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2015-05-14Regular 2015 Term THE STATE OF TEXAS § COUNTY OF CALHOUN § Held May 14, 2015 BE IT REMEMBERED, that on this 14th day of May, A.D., 2015 there was begun and holden in the Commissioners' Courtroom in the County Courthouse in the City of Port Lavaca, said County and State, at 10:00 A.M., a Regular Term of the Commissioners' Court within said County and State, and there were present on this date the following members of the Court, to -wit: Michael J. Pfeifer Roger C. Galvan Vern Lyssy Neil Fritsch Kenneth W. Finster Anna Goodman Josie Sampson CountyJudge Commissioner, Precinct #1 Commissioner, Precinct #2 Commissioner, Precinct #3 Commissioner, Precinct #4 County Clerk Deputy County Clerk Thereupon the following proceedings were had: Commissioner Galvan gave the Invocation. Commissioner Finster led the Pledge to the US Flag and Commissioner Fritsch led the Pledge to the Texas Flag. ACCEPT $38,959.14 FROM PORT O'CONNOR VOLUNTEER FIRE DEPARTMENT FOR THE PURCHASE OF A 2015 FORD F350 SUPER DUTY 4X4, VIN #1FD8X3FT7FED43977: Assistant Fire Chief Nathan O'Neill, Captain Gary Crone and Misty Tolar, Chairperson of the Fundraising Committee of the Port O'Connor Volunteer Fire Department were present to present a check in the amount of $38,959.14 to the Court. Mr. O'Neill stated the Department felt like they could best utilize the money for a second brush truck to replace a 1984 model truck that is currently out of service. Commissioner Finster made a motion to accept a donation in the amount of $38,959.14 specifically to be used for the purchase of a 2015 Ford F350 Super Duty 4X4, VIN #1FD8X3FT7FED43977. Commissioner Fritsch seconded the motion. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Kenneth W. Finster County Commissioner County of Calhoun Precinct 4 May 07, 2015 Honorable Michael Pfeifer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Pfeifer: Please place the following item on the Commissioners' Court Agenda for May 14, 2015. Consider and take necessary action to accept $38,959.14 donation from Port O'Connor Volunteer Fire Department for the purchase of a 2015 Ford F350 Super Duty 44, VIN 1FD8X3FT7FED43977. Sincerely, Avd W. j VV Kenneth W. Finster KWF/at P.O. Box 177 —Seadrift, Texas 77983 —email: krinster n calhouncomorg — (361) 785-3141 —Fax (361) 785-5602 REPORT FROM MEMORIAL MEDICAL CENTER: Jason Anglin, CEO of Memorial Medical Center stated the month of March was profitable with a net income of $366,391. In regard to the NH UPL Program, MMC will see $233,752 in income for the month of March. The new clinic project is going well, however the completion date continues to be pushed back due to the rain. The annual health fair is scheduled for May 14th and preparations are underway. The process of developing the 2016 budget has begun. The Lab CLIA survey was conducted in March. There were a few deficiencies and a plan of correction has been submitted. The new CFO has been hired and will start on May 18th. Agreements are on the agenda for Dr. Rojas, General Surgeon, who will be in Port Lavaca full time and Dr. Sevilla, Orthopedic Surgeon, who will come on board in the fall. The hospital has contracted with two nurse practitioners who will start in August. Memorial Medical Center - Port Lavaca, Texas CEO Report April 23, 2015 Financial Results: In March we had a net income of $366,391. NH UPL program We will be making our first IGT for the program next week. For the month of March MMC recognize $233,752 in income on the program. New Clinic Proiect Project going well. The completion date continues to be pushed back due to rain interfering with construction. Health Fair We are planning and preparing for our annual health fair. This year the health fair is scheduled for May 14Lh. Audit & Budget We had auditors on site for our annual audit this past month. We have started the process of developing our budget for 2016. CILIA Survey for LAB We had our Lab CLIA survey in March. The survey went well and the surveyors were very complimentary of our lab. We received a few deficiencies on the survey and have submitted our plan of correction. CFO Search I have hired a new CFO. He will start May 18th Physician Recruitment Activity We continue our recruitment activity for a Family Practice physician. Exciting opportunities for future in surgery. We have agreements on the agenda for Dr. Rojas M.D., General Surgeon to be full time in Port Lavaca and for Dr. Sevilla M.D., Orthopedic Surgeon to join our team full time in the fall. Information on Board Items: 1. Professional Coverage Agreement with Discovery Medical Network (DMN) and reassurance agreements with Memorial Medical Center for Dr. Sevilla M.D. Orthopedic Surgeon beginning November 1 2015 and Dr. Rojas M.D. General Surgeon beginning June 1, 2015 — Under these agreement MMC would contract for the services of Peter Rojas M.D., General Surgeon and Cesar Sevilla M.D., Orthopedic Surgeon. I am very excited about the addition of both of these physicians thru DMN. This will allow us to expand our general surgical and orthopedic services. At this juncture we will not be able to have these contracts under the Service Organization of Houston so will contract directly with DMN. When possible we would like to assign this DMN contract to SOH to benefit under the Waiver 1115 program. We are looking at a June 151 start date for Dr. Rojas and a fall start date for Dr. Sevilla. 2. Renewal of lease for copiers— In renewing the lease on the copiers we anticipate monthly savings of $703 or an annual savings of $8,436 on our copier related cost. 3. Lease/Purchase of server for copiers — Our server for the copiers is in need of replacement. The cost for a new server is $26,681.53. The cost of the server will be paid for in savings on the copier lease in just over 3 years. One option to acquire the server is a 48 month lease purchase with $1 buyout for a monthly lease of $629.15. With that option we could upgrade our copiers with the new copier lease and upgrade the server for less monthly cost than we have today. On new copier lease we would save $703 per month and spend $629.15 for new server for a net monthly savings of $73.85. 4. Overview of Nurse Leader Rounding —.Erin will do a presentation on nurse leader rounding. 5. Presentation on CAH Annual Evaluation — Erin will present the annual CAH Evaluation. + 11+ Jason Anglin, CEO Memorial Medical Center Memorial Medical Center Financial Report For the Month of: March 2015 Overview: Memorial Medical Center's bottom line for March was a Net Income of $366,391. March's month was driven by: ® Gross Revenue was up 1,208,908 or 24.4%. After February being the lowest revenue month in the last 12 months, March was the highest. ® MMC received $80,826 in EMR payments from Medicare Audit of 2011 EMR payments. ® Under the NH UPL (supplemental payment program) MMC estimated benefit for the month is $233,752. ® Note: In March MMC begin the accounting for the Nursing Home (NH) UPL program. When you review the financials you will notice (3) three Income Statements: (1) for Hospital, (2) for NH program and (3) Hospital & NH combined. Also you will notice additional accounts on our Balance Sheet. When I present the financial report I plan on going over the changes. Statistics: Average daily census was down 8% to 15.43 from 16.75 in February. Patients in Observation was up 79%from 24 to 43 patients. ER volume was up 2.2%with 891 visits, in comparison to February's 872. Hospital outpatient visits were up 5.8%with 1,965 visits. Radiology Procedures increased to 1,543 in March from February's 1,492, an increase of 51 procedures or 3.4%. The total of laboratory procedures increased for March to 28,915 compared to February's 26,070, an increase of 10.1%. Total surgery cases for March was 101 up 20 cases from 81 in February. The number of babies born at Memorial Medical Center in March was 16 compared to 16 in February. Balance Sheet Highlights: Bank Accounts Overall cash decreased by $113,492 from $4,576,401 to $4,462,909. Cash funds consist of $2,034,086 in operating cash, $325,069 in Private Waiver 1115 Clearing Account, $1,588,460 in MMC Clinic Construction, $500,000 in CD investments and $15,294 in MMC Nursing Home Cash collected and not remitted to Cantex. This provides total cash on hand of 70.32 days of cash on hand. Excluding the Private Waiver 1115 Clearing Account funds, the MMC Clinic Construction and Nursing Home Cash accounts, the day's cash on hand equals 40.07 days Accounts Receivable A/R aggregated $9,862,770, which increased from the prior month by $721,133. Gross revenue tied up in accounts receivable increased from 50.8 to 52.8 days. Net accounts receivable was $2,468,256 which is less than the prior month by $74,727. Net accounts receivable days decreased from 41.7 days to 39.5 days. Accounts Receivable — Other The total in this account is $2,556,347 most of this consists of the DSRIP component of the Waiver 115 program, the Uncompensated Care program and supplemental payments due under the NH UPL program. The remaining balance is due to both Indigent funds and a few small balances of miscellaneous accounts. Receivable Nursing Home This is a new account from the NH UPL program. The total consists of $3,000,323 in accounts receivables on the five nursing home books. Receivable Est. 3`d Party Payer Settlements Our books reflect a net due from third party payers of $0 for 2015. LIABILITIES Accounts Payable The hospital owed $602,357 to vendors for open accounts payable at the end of the month. This is an increase from the prior month by $108,148. Due to Cantex - This is a new account from the NH UPL program. The total is $3,248,864 consisting of (1) $15,294 in Cash that MMC has received on behalf of NH and not remitted to NH, (2) $3,000,323 in accounts receivables on nursing home books also reflect in MMC's receivable section on balance sheet and (3) $233,752 in NH UPL supplemental payments due to NH. Accrued Expenses Our books reflect accruals for payroll taxes and amounts due employees for benefit hours. These items total $913,966. Accrue expenses were up $103,897 from the prior month. Accrued Intergovernmental Transfers Our books reflect IGT accruals of $1,125,565 for UCC payments and Waiver Projects and to support the Private Uncompensated Care program. Accrued Payable — EST Ycl Party Paver —Our books reflect $698,621, which is an estimated amount due to Medicare for 2014 - $607,952 and for 2015 - $90,509. This is based on our monthly mini - cost report and BKD's interim cost report for 2014. The remaining balance of $160 is due to other than Medicare. Notes Payable The hospital has a note payable to Calhoun County for $500,000. This amount was borrowed in 2011 to purchase CT, Nuclear Medicine, and other equipment under operating leases. Leases Payable The hospital has $570,814 in outstanding capital leases classified $267,786 as current and $372,557 long term debt. Current Ratio The ratio between our current assets and current liabilities was 1.81. For Critical Access Hospitals the benchmark target is 2.3. (With the addition of the nursing home accounts the ratio is lower.) Income Statement: Gross patient revenue showed an increase of $1,208,908 from February. Our total revenue (excluding NH) was $6,156,609 compared to $4,947,701 in February. Revenue Deductions (excluding NH) were at 69%compared to 64%for last year to date. Total expenses (excluding NH) were higher than February by $310,746. This was driven by: ® March had 3 more days of expenses. ® Payroll cost were up by $83,233 ® Benefits and PR Taxes cost were up by $109,514 ® Professional Fees were up by $5,418 ® Purchased Services were down by $7,279 ® Supplies were up $100,361, 15.4% of Operating Revenue ® Utilities were up by $1,251 ® Other Expenses were up by $11,953 e Depreciation was down by $8,263 ) ) . (/ \�\( 4§ })i r §\!>)j \\)(/§)! ® : ;§§ \ ; .`: >!!;!): ,:§: -l- Current Period Memorial Medical Center Income Statement - Hospital For the Month Ended March 31, 2015 Revenue Fiscal Year To Date Actual This Budget This Month Month Last Year Actual YTD Budget YTD Last Year YTD $1,612,784 $1,266,696 $1,384,496 Inpatient Revenues $4,380,174 $3,800,088 $4,016,899 $2,701,984 $3,766,364 $1,899,332 Outpatient Revenues $7,195,208 $11,299,091 $5,645,946 $1,841.841 $18,326 $1,595,049 ER Revenues $5,232,787 $54,979 $4,414,193 $6,156,609 $5,051,386 $4,878,877 Total Patient Revenue $16,808,169 $15,154,158 $14,077,038 Revenue Deductions $3,401,052 $2,416,279 $2,208,118 Conlractuals $9,794,021 $7,248,838 $6,425,513 $61,582 $85,022 $57,303 Charity $289,643 $255,066 $236,777 $56,682 $58,855 $46,832 Indigent Care $104,817 $176,564 $92,642 -$95,793 -$214,536 -$130,879 DSHNWaiver -$407,379 -$643,608 -$392,636 $734,767 $679,068 $996,140 Bad Debt $1,643,285 $2,037,204 $2,640,247 $4,158,290 $3,024,688 $3,176,514 Total Revenue Deductions $11,424,387 $9,074,063 $9,002,543 $1,998,319 $2,026,698 $1,702,363 Net Patient Revenue $5,383,782 $6,080,095 $5,074,495 $117,564 $91,778 $89,928 Other Operating Revenue $275,861 $275,334 $143,000 $2,115,883 $2.118,476 $1,792,291 Total Operating Revenue $5,659,643 $6,355,429 $5,217,495 Current Period Actual This Budget This Month Month Last Year $791,859 $839,985 $707,497 $263,039 $240,328 $159,676 $292,571 $454,233 $321,473 $161,434 $146,189 $142,622 $326,293 $243,581 $229,617 $7,829 $4,390 $4,559 $37,050 $42,238 $42,495 $85,919 $76,587 $73,487 Operating Expenses Salaries & Wages Employee Benefits & PR Taxes Professional Fees Purchased Services Supplies Insurance Utilities Depreciation Fiscal Year To Date Actual YTD Budget YTD Last Year YTD $2,262,009 $2,519,954 $2.049,258 $683,497 $720,984 $517,960 $862,847 $1,362,698 $879,991 $475,325 $438,566 $417,014 $803,450 $730,743 $693,084 $23,487 $13,171 $14,370 $113,573 $126,715 $118,990 $5,463,025 $261,518 $229,761 $216,934 $2,046,589 $2.162,201 $1,755,196 Total Expenses $5,724,543 $6,486,602 $5,066,943 $69,294-$43,724 $37,095 Net Operating Income/(Loss)-$64,900-$131,173 $150,552 Non Operating Income/ (Exp) -$22 $518 $74 Investment Income -$26 $1,555 $74 -$3,678 -$2,083 -$882 Interest Expense -$12,541 -$6,250 -$2,757 $0 $2,842 $0 Contributions and Grants $0 $8,525 $610 -$156,437 -$279,367 -$139,559 IGT Expense -$463,067 -$838,100 -$370,450 $223,482 $363,481 $199,370 Service Contribution by SOH $661,526 $1,090,444 $471,418 $63,345 $85,391 $59,003 Total Non -Operating Revenue $185,892 $256,173 $98,895 $132,639 $41,667 $96,098 Total Net Income/(Loss) $120,992 $125,000 $249,447 -2- Memorial Medical Center Income Statement - Nursing Home For the Month Ended March 31, 2015 Current Period I Revenue Fiscal Year To Date Actual This Budget This Month Month Last Year Actual YTD Budget YTD Last Year YTD $3,713,099 $0 $0 Resident Revenues $3,713,099 $0 $0 $3,713,099 $0 $0 Total Operating Revenue $3,713,099 $0 $0 Current Period Operating Expenses Fiscal Year To Date Actual This Budget This Month Month Last Year Actual YTD Budget YTD Last Year YTD $3,713,099 $0 $0 Nursing Home Fee $3,713,099 $0 $0 $3,713,099 $0 $0 Total Expenses $3,713,099 $0 $0 $0 $0 $0 Net Operating Income/(Loss) $0 $0 $0 Non Operating Income/(Exp) ( $233,752 $0 $0 Nursing Home UPL $233,752 $0 $0 $233,752 $0 $0 Total Non -Operating Revenue $233,752 $0 $0 $233,752 $0 $0 Total Net Income / (Loss) $233,752 $0 $0 -3- Memorial Medical Center Income Statement - Combined For the Month Ended March 31, 2015 Current Period Revenue Fiscal Year To Date Actual This Budget This Month Month Last Year Actual YTD Budget YTD Last Year YTD $1,612,784 $1,266,696 $1,384,496 Inpatient Revenues $4,380,174 $3,800,088 $4,016,899 $2,701,984 $3,766,364 $1,899,332 Outpatient Revenues $7,195,208 $11,299,091 $5,645,946 $1,841,841 $18,326 $1,595,049 ER Revenues $5,232,787 $54,979 $4,414,193 $3,713,099 $0 $0 Resident Revenues $3,713,099 $0 $0 $9,869,708 $5,051,386 $4,878,877 Total Patient Revenue $20,521,268 $15,154,158 $14,077,038 Revenue Deductions $3,401,052 $2,416,279 $2,208,118 Contracluals $9,794,021 $7,248,838 $6,425,513 $61,582 $85,022 $57,303 Charity $289,643 $255,066 $236,777 $56,682 $58,855 $45,832 Indigent Care $104,817 $176,564 $92,642 -$95,793 -$214,536 -$130,879 DSHIWaiver -$407,379 -$643,608 -$392,636 $734,767 $679,068 $996,140 Bad Debt $1,643,285 $2,037,204 $2,640,247 $4,158,290 $3,024,688 $3,176,514 Total Revenue Deductions $11,424,387 $9,074,063 $9,002,643 $5,711,418 $2,026,698 $1,702,363 Net Patient Revenue $9,096,881 $6,080,095 $5,074,495 $117,564 $91,778 $89,928 Other Operating Revenue $275,861 $275,334 $143,000 $5,828,982 $2,118,476 $1,792,291 Total Operating Revenue $9,372,742 $6,355,429 $5,217,495 Current Period I Operating Expenses Fiscal Year To Date Actual This Budget This Month Month Last Year Actual YTD Budget YTD Last Year YTD $791,859 $839,985 $707,497 Salaries & Wages $2,262,009 $2,519,954 $2,049,258 $263,039 $240,328 $159,676 Employee Benefits & PR Taxes $683,497 $720,984 $517,960 $292,571 $454,233 $321,473 Professional Fees $862,847 $1,362,698 $879,991 $161,434 $146,189 $142,622 Purchased Services $475,325 $438,566 $417,014 $326,293 $243,581 $229,617 Supplies $803,450 $730.743 $693,084 $7,829 $4,390 $4,559 Insurance $23,487 $13,171 $14,370 $37,050 $42,238 $42,495 Utilities $113,573 $126,715 $118,990 $80,595 $114,670 $73,770 Other Expenses $238,837 $344.011 $159,342 $3,713,099 $0 $0 Nursing Home Fee $3,713,099 $0 $0 $5,673,769 $2,085,614 $1,681,709 Total Operating Expenses $9,176,124 $6,256,841 $4,850,009 $85,919 $76,587 $73,487 Depreciation $261,518 $229,761 $216,934 $5,759,688 $2,162,201 $1,755,196 Total Expenses $9,437,642 $6,486,602 $5,066,943 $69,294-$43,724 $37,095 Net Operating income/(Loss)-$64,900-$131,173 $150,552 Non Operating Income / (EXP) -$22 $518 $74 Investment Income -$26 $1,555 $74 -$3,678 -$2,083 -$882 Interest Expense -$12,541 -$6,250 -$2,757 $0 $2,842 $0 Contributions and Grants $0 $8,525 $610 -$156,437 -$279,367 -$139,559 IGT Expense -$463,067 -$838,100 -$370,450 $223,482 $363,481 $199,370 Service Contribution by SOH $661,526 $1,090,444 $471,418 $233,752 $0 $0 Nursing Home UPL $233,752 $0 $0 $297,097 $85,391 $59,003 Total Non -Operating Revenue $419,644 $256,173 $98,895 $366,391 $41,667 $96,098 Total Net income/(Loss) $354,744 $125,000 $249,447 Z� tt o a o o u a o p # o c. hPNmo I��rv�[�ntl y N �mNm�ON�p INN N-N P 4 N y � N O O W T w w > F K W p Na y'Z N pZ N O Q W w W fA Z E yn U �mNN Wb O >. %d �a N�aWW XW 6U yW WXW Z Q — p W W A2 V1W RdN�jO� OF 0 � J Q O -5- MEMORIAL MEDICAL CENTER PATIENT ACCOUNTS RECEIVABLE MARCH 2O15 AGED TRIAL BALANCE: CURRENT FINANCIAL CLASS SOURCE: ATB BY FINANCIAL CLASS FINANCIAL CLASS < 30 31 > 60 61 > 90 91 > 120 > 121 TOTAL $ 1,855,731 208,604 52,427 11,328 92,608 2,220,697 MEDICARE % 83.6% 9.4% 2.4% 0.5% 4.2% 22.5% $ 503,154 214,042 79,439 45.901 72,620 915,156 MEDICAID % 55.0% 23.4% 8.7% 5.0% 7.9% 9.3% $ 406,243 119,447 44,937 31,762 56,609 658,999 BCBS % 61.7% 18.1% 6.8% 4.8% 8.6% 6.7% $ 1,209,781 449,881 147,703 1041489 177,923 21089,776 COMMERCIAL % 57.9% 21.5% 7.1 % 5.0% 8.5%1 21.2 % $ 604,383 652,262 726,251 603,055 1,392,191 3,978,142 PRIVATE % 15.2% 16.4% 18.3% 15.2% 35.0% 40.3% $ 4,579,292 1,644,235 1,050,757 796,535 1,791,950 9,862,770 TOTAL % 46.4% 16.7% 10.7% 8.1% 18.2% 100.0% NOTE -- Amounts and percentages may sum to V or'-' 1 and 1% of the total or 100%, respectively, of their particular category due to rounding. AVERAGE DAYS IN PATIENT ACCOUNTS RECEIVABLE: DECEMBER JANUARY GROSS 49.761 50.891 50.751 52.81 1 - JULY AUGUST SEPTEMBER OCTOBER NOVEMBER DECEMBER I #DIV101 I #DIV/01 I #DIV/01 I #DIV/01 I #DIVfO! I #DIV/01 AGED TRIAL BALANCE: ORIGINAL FINANCIAL CLASS SOURCE: ATB BY FINANCIAL CLASS FINANCIAL CLASS < 30 31 > 60 61 > 90 91 > 120 > 121 TOTAL $ 1,992,327 366,880 137,785 101,981 369,815 2,968,789 MEDICARE % 67.1% 12.4% 4.6% 3.4% 12.5% 30.1% $ 515,499 211,838 99,806 39,398 110,334 976,874 MEDICAID % 52.8% 21.7% 10.2% 4.0% 11.3% 9.9% $ 438,881 194,867 143,731 95,892 252,965 1,126,336 BCBS % 39.0% 17.3% 12.8% 8.5% 22.5% 11.4 % $ 1,157,242 458,999 243,377 209,999 541,404 2,611,021 COMMERCIAL % 44.3% 17.6% 9.3%1 8.0%1 20.7%1 26.5% $ 475,343 411,651 426,059 349,264 517,433 2,179,750 PRIVATE % 21.8% 18.9% 19.6% 16.0% 23.7% 22.1% $ 4,579,292 1,644,235 1,050,757 796,535 1,791,951 9,862,770 TOTAL % 46.4% 16.7% 10.7% 8.1% 18.2% 100.0% NOTE -- Amounts and percentages may sum to V or" 1 and 1% of the total or 100%, respectively, of their particular category due to rounding. JUNE MEMORIAL MEDICAL CENTER CAPITAL ACQUISITIONS FOR PERIOD ENDED 3/31116 MONTH DESCRIPTION BUILDING EQUIPMENT TOTAL 01/15 CLINIC - CIP - K&T CONSTRUCTION FEE 66,128 66,128 PROFESSIONAL SERVICES - ENGINEERING SERVICES 3,328 3,328 PROFESSIONAL SERVICES - ENGINEERING SERVICES 489 489 CLINIC - CIP - ACI PROFESSIONAL FEE 4,566 - 4,566 HOSPIRA WORLDWIDE - INFUSION PUMPS, 2 PUMPS - 6,416 6,416 RECONDO INTERFACE 4,500 4,500 JANUARY 2015 - COMPUTER PURCHASES - 5,180 5,180 SUB TOTAL JANUARY 74,510 16,096 90,606 02/15 FEBRUARY2015- COMPUTER PURCHASES - 11,458 11,458 HOSPIRA WORLDWIDE - INFUSION PUMPS, 4 PUMPS - 12,833 12,833 CLINIC - CIP - ENGINEERING PROFESSIONAL FEE 944 - 944 SUB TOTAL FEBRUARY 944 24,291 25,235 03/15 HOSPIRA WORLDWIDE - INFUSION PUMPS, 1 PUMP - 3,214 3,214 SECURITY GLASS IN EMERGENCY ROOM 6,883 - 6,883 CLINIC - CIP - K&T CONSTRUCTION FEE 749,926 749,926 CLINIC - CIP - RETAINAGE 50,298 - 50,298 SUB TOTAL MARCH 807,107 3,214 810,321 TOTAL $ 882,562 $ 43,601 $ 926,163 Memorial Medical Center YTD YTD YTD 3131/2015 Statistical Comparison 03/31/13 03/31/14 03/31/15 OVER(UNDER) % OF (3 months) (3 months) (3 months) 3/31/2014 CHANGE Total Admissions 311 349 348 _ _ (1) -0.3% ER -Admissions 171 226 202 (24) -10.6% Total Patient Days 1,521 1,423 1,363 (60) -4.2% _ AVERAGE DAILY CENSUS _ Medical/Surgical/ICU 13.20 _ 12.28 _ 11.44 -6.8% _ Obstectrics 0.78 1,20 1.18 (0.02) -1.9% Swing Bed 2.92 2.33 _2.52 0.19 8.1% TOTALAVG DAILY CENSUS 16.90 15.81 15.14 (0.67) -4.2% TOTAL AVG LOS - Acute care 4.28I 3.69 3.55 Observation -Patients 50 96 96 0 0.0% _ Newborns - Births 26 _ 38 43 5 13.2% AM Clinic Visits 0 1,956 2_,8.58 902 N/A Women Clinic Visits 0 _ 0 0 _ _ 0 N/A Outpatient Visits 4,346 4,785 5,552 767 16.0% Emergency Room Visits 2,756 2,344 2,714 365 15.5% Specialty Clinic Visits 1,264 1,276 _ ., 112 8.5% __ Total Surgery & Endoscopy 169 169 264 276 12 4.5% Total Laboratory Procedures 71,327 75,475 83,836 8,361 _ 11.1% Radiology Procedures 2,484 2,309 2,578 (31) -15.8% Bone Density 35 26 40 14 53.8% Nuclear Medicine 50 50 _ 29 (21) _ -42.0% Ultrasound _ 519 447 620 173 38.7% CTScans 688 616 641 25 4.1% MRI 275 236 274 38 16.1% Mammograms 223 210 180 (30) -__ _ _ _-14.3% Total Radiology Procedures _ 4,274 3,894 _ 4,362 468 12.0% Respiratory Therapy lP Proc_edures 4,488 3,191 3,258 91 4.3% Stress Test 13 24 9 (15) -62.5% EKG Exams 730 864 942 78 9.0% EEG Exams 4 1 0 (1) -100.0% Sleep Studies 0 0 24 24 N/A Total Respiratory 5,235 4,080 4,233 153 3.8% Physical Therapy Total 5,679 6,809 5,746 (1,063) -15.6 % Pharmacy Total 42,792 30,395 40,684 10,259 33.9% _ _ Dietary Total 23,571 30,724 32,831 2,107 6.9% Pounds of Linen 0 52,760 67,386 14,626 N/A 0 M N M i OJ N d' �O M w O N 1� l0 t0 M O Ol O V O N CO N O V M tU d' N tp V m O N m V N v1 ei N M m 1� M N W V) N N fl T N Ul N 1� t0 M M N N N M N U N LL t0 O N O lO M lO m �O O O VI m �'.I ✓1 N N Ol N Ol M b M m VI N O N N ♦i O m M H O 1� m O1 10 W d; VI 1' rl W Ol M O m '-I N OJ N V r r1 O � OJ m N N lD tO N M V 1� h N �i N Vl h N N 1� W `I N Ol tD Ol O T `i O C n h d LL VI �-1 N M M T O M Ol N O Ol ti h m `1 W OJ M N h T T M O N V N O �D N h �D lO M Ol m N M ul N m N M O N I� Ul Ol M N M N N Ol � c N 7 O M O N m [f V 1� b 01 m O O h O m N O V1 h l0 N M O M V OJ O b •i 1� m N lD Ct Oi r N d O 1� O h M O l0 n V) V m Vl N Ol N T n Ol N. ti m Vl N Ol V W m 1 V M N N l0 N O m l0 N �O m M O m Vl Ol W V Vl "I l0 T O N m O m a P N � N O ci d' M n N O h M M 1� r1 N N T Ol N O CO .. .. -.. �-1 .. M� V VI _ f0 lD h Ol __. O d' l0 V _ C tp Ol V V N nd' O W O h i m Vl O 1� M O M V1 C M M M N b VI O N O] fl rl T n N r n M N N b c U T 0 N y p N. �-1 rl ti M1l Ol N W O M O1 h N N rl O ti OJ N t0 eiw Ot O Y N N — � O O Im N m N e-1 4.6 O N d V i N i J A«� 'o S4 p n -_.w Nm a a aN M. ..w wm m r+Nm m m 1� h 10 '1 N N N m IN M 1� M Ol n M � J 7 N O O O 1� rl O U1 O N Ol V O1 w m r1 h M 'i Ot W N w M w Ol w m V O N N �-1 N V CO Ol Ol O fi O fi M O m Ol O I m Im O I ti M N J 7 V w l0 W N �O O N tO N w w w M CO O N M O V N M rl N O T h N r1 m cl O w M „I V t O w d' O V d w m Ol O N rl N Ol O ul N w M N m f-I 1� c N �D h N I W t0 N M O h O M O O O O O m w Ol Ol m M W y O w O W O M C N Vl •-I rl � m Ol N rl ci V O u] 1� O rl n O M O rl a O N rl M M N M V' tO W N N 'i V m C O V M m It Q i M N J M a V o d U w Ewa f:i¢ E a m > Z3 c_ E E m m o¢ o > d n 3 G 0 G `E° O r w Q� oM o z 3 0 w M z w w LL LL Memorial Medical Center Accounts Receivable Mar -15 AgcJ 0-30 I 31-60 I 61-90 I.