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2025-02-05 Final PacketNOTICE OF MEETING - 2/5/2025 February 5, 2025 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: Vern Lyssy David Hall Ronald Best Joel Behrens Gary Reese (ABSENT) Anna Goodman By: Kaddie Smith The subject matter of such meeting is as follows: 1. Call meeting to order. County Judge Commissioner Pct 1 Commissioner Pct 2 Commissioner Pct 3 Commissioner Pct 4 County Clerk Deputy Clerk Meeting was called to order at 10 am by Judge 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. Gary Jackson speaks to the court in hopes to get the word out — airplane did not hit the World Trade Center. Page 1 of 6 I NOTICE OF MEETING -- 2/5/2025 5. Approve January 29,2025 Commissioners' Court Meeting Minutes. (VLL) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: ` Judge Lyssy, Commissioner Hail, Best, Behrens, Reese 6. Hear MMC Report. Erin Clevenger gave the report. 7. Consider and take necessary action to carry over the remaining 2024 roof project budget in the amount of $328,200 in the Building Maintenance Department due to the project not being complete in 2024. (VLL) RESULT: APPROVED,[UNANIMOUS] MOVER: David Hall, Commissioner Pct 1. SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Lyssy, Commissioner Hall, Best, Behrens, Reese 8. Consider and take necessary action to transfer budgeted funds in the amount of $14,664.88 for office furniture in the County Judges Department ordered in 2024 and delivered in 2025. (VLL) RESULT: APPROVED [UNANIMOUS] MOVER: Joel Behrens„ Commissioner Pct 3 SECONDER: Ronald Best, Commissioner Pct2 AYES: Judge Lyssy, Commissioner Hall, Best, Behrens, Reese 9. Consider and take necessary action to carry over $18,500 to the 2025 Commissioners Court budget for structural removal as approved in Commissioners Court on July 10, 2024 and approve payment to KMAC Construction Services, Inc. for proposal amount of $18,500. This work was delayed and not completed until 2025. (VLL) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Ronald Best, Commissioner Pct2 AYES: Judge Lyssy, Commissioner Hall, Best, Behrens, Reese Page 2 of 6 NOTICE OF MEETING — 2/5/2025 10. Consider and take necessary action to authorize the Calhoun County Area Go -Texan Committee to allow alcohol to be consumed on the Calhoun County Fair Grounds, Bauer Building and the Pavilion during their Calhoun County Area Go -Texas Bar-B-Que Cook -off on April 4, 5, and 6, 2025. No alcohol will be sold on the premises. (VLL) Richard Parrish asked for permission. RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Lyssy, Commissioner Hall, Best,Behrens, Reese 11. Consider and take necessary action to allow The Calhoun County Judge Vern Lyssy sign the Voting Equipment Lease between Calhoun County Elections and The City of Port Lavaca. (VLL) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Lyssy, Commissioner Hall, Best, Behrens,', Reese 12. Accept the 2024 Certificate of Completion for Continuing Education Hours from the District Clerk and enter into Official Records. (VLL) RESULT: APPROVED [UNANIMOUS] MOVER: Joel Behrens,' Commissioner Pct 3 SECONDER: Ronald Best, Commissioner Pct 2 AYES: Judge Lyssy, Commissioner Hall, Best, Behrens, Reese 13. Consider and take necessary action to approve the contract with Weaver & Jacobs Constructors, Inc. for Bid No. 2024.06 — Memorial Medical Center HVAC & Roof Improvements for Calhoun County, and authorize the County Judge to sign. (VLL) No action taken 14. Consider and take necessary action on the following FY 2025 Interlocal Agreements and authorize payment of purchase orders and authorize Judge Lyssy to sign all documents. (a) Calhoun Soil and Water Conservation District $7,750.00 RESULT: APPROVED [UNANIMOUS] MOVER: Joel Behrens, Commissioner Pct 3 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Lyssy, Commissioner Hall, Best, Behrens, Reese Page 3 of 6 NOTICE OF MEETING — 2/5/2025 15. Consider and take necessary action to renew Precinct 3 copier rental agreement (#3111572) with Great America Financial Services/Dewitt Poth & Son. For a Kyocera ECOSYS MA3500cifx model copier and authorized Commissioner Behrens sign all necessary documents. (JMB) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Lyssy, Commissioner Hall, Best, Behrens, Reese 16. Consider and take necessary action to approve the infrastructure development plat (IDP) of Simple Stay, LLC # 2 located in Calhoun County, TX. (JMB) Scott Mason explained the Infrastructure Development Plat. RESULT- APPROVED [UNANIMOUS] MOVER: Joel Behrens, Commissioner Pct 3 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Lyssy, Commissioner Hall, Best, Behrens,; Reese 17. Consider and take necessary action to accept donation from Lisa Baumann for the Port O'Connor Community Center and put into Utilities line item, 2736-999-66616. (GDR) RESULT: APPROVED [UNANIMOUS] MOVER:; Joel 'Behrens, Commissioner Pct 3 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Lyssy, Commissioner Hall, Best, Behrens, Reese 18. Consider and take necessary action to set a hearing to consider the Petition to create Calhoun County Hospital District received by Calhoun County Commissioner's Court on February 12, 2025 at 10:00 a.m., in the Commissioner's Court Courtroom, First Floor of the Calhoun County Courthouse, 211 S. Ann, Port Lavaca, Texas. (VLL) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1' SECONDER: Ronald Best, Commissioner Pct 2 AYES: Judge Lyssy, Commissioner Hall, Best, Behrens, Reese Page 4 of 6 NOTICE OF MEETING — 2/5/202.5 19. Consider and take necessary action on Addendum No. 1; Bid No. 2024.12-Calhoun County Green Lake Park - Phase 1; Project 1 and authorize Judge Lyssy to sign all documentation. Matt Glaze with Urban Engineering explained addendum. RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Lyssy, Commissioner Hall, Best, Behrens, Reese 20. Consider and take necessary action on budget adjustments. (VLL) (a) 2024 budget adjustment (b) 2025 budget adjustments 2024 RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Lyssy, (Commissioner Hall, Best, Behrens, Reese 2025 RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct'4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Lyssy, Commissioner Hall, Best, Behrens, Reese Page 5 of 6 NO-1 ICE OF MEETING — 2/5/2025 21. ADoroval of bills and navroll. WLL) MMC Bills: RESULT: APPROVED [UNANIMOUS]' MOVER: David Hall, Commissioner Pct l SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Lyssy, Commissioner Hall, Best, Behrens, Reese 2024 County Bills: RESULT: ''APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Lyssy, Commissioner Hall, Best, Behrens, Reese 2025 County Bills: RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Ronald Best,' Commissioner Pct 2 AYES: Judge Lyssy, Commissioner Hall, Best, Behrens, Reese Adjourned 10:42 Page 6 of 6 CA]LHOIC N COUNTY COMMISSIONERS'COURT T PACKET COMPLETION SHEET All Agenda Stems properly Numbered Contracts Completed and Signed —1G All 1295's Accepted All Documents for Clerk Signature Flagged (All documents needing to be attested to need to be signed day of Commissioner's Court.) On this clay of Y�&L4 Q,2 2025, the packet for the _ _� day of F ru 2 2025 Commissioners' Special Regular Session was submitted from t e Calhoun County .fudge's office to the Calhoun County Clerk's Office. Calhoun County ]udge/Assist (it GEND I NIC)llCE OF IVIEEIING - 2;5j2025 Vern L. Lyssy County judge David Hall, Commissioner, Precinct I Ronald Best, Commissioner, Precinct 2 ,noel Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 NOTICE OF MEETING The Commissioners' Court of Calhoun County, Texas will meet on Wednesday, February 5, 2025 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: � I. Call meeting to order. -off®C wh{ 2. Invocation. JAI 3 1 2025 3. Pledges of Allegiance. setmrrcce'"%9$'N c kkdf �S newer: 4. Genera[ Discussion of Public Matters and Public Participation. 5. Approve January 29,2025 Commissioners` Court Meeting Minutes. (VLL) 6. Hear MMC Report. 7. Consider and take necessary action to carry over the remaining 2024 roof project budget in the amount of $328,200 in the Building Maintenance Department due to the project not being complete in 2024. (VLL) 8. Consider and take necessary action to transfer budgeted funds in the amount of $14,664.88 for office furniture in the County Judges Department ordered in 2024 and delivered in 2025. (VLL) 9. Consider and take necessary action to carry over $18,500 to the 2025 Commissioners Court budget for structural removal as approved in Commissioners Court on July 10, 2024 and approve payment to KMAC Construction Services, Inc. for proposal amount of $18,500. This work was delayed and not completed until 2025. (VLL) 10. Consider and take necessary action to authorize the Calhoun County Area Go -Texan Committee to allow alcohol to be consumed on the Calhoun County Fair Grounds, Bauer Building and the Pavilion during their Calhoun County Area Go -Texas Bar-B-Que Cook -off on April 4, 5, and 6, 2025. No alcohol will be sold on the premises. (VLL) Page 1 of 3 I NOFICI of MELFING - 21/`V20 s 11. Consider and take necessary action to allow The Calhoun County Judge Vern Lyssy sign the Voting Equipment Lease between Calhoun County Elections and The City of Port Lavaca. (VLL) 12. Accept the 2024 Certificate of Completion for Continuing Education Hours from the District Clerk and enter into Official Records. (VLL) 13. Consider and take necessary action to approve the contract with Weaver & Jacobs Constructors, Inc. for Bid No. 2024.06 — Memorial Medical Center HVAC & Roof Improvements for Calhoun County, and authorize the County Judge to sign. (VLL) 14. Consider and take necessary action on the following FY 2025 Interlocal Agreements and authorize payment of purchase orders and authorize Judge Lyssy to sign all documents. (a) Calhoun Soil and Water Conservation District $7,750.00 15. Consider and take necessary action to renew Precinct 3 copier rental agreement (#3111572) with Great America Financial Services/Dewitt Poth & Son. For a Kyocera ECOSYS MA3500cifx model copier and authorized Commissioner Behrens sign all necessary documents. (JMB) 16. Consider and take necessary action to approve the infrastructure development plat (IDP) of Simple Stay; LLC # 2 located in Calhoun County, TX. (JMB) 17. Consider and take necessary action to accept donation from Lisa Baumann for the Port O'Connor Community Center and put into Utilities line item, 2736-999-66616. (GDR) 18. Consider and take necessary action to set a hearing to consider the Petition to create Calhoun County Hospital District received by Calhoun County Commissioner's Court on February 12, 2025 at 10:00 a.m., in the Commissioner's Court Courtroom, First Floor of the Calhoun County Courthouse, 211 S. Ann, Port Lavaca, Texas. (VLL) 19. Consider and take necessary action on Addendum No. 1; Bid No. 2024.12-Calhoun County Green Lake Park- Phase 1; Project 1 and authorize Judge Lyssy to sign all documentation. 20. Consider and take necessary action on budget adjustments. (VLL) (a) 2024 budget adjustment (b) 2025 budget adjustments 21. Approval of bills and payroll. (VLL) Vern Ly: Calhoun Page 2 of 3 NUI ICE OP MEETING - )/S/2U25 A copy of this Notice has been placed on the inside bulletin board of the Calhoun County Courthouse, 211 South Ann Street, Port Lavaca, Texas, which is readily accessible to the generalpublic during regular business hours. This Notice shall remain posted continuously for at least 72 hours preceding the scheduled meeting time. For your convenience, you may visit the county's website at www.calhouncotx.org under "Commissioners' Court Agenda" for any official court postings. Page 3 of 3 # 04 I*] 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: ADDRESS: TELEPHONE: PLACE OF EMPLOYMENT:'�l ie EMPLOYMENT TELEPHONE: Do you represent any particular group or organization? YES ') (Circle one) 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 1 make will be the truth, and nothing but the truth, to the best of my knowledge and ability. Signature: # 05 NOTICE OF MEETING — 2/5/2025 5. Approve January 29,2025 Commissioners' Court Meeting Minutes. (VLL) RESULT APPROVED'[UNANIMOUS] MOVER' Gary Reese, Commissioner Pct 4 SECONDER: Jael'Behrens, Commissioner Pct 3 AXES: Judge. Gyssy, Commissioner Hall, Best, -Behrens, Reese Page 2 of 18 NOTICE OF MEETING—01/29/2025 Vern L. ]Lyssy County judge David Hall, Commissioner, Precinct I Ronny Best, Commissioner, Precinct 2 Joel Behrens, Commissioner, Precinct 3 Gary ][geese, Commissioner, Precinct 4 The Commissioners' Court of Calhoun County, Texas met on Wednesday, January 29, 2025, 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. Vern Lyssy, ounty Judge Calhoun County, Texas Anna Goodman, County Clerk UDeputy Clerk--hV Page 1 of 1 NOTICE OF MEETING—1/29/2025 January 29, 2025 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: Vern Lyssy David Hall Ronald Best Joel Behrens Gary Reese Anna Goodman By: Kaddie Smith The subject matter of such meeting is as follows: 1. Call meeting to order. Meeting was called to order at 10am 2. Invocation. Commissioner David Hall 3. Pledges of Allegiance. US Flag: Commissioner Gary Reese Texas Flag: Commissioner Joel Behrens CountyJudge Commissioner Pct 1 Commissioner Pct 2 Commissioner Pct 3 Commissioner Pct 4 County Clerk Deputy Clerk 4. General Discussion of Public Matters and Public Participation. Court wishes Commissioner Hall a Happy Birthday. Page 1 of 6 NOTICE OF MEETING— -1/29/2025 5. Approve December 11, 2024 and January 22, 2025 Commissioners' Court Meeting Minutes. (VLL) RESULT: ANIMOUS] ,missioner P•ct3missioner PctA AmBehrehs missioner Hall; Best, Behrehs;; keese 6. Consider and take necessary action to approve a resolution recommending support for the advancement and funding of advanced nuclear technology by the 89a' Legislature of the State of Texas. (VLL) 7. Consider and take necessary action to approve the UniFirst Customer Service Agreement for Uniforms for Calhoun County Building Maintenance Employees. (VLL) RESULT APPROVED [UNANIMOUS] MOVER: Joel Behrens;: Commissioner ?ct 3 SECONDER. - GaryReese, Commissioner Pct 4 AYBS:` Judge Lyssy, Cornmissioner Ha#I Best, Behrens; Reese - 8. Consider and take necessary action to declare Inventory Item 665-0209, Manitowoc Indigo Ice Machine and Storage Bin, Serial Number 1120018694/1101322954, as waste and remove from Calhoun County Extension Office Inventory. (VLL) RESULT: - APPROVED [UNANIMOUS] MOVER: Gary Reese; Commissioner Pct=4 SECONDER: __ Joel Behrens, -Commissioner Pct-3 AYES: Judge Lyssy, CommissibnerL Hall, Best,. Behrens, Reese,, , Page 2 of 6 I NOTICE OF MEETING-- 1/29/2025 9. Consider and take necessary action to approve the contract with Weaver & Jacobs Constructors, Inc. for Bid No. 2024.06 — Memorial Medical Center HVAC & Roof Improvements for Calhoun County, and authorize the County Judge to sign. (VLL) pass 10. Consider and take necessary action to approve Amendment #1 to the Short Form of Agreement Between Owner and Engineer for Professional Services with G&W Engineers, Inc., in connection to the Memorial Medical Center HVAC & Roof Improvements for Calhoun County, and authorize the County Judge to sign. (VLL) RESULT: APPROVED[UNANhMOUS] MOVER Vern Lyssy, County Judge SECONDER.- Gary Reese, commissioner Pct 4 AYES: Judge Lyssy; Commissioner'Hall, Best, Behrens,: Reese 11. Acknowledge the corrected Fuel baseline price for the Fly Ash Road Material Bid Tabulation. The gasoline price of $2.665 on January 13, 2025 was used instead of the diesel price of $3.321. (VLL) RESULT: APPR01/ED [UNANIMOUS] . MOV.-ER: David Hall,.Commissioner Pct 1 SECONDER,: - Ronald Best; -;commissioner PC t 2 AYES: Judge Lyssy,:CommisSoner HaII, Best; Behrens, Reese 12. Consider and take necessary action to authorize Commissioner Behrens to sign the 2025 maintenance Contract with Hurts Wastewater Management for Precinct 3 septic system. (JMB) RESULT: APPROVED [UNANIMOUS]:' MOVER: Joel Behrens; Commissloner Pet 3 SECONDER;:. David, Hall Commissioner Pct 1; AYES': Judge Lyssy,-Commissioner Hall, Best; Behrens; Reese 13. Consider and take necessary action to declare the attached list of items for the Calhoun County Constable PCT 4 as Waste. (GDR) pass Page 3 of 6 NOTICE OF MEETING- 1/29/2025 14. Consider and take necessary action to issue a Credit Card with a limit of $2500.00 for Racheal Crober, Lieutenant, at the Calhoun County Detention Center. (VLL) RESULT: APPROVED [UNANIMOUS] MOVER David Hall, -Commissioner Pct SECONDEM-1 Gary. Reese; -Commissioner Pct 4 AYES:: Judge Lyssy; Commissioner Hall, Best, Behrens, :Reese 15. Consider and take necessary action to change the position title, job description and pay from salary to hourly for jail administration. (VLL) RESULT: ,APPROVED[UNANIMOUSI MOVER: Di- d Hall, Commissioner Pct i SECONDER. Gary Reese, Commissioner P,et 4 AYES: Judge Lyssy, Commissioner_'Hall, Best, Behrens, Reese 16. Consider and take necessary action to approve the contract with MidTex Materials, LLC for Fly Ash - Road Material, Bid Number 2025.04 for the period February 12, 2025 thru December 31, 2025 and authorize the County Judge to sign all necessary documents. (VLL) RESULT. APPROVED [UNA.NIMOUS] MOVER: David Hall, Commissioner Pct 1, SECONDER; Gary Reese, Commissioner Pct4 AYES: Judge,Lyssy, Commissioner Hall, Best, Behrens; Reese,.; 17. To acknowledge and accept the correction of Judge's name on the resolution for Lone Star Grant 2025 #5183101 and allow Judge Lyssy to sign. (VLL) RESULT: APPROVED [UNANIMOUS];`, MOVER - Joel Behrens, Commissioner Pct 3 SECONDER. Ga. ry Reese, Commissioner Pct 4 AYES: Judge Lyssy, Commissioner Hall, Best, Behrens, Reese 18. Consider and take necessary action to receive the Petition for the creation of the Calhoun County Hospital District. (VLL) Page 4 of 6 NOTICE OF MEETING—1./29/2025 19. Consider and take necessary action to Accept grant from the Matagorda Bay Mitigation Trust in the amount of $249,926.00 for the replacement of the Little Chocolate Bayou restrooms and authorize all appropriate'signatures on Contract number 077. (DEH) RESULT APPROVED, [UNANIMOUS] MOVEKs Gary Reese; Commissioner Pot 4 . SECONDER `J..oel.;Behrens,.Commiss:oner.Pet 3' AY Ill' Judge Lyssy Commissioner Hall, Best, Behrens, Reese 20. Consider and take necessary action to approve attached surplus salvage for 2016 Bomag BW138D Serial Number 101650341034 to be used for trade for purchase of 2019 Bomag BW211ZD serial number 101586081540 and approve all appropriate signatures. (DEH) RESULT: APPROVED [UNANIMOUS]. MOVER. Ravid Hall, Commissioner Pct 1; SECONDER: Joel Behrens; Commissioner Pct 3 AYES: Judge Lyssy, Commissioner Hall, Best, Behrens; Reese 21. Consider and take necessary action on any necessary 2024 budget adjustments. (VLL) RESULT APPROVED'[UNANIMOUS] - MOVER. GaryReese;: Commissoner;Pct, SECONDER Joel Behrens, Commissioner.Pct.3 AYES: Judge Lyssy,: Comniisslon& Hall,, Best;: Behrens, Reese 22. Consider and take necessary action on any necessary 2025 budget adjustments. (VLL) No action taken Page 5 of 6 ( NOTICE OF MEETING — ]./29/2025 23. Approval of bills and pavroll. WILL) MMC BIIIS: RESULT: APPROVEID. [UNANIMOUS]:', MOVER: David Hall,' Commissioner,'Pct i' SECONDER. -: Gamy Meese, Commissioner Pct 4 AYES. )udge,Lyssy,Commissioner Hall; Best, Behrens, Reese Adjourned 10:43am Page 6 of 6 # 06 ' NOTICE OF MEETING — 2/5/2025 6. Hear MMC Report. Erin Clevenger'gave the report. Page 3 of 18 CEO REPORT MEMORIAL MEDICAL Q& CENTER January 2025 So Much... So Closel . FACILITY UPDATES • 7511 Anniversary Celebration: Memorial Medical Center is celebrating its 75`h year of operation. We will be spotlighting that throughout 2025 and we are planning an event to be held in the evening on April 2, 2025. • Arctic Blast: Memorial Medical Center fared well facility wise through the winter storm during the week of January 20th. We had one power flash, with generator functioning appropriately. Some of our departments implemented delayed start times on 1/21 and 1/22, and many patients canceled or rescheduled their appointments. Unfortunately, this will effect January volumes in some areas. • Security System Install: The Nitor Verkada Security System install will be complete on Monday, January 27th. • Department Relocations: The gift shop relocation has been completed and they are back in service. The relocation of Patient Financial Services and Patient Registration has a target completion date of February 7tn FINANCIAL RESPONSIBILITY Chargemaster Pricing Adjustment: We completed a Market Based Pricing Review with our Chargemaster review company (Para/CorroHealth) and have implemented the agreed upon pricing changes. This review compared MMCs charges to our peers for Room Rates, Pharmacy, Supplies, Operating Room, Anesthesia and Recovery and shows us the average charge of our peer hospitals. The pricing changes could represent a 5.4% gross revenue increase while keeping us at or under the peer market average. UC DY14 Advance Payment: We will be making an IGT payment for the Uncompensated Care (UC) Demonstration Year 14 Advance Payment with a settlement date of February 4, 2025. MMC will IGT $155,114.90 and we will receive our UC advance payment in the amount of $387,787.25 on February 191h (net $232,672.35). HARP: We made an IGT of $9,063.24 on January 10, 2025 and will receive a HARP payment of $22,659.10 on January 241h (net $13,594.86). The Hospital Augmented Reimbursement Program (HARP) is a statewide supplemental program providing Medicaid payments to hospitals for inpatient and outpatient services that serve Texas Medicaid fee -for -service (FFS) patients. The program serves as a financial transition for providers historically participating in the Delivery System Reform Incentive Payment (DSRIP) program. HARP will provide additional funding to hospitals to assist in offsetting the cost hospitals incur while providing Medicaid services. January 2025 MEMORIAL MEDICAL CWrER 6 much... S U..! EMPLOYEE ACTIVITIES TEAM • Weight Loss Challenge: The EAT Committee January activity is the Weight Loss Challenge. Brave employees weigh in and the employee losing the highest percentage of body weight after 12 weeks wins a prize. COMMUNITY OUTREACH • Travis 8`h Grade Student Site Visit: The Travis Middle School 81h grade students visited Memorial Medical Center on January 9th. Various department directors spoke to the students and they were able to tour the facility as an intro to the healthcare industry. AGENDA ITEMS • Hospital District Petition Update • Nuclear Medicine Service Contract quote • HVAC Update • Coverage Agreement Amendment with Dr. William Crowley N �*♦**4m4m4m O N iE .m.. 2' `�. �. , aF .. .: aF � S.. m N m a m m oo. a ry v .iin 6'c � tll p ti me m ro N vi E _ E m R E v VI � c G � E LL Y1 O � m u�i .ti ry 'i n .ti LL i O N ; W w Ny m V N m .i eti 1 .ti . m .ti a E 8 m 0 December 2024 Financials Narrative • Charity write-offs were $1.9 million. Some of this came out of bad debt, so it just transferred from one expense to another. We have been trying to clean up accounts, as there were some things that the previous controller didn't do and instead waited for the auditors to calculate during the audit. The first of these was DSH expenses & revenue. After researching it, we found $1.9 million of revenue that should have been posted last summer. • We are also working with the auditors to clean up all of the nursing home accounts. This was prompted by losing the Cantex facility partnership. There are receivable, payable & A/R accounts to clear. • Supplies expenses were up. End of year inventory adjustments were posted. This was the first time in a couple of years they have been posted. Pharmacy's inventory was valued at $1.5 million in the G/L & they only had $500k on the shelf. • Cash collected on patient accounts was $2,576,347 • Days Cash on Hand — 89.97 days • Net A/R - $5,279,792 = 34.2 days • Accounts Receivable Balances — Hospital - $14,645,296 Clinic - $489,291 MEMORIAL MEDICAL CENTER OPERATING STATEMENT FOR THE 12 MONTHS ENDING 12/31/24 --------- S I N G L E M ON T H---------------------- Y E A R T O D A T E ----------- ACTUAL BUDGET $ VARIANCE % VAR ACTUAL BUDGET $ VARIANCE % VAR OPERATING REVENUE TOTAL IP REVENUE 520,142 932,008 (411,865) (44) 7,658,281 11,184,096 (3,525,814) (31) TOTAL OP REVENUE 3,105,169 3,249,076 (143,906) (4) 38,787,630 38,988,912 (201,282) (0) ER REVENUE 2,343,406 2,272,240 71,165 3 30,739,696 27,266,882 3,472,813 12 M4C CLINIC 406,470 397,385 9,085 2 4,717,161 4,768,620 (51,458) (1) SPEC CLINIC REVE 110,855 192,699 (81,844) (42) 2,000,912 2,312,389 (311,477) (13) TOT PATIENT RE 6,486,044 -------------- 7,043,408 ------------- (557,364) -------------- (7) 83,903,682 -------------- 84,520,901 -------------- (617,218) -------------- (0) REVENUE DEDUCTIONS CONTRACTUAL ADJU 2,599,488 3,178,260 578,771 18 40,069,124 38,139,120 (1,930,003) (5) CHARITY WRITEOFF 1,923,952 810,904 (1,113,048) (137) 7,842,222 9,730,857 1,888,635 19 BAD DEBT EXPENSE (820,532) 65,000 885,532 1362 3,580,448 780,000 (2,800,449) (359) OTHER DEDUCTIONS 157,598 -------------- 103,559 ------------- (54,038) -------------- (52) 2,726,270 1,242,716 (1,483,554) (119) TOT REV DEDUCT 13,860,507) -------------- (4,157,724) ------------- 297,217 -------------- 7 -------------- (54,218,065) -------------- -------------- (49,892,694) -------------- -------------- (4,325,371) -------------- (8) OTHER REVENUE CAFETERIA SALES 20,.888 16,000 4,888 30. 313,589 192,000 121,589 63 MISCELLANEOUS IN 17,992 11,858 6,133 51 393,420 142,300 251,120 176 340B REVENUE 52,653 166,722 (114,068) (68) 1,513,472 2,000,668 (487,196) (24) GRANT REVENUE 7,350 -------------- 0 ------------- 7,350 0 975,706 0 975,706 0 TOT OTHER REV 98,884 -------------- 194,580 ------------- -------------- (95,696) -------------- (49) -------------- 3,196,189 -------------- -------------- 2,334,969 -------------- -------------- 861,220 -------------- 36 NET REVENUE... 2,724,421 3,080,264 (355,843) (11) 32,881,806 36,963,176 (4,081,369) (11) MEMORIAL MEDICAL CENTER OPERATING STATEMENT FOR THE 12 MONTHS ENDING 12/31/24 --------- S I N G L E M 0 N T H---------- ------------ Y E A R T O D A T E ------------ ACTUAL BUDGET $ VARIANCE $ VAR ACTUAL BUDGET $ VARIANCE $ VAR OPERATING EXPENSE SALARIES 1,129,414 1,311,755 182,340 13 14,375,158 15,741,069 1,365,910 8 EMPLOYEE BENEFIT 427,469 432,262 4,792 1 4,186,603 5,187,149 1,000,546 19 PROFESSIONAL FEE 218,899 430,618 211,719 49 5,657,756 5,167,425 (490,331) (9) PURCHASED SERVIC 435,164 486,180 51,015 10 5,047,959 5,834,160 786,200 13 SUPPLIES 769,800 371,545 (398,254) (107) 4,854,590 4,458,543 (396,046) (8) INSURANCE 6,873 7,000 126 1 65,067 84,000 18,932 22 UTILITIES 42,966 45,600 2,633 5 576,141 547,200 (28,941) (5) OTHER EXPENSES 72,.097 -------------- 124,274 ------------- 52,176 41. 1,353,996 1,491,289 137,291 9 TOTAL OPERATIN 3,102,686 -------------- 3,209,236 ------------- -------------- 106,549 -------------- 3 -------------- 36,117,273 -------------- -------------- 38,510,836 -------------- -------------- 2,393,562 -------------- 6 NET OPERATING (378,265) (128,971) (249,293) (193) (3,235,466) (1,547,659) (1,687,806) (109) NON-OPERATING-REVENUE/EXPENSE DEPRECIATION 72,337 100,078 27,740 27 879,862 1,200,937 321,075 26 INTEREST INCOME 25,755 2,050 23,705 1156 231,633 24,600 207,033 841 INTEREST EXPENSE 0 1,198 1,198 100 1,947 14,385 12,437 86 CONTRIBUTIONS 0 83,353 (83,353) (100) 24,441 1,000,239 (975,798) (97) TOTAL OPERATIN (424,847) (144,845) (424,847) (144,845) (280,001) (193) (3,861,202) (1,738,142) (2,123,059) (122) (280,001) (193) (3,861,202) (1,738,142) (2,123,059) (122) NURSING HOME REV 2,552,156 5,569,061 (3,016,904) (54) 77,877,514 66,828,740 11,048,774 16 NURSING HOMES FE 2,617,777 5,833,907 3,216,129 55 80,475,939 70,006,884 (10,469,055) (14) NURSING HOME UPI 481,811 808,853 (327,041) (40) 8,344,350 9,706,236 (1,361,885) (14) IGT EXP NH UPI 361,245 -------------- 390,829 ------------- 29,583 -------------- 7 4,364,528 4,689,950 325,421 6 NURSING HOME G 54,944 153,178 (98,233) (64) -------------- 1,381,397 -------------- 1,838,142 -------------- (456,745) (24) NET GAIN/(LOSS (369,902) 8,333 (378,235) (4538) (2,479,805) 99,999 (2,579,805) (2579) MEMORIAL MEDICAL CENTER OPERATING STATEMENT FOR THE 12 MONTHS ENDING 12/31/24 NURSING HOMES --------- S I N G L E M 0 N T H---------------------- Y E A R T O D A T E ----------- ACTUAL BUDGET $ VARIANCE % VAR ACTUAL BUDGET $ VARIANCE % VAR MEMORIAL MEDICAL CENTER BALANCE SHEET FOR THE MONTH ENDING: 12/31/24 This Year Last Year Last Month 12/31/24 12/31/23 11/30/24 CURRENT ASSETS CASH OPERATING FUND 991,884 953,866 1,289,898 SHORT TERM SAVINGS 2,058,288 1,104,779 255,380 LONG TERM RESERVES 4,752,930 3,091,487 4,733,984 NURSING HOME CASH 734,849 1,174,610 1,354,648 TOTAL CASH .......................... 8,537,954 5,324,752 7,633,911 ACCOUNTS RECEIVABLE PATIENT ACCOUNTS RECEIVABLE 11,700,762 12,940,060 14,630,397 PATIENT ACCOUNTS RECEIVABLE CLINIC 526,210 656,328 489,290 ALLOWANCE FOR DOUBTFUL ACCOUNTS (1,024,120) (2,306,203) (2,605,802) MISC ACCOUNTS RECEIVABLE ----------------- 6,641,915 ----------------- 14,569,789 ----------------- 20,065,839 TOTAL ACCOUNTS RECEIVABLE........... ----------------- 17,844,768 ----------------- 25,859,974 32,579,725 CENTRAL SUPPLY INVENTORY 1,247,357 ----------------- 1,528,599 1,728,414 PREPAID EXPENSES 406,9B1 384,663 330,227 TOTAL CURRENT ASSETS ................ 28,037,061 34,097,990 42,272,279 PROPERTY, PLANT, & EQUIPMENT LAND & IMPROVEMENTS 14,419,360 14,271,696 14,419,360 FIXED & MOVABLE EQUIPMENT 15,629,740 15,431,144 15,629,740 LESS: ACCUMULATED DEPRECIATION ----------------- (23,969,118) ----------------- (23,089,256) (23,896,781) TOTAL PROPERTY, PLANT, & EQUIP 6,079,982 ----------------- 6,613,584 6,152,319 TOTAL UNRESTRICTED ASSETS........... ----------------- 34,117,043 ----------------- 40,711,575 48,424,599 DEFERRED OUTFLOWS OF RESOURCES 2,919,509 ----------------- 2,919,509 2,919,509 TOTAL ASSETS AND DEFERRED OUTFLOWS 37,036,552 43,631,084 51,344,108 MEMORIAL MEDICAL CENTER BALANCE SHEET FOR THE MONTH ENDING: 12/31/24 This Year Last Year Last Month 12/31/24 12/31/23 11/30/24 CURRENT LIABILITIES ACCOUNTS PAYABLE 1,031,970 1,070,792 1,470,918 ACCRUED EXPENSES 111,662 202,353 469,326 ACCRUED PAYROLL 1,210,853 1,415,040 1,239,426 ACCRUED RETIREMENT 174,036 181,568 167,095 ACCRUED STATE SALES TAX 1,878 2,035 2,315 NOTE PAYABLE - CALHOUN COUNTY 4,000,000 2,100,000 4,000,000 ACCRUED INTERGOVERNMENTAL TRANSFER 2,304,712 (595,026) 2,920,444 THIRD PARTY PAYABLES (197,227) 236,165 (216,898) DUE TO NURSING HOMES 14,983,866 17,579,512 28,764,240 CAPITAL LEASES OBLIGATION (66,627) 3,000 (66,627) ----------------- TOTAL CURRENT LIABILITIES........... ----------------- 18,945,699 ----------------- 23,385,494 32,909,352 LONG TERM LIABILITIES LONG TERM LEASE -LT LIAB 53,460 57,471 53,460 INACT FINANCD AGRMNTS-LNG TRM 98,820 98,820 98,820 NET PENSION ASSET 3,608,164 3,296,164 3,582,164 ----------------- TOTAL LONG TERM LIABILITIES......... ----------------- 3,760,445 ----------------- 3,452,456 3,734,445 TOTAL LIABILITIES ................... 22,706,145 26,837,950 36,643,798 DEFERRED INFLOWS OF RESOURCES DEFERRED INFLOWS OF RESOURCES 28,916 28,916 20,916 RETAINED EARNINGS GENERAL FUND BALANCES 16,781,296 16,7B1,296 16,781,296 YEAR-TO-DATE GAIN/LOSS _________________ (2,479,805) _________________ _________________ (2,109,902) TOTAL GENERAL FUND BALANCE.......... 14,330,407 16,810,212 14,700,310 TOTAL UNRESTRICTED LIABILITIES ________________ 37,036,552 ------------- 43,648,163 ____ _________________ 51,344,108 Calhoun County Indigent Care Patient Caseload 2024 Approved Denied Removed Active Pending January 0 3 2 1 7 February 0 3 0 1 5 March 0 4 0 1 4 April 1 0 0 2 0 May 1 6 0 3 0 June 0 1 0 3 2 July 0 1 1 2 2 August 0 0 0 3 2 September 0 2 0 3 2 October 0 0 1 2 4 November 0 1 1 1 3 December 0 5 0 1 1 YTD 2 26 5 23 32 Monthly Avg 0 2 0 2 3 December 2023 Active 4 Number of Charity patients 219 Number of Charity patients below 50% FPL 113 Number of Charity patients who meet State Indigent Guidelines 103 Calhoun County Pharmacy Assistance Patient Caseload 2024 Approved Refills Removed Active Value January 6 18 0 7 $9,662.15 February 0 0 0 30 $0.00 March 3 9 0 17 $8,345.67 April 5 15 0 20 $8,332.53 May 5 15 0 22 $13,588.44 June 1 3 0 26 $3,567.00 July 2 6 0 28 $2,872.47 August 1 3 0 29 $1,706.64 September 0 3 0 30 $5,169.00 October 1 3 0 32 $936.69 November 7 23 0 35 $14,419.44 December 5 16 0 38 $17,327.25 YTD PATIENT SAVINGS $85,927.28 Monthly Avg 3 10 25 $7,160.61 December 2023 Active 36 Memorial Medical Center 7 Month Cash Flow Projection Jan-25 Feb-25 Mar-25 ,. Apr-25 May-25 Jun-25 - dui-25. Cash On Hand -Operating & Money Market (Beginning of Month) $ 7,803,105 $ 6,807,605 $ 5,633,105 $ 6,326,112 $ 5,725,612 S 6,083,002 $ 4,174,178 CASH INFLOWS: Cash AR Receipts - Hospital $ 2,385,000. $ 2,385,000 $ 2,385,000 $ 2,385,000 $ 2,385,000 $ 2,385,000 $ 2,385,000 Cash AR Receipts - Clinic $ 375,000 $ 375,000 $ 375,000 $ 375,000 $ 375,000 $ 375,000 .$ 375,000 Other Cafeteria $ 17,500 $ 17,500 $ 17,500 $ 17,500 $ 17,500 $ 17,500 $ 17,500 340E $ 170,000 $ 170,000 $ 170,000 $ 170,000 $ 170,000 $ 170,000 $ 170,000 Bank Interest Earned $ 18,000 $ 18,000 $ 18,000 $ 18,000 $ 18,000 $ 18,000 $ 18,000 Rural Hospital Financial Stabilization Grant Nursing / Clinic Grant Money TOFAL.Operating„CaAh:Activily;f. ;"` ,§ 296%500, $ '2;965,500• c$I 2,965;50& §'2,965,50T $ 2,946j$00 S 2,96550T $• 21,965;500'7. Disproportionate Share Hospital DSH $ 850,000 Uncompensated Care UC RAPPS I CHIRP $ 10,000 $ 10.000 $ 10,000 $ 10,000 $ 10,000 $ 10,000 $ 10,000 QIPP Year 8 Quarterly Payments $ $ $ 1,293,507 $ $ 957,890 $ $ TCi AL"°Su plertfental,Acflvity? ',a _- .E." Ir 100:. $'t 10,000 $ �1;30%507 S=• ` 10,000;>S � 982690, § '1;�1000 r$ _, 11 _;00D' Total Cash Inflow $ 2,975,500 $ 2,975,500 $ 4,269 007 $. 2,975,500 $ 3,933,390 $ 2,975,500 $ 2,125,500 CASH OUTFLOWS: Operating Expenses 3 Pay Periods Accounts Payable $ 2,253,000 $ 2,253,000) $ 2,263,000 $ 2,253,000 $ 2,263,000 E 2,253,000) $ (2,253,000 Payroll $ 1,175,000 b 780,000 $ 780,000 $ 780,000 $ (780,000) $ 780,000 $ 780,000) Payroll Taxes $ 258,000 E 387,000 $ 258,000 $ 258,000 $ 258,000 $ 258,000 $ 258,000 Retirement $ 195,000 $ (290,000) $ 195,000 E 195,000 $ 195,000 $ 195,000) $ (195,000 340B $ (50,000) $ 50,000 $ (50,000) E 50,000 $ (50,000) $ 50,000 $ (50,000) Leases $ $ $ $ $ $ $ MMC Now Equipment Purchases $ $ $ $ $ $ $ MMC New Equipment Purchases-2023 $ 40,000 $ 40,000 $ 40,000 E 40,000 E 40,000 E 40,000 E 40,000 70PALSlDpeiatlnO,Actl�itty ,,,., .E'3'97T;000 iS 3;800,000 r$ 3X,6,000 -t 3576,000 ;'3,576;60 "$ 3,576000 § 07%000 Disproportionate Share Hospital DSH) Uncompensated Care (UC) $ 350,000) RAPPS - $0.00, CHIRP - $0.00 QIPP Seml-annual and Reconciliations Pymts. $ (1,308,324 T03'ALAUpplementaKAetiylty, ' 950;000 S' ' iE"E: 1,30%324 ,$• TOTAL CASH PAID OUT $ 3,971.000 $ 4,150,000 E 3,576,000 $ 3,576,000 $ 3,576,000 ; 4,884,324 $ 3,576,000 Cash Increase (Decrease) $ 995,500 § 1,174,500 $ 693,007 E 600,500 $ 357,390 E 1,908,824 E 1,450,500) Loan Additional Borrowing (Repayment) $.. - ; $ -. ;$, ; § $ Cash on Hand (End of Month) $ 6,807,605 $ 5,633,105 $ 6,326,112 $ 5,725,612 $ 6,083,002 $ 4,174,178 $ 2,723,678 Cumulative Borrowed From County $ 4,000,000 $ 4,000,000 $ 4,000,000 $ 4,000,000 $ 4,000,000 $ 4.000.000 1 S 4,000,000 1/24/2025 MEMORIAL MEDICAL CENTER CHECK REGISTER:IZ41-M TNRU U-31-2024 BANK CODE CKN DATE AMOUNT PAYEE NOTES A/P 206782 12/4/2024 120.00 PT REFUND A/P 206909 12/11/20M 8,30000 WOUND CARESPECIAUSTS WOUND [ARE SERVICES A/P M7OW 12/30/2024 1,061.00 WISCONSIN STATE LABORATORY LABORATORYCERTIFICATION A/P 800550 12/30/2024 82,298.00 WIRE OUT HEALTHEQUITY QUICK HEALTH INS SELF FUNDED CASH COLLATERAL A/P BW697 12/11/2024 9,102.64 WIREOUTHEALTHEQUITY FSA FUNDING A/P moll 12/26/2M 685.00 WIREOUTCBNA CITIBANK CREDIT CARD PAYMENT A/P MERIT 12/4/2024 67.00 PT REFUND A/P 206761 12/4/2024 1,903.51 WERFEN USA LLC MEOICM/LABORATORYSUPPUES A/P 20087 12/1012DU 1,542.60 WERFEN USA LLC MEDICAL/ LABORATORY SUPPLIES A/P 206986 12/18/SUM 260.08 WEBPT,INC SUBSCRIPTION A/P 700147 12/19/ZDM 2,304.20 WEBFILE TM PYMT SALESTAX A/P 206985 12/18/2024 131.25 WAGEWORKS,INC COBRA FEE A/P 200" 12/18120M 569.75 WAGEWORKS ADMIN FEE A/P 206754 12/4/2024 - VOIDED VOIDED A/P 206757 IV412024 - VOIDED VOIDED A/P 206758 1214120M - VOIDED VOIDED A/P 206778 W412OM - VOIDED VOIDED A/P 20086 12/12/2024 - VOIDED VOIDED A/P 20057 12/13/20M - VOIDED VOIDED A/P 206958 12/111/2024 - VOIDED VOIDED A/P 20062 12/18120M - VOIDED VOIDED A/P 207018 12/30120M - VOIDED VOIDED A/P 207036 12/30/2024 - VOIDED VOIDED A/P 207037 12/30/M24 - VOIDED VOIDED A/P M7041 12/30IM24 - VOIDED VOIDED A/P 202042 12/30/2024 - VOIDED VOIDED A/P W6796 12/4120M 25.00 "REFUND A/P M6983 12/18IM24 MOOD VICTORIA RADIOWORKS, LLC ADS A/P 20690E 12/12/2024 54.20 VICIORIRADVOCATE NEWSPAPER AIR 206982 12/18/M24 12,133.00 VERATHONINC SLAODERSCANNER, PARTSAND EQUIPMENT A/P W67M 12/4/2024 BOOM VEF ENGINEERING WINDSTORM INSPECTION A/P 207058 32130/2024 1,024.41 VANDERBILTHFALTH BUSINESS OFFICE SVCS A/P 207067 12/30120M 3,942.90 UPDORLLC HIPPACOMPUANTBFAR A/P 206M 12/4120M 450.95 UNITED HEALTHCARE OVERP PT/INSURANCE REFUND A/P 206795 12/4/2024 450.96 UNITED HEALTHCARE OVERP PT/INSURANCE REFUND A/P 206793 12/4/2024 450.96 UNITED HEALTHCARE OVER PTREFUND A/P 206M 12/4/MM 9,805.90 UNIFIRST HOLDINGS INC LAUNDRY A/P W6981 12/SB/20M 6,177.03 UNIFIRST HOLDINGS INC LAUNDRY A/P 207MG 12/301MM 5,480.OB UNIFIRST HOLDINGS INC LAUNDRY A/P 305907 12/11120M 2,701.16 UNIFIRST HOLDINGS INC LAUNDRY A/P 207M 12/30/2024 23D.64 UAL LABELS A/P 20705B 12/3O/2024 6,130.42 TSYSTEM, INC PHYSICIANTMCKINGUCENSE A/P MLAM 12/30/MM 2,328.92 TM CREDIT CARD PROCESSING FEE A/P 9O1A81 17/30/IDM 1,SM.17 TSYS CREDIT CARD PROCESSING FEE A/P 901483 12/10/2024 1,086.96 TSYS CREDIT CARD PROCESSING FEE A/P 901485 12/10/20M 266.30 iSYS CREDIT CARD PROCESSING FEE A/P 901A86 22/10/2024 230.36 TSYS CREDIT CARD PROCESSING FEE A/P W102 12/10/MM 202.221M CREDIT CARD PROCESSING FEE A/P M7064 12/30/2024 9,069.2E TRUSTAFF AGENCY STAFFING MED SURGE A/P 206M 12/31/2024 5,280.00 1RUSTAFF AGENCY STAFFING MED SURE A/P 206777 22/4/2024 3,382.96 TRUFAFF AGENCYSTAFFING A/P M6980 12/12/2024 3,168.W TRUSTAFF AGENCYSTAFFING A/P 207 M 12/30120M 17,320.42 TRUBRIDGE SOFTWARE/CONSULTING SVS/BUSINESS OFFICE SVCS A/P 206979 12/18/2124 16,9E7.00 TRUBRIDGE SOFTWARE/CONSULTING SVS/BUSINESS OFFICE SVCS A/P W6905 12/11/2024 823.66 TRUBRIDGE SOFTWARE/CONSULTING SVS/BUSINESS OFFICE SVCS A/P W6978 12/18/2024 1,887.97 TRIZETI0 PROVIDER SOLUTIONS MAINTFEE/PATIENTSTATEMENT A/P W7062 12/30/2024 1,587.97 TRIIETTOPROVIOERSOLUTIONS MAINT FEE/ PATIENT STATEMENT A/P 206M 12/11=24 659.26 TRIOSE,INC FREIGHT A/P NEWS 12/11/2024 3,920.00 TRINITY PHYSICS CONSULTING LLC PURCHASED SERVICE/RAD/ANNUAL EVAL A/P 207051 12/30/2024 235.99 TRI-ANIM HEALTH SERVICES INC RESPIRATORYSUPPLIFS A/P 206902 12/31/2024 4,893.61 TMSSOUTH PLANTSFAVICESSUPPUES A/P NMI 12/11/2024 237.57 THIRDCOASTDISTRIBUTINGLLC AUTO PARTS A/P W70M 12/3D/2024 2,787.90 THE BMTTON FIRM LEGALSERVICFS A/P 106977 12/SB/M24 3,599.00 TENASSELECTSTAFNNLULC CONTRACTSTAFFINGSERVICES AIR M6776 22/4/2024 3,588.00 TEEASSEIECTSTAFFING,LLC CONIMCTSTAFFING SERVICES A/P 206900 12111120M 3,57000 TFNASSELECTSTAFFING,UUC CONTRACTSTAFFINGSERVICES A/P W7059 12/30/2024 3,497.00 TERM SFLECTSTAFFING, LLC CONTRALTSTAFFINGSERVICES A/P W076 12/18/2024 4,707.03 TENTS MUTUALINSORANCE CO WORKERSCOMP A/P 206775 12/4/2024 11,800.00 TERAS ELITETHERAPYTMM LLC STAFFING- OCCUPATIONALTHERAPY AM M69T5 12/19/2024 140.00 TEXAS DEPARTMENTOF LICENSING BOILER CERT A/P BOD39 li116/2024 182,116A3 TEXAS COUNTY ORS RECEIV RETIREMENT A/P 206914 12/113/2024 SIT" SYSMEK AMERICA, INC. SUPPLIES A/P MGM 12/4/2024 3,238.65 STERISCORPORATION SURGICALSUPPLIFS A/P W6899 12/12/2024 BEGINS STERISCORPORATION SURGICALSUPPUFS A/P NEEDS 12/19/2024 3M.35 STERISCORPORATION SURGICALSUPPLIES A/P 206773 12/4/20M 3,W6.66 STERICYCLE, INC WASTEDISPOSAL A/P 11C094 22112120M 1,309,828.35 STATECOMTRLRTEKNET QIPPYBIGT A/P i1W93 12/12/424 594.20 STATECOMPTRLRTERNET UC DY9 PAYMENT A/P MGM 12/12/2034 448.33 STAPLES OFFICE SUPPLIES A/P 207057 12/3D/2024 130.50 STAPLES OFFICE SUPPLIES A/P NS72 12/I8/2024 550.00 STANFORD VACUUM SERVICE GREASETRAP A/P 206P2 12/4/M24 23,892.50 SPECIALTY PROFESSIONAL AGENCY STAFFING ER A/P 207056 12/30/2024 6,935.00 SPECALTY PROFESSIONAL AGENCY STAFFING ER A/P 206897 12/11/2024 9,06.92 SPBS CLINICAL EQUIPMENTSRVC PMCONNUCTMONTHLY A/P 206771 12/4/2024 125.55 SPARKLIGHT INTERNET/CABLE A/P 20070 12/4/2024 6,250.00 50UTHFASTTFRASHEALN SYS QUARTERLYDUES 206769 22/4/20M 3,143.00 SOUTH TEXAS BLOOD &TISSUE CEN BLOOD BANK SUPPLY zowl 12/181 2,228.00 SOUTH TEXAS BLOOD &TISSUE CON BLOOD BANK SUPPLY 207055 12/30/2024 525.01D SOUMTFXASBLOOD&IISSUECEN BLOOD 206896 12/11/2024 2,525.00 SOMETHING MORE MEDIA, INC. 