� Vendor Totals: Number Name Gross Discount No -Pay Net 12404 GE PRECISION HEALTHCARE, LLC 13,039.69 0.00 0.00 13,039.69 Vendor#/Vendor Name Class Pay Code 12948 ./` GREAT AMERICA FINANCIAL SVCS Invoice# Comment Tran DI Inv Ot Due DI Check Dt Pay Gross Discount No,Pay Net J 37792984 11106120211/01/2021i/30/202 72.21 0.00 0.00 72.21 J37792983 1110&2021 V01/20211/30/202 197.02 0.00 0A0 197.02 .� Vendor Totals: Number Name Gross Discount No -Pay Net 12948 GREAT AMERICA FINANCIAL SVCS 269.23 0.00 0.00 269.23 Vendor# Vendor Name Class Pay Code VGULF G1210 COAST PAPER COMPANY M Invoice# Comment Ten Dt Inv. Dt Due Dl Check Ot Pay Gross Discount No -Pay Net / Q 2590522 11111/20211105/202121051202 737.76 0.00 0.00 737.76 Vendor Totals: Number. Name Gross Discount No -Pay Net 01210 GULF COAST PAPER COMPANY 737.76 0.00 0.00 737.76 Vendor# `Vendor Name Class Pay Code 10334 "1 HEALTHCARE LOGISTICS INC /Invoice# Comment Tran Dt Inv Ot Due Dt Check Dt Pay 309685121 11112/20211107/20212102/202 Gross 146.00 Discount 0.00 No -Pay 0100 Net 146.00 J Vendor Totals: Number Name Gross Discount No -Pay Net 10334 HEALTH CARE LOGISTICS INC 146.00 0.00 0.00 146.00 Vendor# Vendor Name Class Pay Cade 11552 HEALTHCARE FINANCIAL SERVICES Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Grass Discount No -Pay Net J100949524 11120120210/27120212101/202 4,610.52 0,00 0.00 4,610.52 Vendor Totals: Number Name Gross Discount No -Pay Net 11652 HEALTHCARE FINANCIAL SERVICES 4,610.62 0,00 0.00 4,610.52 Vendor# (Vendor Name Class Pay Code H1227 J HEALTHSARE INSURANCE SERVICES Invoice# Comment Tran Dt Inv Dt Due DI Check Dt Pay Gross Discount No -Pay Net J 5770 11/05120211/05/20212101/202 500.00 0.00 0.00 500.00 llr��-"O' Vendor Totals: Number Name ""' Gross Discount NaPay Net H1227 HEALTHCARE INSURANCE SERVICES 500.00 0.00 0.00 500.00 Vendor#/Vendor Name Class Pay Cade 14916 V HEWLETF.PACKARD. Invoice# Comment Tran Dt Inv DI Due Ot Check Dt Pay Gross Discount No -Pay Net J 100000553520 10/18120210/17/20212/01/202 573.53 0.00 0.00 573.53 INV PERIOD 12/0124.12/31/24 �100000624476 11/18120211118/202121011202 573.53 0.00 0.00 573.53 INV PERIOD 1/1124-1131/25 Vendor Totals; Number Name GrossDiscount No -Pay Net 14916 HEWLETT-PACKARD 1,147.06 0.00 0.00 1,147.06 Vendor# /Vendor Name Class Pay Code H1399 v HILL -ROM COMPANY, INC M Invoice# Comment Tran of Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net J3469351 11/06/20210131120211/301202 520.00 0.00 0.00 520.00,/ Vendor Totals: Number Name Gross Discount No -Pay Net H1399 HILL -ROM COMPANY, INC 520.00 0.00 0.00 520.00 Vendor# .Vendor Name Class Pay Code 12196 J ICU MEDICAL, INC Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net J 4379407 11115120210/24120211130/202 314.26 0.00 0.00 314.26 Vendor Totals: Number Name Gross Discount No -Pay Net 12196 ICU MEDICAL, INC 314.26 0.00 0.00 314,26 Vendor# Vendor Name Class Pay Code 11200 JIRONMOUNTAIN Invoice# Comment Tran Ot Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net JWVZ633 10/30/20210/31120211/3D/202 1,614.67 0.00 0.00 1.614.07 Vendor Totals: Number Name Gross Discount No -Pay Net 11200 IRON MOUNTAIN 1,614,67 0..00 0.00 1,614.67 Vendor# andor Name Class Pay Cade 15914 Invoice# Comment Tran Dt Inv Dt Due Ot Check Dt Pay Grass Discount No -Pay Net J DOEKAT0001 11/19/20211/151202 W19/202 150.00 0.00 0.00 150.00 J VendorTotals:Number Name Gross Discount No -Pay Net 15944 150.00 0.00 0.00 150.00 Venda -#(/Vendor Name class Pay Code 11600 :/ LEGAL SHIELD Invoice# Comment J111524 Tron Dt Inv Dt Due Dt 11/191202 111151202 Check Dt Pay Gross Discount No -Pay Net 11119/202 535.60 D.00 0.00 535.60 V Vendor Totals: Number Name Gross Discount No -Pay Net 11600 LEGAL SHIELD 535.60 0.00 0.00 635.60 Vendor#.Vendor Name Class Pay Code 10972 d M G TRUST Invoice# Comment Tran Dt Inv DI Due Dt Check Ot Pay Gross Discount No -Pay Net 111424 1 W W20211I14120211/181202 895.00 0.00 0.00 895.00� Vendor Totals: Number Name Gross Discount No -Pay Net 10972 M G TRUST 895.00 0.00 0.00 895.00 Vendor# Vendor Name Class Pay Code 15200 MANAGED CARE PARTNERS INC. Invoice# Comment Tran Dt .Inv Dt Due Dt Check Dt. Pay Gross Discount No -Pay Net J6566 11118/20212/01120212/011202 500.00 0.00 0.00 50D,00 PROF FEES DECEMBER 2024� Vendor Tatals; Number Name Grass Discount No -Pay Net 15200 MANAGED CARE PARTNERS INC. 500.00 0.00 0.00 500.00 Vendor# (/Vendor Name Class Pay Code M2178 .r MOKESSON MEDICAL SURGICAL INC Invoice# Comment Tian Dt Inv Ot Due Dt Check Dt Pay Gross Discount No -Pay Net J22776791 10@11/20210/16/202111301202 528.41 0.00 0.00 528.41 j Vendor Totals: Number Name M2178 MCKESSON MEDICAL SURGICAL INC Vendor# Vendor Name Class Pay Code 11612 MEDICAL AIR SERVICES ASSOC. JInvoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay 1978586 11/19/20211/15/20211119/202 DECEMBER 2024 COVERAGE MC Vendor Totals: Number Name 11612 MEDICAL AIR SERVICES ASSOC. Vendor# Vendor Name Class Pay Code M2470 MEDLINE INDUSTRIES INC M Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay J2336915348 10102/20209/251202111301202 J2343030091 11/05120211/05/20211130/202 J2343030093 11/06/20211/05/202111301202 J2343030092 11 /0 51202 111051202 11/30/202 J2343157636 111111202 11/061202 121011202 J2343157526 11/11/20211/06120212/01/202 J2343157526 11111/20211/06120212/0l/202 J2343157522 11/11/2021 V06120212/0M02 2343157529 11111 /20211 /08120212101 /2 02 J2343157527 111111202 11/061202 12101/202 2343157535 1171/120211/06120212101/202 J2343157524 11 /11/202 11/061202 12101/202 J 2343157533 11111/20211105/202121011202 J 2343157523 11111/202 11 1OW02 12101/202 2343157630 11 / 11/20211 /06/202121011202 J 2343157525 11/11/20211106(20212/01/202 J 2343157532 11/20/20211/06120212/011202 Vendor Totals; Number Name M2470 MEDLINE INDUSTRIES INC Vendor# Vendor Name Class Pay Code 10963 MEMORIAL MEDICAL CLINIC Invoice# Comment J 111424 Tran Dt Inv Dt Due Dt Check Dt Pay 11/18/20211/14/20211/18/202 Vendor Totals: Number Name 10963 MEMORIAL MEDICAL CLINIC Vendor# Vendor Name Class Pay Code Gross Discount No -Pay Net 528.41 0.00 0.00 528.41 Gross Discount No -Pay Net 1,680.00 0.00 0.00 1,680.00 / V Gross Discount No -Pay Net 1,680,00 0.00 0.00 1,680.00 Gross Discount No -Pay Net 109,87 0.00 0.00 109.67 ✓/ 205.20 0.00 0.00 20520./ 174.14 0.00 0.00 174,14 ,// 178.17 0.00 0.00 178.17 $0,03 0.00 0.00 110.03 84.21 0.00 0.00 84.21 J 285.66 0.00 0.00 285.66J/ 340,48 0.00 0.00 340.48 7.71 0.00 0.00 7.71 ,// 59.40 0.00 0.00 59,40 J 6.62 0.00 0.00 5.62 ✓ 26,00 0.00 0.00 