-91-120 1 121-150 1 151-180 1 181-365 I Tall GrArs I %Over120Oa,a %Over 90 Ua)x Tuta1 Apr-14 4,096,187 1,726,119 1,102,525 726,306 410,228 207,989 890,976 9,160,328 16.5% 24A% May-14 4,128,001 1,917,931 1,242,596 846,267 699,093 340,050 985,411 10,149,349 19.8% 282% Jun 14 4,413,610 1,830,486 1,493,095 822,851 440,826 400,953 919,768 10,321,590 17.1% 25.0% 1.114 3,851,602 1,903,191 1,397,299 976,109 422,944 220,639 1,037,530 9,809,313 17.1% 27.1% Aug 14 3,762,29 1,655,095 1,259,442 672,653 521,105 219,939 970,940 8,961,430 180% 25.5% Sep 14 4,318,233 1,559,467 1,091,047 591,725 353,120 367,323 934,550 9,115,465 17.1% 23.6% OR-14 4,209.213 1,776,814 1,197,644 514,957 318,383 221,896 970,350 9,209,156 16.4% 22.0% Nw-14 4,157,789 1,899,222 1,192,857 794,431 401,470 202,057 1,115,010 9,762,835 17X% 252% Dec-14 3,687,451 1,662,826 1,263,049 660,955 355,926 184,373 946,841 8,761,426 17,0% 24.5% Jan -15 4,275,625 1,367,704 1,063,287 620,552 369,230 217,191 1,053,863 8,967,452 18 3% 25.2% Feb154,295,936 1,584,162 882,367 654,922 35ZI67 199,453 969,131 8,938,039 17.0% 24.3% Mar-15 4,47"8 1,S48,886 984,487 769,009 394,974 243,992 1,115,129 9,526,925 18.4% 28.5% Medier,re A, 14 1,766,935 301,283 165,905 120,389 M,308 24,307 57,130 2,SOo,263 5.9% 30.6% May 14 1,839,296 352,421 162,330 67,413 104,651 33,659 SO,054 2,609,924 Z2% 9.8% Jun 14 1,962,250 450,445 241,737 115,389 61,530 91,020 55,590 2,977,961 7.0% 10.9% 1u614 1,490,178 476,703 260,241 249,734 70,869 44,413 94,122 2,676,259 TVA 17.2% Aug 14 1,578,916 289,160 241,151 72,454 67,186 37,773 125,203 2,411,843 9.5% 12.5% Sep-14 1,866,407 372,097 147,475 129,956 32,230 35,260 98,747 2,682,172 6.2% 11.0% 0tl-14 1,815.331 "1'511 238,441 88,396 41,417 13,014 100,080 2,739,191 SAA6 8.9% Nov-14 1,943,820 288,941 117,955 95,770 58,161 11,406 96,969 2,603,023 6A% 9.7% Oec14 1,514,858 317,405 99,203 11,590 33,105 5,246 71,490 2,085,902 5 3% 7.4% Jan 15 1,902,475 240,965 116,907 37,301 26,555 32,343 68,659 2,425,205 5.3% 6.8% Feb 15 1,9S2,237 247,659 25,930 25,958 12,398 3,428 76,591 2,344,202 3.9% 5,0A Mar15 1,834,678 185,177 36,952 3,880 14,361 11,233 66,108 2,152,389 4.3% 4A% Medicaid Apr-14 405,788 127,980 56,142 28,855 30,613 6,933 58,6M 715,036 13.5% 17.5% May-14 409,280 115,190 56,845 30,197 27,574 1,103 62,089 ]02,2]8 12.9% 17.2% Jun-14 455,109 82,187 47,258 12,371 19,091 20,351 25,214 661,581 9.8% 11.6% Ju1-14 527,772 73,741 41,535 12,594 7,146 552 39,673 702,019 6.634 BA% Aug 14 533,632 139,297 40,613 16,753 10,470 2,38S 39,485 782,665 A7% 8.8% Sep-14 508,446 48,593 83,609 38,070 11,057 9,163 - 699,937 29% 9.3% OR-14 469,795 157,263 29,707 22,412 15,160 11,833 5,731 711,906 4.6% ]]% Nov-14 476,662 163,655 94,369 19,941 9,035 8,424 17,535 789,622 4A% 7.0% Dec-14 535,717 179,765 123,291 73,056 13,079 8,369 8,416 941,694 3 2% 10.9% Jan-15 500,W0 124,816 72,067 38,218 50,169 2,976 30,145 818,429 10.2% 14.8% FelcIS 510,658 146,202 86,140 39,934 23,836 32,368 24,305 863,444 9 3% 13.9% Mar-15 470,612 180,153 60,752 39,795 28,691 400 37,385 817,787 8 1% 13A% ews Apr-14 526498 106,862 46,048 26,420 17,928 10,142 9,22S 743,123 5.0% 8.6% May-14 484,606 90,796 52,341 19,221 16,712 7,568 8,546 679,790 4.8% 7.7% Jun 14 675,265 79,489 41,821 28,081 990 11,223 7,010 843,979 2.3% 5.6% Jet 14 555,195 131,470 28,559 29,425 6,032 2,023 9,787 762,490 23°% 6.2% Aug 14 515,328 116,814 92,569 22,916 4,455 3,138 13,W6 768,166 2.7% 5.7% Sep 14 468,133 78,107 18,417 25,564 10,253 4,501 13,195 618,170 4.5% 8.7% Oct-14 414,059 88,986 37,873 25,390 39,760 7,790 8,835 622,693 9.1% 13.1% Nov14 326,014 96,688 36,428 5,756 18,612 33,396 18,185 595,080 11.9% 12.8% Doc 14 349,012 53,851 8,211 29,573 8,889 I8,429 12,913 490,378 8A% 14.5% lan-15 364,069 70,937 20,047 7,724 30,589 10,160 6460 510,795 9.2% 10.8% Feb15476,389 135,736 33431 18,791 10,256 12,678 23,665 710,944 6.6% 9.2% N1 15 390,437 104,136 M,920 30,203 13,096 2,838 33,089 608,709 8.1% 13.0% Commercial Apr-14 746,645 375,265 137,998 56,690 65,9]] 33,805 115,03E 1,531,411 14.0% 17.7% May-14 767,338 384,267 143,725 99,932 38,825 60,583 129422 1,614,092 14.2% 19.7% Jun-14 745,195 333,597 9B,370 75,039 44,442 40,357 157,607 1,492,597 16.2% 21.3% Jul 14 779,169 301,413 119,831 55,522 49,471 23,099 167,662 1,496,167 16.1% 19.0% Aug-14 674,759 323.069 93,8136 116,932 46,519 19,144 30,222 1,304,539 7.4% 16 3% Sep14 729,675 318,600 101421 30,990 65,762 9,954 24,913 1,281,315 7.9% 10.3% Od-14 751,329 300,266 174,996 62,743 24,611 44,021 28,049 1,386,015 7MA 1L5% Nov-14 837,730 477,142 126,290 98,081 57,341 5,931 69,126 1,671,642 7.TA 13.8% Oeo14 695,638 439,089 252,058 67,031 56,403 51,114 27,886 1,589,299 85% 127% lan1S 815,661 302,972 21B,694 197,361 41,225 57,559 24,033 1,657,509 7.4% 19.3% Feb 15 762,473 360,883 157,507 136,282 306,806 25,903 38,928 1,588,858 10.8% 19.4% M., 15 1,190,587 431,887 138,100 100,284 40,311 69,488 58,725 2.029,381 8.3% 13.2% Private Pay Apr-14 650,321 814,723 696,431 493,941 231,403 132,752 650,923 3,570,495 27.7% 41.1% May-14 627,481 9]S,25] 027,355 639,504 501,331 237,137 735,300 4,543,365 32,1% 46.5% Jun-14 575,791 886,778 1,063,910 591,971 314,773 238,002 674,347 4,345,572 28.2% 41.9% 1u1-14 509,289 919,864 947,132 628,835 289,427 150,547 727,285 4,172,380 28.0% 43.0% Aug-14 459,622 786,756 791,223 443,668 392,475 157,498 662,984 3,694,226 32.8% 44.8% Sep-14 745,573 742,070 740,124 367,145 233,819 308,445 697,695 3,834,871 32.3% 41.9% Oct-14 759,699 789,783 716,627 315,916 197,434 145,237 $27,656 3,750,351 31.2% 39.6% Nov 14 513,562 872,796 817,815 SM,882 258,320 142,900 913,195 4,103,469 320% 46.3% Dec-14 592,226 672,717 780,280 W,705 244,370 101,220 826,135 3,663,653 320% 44.2% Jan-15 692,581 628,014 635,57E 339,949 220,694 114,153 924,561 3,555,524 35.4% 45.0% Feb 35 594,192 693,604 579,358 433,857 198,790 125,076 805,642 3,430,590 32.9°% 450A Mar IS 584,134 M7,533 713,763 594,846 298,525 160,033 919,824 3,918,659 35.2% 50.4% -1� Physician Revenue Trend Memorial Medical Center As of March 2015 March 2015 2015 YTD PRIOR YEAR TD Memorial Medical Center Clinic 011005 William Crowley $ 1,087,655 $ 2,099,392 $ 1,341,683 009293 Serina Danielson $ 248,443 $ 743,689 $ 041743 Angela Dobbins $ 77,718 $ 181,223 $ - 009292 Charles Fillingane $ 379 $ 241,892 $ 375,790 $ 1,414,194 $ 3,266,196 $ 1,717,474 24% 20% 12% Port Lavaca Clinic 013000 Don Paul Bunnell $ 523,320 $ 1,573,535 $ 1,119,845 050001 John Wright $ 396,000 $ 1,152,165 $ 993,573 019000 Ric Arroyo -Diaz $ 287,160 $ 894,987 $ 722,133 013001 Leigh Anne Falcon $ 141,171 $ 431,622 $ 542,148 008800 Nirtas Kwi Timu $ 93,931 $ 483,304 $ 444,981 001500 Jewel Lincoln $ 121,761 $ 312,561 $ 545,466 320001 Sharma Odonnell $ 46,755 $ 112,173 $ 79,521 012000 Jeannine Griffin $ 46,847 $ 112,183 $ 109,568 700003 Bludua/Bunnell $ - $ - $ 26,805 610000 Craig Shaffer $ - $ - $ - $ 1,656,945 $ 5,072,530 $ 4,584,039 28% 31% 32% Specialty Clinic 022000 Peter Rojas $ 54,604 $ 201,345 $ 350,947 012100 Donald Breech $ 72,692 $ 205,444 $ 279,023 000404 Ayo Ad $ 86,679 $ 237,468 $ 215,191 070002 Richard Steinberg $ 14,934 $ 52,526 $ 26,508 525225 Azhar Malik MD $ 6,378 $ 20,106 $ 45,755 900026 Benjamin Wilson $ - $ - $ - 900000 Dakshesh Parikh $ 6,215 $ 10,082 $ 18,617 057006 A Qadri $ - $ - I$ - $ 241,502 $ 726,971 $ 936,042 4% 4% 7% -11- Physician Revenue Trend Memorial Medical Center As of March 2015 March 2015 2015 YTD PRIOR YEAR TO Coastal Medical Clinic 011000 Tim McFarland $ 63,046 $ 172,858 $ 192,306 903700 Siver McFarland $ - $ - $ - 000806 William McFarland $ 25,743 $ 69,752 $ - $ 88,789 $ 242,610 $ 192,306 1% 1% 1% independent 006000 M 5 Lin $ 57,338 $ 329,264 $ 645,896 004000 G A Williams $ 10,927 $ 35,059 $ 417,886 310001 Michelle Cummins $ 95,971 $ 123,191 $ 167,202 330000 Nhi Le MD $ 19,768 $ 28,390 $ 29,037 004002 Laura Deming $ - $ - $ 17,805 $ 184,005 $ 515,904 $ 1,277,826 3% 3% 9% Other Medical Staff 065002 George Boozalis $ 9,598 $ 36,641 $ 60,523 075000 Laborator Ramos $ - $ - $ 226 $ 9,598 $ 36,641 $ 60,749 0% 0% 0% Total E/R Physicians $ 1,834,960 $ 5,110,749 $ 4,639,647 $ 1,834,960 $ 5,110,749 $ 4,639,647 31% 31% 32% Other Ordering Physicians Other Ordering Physicians $ 367,491 $ 1,020,951 $ 650,414 004004 Neese/Twin Foun $ 42,965 $ 126,743 $ 118,382 000359 Earnest Alsop $ 8,977 $ 13,030 $ 74,933 000080 Marcus Caughron $ - $ - $ 25,196 807077 Nilesh Patel $ 95,665 $ 241,440 $ 43,575 800003 Bryan Kestler $ - $ 6,712 $ 6,369 900327 DharmendrVerma $ $ 25,336 $ 8,564 000413 Marjorie Cerny $ $ - $ - 000077 Scott Stein $ 7,367 $ 12,634 $ - 900116 Sabbagh Mohamme $ 8,425 $ 20,429 $ 10,514 012102 Jerr Followwill $ 14,400 $ 29,017 $ - 142001 Greg Cowart $ - $ - $ 10,017 $ 545,289 $ 1,496,292 $ 947,964 9% 9% 7% Totals $ 5,975,282 $ 16,467,893 $ 14,356,046 §§j)E®}})!}§));;; -�a- Payer Mix Memorial Medical Center As of March 31, 2015 Medicare 45.4 40.9 39.9 38.1 42.2 41.6 43.8 45.0 43.5 42.8 45.7 43.0 Medicaid 10.4 10.8 11.0 13.5 13.3 12.4 11.5 11.6 13.3 12.6 11.9 11.6 Blue Cross 17.5 17.3 22.6 19.5 18A 16.0 15.1 14.7 17.3 16.0 16.5 14.3 Commercial 11.0 11.7 9.4 12.1 11.9 12.0 12.4 14.8 13.0 14.2 13A 12.0 Private 12.2 15.6 12.9 12.8 11.9 14.7 13.8 9.9 10.9 12.2 10.2 10.1 Other 3.5 3.7 4.2 4.0 2.6 3.3 3.4 4.0 2.0 2.2 2.6 9.0 -14- N RUN DATE:04/18/15 MEMORIAL MEDICAL CENTER TIME:14:09 CHECK REGISTER 03/01/15 TIED 03/31/15 BANK--CHECK---------------------------------------------------- CODE NUMBER DATE AMOUNT PAYEE A/P 000588 03/02/15 1,390.26 l�ICKESSON A/P 000589 03/02/15 1,225.70 MCKESSON A/P 000590 03/02/15 1,700.62 MCKESSON A/P 000591 03/09/15 1,126.86 1CKESSON A/P 000592 03/09/15 1,079.61 MCKESSON A/P 000593 03/09/15 532.36 MCKESSON A/P 000594 03/17/15 146.20 MCKESSON A/P 000595 03/17/15 948.78 l�ICKESSON A/P 000596 03/17/15 471.73 MCKESSON A/P 000597 03/23/15 237.58 MCKESSON A/P 000598 03/23/15 652.11 MCKESSON A/P 000599 03/23/15 403,41 1CKESSON A/P 000600 03/30/15 606.72 1CUSSON A/P 000601 03/30/15 776.54 MCKESSON A/P x 000602 03/30/15 1,641.59 MCKESSON A/P s 160314 03/11/15 5,500.000R TEXAS EMS TRAUMA & ACUTE CARE A/P 160820 03/05/15 67.46 CUSTOM MEDICAL SPECIALTIES A/P 160821 03/05/15 4,234.46 BECTON, DICKINSON & CO (BD) A/P 160822 03/05/15 165.60 PHILIPS HEALTHCARE A/P 160823 03/05/15 182.19 ERBB USA INC SURGICAL SYSTEMS A/P 160824 03/05/15 7,496.25 US FOOD SERVICE A/P 160825 03/05/15 9.82 MERCEDES MEDICAL A/P 160826 03/05/15 107.52 PBARMEDIUM SERVICES LLC A/P 160827 03/05/15 127.20 WHOLESALE ELECTRIC SUPPLY A/P 160828 03/05/15 1,800.00 PRINCIPAL LIFE A/P 160829 03/05/15 3,814.28 CENTURION MEDICAL PRODUCTS A/P 160830 03/05/15 1,415.99 DEWITT POTH & SON A/P 16OB31 03/05/15 705.53 PRECISION DYNAMICS CORP (PDC) A/P 160832 03/05/15 109.76 ANBU INC A/P 160833 03/05/15 1,050.00 JOHNGSELF ASSOCIATES INC A/P 160834 03/05/15 7B3.34 GE HEALTHCARE IITS USA CORP A/P 160835 03/05/15 733.44 BIOMRT INC A/P 160836 03/05/15 .00 VOIDED A/P 160837 03/05/15 .00 VOIDED A/P 160838 D3/05/15 23,014.98 MORRIS & DICKSON CO, LLC A/P 160839 03/05/15 267.55 PLATINU14 CODE A/P 160840 03/05/15 27,267.22 NOBLE AMERICAS ENERGY A/P 160841 03/05/15 115.23 PENLON, INC A/P 160842 03/05/15 933.18 GLAXOSMITHKLINE PHAR14ACUBTICAL A/P 160843 03/05/15 240,00 REVISTA de VICTORIA A/P 160841 03/05/15 224.15 COVIDIEN A/P 160845 03/05/15 2,020.00 SIGN AD, LTD. A/P 160846 03/05/15 122.64 STRYKER SUSTAINABILITY A/P 160847 03/05/15 140.00 WAGEWORKS A/P 160849 03/05/15 44,876.10 P84C E14PLOYBE BENEFIT PLAN A/P 160849 03/05/15 28,338.04 ALLIED BENEFIT SYSTEMS A/P 160850 03/05/15 679.29 DOOR CONTROL SERVICES, INC A/P 160851 03/05/15 3,165,34 NOVA BI014EDICAL A/P 160852 03/05/15 17,552.00 STUDER GROUP A/P 160953 03/05/15 1,614.48 PHYSICIAN SALES & SERVICE PAGE 1 GLCKREG ----------------------------------_--------- -15- RUN DATE:04/18/15 MEMORIAL MEDICAL CENTER TI11E:14:09 CHECK REGISTER 03/01/15 TERU 03/31/15 BANK--CHECK---------------------------------------------------- CODE 04BER DATE AMOUNT PAYEE ..-------------------------------------- '--_. A/P 160854 03/05/15 227.61 GENESIS DIAGNOSTICS A/P 160855 03/05/15 1,308.61 WAGEWORKS A/P 160856 03/05/15 202.00 LONE STAR LIGHTING SUPPLY CO A/P 160857 03/05/15 2,800.00 ACUTE CARE INC A/P 160858 03/05/15 5,184.00 TEXAS PEN A/P 160859 03/05/15 170.00 MEWRIAL MEDICAL CLINIC A/P 160860 03/05/15 1,675.00 M G TRUST A/P 160861 03/05/15 425.00 SHIFTHOUND A/P 160862 03/05/15 3,283.31 TRUSTAFF A/P 160863 03/05/15 303.10 DERRI HART A/P 160864 03/05/15 75,00 FIRST CLEARING A/P 160865 03/05/15 1,660.00 THE INLINE GROUP A/P 160866 03/05/15 938.40 THE BRATTON FIRM A/P 160867 03/05/15 3,768.86 SOUTHWEST X-RAY COMPANY A/P 160868 03/05/15 14,640.00 CALHOUN CO INDIGENT ACCT A/P 160869 03/05/15 595.00 ZOLL 14EDICAL CORP A/P 160870 03/05/15 124.60 GULF COAST HARDWARE / ACE A/P 160871 03/05/15 302.47 A14HRISOURCEBERGEN DRUG CORP A/P 160872 03/05/15 571.14 AIRGAS-SOUTHWEST A/P 160873 03/05/15 477.00 ALIGN LABORTORIES INC A/P 160874 03/05/15 412.68 ALIMED INC. A/P 160875 03/05/15 420.D0 TSICP A/P 160876 03/OS/15 134.60 ARMSTRONG MEDICAL INDUSTRIES A/P 160877 03/OS/15 937.94 BARD PERIPHERAL VASCULAR A/P 160878 03/05/1S 534.00 BARD ACCESS A/P 160879 03/05/15 1,953.67 BAXTER HEALTHCARE CORP A/P 160880 03/05/15 .00 VOIDED A/P 160891 03/OS/15 20,155.67 BECKIIAN COULTER INC A/P 160882 03/05/15 1,137.00 BOSTON SCIENTIFIC CORPORATION A/P 160883 03/05/15 263.59 BRIGGS HEALTHCARE A/P 160884 03/05/15 635,35 CABLE ONE A/P 160885 03/05/15 25.00 CAL COM FEDERAL CREDIT UNION A/P 160886 03/05/15 313,00 GI SUPPLY A/P 160887 03/05/15 3,579.29 CITY OF PORT LAVACA A/P 160888 03/05/15 137.50 CONNED CORPORATION A/P 160889 03/05/15 9,950.86 COW GOVERNMENT, INC. A/P 160890 03/05/15 994.07 COOPER SURGICAL INC A/P 160891 03/05/15 22,586.91 CPSI A/P 160892 03/05/15 149.00 DOWNTOWN CLEANERS A/P 160893 03/05/15 77.80 DYNATRONICS CORPORATION A/P 160894 03/05/15 35.61 FEDERAL EXPRESS CORP. A/P 160895 03/05/15 5,275.21 FISHER HEALTHCARE A/P 160896 03/05/15 236.93 GE MEDICAL SYSTEMS, INFO TECH A/P 160997 03/05/15 100.00 GULF COAST DELIVERY A/P 160998 03/05/15 70.52 GETINGE USA A/P 160899 03/05/15 380.79 GULF COAST PAPER COMPANY A/P 160900 03/05/15 209.37 H E BUTT GROCERY A/P 160901 03/05/15 246.09 HILL -ROM COMPANY, INC A/P 160902 03/05/15 12,832.98 HOSPIRA WORLDWIDE, INC A/P 160903 03/05/15 351.93 INDEPENDENCE MEDICAL A/P 160904 03/05/15 4,911.17 WERFEN USA LLC PAGE 2 GLCKREG -16- RUN DATB;04/18/15 MEIK)RIAL MEDICAL CENTER PAGE 3 TINE:14:09 CHECK REGISTER GLCKREG 03/01/15 THEO 03/31/15 BANK -CHECK ---------------------------------------------------- CODE W43ER DATE AMOUNT PAYEE --- "-------------------------- .. A/P 160905 03/05/15 2,779.99 J & J HEALTH CARE SYSTEMS, INC A/P 160906 03/05/15 166.00 DECKER FLOOR & GLASS A/P 160907 03/05/15 104.46 M.C. JOHNSON COMPANY INC A/P 160908 03/05/15 2,259.42 KCI USA A/P 160909 03/05/15 1,259.80 SHIRLEY KARNEI A/P 160910 03/05/15 68.60 MARKS PLUMBING PARTS A/P 160911 03/05/15 55.12 14EDLINE INDUSTRIES INC A/P 160912 03/05/15 531,12 BAYER HEALTHCARE A/P 160913 03/05/15 112.46 151C AUXILIARY GIFT SHOP A/P 160914 03/05/15 258.52 14ETLIFE A/P 160915 03/05/15 2,847.42 FERRY X-RAY/SOURCFANE HRALTHCA A/P 160916 03/05/15 251.31 MICROTEK MEDICAL INC A/P 160917 03/05/15 245,62 MEDIVATORS A/P 160918 03/05/15 595.00 NATIONAL RECALL ALERT CENTER A/P 160919 03/05/15 204.35 OFFICE DEPOT A/P 160920 03/05/15 .00 VOIDED A/P 160921 03/05/15 .00 VOIDED A/P 160922 03/05/15 .00 VOIDED A/P 160923 03/05/15 .00 VOIDED A/P 160924 03/OS/15 17,893.53 OWING & MINOR A/P 160925 03/05/15 495.00 PETROLEDI4 SOLUTIONS,INC. A/P 160926 03/05/15 243.44 R & D BATTERIES INC A/P 160927 03/05/15 90.00 RADIOLOGY UNLIMITED, PA A/P 160928 03/05/15 1,818.84 RECEIVABLE 41ANAGENENT, INC A/P 160929 03/05/15 148.72 EVOQUA WATER TECHNOLOGIES LLC A/P 160930 03/05/15 198.41 SHERWIN WILLIAMS A/P 160931 03/OS/15 105.80 SMILE MAKERS A/P 160932 03/6/15 241,90 SMITH & NEPHEW A/P 160933 03/05/15 13,320.00 SO TEX BLOOD & TISSUE CENTER A/P 160934 03/05/15 47.40 STRYKER SALES CORP A/P 160935 03/05/1S 438.75 SYSCO FOOD SERVICES OF A/P 160936 03/05/15 5,421.60 TLC STAFFING A/P 160937 03/05/15 5,657.00 TEXAS MUTUAL INSURANCE CO A/P 160938 03/05/15 2,378.23 THYSSENKRUPP ELEVATOR CORP A/P 160939 03/05/15 136.80 TG A/P 160940 03/05/15 158.41 UNIFIRST HOLDINGS A/P 160941 03/05/15 783.64 UNIFORM ADVANTAGE A/P 160942 03/05/15 .00 VOIDED A/P 160943 03/05/15 8,569.30 UNIFIRST HOLDINGS INC A/P 160944 03/05/15 1,305.91 UPS A/P 160945 03/05/15 1,000.00 US POSTAL SERVICE A/P 160946 03/05/15 1,031.43 VERIZON SOUTHWEST A/P 160947 03/05/15 448.86 THE VICTORIA ADVOCATE A/P 160948 03/05/15 30,00 VITAL STATISTICS A/P 160949 03/05/15 489,01 WALMART COMMUNITY A/P 160950 03/05/15 269,87 GRAINGER A/P 160951 03/05/15 496,60 GUZI4AN JOVITA A/P 160952 03/05/15 325.20 APWU HEALTH PLAN A/P 1609S3 03/05/1S 29.00 PFEIFER 41ARY A A/P 160954 03/05/15 48.60 14SC 410936 A/P 160955 03/05/15 540.57 BLUE CROSS BLUE SHIELD RUN DATE:04/18/15 MEMORIAL MEDICAL CENTER TIME:14:09 CHECK REGISTER 03/01/15 THRU 03/31/15 BANK--CHECK---------------------------------------------------- CODE NUMBER DATE AMOUNT PAYEE _-------------------------------------- ..__-__----__----------._____--_--_ A/P 160956 03/05/15 99.40 WPS/TRICARE A/P 160957 03/05/15 81.72 AETNA LIFE INS A/P 160958 03/05/15 56.15 WPS/TRICARE A/P 160959 03/05/15 69.40 WPS/TRICARE A/P 160960 03/05/15 67,50 PORT LAVACA AUTO GROUP A/P 160961 03/05/15 1,216.00 WPS TRICARE FOR LIFE A/P 160962 03/05/15 75.00 AETNA A/P 160963 03/05/15 357.36 UNITED HEALTHCARE A/P 160964 03/05/15 110.00 AMA A/P 160965 03/05/15 223,66 UNITED HEALTHCARE A/P 160966 03/05/15 119.21 SPRINGFIELD SERVICE GEM A/P 160967 03/05/15 17.13 ROKYTA CAROLYN A/P 160968 03/05/15 210.00 OMAHA INS CO A/P 160969 03/05/15 82.75 BCBS OF TEXAS A/P 160970 03/05/15 16.51 ODEFEY JAI-119 A/P 160971 03/05/15 10.00 MORENO ELISA ANTONIA A/P 160972 03/05/15 242.60 AMERICAN PIONEER LIFE I A/P 160973 03/OS/15 142.56 SPRINGFIELD SERVICE CEN A/P 160974 03/05/15 200.00 PAYNE BONNIE A/P 160975 03/05/15 143.00 HUANG KELLEY A/P 160976 03/09/15 267,325.87 K & T CONSTRUCTION, CO., INC. A/P 160977 03/09/15 DD METRO SHELVING A/P 160978 03/11/15 .00 VOIDED A/P 160979 03/11/15 38,262.33 I4ORRIS & DICKSON CO, LLC A/P 160980 03/11/15 2,911.50 C014BINED INSURANCE GO A/P 160981 03/11/15 4,875.00 ATD-AUSTIN A/P 160982 03/11/15 5,500.00 TEXAS EMS TRAUMA & ACUTE CARE A/P 160983 03/11/15 713.58 STORAGE & DISTRIBUTION SYSTEMS A/P 160984 03/18/15 11,001.20 OMNI-PORT LAVACA 07, L.P. A/P 160595 03/18/15 2,792.18 PHILIPS HEALTHCARE A/P 160996 03/18/15 280.00 CHRIS KOVAREK A/P 1609B7 03/18/15 280.03 NATUS MEDICAL INC A/P 160988 03/18/15 750.00 JAMES A DANIEL A/P 160989 03/18/15 9,166.67 HITACHI MEDICAL SYSTEMS A/P 160990 03/18/15 138.00 PMO53SALE ELECTRIC SUPPLY A/P 160991 03/18/15 919.52 CENTURION MEDICAL PRODUCTS A/P 160992 03/18/15 .00 VOIDED A/P 160993 03/18/15 1,483.17 DEWITT POTH & SON A/P 160994 03/18/15 600,00 JOHNGSELF ASSOCIATES INC A/P 160995 03/18/15 925.00 DA&E A/P 160996 03/18/15 .00 VOIDED A/P 160997 03/18/15 78,429.90 MORRIS & DICKSON CO, LLC A/P 160998 03/18/15 1,122.87 REPUBLIC SERVICES 4847 A/P 160999 03/18/15 17,575.00 CPR WOUND CARE H2B,LLC A/P 161000 03/18/15 4,789.20 BKD, LLP A/P 161001 03/18/15 245.10 CENTURYLINK A/P 161002 03/18/15 495.00 FASTHEALTH CORPORATION A/P 161003 03/18/15 295,00 OSCAR TORRES A/P 161004 03/18/15 78,632.14 IDIC EMPLOYEE BENEFIT PLAN A/P 161005 03/18/15 125.52 GNR HEALTH SYSTEMS INC A/P 161006 03/18/15 241.40 RECALL SECURE DESTRUCTION SRV PAGE 4 GLCKREG sm RUN DATE:04/18/15 MEMORIAL 14EDICAL CENTER. TII4E:14:09 CHECK REGISTER 03/01/15 THRU 03/31/15 BANK--CHECK---------------------------------------------------- CODE NUMBER DATE AMOUNT PAYEE -------------------------------------- .--------------------------------- .. A/P 161007 03/18/15 9,207.00 NIGHTINGALE NURSES, LIC A/P 161008 03/18/15 185.00 SHANNON JACILDO A/P 161009 03/18/15 17,500.00 STUDER GROUP A/P 161010 03/18/15 190.00 PROCESSOR & CHEMICAL SERVICES A/P 161011 03/18/15 1,989.50 ROLANDO REYES, SR, A/P 161012 03/18/15 1,308.61 WAGEWORXS A/P 161013 03/18/15 12,895.95 HUNTER PHARMACY SERVICES A/P 161014 03/18/15 169.00 AMERICAN APPLIANCE A/P 161015 03/18/15 1,333.33 SIEMENS FINANCIAL SERVICES A/P 161016 03/18/15 2,065.50 TEXAS PRE A/P 161017 03/18/15 2,228.75 TRUVEN HEALTH ANALYTICS INC A/P 161018 03/16/15 419.83 UNITED RENTALS (NORTH AMERICA) A/P 161019 03/18/1S 1,675.00 14 G TRUST A/P 161020 03/18/15 21,833.76 CSI LEASING INC A/P 161021 03/18/15 481,950.99 K & T CONSTRUCTION, CO., INC. A/P 161022 03/18/15 490,10 DERRI HART A/P 161023 03/13/15 75.00 FIRST CLEARING A/P 161024 03/18/15 3,156.94 SOUTHI'IEST X-RAY COMPANY A/P 161025 03/18/15 996.00 KUNU-TV A/P 161026 03/18/15 2,890.90 E-IDS, INC A/P 161027 03/18/1S B9.OS GULF COAST HARDWARE / ACE A/P 161028 03/18/15 128.00 ACTION LUMBER A/P 161029 03/18/15 25,485,07 AMERISOURCEBHRGEN DRUG CORP A/P 161030 03/18/15 1,914.17 AIRGAS-SOUTHWEST A/P 161031 03/18/15 477.00 ALCON LABORTORIES INC A/P 161032 03/18/15 35,56 ALCO SALES & SERVICE CO A/P 161033 03/18/15 271.00 AMERICAN COLLEGE OF HEALTHCARE A/P 161034 03/18/15 3,516.44 AFLAC A/P 161035 03/18/15 1,604.69 CARDINAL HEALTH 414,11C A/P 161036 03/18/15 5,245.28 BAXTER HEALTHCARE CORP A/P 161037 03/18/15 133,39 BRIGGS HEALTHCARE A/P 161038 03/18/15 25,00 CAL COM FEDERAL CREDIT UNION A/P 161039 03/18/15 528,00 CAD SOLUTIONS, INC A/P 161040 03/18/15 92.08 CALHOUN COUNTY A/P 161041 03/18/15 20.00 CALHOUN COUNTY WASTE 11GITT A/P 161042 03/18/15 466.65 CENTRAL DRUGS A/P 161043 03/18/15 354.80 CHANNING L BETE CO INC A/P 161044 03/18/15 210.70 COW GOVERNMENT, INC. A/P 161045 03/18/15 300.00 DOLPHIN TALK A/P 161046 03/18/15 15.50 DOINII0IN CLEANERS A/P 161047 03/18/15 179.75 DIE PAPER & PACKAGING A/P 161048 03/18/15 164.70 EDWARDS LIFESCIENCES A/P 161049 03/18/15 22.36 FEDERAL EXPRESS CORP, A/P 161050 03/18/15 530.00 FORT BEND SERVICES, INC A/P 161051 03/18/15 260.00 GE MEDICAL SYSTEMS, INFO TECH A/P 161052 03/18/15 117.98 GRAPHIC CONTROLS LLC A/P 161053 03/18/15 50.00 GREENHOUSE FLORAL DESIGNERS A/P 161054 03/19/15 235.72 GULF COAST PAPER COMPANY A/P 161055 03/18/15 3,302.27 HOLOGIC INC A/P 161056 03/18/15 228.53 HEALTH CARE LOGISTICS INC A/P 161057 03/18/15 295,00 HEALTH CARE COMPLIANCE ASSOC PAGE 5 GLCKREG -19- RUN DATE;04/18/15 MEMORIAL MEDICAL CENTER TI61E;14;09 CHECK REGISTER 03/01/15 TURD 03/31/15 BANK --CHECK ------------------------- CODE NUMBER DATE AMOUNT _------------- ---------------' A/P 161058 03/18/15 270.47 A/P 161059 03/18/15 1,660.00 A/P 161060 03/18/15 1,052.50 A/P 161061 03/18/15 49.59 A/P 161062 03/18/IS 599.00 A/P 161063 03/18/15 78.30 A/P 161064 03/1B/15 1,410.10 A/P 161065 03/18/15 54.00 A/P 161066 03/18/15 173.02 A/P 161067 03/18/15 154.06 A/P 161068 03/18/15 93.79 A/P 161069 03/18/15 3,000.00 A/P 161070 03/18/15 274.61 A/P 161071. 03/18/15 .00 A/P 161072 03/18/15 4,952.76 A/P 161073 03/18/15 519.00 A/P 161074 03/18/15 96,77 A/P 161075 03/18/15 4,798.10 A/P 161076 03/18/15 37.50 A/P 161077 03/18/15 375.00 A/P 161078 03/18/15 179.88 A/P 161079 03/18/15 45.00 A/P 161080 03/18/15 234.30 A/P 161081 03/18/IS 3,915.58 A/P 161082 03/18/15 1,000.00 A/P 161083 03/18/15 241.90 A/P 161084 03/18/15 1,091.69 A/P 161085 03/18/15 1,154.76 A/P 161086 03/18/15 9,874.50 A/P 161087 03/18/15 3,569.00 A/P 161088 03/18/15 137.90 A/P 161089 03/18/1S 650.00 A/P 161090 03/18/15 4,457.58 A/P 161091 03/18/15 167.76 A/P 161092 03/19/15 66.96 A/P 161093 03/18/15 .00 A/P 161094 03/18/15 8,619.90 A/P 161095 03/18/15 1,200.00 A/P 161096 03/18/15 75.00 A/P 161097 03/18/15 137.34 A/P 161098 03/18/15 3,218.35 A/P 161099 03/18/15 520.00 A/P 161100 03/18/15 105.88 A/P 161101 03/25/15 14,488.64 A/P 161102 03/25/15 1,848.40 A/P 161103 03/25/15 785.28 A/P 161104 03/25/15 .00 A/P 161105 03/25/15 40,530.86 A/P 161106 03/25/15 1,200.00 A/P 161107 03/25/15 1,475.00 A/P 161108 03/25/15 125.28 PAYEE PAGE 6 GLCKREG -------------------------------------------------- INDEPENDENCE MEDICAL KAVU-TV SHIRLEY KARNEI KENTEC MEDICAL INC L,A.W. PUBLICATIONS LANGUAGE LINE SERVICES BAYER HEALTHCARE MEGADYNE MEDICAL 424C AUXILIARY GIFT SHOP 14ERRY X-RAY/SOURCEONE HRALTHCA IMtC VOLUNTEERS NUTRITION OPTIONS OFFICE DEPOT VOIDED OWENS & MINOR PORT LAVACA WAVE POWER ELECTRIC CULLIGAN OF VICTORIA RED HAWK RADIOLOGY UNLIMITED, PA RESPIRONICS, INC. SAVE CLUB DIRECT SHERWIN WILLIAMS SIEMENS 14EDICAL SOLUTIONS INC SOUTHEAST TEXAS HEALTH SYS SMITH & NEPHEW STERICYCLE, INC TLC STAFFING TOSHIBA AMERICA 148DICAL SYST. TEXAS HOSPITAL INS EXCHANGE TEXAS WIRED I4USIC INC TRINITY PHYSICS CONSULTING LLC UNU14 LIFE INS CO OF AMERICA UNIFIRST HOLDINGS UNIFORM ADVANTAGE VOIDED UNIFIRST HOLDINGS INC US POSTAL SERVICE VCS SECURITY SYSTEMS VERIZON SOUTHWEST THE VICTORIA ADVOCATE VICTORIA RADIOWORKS, LTD WELCH ALLYN INC US FOOD SERVICE PRINCIPAL LIFE PRECISION DYNA14ICS CORP (PDC) VOIDED MORRIS & DICKSON CO, LLC TELE-PHYSICIANS, P.A. (TX) AMERICAN COLLEGE OF RADIOLOGY CERTIFIED LABORATORIES RUN DATE:04/18/15 TIME:14:09 BANK--CHECK----------------- CODE 01BER DATE AMOUNT ---------------------- MEMORIAL 149DICAL CENTER CHECK REGISTER 03/01/15 THRU 03/31/15 PAYEE ---------------------- A/P 161109 03/25/15 11,699.16 OWENS & MINOR A/P 161110 03/25/15 1,619.86 SYSCO FOOD SERVICES OF A/P 161111 03/25/15 634.14 STERIS CORPORATION A/P 161112 03/25/15 4,107,00 T-SYSTEM, INC A/P 161113 03/25/15 278.54 TRI-ANIMI HEALTH SERVICES INC A/P 161114 03/25/15 726.65 VERIZON SOUTHWEST TOTALS: 1,666,539.39 PAGE 7 GLCKREG -21- RUN DATE:04/18/15 MEMORIAL MEDICAL CENTER TIME:14:09 CHECK REGISTER 03/01/15 THEN 03/31/15 BANK --CHECK___________________.______._______.._______.__ CODE HIBER DATE AMOUNT PAYEE ICP 011662 03/12/15 273.19 0-IMUNITY PATHOLOGY ASSOCIATES ICP 011663 03/12/15 49.66 I•VtU-SHONG LIN, N.D. ICP 011664 03/12/15 2,338.43 PORT LAVACA CLINIC ASSOC, PA ICP 011665 03/12/15 214.39 RADIOLOGY UNLIT-11TED PA ICP 011666 03/12/15 523.55 REGIONAL EMPLOYEE ASSISTANCE ICP 011667 03/12/15 4,984.42 I-IE140RIAL MEDICAL CENTER ICP 011668 03/12/15 39,585,78 MEMORIAL MEDICAL CENTER ICP 011669 03/12/15 33.27 VICTORIA KIDNEY DIALYSIS ICP 011670 03/12/15 914.07 PORT LAVACA ANESTHESIA LLC ICP 011671 03/12/15 337.23 ADO SPORTS MEDICINE CLINIC ICP 011672 03/12/15 524.39 VICTORIA PROFESSIONAL MEDICAL ICP 011673 03/18/15 5,103.54 MEMORIAL MEDICAL CENTER ICP 011674 03/31/15 103.48 IRU-SHONG LIN, M.D. ICP 011675 03/31/15 1,032.40 PORT LAVACA CLINIC ASSOC, PA ICP 011676 03/31/15 175.09 RADIOLOGY UNLI141TED PA ICP 011677 03/31/15 22B.02 REGIONAL EMPLOYEE ASSISTANCE ICP 011678 03/31/15 8,139.48 MEMORIAL 14EDICAL CENTER ICP 011679 03/31/15 1,170,83 HER PEARPIACY ICP 011680 03/31/15 186.92 ADD SPORTS MEDICINE CLINIC ICP 011681 03/31/15 453.08 VICTORIA PROFESSIONAL 14EDICAL ICP 011682 03/31/15 187.20 DR. WILLIAM J. CROWLEY TOTALS: 65,557.42 PAGE 8 GLCKREG -22- RUN DATE:04/18/15 IIE14ORIAL MEDICAL CENTER PAGE 9 TIRE: 14;09 CHECK REGISTER GLCKREG 03/01/15 THRU 03/31/15 BANK --NECK ---------------------------------------------------- CODE NUI4BER DATE AMOUNT PAYEE PR- 061742 03/12/15 639.03 PAY-P.02/20/15 03/05/15 PR- 061743 03/12/15 447.22 PAY-P.02/20/15 03/05/15 PR- 061744 03/12/15 621.72 PAY-P.02/20/15 03/05/15 PR- 061745 03/26/15 573.75 PAY-P.03/06/15 03/19/15 PR- 061746 03/26/15 440.92 PAY-P.03/06/15 03/19/15 PR- t 061747 03/26/15 330.32 PAY-P.03/06/15 03/19/15 PR- 999999 03/12/15 476,394.24 TOTALS: 479,447.20 -23- RUN DATE: 04/22/15 MEMORIAL MEDICAL CENTER TIME: 10:30 DEFAULT FORMAT FROM DB019 PRTitle PRDeptName PRTotGross -------------------------------------------------------------------- REGISTERED NURSE EMERGENCY ROOM 4688.33 DEPARTMENTAL ASSIST MAINTENANCE 2497.85 CS TECHNICIAN CENTRAL SUPPLY 1988.02 CENTRAL STERILE TECH SURGERY 2803.25 PURCHASING SUPERVISR CENTRAL SUPPLY 2516.00 IP/EH/RM NURSE INFECTION PREVENTION 5456.98 REGISTERED NURSE APED/SURG 2038.25 FOOD SERVICE STAFF DIETARY 1525.40 0 R AIDE SURGERY 1543.10 TRAUMA COORDINATOR EMERGENCY RO0I4 5506.25 SHIFT SUPERVISOR -AM ENVIRONMENTAL SERVICES 2041.52 OP/PACU/PRN/RN SURGERY 1084.13 MANAGER-SURGERY-OPC SURGERY 6119.47 PAYROLL CLERK ACCOUNTING 3478.70 REGISTERED NURSE MED/SURG 7567.01 LICENSED VOCATIONAL OBSTETRICS 3386.44 LICENSED VOCATIONAL APED/SURG 3286.55 REGISTERED NURSE ICU 380.00 REGISTERED NURSE OBSTETRICS 2936.62 REGISTERED NURSE EMERGENCY ROOM 7114.40 DIRECTOR OF INPT SVC MED/SURG 5775.40 REGISTERED NURSE OBSTETRICS 5307.89 LICENSED VOCATIONAL MED/SURG 2352.01 AD14INIST ASSISTANT ADMINISTRATION 3270.60 REGISTERED NURSE EMERGENCY ROOM 761.50 REGISTERED NURSE ICU 4381.74 PRE -ADMISSION NURSE SURGERY 3120.69 REGISTERED NURSE ICU 5002.62 REGISTERED NURSE SPECIALTY CLINIC 6645.52 LICENSED VOCATIONAL SURGERY 3651.27 REGISTERED NURSE EMERGENCY ROOM 4714.62 RADIOLOGICAL TECH DIAGNOSTIC IMAGING 5081.20 MICRO AST LABORATORY 217.53 MEDICAL LAB TECH LABORATORY 537.75 LAB DIRECTOR LABORATORY 4647.40 LAB ASSISTANT LABORATORY 3136.09 MEDICAL LAB TECH LABORATORY 3857.98 MEDICAL TECHNOLOGIST LABORATORY 4153.67 REGISTERED NURSE EMERGENCY R0014 5555.61 PT TECH II PHYSICAL THERAPY 2029.56 REGISTERE➢ NURSE MED/SURG 2288.13 TRANSCRIPTIONIST-RIC HEALTH INFORMATION MANAGEMENT 1945.58 REGISTERED NURSE OBSTETRICS 6147.19 REGISTERED NURSE OBSTETRICS 4173.87 ED MANAGER EMERGENCY ROOM 5693.80 REGISTERED NURSE MED/SURG 2679.88 REGISTERED NURSE OBSTETRICS 877.63 REGISTERED NURSE OBSTETRICS 2297.50 REGISTERED NURSE OBSTETRICS 1574.75 REGISTERED NURSE OBSTETRICS 4232,72 CNO-DIRECTOR OF QA QUALITY ASSURANCE 6585.00 REGISTERED NURSE SURGERY 5248.71 REGISTERED NURSE MED/SURG 3478.08 LICENSED VOCATIONAL MED/SURG 475.76 PAGE 1 -24- RUN DATE: 04/22/15 MEMORIAL MEDICAL CENTER TIME: 10:30 DEFAULT FORMAT FROM DB019 PRTitle PRDeptName PRTotGross -------------------------------------------------------------------- PRACT ADMINISTRATOR ME140RIAL MEDICAL CLINIC 6511.40 REGISTERED NURSE ICU 4390.27 MEDICAL LAB TECH LABORATORY 530.25 LICENSED VOCATIONAL MED/SURG 224.75 SUPERVISOR LVN/RPhT PHARMACY 3168.13 REGISTERED NURSE MED/SURG 1254.50 CASE MANAGER/UR/DP UTILIZATION REVIEW 4185.23 REGISTERED NURSE MED/SURG 3877.59 REGISTERED NURSE ME➢/SURG 5012.33 CERTIFIED NURSE AIDE MED/SURG 165.00 REGISTERED NURSE MED/SURG 2600.50 CERTIFIED NURSE AIDE MED/SURG 1456.40 REGISTERED NURSE MED/SURG 5902.88 LICENSED VOCATIONAL MED/SURG 2174.76 REGISTERED NURSE MED/SURG 1634.75 REGISTERED NURSE MED/SURG 5419.01 REGISTERED NURSE MED/SURG 2990.44 REGISTERED NURSE MED/SURG 2330.50 REGISTERED NURSE OBSTETRICS 5990.10 CERTIFIED NURSE AIDE MED/SURG 1597.53 REGISTERED NURSE MED/SURG 6871.92 REGISTERED NURSE ICU 4398.75 REGISTERED NURSE EMERGENCY ROOM 224.94 REGISTERED NURSE MED/SURG 1716.75 LICENSED VOCATIONAL MED/SURG 2394.16 LICENSED VOCATIONAL MEMORIAL MEDICAL CLINIC 2087.45 REGISTERED NURSE MED/SURG 3225.75 LICENSED VOCATIONAL MED/SURG 425.75 REGISTERED NURSE OBSTETRICS 721.75 REGISTERED NURSE EMERGENCY ROOM 4841.03 LICENSED VOCATIONAL MEMORIAL MEDICAL CLINIC 2281.22 CERTIFIED NURSE AIDE MED/SURG 2309.39 CERTIFIED NURSE AIDE MED/SURG 2223.59 LICENSED