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MEOICALSUPPUES Alp 206919 12119/20M 4,191.09 AIRGAS USA, LLC-CENTRAL DM OXYGEN -RUP GRE Alp 20096 22/30/20M 3,575.50 AIRGAS USA, LLC-CENTRAL DIV OXYGEN-RESPGARE A/P NEW 12/11/20M 420.17 AIRGAS USA, LLC-CENTRAL DIV OXYGEN-RESPCARE A/P 206918 12118MM 921.0 AOHC LLC SUPPLIES A/P 206M 12/11/2024 1,400.OD ACUTECAREINC RHO FEE A/P 206042 12/11/20M I,TO&M ACE HARDWARE 15521 VARIOUS DEPT EXPENSES A/P 206995 13/30/20M 603A0 ACE HARDWARE 15522 VARIOUS DEPT EXPENSES A/PTOTAIS 4,436,31L55 A/P =6798 4500 93,881.61 ASHFORD GARDENS A/P 206799 45630 30,340.47 BETHANYSENIORLMING A/P 206800 4563D 3L630.63 BR0MMOOR AT CREEKSIDE PARK A/P 206801 45630 25,889.25 FORTBEND HEALTHCARE CENTER A/P 205802 45630 43,306.37 GOLDENCREEK HEALTHCARE A/P 206803 45630 52,121.17 SOIFRA WEST HOUSTON Alp 2D6800 45630 22,969.51 THE CRESCENT Alp 206805 4500 33,386.99 TUSCANYVILLAGE A/P 205910 45630 23,051.04 ASHFOROGARDENS Alp WEILL 45637 17,5M.73 BETHANYSEMOR LIVING A/P W012 45637 21,275.23 BROADMOOR AT CREEKSIDE PARK A/P M013 45637 99,105.45 GOIDENCREEX HEALTHCARE A/P 20014 IS637 408.00 SOLERAWESTHOUSTON A/P M69Z 4SS37 9,128.78 THECRESCENT A/P 206916 M637 32,722.10 TUSGNYVILLAGE A/P 205998 45W 5,479.48 ASHFORD GARDENS A/P 2D6989 45W 11,130.04 BETHANY SENIOR UVING A/P 206990 45W 14,208.54 BROADMOOR AT CREEKSIDE PARK AAR 206991 456W 11,708.59 FORMEND HEALTHCARE CENTER A/P 20092 45614 2,583.44 GOLDENCREEK HEALTHCARE A/P 206993 45W BAS4.04 THE CRESCENT A/P NS94 45w 9,651A4 TUSCANYVIUAGE A/P 207020 45656 QM2.37 ASHFORD GARDENS A/P 209071 45656 52,238.92 BETHANYSENIORLMNG A/P 2WW2 45656 31,293.M BROADMOOR ATCREEKSIOE PARK A/P 203013 45656 L496.67 FORTBEND HMLTHME CENTER A/P 207004 45656 193,386.03 GOLDENCREEK HEALTHCARE A/P 2WO75 45656 15,403.20 SOLERAWESTHOUSTON At' 20706 45656 22,169.69 THE CRESCENT OF W70P 45656 IK326.61 TUSMNYVILIAGE NURSINSHOMEAPTOTALS 1,07L010.73 NHG 000227 45637 0.66 MMCOPERATING NHG OMUI 45645 364.53 MMCOPERATING NHF 000263 M631 5,240.35 MMCOPEMTING NINE M291 45631 3,797.51 MMCOPEMTING NHB =292 45637 4,4M.OD TUSGNYVILLAGE NHC 000371 4501 4,609.76 MMCOPERATING NHC 000372 45M 10,500,00 TUSCANY NHC 000373 45M 275.68 MMC0PEMTING TUS O 11T9 45631 &227.53 MMCOPEMONG NHA O U5T A5631 16,737.52 MMCOPEMTING NHS 001318 001 4981.T9 MMCOPEMTING NURSINGHOMETOTAIS 59.11L34 ICP 012652 R/4/2020 4,166.67 MEMORIAL MEOIMLCENTER ICP 01203 12/4/2024 12.38 MEMORIAL MEDICAL CENTER ICPTOTAL 4,179.05 P/R GUARD 12/6/202A 556.79 PAY PER10D 1110/24 - 11/20/24 P/R OM161 12/6/2024 655.24 PAY PERIOD 11115/14-11128/24 P/R 063462 12/61M24 81233 PAY PERIOD II/15/24-IV28124 P/R D63,p0 12/G/2024 766A2 PAY PERIOD 111BIN-11/28/24 P/R D63164 12/6/20M 4,995.96 PAY PERIOD II/35/24-11/281M P/R 063165 IV20/2024 240.14 PAY PERIOD II/29/14-12/12/24 P/R 06346E 1212012M 2,180.M PAY PERIOD "IN P/R O63467 12120/20M 847A4 PAY PERIOD II/29/24-12/12/24 P/R DENIM 12/20/20M 80.0 PAY PERIOD W29124-1211VU P/R 0099 32/6/20M 30,173.91) PAY PERIOD 11/15/24-11/28/24 P/R 990999 12/2O/20M 35&782.83 PAY PERIOD 11/29/24-IW12/24 F/RTOTAIS 751.M.01 A/P 206597 12/10/2024 (M50) MEMORIAL MEDICAL CENTER A/P 206657 12/13/2024 1686.30I DSHS CENTRAL LAB MOM VPl9e4APCHeeke V00.040( MEMORIAL MEDICAL CENTER GROSS PAYROLL REPORT - DECEMBER 2024 PRTitle SECURITY SUPERVISOR OPERATOR LICENSED VOCATIONAL PURCHASING AGENT REGISTERED NURSE REGISTERED NURSE LICENSED VOCATIONAL REGISTERED NURSE REGISTERED NURSE DIRECTOR OF INPT SVC EXECUTIVE ASSISTANT LICENSED VOCATIONAL MEDICAL LAB TECH MEDICAL TECHNOLOGIST LAB ASSISTANT MEDICAL LAB TECH REGISTERED NURSE HIM SPECIALIST REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE CLINICAL IT SPCLST REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE CEO LVN REGISTERED NURSE OCCUPATIONAL THERAPY LICENSED VOCATIONAL NURSE PRACTITIONER REGISTERED NURSE REGISTERED NURSE CERTIFIED NURSE AIDE CERTIFIED NURSE AIDE REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE CASE MANAGER/UR/DP REGISTERED NURSE CERTIFIED NURSE AIDE REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE CERTIFIED NURSE AIDE REGISTERED NURSE PRDeptName SECURITY CLINIC FS MEMORIAL MEDICAL CLINIC CENTRAL SUPPLY MED/SURG MED/SURG OBSTETRICS MED/SURG OBSTETRICS MED/SURG ADMINISTRATION SURGERY LABORATORY LABORATORY MMC CLINIC - LABORATORY LABORATORY MED/SURG HEALTH INFORMATION MANAGEMENT OBSTETRICS EMERGENCY ROOM MED/SURG ADMINISTRATION -CLINICAL SERVIC OBSTETRICS OBSTETRICS OBSTETRICS ADMINISTRATION MED/SURG MED/SURG OCCUPATIONAL THERAPY MED/SURG MEMORIAL MEDICAL CLINIC MED/SURG MED/SURG MED/SURG MED/SURG MED/SURG MED/SURG MED/SURG UTILIZATION REVIEW ICU MED/SURG MED/SURG OBSTETRICS MED/SURG SURGERY MED/SURG MED/SURG EMERGENCY ROOM PRTotGross 3,745.54 2,778.63 3,989.49 3,203.55 6,429.98 7,746.11 4,483.70 7,163.08 7,317.45 7,844.80 4,507.20 4,969.50 7,155.45 1,465.00 3,730.23 5,120.00 5,010.78 3,191.76 900.01 6,434.26 1,786.38 6,557.96 5,492.16 405.75 6,079.03 22,905.08 1,635.38 7,823.99 7,345.60 5,234.20 8,795.20 6,929.26 932.50 3,217.56 496.25 6,392.91 3,818.24 4,379.14 6,152.00 6,283.50 384.06 7,193.03 6,330.81 1,870.25 1,789.87 5,832.30 1,712.14 1,411.44 REGISTERED NURSE MED/SURG 885.50 REGISTERED NURSE MED/SURG 6,184.61 CERTIFIED NURSE AIDE MED/SURG 2,039.74 REGISTERED NURSE MED/SURG 3,324.84 STUDENT NURSE TECH MED/SURG 260.03 LVN MED/SURG 4,789.01 REGISTERED NURSE OBSTETRICS 11,511.48 INFUSION NURSE IV THERAPY 6,692.39 REGISTERED NURSE ICU 8,633.66 REGISTERED NURSE EMERGENCY ROOM 470.88 CLINICAL COORDINATOR MEMORIAL MEDICAL CLINIC 5,826.69 REGISTERED NURSE ICU 4,862.85 STUDENT NURSE TECH MED/SURG 316.99 LICENSED VOCATIONAL MED/SURG 3,541.75 NURSE PRACTITIONER HOSPITAL CAMPUS RHC 8,795.20 CERTIFIED NURSE AIDE MED/SURG 5,039.54 DIRECTOR OF QUALITY ADMINISTRATION -CLINICAL SERVIC 6,272.00 REG PHARM TECH SUPER PHARMACY 5,063.81 NURSE PRACTITIONER MEMORIAL MEDICAL CLINIC 8,795.20 REGISTERED NURSE ICU 8,558.76 REGISTERED NURSE OBSTETRICS 5,460.36 REGISTERED NURSE ICU 1,432.26 REGISTERED NURSE ICU 2,579.72 REGISTERED NURSE ICU 6,751.60 PREADMISSION NURSE SURGERY 4,584.82 REGISTERED NURSE SURGERY 6,372.10 HIM SPECIALIST HEALTH INFORMATION MANAGEMENT 3,205.00 REGISTERED NURSE OBSTETRICS 6,408.69 REGISTERED NURSE OBSTETRICS 1,714.18 REGISTERED NURSE OBSTETRICS 1,196.16 CERTIFIED STERIL TEC SURGERY 3,224.78 MATERIALS MNGMT MNGR CENTRAL SUPPLY 4,942.40 CENTRAL SUPPLY TECH CENTRAL SUPPLY 1,137.50 DIRECTOR EMERGENCY ROOM 7,859.47 PERIOPERATIVE RN SURGERY 4,554.96 REGISTERED NURSE EMERGENCY ROOM 5,222.29 REGISTERED NURSE MED/SURG 2,094.63 REGISTERED NURSE ICU 8,145.03 REGISTERED NURSE EMERGENCY ROOM 4,648.28 TRAUMA COORDINATOR ADMINISTRATION -CLINICAL SERVIC 5,948.02 REGISTERED NURSE EMERGENCY ROOM 470.88 REGISTERED NURSE EMERGENCY ROOM 5,227.77 REGISTERED NURSE EMERGENCY ROOM 511.63 REGISTERED NURSE EMERGENCY ROOM 924.94 REGISTERED NURSE EMERGENCY ROOM 7,338.57 REGISTERED NURSE EMERGENCY ROOM 191.19 REGISTERED NURSE EMERGENCY ROOM 5,627.47 REGISTERED NURSE MED/SURG 1,384.25 REGISTERED NURSE EMERGENCY ROOM 709.00 LAB ASSISTANT LABORATORY 748.00 REGISTERED NURSE EMERGENCY ROOM 8,422.15 LAB ASSISTANT LABORATORY 3,029.99 MEDICAL LAB TECH CHEMISTRY/BB SPVS MEDICAL LAB TECH LAB DIRECTOR LAB ASSISTANT REGISTERED NURSE LAB ASSISTANT LAB ASSISTANT MLT LAB ASSISTANT MEDICAL TECH LAB ASSISTANT FACILITIES MGMT DIR. STUDENT NURSE TECH MEDICAL LAB TECH LAB ASSISTANT MEDICAL LAB TECH LAB ASSISTANT REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE CENTRAL SUPPLY TECH REGISTERED NURSE CERTIFIED NURSE AIDE REGISTERED NURSE RADIOLOGICAL TECH RECEPT/SECRETARY XRAY TECHNICIAN RADIOLOGY TECH RADIOLOGIC TECH RADIOLOGICAL TECH LEAD MAMMO TECH NUCLEAR MED TECH RADIOLOGICAL TECH RADIOLOGICAL TECH PHARMACY TECH PHARMACY TECHNICIAN PHARMACY TECHNICIAN INS COORDINATOR RECEPTIONIST REGISTERED NURSE LICENSED VOCATIONAL MEDICAL ASSISTANT RECEPTIONIST RECEPTIONIST RECEPTIONIST REFERRAL SPECIALIST OPERATOR MEDICAL ASSISTANT OPERATOR NURSE PRACTITIONER MEDICAL ASSISTANT LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY EMERGENCY ROOM LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY PLANT OPERATIONS MED/SURG MMC CLINIC - LABORATORY LABORATORY LABORATORY LABORATORY MED/SURG MED/SURG MED/SURG CENTRAL SUPPLY MED/SURG MED/SURG EMERGENCY ROOM DIAGNOSTIC IMAGING DIAGNOSTIC IMAGING DIAGNOSTIC IMAGING DIAGNOSTIC IMAGING DIAGNOSTIC IMAGING DIAGNOSTIC IMAGING DIAGNOSTIC IMAGING DIAGNOSTIC IMAGING DIAGNOSTIC IMAGING DIAGNOSTIC IMAGING PHARMACY PHARMACY PHARMACY PATIENT FINANCIAL SERVICES CLINIC FS OBSTETRICS MEMORIAL MEDICAL CLINIC MEMORIAL MEDICAL CLINIC CLINIC FS MEMORIAL MEDICAL CLINIC CLINIC FS CLINIC FS CLINIC FS MEMORIAL MEDICAL CLINIC CLINIC FS MEMORIAL MEDICAL CLINIC MEMORIAL MEDICAL CLINIC 6,725.00 6,941.13 5,636.25 10,680.86 3,012.94 1,684.07 1,337.75 594.00 3,644.04 1,526.25 2,473.75 1,244.63 7,186.93 1,180.01 5,442.13 1,676.00 6,161.67 2,449.27 4,889.13 4,628.75 468.01 1,871.19 2,766.97 3,111.98 7,864.74 6,728.18 2,693.39 2,576.95 4,179.88 7,268.13 6,203.20 5,507.79 7,372.33 5,646.07 7,785.93 3,521.09 3,478.59 3,126.13 2,647.75 2,861.43 1,332.08 4,014.23 1,934.83 2,758.03 2,336.76 2,993.30 2,442.47 2,793.21 2,523.80 2,901.37 8,883.16 2,122.14 MEDICAL ASSISTANT MEDICAL ASSISTANT REFERRAL SPECIALIST LICENSED VOCATIONAL MEDICAL ASSISTANT RECEPTIONIST REFERRAL SPECIALIST MEDICAL ASSISTANT OFFICE COORDINATOR MEDICAL ASSISTANT LVN RECEPTIONIST RECEPTIONIST CLINICAL SUPERVISOR RECEPTIONIST RECEPTIONIST LAB ASSISTANT NURSE PRACTITIONER COTA DIRECTOR REHAB SRVCS REGISTERED NURSE MEDICAL ASSISTANT PHYSICAL THERAPIST OFFICE COORDINATOR REGISTERED NURSE LEAD PTA REGISTERED NURSE MEDICAL ASSISTANT LEAD THERAPIST CIHCP COORDINATOR DIRECTOR OF HIM PHYSICAL THERAPIST REGISTERED NURSE DIRECTOR OF HIM BIRTH REG/DIS ANALYS MEDICAL ASSISTANT SLP DIRECTOR OF DIETARY OPERATOR FOOD SERVICE STAFF FOOD SERVICE STAFF FOOD SERVICE STAFF FOOD SERVICE STAFF FOOD SERVICE STAFF FOOD SERVICE STAFF FOOD SERVICE STAFF PLANT OPS TEAM LEAD EVS SUPERVISOR PLANT OPS SPECIALIST PLANT OPS SPECIALIST ES AIDE ES AIDE MEMORIAL MEDICAL CLINIC HOSPITAL CAMPUS RHC CLINIC FS HOSPITAL CAMPUS RHC MEMORIAL MEDICAL CLINIC PHYSICAL THERAPY CLINIC FS MEMORIAL MEDICAL CLINIC CLINIC FS MEMORIAL MEDICAL CLINIC MEMORIAL MEDICAL CLINIC CLINIC FS CLINIC FS MEMORIAL MEDICAL CLINIC CLINIC FS CLINIC FS LABORATORY MEMORIAL MEDICAL CLINIC OCCUPATIONAL THERAPY PHYSICAL THERAPY MED/SURG MEMORIAL MEDICAL CLINIC PHYSICAL THERAPY PHYSICAL THERAPY MEMORIAL MEDICAL CLINIC PHYSICAL THERAPY OBSTETRICS HOSPITAL CAMPUS RHC BEHAVIORAL HEALTH INDIGENT CARE PROGRAM HEALTH INFORMATION MANAGEMENT PHYSICAL THERAPY EMERGENCY ROOM HEALTH INFORMATION MANAGEMENT HEALTH INFORMATION MANAGEMENT MEMORIAL MEDICAL CLINIC PHYSICAL THERAPY DIETARY CLINIC FS DIETARY DIETARY DIETARY DIETARY DIETARY DIETARY DIETARY PLANT OPERATIONS ENVIRONMENTAL SERVICES PLANT OPERATIONS PLANT OPERATIONS ENVIRONMENTAL SERVICES ENVIRONMENTAL SERVICES 1,821.66 2,798.41 2,061.16 3,381.00 2,558.87 2,651.22 3,237.38 2,204.17 2,667.23 2,658.65 4,687.57 2,782.80 96.48 6,051.48 1,601.35 1,095.87 131.00 21,107.52 712.00 9,620.12 6,091.25 1,445.76 7,471.86 2,264.07 6,008.12 5,170.69 6,760.05 2,613.00 5,440.00 3,025.00 3,976.00 3,672.80 470.88 1,005.94 2,152.20 2,023.38 11,088.46 5,892.80 1,969.33 3,195.00 2,659.14 3,174.70 2,944.00 2,371.42 1,812.26 2,724.39 3,989.92 3,965.36 2,738.77 2,739.84 1,968.00 2,331.52 SECURITY OFFICER SECURITY 2,606.56 ES AIDE ENVIRONMENTAL SERVICES 2,053.35 ES AIDE ENVIRONMENTAL SERVICES 2,616.80 ES TEAM LEAD ENVIRONMENTAL SERVICES 3,098.96 PLANT OPS SPECIALIST PLANT OPERATIONS 3,811.86 ES AIDE ENVIRONMENTAL SERVICES 1,122.00 FLOOR TECHNICIAN ENVIRONMENTAL SERVICES 2,393.38 ES AIDE/SECURITY PLANT OPERATIONS 377.74 ES AIDE ENVIRONMENTAL SERVICES 1,912.00 ES AIDE ENVIRONMENTAL SERVICES 1,739.00 E.S. AIDE ENVIRONMENTAL SERVICES 1,102.87 FOOD SERVICE STAFF DIETARY 1,372.80 ES AIDE ENVIRONMENTAL SERVICES 1,904.00 ES AIDE ENVIRONMENTAL SERVICES 2,536.00 ES AIDE ENVIRONMENTAL SERVICES 2,833.28 FOOD SERVICE STAFF DIETARY 2,529.45 FLOOR TECHNICIAN ENVIRONMENTAL SERVICES 2,401.38 ES AIDE ENVIRONMENTAL SERVICES 3,095.68 OR AIDE SURGERY 2,455.42 SECURITY OFFICER SECURITY 967.00 SECURITY OFFICER SECURITY 3,752.48 PLANT OPS MANAGER PLANT OPERATIONS 5,688.56 SURGERY MANAGER SURGERY 8,393.60 DIRECTOR ADMINISTRATION -CLINICAL SERVIC 200.00 PERIOPERATIVE RN SURGERY 7,519.97 FINANCIAL COUNSELOR INDIGENT CARE PROGRAM 2,267.85 REGISTERED NURSE SURGERY 5,925.78 INS COORDINATOR PATIENT FINANCIAL SERVICES 3,462.86 REGISTRATION CLERK PFS - REGISTRATION 3,139.93 INFUSION SVC COORD IV THERAPY 2,257.95 BILLING CLERK PATIENT FINANCIAL SERVICES 4,126.44 INFUSION SERV. COOR. IV THERAPY 2,166.49 ER CLERK PFS - REGISTRATION 1,992.25 REGISTRATION CLERK PFS - REGISTRATION 2,899.54 CASHIER -SWITCHBOARD PATIENT FINANCIAL SERVICES 2,415.42 INS ADJUDICATOR PATIENT FINANCIAL SERVICES 3,600.07 MEDICARE COORDINATOR PATIENT FINANCIAL SERVICES 3,333.43 ACCOUNTS PAYABLE ACCOUNTING 2,676.82 ER CLERK PFS - REGISTRATION 580.56 ER CLERK PFS - REGISTRATION 1,660.13 ADMIN ASSISTANT ADMINISTRATION -CLINICAL SERVIC 3,321.20 DIRECTOR OF REV/BILL PATIENT FINANCIAL SERVICES 5,470.40 REGISTERED NURSE SURGERY 1,348.32 REG CLERK TEAM LEAD PATIENT FINANCIAL SERVICES 4,238.55 REGISTRATION CLERK PATIENT FINANCIAL SERVICES 2,344.22 PRACTICE ADMIN MEMORIAL MEDICAL CLINIC 6,963.08 REGISTERED NURSE EMERGENCY ROOM 7,671.22 PERIOPERATIVE RN SURGERY 5,621.94 REGISTERED NURSE ICU 6,544.65 DIRECTOR DIAGNOSTIC IMAGING 7,711.70 REGISTRATION CLERK PATIENT FINANCIAL SERVICES 2,163.18 ER CLERK PFS - REGISTRATION 968.00 I.T. DIRECTOR IT DIRECTOR IT SYSTEM ANALYST ACCOUNTANT PTA STUDENT REHAB TECH LAB COORDINATOR MEDICAL ASSISTANT ACCOUNTANT CFO HR MANAGER HR GENERALIST SPEC PROJ/MKGT MGR INFORMATION TECHNOLOGY 802.00 INFORMATION TECHNOLOGY 8,202.56 INFORMATION TECHNOLOGY 7,233.27 ACCOUNTING 4,639.96 PHYSICAL THERAPY 4,103.13 PHYSICAL THERAPY 94.25 LABORATORY 3,110.42 MEMORIAL MEDICAL CLINIC 2,248.79 ACCOUNTING 7,863.40 ADMINISTRATION 13,886.16 HUMAN RESOURCES 4,840.00 HUMAN RESOURCES 3,784.00 BUSINESS DEVELOPMENT 4,648.20 1,083,929.31 NOTICE OF MEET ING — 2/5/2025 7. Consider and take necessary action to carry over the remaining 2024 roof project budget in the amount of $328,200 in the Building Maintenance Department due to the project not being complete in 2024. (VLL) RESULT: APPROVED [UNANIMOUS]. , MOVER: 'David Hall, Commissioner Pct"1 SECONDER: Gary Reese, Commissioner Pct;.4 AYES: Judge f yssy, Commissioner Hall, Best,; Behrens,, Reese Page 4 of 18 Debbie From: candice.villarreal@calhouncotx.org (candice villarreal) <candice.villa rreal @cal hou ncotx.org> Sent: Monday, January 27, 2025 1:40 PM To: 'vern lyssy' Cc: Debbie.Vickery@calhouncotx.org Subject: Agenda Items Judge Lyssy, Following is sample wording requested for the three agenda items we spoke of this morning regarding 2024 and 2025 budgets. I Roof line item - Building Maintenance Consider and take necessary action to carry over the remaining 2024 roof project budget in the amount of $328,200 in the Building Maintenance Department due to the project not being complete in 2024. Office Furniture —County Judge Department • Consider and take necessary action to transfer budgeted funds in the amount of $ for office furniture in the County Judges Department ordered in 2024 and delivered in 2025. Bill from KMAC ' • Consider and take necessary action to carry over $18,500to the 2025 Commissioners Court budget for structural removal as approved in Commissioners Court on July 10, 2024 and approve payment to KMAC Construction Services, Inc. for proposal amount of $18,500. This work was delayed and not completed until 2025. Sincerely, Candue 'Viffarreaf Cafioun CountyAuditor CaOiioun CountyAuditor's Office (Port Lavaca, VC77979 Thone (361)553-4611 Calhoun County Texas I NOTICE OF MEETING — 2/5/202`i 8. Consider and take necessary action to transfer budgeted funds in the amount of $14,664.88 for office furniture in the County Judges Department ordered in 2024 and delivered in 2025. (VLL) Page 5 of 18 Debbie Vickery From: heather@coastaltx.com (Heather Kimmey) <heather@coastaltx.com> Sent: Wednesday, December 18, 2024 2:57 PM To: Debbie Vickery Cc: Andy Evans Subject: Furniture Delay CAUTION: This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe. Hi Debbie, We sincerely apologize for not having your furniture installed before the end of the year. We did believe based on the original ETA from the manufacturer that we would have it in time. It was supposed to ship today, however due to scheduling conflicts and issues with the trucking company they are not able to pick up the orders from the manufacturer this week. Next week the manufacturer shuts down for the holidays and they don't open until after the first of the year. The trucking company is picking up the order as soon as they can and are scheduled to deliver the furniture to us the week of January 61. We have you scheduled to install the following week to ensure we time to receive and inspect the furniture. Unfortunately, we are subject to the manufacturer's trucking company, and we cannot use our own to pick up otherwise we would have. Once again, we are sorry for any inconvenience this has caused. In the meantime, please let us know if there is anything we can help with. Thank You, Our Vision: To tend the industrywilh fop•guality innovative sofutions. offering exceptional customer service and personattzed experiences for the communities and 4usinesses Hve serve. @ heather@coostaltx.com 361-578-5392 X 117 w vw.coastaIN.con) v 1-888-313-9941 H Do elm Follow Coastal Office Solutions: PO Box 4407 77903 s' 1514 N. Ben ]orlon, Ste B 77901 Victoda, TX cwQUOTATION Andy Evans OFFlCESOLUW015 �Fmde Confidential Quote Property of Coastal Presented by: Coastal Office Solutions, INC Phone: 361-578-5392 Fax: 361-578-0610 Presented to: Calhoun County Prepared by: Heather Kimmey ATTN: Debbie Vickery PO TO:Coastal Office Quote: 11.06.24 REF: Hon OMNIA#R191804, Debbie's Desk (Option 3) Coastal NCPA#11-18 Lead Time: Lead Time: 5-7 Weeks Line Part Number Qty Sell Ext Sell 1 TZ-T3COR23297070-S1 Debbie 1 $2,304.17 $2,304.17 f7 90deg Right Extended Corner Height Adjustable Table 23x29x7Dx70 - Curved Interior Access - T-Legs (H.P.L.) High Pressure Laminate ... Skipped Option ... Skipped Option ... Skipped Option G21-11 Grommet on Left & Right - Charcoal G2E Grommet on Center - Charcoal (NON) No Multi -Outlet (NON) No Multi -Outlet 2 AC-FSHDSISX Debbie 1 $515.63 $515.63 Double Extension Monitor Arm - Surface Mount (1 screen) 3 AC-KRFP17 Debbie 1 $446.88 $446.88 } Resin Keyboard Shelf with 17" Retractable Mechanism - Swivel Mousepad 4 TZ-HLD147243-LI Debbie 1 $692.19 $692.19 Freestanding Hutch 14 7/16 x 72 x 42 1/2 with Laminate Support Legs - 4 Hinged Doors (Laminate Doors) ... Skipped Option (T.F.L.) Low Pressure Laminate ... Skipped Option LN NOM Lock (NON) No Horizontal Grommet Page 1 of 6 Line Part Number Qty Sell Ext Sell 5 77-PIH117OO5-L Debbie 1 $422.40 $422.46 ® Horizontal Pigeonhole Unit 11 1/4 x 69 7/8 x 5 - 4 Openings ... Skipped Option 6 AC-B77O22 Debbie 1 $209.90 $209.90 ® Fabric Tackboard 69 7/8 x 22 5/8 (AC-HKBT mounting brackets & velcro strips included) (GRI) Grade 1 ... Skipped Option 3067 Black 7 AC-ETLED48 Debbie 1 $267.71 $267.71 LED Task Light 48 1/4' 8 RZ2-DIS3O3629-LL-S3 Debbie 1 $667.19 $667.19 Rectangular Reception Table 30x36x29 / IV End Panels / Laminate Front ... Skipped Option Skipped Option ... Skipped Option G2C Charcoal Grommet - Center 9 TZ-T12472-LL-51 Rectangular Table 24x72 - Laminate End Panels - "LL" End Panels (H.P.L.) High Pressure Laminate ... Skipped Option ... Skipped Option ... Skipped Option G21-11 Grommets on Left & Right - Charcoal (NON) No Multi -Outlets U10 10" High Modesty Panel . Page 2 of 6 Debbie 1 $667.19 $667.19 Line Part Number Qty Sell Ext Sell 10 TZ-MPUF181621-L Debbie 1 $433.86 $433.8BREMEN Mobile OF Pedestal 18 x 15 5/8 x 21 3/8 Skipped Option (T.F.L.) Low Pressure Laminate ... Skipped. Option LN NOla Lock (Pulls) With Pulls DN Deco Nickel 11 TZ-L2FN213028-L Debbie Lateral File Cabinet 21x30x27 7/8 without Top - FF Drawers ... Skipped Option (T.F.L.) Low Pressure Laminate ... Skipped Option LN NOKI Lock DN Deco Nickel NG No Grommet(s) (NON) No Counterweight 12 TZ-SDD243O29-51 Debbie Storage Cabinet 24x30x28 7/8 - 2 Hinged Doors (1 Adjustable Shelf) (H.P.L.) High Pressure Laminate ... Skipped Option ... Skipped Option ... Skipped Option ... Skipped Option LX No Lock DN Deco Nickel G23 Grommets on Both Side Panels + Center on the Top - Charcoal 13 TZ-HBK143043-L1 Debbie Bookcase Hutch 13 9/16 x 30 x 42 1/2 - Open (1 Adjustable Shelf + 1 Fixed Shelf) ... Skipped Option Page 3 of 6 1 $585.42 $585.42 1 $777.08 $777.08 1 $366.15 $366.15 Line Part Number 77-AWDUFF242472-HlS Combined Wardrobe Unit 24 x24 x 71 7/8 - Wardrobe on Left + Mini Cabinet on Top -Right + UFF Drawers on Bottom -Right (2 Adjustable Shelves) ... Skipped Option (T.F.L.) Low Pressure Laminate ... Skipped Option LN NOKI Lock ON Deco Nickel 15 RZ2-CIS107242-L3 offRectangular Transaction Module 10x72x42 / 3" high Metal Fascia ... Skipped Option ... Skipped Option ... Skipped Option 3090 Silver FC Ickplate Option 16 w RZ2-CIS102442-LS Rectangular Transaction Module 1Ox24x42 / 3" high Metal Fascia ... Skipped Option ... Skipped Option ... Skipped Option ... Skipped Option FC Kickplate Option 17 IWRZ2-CiS103642-L3 Rectangular Transaction Module 1Ox36x42 / 3" high Metal Fascia ... Skipped Option ... Skipped Option ... Skipped Option ... Skipped Option FC Kickplate Option Page 4 of 6 Qty Sell Ext Sell Debbie 2 $926.57 $1,853.14 Debbie 1 $519.28 $519.28 Debbie 1 $616.15 $616.15 Line Part Number Qty Sell Ext Sell 18 w RZ2-CiS103042-1.1 Debbie 1 $567.71 $567.71 Rectangular Transaction Module S0x30x42 / 3" high Metal Fascia ... Skipped Option ... Skipped Option ... Skipped. Option ... Skipped Option FC IOckplate Option 19 RZ2-CC901010-S1 - 900 Curved Junction Shelf IOx10 for Counter Top Module ... Skipped Option ... Skipped Option 20 CONTRACT COASTAL NCPA#11-18 21 FREIGHT Freight & Surcharges 22 INSTALL Installation: Reg Hrs M-F, 8-5 Coastal to receive, deliver, & install furniture per layouts provided. -Removal of existing furniture or product EXCLUDED. -Access will be unhindered to/ from truck to installation areas. -All install areas will be accessible, substantially complete, and free of existing equipment, furniture, materials, etc. at time of delivery. -Customer to proved electrician to hardwire power in-feed(s) to building. Customer to provide data cables, route & terminate at faceplates. Page 5 of 6 Debbie 2 $133.86 $267.72 1 $0.00 $0.00 1 $0.00 $0.00 1 $770.00 $770.00 Line Part Number Qty Sell Ext Sell Total: $14,664.88 500/o Deposit Required for orders over $10K. Ifr� � ll Approved By:Dater Na C) cf PO: Title TAX to be added If applicable. PAYMENT DUE NET 10 days after receipt FURNITURE & SPECIAL ORDERS ARE NON -RETURNABLE ORDERS ABOVE $10K REQUIRE A 50% DEPOSIT AT TIME OF ORDER. LABOR FEE charge for moving existing furniture during installation: $75.00/1-111 per man. STORAGE FEE charge for order delivery delayed after received: $100.0G-$450.00/MTH MANUFACTURER warranties are applicable. LABOR WARRANTY for one year from purchase. SERVICE CHARGE for repairs beyond warranty year. Regular DELIVERY HRS: M-F, 8-5. Quote, Specifications and Drawings Property of Coastal Office Solutions. IF PAYING BY CREDIT CARD A 3% SERVICE CHARGE WILL APPLY. Thank you for your business. Page 6 of 6 # 09 NOTICE OF MEETING— 2/5/2025 9. Consider and take necessary action to carry over $18,500 to the 2025 Commissioners Court budget for structural removal as approved in Commissioners Court on July 10, 2024 and approve payment to KMAC Construction Services, Inc. for proposal amount of $18,500. This work was delayed and not completed until 2025. (VLL) RESULT APPROVED [UNANIMOUS] MOVER ` Gay Reese, Comrnissloner Pct 4 SECONDER: Ronald Best, Commissioner Pct 2 AYES: Judge Lyssy, Commissioner Hall, Best, Behrens, Reese Page 6 of 18 Debbie Vickery From: candice.villarreal@calhouncotx.org (candice villarreal) <ca nd ice.vi I la rrea I @ ca I hou ncotx.org> Sent: Monday, January 27, 2025 1:40 PM To: vern lyssy' Cc: Debbie.Vickery@calhouncotx.org Subject: Agenda Items Judge Lyssy, Following is sample wording requested for the three agenda items we spoke of this morning regarding 2024 and 2025 budgets. Roof line item - Building Maintenance • Consider and take necessary action to carry over the remaining 2024 roof project budget in the amount of $328,200 in the Building Maintenance Department due to the project not being complete in 2024. Office Furniture —County Judge Department • Consider and take necessary action to transfer budgeted funds in the amount of $ for office furniture in the County Judges Department ordered in 2024 and delivered in 2025. sq Bill from KMAC • Consider and take necessary action to carry over $18,500 to the 2025 Commissioners Court budget for structural removal as approved in Commissioners Court on July 10, 2024 and approve payment to KMAC Construction Services, Inc. for proposal amount of $18,500. This work was delayed and not completed until 2025. Sincerely, Candice Viffarreal Calrioun CountyAuditor CaC(ioun County -Auditor's Office (Port Lavaca, 7X 77979 Thone (361)553-4611 Calhoun County Texas #10 NOTICE OF MEETING — 2/5/2025 10. Consider and take necessary action to authorize the Calhoun County Area Go -Texan Committee to allow alcohol to be consumed on the Calhoun County Fair Grounds, Bauer Building and the Pavilion during their Calhoun County Area Go -Texas Bar-B-Que Cook -off on April 4, 5, and 6, 2025. No alcohol will be sold on the premises. (VLL) Page 7 of 18 CALHOUN COUNTY AREA GO-TEXAN January 29, 2025 Calhoun County Commission Court 211 South Ann Port Lavaca, Texas 77979 Dear Commission Court: The Calhoun County Area Go -Texas Committee would like to request permission to have Alcohol at the Calhoun County Fair Grounds, Bauer Building, and the Pavilion during it Calhoun County Area Go -Texas Bar-B-Que Cook -off on the following dates. APRIL 4,5, 6, 2025. The Calhoun County Area Go -Texan Committee will be coordinating the clean up. We are also asking the teams to cleanup their space during and after the contest is over. The Calhoun County Area Go -Texan Committee will NOT be selling alcohol at the event and will have insurance in place per requirements of State Law. Any alcohols on the grounds or that is in the buildings will have been brought in by the Teams that are cooking. Alcohol that is proved to the Judges in the Bauer Building that are judging the contest will be provided by the Committee. Security will be provided. Richard E. Parrish Calhoun County Area Go -Texan Committee Member A� a CERTIFICATE OF LIABILITY INSURANCE DATE(MM/OOIYYVY) 01 /24/2025 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION Is WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer ri hts t0 the certificate holder in lieu of such endorsements . PRODUCER CONTACT NAME: MM — Short Term Special Events K&K Insurance Group, Inc. 1712 Magnavox Way Fort Wayne IN 46804 PHO 1-877-648-6404 PAX 1-260-459-5502 AIC, Nc Exl: A/C, No: ADDRESS: info@eventinsurance-kk.com PR CUSTOMER to: INSURER(S) AFFORDING COVERAGE NAIC4 INSURED INSURER A: Markel Insurance Company 38970 Calhoun County Area Go Texan INSURER B: P.O. Box 1853 Port Lavaca, TX 77979 INSURER C: INSURER D: A Member of the Sports, Leisure & Entertainment RPG INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: W02904579 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE A DL INSD S R WVD POLICY NUMBER POLICY EFF MMIDD POLICY EXP MMIDD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY X M1 RPGOOOO000499900 04/04/2025 04/06/2025 EACH OCCURRENCE $1,000,000 CLAIMS. OCCUR MADE 7X 12:01 AM EDT 12:01 AM DAMAGE TO RENTED PREMISES Ea Occurrence $1,000,000 MED EXP (Any one person) $5,000 PERSONAL &ADV INJURY $1,000,000 X Host Liquor Liability Included GENERAL AGGREGATE $5,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS—COMP/OP AGG $1,000,000 POLICY ❑ PRO- ❑ LOC JECT PROFESSIONAL LIABILITY OTHER: 0 O PARTICIPANTS AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident BODILY INJURY (Per person) ANY AUTO OWNED AUTOS SCHEDULED ONLY AUT 8001LV INJURY (Per accident) HIRED NON-OOS WNED 8 PROPERTY DAM AGE AUTOS ONLY AUTOS ONLY Per accident NOT PROVIDED WHILE IN HAWAII UMBRELLALIAB OCCUR EACH OCCURRENCE EXCESS LIAB CLAIMS -MADE AGGREGATE DEO 7 RETENTION WORKERS COMPENSATION AND EMPLOYERS' LIABILITY NIA PER 07HER STATUTE ANY PROPRIETORIPARTNERI YIN E.L. EACH ACCIDENT EXECUTIVE OFFICERIMEMBER ❑ EXCLUDED? (Mandatory in NH) E,L, DISEASE— EA EMPLOYEE E.L. DISEASE —POLICY LIMIT If yes, describe under DESCRIPTION OF OPERATIONS below MEDICAL PAYMENTS FOR PARTICIPANTS PRIMARY MEDICAL EXCESS MEDICAL DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Event Name: Calhoun County Area Go Texan; Event Date: 04/04/2025 to 04105/2025; # of attendees: 400 Event Location: 186 Henry Barber Way, Port Lavaca, Texas 77979 Liquor Liability (as provided by CG 00 0104 13) applies only if the insured is not in the business of manufacturing, distributing, selling, serving or furnishing alcoholic beverages. The certificate holder is added as an additional insured, but only for liability caused, in whole or in part, by the acts or omissions of the named insured. CERTIFICATE HOLDER CANCELLATION County of Calhoun SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 211 S. Ann St. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Port Lavaca, TX 77979 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE (Owner/Lessor of Premises) Coverage is only extended to U.S. events and activities. '" NOTICE TO TEXAS INSUREDS: The Insurer for the purchasing group may not be subject to all the insurance laws and regulations of the State of Texas ACORD 25 (2016103) @ 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ' NOTICE OF MEETING — 2/5/2025 11. Consider and take necessary action to allow The Calhoun County Judge Vern Lyssy sign the Voting Equipment Lease between Calhoun County Elections and The City of Port Lavaca. (VLL) RESULT: APPROVED '[UNANIMOUS] . .MOVER: Gary Reese, Commissioner 0,,,ct.4 SECONDER: Joel Behrens, Comm issionerkt 3 AYES: ;, Judge Lyssy, Commissioner Hall, Bestj, Be ens, Reese Page 8 of 18 CALHOUN COUNTY ELECTIONS DEPARTMENT 211 S. ANN ST, PORT LAVACA, TX 77979 • PH: 361-553-4440 • FAX 361-553-4443 January 29, 2025 Honorable Vern Lyssy Calhoun County Judge 211 S. Ann St. Port Lavaca, Texas 77979 RE: AGENDA ITEM Dear Judge Lyssy: Please place the following item on the Commissioner's Court Agenda for February 05, 2025. * Consider and take necessary action to allow The Calhoun County Judge Vern Lyssy sign the Voting Equipment Lease between Calhoun County Elections and The City of Port Lavaca. Thank You,, Mary Ann Or Calhoun County Elections Administrator VOTING EQUIPMENT LEASE BASIC. TERMS DATE: 12/19/2024 Lessor; Calhoun County, Texas Lessor's Address: Calhoun County Courthouse 211 S.,Ann, Port Lavaca; Texas 77979 Lessee: City of Port Lavaca. Lessee's Address; 202N. Virginia St. Port Lavaca, Texas 77979 Equipment. I (number) voting machine described as ES&S Express Vote BMD Term (days): 9 Commencement Dater April 21, 2025 Termination Date: May 03 2025 Rent.Earlyvoting,lnacbtoe'(a 53325.00 for 8 days X3 /,=5798Q4 $Ifehgn'day Iiptachme (� $3`325 0b foF.l,day X3°/ =599:75 RedtTotal: $897.75; Security Deposit: S.00. Permitted Use: Early Voting & Election Day Clauses. and Covenants. A. Lessetagreesto— I. Lease the Equipment for the entire Tenn beginning on the Commencement Daft and coding on the Termination Date. 2. Accept the voting equipment in its present condition "AS IS;* the equipment being currently suitable for the Permitted Use. 3. Obey (a) all applicable laws relating to the use of the voting equipment and (b) any requirements imposedby the utility companies serving or insurance companies covering the Premises. 4. Take reasonable=a not to damage or destroy the equipment. 5. Purchase and provide a the renters' own expense all ballots, software programming and supplies necessary for the proper use of the voting machines. 6. Repair, replace; and maintain the voting equipment, normal wear excepted. 7. Retom the voting machines to the County at the end of the lease tern. S INDEMNIFY, DEFEND AND HOLD. LESSOR AND LIENHOLDER HARMLESS FROM ANY INJURY (AND ANY RESULTING OR RELATED CLAIM, ACTION, LOSS, LIABILITY, OR REASONABLE EXPENSE, INCLUDING ATT ORNEY'S FEE AND OTHER FEES. AND COURT AND OTHER COSTS) OCCURRING IN THE USE OF THESE VOTING MACHINES. THE INDEMNITY CONTAINED IN THIS PARAGRAPH (a) IS INDEPENDENT OF ANY INSURANCE, (b) WILL NOT BE LIMITED BY. COMPARATIVE NEGLIGENCE STATUTES OR DAMAGES 1 PAID UNDER THE WORKERS' COMPENSATION ACT OR SIMILAR EMPLOYEE BENEFIT ACTS, (c) WILL.SURVJVE THE END OF THE TERM, AND (d) WILL APPLY EVEN IF AN INJURY IS CAUSED IN WHOLE OR IN PART BY THE ORDINARY NEGLIGENCE OR STRICT LIABILITY OF CALHOUN BUT WILL NOT APPLY TO THE EXTENT AN INJURY IS CAUSED BY THE GROSS NEGLIGENCE OR WILFUL MISCONDUCT OR CALHOUN COUNTY. B. Lessee agrees not to Use the equipment for any purpose other than the Permitted Use. 2. Cresteanuisance. 3. Permitanywaste. 4. Use the equipment in any way that would increase insurance premiums or void . insurance on the equipment. 5. Change Lessor's equipment. 6. Alter the equipment. 7. Allow a lien to be placed on the equipment. C. Lessor agrees to — 1. Lease to Lessee the equipment for the entire Term beginning on the Commencement Date and ending on the Termination Date. 2. PmvidetheEssemialSmicesand imtnretionontheuseandfinclionoftheequipmmL 3. Repair, replace, and maintain the equipment as provided by the manufactum warranty on the equipment and to the extentt ofthis warranty only. D. Lessor agrees not to— 1. Interfere with Lessee's possession ofthe equipment as long as Lessee is not in default 2. Interfere in any way with the election and theme of the equipment duringthe election beingheld by the Lessee. E. Lessor and Lessee agree to the following: 1. Alterations. Any physical additions or improvements to the equipment made by Lessee will become the property of Lessor. Lessor may require that Lessee, at the of the Term and at Lessee's expense, remove any physical additions and improvements, repair any altemmions, and restore the equipment to the condition existing at the Commencement Date, normal wear excepted 2. Abatement. Lessea's covenant to pay Rem and Lessor's covenants sm independent Exempt as otherwise provided, Lessee will not be entitled to abate Rent for any reason 3. Iruurance. Lessee and Lessor will maintain the respective PERSONAL PROPERTY Insurance coverage's on equipment owned by them, being used by them or under their protection, possession or control. 4. Relrase ojClai ntSubragation. LESSOR AND LESSEE RELEASE EACH OTHER AND LEINHOLDER FROM ALL CLAIMS OR LIABILITIES FOR DAMAGE TO THEEQUIPMENT, DAMAGE TO ORLOSS OF PERSONALPROPERTY WITHIN THE EQUIPMENT, AND LOSS THAT ARE COVERED BY THE RELEASING INSURANCE OR THAT WOULD HAVE BEEN COVERED BY THE REQUIRED INSURANCE IF THE PARTY FAILS TO MAINTAIN THE PERSONAL. PROPERTY COVERAGES REQUIRED BY THIS LEASE. THE PARTY INCURRING THE DAMAGE OR LOSS WILL BE.. RESPONSIBLE FOR ANY DEDUCTIBLE OR SELF -INSURED RETENTION UNDER ITS. PROPERTY INSURANCE. LESSOR AND LESSEE. WILL NOTIFY THE ISSUING PROPERTY INSURANCE COMPANIES OF THE RELEASE SET FORTH IN THIS PARAGRAPH AND WILL HAVE THE PERSONAL PROPERTY INSURANCE POLICIES ENDORSED, IF NECESSARY, TO PREVENT INVALIDATION OF COVERAGE. THIS RELEASE WILL NOT APPLY IF IT INVALIDATES THE PROPERTY INSURANCE COVERAGE OF TH E RELEASING PARTY. THE RELEASE IN THIS PARAGRAPH WILL APPLY EVEN IF THE DAMAGE OR LOSS IS CAUSED IN THE WHOLE ORIN PART BY T14E ORDINARY NEGLIGENCE, OR STRICT LIABILITY OF THE RELEASED PARTY BUT WILL NOT APPLY TO THE EXTENT THE DAMAGE OR LOSS. IS CAUSED BY THE GROSS NEGLIGENCE OR WILLFUL MISCONDUCT OF THE RELEASED PARTY. 5. Alternative Dispute Resolution. Lessor and Lessee agree to mediate in good faith before film- suit for damages. 6. AUDIv2ey's Fees. If either party retains an attorney to enforce this lease, the party prevailing in litigation is entitled to recover reasonable attorney's fees and other fees and court and other costs. 7: Venue. Exclusive venue is in the county in which the Premises are located. 8. Entire Agreement. This [cue is the entire agreement ofthe parties, and there are no oral representations, warranties, agreements, or promises pertaining to this lease or to any expressly mentioned exhibits and riders not incorporated in writing in this lease. 9. Amendment of Lease. This lease may be amended only by an instrument in writing signed by Lessor and Lessee. 10. Limitation. of Norranties. THERE ARE NO IMPLIED WARRANTIES OF MERCHANTABILITY, OF FITNESS FOR A PARTICULAR PURPOSE,. OR OF ANY OTHER KIND ARISING OUT OF THIS LEASE, AND THERE ARE NO WARRANTIES THAT EXTEND BEYOND THOSE EXPRESSLY STATED IN THIS LEASE. 11.. Notices. Any notice required or permitted under this lease must be in writing. Any notice required by this lease will be deemed to be delivered (whether actually received or not) when deposited with the United States Postal Service. postage prepaid; certified mail, return receipt requested, and addressed to the intended recipientat the address shown in this lase. Notice may also be given by regular mail, personal delivery, courier delivery, facsimile transmission, or other commercially reasonable means and will be effective when actually received. Any address for notices may be changed by written notice delivered as provided herein. Les or C boom o -: Texas Lyssy, County Judge ess CI ofPo" L v ca Jack Whitlow le' Mayor #12 NOTICE 01: MEETING - 2/5/2025 12. Accept the 2024 Certificate of Completion for Continuing Education Hours from the District Clerk and enter into Official Records. (VLL) RESULT: ,. APPROVED'[UNANIMOUS]' MOVER: Joel Behrens, Commissioner Pct 3 SECONDER:.' = Ronald Best, Commissioner Pct 2 AYESv" Judge Lyssy, Commissioner Hall, Best, Behrens, Reese Page 9 of 18 L; #13 NOTICE OF MEETING -- 2/5/2025 13. Consider and take necessary action to approve the contract with Weaver & Jacobs Constructors, Inc. for Bid No. 2024.06 — Memorial Medical Center HVAC & Roof Improvements for Calhoun County, and authorize the County Judge to sign. (VLL) No action taken Page 10 of 18 DOCUMENT NO.00 5000 AGREEMENT BETWEEN OWNER AND CONTRACTOR THIS AGREEMENT is dated as of the 30th day of October in the year 2024; by and between CALHOUN COUNTY (hereinafter called OWNER) and WEAVER & JACOBS CONSTRUCTORS, INC. (hereinafter called CONTRACTOR). OWNER and CONTRACTOR, in consideration of the mutual covenants hereinafter set forth, agree as follows: .01 THE WORK: CONTRACTOR shall complete all Work as specified or indicated in the Contract Documents. The Work is generally described as follows: BID NUMBER 2024.06 — MEMORIAL MEDICAL CENTER HVAC & ROOF EUPROVEMENTS FOR CALHOUN COUNTY, TEXAS .02 ENGE4EER: The Project has been coordinated by G & W Engineers, Inc., 205 West Live Oak, Port Lavaca, Texas, 77979, who is hereinafter called ENGINEER and who will assume all duties and responsibilities and will have the rights and authority assigned to ENGINEER in the Contract Documents in connection with completion of the Work in accordance with the Contract Documents. .03 CONTRACT TIMES: a. Calendar Days The Work shall be complete and ready for final payment in accordance with Paragraph 14.07 of the General Conditions within 260 Calendar Days for Base Bid A and 730 Calendar Days for Base Bid B after the date when the Contract Times commence to run. A Notice to Proceed (NTP) will be issued to the CONTRACTOR to officially serve as establishing the beginning pf the contract time (Calendar Days to complete). Base Bid A and Base Bid B will have separate Notice to Proceeds. b. Rain Days CONTRACTOR may be allowed an adjustment to the CONTRACT Times for "rain days", which are defined as follows. 00500-1 li 1. Any day(s) in which rainfall,occurs prior to 12:00 p.m. (noon), of such quantity that, in the opinion of OWNER's representative, would prevent a safe working environment for CONTRACTOR at the construction site. I 2. Any day(s) following the above described "rain day(s)" in which the condition .of the construction site, in the opinion ,of OWNER's representative, is not conducive to providing CONTRACTOR with a safe working environment at the site. OWNER shall only consider an adjustment in Contract Times if CONTRACTOR submits a written request for "rain days" to OWNER's representative for review, by 10:00 a.m. on the Monday following the week in which the day(s) occurred. Failure to submit such a written request shall be a representation by CONTRACTOR that additional days are not warranted. OWNER's representative shall review all requests when submitted and will have final on site determination for "rain days". Disagreements between CONTRACTOR and OWNER's representative shall be submitted to OWNER. C. Liquidated. Damages OWNER and CONTRACTOR recognize that time is of the essence in this Agreement and that OWNER will suffer financial loss if the Work is not substantially complete within the time specified in paragraph .03A above, plus any extensions thereof allowed in accordance with Article 12 of the General Conditions. They also recognize the delays, expense and difficulties involved in proving in a legal proceeding the actual loss suffered by OWNER if the Work is not substantially complete 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 SEVEN HUNDRED FIFTY DOLLARS (S750.00) for each day that expires after the time specified in paragraph .03.a. for the Architectural and Structural Scope of Work. 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 FIFTEEN HUNDRED DOLLARS ($1,.500.00) for each day that expires after the time specified in paragraph .03.a. for the Mechanical and Electrical Scope of Work. CONTRACTOR hereby agrees that said sum per day is a fair estimate of the pecuniary damages which will be sustained by OWNER in the event that the Work is not complete within the agreed time, or within extensions of time properly granted in accordance with the Contract Documents. Said sum shall be considered as liquidated damages only and not a penalty, said damage being caused by loss of timely use of the Work other injury difficult to quantify. For purposes of applying this liquidated damages clause, the CONTRACTOR 00500-2 agrees to waive as against the OWNER any defense to enforcement of said clause based on any of the following claims: (1) that the clause is a penalty;'(2) that the daily amount stated in the clause is not a reasonable estimate and approximation as of the time of contracting of OWNER's actual damages; (3) that the damages caused to OWNER by reason of delay were not difficult to estimate at the time of contracting. .04 CONTRACT PRICE: OWNER shall pay CONTRACTOR for performance ofthe Work in accordance with the Contract Documents in current funds as per CONTRACTOR's bid which forms a part of this contract. In no event shall the amounts payable pursuant to this Contract exceed $33,273,021.00, plus the amount of any duly authorized change orders or contract amendments executed by OWNER. .05 PAYMENT PROCEDURE: CONTRACTOR shall submit Applications for Payment in accordance with Article 14 of the General Conditions unless otherwise amended by the Contract Documents. Applications for Payment shall also include all required documentation indicated in Division 1 - General Requirements; Section 01 0250 of these Specifications. ENGINEER shall process Applications as provided in the General Conditions. a. Progress Payments OWNER shall make progress payments on account of the Contract Price on the basis of CONTRACTOR's Applications for Payment as recommended by ENGINEER and as provided below. All progress payments will be on the basis of the progress of the Work measured by the schedule of values provided for in Article 2 of the General Conditions. 1. Progress payments will be 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 shall determine, or OWNER may withhold in accordance with Paragraph 14.02:13:5 of the General Conditions. A. 95% of the. Work completed (with the balance being retainage) B. 95% (with the balance being retainage) of materials and equipment not incorporated in the Work (but delivered, suitably stored and accompanied by documentation satisfactory to OWNER as provided in Paragraph 14.02.A.1 of the General Conditions). 