26.00 V 106.45 0.00 0.00 106A5 120.58 0.00 0.00 120.58 V 15,147.48 0.00 0.00 15,147.48 J 115.01 0100 0.00 115.01 45.10 0.00 0.00 45.10 Gross Discount No -Pay Net 17,090.91 0,00 0.00 17,090.91 Gross Discount No -Pay Net 135.00 0100 0.00 135.00 V/ Gross Discount No -Pay Net 135.00 0.00 0.00 135.00, 10536 J MORRIS & DICKSON CO, LLC /Invoice# Comment 2659527 Tran Dt Inv DI Due Dt Check Dt Pay 11/18120211/07/20211117/202 Gross Discount No -Pay Net / J 15.92 0.00 0.00 15.92 J2661891 11118/20211/07/20211/17/202 3.689.01 0.00 0.00 3,689.01 J J 2659528 11/181202 11/07/202 11/17/202 24.61 0.00 0.00 24.61 ./ J 2659626 11118120211/07/202111171202 86.23 0.00 0.00 86.23 J/ J2669853 11 /181202 111101202 11/20/202 286.75 0.00 0.00 286.75 J J2669852 11118/20211/10120211/2D/202 104.58 0.00 0.00 104.56 J 2671747 11110120211/111202 11/21/202 30.27 0.00 0.00 30.27 J2673224 11/18/20211/11/20211/21/202 23.58 0.00 0.00 23.58 J 2674985 11/18120211/11/202 IV21/202 161.88 0.00 0.00 161.88 ✓/ J 2874904 11118/20211/11/20211/211202 4.731.59 0.00 0.00 4,731.59 J2679629 11/18120211/121202111221202 11.25 0.00 0.00 11.25 J2679470 11/18/20211/12/20211/22/202 848.89 0.00 0.00 848,89 f 2679628 11118120211112120211122/202 31,91 0100 0.00 31.91 ✓ J2677343 11118120211112120211/221202 172.46 0.00 0.00 172.46 V 2677342 11/16/202111121202111221202 185.28 0.00 0.00 / 18528./ Vendor Totals: Number Name Gross Discount No -Pay Net 10536 MORRIS & DICKSON CO, LLC 10,40421 0.00 0.00 10,404.21 Vendor# /Vendor Name Class Pay Code V 15224 MUTUAL OF OMAHA Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net fInvoice# 001792349295 11/19120211/19/20212/011202 24,295.84 0.00 0.00 24,295.84t Vendor Totals: Number Name Gross Discount No -Pay Net 15224 MUTUAL OF OMAHA 24,295.04 0.00 0.00 24,295.84 Vendor#/ Vendor Name Class Pay Code M2659J MXR IMAGING, INC M Comment Tran Dt Inv Dt Due DI Check Dt Pay Gross Discount No -Pay Net /Invoice# ` 8801200209 11113/20211104/20212/04/202 198.08 0.00 0.00 19848 V � Vendor Totals: Number Name Gross. Discount No -Pay Net M2659 MXR IMAGING, INC 198.08 0.00 0.00 198.08 Vendor# Vendor Name Class Pay Code 1238BIl/ NATIONAL FARM LIFE INSURANCE Invoice# Comment Tran 01 Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net J 4349283A 11/21120211119/20212/011202 2.660.54 0.00 0.00 2,660.54 V Vendor Totals: Number Name Gross Discount No -Pay Net 12368 NATIONAL FARM LIFE INSURANCE 2,860.54 0.00 0.00 2,660.54 Vendor# Vendor Name Class Pay Code 01600 ­q/OLYMPUS AMERICA INC M Invoice# Comment Tran Dt Inv Ot Due Dt Check Ot Pay Gross Discount No -Pay Net J37120818 11/l 1120211108/202121011202 145.00 0.00 0.00 145.00 j 1/37127049 1 t/12I20211/07/20212/021202 1,125.00 0.00. 1100 1,125.00 v Vendor Totals: Number Name Gross Discount No -Pay Net 01500 OLYMPUS AMERICA INC 1,270.00 0.00 0.00 1,270.00 Vendor# Vendor Name Class Pay Code 01416 4 ORTHO CLINICAL DIAGNOSTICS Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Wet J 1853790103 11106120211(05/20212/06/202 762.16 0.00 0.00 752.16� Vendor Totals: Number Name Gross Discount No -pay Net 01410 ORTHO CLINICAL DIAGNOSTICS 752.16 0.00 0.00 752.16 Vendor# Vendor Name Class J Pay Code 11166 PARAREV Invoice# Comment Tran Ot Inv.Dl Due Of Check Dt Pay Gross Discount No -Pay Not J922057 11/11/20211/01120212101/202 3,084.00 0.00 0.00 3.084,00 f V Vendor Totals: Number Name Gross Discount No -Pay Net 11155 PARAREV 3,084.00 0.00 0100 3,084.00 Vendor# Vendor Name Class Pay Code 10152-) PARTSSOURCE, LLC Invoice# Comment. Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net J05513390 11/11/20210/31120211/30I202 74.69 0.00 0.00 74.69. Vendor Totals: Number Name Gress Discount No -Pay Net 10152 PARTSSOURCE, LLC 74.69 0.00 0.00 74,69 Vendor# Vendor Name Class Pay Code P2100J PORT LAVACA WAVE W Invoice# Comment Tran Dt Inv Ot Due Ot Check Dt Pay Grass Discount No -Pay Net 103124 11/01/20211/06/20212101/202 �( 1,285.00 0100 0.00 1,285.00 / •/ Vendor Totals: Number Name- Gross Discount No -Pay Net P2100 PORT LAVACA WAVE 1,285.00 Q.00 0.00 1,285.00 Vendor#/Vendor Name Class Pay Code 11932 PRESS GANEY ASSOCIATES, INC. Invoice# Comment Tran Dt Inv DI Due Dt Check Dt Pay Gross Discount No -Pay Net J IN000674022A IW31/20210/31/202111301202 2838,92 0.00 0.00 2.838.92V/ Vendor Totals: Number Name Gross Discount. No -Pay Not 11932 PRESS GANEY ASSOCIATES, INC. 2,838.92 0.00 0.00 2,838.92 Vendor#/Vendor Name Class Pay Code 11215 J RICHARD ARROYO-DIAZ ICP Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net J 111929/ 11/1812021 11912021111111)91202 V� n 778.68 0.00 0.00 778.58 " - r �v ��O Gross Vendorar Totals: Number Name " Discount .No -Pay Net 11215 RICHARD ARROYO-DIAZ 778,68 0.00 0.00 778.68 Vendor# Vendor Name Class 7mGN Pay Code 10699 AD. LTD. Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net J 306747 11/18/20211/16/20211/26/202 425.00 0.00 0.00 425.00 Vendor Totals: Number Name Gross Discount No -Pay Net 10699 SIGN AD, LTD, 425.00 0.00 0.00 425.00 Vendor#/Vendor Name Class Pay Coda 14868 V SINGLETON ASSOCIATES, P.A. Invoice# Comment V 246103124001 Tian Dt Inv Dt Due Ot 10131120211/11/20211/19/202 Check Ot Pay Gross 10,986.65 Discount 0.00 No -Pay 0,00 Net / 10,986,65 ✓ OCTOBER SERVICES ✓246093024001 10/31120211111120211/191202 7,276.65 0.00 0.00 7,278.65✓ SName 42,rnb� st'(v r✓ e& Vendor Totals: Number Name Gross Discount No -Pay Nat 14860 SINGLETON ASSOCIATES, P.A. 18,265.30 0.00 0.00 18,265.30 Vendor# Vendor Name Class Pay Code S2694./ STANFORD VACUUM SERVICE M Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net J 135046 11118120211/13/202111101202 550,00 0.00 0.00 550.00"/ VendorTolals: Number Name Gross Discount No -Pay Net S2894 STANFORD VACUUM SERVICE 550.00 0.00 0.00 $50.00 Vendor* Vendor Name Class Pay Cade 10845 jSTAPLES / Invoice# Comment 6016837326 Tran Ot Inv Dt Due Dt 10/01/20210/31/20211/30/202 Check Dt Pay Gross 124.73 Discount 0.00 No -Pay 0.00 Net 124.73� Y Vendor Totals: Number Name Gross Discount No -Pay Nei 10645 STAPLES 124.73 0.00 0.00 124.73 Vendor#/ Vendor Name Class Pay Code S3940 l STERIS CORPORATION M Invoice# Comment Tran Dt .Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net ./ 10725842 06/27/20203/03N202121011202 -3,984.36 0.00 0.00 / -3,984.36 J CREDIT / J 13026043 10131/20210/ai/20211/15/202 1,401.92 0.00 0.00 / 1,401.92 ✓ J13023584 10131120210/31120211125/202 189.40 0.00 0.D0 189,40✓// 13026618 10131/202 10131/202 111251202 4,224.80 0.00 D,DO 4,224.80./ J13010768 11/D6/20210/29120211/30/202 -428.00 0.00 0.00 428.00 N// J 13047670 11/13/20211/011 0212/01/202 462.83 0.00 0.00 / 46P 93 13053247 11113/20211107120212102/202 218.40 0.00 0.00 218,40 J Vendor Totals: Number .Name Gross Discount No -Pay Net S3940 STERIS CORPORATION 2,085,09 0.00 0.00 2,085.09 Vendor# Vendor Name Class Pay Code 10735 J STRYKER SALES, LLC Invoice# Comment Tran Ot Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net J9207645799 11/051202 11104/202 12104/202 2,655.40 0.00 0.00 2,655A0� Vendor Totals: Number Name Gross Discount No -Pay Net 10735 STRYKER SALES, LLC 2.655.40 0.00 0.00 2,655,40 Vendor# /,vendor Name Class Pay Code T2539J T•SYSTEM, INC W Invoice# Comment J921287A Tran Dt Inv Dt Due Ot 10131/20210/31/20211/30/202 Check Or Pay Gross 6,130,24 Discount 0100 No -Pay 0.00 Net 6,130.24 % `/ Vendor Totals: Number Name Gross Discount No -Pay Net T2539 TSVSTEM, INC 6,130.24 0.00 0.00 6.100.24 Vendor# endor Name Class Pay Code 10756. (EXAS SELECT STAFFING,. LLC /Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net J 002459451079IN 11/18120211/13/20211/14/202 3,782.00 0.00 0.00 3,782.00 Vendor Totals: Number Name Grass Discount No -Pay , Net 10758 TEXAS SELECT STAFFING, LLC 3.782.00 0.00 0.00 3,782.00 Vendor# Vendor Name Class Pay Code 10732 J THERACOM, LLC Invoice# Comment Tran Dt Inv Ot Due DI Check Dt Pay Gross Discount No -Pay Net J226647707301 11/13/20211/04/20211130/202 2,675.45 0.00 0.00 2,675.45 / Vendor Totals: Number Name Gross Discount No -Pay Not 10732 THERACOM,. LLC 2,675,45 0.00 0.00 2,675.46 Vendor# Vendor Name Class Pay Code 13616. ,% TRIOSE, INC Invoice# Comment Tran Dt Inv Dt Due Of Check Dt Pay Gross Discount No -Pay Net / J TF11201.969 11118/20210/30/20211/14/202 96.98 0.00 0.00 96.98 1� JTRI202751 11/18120211/07/20211/22/202 127.45 0.00 0.00 127A5 J Vendor Totals: Number Name Gross Discount No -Pay Net 13616 TRIOSE, INC 224A3 0.00 0.00 224AS Vendor# Vendor Name Class Pay Code C2510 JTFlIIBRIDGE M Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net / J 1024908 10/31120211/06/202121011202 5.750.00 0.00 0.00 5,750.00 1025760 11/11/202 10/29/202 11123/202 10.800.00 0.00 0.00 10,800,00 J J T2411181378 11120/20211118/20212101/202 10,978,19 0.00 0100 10,978.19 Vendor Totals:. Number Name Gross Discount No -Pay Net C2510 TRUBRIDGE 27,528.19 0.00 0.00 27,528.19 Vendor# /Vendor Name Class Pay Code 11002 ,( TRUSTAFF Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net JInvoice# 2274283 11/04/20210/31/20211/30/202 3,256.00 0.00 0.00 3,256:00 f J Vendor Totals: Number Name Gross Discount No -Pay Net 11002 TRUSTAFF 3,256A0 0.00 0.00 3.256.00 Vendor# /Vendor Name Class Pay Code U1064 J UNIFIRST HOLDINGS INC Invoice# Comment 2921046397 Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net % �( 10/31/20211/07/20212/02/202 372.12 0.00 0.00 372.12 V 2921046394 10/31120211107120212/02/202 190.32 0.00 0.00 190,32 J J2921046398 10131120211/07/202. 12/02/202 162.14 0.00 0.00 162.14 , 2921046399 10131120211107i202121021202 181.78 0.00 0.00 181.78 J 2921046400 10131/202 11107/202 121021202 J 136.10 0.00 0.00 136.10 J2921046393 10131120211/07/20212/02/202 108.93 0.00 0.00 108.93,/ J2921046395 101311202 11/07/202 12102/202 J2921046396 10/31120211107120212/021202 J2921046593 11/12/20211/111202121061202 J2921046592 11/12/20211/11/20212/O6/202 Vendor Totals: Number Name U1064 UNIFIRST HOLDINGS ING Vendor# / Vendor Name Class Pay Code U1056 / UNIFORM ADVANTAGE W Invoice# Comment Tran Dt Inv Di Due Dt Check Dt Pay JSIV15647826 10/31/20209/14120210/14/202 Vendor Totals: Number Name U1056 UNIFORM ADVANTAGE. Vendor# Vendor Name Class Pay Code U2001 J US POSTAL SERVICE W /Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay V 11192024 11/20/20211119120211119/202 Vendor Totals; Number Name. U2001 US POSTAL SERVICE Vendor#/ Vendor Name Class Pay Code 11110 �J WERFEN USA LLC Invoice# Comment 9111645331 Tran Dt Inv Dt Due Dt Check Dt Pay 10102/2021W1 t/202.11/05/2U2 J9111670165 11/11/20211/06/20212/01/202 Vendor Totals: Number Name 11110 WERFEN USA LLC Grand Totals: Gross Discount 265.821.63 0.00 APPROVED ON gg NOV 21 ?0`1 p CALI It1�UN7 I "AUY11'�y.4y 2,224.19 0.00 0.00 2.224.19 V 34.04 0.00 0.00 34.04✓ 99.33 0.00 0.00 99.33 1/ 2,585.05 0.00 0.00 2,585.05.,/ Gross Discount No -Pay Net 6,094.00 0.00 0.00 6,094.00 Gross Discount No -Pay Net 108.73 0.00 0.00 108.73 ,/ Gross Discount No -Pay Net 108.73 0.00 0.00 108.73 Gross Discount No -Pay Net 2,200.00 0100 0.00 21200.00 / Gross Discount No -Pay Net 2,200.00 0.00 0.00 2,200.00 Gross Discount No -Pay Net 1,571.67 0.00 0.00 1,671.67 V 1.255.50 0.00 0.00 11255.60 Gross Discount No -Pay Net 2.827.17 0.00 0.00 2,827.17 No -Pay Net 0.00 265,821.63 STATEMENT mmwm. aoeo MEMORIAL MEDICAL CENTER� AMT DUE REMITTED VIA ACH DEBIT AP statement for Information only 815 N VIRGINIA STREET PORT LAVACA TX 77979 As of: I I/ V2024 Page: 002 To Motor prepr credit to your 000nn t, Metenr roof Won, INs maul, wth you willbtre DG 8115 Conamr INV SupplD: As w: 1112212024 Rge: 002 Met am Camp: 8000 renKory. AMT DUE REMITTED VIA ACH DEBIT CanomeT. 632536 Stwwnw,t for inform olio" only Dab: 11/22/9024 Con: 632636 1I.21109E CHICK ANY Mr. 11122/2024 ITEMS NOT PAID (1) 0Nrg Due NegA,ey lonl Ascrmt $ Coal, Amount P A M, P Rh Mllb D. Ona Number Rnanroo Dar:ipliwt Dirwml (gmae) F (MI) F Number PF COMM legern: P : Pry Dlw.ltam, F = RAM Due hem, blink a Co m Duo Kra TOTAL NrMM Awl 02536 MEMORIAL MEDICAL CENTER Subolaic 1,909.26 USD Pblo2 Duw 0.00 It Plitt N 11/2612024, Pan Doe: 0.00 fiy TMa Amami: 1,871.06 USD tan paymrM 2,461.97 N A4M Afoo 11/26/2624, 08/07/2017 Pay IMe Amouw: 1.909.26 USO 21.39 + 1-826.61 + 14.77 + 3.87 + 4.42 + 1-871.06 o APPROVED ON NO�VNN2 5 2024 CALLTN(KIN CCXtN7Y.'fE%riS For AR Inquiries plefase contact 800-867-0333 D. N PaM On Tim: us0 1.871.06 Dina lon 8 pmM Nb: 38.20 Dore N Paid our. USD J-z�- 1.909.28 MSKESSON STATEMENT A. p: 11/22/2024 Raw: Oat To p Proper erect[ to yew enrono: emu DC. oils HE9 MCY 0434/MBA MED WS Coetaner INV S.WD: MMORAL MEDICAL CENTER AMT DUE REART® VIA pCH DOM Tensory 7001 VICKY IUnSEf / Slatam9nt for Inionation only 815 N VIRGINIA ST �/ Cm.. 190813 cl:wv0, setaeh ens rotors Uwe Ylrb with ywni r nitwoo AirM: 11122MO24 Paq: 001 Man I. Corryn 8000 ANT DUE NEN TTED VIA ACH DGW Slpemenl for In1olmMion only PORT IAVACA T3 77979 Dpe: 1112=024 Cup: 190813 PLEASE CHWK ANY 00-: 11MV2024 REINS NOT MO (o) sat Ogle Fu Iv two BE91g Otw lftn a l�ellaW AeeauN TB cam Description ONc4uM (A�. F Antonio iipo F N Capanwr Number 100813 X® PNCY 0434MEM MB) Rlg. 1 IMM024 11/28/2024 7534888968 4293279 1151nepce 0.44 21.83 21.39 J 7534886968 O W eelwnn logonti: P - Past D. Item, P = Mum DW Nwo. Marsh a ewmlN DW Nom TOTAL Cupenw NumM 190818 X® PXCY 0134/NBA M® PNS — SuMate4: 21.83 USD Mum DW: 0.00 It Pais BY 1112612024, Pap Duo. 0.00 Pay This Am4wA: 21.39 USD OW X Peal On r.: Us0 21.39 Disc hp N pwd lot. east Payment 8,141.80 S Pp8 AXer 11/26/2024. 