VOCATIONAL MEMORIAL MEDICAL CLINIC 2783.02 CERTIFIED NURSE AIDE MED/SURG 1558.01 REGISTERED NURSE MED/SURG 843.75 REGISTERED NURSE ICU 242.82 REGISTERED NURSE EMERGENCY ROOM 5100.68 REGISTERED NURSE ICU 4226.35 REGISTERED NURSE ICU 1178.25 REGISTERED NURSE ICU 4653.44 REGISTERED NURSE ICU 4088.46 REGISTERED NURSE ICU 5611.79 REGISTERED NURSE ICU 4939.76 RN -OR SCRUB NURSE SURGERY 4101.23 REGISTERED NURSE SURGERY 5849.33 0 R TECH SURGERY 2828.19 REGISTERED NURSE SURGERY 5543.01 RN-PERIOPERATIVE SURGERY 5167.85 PRESCRIPTION CLERK INDIGENT CARE PROGRA14 1689.99 PURCRASINGBUYCOURIER TRANSPORTATION 1820.18 COURIER -CS TECH TRANSPORTATION 1052.50 OP COORDINATOR SPECIALTY CLINIC 2169.75 REGISTERED NURSE EMERGENCY ROOM 2287,44 REGISTERED NURSE EMERGENCY ROOM 116.25 PAGE 2 -25- RUN DATE: 04/22/15 MEMORIAL MEDICAL CENTER TIME: 10:30 DEFAULT FOR14AT FROM DBO19 PRTitle PRDeptName PRTotGross -------------------------------------------------------------------- UNIT SECRETARY MED/SURG 1878.72 REGISTERED NURSE EMERGENCY ROOM 4435.25 REGISTERED NURSE EMERGENCY ROOM 3228.45 PPP TECH SUPERVISOR LABORATORY 4132.38 MEDICAL TECHNOLOGIST LABORATORY 3639.28 REGISTERED NURSE MED/SURG 4655.16 14EDICAL LAB TECH LABORATORY 3470.67 MEDICAL LAB TECH LABORATORY 3392.57 LABORATORY ASSISTANT LABORATORY 1183.50 LABORATORY ASSISTANT LABORATORY 255.50 LAB ASSISTANT LABORATORY 2187.78 LABORATORY ASSISTANT LABORATORY 2158.79 MEDICAL TECHNOLOGIST LABORATORY 807.01 LAB ASSISTANT LABORATORY 2091.50 ASSISTANT/SECRETARY LABORATORY 2527.66 MEDICAL LAB TECH LABORATORY 3749.13 14EDICAL TECHNOLOGIST LABORATORY 1544.01 14RDICAL LAB TECH LABORATORY 3676.72 LAB ASSISTANT LABORATORY 2389.94 REGISTERED NURSE MED/SURG 889.75 LICENSED VOCATIONAL MEMORIAL MEDICAL CLINIC 2250.89 REGISTERED NURSE EMERGENCY ROOM 5362.98 RADIOLOGICAL TECH DIAGNOSTIC IMAGING 5752.56 RADIOLOGICAL TECH DIAGNOSTIC IMAGING 621.00 RECEPT/SECRETARY DIAGNOSTIC IMAGING 1987.10 DIRECTOR DIAGNOSTIC IMAGING 6777.13 DIAG IMAG SUPERVISOR DIAGNOSTIC IMAGING 6022.22 RADIOLOGY TECH DIAGNOSTIC IMAGING 6113.44 RADIOLOGICAL TECH DIAGNOSTIC IMAGING 3567.08 RADIOLOGICAL TECH DIAGNOSTIC IMAGING 4128.46 RADIOLOGICAL TECH DIAGNOSTIC IMAGING 1809.60 RADIOLOGY TECH DIAGNOSTIC IMAGING 1831.87 RADIOLOGICAL TECH DIAGNOSTIC IMAGING 3186.07 REGIST PHARMACY TECH PHARMACY 2352.63 REG PHARMACY TECH PHARMACY 284.75 LVN-CHG-CHART AUDITR PHARMACY 2825.52 REGIST PHARMACY TECH PHARMACY 2765.51 RECEP-MED ASST-PhT 14EI60RIAL MEDICAL CLINIC 2681.13 INSURANCE FU CLERK MEMORIAL MEDICAL CLINIC 2363.59 RECEPT/MEDICAL ASST MEMORIAL MEDICAL CLINIC 1739.40 INSURANCE FU CLERK MEMORIAL MEDICAL CLINIC 2134.82 RECEPTIONIST-OPERATR MEMORIAL 14EDICAL CLINIC 2169.31 PHYSICIAN ASSISTANT MEMORIAL MEDICAL CLINIC 7538.40 MEDICAL ASSISTANT MEMORIAL MEDICAL CLINIC 1698.78 PT ASSISTANT PHYSICAL THERAPY 1744.20 PT ASSISTANT PHYSICAL THERAPY 4136.67 PT TECHNICIAN PHYSICAL THERAPY 827.54 PT ASSISTANT PHYSICAL THERAPY 3087.50 OCCUPATION THERAPIST PHYSICAL THERAPY 1017.50 DIRECTOR OF PT PHYSICAL THERAPY 7408.00 PHYSICAL THERAPIST PHYSICAL THERAPY 9199.50 IT TECHNICIAN PHYSICAL THERAPY 493.44 PT OPERATION MANAGER PHYSICAL THERAPY 12153.59 PT TECH 1 PHYSICAL THERAPY 1196.34 CERTIFIED NURSE AIDE MED/SURG 1836.42 PAGE 3 -26- RUN DATE: 04/22/15 MEMORIAL MEDICAL CENTER TIME: 10:30 DEFAULT FORMAT FROM DB019 PRTitle PRDeptName PRTotGross -------------------------------------------------------------------- THERAPIST BEHAVIORAL HEALTH 3704.00 CIHCP COORDINATOR INDIGENT CARE PR0GRAM 1509.00 DISCHARGE ANALYST HEALTH INFORMATION MANAGEMENT 1475.18 BR -ER CODING SPCLST HEALTH INFORMATION MANAGEMENT 2099.16 OUT -PATIENT CODER HEALTH INFORMATION MANAGEMENT 2450.86 TRANSCRIPTIONIST HEALTH INFORMATION 14ANAGE14ENT 2466.57 ROI / RI TECHNICIAN HEALTH INFORMATION MANAGEMENT 777.57 ES AIDE ENVIRONMENTAL SERVICES 1673.51 FOOD SERVICE STAFF DIETARY 1091.25 FOOD SERVICE STAFF DIETARY 1589.20 FOOD SERVICE STAFF DIETARY 1158.75 FOOD SERVICE STAFF DIETARY 1579.92 FOOD SERVICE STAFF DIETARY 1446.52 SHIFT SUPERVISOR DIETARY 2258.51 FOOD SERVICE STAFF DIETARY 1784.08 DIETARY DIRECTOR DIETARY 1130.64 FOOD SERVICE STAFF DIETARY 1001.03 FOOD SERVICE STAFF DIETARY 1520.76 DIRECTOR OF DIETARY DIETARY 3680.02 GROUNDSKEEPER-PAINTR MAINTENANCE 2226.26 SECURITY OFFICER SECURITY 1014.25 13IO-MED TECHNICIAN BID MEDICAL ENGINEERING 255.00 BIO-MED TECHNICIAN BIO MEDICAL ENGINEERING 4359.40 SUPERVISOR MAINTENANCE 3859.02 SECURITY SUPERVISOR SECURITY 2146.88 FLOOR TECHNICIAN ENVIRONMENTAL SERVICES 1797.90 ES MANAGER ENVIRONMENTAL SERVICES 3181.15 DIR OF PLANT SERVICE MAINTENANCE 5655.40 ES AIDE ENVIRONMENTAL SERVICES 1528.41 ES AIDE ENVIRONMENTAL SERVICES 1243.65 ES AIDE ENVIRONMENTAL SERVICES 1675.09 ES AIDE ENVIRONMENTAL SERVICES 1427.34 ES AIDE ENVIRONMENTAL SERVICES 1469.70 ES AIDE ENVIRONMENTAL SERVICES 1615.14 CERTIFIED NURSE AIDE MED/SURG 1404.46 ES AIDE ENVIRONMENTAL SERVICES 1181.93 ES AIDE ENVIRONMENTAL SERVICES 1696.00 FLOOR TECHNICIAN ENVIRONMENTAL SERVICES 1787.20 ES AIDE ENVIRONMENTAL SERVICES 1501.85 SECURITY OFFICER SECURITY 1750.75 PLANT UPS SPECIALIST MAINTENANCE 3536.00 INSURANCE ADJUDICATR MEMORIAL MEDICAL CLINIC 624.96 OFFICE 14ANAGER MEMORIAL MEDICAL CLINIC 2368.98 REGISTRATION CLERK PATIENT FINANCIAL SERVICES 1543.76 INSURANCE COORDINATR PATIENT FINANCIAL SERVICES 1925.63 BILLING CLERK PATIENT FINANCIAL SERVICES 1305.56 CASHIER -SWITCHBOARD PATIENT FINANCIAL SERVICES 1671.79 INSUR COORDINATOR PATIENT FINANCIAL SERVICES 786.50 SECRETARY/RECEPTION MEMORIAL MEDICAL CLINIC 2138.46 REGISTRATION CLERK PATIENT FINANCIAL SERVICES 1583.12 TEAM LEADER PATIENT FINANCIAL SERVICES 2194.50 REGISTRATION CLERK PFS - REGISTRATION 2023.77 PPS DIRECTOR PATIENT FINANCIAL SERVICES 3085.80 REGISTRATION CLERK PFS - REGISTRATION 1129.34 REGISTERED NURSE EMERGENCY R0O14 1387.32 PAGE 4 -27- RUN DATE: 04/22/15 MEMORIAL MEDICAL CENTER PAGE 5 TIME: 10:30 DEFAULT FORMAT FROM DBO19 PRTitle PRDeptName PRTotGross -------------------------------------------------------------------- SECRETARY/RECEPTION PHYSICAL THERAPY 1942.85 CLINICAL IT SPECIALI ADMINISTRATION -CLINICAL SERVIC 4005.20 REGISTRATION CLERK PFS - REGISTRATION 780.78 SECURITY OFFICER SECURITY 1757.58 TEAM LEADER PATIENT FINANCIAL SERVICES 2341.50 DIRECTOR OF HIM HEALTH INFORMATION MANAGEMENT 2713.80 SELF PAY CLERK PATIENT FINANCIAL SERVICES 1538,69 REGISTRATION CLERK PFS - REGISTRATION 1603.77 MEDICARE COORDINATOR PATIENT FINANCIAL SERVICES 1976.17 REGISTERED NURSE EMERGENCY ROOM 3725.38 RADIOLOGICAL TECH DIAGNOSTIC IMAGING 3815.18 REGISTRATION CLERK PFS - REGISTRATION 1484.70 REGISTRATION CLERK PFS - REGISTRATION 1401.81 I.T. DIRECTOR INFORMATION TECHNOLOGY 5838.89 IT SYSTEM ANALYST INFORMATION TECHNOLOGY 4678.38 REGISTERED NURSE EMERGENCY ROOM 3273.17 ACCOUNTANT ACCOUNTING 3966.60 ASSIST ADMINISTRATOR ADMINISTRATION 8543.40 C,E,O. ADMINISTRATION 13503.60 ASST PURCHASE BUYER CENTRAL SUPPLY 402.50 AD14IN ASST TO AA-CNO ADMINISTRATION -CLINICAL SERVIC 2191.87 SPEC PROJECTS COORD ADMINISTRATION 2670.00 Grand totals 704841.67 Total lines = 241 own ©IHs Source Totals Report Issued 04/21/15 Calhoun Indigent Health Care 3-1-15 through 3-31-15 For Vendor: All Vendors Source Description Amount Billed Amount Paid 01 Physician Services 4,174.52 1,203.94 01-1 Injections 124.80 37.69 02 Prescription Drugs 603.17 597.83 08 Rural Health Clinics 1,957.00 949.48 14 Mmc - Hospital Outpatient 17,323.02 5,972.45 15 Mmc - Er Bills 9,629.00 3,265.36 Expenditures 34,095.42 12,310.66 Reimb/Adjustments -283.91 -283.91 Grand Total 33,811.51 12,026.75 Fiscal Year 66,905.88 Applied Co -Pays Monthly Total Payroll/Expenses (14,990.00) 1,528.08 4,491.33 / w1AAc<<J 7/oC G( � —29—Calhoun County Indigent Care Coordinator January February March April May June July August September October November December w Monthly Avg 2015 Calhoun Indigent Care Patient Caseload Approved Denied Removed Active Pending 5 10 4 54 34 0 14 7 56 32 3 6 6 53 30 8 30 3 10 17 163 6 54 99 32 -30- E-DISPATCH SYSTEM FOR VOLUNTEER FIRST RESPONDERS: Galen Johnson, Port Alto/Olivia Fire Chief was present and stated the E-Dispatch System records the message from dispatch and begins member notification via phone. The notification is received in 40 seconds on a landline or mobile phone. He stated this system seems to be working very well and Carancahua and Ganado have used the system for several years and are happy with it. Mr. Johnson stated he can see this system replacing pagers due to the short range/distance for pagers. Mr. Johnson stated the department paid $1,100 for one year and the system will handle six departments. If all six of the volunteer departments are added the total is $2,628 per year and this plan can serve up to 100 phones. Commissioner Fritsch made a motion to authorize the E-Dispatch System for Volunteer First Responders. Commissioner Finster seconded the motion. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. ALHOUN COUNTY COMMISSIONER_,PRECINCT-3 r'y 24627 State Hwy. 172 — Olivia, Poit Lavaca, Texas 77979 -- Office (361) 893-5346 — Fax (361) 893-5309 Neil E. Fritsch, Conirnissioner, Pct. 3 Email: nei1,fritsch(aca1hoancotx.orc3 May 7, 2015 To: Honorable Judge Michael Pfeifer From: Neil Fritsch Re: Agenda Item Please place the following item on the Commissioner's Court Agenda for May 14, 2015: "Consider and Take Necessary Action for on F.-Dispatch System for Volunteer First Responders. " Respectfully, �.u1e 9iarfdra� cc: Roger Galvan Vern Lyssy Kenneth Finster Susan Riley Audio dispatch to your Phonephones via these methods: Direct aSmart Phone 1t / Text Notification / CAD Relay COMPATIBLE WITH ALL STYLE PHONES INCLUDING APPS FOR ANDROID AND (PHONE Key U-s Q, Do I have to sign a long term contract? A, We have no contracts to sign, cancel at anytime. l.. What equipment do I need? f,. We provide all of the equipment you need for free with a lifetime guarantee. If you discontinue service, we simply require you to return our oquipment. 0, Can my department try eDispatches for free? I;. Yost All departments receive a free 30-day trial of the system. We pay shipping to you and back if you choose not to subscribe Trial is 100% FREE: `#, What do I need to know about computers? A, Absolutely nothing! All you need to do is plug in some wires. We do the rest. 0, Do I have to be in town to get my page? & Since the message comes to your mobile device, you can be anywhere in the world you have cellular signal to receive your: dispatch - Receive voice notification (Direct Phone Call) of your dispatch - Receive text message notification on your mobile phone or pager - Monitor dispatches tram anywhere In the world Review loq of alerts Send text message announcements to all of your eDispatches members Receive log of previous starts via email Receive app alert notification on your Android or Whore anywhere you have a data connection - Your smart phone will operate similar to a voice pager with stored voice! CAD relay of text messages with address and nature available if you want to involve your dispatch and they have the capability Priority Blast - Call our hotline, leave a message and your entire department's phones ring with your message Create your own call groups Key one ts Never miss a dispatch More members to more alarms Keeps all members In the Emergency Loop! Members always have their cell phones Fal a SCAN HERE FOR TESTIMONIALS EDISPATCHES.COM PRESENTATION OF CEA-4-H CANDIDATE BY DONNIE MONTEMAYOR WITH TEXAS A & M AGRILIFE EXTENSION SERVICE AND TAKE ANY ACTION DEEMED NECESSARY: Donnie Montemayor with Texas A & M AgriLife presented Joseph Dickschat, candidate for 4-1-1 County Extension Agent. Mr. Dickschat will start work on June 15th and will train in Victoria County for up to 30 days. Commissioner Fritsch made a motion to approve Joseph Dickschat as 4-1-1 County Extension Agent. Commissioner Lyssy seconded the motion. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Mary Orta From: Susan Riley <susan.fN,,ey@calhouncotx.org> Sent: Thursday, May 07, 2b,15 4:12 PM To: Mary Orta Subject: Fwd: Agenda item for next Thursday Mary, please print and put in folder. Thanks Susan Riley Sent from my Whone Begin forwarded message: From: Barbara Moretich <Barbara.Moretirh@axnet.tarnu.edu> Date: May 7, 2015 at 3:12:41 PM CDT To: Susan Riley <susan.rilev@calhouncotx.or�> Cc: Donnie Montemayor <Donnie. Montemayor@agnet.tamu.edu> Subject: Agenda item for next Thursday Hi Susan, Could you please place Mr. Donnie Montemayor with Texas A&M Agri Life Extension Service on the upcoming agenda to present a candidate to fill the CEA-4-H position. Thanks. District Office Manager Texas A&M Agril-ife Extension Service 10345 Hwy 44 Corpus Christi, TX 78406-1402 Ph: 361.265.9203 ext 213 FAX:362.265.9434 APPROVE MINUTES OF MARCH 17, 2015 AND MARCH 26, 2015 MEETINGS: Commissioner Lyssy made a motion to approve the minutes of the March 17, 2015 and March 26, 2015 meetings. Commissioner Fritsch seconded the motion. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Special 2015 Term THE STATE OF TEXAS § COUNTY OF CALHOUN § Held March 17, 2015 BE IT REMEMBERED, that on this 17th day of March, A.D,, 2015 there was begun and holden in the Pattie Dodson Health Building located at 2805 N. Navarro, in the City of Victoria, said County and State, at 2:30 P.M., a Special Meeting of the Commissioners' Court within said County and State, and there were present on this date the following members of the Court, to -wit: Michael J. Pfeifer County Judge Vern Lyssy Commissioner, Precinct #2 Neil Fritsch Commissioner, Precinct #3 Kenneth W. Finster Commissioner, Precinct #4 Commissioner Galvan was absent. Per Judge Pfeifer, the Agenda was posted for informational purposes only. No action was taken as Dr. John McNeil was appointed Calhoun County Local Health Authority at the Commissioners' Court meeting held on March 12, 2015. Regular 2015 Term THE STATE OF TEXAS § § COUNTY OF CALHOUN § Held March 26, 2015 BE IT REMEMBERED, that on this 26th day of Mafch, A.D., 2015 there was begun and holden in the Commissioners' Courtroom in the County Courthouse in the City of Port Lavaca, said County and State, at 10:00 A.M., a Regular Term of the Commissioners' Court within said County and State, and there were present on this date the following members of the Court, to -wit: Michael J. Pfeifer County Judge Roger C, Galvan Commissioner, Precinct #1 Vern Lyssy Commissioner, Precinct #2 Kenneth W. Finster Commissioner, Precinct #4 Desiree Garza Deputy County Clerk Commissioner Fritsch was not present. Thereupon the following proceedings were had: Commissioner Galvan gave the Invocation and Commissioner Finster led the Pledge to the US Flag and to the Texas Flag. AWARD BIDS FOR FUEL TO BE DELIVERED FOR THE PERIOD MAY 16, 2015 THROUGH JUNE 15, 2015: Commissioner Fritsch made a motion to accept the bid from Diebel Oil for Diesel fuel and Regular Unleaded Gasoline. The price for Diesel fuel is $2.59 per gallon and the price for Regular Unleaded Gasoline is $2.55 per gallon. Commissioner Lyssy seconded the motion. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. CINDY MUELLER COUNTY AUDITOR, CALHOUN COUNTY COUNTY COURTHOUSE ANNEX - 202 S ANN ST, STE B PORT LAVACA, TEXAS 77979 (361)553-4610 MEMORANDUM TO: JUDGE PFEIFER & SUSAN RILEY COUNTY JUDGE'S OFFICE FROM: AUDITORS OFFICE - PEGGY HALL RE: AGENDA ITEM — MAY 14, 2016 ►Consider and take necessary action to award bid for Fuel to be Delivered for the period beginning May 16, 2015 and ending June 15, 2015. (CM) n w w J w 0 J D m J w D LL. Lw r pG W s m e w m o J W D LL J W e C m w 3 o w � T W z U J J O o N J ew w o e w W m o 0 w J z Z) � p C9 m w 3 i _V 04/30/2015 13:2B ITAR) P.002/004 CALROUN COUNTY, TEXAS BID SBEET- BIDDEN BIEBEL OIL CO INC SAM BIEBEL PO BOX 71 PORT LAIIACA TX 77070 BID ITEM FUEL -BULK DELIVERED YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: PER11111FROM: MAY 16, 2016 PERIOOTO; JUNE 15, 2016 MYCHA£L ) PF£1F£R, CALHOUN COUNTYJUDG£, 211 S ANN Sr JRD FLOOR, ROOMJ01, PORT LAVACA TX 77979 BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED B/D- FU£L•BULKDEUVERED BIDS ARE DUE AT THE JUDGE'S OFFICE ON OR BEFORE: 10.,00 AM, THURSDAY, MAY7, 2015 BIDS WILL BE AWARDED AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, MAY 14, 2015 THE CLOCK IN THE COUNTY JUDGE'S OFFICE IS THE OFFICIAL CLOCK THAT WILL BE USED IN DETERMINING THE TIME THAT A BID IS RECEIVED AND THE TIME THAT BIDS WILL BE OPENED. BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO BIDDER, THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WAIVE TECHNICALITIES, REJECT ANY OR ALL BIDS, TO ACCEPT THE BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST ADVANTAGEOUS TO THE COUNTY, THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER, THE COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN, SEX, RELIGION, AGE OR HANDICAPPED STATUS IN EMPLOYMENT OR THE PROVISION OF SERVICES. SID11-EMi FUEL -BULK bBLIVEREO DEPARrAtEMn VARIOUS DEL/VERY FOB COUNTY FUEL TANKS DEBr/NAT/ON VARIOUS -------------------------------------- --,___ SPECIPlcA7fONS.- DIESEL FUEL »DELIVERY must be made within 24 hours after receiving order from the County Department in the quantity ordered. If vendor cannot deliver within 24 hours or refuses to deliver, the County Department will order from the next lowest bidder. »PRICE Per Gallon MUST INCLUDE all fees and Charges Including all Taxes/Fees the County Is not exempt from (for example; $0.20 State Excise Tax, State Delivery/Environmental Fees, Federal Oil Spill Recovery Fees and Federal LUST Tax) »FREE FROM WATER AND SUSPENDED MATTER UNIT 66'� UNIT PRICE GALLON :, 5 1:_ SPECYFICATIONB: REGULAR UNLEADED GASOLINE >>DELIVERY must be made within 24 hours after receiving order from the County Department in the quantity ordered. If vendor cannot deliver within 24 hours or refuses to deliver, the County Department will order from the next lowest bidder. »PRICE Per Gallon MUST INCLUDE all fees and charges Including all Taxes/Fees the County Is not exempt from (for example; $0.20 State Excise Tax, State Delivery/Environmental Fees, Federal Oil Spill Recovery Fees and Federal LUST Tax) »FREE FROM WATER AND SUSPENDED MATTER AND A MINIMUM OCTANE OF 87 (AVERAGE METHOD) UNIT ��rJJ UNIT PRICE GALLON y 1fLL DALE OF BIQ AOINORQEDSINATIAIE AND TIRE: PRINT NAME A Yva I V:-rr s L, TELEPNDNE PLEASE IIST ANY E%CEPTgNS TO IM ABOVE SPECNICATNONS: Thursday, April 30, 2016 OW BFSB BI. 00 K AWARD BID FOR A BACKHOE FOR CALHOUN COUNTY PRECINCT #1. AWARDED BID WILL INCLUDE TRADE IN OF A 2001 CAT416D BACKHOE: Commissioner Galvan made a motion to reject all bids at this time. Commissioner Fritsch seconded the motion. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. CINDY MUELLER COUNTY AUDITOR, CALHOUN COUNTY COUNTY COURTHOUSE ANNEX - 202 S. ANN ST, STE B PORT LAVACA, TEXAS 77979 (361) 553-4610 MEMORANDUM TO: JUDGE PFEIFER & SUSAN RILEY COUNTY JUDGE'S OFFICE FROM: AUDITORS OFFICE — PEGGY HALL DATE: May 5, 2015 RE: AGENDA ITEM — May 14, 2015 AGENDAITEM � ,.. ►Consider and take necessary action to award bid for a Backhoe for Calhoun County Precinct 1. Awarded bid will include trade in of a 2001 CAT 416D Backhoe. (RG) K R PEGGY HALL CRISTINA P TUAZOH 202 S ANN ST, STE B BEMI CABBERA CANDICE VILLARREAL PORT LAVACA, TEXAS 77979 ERICA PEREZ 15iASSISTANT AUDITOR TELEPHONE (3611553-4610FAX(3611553-4614 ASSISTANT AUDITORS May 14, 2015 TO: Commissioners' Court RE: Backhoe for Precinct 1 I have attached all the information that was returned with each vendor's bid. Please review each bid to determine if the bid meets specs. Please Note: ► Anderson Machinery did not return the Invitation To Bid Form as stated in the General Conditions of Submitting Bids to Calhoun County, Texas. ► Calhoun County's specifications requested 2 payment plan. • Requested has a different meaning than Required, therefore our office does not feel that this is a requirement to meet specs. •Calhoun County must receive title when the backhoe is delivered. •Payments cannot be made in two different budget years unless financed. •If two payments needed, then the backhoe would need to be financed. 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Pfeifer On behalf of Anderson Machinery and myself we are pleased to be able to offer the following bid quote on the new backhoe for Calhoun County Precinct 1. Thank you for this opportunity Justin B. Boyd m�#MACHINERY COMP�NY Anderson Machinery Co. 5309 U.S. 59 North Victoria, TX 77906-0037 Tel: (361)576-8111 Fax: (361)573-3164 Calhoun County Precinct 1 211 S. Ann St Port Lavaca, Tx 77979 SHIPPED TO: Calhoun County Specified Location Port Lavaca, Texas QTY DESCRIPTION 1 jNew John Deere 310SK backhoe (Spec Sheet is listed separately) on second page 1 1 Trade in Value for 2001 Cat 416D Backhoe except two payments of $40,625.00 THANK YOU FOR YOUR BUSINESSI QUOTE DATE 05/07/15 CUSTOMER REFERENCE Calhoun County Pct.1 TERMS 2- Separate Payments SALES PERSON Justin Boyd SHIPPED VIA Best Way F.O.B.lCaihoun County PRICE AMOUNT $94,900.00 -$18,000.00 +$3,700.00 +$650.00 Included in + Sales Taxi Tax TOTAL $ 81,250.00 Justin B. Boyd 361-571-6929 +AII Applicable Taxes New - John Deere 310SK Spec Sheet 4.5L Engine —EPA IT4 0 Ultimate Cab with heat and A/C 0 Decal kit 0 MFWD (4WD) with Limited Slip 0 Firestone 21 L X24 tires 0 Ext 5FNC Standard Stab legs 0 Pilot Controls 0 Work site Pro Loader Hydraulic Quick Coupler lets you change to various attachments safely without leaving your seat. 0 24" Severe Duty Bucket (0.8 cubic feet) 0 2 FNC LDR Coupler -Ride Control 0 1.3 Cubic Yard Long Lipped Bucket 0 Quick Coupler Carriage Forks with 60" tines, that you change with a push of a button easily and safely. 0 1,000LB Front Counter wieght 0 Single Battery, 300 Min Reser 0 410J Backhoe Bkt Cylinder 0 Mechanical thumb 0 1- year manufacture defect warranty that is covered by the dealer. Purchaser is only responsible for mileage if the unit has to be picked up by the dealer and brought in for service or repairs. 0 JD Link ULT NA - 3 Year This monitoring system is state of the art, which provides real-time machine utilization and health data of the unit and also indicates the machines location. Fleet care proactively suggests maintenance to correct problems early before the turn into costly downtime. Service ADVISOR remote lets your dealer to read diagnostics codes, record performance data, and even update software without a trip to the jobsite. It is the most comprehensive and easy to use suite of technology available for increasing uptime and productivity while lowering operating cost. Detailed specifications below ENGINE Emission Rating Engine Make / Engine Model Net power, kW (hp) @ Rated rpm Displacement, L (cu in.) ELECTRICAL Voltage Alternator amps TRANSMISSION Type Max. Travel Speed - fwd, kph (mph) Max. Travel Speed - rev, kph (mph) BRAKES Type Actuation HYDRAULIC SYSTEM Pump Type Pump Flow, L/min (gpm) System Pressure, kPa (psi) BACKHOE. FIXED LENGTH DIPPERSTICK Max. Digging Depth, mm (ft in) 2ft (0.61m) Flat Bottom, mm (ft in) Reach from Swing Center, mm (ft in) Truck Loading Height, mm (ft in) Digging Force Crowd, kN (lb) Bucket, Power Dig, kN (lb) Deere lift capacities are according to SAE J31 Max. Digging Depth, mm (ft in) 2ft (0.61m) Flat Bottom, mm (ft in) Reach from Swing Center, mm (ft in) Truck Loading Height, mm (ft in) Digging Force Crowd, kN (lb) Bucket, Power Dig, kN (lb) Interim Tier 4 John Deere / PowerTech E 4045HT073 72 (96) @ 2000 4.5(276) 12 90 Powershift 40 (24.8) 20.6 (12.8) Wet Multi Disc Hydraulic w/Power Assist Tandem Gear Pump 106 (28) 24993 (3625) 5610 (18 ft 5 in) 4370 (14 ft 4 in) 5560 (18 ft 3 in) 3430 (11 ft 3 in) 36 (8090) 53.3 (11990) 5610 (18 ft 5 in) 4370 (14 ft 4 in) 5560 (18 ft 3 in) 3430 (11 ft 3 in) 36 (8090) 53.3 (11990) Deere fieures listed are 87% of the max lift force available Boom Lift Cap. @ Ground Level, kg (lb) 1381 (3045) Dipperstick Lift Capacity @ 12' Height, kg (lb) 2533 (5585) BACKHOE, STANDARD BUCKET SAE Heaped Capacity, cu m (cu ft) 0.18 (6.5) Backhoe Bucket Width, mm (in) 305 (12) Bucket Rotation, deg 190 LOADER SAE Heaped Capacity, cu m (cu yd) 0.86 (1.125) Loader Bucket Width, mm (in) 2184 (7 ft 2 in) Breakout force, kN (lb) 49.2 (11051) Lift Capacity to Full Height, kg (lb) not published Dump Clearance @ 45 deg, mm (ft in) 2690 (8 ft 10 in) Dump Reach, mm (in) 785 (30.9) Bucket Hinge Pin Max. Height, mm (ft in) 3400 (11 ft 2 in) Coupler (Hydraulic) Hydraulic FOUR WHEEL DRIVE Wheelbase, mm (in) 2140 (7 ft) Curb Turning Radius w/out Brakes, mm (ft in) 4080 (13 ft 5 in) Curb Turning Radius w/ Brakes, mm (ft in) 3580 (11 ft 9 in) Bucket Clearance Circle, dia. w/ out Brakes, mm (ft in) 5525 (18 ft 2 in) Bucket Clearance Circle, dia. w/ Brakes, mm (ft in) 5055 (16 ft 7 in) DIMENSIONS Transport Height, mm (ft in) 3430 (11 ft 3 in) Transport Length, mm (ft in) 7160 (23 ft 6 in) Transport Width, mm (ft in) 2180 (7 ft 2 in) Width Over Tires, mm (in) 2180 (7 ft 2 in) CAPACITIES Fuel Tank, L (gal) 155.2 (41) Hydraulic Reservoir, L (gal) 37.1(9.8) WEIGHT 4WD, CAB, EXT. HOE SAE Operating Weight, kg (lb) 7112 (15683) Metric Ton Weight, kg (lb) 7.112 (15.683) Invitation• i • Form - i. • Calhoun• Price of Backhoe $ Be sure to include your detailed bid LESS TRADE-IN $ t UCsv ,cso 2001 CAT 416D Backhoe Net Cost of Backhoe $ -1-1 Calhoun County is Exempt from Sales Tax The undersigned affirms that they are duly authorized to execute this bid/contract, that this company, corporation, firm, partnership or individual has not prepared this bid in collusion with any other Bidder, and that the contents of bid as to prices, terms or conditions of said bid have not been communicated by the undersigned nor by any employee or agent to any Calhoun County official or employee or other person engagged in this type of business prior to the official opening of this bid. Authorized Signature & Print Name: NQ,V.\n Date: S b k5 Email r i5 e . >C.AcS RQoct Telephone Number: Z-U `- V00 ` (0O GA IM Exceptions to Specifications (May void your P id):_ ��d)-1: �� l0 S L Clkwzs F M Je-1 4Jc\. i' eV y KeKc_fs t ��3K1 5i K / cv>�r. (cer't eavier+" i,1,5;L LAO'AS'R'cty l,L4v 44�inj Doggett Heavy Machinery Services 6812 US Hwy 59 Victoria TX 77905 361-550-6666 Office 361-570-6688 Fax May 6, 2015 Calhoun County Commissioner PCT 1 305 County Road 101 Port Lavaca, TX 77979 Dear Commissioner Galvan, We are pleased to quote the following unit(s) for your consideration. JD310SL Backhoe Loader (Newest Model Available) TBD s/n NEW +/- hrs. 2015 yr. Price — No taxes or fees included FOB PCT 1 Yard Description: OA70T JD310SLBackhoe Loader 1065 John Deere Power Tech 4.51- Engine Meets FT4 (Net Power 99 HP @2244 RPM) John Deere PowerTechym Plus 4045HT082 turbocharged (NEW SL MODEL 2015) 1700 JD Link Ultimate Cellular - 3 Yr. Subscription (Service Advisor Remote Monitoring System) 2035 Deluxe Cab 2401 English Decals 3095 Mechanical Front Wheel Drive (MFWD) w/ Limited Slip (4WD) 4891 Firestone 21L-2412PR & 12.5/80-18 12PR Traction Sure 8625 Single Battery (12 VOLT SYSTEM) 6020 Extendible Dipper Stick (EXT SFNC STD STAB LEGS) 5285 Pilot Controls 5678 24" Wide, Severe -Duty Bucket STD 7035 Loader Coupler (HYDRAULIC), 2 FND CPLR-RIDE CONTROL 7650 1.3 CU YD Long Lip Bucket Wide Heavy Duty w/ cutting edges and skid plates 8475 1000 lb. Counter Weight 9140 Heavy Duty Backhoe Bucket Cylinder STD PowerShiftTl Transmission (5 SPEED) STD Hydraulic Wet Disc Brakes - Power assisted, hydraulic wet disc, mounted inboard, self-adjusting and self -equalizing STD Open center, Gear Type, Tandem with Unloader HYDRAULIC SYSTEM Mechanical Thumb AT308139 Forks, Pallet (2) 60 in.(1.52m) with 60 in. (1.52m) Coupler Fork Carriage WARRANTY 12 MONTHS COMPEHENSIVE WARRANTY SUMMARY: Equipment Totals: Addition Charges: Freight: Set Up & Delivery: Discounts: Extended Warranty: Taxes: Total Additional: Trade In Allowance: TOTAL DELIVERY PRICE: $ 92,411.