00500-3 t 2. Request for Payments All requests for payments shall be divided into materials costs and labor/equipment costs. All requests for material payment shall be accompanied by CONTRACTOWs paid invoice for the material in accordance with Article 14.02.A.I of the General Conditions. b. Final Payment 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. .06 CONTRACTOR's REPRESENTATIONS: 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 (including the Addenda listed in paragraph 7 herein) and the other related data identified in the Bidding Documents including "technical data." 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, performance or furnishing 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, performance and furnishing of the Work. d. CONTRACTOR has carefully studied all 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.A of the General Conditions. CONTRACTOR accepts the determination set forth in the Supplementary Conditions to the extent of the "technical data" contained in such reports and drawings upon which CONTRACTOR is entitled to rely as provided in Paragraph 4.02.A of the General Conditions. CONTRACTOR acknowledges that such reports and drawings are not Contract Documents and may not be complete for CONTRACTOR's purposes. CONTRACTOR acknowledges that OWNER and ENGINEER do not assume responsibility for the accuracy or completeness of information and data shown or indicated in the Contract Documents with respect to Underground Facilities at or contiguous to the site. CONTRACTOR has obtained and carefully studied (or assumes responsibility for having done so) all such additional supplementary examinations, investigations, explorations, tests, studies and data concerning conditions (surface, subsurface and underground facilities) at or contiguous to the site or otherwise which may 00500-4 affect cost, progress, performance or furnishing of the Work or which relate to any aspect of the means, methods, techniques, sequences and procedures of construction to be employed by CONTRACTOR and safety precautions and programs incident thereto. CONTRACTOR does not consider that any additional examinations, investigations, explorations, •tests, studies or data are necessary for the performance and furnishing of the Work at the Contract Price, within the Contract Times and in accordance with the other terms and conditions of the Contract Documents. e. CONTRACTOR is aware of the general nature of the Work to be performed by OWNER and others at the site that relates to the Work as indicated in the Contract Documents. f. 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. g: 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, and the Contract Documents are generally sufficient to indicate and convey understanding of all 'terms and conditions for furnishing and performing of the Work. .07 CONTRACT DOCUMENTS: The executed contract documents shall consist of the following components and are incorporated into this contract for all purposes as if set forth verbatim herein: a. This Agreement. b. Exhibits to this Agreement. 1. Bid Negotiation. C. CONTRACTOR's Bid. d. Performance, Payment and other Bonds. e. Notice of Award. f. Notice to Proceeds. g. General Conditions. 00 5000-5 AGREEMENT BETWEEN OWNER AND CONTRACTOR MMCHVAC& RadImprevements for Calhoun Co, TX (Fill 5310.014a) i i h. Calhoun County, Texas General Conditions. Ij i. Supplementary Conditions. j. Technical Specifications. 00 5000-6 AGREEMENT BETWEEN OWNER AND CONTRACTOR MMCHVAC&Roof bopm menis for'Celhom Co., TX (Fite# M10.014a) 1. Drawings numbered & titled for the different areas of work as indicated below. BID NUMBER 2024.06 — MEMORIAL MEDICAL CENTER HVAC & ROOF IMPROVEMENTS FOR CALHOUN COUNTY, TEXAS DRAWING INDEX SHEETNO. DATE INDEX OF DRAWINGS I G1 ARCHITECTURAL DRAWINGS OVERALL ROOF PLAN ENLARGED ROOF PLAN ....................................................... R1 3/31/2022 ROOF AREAS A,B,C,D,E,F,HA K, & L ENLARGED ROOF PLAN ....................................................... R2 3/31/2022 ROOF AREA E,F, & G ENLARGED ROOF PLAN ................... ........ ........... R3 3/31/2022 ROOF AREA E,F, & G ENLARGED ROOF PLAN... . ......:............................... 6...... R4 3/31/2022 WIND PLAN ENLARGED ROOF PLAN .. ......... ........................... WP 3/31/2022 ELEVATION PLAN ENLARGED ELEVATION PLAN ............................................. Al 3/31/2022 WINDOW ELEVATION PLAN ENLARGED WINDOW ELEVATION ....................................... A2 3/31/2022 ROOFDETAILS....................................................................... D1 3/31/2022 ROOF DETAILS ......... ......... .......... ............. D2 3/31/2022 ROOFDETAILS........................................................................ D3 3/31/2022 ROOF DETAILS .:............. :....... ......... ........i.. D4 3/31/2022 ROOF DETAILS ......... .......... ......... ............. DS 3/31/2022 ROOFDETAILS....................................................................... D6 3/31/2022 WINDOW DETAILS .......................... ......... ............... 07 3/31/2022 WINDOW DETAILS......... ......... ......... ............... D8 3/31/2022 WINDOW DETAILS .......................... .............................. D9 3/31%2022 WINDOW DETAILS... .,........................................... ............... D10 3/31/2022 STRUCTURAL DRAWINGS FRAMING PLAN ENLARGED FRAMING PLAN ............. .....:.., ............ SLO 3/31/2022 FRAMING PLAN ENLARGED FRAMING PLAN ................................................... 52.0 3/31/2022 00 5000-7 AGREEMENT BETWEEN OWNER AND CONTRACTOR MMC RVAC & Roof imPromneals for Calhoun Co., TX (File# 5310.014a) DRAWING INDEX SHEETNO. DATE STRUCTURAL DRAWINGS CONVD. FRAMING DETAILS AHU'S DETAILS ... :...................................................... .......... ... 53.0 3/31/2022 FRAMING DETAILS COOLING TOWER DETAILS ................................................... IS4.0 3/31/2022 FRAMING DETAILS COOLING TOWER DETAILS .................................................... S4.1 3/31/2022 MECHANICAL DRAWINGS: MECHANICAL SYMBOLS & ABBREVIATIONS ...................... M001 8/29/2024 FIRST FLOOR SEG A MECHANICAL DEMOLITION PLAN ......................................... MD101 8/29/2024 FIRST FLOOR SEG B MECHANICAL. DEMOLITION.PLAN.......................................... MD101B 8/29/2024 FIRST FLOOR SEG C MECHANICAL DEMOLITION PLAN... .............................. MD101C 8/29/2024 FIRST FLOOR SEG D MECHANICAL DEMOLITION PLAN ......................................... MD101D 8/25/2024 FIRST FLOOR SEG E MECHANICAL DEMOLITION PLAN ......................................... MD101E 8/29/2024 FIRST FLOOR SEG F MECHANICAL DEMOLITION PLAN ......................................... MD101F 8/29/2024 SECOND FLOOR SEG A MECHANICAL DEMOLITION. PLAN... ........ ............: MD102A 8/29/2024 SECOND FLOOR SEG B MECHANICAL DEMOLITION PLAN......................................... MD102B 8/29/2024 SECOND FLOOR SEG C MECHANICAL DEMOLITION PLAN ......................................... MD102C 8/29/2024 SECOND FLOOR SEG D MECHANICAL DEMOLITION PLAN ......................................... MD102D 8/29/2024 SECOND FLOOR SEG E MECHANICAL DEMOLITION PLAN... ........ M0102E 8/29/2024 THIRD FLOOR SEG A MECHANICAL DEMOLITION PLAN ......................................... MD103A 8/29/2024 THIRD FLOORSEG B MECHANICAL DEMOLITION PLAN ......................................... MD103B 8/29/2024 MECHANICAL ROOF PLAN DEMOLITION ......... ............ MD104 8/29/2024 FIRST FLOOR SEG A PIPING DEMOLITION PLAN .................................................. MD201A 4/29/2024 00 5000-8 AGREEMENT BETWEEN OWNER AND CONTRACTOR MMCHVAC &Rao€Improvements for Cni6mm Co., Tk (File# 5310.014a) DRAWING INDEX SHEET NO. DATE MECHANICAL DRAWINGS CONTD. FIRST FLOOR SEG B PIPING DEMOLITION PLAN ................................................. MD201B 8%29/2024 FIRST FLOOR SEG C PIPING DEMOLITION PLAN .................................................. MD201C 0/29/2024 FIRST FLOOR SEG D PIPING DEMOLITION PLAN............ . ....I......................... MD201D 8/29/2024 FIRST FLOOR SEG E PIPING DEMOLITION PLAN .................................................. MD201E 8/29/2024 FIRST FLOOR SEG F PIPING DEMOLITION PLAN .................................................. MD201F 8/29/2024 SECOND FLOOR SEG A PIPING DEMOLITION PLAN .................................................. MD202A 8/29/2024 SECOND FLOOR SEG B PIPING DEMOLITION PLAN ......... ................................... MD202B 8/29/2024 SECOND FLOOR SEG C PIPING DEMOLITION PLAN .................................................. MD202C 8/29/2024 SECOND FLOOR SEG D PIPING DEMOLITION PLAN .................................................. MD202D 8/29/2024 SECOND FLOOR SEG E PIPING DEMOLITION PLAN ......... ......... ............ MD202E 8/29/2024 THIRD FLOOR SEG A PIPING DEMOLITION PLAN.......... .:...................................... MD203A 8/29/20224 THIRD FLOOR SEG B PIPING DEMOLITION PLAN .............. ..........................::. MD203B 8/29/2024 ENLARGED MECHANICAL COOLING TOWER YARD -DEMOLITION .............................................. MD301 8/29/2024 ENLARGED MECHANICAL ROOM FLOOR PLAN - DEMOLITION ......... ............................ MD302 8/29/2024 FIRST FLOOR SEG A MECHANICAL PLAN - NEW WORK... ........ .......... M101A 8/29/2024 FIRST FLOOR SEG B MECHANICAL PLAN -NEW WORK ..................................... M101B 8/29/2024 FIRST FLOOR SEG C MECHANICAL PLAN -NEW WORK ..................................... M101C 8/29/2024 FIRST FLOOR SEG D MECHANICALPiAN-NEW WORK... ......... ........ M161D 8/29/2024 FIRST FLOOR SEG E MECHANICAL PLAN- NEW WORK ..................................... M101E 8/29/2024 FIRST FLOOR SEG F 00 5000-9 AGREEMMNTEETWEEN OWNER ANDCONTRACTOR WC RVAC&Roof hoprov cnts forCelhoun Co., TX(Fiile# 5310.034a) DRAWING INDEX SHEET NO. DATE MECHANICAL DRAWINGS CONVD. MECHANICAL PLAN -NEW WORK..................................... M101F 8/29/2024 SECOND FLOOR SEG A MECHANICAL PLAN -NEW WORK ...............:.:...........:.....:: M102A 8/29/2024 SECOND FLOOR SEG B MECHANICALPLAN-NEW WORK ..................................... M102B 8/29/2024 SECOND FLOOR SEG C MECHANICAL PLAN - NEW WORK.. ........................... M102C 8/29/2024 SECOND FLOOR SEG D MECHANICAL PLAN- NEW WORK .................................... M102D 8/29/2024 SECOND FLOOR SEG E MECHANICAL PLAN - NEW WORK ..................................... M102E 8/29/2024 THIRD FLOOR SEG A MECHANICAL PLAN - NEW WORK ..................................... M103A 8/29/2024 THIRD FLOOR SEG B MECHANICAL PLAN - NEW WORK ..................................... M103B 8/29/2024 MECHANICAL ROOF PLAN NEW WORK ........................... M104 8/29/2024 FIRST FLOOR SEG A PIPING PLAN - NEW WORK ................................................. M201A 8/29/2024 FIRST FLOOR SEG B 8/29/2024 PIPING PLAN - NEW WORK ......... ........ ..m........ M201B FIRST FLOOR SEG C 8/29/2024 PIPING PLAN - NEW WORK............ ;........... :........................ M201C FIRST FLOOR SEG D 8/29/2024 PIPING PLAN -NEW WORK ................................................. M201D FIRST FLOOR SEG E 8/29/2024 PIPING PLAN - NEW WORK ................................................. M201E FIRST FLOOR SEG F 8/29/2024 PIPING PLAN - NEW WORK ................................................. M201F SECOND FLOOR SEG A 8/29/2024 PIPING PLAN - NEW WORK. ........ .:................ :. ........... M202A SECOND FLOOR SEG B PIPING PLAN -NEW WORK ........ ..................... .:.......::......... M2028 8/29/2024 SECOND FLOOR SEG C PIPING PLAN - NEW WORK ................................................. 1V1202C 8/29/2024 SECOND FLOOR SEG D PIPING PLAN - NEW WORK ......... ............................ M202D 8J29/2D24 SECOND FLOOR SEG E PIPING PLAN - NEW WORK......... ............... ...... ........... M202E 8/29/7024 THIRD FLOOR SEG A 00 5000-10 AGREEMENT BETNEEN OWNER AND CONTRACCOR MMC HVAC @ Roof Improvements for CaMom Co., TX (File# 5310A14a) DRAWING INDEX SHEET NO. DATE MECHANICAL DRAWINGS CONrD. PIPING PLAN - NEW WORK ................................................. M203A 8/29/2024 THIRD FLOOR SEG B PIPING PLAN - NEW WORK........... .............................:........ M203B 8/29/2024 ENLARGED MECHANICAL COOLING TOWER YARD - NEW WORK ................. i........................... M301 8/29/2024 ENLARGED MECHANICAL COOLING FLOOR PLAN- NEW WORK .............................................. M302 8/29/2024 MECHANICAL SCHEDULES ................................ ........... M401 8/29/2024 MECHANICAL SCHEDULES ......... ......... ........... M402 8/29/2024 MECHANICAL SCHEDULES ........: ......... - ........... M403 8/29/2024 MECHANICAL SCHEDULES ................................... .......... M404 8/29/2024 MECHANICAL SCHEDULES .................................................. M405 8/29/2024 MECHANICAL DETAILS.... .:.......................................... M501 8/29/2024 MECHANICAL DETAILS.......................................................... M502 8/29/2024 MECHANIC -AL DETAILS .................... ...............,............ M503 8/29/2024 MECHANICAL DETAILS ............................ ,........... M504 8/29/2024 MECHANICAL DETAILS .... .......................... ............ M505 8/29/2024 MECHANICAL PIPING SCHEMATICS ..... ............................. M601 8/29/2024 MECHANICAL PIPINGSCHEMATKS. M602 8/29/2024 MECHANICAL CONTROLS .................................................... M701 8/29/2024 MECHANICAL CONTROLS ................................................... M702 8/29/2024 MECHANICAL CONTROLS ......... ......... ............ M703 8/29/2024 MECHANICAL CONTROLS ......... - ....:... ............ M704 8/29/2024 MECHANICAL CONTROLS ........: ......... ........... M705 8/29/2024 MECHANICAL CONTROLS ......... ........ ............ M706 8/29/2024 MECHANI CAL CONTROLS ......... ......... ..........:. M707 8/29/2024 ELECTRICAL DRAWINGS: 8/29/2024 ELECTRICAL SYMBOLS & ABBREVIATIONS ...................... E001 FIRST FLOOR SEG A 8/29/2024 ELECTRICAL DEMOLITION PLAN ......................................... ED101A FIRST FLOOR SEG 8 8129/2024 ELECTRICAL DEMOLITION PLAN ............................... I......... ED101B 8/29/2024 FIRST FLOOR SEG C ELECTRICALDEMOLITION PLAN ......................................... ED101C 8/29/2024 FIRST FLOOR SEG D ELECTRICAL DEMOLITION PLAN ......................................... ED1O1D 8/29/2024 FIRST FLOOR SEG E 00 5000-11 AGREEMENT BETWEEN OWNER,AND CONTRACTOR MMCHVAC &Roof lmpmwments for CalhounCo. jX (F0e05310,014a) DRAWING INDEX SHEET NO. DATE .ELECTRICAL DRAWINGS CONTD. ELECTRICAL DEMOLITION PLAN...... ........... ED101E 8/29/2024 FIRST FLOOR SEG F ELECTRICAL DEMOLITION PLAN ......................................... E01011' 8/29/2024 SECOND FLOOR SEG A ELECTRICAL DEMOLITION. PLAN ......................................... ED102A 8/29/2024. SECOND FLOOR SEG B 8/29/2024 ELECTRICAL DEMOLITION PLAN......................................... ED102B 8/29/2024 SECOND FLOOR SEG C 1 8/29/2024 ELECTRICAL DEMOLITION PLAN......................................... ED102C 8/29/2024 SECOND FLOOR SEG D 8/29/2024 ELECTRICAL DEMOLITION PLAN ......................................... ED102D B/29/2024 SECOND FLOOR SEG E ELECTRICAL DEMOLITION PLAN ......................................... ED102E 8/29/2024 THIRD FLOOR SEG A ELECTRICAL DEMOLITION PLAN ............................. .:.......... ED103A 8/29/2024 THIRD FLOOR SEG B ELECTRICAL DEMOLITION PLAN......................................... ED103B 8/29/2024 ROOF PLAN ELECTRICAL DEMOLITION PLAN... ......... ED104 ENLARGED ELECTRICAL COOLING 8/29/2024 TOWER YARD - DEMOLITION ............................................... ED301 ENLARGED MECH RM ELECTRICAL 8/29/2024 FLOOR PLAN TOWER YARD -DEMOLITION ....................... ED302 FIRST FLOOR SEG A 8/29/2024 ELECTRICAL PLAN - NEW WORK ........................................ E101A FIRST FLOOR SEG B 8/29/2024 ELECTRICAL PLAN -,NEW WORK ........................................ E1016 FIRST FLOOR SEG C 8/29/2024 ELECTRICAL PLAN -NEWWORK ........................................ E101C FIRST FLOOR SEG D 8/29/2024 ELECTRICAL PLAN - NEW WORK ................. ::..................... E101D FIRST FLOOR SEG E 8/29/2024 ELECTRICAL PLAN - NEW WORK............ ...........................:. E101E FIRST FLOOR SEG F ELECTRICAL PLAN -NEW WORK..... ........................................ E101F 8/29/2024 SECOND FLOOR SEG A ELECTRICAL PLAN - NEW WORK ........................................ E102A 8/29/2024 SECOND FLOOR SEG B ELECTRICAL PLAN - NEW WORK..... ..........I ................ E102B 8/29/2024 SECOND FLOOR SEG C 00 5000-12 AGREEMENT➢ETWEEN OWKER AND CONTRACTOR MMCHVAC &Roof Improvements for Celhom Co., TX (Fileff 5310.014a) DRAWING INDEX SHEET NO. DATE ELECTRICAL DRAWINGS CONTD. ELECTRICAL PLAN - NEW WORK ........................................ E102C 8/29/2024 SECOND FL60R'SEG D ELECTRICAL PLAN - NEW WORK ........................................ E102D 8/29/2024 SECOND FLOOR SEG E ELECTRICAL PLAN - NEW WORK........................................ E102E 8/29/2024 THIRD FLOOR SEG A ELErTRICALPLAN -NEW WORK ......................................... E103A 8/29/2024 THIRD FLOOR SEG B ELECTRICAL PLAN -NEW WORK ..................... I................... E103B 8/29/2024 ELECTRICAL ROOF PLANS - NEW WORK....................... ..... E104 8/29/2624 FIRST FLOOR SEG A ELECTRICAL PLAN - NEW WORK ......................................... E201 8/29/2024 ENLARGED MECH RM ELECTRICAL PLAN -.NEW WORK ......................................... E202 8/29/2024 ONE - LINE DIAGRAM..... ................................................ E301 8/29/2024 ELECTRICAL SCHEDULES.................................................... E401 8/29/2024 ELECTRICAL SCHEDULES .................................................... E402 8/29/2024 ELECTRICAL SCHEDULES. ........ ........ ......... E403 8/29/2024 ELECTRICAL SCHEDULES. ......... ......... E404 8/29/2074 ELECTRICALSCHEDULES.................................................... E405 8/29/2024 ELECTRICAL SCHEDULES. ......... ...I ...................... E406 8/29/2024 ELECTRICAL DETAILS........................................................... E501 8/29/2024 M. Addendum numbers One(1),to One a (1) inclusive n. The following of which may be delivered or issued after the Effective Date of the Agreement and are not attached hereto: All Written Amendments and other documents amending, modifying or supplementing the Contract. Documents pursuant to Paragraph 3.04 of the General Conditions. There are no Contract Documents other than those listed above in this Article 7. The Contract Documents may only be. altered, amended or repealed in accordance with the appropriate provisions of Article 3 of the General Conditions. All protests and disputes will be held in Port Lavaca, Calhoun County, Texas. .08 TOSCELLANEOUS: a. Terms used in this Agreement which are defined in Article I of the General Conditions will have the meanings indicated in the General Conditions. 00 5000-13 AGREEMENT BETWEEN OWNER AND CONTRACTOR ,MMCRVAC &: Red EMPOvemeats for Csihdw Co., TX (File# 3310.014a) b. No assignment by a party hereto of any rights under or interests in the Contract Documents will be binding on another party hereto without the written consent of the party sought to be bound; and, specifically but without finutation, 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 flaw), and unless specifically stated to the contrary in any written consent to an. assignment no assignment will release or discharge the assignor from any fluty or responsibility under the Contract Documents. c. 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. d. 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 CO,NTRACT[OR, 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. IN WITNESS WHEREOF, the parties hereto have signed this Agreement in triplicate. One counterpart each has been delivered to OWNER, CONTRACTOR and ENGINEER. All portions of the Contract Documents have been signed or identified by OWNER and CONTRACTOR or by ENGINEER on their behalf. OWNER: CALHOUN COUNTY Vern Lyssy, Judge Pro Tem ATTEST: ADDRESS. 211 S. Ann, Suite 301 Port Lavaca, Texas 77979 PHONE: (361) 553-4600 FAX. (361) 5534444 CONTRACTOR. WEAVER & JACOBS COR )ITiC: fit ant Jacobs, Press etxt ATTEST: i dIVL ADDRESS: 301 Cooperative Way Cuero, Texas 77954 PHONE: (361) 277 9300 FAX: (361) 277-9274 EMAIL; byjacobs@%veaverandjacobs.com tveaverandjaeobs.com END OF DOCUMENT 00 5000-1.4 AGREEMENT DEMEEN OWNER AND CONTRACTOR MMC IiVAC. & Roof Improvements forCalhom Co., TX (fife" 5310.014a) Memorial Medicat Center HVAC & Roof Reptacelrlectts Base Bild . . Al Roof replacement $ 3,673,515 A2 Curtainwatt and storefront window systems $ 4,405,972 A3 Structural supports foi new MEP equipment $ 213,758 Bl HVAC equipment $ T021,712 B2 HVAC controls $ 2,458,970 B3 Balance of HVAC scope (excluding Items #1 & #2 above) $ 14,924,079 B4 New electricat scope $ 1,465,867 66 Testing, Adjusting, and Balancing for HVAC Allowance $ 150.000 Base Bid - minusOwner°sContingency $ 34,313,873 A4 10% Owners Contingency $ 829,325 B5 1096 Owners Contingency $ 2,837,063 Total Base Bid $ 37,980,261 Item VCatene Englneetlfig Options Value VE #1 Reduce Contingency to 3% (Leaves $1,029,416 in Contingency Balance) $ (2,636,972) VE #3 VE 94 Reduce Schedule to Two Year Phasing in lieu of Four Year Reduction in Builder's Risk Coverage for 2 Years of Coverage $ $ (1,007,821 (400,000) VE #5 VE## 6 Roofing Alternate with Added Manufacturer Discount of $(24.288) Change Roof Cap Sheet frafn Paradiene 30FR TG BW to Paratech Glass $ $ (267,595) (56,2621 VE #7 Hydronic Piping Material and Method Change (ALL Hydronic Piping to be $ (2600000) VE #9A Aluminum Cabinet Construction on Season Daikin RTAHLfs (if Staying with Base Bid Daildn RTAHUs) $ (78590) LEAVER & JACOB C0NS"f RU('7'(-)RS, INC. DOCUMENT NO.00 3000 it Weaver & Jacobs Constructors, Inc. , hereinafter called 'BIDDER!', (Legal Finn N&me) is submitting this Bid for Furnishing and Performing the Work specified herein as the MEMORIAL 1t BICAL CENTER. HVAC & ROOF IlWlPR0VEmzNT& FOR CALHOUN COUNTY, TEXAS This BID is Submitted to the COUNTY OF CALHO N, hereinafter called "OWNER". I. Terms used in this BID are defined in the General Conditions or Document No. 00120 - Instructions to Bidders and shill have the meanings indicated in. the General Conditions or Instructions. 2. BIDDER proposes and agrees, if this BE) is accepted, to enter into an Agreement with. OWNER in the form included in the Contract Documents to famish and perform an Work as specified or indicated in the Contract Documents for the Bid Price and within the Bid Times indicated in this BID and in accordance with the other terms and conditions ofthe Contract Documents. 3. BIDDER accepts all of the terms and conditions of the Advertisement or Invitation to Bid and Instructions to Bkldem including without limitation those dealing with the disposition of Bid Security. This BID will remain subject to acceptance for Sixty (60) Calendar Days after the Bid. Opening. BIDDER shall sign and deliver the required number of counterparts of the Agreement, including all required documents indicated by the Bidding Requirements, within Fifteen (1.5) Worldng Days after the date of OWNFR°s Notice of Award. 4. In submitting this BID, BIDDER represents, as more f dly set forth in the Agreeememt, that: a. BIDDER has examined and carefully studied the Bidding Documents and the following Addenda, receipt of all which is hereby acknowledged. (List Addenda by Addendum Number and Date): Addendum No.: t Date Received. 8S1Fd24 BIDDER has visited the site and is familiar and satisfied with the general, local and site conditions that may affect cost; progress, and furnishing and performing the Work. t is familiar ons that may and satisfied with all federal, state and local Laws and affect cost; progress, and furnishing and performing the 00 3000-1 MEMORIAL MEDICAL CENTER HVA;C / ROOF 19 I d. BIDDER is aware of the general nature of work, if any, to be performed by OWNER (ar others) at the site in relation to the Work for which this BID is submitted. e. BIDDER has correlated the information known to BIDDER, 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. BIDDER. has given ENGINEER written notice of all conflicts, errors, ambiguities or discrepancies that BIDDER, has discovered in the Contract Documents, and the written resolution thereof by ENGINEER is acceptable to BIDDER, and the Contract Documents are generally sofificient to indicate and convey understanding of Oil terms and conditions for f rmishing and performing the Work for which this BID is submitted. g. This BID is GEMU NE and not trade in the interest of or on behalf of any undisclosed person, firm or corporation and is not submitted in conformity with any agreement or ruler of any group, association, organization, or corporation. BIDDER. has not directly or indirectly induced or solicited any other BIDDER to submit it false or sham BED. BIDDER has not solicited or induced any person, firm or corporation to refiratin from bidding. BIDDER has not sought by collusion to obtain for itself any advantage over any other BIDDER or over OWNER. S. BIDDER agrees to complete the Work in accordance with the Contract Documents. m. BIDDER acknowledges that the amounts are to be shown in both words and figures, and in case of discrepancy, the amount in words shall govern. b. BIDDER acl€ awledges that the quantities are not guaranteed and final payment will be based on the actual quantities determined as provided in the Contract Documents. c, BIDDER acknowledges that; at OWNS ,"s option and/or at OWNEWs request, any of the quantities may be deleted, reduced, or increased based upon the respective Unit Price& d. BIDDER acknowledges that Unit and Lump Sum Prices have been computed in accordance with paragraph I I.03.B. of the General Conditions.. e. BIDDER agrees to furnish€ all necessary labor, superintendence, plant, machinery, eaninment, tools, materhals, imurance,. services and all other requirements deemed to complete the items of Work indicated on the following pages for the lollar amounts stated. 00 3000-2 MEMORIAL MEDICAL CENTER HVAC / ROOF 3 BID PROJECT HIAME: BID NUMBER 2024.0G_ MEMORIAL MEDICAL CENTER I4VAG 0- ROOF.HMPROVEMENTS DUE DATE; Before 2:00.00 nm. Thursday. September 19 2024 NAME: Weaver & Jacobs Constructors, Inc. WORK. SCOPE Is Bins are invited for Items and quantities of world generally as follows. Replacement of Roof System in totality Including modifications necessary to root top sctslpmen4 Raptacament of select window systems frrott, fingi exterior cladding repairs and interior rapalrs necessary to lostalf windows systems as specified. Structural Modifikaftne as required to install new Mechanics! EqufpmeriL Reptacsmnaid of the e"Rg HVAC systems and associated controls, modflications and addilfcns to the electrical fnfrar picture as required to accommodate the new HVAC systems. Bay 131d tA—Arcbltecfural and Structural Item Quantity I Unit Unit Price Total Bid Price Al. Furnish all necessary equipment, 1 LS materials, and labor for roof replacement ' scope of woilc at roof areas A, B, 61, B2, C, D, E, El, E2, E3, F, F1,1=2, F3, G, 1-1, $3,673,515 $3,673,515 J, and K as defined under BASE BID in accordance with the drawings and specifications. Includes all fiashings, sheet metal, sealants, masonry, MEP and other supplemental wort( necessary. A2. Furnish all necessary equipment, 1 LS materials, and labor for the installation of the curtainwall and storefront window systems as defined under BASE BID in accordance With the drawings and $4,4 05,97`2 $4,405,972 specifications. Includes all fiashings, sheet metal; sealants, masonry,. MEP and other supplemental worlt necessary. A3. Furnish all necessary equipment, 1 LS materials, and labor for tt)e installation and/or modifications of the structural supports for new MEP equipment as defined under BASE BID in accordance $213,758 $213,758 with the drawings and specifications, Includes all overhead worn and work modifications necessary to accommodate the hospitals schedule. 00 3000-3 MEMORIAL MEDICAL CENTER HVAC i ROOF Eli 5 ± 1 Vl w Base BId At — wrchitechrrat and Structural Conrd. Item Quantity Unit Unit Price Total Bid Price A4. 10% Owners Contingency: to be used 1 LS 10% of Base Bid only as directed by Architecl/Engineer (0.10 x Sum of Base for Owner's purposes and only by Bid fines A1: A3. change orders that indicate amounts to above) be charged to the Owner's Contingency $829,325 $829,325 Total BassBfdfAk-(A1-A4) $9,197,570 NOM SLIART DATEAND PHASING TO BE COORDINATED Base BidA-CatendarDap WrrH OV94ER AND GENERAL CONTRACTOR 260 Banff Ed B.-titectnsW69 and. Electrical Item Quantity", Unit Unit Price Total Bid Price S:1. Furnish all install all HVAC equipment 1 LS defined under the BASE BID in accordance with the schedules on drawings M401, M402, M403;. M404, ans3 $7„021,71i2 $7,021,712 M405 as well as the specificat'oons: B2. Furnish andlnstail all HVAC controls 1 LS defined under the BASE BID in accordance with drawings M701, M702, M703, M704, M705, M706, and M707 as well as the specifications. $2,458,970 $208,970 83. Furnish and install all equipment, materials, and tabor for the installation of the balance of HVA.0 scope (excluding Items #t1 S, 92 above) defined under the BASE BID in accordance with the $14,924,079 $14,924,079 drawings and specifications. 00 3000-4 MEMORIAL MEDICAL CENTER HVAC % ROOF Base Bid B—Vachai slcai and Electrical Cont"d Item Quantity Unit Unit Price Total Bid Price B4. Furnish all necessary equipment, 1 LS materials, and labor for the installation of all new electrical scope as defined under the BASE BID in accordance with the $1,465,867 $1,465,867 electrical drawings and specifications: B5:100/6 Owners Contingency: to be used 1 LS 10% of Base Bid only as directed by Architect/Engineer for (0.10 x Sumof Owner's purposes and only by change Base Bid lines B1: orders that indicate amounts to be 84. above) $Z837,063 charged to the Owners Contingency Asbestos abatement allowance added $2,837,063 per addendum #1($250,000) BO. Testing, Adjusting, and Balancing for 1 1_8 gt50,000.00 HVAC Allowance. To be used only as directed by Engineer for Owner`s purposes and only by change orders that $ V�ft,UQtB $ &50,0Ek0 indicate amounts to be charged to the Owner's Testing; Adjusting, and Balancing Allowance. Total Base BidS—QB9-6&j I$28"857,69, NLFrE.S6ARTQ.hTEANO�En1t TQBECCOROINATED Base BidB—Calendar Days' tiMtTFtati:k@IERA TE �CleALRACTOR. 1,498 Total Base Bfd A+ Base Bid B $37,980,261 We are carrying $$934,000 in E If the owner chooses they can AWARD OF CONrRAACT SHALL BE BASED ON THE "TOTAL BASE DIES A +TOTAL BASE BID B" WITH CONSIDERATION OF THE OWNER'S OPTIONS :-1-1-1 : . . .;-. . 00 3000-5 MEMORIAL MEDICAL CENTER HVAC / ROOF OWNER'S Off' Y ION'S Owner`s Options Ai —A it ebftectuaat and Structural Item Quantity Unit Unit Price Total Bid Price 0A1 Furnish all necessary equipment, 1 LS materials, and labor for ALTERNATE BID roof replacement scope to install a (4243,407) (4243,407) 2-ply mod bit venting system with LWIC RT pellet surface treatment in lieu of the 3-ply mod bit roof system described under BASE BID of work a[ roof areas A, B, 81, B2, C. D, E, E1, E2, E3, F, F1, F2, F3, G, H, J, and K as defined under ALTERN fE BID in accordance with the drawings and specifications. Includes all flashings, sheet metal, sealants, masonry, MEP and other supplemental work necessary. It is the Intent that this line item bean addition or deduction from SASE BID Item I above. Deductions shelf be entered as a Negative Price UNrr PRICES. W&UP)POSSSUM fadaing scums as additions to or deductions from the Base Bid emotintfor UnIt Pace Work more Rift dwalbad Im referemeed Specification Sections ire the Contract Dacmnsiiis.. Swderi must provide an amount for such Hurd Pr%a Ileum fleled or entire Old may be considered non-respoiistvs. AN [tens Wad balaw tacfudeaf fsboe, anatedsk aid ON & Po to ImItaif. OvirmesOptions A&—Atcofr ardlStruactiuumfContd. Item Quantity" Unit UnitPrice Total Bid Price M 5216 LWIC: Vermiculite Lightweight 1 so. Aggregate per 1" thickness, 25 PCF Dry FT $17"50 $17,50 Density 03 5215 LWIC: InsulcelFS Foam Concentrate $.f0 85 $F't0.$ par 1" thickness, 30 PCFDry Density FT 03 5216 LWIC: Insulperni EPS roam Board insulation per 1" thickness, f PCF 1 SQ. FT $157.50 $157.50 04 0100 "i Semi -Wald Flashing: Raise Through 10 Linear wall flashing including counterllashing and FT $341.25 M412:50 masonry repairs 06 1055 Treated Wood Blocking Papiacainant: 2x4 Nominal Size 10 Linear FT $8.75 $87.50 00 3000-6 MEMORIAL MEDICAL CENTER HVAC l ROOF Owner's Options A —Architectural and Structural Corot"d. Item Quantity Unit Unit Prlos Total Bid Price 061055'Treated Wood Blocking 10 Linear Replacement 2x6Nominal Size FT $11.38 $113.75 061055 Treated Wood Blocking •10 Linear Replacement: 2x8 Nominal Size FT $14.00 $140.00 061055Treated Wood Blocldng 10 Linear Replacement: 21d 0 Nominal Size FT $16.63 $166.25 06 1055 Treated Wood Blocking 10 Linear Replacement-. 2x12 Nominal Size FT $15.25 $182.50 061055 Treated Wood Slocking 32 SQ: Replacement:'/<° COX Plywood FT $9.63 $308.00 07 5210 SBS MOD BIT ROOF MEMBRANE: 'I SQ. SBS MOD BIT CAP SHEET TG WITH SRI a FT $7.88 $7.88 O:7G. 07 6216 SBS MOD BIT ROOF MEMBRANE: 1 LWIC 1.75' Base Sheet Fasteners FT $6,13 $6.13 07 5216 SBS MOD BIT ROOF MEMBRANE: t SQ< LWIC 1:75" Twin Lock Base Sheet Fasteners FT $6.13 $6.13 07 5216 SBS MOD BIT ROOT- MEMBRANE: 1 so. Polyisorysnurate Board 1" Thickness 20 PSI. FT $2.1 U $2.10 07 $216 SBS MOD PIT ROOF MEMBRANE: 1 so. Gypsum 'W' Cover Board FT $3.50 $3.50 07 0150.19 Roof Replacement Prep„ Steel 1 SQ. Decldno Replacement, A, B; F; or N Deck FT $26.2,5 $26:25 07 6200 Sheet Metal Work: UN &' Sheet Metal 10 Linear Do+wnspoul FT $61.25 $612.50 07 6200 Sheet Metal Wo c IT ESA Coping 10 Linear wt 1 cleat and Standing Seem FT $78,75 $787.50 07 6200 Sheet Metal Work: 4" Face ES-1 10 Linear Fascia W. Conrmuous Cleat FT $22.75 $227.50 07 6200 Sheol Metal Work: 8" 1-Piece Facla / 10 Linear Coping Face Extension FT $26.25 $262.50 07 6200 Sheet Meta) Worlc: 6' Dm,+mspaut 1 Each Boot $1,575.00 $1,575.00 07 6200 Sheet Metal Work: Collector Head 1 Each i i $262.50 $262.50 as 3000-7 MEMORIAL. MEDICAL CENTER HVAC % ROOF 11 Owner's Options A — Archttecturat and 3truetuaai 6acrir& Item Quantify Unit Unit Price Total Bid Price 07 6200 Sheet Metal Work: Hooded Pitch Pan 1 Each $157.50 $157.50 07 6200 Sheet Metal Work: C oncrele Splash 1 Each Block on Traffic Pad $157.50 $157.50 07 6200 Sheet Metal Work: R-Panel35" 10 Linear FT $21.88 $218.75 0T9200 Backer Rod and Sealants Backer -to Linear Rod and Sealant (up to ?/;" Joint) FT $24,60 $245.00 22 0500 Plumbing: 40 Roof Drain and 1 Each strainer $6,755.00 $6,755.00 22 0500 Plumbing: Fr" 0 Root Drain and 1 Each Strainer $6,930.00 $6,930.00 22 0500 Plumbing. W 0 Roof Drain and 1 Each Strainer $7,113,75 $7,113.75 22 K00 Plumbing, V 0 Condensate Drain 10 Linear and Strainer FT $1,295.00 $12,950.00 22 0500 Plumbing; 2" p Condensate Drain 10 Linear and Strainer FT $1,487.50 $14,876.00 22 0500 Plumbing: 1" 0 Copper PJC 10 Line Condensate Line (W1 Supports) 21625 $12,162.50 22 0500 Plumbing; Raise Water Chiller Lines 10 Linear (Wtsupports) FT $4,830.00 $48,300.00 00 30010-8 MEMORIAL MEDICAL CENTER HVAC % ROOF 12 0mar's Options B — Mechanical and Electrical UNIT PRICES. Bidder proposes the foltaviing sums as additions to or deductions from the Base Bid amount for Urdt Price Work more fully described to referenced Speciffeat➢on Sections In the Contract documents. Bidder must provide an amount for each Unit Price Item listed or entire Bid may be considered non -responsive. All items listed be➢ow Include all labor, materials and OH & P, to Install. Item Quantity Unit Unit Price Total Bid Price 05L install run -out ductwork, including a 9 LE single 2 Et. x 2ft. air device with appropriate frame per Air Device Schedule, up to 15 ft, of 6 in, diameter sheet metal ductwork, 8 ft Sr258.5 ' of flexible ductwork, spin -in tap with balancing damper and duct Insulation. 002. Install run -out ductwork, including a 1 L5 single 2 ft. x 2ft. air device With appropriate frame per Air Device Schedule, up to 15 ft. of 8 in. diameter sheet metal ductwork, 8 ft $5,626.25 $5,626.25 of flexible ductwork, spin -in tap with balancing damper and duct Insulation. OB6. Install run -out ductwork, Including a 1 LS single 2 ft. x 2ft. air device with appropriate frame per Air Device Schedule, up to 15 ft. of 10 tn.. diameter sheet metal ductwork, 8ft $5,801.25 $5,801.25 of flexible ductwork, spin -in tap with balancing damper and duet insulation. DB4. Install run -out ductwork, including a 1 LS single 2 ft. x 2ft. air device with appropriate frame per Air Device Schedule, up to 15 ft. of12 in. diameter sheet metal ductwork, 8 ft $6,221.25 $6,221.25 of flexible ductwork, spin -in tap with balancing damper and duct insulation. 00 3000-4 MEMORIAL MEDICAL CENTER HVAC / ROOF 13 y a tF t FM1,� Ownses; Option D— Mechanical and Electrical Cont d. Itern Quantity Unit Unit Price Total Bid Price 095. Install run -cut ductwork, including 1 LS single 2 ft. x 2ft. air device with appropdate frame per Air Device Schedule, up to%5 ft. of 14 in. $6,756.7 5 $6,756.75 diameter sheet metal ductwork, 8 ft offlexible ductwork, spin -In tap with baPancing damper and duct insulation. 086. Remove and replace 4 ft x 4 ft section 9 iS of GWO ceiling, patch, seat and paint ^ 487.5Q to match existing conditions. to r 097. Furnish and install 18 in. x 18 in. 1 LS painted steel access panel in ceiling. $1,050.00, $1105€1.00 d. BIDDER agrees that the Work shall he eompleted and ready for final payment in accordance with. Paragraph 14.07 of the General. Condilhow when the Contract Tunes commences In run. BIDDER accepts the provisions of the Agreement as to liquidated damages in the event offailuee to complete the Work within the tunes specified in the Agreement. T. The following documents are included andmade a condition of this BID: a. Required. Bad Security in the form of Erld Bond li. Affidavit C. System for Award Management —(sam.gov.) d. Cedi"5cation Regarding Dehaiment & Suspension and Other Responsibility Matters e. Certification Regarding Lobbying f: Diselosm of Lobbying Activities t g CdaflicdofPnterestQuestionnaire, Form CIQ h. House Bill84 Verification i. Residence Certification f. Document No. 00 4150— Contractor's Corporate Resolution 00 3p00-10 MEMORIAL MEDICAL CENTER HVAC'/ ROOF 1 k. Document No. 00 4200 —Bidder Qualification Statement Document No. € 0 4500 - Certification of Bidder Regarding Civil flights haws and Regulations Submit one 1711: USB flash drive and one (1) original and four (41 ecn%s of this bad and forms listed above. Please do not f€ K bind or staple sets. Bids must be returned in a Sealed 9 x 12 or larger envelope clearly marked: SEALED BID NUMBER 2024.06 - MEMORIAL MEDICAL CENTER HVAC & ROOF EVIPROVEMENTS FOR CALHOUN COUNTY, TEXAS. Submit Sealed Bid Before 2:00.00 PM leeal time, Thursday, September 12, 2M to. Honorable Richard EL Meyer, County :fudge Calhoun County Courthouse 211 South Ann Street, 51 Floor, Suite 301 Port Lavaca, TX 77979 9. Commxunicatious about this BID shall be directed to BIDDER.'s address indicated below. �131,11XIVIV0a� Brant Jacobs Totim President Naffie, Came Terry r Title,. Ofte Admion Legal Firm Name: Weaver & Jacobs Constructors, Inc. Barsiuess Address: 301 Cooperative Way - Cuero, TX 77954 Phone Number. 361-277-9300 Facsimile Number: 361-277-9274 aI Mail Add: bylacobs@weaverandjacobs.com ration, if applicable- Texas -License No: 41're'R°.i�°«"oa°�aSe�`"e m °rsowvre a.nw v s am arms.. om reazsa°vare nm�r rs a'xvuaesxa. END OF DOCUMENT QO 3000-I I MEMORIAL MEDICAL CENTER HVAC/ ROOF 15 PUBLIC WORK Bond No: 8054767 STATUTORY PERFORMANCE BOND PURSUANT TO CHAPTER 2253 OF THE TEXAS GOVERNMENT CODE AS AMENDED BY THE 73rd LEGISLATURE, 1993 (Penalty of this bond must be 100% of Contract amount) KNOW ALL MEN BY THESE PRESENTS: That, Weaver& Jacobs Constructors Inc. (Here insert the name and address or legal title of the Contractor) 301 Cooperative Way, Cuero TX 77954 (hereinafter called the Principal), as Principal, and Amerisure Mutual Insurance Company (Here insert the name of the Surety) a corporation organized and existing under the laws of the State of Michigan , with its principal office in the City of Farmington (hereafter called the Surety), as Surety, are held and firmly bound unto (Here insert the name of the Obligce) (hereinafter called the Obligee), in the amount of Thirty-three Million Two Hundred Seventy-three Thousand Twenty one & 001100 (Here insert an amount equal to the total contract price) Dollars ( $33,273.021.00 ) for the payment whereof, the said Principal and Surety bind themselves, and their heirs, administrators, executors, successors and assigns, jointly and severally, firmly by these presents. WHEREAS, the Principal has entered into a certain written contract with the Obligee, dated the 30th day of October 2024 to Memorial Medical Center HVAC & Roof Improvements which contract is hereby referred to and made a part hereof as fully and to the same extent as if copied at length herein. NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION IS SUCH, that if the said Principal shall faithfully perform the work in accordance with the plans, specifications and contract documents, then this obligation shall be void, otherwise to remain in full force and effect. PROVIDED, HOWEVER, that this bond is executed pursuant to die provisions of Chapter 2253 of the Texas Government Code as amended by Acts of the 73rd Legislature, 1993, and all liabilities on this bond shall be determined in accordance with the provisions of said Chapter to the same extent as if it were copied at length herein. IN WITNESS WHEREOF, the said Principal and Surety have signed and sealed this instrument this 11th day of December 2024 WITNESS: (IF INDIVIDUAL OR FIRM) ATTEST: (IF CORPORATION) PR177300=0601 f (SEAL) (SEAL) ns ructorc In (SEAL) Principal �— (SEAL) Amerisure Mutual Insurance Company Surely - , By Debra Lee Moon AitornawiO-Fact; '; c r= AMERISURE AMERISURE MUTUAL INSURANCE COMPANY %S V R E T Y AMERISURE INSURANCE COMPANY AMERISURE PARTNERS INSURANCE COMPANY POWER OFATTORNEY KNOW ALL MEN BY THESE PRESENTS: That Amerisure Mutual Insurance Company, Amerisure Insurance Company and Amerisure Partners Insurance Company am corporations duly organized under the laws of the State of Michigan (herein collectively the "Companies"), and that the Companies do hereby make, constitute and appoint: DEBRA LEE MOON, ANDREA ROSE CRAWFORD, SANDRA LEE RONEY. FAITH ANN HII TY TROY RUSSELL KEY, COLIN E. CONLY, ALLYSON W. DEAN, ANDREW PATRICK CLARK, and JOHN WILLIAM NEWBY of Acdsure. LLC des Mullis Newby Hurst its true and lawful Attomey(s)-in Fact, each in their separate capacity if more than one is named above, to sign, execute, seal and acknowledge, for and on its behalf and as its act and deed, bonds or others writings obligatory in the nature ofa bond on behalf ofeach ofsaid Companies, as surety, on contracts or suretyship as are or may be required or permitted by law, regulation, contract or otherwise, provided that no bond or undertaking or contract or suretyship executed under this authority shall exceed the amount of: ONE HUNDRED MILLION ($100,000,000.00) DOLLARS This Power of Attorney is granted and signed by facsimile under and by the authority of the following Resolutions adopted by the Boards of Directors of Amerisure Mutual Insurance Company, Amerisure Insurance Company and Amerisure Partners Insurance Company at meetings duly called and held on February 17, 2022. "RESOLVED, that any two of the President & Chief Executive Officer, the Chief Financial Officer& Treasurer, the Senior Vice President Surety, the Vice President Surety, or the General Counsel & Corporate Secretary be, and each or any of them hereby is authorized to execute, a Power of Attorney qualifying the attorney -in -fact named in the given Power of Attorney to execute on behalf of the Company bonds, undertakings and all contracts of surety, and that President & Chief Executive Off icer, Chief Financial Officer & Treasurer or General Counsel & Corporate Secretary each or any of them hereby is authorized to attest to the execution of any such Power of Attorney and to attach therein the seal of the Company; FURTHER RESOLVED, that the signature of such officers and the seal of the Company may be affixed to any such Power of Attorney or to anycertificate relating thereto electronically/digitally or by facsimile, and any such Power of Attorney or certificate bearing such electronic/digital or facsimile signatures or electronic/digital or facsimile seal shall be binding upon the Company when so affixed and in the future with regard to any bond, undertaking or contract of surety to which it is attached; FURTHER RESOLVED, that any work carried out by the attomrv-in-fart nin`2umt to this resolution shall be valid and binding upon the Company." .. IN L•a. g--c, ' U A,y'a /1 / B i �OSPO 'qT e" ERS e �9"5 �% zq:i, F•.