10107/2024 Pay this Amoton: 21.83 U3D 0.44 Uue N Pp0 We: USD 21.83 APPROVED ON NOV 25 2024 CALHOi1NUCOUNiv° lE%pS For AR Inquiries please contact 800-807-0333 MSKESSON STATEMENT As at 11122/2024 page: D01 To a p waft to yms .eoneq, atslaoh and Odin w. cemwn: 96or M14 With youl 1m11Xlape oC: 8115 MET/ MS WAWAIAL Customer INV SfpplD: A. a: 11/22/2024 Pegs: 001 NaN lm Camp: 8000 MOICAL M9ADWAL MEDICAL CENTER ANT DUE REYIITTED VIA ACH DEBIT Tellgory: 7001 VX:KY KAN594 6tatemenl for infminalkn only / ANT DUE R@�ITT® VIA ACM DE9n N VIROINIA sT J Ceponmr; 256342 statement tar Inlolmazion only M PORT LAVACA TX n979 Date: I1/22/2024 Culr 256342 PUSASE CHECK ANY Doo. 11122MO24 ITIMS NOT PAID (1( D. OMN� . N1ya�Maryry���4atk1W Aeeamt 98 Nmamr Cep -b ° Relenriro Dw IDIDI (may) F (M) F .- C,Dlomer KWW 255342 WAWAITT/09gIMEM MED MS 11/1012024 11/26/2024 7533739627 210917264 1161nvoke 2.14 106.81 104.67 7633739627 itIllf/W24 11126/2024 7533739628 216999438 1151nvaco 0.03 1.40 1.45 11118/2024 11/26/2024 7533999621 217804620 1151nvaice 0.83 41.42 7533739628 J 11/1812024 1112612024 7633999622 209850930 1161n01ee 1.56 77.95 40.59 7633999621 1 11/1812024 11/26/2024 7533069623 209781352 115invoke 0.31 15.46 76.39 7633999622 1 iIII 8M024 11126M024 7533999624 210000019 11SW.Ice 5.23 261.41 15.15 256,18 7533999623 J/ 7533999624 11/1SM024 11/26/2024 7533999625 2t3308769 IIfUmke 1.60 79.05 78.25 J 1111OM024 1112SM024 7633999826 217037486 4151nwiee S.26 262.98 7533999625 11/1912024 11/2612024 7534287073 210474216 1151"oke 4.39 219.56 257.12 215.17 ./ 7533999626 f 7534287073 11120MO24 11126/2024 7634550912 214020745 1151nvoke 1.80 90.21 98.41 7534650912 11/20M024 11/202024 7634550913 200606902 1151nv9ke 13.24 662.24 649.00 11/20M024 11/26/2024 7534550914 217037486 11511rvdre 0.01 0.32 0.31 7534550013 ✓ 11/20M024 11M6/2024 7534550915 917357762 1/5lnvace 0.01 0.63 0.62 71315SI914 7534660915 11129/2020 1l/26M024 7534550816 214645134 1151nv01a0 0.02 0.98 ✓ 11M0/2024 1IM612024 75MMOB17 212443520 115NvOke 0.02 0.95 0.93 7534560916 11I21/2024 11/2612024 7534813998 218254772 1151nvoke 0.83 41.42 0.03 / 7534550917 I IM212024 11M6/2024 7535073266 209791352 1151nvace 0.01 0.26 40.69 0.25 ,/ 7534813998 753607328S PF oolunn k90od: P . POY Due Itan, F a Reum D,m Ilem, I look = Cu mnt am Item TOTAL CUM9nmr NumXer 256342 WAWART 1098IMM MED PNs soMotolm 1.863.90 Low Ileac Om 0.00 Oua It Palo On Time: Pant D.:0.00 If Paid ffY t112612024, USD 1.826.01 Pay This Anmmt: I AM61 USD 918o loot 6 psld laze: PeYnmM 1.406.96 11 Peld A/1x 1/MBM029, 97.29 Due N M W.: 1 III 11/1BM029 Paw thk AmgnL 1.883.90 USD USD 11663.90 APPROVED ON NOV d 5 211F4 For AR Inquiries please contact 800-867-0333 a'tlQks cABY noil�lD& MSKESSON STATEMENT A. ah 11M2=024 Pap: 001 emamt, 6Kat1 ml6 mm UWo o"v�r: eaoo t1L with your 1wkNanp Be: a116 HES PHCY WHSEMBA MED MS Cutomer INY SugQO: Aa of: IIM22(2024 Page: 001 Mal W: Comp: 8000 MEMMIAL MEDICAL CENTEi AMT DUE REAIR® VIA AM DENT Tormory: 7001 VICKY MUSIX stalemanl for tnlonnmion oNy AMT DUE REMITTED VIA AM DEBIT Os N VIM— ST Cutomw: 820405 statement for-Intomation only PORT /AVACA TX 77979 Data: it/22/2024 Cush 820405 P ffil MI CK ANY Dr: 11/22MG24 [TIME NOT PAID (v) ryAea�,�s1e Axwm Oa81e �h pp Armourt1 DDYBate Nu:nOera11ol1al RB DawrIfAl n D4eount 191Dee1 F F Niaobvear°M Coetapr Humhw 820406 Has PHCY WHSBMIM MED PHS 11/21MO24 IIMG/2024 75346096M 82411-06S-181130 115lnvoke 0.30 15.07 14.17 J 9534609684 PR Cokenn I09Mt: P = Pat Dp Item, F = Farm Goo Kern, Blank = Current Dp Am TOTAL Cuelwnay Nmoksr 020485 HER PHCY WHSMMMA MED PNB — ---- SVMaMfx 16.07 USD RAum Dux 0.00 Due N PaM On Time: N fLM By 11/26/2024, DEC 14.71 Pat Dux 0.00 Pay TIWe Amoum: 14.77 USD Of= kt H pl6 We: tart P4yr6.116.79 If Paid After 2024, DUD It Ptl6 tale: 9.30 11/11I2024 24 PaY lhie ATDMa; 16.07 orm: USO USD 15.07 APPROVED ON N(OV�Y 5 2,opz{74pp CABHOIINUCOUMN TEXAS For AR Inquiries please contact 800-867-0333 MSKESSON STATEMENT "' °" "'2024 �'°� °°' T,owa e,„°` . alas c M,': moo NW wtih your nm mov, CVs PHCY 8923VMEA MC PHS DC: Btls codna er INV IWOO; As d; ltn2/2024 Flgn 001 Mel 1m Cams 8000 MEMORIAL MEDICAL C@fTEi AMT DUE R4ATTED VIA ACH DE9T Tmdory; 7001 KAUSE< Stet eat for Warrant. only / pMT DUE H® O EAITTVIA ACH OW IT Slm6mare for Intonation ady 815 N VIMNIA ST J oon835434 Olson: FOU IAVACA TX 77979 11112 Dma: 2/2024 Cost: 835434 MEN9E CHECK ANY Oats: 11I22I2024 ITEMS NOT PAID (a) D. burl Ascrand WG Cash Answer P Aamnl P Regaivehb DBM9V Nwi:ber W D emriplkrn [Hannan (gmw) F Ind) F Numbr Cratamer N.Mr 835434 CVS PHCY 8923/MEM MC PHs 11MO12024 IIAHIM024 75343SM87 3682698 1151nvdoe 0.08 3.95 3.87 J 7534356087 O PF adumn M9sMk P v FlN Dw Kam, I'm Men Drm Men, Mwk = Current Von Am TOTAL• Cuel9mar N.bar 835434 CVS MCY 092WMEM MC PHS sUMotsw 3.95 USD rvtme D.. 0.00 Due N Pale On Tkna: B Pde By 111262024. USD 3.87 INM Dow 0.00 Fly TMa Ameure: 3.87 UM DIM bur If pM Isle: I /A06.96 ry ABM 41292924, 0.08 ry Pde Isla; i1He12021 IA /2024m y this, Pry Ih4 AmmmL 9.95 USO UD.S U5D 3.95 APPROVED ON NOV 277.5 20?44yp CAIU-10 N'17(1U6 REp`AS For AR Inquiries please contact 800-867-0333 MSKESSON STATEMENT As at.- P.9w°°' T°'".°'aa°"°Nam„°Vow aeeafml, a.Mal .aa mtaa u6a amorr: eos9 aim wnn 3n1.1watlfelw CVS PHCV T916IMBd MC PH6 DC: ens coelomer INV 9ury8D: As a: IIMMD24 M 001 Mal I. C anp: BoOo ANT DUE BBAnT® VIA AM OMIT NLMONML M®ICAL CBJT61 / Tamory: 7001 Syatomenl for intonation only KNUSEK �( ANT DUE RBBITT® VIA AM OMIT SlatemenY lot InfotowNon only 815VIGN 815 N IA ST Customer. 836437 AVAVIRGC A3� UVACA TX T]9]8 Data: 11M2212024 Cast: 895437 PLEAM CHECIC ANV DaW it/22M2024 119.16 NOT PAID (l) Dolt" Doe Naplval, l AeaouM 98 Oefe Cash Am P Ann P fllpivahk Dale Numb, Metal DesulMion Dbcaunt (9toas) F 1-9 F Nunhx (ustaner NamM 83E437 CVS PHCV 74I MM MC PNS 11120MO24 11/26/2024 7534667033 3681542 1151mace 0.09 4.61 4.42 J/ 7534567033 O PP Munn mantra: P v post D. Item, pm Mane Dua Nam, dank a Cun", Doe Nam TOTAL' Cuatamr Numlwr 83643T CVS PNDT T4IEDBMI MO PNS SeMMab: 4.51 USD Foam am: 0.00 Due It Paid On Time: If Paid B/ IIM612024, Uw 4.42 Petit Due: 0.00 Pay TWO Amour: 4,42 USD Otto luat N p1a blc LosP2024N fp06.95 N Paid Aft., 024, 0.09 Doa N Mid tale: I1l18/2024 Pry lhbm Amami: 4.51 USD USD 4.51 APPROVED ON NOV �t25 202�4pq CALHOUN N)��I TE%q5 For AR Inquiries please contact 800-867-0333 AmeUourceBe STATEMENT Statement Number. 