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $-15,000.00 — CAT 416D backhoe Loader, 2002, 5532 +/-, BFP03270 $ 77,411.00 On behalf of Doggett Heavy Machinery Services, thank you for the opportunity to present this quote on John Deere machinery. ctfull s -L-15 Kevin vis Dogge t Heavy Equipment Services, LLC. 281-6 0-6867 m. m WTI t9 c x 5 p a a�aa?�'.3� ma'Se a��sa Q 33 n_ ,saaaa:3�g3 G,Fk w ao ad M z "t C� 3 aoP"�3 „fG a33 3� elg 3 y d ow not Masi off O Na. 33 33 333 3333.-Ar�'f FS SS 3'S xS S.Sa '3WN. 3NN: 30ZOE _ o R �3 33 333 333399 sp :fTSs sx _ Azzim I 33 33 333 3333 �; m S 1 .„a O � 2 q q 8 s M7 a u Ins] y d y EE � p ff yy p �. .. a .. � �. q• `. _tF y Mm o - 2l! pl d aro" �g q H•i3. 3 Mo a '.. nR �.- £d n ap a 3- a 3 3 W SI N VSm amN� � 6 q 2 - �c 3 g 3H;jam, -r o.0 S SAN g. 2 :�a - x � ' mn� FFn g 1-9 as aa,#a.33 mm�e ,s.n a 4a 5�3.," rs a a 3 3�2e V• 33 33 3(33 9333 a., aslyzz2. 33 33 333 3333qq Fa' FZ' �,S �T SSxs 3 Lo Q� W 33 33 333 3333g m 3 SS SX' NSF FSS:� -ti m a I �Fr�.� d al o¢Z. a A JSe S� Pf-.S tl e F t. "4 till 3333e wf33:� 3 �SSe o In,vit id a i i '+ a Price of Backhoe Si 11 Be sure to Include your detailed bid. LESS TRADE-IN $ 13,000, 2001 CAT 416D Backhoe Net Cost of Backhoe 75,100 Calhoun County is Exempt from Sales Tax The undersigned affirms that they are duly authorized to execute this bid/contract, that this company, corporation, firm, partnership or individual has not prepared this bid In collusion with any other Bidder, and that the contents of bid as to prices, terms or conditions of said bid have not been communicated by the undersigned nor by any employee or agent to any Calhoun County official or employee or other person engagged in this type of business prior to the official opening of this bid. Authorized Signature & Print Name: Bruce Harvey 5/6/15 Email: bharvey@hvequipment.com Telephone Number: 361-241-1000 Exceptions to Specifications {May void your bid): Yes. Please see our attached specifications for a new 2012 Terex TLB840E backhoe. Calhoun County Precinct 1 Backhoe Bid New 2012 Terex TLB 840E Backhoe with 101 demo hours 1 year, unlimited hour full machine warranty Quick coupler with fork frame and 60" tines Perkins 88 HP charge air cooled engine ROPS/FOPS enclosed air conditioned cab MFWD (4WD) Limited Slip Mitas 19.5L-24 rear tires, Mitas 12.5 80-18 front tires Full width 1.32 cubic yard loader bucket with reversible bolt on cutting edge Pilot controls Mechanical thumb 12 Volt Powershift transmission, 4F / 211 Wet Multi Disc Brakes Hydraulic with power assist Tandem Gear Pump Hydraulics Standard backhoe bucket Hydraulic coupler loader Four wheel drive H&V Equipment Services, Inc. 4402 5 Points Rd Corpus Christi, TX 78410 361-241-1000 Office www.hvequipmenteom CICtiA7 61 t' 1�1 LS� ;lYCI>0-19 a^ o qnz ,a3nz - uZ xN�p -a_^ nPisa I'bP CAiP ^^00 09a � ^q J Y I !!|![§!}}{\ i ;l�: g,l= ■ # §!} m I ({_\ \ }/ / im 9 ) ) im f�§ 3. \ ( � \\ R www.terex.com Effective Dale: February 2011. Product specifications and prices are subject to change without notice or obligation. The photographs and/or drawings in this document are for illustrative purposes only. Refer to the appropriate Operator's Manual for instructions on the proper use of this equipment. Failure to follow the appropriate Operator's Manual when using our equipment or to otherwise act irresponsibly may result in serious injury or death. The only warranty applicable to our equipment is the standard written warranty applicable to the particular product and sale and Terex makes no other warranty, express or implied. Products and services listed may be trademarks, service marks, or trade names of Terex Corporation and/or its subsidiaries in the USA and other countries. All rights are reserved. Terex is a registered trademark of Terex Corporation in the USA and many other countries. © 2011 Terex Corporation, Terex Construction 8800 Rustic Road, Southaven, MS 38671 USA Tel+1 (888)90-TEREX www.terex.com FLU TEHt='fAL%@ WORKS FOR YO UITLei.: 11.0 I I..n c o os {f! \/� , ..•, i] / ;!a . \- \( ... 9/ S/ \ a04 il`03 2 §k) R0.o § _ §/ $[ ƒ4| \a-.\0/5 .CO Cm ;0 | J~ . |q(O \o0 !| wa :77! /go 0 ; .!` ! ¥ -" !m!;!=!,! ■ ».«r!■ C!!$!!! _-_-e■!l��a� (OEE(} k ° \� � 2 }-2 q ! BCD }}} § / / }(/(( iq / a( 7 <: !_!`_`� ;•,6�o -a;r;w ° Ol..E, \}(/ cm mom \k/ �!�!,! edim \|#66 0. ca mom !E � !! �� - ( } i !�_ ° c a"° d d 0 3 ; 3�A a m®x -'Cad 'm�onmo � 3 m 6 A p �• N j'�q• n � 09 a a ° ti 7 The Terex@ equipment line includes compact track loaders, wheel loaders, excavators, tractor loader backhoes, telehandlers, site dumpers, light towers, and more. Your local Terex distributor not only offers a wide range of compact equipment, but also backs each machine with premium customer -support services from Terex. For more information, machine demonstrations or details on purchase, lease and rental plans, contact your local Terex distributor. www:terex.com Effective Date: March 2010. Product specifications and prices are subject to change without notice or obligation. The photographs and/or drawings in this document are for illustrative purposes only. Refer to the appropriate Operator's Manual for instructions on the proper use of this equipment. Failure to follow the appropriate Operator's Manual when using our equipment or to otherwise act irresponsibly may result in serious injury or death. The only warranty applicable to our equipment is the standard written warranty applicable to the particular product and sale and Terex makes no other warranty, express or implied. Products and services listed may be trademarks, service marks, or trade names of Terex Corporation and/or its subsidiaries in the USA and other countries. All rights are reserved. Terex is a registered trademark of Terex Corporation in the USA and many other countries. © 2011 Terex Corporation. Terex Construction 8800 Rostin Road, Southaven, MS 38671 USA Tel +1 (888) 90-TEREX www.terex.com Invitation• i • Form - i. • Calhoun• Price of Backhoe $ , Lo c30 35 Be sure to include your detailed bid LESS TRADE-IN $ ZZ I !S-ao , °D 2001 CAT 416D Backhoe Net Cost of Backhoe $-2, Calhoun County is Exempt from Sales Tax The undersigned affirms that they are duly authorized to execute this bid/contract, that this company, corporation, firm, partnership or individual has not prepared this bid in collusion with any other Bidder, and that the contents of bid as to prices, terms or conditions of said bid have not been communicated by the undersigned nor by any employee or agent to any Calhoun County official or employee or other person engagged in this type of business prior to Authorized Signature & opening of this bid. Print Name: �ontc�l� U)01;,sc 5aI V-P!; ` &' Email: ov-3 ik is Ca)- hfLAVi'Nkl\ SA Telephone Number: ZO ( Oc j&,q4 Z5g6, Exceptions to Specifications (May void your bid): MB HLAVINKA Product Quotation Prepared For: TBC Calhoun County Calhoun Prepared By: Ronnie Walling Hlavinka JCB Victoria TX 77905 mobile:361 894 2596 Im=nw m fv inriirwliow nurmew only and mou nnl mnmmnl wvnrl wnitlnmwnl Fwinn mmind JGB Prepared For: TBC Calhoun County Calhoun Model: 3CX 14HFCE Equipment Description Dealer Information Hlavinka JCB 7105 Hwy 59 N Victoria TX 77905 phone: Qty: 1 3CX-14 SUPER FIX DIPPER, (CM) 109HP (81kW) T4F ENGINE EASYCONTROLS, HVY LIFT *ENGINE: JCB ECOMAX 4.4L,4 CYLINDER, 109HP (81kW),95A TURBO INTERCOOLED*MAINFRAME: 2WSCENTREMOUNT*PUMP: 43.6 GPM (165 LPM)OPEN CENTRE VARIABLE FLOW*EXCAVATOR: 14' FIXEDDIPPER*AUTOMATE: AUTOCHECK, AUTOIDLE, AUTODRIVE, AUTOTHROTTLEAUTOSTABILIZERS & AUTOBOOMLOCK GALAXY INDUSTRIAL 12.5-18-10 and 21L-24-10 POWERSHIFT + TL and LSD, 4WD/2WS CAB WITH A/C CLOTH SUSPENSION SEAT CAB, LIVELINK, NO AUXILIARY PIPEWORK 5/8 LOADER PIPEWORK RTD and AUTO SRS ENGLISH TERRITORY PACK 3CX-14 SUPER 109HP CM MODEL PACK GP SHOVEL QFIT TOOL CARRIER 92 inch, 1.4yd3, STANDARD DUTY WITH BOLT-ON-TOEPLATE 24 inch HEAVY DUTY 4 TEETH FLIPOVER STABILISER FEET (CM) SEAT HEADREST Equipment Total Less Trade In Total Less Trade Total Customer Sale Price HLAVINKA Prepared By: Ronnie Walling ronnie.walling@hlavinka.com mobile:361 894 2596 Quote Date: 05/06/15 Valid Until: 06/28/15 Quotation Reference: 90666 78,630.36 22,500.00 56,130.35 56,130.35 The above quote supercedes all preceeding price quotes. Prices quoted are valid for 30 days from quote date. Customer Acceptance: Date Dealer Date r{ r� f Y, GOST OF OWNERSHIP A"^ """""" THE LATEST = Ih AND 3CX/g OACKHOES DON'T JUST PROV WITH THE POWER TO GET TI DONE; THEY ALSO OFFER YOI COUNTLESS FEATURES TO EN PERFORMANCE IS EFFICIENT, OWNERSHIP COSTS ARE RFD1 An tiff chant drivetrain JCB's EeukM engine doesnt inquire exhaust after treatment,heat-resistant d, or DEE all dsa hkh saves money on serrating. By prodvrn, high levels ofpaver and mmue mien at engine speeds as low as IEEE, , Eco1 orn provide fuel- eft lent matching of trammisinn and hydaufia. JCR's unique Tome sysnem B rww standard on the I09hp Poweri model 30W 40 SUPER badhoo . CanGred", our optional6-sped NnoshAt tammiseco, it can help save up to 25%on fuel and 10%on road taveltime. Residual benefits Our Eei engine ran nd adapted to run on lavengade fuels, which makes the 3IX-14 and 3W40 SUPERS easy rotatable anoss d6miust terflodes. Tnk. donoun. boosts residuals. Huge global demand, legendary procl-R*,, plus superb IwL quality makes the JCB 3C -14 and 3CM(D( SUPERS great assets and maxim&es resale value. Added efficiency. As products ofNe JCB ERdent Design program, our T4 final and T4i backhoe loaders use up to 9%kss fuel Nan our Tier models. To reduce nose and save fuel, —re rind the 3C -14 and XXW4 SUPERS wnh a viscous fan as nardaN; this only cuts in when its needd and Moust draw engine power. High back otfbakes reduce viscous dreg dudng roaring and rehandling, which in turn imptwes economy by up to 2%. A new high output wr able flow pump on he 300/ SUPER reduces cyd, bm,, and saves Mel. On manual machnes It also pro ,,lighter ever eHon for easier cono-d The 3IX 14 Is fined wnh triple gear pumps gaing high output anal ecdig to reduce W usage. _y nav i", ; rd r y� QUALITY, RELIABILITY AND DURABILITY. THE UTEST JC0 XX44 AND 3M40K SURER dE'IACHONES ARE ITESWIED FOR WARD WORK. MATEROALS AND PROCESSES, WHICH ARE TESTED, TRIED AND PROWN TO EXEL. THEY'RE ALSO PROTECTED FROM THE INEVOTARLE RIGOURS Or SITE LOVE. Damage limitation. To protect boom and dipper to,« from the pent, of treed work. we,, enclosed them ir�de tl,e rear,wnnrez d the machine. The stewing c irm er m the 3CX-14 and 3CX SUPER is potemed from impact damage while bading, because it's mounted behind the feent"" To sop the 3CX 14 or 3CX/40 SUPERS mrsecht hoses from snags, and s«ta reng damage we wail«e them in allemble, mend guile. 0poarai rerersiae rear swblaer lnp)pad, provde a me1Md for Optimizing marhlw pedamrarrce when nred Frequently an both soil and! pavement The pad ensure, contact area is net damaged ermbl'ng the machine, W wain in area, Wwre damage to the gronrd is costly Built to last. For added rigidM1y— and to protect h«es from damage —me 3CX-14 or 3CU4o( SUPERS have flat phte,depressed Bader arms, wide cattail welds that reduce arms e rromtratiom. The ranpmae met tank wuh steel sump plate prmeeras damage on the 3CX-14 and 3W4CX SUPER and is completely mstprof fa Where fuel injection system protection. The single-*i, composite cab floe r on these bzckhoes a aIm nn'q m ',"ins easily dsdpates water va the melded water channels. JCB's robotiralywinded single -pore chassis maximizes thength and minimizes weight. Tested to the limits. NI materials need whin cons mation of on r backhoe balers are dgoreanl tested. By exposing these materials to atreme temperatures, dmmials, salt, 0 arid fight, we know they'll sarine the most hostile cordamen, To prove the durablliy of on, new EcoMh`( engines, we've tested them for I i0,M hours in 20 digwrent machines across the toughest appliralims am em4ronmenn. The edes and transmissions dJCB 31C,(-14 and ]M,l ( SUPER, are WA for a 12,W0-hour Ide, YAthe heahweight ales designed to withstand massive shock bads. The rear ade .be. has a static bad ratng of 55,115 It (25,0001kg), and a dyranec load rating of 27,557 go (I 2,500kgj. :.Y IN ORDER TO HELP YOU REAP THE MAXIMUM BENEFIT OF THE 3CX-14 AND 3CX/4CX SUPER'S SUPERIOR PERFORMANCE, WE'VE DESIGNED THESE MACHINES TO BE ALL -DAY COMFORTABLE, ERGONOMIC AND EXTREMELY INTUITIVE FOR OPERATORS TO USE. A great place to work ai Wr balk shave townase ie 11'ad, our, EedMXenglne models oRerirg the quieten operenon. To Help cd eaters get to wak qt;ruy aM safely our opgaalIwcni(read screen prevents any butt.upfro andke.Acabpre-heafngoPlanan be set to xarm the cab ad,,rag llywAAM stating the engine. There s rtaage aplenty in our 30 14 and 3 W 40( SUPER cabs; work furls are eery to cant', the cab envi.rit is well-agaruzed and, on A/C models, there's an in cool box( food and drinks. For added canton arc[ reduced matedal spillage, JCB'z s ldllde System minim¢es b me dungy Vvei by dampening out forces imposed on the madiirre raid loader arms. Fxdusfm to JCB backlwe reeler, we have integrated a hat drinks machine option into the cab to provide youwgh a delirious rp d coffee tnmughanVe,day. Maximum maneuverability. Efliderrt, safe rtoppingpowerrequires ent anal pedal eflortberause of the 30 14 and 3C W4CX SUPER', power brakes. Always in control Fora super-eFdem bacF experience. JCB's new. fv rdneel insstrvmentmnVd panel ran ,rude current and awmge fuel corann' . JCR's ergonomk seat moa et d excavetor- etyec.tnels(an a,rEasyamAd .EW Contra opdora) make forgreat marer ,,Wky, nngergp —anal and supreme comfort. so that operators feel right at bane in the 3CX-14 areJ KXAi SUPER, we frta trad'nbral manual control system as s rd, wnln a chore dtwo fmfrd patterns—SaE+ aril ISO+. Wnh joystick -controlled loaderopeaaons on Adarced EasyCeen"l, 3's comforable, bgiW ad easy to control the Bader era of a 30Xy40 SUPEK wYyu AS THE WORLD'S NUMBER ONE BACKHOES, THE 3CX-14 AND'3CX(4CX SUPERS ARE BLESSED WITH SUPREME POWER AND PRODUCTIVITY. TO BALANCE ALL THAT PERFORMANCE AND DESIRABILITY, THERE'S SAFETY, SECURITY AND SERVICEABILITY APLENTY TOO. Serviceability 0,voi no longer reed to pedotm daily urder-hood laths on a 30(- 14 or 3CYJ40C SUPER, beraure all dads are dine atrtomatialy by ateC BUS engine management system. Tosave more time and effort, these bai are desigrad to fifer grouped singe -side servo, M In -cab monitor display provides operators with all the machine infant they reed, like ari messages and early wamin, w improve reliabi, all reduce dowrmme. Our, one -pies hood is easy tofM. and there's no need too. ,rasde panels for faster sery ing. Refuelling of a 3IX-14 or 3W4CX SUPER can be done from grouts level. Safe and secure The 30F 14 and 30X140C SUPER.. safe an roes to get in and out of, m,lh largeanti Aip or, of an oix ill design to stop malarial b w.p. The large Bass area provided 291 degrees of vsi E, aiding pfodudivny and inoessing of safety. KiTsiockabiefrontgrigdesignensure, machine Secumy as h prevems access to the battery and isolator. OptiotW from bumpers Porten the gtgl whilo bud loading. The steep belly plate protects the fuel tank Soon damage that ran coo, vvhlle overi kr haazMous areas, such as wane deposal all demolition. MAX benefits The JCB Ecoi enfre- as fined to both the 3IX- 14 and 3C%/i SUPER -features op rated engne and fuel fiten to prevent engine wear all wand working life. Most Tier entines use a Diesel Padiouge Eller UP"SCR requiring alfh6o ai DEPOuld level manletwee-JCBEwF1M,Ja snt. Because Eo.' doesn'tnmd exhaust Are IreatmenF, it doesn't i iuire oo. yheat -nin tart Wbe o& A BACKHOE LOADER IS, BY ITS VERY NATURE, A HIGHLY VERSATILE MACHINE, BUT OUR OPTIONAL EXTRAS MAKE IT ALL THE MORE SO, ALLOWING YOU TO TAILOR YOUR 3CX-14 OR 3CX(4CX SUPER TO A HUGE ARRAY OF DIFFERENT APPLICATIONS. 64n.I bucket Equip your 3CX- 14 or 3CX/4CX SUPER w ) one of mt,se and you not dig, doze, bad, gab grade and eackfg w1hoot having to switch awfinnems. Front bumper protection bars The BacNwe bade, an be equipped wish (rant la otecdon bars, protecting the Food and front gill from damage when Weir, han tucks and vmea. Hydraulic thumb This featurem mt,ses the venstrle, of or 3 W4IX SUPER bemuse 4, profiled edge is Neal for handl'ng round abed, and at Wai,d materials such as logs pines or saap metal, for e.atnge Hydraulic quickhitch. Our latest quiddiad: makes attachmem 'ranging quid, safe and'oopliant. Is Backhoe lifting. M optional Ns' pwtn means you ca, use a y 3CX- 14% m30V4CX 5UPERsexavatnri: t _ as a cane for objed handling. Wtiv e..um.r Combined hammer and bi-directional unit. Inge N attadtment eonpat Wity am ersaulity, the brand new optrcm pmandes both by now and hgFgmv hyd:adl c power, wM low back pressure manWinng optimum O t the anachmem The orcd:l operates independently d line eveM'ng dipper send is apable of.,nifin, awide ange of s nj, and double aginga slats Hammer only dr hammer and M-dGreNonal options are avalaMe JCB'S WORLDWIDE CUSTOMER SUPPORT IS FIRST CLASS. WHATEVER YOU NEED AND WHEREVER YOU ARE, WE'LL BE AVAILABLE QUICKLY AND EFFICIENTLY TO HELP MAKE SURE YOUR MACHINERY IS PERFORMING TO ITS FULL POTENTIAL. Our TecMirel Support Ser op-ovdes instant access to odory expertise, day or night The global network ofJCB Par, Centel, s another model of'wi''envy; s,11, 15 regional bases, we an deb ra.nM 95%ofall pans anywhere in the worW within 24 l ,.0, genuine JCB parts are designed to wok n peeled lis mony Mh yam .6 nu for optima m perfom ame and prodoccvAy. JCR Assetare offers comprehensive one ended ws aidie, avd serr¢e agreements, as well as se 'e-only or repair am maintsamme conads mspe ,, ofwhatyou opt foe our maintenance teams around irewodd drarge 'mnpetnive broom rates, and offer omouippi on quotations as wd. fast, effideit imsuance repairwod. I • My .,.ngiazRNer Diosm ® ..D.Weonernren d� t IA4='33`i 1IC,2,.JVD 3C)J4;X el IHKL '1 .t l(A��iiE4 _ ..._ YlAXC01XEX310N3 ... .. JCB Oahu 4vaers lealum a Mary My we qea ma4fmw. bN aerveG:e aM 6nNy � erne ronpW neM. 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Product innovations that provide the tight wlunons to our about JCB Cyril Barrlford,welewe gross -into the wndd's largest prrntely customers low can a Mal part of our history and will be key to owned ccs tmn equipment rcruWy by voume. Since 1945, cm, touninaNefMne. But in addlilou to cWulping clearer and J. the same attention to detail, passion for pmgress and family spun has mere efflicnt machines, we have a rominmeul to ensuring our Mom usfrom sfength to strength. N.days, JCB operates across manNacwdng fmlries meet the highest environmental standards. all five continents, manufacturing A 22 fadones in the UK,Brazil, Germany, Chira, North Pmenca and India. With I,500 deakrships A commitment to our customers that goes on aM depots selling acid supportingow products in over I SO coon- T1,4'safind we remmul arrws Nconstanliy, and if, the reason tees, we are one dthe top Mee manufacwrers of commaden our amorous are at the heart ofetre,Ahng we do. Wnatev¢ra equipment with some ofihe Most engineering fealties in the wak, customer needs, we make it our mission to provide world class support am I W96 satisfaction. Mthe head of this is a dedication W A history of world -lass Imovadon minimizing mesNue downxme. So our slate -of -the -art Word Parts Our lausi. has always been driven by inrlovedon, using mly the Centerdis tdlesmorelhan care Bamford, Ix..nn amajcB, must advaced trehrlolba,,comporlents and processes, meM1culous a niltiongenuvre puts and still runs NeaampanY tobay. design and rigorous testing. Evderre ofihisdcesrit<ome mils anadvnents everyweek, � -- more pcwerMthan our rewWonary JCB Dieselmax engine. Hav- with an PnyvMere in 24 ing 01,1,cd the headline, when flsmashed the world ned speed houK vaudegy. Our JCB- ecuni at 350.092 mph, a 6 rowpmvdia, our customers with trained technicians provide mot > torrowse pe,fourn. today. excelkzr, egpen octaner re. Whether n's routine Sustalnablliry in all we do wMargor, sernetlring Asama ufacturer ofwwking machinery, opeating in mere urgent rum«t l arrc ora-, haadwe I WI estabiahed and emerging markets, we acceptthe loaaenmlal^txoworMk ase, 1940 s 1950's d 196O's 1970 s Jmreh CyelemmN�Lj :Joe B deeerya.d irs4 Aadmandl JCB hulld M naa< 1 odus dW - ryu . LYeo bling p d mr the who 1 dtlPPl a P d II d- I 1 ebrYt ly P d 1 nupablll y Y Warta 1p - .nUh I1. wusee 1. uaJep.Kfinni...h'..9 rte YI tl grx 11 6Nh ba B 1T ompa Yl dr-aF1-n M eanabG ny,H lland, 'was Spain 'In tM1h ted gameIn MeU letl gngdom. 4V<B Itl^niim tM1 nail all Induaq by: todYJe'..0 l'ognm,......ra. p rid Canada.JCea bada1141uo pk Hanfler __ girl 8 E toalmylq' dltJn&I^mEamualalheleryaaun ictutla..Mad-pat glndua4ynY maMing riaa pmr MI aM even FrlMatab fated npalleb.. -1 1 Binh In 10001 W. JCB NgtF AmeNar Neadgaaemn LSaw .A Georyda cap W rta A UMM Sptn aM Cardiac dealgs aM manrdw tares lFewodd'asafese ytdd ateV aM[ompa[t trarkMbadV. JCB in North America JCB has been in North Amens for over 40 years, tut made a huge commitment to the market in 2", when the North Amerlaa busness and manufactu im,center was butt inSavanrah Grurga from this, SOo,OD) square loot Wity.JC8 suppods ever 120 dozers in the United Stales and Canada, prodding parts, mdn i',nd expedice The SavanrWl marafaclunng Boor produces the world', safes skid seer and ..pact traded trader. To find ad more about tho RAI range c(JCB mMrulim equpuci arld to furl the dealer nearest ya. pkase vM erw.wjdxa.mm. 1 5 From SaVdnNh, We ale dhO proed to manlRaduie UM High Mobility Bua HSavaor,alatFelul>f armixed JCsBHigh Mob1RWEnenm Engineer Easewator(HMEE), a high-speed (ally amlored barkhee Eva.,-QHMEQ la Me world'a toughest badhm trader currently in use bythe U.S. Amny. • MauGatuMg larinrles G Pw MnahWen Qmua e Deakn 1980 s 1990 s 2000's Tomorrow 4. Jw a I 1 TF t 1 )' Jeeh lea lt' M eU ace comml F N ev aunt 1p axi a 1 eaa w as as I rya ama ore e9 I ax.w .au r e dreltam.B ride a rx d 't xi roau ea.M y sa fi - oral W alb ntlp n w Jn p_r p aade9lnm 4WIaayheNeM CCCm J<B Dleatl tl nr k�tM1l a tg txelnda B /ainlh laealen-1 !l a Inlfr PeM sd�laM y J B G AU r atYRE n:—rket Fees p rnaN Th P YFefm -c- I' a'tlnu gm 1 n ri BY' h acid. — I MIC'sh," ae-0a enter: Mg na—a deaf Thetis Wry erN a ppM npmattvM Y^u ',I cite i adenephF a1 rNNa U.g. aYgpp HMEca, ebuBrin Sa ratitenp teyeW JCB - Invitation To i; • Form i • Calhoun• Price of Backhoe $ t OZ , fco l Y1 Be sure to include your detailed bid LESS TRADE-IN $ t S , coo. oo 2001 CAT 416D Backhoe Net Cost of Backhoe $ o-i o 1 .-1'i Calhoun County is Exempt from Sales Tax The undersigned affirms that they are duly authorized to execute this bid/contract, that this company, corporation, firm, partnership or individual has not prepared this bid in collusion with any other Bidder, and that the contents of bid as to prices, terms or conditions of said bid have not been communicated by the undersigned nor by any employee or agent to any Calhoun County official or employee or other person engagged in this type of business prior to the official opening of this bid. Authorized Signature & Print Name: 1� i Date: LF L2gZ t S Email: N5"0t'4P .Cow Telephone Number: ?;(­f •CICr6C DF(--;c_6 ;;-- (--1- 1'95• q 6 0 6 CULA-0t_!yt_ Exceptions to Specifications (May void your bid): NPE-VICTORIA 5201 N.U.S. HWY 59 VICTORIA, TX 77905 (361) 576-0066 To: CALHOUN COUNTY PCT#1 Created: April 28, 2015 201 W AUSTIN ST Expiration: May 29, 2015 PORT LAVACA, TX 77979 Prepared By: BEN S. HERNANDEZ (361) 552-9242 Customer #: CALH02 Phone # (361) 935-4888 Quote Items: Make Model Description Serial Number Unit # Quantity Price Ext. Price Case 580SN Backhoe $102,901.77 Note: New Case 2015 580SN Tier 4 Final Backhoe Four Wheel Drive, Extenda Hoe, Pilot Contols with Power Lift, Cab with LH Door, Heat and A/C, Front End Loader Hydraulic Quick Coupler, 92" - 1.3 cubic yard Quick Attach Loader Bucket,Push Button Quick Attach Fork Carriage with 60' Fork Tines, Mechanical Pin Thru Thumb Attachment For Backhoe Bucket, Ride Control, Flip Over Stabilzer Pads, 24"Backhoe Bucket FPT F5BFL413B Diesel Engine - 3.4 L Gross HP 97 @ 2200 RPM 12 Volt Electrical System Powershift S Type Transmission Wet Multi Disc Brakes 41GPM Variable Displacement Axial Piston Pump Front Tires 12 x 16.5 Rear Tires 19.5 x 24 English Decals and Operators Manual Quote Allowances: Make Model Year Description Serial Number Trade Amt Loan Payout Cash Value CAT 416D Backhoe 2WD 9061659 Special Instructions: Backhoe Warranty - 12 Months, Unlimited Hours Purchaser is responsible for pick up and delivery if unit needs to be brought in for service. Terms and Conditions: $43,950.90 will be due on delivery. Balance of $43,950.87 will be due January 7, 2016. 