�; Michael A. Ito, Senior Vice President Surety ,QeP�o SEAL •' _ i SEAL `'0'- // / ="` SEAL StaJ�'!CHIOP�'da=` fib•""'• CHIGP,�`�a' By: N'• 2000 •0; ' F�;B'J cb �' • Aaron Green, Vice President Surety,'��CHIGh[?s IN WITNESS WHEREOF, Amerisure Mutual Insurance Company, Amerisure Insurance Company and Amerisure Partners Insurance Company have caused their official seals to be hereunto affixed, and these presents to be signed by their authorized officers this 26th day of April • 2023 Amerisure Mutual Insurance Company Amerisure Insurance Company State of Illinois Amerisure Partners Insurance Company County of Kane On this 26th day of April , 2023, before me, a Notary Public personally appeared Michael A Ito, of Amerisum Mutual Insurance Company, Amerisum Insurance Company and Amerisure Fanners Insurance Company and Aaron Green of Amerisum Mutual Insurance Company, Amerisure Insurance Company and Amerisure Partners Insurance Company, personally known to me, who being by me duly swom, acknowledged that they signed the above Power ofAttomey as officers of and acknowledged said instrument to be the voluntary act and deed of their respective companies. M aWlN1' MrwMMuy� a uwrooiiww M.Kenny, Notary Public I, Christopher M. Spende, the duly elected Chief Financial Officer & Treasurer of Amerisum Mutual Insurance Company, Amerisure Insurance Company and Amerisure Partners Insurance Company, do hereby certify and attest that the above and foregoing is a true and correct copy of a Power of Attorney` executed by said Companies, which remains in full force and effect IN WITNESS WHEREOF, I have set my hand and affixed the seals of the Companies this 11th day of December 2024 Christopher M. Spaude, Chief Financial Officer & Treasurer AMERISURE %SURETY Texas Important Notice IMPORTANT NOTICE To obtain information or make a complaint: You may call Amerisure Surety's toll -free telephone number for information or to make a complaint at: 1-800-257-1900 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 12030 Austin, TX 78711-2030 Fax:(512) 490-1007 Web: www.tdi.texas.gov E-mail: ConsumerProtection@tdi.texas.gov PREMIUM OR CLAIM DISPUTES: Should you have a dispute concerning your premium or about a claim, you should contact the company first. If the dispute is not resolved, you may contact the Texas Department of Insurance. ATTACH THIS NOTICE TO YOUR POLICY: This notice is for information only and does not become a part or condition of the attached document. Amerisure Mutual Insurance Company Amerisure Insurance Company P.O. Box 9098 Farmington Hills, MI 48333-9098 AVISO IMPORTANTE Para obtener informacion o Para presenter una queja: Usted puede Ilamar al nGmero de teldfono gratuito de Amerisure Surety's Para obtener informaci6n o Para presentar una queja al: 1-800-257-1900 Usted puede comunicarse con el Departamento de Se-guros de Texas Para obtener informaci6n sobre corn-paiiias, coperturas, derechos, o quejas al: 1-800-252-3439 Usted puede escribir al Departamento de Seguros de Texas a: P.O. Box 12030 Austin, TX 78711-2030 Fax: (512) 490-1007 Sitio web: www.tdi.texas.gov E-mail: ConsumerProtection@tdi.texas.gov DISPUTAS POR PRIMAS DE SEGUROS O RECLAMACIONES: Si tiene una disputa relacionada con so prima de seguro o con una reclamaci6n, usted debe comunicarse con Is compania primero. Si Is disputa no es resuelta, usted puede comunicarse con el Departamento de Seguros de Texas. ADJUNTE ESTE AVISO A SU PGLIZA: Este aviso es solamente Para prop6sitos informativos y no se con-vierte en pane o en condici6n del documento adjunto. A�!R� CERTIFICATE OF LIABILITY INSURANCE DAT2110/2024 Y) 1u1o/zoza THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Mullis Newby Hurst —Texas 5057 Keller Springs Rd. Suite 400 Suite 200 Addison TX 75001 CONTACT Alger PHONE PAX Fax N - 972-201-0109 JAIC No, 972-201-0123 ADDRESS, : NAI er acdsure.com INSURERS AFFORDING COVERAGE NAICIf INSURER A: Amerlsure Insurance Company 19486 INSURED WEAVBJA-02 Weaver & Jacobs Constructors, Inc. INSURER B: Amerlsure Mutual Insurance Company 23396 INSURERC: Westchester Fire Insurance Company 10030 301 Cooperative Way Cuero TX 77954 INSURER D: Indian Harbor Insurance Company 36940 INSURER E : INSURER F: -- ------ r vraw" rvurarocn: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OFINSURANCE ADD[ im SUER VDBR POLICY NUMBER POLICYEFF MMIDDn'Y POLICYEXP MMIDD/YYYY LIMITS B X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE N OCCUR CPP20357111702 3/15/2024 3/15/2025 EACH OCCURRENCE $1,000,000 DAMAGETO REN ED PREMISE Eaoccunence $1,000,000 MED EXP (Anyone person) $10,000 PERSONAL &ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO1-1 - JECT LOC GENERAL AGGREGATE $2,000,000 PRODUCTS-COMP/OP AGO $2,000,000 OTHER: B AU TOMOBILELIABILITY AUTO OWNED OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON-OWNLDD AUTOS ONLY AUTOS ONLY M CA20357101703 3/15/2024 3/15/2025 COMBINED SINGLE LIMIT Ea accident $1,000,000 X BODILY INJURY (Per person) $ BODILY INJURY (Par accident) $ X PROPERTYDAMAGE Par accident) $ A g X UMBRELLA LIAR EXCESS LIAR X OCCUR CLAIMS -MADE N/A CU20357121702 WC20357131503 3/15/2024 3/15/2024 3/15/2025 3/15/2025 EACH OCCURRENCE $5,000,000 AGGREGATE $5,000,000 DED X RETENTION$ WORKERS COMPENSATION AND EMPLOYEflS'LIABILIiY YIN ANVPROPRIETOR/PARTNER/EXECUTIVE N OFFICERIMEMBEREXDLDDED4 X STATUTE ERH $ E.L. EACH ACCIDENT $1,000,000 (Mandatory In NH) It yes, describe antler DESCRIPTION OF OPERATIONS below E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1.000.000 0 C PollutlaNPmressional Builders Risk CE0742133602 123867502001 3/15/2024 3/15/2024 3/15/2025 3/15/2025 Occurrence/A re ate 9 9 Sea Limits Beow 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space is required) The General Liability, Auto, and Umbrella policies include a blanket additional insured endorsement that provides additional insured status to the certificate holder only when there is a written contract between the named insured and the certificate holder that requires such status. The General Liability policy includes a blanket additional insured endorsement that provides additional insured status to the certificate holder for ongoing and completed operations only when there is written contract between the named insured and the certificate holder that requires such status. The General Liability, Auto, and Umbrella policies contain an endorsement with primary and noncontributory wording that may apply only when there is a written contract between the named insured and the certificate holder that may require such status. See Attached... Calhoun County 211 South Ann Street, 3rd Floor, Suite 301 Port Lavaca TX 77979 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED CORPORATION. All rights reserved. ^��• •� tom. • u•../ I ne Nwnu name ano logo are registered marks of ACORD AGENCY CUSTOMER ID: WEAV&JA-02 _ LOC #: ACC>R" ® ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY Mullis Newby Hurst— Texas NAMED INSURED Weaver & Jacobs Constructors, Inc. 301 Cooperative Way Cuero TX 77954 POLICY NUMBER CARRIER NAIC CODE EFFECTIVE DATE: THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE General Liability, Auto, Umbrella, and Workers Compensation policies include a blanket waiver of subrogation endorsement that provides this feature only i there is a written contract between the named Insured and the certificate holder that requires this. Contractors Equipment policy Includes a blanket Loss Payee endorsement that provides loss payee status to the certificate holder as their interest may ,ar Automobile policy includes a Loss Payee endorsement that provides loss payee status to the certificate holder as their interest may appear. Property policy includes a Loss Payee endorsement that provides loss payee status to the certificate holder as their interest may appear. Joisted Masonry Construction - Per Occurrence Wood Frame - Per Occurrence Named Windstorm - Per Occurrence Flood - Per Occurrence/Annual Aggregate Earth Movement - Per Occurrence/Annual Aggregate Soft Costs/Additional Expenses Property In Transit Temporary Off -Site Storage counties: Aransas, Brazoria, Calhoun, Cameron, Chambers, Galveston, Harris, Jackson, Jefferson, Kennedy, Kleberg, Matagorda, an Patricio, Willacy er HVAC & Roof Improvements, District Wide Campuses, Port Lavaca, Texas 77979 / Contract Amount: $33,273,021.00 Holder includes Calhoun County, their Employees, and G&W Engineers, Inc. ACORD CORPORATION. All rights the ACORD name and logo are registered marks of ACORD THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NOTICE OF CANCELLATION, NONRENEWAL OR MATERIAL CHANGE -THIRD PARTY This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM BUSINESS AUTO PHYSICAL DAMAGE COVERAGE FORM COMMERCIAL GENERAL LIABILITY COVERAGE FORM COMMERCIAL UMBRELLA LIABILITY COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIER COVERAGE FORM PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE FORM TRUCKERS COVERAGE FORM Subject to the cancellation provisions of the Coverage Form to which this endorsement is attached, we will not: 1. Cancel; 2. Nonrenew; or, 3. Materially change (reduce or restrict) this Coverage Form, except for nonpayment of premium, until we provide at least 60 days written notice of such cancellation, nonrenewal or material change. Written notice will be to the person or organization named in the Schedule. Such notice will be by certified mail with return receipt requested. This notification of cancellation, nonrenewal or material change to the person or organization named in the Schedule is intended as a courtesy only. Our failure to provide such notification will not: 1. Extend any Coverage Form cancellation date; 2. Negate the cancellation as to any insured or any certificate holder; 3. Provide any additional insurance that would not have been provided in the absence of this endorsement; or 4. Impose liability of any kind upon us. This endorsement does not entitle the person or organization named in the Schedule to any benefits, rights or protection under this Coverage Form. SCHEDULE Name Of Person Or Organization Mailing Address Any person or organization holding a certificate of insurance issued The address shown for that person or organization in for you, provided the certificate: that certificate of insurance 1. Refers to this policy; 2. States that notice of: a. Cancellation; b. Nonrenewal; or c. Material change reducing or restricting coverage; will be provided to that person or organization; 3. Is in effect at the time of the: a. Cancellation; b. Nonrenewal; or c. Material change reducing or restricting coverage; and 4. Is on file at your agent or broker's office for this policy IL 70 66 0714 Forms and Endorsements Schedule Policy Number: CPP20357111702 Effective Date: 03/15/2024 Named Insured: WEAVER & JACOBS CONSTRUCTORS, INC. Form Number Description IL O1 68 03 12 TEXAS CHANGES - DUTIES IL 09 11 11 85 SUPPLEMENTAL TO RETROSPECTIVE PREMIUM ENDORSEMENT - FINAL PREMIUM COMPUTATION IL 09 85 12 20 DISCLOSURE PURSUANT TO TERRORISM RISK INSURANCE ACT IL 70 66 07 14-BLK(BLANKET)NOTICE OF CANCELLATION, NONRENEWAL OR MATERIAL CHANGE - THIRD PARTY CG 00 01 04 13 COMMERCIAL GENERAL LIABILITY COVERAGE FORM CG O1 03 06 06 TEXAS CHANGES CG 03 00 01 96 DEDUCTIBLE LIABILITY INSURANCE CG 20 10 04 13 ADD'L INSURED -OWNERS, LESSEES OR CONTRACTORS/SCHEDULED PERSON OR ORGANIZATION CG 20 32 04 13 ADD'L INSURED -ENGINEERS, ARCHITECTS OR SURVEYORS NOT ENGAGED BY THE NAMED INSD CG 20 32 12 19 ADD'L INSURED -ENGINEERS, ARCHITECTS OR SURVEYORS NOT ENGAGED BY THE NAMED INSD CG 20 37 04 13 ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS CG 21 54 12 19 EXCLU-DESIGNATED OPERATIONS COVERED BY A CONTROLLED (WRAP-UP) INSURANCE PROGRA CG 21 60 09 98 EXCLUSION - YEAR 2000 COMPUTER -RELATED AND OTHER ELECTRONIC PROBLEMS CG 21 67 12 04 FUNGI OR BACTERIA EXCLUSION CG 21 70 01 15 CAP ON LOSSES FROM CERTIFIED ACTS OF TERRORISM CG 21 86 12 04 EXCLUSION - EXTERIOR INSULATION AND FINISH SYSTEMS CG 21 96 03 05 SILICA OR SILICA -RELATED DUST EXCLUSION CG 22 34 04 13 EXCLUSION - CONSTRUCTION MANAGEMENT ERRORS AND OMISSIONS CG 22 79 04 13 EXCLUSION - CONTRACTORS - PROFESSIONAL LIABILITY CG 25 03 05 09 DESIGNATED CONSTRUCTION PROJECT(S) GENERAL AGGREGATE LIMIT CG 26 39 12 07 TEXAS CHANGES - EMPLOYMENT -RELATED PRACTICES EXCLUSION CG 70 42 04 03 ASBESTOS EXCLUSION ENDORSEMENT CG 70 45 11 09 TEXAS REPAIR AND REWORK COV: EXP INDEM FOR REPAIR OF YOUR PRODUCT OR YOUR WORK CG 70 63 04 17 TEXAS CONTRACTORS GENERAL LIABILITY EXTENSION ENDT CG 70 66 11 09 TEXAS LIMITED POLLUTION - "WORK SITES" CG 71 17 01 01 EXCLUSION - LEAD POISONING OR CONTAMINATION CG 71 34 04 05 BODILY INJURY DEFINITION MODIFICATION CG 71 55 02 14 ELECTRONIC DATA LIABILITY CG 72 46 07 13 EXCLUSION -CONDOMINIUM CONSTRUCTION -COMPLETED OPERATIONS CG 73 24 03 23 CONTRACTOR'S BLANKET FLEX ADDITIONAL INSURED ENDORSEMENT - FORM A IL DS 71 01 09 06 Page 1 of 1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. TEXAS CONTRACTOR'S GENERAL LIABILITY EXTENSION ENDORSEMENT TABLE OF CONTENTS Page 1. Additional Definitions 9 2. Aggregate Limits Per Location 7 3. Aggregate Limits Per Project 6 4. Blanket Contractual Liabilit — Railroads 3 5. Broadened Bodily Inlury Coverage 10 6. Broadened Knowledge Of Occurrence 8 7. Broadened Legal Liability Coverage For Landlord's Business Personal Property 7 8. Broadened Liability Coverage For Damage To Your Product And Your Work 10 9. Broadened Who Is An Insured 3 10. Co -Employee Bodily Injury Coverage for Managers, Supervisors, Directors or Officers see provision 9, Broadened Who Is An Insured, paragraph 2.a. 1 4 11. Contractual Liability — Personal And Advertising Injury 3 12. Damage To Premises Rented To You — Specific Perils and Increased Limit 7 13. Designated Completed Projects —Amended Limits of Insurance 11 14. Extended Notice Of Cancellation And Nonrenewal 8 15. Incidental Malpractice Liability 6 16. Increased Medical Payments Limit 7 17. Mobile Equipment Redefined 9 18. Nonowned Watercraft 3 19. Product Recall Expense 2 20. PropertV Damage Liability —Alienated Premises 2 21. Property Damage Liability — Elevators And Sidetrack Agreements 2 22. Property Damage Liability — Property Loaned To The Insured Or Personal Property In The Care, Custody And Control Of The Insured 2 23. Reasonable Force — Bodily Injury or Property Damage 10 24. Supplementary Payments 3 25. Transfer Of Rights Blanket Waiver Of Subro ation 8 26. Unintentional Failure To Disclose Hazards 8 Includes copyrighted material of Insurance Services Office, Inc. CG 70 63 04 17 Page 1 of 11 This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM Under SECTION I — COVERAGE A. BODILY INJURY AND PROPERTY DAMAGE LIABILITY, paragraph 2. EXCLUSIONS, provisions 1. through 6. of this endorsement are excess over any valid and collectible insurance (including any deductible) available to the insured, whether primary, excess or contingent (SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS, paragraph 4. Other Insurance is changed accordingly). Provisions 1. through 6. of this endorsement amend the policy as follows: 1. PROPERTY DAMAGE LIABILITY —ALIENATED PREMISES A. Exclusion j. Damage to Property, subparagraph (2) is deleted. B. The following paragraph is deleted from Exclusion j. Damage to Property; Paragraph (2) of this exclusion does not apply if the premises are "your work" and were never occupied, rented or held for rental by you. 2. PROPERTY DAMAGE LIABILITY— ELEVATORS AND SIDETRACK AGREEMENTS A. Exclusion j. Damage to Property, paragraphs (3), (4), and (6) do not apply to the use of elevators. B. Exclusion k. Damage to Your Product does not apply to: The use of elevators; or 2. Liability assumed under a sidetrack agreement. 3. PROPERTY DAMAGE LIABILITY — PROPERTY LOANED TO THE INSURED OR PERSONAL PROPERTY IN THE CARE, CUSTODY AND CONTROL OF THE INSURED A. Exclusion j. Damage to Property, paragraphs (3) and (4) are deleted.. B. Coverage under this provision 3. does not apply to "property damage" that exceeds $25,000 per occurrence or $25,000 annual aggregate. 4. PRODUCT RECALL EXPENSE A. Exclusion n. Recall of Products, Work or Impaired Property does not apply to "product recall expenses" that you incur for the "covered recall' of "your product'. This exception to the exclusion does not apply to "product recall expenses" resulting from: 1. Failure of any products to accomplish their intended purpose; 2. Breach of warranties of fitness, quality, durability or performance; 3. Loss of customer approval or any cost incurred to regain customer approval; 4. Redistribution or replacement of "your product', which has been recalled, by like products or substitutes; 5. Caprice or whim of the insured; 6. A condition likely to cause loss, about which any insured knew or had reason to know at the inception of this insurance; 7. Asbestos, including loss, damage or clean up resulting from asbestos or asbestos containing materials; 8. Recall of "your product(s)" that have no known or suspected defect solely because a known or suspected defect in another of "your product(s)" has been found. B. Under SECTION III —LIMITS OF INSURANCE, paragraph 3. is replaced in its entirety as follows and paragraph 8. is added: 3. The Products -Completed Operations Aggregate Limit is the most we will pay for the sum of: Includes copyrighted material of Insurance Services Office, Inc. Page 2 of 11 CG 70 63 04 17 a. Damages under COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY because of "bodily injury" and "property damage" included in the "products -completed operations hazard" and b. "Product recall expenses". 8. Subject to paragraph 5, above [of the CGL Coverage Form], $25,000 is the most we will pay for all "product recall expenses" arising out of the same defect or deficiency. 5. NONOWNED WATERCRAFT Exclusion g. Aircraft, Auto or Watercraft, paragraph (2) is deleted and replaced with the following: [This exclusion does not apply to:] (2) A watercraft you do not own that is: (a) Less than 75 feet long; and (b) Not being used to carry any person or property for a charge; 6. BLANKET CONTRACTUAL LIABILITY— RAILROADS Under SECTION V — DEFINITIONS, paragraph c. of "Insured Contract" is deleted and replaced by the following: C. Any easement or license agreement; Under SECTION V — DEFINITIONS, paragraph f.(1) of "Insured Contract" is deleted. 7. CONTRACTUAL LIABILITY — PERSONAL AND ADVERTISING INJURY Under SECTION I — COVERAGE B., paragraph 2. Exclusions, paragraph e. Contractual Liability is deleted. 8. SUPPLEMENTARY PAYMENTS Under SECTION I — SUPPLEMENTARY PAYMENTS — COVERAGES A AND B, paragraph 1.b. is deleted and replaced with the following: 1. b. Up to $5,000 for cost of bail bonds required because of accidents or traffic law violations arising out of the use of any vehicle to which the Bodily Injury Liability Coverage applies. We do not have to furnish these bonds. 9. BROADENED WHO IS AN INSURED SECTION II — WHO IS AN INSURED is deleted and replaced with the following: 1. If you are designated in the Declarations as: a. An individual, you and your spouse are insureds, but only with respect to the conduct of a business of which you are the sole owner. b. A partnership or joint venture, you are an insured. Your members, your partners, and their spouses are also insureds, but only with respect to the conduct of your business. c. A limited liability company, you are an insured. Your members are also insureds, but only with respect to the conduct of your business. Your managers are insureds, but only with respect to their duties as your managers. d. An organization other than a partnership, joint venture or limited liability company, you are an insured. Your "executive officers" and directors are insureds, but only with respect to their duties as your officers or directors. Your stockholders are also insureds, but only with respect to their liability as stockholders. Includes copyrighted material of Insurance Services Office, Inc. CG 70 63 04 17 Page 3 of 11 2. Each of the following is also an insured: a. Your "volunteer workers" only while performing duties related to the conduct of your business, or your "employees," other than either your "executive officers," (if you are an organization other than a partnership, joint venture or limited liability company) or your managers (if you are a limited liability company), but only for acts within the scope of their employment by you or while performing duties related to the conduct of your business. However, none of these "employees" or "volunteer workers" are insured for: (1) 'Bodily injury" or "personal and advertising injury": (a) To you, to your partners or members (if you are a partnership or joint venture), to your members (if you are a limited liability company), to a co -"employee" while in the course of his or her employment or performing duties related to the conduct of your business, or to your other "volunteer workers" while performing duties related to the conduct of your business; (b) To the spouse, child, parent, brother or sister of that co -"employee" or volunteer worker as a consequence of paragraph (1)(a) above; (c) For which there is any obligation to share damages with or repay someone else who must pay damages because of the injury described in paragraphs (1)(a) or (b) above; or (d) Arising out of his or her providing or failing to provide professional health care services except as provided in Provision 10. of this endorsement. Paragraphs (1)(a), (1)(b) and (1)(c) above do not apply to your "employees" who are: (1) Managers; (ii) Supervisors; (iii) Directors; or (iv) Officers; with respect to "bodily injury" to a co -"employee". (2) 'Property damage" to property: (a) Owned, occupied or used by; (b) Rented to, in the care, custody or control of, or over which physical control is being exercised for any purpose by you, any of your "employees," "volunteer workers", any partner or member (if you are a partnership or joint venture), or any member (if you are a limited liability company). b. Any person (other than your "employee" or "volunteer worker'), or any organization while acting as your real estate manager. c. Any person or organization having proper temporary custody of your property if you die, but only; (1) With respect to liability arising out of the maintenance or use of that property; and (2) Until your legal representative has been appointed. d. Your legal representative if you die, but only with respect to duties as such. That representative will have all your rights and duties under this Coverage Form. e. Your subsidiaries if: (1) They are legally incorporated entities; and (2) You own more than 50% of the voting stock in such subsidiaries as of the effective date of this policy. If such subsidiaries are not shown in the Declarations, you must report them to us within 180 days of the inception of your original policy. Includes copyrighted material of Insurance Services Office, Inc. Page 4 of 11 CG 70 63 04 17 f. Any person or organization, including any manager, owner, lessor, mortgagee, assignee or receiver of premises, to whom you are obligated under a written contract to provide insurance such as is afforded by this policy, but only with respect to liability arising out of the ownership, maintenance or use of that part of any premises or land leased to you, including common or public areas about such premises or land if so required in the contract. However, no such person or organization is an insured with respect to: (1) Any "occurrence" that takes place after you cease to occupy or lease that premises or land; or (2) Structural alterations, new construction or demolition operations performed by or on behalf of such person or organization. g. Any state or political subdivision but only as respects legal liability incurred by the state or political subdivision solely because it has issued a permit with respect to operations performed by you or on your behalf. However, no state or political subdivision is an insured with respect to: (1) 'Bodily injury", "property damage", "personal and advertising injury" arising out of operations performed for the state or municipality; or (2) 'Bodily injury" or "property damage" included within the "products -completed operations hazard." h. Any person or organization who is the lessor of equipment leased to you, to whom you are obligated under a written contract to provide insurance such as is afforded by this policy, but only with respect to their liability arising out of the maintenance, operation or use of such equipment by you or a subcontractor on your behalf with your permission and under your supervision. However, if you have entered into a construction contract subject to Subchapter C of Chapter 151 of Subtitle C of Title 2 of the Texas Insurance Code with the additional insured, the insurance afforded to such person(s) or organization(s) only applies to the extent permitted by Subchapter C of Chapter 151 of Subtitle C of Title 2 of the Texas Insurance Code. No such person or organization, however, is an insured with respect to any "occurrence" that takes place after the equipment lease expires. L Any architect, engineer, or surveyor engaged by you under a written contract but only with respect to liability arising out of your premises or "your work." However, if you have entered into a construction contract subject to Subchapter C of Chapter 151 of Subtitle C of Title 2 of the Texas Insurance Code with the additional insured, the insurance afforded to such person only applies to the extent permitted by Subchapter C of the Chapter 151 of Subtitle C of Title 2 of the Texas Insurance Code. No architect, engineer, or surveyor, however, is an insured with respect to "bodily injury," "property damage," or "personal and advertising injury" arising out of the rendering of or the failure to render any professional services by or for you, including: (1) The preparing, approving, or failing to prepare or approve maps, drawings, opinions, reports, surveys, change orders, designs or specifications; or (2) Supervisory, inspection, or engineering services. This paragraph i. does not apply if a separate Additional Insured endorsement providing liability coverage for architects, engineers, or surveyors engaged by you is attached to the policy. If the written contract or written agreement requires primary and non-contributory coverage, the insurance provided by paragraphs f. through i. above will be primary and non-contributory relative to other insurance available to the additional insured which covers that person or organization as a Named Insured, and we will not share with that other insurance. 3. Any organization you newly acquire or form, other than a partnership, joint venture or limited liability company and over which you maintain ownership or majority interest, will qualify as a Named Insured if there is no other similar insurance available to that organization. However: a. Coverage under this provision is afforded only until the end of the policy period; b. Coverage A does not apply to "bodily injury" or "property damage" that occurred before you acquired or formed the organization; Includes copyrighted material of Insurance Services Office, Inc. CG 70 63 04 17 Page 5 of 11 C. Coverage B does not apply to "personal and advertising injury" arising out of an offense committed before you acquired or formed the organization. d. Coverage A does not apply to "product recall expense" arising out of any withdrawal or recall that occurred before you acquired or formed the organization. 4. Any person or organization (referred to below as vendor) with whom you agreed under a written contract to provide insurance is an insured, but only with respect to "bodily injury" or "property damage" arising out of "your products" that are distributed or sold in the regular course of the vendor's business. However, no such person or organization is an insured with respect to: a. "Bodily injury" or "property damage" for which the vendor is obligated to pay damages by reason of the assumption of liability in a contract or agreement. This exclusion does not apply to liability for damages that the vendor would have in the absence of the contract or agreement. b. Any express warranty unauthorized by you; C. Any physical or chemical change in "your product" made intentionally by the vendor; d. Repackaging, except when unpacked solely for the purpose of inspection, demonstration, testing, or the substitution of parts under instructions from the manufacturer, and then repackaged in the original container; e. Any failure to make such inspections, adjustments, tests or servicing as the vendor has agreed to make or normally undertakes to make in the usual course of business, in connection with the distribution or sale of "your products"; f. Demonstration, installation, servicing or repair operations, except such operations performed at the vendor's premises in connection with the sale of the "your product'; g. "Your products' which, after distribution or sale by you, have been labeled or relabeled or used as a container, part or ingredient of any other thing or substance by or for the vendor. h. "Bodily injury" or "property damage" arising out of the sole negligence of the vendor for its own acts or omissions or those of its employees or anyone else acting on its behalf. However, this exclusion does not apply to: (1) The exceptions contained in subparagraphs d. or f.; or (2) Such inspections, adjustments, tests or servicing as the vendor has agreed to make or normally undertakes to make in the usual course of business, in connection with the distribution or sale of the products. This paragraph 4. does not apply to any insured person or organization from which you have acquired ..your products", or any ingredient, part, or container, entering into, accompanying or containing "your products". This paragraph 4. also does not apply if a separate Additional Insured endorsement, providing liability coverage for "bodily injury" or "property damage" arising out of "your product" that is distributed or sold in the regular course of a vendor's business, is attached to the policy. No person or organization is an insured with respect to the conduct of any current or past partnership, joint venture or limited liability company that is not shown as a Named Insured in the Declarations. 10. INCIDENTAL MALPRACTICE LIABILITY As respects provision 9., SECTION II — WHO IS AN INSURED, paragraph 2.a.(1)(d) does not apply to any nurse, emergency medical technician or paramedic employed by you to provide medical or paramedical services, provided that you are not engaged in the business or occupation of providing such services, and your "employee" does not have any other insurance that would also cover claims arising under this provision, whether the other insurance is primary, excess, contingent or on any other basis. Under SECTION III — LIMITS OF INSURANCE, provisions 11. through 14. of this endorsement amend the policy as follows: 11. AGGREGATE LIMITS PER PROJECT The General Aggregate Limit applies separately to each of your construction projects away from premises owned by or rented to you. Includes copyrighted material of Insurance Services Office, Inc. Page 6 of 11 CG 70 63 04 17 12. AGGREGATE LIMITS PER LOCATION The General Aggregate Limit applies separately to each of your locations, but only when required by written contract or written agreement. As respects this provision 12., your locations are premises you own, rent or use involving the same or connecting lots or premises whose connection is interrupted only by a street, roadway, waterway or right-of-way of a railroad. However, your locations do not include any premises where you, or others acting on your behalf, are performing construction operations. 13. INCREASED MEDICAL PAYMENTS LIMITS A. SECTION III —LIMITS OF INSURANCE, paragraph 7., the Medical Expense Limit, is subject to all the terms of SECTION III — LIMITS OF INSURANCE and is the greater of: 1. $10,000;or 2. The amount shown in the Declarations for Medical Expense Limit. B. This provision 13. does not apply if COVERAGE C MEDICAL PAYMENTS is excluded either by the provisions of the Coverage Form or by endorsement. 14. DAMAGE TO PREMISES RENTED TO YOU — SPECIFIC PERILS AND INCREASED LIMIT A. The word fire is changed to "specific perils" where it appears in: 1. The last paragraph of SECTION I — COVERAGE A, paragraph 2. Exclusions; 2. SECTION IV, paragraph 4.b. Excess Insurance. B. The Limits of Insurance shown in the Declarations will apply to all damage proximately caused by the same event, whether such damage results from a "specific peril" or any combination of "specific perils." C. The Damage To Premises Rented To You Limit described in SECTION III --LIMITS OF INSURANCE, paragraph 6., is replaced by a new limit, which is the greater of: $1,000,000; or 2. The amount shown in the Declarations for Damage To Premises Rented To You Limit. D. This provision 14. does not apply if the Damage To Premises Rented To You Limit of SECTION I — COVERAGE A is excluded either by the provisions of the Coverage Form or by endorsement. E. "Specific Perils" means fire; lightning; explosion; windstorm or hail; smoke; aircraft or vehicles; riot or civil commotion; vandalism; leakage from fire extinguishing equipment; weight of snow, ice or sleet; or "water damage". "Water damage" means accidental discharge or leakage of water or steam as the direct result of the breaking or cracking of any part of a system or appliance containing water or steam. 15. BROADENED LEGAL LIABILITY COVERAGE FOR LANDLORD'S BUSINESS PERSONAL PROPERTY Under SECTION I — COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, 2. Exclusions, j. Damage to Property, the first paragraph following paragraph (6) is deleted and replaced with the following: Paragraphs (1), (3) and (4) of this exclusion do not apply to "property damage" (other than damage by fire) to a landlord's business personal property that is subject to, or part of, a premises lease or rental agreement with that landlord. The most we will pay for damages under this provision 15. is $10,000. A $250 deductible applies. Under SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS, provisions 16. through 18. of this endorsement amend the policy as follows: Includes copyrighted material of Insurance Services Office, Inc. CG 70 63 0417 Page 7 of 11 16. BROADENED KNOWLEDGE OF OCCURRENCE Under 2. Duties In The Event Of Occurrence, Offense, Claim, Or Suit, paragraph a. is deleted and replaced and paragraphs e. and f, are added as follows: a. You must see to it that we are notified as soon as practicable of an "occurrence" or an offense, regardless of the amount, which may result in a claim. Knowledge of an "occurrence" or an offense by your "employee(s)" shall not, in itself, constitute knowledge to you unless one of your partners, members, "executive officers," directors, or managers has knowledge of the "occurrence" or offense. To the extent possible, notice should include: (1) How, when and where the "occurrence" or offense took place; (2) The names and addresses of any injured persons and witnesses; and (3) The nature and location of any injury or damage arising out of the "occurrence" or offense. e. If you report an "occurrence" to your workers compensation carrier that develops into a liability claim for which coverage is provided by this Coverage Form, failure to report such an "occurrence" to us at the time of the "occurrence" shall not be deemed a violation of paragraphs a., b., and c. above. However, you shall give written notice of this "occurrence" to us as soon you become aware that this "occurrence" may be a liability claim rather than a workers compensation claim. f. You must see to it that the following are done in the event of an actual or anticipated "covered recall" that may result in "product recall expense": (1) Give us prompt notice of any discovery or notification that "your product" must be withdrawn or recalled. Include a description of "your product" and the reason for the withdrawal or recall; (2) Cease any further release, shipment, consignment or any other method of distribution of like or similar products until it has been determined that all such products are free from defects that could be a cause of loss under the insurance. 17. UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS Paragraph 6. Representations is deleted and replaced with the following: 6. Representations By accepting this policy, you agree: a. The statements in the Declarations are accurate and complete; b. Those statements are based upon representations you made to us; and C. We have issued this policy in reliance upon your representations. We will not deny coverage under this Coverage Form if you unintentionally fail to disclose all hazards existing as of the inception date of this policy. You must report to us any knowledge of an error or omission in the description of any premises or operations intended to be covered by this Coverage Form as soon as practicable after its discovery. However, this provision does not affect our right to collect additional premium or exercise our right of cancellation or nonrenewal. 18. TRANSFER OF RIGHTS (BLANKET WAIVER OF SUBROGATION) Paragraph 8. Transfer of Rights Of Recovery Against Others To Us is deleted and replaced with the following: 8. If the insured has rights to recover all or part of any payment we have made under this Coverage Form, those rights are transferred to us. The insured must do nothing after loss to impair them. At our request, the insured will bring "suit" or transfer those rights to us and help us enforce them. However, if the insured has waived rights to recover through a written contract, or if "your work" was commenced under a letter of intent or work order, subject to a subsequent reduction to writing with customers whose customary contracts require a waiver, we waive any right of recovery we may have under this Coverage Form. 19. EXTENDED NOTICE OF CANCELLATION AND NONRENEWAL Includes copyrighted material of Insurance Services Office, Inc. Page 8 of 11 CG 70 63 04 17 Paragraph 2.b. of A. Cancellation of the COMMON POLICY CONDITIONS is deleted and replaced with the following: b. 60 days before the effective date of the cancellation if we cancel for any other reason. Under SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS, Paragraph 9. When We Do Not Renew is deleted and replaced with the following: 9. When We Do Not Renew a. We may elect not to renew this policy except, that under the provisions of the Texas Insurance Code, we may not refuse to renew this policy solely because the policyholder is an elected official. b. If we elect not to renew this policy, we may do so by mailing or delivering to the first Named Insured, at the last mailing address known to us, written notice of nonrenewal, stating the reason for nonrenewal, at least 60 days before the expiration date. If notice is mailed or delivered less than 60 days before the expiration date, this policy will remain in effect until the 61st day after the date on which the notice is mailed or delivered. Earned premium for any period of coverage that extends beyond the expiration date will be computed pro rate based on the previous year's premium. C. If notice is mailed, proof of mailing will be sufficient proof of notice. d. The transfer of a policyholder between admitted companies within the same insurance group is not considered a refusal to renew. 20. MOBILE EQUIPMENT REDEFINED Under SECTION V — DEFINITIONS, paragraph 12. "Mobile equipment", paragraph f. (1) does not apply to self-propelled vehicles of less than 1,000 pounds gross vehicle weight that are not designed for highway use. 21. ADDITIONAL DEFINITIONS SECTION V — DEFINITIONS, paragraph 4. "Coverage territory" is replaced by the following definition "Coverage territory" means anywhere in the world with respect to liability arising out of "bodily injury," "property damage," or "personal and advertising injury," including "personal and advertising injury" offenses that take place through the Internet or similar electronic means of communication provided the insured's responsibility to pay damages is determined in a settlement to which we agree or in a "suit" on the merits, in the United States of America (including its territories and possessions), Puerto Rico and Canada. 