68645419 rgen- Date: 11-22-2024 loft AMERISOURCESERGEN DRUG CORP WALGREEN38124943408 1272'7 W.AIRPORTBLVD. MEMORIALMEDICALCEWER 1001352841037026195 SUGAR LAND 71( 7747MI01 1302NMRGINMST PORT IAVACATA 77979.2509 sal-Fd Dueln7day DEA: RA0289276 .......__866451-9655 ._..._,_..._...._.__ ,_._.._.,-_....._'_.___ ,...._..�...._-..._..�._.�._...a. ry m AMERISOURCESERGEN _ PO Box MR23 Not Yet Oue: 0.00 DHARLD77ENC 28290d223 Currant tmoc(l Peg Due: 0.00 Tate Duet 1.510.05 Acceunt 9aance 1.510.06 Account Activity Document Due Reference Purchase Order Document Original Last Receipt Amount Received Balance. Date Date Number Number Type Amount 114842024 11-293024 3196142084 7008170358 Inwee 38.75 0.00 3a76 11484a24 11-29-2024 MUMS 700B1E0572 tnvace 11.52 OAO J 11.62 11-184024 11-293024 3186142098 7000171250 In d 1.36 0.00 J 1.38 11-W2024 11-29.2024 3196142M 7008180707 Invoce 5.85 am J BBB 11-20-2024 11.M 24 7198465281 70011mm2 mwlw 1.292.79 am J I.M.79 11-214024 113 2024 3IM12M 7008212177 Invoice 94.46 0m J 9a.48 11-214024 114942M 3198612084 7008212177 Invoke tat Curb 1.01 11-22-2024 11.2%=4 31MM613 7008221987 Invoke 48.44 IN J 48At 11-22-2024 11.2 2024 3195MS14 7008221967 Invoke 15.57 0.00 J 10.87 Current 145 Days I 16.30 Days U-60 Days 61-20 Days 91420 Days over 120 Days tsta.r6 0.0 0.09 r.rr 0.00 am I awl rThank You for Your Payment Reminders Dale Amount APPROVED ON Due Date Amount 11424024 (2.079.63) 11.29-2024 1510.00 NOV 202774pppp Total Due: 11510.06 gg IIyy25. CALHOLINJR A Y ITE%AS 1h HmensoulTcetiergerr ""' "' Date: 11-22-2024-------- AMERISOURCEEERGEN DRUG CORP GREENS WALCENTRAL FILL0213M110e 501 PATRIOT PARKWAY ' MEMORIALMEDICAL CENTER 1p0668388/ IONSI IMS ROANOKETX 76262.8336 4100DALEEARNHARDTWAY200 NORTHLAKETX 76282Q389 DPA: RAOM6958 Sat-FnDm in 70ay¢ 86S-451-9655 AMERISWRCE9ERGEN PO 9]8740 LA DALtas tx 753974740 Not Ya Om: La,Rem: 4Son 26 2,2a Pat Dire: oaa Taal Due: 24.26 - Armunt Balama: 24.26 Document Due Reference Purchase Order Document Original Lest Receipt Amount Recelved Date Date .Number Number Type Amount It-16-20z4 1t-za2o24 3lefinfisao 7o0ane933 Imam 11-20.1MI 11-29au24 3196a89210 M06202119 l0vam 4.27 0.0 H4.71141 11-MM4 3196687853 7004MIM Imace SA2 it-n2024 11-M202, 3196823148 700800 M Imake 980 0.00 Current 145 Days 16J0 Oays J1-80 Days 61.90 Days 91 120 Dav D t 2n Days I. u.zfi 0.00 o.00 p,pp Iam 0.0o po0 I oleo APPROVED ON Reminders Due Date Amount NOV 25 20,' 1149.20bk z,.za gg CC IM Total Due: 24.26. 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Iamm. 90 Degree Benefits Master Group Tatals DesanpUon EE ES EF EC Mst Total Make Check Payable To: SPEC AGG ADMIN FEES PPO UR CHIC MGMT FEE Medical 106 16 13 42 177 Alm: Revenue Department 90 Degree BerrefRi PO Boa 13246 Bkmmaham, AL 35202 Monthly Billing for 12/1/2024 MEMORIAL MEDICAL CENTER (Mst Grp: 76350) 815 N VIRGINIA STREET PORT tAVACA, TX 77979 177 $59,077.36 Adjustments 2 177 $7,345.50 Adjustments 1 177 $3,432.03 Adjustments t $700.00 Total Due $413.56 $59,490.92 $41.50 $7,387.00 $19.39 $3,451.42 $70D.00 Balance Forward: Payments: Adjustments: + Beginning Balance: Current Amount Due: + Current Adjustments: + Tpta1 Amount out• APPROVED ON NOVN2 5 ?074pp gg CALHOt COUMT,,ITEY S Please pay premium as billed. Changes received after billing has processed Will be reflected on the need numbs bill. Premium payment Is due by the 101th of the month. $72,153.74 $72,153.74 $0.00 $0.00 $70,554.69 $474.45 $71602934. MEMORU ROEOICMCEMER PR09PERM RANK EIECTNONW TRANSFERS FOR OPERATING ACCO1)NT— Nw 1& 2024 - Nw 2E, 2024 CPSPAamlvninen Q12 MjCNOtts pmnun) uxre 11/22/2024 DAYPSUSA[XTrans M]9I21pt0100W93]9299iP 1DRA WIX XM -3N PaYy Payer Fee 69.2R- 9M45i 1)/23%2020 NFALTNPAYEX -h JSu,M/FSnpbyerCamNml 1,3M.16 11122IMMINZ4 ADVAY4M415EBBR9f00001R 960W42191000p11]I0533 .[hlNSupp9rt Payment 103 5]O89.'A M0627 50061) AMEXPEMSOURC BM PA ll/3V3024 AMfPo5DDMfBERG PAVMFN15010000]]68310000i -310B dug Pmyam 6peme a`� 10.3. iW9.63 .� 50065E 11/2i/10]4 MEM"LMEDlMPA"M74M 41113JU00 -pw 11 363,801.0� ll/21/M14 PAT PLUSMMrans M6MON 101000692681975P -3 Pony Palm Fes -it" 11/20/i020 BPPWMII.W..)A .wlmoulNProspeMy MOnw MiM1.M i5p.W0.W •2E• IIMW24 WEBf11ETACPYMTOD903/]1a1553a31CVJpi3936 -3rdPaM 1,M]59 .�{, 1111p1WZ4 PAYPLUSM .3WPaMFP rFee y59.1A.. .."31033]10100069]]53331P 12/19/2Dd4 PAYPWS ip)338 ]OI00069994D91]P -3N Party Payer Fee ;:8436 DRUGA 1V18/2pd4 MIXE550NOBUGAUrOACNACNl3/45]p]91D000119 - 360BDru8 Pr08ram EapeMe I,<O6.lfi il! ODRPaMP& 5 ]p e25.11 jE•jE IVIW20249rMECOMPTR11MU04T8M43613N9838SM2F 3V18/iDi4 PAYPWSAC1sTransMM3W]101000698385912P -3NPaMPayorfee .11593. 693,i44.14 pV�V On 11.21J• 2a� w n9xm6m 25,:os���r_\,,�_� d\' On t\.13. 2La C-, sme.B'.km �-/F cT4'r MemMal McOnalt¢nler RMPERI]YBANK ELE[NIONIC TRMLBFERS MR OPEMIRNG ACCOUNT- KHMATED ACNS BfRi Ww. mw wD f Amount 1211112M- STA)E COMTRLR WHET ACCRUEONNOIPPIGT 1,309,828.35 693-244.14 + 1, 3 8 1. 1 6 - 1aD9,m3s NmmWrd5,2024 570-69 - Ste. W.kCM 2,079.63 - McmorUlMMWCeMer 3631801^48 - 250.000.00 - 2.442.59 - APPROVED ON 1.406.36 - 70,813• 11 — NOV 2520ZA 7 4 9- 1 2 o p�i�'E� p��� tp Sy( CL]0NT` WXRAS 749.- 1.2 - G 0.00 0 901E52 M143 M44 W1453 W1454 sms3 110091 W140 P&H VWS 59.18 + 115.49 + 259. 14 + 89.38 + 225.93 + 749.12"a Transaction Summary Transaction Complete Trace #; Texas Health and Human Services Commission Memorial Medical Center Operating County Payment Total Bank Routing and Account Number $1.309.828.35 Settlement Date 12/11/2024 QIPP Amount $1,309,828.35 Entered By I Caitlin Clevenger Page No:1 or 1 Run Date: 1112wom Run Time: 10:05:28 RECEIVED BY THE COUNTY AUDITOR ON 11/21/2024 NOV 21 MEMORIAL MEDICAL CENTER 11:08 AP Open Invoice List CALHOUN COUNTY, TEXAS Due Dates Through: 12/07/2024 Vendor#/ Vendor Nama Class Pay Code 11816 �/ ASHFORD GARDENS invoke"Comment Tran Dt Inv Dt Due Dt Check Ot Pay J111424 11/20/20211/14/20212/07/202 Gross 26,976.14 Discount 0.00 C am'e �t � t N-h + ' M G �'`' - ` rN �rb r Vendor Totals: Numher Gross Discount 11816 ASHFORD GARDENS 26,978.14 0.00 Grand Totals: Gross Discount No -Pay APPROV[D ON 26,976.14 0.00 0.00 NOV 2 1 T0f4 BY COUNTY AUDITOR CALNOU�1 OOtndN TFYAS 0 ap_open_Invoice.template No -Pay Net 0.00 26,976.14 `/ No -Pay Not 0.00 26,976.14 Net 26,976,14 RECEIVED BY THE COUNTY AUDITOR ON MEMORIAL MEDICAL CENTER 1 i/21/2024 11:09 NOV 2 1 2 Jam= AP Open Invoice List Due Dates Through: 12f07/2024 Vendor#/ Vendor WOUN COUNTY, TEXAS Class Pay Code 11832 —1 BROADMOOR AT CREEKSIDE PARK f111424 Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay 11/20/20211114/20212107/202 Gross 2.426.98 J { f1S.Ry-,-e C.