15,000.00 Total Units: Total Allowances: Net Price: Sales Tax: Total Amount: Down Payment: Amount Due: Signature: Date of Acceptance: 0.00 $15,000.00 $102,901.77 -$15, 000.00 $87,901.77 $0.00 $87,901.77 $0.00 $87,901.77 Created: 04/28/2015 Quotation Number: BSH7005290.00 Printed 04/28/2015 Page Number: 1 DECLARE SURPLUS A 2001 CAT 416-D BACKHOE VIN 30416DABFP03270/ASSET #21-0186 FOR TRADE-IN ON A NEW BACKHOE: PASS Calhoun County Commissioner Precinct #1 211 S. Ann FtyJ Port Lavaca, TX 77979 (361) 552-9242 '> April 22, 2015 Honorable Michael Pfeifer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Pfeifer: Please place the following item on the next Commissioner's Court Agenda. Sincerely, Cou Fax (361) 553-8734 Pager (361) 579-7915 Mobile (361) 935-3552 • Consider and take necessary action to declare surplus a 2001 CAT 416-D Backhoe VIN # 0416DABFP03270 / Asset # 21-0186 for trade-in on a new Backhoe. Roger C. Ga pt La Salle Monument Indianola, Twos EMERGENCY SUBSCRIBER LISTING AGREEMENT BETWEEN CALHOUN COUNTY AND VERIZON AT A COST OF $478.54 AND AUTHORIZE COUNTY JUDGE TO SIGN: Rachel Morales of E911 stated this is a request for Calhoun County, E-911 and the City of Port Lavaca for an Emergency Subscriber list of telephone numbers for use in the Code Red notification system and 911 system. The three entities divide the fees and the County's portion is $478.54. Commissioner Galvan made a motion to approve the subscriber listing agreement between Calhoun County and Verizon at a cost of $478.54 and authorize County Judge to sign. Commissioner Lyssy seconded the motion. Calhoun County Emergency Management 211 South Ann Street, Suite 301 PortLavaca,'IX 77979-4249 Phone: 361-553-4400/Fax: 361-553-4444 e-mail: ladonna.thigpen@calhouncotx.org April 28, 2015 Commissioners' Court RE: Agenda Item Please place this agreement on the Commissioners' court agenda for May 14, 2015. Calhoun County, E-911 and the City of Port Lavaca are requesting an Emergency Subscriber list of telephone numbers from Verizon for use in our Code Red notification system and 911 system. The fees associated with this agreement are divided between the three entities. This agreement is required before we can obtain an updated listing of telephone numbers from Verizon. "Discuss and take necessary action on this Emergency Subscriber listing agreement between Calhoun County and Verizon and authorize the County Judge to sign." Sincerely,, � LaDonna Thigpen To: LaDonna Thigpen— Calhoun County, TX From: Deirdre Southall - Verizon EMERGENCY SUBSCRIBER LISTINGS (ESL) Verizon can supply the information you're looking for, for your mass alert system. We refer to it as "Emergency Subscriber Listings (ESL)". Here's some information on this service... Initially the data will be provided via a CD for the fall file extract of all records for the geographic area you service. You may elect to get updates on a daily or weekly basis via several different electronic delivery methods. The most connnon and preferred method today is encrypted email. (This delivery method will require that you obtain a digital certificate for email security purposes. Upon contract our Verizon admin team will provide guidance on how to obtain this item.) The data extract includes all wireline telephone records from all telephone carriers in your service area, both business and residence lines, listed and non -published. Cell phone records are NOT included. Following are costs for the service. There are 3 options. Option 1) One-time full file extract with no updates there's a one-time charge of $2051.00 Option 2) RECOMMENDED and MOST POPULAR OPTION - Full file extract plus weekl updates is $1435.62 one-time and $6.55 per month per 10,000 records in the full file extract. The record count for Calhoun County, TX as of this correspondence is 12,192 records. Therefore, the total monthly fee would be $13.10. Gq i 10 CO-1 ku� eo+X. © (-G Option 3) Full file extract plus daily updates is $1435.62 one-time plus $15.27 per monthper 10,000 records in the full file extract. Typical contract period is 36 months. This service is only available to emergency service agencies for emergency purposes only. As a result we do require that you complete a qualification questionnaire. I've attached a copy. I would need this document to gain approval to formally offer the service to you for your agency. You can complete and return this to me at your convenience. The questionnaire is not a binding commitment so you.can send this ahead of the contract we'd need later. A contract is required to order the service. When ready to move ahead please send one original, signed copy along with your purchase order and copy of your tax exempt certificate directly to me via email. Be sure to complete the last page of the contract with contact and delivery information. Charges for the service will be billed via a regular Verizon telephone invoice. You may elect to have these charges added to an existing Verizon phone account or billed separately under a new account. Please indicate your preference in the Billing Address section on the last page of the contract. Please allow 2 weeks from receipt of your order for the delivery of the data. A Verizon E9-1-1 administrator will contact and assist you in getting the service setup with you or your administrator. When you're ready to proceed, the following documents are required to process your order: 1) Signed contract with last page completed for'delivery of the service 2) Completed ESL Questionnaire 3) Tax Exempt Certificate 4) Purchase Order (optional if required by you) Please contact me with any additional questions. Sincerely, Deirdre Southall Verizon Business Senior Consultant -Service Program Delivery Global Enterprise ITIL® Version 3 972-729-6782 Deirdre. S outhall @verizon. com ver EMERGENCY SUBSCRIBER LIST INFORMATION LICENSE AGREEMENT This Emergency Subscriber List Information License Agreement (the "Agreement'), effective as specified in Section 8.1 below, is entered into by and between Calhoun County TX Emergency Martagem (the "Licensee") and the undersigned Verizon company ("Verizon"). WHEREAS, the Wireless Communications and Public Safety Act of 1999, PL 106-81, codified in 47 USC 222 (g) (the "Act') requires, inter alia, that telecommunications carriers provide certain data and make certain services available to providers of Emergency and Emergency Support Services, as defined in the Act; and WHEREAS, Verizon, through the Verizon Operating Companies, maintains certain subscriber list information data with respect to its own telephone subscribers as well as subscribers of other telecommunications carriers that are located within the territories served by the Verizon Operating Companies; and WHEREAS, Section 222(g) of the Act, as amended, requires a telecommunications carrier to provide subscriber list information in its possession or control on a timely and unbundled basis, under non-discriminatory and reasonable rates, terms and conditions to the providers of emergency services and providers of emergency support services, solely for the purpose of delivering those emergency services; WHEREAS, Licensee, as a provider of Emergency Services and/or Emergency Support Services, desires to receive such subscriber list information solely for the purpose of delivering or assisting in the delivery of Emergency Services; and WIIEREAS, Verizon will license to Licensee such subscriber list information for use in providing Emergency Services in accordance with the Act and subject to the terms and conditions set forth in this Agreement. NOW THEREFORE, in consideration of the mutual covenants and agreements contained herein, Licensee and Verizon hereby agree as follows: ARTICLE 1 DEFINITIONS The following terms as used herein have the following meaning. 1.1 "Emergency Services" means 9-1-1 Emergency Services and Emergency Notification Services collectively. 1.2 "Information" means any information identifying the listed names of subscribers and their telephone numbers, addresses, or any combination of such listed names, numbers, addresses, or classifications including information pertaining to subscribers (i) whose information is unlisted or unpublished (also referred to as non -listed and non -published) and (ii) subscribers of other carriers in the possession or control of Verizon; provided on a timely and unbundled basis under non-discriminatory and reasonable rates, terms and conditions to providers of Verizon ESQ Copyright O 2001-2004 10/0412004 DR 1 of 16 Emergency Services and Emergency Support Services solely for the purposes of delivering or assisting in the delivery of Emergency Services. 1.3 "Daily Updates" means an extract containing only those records that have had a Modification/Add/Delete (MAD) activity since the last update for the geographic area(s) or jurisdiction(s) with respect to which such Information has been requested. Daily Updates are available by 10:00 am each calendar day (Eastern Time in DC, DE, CT, FL, IL, IN, MA, MD, ME, MI, NC, NH, NJ, NY, OH, PA, RI, SC, VA, VT, WI, WV; and Pacific Time in AZ, CA, HI, ID, NV, OR, TX, WA). 1.4 "Weekly Updates" means an extract containing only those records that have had a Modification/Add/Delete (MAD) activity since the last update for the geographic area(s) or jurisdiction(s) with respect to which such Information has been requested. Weekly Updates are available by 10:00 am on the weekday mutually selected by the Licensee and the Company (Eastern Time in DC, DE, CT, FL, IL, IN, MA, MD, ME, MI, NC, NH, NJ, NY, OH, PA, RI, SC, VA, VT, WI, WV; and Pacific Time in AZ, CA, HI, ID, NV, OR, TX, WA). 1.5 "Emergency Notification Services" means services that notify the public of an emergency 1.6 "Emergency Support Services" means information or database management services used in support of Emergency Services. 1.7 "Full File Extract" means an extract containing all Information for the geographic area(s) or jurisdiction(s) with respect to which such information has been requested. 1.8 "PSAP" or "Public Safety Answering Po nt' means a facility that has been designated to receive emergency calls and route them to emergency services personnel. ARTICLE 2 GRANT OF LICENSE 2.1 In consideration of the promises and covenants contained herein, Verizon hereby grants to Licensee for the Term of this Agreement a non-exclusive limited license to use the Information solely for the purposes of delivering or assisting in the delivery of Emergency Services. 2.2 Licensee shall not sell, lease, grant, copy, disclose or sub -license the Information received pursuant to this License to any other party without the written consent of Verizon or as otherwise provided herein. Under no circumstances shall the Information provided herein be used or disclosed in any manner for purposes other than providing Emergency Services or Emergency Support Services. 2.3 Licensee may enhance the Information and append other information to the Information, subject to and consistent with the provisions of this Agreement including, but not limited to, the limitations set forth in Sections 2.2 and 5.1 hereof. 2.4 The terms and conditions that shall apply in connection with this License, and the rights and liabilities of the Parties, shall be as set forth herein. Verizon ESG Copyright 02001-2004 10/04/2004 DR 2 of 16 ARTICLE 3 LISTING INFORMATION PRODUCTS 3.1 Verizon will famish to Licensee the Information set forth in Exhibit A indicated on the Request Form (Exhibit C), using Verizon's standard transfer method specified in Exhibit A. 3.2 Technical Specifications - Verizon shall provide the Information to Licensee via compact disc (CD) and/or electronic transfer in such format as Verizon may determine in its sole discretion. Current Verizon technical specifications are contained and incorporated herein as Exhibit A. 3.2.1 Full File Extract - No later than thirty (30) days after the Licensee requests Information under this Agreement, and in compliance with a mutually agreeable schedule, Verizon shall provide Full File Extracts via compact disk (CD) delivered by certified mail. 3.2.2 Updates — Provided Licensee subscribed to Daily or Weekly Updates, subsequent to the provision of each Full File Extract, Verizon shall provide Licensee with Updates. 3.2.3 Verizon will provide thirty (30) days advance notification in writing to Licensee regarding any significant changes that affect Information handling procedures that may affect Licensee's handling or use of the Information. Verizon will designate a representative to confer with Licensee on issues and requirements relating to such initiatives and changes. ARTICLE 4 LICENSE FEES 4.1 Licensee will pay the rates and charges set forth in the attached Exhibit(s) and shall also pay all applicable taxes, fees and charges. 4.2 The recurring license fees listed on Exhibit B for Updates to the Emergency Service Listing Information is based on the number of records contained in the Full File Extract, on a per 10,000 records basis (as defined in Exhibit B). Verizon will reassess the number of Records in what would then comprise the Full File Extract for the Licensee's selected coverage area on an annual basis without notice to Licensee and make changes to the Recurring Fees based on that reassessment, for the subsequent year. 4.3 Licensee shall be responsible for payment of all rates and charges, as set forth in the Attachments within thirty (30) days after date of invoice. A late payment charge of one and one-half percent (1.5%) per month, or the maximum amount allowed by law, shall be applicable to any unpaid balance not received by Verizon by the late payment date printed on the invoice. Verizon ESG Copyright © 2001-2004 10/04/2004 DR 3 of 16 ARTICLE 5 CONFIDENTIALITY 5.1 In order for the Parties to perform their respective obligations under this Agreement, it may be necessary for either Party to disclose to the other technical, customer, personnel and/or business information in written, graphic, oral or other tangible or intangible forms including, but not limited to Information, including unpublished and unlisted Information (unpublished and unlisted information means Information that telephone subscribers have designated as not to be published in telephone directories, provided by directory assistance, or otherwise disclosed), specifications, records, data, computer programs, drawings, schematics, know- how, notes, models, reports and samples. Such information may contain proprietary or confidential material, or material subject to applicable laws regarding secrecy of communications or trade secrets ("Confidential Information"). 5.2 Each Party acknowledges and agrees that all Information is Confidential Information and all other information exchanged by the Parties shall be marked "Confidential' in order for such information to be considered to be Confidential Information or if orally disclosed, shall be reduced to writing and submitted to the non -disclosing Party within thirty (30) days of disclosure. s5.3 In addition, Information shall not, for any reason, be disclosed or used for marketing, 5.3 In addition, Information shall not, for any reason, be disclosed or used for marketing, advertising, public relations or other commercial purposes of any nature. 5.4 The Parties agree as follows: 5.4.1 To receive in confidence any Confidential Information; to limit access to such Confidential Information to authorized employees, agents (including their employees) and contractors (including their employees), (covered by written obligations of confidentiality at least as restrictive as those set forth in this Article) who have a need to know the Confidential Information in order for the Party to perform its obligations under this Agreement and who have been informed of the confidential and proprietary nature; not to disclose, reveal or divulge any Confidential Information or authorize any other person to do so except as specifically approved in writing by the disclosing Party; 5.4.2 To use such Confidential Information only for the purposes of performing their obligations under this Agreement and for such other purposes as may be agreed upon between the Parties in writing. 5.4.3 Upon request of the disclosing Party, to return all Confidential Information to such Party, or to destroy any documents, computer media or records, in written, graphic, or other tangible form, that contain any Confidential Information; 5.4.4 That the confidential obligations with respect to the Information shall never terminate and shall extend beyond completion of the Term of this Agreement. That the obligations with respect to all other Confidential Information shall extend for a period of five (5) years following the date of initial disclosure of that Confidential Information, and such obligations shall extend beyond completion of the Term of this Agreement; and Verizon ESO Copyright 0 2001-2004 10/04/2004 DR 4 of 16 5.4.5 That nothing contained in this Article 5 shall be construed as a license or permission to make, use, or sell the Confidential Information or products derived therefi•om. 5.5 If a receiving Party receives a request to disclose any Confidential Information (whether pursuant to a valid and effective subpoena, an order issued by a court or other governmental authority of competent jurisdiction or otherwise, including the Electronic Communications Privacy Act of 1986, 18 U.S.C. 2703, that requires disclosure of Information to governmental entities only upon issuance of a court order) on advice of legal counsel that disclosure is required under applicable law, such Party agrees that, prior to disclosing any Confidential Information, it shall (i) notify the disclosing Party of the existence and terms of such request or advice, (ii) cooperate with the disclosing Party in taking legally available steps to resist or narrow any such request or to otherwise eliminate the need for such disclosure, if requested to do so by the disclosing Party, and (iii) if disclosure is required, use its best efforts to obtain a protective order or other reliable assurance that confidential treatment will be afforded to such portion of the Confidential Information as is required to be disclosed; 5.5.1 The obligations contained in this Article 5 do not apply to Confidential Information that is authorized in writing by the disclosing Party to be released or is designated in writing by the disclosing Party as no longer being Confidential Information or proprietary. 5.6 LICENSEE ACKNOWLEDGES THAT THE INFORMATION PROVIDED TO 5.6 LICENSEE ACKNOWLEDGES THAT THE INFORMATION PROVIDED TO LICENSEE CONTAINS CONFIDENTIAL INFORMATION THAT THE PARTIES ARE REQUIRED TO KEEP CONFIDENTIAL. ACCORDINGLY, LICENSEE AGREES TO ASSERT ANY AND ALL EXEMPTIONS OR EXCLUSIONS TO DISCLOSURE THAT ARE AVAILABLE TO IT IF SUCH CONFIDENTIAL INFORMATION IS REQUESTED UNDER THE AUSPICES OF ANY FEDERAL, STATE, OR LOCAL PUBLIC INFORMATION LAW OR REGULATION (E.G., OPEN PUBLIC RECORDS ACT, "PUBLIC RECORDS LAW", "FREEDOM OF INFORMATION ACT", "GOVERNMENT IN THE SUNSHINE LAW", ETC.), OR OTHER APPLICABLE LEGAL REQUIREMENT. LICENSEE SMALL ALSO PROMPTLY NOTIFY LICENSOR ("VERIZON") IN WRITING OF ANY REQUEST FOR SAID CONFIDENTIAL INFORMATION, SO THAT VERIZON MAY HAVE THE OPPORTUNITY TO ASSERT ITS LEGAL OBLIGATIONS TO PROTECT SUCH INFORMATION. LICENSEE SHALL NOT DISCLOSE ANY SUCH CONFIDENTIAL INFORMATION UNLESS AND UNTIL A FINAL, UNAPPEALABLE DECISION IS RENDERED BY THE HIGHEST COURT OF COMPETENT JURISDICTION COMPELLING SUCH DISCLOSURE, UNLESS THE COURT RULES THAT LICENSEE MUST PRODUCE CONFIDENTIAL INFORMATION AND SAID COURT REFUSES TO STAY PRODUCTION OF SAID CONFIDENTIAL INFORMATION PENDING APPEAL. LICENSEE SHALL PROMPTLY NOTIFY VERIZON OF SUCH ACTION SO AS TO AFFORD VERIZON THE OPPORTUNITY TO JOIN AN APPEAL. 5.7 It is agreed that a violation of any of the provisions of this Article 5 will cause irreparable harm and injury to the disclosing Party and that Party shall be entitled, in addition to any other rights and remedies it may have at law or in equity, to seek an injunction enjoining and restraining the receiving Party from doing or continuing to do any such act and any other violations or threatened violations of this Article 5. Verizon ESG Copyright 0 2001-2004 10/04/2004 DR 5 of 16 verrLvrr ARTICLE 6 PERFORMANCE OBLIGATIONS 6.1 Verizon will use commercially reasonable efforts to provide accurate and complete Information and will take steps to correct inaccurate Information upon receipt of changes from the PSAP following normal Verizon's error correction procedures. 6.2 EXCEPT AS OTHERWISE PROVIDED HEREIN, ALL DATA AND OTHER MATERIAL ARE PROVIDED BY VERIZON "AS IS" WITH ALL FAULTS. VERIZON MAKES ABSOLUTELY NO EXPRESS OR IMPLIED WARRANTIES WHATSOEVER REGARDING THE COMPLETENESS OR ACCURACY OF THE INFORMATION PROVIDED OR THE TECHNICAL QUALITY OF ANY MEDIA SUPPLIED HEREUNDER, INCLUDING BUT NOT LIMITED TO IMPLIED WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. 6.3 Licensee represents and warrants that it is a provider of Emergency Services or Emergency Support Services and offers such service(s) in the geographic areas or jurisdictions for which it is requesting Information, and that any such Information it obtains from Verizon under this License will be used solely for the purposes of delivering or assisting in the delivery of Emergency Services. 6.4 Licensee will not permit anyone other than its duly authorized employees and agents to inspect or use the Information. Licensee agrees to use commercially reasonable security measures to prevent copying or downloading of the Information by third parties, including governmental agencies, and to prevent any other unauthorized use of such information. Any unauthorized use or disclosure of the Information provided to Licensee and Verizon shall be entitled to terminate this Agreement immediately pursuant to section 8.2.2 hereof, shall be deemed to be a material breach of the Agreement. If Licensee ceases providing Emergency Services for a period in excess of ninety (90) days in any area for which it has received Information under this Agreement, it will notify Verizon, destroy any data it has received from Verizon under this Agreement for that area, and remove said data from its databases within thirty (30) days. 6.5 Except as may otherwise be provided herein, the Licensee agrees to indemnify, defend and hold Verizon harmless from and against any and all liability, suits, damages, claims and demands, costs, expenses (including attorneys' fees and costs of court), made by a third party that arise in any manner out of Licensee's use of the Information or arising from a breach of Article 5. ARTICLE 7 LIMITATION OF LIABILITY 7.1 EXCEPT FOR THE INDEMNITIES SET FORTH IN SECTION 6.5 HEREOF, NEITHER PARTY WILL BE LIABLE TO THE OTHER FOR ANY EXEMPLARY, INDIRECT, INCIDENTAL, CONSEQUENTIAL, RELIANCE, OR SPECIAL DAMAGES SUFFERED BY A PARTY (INCLUDING WITHOUT LIMITATION DAMAGES FOR HARM TO BUSINESS, LOST REVENUES, LOST SAVINGS, OR LOST PROFITS SUFFERED BY Verizon ESG Copyright © 2001-2004 10/04/2004 DR 6 of 16 veri��n W SUCH OTHER PARTY TO THE EXTENT COMPRISING INDIRECT, INCIDENTAL, CONSEQUENTIAL, RELIANCE, OR SPECIAL DAMAGES), REGARDLESS OF THE FORM OF ACTION, WHETHER IN CONTRACT, WARRANTY, STRICT LIABILITY, OR TORT, INCLUDING WITHOUT LIMITATION, NEGLIGENCE OF ANY FIND WHETHER ACTIVE OR PASSIVE, AND REGARDLESS OF WHETHER THE PARTY KNEW OF TILE POSSIBILITY THAT SUCH DAMAGES COULD RESULT. EACH PARTY HEREBY RELEASES THE OTHER PARTY (AND ITS SUBSIDIARIES AND AFFILIATES, AND ITS RESPECTIVE OFFICERS, DIRECTORS, EMPLOYEES, AGENTS, CONTRACTORS AND SUPPLIERS) FROM, AND WAIVES ANY SUCH DAMAGE CLAIMS. 7.2 OTHER THAN THE REMEDY IDENTIFIED IN SECTION 5.7, VERIZON'S SOLE AND EXCLUSIVE LIABILITY FOR ANY FAILURE BY VERIZON TO DELIVER, INFORMATION SHALL BE LIMITED TO A CREDIT OR REFUND OF TEE CHARGES PAID FOR THE DATA IN QUESTION DURING THE PRECEDING 12 MONTH PERIOD, WHICH SHALL IN NO EVENT EXCEED $10,000.00 IN THE AGGREGATE FOR ALL CLAIMS BROUGHT DURING TEE TERM OF THIS AGREEMENT 7.3 Except for actions to enforce the Parties' rights under Article 5 or Section 6.5, and unless otherwise required by state or federal law or regulation, no action or proceeding hereunder brought by one Party against the other Party may be commenced more than two (2) years after the cause of action becomes known to, or should have been known by, the complaining Party. 7.4 Licensee and Verizon each acknowledge that the provisions of this Agreement were negotiated to reflect an informed, voluntary allocation between the Parties of all risks (both known and unknown) associated with the transactions associated with this Agreement. The remedy limitations, and the limitations of liability, are separately intended to limit the relief available to the Parties. ARTICLE 8 TERM AND TERMINATION 8.1 This Agreement will become effective (Effective Date) on the date the Agreement is fully executed, and will remain in effect for the term of months identified in Exhibit B (the "Term") which will commence on the in-service date. For purposes of this agreement, the in- service date is the date after the Effective Date, when Verizon provisioning has been completed and the Information is available for Licensee's use. If, at the time of expiration of the Term, a new agreement with Verizon is not effective, as defined in this Agreement, the License will be terminated and Licensee shall return or, at Licensor's option, destroy all documents, computer media or records, in written, graphic, or other tangible form, that contain any Verzion Confidential information including without limitation, all Information. Licensee shall certify in writing that all Confidential Information has been destroyed (if applicable). Licensee's obligation to pay fees accrued prior to termination, will survive termination or expiration and remain in full force and effect. 8.2 Either Party may terminate this Agreement: Verizon ESG Copyright © 2001-2004 10/04/2004 DR 7 of 16 ver O 8.2.1 Upon prior written notice of a material breach of this Agreement, and the breach continues without cure for ninety (90) days, or if reasonable steps to correct such breach are not taken within ninety (90) days following written notice of such breach. Termination due to Licensee's breach will not relieve Licensee of its obligations to pay all fees accrued prior to termination and Licensee will be liable for Termination Charges as set out in Exhibit B, which shall be due and payable upon such early termination; or 8.2.2 Immediately upon written notice to Licensee in the event of a breach of Article 5 or Article 6. Termination due to Licensee's breach of Articles 5 or 6 will not relieve Licensee of its obligations to pay all fees accrued prior to termination and Licensee will be liable for Termination Charges as set out in Exhibit B, which shall be due and payable upon such early termination. 8.2.3 Bankruptcy or dissolution of the other Party. Bankruptcy with respect to any party to this Agreement, shall be deemed to have occurred (i) if any proceedings are initiated by or against any party under any law relating to the relief or reorganization of debtors, which in the case of an involuntary proceeding is not dismissed within 120 days after filing, or (ii) upon the appointment of any receiver or trustee to take possession of its properties, any assignment for the benefit of its creditors, or any other similar action by or on behalf of its creditors which is not vacated or stayed within ninety (90) days of such appointment or action. Termination under this sub- section 8.2.3 will not relieve Licensee of its obligations to pay all fees accrued prior to termination and Licensee will be liable for Termination Charges as set out in Exhibit B, which shall be due and payable upon such early termination. 8.3 In the event it is determined that this service must be provided pursuant to the authority and or requirements of the public utilities commission of the applicable state, the Parties agree to take all steps necessary to comply with such requirements, including but not limited to the filing of this Agreement. In addition, if this service is determined to be regulated, and if the Services provided in this Agreement become available under a tariff filed with the Public Service Commission or Public Utilities Commission of Licensee's State, this Agreement shall terminate at such time as the tariff becomes effective and the tariff services shall be approved for Licensee's use (if approval is required by the state commission). The tariff tern and rates to be applied will be those of the available tariff term closest to the term then remaining on the Agreement. 8.4 In the event either Party terminates this Agreement pursuant to section 8.2, Licensee shall return or destroy the Confidential Information in conformance with the procedure set out in 8.1 as if the Term had expired. ARTICLE 9 MISCELLANEOUS PROVISIONS 9.1 No Exclusivity. Nothing in this Agreement or elsewhere gives Licensee any exclusive right to the Information, and Verizon is free at any time to grant similar licenses and information to others in conformance with law. Verizon ESG Copyright 02001-2004 10/04/2004 DR 8 of 16 ver 9.2 Notices. Notices under this Agreement shall be sent by first-class U.S. mail, postage prepaid to the following addresses: Verizon Address Verizon National Contracts Repository MC: HQW02L25, 700 Hidden Ridge Irving, TX, 75038 with a copy to Emergency Services Offer Manager, 1095 Ave. of Americas, 19' Floor, New York, NY, 10036 Licensee Address: Calhoun County Emergency Management 211 S. Ann St., Suite 301 Port Lavaca, TX 77979 The foregoing notice data may be changed at any time by written notice to the other Party. 9.3 Entire Agreement. This Agreement, including all Exhibits hereto, and all applicable tariffs, contain the entire understanding of the Parties and supersedes any and all prior written and oral communications to the extent that they related in any way to the subject matter hereof. 9.4 Amendments. This Agreement may not be amended or modified orally, nor any of its terms waived, except in a writing signed by duly authorized representatives of both the Licensee and Verizon and only upon complying with any state or federal regulatory filing or approval requirements. 9.5 Waiver. No failure of or delay by either Party hereto in exercising any right or power hereunder will operate as a waiver thereof nor will any single or partial exercise thereof preclude any other or further exercise thereof or the exercise of any other right or power. 9.6 Successors and Assigns. Verizon may assign or transfer part or all of this Agreement to any affiliate or successor to substantially all of its assets in the locations where Information is provided hereunder. With written consent fi-om Verizon, Licensee may assign or transfer this Agreement to any company that is the successor to substantially all of its assets, provided all Fees for Information provided prior to such transfer or assignment are paid in full when due. Except as otherwise required by law or regulation, all other attempted assignments shall be void without the prior written consent of the other Parry. 