2. SECTION V— DEFINITIONS is amended by the addition of the following definitions: "Covered recall" means a recall made necessary because you or a government body has determined that a known or suspected defect, deficiency, inadequacy, or dangerous condition in "your product" has resulted or will result in "bodily injury" or "property damage". "Product Recall expenses" mean only reasonable and necessary extra costs, which result from or are related to the recall or withdrawal of "your product" for: a. Telephone and telegraphic communication, radio or television announcements, computer time and newspaper advertising; b. Stationery, envelopes, production of announcements and postage or facsimiles; c. Remuneration paid to regular employees for necessary overtime or authorized travel expense; d. Temporary hiring by you or by agents designated by you of persons, other than your regular employees, to perform necessary tasks; e. Rental of necessary additional warehouse or storage space; f. Packaging of or transportation or shipping of defective products to the location you designate; and g. Disposal of "your products" that cannot be reused. Disposal expenses do not include: (1) Expenses that exceed the original cost of the materials incurred to manufacture or process such product; and Includes copyrighted material of Insurance Services Office, Inc. CG 70 63 0417 Page 9 of 11 (2) Expenses that exceed the cost of normal trash discarding or disposal, except as are necessary to avoid "bodily injury' or "property damage'. 22. REASONABLE FORCE —BODILY INJURY OR PROPERTY DAMAGE Under SECTION I — COVERAGE A., paragraph 2. Exclusions, subparagraph a. Expected Or Intended Injury is deleted and replaced with the following: [This insurance does not apply to:] a. Expected Or Intended Injury 'Bodily injury' or "property damage" expected or intended from the standpoint of the insured. This exclusion does not apply to "bodily injury" or "property damage" resulting from the use of reasonable force to protect persons or property. 23. BROADENED LIABILITY COVERAGE FOR DAMAGE TO YOUR PRODUCT AND YOUR WORK A. Under SECTION I —COVERAGE A., paragraph 2. Exclusions, exclusion k. Damage to Your Product and exclusion I. Damage to Your Work are deleted and replaced with the following: [This insurance does not apply to:] k. Damage to Your Product "Property damage" to "your product' arising out of it or any part of it, except when caused by or resulting from: (1) Fire; (2) Smoke; (3) "Collapse"; or (4) Explosion. For purposes of exclusion k. above, 'collapse" means an abrupt falling down or caving in of a building or any part of a building with the result that the building or part of the building cannot be occupied for its intended purpose. I. Damage to Your Work "Property damage" to "your work" arising out of it or any part of it and included in the "products -completed operations hazard". This exclusion does not apply: (1) If the damaged work or the work out of which the damage arises was performed on your behalf by a subcontractor; or (2) If the cause of loss to the damaged work arises as a result of: (a) Fire; (b) Smoke; (c) "Collapse"; or (d) Explosion. For purposes of exclusion I. above, "collapse" means an abrupt falling down or caving in of a building or any part of a building with the result that the building or part of the building cannot be occupied for its intended purpose. B. The following paragraph is added to SECTION III —LIMITS OF INSURANCE: Includes copyrighted material of Insurance Services Office, Inc. Page 10 of 11 CG 70 63 0417 Subject to 5. above [of the CGL Coverage Form], $100,000 is the most we will pay under Coverage A for the sum of damages arising out of any one "occurrence" because of "property damage" to "your product' and "your work" that is caused by fire, smoke, collapse or explosion and is included within the "product -completed operations hazard". This sublimit does not apply to "property damage" to "your work" if the damaged work, or the work out of which the damage arises, was performed on your behalf by a subcontractor. 24. BROADENED BODILY INJURY COVERAGE Under SECTION V — DEFINITIONS, the definition of "bodily injury' is deleted and replaced with the following: 3. 'Bodily injury' a. Means physical: (1) Injury; (2) Disability; (3) Sickness; or (4) Disease; sustained by a person, including death resulting from any of these at any time. b. Includes mental: (5) Anguish; (6) Injury; (7) Humiliation; (8) Fright; or (9) Shock; directly resulting from any "bodily injury' described in paragraph 3.a. C. All 'bodily injury' described in paragraph 3.b. shall be deemed to have occurred at the time the 'bodily injury' described in paragraph 3.a. occurred. 25. DESIGNATED COMPLETED PROJECTS — AMENDED LIMITS OF INSURANCE When a written contract or written agreement between you and another party requires project -specific limits of insurance exceeding the limits of this policy; A. for "bodily injury" or "property damage" that occurs within any policy period for which we provided coverage; and B. for "your work" performed within the "products -completed operation hazard"; and C. for which we previously issued Amendment Of Limits Of Insurance (Designated Project Or Premises) CG 71 94 either during this policy term or a prior policy term; and D. that designated project is now complete; the limits of insurance shown in the CG 71 94 schedule will replace the limits of insurance of this policy for the designated project and will continue to apply for the amount of time the written contract or written agreement requires, subject to the state statute of repose of the project location. These limits are inclusive of and not in addition to the replaced limits. Includes copyrighted material of Insurance Services Office, Inc. CG 70 63 0417 Page 11 of 11 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CONTRACTOR'S BLANKET FLEX ADDITIONAL INSURED ENDORSEMENT - FORM A This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART Policy Number CPP20357111702 Agency Number 0775315 Policy Effective Date 03/15/2024 Policy Expiration Date Date Account Number 03/15/2025 03/14/2024 20011131 Named Insured Agency Issuing Company WEAVER & JACOBS CONSTRUCTORS, MULLIS NEWBY HURST AMERISURE INSURANCE INC. COMPANY A. SECTION II -WHO IS AN INSURED is amended to add as an additional insured: 1. Any person or organization with whom you have agreed in a "written agreement" that such person or organization be added as an additional insured on this policy, and any other person or organization you are required to add as an additional insured under such "written agreement". 2. If "your work" began under a written letter of intent or written work order, any person or organization who issued the written letter of intent or written work order, but: a. such coverage will apply only for 30 calendar days following the date the written letter of intent or written work order was issued; and b. the person or organization is an additional insured only for, and to the extent of, liability arising out of "bodily injury", "property damage", or "personal and advertising injury" caused, in whole or in part, by your negligent acts or omissions, or the negligent acts or omissions of others working on your behalf, in the performance of your work as specified in the written letter of intent or written work order. This coverage does not apply to liability arising out of the independent acts or omissions of the additional insured. For the purposes of the coverage provided by this endorsement, a "written agreement" means a written contract or written agreement that: 1. requires you to include a person or organization as an additional insured for a period of time during the policy period; and 2. is executed prior to the occurrence of "bodily injury", "property damage", or "personal and advertising injury" that forms the basis for a claim under this policy. The insurance provided by this endorsement does not apply to any person or organization that is specifically listed as an additional insured on another endorsement attached to this policy. CG 73 24 03 23 Includes copyrighted material of the Insurance Services Office, Inc., with its permission Page 1 of 3 B. The coverage provided to any person or organization added as an additional insured pursuant to Paragraph A.1 is limited as follows: 1. If the "written agreement" specifically and exclusively requires you to name the person or organization as an additional insured using the ISO CG 20 10 endorsement with edition dates of 11 85 or 10 01, or the ISO CG 20 37 10 01 endorsement, that person or organization is an additional insured, but only with respect to liability for "bodily injury", "property damage", or "personal and advertising injury" arising out of "your work" for that insured by or for you. 2. If the "written agreement" requires you to name the person or organization as an additional insured using the ISO CG 20 10 and or CG 20 37 endorsements without specifically and exclusively requiring the 11 85 or 10 01 edition dates, that person or organization is an additional insured, but only with respect to liability for "bodily injury", "property damage", or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf. 3. If the "written agreement" requires you to name the person or organization as an additional insured for operations arising out of your work and does not specify an ISO additional insured endorsement, that person or organization is an additional insured, but only with respect to liability for "bodily injury', "property damage", or "personal and advertising injury" arising out of your acts or omissions, or the acts or omissions of others working on your behalf, in the performance of your work as specified in the "written agreement". This coverage does not apply to liability arising out of the sole negligence of the additional insured unless specifically required in the "written agreement". 4. If none of the above paragraphs apply, then the person or organization is an additional insured only for, and to the extent of, liability arising out of "bodily injury", "property damage", or "personal and advertising injury" caused, in whole or in part, by your negligent acts or omissions, or the negligent acts or omissions of others working on your behalf, in the performance of your work as specified in the "written agreement". This coverage does not apply to liability arising out of the independent acts or omissions of the additional insured. However, the insurance afforded to such additional insured only applies to the extent permitted by law. C. The insurance provided to an additional insured under this endorsement does not apply to: "Bodily injury" or "property damage" included in the "products -completed operations hazard" unless the "written agreement" specifically requires such coverage (including by specifically requiring the CG 20 10 11 85). To the extent the "written agreement" requires such coverage for a specified amount of time, the coverage provided by this endorsement is limited to the amount of time required for such coverage by the "written agreement". 2. "Bodily injury", "property damage", or "personal and advertising injury" arising out of an architect's, engineer's, or surveyor's rendering of, or failure to render, any professional services, including but not limited to: a. The preparing, approving, or failing to prepare or approve: (1) Maps; (2) Drawings; (3) Opinions; (4) Reports; (5) Surveys; (6) Change orders; CG 73 24 03 23 Includes copyrighted material of the Insurance Services Office, Inc., with its permission Page 2 of 3 (7) Design specifications; and b. Supervisory, inspection, or engineering services. D. The limits of insurance that apply to the additional insured are the least of those specified in the "written agreement" or declarations of this policy. Coverage provided by this endorsement for any additional insured shall not increase the applicable Limits of Insurance shown in the Declarations. The limits of insurance that apply to the additional insured are inclusive of, and not in addition to, the Limits of Insurance shown in the Declarations. E. With respect to the coverage provided by this endorsement, SECTION IV— COMMERCIAL GENERAL LIABILITY CONDITIONS, Paragraph 4. Other Insurance is deleted and replaced with the following; 4. Other Insurance. a. Coverage provided by this endorsement is excess over any other valid and collectible insurance available to the additional insured whether: (1) Primary; (2) Excess; (3) Contingent; or (4) On any other basis. In addition, this insurance is excess over any self -insured retentions, deductibles, or captive retentions payable by the additional insured or payable by any person or organization whose coverage is available to the additional insured. However, if the "written agreement" requires primary and non-contributory coverage, this insurance will be primary and non-contributory relative only to the other insurance available to the additional insured which covers that person or organization as a Named Insured, and we will not share with that other insurance. For any other insurance available to the additional insured where that person or organization is not a Named Insured, this policy will share coverage with that other insurance based on the terms specified in Paragraph b. Method of Sharing below. b. Method of Sharing If all the other insurance permits contribution by equal shares, we will follow this method also. Under this method, each insurer contributes equal amounts until it has paid its applicable limit of insurance or none of the loss remains, whichever comes first. If any of the other insurance does not permit contribution by equal shares, we will contribute by limits. Under this method, each insurer's share is based on the ratio of its applicable limit of insurance to the total applicable limits of insurance of all insurers. CG 73 24 03 23 Includes copyrighted material of the Insurance Services Office, Inc., with its permission Page 3 of 3 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NOTICE OF CANCELLATION, NONRENEWAL OR MATERIAL CHANGE - THIRD PARTY This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM BUSINESS AUTO PHYSICAL DAMAGE COVERAGE FORM COMMERCIAL GENERAL LIABILITY COVERAGE FORM COMMERCIAL UMBRELLA LIABILITY COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIER COVERAGE FORM PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE FORM TRUCKERS COVERAGE FORM Subject to the cancellation provisions of the Coverage Form to which this endorsement is attached, we will not: 1. Cancel; 2. Nonrenew; or, 3. Materially change (reduce or restrict) this Coverage Form, except for nonpayment of premium, until we provide at least 5o days written notice of such cancellation, nonrenewal or material change. Written notice will be to the person or organization named in the Schedule. Such notice will be by certified mail with return receipt requested. This notification of cancellation, nonrenewal or material change to the person or organization named in the Schedule is intended as a courtesy only. Our failure to provide such notification will not: 1. Extend any Coverage Form cancellation date; 2. Negate the cancellation as to any insured or any certificate holder; 3. Provide any additional insurance that would not have been provided in the absence of this endorsement; or 4. Impose liability of any kind upon us. This endorsement does not entitle the person or organization named in the Schedule to any benefits, rights or protection under this Coverage Form. SCHEDULE Name Of Person Or Organization Mailing Address Any person or organization holding a certificate of insurance issued The address shown for that person or organization in for you, provided the certificate: that certificate of insurance 1. Refers to this policy; 2. States that notice of: a. Cancellation; b. Nonrenewal; or c. Material change reducing or restricting coverage; will be provided to that person or organization; 3. Is in effect at the time of the: a. Cancellation; b. Nonrenewal; or c. Material change reducing or restricting coverage; and 4. Is on file at your agent or broker's office for this policy IL 70 66 0714 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. TEXAS ADVANTAGE COMMERCIAL AUTOMOBILE BROAD FORM ENDORSEMENT This endorsement modifies insurance provided under the BUSINESSAUTO COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified bythe endorsement. The premium for this endorsement is $ $250. 00 BROAD FORM INSURED SECTION II - LIABILITY COVERAGE, A.I. Who Is An Insured is amended bythe addition of the following: d. Any organization you newly acquire or form, other than a partnership, joint venture or limited liability company, and over which you maintain ownership or a majority interest, will qualify as a Named Insured. However, (1) Coverage under this provision is afforded only until the end of the policy period; (2) Coverage does not apply to "accidents" or "loss" that occurred before you acquired or formed the organization; and (3) Coverage does not apply to an organization that is an "insured" under any other policy or would bean "insured" but for its termination or the exhausting of its limit of insurance. e. Any "employee" of yours using: (1) A covered "auto" you do not own, hire or borrow, or a covered "auto" not owned by the "employee" or a member of his or her household, while performing duties related to the conduct of your business or your personal affairs; or (2) An "auto" hired or rented under a contractor agreement in that "employee's" name, with your permission, while performing duties related to the conduct of your business. However, your "employee" does not qualify as an insured under this paragraph (2) while using a covered "auto" rented from you or from any member of the "employee's" household. f. Your members, if you are a limited liability company, while using a covered "auto" you do not own, hire or borrow and while performing duties related to the conduct of your business or your personal affairs. g. Any person or organization with whom you agree in a written contract, written agreement or permit, to provide insurance such as is afforded under this policy, but only with respect to your covered "autos". This provision does not apply: (1) Unless the written contractor agreement is executed or the permit is issued prior to the "bodily injury" or "property damage"; (2) To any person or organization included as an insured by an endorsement or in the Declarations; or (3) To any lessor of "autos" unless: (a) The lease agreement requires you to provide direct primary insurance for the lessor; (b) The "auto" is leased without a driver; and Includes copyrighted material of Insurance Services Office, Inc. CA 71 1811 09 Page 1 of 5 (c) The lease had not expired. Leased "autos" covered under this provision will be considered covered "autos" you own and not covered "autos" you hire. h. Any legally incorporated organization or subsidiary in which you own more than 50% of the voting stock on the effective date of this endorsement. This provision does not apply to "bodily injury" or "property damage" for which an "insured" is also an insured under any other automobile policy or would be an insured under such a policy, but for its termination or the exhaustion of its limits of insurance, unless such policywas written to apply specifically in excess of this policy. 2. COVERAGE EXTENSIONS -SUPPLEMENTARY PAYMENTS Under Section 11- LIABILITY COVERAGE, A2.a. Supplementary Payments, paragraphs (2) and (4) are deleted and replaced as follows: (2) Up to $2,500 for the cost of bail bonds (including bonds for related traffic law violations) required because of an "accident" we cover. We do not have to furnish these bonds. (4) All reasonable expenses incurred by the "insured" at our request, including actual loss of earnings up to $500 a day because of time off from work. 3. AMENDED FELLOW EMPLOYEE EXCLUSION Under SECTION II - LIABILITY COVERAGE, B. EXCLUSIONS, paragraph 5. Fellow Employee is deleted and replaced by the following: 5. Fellow Employee "Bodily injury" to: a. Any fellow "employee" of the "insured" arising out of and in the course of the fellow "employee's" employment or while performing duties related to the conduct of your business. However, this exclusion does not apply to your "employees" that are officers, managers, supervisors or above. Coverage is excess over any other collectible insurance. b. The spouse, child, parent, brother or sister of that fellow "employee" as a consequence of paragraph a. above. 4. HIRED AUTO PHYSICAL DAMAGE COVERAGE AND LOSS OF USE EXPENSE A. Under SECTION III -PHYSICAL DAMAGE COVERAGE, A. COVERAGE, the following is added: If any of your owned covered "autos" are covered for Physical Damage, we will provide Physical Damage coverage to "autos" that you or your "employees" hire or borrow, under your name or the "employee's" name, for the purpose of doing your work. We will provide coverage equal to the broadest physical damage coverage applicable to any covered "auto" shown in the Declarations, Item Three, Schedule of Covered Autos You Own, or on any endorsements amending this schedule. B. Under SECTION III -PHYSICAL DAMAGE COVERAGE, A.4. Coverage Extensions. paragraph b. Loss Of Use Expenses is deleted and replaced with the following: b. Loss Of Use Expenses For Hired Auto Physical Damage, we will pay expenses for which an "insured" becomes legally responsible to payfor loss of use of a vehicle rented or hired without a driver, under a written rental contract or agreement. We will pay for loss of use expenses if caused by: (1) Other than collision, only if the Declarations indicate that Comprehensive Coverage is provided for any covered "auto'; Includes copyrighted material of Insurance Services Office, Inc. Page 2 of 5 CA 71 1811 09 (2) Specified Causes of Loss, only if the Declarations indicate that Specified Causes Of Loss Coverage is provided for any covered "auto"; or (3) Collision, only if the Declarations indicate that Collision Coverage is provided for any covered "auto'. However, the most we will pay for any expenses for loss of use is $30 per day, to a maximum of $2,000. C. Under SECTION IV— BUSINESS AUTO CONDITIONS, B. General Conditions, 5. Other Insurance, paragraph b. is replaced by the following: b. For Hired Auto Physical Damage, the following are deemed to be covered "autos" you own: Any covered "auto" you lease, hire, rent or borrow; and 2. Any covered "auto" hired or rented by your "employees" under a contract in that individual "employee's" name, with your permission, while performing duties related to the conduct of your business. However, any "auto" that is leased, hired, rented or borrowed with a driver is not a covered "auto", nor is any "auto" you hire from any of your "employees", partners (if you are a partnership), members (if you are a limited liability company), or members of their households. 5. LOAN OR LEASE GAP COVERAGE Under SECTION III — PHYSICAL DAMAGE COVERAGE, A. COVERAGE, the following is added: If a covered "auto" is owned or leased and if we provide Physical Damage Coverage on it, we will pay, in the event of a covered total "loss", any unpaid amount due on the lease or loan for a covered "auto", less: (a) The amount paid under the Physical Damage Section of the policy; and: (b) Any: (1) Overdue lease or loan payments including penalties, interest or other charges resulting from overdue payments at the time of the "loss"; (2) Financial penalties imposed under a lease for excessive use, abnormal wear and tear or high mileage; (3) Costs for extended warranties, Credit Life Insurance, Health, Accident or Disability Insurance purchased with the loan or lease; (4) Security deposits not refunded by lessor; and (5) Carry-over balances from previous loans or leases. 6. RENTAL REIMBURSEMENT Under SECTION III - PHYSICAL DAMAGE COVERAGE, AA. Coverage Extensions, paragraph a. Transportation Expenses is deleted and replaced by the following: a. Transportation Expenses (1) We will pay up to $75 per day to a maximum of $2,000 for transportation expense incurred byyou because of covered "loss". We will pay only for those covered "autos" for which you carry Collision Coverage or either Comprehensive Coverage or Specified Causes of Loss Coverage. We will pay for transportation expenses incurred during the period beginning 24 hours after the covered "loss" and ending, regardless of the policy's expiration, when the covered "auto" is returned to use or we pay for its "loss". This coverage is in addition to the otherwise applicable coverage you have on a covered "auto". No deductibles apply to this coverage. Includes copyrighted material of Insurance Services Office, Inc. CA 71 18 1109 Page 3 of 5 (2) This coverage does not apply while there is a spare or reserve "auto" available to you for your operation. 7. AIRBAGCOVERAGE Under SECTION III -PHYSICAL DAMAGE, B. EXCLUSIONS, paragraph 3. is deleted and replaced by the following: 3. We will not pay for "loss" caused by or resulting from any of the following unless caused by other "loss" that is covered by this insurance: (1) Wear and tear, freezing, mechanical or electrical breakdown. However, this exclusion does not include the discharge of an airbag. (2) Blowouts, punctures or other road damage to tires. 8. GLASS REPAIR— WAIVER OF DEDUCTIBLE Section III — PHYSICAL DAMAGE COVERAGE, D. Deductible is amended to add the following: No deductible applies to glass damage if the glass is repaired rather than replaced. 9. COLLISION COVERAGE —WAIVER OF DEDUCTIBLE Under Section III - PHYSICAL DAMAGE COVERAGE, D. Deductible is amended to add the following: When there is a loss to your covered "auto" insured for Collision Coverage, no deductible will apply if the loss was caused by a collision with another "auto" insured by us. 10. KNOWLEDGE OF ACCIDENT Under SECTION IV - BUSINESS AUTO CONDITIONS, A. Loss Conditions, 2. Duties In The Event Of Accident, Claim, Suit Or Loss, paragraph a. is deleted and replaced by the following: a. You must see to it that we are notified as soon as practicable of an "accident", claim, "suit" or "loss". Knowledge of an "accident", claim, "suit" or "loss" by your "employees" shall not, in itself, constitute knowledge to you unless one of your partners, executive officers, directors, managers, or members (if you are a limited liability company) has knowledge of the "accident", claim, "suit" or "loss". Notice should include: (1) How, when and where the "accident" or "loss" occurred; (2) The "insured's" name and address; and (3) To the extent possible, the names and addresses of any injured persons and witnesses. 11. TRANSFER OF RIGHTS (BLANKET WAIVER OF SUBROGATION) Under SECTION IV - BUSINESS AUTO CONDITIONS, A. Loss Conditions paragraph 5. Transfer Of Rights Of Recovery Against Others To Us is deleted and replaced by the following: 5. Transfer Of Rights Of Recovery Against Others To Us If any person or organization to or for whom we make payment under this Coverage Form has rights to recover damages from another, those rights are transferred to us. That person or organization must do everything necessary to secure our rights and must do nothing after "accident" or "loss" to impair them. However, if the "insured" has waived rights to recover through a written contract, or if your work was commenced under a letter of intent or work order, subject to a subsequent reduction in writing with customers whose customary contracts require a waiver, we waive any right of recovery we may have under this Coverage Form. Includes copyrighted material of Insurance Services Office, Inc. Page 4 of 5 CA 71 1811 09 12. UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS Under SECTION IV - BUSINESS AUTO CONDITIONS, B. General Conditions, paragraph 2. Concealment, Misrepresentation Or Fraud is amended by the addition of the following: We will not deny coverage under this Coverage Form if you unintentionally fail to disclose all hazards existing as of the inception date of this policy. You must report to us any knowledge of an error or omission in your representations as soon as practicable after its discovery. This provision does not affect our right to collect additional premium or exercise our right of cancellation or non -renewal. 13. BLANKET COVERAGE FOR CERTAIN OPERATIONS IN CONNECTION WITH RAILROADS When required by written contract or written agreement, the definition of "insured contract' is amended as follows: — The exception contained in paragraph H.3. relating to construction or demolition operations on or within 50 feet of a railroad; and — Paragraph H.a. are deleted with respect to the use of a covered "auto' in operations for, or affecting, a railroad. Includes copyrighted material of Insurance Services Office, Inc. CA 71 1811 09 Page 5 of 5 WC 00 00 01A (01-10) niefMad linisurance POLICY NUMBER WC 20357131503 AMERISURE MUTUAL INSURANCE COMPANY NCCI Code No.15550 WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY INFORMATION PAGE Issuing Office DALLAS BRANCH Renewal of Agent WC 20357131502 0775315 Item 1. Name of Insured and Address. For Additional Named Insureds, See Extension of Information Page - Item 1 - Named Insureds WEAVER R JACOBS CONSTRUCTORS, INC. 301 COOPERATIVE WAY CUERO, TX 77954 Producer MULLIS NEWBY HURST Individual X Corporation or . Partnership FEIN 260036919 INTRA NO. TX 420911742 INTER NO. CUSTOMER NO. 20011131 GROUP: For Other Workplaces Not Shown Here, See Extension of Information Page - Item 1 - Other Workplaces Item 2. Policy Period: from 03115/2024 TO 03115/2025 12,01 A.M.Standard time at the Insured's mailing address Item 3. A. Worker's Compensation Insurance: Part One of the policy applies to the Workers Compensation Law of the states listed here: TX B. Employers Liability Insurance: Part Two of the Policy applies to work in each state listed in Item 3A. The limits of our liability under Part Two are: Bodily Injury by Accident: $1,000,000 each accident Bodily Injury by Disease: $1,000,000 each employee Bodily Injury by Disease: $1,000,000 policy limit C. Other States Insurance: Part Three of the policy applies to the states, if any, listed here: All States and U.S. territories except North Dakota, Ohio, Washington, Wyoming, Puerto Rico, the U.S. Virgin Islands, and stales designated in 3.A. of the Information Page. D. This policy includes these endorsements: SEE EXTENSION OF INFORMATION PAGE - Item 3D - Endorsement Schedule Item 4. The Premium for this policy will be determined by our Manual of Rules, Classifications, Rates and Rating Plans. All information required below is subject to verification and change by audit. ADJUSTMENTS OF PREMIUM SHALL BE MADE ANNUALLY PAID LOSS RETROSPECTIVE RATING PLAN DIVIDEND PLAN: SAFETY GROUPS SEE EXTENSION OF INFORMATION PAGE - ITEM 4 - CLASSIFICATION SCHEDULE EXPENSE CONSTANT TOTAL ESTIMATED ANNUAL PREMIUM POLICY MINIMUM PREMIUM Countersigned This Day of Issue Date 03/14/2024 INSURED COPY ,20 — — Authorized Representative WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 42 03 04 B (Ed. 6-14) TEXAS WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT This endorsement applies only to the insurance provided by the policy because Texas is shown in Item 3.A. of the Information Page. We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule, but this waiver applies only with respect to bodily injury arising out of the operations described in the Schedule where you are required by a written contract to obtain this waiver from us. This endorsement shall not operate directly or indirectly to benefit anyone not named in the Schedule. The premium for this endorsement is shown in the Schedule. Schedule 1. ( ) Specific Waiver Name of person or organization (X) Blanket Waiver Any person or organization for whom the Named Insured has agreed by written contract to furnish this waiver. 2. Operations: «Mlla"IIMNIF The premium charge for this endorsement shall be 0.020 percent of the premium developed on payroll in connection with work performed for the above person(s) or organization(s) arising out of the operations described. 4. Advance Premium: $3,019 WC420304B (Ed. 6-14) ® Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EARLIER NOTICE OF CANCELLATION PROVIDED BY US Number of Days Notice For any statutorily permitted reason other than nonpayment of premium, the number of days required for notice of cancellation is increased to the number of days shown in the Schedule above. If this policy is cancelled by us we will send the Named Insured and any party listed in the following schedule notice of cancellation based on the number of days notice shown above. SCHEDULE Name of Person or Organization The Name of Person or Organization is any person or organization holding a certificate of insurance issued for you, provided the certificate: 1. Refers to this policy; 2. States that notice of: a. Cancellation; b. Nonrenewal; or c. Material change reducing or restricting coverage; will be provided to that person or organization; 3. Is in effect at the time of the: a. Cancellation; b. Nonrenewal; or c. Material change reducing or restricting coverage; and 4. Is on file at your agent or broker's office for this policy. Mailing Address The Mailing Address is the address shown for that person or organization in that certificate of insurance. IL 70 45 05 07 SCHEDULE OF UNDERLYING INSURANCE The Schedule of Underlying Insurance is part of Policy No. CU 20-157121702 Carrier, Policy Number, Type of Limits of Policy Period Policy Liability AMERISURE MUTUAL INSURANCE Standard Workers Employers Liability COMPANY Compensation and $1,000,000 Bodily Injury by Accident - each accident NC 2035713503 Employers Liability $1,000,000 Bodily Injury by Disease - each employee 03/15/2024 - 03/15/2025 $1,000,000 Bodily Injury by Disease - policy limit AMERISURE INSURANCE COMPANY General Liability Each Occurrence CPP20357111702 $1,000,000 03/15/2024 - 03/15/2025 Personal &Advertising Injury (Any one person or organization) $1,000,000 Aggregates $2,000,000 General Aggregate $2, 000, 000 Products - completed operations Aggregate AMERISURE MUTUAL INSURANCE Automobile Liability Each Accident COMPANY CA 20357101703 $1,000,000 03/15/2024 - 03/15/2025 EXCLUDED Employee Benefits Liability Each Employee Annual Aggregate CU IDS 71 02 04 14 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NOTICE OF CANCELLATION, NONRENEWAL OR MATERIAL CHANGE -THIRD PARTY This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM BUSINESS AUTO PHYSICAL DAMAGE COVERAGE FORM COMMERCIAL GENERAL LIABILITY COVERAGE FORM COMMERCIAL UMBRELLA LIABILITY COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIER COVERAGE FORM PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE FORM TRUCKERS COVERAGE FORM Subject to the cancellation provisions of the Coverage Form to which this endorsement is attached, we will not: 1. Cancel; 2. Nonrenew; or, 3. Materially change (reduce or restrict) this Coverage Form, except for nonpayment of premium, until we provide at least 60 days written notice of such cancellation, nonrenewal or material change. Written notice will be to the person or organization named in the Schedule. Such notice will be by certified mail with return receipt requested. This notification of cancellation, nonrenewal or material change to the person or organization named in the Schedule is intended as a courtesy only. Our failure to provide such notification will not: 1. Extend any Coverage Form cancellation date; 2. Negate the cancellation as to any insured or any certificate holder; 3. Provide any additional insurance that would not have been provided in the absence of this endorsement; or 4. Impose liability of any kind upon us. This endorsement does not entitle the person or organization named in the Schedule to any benefits, rights or protection under this Coverage Form. SCHEDULE Name Of Person Or Organization Mailing Address Any person or organization holding a certificate of insurance issued The address shown for that person or organization in for you, provided the certificate: that certificate of insurance 1. Refers to this policy; 2. States that notice of: a. Cancellation; b. Nonrenewal; or c. Material change reducing or restricting coverage; will be provided to that person or organization; 3. Is in effect at the time of the: a. Cancellation; b. Nonrenewal; or c. Material change reducing or restricting coverage; and 4. Is on file at your agent or broker's office for this policy IL70660714 CERTIFICATE OF INTERESTED PARTIES FORM 1295 t, loll Complete Nos. 1- 4 and 6 if there are interested parties. OFFICE USE ONLY Complete Nos.1. 2, 3, 5, and 61f there are no interested parties. CERTIFICATION OF FILING Certificate Number: 2025-1264504 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. Weaver And Jacobs Constructors Inc. Cuero, TX United States Date Filed: 02/04/2025 2 Name of governmental entry of state agency that is a party tot the contract for which the form is being filed. Calhoun County Date Acknowledged: '74&V Alba[ I aoa 3 Provide the identification number used by the governmental entity or state agency to track or identity the contract, and provide a description of the services, goods, or other property to be provided under the contract. 2024.06 Memorial Medical Center HVAC & Roof Improvements for Calhoun County 4 Name of Interested Party City, State, Country (place of business Nature of Interest (check applicable) Controlling Intermediary 5 Check only if there Is NO Interested Party. ❑ X 6 UNSWORN DECLARATION My name is Brant Jacobs - and my date of birth is My address is Cuero TX 77954 , slates . (street) (City) (state) (zip code) (country) I declare under penalty of perjury that the foregoing is true and correct. Executed in Dewitt county, state of Texas , on the _A_day of February , 20 25 . (month) (year) U Signature of authorized agent of contracting business entity (Declaranp Forms nrovided by Texas FthicS r:nmmissinn ,...... e161.... ........ ....._ Version V4.1.0.5dd2ace2 #14 I NOTICE OF MEETING.- 2/5/2025 14. Consider and take necessary action on the following FY 2025 Interlocal Agreements and authorize payment of purchase orders and authorize Judge Lyssy to sign all documents. (a) Calhoun Soil and Water Conservation District $7,750.00 RESULT: , APPROVED [UNANIMOUS] ,MOVER: Joel Behrens, Commissioner; Pct 3 SECONDEwR: 11 Gary Reese, Commissioner Pct 4 AYES: judge Lyssy, Commissioner Hall, Best,'Behrens, Reese Page 11 of 18 CALHOUN SOIL and WATER CONSERVATION DISTRICT NO. 345 Post Office Box 553 Port Lavaca, Texas 77979 January 21, 2025 Vern Lyssy, Calhoun County Judge Calhoun County Commissioners Court 211 South Ann Street, Suite 301 Port Lavaca, Texas 77979 Dear Judge Lyssy and Commissioners: Calhoun Soil and Water Conservation District is making request to receive the contribution from Calhoun County Commissioners Court that was allocated in its 2025 budget. Thank you for your assistance. Sincerely, Dennis Klump Chairman DK/jm INTERLOCAL AGREEMENT between CALHOUN COUNTY and CALHOUN SOIL & WATER CONSERVATION DISTRICT #345 STATE OF TEXAS COUNTY OF CALHOUN WHEREAS, Calhoun County, hereinafter COUNTY, a political subdivision of the State of Texas, has determined that the expenditure of county funds proposed herein is one which serves a public purpose and has further determined that the State of Texas, by its Constitution or by its state statutes, either implicitly or explicitly, has conferred upon COUNTY the authority, the power and the jurisdiction to accomplish the uses for said funds as proposed herein, infra. Having found the above elements fully satisfied, COUNTY may contract with the CALHOUN SOIL & WATER CONSERVATION DISTRICT so that they may use said public funds for the purposes contemplated herein, but only if the expenditure is to accomplish "county business" (which encompasses matters of general concern to county residents) and only if COUNTY assures itself that the funds to be transferred by this contract are subject to adequate contractual or other controls to ensure that expenditure of said county funds for the public purpose stated herein will be accomplished and so long as COUNTY received adequate consideration for the county funds to be provided by this contract. WHEREAS, CALHOUN SOIL Sc WATER CONSERVATION DISTRICT #345, hereinafter referred to as CALHOUN SOIL & WATER CONSERVATION DISTRICT #345, is engaged in various functions involving agricultural production - including livestock, crops, aquaculture, horticulture and forestry and providing services for the betterment of Calhoun County, and desires to enter into such a contract for the provision of certain services for the COUNTY; said services being considered by both parties to this contract as fair consideration from CALHOUN SOIL & WATER CONSERVATION DISTRICT #345 to COUNTYin exchange for the funds transferred hereby. IT IS THEREFORE AGREED THAT: 1. Payment by County: In consideration that the services described below to the residents of COUNTY, CALHOUN SOIL & WATER CONSERVATION DISTRICT #345 shall be entitled to a sum not to exceed $7,750.00 per annum. Such amount shall be disbursed by COUNTY to CALHOUN SOIL & DATER CONSERVATION DISTRICT #345 after January 1, 2025, upon written request from CALHOUN SOIL & WATER CONSERVATION DISTRICT #345. 2. Insurance: CALHOUN SOIL & WATER CONSERVATION DISTRICT #345 shall at all times maintain a policy of liability insurance for premises liability for personal injury. The County will require documentation of General Liability insurance coverage, with adequate limits to be determined individually, depending on exposure. 3. Services: CALHOUN SOIL & WATER CONSERVATION DISTRICT #345 shall provide services to the residents of COUNTY by providing diverse services including the following: providing secretarial help to the Natural Resource Conservation Service, which in turn provides technical time for assistance to our local government, drainage districts, industry, local businesses, farmers and ranchers, in addition to developing and carrying out programs for the conservation, protection and development of soil, water, and related plant and animal resources and shoreline erosion projects with the County. 4. Most Recent Financial and Performance Reports: CALHOUN SOIL & WATER CONSERVATION DISTRICT #345 shall submit to COUNTY Auditor and COUNTY Judge each a copy of CALHOUN SOIL & WATER CONSERVATION DISTRICT #345's most current independent financial audit or end -of -year financial report of all expenditures and income for the period of CALHOUN SOIL & WATER CONSERVATION DISTRICT #345 fiscal year ending in calendar year 2024, within 30 days of the approval of this contract. CALHOUN SOIL dam' WATER CONSERVATION DISTRICT #345 shall provide to COUNTY Auditor and COUNTY Judge each a performance review by which CALHOUN SOIL & WATER CONSERVATION DISTRICT #345 gives details of services provided and clients served for the previous COUNTY fiscal year, within 30 days after the approval of this contract. 