&Ze .%h{Sp fnrnrC Dpfi . %rN -rrgr 111424A 11/20120211/14/202121071202 13,487.09 1 1 1r Vendor Totals: Number Name Gross 11832 BROADMOOR AT CREEKSIDE PARK 16,914.07 r:zf>ni: St;:vrz;rr'' Grand Totals: Gross Discount No -Pay 15,914:07 0.00 0.00 APPRO,SD ON NOV 21 2026 BY C/OUNTY AUDITOR CALHO.�n! (7,01 NrY TFYAS 0 ap_open_Involce.template Discount 0.00 No -Pay 0.00 Net / 2,426.98 0.00 0.00 13.487.09 Discount No -Pay Net 0.00 0.00 15.914.07 Net 15,914.07 RECEIVED®VTHE COUNTY AunrroR ON 11/21/2024 11:09 Nov 21 2024 Vendor# VendorUXM0UNC0UNW,TftXAN 11824 f THE CRESCENT MEMORIAL MEDICAL CENTER AP Open Invoice List Due Dates Through: 12/07/2024 Class Pay Cade Invoice# Comment Tran Dt Inv Ot Due Ot Check Dt Pay Gross Discount J 111424 1112012M 11/14120212/07/202 11,329.51 0.00 n7' tpYWto O ,LP f� 1 D MMG op-b .� . r1ffj f Vendor Totals: Number Name Gross Discount 11824 THECRESCENT 11,329.51 0.00 Grand Totals: 4PPno llpo ON NOV 2 1 2074 DABHOCOU� GM1ri yDl,7rpa 0 ap_open_invoice.template No -Pay Net 0.00 11,329.51 / No -Pay Net ✓ 0.00 11,329.61 Gross Discount No -Pay Net 11,329.51 0.00 0.00 11,329.51 RECEIVED BY THE COUNTY AUDITOR ON 11/21/2024 MEMORIAL MEDICAL CENTER NOV 21 2024 11:12 AP Open Invoice List Due Dates Through: 12/07I2024 Vendor# VendMOM UN COUNTY, TEXAS Class Pay Code 11836 GOLDENCREEK HEALTHCARE Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount 110824A 11/2020211/08/20212/071202 3,608.60 0.00 / J 110824 1n'S • IP^''ti-t 'CRC � n-tD rnmc, bPb '1n x_rro r 11/2020211/08/20212107/202 14.269.93 0.00 J111224 11120/2021111M0212107/202 2,921.64 0.00 .L a J 111224A 11/20/20211112120212107/202 22.16 0.00 J 1 ' 1 111324 11/2020211/13/20212/07/202 19,880.00 0.00 /111324A v 11/20/20211/13/20212/07/202 12,581.00 0.00 ., • J 11104 11/20/20211/14/20212I07/202 8.000.56 ' 0.00 Vendor Totals: Number Name Gross Discount 11830 GOLDENCREEK HEALTHCARE 61.084.28 O.OD flirt �SW:IT Grand Totals: Gross Discount No -Pay 61,084.28 0.00 0.00 ,APPROVED ON NOV 2 12024 By COUNTY AUDITOQ CALHO IN COUNTY. TE. AS 0 ap_open_invoice.template No -Pay, Net 0.00 3,608.80 J/ 0.00 14,269.93 J 0.00 2,921.84 0.00 22.15 0.00 19,680.00 ✓ 0.00 12,681.00 ✓ 0.00 8.000.56 No -Pay Net 0.00 01,084,28 Net 61,084.28 RECENED BY THE COUNTY AIJDITOR ON 11/21/2024 NOV 21 29?' MEMORIAL MEDICAL CENTER 0 11:13 AP Open Invoice List ap_apen_involce.template rpLHOUN COUNTY, TEXAS Due Dates Through: 12/07/2024 Vendor#/ Vendor Name' Class Pay Code 13004 TUSCANY VILLAGE Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net J 111424A 11/20/202 1 11OW0212/07/202 22,003.21 0.00 0.00 / 22,003.21 1 r1S. ipr vIb 0-tuf . � h A-0 fnM C, Z:)P -(:, . i n -Q.rrp r J 111324 11/20/20211/08/20212107/202 27,562.92 0.00 0.00 27,582.92J l C r1 J 111224 11/20/20211/08/20212107/202 9.188.70 0.00 0.00 8,188.70J/ J 111424 11/20120211/08120212107/202 1,632.00 0.00 0.00 1,632.00 L l J 110824 11120120211/08/20212107/202 9,595.00 •� 0.00 0.00 9,595.00 110824A 11120/20211/08120212/07/202 5,304.00 0.00 0.00 5,304.00 Vendor Totals: Number Name Gross Discount No -Pay Net 13004 TUSCANYVILLAGE 75,285.83 0.00 0.00 75,285.83 Grand Totals: Gross Discount No -Pay Net 75,285.83 0.00 0.00 75,285.83 APPROVED ON NOV 21gq20Z4 Ctry7tlNi-�'lT& CALLHOUN RECEIVED BY THE COUNTY At IDITOR ON 11/21/2024 MEMORIAL MEDICAL CENTER NOV !��� �AP Open Invoice List 0 17:12 Due Dates Through: 12/07I2024 ap_open_invoice.template Vendor#'Vendor NAMUN COUNTY, TEXAS Class Pay Code 12792 BETHANY SENIOR LIVING 1nvolce# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 110824 iV20120211/08/20212/071202 1.944.10 0.00 0.00 1.944.10 J 1n5 pm* OLLP, i/rt� rYrrnc ap+, ;(% Ax-ror 111424 11120/202111141202 12/07/202 JV 1,350.90 0.00 0.00 / 1.350.90 Vendor Totals: Number Name Gross Discount No -Pay Net 12792 BETHANY SENIOR LIVING 3,295.00 0.00 0.00 3,295.00 Grand Totals: Gross Discount No -Pay Net 3.295.00 0.00 0.00 3,295.00 APPROVED ON NOV 21 7O?- BY COUNTY AUDITOR CALHOUN CCUNTV_TEXAS Memorial MNPRaICmter Nmslla Mmne NPL Wuklyhn»FTamf.r / PfYtPentymmma W=sdo:s 1 F.N., ..... 9M#N N. Mx, YgnM1.. .F...W,gmNNrN x.m,u! n;,9,la Iw.w.0 nLMuo Ii,.YIA W\aFmn su.ut.,F vFmm Im.FaNFm \mm hNws Wnnna,anRr Walgpun... 10.„fAf fYJ.gx.MefegtrMnllOG YgwM Gbe,aR Pn Fl.ly. x.l.)f NnhYM .hb,.emq.R•wWr.�m�, W.YNa 1 3iFW.W ,n.9,l,a lgYty 11;,Ile. / lN.1N]2 e.r\eLna ll,yfu r/ YFr.na Ym M14Yw Imm xgwF.n.. auw P.mWn mn 1 •w,N.m.m.Flgmq ,wwa 1 ,mu4» ,ale,: "Ill. smstx,e .! M."M \/ mq U— MMA w.e,.Wm M. u.u.•a.n«e xm,e IY.hYm, J � O.IeWW I •awwnMnmmrrlm uP.a,M Y (/ J • ,,.,ux, sx.,MAe N.,»a ,W,nf J Nm4m NM Wb .:M. Vvl.11n Y.n Ye.imp Imm xVWpFmrx ,1,,.,. M hrmYl xa N.. m.,.F / I PR MMtl VI( J � ARM,. ,ul5xa at..,. ..m,.ww:WrR.nl >ux.a ax..nu II V ZIM1.13 J mnew.a a,l»u v.•uw M. APPROVED 1 4 1, 4 8 4• 8 8 + ON aNw-• a,a 3 3 0+ 9 6 8• 2 2 + NOV25 �24 490,729.44 + • 124•22 + j s58 aW fpA CAgLU UN 273.961.13 + x,FNIJ, J 1>295.267.89 0 1mIu,FIMNr,.M1vN„rM..ml tmm�� ra. wrmu.mV..F„®.exmmv>'r,.,ew.wn,nn.. NPp,mN: S„r, in,4. It/uItON wa:.,w x:mqury mvgameMSlmgrt gN[iN.sxgqq:usq. 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IQMINIR YW [6a9i ♦U M m9 MNP gMl1 M3 m 11311/AY OgNI SSSILI li5 IVWIDr1 UNCMMMUNT'fINCfWS11M)6FOy1191MY - n,N13] Alma. {WVIDII YN[mMMYM1)rtMCWMM[)IfMMlifl6M) 1Y,1N.16 u"I'll INr/.IDI xWRN2YIMgNN[[WMPMl6nnS1)KWMI - 2JI&W 10.MA10 INLAH NMS•nxYNNMYfMrfYWKu[IWp}LLS)) - Wil" 1�nto 14n/311I{XWRA{fMY1pXM[[WMMI[YY427gMn6 - 16LM1M t4na ]9 W24ffiI Nx1LINNYMWfYCxmMWMJ1)YW31111Mf1 2)l6n M1.M).Y 141aiElI WRF WfMMSNNwT1GYQM[MIU MnSlk •_ ),)1&)3 WMW1 MM. nxYKfWMNi"nNVn411Yfm1YM9 - LWIS I1/IY/IYI YI[mMMMYIY)l N[IWWSn)1[MyLL91RW lfifli3 1410/IDY YWOIIUXWMPM[WMn1i}I®AU{Sn[ - SyYYp � 9.I2A71 I4MIDu S.YO.W pmlloMYMPX[CWMMn atuagN1%1 WM4 OWORMA X PM6wMwr 2LMMIN1lri! - 1.5WM 4.0%M oevxTDNel2m9NwNM1Yr 2uXXYIDIMn - LAM I.Moo IVI"12 2419/1YL M/x6U1MMT11YMMIMMOAGIOIMI2Y61 _ 10'W0W - LIWM 1419/M161MIMAINMM<YIXdNM)Mr[uIYOQxIDTfs - IYrfiW 142YY.W IVIV3XIMMMMCIMopxMLfWM)M2623Yina�Y 11F90ID 2)F)IN WnnWb MMMNYNxpNbMWMMT6}fMSn1]o3MY • 11.090.pY 1414IDEL HM.[fHox[[WM1M[nfMMn11MM1SX16 .� YQMW �. ` - /IL)95.M ,1}361 ]3SIb.Q Ynll94 .