9.7 Severability. The invalidity or uuenforceability of any provision hereunder will not affect the validity or enforceability of any other provision hereunder. 9.8 Headings; Schedules. The headings in this Agreement are for convenience only and will not be construed to define or limit any terms herein or otherwise affect the meaning or interpretation of this Agreement. All Exhibits attached hereto are herein incorporated by reference and made part of this Agreement. Verizon ESG Copyright © 2001-2004 10/04/2004 DR 9 of 16 9.9 Counterparts. This Agreement or any amendment may be executed in separate counterparts, each of which when so executed and delivered will be an original, but all of which together will constitute one instrument. In proving this Agreement, it will not be necessary to produce or account for more than one such counterpart. 9.10 Force Majeure. Neither Party will be held liable for any delay or failure in performance of any part of this Agreement from any cause beyond its control such as acts of God, acts of civil or military authorities, government regulations, embargoes, epidemics, war, terrorist acts, riots, insurrections, fires, explosions, earthquakes, nuclear accidents, floods, strikes, power blackouts, volcanic action, other major environmental disturbances, inability to secure products or services from other persons or facilities, or acts or omissions of common carriers. 9.11 Choice of Law. This Agreement will be governed by and construed under the laws of the state to which the Information pertains without regard for its choice of law principles. 9.12 Compliance with Law. Each Party shall comply with all federal, state, and local statutes, regulations, rules, ordinances, judicial decisions, and administrative rulings applicable to its performance under this Agreement. 9.13 Public i . Unless required by state or federal regulatory filing requirements, any news release, public announcement, advertising, or any form of publicity pertaining to this Agreement, provision of Services, or association of the Parties with respect to provision of the services described in this Agreement shall be subject to prior written approval of both Parties. 9.14 Use of Trademark. Nothing in this Agreement shall grant, suggest, or imply any authority for one Party to use the name, trademarks, service marks, or trade names of the other for any purpose whatsoever. IN WITNESS WHEREOF, the Parties have caused this Agreement to be effective as of the day, month and year specified herein. Licensee: Calhoun County, TX Emergency Management 211 S. Ann Street, Suite 301 Port Lavaca, TX 77979 By: r)�. t a � —� Print d ame: MichelJ Pfaifar VERIZON LEGAL ENTITY: VERIZON BUSINESS NETWORK SERVICES INC. on behalf of VERIZON TEXAS INC. By: Printed Name: Title: Calhoun County Judge Title: Date: 4-28-15 Date: Verizon ESG Copyright 0 2001-2004 10/04/2004 DR 10 of 16 verimp EXHIBIT A (Page 1 of 3) TECHNICAL SPECIFICATIONS The following fields will be provided if available Data Format Fieldsl Function Code NPA TN House Number House Number Suffix Prefix Directional (only if it's presented in its own field) Street Name (as defined by PSAP) Street Suffix Post Directional (only if it's presented in its own field) Community Name (as specified by PSAP) State Location Customer Name Main NPA Main TN County ID Comments End of Record Header Format Fields 2 Ieader Indicator Extract Date Customer Name Cycle Counter End of Record Trailer Format Fields' Trailer Indicator Extract Date Customer Name Record Count End of Record Note: Verizon reserves the right to change the fields provided with a thirty (30) day notice to the Licensee. 'All fields are left justified, with trailing spaces. 'Ali Fields are left justified, with trailing spaces, except the Cycle Counter, this field will be right justified with leading spaces in the former Bell Atlantic area and leading zeros if the homer GTE area. ' All Fields are leftjustified, with trailing spaces, except for the Record Count, this field will be right justified with leading spaces in the former Bell Atlantic area and leading zeros in the fomrer GTE area. Verizon ESG Copyright © 2001-2004 10/04/2004 DR 11 of 16 ver�F�an Exhibit A (page 2 of 3) FULL FILE EXTRACT DELIVERY BY CD Full file extracts (and any subsequent updates of excessive size) will usually be provided on a password protected compact disk (CD) by certified mail to an address and recipient designated by Licensee. ESL ELECTRONIC TRANSFER Description Licensee will receive the Information electronically firm Verizon using one of Verizon's preferred transmission methods. Transmissions will be encrypted and Verizon will coordinate with Licensee to work with Licensee to set up the decryption process. Licensee may be required to procure additional hardware, software, TCP/IP addresses, static login/passwords, additional security features, etc. as required by Verizon E911 Corporate Security requirements — some of which may result in additional charges from Verizon. Verizon will provide an initial copy of the entire database via an encrypted CD that will be overnighted to Licensee. Verizon will follow up with electronic updates if Licensee has contracted for Daily or Weekly updates. Verizon will work with Licensee on determining the optimal electronic transmission method for the Licensee, as follows: Included in the monthly rate is the charge for Verizon to deposit the updates on the Licensee's computer system. It is the responsibility of the Licensee to ensure that each electronic update has been received, and is incorporated into its database. If Licensee does not receive an electronic update, Licensee has to notify Verizon within seven (7) calendar days after the Licensee's regular transmission date, so that the update can be resent. Failure to do so may result in the loss of updates, and Licensee will be required to purchase a new Full File Extract at the rate of the Initial Setup charge. If Licensee is unable to receive downloads from Verizon, Licensee does have the option of using Encrypted E-mail to retrieve the updates. If Licensee opts for delivery of incremental data via encrypted e-mail, Licensee must provide a valid e-mail address, secure a digital certificate from an accredited supplier (ie: Verisign) and exchange public keys with Verizon. Licensee must be able to invoke clients that support digital encryption, such as Microsoft Outlook or Outlook Express. The process will be tested and confirmed prior to the initial extract being created and sent via overnight delivery (UPS). Once this process in implemented, the daily updates will follow at an agreed upon time, if weekly updates are selected, they will be processed Mondays at approximately noon local time, plus/minus 1 hour for time zone differences. • If Licensee is unable to receive the updates from either of the above methods, Licensee does have the option of retrieving the updates by additionally subscribing to the following dial up applications, based on the location of Licensee's data: Verizon ESG Copyright © 2001-2004 10/04/2004 DR 12 of 16 Exhibit A (page 3 of 3) - SCAN for Licensees located in DE, MA, MD, ME, NH, NJ, NY, PA, RI, VA, VT, WV & Washington DC - DEMARCS for Licensees located in all other states Licensee must extract each update from DEMARCS or SCAN within seven (7) calendar days of the update's availability. If updates are not retrieved, the updates may be permanently lost. In such an event, Licensee will be required to purchase a new Full File Extract at the rate of the Initial Setup charge. Electronic Transfer methods are subject to change by Verizon upon sixty (60) days notice. Verizon DSG Copyright © 2001-2004 10/04/2004 DR 13 of 16 verb EXHIBIT B (Page 1 of 2) LISTING INFORMATION PRODUCTS STANDARD OFFERINGS: Full File Extract - a snapshot of all requested Information in a standard format. Full File Extract and Daily Updates - a snapshot of all requested Information in a standard format followed by that set of Information provided on a daily basis that reflects changes made to such information as a result of Move/Add/Change activity. Full File Extract and Weekly Updates - a snapshot of all requested Information in a standard format followed by that set of Information provided on a weekly basis that reflects changes made to such information as a result of Move/Add/Change activity. TERM: 36 Months STANDARD LICENSE FEES: Non -recurring Fees Frequency FULL FILE As requested by EXTRACT: $ 2,051.00 per full file Licensee, but no (No Updates) extract request more than once a quarter. Transfer Fee included in NRC fee. Non -recurring Fees Mont ly Recurring' Fees Frequency FULL FILE EXTRACT Initial full file with Daily Updates: $ 1,435.62 extract. Daily Updates - x $15.27 per month per Daily 10,000 records in full file extract. Non -recurring Fees Monthl RecurringFees Frequency FULL FILE EXTRACT Initial Rill file with Weeld U dates: $ 1,435.62 extract. Weeldy Updates - x $6.55 per month per 10,000 Weekly records in full file extract. TRANSMISSION Non -recurring Fees Monthly Recurring Fees METHOD (if not Verizon downloads) SCAN or DMARCS Verizon ESG Copyright © 2001-2004 10/04/2004 DR 14 of 16 Exhibit B (Page 2 of 2) *The Update Monthly Recurring Charge (MRC) is based on the number of records contained in the full extract and will be adjusted annually as described in Article 4, section 4.2. The MRC is calculated on a "per 10,000 record basis" with number of records being rounded up to the nearest 10,000 for charge determination. Invoice will include all applicable federal, state, and local fees, charges, and taxes. ® Verizon will render invoices: (i) promptly after delivery for Full File Extracts and Electronic Transfer; and (ii) monthly for Updates and Electronic Transfer. Daily or Weekly extract fees apply regardless of whether Licensee actually extracts updates. Fee Adiustment In the event that Verizon no longer has any customers purchasing Automatic Location Identification (ALI) service for the geographic region for which ESL is provided under this Agreement or any portion of that geographic region, Verizon may in its' sole discretion and upon 60 days written notice to Licensee adjust the Fees of this Agreement. Prior to the expiration of the 60 day notice period, Licensee may, by written notice to Verizon, cancel the Agreement without incurring termination liability. As with all early terminations prior to the end of the Agreement Team not otherwise covered by Article 8.2, such termination by Licensee shall be subject to all other terms of the Agreement including, without limitation, Article 8.1, with such termination date being deemed the expiration of the Term. EARLY TERMINATION FEE: If Licensee terminates the Agreement prior to the end of the Term or breaches the Agreement as set out under 8.2, Licensee shall pay to Verizon, as alternative performance and not as a penalty, all unpaid mm- recurring charges, and if Licensee is receiving Updates, a termination charge equal to seventy-five percent (75%) of the Monthly Recurring Fee for updates multiplied by the number of months remaining in the Term. Vernon ESG Copyright 0 2001-2004 10/04/2004 DR 15 of 16 EXHIBIT C LISTING INFORMATION PRODUCTS REQUEST FORM General Contact Information Name: Calhoun County Emergency Management Address: Ann 1 Port Lavaca, JX--11919— Phone: 3611,553-4400 FAX; 361-553-4444 Email: ladonnac-thigpen@calhouncotx.org Name: Phone: FAX: Full File CD Mailine Address Name: same Address: Phone: Note: CD will be sent by Certified/Overnight Mail which requires a person to be named recipient (i.e., not entity name) and physical address (i.e., not P.O. Box) Order Information Requested Date: 4-28-15 Re uested Delive Date: ASAP Select one of the following: ESN: ESN#: na 9-1-1 Entity: na State: Or Community Name: Community Name: State: Or 9-1-1 Entity: Entity Name: na State: Choose ONLY One of the following options by marking "X" in the column next to the desired option: Full File Extract Onl OR Full File Extract and Daily Updates OR Full File Extract and Weeldy Updates x OR Weekly Updates Only — Contract Renewals Only Verizon ESG Copyright 0 2001-2004 10/04/2004 DR 16 of 16 yen On Emergency Service Listings (ESL) Requesting Party Questionnaire Requesting Party Name: Calhoun County TX Any other names your organization uses: Calhoun Countv Emergency Management Main Address: Phone: Contact Name: Contact Number: 211 S. Ann St., Suite 301 City Port Lavaca State TX 361-553-4400 LaDorma Thigpen 361-553-4400 Zip 77979 Requesting Party's principal government or business function: County Government Any other material government or business function: What emergency services do you provide: Emergency Notifications/Public Safety Area of coverage (please be specific): All numbers in Calhoun County to include the cities of Port Lavaca, Seadrift and Point Comfort Texas What is the intended use of the requested ESL (please be specific as to all intended uses): Notifications of Public Safety issues to include evacuations. What affiliation does the Requesting Party have with any Emergency Service Providers (e.g., E911 Agency, Police/Fire Departments, Hospital, Rescue or Emergency Units): Emergency Management Signature ' v Title Cal boun County Judg Contact No. 361- 5 5 3-4600 Date 4-28-15 Email your completed request to Deirdre.Southall@verizotz.com CONSIDER POSSIBLE CHANGES TO CALHOUN COUNTY'S ON SITE SEWER FACILITY TEN ACRE RULE ORDER AND TAKE ANY ACTION DEEMED NECESSARY: Commissioner Fritsch made a motion to make no changes to the ten acre rule. Commissioner Galvan seconded the motion. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Recommendation to Remove the 10 Acre Rule: As Defined by the Texas Commission on Environmental Quality (TCEQ), Title 30 Texas Administrative Code, Chapter 285, Subchapter A. General Provisions, §285.3(f)(2): "No planning materials, permit, or inspection are required for an OSSF for a single family dwelling located on a tract of land that is ten acres or larger and: (A) the OSSF is not causing a nuisance or polluting groundwater; (8) all parts of the OSSF are at least 100 feet from the property line; (C) the effluent is disposed of on the property; and (D) the single family dwelling is the only dwelling located on that tract of land." History: October 8; 2007— DeWitt County Commissioners' Court adopted order which removed specific amendments outlined under Section 10, namely requiring a permit for all OSSFs, regardless of the size of the lot or acreage. October 29, 2007 —Victoria County Commissioners' Court passed order No.11 which removed specific amendments outlined under Section 10, namely requiring a permit for all OSSFs, regardless of the size of the lot or acreage. July 23, 2009 —Calhoun County Commissioners' Court adopted order which removed specific amendments outlined under Section 10, namely requiring a permit for all OSSFs, regardless of the size of the lot or acreage. Justifications to remove the 10 Acre Rule and require ALL on -site sewage facility systems (OSSF) to be permitted and inspected by the Victoria County Authorized Agent: (1) Permitted systems installed according the rules and regulations set for by TCEQ and the authorized agent are inspected and documented at the time of installation for the current property as well as future property owners. (2) Mortgage companies, especially lenders who offer VA loans may require documentation that the existing system is permitted by TCEQ; therefore, homes with permitted systems are more marketable. (3) Authorized agent maintains documentation, including a specification design and an "as installed" scaled drawing to assist current homeowners and future homebuyers with details as to specific placement of the system for future planning (i.e., installation of garden, shop, pool, etc.). (4) Setbacks to water wells are verified to protect the property owner's water supply: 1of2 Justifications to remove the 10 Acre Rule and require ALL on -site sewage facility systems (OSSF) to be permitted and inspected by the Victoria County Authorized Agent (continued): (5) Offers a fair and equitable market among installers. (6) The potential for 10 or more acres to be subdivided without knowing where the existing system is located may cause encroachment issues, as well as property line disputes and illegal discharge of sewage. (7) Keep property owners honest. If a permit is not required property owner will install the system they want rather than the system that will properly treat effluent; thus, reducing the risk of groundwater contamination. (8) Save the property owner money and time. Improper installations may result in property owners replacing their system due to premature failure. (9) Because Victoria County does not require a development permit, requiring an OSSF permit will aid in monitoring construction and development in the floodplain. Proposed change to Section 10. Amendments of the Order Adopting Rules of Victoria, County For On - Site Sewage Facility: "All construction of, alteration, extension or repairto, on -site sewage facilities shall be permitted and inspected, regardless of the size of the tract of land." m "Permitting shall be required for all on -site sewage facility installations, regardless of acreage." 2of2 REQUEST TO CLOSE WATER STREET BETWEEN 13TH AND 15TH STREETS IN PORT O'CONNOR, TEXAS ON JULY 17-18, 2015 FROM 12:00 P.M. — 2:00 A.M. FOR THE POCO BUENO FISHING TOURNAMENT: Commissioner Finster made a motion to close Water Street between 13th and 15th Streets in Port O'Connor, Texas on July 17 — 18, 2015 from 12:00 p.m. — 2:00 a.m. for the Paco Bueno Fishing Tournament. Commissioner Galvan seconded the motion. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Kenneth W. Finster County Commissioner County of Calhoun Precinct 4 May 06, 2015 Honorable Michael Pfeifer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Pfeifer: Please place the following item on the Commissioners' Court Agenda for May 14, 2015. • Consider and take necessary action to close Water Street between 13th & 15th Streets in Port O'Connor, Texas on July 17 -18, 2015 from 12:00 pm — 2:00 am for the Poco Bueno Fishing Tournament. Sincerely, Kenneth W. Finster KWF/at P.O. Box 177 —Seadrift, Texas 77983 — email: krinstern calhouncotx.org — (361) 785-3141 -- Fax (361) 785-5602 REQUEST BY PESCADO GRANDE FISHING TOURNAMENT, BENEFITING THE HARBOR CHILDREN'S ALLIANCE AND VICTIM CENTER, TO SELL ALCOHOL AT THEIR ANNUAL FUNDRAISER TO BE HELD JUNE 26 — 27, 2015 AT THE PORT O'CONNOR COMMUNITY CENTER AND AUTHORIZE COUNTY JUDGE TO SIGN LETTER OF APPROVAL TO TABC: Commissioner Galvan made a motion to approve request by Pescado Grande Fishing Tournament, benefiting The Harbor Children's Alliance and Victim Center, to sell alcohol at their annual fundraiser to be held June 26 — 27, 2015 at the Port O'Connor Community Center and authorize County Judge to sign letter of approval to TABC. Commissioner Finster seconded the motion. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Kenneth W. Finster County Commissioner County of Calhoun Precinct 4 May 6, 2015 Honorable Michael Pfeifer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Pfeifer: Please place the following item on the Commissioners' Court Agenda for May 14, 2015. • Discuss and take necessary action to allow the Pescado Grande Fishing Tournament, benefiting The Harbor Children's Alliance and Victim Center, sell alcohol at their annual fundraiser to be held June 26 — 27, 2015 at the Port O'Connor Community Center and authorize County Judge to sign letter of approval to TABC. Sincerely, Kenneth W. Finster KWF/at P.O. Box 177 — Seadrift, Texas 77983 —email: ktinster o calhouncotx.org — (361) 785-3141 —Fax (361) 785-5602 PESCADO GRANDE! Fishing Tournament .� • Benefiting �... e The Harbor Children's Alliance and Victim Center r. P.O. Box 1300 Bus. Office: (361) 552-1952 215 W. Railroad Hotline: (361)552-4357 Port Lavaca, Texas 77979 rxx: (361) 552-4309 April21, 2016 Greetings, Commissioner's Court, My name is Christine Mayer, and I am the Chairperson of the Pescado Grande Fishing Tournament. On behalf of the tournament and The Harbor Children's Alliance & Victim Center I am asking we be allowed to sell alcohol at our fundraiser that will be held on June 261h and 271h, 2015 at the Port O'Connor Pavilion. The fishing tournament is the biggest fundraiser we have and the funds raised will be used for the operation of The Harbor's programs throughout the year. We will purchase insurance that is also required for our event and we do have security at our tournament. Our tournament usually draws 150 — 200 fishermen each year. Respectfully, Christine Mayer Pescado Grande Fishing Tournament Chair 361-550-3694 $%5�� op �F+ MICHAEL J. PFEIFER Calhoun County Judge (¢ 9s c�oF=A�°� 211 S. Ann Street, Suite 301 - Port Lavaca, Texas 77979 (361) 553-4600 - Fax (361) 553-4444 - Email: mike.pfeifer@calhouncotx.org May 14, 2015 Texas Alcoholic Beverage Commission Victoria, Texas TO WHOM IT MAY CONCERN: RE: PESCADO GRANDE FISHING TOURNAMENT/PORT O'CONNOR TEXAS On May 14, 2015, Calhoun County Commissioners' Court heard and approved a request by the Pescado Grande Fishing Tournament to sell alcohol at their annual fundraiser. The Harbor Children's Alliance & Victims Center is authorized to hold a 3 Day Special Wine and Beer Permit (SB) for the Pescado Grande Fishing Tournament to be held June 26 and June 27, 2015 from 12 pm to 12 am at Highway 185 and Park Street, at the Port O'Connor Community Center in Port O'Connor, Texas 77982. Please do not hesitate to contact this office if you require any further information. Sincerely, Michael J. Pfeifer Calhoun County Judge MJP/sr www.caHiouncotx.org REQUEST BY ROAD AND BRIDGE PRECINCT 4 TO BE ADDED TO ATTACHMENT "D" -AFFILIATED AGENCIES OF THE GOVERNMENT PAYMENT SERVICE, INC. (D/B/A-GOVPAYNET") CONTRACT THAT WAS SIGNED BY JUDGE PFEIFER ON APRIL 12, 2012. PRECINCT 4 ROAD & BRIDGE ACCEPTS PAYMENTS FOR THE PORT O'CONNOR COMMUNITY CENTER FOR DEPOSITS AND RENTAL FEES: Commissioner Finster made a motion to approve request by Road and Bridge Precinct 4 to be added to Attachment "D" - Affiliated Agencies of the Government Payment Service, Inc. (d/b/a "GovPayNet") contract that was signed by Judge Pfeifer on April 12, 2012. Commissioner Fritsch seconded the motion. Commissioner Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Kenneth W. Finster County Commissioner County of Calhoun Precinct 4 May 07, 2015 Honorable Michael Pfeifer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Pfeifer: Please place the following item on the Commissioners' Court Agenda for May 14, 2015. • Consider and take necessary action to authorize Precinct 4 Road & Bridge to be added to Attachment "D" — Affiliated Agencies of the Government Payment Service, Inc. (d/b/a "GovPayNet") contract that was signed by Judge Pfeifer on April 12, 2012. Precinct 4 Road & Bridge accepts payments for the Port O'Connor Community Center for deposits and rental fees. Sincerely, w cf Kenneth W. Finster KWF/at P.O. Box 177 — Seadrift, Texas 77983 — email: kfinster a calhouncomorg — (361) 785-3141 — Fax (361) 785-5602 02010 Government Payment Service, Inc. TX -Calhoun Co. - County Wide, Rev01, 2012Mar28 ATTACHMENT "D" -- AFFILIATED AGENCIES GPS Agreement No.: TIC-CALHOUNCO-COUNTYWIDE, REVOl, 2012MA.R28 For all purposes of the Agreement, the following are deemed "Affiliated Agencies" as that term is defined in Attachment "A": Calhoun County Sheriffs Office Calhoun County Justice of the Peace, Precinct 1 Calhoun County Justice of the Peace; Precinct 2 Calhoun County Justice of the Peace, Precinct 3 Calhoun County Justice of the Peace, Precinct 4 Calhoun County Justice of the Peace, Precinct 5 Calhoun County District Attorney's Office (added 2013Janl6) Calhoun County Clerk (added',2-16-2015 Dalhoun County District Clerk (added 2-16-2015) Road and Bridge Precinct #4 (added 05-14-2015) Participant shall take any actions Participant deems necessary or appropriate under applicable intergovernmental cooperation standards to secure participation of any of the above in this Agreement as an Affiliated Agency. ,h NIP GOWAY ET The slmple Way To Pay y. UPS Agrcoment ID No. TX-CALHOUNCO-COUNTYWIDE, REVOI, 2012MAR28 Page 12 of 12 INTERLOCAL PARTICIPATION AGREEMENT WITH TAC HEALTH AND EMPLOYEE BENEFITS POOL AND AUTHORIZE COUNTY JUDGE TO SIGN: Commissioner Galvan made a motion to approve Interlocal Participation Agreement with TAC Health and Employee Benefits Pool and authorize County Judge to sign. Commissioner Lyssy seconded the motion. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Susan Rile From: Rhonda Kokena <rhonda.kokena@calhouncotx.org> Sent: Monday, May 04, 2015 1:20 PM To: Susan Riley Subject: FW: TAG HEBP Interlocal Agreement Attachments: Interlocal Participating Agreement TAG HEBP.pdf Pleaseput on the agenda for May 14, the.follou,ing: • Consider and take necessary action to approve the Interlocal Participating Agreement with TAC Health and Employee Benefits Pool and authorize the County Judge to sign. The agreement is attached. RHONDA S. KOKENA Co-" Treayv rer Cat mn.wCo%u fy AvgAwgr.II 202 S. Ao St., Sv-i e A Par+Lavaca, Tegaa5, 77479 }}r (361)553-44619 off'-r,c� 'r•' (361)553-4614 1 April 17, 2015 Dear Member: Attached you will find the Interlocal Participating Agreement (Agreement) with the Texas Association of Counties Health and Employee Benefits Pool (TAC HEBP). You are receiving this Agreement because it has been updated to reflect the Affordable Care Act Reporting and Tiacking Services (ARTS).program offered by TAC HEBP.' Please review your Agreement to ensure it accurately reflects the services that you have agreed to participate with TAC HEBP. Once confirmed, please sign the Agreement and return. If you have agreed to participate in ARTS, please check the appropriate box in Attachment A, attach the .executed ARTS agreement, sign the Agreement, and return. If you are considering participation in ARTS and waiting on a decision, please hold the Agreement until you have approval. At that time, please attach the executed ARTS agreement, sign the Agreement and return. If you have questions regarding the ARTS program, please contact your TAC HEBP Employee Benefits Consultant at (800) 456-5974. If you have questions regarding your Agreement, or the services offered, please contact your TAC HEBP Employee Benefits Specialist at (800) 456-5974. Sincerely, Health and Benefits Staff, Texas Association of Counties (512) 47M753 • (600) 456-6974 > (512) 481-5451 FAX o x"mcounty.org a 1210 san Antonio, Austin, TX 78701 • P.O. Box 2131, Austin, TX 787682131 Gene Terry, Executive Directo-r h z, :EKA.S..ASS.O.GZATIO,N: of-.:COT.T.ES:. ,. L%I: * s* HEALTH .AND EMPLOYEE BENEFITS POOL INTERLOCAL PARTICIPATION AGREEMENT This Interlocal Participation Agreement (the "Agreement') is made by and between Calhoun County, a political subdivision of the State of Texas (the "Member".), acting through its [COMMISSIONERS' COURT OR OTHER GOVERNING BODY], and the Texas Association of Counties Health and Employee Benefits Pool ("HEBP"), as authorized by the Texas Interlocal Cooperation Act (TEX. GOV'T CODE, Chapter 791) ("Interlocal Cooperation Act", acting on its own behalf and on behalf of each other political subdivision Having membership in the HEBP. 1. RECITALS 1.1 The Member is a political subdivision of the State of Texas as'defined in the Texas Political Subdivision Employees Uniform Group Benefits Act (TEX. LOC. GOV'T CODE, Chapter 172) ("Group Benefits Act"). 1.2 As a political subdivision of the State of Texas, the Member performs certain governmental functions and services as those terms are defined under Interlocal Cooperation Act § 791.003. 