6. Prospective Financial and Performance Reports: CALHOUN SOIL & WATER CONSERVATION DISTRICT #345 shall submit to COUNTY Auditor and COUNTY Judge each a copy of CALHOUN SOIL & WATER CONSERVATION DISTRICT #345's independent financial audit or end -of -year financial report of all expenditures and income for the period of CALHOUN SOIL & WATER CONSERVATION DISTRICT #345 s fiscal year ending in calendar year 2024, by the earliest of thirty days following its receipt by CALHOUN SOIL & WATER CONSERVATION DISTRICT #345 or by September 30, 2025. CALHOUN SOIL & WATER CONSERVATION DISTRICT #345 shall provide to COUNTY Auditor and COUNTY Judge each a performance review by which CALHOUN SOIL & WATER CONSERVATION DISTRICT #345 gives details of services provided and clients served for CALHOUN SOIL & WATER CONSERVATION DISTRICT #345's fiscal year ending in calendar year 2024, by September 30, 2025. 7. Term: The Term of this contract is to begin on January 1, 2025 and end on December 31, 2025, unless earlier terminated by either party on thirty -days written notice. 8. Books and Records: All books and records of CALHOUN SOIL & WATER CONSERVATION DISTRICT #345 shall be open for inspection during normal business hours to any member of the public, the Calhoun County Auditor, and such persons as may be given that authority, in writing, by the Commissioners' Court, provided, however that this clause shall in no way be construed to override the provision of the Federal Privacy Act or other state or federal law or regulation concerning the disclosure of confidential or privacy matters. 9. Effectiveness: This contract is effective upon approval by Order of the Calhoun County Commissioners' Court. 10. Non -Discrimination: CALHOUN SOIL & WATER CONSERVATION DISTRICT #345 agrees to operation under a policy of non-discrimination with regard to the provision of said services. Such policy shall prohibit discrimination on the basis of race, sex, age, religion, color, handicap, disability, national origin, language, political affiliation or belief or other non -merit factor. Any act of discrimination shall constitute a material breach of this contract. 11. Sexual Harassment Prohibited: CALHOUN SOIL & WATER CONSERVATION DISTRICT #345 agrees to adopt and maintain a policy that prohibits sexual harassment. Any act of sexual harassment constitutes a material breach of this contract. 12. Applicable Laws: CALHOUN SOIL & WATER CONSERVATION DISTRICT #345 agrees to comply with any and all applicable laws, local, state and federal, regarding work hours, safety, wages, social security benefits, and/or worker's compensation. This clause places a duty to meet the requirements of such laws only if the law itself places such a duty on CALHOUN SOIL & WATER CONSERVATION DISTRICT #345. Any act in violation of any of those laws or ordinances shall constitute a material breach of this contract. 13. Default: a. In the event either party shall fail to keep, observe or perform any covenant, contract, term or provision of this contract to be kept, observed or performed by such party, respectively, and such default shall continue for a period of ten days after notice thereof by the non -defaulting party to the other, then in any such event the non -defaulting party shall be entitled to terminate this contract. b. No delay on the part of either party in exercising any right, power or privilege shall operate as a waiver thereof, not shall any single or partial exercise of any right, power or privilege constitute such a waiver nor exhaust the same, which shall be continuing. No notice to or demand on either party in any case shall entitle such party to any other or further notice or demand in similar or other circumstances, or constitute a waiver of the rights of either party to any other or further action in any circumstances without notice or demand. 14. Successors and Assigns: This contract shall inure to the benefit of, and be binding upon, the parties hereto and their respective heirs, legal representatives, successors and assigns; provided that CALHOUN SOIL & WATER CONSERVATION DISTRICT #345 may not assign this contract without COUNTrs prior written consent. 15. Governing Law: This contract shall be governed by and construed and interpreted in accordance with the laws of the State of Texas and shall be enforceable in, and venue shall be in, Calhoun County, Texas. 16. Notices: Any notice or communication hereunder must be in writing, and may be given by registered or certified mail; if given by registered or certified mail, same shall be deemed to have been given and received when a registered or certified letter containing such notice, properly addressed, with postage prepaid, is deposited in the United States mail, and if given otherwise than by registered mail, it shall be deemed by haven been given when delivered to and received by the party to whom it is addressed. Such notices or communications shall be given to the parties hereto at the addresses set forth below. Any party hereto may at any time by giving ten days' written notice to the other party hereto designate any other address in substitution of the foregoing address to which such notice or communication shall be given. 17. Severability: If any term, covenant or condition of this contract or the application thereof to any person or circumstance shall, to any extent, be invalid or unenforceable, the remainder of this contract or the application of such term, covenant or condition to persons or circumstances other than those as to which it is invalid or unenforceable, shall not be affected thereby, and each term, covenant or condition of this contract shall be valid and shall be enforced to the fullest extent permitted by law. 18. Relationship: The parties hereby agree that this is a contract for the administration of the Program and hereby renounce the existence of any other relationship. In no event shall COUNTY have any obligation or liability whatsoever with respect to any debts, obligations or liability of CALHOUN SOIL & WATER CONSERVATION DISTRICT #345, and CALHO UN SOIL & WATER CONSERVATION DISTRICT #345 shall have no authority to bind COUNTY to any contract, matter or obligation. No duties of COUNTY are delegated to CALHOUN SOIL & WATER CONSERVATION DISTRICT #345 by this contract and any provision which is or may be held to be such a delegation shall be of no force or effect. 19. Modification; Termination: This contract may be amended, modified, terminated or released only be written instrument executed by COUNTY and CALHOUN SOIL & WATER CONSERVATION DISTRICT #345, except as herein otherwise provided. 20. Total Agreement: This contract is a total and complete integration of any and all undertakings existing between the parties hereto and supersedes any prior oral or written agreements, promises or representation between them. The headings of the various paragraphs of this contract are for convenience only, and shall not define, interpret, affect or prescribed the meaning and interpretation of the provisions of this contract. CALHOUN COUNTY By: O�, 2, - Date: r s a10 CALHOUN SOIL & WATER CONSERVATION DISTRICT #345 By: r Date: 0f -g - NOTICES COUNTY: CALHOUN SOIL & WATER CONSERVATION DISTRICT #345 Calhoun County Judge 211 S. Ann Street, Suite 301 P.O. Box 553 Port Lavaca, Texas 77979 Port Lavaca, Texas 77979 CLERK'S CERTIFICATION I, Anna Goodman, County Clerk of Calhoun County, Texas, certify that the above tr ct s�a cece red and agreed to by the Commissioners' Court of Calhoun County on 12025. A By: N1�4 L) ttyC�lerk Date: Services provided by the Calhoun Soil & Water Conservation District #345 and clients served - - 1. Provide all churches within Calhoun County Soil Stewardship material for National Soil Stewardship Week. 2. Host an educational agriculture day for all third grade students within Calhoun County. Provide educational material, goody -bag and noon meal. 3. Hold a coloring contest for pre -kindergarten, kindergarten and first -grades within county for students in private, parochial and public schools. Award each pencil for participating. Winners within each grade are given ribbons (1st-6th) with rosettes given to school winners (lst-3rd). County winners each receive a trophy (1st-3rd) . 4. Hold poster contest for students age 12-year and under. Each receive a pencil for participating. Grade winners (1st-6th) are given ribbons with rosettes (lst-3rd) to school winners. County winners each receive a trophy (1st-3rd). Submit County winner to area competition. 5. Hold essay contest(s) for students ages 13 and under (junior) and ages 14 to 18 (senior). First through third in each category receive monetary awards and a certificate. Submit first place winner of each category to area competition. 6. Host annual awards banquet for landowners, tenants and public to recognize winning students. Honor outstanding conservation individuals within the county. 7. Co-sponsor Local Led Conservation Workshop with NRCS to receive input from agricultural leaders, businesses and individuals with an interest in natural resource concerns to identify and priori- tize resource concerns for eligible practices and ranking for county -based funding. 8. Co-sponsor Calhoun County Cattleman's Association annual banquet. 9. Co-sponsor NRCS workshops (Range Management, Soil Health). AFFIDAVIT Annual Financial Report/Review/Audit TO: Texas State Soil and Water Conservation Board We certify that we have inspected and reconciled to bank statements the attached Combined Statement of Financial Position for all Funds, Combined Statement of Revenues, Expenditures, Changes in Fund Balances, Schedule of Bonded Officials and Employees, Fixed Assets/Equipment Schedule, and to the best of our knowledge and belief hereby certify that they are a true, correct, and complete representation of the financial condition of the Calhoun Soil and Water Conservation District #_345 as of August 31, 2024. innan's S�naW� Vice -Chairman's Signature Secretary's Signature October 15, 2024 Date October 15, 2024 Date October 15, 2024 Date INVESTMENT POLICY It is the desire of the Board of Directors to establish a sound investment policy which provides for maximum security and investment return for funds belonging to the District. The investment objectives of this policy are to comply with the laws of the State of Texas as defined in Chapter 2256, Government Code, known as the "Public Funds Investment Act", to ensure sufficient funds are available to meet immediate and short term needs; to ensure funds are invested safely and not for speculation; and to maximize interest earned through prudent investment of District funds. As provided in the Public Funds Investment Act, the following investments of District funds are authorized: I ) Interest bearing demand deposits in which the principal and interest are filly guaranteed or insured by the Federal Deposit Insurance Corporation or by the explicit full faith and credit of the United States and shall be opened by a depository institution that has a main office or branch in the State of Texas. 2) Certificates of deposit and share certificates in which the principal and interest are fully guaranteed or insured by the Federal Deposit Insurance Corporation or by the explecit full faith and credit of the United States and shall be opened by a depository institution that has a main office or branch in the State of Texas. The maximum term for certificates will be such to ensure sufficient funds are available to meet all immediate and short term needs. The District will designate an Investment Officer with authority to manage all investments authorized within this policy. This investment policy is hereby adopted by the _Calhoun_ Soil and Water Conservation District #345. This policy shall be reviewed annually and revised as best practices inb investment management and all investments shall comply with legal requirements as outlined in the Texas Government Code, management and all investments shall comply with legal requirements as outlined in the Texas Government Code. Chairman's Sie ature Vice -Chairman's Signature October 15, 2024 Date October 15, 2024 Date October 15, 2024 Secretary's /Sii/pature Date ,� J District Name Calhoun District # Combined Statement of Financial Position for all Funds for the Fiscal Year Ended August 31, 2024 STATE LOCAL TRUST FUND FUND FUND ASSETS Cash in Bank Accounts Cash on hand Certificates of Deposit Accounts Receivable Prepaids Due From Other Funds Subtotal Current Assets FIXED ASSETS Land / Buildings Furniture / Equipment Rental Equipment Vehicles Subtotal Fixed Assets TOTAL ASSETS LIABDdTIES AND FUND EQUITY LIABILITIES Accounts Payable Due to Other Funds Total Liabilities FUND EQUITY Investment in Fixed Assets Unreserved Fund Balance 19,190.75 14,742.94 19,190.75 82,890.75 3,900.00 0.00 3,900.00 19,190.75 86,790.75 0.00 0.00 3,900.00 82,890.75 Total Fund Equity 19,190.75 86,790.75 TOTAL LIABILITIES AND FUND EQUITY 19,190.75 86,790.75 1. May prepare on cash or modified accrual basis 345 l0U RNI Revised 08/16/24 District Name Calhoun District # 345 Combined Statement of Revenues, Expenditures, and Changes in Fund Balances for the Fiscal Year Ended August 31, 2024 STATE LOCAL TRUST FUND FUND FUND FUND REVENUES: Interest Income Sale of Materials Donations Building & Equipment Rental Fund Transfers Director Mileage & Per Diem Supplemental Mileage & Per Diem (prior year) Matching Funds Supplemental ME / TA Combined (prior year) Conservation Implementation Asst. (TA) Conservation Activity Program (CAP) NACD Technical Assistance Grant NRCS Clerical Assistance (TSP) Information Technology Assistance Grant SWCD Audit Reimbursement ATSWCD 555 Program Other Income (please list) TOTAL REVENUES Salaries/Wages Conservation Implementation (TA) NRCS Clerical Assistance (TSP) Other (please list) clerical Payroll Taxes Federal Withholding OASDI & Medicare Worker's compensation insurance Employee Travel Director Mileage Director Per Diem Awards Bonds and other insurance Conferences/Registrations Educational Program Fund transfers Computer / Printer / Internet Service Materials purchased for resale Meals/Banquets NACD Dues Professional fees including CPA services Building & Equipment Rentals State Association quota Supplies and Postage Other Expenses (please list) donations RC&D Gulf Coast TWC TOTAL EXPENDITURES Excess (Deficiency) Revenue over Expenditures Fund Balance September 1, 2023 511.95 2,292.00 61R.11 /,DUV.UV 2,717.14 15,144.00 2,877.50 1,469.43 1,534.83 10,232.00 4SJ.81 13,110.31 12,200.64 15,144.00 1,469.43 353.05 2,310.00 1,839.04 194.00 433.97 1,282.53 1,710.00 605.00 'VLD.VU 492.40 75.00 117.00 26,450.42 6,699.91 12,490.84 FUND BALANCE AUGUST 31, 2024 19,190.75 1. Fund Balances must reconcile to Bank Statements 2,133.73 122.00 373.67 1,279.85 5,821.72 910.48 1,681.38 43.32 1,586.23 13,952.38 (1,751.74) 88,542.49 86,790.75 1i11RI�7 Revised 08/16/24 District Name Calhoun District # 345 Fixed Asset"quipment Schedule As of August 31, 2024 COST Date Trust Description Acquired State Fund Local Fund Fund Fund Fund IKON Copier 08/17/2004 3,900.00 TOTAL 3,900.00 Revised 08/16/24 4 o® CERTIFICATE OF LIABILITY INSURANCE DATE IYYYY) 01/101/2001/2024 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT. If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endomement(s). PRODUCER CONTACT Pat Ebarb NAME: BKCW Insurance, Risk Management & Benefits (254) 699-66BO PNCNNe (254) 699-7100 aC E ,: ho : 2100 Trimmier Rd. EMAILp.ebarb@bkGw.com ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC9 Suite 100 Killeen TX 76541 INSURERA: Hanford Accident& Indemnity Company 22357 INSURED INSURER B: Trumbull Insurance Company 27120 State Soil & Water Conservation Districts INSURER C: Hartford Fire Insurance Co. 19682 1497 Country View Ln INSURER°: INSURER E Temple TX 76504 1 INSURER F: COVERAGES CERTIFICATE NUMBER: CL241138302 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADULSUEIR INSD WVD POLICY NUMBER POLICY EFF MMMDIYYYY POLICY EXP MWDDryYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE OCCUR DAMAGETORE PREMISES Eacccumence IS 300,000 MED EXP(Any one.pelson) $ 10,000 PERSONAL&ADV INJURY IS 1,000,000 A 65UENAY6WEZ 01/01/2024 01/01/2025 GENL AGGREGATE LIMITAPPLIES PER: GENERALAGGREGATE $ 2,000,000 X POLICY ❑ PRO � LOC PRODUCTS - COMP/CPAGG $ NotApplicable OTHER: Excl Products/Comp Op $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ee accident $ 500,000 BODILY INJURY person) $ ANYAUTO B OWNED SCHEDULED AUTOS ONLY AUTOS 65UENEH8835 01/01/2024 01/01/2025 BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ X HIRED NON -OWNED AUTOS ONLY HAUTOS ONLY $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DEO RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN PER OTH- STATUTE ER ANY PROPRIETOR/PARTNERIEXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ MIA (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE. POLICY LIMIT $ Each Occurrence $10,000 C Come - Employee Theft 65BDDHT7558 01/01/2024 01/01/2027 $500 deductible DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate Holder is a Named Insured. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Calhoun SWCD #345 ACCORDANCE WITH THE POLICY PROVISIONS. P.O. Box 553 AUTHORIZED REPRESENTATIVE Port Lavaca TX 77979 'w/,(/CI ©1988.2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD THE HARTFORD BUSINESS SERVICE CENTER THE 3600 WISEMAN BLVD HARTFORD SAN ANTONIO TX 78251 MB 02 001121 42076 H 6 A "II�II1�111111�11111111�"�'��II'I'Il'IIIII�IIII��II��IyI�LJ� CALHOUN SOIL & WATER CONSERVATION DISTR #345 P.O. BOX 553 PORT LAVACA TX 77979-0553 Policy Information: Policy Holder Details: CALHOUN SOIL & WATER CONSERVATION DISTR #345 Policy Number Policy Term 65 WEC EX0998 05/24/24 to 05/24/25 Dear Policyholder, April 14, 2024 0 Contact us Visit https://agency.thehartford.com 24/7 access to manage your book of business. Need Help? Start a live chat online or call us at (866) 467-8730. We're here weekdays from 8:00 AM to 8:00 PM ET It's time to put up your new Workers' Compensation posting notices! Please make sure to post them in your workplace as soon as possible, following the requirements in your state. You're getting hard copies for one of two reasons: either your state requires it, or you chose this as your delivery method. Visit us at www.thehartford.com/servicecenter to: o View, download and print notices, if you have locations in a state that allows digital delivery o Change your delivery preferences o Order new copies of the notices in this packet, if you misplace them or need extras If you have questions or need help, call your agent at (254) 699-7100. On behalf of BKCW LP, thanks for choosing us for your business insurance needs. Have a great day, The Hartford WCPNLTRO02 #15 NOTICE OF MEETING 2/5/2025 15. Consider and take necessary action to renew Precinct 3 copier rental agreement (#3111572) with Great America Financial Services/Dewitt Poth & Son. For a Kyocera ECOSYS MA3500cifx model copier and authorized Commissioner Behrens sign all necessary documents. (]MB) Page 12 of 18 Joel Behrens Calhoun County Commissioner, Precinct 3 24627 State Hwy. 172—Olivia, Port Lavaca, Texas 77979 —Office (36I) 893-5346 — Fax (361) 893-5309 Email: ioel.behrensna.calhouncotx.org Honorable Vernon Lyssy Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: Agenda Item Dear Judge Lyssy: Please place the following item on the Commissioner's Court Agenda for February 5, 2025. Consider and take necessary action to renew Precinct 3 copier rental agreement (#3111572) with Great America Financial Services/Dewitt Poth & Son. For a Kyocera ECOSYS MA3500cifx model copier and authorized Judge Lyssy to sign all necessary documents. Sincerely, Joel Behrens Commissioner Pct. 3 1 GreatAmerica® 1�1 FINANCIAL SERVICES January.13, 2025 County of Calhoun 211 S. Ann St. Port Lavaca, Texas 77979-4203 Re: Agreement No. 3111572 (the "Agreement') To Whom It May Concern: 625 First Street SE, Suite 800 Cedar Rapids, IA 52401 Toll Free 866-339-9778 We understand that you are contemplating entering into an agreement with GreatAmerica for the rental of certain office equipment ("Equipment') and that you desire to have GreatAmerica sign the Agreement before delivery and the installation of the Equipment. Ordinarily, we do not sign agreements until after the customer has signed the document(s) and after we have confirmed with the customer that the Equipment has been delivered and is installed satisfactorily. However, you have a strong desire that we sign the Agreement prior to installation, and we are okay with that; provided that you understand that the Agreement will not become binding until we confirm your unconditional acceptance of the installed Equipment either by telephone verification with you or by receipt of a signed delivery and acceptance certificate in a form acceptable to us. Accordingly, enclosed please find two copies of the Agreement bearing our original signature, one of which has a legend in the margin that states as follows: `This is a copy. This is a copy view of the authoritative copy held by the designated custodian." You may keep the copy with that legend on it. The other copy will be our original. You will need to sign our original and return it to us before we can fund your transaction. If you have any questions, feel free to contact us. Thank you. Sincerely, Lanny Wilkerson Docs Specialist AGREEMENT GREATAMERICA FINANCIAL SERVICES CORPORATION GreatAmerica POBOX6AO1.DAL PO BOX T ADD. DALIAS TX 762660831 FINANCIAL SERVICES AGREEMENT NO.: 3111572 of DBA Treasurer EQUIPMENT LOCATION: 24627 State Highway 172 Part Lavaca TX 77979 ('PLUSTAX) TERMINMONTHS: 63 MONTHLY PAYMENTAMOUNT': S69.00 PURCHASE OPTION': Fair Market Value and the amounts your Vendor included on the invoice to us for the Equipment far related ro.1) snap, anufor implemenelon coals, and you uncmtadonalhy agree m pay us the amounts 2) pr the terms of this agreement ('Agmemenr) each Period by the due date. This Agreement will Aga late the Equipment Is delivered to you or any later date we designate. We may charge you a to us NET AGREEMENT. THIS AGREEMENT IS NON -CANCELABLE FOR THE ENTIRE AGREEMENT TERM. YOU UNDERSTAND WE ARE PAYING FOR THE EQUIPMENT BASED ON YOUR UNCONDITIONAL ACCEPTANCE OF IT AND YOUR PROMISE TO PAY US UNDER THE TERMS OF THIS AGREEMENT, WITHOUT SET.OFFS FOR ANY REASON, EVEN IF THE EQUIPMENT DOES NOT WORK OR IS DAMAGED, EVEN IF IT M NOT YOUR FAULT. EQUIPMENT USE You will keep the Equipments good working order, was it for bu dress purposes only, and rat madly a more It fan IN had kxretion without Our cement You must resolve any dispute youmay have canoemirg gas Equipment with the manufacturer a Venda. Payments under Ihis Agreement may incude amounts you owe year Vendor under a separate arrangement (for maintenance, service, stipples, e:4, whkh amounts may be imdcetl by us an yaw Vendors behalf for your canvercence. SOFTWAREIDATA. Except as provided In this paragraph; references to 'Equipment" include any software referenced above "installed on the Equipment We do Out own the so0ware and cannot transfer any interest in It to you. We are an responsible for the sotwsre or the obligations of you or the licensor under any license agreement You are solely responsible for protecting and removing any confidential damimages stored on the Equipment pdorto is ream for any mum. NO WARRANTY. WE MAKE NO WARRANTIES, EXPRESS OR IMPLIED, INCLUDING WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE YOU HAVE ACCEPTED THE EQUIPMENT "AS.W. YOU CHOSE THE EQUIPMENT, THE VENDOR AND ANWALL SERVICE PROVIDER(S) BASED ON YOUR JUDGMENT. YOU MAY CONTACTYOUR VENDOR FOR A STATEMENT OF THE WARRANTIES, IF ANY, THAT THE MANUFACTURER OR VENDOR 0 PROVIDING. WE ASSIGN TO YOU ANY WARRANTIES GIVEN TO US. ASSIGNMENT. You may not sell, assign or sublease the. Equipment or this Agreement without amwriten convent We may sell or assign this Agreement or our rights in the Equipment in whole or in pan, to a third parry whom notice to you. You agree that f we do so, the assignee Wit have ow fights but will not be subject to any eland, defense, as6oRass ati against us or anyone else. LAWIFORUM. This Agreement and any claim related to this Agreement will he governed by Imva law. Any the C"mn rem ntof etia we have we deem reasonable to protect our interactss twe sews Issuance an the Equipment we will an more you as an insured patty, your interests may not be pall, paseed..and you will reimburse us the premium vAch may be higher than Ste premium you woad pay fyou obtained imurence, andvwfixsl maymetal in a profit to us h ugh an Investment in reinsurance. If you are current in all of your abdgadom under the Agreement at the time of loss, any insurance proceeds received will be appled, at our option, to repair or replace the Equipment. or to pay us the remalning payments due a to become due under this Agm Bran , plus our booked residual, both discounted at 3% per annum. TAXES. We on the Equipment You Neill pay when due, e'Mer already or by reimbursing us, all taxes and fees relating to the Equipment and this Agreement. Sales a use tax due upfront will be payable over the term with a finance charge. END OF TERM. Al the end of the term of this Agreement (or any renewal term) (the *End Date'), SAO Agreement wit renew month to month unless a) we receive wdt at native hem you, at least 30 days prior to the End Data, of you intent to return the Equipment and b) you timely return the Equipment to the location designated by us, at your expense. V a Purchase Option is Indicated above and you are not in default at the End Date, you may purchase the Equipmentfrom us'AS Urfa the Purchase Option price. If the returned Equipment is not immediately available for use by another without need of repair, you will reimburse us forall repair costs. You cannot pay off this Agreement or return the Equipment prior to the End Data without au consent. twe consent we may charge you, in addition to Other amounts owed, an you will be in default, and we mayrequt all pact des amounts and 2) all we discounted at 3% par arm=; and so remedies available to us. You agree to incur in any dapue with you rested tot at the rate of 1511. par month, a at the It UCC. You agree that this Agreement demand in Article 2A of the Uniform remedies provided under sestons 507• MISCELLANEOUS. This Ameement is LOSS OR DAMAGE. You are responsible for any damage to or toes of the Equipment No such toss or and separate damage cv,L' relian you hrom'ycm payment obligation hereunder. we are not respom@le for, sad you'eili uMertlis AI indemnify us almost any claims, tosses or damages, including atamey fees, in any way relating to the Perfection in Equipment or data stored On R. This indemnity MII survive the expiration of this Agreement In no event will bewdaq () U we be liable for any consequential or intwect damages, intent to entn Marketed law. oha You hereby represent and warrant to us that as of the date of the Agreement (a) the individual who executed the Agream procedures necassary to make the Agreement a legal and binding obligodan against you have been followed; (a) the Em purposes for the entire farce of the Agmemant (d) that all payments due and payable for the tenant fiscal you are within the (a) you intend to paying amounts payable under the terms of the Agreement when due, If funds are legally available to do so; act a debt under applicable ante ImY, (g) no provision of the Agreement constitutes a pledge of your but a general revenue code, which anayInclude SW&G or8038&GC Information Returns. Iffunds am not appropriated to pay amounts due under IN terminate the Agreement an the leaf day of She fiscal period for which funds were available, without penally a additional expo us), provided that at leaslthirly (30) days pdcr to the stars of the fiscal period for %Men funds were not appropriated, your Ch (a) you are a side or a fully condamed partial subdivision or agency of the statein which you we located; (h) funds k AMMM , fat such nonaoorommfimn did not result from env act a failue.to set by vou: and lot you have exhausted all In THIS AGREEMENT 15 NON -CANCELABLE FOR THE FULLAGREEMENT TERM. THIS AGREEMENT IS BINDID OWNER: GreatAmeric4 Financial Services Corporation CUSTOMER: Power been is 10+days pasltlue; affyou ofendse breach this Agreement, d you return the Equipment to m al yaw expense Will pay us: 1) I payments for the umpired term, plus our booked reddest, y &ebb a repossess the Equipment and use all other legal air costs and expenses (including reasonable attorney fees) we greemem, You agree to pay s interest an all past due amounts d rate allowed by applicable Imv, fleas. anchor shall be treated as) a'Finance Lease" as that term Is weraal Code CUCCT. You agree to forgo the rights and ofANcle2Aofthe UCC. entire agreement between you and us resting to the Equipment r agreement, inducing any purchase ad=, Amounts payable ua ha pats agree : at eve "Anal home. for Mom emem and refusing 'chattel paper' under the UCC, is the papa copy herself a manual signature a an eleaaoNcay appliedsdcatlan of you or original manual stgmsrs, If any provision of this Agreement Is all remain in full face and efedto Me fullest extentpemuted by numlled by you and will be mad for essential government n available, unexhausted, and unencumbered appropriation; Mors under the Agreement constlhde a cunent expense and any applicable Information reporting requirements of the tax period, you shall have the fights ream the Equipment and rise of reaming the Equipment to the location designated by bunsel) delvers to us a certificae (air opinion) cerdying that the applicable fiscal period to pay amounts due under the vent of Mounts due under the Agreement. You agree that The Customer hereby certifies that all the Equipment 1) has been received, installed, and inspected, and 2) is fully operational and unoonditionaly accepted. SIGNATURE:X NAMEANDTITLE: DATE: ZG01M(TL)_0510 01/10/25 135 Amendment GreatArr�er�ea �SFtNANC1AL SERVICES This Amendment amends that certain agreement by and between GreatAmerica Financial Services Corporation ("Owner") and Calhoun. County of ("Customer") which agreement is identified in the Owner's internal books and records as Agreement No. 3111572 the "Agreement"). All capitalized terms used in this Amendment, which are not otherwise defined herein, shall have the meanings given to such terms in the Agreement. Owner and Customer have mutually agreed that the following modifications be made to the Agreement. The Section entitled INSURANCE is hereby deleted in its entirety and replaced with the following: "You Agree: (a) to keep the Equipment fully insured against loss at its replacement cost, and (b) to maintain comprehensive public Ilabllity insurance." c 0 Except as specifically modified by this Amendment, all other terms and conditions of the Agreement remain in full force and c effect. If, and to the extent there is a conflict between the terms of this Amendment and the terms of the Agreement, the terms of this Amendment shall control. A facsimile copy of this Amendment bearing authorized signatures may be treated as an original. This Amendment is not binding until accepted by Owner. o u, r_ L 0 w 2 GreatAmerice Financial Services Corporation Calhoun, County of DBA Treasurer 0 Owner Customer By: { Signature �U�( i„LytX.'crt5,:� +?a!S 5i6sC vFt�$i Print Name &Title Date Accepted: t It j (ZS 01W4 ZQX F1107 By: x Q(12Q� /ti I _ Signature Date: CERTIFICATE OF INTERESTED PARTIES FORM 1295 lofl Complete Nos. 1- 4 and 6 it there are interested parties. OFFICE USE ONLY Complete Nos.1, 2, 3, 5, and 6 if there are no interested parties. CERTIFICATION OF FILING Certificate Number: 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. 2025-1264504 Weaver And Jacobs Constructors Inc. Cuero, TX United States Date Filed: 02/04/2025 2 Name of governmental entity or state agency that is a party to the contract for which the form is being filed. Calhoun County Date AcknmwledgedJx ✓� ''(( r l ` 1125 3 Provide the identification number used by the governmental entity or state agency to track or Identify the contract, and provide a description of the services, goods, or other property to be provided under the contract. 2024.06 Memorial Medical Center HVAC & Roof Improvements for Calhoun County 4 Name of Interested Party City, State, Country (place of business) Nature of interest (check applicable) Controlling Intermediary 5 Check only if there is NO Interested Party. X 6 UNSWORN DECLARATION My name is Brant Jacobs and my date of birth is - United My address is Cuero TX 77954 States . (street) (city) (state) (zip code) (Country) I declare under penalty of perjury that the foregoing is true and correct. Executed in Dewitt County, State of , on the __4__day of February , 20 25 . _Texas (month) (year) Signature of authorized agent of contracting business entity (Declarant) Forms provided by Texas Ethics Commission www.ethics.stale.tx.us Version V4.1.0.502ace2 #16 NOTICE OF MEETING— 2/5/2025 16. Consider and take necessary action to approve the infrastructure development plat (IDP) of Simple Stay, LLC * 2 located in Calhoun County, TX. (JMB) Page 13 of 18 Joel Behrens Calhoun County Commissioner, Precinct 3 24627 State Hwy. 172—Olivia, Port Lavaca, Texas 77979 — Office (361) 893-5346 — Fax (361) 893-5309 Email: ioeLbehrensCalcalhouncotxom Honorable Vernon Lyssy Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: Agenda Item Dear Judge Lyssy: Please place the following item on the Commissioner's Court Agenda for February 5, 2025. Consider and take necessary action to approve the infrastructure development plat (IDP) of Simple Stay, LLC # 2 located in Calhoun County, TX. Sincerely, Joel Behrens Commissioner Pct. 3 + x t t b Will ; od R w a a _ 13.81.. EA 13.98 —s EA 13.91 Z2 175— — rn EA 13.91 PROP 40 LF 18" HDPE OR = S lio iZZ _ s 5 <— OTHER TXDOT APPROVED ^ / / MATERIAL W1 SET i j ( R R \ -11,75 X EG 14.08 — EG 14.28 \ \ TRAS o FL 17.56 # EG 13.54 JU CABIN#? Cr II �� l CABIN #8 L CABIN #1 WWBUILD� J CABIN #9 I \' o oC5 5_ SIMPLE STAY 2AC LOCATION PORT LAVACA �/ 'd'��'"`•"�'AO^• °P"'^""" "" TEXAS G& ENGINEERS. INC. mmu.w A0B roure"a`� awe im auira. DRIVEWAY EXHIBIT •nlm�Io •eaevse¢Io •ansR�Ic •ypmpp nmeaM c ao6 t uw an et ime r...m, rm. rmry (sages¢ -yam SIMPLE STAY 2AC LOCATION ^ p W s.w...rr... ��w ..wwc,. PORT IAVACA TEXAS GSe tY ENGINEERS, INC. uie i +aN u�aaN e'wmO4'°""w •yp�la . soaysfpc . ommocmo . tl�Amlo �.,wm �T DRIVEWAY DRAINAGE EXHIBIT sa6 t raw a.t ac nmt L..oa, Sm. rma (am)e�wop PROP 40 LFIW HO g " PER". SIMPLE STAY ZAC LOCATION rmm PORT & n�/ ENGINEERS, uave w +oewueEx a•cr LAYAG•A. TEXAS INC. wre izmrs� •WRIONNO •�mm wzE*w. DRNEWAY DRAINAGE EXHIBIT ¢m c u•. at a x ate. r...,L rs. rmeo (apXao-1eoo Table of Contents Project Name: Simple Stay Hydrology Studio v IOA34 12.04-2024 BasinModel Schematic...................................................................................................................................... 1 Hydrographby Return Period.............................--.•----.... ................................................................................. 2 5 -Year HydrographSummary .................................................................................................................................. 3 Hydrograph Reports HydrographNo. 1, Rational, Pre DA 1 ................................................................................................... 4 Te by TR55 Worksheet........................................................ ........... 5 HydrographNo. 2, Rational, Post DA 1 .................................................................................................. 5 To by TR55 Worksheet ...................... ........... 7 Hydrograph No. 3, Rational, Pre DA 2 ................................................................................................... 8 Toby TR55 Worksheet........................................................................................................... 9 Hydrograph No. 4, Rational, Post DA2 .............................. ..... ............................................................ 10 Toby TR55 Worksheet.......................................................................................................... 11 25 -Year HydrographSummary ............................................................................................................ Hydrograph Reports HydrographNo. 1, Rational, Pre DA 1 .................................................................................................. 13 Hydrograph No. 2, Rational, Post DA 1 14 ................................................................................................ Hydrograph No. 3, Rational, PreDA2 .................................................................................................. 15 HydrographNo. 4, Rational, Post DA2 ................................................................................................ 18 100 - Year Hydrograph Summary ....................................... Hydrograph Reports HydrographNo. 1, Rational, Pre DA 1 .................................................................................................. 18 Hydrograph No. 2, Rational, Post DA 1 ................................................................................................ 19 Hydrograph No. 3, Rational, Pre DA2 20 .................................................................................................. Hydrograph No. 4, Rational, Post DA2 ................................................................................................ 21 OFReport ......................................................................................................................................................... 22 PrecipitationReport ................ .................................. :................................ .................................................... 23 Basin Model Project Name Simple Stay Hydrology Studio v 3.0.0.34 12-04-2024 Pre DAt Post DAI Pre DA2 PostDA2 Hydrograph by Return Period Hydrobpy SWSov3AA39 Project Name Simple Stay 12-04-2024 Hyd. No. Hydrograph Type Hydrograph Name Peak Oot0ow(ds) tyr 2-yr 3-yr 5-yr 10-yr 25-yr 60-yr 100-yr 1 Rational Pre DA1 0.391 0.524 0.647 2 Rational Post DA1 0.383 0.512 0.633 3 Rational Pre DA2 Z350 3.149 3.890 4 Rational Post DA2 3.185 4..269 6.276 Hydrograph 5-yr Summary Nydmkwmw IOV3A0. Project Name Simple Stay 12-04-2024 Hyd. No. Hydrograph Type Hydrograph Name Peak Flow (ets) Time to Peak (hts) Hydmgmph Volume (cum Inflow Hyd(s) Maximum Elevagon (tt) Maximum Storage (eufl) 1 Rational Pre DA 1 0.391 0.32 446 — 2 Rational Post DA1 0.383 0.32 436 — 3 Rational Pre DA2 2.350 0.42 3,524 — 4 Rational Post DA2 3.195 0.43 4,969 — Hydrograph Report Project Name: Simple Stay Hydmlogy Studio v 3.0.0.34 12-W2024 Pre DA 1 Hyd. No. 1 Hydrograph Type = Rational Peak Flow = 0.391 cfs Storm Frequency = 5-yr Time to Peak = 0.32 fits Time Interval =1 min Runoff Volume = 446 cuff Drainage Area = 0.253 ac Runoff Coeff. = 0.3` Tc Method = TR55 (See Worksheet) Time of Conc. (Tc) =19.0 min IDF Curve = Port Lavaca Area IDF Data - 71 R.idf Intensity = 5.15 Whir Freq. Corr. Factor = 1.00 Asc/Rec Limb Factors =111 Composite C Worksheet ARentaoi c DeScmPnoN O= am ease 020 Op = 0.391 cfs 0.4 i 038 0.36 --------- I ',. 0.34 ---- it 032 0.3 028 026- — 0.24 —' i 022 ^ I j a 0.18 — i 0.16 0.12 - 0.1 0.08 --- 0.06 - 0.04 0.02 0 0 10 20 30 40 Time (min) Tc by TR55 Worksheet Hydrology Studio v 3.0.0.34 DA 1 Rational Description A Sheet Flow Description Manning's n 0.240 Flow Length (it) 100 2-yr, 24-hr'Precip. (in) 2.28 Land Slope (%) 1.55 Travel :Time ,(min) 18.72 Shallow. Concentrated Flow Flow Length (to. 41.5 Watercourse Slope(%) 1.55 Surrace:Description Unpaved Average Velocity (rHs) 2.01 Travel Time (min). 0.34 Channel Flow X-sectional Flow Area .(sgR). Wetted. Perimeter (it) Channel: Slope (%) Manning's n 0.013 Velocity .(R!s) Flow Length (8) Travel Time (min) 0.00 Total Travel Time Project Name: Simple Stay 12-04-2024 Hyd. No.1 Segment B C Th(min) 0.013 0.013 2.28 2.28 0.00 0.00 18.72 0.00 0.00 Paved Paved 0.00 0.00 0.34 0.013 0.013 0.00 0.00 0.00 19 min Hydrograph Report Project Name Simple Stay Hydrology Studio v 3.0.0.34 12-04-2024 Post DA 1 Hyd. No. 2 Hydrograph Type = Rational Peak Flow = 0.383 cfs Storm Frequency = 5-yr Time to Peak = 0.32 hrs Time Interval = 1 min Runoff Volume = 436 cuft Drainage Area = 0232 sc Runoff Coeff. = 0.32* Tc Method = TR55 (See Worksheet) Time of Cone. (Tc) =19.0 min IDF Curve = Port Lavaca Area OF Data - ZLR.idf Intensity = 5.16 in/hr Freq. Corr. Factor =1.00 Asc(Rec Limb Factors =1/1 Composite C woftheet AREA(=) C OESCRI ON 0.011 0.70 Gfzv omi ew Graze O.M 042 Qp = 0.383 ofs 0.38 ---- ------ -- 036 i 034 --------- I 032 � 0.3 i 0.28 — -- � I 026 024 I 022 — C7 0.18 I 0.16 --- —- I I .! 0.14 0.12 ---- 0.1 - 0.08 I 0.04 0.02 0-/— 0 10 20 30 40 Time (min) Tc by TR55 Worksheet Project Name. Simple Stay Hydrology Studio v 3.0.0..34 12-04-2024 DA 1 Hyd. No. 2 Rational Segments Description A B C To (min) Sheet Flow Description Manning's n 0.240 0.013 0,013 Flow Length :(ft) 100 2-yr, 24-hr Precip. (in) 2.28 2.28 2.28 Land Slope (%) 1.55 'Travel Time (min) 18.72 0.00 0.00 18.72 Shallow Concentrated Flow,, Flow Length (it) 8 , Watercourse Slope :(%) 1,55 0.00 0.00 Surface Description Unpaved Paved Paved - Average Velocity (ft/s) 2.01 Travel Time (min) 0.07 0.00 0.00 0.07 Channel Flow X-sectional Flow Area (sqft) Wetted Perimeter (it) Channel Slope. (%) Manning's n 0.013 0.013 0.013 Velocity (0(s) Flow Length (it) Travel Time (min) 0.00 0.00 0.00 0.00 Total Travel Time 19 min 7 Hydrograph Report Hydrology Studio v 3.0.0.34 Pre DA 2 project Name Simple stay 12-04-2.M4 Hyd. No. 3 Hydrograph Type = Rational Peak Flow = 2.350 cfs Storm Frequency = 5-yr Time to Peak = 0.42 hrs Time Interval =1 min Runoff Volume = 3,524 cult Drainage Area =1.746 ac Runoff Coeff. = OX Ti: Method = TR55 (See Worksheet) Time of Conc. (Tc) = 25.0 min OF Curve = Port Lavaca Area OF Data - ZLR.idf Intensity = 4.49 Whir Freq. Corr. Factor =1.00 Asc/Rec Limb Factors =1l1 • composite C Worksheat AREA(.) C DESCRIPTION i.M8 030 Gnus 0.008 a90 Conorem 1346 030 Op = 2.350 cfs 3 I 2 ------- I I ' i I a i 1 I ! i I I j I 0 i I 0 10 20 30 40 50 Time (min) Tc by TR55 Worksheet Project Name Simple Stay Hydrology Studio v 3.0.0.34 12-04-2024 DA 2 Hyd. No. 3 Rational Segments --- — _ Descriptions _ A. B C To (min) - Shoot Flow Description Manning'sn 0.240 0.013 0.013 Flow Length (ft) 100 2-yr. 24-hr Precip. (in) 2.28 2.28 2.28 Land Slope (%) .8T ". Travel Time (min) 23.59 0.00 0.00 23.59. Shallow Concentrated. Flow Flow Length (it) 100.21 Watercourse Slope (°k) . OAT 0.00 0.00 ' Surface Description Unpaved Paved Paved Average Velocity (t7s) 1.5 Travel Time (min) 1.11 0.00 0.00 1.11 Channel Flow X-sectional. Flow Area (sqft) Wetted: Perimeter (it) Channel Slope:(%). Manning's n 0.013 0.013 0.013 Velocity (ft[s) Flow Length (ft) '.. Travel Time (min). 