___ M.1fPOSIXM tlNJ[YWLix IIi-9QO6 jpMPpN3 qW/fatal it3Mf qW/C<Xp) qW/ qWT XNIdITm IVIVMI MY4YfW119M1u1SNMrMM1[fL11 ]ixOM S.MQM IV1439Y UMYIIeYMWfMUWMMIflYMY1LMIW � yy p} 3V24Mu NM6-(CNnNKWNfM)!NW)IIIN6MErlW2 ZI1LM r�.5� IVM/NN11Tf[g1iMMKxWN1[Mf[[Nr1Yq s1Y6.Y • 1VMMH MY.[f W 1YMIMNI(IlfolYT4lGg1SYM IVMYM MMI)ASIMUIbXN[[WM1M(b1516iy0.Win lVWnl6 MN9-[UMINSWMMI]LW311IYKOT9L9fp 11/O(AEI MYM6GNWnnYYnPNMUYVIf�)rYI11 IVMMI xxe-[TgxwxxxrMr)1[mlluwMMunY II/14M31 NW.YL410Y{T>MMNf IMMMWLpCOAI6111] WMM6iwzuml xM1•[YM 9I[wMSM>YWYll4MOp}[134 fXJYI{Y SYIYIIYMM:fWM/M6)YIYI1WLnt ]UEWIYN WMFMIIGMMMUM[MSRXI[M lx IYMIOM MMMGUW9M(l{l]bMMPMMY1MlW 11 WM10M xMN[cMMMMAIMI]IKCYwmUl;4 9M WIDIMN UN4[MeNNwnN00OMIM]IfWM41MW Wl9/Mi2 xN[.(41UNUIFIMIM[n[WnnYOom(y41 IUn/YN xNl-[Ololl[QSIM1M 11[69NUMMm1YM6 - - / LUSM 1 9J51.91 i9,6Mfi> J LINO L1MM S IY,Y SLI21.1! f3MAri SMC1OXTm gP1/MAILl6 S[[x6M9Y ]Mpt(N!0 OX!/glMl ■YpY qW/gXlp g4p(CelyM3Y qWT NN MINIION - !MM Fh161 sA11.W Mm L71:01 nA lMW El1 Mp.M 16•}61.Y MAIM• JMM w bMM L6Mm m m M9 441.75 1111.91 - AWN AWN ILi63.11 1.217.11dsll • 19.165.1E xlxxwesih*mnrmlNnl oownWawvWeexNYlaW Wfx�I[IIWN YMoernum LLLLza� uEUa uE y wsnao mwus MAW Li9zym l max 29 Balances Overview Account Name *4367 MEMORIAL MEDICAL. $1,770,275.13 $1,694,126.27 $1,770,275.13 $1,970,974.39 OPERATING ` -CLINIC SERIES $547.97 $547.97 $547.97 $547.97 20 Z014 WAIVER CLEARING PRIVATE WAIVE $441.14 $441.14 $441.14 $441.14 •4381 MEMORIAL MEDICAL/NH $152,381.10 J $217,827.75 $152,381.10 $125,007.50 ASHFORD *4403 MEMORIAL MEDICAL/NH $333,637.48 $346,993.68 $333,637.48 $216,864.94 BROADMOOR •4411 MEMORIAL / MEDICAL/NH- $508,532.78 J $535,625.59 $508,532.78 $403,086.40 CRESCENT *4438 MEMORIAL MEDICAL I SOLERA @ $277,479.31 J $319,094.50 $277,479.31 $285,393.68 WEST HOUSTON `4446 MEMORIAL MEDICAL NH FORT $61,623.03 $80,128.34 $61,623.03 $55,723.03 BEND •4454 MEMORIAL MEDICAL/NH GOLDEN CREEK $111,924.08 $111,924.08 $111,924.08 $46,069.04 HEALTHCARE *4551 CAL CO INDIGENT $5,497.00 $6,497.00 $5,497.00 $9,706.51 HEALTHCARE *5433 MMC -NH GULF POINTE PLAZA- $1.038.67 $1.038.67 $1,038.67 $1,038.67 PRIVATE PAY '5"1 MMC -NH GULF POINTEPLAZA- $125.21 $125.21 $125.21 $125.00 MEDICARE/MEDICAID •5506 MMC-NH BETHANY SENIOR $117.409.51 $121,023.28 $117,409.51 $115,891.14 LIVING *3407 MMC -NH TUSCA YVILL TUSCANY VILLAGE $212,733.27 $229,188,33 $212,733.27 $179,396.99 -BETHANY SR LIVI SR LIVING - DACA $100.00 $100.00 $100.00 $100.00 *2998 MARKETFUND EY MARKET FUND $255,053.48 $255,053.48 $255,053.48 $255,053.48 Total Balance $3,808,799.16 $3,918,735.29 $3,808,799.16 $3,645,419.88 Report generated on 11/2512024 09:29:11 AM CST Page 2 of 2 Memorial Medical Center Nursing Home UPL Weekly Nealon Transfer ProsperityAccounts 11/25/2024 PPMaus M M eqm lm 11 P9ndne T9lWYMa3m1g nm9untn BPTnMenetl to NUNna NurN Mmg Numbs e i er-0ut Trtglea-N 4 WM Nmme INAM43 93,733.30 "'Bass - 111,91d.0 89,958.55 J Bank BaNrcs 111,9m.99 YRunca leawN Waws IBB.BB swRln.gwR.rc x1,91aM 9nurbm Inbmmtun hr eP/dm CRek Nwbn HwbAPtaPMm OM Welt Mge BPnE,NA NPn: onNba3Prce. djwer3alab wl9b WmjemdgrM1enunfn9Aome. Nan]: E9n wwwtM1wubaRMbnna/3t09tMtMMCdepaaiNdwapenaaaoum. APPROVED € W NOV 2 5 2024 ggY coufin;; kuoiT£l � CALHO4P. :3ri-i . TE. 3:1NHY MyTtJntmleN NPLT PrRmmaNk=4eH YP1TNne WMMlgnxcu NWIn[artR 9wNlertR JMIuRGWn/nm arMt B9A9159 bmwtd: U 31 m&oak. Vo 1x/xs/xbxs NNIClpRpX 0W/c. iuNAlx rlPlM lslGtls[fl� LR9th[in GRr/6mrF MI((aelpz QMI/fanN +i+rx awn MNPM x nIIIIAR NGtmxuMAilmNRwMANfn(WHn311u1 0.11 _ 44n.n 4.VMrM6/CA1AIDp1(l {pu 6LIiAA Ion lw=4uVIfufGMTCR ll/l1I.tlR nVIIIM1VtlPpicxce0[rswWsw>ffvU 6 wao IVILIDIi mumxuMlNrvcN(W WrMr RYOILubu! xsxm AMM 1YILmL unuAwxvwMlxfsfemnsRswwoitas MAU xMn iLiOIIDN WIIIFWI'H[NONll.LLM CMIGYI((Nq@Xc M,iIRA ;!� A60.W lU1WHI(NM•(RAIN(wMIM!]YMYLLY Kul NYr.[dDX[GIMVMt1iWMIlYp)IX1RM9 41C1!! lummiI W I>IDiR (Ay NSl xW053 4UMpM[NFRNNRIR(OIYf 2 141U101l ISKpxVGgLLT(l(p IXrfl3sMSs5fR1OU "" b'law - IYIRDInNNB-RMN[<MIMrMi>!®Ml{RRWl(iwl I1 4�9! .J W.A _ l ns.A A.xsxu rr s Balances Overview Account Name •4357 MEMORIAL MEDICAL- $1,770,275.13 $1,694,126.27 $1,770,275.13 $1.970,974.39 OPERATING *4365 MMC -CLINIC SERIES 2014 $547 97 $547.97 $547.97 $547.97 *4373 MMC - PRIVATE WAIVER CLEARING $441.14 $441.14 $441.14 $441.14 *4381 MEMORIAL MEDICAL/NH $152,381.10 $217,827.75 $152,381.10 $125,007.50 ASHFORD *4403 MEMORIAL MEDICAL/NH $333,637,48 $346,993.68 $333,637.48 $216,864.94 BROAOMOOR •4411 MEMORIAL MEDICAL/NH $508,532.78 $535,625.59 $508,532.78 $403,086.40 CRESCENT '4438 MEMORIAL MEDICAL/ SOLERA @ $277,479.31 $319,094.50 $277,479.31 $265,393.68 WEST HOUSTON `4446 MEMORIAL MEDICAL/NH FORT $61,623.03 $80,128.34 $61,623.03 $55,723.03 BEND *4454 MEMORIAL MEDICAL / NH GOLDEN CREEK $111,924.08 $111,924.08 $111,924.08 $46.069.04 HEALTHCARE `4551 CAL CO INDIGENT HEALTHCARE $5,497.00 $5,497.00 $5,497.00 $9.706.51 `5433 MMC -NH GULF POINTEPLAZA- PRIVATE. PAY $1,038.67 $1,038.67 $1,038.67 $1,038.67 `5441 MMC -NH GULF POINTEPLAZA- MEDICAREIMEDICAID $125.21 $125.21 $125.21 $125.00 *5506 MMC •NH BETHANY SENIOR LIVING $117,409.51 $121,023.28 $117,409.51 $115,891.14 3407 NH TUSC TUSCANY VILLAGE LLAGE $212,73327 $229,188.33 $212,733.27 $179,396.99 '3660 MMC -BETHANY SR LIVING .DACA $100.00 $100.00 $100.00 $100.00 *2096 MMC -MONEY MARKET FUND $255,053.48 $255,053.48 $255,053.48 $255,053.48 Total Balance $3,808,799.16 $3,918,735.29 $3,808,799.16 $3,645,419.88 Repartganamled on 11/2512024 09:29:11 AM CST Page 2 of 2 Memorial Medical Center Nursing Home UPL Weekly HMGhamter Prospedty Accounts 13/5/2024 / Xmm A. NlX e KCIL 64 J Nnk N4nn W Nnn KminNWm •m.wtme. TrXufnM to J/ / � aaae)41m.(rnmrwYnl. NLO FMw awnr Npmiry J hawect / w X M.w. Xuli.r M. T W uN TeN N T. rnmlmeero w NYNiXXNu q]SNi µtit)] ]>]t i)CSI `(/ NXi NIw<r Iffil VNyme WwANlww Wow atlpulXWlw/]AnllwanY ]CLL LawAalNwMeMIw MYapFn Rn. TOTµiIUMiiiµ KaX lgtrddy/Nm[mefwmLSIXONMumiy pmtlwnumtpamX. N)M L NN X(Lomr ]m a Nu Nye. gSlp) gvfMAK M/W Xtl ro wm amw+c APPROVM ON NOV 2 5 2024 BY COUNTY AUDITOA CALHOUN COUNTY, TEXAS I:µx Ww\VirinWnWx VR.)rwV.rAnw.