0.00 0.00 0.00 0.00 Total Travel Time 25 min 9 Hydrograph Report Project Name: Simple Stay Hydrology Studio v 3.0.0.34 12-04-2024 Post DA 2 Hyd. No. 4 Hydrograph Type = Rational Peak Flow = 3.185 cfs Storm Frequency = 5-yr Time to Peak = 0.43 hrs Time Interval =1 min Runoff Volume = 4,969 cuft Drainage Area =1.768 ac Runoff Coeff. = 0.41 * To Method = TR55 (See Worksheet) Time of Conc. (Tc) = 26.0 min OF Curve = Port Lavaca Area IDF Data - ZLR.idf Intensity = 4.39 in/hr Freq. Corr. Factor =1.00 Asc/Rec Limb Factors =1/1 . Composite C woftheet AREA(W) C DESCRIPTION 0.34S 0]o Gravel 1324 Om Gn 0.09e O.W Cahn: IM OA1 Op = 3.185 cfs a i I J I 3 i i i I � I j I I i I I ; fZ _ cr � I I I j j i t 0 0 10 20 30 40 so e0 Time (min) 10 Tc by TR55 Worksheet Project Name: Simple Stay Hydrology Studio v 3.0.0.34 12-04-2024 DA 2 Hyd. No. 4 Rational Segments Descriptlon _ - A B C To (min) Sheet Flow Description Manning's_n 0.240 0.013 0.013 Flow Length (ffl 100 2-yr.24hrPreap.(in) 2.28 2.28 2.28 Land Slope (%) .87 Travel Time (min) 23.59 0.00 0.00 I 23.59 Shallow ConcentratedFlow: Flow Length (ft). 225 Watercourse Slope (%). 0.87 0.00 0.00 Surface Description Unpaved Paved Paved Average Velocity (tus) 1.5 Travel Tlme (min) 2AS 0.00 0.00 2.49 Channel Flow X-sectionalFlow Area (sgft). , Wetted Perimeter (ft) ',.. Channel Slope(%). Manning'sn 0.013 0.013 0.013 Velocity qvs) Flow Length (ft) Travel Time (min) 0.00 0.00 0.00 0.00 Total Travel Time 26 min 11 Hydrograph 25-yr Summary Hydrology SWdlov3AaN Project Name: Simple Stay 12-04-2024 Hyd. No. Hydrograph Type Hydrograph Name Peak Flow (da) Time to Peak (hm) Hydrograph Volume (CUR) Inflow Hyd(s) Maximum 6lawadon (8) Maximum Storage (CUM 1 Rational Pia DA1 0.524 0.32 597 — 2 Rational Post DA1 0,512 0.32 564 — 3 Rational Pre DA2 3.149 0.42 4,723 — 4 Rational Post DA2 4.269 0.43 6,660 — 12 Hydrograph Report Project Name: Simple Stay Hydrology Studio v 3.0.0.34 Il 12-04-2024 Pro DA1 Hyd. No. 1 Hydrograph Type = Rational Peak Flow = 0.524 cfs Storm Frequency = 25-yr Time to Peak = 0.32 hrs Time Interval =1 min Runoff Volume = 597 cult Drainage Area = 0.253 ac Runoff Coeff. = 0.3' TcMethod = TR55 (See Worksheet) Time of Conc. (Tc) =19.0 min IDF Curve = Port Lavaca Area OF Data - ZLR.idf Intensity = 6.90 in/hr Freq. Corr. Factor =1.00 Asc/Rec Limb Factors =1/1 • ComposttD C Wodlsheet AREA(ee) C DESCRIFRON 0254 e90 OM 000 Qp = 0.524 cfs 1 0.95 0.9 -- 0.85 i 0.8 i 0.75 -- 0.7 0.65 0.6 0.55 .8 0.5. _ CY 0.45 —_ i i 0.3 0.25 0.2 0.1 j 0.05 0 D 10 20 30 40 Time (min) 13 Hydrograph Report Hydrology Studio v3.0.0.34 Post DA 1 Project Name: Simple Stay 12.04-2024 Hyd. No. 2 Hydrograph Type = Rational Peak Flow = 0.512 cis Storm Frequency = 25-yr Time to Peak = 0.32 hire Time Interval =1 min Runoff Volume = 584 cuft Drainage Area = 0232 ac Runoff Coeff. = 0.32* Tc Method = TR55 (See Worksheet) Time of Cone. (To) =19.0 min IDF Curve = Port Lavaca Area IDF Data - ZLR.idf Intensity = 6.90 Whir Freq. Corr. Factor = 1.00 Asc/Rec Limb Factors =1/1 • Composite C Worksheet AREA(.) C DESCRIPTION 0.011 0.70 G.W =1 am G� =2 om Qp=0.512cfs 1 i ' 0.95 0.9 0.85 . 0.8 0.75 0.7 0.65 i 0.55 i v 0.5 a 0as 0.4 i 0.35 I 0.3 0.25 j 0.2 0.15 0.1 — 0.0s Oor 0 — 0 10 20 30 40 Time (min) 14 Hydrograph Report Project Name. Simple Stay Hydrology Studio v 3.0.034 12-04-2024 Pre DA 2 Hyd. No. 3 Hydrograph Type = Rational Peak Flow = 3.149 cfs Storm Frequency = 25-yr Time to Peak = 0.42 hrs Time Interval =1 min Runoff Volume = 4,723 cult Drainage Area =1.746 ac Runoff Coeff. = OX Tc Method = TR55 (See Worksheet) Time of Conc. (Tc) = 25.0 min OF Curve = Port Lavaca Area OF Data - ZLR.idf Intensity = 6.01 in/hr Freq. Corr. Factor =1.00 Asc/Rec Limb Factors = 1/1 • Composite C Worksheet AREA(M) C OEMMMON 1.r38 0.30 Grew 0.008 ow Cp M. 1.746 us Qp as 3.149 efs 4 i -- CY II 1 i i I I i 0,. 0 10 20 30 40 50 Time (min) 15 Hydrograph Report Hydmlagy Studio v 3.0.0.34 Post DA 2 Project Name. Simple Stay 12-04-2024 Hyd. No. 4 Hydrograph Type = Rational Peak Flow. = 4.269 cfs Storm Frequency = 25-yr Time to Peak = 0.43 hrs Time Interval = 1 min Runoff Volume = 6,660 cult Drainage Area = 1.768 ac Runoff Coeff. = 0.41' To Method = TR55 (See Worksheet) Time of Cana (Tc) = 26.0 min IDF Curve =Port Lavaca Area OF Data - ZLR.idf Intensity = 5.89 in/hr Freq. Corr. Factor =1.00 Asc/Rec Limb Factors =1/1 . Composite C Worksheet ARWW) C DESCRIPTION 1. 030 Gs 0.099 OSG CeNns 1.768 "1 Op = 4.269 cfs s -- 3- i i ( I � I Cr 2 -- 1 : i j I , I i i 0 0 10 20 30 40 60 60 Time (min) 16 Hydrograph 100-yr Summary Hydrology SOldlov IOAM Project Name: Simple Stay 12-04-2024 Hyd. No. Hydrograph Type Hydrolimph Name Peak Plow (Cfs) Time to Peak (his) Hydrograph Volume (Cult) Ingow Hyd(s) Maximum Elevation (ft) Maximum Storage (tuft) 1 Rational Pre DA1 0.647 0.32 737 — 2 Rational Post DA1 0.633 0.32 721 — 3 Rational Pre DA2 3.880 0.42 5,835 — 4 Rational Post DA2 5.276 0.43 8,230 — 17 Hydrograph Report Hydrology Studio v 3.0.034 Pre DA 1 Project Name: Simple Stay 12-04-2024 Hyd. No.1 Hydrograph Type = Rational Peak Flow = 0.647 cfs Storm Frequency =100-yr Time to Peak = 0.32 hrs Time Interval =1 min Runoff Volume = 737 cult Drainage Area = 0.253 ac Runoff Coeff. = OX Tc Method = TR55 (See Worksheet) Time of Conc. (Tc) =19.0 min OF Curve = Port Lavaca Area OF Data - ZLR.idf Intensity = 8.52 in/hr Freq. Corr. Factor =1.00 Asc/Rec Limb Factors = 1/1 • Composite C Worksheet mel c) C DESCRIPTION C 3 0.3a O= 0.3G Op = 0.647 cfs 7 0.95 0.85 -- 0.8 — 0.75 07 0.65 -- 0.6 ',.. 0.55 �. 0.5 --- Cr .' OAS ------ 035 - _..........._.__. _— 0.25 0.2 0.15 0.1 � 0.05 0 0 10 20 30 40 lime (min) 18 Hydrograph Report Project Name: Simple Stay Hydrology Studio v 3.0.0.34 12-04.2024 Post DA 1 Hyd. No. 2 Hydrograph Type = Rational Peak Flow = 0.633 cfs Storm Frequency =100-yr Time to Peak = 0.32 hrs Time Interval =1 min Runoff Volume = 721 cuff Drainage Area = 0.232 ac Runoff Coeff. = 0.32" Tc Method = TR55 (See Worksheet) Time of Conc. (Tc) =19.0 min OF Curve = Port Lavaca Area IDF Data - ZLR.idf intensity as 8.52 in/hr Freq. Corr. Factor =1.00 Asc/Rec Limb Factors =1/1 ' Composite C Worksheet AREA(ee) C OESCRIWION 0.e11 pla Gravel omi 0.10 Gres =2 002 Qp = 0.633 efs 1 0.95 0.9 0.8 0.75 -- ---- —. 0.7 0.65 0.6 -- -- ---------' 0.55 i N 0. 5 a 0.45 0.4 0.35 i 0.3 02 0.15 0.1 — 0.05 I 0 0 10 20 30 40 'rime (min) 19 Hydrograph Report Hydrology Studio v 3.0.0.34 Pre DA 2 Project Name: Simple Stay 12-04-2024 Hyd. No. 3 Hydrograph Type = Rational Peak Flow = 3.890 cfs Storm Frequency =100-yr Time to Peak = 0.42 hrs Time Interval =1 min Runoff Volume = 5,835 cult Drainage Area =1.746 ac Runoff Coeff. = OX To Method = TR55 (See Worksheet) Time of Conc. (Tc) = 25.0 min IDF Curve = Port Lavaca Area OF Data - ZLR.idf Intensity = 7.43 in/hr Freq. Corr. Factor =1.00 Asc/Rec Limb Factors =111 • composite Worksheet AREA(at) C DESCRIPTION 1.M om Gi 0.008 0.90 Cnnane t.T48 410 Op = 3.890 cfs II i 3 ---------`--.— I I I - i VZ i a i i I i i I j 0 0 10 20 30 40 50 Time (min) 20 Hydrograph Report project Name: Simple Stay Hydrology Studio v 3.0.0.34 12.04-2024 Hyd. No. 4 Hydrograph Type = Rational Peak Flow = 5.276 cis Storm Frequency =100-yr Time to Peak = 0.43 hrs Time Interval = 1 min Runoff Volume = 8,230 cuft Drainage Area =1.768 ac Runoff Coeff. = 0.41' Tc Method = TR55 (See Worksheet) Time of Cone. (Tc) = 26.0 min IDF Curve = Port Lavaca Area IDF Data - ZLR.idf Intensity = 7.28 in/hr Freq. Corr. Factor =1.00 Asc/RecLimb Factors =1/1 • CompwftG C Worksheet AREA(ac) C CE5CREMON p.345 0.70 crawl 1.324 am Cross e e99 a.90 Cabl. 1.Ma 0.4t Qp = 6.276 cfs 6- 4 cr 1 I 0 ! 0 to 20 30 40 5o 60 Time (min) 21 OF Report IDF filename: Port Lavaca Area IDF Data -ZLltidf 12-07-2024 Equation Intensity = B / (Tc+ D)"E (inmr) coefficients 1yr 2yr 3yr Syr 10yr 25-yr 50yr 100-yr B 429555 42.1320 0.0000 47.7616 51.9749 57.6096 626069 67.2930 D 9.4000 8,1000 0.0000 7.5000 7.1000 6.6000 6.3000 6.1000 E 0.7282 0.6931 0.0000 0.6794 0.6680 0.6545 0.6488 0.6412 M.M. Ic...I es Tc Intensity Values (inifir) (min) 1-yr 2yr 3yr Syr 10-yr 25yr 50yr 100-yr Cf 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 5 6.16 7.08 0 8.59 9.83 11.58 12.98 14.38 10 4.96 5.66 0 6.83 7.80 9.16 10.24 11.33 15 4.20 4.78 0 5.76 6.57 7.71 8.61 9.52 20 US 4.17 0 5.02 5.74 6.73 7.51 8.31 25 3.27 3.73 0 4.49 5.12 6.01 6.70 7.43 30 2.96 3.38 0 4.07 4.65 5.46 6.09 6.75 35 2.71 3.10 0 3.74 4.27 5.02 5.60 6.21 40 2.51 288 0 3.47 3.95 4.66 5.20 5.77 45 234 269 0 3.24 3.71 4.36 4.97 5.40 50 220 2.52 0 3.04 3.49 4.10 4.58 5.09 55 207 238 0 288 3.30 3.88 4.34 4.82 60 1.96 Z26.. 0 273 3.13. 3.69 4.12 4.58 cr.Conacgoe FaawaPWO Fufir lMeModn caelfte . Texas, USA 74 I 100yr I'... 50yr 12 7. - 25yr I - 10yr t 10 ® Syr I L` 8 -- I i i �I � i -^ 2yr c i ®1yr 4 2� 0 5 70 15 20 25 30 35 40 45 50 55 60 Time (min) f Precipitation Report Precipitation filename: SamplePrecip.pcp Hydrology Studio v 10.0.34 (Rainfall totals in inches) 12-04-2024 Active 1-yr 2-yr 3-yr 5-yr 10yr _.. _ 25-yr , 50-yr 100ryr Active J d J SCS Stance > SCS Dimensionless Storms SCS bnr 1.20 1.50 0 1.86 2.18 2.64 3.01 3.41 Type 1, 24-hr 1.82 2.28 0 2.95 3.31 3.94 4.43 4.94 Type K 24-hr 1.82 228 0 2.85 3.31 3.94 4.43 4.94 Type 11, 244v 1.82 2.28 0 2.85 3.31 3.94 4.43 4.94 Type R Fl, 24-hr 1.82 Z28 0 295 3.31 3.94 4.43 4.94 Type III, 24-fir 1.82 228 0 US 3.31 3.94 4A3 4.94 Synthetic Storms > IDF-Based Synthetic Storms 14V 1.96 2.26 0 2-73 3.13 3.69 4.12 4.58 ' 2-hr 2.49 2.92 0 3.54 4.09 4.85 5.42 6.05 3-hr 2.83 3.35 0 4.09 4.73 5.64 6.32 7.08 S-hr J 3.48 4.21 0 5.18 8.03 7.25 8.16 9.17 12-hr 4.24 5.25 0 6.51 7.65 927 10.48 11.82 24-hr 5.14 6.52 0 8.16 9.66 11.81 13.38 15.20 Huff Distribution > tat Quartile (0 to 6 has) 1-hr 0.76 0.98 0 1.33 1.61 2.01 2.34 2.69 2-hr 0.89 1.14 0 1.50 1.80 224 2.60 299 3-hr 0.98 1.24 0 1.59 1.90 233 2.68 3.07 6-hr 1.20 1.50 0 1.86 218 2.84 3.D1 341 Huff Distribution > 2nd Quarto* (>6 to 12 hm) 8-hr 9 0 0 0 0 0 0 0 12-hr 0 0 0 0 0 0 0 0 Huff Distribution > 3rd Quartile Q12 to 24 hm) 18-hr 0 0 0 0 0 0 0 0 244hr 0 0 0 0 0 0 0 0 Custom Stones > Custom Storm Distributions My Custom Storm 1 0 0 0 0 0 0 0 0 My Custom Storm 2 0 0 0 0 0 01. 0 0 My Custom. Storm 3 0 0 0 0 0 0 0 0 My Custom Storm 4 0 0 0 0 0 0 0 0 My Custom. Storm 5 0 0 0 0 0 0 0 0 My Custom Storm 6 0 0 0 0 0 0 9 9 My Custom storm 7 0 0 0 0 0 0 0 0 My Custom Storm 8 0 0 0 0 0 0 0 0 My Custom Stom 9 0 0 0 0 0 0 0 0 My Cusicm Storm 10 0 0 0 0 0 0 0 0 23 Precipitation Report Contrd Precipitation filename: SamplePrecip.pcp Rainfall totals in Inches 12-04.2024 Active 1yr 2Nr Syr Syr 10-yr 25V _� _.. 6Dyr 100yr Active J J Huff Indiana >Indianapolis 30-min 0.99 1.19 0 1.44 1.63 1.89 208 2.28 1-hr 1.21 1.46 0 1.81 2.08 2A5 275 3.08 2-hr 1A6 1.77 0 2.22 257 3.06 3.44 3.86 3-hr 1.57 1.90 0 238 276 3.30 3.75 421 6-hr 1.92 2.31 0 288 3.36 4.01 4.56 5.13 12-hr 0 0 0 0 0 0 0 0 24-hr 0 0 0 0 0 0 0 0 Huff Indiana > Evansville 3a-min 0.99 1.19 0 1.44 1.63 1.89. US 228 1-hr 121 1.46 0 1.81 2.08 2A5 2.75 3.06 2-hr 1.46 1.77 0 222 257 3.05 3.44 3.85 3-hr 1.57 1.90 a 238 276 3.30 3.75 4.21 8-hr 1.92 2.31 0 288 3.36 4.01 4.56 5.13 124V 0 0 0 0 0 0 0 0 24-hr 0 0 0 0 0 0 0 0 Huff Indiana Fort Wayne 30-min 0.99 1.19 0 1.44 1.63 1.89 2.08 2.28 1-hr 121 1.46 0 1.81 208 2A5 2.75 3.06 2-hr 1.46 1.77 0 222 257 3.05 3.44 185 3-hr 1.67 1.90 0 2.38 276 3.30 3.75 4.21 6-fir 1.92 2.31 0 US 3.36 4.01 4.56 5.13 12-hr 0 0 0 0 0 0 0 0 24-hr 0 0 0 0 0 0 a 0 Huff Indiana > South Bend 313-min 0.99 1.19 0 1.44 1.63 1.89 208 2.28 1-hr 1.21 1.45 0 1.81 2.08 2A5 Z75 3.06 2-hr 1A6 1.77 0 222 257 3.05 3.44 3.85 3-hr 1.57 1.90 0 238 276 3.30 3.75 4.21 6-hr 1.92 2.31 0 288 3.36 4.01 4.56 5.13 12-hr 0 0 0 a 0 0 0 0 24-hr 0 0 0 0 0 0 0 0 24 Precipitation Report Contld Precipitation filename SamplePrecip.pcp Rainfall totals in inches 12-04-2024 Active 1-yr 2-yr 3-yr 5-yr 10-yr 25-yr SNyr _ 100-yr - Active J J J MRCS Storms > NRCS Dimensionless Storms NRCS MSE7, 24-hr 2.72 3.27 0 4.07 4.72 5.63 6.37 7.15 NRCS MSEZ 24-hr 2.72 3.27 0 4.07 4.72 5.63 6.37 7.15 NRCS MSE3, 24-hr 272 3.27 0 4.07 4.72 5.63 6.37 7.15 NRCS MSE4, 24.hr 2.72 3.27 0 4.07 4.72 5.63 6.37 7.15 NRCS MSES, 24-hr 272 3.27 0 4.07 4.72 5.63 6.37 7.15 NRCS MSES, 24-hr 2.72 3.27 0 4.07 4.72 5.63 6.37 7.15 NOAA-A, 24-hr 2.72 327 0 4.07 4.72 5.63 6.37 7.15 NOAA-B, 24-hr 2.72 327 0 4.07 4,72 5.63 6.37 7.15 NOAA-C,24-hr 2.72 3.27 0 4.07 4.72 5.63 6.37 7.15 NOAA-D, 24-hr 2.72 3.27 0 4.07 4.72 5.63 6.37 7,15 NRCC-A, 24-hr 2.72 3.27 0 4-07 4.72 5.63 6.37 7.15 NRCCGB, 24-hr 2.72 3.27 0 4.07 4.72 5.63 8.37 7.15 NRCC.C, 24-hr 272 3.27 0 4.07 4.72 5.63 6.37 7.15 NRCC-D, 24 hr 272 3.27 0 4.07 4.72 5.63 6.37 7.15 CM, 24-hr 2.72 3.27 0 4,07 4.72 5.63 6.37 7.15 CA-2, 24-hr 272 3.27 0 4.07 4.72 5.63 6.37 7.15 CA-3, 24hr 2.72 3.27 0 4.07 4.72 5.63 6.37 7.15 CA<, 24-hr 2.72 327 0 4.07 4.72 6.63 6.37 7.16 CAS; 24-hr 2.72 3.27 0 4.07 4.72 5.63 6.37 7.15 CA-S; 24-hr 272 3.27 0 4.07 4.72 5.63 6.37 7.15 FOOT Stoma > Florida DOT Storms: FDOT, 1-hr 0 2-14 2.36 2.58 2.92 3.35 US 3.95 FDOT, 2-hr 0 270 3.00 3.26 3.69 424 4.64 6.00 FDOT, 4-hr 0 3.28 3.76 4.00 4.80 5.50 6.20 6.80 FDOT, 84ir 0 3.76 4.32 4.80 5.60 6.20 7.20 8.00 FDOT 24-hr 0 4.28 4.75 E21 6.11 7.53 8.78 10.20 FDOT, 72-hr 0 5.44 6,10 6.74 7,98 9.92 11.60 13.40 SFVVMD, 72-hr 0 5.44 6.10 6.74 7.98 9.92 11.60 13AO Austin Storms > Austin Frequency Storms Awn Zone 1, 24-hr 0 4.14 0 5.51 6.84 8.90 10.69 12.80 Austin Zane 2,24-hr 0 4.06 0 5.38 6.65 8.59 10.28 12.23 25 Hydrograph Report Project Name; Simple Stay Hydrology Studio v 3.0.0.34 12-04-2024 Post DA 1 Hyd. No. 2 Hydrograph Type = Rational Peak Flow = 0.512 cfs Storm Frequency = 25-yr Time to Peak = 0.32 hrs Time Interval = 1 min Runoff Volume = 584 cuft Drainage Area = 0.232 ac Runoff Coeff. = 0.32* Tc Method = TR55 (See Worksheet) Time of Conc. (Tc) =19.0 min OF Curve = Port Lavaca Area IDF Data - ZLR.idf Intensity = 6.90 in/hr Freq. Corr. Factor =1.00 Asc/Rec Limb Factors =1/1 • Composite C Worksheat ARM(.) C DESCRIPTION 0.011 o.To Gm oml UD Gnus =2 0J2 Qp = 0.512 cfs 1 0.95 i 0.9 0.85 0.8 0.75 — 0.7 0.65 i 0.6 ---- 0.55 0.45 0.4 0.3 -- 0.25 - i 0.2 0.1 — I 0.05 - I 0 0 10 20 30 40 Time (min) 14 Hydrograph Report Hydrology Studio v 3.0.034 Pre DA 2 Project Name: Simple Stay 12-04-2024 Hyd. No. 3 Hydrograph Type = Rational Peak Flow = 3.149 cfs Storm Frequency = 25-yr Time to Peak = 0.42 hrs Time Interval =1 min Runoff Volume = 4,723 cult Drainage Area =1.746 ac Runoff Coeff. = OX Tic Method = TR55 (See Worksheet) Time of Conc. (Tc) = 25.0 min OF Curve = Port Lavaca Area OF Data - ZLR.idf Intensity = 6.01 in/hr Freq. Corr. Factor =1.00 Asc/Rec Limb Factors = 1/1 • Composite C Work,heet Men(ac) c oescwrnorr 1.738 0.30 Gre 0.008 ow ccna 1.70 020 Qp = 3.149 cfs 4 I I Cr i I 1 � i ' i i I i 0 ! i I 0 10 20 30 40 50 Time (min) 15 Hydrograph Report Hydrology Studio v 3.0.0.34 Post DA 2 Prajea Name Simple Stay u-04-2024 Hyd. No. 4 Hydrogreph Type = Rational Peak Flow. = 4.269 nfs Storm Frequency = 25-yr Time to Peak = 0.43 hrs Time Interval =1 min Runoff Volume = 6,660 cutt Drainage Area =1.768 ac Runoff Coeff. = 0.41 * Tc Method = TR55 (See Worksheet) Time of Conc. (Tc) = 26.0 min OF Curve = Port Lavaca Area OF Data - ZLR.idf Intensity = 5.89 in/hr Freq. Corr. Factor =1.00 Asc/Rec Limb Factors =1/1 . Composite C Wodlsheet AREA(ae) C DESCRIPTION a.W 0.M G2 t.3PR a3a Gress 1.Ta8 OA4 Qp = 4.269 efs 5 4 i I i CY 1 I o I I 0 10 20 30 40 50 60 Time (min) 16 Hydrograph 100-yr Summary Hydrology MOOV3.OAM Project Name: Simple Stay 12-04-2024 Hyd No. Hydrograph Type Hydrograph Name Peak Plow (ers) Time to Peak (hw) Hydrograph Volume (tuft) Inflow Hyd(s) Maximum Elevation (ft) Maximum Storage (cuft) 1 Rational Pre DA1 0.647 0.32 737 — 2 Rational Post DA1 0.633 0.32 721 — 3 Rational Pre DA2 3.890 0.42 5.835 — 4 Rational Post DA2 5.276 0.43 8,230 — 17 Hydrograph Report Hydrology Studio v 3A034 Pre DA1 Project Name: Simple Stay 12-04.2024 Hyd. No. 1 Hydrograph Type Storm Frequency Time Interval Drainage Area To Method OF Curve Freq. Corr. Factor = Rational =100-yr =1 min = 0.253 ac = TR55 (See Worksheet) = Port Lavaca Area IDF Data - ZLR.idf =1.00 Peak Flow = 0.647 cfs Time to Peak = 0.32 hrs Runoff Volume = 737 cult Runoff Coeff. = 0.3' Time of Conc. (Tc) =19.0 min Intensity = 8.52 in/hr Asc/Rec Limb Factors =1/1 `Composite C Warksheet me (=) C DESCRIPTION 02a3 0.20 aria oae 1 4p = 0.647 cfs 0.9 — 0.85 — 0.8 0.75 0.7 0.65 0.6 0.55 ... 0.5 Cr 0.45 -- 0.4 j 0.35 - —�� 0.3 I I - I 0.25 I 0.2 0.15 i 0.1 — i 0.05 0 0 10 20 Time (min) 30 40 18 Hydrograph Report Hydrology Studio v 3.0.0.34 Post DA 1 Project Name Simple Stay 12-04-2024 Hyd. No. 2 Hydrograph Type = Rational Peak Flow = 0.633 cfe Storm Frequency =100-yr Time to Peak = 0.32 hrs Time Interval =1 min Runoff Volume = 721 cult Drainage Area = 0.232 ac Runoff Coeff. = 0.32' Tic Method = TR55 (See Worksheet) Time of Conc. (Tc) =19.0 min IDF Curve = Port Lavaca Area OF Data - ZLR.idf Intensity = 8.52 in/hr Freq. Corr. Factor =1.00 Asc/Rec Limb Factors =1/1 • composite C Wodksheet MEAW) C GESCNIPTION 0.221 0.W Grau =2 e.22 Qp = 0.633 cfs 0.95 -- .II 0.9 0.88 0.8 0.7 I 0.65 I j a 0.45 --. 0.4 035 03 0.25 ---- 0.2 0.15 '.. 0.1 i 0.05 j 0 0 10 20 30 40. Time (min) 19 Hydrograph Report Project Name Simple Stay Hydrology Studio 3.0.0.34 12-04-2024 Pre DA 2 Hyd. No. 3 Hydrograph Type = Rational Peak Flow = 3.890 cfa Storm Frequency =100-yr Time to Peak = 0.42 hrs Time Interval =1 min Runoff Volume = 5,835 tuft Drainage Area =1.746 ac Runoff Coeff. = OX To Method = TR55 (See Worksheet) Time of Conc. (Tc) = 25.0 min IDF Curve = Port Lavaca Area IDF Data - ZLR.idf Intensity = 7.43 in/hr Freq. Con. Factor =1.00 Asc/Rec Limb Factors =1/1 •composite C Wodksheet AREA(al) C DESCRIPTION t.T88 G.aO Gress 0.008 0.90 Crn5re1a t.TaB e.]0 Qp = 3.890 cfs 4 — r I 3 --------"------ - - I I --- „ I � cr N0 0 10 20 30 40 50 Time (min) 20 Hydrograph Report Project Name: Simple Stay Hydrology Studio v 3.0.0.34 12-04-2024 Post DA 2 Hyd. No. 4 Hydrograph Type = Rational Peak Flow = 5.276 cfs Storm Frequency =100-yr Time to Peak = 0.43 hrs Time Interval =1 min Runoff Volume = 8,230 cult Drainage Area = 1.768 ac Runoff Coeff. = 0.41* TcMethod = TR55 (See Worksheet) Time of Cone. (Tc) = 26.0 min OF Curve = Port Lavaca Area IDF Data - ZLR.idf Intensity = 7.28 in/hr Freq. Corr. Factor =1.00 AsdRec Limb Factors =1/1 • Composite C Wodrsheet AREA(.) C DESCRIPTION 1.324 am G� O.M 0.90 Coon 1.9" OA1 Qp = 5.276 cfs 6 --- 5,.. .,��. 3 d 2 i i 1 II 0 10 20 40 50 60 (min) Time(min) 21 OFReport IDF filename. Port Lavaca Area OF Data-ZLR.IAf Equation IL-W-LUGS Intensity = B f (Tc+ D)"E (Inlhr) Coefficients 1•yr 2yr Syr Syr 10yr 25-yr SOyr 100.yr B 42.9655 42.1320 0.0000 47.7516 51.9749 57.6096 626069 67.2930 D 9.4000 8.1000 0.0000 7.5000 7.1000 6.6000 6.3000 6.10M E 0.7282 0.6931 0.0000 0.6794 0.8680 0.6545 0.6488 0.6412 To Intensity Values (iNhr) (min) 1yr 2yr Syr Syr 10.yr ZSyr SDyr 100yr Cf 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 5 6.16 7.08 0 &59 9.83 11.58 1298 14.38 10 4.96 5.66 0 6.83 7.60 9.16 1024 11.33 15 4.20 4.78 0 5.76 6.67 7.71 8.61 9.62 20 3.66 4.17 0 5.02 5.74 8.73 7.51 8.31 25 3.27 3.73 0 4.49 5.12 6.01 6.70 7.43 30 296 3.38 0 4.07 4.65 5.46 6.09 6.75 35 2.71 3.10 0 3.74 427 5.02 5.60 8.21 40 Z51 288 0 3.47 US 4.66 5.20 5.77 45 234 2.69 0 3.24 3.71 4.36 4.87 5.40 50 220 2.52 0 3.04 3.49 4.10 4.58 5.09 65 207 238 0 288 3.30 3.88 4.34 4.82 60 1.96 226. 0 2.73 3.13 3.69 4.12 4.58 d=ConeGO'anFatlorapyrie4roRab'onalMetlwdrunMcceihtierb. Texas, USA 14 I I i j �100yr i SOyr 12 L - 25yr I I � 10 N i 2 ® 5yr 8 -- 2yr c 6 4 2 i 0 5 10 15 20 25 30 35 40 45 50 55 60 Time (min) zz Precipitation Report Precipitation filename: SamplePredp.pcp Hydrology Studio v 3.0.0.34 (Rainfall totals ininches) 12.04-2024 _- Acura 1,yr 2-yr. 3-yr Syr ..... 10-yr .... 26-yt _. 50-yr 100-yr Active ./ J SCS Storms > SCS Dimensionless Storms Scs Sir 120 1.60 0 1.86 2.18 2.64 3.01 3.41 Type 1, 24-hr 1,82 2.28 0 285 3.31 3.94 4.43 4.94 Type 24-W 1.82 Z28 0 2.85 3.31 3.94 4.43 4.94 Type11, 24-hr 1.82 2.28 0 285 3.31 3.94 4.43 4.94 _ Type IIF4 24-hr 1.82 2.28 0 285 3.31 3.94 4A3 4.94 Type III, 24-hr 1.82 2.28 0 285 3.31 3.94 4A3 4.94 Synthetic Stoma >IDF-Based Synthetic Storms 1-hr 1.98 2.26 0 273 &13 3.59 4.12 4.58 24v 2.49 2.92 0 3.54 4.09 4.85 5.42 6.05 3-hr 2-83 3.35 0 4.09 4.73 5.64 6.32 7.08 8-hr J 3.48 421 0 5.18 6.03 7.25 8.16 9.17 12-hr 4.24 6.25 0 6.51 7.65 927 10.46 11.82 244w 5.14 6.52 0 &16 9.68 11.81 13.38 15.20 Huff Distribution > 1st Quartile (0 to 6 hm) 1-hr 0.76 0.98 0 1.33 1.61 2.01 2.34 2.69 24V 0.89 1.14 0 1.50 1.80 2.24 260 299 -3-hr 0.98 1.24 0 1.69 1.90 233 US 3.07 6-hr 120 1.50 0 1.86 218 2.64 &01 &41 -. Huff Distribution > 2nd puartlle (>6to 12 hrs) - S-hr 0 0 0 0 0 0 0 0 12-hr 0 0 0 0 0 0 0 0 Huff Distribution > 3rd Quartile (A2 to 24 hrs) 18-hr 0 0 0 0 0 0 0 0 24-hr 0 0 0 0 0 0 0 0 Custom:Storma > Custom Storm Distributions My Custom Stone 1 0 0 0 0 0 0 0 0 VW custom storm 2. 0 0 0 0 0 0 0 0 My Custom. Storm 3 0 0 0 0 0 0 0 0 My CustomSmrm 4 0 0 0 0 0 0 0 0 My Custom Storm 5 0 0 0 0 0 0 0 0 - My Custom Storm 6 0 0 0 0 0 0 0 0 My Custom Storm. 7 0 0 0 0 0 0 0 0 My custom atom 8 0 0 0 0 0 0 0 0 My Custom Storm 9 0 0 0 0 0 0 0 0 My Custom Stormr 10 0 0 0 0 0 0 0 0 23 Precipitation Report Cont'd Rainfall totals in inches Active 1yr Active Huff Indiana >Indianapolis 30-min 0.99 1-hr 1.21 2-hr t.46 3-hr 1.57 6-hr 1.92 12-hr 0 24-hr 0 Huff Indiana > Evansville 30-min 0.99 1-hr 1.21 2-hr 1.46 3-hr 1.57 6-hr 1.92 12-hr 0 24-hr 0 Huff Indiana a Fart Wayne ,30snin 0.99 1-hr 1.21 2-hr 1.46 3-hr 1.57 6-hr 1.92 12-hr 0 24-hr 0 _ Huff Indiana > South Bend 30-min 0.99 1-hr 1.21 2-hr 1,46 3-hr 1.57 6-Iv 1.92 12-hr 0 24-hr 0 2yr 3-yr 1.19 1.46 1.77 1.90 2.31 0 0 1.19 1.46 1.77 1.90 2.31 0 0 1.19 1.46 1.77 1.90 2.31 0 0 1.19 1.46 1.77 1.90 231 0 a 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 i Precipitation filename: 5amplePredp.pcp 12-04-2024 5-yr 10yr 26V 50-yr 100-yr. . f. _V.- J 1.44 1.63 1.89 208 2.28 1.81 2.08 2.45 275 3.06 222 257 3.05 3.44 3.85 238 276 3.30 3.75 4.21 Zee 3.36 4.01 4.56 5.13 0 0 0 0 0 0 0 0 0 0 1.44 1.63 1.89 208 228 1.81 208 2.45 2.75 3.06 222 257 3.05 3.44 3.85 2.38 276 3.30 3.75 4.21 2.BB 3.36 4.01 4.56 6.13 0 0 0 0 0 0 0 0 0 0 1.44 1.63 1.89 2.08 228 1.81 208 2.45 275 3.06 2.22 257 3.05 3.44 3.85 238 276 3.30 3.75 4.21 288 3.36 4.01 4.55 5.13 0 0 0 0 0 0 0 0 0 0 1.44 1.63 1.89 208 Z28 1.81 208 245 2.75 3.06 222 257 3.06 3.44 3.85 238 276 3.30 3.75 4.21 288 3.36 4.01 4.66 5.13 0 0 0 0 0 0 0 0 0 0 Precipitation Report Contrd Precipitation filename: SamplePmcftp.pcp Rainfall totals in Inches 12-04-2024 -- Active 1-yr 2-yr 3-yr Styr 10yr _ _..... 25yr 60-yr 100-yr Active ✓ ✓ ✓ NRCS Stones > NRCS Dimensionless5torms NRCS.MSE1, 24-hr 2.72 327 0 4.07 4.72 5.63 6.37 7.15 NRCS MSEZ 24-hr 2.72 3.27 0 4.07 4.72 5.63 6.37 7.15 NRCS MSE3, 24-hr 272 327 0 4.07 4.72 5.63 6.37 7.15 NRCS MSE4, 24-hr 272 3.27 0 4.D7 4.72 5.63 6.37 7.15 NRCS MSE5, 24-hr 272 3.27 0 4.07 4.72 5.63 6.37 7.15 NRCS MSE6; 24-hr 232 3.27 0 4,07 4,72 5.63 6.37 7.15 NOAA-A,.24-hr 2.72 3.27 0 4.07 4,72 5.63 6.37 7.15 NOAA-B,24-hr 2.72 327 0 4.07 4.72 5.63 6.37 7.15 NOAA-C, 24-hr 2.72 3.27 0 AM 4.72 5.63 6.37 7.15 NOAA•D, 24-hr 2.72 3.27 0 4.07 4.72 5.63 6.37 7.15 NRCC-A,24-hr 2.72 327 0 4.07 4.72 5.63 6.37 7.15 NRCC-B,:24-tw 2.72 3.27 0 4.07 4.72 5.63 6.37 7.15 NRCC-:C; 24-hr 272 3.27 0 4.07 4,72 5.63 6.37 7.15 NRCC-O, 24-hr 272 127 0 4.07 4.72 6.63 6.37 7.15 _ CAI, 24-hr 2.72 3.27 0 4.D7 4.72 5.63 6.37 7.15 CA-2,24-hr 2.72 3.27 0 4.07 4,72 5.63 6.37 7.15 CA-3, 24-hr 272 3.27 0 4,07 4,72 5.63 6.37 7.15 CA4, 24-hr 272 327 0 4.07 4.72 5.63 6.37 7.15 CAS, 24-hr 2.72 3.27 0 4.07 4.72 5.63 6.37 7.15 CAS; 24-hr 2.72 3.27 0 4.07 4.72 5.63 6.37 7.16 FDar Stomis > Florida DOT Storms FDOT, 1-hr 0 2.14 2.36 258 292 3.35 3.66 3.95 FOOT, 2-hr 0 270 3.00 3.26 3.69 424 4.64 5.00 FOOT, 4-hr 0 3.28 3.76 4.00 4.80 5.50 6.20 6.80 FDOT, 8-hr 0 3.76 4.32 4,80 5.60 6.20 7.20 8.00 FDOT, 24-hr 0 4.28 4.75 5.21 6.11 7.53 8.78 10.20 FOOT, 72-hr 0 5.44 6.10 6.74 7.98 9.92 11.00 13AO SFWMD,, 72-hr 0 5.44 6.10 6.74 7.98 9.92 11.60 13.40 .Austin Storms > Austin Frequency Storms Austin Zone.1, 24.hr 0 4.14 0 5.51 6.84 8.90 10.69 12.80 Austin Zone'2, 24-hr 0 4.06 0 5.38 6.65 8.59 10.28 12.23 i #17 NOTICE OF MEETING — 2/5/2025 17. Consider and take necessary action to accept donation from Lisa Baumann for the Port O'Connor Community Center and put into Utilities line item, 2736-999-66616. (GDR) RESULT, APPROVED [UNANIMOUS] MOVER: JoelBehrens, Commissioner Pct 3 SEC6kDER:--'1 Gary Reese,` Commissioner PctA AYES: Judge.Lyssy,,Commissioner Hall, Best, Behrens, 'Reese Page 14 of 18 Gary D. Reese County Commissioner County of Calhoun Precinct 4 January 29, 2025 Honorable Vern Lyssy Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Lyssy: Please place the following item on the Commissioners' Court Agenda for February 5, 2025. • Consider and take necessary action to accept donation from Use Baumann for the Port O'Connor Community Center and put into Utilities line item, 2736-999-66616. Sincerely, Gary D. Reese GDR/at P.O. Box 177 - Seadrift, Texas 77983 - email: aarv.reesetq—calbouncotx.ora - (361) 785-3141 -Fax (361) 785.5602 37-65/1119 � 399 3 MARK D. OR LISA E. BAUMANN zo� s 7 f Pay, To 2 1uil� GCE. ax Ti or_ ' E E WELLS FARGO BANK, N.A. e TEXAS WELLSF RGO.COM Nor NP t 399 #18 I NOTICE OF MEETING - 2/5/2025 18. Consider and take necessary action to set a hearing to consider the Petition to create Calhoun County Hospital District received by Calhoun County Commissioner's Court on February 12, 2025 at 10:00 a.m., in the Commissioner's Court Courtroom, First Floor of the Calhoun County Courthouse, 211 S. Ann, Port Lavaca, Texas. (VLL) RESULT,: APPI�OVED.[UNANTMOUS]= MOVERr David Hall, Commissioner Pct i SECONDER: Ronald Best, Commissioner Pct 2 AYES: Judge Lyssy, Commissioner Hall, Best,; Behrens, Reese .. Page 15 of 18 NOTICE OF MEETING — 2/5/2025 19. Consider and take necessary action on Addendum No. 1; Bid No. 2024.12-Calhoun County Green Lake Park - Phase 1; Project 1 and authorize Judge Lyssy to sign all documentation. Page 16 of 18 January 30, 2025 uRea" ♦ engineering ADDENDUM NO. 1 BID NO.2024.12 — CALHOUN COUNTY GREEN LAKE PARK — PHASE 1; PROJECT 1 (U.E. JOB NO. E23596.00) Item A. REVISION: Replace the Bid Form in the Bid Package with the attached. Revise Items 3 — 5. Item B. REVISION: Replace the Construction Plans with the attached. s*� oif 0 MATT A. GL 0....................... V-0.•, 99253 Matt A. GlazePE , .. ��°�F �!�et,4 Vice President ee%,%%. ;a� E23596.00 - Addendum No.1 Page 1 of 1 2004 N. COMMERCE, VICTORIA, TX 77901 • 361.578.9836 • URBANVICTORIA.COM • TREF# F-160 REVISED PER ADDENDUM NO. 1 BID FORM PROJECT IDENTIFICATION Bid No 2024.12 — Calhoun County Green Lake Park — Phase 1; Project 1 Calhoun County, Texas CONTRACT IDENTIFICATION AND NUMBER: Bid No. 2024.12 tHI&I=11107M114ii1-1i91YW04Yitii Calhoun County Judge's Office Calhoun County Courthouse 211 S. Ann Street, Suite 301 Port Lavaca, Texas 77979 1.01 The undersigned Bidder proposes and agrees, if this Bid is accepted, to enter into an Agreement with OWNER in the form included in the Bidding Documents to perform all Work as specified or indicated in the Bidding Documents for the prices and within the times indicated in this Bid and in accordance with the other terms and conditions of the Bidding Documents. 2.01 Bidder accepts all of the terms and conditions of the Advertisement or Invitation to Bid and Instructions to Bidders, including without limitation those dealing with the disposition of Bid security. The Bid will remain subject to acceptance for 60 days after the Bid opening, or for such longer period of time that Bidder may agree to in writing upon request of OWNER. 3.01 In submitting this Bid, Bidder represents, as set forth in the Agreement, that: A. Bidder has examined and carefully studied the Bidding Documents, the other related data identified in the Bidding Documents, and the following Addenda, receipt of which is hereby acknowledged. Addendum No. Addendum Date B. Bidder 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. Bidder 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. Bidder 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, which has been identified in the Supplementary Conditions as provided in paragraph 4.06 of the General Conditions. E. Bidder 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 Bidder, including applying the specific means, methods, techniques, sequences, and procedures of construction expressly required by the Bidding Documents to be employed by Bidder, and safety precautions and programs incident thereto. E23596.00 - Ed Farm 12/24 00410 - 1 REVISED PER ADDENDUM NO. 1 F. Bidder does not consider that any further examinations, investigations, explorations, tests, studies, or data are necessary for the determination of this Bid for performance of the Work at the price(s) bid and within the times and in accordance with the other terms and conditions of the Bidding Documents. G. Bidder 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 Bidding Documents. H. Bidder has correlated the information known to Bidder, information and observations obtained from visits to the Site, reports and drawings identified in the Bidding Documents, and all additional examinations, investigations, explorations, tests, studies, and data with the Bidding Documents. I. Bidder has given ENGINEER written notice of all conflicts, errors, ambiguities, or discrepancies that Bidder has discovered in the Bidding Documents, and the written resolution thereof by ENGINEER is acceptable to Bidder. J. The Bidding Documents are generally sufficient to indicate and convey understanding of all terms and conditions for the performance of the Work for which this Bid is submitted. 4.01 Bidder further represents that this Bid is genuine and not made in the interest of or on behalf of any undisclosed individual or entity and is not submitted in conformity with any agreement or rules of any group, association, organization or corporation; Bidder has not directly or indirectly induced or solicited any other Bidder to submit a false or sham Bid; Bidder has not solicited or induced any individual or entity to refrain from bidding; and Bidder has not sought by collusion to obtain for itself any advantage over any other Bidder or over OWNER. 5.01 Bidder will complete the Work in accordance with the Contract Documents for the price(s) on the following page(s): E23596.00 - Bid Poem 1M4 00410 - 2 REVISED PER ADDENDUM NO. 1 BID NO. 2024.12 - CALHOUN COUNTY GREEN LAKE PARK - PHASE 1; PROJECT 1 BIDDER PREPARED BY: URBAN ENGINEERING ITEM NO. DESCRIPTION ESTIMATED QUANTITY UNIT UNIT PRICE TOTAL PRICE BASE BID GENERAL 1. Mobilization, Insurance and Bonds (Ma)imum 10% of Base Bid) 1 1 LS $ $ 2. Construction Staking 1 I LS $ $ SUBTOTAL GENERAL $ IMPROVEMENTS 3. Mowed Trail (10' TYP) 7,400 LF $ $ 4. Limestone Trail 10'TYP) 7,300 LF $ $ 5. Mulched Trail (10' TYP) 2,500 LF $ $ 6. Culvert Pipe 12" HDPE (20' TYP) 5 EA $ $ 7. Bird Blind (Permanent) 1 EA $ $ 8. Bird Blind Portable 2 EA $ $ 9. 1 Berm Cut & Fill 1,250 LF $ $ SUBTOTAL IMPROVEMENTS $ TOTAL BASE BID $ Unit Prices have been computed in accordance with paragraph 11.03.13 of the General Conditions. Bidder acknowledges that estimated quantities are not guaranteed, and are solely for the purpose of comparison of Bids, and final payment for all Unit Price Bid items will be based on actual quantities provided, determined as provided in the Contract Documents. It is the intent of the OWNER to award a Contract for all work items and quantities listed on the Bid Form. In the event that the low Bid submitted by a qualified Bidder exceed the funds budgeted for this Project, the OWNER reserves the right to reduce the scope of the work so that the Project can be completed within the budgeted amount; this may be done by eliminating any or all parts of the Project. The Bidder hereby agrees to maintain the unit prices shown on the Bid Form should this reduction in the scope of the work be necessary. 6.01 Bidder agrees that the Work will be substantially complete within calendar days (TO BE FILLED IN BY BIDDER) 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. 6.02 Bidder accepts the provisions of the Agreement as to liquidated damages in the event of failure to complete the Work within the times specified above, which shall be stated in the Agreement. E23596.00 - Bid Form 12/ 4 ;�I�Ly[�IIt3 REVISED PER ADDENDUM NO. 1 7.01 The following document(s) are attached to and made a condition of this Bid: A. Required Bid Security in the form of Security: Bond, Cashier's Check, Certified Check); B. Schedule of Proposed Subcontractors to be identified in this Bid; C. Statement of Bidder's Qualifications with supporting data; D. Affidavit; E. Certificate of Liability Insurance; F. Conflict of Interest Questionnaire Form CIQ; (specify type of Bid G. Certification Regarding Debarment & Suspension and Other Responsibility Matters; H. Certification Regarding Lobbying; I. Disclosure of Lobbying Activities and Instructions; J. House Bill 89 Verification; K. Residence Certification; L. System for Award Management (Printout of search results); 8.01 The terms used in this Bid with initial capital letters have the meanings indicated in the Instructions to Bidders, the General Conditions, and the Supplementary Conditions. SUBMITTED on State Contractor License No. . (If applicable) If Bidder is: An Individual Name (typed or printed): 0 (Individual's signature) Doing business as: Business address: Phone No.: E23596.00 - B[d F.n 12124 00410 - 4 IyaVARrag e REVISED PER ADDENDUM NO. 1 A Partnership Partnership Name: By: (Signature of general partner-- attach evidence of authority to sign) Name (typed or printed): Business address: Phone No.: FAX No.: A Corporation Corporation Name: State of Incorporation: Type (General Business, Professional, Service, Limited Liability): By: -- attach evidence of authority to sign) Name (typed or printed): Title: Attest: (Signature of Corporate Secretary) Business address: Phone No.: Date of Qualification to do business is A Joint Venture Joint Venturer Name: FAX No.: (SEAL) (SEAL) (CORPORATE SEAL) By: (Signature of joint venture partner -- attach evidence of authority to sign) Name (typed or printed): Title: Business address: E23595.00 - Bid Form IM4 00410 - 5 (SEAL) REVISED PER ADDENDUM NO. 1 Phone No.: Joint Venturer Name: By: Name (typed or printed) Title: Business address: Phone No.: ZVA0ri l -- attach evidence of authority to sign) FAX No.: Phone and FAX Number, and Address for receipt of official communications: (SEAL) (Each joint venturer must sign. The manner of signing for each individual, partnership, and corporation that is a party to the joint venture should be in the manner indicated above.) E23596.00 - Bid Fcrt IM4 00410 - 6 # 20 NOTICE OF MELTING-2/5/2025 20. Consider and take necessary action on budget adjustments. (VLL) (a) 2024 budget adjustment (b) 2025 budget adjustments 2024 ' RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Lyssy, Commissioner Hall, Best, Behrens, Reese. 2025 RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel; Behrens, Commissioner Pct 3 ` AYES: Judge Lyssy,;Commissioneir Hall, Best, Behrens,,Reese Page 17 of 18 § 0m ■ } / _ k z @® `\k g- r= � j= . ■ ��.2 n �§§§ �� 2 %zz . ;cozoo | z 200 %zz k 2 § ■ _ ) CIO, § ) ) ) | m| - ° ��§ ± , � _ § g� « _§■ @,..m Zf §E k= � §§■ § | « #44C3 ,0 / k / j}jb z § § 2 . . . m § c § z z » ■ ) § c § z » z a 2 § § 0 0 c § 2 k % A 2 § § \ k k �a N m o Z Wow 0)o D n zx G) m M Chi r m eya z oz om m e T z z �00 0 0 zzz r o � b Y O c z 0 m x O a r 0 M 0 w O r 0 b e ewe W N ~ 005 = m O m o� n r 00 Fn mm Rl cy� c m a 3 n r m 0 O O 0 O zz� z m! p Ti a a; m mi 1; � 3! a M. z Z; o 3 m n? o O? 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I k) j ) § ) § } \ 0\k\ � \ s;a>c§§ ; \\27§§ ¥ , § \ d 2 0 O O 3 3 z z -1 -1 �c na 0mm z= r �m=3 3y 3A A N � 9 j0 A. O m � C3 Zy_ i P T a A Q Q O\ N on C 0 .j E ny m0 mG m 3z 3z o n --3O -ziO > i a z n m W J N cO V W U O• C C C J N N O O G O 0 n A 0 q C 3 � R � 0 Q n 6 9 r O O e 9 `O R 'a m -a 6 0 z z o 0 0 z z O O O I- c IOn N � 5 o � � o y r'9 m 3 3y 3 z z ON Z N Oy C U U .yn n 3 n i i OX O� � m� m no OR O 9 O s U N U � X a I s O a z z v 3 3 z z ° Q MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR ---February 5 2025 TOTALS TO BE APPROVED -TRANSFERRED FROM ATTACHED PAGES %TOFAl.RAYABLES, PAYROLL ANQ ELEGTI'tnNIC BANK PAYMENTS,. $ 476,y1Z:2f1 T6TALTRANSFER3BFfWEENFUNDS _ __ .._ _. __ $ 96QS64.13. TOTALNURSWGlHQMEUPL,C1((P.EN5es TOTAL :INTER-.GQVERNINENFTRhNSPERS....... _ $ ,43,T.7S:60; G"m TOTAl:�ISBU , 11FN[511PgR0_VED_F,ehlrta?y+5 2U25 j 2FS5T 377CO3 MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR ---February 5 2025 PAYABLES AND PAYROLL 1/30/2025 Weekly Payables 2/3/2025 McKesson-340B Prescription Expanse 213/2025Amerlsource Bergen-3408 Prescription Expense 2/3/2025 Amerisource 8ergen-340B Prescription Expense Prosperity Electronic Bank Payments 2/3/2025 90 Degree Benefits- employee insurance claims 2/3/2025 90 Degree Benefits -employee insurance claims 2/3/2025 90 Degree Benefits - employee Insurance claims 2/3/2025 HPHG - heath Insurance premium payment 2/3/2025 Pay Plus -Patient Claims Processing Fee `fOTALRAYJ1ELixSy P;Q1 YRbL45pNRyRLE�,TItONIG,BANIC,FAYMEN'fd, TRANSFERS BETWEEN FUNDS-MMC 2/3/2025 Transfer from Prosperity Money Market to Operating Account TRANSFER BETWEEN FUNDS FROM MMC TO NURSING HOMES 2/30/2025 MMC Operating to Golden Creek Healthcare- Correction of Insurance payment deposited into MMC Operating in error 1/30/2025 MMC Operating to Tuscany Village -Correction of insurance paymentdeposited into MMC operating in error 194,045.84 2,751,69 345.95 3,992.17 77,660.00 304,75L38 26,333.57 59,961.33 275.31 800,000.00 80,080.12 24,504.00 11' iir"NSFI.-OETWi'FI_I014, _ 'S §OM1�8a.12.+ NURSING HOME UPL EXPENSES 2/3/2025 Nursing. Home UPL-Cantex Transfer 2/3/2025 Nursing Home UPL-Nexion Transfer 2/3/2025. Nursing Home UPL-HMG Transfer 2/3/2025 Nursing Home UPL-Tuscany Transfer 2/3/2025 Nursing Home UPL-HSLTransfer TOYAL<NUp5,GM1ib�'AE;U,P.I:+,Ef(PES,fiS _ INTER -GOVERNMENT TRANSFERS 2/3/2025 UC IGT 705,444.01 9,124.39 191.53 263,928.62 154,212.23 S s,daa§6a5s 49,775.00 TOTl11;IIwTij±GOl�EItNBhENTTRllN8fER5, _ ,. .� gy`'QA�;., 01tK(�d'='F,41A4i11tiSgUR5�`�filE�'I.iSA7rAjtOVE0�Fe6rust�"ra`.?1025' ,$ 2y55%!j87}?iQA?', JAN 3 8 M% MEMORIAL MEDICAL CENTER 01/3W2025 12:52 AP Open Invoice List 1DAlNOYNIW1I"KW*% 0 ap_open_lnvolce.template Due Dales Through:02/13/2025 Vendor#�endorName Class Pay Code 13160 ADVANCED STERILIZATION PRODUCT Invoice# Comment Tran Dt Ihv Dt Due DI Check Dt Pay Gross Discount No -Pay Net J 8020812529 01/29/20201/21120201/29/202 362.94 0.00 0.00 362.94 / Vendor Totals: Number Name Gross Discount No -Pay Net 13180 ADVANCED STERILIZATION PRODUCT 362.94 0.00 0.00 362,94 Vendor# Vendor Name Class Pay Coaa 12232 JALCOR SCIENTIFIC Invoice# Comment Tran DI Inv Dt Due Dt Check Ot Pay f198627 01129/20201/24/20201/24/202 Gross Discount No -Pay Net 1,780.00 0.00 0.00 1.780.00 / Vendor Totals: Number Name Gross Discount No -Pay Net 12232 ALCOR SCIENTIFIC 1,780.00 0.00 0.00 11780,00 Vendor# JJendor Name Class Pay Code 14028 J AMAZON CAPITAL SERVICES /Invoice# Comment Tran Dt Inv Dt Due Dt Check Of Pay IGHHLHKCTMKD Gross Discount No -Pay Net J 01/14120201/14/20202113/202 67.96 0.00 0.00 67.96 Vendor Totals: Number Name Gross Discount No -Pay Net 14028 AMAZON CAPITAL SERVICES 67.96 0.00 0.00 67.96 Vendor# Vendor Name Class Pay Code 10592 j AMERICAN PROFICIENCY INSTITUTE JInvoice# Comment Tran Dt Inv Dt Due, Dt Check Dt Pay 715585 01/09/202 Gross Discount No -Pay Net 01/15/202 021031202 193.00 0.00 0,00 19100J Vendor Totals: Number Name Gross Discount No -Pay Net 10592 AMERICAN PROFICIENCY INSTITUTE 193.00 0.00 0.00 193.00 Vendor# /Vendor Name Class Pay Code B1150 J BAXTER HEALTHCARE yy Involve# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net J 82952919 01/23/20210/03120210128M02 3el.22 0.00 0.00 361.22 / 83296704 01/23/20212117120201/11/202 319.71 0100 0.00 319.71 Vendor Totals: Number Name Gross Discount No -Pay Net B1150 BAXTER HEALTHCARE 8a0.93 0.00 0.00 680.93 Vendor# /Vendor Name Class Pay Code M2485 J BAYER HEALTHCARE M Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 6011763394 01123120201/02/202011231202 585.16 0.00 0.00 585.16 / V f6011769627 01129/202 011091202 01/291202 586.16 0.00 0.00 585.16 J Vendor Totals: Number Name Gross Discount. No -Pay Net M2485 BAYER HEALTHCARE 1,170.32 0.00 0.00 1,170.32 Vendor# Vendor Name Class Pay Code B1220 BECKMAN COULTER INC M JInvoice# Comment Tran DI Inv Dt Due D1 Check Dt Pay 111777429 01108/20201103/20201/28/202 Gross Discount No -Pay, Net 3,841.66 0.00 0100 3,841.86 ,/ 111762319 01/15/20201/07/20'e02l01(202 1.495.20 0.00 0.00 1,495.20 J J111787082 01115120201/08/202 ON021202 J111785655. 01 /15/202 01/08/202 02102/202 J 1117903B8 01/15120201/09/20202/03/202 J111792873 01/15/20201A MD202/06/202 J111793445 01/151202 011121202 02/061202 J111799366 01/22/20201114120202/08/202 J 111802470 01/22/20201/15/20202/09/202 1 7376759 01/27120201/17/20202111/202 Vendor Totals: Number Name 81220 BECKMAN COULTER INC Vendor# Vendor Name Class Pay Code 14660 ./ BLAIS MICROSCOPE COMPANY LLC Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay J64346 01/27120201/15/20201727/202 Vendor Totals: Number Name 14680 BLAIS MICROSCOPE COMPANY LLC Vendor# Vendor Name Y0SART Class Pay Code B1650 LOCK & KEY INC M Invoice# Comment Tom Dt Inv Dt Due Dt Check Dt Pay 129297 Ot/22/20201114120202113/202 Vendor Totals: Number Name B1660 BOSART LOCK & KEY INC Vendor#I 13968 f Vendor Name BROOKHOLLOW Class Pay Code Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay B2829969 01114/20212/17/20201/22/202 Vendor Totals: Number Name 13968 BROOKHOLLOW Vendor#Vendor Name Class Pay Cade. 01048 CALHOUN COUNTY W Invoice# Comment Tran Ot Inv Dt Due Ot Check Dt Pay .J 012425 01/27/20201/24/20202/05/202 Vendor Totals; Number Name C1048 CALHOUN COUNTY Vendor#/Vendor Name Class Pay Code 10541./ CARESFIELD Invoice# Comment Than Dt Inv Dt Due Dt Check Dt .Pay J2000288961 0112212020111=0202/121202_ V 2000268962 01/22/2D201/14/20202/131202 Vendor Totals: Number Name 10541 CARESPIELD 231.19 0.00 0.00 231.19 5,861.25 0.00 0.00 /J ✓ 5.861.25 388.24 0.00 0.00 388.24 j 135.31 0.00 0.00 135.31 287.86 0,0D 0.00 287.86 129.00 J 0.00 0.00 129.00 3,472.53 0.00 0.00 3,472.53 J 7,807.25 0.00 0.00 7,867.25 Gross Discount No -Pay Net 23,709.69 0.00 0.00 23,709.69 Gross Discount No -Pay Net 970.00 0.00 0.00 970,00 / f Gross Discount No -Pay Net 970.00 0.00 0.00 970.00 .Gross Discount No -Pay Net 217.45 0.00 0.00 217.45 / ✓ Gross Discount No -Pay Net 217.45 0.00 0.00 217,45 Gross Discount No -Pay Net 195.59 0.00 0.00 195.59 Gross Discount No -Pay Net 195.59 0.00 0.00 195.59 Gross Discount No -Pay Nei 113.87 0.00 0.00 113.87 Gross Discount No -Pay Net 113.87 0.00 0.00 113.87 Gross Discount No -Pay Nei / 250.00 0.00 0.00 250.00 46,90 0.00 0.00 46.00 1 Gross Discount No -Pay Net 296.90 0.00 0.00 206.90 Vendor? Vendor Name Class Pay Code C1970 CONMED CORPORATION M Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Grass Discount No Pay Net J 10819335 01/15120201/09120212/181202 651.20 0.00 0.00 651.20,/ Vendor Totals: Number Name Gross Discount No -Pay Net C1970 CONMED CORPORATION 051.20 0.00 0.00 651.20 Vendor#/ Vendor Name Class Pay Code 139327 COVIOIEN SALES LLC Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 5873824202 01/15120212131/202011081202 496.50 0.00 0.00 496.50 / Vendor Totals: Number Name Grass Discount No -Pay Net 13932 COVIDIEN SALES LLC 496.50 0.00 0.00 496.50 Vendor# Vendor Name Class Pay Coda 10368 .,� DEWITT P07H & SON Comment Tran Dt Inv Di Due Ot Check Ot Pay Gross Discount No -Pay Net / JInvoice# 7802550 DI/22/20201/13/20202/07/202 5195 0.00 0.00 5.95 J7801990 01/22/20201113/20202l07/202 154.92 0.00 0.00 154.92 J7802551 01/29/202 01/1 IV202 021OW02 86.83 0.00 0.00 86.83 7806260 01/29/20201114/20202/08/202 390.67 0.00 0.00 396.67 �( J7807760 01/29120201/16/20202110/202 453.69 0.00 0.00 463.69 J Vendor Totals: Number Name Gross Discount No -Pay Net 10368 DEWITT POTH 8 SON 11098,00 0.00 0,00 1,098.06 Vendor#rf Vendor Name Class Pay Code 13246 ELSEVIER INC. Invoice# Comment Tran DI Inv Dt Due Dt Check DI Pay Gross Discount No -Pay Net JR079497 . �a.r�*nac�.�-.,5ub5GiP�Iarl 01110/20201/09/202021081202 3,144.73 0.00 0.00 3,144.73 / �/y� as - � Ia l acp J Vendor Totals: Number Name Gross Discount No -Pay Net 13240 ELSEVIER INC, 3,144.73 0.00 0.00 3,144.73 Vendor# /Vendor Name Class Pay Code 11284 J EMERGENCY STAFFING SOLUTIONS Invoice# Comment 43912 Tran DI Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 01/27120201,131120202/101202 40,062,50 0.00 0,00 40,062.50 JAN 16TH-30TH Vendor Totals: Number Name Gross Discount No -Pay Net 11284 EMERGENCY STAFFING SOLUTIONS 40,062.50 0.00 0.00 40,062.50 Vendor# /Vendor Name Class Pay Code F1400 �i FISHER HEALTHCARE M JInvoice# Comment Tran Dt Inv Dt Due Dt Check Ot Pay Gross Discount Nu -Pay Net / 768MI Oi/01/20212/16/20201/12/202 373.57 0.00 0.00 373,57 J J 7808347 01115/20212/26/202.01/20/202 16,844.39 0.00 0.00 16,844,39 j/ J8022265 0VI5/20201/09120202/031202 339.37 0.00 0.00 339.37 7/ 1 8122423 01/22I20201114/20202/081202 263.23 0.00 0.00 263.23 J ,/ 8122424 01/221202 01/14/202 021081202 189.17 0100 0.00 189.17 `, J8159805 01/22/20201/15/20202/091202 5,718.60 0.00 0.00 5,718.60 J/ J6836302 01/23/20211/12/20212/07/202 220.2B 0.00 0.00 220.28 1 3906932 01/23/20211/14/20212/00/202 367.16 0.00 0.00 387.16 YIC7 5i5. Ovfroo r4j-N Ad'- J 7OW09 01/23MO211121/20212116/202 944.10 0.00 0.00 944.10 7221653 01/23/20211/27/20212/2M02 2,532.17 0100 0.00 2,532.17,/ Vendor Totals: Number Name Gross Discount No -Pay Net F1400 FISHER HEALTHCARE 27,812.04 0.00 0.00 27,812,04 Vendor#` Vendor Name Class Pay Code 14156: FUJI FILM Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross. Discount No -Pay Net J 91591220 01/27/20201/25/20e 01/27/202 7,908.33 0.00 0.00 7,908.33 022626-032425 J Vendor Totals: Number Name Gross Discount No -Pay Not 14156 FUJI FILM 7,908.33 0.00 0.00 7,908.33 Ventlor# /�lendor Name Class Pay Code 11078 .I FUSION MEDICAL STAFFING, LLC Invoice# Comment ?ran Dt Inv Ot Due Dt Check Ot Pay Gross Discount No -Pay. Net J INV790216 01/27/202 01118/202 021121202 3,320,00 0.00 0.00 31320.00 Vendor Totals: Number Name Gross Discount No -Pay Net 11078 FUSION MEDICAL STAFFING, LLC 3,320.00 0.00 0.00 3,320,00 Ventlor# /Vendor Name Class Pay Coda G1210 J GULF COAST PAPER COMPANY M Invoice# Comment � 2596975 Tran Dt Inv Dt. Due DI Check Dt Pay Gross Discount No -Pay Net 01/271202111251202121251202 991A6 0.00 0.00 991.15 yr f2610729 01/29/20201114120202d3/202 1,035.62 0.00 0,00 1,035.62 ,,/. / 2610728 01/29/20201/14/20202/131202 92.58 0.00 0,00 92.58 V/ Vendor Totals: Number Name Gross Discount No -Pay Net G1210 GULF COAST PAPER COMPANY 2,119.35 0.00 040 2,119.85 Ventlor# Vendor Name Class Pay Code J H1600 HOBART SALES&SERVICE M Invoice#. Comment Tran Ot Inv Ot Due Dt Check Dt Pay Gross Discount No -Pay Net 35986808 01/27/20204/08/20205/08/202 72.9.06 0100 0,00 729.06 J Vendor Totals: Number Name Gross Discount No -Pay Net H1600 HOBART SALES & SERVICE 729.05 0.00 0.00 729.05 Vendor# Vendor Name J Class Pay Code 15208 HOSPITAL CARE CONSULTANTS INC. Invoice# Comment Tran Ot Inv DI Due Dt Check DI Pay Gross Discount No -Pay Net 6754 J 11271202LP,.S31/1 202 2` 23,663.00ss tt 0100 23,663N0 [C)�� N1jXV1 � Vendor Totals: Number Gross Discount No -Pay 15208 HOSPITAL CARE CONSULTANTS INC. 23.66100 0.00 0.00 23,663.00 Vendor# Vendor Name Class Pay Code 14976 4 INOVALON PROVIDER INC, JInvoice# Comment 25M0000259 Tran Ot Inv Ot Due Ot Check Dt Pay Gross Discount No -Pay Net 01/09/20201/09/202021001202 736.56 0100 0.00 736.56 J Vendor Totals: Number Name 14976 INOVALON PROVIDER INC. Vendor#/ Vendor Name Class Pay Code M2470 ^r MEDLINE INDUSTRIES INC M Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay 2352800411 01/22/202 01/14/202 02/08/202 J2352949277 01122/20201/141202021081202 2353073286 01/22/202201115/20202/09/202 J2353073285 01/22(202 01/151202 02/091202 f 2353073289 01(22/20201116/202021091202 J 2353073287 01122/202 01/151202 02109/202 J2353073288 01/22/20201115/20202/09/202 J 2353202565 01/22/20201/16120202/10/202 J 2353438196 01/22/202 011171202 02111/202 J2350846050 01/23/20212131120201125/202 Vendor Totals: Number Name M2470 MEDLINE INDUSTRIES INC Vendor#/Vendor Name Class Pay Code 10963,/ MEMORIAL MEDICAL CLINIC JInvoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay 011025 01/27/20211125/20201127/202 Vendor Totals: Number Name 10963 MEMORIAL MEDICAL CLINIC Vendor# rVendor Name Class Pay Code 10536 V MORRIS & DICKSON CO, LLC Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt. Pay 0035419 01127/20201/1520201125202 J 2927386 01/27120201115/20201/25/202 J 2924403 01/27120201/15/20201/25/202 V 2924402 01/27/202 011151202 01/25/202 J2927387 01/27/20201/15/20201/25f202 J 2930044 01/27/202 01/16/202 011261202 J2932933 01127120201116/2020t/26/202 J CM81253 01/27120201i18/20201126/202 J 2932747 01/27/20201/16120202110/202 / �/ 2930045 01/27/20201116/20202/101202 Gross Discount No -Pay Net 736,50 0.00 0.00 736.56 Gross Discount No -Pay Net 252.00 0.00 0.00 252.00,/ 200.77 0.00 0.00 200.77 31.27 0.00 0.00 31.27 J 11,62 0.00 0.00 11.62 J 4,970.01 0.00 J/ 0.00 4,970.01 216.68 0.00 0.00 216.68 5.14 0.00 0.00 5.14 11.24 0.00 0.00 11.24 J 7.06 0.00 0.00 7.08 J 80.03 0.00 0.00- 80.03 Gross Discount No -Pay Net 6,785.84 0.00 0.D0. 5,785.B4 Gross Discount No -Pay Nei 380.00 0.00 0.00 380.00 ` J Gross Discount No -Pay Net 380,00 0100 0.00 380.00 Gross Discount No -Pay Net / 210.00 0100 0,00 210.00 V 122,55 0.00 0.00 122.55 1// $8.42 0.00 0.00 58.42 J/ 423.66 0.00 0.00 423.66 115,23 0.00 0.00 115.23 62.99 0100 0.00 62.99 v` 473.82 0100 0100 473.82 v -2,258.08 0.00 0.00 -2.258,08 J 0.29 0.00 0.00 0.29 J/ 24,54 0.00 0,00 24.54 �/ f2982934 01 M71202 01/161202 02110/202 6,611.56 0.00 0.00 6,611.56 J 2932746 01127/20201M 6/202021101202 56.69 0.00 0.00 56.69 ✓ J2939293 01127120201/19120201/29/202 90.78 0.00 0,00 90.78 j 2939292 01/27/20201/19/20202110/202 29.18 0.00 0.00 29.18 �/ J 2940316 01/27120201/19120202/10/202 325.92 0.00 0.00 325.92 ✓ J2940317 01/27/202 01119/202 02/101202 514.93 0.00 0.00 514.93 / J2962706 01/27/20201122120202/01/202 411.46 0.00 0.00 411,46 J Vendor Totals: Number Name Gross Discount No -Pay Net 10536 MORRIS & DICKSON CO, LLC 7,273.94 0.00 0.00 7,273,94 Vendor#/ Vendor Name Class Pay Code M2659.( MXR IMAGING, INC M JInvoice* Comment Tran Ot Inv Dt Due Dt. Check DI Pay Gross Discount No -Pay Net 8801217771 01115/202 01/081202 02/07/202 44214 0.00 0.00 442.14 J J 8801218960 01 /291202 01/141202 02/131202 181.30 0.00 0.00 181.30 .f Vendor Totals: Number Name Gross Discount No -Pay Net M2659 MXR IMAGING, INC 623A4 0.00 0,00 623,44 Vendor# I Vendor Name Class Pay Code -/ 01416ORTHO CLINICAL DIAGNOSTICS Invoice# Comment Tran Dt Inv Dt Due Dt Check Ot Pay Gross Discount No -Pay Nel J 1853883139 011151202 01/09/202 02108/202 283.38 0.00 0.00 283.38 / J Vendor Totals: Number Name Gross Discount No -Pay Net 01416 ORTHO CLINICAL DIAGNOSTICS 283.38 0.00 0.00 283.38 Vendor# Vendor Name Class Pay Code 11155 ,J PARAREV JInvoice# Comment Tran Dt Inv Dt Due Ot Check Dt Pay Gross Discount No -Pay Net / 2D14027 01/27/20201101/20201/31/202 3,084.00 0.00 0.00 3.084.00 919557 01 l27/20209/01/20210/01/202 3,084.00 0.00 0.00 3.084.00 41 Vendor Totals: Number Name Gross Discount No -Pay Net 11155 PARAREV 6.168.00 0.00 0.00 6,168.00 Vendor#/Vendor Name Class Pay Code 12708r/ POG ELECTRIC, LLC Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net J4271 011271202 01/24/202 02/01/202 209.71 0.00 0.00 209.71 Vendor Totals: Number Name Gross Discount No -Pay Net 12708 POC ELECTRIC, LLC 209.71 0.00 0.00 209,71 Vendor# Vendor Name Class Pay Code 11024 J REED, CLAYMON, MEEKER & HARGET Comment Tran Dt Inv D1 Due Ot Check Dt Pay Gress Discount No -Pay Net JInvoice# 33040 01127/20201/21/20201/28/202 10,950,00 0.00 0.00 / 10.050.00 J 32138 01/271202 01123/202 01/271202 5.950.00 0.00 0.00 5,950.00 NOV-DEC, n Vendor Totals: Number Name. Gross Discount No -Pay Net 11024 REED, CLAYMON, MEEKER & HARGET 15.900,00 0.00 0.00 16,900.00 Vendor# Name Class Pay Code /Mendor 14996J REMEDI8 LLC Invoice# Comment Tran DT Inv Dt Due Dt Check DI Pay Gross Discount No -Pay Net J31367 01/10/20212/31/20201/091202 10,136.00 0.00 0.00 10,136.00 J 30849 01/15/20212/04/20201/03/202 4,000.00 0100 0.00 4,000.00 Vendor Totals; Number Name Gross Discount No -Pay Net 14996 REMEDISLLC 14,136,00 0.00 0-00 14,136.00 Vendor# Vendor Name Class Pay Code So9d0 J SAMS CLUB DIRECT W Comment Tran Dt Inv Dt Due Ot Check Dt Pay Gross Discount NaPay Net /Invoice# 012025 01/29/20201/20/20e01/29/202 114.58 0.00 0.00 114,58 J Vendor Totals: Number Name Gross Discount No -Pay Net 80900 SAMS CLUB DIRECT 114.58 0.00 0.00: 114.58 Vendor# Vendor Name Class Pay Code 10758JTEXAS SELECT. STAFFING, LLC Invoice# Comment Tran Dt Inv Ot Due Dt Check Ot Pay Gross Discount No -Pay Net J 0024896 01 /27/202 01/23/202 01124/202 3,614.00 0.00 0100 3,614.00 Vendor Totals: Number Name Gross Discount No -Pay Net 10758 TEXAS SELECT STAFFING, LLC 3.614.00 0.00 0.00 3,614.00 Vendor#JVendor Name Class Pay Code 13616 TRIOSE, INC / Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net .J TAIR05907 01/27/20212/10/20212/25/202 61.56 0.00 0.00 61.56 JTR1206566 01/27/20212117/20201/01/202 92.73 0.00 0.00 92.73 Y 1 TR1207957 01/27/20212/31/20201/15/202 366.93 0.00 0.00 355.93 J/ JTRI208640 01/27/20201/08/20201/231202 66.52 0.00 0.00 86,52 J j TRI209262 01/27/20201/15/20201/3W202 100.99 0.00 0.00 100.99 J VendorTotels: Number Name Gross Discount No -Pay Net 13616 TRIOSE, INC 697.73 0.00 0.00 697.73 Vendor# Vendor Name Class Pay Code 15444 ✓ VANDERBILT HEALTH Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net J Ci00085373 011271202 01101/202 01131/202 450.00 0.00 0.00 4,90,00 / 1 1Y 11r�00A �� £ San- V�'1 c.�-c, VN a oa-s' J Vendor Totals: Number Name .Gross Discount No -Pay Net 15444 VANDERBILT HEALTH 450.00 0.00 0,00 450.00 Vendor# (Jendor Name Class Pay Code V0552 �I VERATHON INC Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Not 81052521 01/22/20201/16/20202/10/202 464.30 0.00 0,00 464.80 `I Vendor Totals: Number Name Gross Discount No -Pay Not V0552 VERATHON INC 404.30 0.00 0100 464.30. Vendor# Vendor Name Class Pay Code 11110 J WERFEN USA LLC Invoicell Comment J9111733966 Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net / 01/22120201/15/20202/09/202 1,571.07 . 0.00 0.00 1,671.67J J 9111736180 01/22/202 011161202 02/10/202 210,44 0.00 0.00 210.44 J Vendor Totals: Number Name Gross Discount No -Pay Net 11110 WERFEN USA LLC 1,782.11 0.00 0.00 1.782.11 RTl r? S;;renan= Grand Totals: Gross Discount No -Pay Net 200,383.00 0.00 0.00 200 APPROVED ON JAQNuN3 o zu0025, g CALHOUN COUNT. TEXAS. 387 • 6 - P9 '-I �i5►.2� K ec41 7C- laCjOlnci3a- no sib. 5'950•0a - �9 � V-.ecl.,Gum� cj... is�v*�3313SS nosh. mmwa: amo M13AORML MEDICAL CMTEB AP 81VIMI J M N AVAC IA STI779 PORT tAVACATX T]9]9 STATEMENT AMT DUE R rrfrEo VIA ACH D®IT Statement for infmmallo0 only As of; 01/31M025 Pale: 002 To mina m Iaof,ar c:aR ka your .eeouN, tlatadt antl rattan chi. dub welt ymar remXten m, OC: 11115 Ciolamx NDI V SupplO: As y: 01/31/2025 Page: 002 Man to: Camp: 8000 Tadory VIA ACH DEBIT AMT DUE to, Cualmrer: 832536 Statement for information only em info® Dare: OVOIR025 C": 632536 PLEASE CHECK ANY Dare: 02101/2025 DRIS NDT PAID (+) EBng Due q anpyNational Aommnl WEI96_ _. Cash Amawa P Amount P fYttiYebk Dale Dale Nmnbw Hdearnea Dmdptbn Dlsoud (9rosal F (rW) F Number PF mlwnn re9anfk P - Pad Dee Dam, F = MMe D. Ram, bW* = Cmnnl 0. Jr. TOTAL• NeNwW pact 692596 NBIONgI N1811CAL CETT@I smat.N: 2,807.85 USD Fdwa Dun 0.00 Dtr It Pdd CA Tim: Pad Dim: It PeN By 01110412025, USD 2,751.69 0.00 Pay This Amount: 2,751.69 USD Diao Intl R Paid W& ladPaynwrri 2,451.97 If Paid ANar 02/04/2025, D. If land late; 56.16 O6/0]/20171T Pry MI. AmmnA: 2,807.85 USD U30 2,g07.65 APPROVED ON 2.489.07 + Fl;7 p 254.02 + 3 2025 3- 7 4 + BY CoUNTY A DI CALHOUN 3 - 4 8 + crioOn; WQAS 1.38 + 2e751^69 0 For AR Inquiries please contact 800-867-0333 MSKESSON -m : eoao WALMAW 1098/MBA MEG PNS MEMORIAL MEDICAL GMT83 VICKY KALISB( 815 N VIRGINIA ST FORT IAVACA TX 77979 STATEMENT Aa 41: 0IM112025 Pmv 001 To t proper trot[ to your eacwrt, dtaelt and mum INa slut w66 you min!" im C 8/15 Dutomer I70 Supp10: A. W: 0MV2025 Papa: 001 Neil im Camp: 8000 ANT DUE VIA ACN DEBIT TerrKory: ]001 1.1 11T® Smmment I0r inbrmtlan only AMT DUE 183AITTED VIA ACNb®IT Dutamel•. Slalemml for Wformallun only Dale: 02/O1/2025i12025 CW: 256342 PLEASE CHECK ANY Oran 02/01/2025 HEIRS NOT PAID (1) DD„ 9 Due NxavaBANatkrel A¢om8 b�a yi6 Cmh AnIwR P Amol nt P PxeMaNa Oat. Number W.. o.dpUan ONc" (9m;$) F (Mt) F Numlvs Cut— Numbw 255342 WAIIAARI 1098/MB19 MED PNS 01/2T12025 02/04/2025 7547479443 226t84167 1151nvuce 0.02 1.06 1.04 ]5414]9443 01MLB12025 02104MU25 75477SO187 217107713 1151nvaice 0.02 0.95 O.E. 754779a18� 01/28/2025 02/04/2025 7547798191 225394463 1151nv4ice 0A2 0.95 0.93 t54T]98181 01MB12025 02K14/2025 754WO5194 216833893 115Mv01ce 0.02 0.96 0.93 �/ 75.7798190. 01/29/2025 02104I2a25 7548073553 223063089 1151mlc. 22.53 1,126.36 1.103.83 7548073553 01131JW25 OW04/2026 7548582081 224761472 1151inid.0 0.02 0.95 0.93 J 7548582081 0113W02S 02/04/2025 7549582082 223662370 llsl pice 22.91 1.145.66 1,122.75 J 7548582002 01131/2025 OW0412028 7548502083 217107713 1151molce 5.26 262.99 25]]3 ✓ 754BS92083 PF -Wmn W9.nd P- Igp Duo Rem, F = M. Due AM. MaNr = Ctamm Due Ilem TOTAL CutamW NumBt 258942 WAIMAeiT 1098AN@A M® PNS SUMtale 2,539.87 USD Ftm9 Dun. 0.00 Due K Paid On 11me: Pat Due: 11 PaM By OW0412025, LED 2.489.07 0.00 Pay TMa AM.M: 2.489.07 USD Dlee Not K paid 1em: lot Payment 3,682.0e It Paid After 02/04111APPROVED ON 0251 60.80 Duo It PeM late: 01/27/2025 PeY thb Amourd: FEB 03 2025 2.539.87 LED LED 2,539.87 G A`H13uNU COUN%� 7ENA5 For AR Inquiries please contact 800-867-0333 MSKESSON STATEMENT umm.�n eeoo HEB PHCY WHSOMD,1 MED MS AMT DUE P9AITTED VIA ACH DEBIT MMORAL MEDICAL CH TM Statement for inlermalon only VIOW muss 815 N VIRGINIA Si MRT IAVACA TX 77979 As of: O1/31/2025 Page: 001 To awn proper cletlk to your e000ur0, Mach en0 od" m do With yost mmXtalce DC: BHS Cwtooer NIII SuppO: As o1: 01MAN25 Ppe: 001 Nag I. Comp: BOno TenBay: 7001 AMT DUE REMITTED VIA A(>DMT CM. SM405 Slatemeat for inlormaticn only Dale: 02/01/2025 CUR: 820405 PlEABE CHECK ANY Doe: 0210IM026 HED13 NOT PAID tl) brut A .um 6 Daa Oat. N r, ee D .."lon Discoot A�je F fret) A.1 F Nuiilher Customer NMnber $20406 H® PHCY WH36Ml9A MED MS 01/27/2025 0=412026 7547199881 02501-055-168241 1151nveke 0.08 0.08 J 7547199801 01/9002025 02N4/2025 7548133826 WSDI-055-189741 115lnvuice 5.18 259.12 253.94 1 7548t33826 e PF ealumn rganh P = Pant ale Nam, Fr, Mure Cue Ilan, blank = Current Duo It. TOTAL DPRpller Number 820405 H® PNCY WHSIyM9A M® PN8 solorls: 259.20 USD Poole DUW 0.00 Due H Po111 On TYnr. D Pa10 By 02/04/2025, USD 254.02 Poa D.. 0.00 Pry Tkr AmwN: 254.02 USD Ore fool A paM rue: M Payment 3,882.08 IT Polo sitar 0210412025, Cue If PoM late: S.ta 0I 01@7/2025 Pay IMa Amount. 259,20 USD USD 259.20 APPROVED ON gy FEB 00y3g12J025p CALHOUN CnUNTY�UTErA$ For AR Inquiries please contact 800-867-0333 MSKESSON STATEMENT As of: 01/31/2026 Palle: 001 To arlwGoolount,m Proper cam to your two G-,WN . woo a Y. �Kt � CVS PHCY 8923/MDA MC MIS Be: BUS Cw. INV Su ID: As W. 0113112025 Page: 001 mall I. Carp: 8000 MORAL MEDICAL CENMI DUE N IWED VIA ACH DEBIT Territory: 7001 VICKY I(AUS9( Statement for InlormMion only AMT DUE P ITTSD VIA ACH D®IT Statement for information only 815 N VIHGINIA ST Cuaomx: 895430 coal 8354 PONE IAVACA TA ]]979 Data:02/ 5 cold: 835434 IrEASE CHECK ANY Dab: 021011202E IIEaB NOT PAID (�) Netbnal Account a =1 Due PemivaNe Q13ir Caeh Amount P Amount P foe-eFiahb Data Number SaMmnco Dawrigbn Discount l9msa) F (nal) F NumBn Card— Numha 835434 CV8 PHCY 69231MM MC MS O 01/29/2025 02/0412US 7547882235 3844694 1151nuoi-e 0.08 3.82 3.74 / ]54]882296 PF -Oman ingam2 P = Pall Dua Xem, F = Fulue Duo Nam, Munk = CurrerA Due ft. TOTAL• Cuatamer Numbr 835434 CVS PHCY BB23IMNd MC IM5 Srmlelab: 3.82 USD NAM Dmr. 0.00 Duo 11 vaitl On ilme: 11 Iry O2/0a/2026, USD 3.74 PW fie: 0.00 Payy To Ns gruaml: 3.74 U50 Dine bet N pent We: 0.08 told 12025 1,449.41 n Pattl After ant: 2025, UD.S n Pont tale m/13/2025 Pay this Amount: 9.82 USD USD 3.82 APPROVED ON FEB 03p20K CALLFIOIINUCOUNTY. TE%As For AR Inquiries please contact 800-867-0333 MSKESSON STATEMENT As of:01/31/2025 Page:001 To. osPrmeSktoyour seromit, detach GM M m Is, Cmwnr: ero stu0 wim Your "Itt. DC: 8115 CVS PRICY 74161MW MC PNS Customer INV SwPID: As 0: 01/31/2025 Page: 001 Mst1 to: Come: 8000 MEMORIAL MEDICAL C NIMI AMT DUE 9 ITTED VIA AM DEBIT TerNaryr 7001 VIC" KAUSEK Statement for tnlarmatian anh AMT DUE loer InmED V n AM DEBIT $15 N VIRGINIA ST Customer. 835437 PONE LAVACA TIC ]l9]9 J Dale: 02/0112025 Cowl: 835437 FLEAW CHECK ANY DNC 02/01/2025 N9.3S NOT PAID (1) 9N:m Dae Noorbor lbr:el Aeooum 2 ree Ca4r DMe Amount P AnrwR P ReceNehk pope Number getererme Description Dint (grata) F (wt) F Namer Crotomr Numhar 835437 CVS PRICY 74161MW Me MS / 01/29/2025 02/0412025 7548091456 3841]]5 1151nvobe 0.07 3.55 3.40 J 7548091455 O PF oormo, Isgenk P = P49 Duo Nem, F = Fd m Due Item. Monk m CmrarA Due kern TOTAL• Custrner Numkr 83543] CVS PRICY ]4151NB8 MC PNS SlOtwoft. 3.55 USD Futum Dur 0.00 Due K Pa IC Dn Thne: N PY4 By 02/0412025, USD 3.48 Past Due: 0.00 Pay TNe AmauN: 3.48 USD Dha w 8 paiit htw trot 4,621.67 N 02/0412025, 0.0T Due K Pe10 taro: 12025 Ol/20f2025 Psy. thb AmouN: 9.55 V Ih sAfterAm USD USD 3.55 APPROVED ON FEB 0yy3 2925p CALHOINNCOUNTUYU, TEXAS For AR Inquiries please contact 800-867-0333 MSKESSON STATEMENT A. ": °W1/2025 Page: °°' To .nxre proper Wept to V. aceaunl. apapl.m MIIIII fN. campa,Y. eaao prb wM You` rWnfltanea DC: 8115 As el: 01/31/2025 Page: 001 CVS PHCY 7475/MBA MC MS CualWner MV SoPPID: Mae to. CWnp: BD00 MEMORIAL MEDICAL CMTE8 AMT DUE HBAITfED VIA ACH OMIT Terdtory: 7001 S1Mamenl for informatlan only pMT DUE fHMnTE3g VIAACX OMIT VIC" HAl1SW Statement for inlometion only 815 N VIRGINIA ST Cmtamer. 695430 EDW IAVACA TX 77979 Cate: 02/01/2025 Cop: 835438 PLEASE Ct1ECit ANY Date: 02/01&025 ITENG NOT PAID (�) ME D. ReceivabaNpbrW Increase Syt6 Cash Amolnt P Poorest HemivaWe Cate Date Number Helerenm Dperlplb0 Discount (9rex) F (W) F Num6er Customer Mennen 835438 CVS PHCY 747WM MC MS 01/29/2026 02/04/2025 7546087692 3543276 115lnvcice O.C3 1.41 1.38 I 7648087692 O W meeen legend: P e Pap Dm Hem, F e Rdme Dm ft., bank. a Current Due Ham TOTAL• CustamW Number 835438 CVS PHDY ]4751M@a MC PN5 Subtatalm 1.41 USD Future Use. 0.00 Doe H Mid On Time: N paM By 02/04MO25, USO 1.38 Past Due: 0.00 Pay THIS Annexed: 1.38 USD Dix lost H papa ate: tap payment 4.621.67 H paid After 02IOM 1125, 0.03 Due H Md late: 01120/2025 Pay tide AmeWa: 1.41 U50 USO 1.41 APPROVED ON FEB 03g2025 CAeHUUN COUNTY. TEXAS For AR Inquiries please contact 800-867-0333 STATEMENT Statement Number. 69080850 Amerisaur-CeBergen` Date: 01-31-2025 1 Of 1 AMERISOURCESERGEN DRUG CORP WALGREEN88124943400 10013520//03]028188 127U W. AIRPORT BLVD. MEMORIALMEDICALCENTER SUGAR LARD 774766101 13ONVIRGINIA ST • PORT IAVACAU 77919-2509 Sal-Fn OwlnT aays 4: RA6289276 866 866-451-9655 AMERISOURCESERGEN PO Box 905223 Nat Yel Due: 0.W CHARLOTTE NC 28290-5223 CunenL 345.95 Past Du@: 0.00 Trial Due: 345.95 Auaunt Balance: 345.95 Account Activity Document Due Reference Purchase Order Document Original Last Receipt Amount Received Balance Date Date Number Number Type Amount 01.27.2025 02-074025 32D3881838 7008776130 Imelce 4.99 0.011 4 4.98 01-27-2025 0 W-2025 3203881839 70067M875 Irwdce 8.25 O.W 0,26 01.27-2025 02-07-2025 3203882020 7MB792618 swal. 186,41 0.00 i 186.41 0147-2025 02d-=s 32038MMI 7009793822 InMm 0.74 0.W 0.74 oi- wfi 02 7- M5 320/046402 7008798858 Invole@ 85.49 0.00 85.49 01-292025 M-07-2325 M04196031 7008808766 1. 2&W O.Do J 25.96 01�25 02A]-2025 3ZM3483B4 7001311VO 2 Inwice 6.66 0.00 ✓ 6.68 01-302025 02A7-2025 363043126 70078091M Inwice (2.6]1 0.00 J (2." 0141aQW5 02-07-2025 363043127 7=809180 Inwice 3,45 0.00 J 1,18 01-013025 M-07-2025 32045022M 7W8B24]10 Inwice 26.M 0.00 ✓ 26.67 Curtent 1-15 Days 11630 Days 31-60 Days 6140 Days 91-120 Days Over 120 Days 345.95 0.00 O.W am 0.00 0.00 D.a9 Thank You for Your Payment Reminders Date Amount APPROVED ON Due Date I Amount 01312M5 (4,133A9) OU74025 345.95 PEB Total Due: 34-65 NN03T pp22�0��255 CA6H(RUN COUN ,,'NE AS A STATEMENT statement Number. 69098696 1011 AmerisourceBergen- Date: 01-31-2025 AMERISOURCEBERGEN DRUG CORP WALGREENB CENTRAL FILL R1373 NOB 1005663561100566356 501 PATRIOT PARKWAY MEMORIAL MEDICAL CENTER ROANOKETX 76262-0336 4100 DALE EARNHARDT WAY 200 NORTHLAKETX 76262-2389 Sat -Fri Duetn7daya DEA: RA0316958 866-451-9655 AMERISOURCEBERGEN PO Box 978740 Not Yat Due: 0.00 DALLAS TX ]6397-6740 Co., 3,992.17 Pan Oue: 0.00 Tolal Due: 3.992.17 Account Balance: 3,992.17 ,Account Activity Document Due Reference Purchase Order Document Original. Last Receipt Amount Received Balance Date Date Number Number Type Amount 01-27-MS 02-07-2025 3203847649 7008792270 Invoice 998.05 0.00 999.05 01-28.2025 02-07-2025 3204096404 IMON55 Invoice 1,993.36 0.00 1.993.36 01-29-2025 02-07Q025 3204249839 70088174H Invoice 0.56 0.00 ✓ 0.66 01-30-2025 02-07-2025 3204402687 7MB247M Invoice 5.15 0.00 0131-2025 02-07-2025 3204552&SB ]00683131] Invoice 99d95 00) ./ 99495I Current 1-15 Days 16-30 Days 31-GO Days 61.9O Day. 91-120 Days_ 3,892.V 0.00 0.00 0.00 0.00 0.00 0.00 Reminders A►PHOVED ON Due Date Amount FEB 03 2025 02-07.2025 3,993.17 Total Due: 3.992.17 pplly1 p CALMGUNUCOUAY TWAS vs 3699 }63W 3 R 6 }p}0 )690p))fl9 0 10/)/)pt4 $T/,666pb ) WOMWYMOSPRNOi}IX4:P <B5 0 INIM Fr 5/!8)}02i APPROVED ON FEB 03 2025 CAf60%olF UNt`7,'TEXAS msl 40 o von noouui o Vnimo seuo �sixw33mnswWmx� r nx WE JwiE p5 Nn .mPi. InlIw3S $E4n pRY WppMYIWYY ]WE 4 wn Emllll II31/wn SEv]I YgE4va4X[ Ep9 W WSI N NES }IfWNI I/v/wn SEES.)E ME4YE4CRxE4.RR u � 1 Egg56 N]/MS SI4R Lmi4�31 E011 PRIXYRf PP ton mis IswYY urlmss $A.YIQt �p9Rmpstlsln vr,EpW �S tE a lomm nm]u a Im2ns HinE.lo RMpR�X0V11N r �) Weo u p mi Imness swawm xaYEpWll�xnowRwpYl.XpxwYN P awa mown o unnws sN.n �YXQnw1n55Y1tRSN t� 163Y E E NN A® E N)npn fYpl lOwpYMSvvvW4f[TWSpIwVIM P txl 4n(mn f4M LXWEM Pin[IsrtSN In wse IpMp 3 n WS Wn15 IM(An 3Rt] IEIXWFtpXnSypIYRSY 3E1 InW El p w:5 %tivY p ]M/AR fil1Y 1 MIXMVPxpfpwlCx; 34[ P ]Sa Ew t n S � N $N6Y VXwIYfPN[ P to 4m Wn l w 1 DE 1pl In VATS S;T IOW lC P LL6 _._ Wm__..• n o JPp2?�! �,-..4 4PlAgy us 1_. yRWW4NEfylp__. APPROVED ON FEB 0 3 2025 CAIFyIC@%U&YUWW§As ILyNN 1]MNN NI6WY II/9/M}. IEn/NI. 4Y}INS IVIVNN INIVNN NStY1H f INf/Ym WIr(w. ApnnN 3vamN IrM+w. lagnH f mV3ON unlrl®t AI.HNI 3WfuNN mm33pu lalnW Wfllmx. INIMu ]pwtsln INEVMlt IVIVNN NIHW91 E 34Nn0. IVWNN EgppvX IN VAN IVIV3pN I.IfeN91 f INGA3. IVIMw. NNVMH 1NIyNl. Vlrt/m/.t lulu EN4AN NIMR .Wp EVIVNN ]/ I/lpN. HlAN \ Nn Imolml NUmu fl\ma rnuwurnNxY.emexran ), ran I n rmf IwnN NvmS $m. )xrcwEYPYQs)Ic � I7mam wlml) wn-+o rixw �u ,am a Nu uv/m]s vo�.0 i m�.renw.�5 mu )am a 1 Nu 1 sn NI/!ws Suva mtstcexra 11 /6)® 4 m I 6 V))nm5 S [9Of /LSx[ fa ,am 6 Yl 4 UIUmE Elt \NtGX FE4%F511[ Wl )00 O )iE I/]UWE SUES uu a\IC 1W. Mia D r Nx5 )m m I/ll/N6 54r,) ipx YxO «] as wzv,m. Iwv/Nu reosmm ) nxz v Nm. n/wan rmusm •) on ] na m. nps/rcu r.voom IN [EY / / EN )VIIMN EISlNE56 W. E/.iF R/Iw N lr/ll/MN Illa>6N bM EUE 1)/IVION 1]nVNN !]IG)LlE ♦ 6 xx5 f IM]1NN ly)VNN ]mSgiN APPROVED ON FEB 0 3 2025 C.XUUNUC(HIN7'I. /WPAS MMIG, L Eba 9D Degree Benefits Mager Group Table SplxA ADMIN FEES M UR OR[ MGMT FEE Desa"on Metllel EE IDS s 17 EF it EO 91 Ms6 Tabl 174 Mala Leekpayable To: AM: Revalue D2patMud 90 De Benefit PO emr 33296 Bkmin9ha AL 35202 Monthly Billing for 1/1/2025 MEMORIAL MEDM al ER (NA GM: 76350) 615 N VIRGINM SMEEF PORT IAVA A, U 7/979 Tabl Due 174 SSJ,996.69 AtlJustmenb 39 ($7,066.36) $50,432.28 179 $7,221.00 AOJusbaenb 29 (st 203.50) $6,017.50 179 $3,371.811 AEjus ents 29 ($56131) S2,151L55 $700.00 $MD.00 BalaMo Fomartl: Paynents: AtllushMnb: Be9innNg Bakn [umaRAmouM Due: aLmeMAEluaments: :TEfhl'A411pUDCDuk. Please pay Wmrvum as Mletl. M-M reeNeE after Wing bee P-mwB wM be WleCA4 an Me neeft ft bill. PMWum payment is due by Me lath of the mantle. $221.55 Szn.ss + ga.DD SO.aD + $W,J93.5a OSA963;�,9' ✓ APPROVED ON F€B 03 2025 CA�lH6I1Ti1;`pW)W&S MEMORIMMEOIGLCENTER PROSPERITY BANK ELECTRONIC TRANSFERS FOR OPERATING ACCOUNT —/an 27, 2U25-Febm 2, W25 Wt. RanSOemIml 1(3IAMi PAY PCUSAMSWne53MM07 1016B R614WIP 1/31/M UFEATPAy EWERTPAV]4E0O34119100W1152MR4 1/31/1025 AMfR190U MRGPAYMENMO](K)00Y2021R 1/31IM25 MEM0HMLMWKALPAYRM74WGi4111131ll6W V30j3025 PAY PLUSHCMnne5300 al WI KIgtWS5R2E6P 1/29/2025 PAYPWSAO3Rnis535:➢1321M0006ffiO37023P 1R3/2M5 HMOMMEM M MEMenO,imLL}FPkavn j21E5 2/19/ PAY PWSAO Mne531458901G3OW694RWp09p 1/2H(M MOEESSGNORUGAMOAOLAG1063684379100W123 1/27/2M5 PAYPLUSA Mns53103C891610W0934fi6a31P Q}1 "xaMwsiuen M ez Amau^t a.eE^R -3Mtl 0 P Y alaaFM d3532. 9U15C3 {Alb Suppor[Payment SR1;W 3E BASIC) -34001HURPr41Gffin Eapell5e 4.133AB 55055R -"W.o 414X&RT ',r -3f4PAny PLPoeFee M.26 9p3544': -3WPa,UPay4TFce 7S WI545 -NNItRInsPWRagaMPaymenl5 3%7W.250FN: Re137R -3sC Pasty PaPof Fee ,mal W1540 -M030rsGPW6mm Expense R.WxR Al;' 55M59 -3A PasryPayeFfce ,2T,93 WM49 Fe .q 3, 102S sreaeeW44,Cw -* y1.pPPaAeol 0' l - aa. a 5 GG MemosMl MediWl Cen[ee PRWP2RMRANR*—Y�y-pYL9JiCl. On .e�a.iS GC FIEMROMCER4RSPER MOPERATINGAC000Nr-6SOMATWACAS -� RemlANen MMGNatai. Z/5/2R25 -SATE WMSMRTEYNM FeeMarv3, 2Gss 6teCFO MemaxalwMmcJ¢a1CeA[ei 459.909.18 + 570.69 - -i790, `75 ,65,2.08 - 275.31 0 275.51 - 0.00 0 APPROVED ON FEB 03 2025 caLH 3 MRSb N9.9M.S0 Nnaunl 49,T33.W ' onxw 125.27 + n 31.26 + 7.52 + 83.33 + 27.93 + 275.31 0 Transaction Summary Transaction Complete Texas Health and :Human :Services Commission Memoriat Medical Center Operating County Page No: i of i Run Date: 112012025 Run Time: *507 Memorial Medical Center Transfer Request atiD aoo:Do Frosperitymoney, Market ' APPROVED ON ProsyerlryOPeratingAccourrt_ �{�� Transfer from PresperityMoney Market ACCowrt2Ptesperlry OpetingAo=nt - M:chetle Cumberland Data: 2 3 2025. Date: 213/2025: Date: g/37292s RECEIVED BY THE COUNTY AUDITOR ON 01/30/2025 MEMORIAL MEDICAL CENTER 10:44 JAN 3 0 202 i AP Open Invoice list Due Dales Through: 02114M025 Vendor#! Vendor Nam13ALHOUN COUNTY, TEXAS Class Pay Code 11B36v GOLDENCREEK HEALTHCARE Invoice# Comment Tran Ot Inv Dt Due Dt Check Dt may J 012325A 01/27/202 Gross Discount , 01/23/202 02114/202 1,168.64 0.00 t ns. )Pry-0= . Cl - i rN+t� mmr- oPb 1 r� .Q1'r-o r J 012325B 01/27/20201/23/20202/14/202 10,554,75 0.00 t L r' J012325 01/Z7120201/23120202M 41202 5,626.00 0.00 L , .1 J 012425 01/27/20201/24120202/14/202 62,731.73 0.00 Vendor Totals: Number Name Gross Discount 11836 GOLDENCREEK HEALTHCARE 80,080.12 0.00 F't,or'. 11.9 i1f It. y Grand Totals: Gross Discount. No -Pay APPROVED ON 80,080.12 0.00 0.00 JApNN3 0g2025 g CALHOUNU OU TUYD.ITEXAS 0 ap_openJnvoice.template No -Pay Net 0.00 1,168.64 .� 0.00 10,554.75 J/ 0.00 5,625.001 0.00 62,731.73 J No -Pay Net 0.00 80.080.12 Net 80.080.12 RECEIVEDBYTHE COUNT! AUDITOR ON 01/30/2026 JAN 3 0 2025 MEMORIAL MEDICAL CENTER 0 10:44 AP Open Invoice List Due Dates Through: 02/14/2026 ap_open_invoice.template Vendor N/ Vendor QMOUN COUNTY, TEXAS Class Pay Code 13004J TUSCANY VILLAGE JInvoice# Comment Tran Dt Inv Dt 012425 Due Dt Check Dt Pay Gross Discount No -Pay Net / 01127/202 01125/202 02114/202 9,595.00 0.00 0.00 9,695.00 J 'Pr(1^L_• OkAjr• 1 n-vb ImmC, oej:� i n _er ror 1 012325 01/271202 011231202 02114/202 6,324.00 0.00 0.00 6,324.00 1 J 012325A 01/27/202 01123/202 02/141202 8.585.00 0.00 0.00 8,585.00 j �t Vendor Totals: Number Name Gross — Discount No -Pay Net 13004 TUSCANY VILLAGE 24,504.00 0.00 0.00 24,504.00 ftcrori Sur,'iti Grand Totals: Gross Discount No -Pay Not 24,504.00 0.00 0.00 24,504.00 APPROVED ON JAN 3 0 2025 COUP ITS CABLYOt1NU Memeriel Mad1u10antar NunM, Name UPL W WVA nueTwmhr / PmJPedtvA ..M, J 2/3/2021 J J m.M1w e,.Mnen Lex rww,m.M MI-1, eleun nan.m ,rynYxroM Oq[enne(rv,h II Me,pwmnu MY WWI Ws Is l ttmw J j j amqv�wy{,x w/wx 1.1.1Y J J J },wiw kA. J J j VMWAWW Mm" u,nex xiwPv 57,927.08 + 881502^46 + 342,245n54 + '1 P 1 24 • 76 +' -Ln —• 2 .1 2 r 6 4 6- 1 7 + 705L4G4e01 0 MUDppxawM..NwYwwMJIW Nv1pICpwWr/m.wnemue Ywn www uwa�vw un rnw,.l„nn,xvovnw vN n.nw Nm,n u,s 1 lemra WmN. M.n MbM,ry lW.m ywum.w,rnna,nun wa„m N,I V u$YLLf I.weJ.w. dlwM„6 v1Y.w. Y.wueWM. ,mm wwe.nwm,.mw lw, w.,aw � x„w,l 3ey212.P[ J ImY W.w Il,.wl.y WNnn 4w MIJ.e Imm wlmlbUq(Rm.M1,MiJ ,w,wy ,xlts J J.ilud ,/ ewmUnn lxln W+,u. wwMeJ.w Im.m .NwierwwurnwM1,�J ,,ul.n xrwP.l, � 122.61P.1T �I ermenmwe xurur v.mm IwwMeMW ,mm APPROVED ON FCCNEBNN'03 2025 CABHOUUNOUNWTEXAS eWuJemm/ruNh„r,w ,v,lan J tmuw rta s A wM; swe.erwkpo 2ryd2oss ..__..___•._,.,.a,,,.w..Xposs x NnR OOMnImOLnJs. mmill, OWN MMc90ximry we.l L3UMIs nNHpulelwN[ Tgnffw. Ipl(LCy a%/meyl In0/lOSS MAYR0Ei1WNFtUH MMPMMmOMmFJmye1 i)N QM9/ i ."'/UOM! a%(CN11 1/30/2p13 tN)N9K SwYl10XX[[IRY)MLNSIr1yRFOFg3 m%N XHPONIIa! ualmis mMsourpx%nYH1.LmNn[YNalro ,11N 9r.]i - �'N 4n/1025 MIS[XOIILCWMPMlNW0H1111[M»3N1 MPIS ])� ON.Y V!9/1N5 XON]K SgYtIgIX[CIAWLMSwSIMYOmyIY H.SMlfi <9].X U31/2015 MRMtGLwNONnIl1L MW iMMXglXym-yNySN - ]fKiei - ' ' 401M Ii.990.>i 9W U polzn a>anm - 4,9M W S.liewmsii,,,,L Willn9na in.N...m apv/[Ompa 11 MMcwNnoN W JAW l/31nws Yp.14 Xm m%/amoi a1inN a% s y� U3mm15 NYVIlulOwt wN N[MMLM[6]NNL]®IL aMN MX POMIgy W9RN9 NWf OY9UXI2YN[MSN[K[g3RXY W 121101 N,ML.3S SIM i/19nwS Mli-R]N1N[WIM9Ml MIwyLLelww]YNL 29,9q.51 L14102 N91m151Mi.SCNp M[WMIMSHLWIIglltldiq]SS 9wi71 9S,LSLJS UL9/Iw3N]NSKSOIYIION YCWAPLRLiNS]y0.bpgl - f6lp 3.M2]IKUNON{1nN MYPYXlOggOgyyt2yS41 14t21]L A015,73 VM2?' U2Mwf 1MMRN,LtINpO]KMMIPMii]N]H)L20pW16 V.. "Co I—M 23,161.76 AMYm Am- Un/l0]3 XOVRKSOIH]MMNgWRIM]6]MY�41wwi�j6l 1/iR/]Ws }NxMGUNOHEIIiHMp PMMmy�]}Me1 1pMIY14 MNe.LMMHL<WNPMS}I9[pHgelq)3wi3fE1 I/H/}w4 NVOI[OIQYMPxLMIMVM[ )]Ipml]II}49l UE4/IOtS pLVOttOXNIMPXCLWMIM ilwOw»LEY9 IITRwf WMAVBMNOXBxLURIM9M]glNf)LIAWI6 12]/Ipi40[YmLp M[KMPN[LNIMSML 11mUl]%]S8M M ID NYtmJ K4e8 m8[[Xnt ...... ):ryglj3� U2Y2018 N0V1[KLWY¶0.YMCWIM/RIt03MN1NUplp ' NI/Nls iWMu4art1 - V3Yml9 W I IMInM9 p%Vt U3Nme bRU4NXw1lTNY MN4IMMOO�yNY11 USI/1035 NFILKLOIYxONMCCWIMMlNf3m81MMge UID/IOn XFB�LCMXLpYFRMI]pmHM 81m0RINMi L/Hnw9 Mf1VRKmlY11N8MIMIMIMie]Nmllmml9R UnIHIL mRF WT(RHILRXWLNGRLCLXIFMIII Ul9/H6 XOYrtpmlV110NIXgKRgNL6]Mm4]pXN»l LM]Iw5 XOVNKSOWTg2X[CIRIMPM]eH910ymM»] 3 u 31 aR/UnP2J4 MMLMIF110M iLMQSCnI aPRSbmJL a IL62 mR aR/aNMpy1L0 aftr NmP ft JMu / I1]i Lp ISiA4 31.p MMCMp a a"'/a'"Ps34 >rJllJcfo am fXRL &up. nm. m%/LaixpJ � m% 450LN mRT) xxSOpTI[N ' 3l,Mfl9 - na wim 2MKW 21,0119 MHSW plm MMM1 6 MO wbl.m 41,330�5 I I s446.5 - AMUR Balances Overview Account Name *4357 MEMORIAL MEDICAL- $1.587,080.03 $1,501,845.11 $1,587,080.03 $1,587,080.03 OPERATING *4331 MEMORIAL MEDICAL/NH $38,027.08 $51,464.47 $38,027.08 $38.027.08 ASHFORD •4403 MEMORIAL MEDICAL / NH $88,602.46 J $98,996,42 $88,602.46 $88,602.46 BROADMOOR '4411 MEMORIAL MEDICAL/NH $342,343.54 $400,043.51 $342,343.54 $342,343.54 CRESCENT `4439 MEMORIAL MEDICAL / SOLERA @ $232,746.17 $242,700.57 $232,746.17 $232,746.17 WEST HOUSTON '4446 MEMORIAL MEDICAL/NH FORT $4,224.76 1 $4,224.76 $4,224.76 $4,224.76 BEND *4454 MEMORIAL MEDICAL GOLDEN CREEK $9,383.36 $15,607.73 $9,383.36 $9,383.36 HEALTHCARE •4551 CAL CO INDIGENT $5,502.88 $5.502.88 $5,502.88 $5,502.88 HEALTHCARE *5433 MMC -NH GULF POINTE PLAZA- $291.53 $291.53 $291.53 $291.53 PRIVATE PAY •5441 MMC •NH GULF POINTE PLAZA- $110.77 $110.77 $110.77 $110.77 MEDICARE/MEDICAID *5506 MMC •NH BETHANY SENIOR $264,197.42 $264,197.42 $264,197.42 $264,197.42 LIVING TUSCA YVILL TUSCANY VILLAGE $154,312.13 $154,312.13 $154,312.13 $154,312.13 *2998 MARKET FUND MMC-MONEY MAR $1,063,786.57 $1,063,786.57 $1,063,786.57 $1.063,786.57 •7168 MEMORIAL MEDICAL CENTER - LOCKSOX MONEY $39.73 $39.73 $39.73 $39.73 MKT Total Balance $3,790,648.43 $3,803,123.60 $3,790,648.43 $3,790,648.43 - Repod generaleO an 02/03/2025 08:34:15 AM CST Page 2 of 2 Memorial Medial Center Nursing Home UPL Weekly Nealon Transfer Prosperity Accounts 2/3/2025 J Pr9d"ue `1 Frownr Bk2lnnhe NUM Nama Numaar Balanro i211,9Sneer P9MIry 'h TIan93.96 Toery'a6e61nnlry "OUR M Be TI.O.rrMt. NUren1 Ve Balmx Name 21SA562) 211�966.2) 9,219.96 - 9,3"J6 9r32139 UAW.. 9,afl9.36 Wtlame _ U.. In Bal9nro SOV.BB Im9eryhrar6n 298.9E F eIM" H / N beM Nrakn HmMaeGeprn 4eek weN rarlUB""k N.A. wete:GeNkn]"nTm oynwrfS,BBO wMlhelp� nNrolhenuMn9 hemn. Nme1: fnnharrounrhesakaae 6vb,He offlOP IhUl RSIHCQepakM to "pmc[aa"nr. APPROVED ON FEB 03 2025 CALHO OU COUNTY,iTEXAS 1:\NH WwklyTnmlen\HHUPITnndntummrn\SOlS\NH UPlTnmfer Sumeury 21.19 F61UNBahnro/Tnieleramt 9,12639 Hn ..d: 81 Shw &Pd,Ro - 49/2U5 MMC�O0.11OX a9p/am , NUM15 aeeHlvAemiee '1[ 1GWhf90 aw/mmol VIM1/am : an/cemp 6Ypp a10.T NMPpITOH MAI Ip[]1p]S Oipout 1595) P.39 NLIDE 1SKI[MWOY]f0.[CEGR%NSSSSM9lllS tmw ;if].39 WIM35 WI0.FAI[XFWMXSYM4Ch WlCSNCPF[k Nf / LRiW 1.552.0 1119)6]] �! V!5/3015 GOLpFMY[[p1[YTNERCOGI1l0.[f591pX011]! � SSISW J � xns.ao ]JJ9551] AAi.M� ARM— Balances Overview Account Name `4357 MEMORIAL MEDICAL- OPERATING $1.587,080.03 $1,501,845.11 $1,587,080.03 $1,587,080.03 "4361 MEMORIAL MEDICAL INH ASHFORD $38,027.08 $51,464.47 $38.027.08 $38,027.08 *4403 MEMORIAL MEDICAL/NH BROADMOOR $88,602.46 $98,996.42 $88,602.46 $88;602.46 *"II MEMORIAL MEDICAL INH CRESCENT $342,343.54 $400,043.51 $342,343.54 $342,343.54 `4436 MEMORIAL MEDICAL /SOLERA@ WEST HOUSTON $232.746.17 $242,700.57 $232,746A7 $232,746.17 "4446 MEMORIAL MEDICAL / NH FORT BEND $4.224.76 $4,224.76 $4,224.76 $4,224.76 •4454 MEMORIAL MEDICAL / NH GOLDEN CREEK $9,383.36 $15,607.73 $9,383.36 $9,383.36 HEALTHCARE *4551 CAL CO INDIGENT HEALTHCARE $5,502.88 $5,502.88 $5,502.88 $5,502.8B *5433 MMC -NH GULF POINTEPLAZA - PRIVATE PAY $291.53 $291.53 $291.53 S291.53 *5441 MMC -NH GULF POINTE PLAZA - MEDICAREIMEDICAID $110.77 $110.77 $110.77 $110.77 '5506 MMC -NH BETHANY SENIOR LIVING $264,197.42 $264,197.42 $264,197.42 $264,197.42 *3407 TUSCANY VILLAGE MMC TUSC $154,312.13 $154,312.13 $154,312.13 $154,312,13 •2998 MMC -MONEY MARKETFUND $1,063,786.57 $1,063,786.57 $1,063,786.57 $1,063.786.577 *7168 MEMORIAL MEDICAL CENTER - LOCKBOX MONEY $39.73 $39.73 $39.73 $39.73 MKT Total Balance $3,790,648.43 $3,803,123.60 $3,790,648.43 $3,790,648,43 Report peneraled on 02/0=025 08:34:15 AM CST P80e 2 of Memorial Medical Canter Iluping Home IIPL Weekly HMG Tranefer Pravperltyattoums 3/3n035 .yv J 1 &—a ucedp ewv wa+y v.,n..r leFeF BNan. vvasv lW.W anbm ry,mnedwrem J ae�wrbl.myrnw..n. +,s.,a eNw arum eglmwy rmam anymore. MwmwNwne xumMe 4 Tnmlernul TmW..in p tl F rnmxmam 6uw®e�yli9f�1 4,s. / Lino J NwNgXan. _ 4h Wmis Lino ahoy n!r FF.F41.y n MIW.00W agwtbl.m/ru.e.ran� !nb 4.Nq Mxm.M In WHVW,a1111.: IOTaL1RaIKap f� wmr:ogre.Fr.no/.w.remv.we.,..rd.,..em�mxw.FeF.n.. Xmrxrbrmwmm, emxadmx.e/S+W gr+mmcereoune�rorm rnaun.. APPROVED ON FEB 03 2025 cnRoMORUMMAS lwx we.Lyr.a.FnµxuxrrunlxsurnrryV`a}ee xuclrrlvx,summ.ryl,ls {tm a.wk 60 !/pWIS MMCPOM ION � QIPPRMP /C QIPP/f .,4 1131IN25 Add.d Ie ATMRRI TMnsIM.OUR a '0 QIPP/Compl 1 OIP!/[nMP] Bllpn OIPPT NNPORNON 1/31/2025 NRB-ECNONClWMPMT74NM3pjjM 02<5929 / 239 1/{9/2025 WIRE WT HMO RoFl2MRSNF, W{Rmmellul J 3633 - 3633 1 /]R(2035 RNB-KNO I HCCIA MPMT)3500M13 A3WW2228]5- 2.112.32 ].92=� ul 7 15231 19153 Nil I III MMCPOMION NPP/CPMP 41PP/[9MP4 1/il/M25 gddadMA[[aunt Lansfmou2� Tm,",m QIPP/Com91 0.13 I ] 0JPP(COMP3 SUM QIPPM NN PORTION J aaa OSR S s33.3P 1919E Balances Overview Account Name *4357 MEMORIAL MEDICAL- $1,587,080.03 $1,501,845.11 $1,587.080.03 $1,587,080.03 OPERATING *4381 MEMORIAL MEDICAL / NH $38,027.08 $51,464.47 $38,027.08 $38.027.08 ASHFORD `4403 MEMORIAL MEDICAL / NH $88,602.46 $98,996.42 $88,602.46 $88.602.46 BROADMOOR 4411 MEMORIAL MEDICALINH $342,343.54 $400,043.61 $342,343.54 $342.343.54 CRESCENT `4436 MEMORIAL MEDICAL / SOLERA @ $232.746.17 $242,700.57 $232,746.17 $232,746.17 WEST HOUSTON •4446 MEMORIAL MEDICAL/ NH FORT $4,224.76 $4,224.76 $4.224.76 $4,224.76 BEND •4454 MEMORIAL MEDICAL INH GOLDEN CREEK $9,383.36 $15,607.73 $9,383.36 $9,383.36 HEALTHCARE *4551 CAL CO INDIGENT $5,502.88 $5,502.88 $5,502.88 $5,502.88 HEALTHCARE *5433 MMC-NH GULF POINTEPLAZA- $291.53 $291.53 $291.53 $291.53 PRIVATE PAY •5441 MMC -NH GULF POINTEPLAZA- $110.77 J $110.77 $110.77 $110.77 MEDICARE/MEDICAID *5506 MMC •NH BETHANY SENIOR $264,197.42 $264,197.42 $264,197.42 $264.197.42 LIVING *3407 TUSCANY VILLAGE MMC NH TUSC $154,312.13 $154,312,13 $154,312.13 $154,312.13 *2998 MARKET FUND MMC-MONEY MAR $1,063,786.57 $1,063,786.57 $1,063,786.57 $1,063,786.57 *7168 MEMORIAL MEDICAL CENTER- LOCKBOX MONEY $39.73 $39.73 $39.73 $39.73 MKT Total Balance $3,790,648.43 $3,803,123.6D $3,790.648.43 $3,790,648.43 Report generated on 02/D312D25 08:34:15 AM CST Page 2 at 2 Memotlal Medical Center Nursing Name UPI. Weekly WtTransier PrwpefHy accounts 21312MS J � V •mum egbNn! su pl.w NIh:OnY WMfll o/olel{{M.N/p4vvlfN[efbb[millyasn[. NVAhao[�v[[wnlam vxv[Avbm[v/Jlaa w@MNN Ogelrhfleepn [seuil. APPROVED ON- FEB 0 3 2025 CALHOWUCOUNTV, WAS cwxwaskn.mnlwysn rnwnsu�.•rr�osWuunn•vmar,.a.nn.xs Nnl&Wh l6v�le)AI VIIOnt[ f[rein Nlae[e yw,w I.uu.nim.ms Iw.w a Solt Nlu:nRrwhlNm lw.alOfil 1 APPJLK: St emkG� LlRof9 MMCx cw Dlq/fxAkl ifegvAlR1 NH/xOmpl RMP(mmpx gH(ConW CVI/femoWipl mPpn � uM roRlgx Wlllais anema...m - ]um 1/ll/mIS N[NRK SOlY11011NELO1MPMt E]GBN1NIllf6 - 1A1661 SA19.6] 1/lymif.((MINfCMINCCWMMf3m1Uq]fW - S.ff , 1.99 4WlOT HOVRKmWIgNNCCWAbMtEtGLL1iNW]N yfl.lf 1,2f).tfi YNNSOT NKRW XCCWMPMI�m11UT33fm Plgil - SHx.N , LGI.m IT9AU]fXOCfWRP fOCUTq fMNENg110113WIIliN - G,IEi.11 14.117..31 41f/mif QWNI.0 MC".W g1YIL0114n - 17A1 - U9e u2.R wWut - lY�m - n.Haq utglOEs wpoW I/iylUif MNB•E(NONQWMOMrt]Gmvi1NLWJ2Ilf11 }S[01 104A1 Wl SXRMK10lYfgMXCKOMlMIgGB111lNWU3 - U7. e.ah" WV KCOAm - nus 2129N AMIMMGCxaIXfxxCC4lPiSWUNgf W4IDq QXRXf CQ1lXClWMIN1 f3m1U1ggG lalUAl AL Iq,]%W W]/ID15 MB-fMOM[fIMMVMI]GmvU 11®SGOm H.yO vllm2s MOVRK SO4UtKXM[fWMEM161G21GUAUMS M,fY],R nm 30.fH U 2q.A1020,74LW Balances Overview Account Name •4357 MEMORIAL MEDICAL- $1,587,080.03 $1,501,845.11 $1,587,080.03 $1,587,080.03 OPERATING `4381 MEMORIAL MEDICAL I NH $36,027.08 $51,464,47 $38,027.08 $38,027.08 ASHFORD `4403.MEMORIAL MEDICAL I NH $88,602.46 $98,996.42 $88,602.46 $88,602.46 BROADMOOR •4411 MEMORIAL MEDICAL/.NH $342,343.54 $400,043.51 $342,343.54 $342,343.54 CRESCENT •4438 MEMORIAL MEDICAL I SOLERA ® $232,746.17 $242,700.57 $232,746.17 $232,746.17 WEST HOUSTON '4446 MEMORIAL MEDICAL / NH FORT $4,224,76 $4,224.76 $4,224.76 $4,224.76 BEND •4454 MEMORIAL MEDICALCREEK GOLDEN C $9,383.36 $15,607.73 $9,383.36 $9,383.36 HEALTHCARE *4551 CAL CO INDIGENT $5,502,88 $5,502.88 $5,502.88 $5.502.88 HEALTHCARE 05433 MMC -NH GULF POINTE PLAZA- $291.53 $291.53 $291.53 $291.53 PRIVATE PAY •5441 MMC -NH GULF POINTE PLAZA- $110.77 $110.77 $110.77 $110.77 MEDICAREIMEDICAID *5506 MMC -NH BETHANY SENIOR $264.197.42 $264,197.42 $264,197.42 $264,197.42 LIVING TUSCANY VILLAGE `USC NYVILL $154,312.13 $154,312.13 $154,312.13 $154,312.13 ARK ET FUND 98 MC -MONEY MA MRKE $1,063,786.57 $1,063,786.57 $1,063,786.57 $1,063,786.57 *7168 MEMORIAL MEDICAL CENTER- LOCKBOX MONEY $39.73 $39.73 $39.73 $39.73 MKT Total Balance $3,790,648.43 $3,803,123.60 $3,790,648,43 $3.790,648.43 Report generated on 0210312025 08:34:15 AM CST Page 2 of 2 Memorial Medical Center Nursing Home UPL WeeklYTmeanYTramfer PrmPMtYAccounts MAWS nem..s m0.:n.0 meaom.aarwnry..ns[mo.we.vmy rwmme..��va—r. nMe NrM-.1M. v W"6 M.n)Sroorna eastdre .roay..emune APPROVED ON FEB 03 2025 GAIHOUtJ Cnp(Inny�j?XAS ameunnnw v.neins rr+�rr«eam o ro r FnF a.rmn xnnK / uasn.t ssa,nata �i bnke.Wrce Ifr,llEal Volma _ dm Fetl.nq If0.[O Wun!aF.n/n.�.nml w.mla smeemn,co ZANWIk 1/31/1035 Added to Aemunt I/31/2GM OCP.At 1/31/2015 Oepwit 1/31/2025 Oep.1, i/29/2025 WIREOUTMLLAGEP[WAWTEHPALTHMR910E 1/29/2025 NNB-MHOHCCWMPMT74W03411440W0265636 I/29/1025 HNB-ECHOHC4WNMPMT74W034114eWW263W2 1/26/2025 NOWAS60WTIONHC WPMT6762014ZOW0161 1/26/1025 Deposit 1/26/2025 NOWTASSOLURCNHCCTAIMPMT676W142WW112 I/Z7/2025 NNB•EOIOHCCIAIMPMT746W341I4400W268G30 MMC PORTION 41PP/Comp QIPP/Comp; QIPP/Comp QIPP/Camp Tramfer-0ut Trawf4r-In i 34814p1e 3 48LaM 41PP71 NHPORTNIN - 170J14 - 370.54 - 7.327.11 - 7,527.11 - 33,376.96 38,376.96 482.779.97 13,013.95 - - 13,023.95 • 46.405.14 46,4M..14 - 11432.51 1,452.51 - 11,315.17 - 11,325.17 - 2,652.CO - 2.652.00 • 32A27.85 37.027.85 • / 989.90 - 989.90 Balances Overview Account Name '4357 MEMORIAL MEDICAL . OPERATING '4381 MEMORIAL MEDICAL / NH ASHFORD '4403 MEMORIAL MEDICAL / NH BROADMOOR '4411 MEMORIAL MEDICAL / NH CRESCENT '4438 MEMORIAL MEDICAL / SOLERA WEST HOUSTON '4446 ME---- M _— MEDICAL / NH FORT BEND '4454 MEMORIAL MEDICAL / NH GOLDEN CREEK HEALTHCARE '4551 CAL CO INDIGENT HEALTHCARE '5433 MMC •NH GULF POINTE PLAZA . PRIVATE PAY '5441 MMC -NH GULF POINTE PLAZA . MEDICARE/MEDICAID '5506 MMC -NH BETHANY SENIOR LIVING '3407 MMC -NN TUSCANY VILLAGE '2998 MMC -MONEY MARKETFUND '7168 MEMORIAL MEDICAL CENTER. LOCKBOX MONEY MKT Total Balance $1,587,080.03 $1,501,845.11 $1.587,080.03 $1,587,080.03 $38,027.08 $51,464.47 $38,027.08 $38,027.08 $88,602.46 $98,996.42 $88,602.46 $88,602.46 $342,343.54 $400,043.51 $342,343.54 $342,343.54 $232,748.17 $242,700.57 $232,746.17 $232,746.17 $4,224.76 $4,224.76 $4,224.76 $4,224.76 $9,383.36 $15,607.73 $9,383.36 $9,383.36 $5,502.88 $5,502.88 5 $5,02.88 $5,502.88 $291.53 $291.53 $291.53 $291.53 $110.77 $110.77 $264,197,42 $264,197.42 $154,312.13 J $154,312.13 $1,063,786.57 $1,063,786.57 $39.73 $39.73 $3,790,648.43 Report genereted on 02/03/2025 06:34:15 AM CST $3,803,123.60 $110.77 $264,197.42 $15 4,312.13 $1.063,786.57 $3,790,648.43 $110.77 $264,197,42 $1,0 3 g6,57 $39.73 $3,790,648.43 Page 2 of 2