�yW\Vm VRirwrbNwnv!tl]SS{ N., ' n.werom,lw2 nps/m]a MMcro3nox quo/COMP aPN[OM" rnndmqu,' TnnEhnm an/rmg2 z avP(CpnP9 W"a aPPn xN PONTON 11121I NHNO-ECHO WC MPMT740pON12NN00220932 v 9)t81 971.81 3] 1 Mai NMC PoOIIOx aP1/fame apP/C m inNlet-0ut t Tnn r apP/CMeP9 = aP1/Cemp3 iupn apPn NN PONTION It/2T/2p24 OepmN �1( 0.21 0.22 11/20/2024 W REOOT HMG fl 2,MMF. N-CPmm l 4 07.21 _ lItIV2024 MMO T BIWEf0 O12V91T49M7M10M991=1 Wo ] 20M N.1p r1 nm x mn N.20 A 39r.02 19T02 Balances Overview Account Name *4357 MEMORIAL MEDICAL- $1.770,275.13 $1,694,126.27 $1,770,275.13 $1,970,974.39 OPERATING *4365 MMC •CLINIC SERIES 2014 SERIES $547.97 $547.97 $547.97 $547.97 *4373 MMC - PRIVATE WAIVER CLEARING $441.14 $441.14 $441.14 $441,14 *4381 MEMORIAL MEDICAL/NH $152,381.10 $217,827.75 $152.381.10 $125,007.50 ASHFORD *4403 MEMORIAL MEDICAL INH $333,637.48 $346,993.68 $333,637.48 $216,864.94 BROADMOOR *4411 MEMORIAL MEDICAL INH. $508,532.78 $535,625.59 $508,532.78 $403,086.40 CRESCENT *4438 MEMORIAL MEDICAL ISOLERA® $277,479.31 $319,094.50 $277,479.31 $265,393.68 WEST HOUSTON *4446 MEMORIAL MEDICAL/NH FORT $61.623.03 $80,128.34 $61,623.03 $55,723.03 BEND *4454 MEMORIAL MEDICAL/ GOLDEN CREEK $111,924.08 $111,924.08 $111,924.08 $46,069.04 HEALTHCARE *4551 CAL CO INDIGENT $5,497,00 $5,497.00 $5,497.00 $9,706.51 HEALTHCARE *5433 MMC -NH GULF POINTE PLAZA- $1,038.67 .' $1,038.67 $1,038.67 $1,038.67 PRIVATE PAY *5441 MMC -NH GULF / POINTEPLAZA - $125.21 $125.21 $125.21 $125.00 MEDICAREIMEDICAID *5506 MMC NH BETHANY SENIOR $117.409.51 $121,023.28 $117.409.51 $115,891.14 LIVING TUSC NY ILL TUSCANY VILLAGE $212,733.27 $229,188.33 $212,733.27 $179,396.99 *3680 MMC -BETHANY DAG 8R LIVING - DACA $100.00 $100.00 $100.00 $100.00 MARKETFUNO MMC -MONEY MAR $255,053.48 $255,053.48 $255,053.48 $255,053.48 Total Balance $3,808,799.16 $3,918,735.29 $3,808,799.16 $3,645,419.88 Report generated on 1 W512024 09:29:11. AM CST Page 2 of 2 Memorial Medlcal Cemer Nursing Nome OPL Weekly Tusnny Tamfer Prospedty Accounts 21/25/2024 I hak tlmYM eMenl J i NOM1.'OMVWMW yaef$§I W wiNM tnaAnNb b� nWM/ dPM. Neal[vdl omum dvehmdvknn ySIWNm MFKtlW NNaga umeunt i NOV 2 5 2024 BY C,gUNTY ,AI7U1TppR CA LHOW COUfiR'Y, iI XAS I dw NakBNaa 111,ilRl] VxluKe bm M4dga 1dAW MWe�AuutrN S.LIIO UWe PaMmtWNaMMC 3i1P MppteMavfM1aulwMt IWJSCtl bv, S\ 1 Sltaeua, ao ll/O/M4 J 11/22/2024 Oe9mx 31/1U/1020 NMEOUTMlL466PO5T4CU[ENEPLTNSERVIE v1n9N0u aomx 11/19/10M NOV1TMISOLUOON HCCWMPMT676201420000162 II/I6/2024 HNS-EOIONCC MPMT746009411440W02SMM MMC PORTION QIPP/C"P QIPPXMP2, QIP►/COMP QIPP/C MP h.,(.L lJ ns%Mn 1 3981apH 3 46bps4 QIPPTI NNPORTION 33,33618 33,336.29 23710642 . 1a,650.00 - 14.650.00 J 108.909.99 106,503.99 52.95a,xp� 52,954.80 Balances Overview Account Name *4357 MEMORIAL MEDICAL- $1,770,275.13 $1,694,126.27 $1,770,275.13 $1,970,974.39 OPERATING CLINIC SERIES 2014 SERIES $547.97 $547.97 $547.97 $547.97 *4373 MMC - PRIVATE WAIVER CLEARING $441.14 $441.14 $44114 . $441.14 *4381 MEMORIAL MEDICAL/NH $152,381.10 $217,827.75 $152,381.10 $125,007.50 ASHFORD *4403 MEMORIAL. MEDICAL I NH $333,637.48 $346,993.68 $333,637.48 $216,864.94 BROADMOOR *4411 MEMORIAL MEDICAL INH $508.532.78 $535,625.59 $508,532.78 $403,086.40 CRESCENT *4438 MEMORIAL MEDICAL! SOLERA @ $277,479.31 $319,094.50 $277,479.31 $265,393.68 WEST HOUSTON *4446 MEMORIAL MEDICAL I NH FORT $61,623.03 $80,128.34 $61,623.03 $55.723.03 BEND *4454 MEMORIAL GOLDSMEDICAL/ GOLDECREEK $111,924.08 $111,924.08 $111,924.08 $46,069.04 HEALTHCARE *4551 CAL CO INDIGENT $5,497.00 $5,497.00 $5,497.00 $9,706.51 HEALTHCARE *5433 MMC -NH GULF POINTEPLAZA - $1,038.67 $1,038.67 $1,038.67 $1,038.67 PRIVATE PAY *501 MMC -NH GULF POINTE PLAZA- $125.21 $125.21 $125.21 $125.00 MEDICAREIMEDICAID *5506 MMC -NH BETHANY SENIOR $117,409.51 $121,023.28 $117,409.51 $115,891.14 LIVING *3407 TUSCA MMC -NH TUSCANY VILLAGE $212,733.27 J $229,188.33 $212,733.27 $179,396.99 ING -DAC ANY SR LIVING SR LIVING - DACA $100.00 $100.00 $100.00 $100.00 *2998 MMC -MONEY MAR MARKET FUND $255,053.48 $265,053.48 $255,053.48 $255,053.48 Total Balance $3,808,799.16 $3,918,735.29 $3,808,799.16 $3,645,419.88 Report generated on 11125/2024 09:29:11 AM CST Page 2 of 2 Memorial Medical Center Nursing Home NPL Weekly HSLTrawfer ProsPeft Accounts la/a/zoza J J n..tw. a[wwt a.mgM w..te muym.n.. e).wrf;[eX woaeNw.]wwNMrM.wvnlX.'nt. Nwe]: [aNwmnelw.easw e.rmneyfsmtlw;rupApKyGyypvil.`a[mE..m.rtON, an.. NOV 2 5 2024 nwxwwtyn.nNnwxvrt oNn..svnntMxtAwvnrwrxwn:..ry.us.1. J Is", M. 1 3. 4hnu Hunl Nmm. tl]AW 31 1W.eai.ap &nl4hnu IILa0a.31 v1n.m Ym�n BYn[e I[QW SvwXxpaM[• IAs%Ia OXlgmtt me, NwlgtrtM Gt Wwaw arM.w[: snw ew.a,rso tl/aflo[a 1]lu/m1, iws9ncnswmum..nru lut]16>auesu IIRl/NLL NNa-LLw N[IWNIM)t6�,LLYGN]nnl 11/1UlWL NYMM'AIx1[ONLfUMIMfa}Iaf W ®SIq lllllllbt xwnNslalYnoxxL«ararurneultmmu6 L1 OYfwn W WWI. Wvrnnlp "Wim]mu lU1WMiL NN9-LMnMffWYrM)LftoNIlM0.W1Y9t9 - IgB1aA)o.b wW101L xnL.« wxwYMrM)L,WLILLIKW1Wss - I nin Min )UM1bL xavuuwwnaNx[Lwue6rtnLUtt1®Lf) -// Lyist ).�.� 6.,11.6, tai63]3a L^•,n3a MMC,LMInQV fnvhrLu) inmNnla LaMIfoINII QM/Comm W,/cmq tWlLany m MMT NNPa0.91aN nc]I bag f1619 - 118.]9 My urn b692.9] 0..692.12 an 10.allt] Balances Overview Account Name *4357 MEMORIAL MEDICAL- $1,770,275.13 $1,694,126.27 $1,770,275.13 $1,970,974.39 OPERATING SERI S 2014 INIC SERIES 2D14 $547.97 $547.97 $547.97 $547.97 *4373 •PRIVATE WAIVER WAIVCLEARING CLEARING $441.14 $441.14 $441.14 $441.14 *4381 MEMORIAL MEDICAL INH $152,381.10 $217,827.75 $152,381.10 $125,007.50 ASHFORD *4403 MEMORIAL MEDICAL/NH $333,637.48 $346,993.68 $333,637,48 $216,864.94 BROADMOOR *4411 MEMORIAL MEDICAL! NH $508,532.78 $535,625.59 $508,532.78 $403,086.40 CRESCENT *4438 MEMORIAL MEDICAL I SOLERA $277,479.31 $319,094.50 $277,479.31 $265,393.68 WEST HOUSTON *4446 MEMORIAL MEDICAL/ NH FORT $61,623.03 $60,128.34 $61,623.03 $55,723.03 BEND *4454 MEMORIAL GOLD N CRE GOLDEN CREEK $111,924.08 $111,924.08 $111,924.08 $46,069.04 HEALTHCARE *4551 CAL CO INDIGENT $5,497.00 $5.497.00 $5,497.00 $9,706.51 HEALTHCARE *5433 MMC -NH GULF POINTEPLAZA- $1,038.67 $1,038.67 $1.038.67 $1.038.67 PRIVATE PAY *5441 MMC -NH GULF POINTEPLAZA- $125.21 $125.21 $125.21 $125.00 MEDICAREIMEDICAID *5506MMC •NH BETHANY SENIOR $117,409.51 J $121,023.28 $117,409.51 $115,891.14 LIVING *3407 TUSCA YVILL TUSCANY VILLAGE $212,733.27 $229,188.33 $212,733.27 $179,396,99 *3660 MMC •BETHANY SR LIVING -DACA $100.00 $100.00 $100.00 $100.00 *2998 MMC -MONEY MARKET FUND MAR $255,053.48 $255,053.48 $255,053.48 $255,053.48 Total Balance $3,808,799.16 $3,918,735.29 $3,808,799.16 $3,645,419.88 Repon generated on 11/2512024 09:29:11 AM CST Page 2 at 2 P A Y E E AMOUNT: MEMORIAL MEDICAL CENTER CHECK REQUEST Memorial Medical Center Date Requested: 11/25/2024 EXPLANATION: APPROVED ON Alcor 2 5 2024 BY COUNTY AUDITOR CALHOUN COUNT'! AS FOR ACCT USE ONLY ❑ Imprest Cash ❑ A/P Check ❑ Mail Check to Vendor ❑ Return Check to Dept $ 324.27 j G/L NUMBER: 21400007 Claim pymnts owed from Tuscany to MMC REQUESTED BY: Caitlin Clevenger AUTHORIZED BY: Wj4