1.3 The Member desires to contract with HEBP to obtain one or more of the following, as indicated by Member on Attachment A to this Agreement, which is incorporated herein: 1) health and employee benefit plans and administrative services relating to health and employee benefit plans for its officials, employees, and retirees, and their eligible dependents, including accident, health, dental, life, disability and other appropriate coverages; 2) administrative services or stop -loss coverage in support of Members self - funded health and employee benefits plan; 3) the benefits available to retirees of the Member through the County Choice Silver Program or other similar programs; 4) Affordable Care Act Reporting and Tracking Services (ARTS); and 5) such other related programs as HEBP's board of trustees determines to make available to members of HEBP. 1.4 The Member acknowledges that this Agreement is a contract with HEBP and each political subdivision that is a member of HEBP and that HEBP may contract with other political subdivisions wishing to participate, at the discretion of HEBP. 1.5 . The Member's ;governing body has agreed to'the terms and :conditions o€ this Agreement and has acted by majority vote, at a duly called and posted public meeting, to authorize the execution of this Agreement and participation in HEBP. �Wff"WVA#ZJ 2.1 Entry Into HEBP. For and in consideration of the mutual agreements set forth in this Agreement, and other good and valuable consideration, the Member enters into this Agreement for the purpose of joining HEBP, to achieve efficiencies and economies of scale in connection with the provision .of one or more of the programs or services listed in paragraph 1,3 above. 2.2 HEBP Not an Insurer. HEBP is not an insurer. All benefits and related services provided by HEBP are authorized pursuant to the Group Benefits Act, the Interlocal Cooperation Act, and other applicable Texas law. 2.3 Administrative Contract with the Texas Association of Counties. HEBP has contracted with the Texas Association of Counties ("TAC") to administer the business and operations of HEBP and supervise the performance of the .Agreement. 3. TERMS AND CONDITIONS 3.1 Term and Termination. This term of this Agreement shall be for one year, commencing as of the date of execution by the second party to sign the Agreement. This Agreement shall be automatically renewed annually for an additional one-year term without the necessity of any action by the parties other than payment of the appropriate premium or contribution. Either party may elect not to renew this Agreement by giving written notice not less than 30 days before the end of the original term or any renewal term. 3.2 Agreement Binds Members. Each Member agrees to be bound by this Agreement and HEBP's Bylaws, policies and procedures, which collectively establish the conditions for membership in HEBP. HEBP's Bylaws are incorporated by reference and made a part of this Agreement for all purposes as if fully set out, except that Articles III(E), IX(B), and XV(B) shall apply to members that obtain only administrative services, County Choice Silver benefits, or ARTS services from HEBP only to the extent the Member's contributions contribute to any surplus that may be distributed. TAC HEBP Member Interlocal 2 Authorized February 26, 2914 Any amendment to the Bylaws becomes binding on the Member immediately upon its adoption. 33 " """Benefit Plans. For aMeniber that.participates in the pooled,l3EBP's Health and employee benefits plan, HEBP will make available health and employee benefit plans for the officials, employees, retirees, and eligible dependents of the Member, including accident, health, dental, life, disability and other appropriate coverages ("Benefit Plans'). HEBP will provide all benefits under the authority of the laws of the State of Texas, including the Group Benefits Act and the Interlocal Cooperation Act. Each Member will adopt its own Benefit Plan from those made available by HEBP. The Member's Benefit Plan may combine insured, self -insured; and pooled liabilities. For a Member that. does not participate in HEBP's pooled health and employee benefits plan, HEBP shall make available administrative services, stop —loss coverage, County Choice Silver or other retiree benefits, ARTS services and other benefits and services as the board of trustees determines to make available. 3.4 HEBP Procedures and Bylaws. Every Member shall furnish all .the information that HEBP deems necessary and useful for the purposes of this Agreement and shall abide by the procedures and Bylaws adopted for the administration of the Benefit Plans. 3.5 Third -Part Administrator. HEBP may contract with one or more third - party administrators. 3.6 Payments and Conditions. Payments and contributions shall be made by the Member to HEBP at Austin, Travis County, Texas on the dates and in such amounts as HEBP requires. Interest, beginning the first day after the due date and continuing until paid, shall accrue at the maximum rate allowed by law on the balance of any payment or contribution not paid when due. Contributions and other payments received by HEBP from its Members will be held and managed for the benefit of the Members of the Pool, not the individual officials, employees, retirees of a Member, or the dependents of these officials, employees or retirees. 3.7 Insurance and Reinsurance. HEBP may purchase insurance, stop loss or excess loss coverage, and reinsurance as provided by law, and each Member is subject to the terms and conditions of HEBP's insurance, stop loss or excess loss coverage, or reinsurance. A self -insured Member that obtain administrative services only will obtain stop -loss coverage froin or TAC HEBP Member interlocal 3 Authorized February 26, 2014 through HEBP. If HEBP is unable to provide appropriate coverage, the Member will obtain other stop -loss coverage that is satisfactory to HEBP. 3.8 Coordinators. Each-MIe ber shall appoint, and.desigiate'Ju.the.space provided below, a Pool Coordinator of department head rank or above: Each Member agrees that HEBP is not required to contact or provide notices to any person other than the Pool Coordinator. Any notice to a Member's Pool Coordinator related to service or a claim under this Agreement is binding on the Member. Each Member may change its Pool Coordinator at any time by giving written notice to HEBP. , 3.9 . Audits. HEBP will be audited annually by an independent certified public accountant, and the audit will be filed as required by the laws of the State of Texas including.the Group Benefits Act. 3.10 Plan Administrator. HEBP will serve as the plan administrator, as defined by the Health Insurance Portability and Accountability Act, for a Member participating in the pooled health and employee Benefits Plan. Each self - insured Member will serve as its own plan administrator, retains the right, duties and privileges of the plan administrator and acknowledges it has responsibility for compliance with all state and federal laws applicable to employee benefits for its employees and plan participants. 3.11 Self -Insured Member Responsibility. Each Member acknowledges that, to the extent its Benefit Plan is self -insured, it remains responsible for the payment of benefits under the Benefit Plan if HEBP fails to make payments. 3.12 ARTS Participant Responsibrlity. A Member who participates in the ARTS Program is responsible for providing HEBP with detailed payroll information, including leave of absence, and health benefits information for each full time employee. HEBP is not responsible for verification of information provided by or on behalf of a Member under the ARTS Program. Each participating Member acknowledges that it remains responsible for the accuracy of the information provided to HEBP, and for any fines, penalties, or damages resulting from reports generated from the information. 4.. ADMINISTRATIVE PROVISIONS 4.1 Amendment. This Agreement may only be. amended or modified by written agreement signed by the parties, or as otherwise provided under this Agreement. TAC HEBP Member Tnterlocal , 4 Authorized February 26, 2014 4.2 Applicable Law. This Agreement is entered into, is executed and is totally performable in the State of Texas, County of Travis, and all questions pertailiing°to.its validity or construct or2shall be determine accordance With the laws of the State of Texas: 4.3 Acts of Forbearance.' No act of forbearance on the part of either party to enforce any of the provisions of this Agreement shall be construed as a modification of this Agreement, nor shall the failure of any party to exercise any right or privilege be considered as a waiver of that right or privilege. 4.4 Notices. Any notice required to be given or payment required to be made to HEBP shall be deemed properly sent if addressed to: Texas Association of Counties Health and Employee Benefits Pool Attention: Director, Health and Benefits Services Department 1210 San Antonio Austin, Texas 78701 and deposited in the United States mail with proper postage. HEBP may change its address by giving notice to the Members. The terms of a Member's Benefit Plan govern submission of any notice regarding claims under a Member's coverages. 4.5 Effect of Partial Invalidity; Venue. If any part of this Agreement is declared invalid, void or unenforceable, the remaining parts and provisions shall continue in full force and effect. The parties agree that venue for any dispute arising under the terms of this Agreement shall be in state district court in Austin, Travis County, Texas. 4.6 Exclusive Right to Enforce. HEBP and the Member have the exclusive right to bring suit to enforce this Agreement, and no other party may bring suit, as a third -party beneficiary or otherwise, to enforce this Agreement. TAC HEBP Member Interlocal $ Authmized February 26, 2014 EXECUTION LN 4ViTNESS WHEREOF, we hereunto affix our signatures as of the date iricicated. below. TEXAS ASSOCIATION OF COUNTIES HEALTH AND EMPLOYEE BENEFITSPOOL Executive Director, Texas Association of Counties Date: April 17, 2015 MEMBEWS POOL COORDINATOR Calhoun County MEMBER Name: Rhonda S. Kokena By: Address: 202 S. Ann, Ste A Printed Name: Michael J. Pfeifer Port Lavaca TX 77979 Title: County Jud e Phone Number: (361) 553-4620 Date: 5- E-Mail Address: Ronda.kokena(cr alhouncotx.org TAC HEBP Member Snterlocal 6 Authorized February 26, 2014 ATTACHMENT A The Member most select "the" HEBP services that it .will obtain' 'through its " membership in HEBP. Please indicate your choices by checking the appropriate box. ® A. Pooled Coverage [You may also select services under D and E, below. Do not select services under B and C, below.] The Member will participate in the pooled HEBP health and employee benefits plan. HEBP will provide health and employee benefit plans for the Member's officials, employees, retirees, and eligible dependents, that may include accident, health, dental, disability and other appropriate coverages. Member will adopt its own. Benefit Plan from those made available by HEBP. HEBP will provide administrative and other necessary services in support of the Benefit PIan chosen by the Member. ❑ B. Administrative Services [Do not select this box if you selected option A, above. "You may select any of the services below.] The Member has established its own self -funded health and employee benefits plan for its officials, employees, retirees and their eligible dependents. The Member does not want to participate in the pooled HEBP health and employee Benefits Plans, but will obtain from HEBP administrative services in support of Member's self -funded Benefits Plan. HEBP will provide these administrative services under the terms of the Administrative Services Agreement between HEBP and the Member, attached as Exhibit 1 if applicable. ❑ C. Stop -Loss Coverage [Do not select this box if you selected option A, above. If you select this option C, you MUST also select option B, above. You may also select services under D or E, below.] The Member has established a fund to provide its own health and employee benefits plan for its officials, employees, retirees and their eligible dependents. TAC HEBP Member lnterlocal 7 Authoxized Febmaxy 26, 2014 The Member does not want to participate in the pooled HEBP health and employee benefits.plan, but will obtain from HEBP stop -loss coverage in support of its self - funded. Haw ,HEBP will provide stop -loss coverage to: Member pursualtt,to the terms of the 'Stop -Loss Coverage Agreemeint between. Member' and HEBP, attached as Exhibit 2 if applicable. ® D. Retiree Health Benefit Plans [You may select this option in addition to any other service.] The Memberwill participate in the retiree medical program for Medicare eligible retirees of a Member, according to the terms agreed to by Member and HEBP, as described in the Retiree Benefit Plan attached as Exhibit 3 if applicable. ® E. ACA Reporting and Tracking Service (ARTS) [You may select this option in addition to any other service.] The Member will. participate in the Affordable Care Act (ACA) Reporting and Tracking Service Program, which provides reporting specific to the Member's employees regarding various ACA rules and thresholds, and produces related annual forms required by the Internal Revenue Code, based on data submitted to HEBP by Member, according to the terms and pricing agreed to by Member and HEBP, attached. As Exhibit 4, if applicable. TAC HEBP Member lnterlocal $ Authorized February 26, 2014 silver EM 015 Summary ®f Benefits Underwritten by UnitedAealtlime Snsmmnce Company 0 UnitedHealthcare All covered amounts will vary depending on Medicare benefits for any particular year. Amounts listed on this summary are for Year 2015.benefits. Amounts may change for the Year 2016. This summary is 'intended only to'sllaw highlights ofberiefits aria shopld riot be relied.upon io fully determine " health care expenses. Once you'are enrolled in the plan, you will receive a Welcome Kit which will include. a Certificate and Schedule of Benefits. These documents will provide you with a listing of services, limitations, exclusions, and a description of terms, conditions of coverage and any state mandated benefits. If this description conflicts in any way with the policy issued to the enrolling group, the policy prevails. If you would like to receive the Certificate and Schedule of Benefits before you enroll in the plan, please can Customer Service at the number located on the back of this booklet. A benefit period begins on the first day you receive service as an inpatient in a hospital and ends after you have been out of the hospital and have not received skilled care in any other facility for 60 days. in a row. • -• M ° , h'�nnt .+ply F��,%� i� :lgY �s4�-�` ¢ � �3 ` ? dt�` k t-C �,.�� _5s� 4 a 5v� .. �•i ^Y �-: l h�,fY 3,1 �at �k����hf7O5p�6��7����✓m� h.Z a '�� 3? {i � 3 'F' . I i ham; � 3� ��_ y7 4 g >f'� Sy { � �3._n..< ve a.l:„�3T .x,. . f„... .. •.:1 c i.. T,r 4=, ...::. .. ,.��.: ���:y, �.w. Medicare Part A Hospital — semi -private room and board, general nursing and miscellaneous services and supplies. $1,260 Days 1 — 60 All but$1,260 (Medicare Part $0 Deductible) Days 61 — 90 All but $315 per day $315.per day $0 Days 91 — 150 (While using All but $630 per day $630 per day $0 60 lifetime reserve days) Days 151 — 365 — lifetime $0 100% of Medicare $0 additional reserve days Eligible Expenses Beyond 365 lifetime additional $0 $0 All costs reserve days kllellurng ae�ltfiy Care , You must meet Medicare's requirements, including having been in a Hospital for at least 3 days and entering the Medicare approved facility within 30 days of leaving the Hospital. Days 1 — 20 All approved amounts $0 $0 Days 21 — 100 All but $157.50 Up to $157.50 $0 per day per day Days 101 and after $0 $0 All costs {^vi `.,i s' -Z# Sh)t �t ✓5:. )f; 14'i 'YS Y1.�J,� v `r.h ifKif. .Fi yt .£'Y kr't"labY\, __ i�r,. j 4. li� ���OQ� �t 3k \ v M1 ..S:.:a:a3 1 \ . s'v`"}pju-�,l 5 h �.��>. �' }F S'rl t '.ir?a � ( `i��S �J, }< .✓ First 3 pints Medicare Part A $0 100% $0 Additional amounts under 100% $0 $0 Medicare Part A First 3 pints Medicare Part B $0 100% $0 $147 Next $147 of Medicare Approved $0 (Medicare Part B $0 Amounts under Medicare Part B Deductible)' Remainder of Medicare Approved 80% 20% $0 Amounts under Medicare Part B Available as long as your doctor All but very limited certifies you are terminally ill coinsurance for 100% $0 and you elect to receive these outpatient drugs and of balance services inpatient respite care Includes services such as physician services, inpatient and outpatient medical and surgical services and supplies, physical and speech therapy and diagnostic tests. First $147 of Medicare $0 (Mediccareare Part 8 $0 Approved Amounts Deductible)' Remainder of Medicare Generally 80% Generally 20% $0 Approved Amounts Outpatient Mental Illness — for most outpatient mental illness 80% 200/0 $0 services Medicare Part B Excess Charges (above Medicare Approved $0 100% $0 Amounts) Pre ientive leafthc rs { e iC' Qv r�ri) Periodic Health Screenings 100% Balance $0 (please refer to your certificate) (if applicable) MEN= �unat�e lUledta�1 ►`ptflen# $147 First$147 of Medicare $0 (Medicare Part B $0 Approved Amounts Deductible) Remainder of Medicare 80% of approved 20% of approved $0 Approved Amounts amounts amounts i Skilled Care Services and Balance $0 Medical Supplies. All approved amounts (if applicable) Fai��erltt>�e��a1�r�Caxtr (Ita# ,' i >CBple�ed ♦...HC.]l• S.tl...}.... U.Ea is .y �i'��C�I��f£.\/lt ....� .. m: :. a .: ,e3T .:... .L Annual Routine Physical Exam $0 1000/0 $0 F®Pe1.E1Ya\%0iMW Medically Necessary Emergency Care services beginning during the first six months of each trip outside the United States. First$250 each calendar year $0 $0 $250 Deductible Remainder of charges $0 80% up to a lifetime 20% and all amounts maximum benefit of over the $50,000 $50,000 lifetime maximum Exclusions and Limitations No benefits will.be, prov ded for; or In. cpnnection•with,. the following treatments,, services ;or spppliesc • Any expense or service that is not determined by the Company to be a Medicare Eligible Expense, unless coverage for the expense or service is specifically provided by a Rider to the Policy. ° Any treatment, service or supply paid for by Medicare or found to be medically unnecessary or unnecessary by Medicare. Any treatment, service or supply that is provided before the effective date of coverage' or after coverage has terminated. • Any injury or sickness due to any past or present employment, or that is covered under any, Workers' Compensation law or similar law. • Charges for self-inflicted injury or attempted suicide. ° Any treatment, confinement, services or supply provided by a government owned or operated facility. • Any injury or sickness resulting from war or any act of war (declared or undeclared).. • Acts beyond the company's control such as any major disaster, epidemic, complete or partial destruction of facility, war, riot, or civil insurrection, which result in the unavailability of the facilities or personnel: • Charges incurred as a result of participation in a riot, insurrection or the commission of a felony. • Blood and plasma except as stated above. ° Experimental or investigational treatment, procedures and items. • Hospital expenses for days 366 and beyond after the Medicare 601ifetime reserve days have been used. This Plan Summary is a highlight of benefits only and is not all inclusive of the Plan's benefits, services, or Exclusions and Limitations. $i�dfi0h:2"= Um'mary..of Benofits. If you have.ahy questions aboufthis plain's benefits or costs, please cohtacf UnitedHealthcar'e for details. How much is the Contact your group plan benefit administrator to determine your actual monthly premium amount, if applicable. premium? How much is the This plan does not have a deductible. deductible? Initial Coverage You pay the following until total yearly drug costs reach $2,960. Total yearly drug costs are the total drug -costs paid by both you and our Part D plan: You may get your drugs at network retail pharmacies and mail order pharmacies. Standard Retail Cost -Sharing Standasd'MA Order Cost -Sharing You may get drugs from an out -of -network pharmacy, but may pay more than you pay at an in -network pharmacy. Coverage Gap Most Medicare drug plans have a coverage gap (also called the "donut hole"). This means that there's a temporary change in what you will pay for your drugs. The coverage gap begins after the total yearly drug cost (including what our plan has paid and what you have paid) reaches $2,960. After you enter the coverage gap, we will continue to pay our share of the cost of your drugs and you pay your share of the cost. You will need to use your formulary to locate your drug's tier. See the chart that follows to find out how much it will cost you. Standard Retail Cost -Sharing a Standard Mail Order Cost -Sharing Tier Drugs Three-month supply Covered WI `(Generic)',:All1-0 copay. Tier 2 (Preferred Brand) All $50 copay Tier":3;Non-Preferred"$xarid) sAll $120co P:ay Tier 4 (Specialty Tier) All 33% of the cost Catastrophic After your yearly out-of-pocket drug costs (including drugs purchased through Coverage your retail pharmacy and through: mail order) reach $4,700, you pay the greater Of.. • 5% of the cost, or • $2.65 copay for generic (including brand drugs treated as generic) and $6.60 copay for all other dings. AssOGIA.TION Of COUNTIES AND EMPLOYEE BENEFITS POOL ACA Reporting and Tracking Service (ARTS) Program Agreement HEBP Member (Fully Insured or ASO) Program Services The ARTS program includes the following services: • Measurement, Administrative, and Stability Period tracking beginning January 1, 2015 and notification of eligibility for part-time / variable / seasonal employees (can provide tracking back to beginning. of Measurement Period if Historical data is provided by county/district); • Reporting for your county/district regarding the status of potential benefits -eligible employees; • Production of a data file to produce your county/district's 1094C and 1095C forms (optional direct mail service); • Production of a data file to produce your county/district's 1094B and 109513forms (applies to self -insured groups only) Program Requirements 7) Participants must provide employer, payroll, employee and unpaid leave of absence related to the group's Health Benefits Plan in the format designated by TAC HEBP, as described on Attachment A: "ARTS File Specifications". This data must be provided at each payroll cycle. 8) Group agrees to pay program fees as described in the ARTS Fee Schedule, Enrollment and Data Submission Deadlines Groups who wish to participate in the ARTS program must return the signed executed documents to TAC HEBP no later than April 30, 2015 in order to participate. ® Data file transmission to TAC HEBP must begin no later than June 30, 2015 to avoid late fees. TAC HEBP—ARTS Program Agreement 2015 Initials 1 of 3 `TEXAs AssoCIATIoN of Cou NTIEs 14EALTn AND .EMPLOYEE BENEFITS POOL ACA Reporting and Tracking Service (ARTS) HEBP Member (Fully Insured or ASO) Fee Schedule 1 ✓ ARTS Annual Subscription Fee *$4.05 / form Waived 2 Optional Forms Distribution (group $1.40 / form Will be billed in January 2016 chooses to have TAC mail employee forms) when forms are produced 3 El One time Activation Service Fee $7.50 /employee Waived (based on number of employees, non-refundable) Late fee for service election form 4 El (after 413012015) $1,500 5 Late fee for data submission $2 500 (after 613012015) Cancellation Fee 6 (711 through 12/31/2015) $4,000 Total Amount Due: ,00 $ 0,00 (if zero, enter 0.00) *Per 1094/1095C formi and 109411095 B form if applicable Fees subject to change annually beginniugin 2016 Initials TAC HEBP-ARTS Progmm Agreement 2015 9 of 4 AssoGIATION AND EMPLOYEE ACA Reporting and Tracking Service (ARTS) Contact Designation Form Contracting Authority: cat ko l i1 e oo u�'��(Group Name) hereby designates and appoints, as indicated in the space provided below, a Contracting Authority of department head rank or above and agrees that any notice to, or agreement by, a Group's Contracting Authority, with respect to service or claims hereunder, shall be binding on the Group. Each Group reserves the right to change its Contracting Authority from time to time by giving written notice to HEBP. Name: Title: Address: Phone: Fax: Email: Primary Name: Title: Address: Phone: Fax: Email: Main contact for data file and reporting matters pertaining to the ARTS program. FHPAA Secured FAX number: —141010 Signa�ouQhud Contracting Authority M J. �t��r Print Name and Title Date TAC HEBP -ARTS Program Agreement 2015 3of3 REQUEST BY CALHOUN COUNTY SHERIFF FOR A CREDIT CARD TO BE ISSUED TO LT. ROBERT HINOJOSA: Commissioner Lyssy made a motion approve request by Calhoun County Sheriff for a credit card to be issued to Lt. Robert Hincjosa. Commissioner Fritsch seconded the motion. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. CALHOUN COUNTY, TEXAS COUNTY SHERIFF'S OFFICE 211 SOUTH ANN STREET PORT LAVACA, TEXAS 77979 PHONE NUMBER (361) 553-4646 FAX NUMBER (361) 553-4668 MEMO TO: MIKE PFEIFER, COUNTY JUDGE SUBJECT: ISSUANCE OF A COUNTY CREDIT CARD DATE: MAY 14, 2015 Please place the following item(s) on the Commissioner's Court agenda for the date(s) indicated: AGENDA FOR MAY 14, 2015 *We are requesting that a county credit card from IBC, be issued to Lt. Robert Hinojosa of the Calhoun County Sheriff's Office. Lt. Hinojosa is a member of the administrative staff of this department and at times will need to make purchases for this department. Sincerely, 14A George Aleman Calhoun County Sheriff ACKNOWLEDGE AMENDMENT OF THE CALHOUN COUNTY SHERIFF'S OFFICE — FORFEITED PROPERTY FUND TO INCREASE MISCELLANEOUS (2860-9999-63290-999) BY $3000.00 AND THE AUTOMOTIVE REPAIRS (2860-999-60-360-999) BY $1000.00 AND DECREASE BUY MONEY (2860- 999-60580-999) BY $4000.00 TO COVER ESTIMATED EXPENDITURES FOR THE REMAINDER OF THE YEAR. THE NET EFFECT OF THIS TRANSACTION IS ZERO: Commissioner Galvan made a motion to acknowledge amendment of the Calhoun County Sheriff's Office — Forfeited Property Fund to increase Miscellaneous (2860-999-63290-999) by $3000.00 and the automotive Repairs (2860-999-60-360-999) by $1000.00 and decrease Buy Money (2860-999-60580-999) by $4000.00 to cover estimated expenditures for the remainder of the year. The net effect of this transaction is zero. Commissioner Fritsch seconded the motion Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. CALHOUN COUNTY, TEXAS COUNTY SHERIFF'S OFFICE 211 SOUTH ANN STREET PORT LAVACA, TEXAS 77979 PHONE NUMBER (361) 553-4646 FAX NUMBER (361) 553-4668 MEMO TO: MIKE PFEIFER, COUNTY JUDGE SUBJECT: Amend Forfeited Property Fund 2015 Budget DATE: May 1, 2015 Please place the following item(s) on the Commissioner's Court agenda for the date(s) indicated: AGENDA FOR MAY 14, 2015 To acknowledge the amendment of the Calhoun County Sheriff's Office - Forfeited Property Fund to increase Miscellaneous (2860-999-63920-999) by $3000.00 and Automotive Repairs (2860-999-60360-999) by $1000.00 and decrease Buy Money (2860-999-60580-999) by $4000.00 to cover estimated expenditures for the remainder of the year. The net effect of this transaction is zero. Sincerely, George Aleman Calhoun County Sheriff ACCEPT REPORTS OF THE FOLLOWING OFFICES: Judge Pfeifer made a motion to accept reports of the following offices: • Tax Assessor/Collector — March 2015 • County Treasurer — March 2015 • County Treasurer — Investment Report (Quarter Ending 03/31/2015) • County Treasurer — Quarterly Statement of Balances • Justice of the Peace #1 — April 2015 • Justice of the Peace #2 — April 2015 • Justice of the Peace #3 — April 2015 • Justice of the Peace #4 — April 2015 • Justice of the Peace #5 — April 2015 Commissioner Fritsch seconded the motion. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. 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Q7 O W A O N CALHOUN COUNTY, TEXAS COUNTY TREASURER'S REPORT MONTH OF: MARCH2015 BEGINNING ENDING FUND FUNDBAIANCE RECEIPTS DISBURSEMENTS FUNDBAIANCE OPERATING FUNDS: GENERAL $ 30,998,758.74 $ 2,726,348.45 $ 3,804,747.24 $ 29,820,359.95 AIRPORT MAINTENANCE 33,339.26 4.48 6,550.29 26,793.45 APPELLATE JUDICIAL SYSTEM 296.34 172.21 - 468.55 COASTAL PROTECTION FUND 39,105.31 5.25 - 39,110.56 COUNTY AND DIST COURT TECH FUND 2,513.96 66.70 - 2,580.66 COUNTY CHILD ABUSE PREVENTION FUND 283.13 9.98 - 293.11 COUNTY CHILD WELFARE BOARD FUND 1,399.58 204.19 - 1,603.77 COURTHOUSE SECURITY 236,214.17 1,113.66 - 237,327.83 COURT INITIATED GUARDIANSHIP FUND 3,206.28 140.43 - 3,346.71 DIST CLK RECORD PRESERVATION FUND 9,708.29 299.80 - 10,008.09 CO CLK RECORDS ARCHIVE FUND 64,414.24 3,118.65 - 67,532.89 DONATIONS 79,168.51 1,006.54 483.99 79,691.06 DRUG/DWI COURT PROGRAM FUND -LOCAL 9,240.09 172.83 - 9,412.92 JUVENILE CASE MANAGER FUND 9,042.85 61.64 - 9,104.49 FAMILY PROTECTION FUND 6,273.09 96.24 - 6,369.33 JUVENILE DELINQUENCY PREVENTION FUND 8,583.41 1.15 - 8,584.56 GRANTS 229,646.88 56,151.81 6,646.54 279,752.15 JUSTICE COURT TECHNOLOGY 61,335.73 667.53 - 62,003.26 JUSTICE COURT BUILDING SECURITY FUND 15,447.61 165.90 6,213.40 9,400.11 LATERAL ROAD PRECINCT#1 4,323.36 0.58 - 4,323.94 LATERAL ROAD PRECINCT#2 4,323.36 0.58 - 4,323.94 LATERAL ROAD PRECINCT#3 4,323.36 0,58 - 4,323.94 LATERAL ROAD PRECINCT#4 4,323.37 0,58 - 4,323.95 PRETRIAL SERVICES FUND 63,764.76 108.57 - 63,873.33 LAW LIBRARY 192,467.34 1,286.01 717.95 193,035.40 LAW ENE OFFICERS STD. EDUC. (LEOSE) 19,765.56 2,639.26 - 22,404.82 POC COMMUNITY CENTER 69,141.87 659.29 2,251.93 67,549.23 RECORDS MANAGEMENT -DISTRICT CLERK 4,990.87 197.42 - 5,188.29 RECORDS MANAGEMENT -COUNTY CLERK 113,975.79 53.55 1,840.75 112,188.59 RECORDS MGMT&PRESERVATION 182,572.74 3,912.21 - 186,484.95 ROAD &BRIDGE GENERAL 1,243,682.57 113,652.91 - 1,357,335.48 SHERIFF FORFEITED PROPERTY 1,28L20 0,17 - 1,281.37 6MILE PIERIBOAT RAMP INSUIUMAINT 54,900.81 7.38 105.73 54,802.46 CAPITAL PROJ- CIAP COASTAL IMPROVEMENTS 0.00 - - 0.00 CAPITAL PROJ-RB INFRASTRUCTURE 1,072,599.35 - - 1,072,599.35 CAPITAL PROJ- COUNTY ENERGY TRZ#1 354,745.05 - - 354,745.05 CAPITAL PROJ-SWAN POINT PARK 5,096A0 - - 5,096.40 CAPITAL PROJ- AIRPORT RUNWAY INIPROV 78,472.13 - - 78,472.13 CAPITAL PROJ-COUNTY ROAD 101 150,000.00 - - 150,000.00 CAPITAL PROJ - EMS SUBSTATION 347,399,23 - - 347,399.23 CAPITAL PROJ -EMER COMM SYS 30,848.06 - - 30,848.06 CAPITAL PROJ-GREEN LAKE PARK 30,728.51 - 42.18 30,686.33 CAPITAL PROJ - HATERIUS PARK/BOAT RAMP 21,064.00 - - 21,064.00 CAPITAL PROJ -PORT ALTO PURL BEACH -STORM REF 6,484,78 - - 6,484.78 CAPITAL PROJ- IMPROVEMENT PROJECTS 404,655.39 - 10,189.77 394,465.62 CAPITAL PROD - PORT O'CONNOR LIBRARY 1,167.00 - - 1,167.00 CAPITAL PROJ- MMC NURSING HOME UPI, PROGRAM 2,000,000.00 - - 2,000,000.00 CAPITAL FEW - MMC CLINIC ACQUISITION LOAN - - - - CAPITAL PROJ - MMC BUSINESS IMPROVEMENT LOA 1.500,000.00 - - 1.500,000.00 ARREST FEES 640.50 664,81 - 1,305.31 BAR, BOND FEES (HB 1940) 1,110.00 1,395.00 - 2,505.00 CONSOLIDATED COURT COSTS (NEW) 6,494,13 8,040.24 - 14,534.37 DNA TESTING FUND 262.24 52.30 - 314.54 DRUG COURT PROGRAM FUND - STATE i 171.13 305.28 39 683 715,31 $ 2 923 250.01 $ 3 839 789.77 $ 38 767 175.59 SUBTOTALS Page I of 3 COUNTY TREASURER'S REPORT MONTH OF: MARCH2O15 BEGINNING ENDING FUND FUNDBAIANCE RECEIPTS DISBURSEMENTS FUNDBALANCE OPERATING FUNDS -BALANCE FORWARD $ 39,683,715.35 $ 2,923,250.01 S 3,839,789.77 $ 38,767,175.59 ELECTION SERVICES CONTRACT 66,890.37 8.98 - 66,899.35 ELECTRONIC FILING FEE FUND 1,553.17 1,110.79 600.00 2,063.96 EMS TRAUMA FUND 366.36 211.33 - 577.69 FINES AND COURT COSTS HOLDING FUND 7,847.31 - - 7,84731 INDIGENT CIVIL LEGAL SERVICE 321.48 276.52 - 598.00 JUDICIAL FUND (ST. COURT COSTS) 162.74 229.39 - 392.13 JUDICIAL SALARIES FUND 2.465.12 3,064.58 - 5,529.70 JUROR DONATION -TX CRIME VICTIMS FUND 14.00 62.00 - 76.00 JUVENILE PROBATION RESTITUTION (5.00) 1,200.00 - 1,195.00 LIBRARY GIFT AND MEMORIAL 52,290.06 7.03 - 52,297.09 MISCELLANEOUS CLEARING 21,405.85 38,811.00 31,738.86 28,477.99 REFUNDABLE DEPOSITS 2,000.00 - - 2,000.00 STATE CIVIL FEE FUND 2,156.09 3,716.40 - 5,872.49 CIVIL IUSTICE DATA REPOSITORY FUND 8.27 8.58 - 16.85 JURY REIMBURSEMENT FEE 587.08 696.70 - 1,283.78 SUBTITLE C FUND 2,341.77 2,503.80 - 4,845.57 SUPP OF CRIM INDIGENT DEFENSE 280.85 354.76 - 635.61 TIME PAYMENTS 1,436.18 2,387.89 - 3,824.07 TRAFFIC LAW FAILURE TO APPEAR 585.91 1,785.38 - 2,371.29 UNCLAIMED PROPERTY. 5,906.04 0.79 - 5,906.83 TRUANCY PREVENTION AND DIVERSION FUND 260.37 222.07 - 482.44 BOOT CAMP/JJAEP 147.43 - - 147.43 JUVENILE PROBATION 269793.78 1 18752.25 37065.01 251481.02 SUBTOTALS $ 40,122,530.58 $ 2,998,660.25 $ 3,909,193.64 $ 39,211,997.19 TAXES IN ESCROW 0.00 0.00 0.00 40122 530.58 2 998 660.25 3,909,193.64 39 211997.19 TOTAL OPERATING FUNDS OTHERFUNDS D A FORFEITED PROPERTY FUND 32,254.03 - - 32,254.03 SHERIFF NARCOTIC FORFEITURES 13,209.26 - 1,066.41 12,142.85 CERT OF OB-CRTHSE REF SERIES 2010 465,668.50 7,626.37 - 473,294.87 CERT OF OB-CRTHOUSE I&S SERIES 2012 626,542.18 10,075.80 - 636,617.98 OCEAN DRIVE IMPROVEMENTS 1.00 - - 1.00 CAL. CO. FEES & FINES TOTAL OTHER CO. FUNDS! 29.96 152 289 133 42fi.57 148 691.04 136 959.49 t is _122L22012L MEMORIAL MEDICAL CENTER OPERATING 2,041,098.36 $ 2,837,284.11 $ 2,435,332.11 $ 2,443,050.36 INDIGENT HEALTHCARE 2,599.38 63,537.50 65,557.42 579.46 REFUND IMPREST ACCOUNT 5,061.64 5,061.64 PRIVATE WAIVER CLEARING FUND 325,069.79 0.00 0.00 325,069.79 CLINIC CONSTRUCTION SERIES 2014 2,109,997.28 0.00 481,950.99 1,628,046.29 NH ASFORD 100.00 297,888.67 283,575.78 14,412.89 NH BROADMOOR 100.00 35,252.97 35,252.97 100.00 NO CRESCENT 100.00 44,925.54 44,925.35 100.19 NHFORTBEND 100.00 65,809.69 65,328.71 580.98 NH SOLERA 100.00 0.25 0.00 100.25 TOTAL MEMORIAL MEDICAL CENTER FUNDS 4,484,326.45 3,344,698.73 3,411,923.33 4,417,101.85 DRAINAGE DISTRICTS NO.6 22,830.00 1,556.96 111.14 $ 24,275.82 NO.8 139,735.35 921.09 - 140,656.44 NO. 10-MAINTENANCE 138,866.67 506.35 - 139,373,02 NO. 11-MAINTENANCF/OPERATING 260,120.63 7,110.10 946.38 266,284.35 NO. 11-RESERVE 129909.90 25000.00 154909.90 TOTAL DRAINAGE DISTRICT FUNDS 691462.55 $ 35 094.50 $ 1057.52 725 499.53 CALHOUN COUNTY WCH)#1 OPERATING ACCOUNT 354 635.32 192 450.14 35 931.42 511154.04 CALHOUN COUNTY PORT AUTHORITY MAINTENANCE AND OPERATING 240191.36 10 038.76 $ 5.997.33 244 232.79 CALHOUN COUNTY FROST BANK 6,258.87 6,258.87 5,776,874.55 3,582,282.13 3,454,909.60 $ 5,904,247.08 TOTAL MMC, DR. DIST., NAV. DIST, WCH) & FROST $ 47,189,310.06 $ 6,732,071.12 $ 7,513,866.69 $ 46,407,514.49 TOTAL ALL FUNDS Page 2 of 3 COUNTY TREASURER'S REPORT I MONTH OF: MARCH2015 BANK RECONCILIATION LESS: CERT.OF DEN FUND OUTSTNDG DEN PLUS: CHECKS BANK FUND BALANCE OTHER ITEMS OUTSTANDING BALANCE OPERATING* $ 39,211,997.19 39,095,513.19 262,677.66 $ 379,161.66 OTHER D A FORFEITED PROPERTY FUND 32,254.03 - - 32,254.03 SHERIFF NARCOTIC FORFEITURES 12,142.85 - - 12,142.85 CERT OF OB-CRTHSE REF SERIES 2010 473,294.87 840.72 - 472.454.15 CERT OF OB-CRTHOUSE I&S SERIES 2012 636,617.98 1,021.85 - 635,596.13 OCEAN DRIVE IMPROVEMENTS- CAP PROJ 1.00 - - 1.00 CAL. CO FEES & FINES 136,959.49 39,185.80 13,070.80 110,844.49 MEMORIAL MEDICAL CENTER OPERATING 3 2,443,050.36 500,250.60 35,607.23 1,978,406.99 INDIGENT HEALTHCARE 579.46 - 16,899.59 17,479.05 REFUND (MEREST ACCOUNT 5,061.64 5,061.64 PRIVATE WAIVER CLEARING FUND 325,069.79 - - 325,069.79 CLINIC CONSTRUCTION SERIES 2014 1,628,046.29 - - 1,628,046.29 NH ASFORD 14,412.89 - - 14,412.89 NHBROADMOOR 100.00 - - 100.00 NH CRESCENT 100.19 - - 100.19 NH FORT BEND 580.98 - - 580.98 NH SOLERA 100.25 - - 100.25 DRAINAGE DISTRICT: NO.6 24,275.82 - - 24,275.82 NO.8 140,656.44 512.63 140,143.81 NO. 10 MAINTENANCE 139,373.02 38.73 - 139,334.29 NO. 11 MAINTENANCEIOPERATING 266,284.35 1,234.66 - 265,049.69 NO. 11 RESERVE 154,909.90 - - 154,909.90 CALHOUN COUNTY W CID kl OPERATING ACCOUNT 511,154.04 - - 511,154.04 CALHOUN COUNTY PORT AUTHORITY MAINTENANCE/OPERATING**** 244,232.79 - - 244,232.79 CALHOUN COUNTY FROST BANK 6,258.87 - - 6,258.87 TOTALS 46AO7.514.49 3 638598.18 328255.28 70971715 —91 * CDs -OPERATING FUND $39,000,000.00 $ CD's - MMC OPERATING FUND - $500,000.00 ► CD - CALHOUN COUNTY I DIANNA STANGER (AIRPORT)- $10,422.1 I **** THE DEPOSITORY FOR CALHOUN CO. NAVIGATION DISTRICT IS FIRST NATIONAL BANK -PORT LAV ACA THE DEPOSITORY FOR ALL OTHER COUNTY FUNDS IS INTERNATIONAL BANK OF COMMERCE - PORT LAVACA **** THE DEPSOSITORY FOR CALHOUN COUNTY FROST IS FROST BANK - AUSTIN, TEXAS Court costs and fees collected and reported may not be current and up-to-date due to non-compliance by other county offices. I hereby certify that the current balances are correct to all monies that have been received by the County Treasurer as of the date of this report. g��p �y �p g�. �p @�a gg�Pg��('� q qRHiu opS83NOIJSIVYVYa✓V ONDA S. 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ZM n �- o zZA �C nr<-fQ -ADD z z - Z{ n Z m D D P r 0 p A m N D R A A p o O m D< O m z Aj o m o 0 D w A 0 O O 0 n -im A O-i ny o 2.uc)pc2i oo DT- mC OO�D CO n o-D_I �(mn m 00 1 n -i Q m Q p O m n A O m c m T T O A m z A Z p m m ZO X T T -Op A 0AO m' z Cmm m 70J x Z - z o (mil ,'[D1� AAZ z D o m D m Z m T T -I D p 'm 2 O m- o p c r z m mr M{ z 0 m 3 _I� 7J �1 AGE..{ A -I z Nm-iT-i o > m mN OD-Q_-im Z n 020 z -i m we m ai mffif Az� 0 m m 0O rC- 3 d A GDi Ll 0 0 A N 0 m D m A 1 m m m D m N O A A m .0 O- A O _O x C)w Z 3 m m g O m z o T 3 O A Z A T z d m O N C 0 0 -pi A O m O C C C C C 00 z z z z z y d 0 0 0 0 0 O J d V 6l $ a N? m tp O? V A m N N W OJ m W N w N N a A tD N W T N a > (n >> A O O O N = N W (A [9 O N J Ut V 61 O m O O A w T V N V Ut (O A (T <9 (p m A W O J N W A m a) V O J (O f0 V N N � 6 W N A t9 [O A W 6J Vi O O O O N 01 (O � (O O O (O > V A N A V V V N 61 A N Ul W O) N O �m D _r fJ c C A Z m 0 A { C mz D � m "e m 1 m m zi > m C D `u z O y m n 0 m ENTER COURT NAME: JUSTICE OF PEACE NO. 1 ENTER MONTH OF REPORT '; APRIL ENTER YEAR OF REPORT 2015 CODE r. AMOUNI CASH BONDS 0.00 12/8/2014 ADMINISTRATION FEE -ADMF 0.00 BREATH ALCOHOL TESTING - BAT 0.00 CONSOLIDATED COURT COSTS -CCC 2,112.73 COURTHOUSE SECURITY -CHS 211.29 CJR 0.00 CIVIL JUSTICE DATA REPOSITORY FEE CJDR 4.24 CORRECTIONAL MANAGEMENT INSTITUTE CMI 0.00 CR 0.00 CHILD SAFETY, CS 0.00 CHILD SEATSELT FEE -CSSF 0.00 I CRIME VICTIMS COMPENSATION -CVC 0.00 DPSC/FAILURE TO APPEAR -OMNI-DPSC 45.07 ELECTRONIC FILING FEE -EEF 0.00 FUGITIVE APPREHENSION - FA 0.00 GENERAL REVENUE -GR 0.00 :GRIM- IND LEGAL SVCS SUPPORT-IDF 105.64 JUVENILE CRIME & DELINQUENCY -JCD 0.00 '. JUVENILE CASE MANAGER FUND -JCMF 10.62 JUSTICE COURT PERSONNEL TRAINING -JCPT 0.00 JUSTICE COURT SECURITY FUND -JCSF 0.00 JUROR SERVICE FEE -JSF 209.29 LOCAL ARREST FEES -LAF 46.62 LEMI 0.00 LEOA 0.00 LEOC 0.00 OCL 0.00 PARKS& WILDLIFE ARREST FEES -PWAF 6.36 STATE ARREST FEES -SAF 211.12 SCHOOL CROSSING/CHILD SAFETY FEE -SCF 0.00 SUBTITLE C -SUBC 1,198.96 ITABC ARREST FEES -TAF 0.00 TECHNOLOGY FUND -TF 211.29 TRAFFIC-TFC 119.79 TIME PAYMENT -TIME 284.29 TRUANCY PREVENTION/DIVERSION FUND -TPDF 97.57 LOCAL & STATE WARRANT FEES - WRNT 415.12 COLLECTION SERVICE FEE-MVBA-CSRV 867.80 DEFENSIVE DRIVING COURSE -DOC 79.00 DEFERRED FEE -DFF 452.60 DRIVING EXAM FEE- PROV DL 0.00 FILING FEE -FFEE 100.00 FILING FEE SMALL CLAIMS -FFSC 0.00 JURY FEE JF 0.00 COPIES/CERTIFED COPIES CC 000 INDIGENT FEE -CIFF or INDF. 24.00 JUDGE PAY RAISE FEE -JPAY 330.70 SERVICE FEE -SFEE 150.00 OUT -OF -COUNTY SERVICE FEE 0.00 ELECTRONIC FILING FEE -EEFCV 40.00 EXPUNGEMENT FEE -EXPG 0.00 EXPIRED RENEWAL -EXPR 40.00 ABSTRACT OF JUDGEMENT -AOJ 0.00 s ALLWRITS-WOP/WOE 150.00 DPS FTAFINE -DPSF 182.00 LOCAL FINES - FINE 4,338.10 LICENSE & WEIGHT FEES LWF 0.00 PARKS& WILDLIFE: FINES PWF 188.130 SEATBELTIUNRESTRAINED CHILD IFINE -SEAT 0.00 - OVERPAYMENT ($10 & OVER) OVER 0.00 ' OVERPAYMENT (LESS THAN$10) OVER 0.00 RESTITUTION REST 0.00 PARKS & WILDLIFE -WATER SAFETY FINES-WSFI 0.00 MARINE SAFETY PARKS & WILDLIFE - MSOI 0.00 TOTAL ACTUAL MONEY RECEIVED1 $12,232.20 TYPE' AMOUNT TOTAL WARRANT FEES: - 415,12 r ENTER LOCAL WARRANT FEES 164.64 RECORD ON TOTAL PAGE OF HILL COUNTRYSOFlWARE MO REPORT STATE WARRANT FEES :` $260.68rv! RECORD ON TOTAL PAGE OF HILL COUNTRY SOFTWARE MO. REPORT DUE TO OTHERS: AMOUNT 1 DUE TO CCISD- 50%of fine on JV cases 0.00 PLEASE INCLUDE D.R. REQUESTING DISBURSEMENT DUE TO DA RESTITUTION FUND 0.00 PLEASE INCLUDE D.R. REQUESTING DISBURSEMENT REFUND OF OVERPAYMENTS 0.00 1PUBSE INCLUDE DR.REQUESTNG DISBURSEMENT OUT -OF -COUNTY SERVICE FEE 0.00 PLEASEINCUUDE D.R. REQUESTING DISBURSEMENT CASH BONDS 0.00 PLEASEINCLUDE D.R. REQUESTING DISBURSEMEW(IF REQUIRED) '. TOTAL DUE TO OTHERS ;:. $000 TREASURERS RECEIPTS FOR MONTH: AMOUNT ' CASH CHECKS M O S & CREDIT CARDS 1 12,232.20 lGalculate from ACTUAL Treasurers Receipts TOTAL TREAS. RECEIPTS $12,232.20 CALHOUN DISTRIBUTION COUNTY REQUEST 201 West Austin DR# 450 A 42129 PAYEE Name: Calhoun County Oper. Acct. Address: City: State: Zip: Phone: PAYOR Official: Title: Hope Kurtz Justice of the Peace, Pct. 1 ACCOUNT NUMBER DESCRIPTION AMOUNT 7541-999-20759-999 JP1 Monthly Collections- Distribution $12,072.40 APRIL 2015 V# 967 Signature of Official Date TOTAL 12,072.40 .• 1 • 1'. I I : 1 5/4/2015 COURT NAME: JUSTICE OF PEACE NO. 1 MONTH OF REPORT: APRIL YEAR OF REPORT: 2015 ACCOUNTNUMBER ACCOUNTNAME AMOUNT CR 1000-001-45011 FINES 4,548.30 CR 1000-001-44190 SHERIFF'S FEES 585.61 ADMINISTRATIVE FEES: DEFENSIVE DRIVING 79.00 CHILD SAFETY 0.00 TRAFFIC 119.79 ADMINISTRATIVE FEES 492.60 EXPUNGEMENT FEES 0.00 MISCELLANEOUS 0.00 CR 1000-001-44361 TOTAL ADMINISTRATIVE FEES 691.39 CR 1000-001-44010 CONSTABLE FEES -SERVICE 300.00 CR 1000-001-44061 JP FILING FEES 100.00 CR 1000-001-44090 COPIES / CERTIFIED COPIES 0.00 CR 1000-001-49110 OVERPAYMENTS (LESS THAN $10) 0.00 CR 1000-001-44145 SCHOOL CROSSING/CHILD SAFETY FEE 0.00 CR 1000-999-20741 DUE TO STATE -DRIVING EXAM FEE 0.00 CR 1000-999-20744 DUE TO STATE-SEATBELT FINES 0.00 CR 1000-999-20745 DUE TO STATE -CHILD SEATBELT FEE 0.00 CR 1000-999-20746 DUE TO STATE -OVERWEIGHT FINES 0.00 CR 1000-999-20770 DUE TO JP COLLECTIONS ATTORNEY 867.80 TOTAL FINES, ADMIN. FEES & DUE TO STATE $7,093.10 CR 2670-001-44061 COURTHOUSE SECURITY FUND $158.47 CR 2720-001-44061 JUSTICE COURT SECURITY FUND $52.82 CR 2719-001-44061 JUSTICE COURT TECHNOLOGY FUND $211.29 CR 2699-001-44061 JUVENILE CASE MANAGER FUND $10.62 STATE ARREST FEES DPS FEES 92.34 P&W FEES 1.27 TABC FEES 0.00 CR 7020-999-20740 TOTAL STATE ARREST FEES 93.61 CR 7070-999-20610 CCC-GENERAL FUND 211.27 CR 7070-999-20740 CCC-STATE 1,901.46 DR 7070-999-10010 2,112.73 CR 7860-999-20610 STF/SUBC-GENERAL FUND 59.95 CR 7860-999-20740 STF/SUBC-STATE 1,139.01 DR 7860-999-10010 1,198.96 CR 7950-999-20610 TP-GENERAL FUND 142.15 CR 7950-999-20740 TP-STATE 142.14 DR 7950-999-10010 284.29 CR 7480-999-20610 CIVIL INDIGENT LEGAL-GEN. FUND 1.20 CR 7480-999-20740 CIVIL INDIGENT LEGAL -STATE 22.80 DR 7480-999-10010 24.00 Page 1 of 2 Ii ••' •iiiiiiiiir•' :• 1 G 5/4/2015 COURT NAME: JUSTICE OF PEACE NO. 1 MONTH OF REPORT: APRIL YEAR OF REPORT: 2015 CR 7865-999-20610 CRIM-SUPP OF IND LEG SVCS-GEN FUND 10.56 CR 7865-999-20740 CRIM-SUPP OF IND LEG SVCS-STATE 95.08 DR 7865-999-10010 105.64 CR 7970-999-20610 TUFTA-GENERAL FUND 15.02 CR 7970-999-20740 TUFTA-STATE 30.05 DR 7970-999-10010 45.07 CR 7505-999-20610 JPAY - GENERAL FUND 33.07 CR 7505-999-20740 JPAY - STATE 297.63 DR 7505-999-10010 330.70 CR 7857-999-20610 JURY REIMB. FUND-GEN. FUND 20.93 CR 7857-999-20740 JURY REIMB. FUND- STATE 188.36 DR 7857-999-10010 209.29 CR 7856-999-20610 CIVIL JUSTICE DATA REPOS.- GEN FUND 0.42 CR 7856-999-20740 CIVIL JUSTICE DATA REPOS.- STATE 3.82 DR 7856-999-10010 4.24 7998-999-20740 TRUANCY PREVENT/DIV FUND - STATE 97.57 DR 7998-999-10010 97.57 7403-999-22889 ELECTRONIC FILING FEE - CV STATE 40.00 DR 7403-999-22889 40.00 TOTAL (Distrib Req to OperAcct) $12,072.40 DUE TO OTHERS (Distrib Req Attchd) CALHOUN COUNTY ISD 0.00 DA - RESTITUTION 0.00 REFUND OF OVERPAYMENTS 0.00 OUT -OF -COUNTY SERVICE FEE 0.00 CASH BONDS 0.00 PARKS & WILDLIFE FINES 159.80 WATER SAFETY FINES 0.00 TOTAL DUE TO OTHERS $159.80 TOTAL COLLECTED -ALL FUNDS $12,232.20 LESS: TOTAL TREASUER'S RECEIPTS $12,232.20 #### OVER/(SHORT) $0.00 Page 2 of 2 ENTER COURT NAME: JUSTICE OF PEACE NO. 2 ENTER MONTH OF REPORT April ENTER YEAR OF REPORT '; 2015 COU], AMOUNT CASH BONDS 0.00 Revised 12/8/14 ADMINISTRATION FEE -AOMF 0.00 BREATH ALCOHOL TESTING - BAT 0.00 . CONSOLIDATED COURT COSTS -CCC 1,953.09 COURTHOUSE SECURITY -OHS 195.32 CJP 0.00 CIVIL JUSTICE DATA REPOSITORY FEE -CJDR 3.08 CORRECTIONAL MANAGEMENT INSTITUTE- CMI 0.00 CR 0.00 CHILD SAFETY CS 0.00 CHILD SEATBELT FEE -CSBF 0.00 1 CRIME VICTIMS COMPENSATION -CVC 0.00 DPSC/FAILURE TO APPEAR -OMNI-DPSC 276.04 "ELECTRONIC FILING FEE 20.00 FUGITIVE APPREHENSION - FA 0.00 iGENERALREVENUE-GR 0.00 GRIM- IND LEGAL SVCS SUPPORT. IDF 97.67 JUVENILE CRIME & DELINQUENCY- JCD 0.00 . JUVENILE CASE MANAGER FUND -JCMF. 5.00 JUSTICE COURT PERSONNEL TRAINING -JCPT 0.00 JUSTICE COURT SECURITY FUND -JOSF 0.00 JUROR SERVICE FEE JSF 195.32 LOCAL ARREST FEES -LAF 98.65 LEMI 0.00 LEDA 0.00 LEDO 0.00 OCL 0.00 PARKS& WILDLIFE ARREST FEES -PWAF 18.52 STATE ARREST FEES -SAF 101.99 SCHOOL CROSSINGICHILD SAFETY FEE -SOE 0.00 SUBTITLE C -$UBB 726.04 TABC ARREST FEES -TAF 0.00 ^-TECHNOLOGY FUND -TE 195.32 TRAFFIC TFC 72.60 TIME PAYMENT -TIME 218.16 TRUANCY PREVENT/DIVERSION. FUND -TPDF 86.48 LOCAL & STATE WARRANT FEES - WRNT 654.46 COLLECTION SERVICE FEE-MVBA-CSRV 1,159.00 DEFENSIVE DRIVING COURSE -ODC 31.60 DEFERRED FEE -OFF 465.70 DRIVING EXAM FEE- PROV DL 0.00 FILING FEE -FFEE 50.00 FILING FEE SMALL CLAIMS -FFSC 0.00 COPIES/CERTIFED COPIES - CC 0.00 INDIGENT FEE -CIFF or INDF 12.00 JUDGE PAY RAISE FEE -JPAY 292.96 SERVICE FEE -SFEE 150.00 OUT -OF -COUNTY SERVICE FEE 0.00 EXPUNGEMENT4FEE -EXPG 0.00 EXPIRED RENEWAL -EXPR 30.00 ABSTRACT OF JUDGEMENT AOJ 0.00 ALLWRITS-WOP/WOE 0.00 DIPS FTAFINE -DPSF 40.00 LOCAL FINES FINE 4,128.20 LICENSE & WEIGHT ; FEES -LWF 0.00 PARKS & WILDLIFE FINES -PWF 206.00 SEATBELT/UNRESTRAINED CHILD` FINE - SEAT 0.00 '. * OVERPAYMENT ($10 & OVER)- OVER 275.00 `OVERPAYMENT(LESS THAN $10) - OVER 0.00 RESTITUTION - REST 0.00 PARKS& WILDLIFEWATER SAFETY FINES-WSF 58.00 WCR 0.00 TOTAL ACTUAL MONEY RECEIVED $11,816.20 TYPE: AMOUNT4 TOTAL WARRANT FEES': : 654.46 r ENTER LOCAL WARRANT FEES 161.05 RECORD ON TOTAL PAGE OF HILL COUNTRY SOFTWARE MO. REPORT STATE WARRANT FEES $495.41+; RECORD ON TOTAL PAGE F HILL COUNTRY SOFTWARE MO. REPORT DUE TO OTHERS: AMOUNT DUE TO CCiSD-50% of Fine on JV cases 0.00 PLEASEINCLUDE DR. REQUESTING DISBURSEMENT DUE TO CA RESTITUTION FUND 0.00 PLEA SEINcwOE DR. REQUESTING DISBURSEMENT REFUND OF OVERPAYMENTS 275.00 PLEASE INCLUDE DR REQUESTING DISBURSEMENT OUT.OF-COUNTY SERVICE FEE 0.00 PLEASE INCLUDE D R REQUESTING DISBURSEMENT CASH BONDS 0.00 PLEASE INCLUDE D.R. REQUESTING DISBURSEMENT (IF REQUIRED) TOTAL DUE TO OTHERS 9 275.00 TREASURERS RECEIPTS FOR MONTH: AMOUNT. CASH, CHECKS, M.O.s& CREDIT CARDS $11,818.20 Calculate from ACTUAL Treasurers Receipts TOTAL TREAS. RECEIPTS : 11,816.20 (: 1 .•' • 1 1' I I S • 5/4/2015 COURT NAME: JUSTICE OF PEACE NO. 2 MONTH OF REPORT: April YEAR OF REPORT: 2015 ACCOUNT NUMBER ACCOUNTNAME AMOUNT CR 1000-001-45012 FINES 4,207.80 CR 1000-001-44190 SHERIFF'S FEES 750.84 ADMINISTRATIVE FEES: DEFENSIVE DRIVING 31.60 CHILD SAFETY 0.00 TRAFFIC 72.60 ADMINISTRATIVE FEES 495.70 EXPUNGEMENT FEES 0.00 MISCELLANEOUS 0.00 CR 1000-001-44362 TOTAL ADMINISTRATIVE FEES 599.90 CR 1000-001-44010 CONSTABLE FEES -SERVICE 150.00 CR 1000-001-44062 JP FILING FEES 50.00 CR 1000-001-44090 COPIES / CERTIFIED COPIES 0.00 CR 1000-001-49110 OVERPAYMENTS (LESS THAN $10) 0.00 CR 1000-001-44145 SCHOOL CROSSING/CHILD SAFETY FEE 0.00 CR 1000-999-20741 DUE TO STATE -DRIVING EXAM FEE 0.00 CR 1000-999-20744 DUE TO STATE-SEATBELT FINES 0.00 CR 1000-999-20745 DUE TO STATE -CHILD SEATBELT FEE 0.00 CR 1000-999-20746 DUE TO STATE -OVERWEIGHT FINES 0.00 CR 1000-999-20770 DUE TO JP COLLECTIONS ATTORNEY 1,159.00 TOTAL FINES, ADMIN. FEES & DUE TO STATE $6,917.54 CR 2670-001-44062 COURTHOUSE SECURITY FUND $146.49 CR 2720-001-44062 JUSTICE COURT SECURITY FUND $48.83 CR 2719-001-44062 JUSTICE COURT TECHNOLOGY FUND $195.32 CR 2699-001-44062 JUVENILE CASE MANAGER FUND $5.00 STATE ARREST FEES DPS FEES 119.08 P&W FEES 3.70 TABC FEES 0.00 CR 7020-999-20740 TOTAL STATE ARREST FEES 122.78 CR 7070-999-20610 CCC-GENERAL FUND 195.31 CR 7070-999-20740 CCC-STATE 1,757.78 DR 7070-999-10010 1,953.09 CR 7860-999-20610 STF/SUBC-GENERAL FUND 36.30 CR 7860-999-20740 STF/SUBC-STATE 689.74 DR 7860-999-10010 726.04 CR 7950-999-20610 TP-GENERAL FUND 109.08 CR 7950-999-20740 TP-STATE 109.08 DR 7950-999-10010 218.16 CR 7480-999-20610 CIVIL INDIGENT LEGAL-GEN. FUND 0.60 CR 7480-999-20740 CIVIL INDIGENT LEGAL -STATE 11.40 DR 7480-999-10010 12.00 Page 1 of 2 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 5/4/2015 COURT NAME: JUSTICE OF PEACE NO. 2 MONTH OF REPORT: April YEAR OF REPORT: 2015 i CR 7865-999-20610 CRIM-SUPP OF IND LEG SVCS-GEN FUND 9.77 CR 7865-999-20740 CRIM-SUPP OF IND LEG SVCS-STATE 87.90 DR 7865-999-10010 97.67 CR 7970-999-20610 TL/FTA-GENERAL FUND 92.01 CR 7970-999-20740 TL/FTA-STATE 184.03 DR 7970-999-10010 276.04 CR 7505-999-20610 JPAY - GENERAL FUND 29.30 CR 7505-999-20740 JPAY - STATE 263.66 DR 7505-999-10010 292.96 CR 7857-999-20610 JURY REIMB. FUND- GEN. FUND 19.53 CR 7857-999-20740 JURY REIMB. FUND- STATE 175.79 DR 7857-999-10010 195.32 CR 7856-999-20610 CIVIL JUSTICE DATA REPOS.- GEN FUND 0.31 CR 7856-999-20740 CIVIL JUSTICE DATA REPOS.- STATE 2.77 DR 7856-999-10010 3.08 CR 7998-999-20740 TRUANCY PREV/DIV FUND - STATE 86.48 DR 7998-999-10010 86.48 CR 7403-999-22889 ELECTRONIC FILING FEE - STATE 20.00 DR 7403-999-10010 20.00 TOTAL (Distrib Req to OperAcct) $11,316.80 DUE TO OTHERS (Distrib Req Attchd) CALHOUN COUNTY ISD 0.00 DA - RESTITUTION 0.00 REFUND OF OVERPAYMENTS 275.00 OUT -OF -COUNTY SERVICE FEE 0.00 CASH BONDS 0.00 PARKS & WILDLIFE FINES 175.10 WATER SAFETY FINES 49.30 TOTAL DUE TO OTHERS $499A0 TOTAL COLLECTED -ALL FUNDS $11,816.20 LESS: TOTAL TREASUER'S RECEIPTS $11,816.20 Revised 12/8/14 OVER/(SHORT) $0.00 Page 2 of 2 CALH®UN DISTRIBUTION COUNTY REQUEST 201 West Austin DR# 460 A 42129 PAYEE Name: Calhoun County Oper. Acct. Address: City: State: Zip: Phone: PAYOR Official: Title: Calvin Anderle Justice of the Peace, Pct. 2 ACCOUNT NUMBER DESCRIPTION AMOUNT 7542-999-20759.999 JP2 Monthly Collections - Distribution $11,316.80 April 2015 V# 967 Signature of Official Date TOTAL 11,316.80 ENTER COURT NAME: JUSTICE OF PEACE NO. 3 ENTER MONTH OF REPORT APRIL ENTER YEAR OF REPORT` 2015 CODE AMOUNT Revised 2/4115 :CASH BONDS ADMINISTRATION FEE - ADMF BREATH ALCOHOL TESTING - BAT CONSOLIDATED COURT COSTS - COO 1,480.38 COURTHOUSE SECURITY -CHS 140.12 CJP .:CIVIL JUST: DATA REPOS.FEE -CJDR/MVF 2.80 CORRECTIONAL MANAGEMENT INSTITUTE -CMI CR CHILD SAFETY -:CS CHILD SEATBELT FEE CSBF CRIME VICTIMS COMPENSATION - CVC IDPSC/FAILURE TO APPEAR :-OMNI-DPSC 193.92 ELECTRONIC FILING FEE 20.00 -'FUGITIVE APPREHENSION - FA GENERAL REVENUE -GR GRIM- IND. LEGAL SVCS'SUPPORT -:1DF 74.02 JUVENILE CRIME & DELINQUENCY -JCD JUVENILE CASE MANAGER FUND -JCMF 5.00 JUSTICE COURT PERSONNEL TRAINING - JCPT 2 JUSTICE COURT SECURITY FUND - JCSF JUROR SERVICE FEE JSF 141.04 -LOCAL ARREST FEES LAF 60.53 LEMI LEOA LEOC OCL :PARKS& WILDLIFE ARREST FEES-. PWAF 5.00 STATE ARREST FEES SAF 119.52 SCHOOL: CROSSING/CHILD SAFETY FEE -:SCF SUBTITLE C -SUBC 729.12 '. TABC ARREST FEES -TAF TECHNOLOGY FUND -TF 147.06 TRAFFIC -TFC 72.91 TIME PAYMENT - TIME 275.24 TRUANCY PREV/DIVERSION FUND 58.02 (LOCAL & STATE WARRANT: FEES - WRNT 680.39 COLLECTION: SERVICE FEE=MVBA-CSRV 1,474.50 DEFENSIVE DRIVING COURSE - DDC DEFERRED FEE -DFF 599.50 .DRIVING EXAM FEE- PROV:OL FILING FEE - FFEE&CVFF 50.00 FILING FEE SMALL :CLAIMS - FFSC COPIES/CERTIFED COPIES -:CC INDIGENT FEET -OFF or INDF 12.00 JUDGE PAY RAISE FEE -JPAY 222.06 SERVICE FEE - $FEE 150.00 OUT-OFFCOUNTY SERVICE FEE EXPUNGEMENT FEE EXPG EXPIRED RENEWAL -IEXPR 10.00 ABSTRACT OF JUDGEMENT - AOJ ALL WRITS WOPI WOE CPS FTA FINE -DPSF 911.00 LOCAL FINES - FINE 3,642.77 LICENSE & WEIGHT FEES LWF PARKS $, WILDLIFE FINES PWF 83.00 SEATBELT/UNRESTRAINED: CHILD FINE -SEAT OVERPAYMENT ($10 &'AVER) - OVER OVERPAYMENT (LESS THAN $10) - OVER .RESTITUTION :REST PARKS & WILDLIFE -WATER SAFETY FINES-WSF WCR TOTAL ACTUAL MONEY RECEIVED $11,369.90 TYPE: `: AMOUNT 68039 TOTAL WARRANT FEES ENTER LOCAL WARRANT FEES O.00 RECORDONTOTAL PAGE OF HILL COUNTRY SOFTWARE MO.REPORT STATE WARRANT FEES 680.39 RECORDONTOTAL PAGE OFHILL COUNTRY SOFTWARE MO.REPORT DUETO:OTHERS: AMOUNT 0.00 PLEASEINCLUDE DR.REQUESRNGDISHURSEMENT DUE TOI:CCISD-50%. of Fine on JV:Cases DUE TO:DA RESTITUTION FUND 0.00 PLEASEINCLUDE DR. REQUESTING DISBURSEMENT REFUND. OF OVERPAYMENTS 0.00 PLEASEINauDE DR. REQUESTING DISBURSEMENT OUT -OF -COUNTY SERVICE FEE 0.00 REASPNCLUDE DR.REQUESTINGDISBURSEMENT CASH BONDS 0.00 R.EASEINCLUDE DR.REQUESPNUDISBURSEMENT(IFREQUIREU) TOTAL DUE TO OTHERS. $0.00 TREASURERS RECEIPTS FOR MONTH. AMOUNT $11,359.90 Calculate from ACTUAL Treasurer's Receipts CASH, HE K ,M. .s& REDIT ARD TOTAI.TREAS.RECEIPTS t1i,umqu MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 5/l/2015 COURT NAME: JUSTICE OF PEACE NO. 3 MONTH OF REPORT: APRIL YEAR OF REPORT: 2015 ACCOUNT NUMBER ACCOUNT NAME AMOUNT CR 1000-001-45013 FINES 4,566.22 CR 1000-001-44190 SHERIFF'S FEES 704.46 ADMINISTRATIVE FEES: DEFENSIVE DRIVING 0.00 CHILD SAFETY 0.00 TRAFFIC 72.91 ADMINISTRATIVE FEES 609.50 EXPUNGEMENT FEES 0.00 MISCELLANEOUS 0.00 CR 1000-001-44363 TOTAL ADMINISTRATIVE FEES 682.41 CR 1000-001-44010 CONSTABLE FEES -SERVICE 150.00 CR 1000-001-44063 JP FILING FEES 50.00 CR 1000-001-44090 COPIES / CERTIFIED COPIES 0.00 CR 1000-001-49110 OVERPAYMENTS (LESS THAN $10) 0.00 CR 1000-001-44145 SCHOOL CROSSING/CHILD SAFETY FEE 0.00 CR 1000-999-20741 DUE TO STATE -DRIVING EXAM FEE 0.00 CR 1000-999-20744 DUE TO STATE-SEATBELT FINES 0.00 CR 1000-999-20745 DUE TO STATE -CHILD SEATBELT FEE 0.00 CR 1000-999-20746 DUE TO STATE -OVERWEIGHT FINES 0.00 CR 1000-999-20770 DUE TO JP COLLECTIONS ATTORNEY 1,474.50 TOTAL FINES, ADMIN. FEES & DUE TO STATE $7.627.59 CR 2670-001-44063 COURTHOUSE SECURITY FUND $105.09 CR 2720-001-44063 JUSTICE COURT SECURITY FUND $35.03 CR 2719-001-44063 JUSTICE COURT TECHNOLOGY FUND $147.06 CR 2699-001-44063 JUVENILE CASE MANAGER FUND $5.00 STATE ARREST FEES DPS FEES 159.98 P&W FEES 1.00 TABC FEES 0.00 CR 7020-999-20740 TOTAL STATE ARREST FEES 160.98 CR 7070-999-20610 CCC-GENERAL FUND 148.04 CR 7070-999-20740 CCC-STATE 1,332.34 DR 7070-999-10010 1,480.38 CR 7860-999-20610 STF/SUBC-GENERAL FUND 36.46 CR 7860-999-20740 STF/SUBC-STATE 692.66 DR 7860-999-10010 729.12 CR 7950-999-20610 TP-GENERAL FUND 137.62 CR 7950-999-20740 TP-STATE 137.62 DR 7950-999-10010 275.24 CR 7480-999-20610 CIVIL INDIGENT LEGAL-GEN. FUND 0.60 CR 7480-999-20740 CIVIL INDIGENT LEGAL -STATE 11.40 DR 7480-999-10010 12.00 Page 1 of 2 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 5/1/2015 COURT NAME: JUSTICE OF PEACE NO. 3 MONTH OF REPORT: APRIL YEAR OF REPORT: 2015 CR 7865-999-20610 CRIM-SUPP OF IND LEG SVCS-GEN FUND 7.40 CR 7865-999-20740 CRIM-SUPP OF IND LEG SVCS-STATE 66.62 DR 7865-999-10010 74.02 CR 7970-999-20610 TL/FTA-GENERAL FUND 64.64 CR 7970-999-20740 TL/FTA-STATE 129.28 DR 7970-999-10010 193.92 CR 7505-999-20610 JPAY-GENERALFUND 22.21 CR 7505-999-20740 JPAY - STATE 199.85 DR 7505-999-10010 222.06 CR 7857-999-20610 JURY REIMB. FUND- GEN. FUND 14.10 CR 7857-999-20740 JURY REIMB. FUND- STATE 126.94 150 DR 7857-999-10010 141.04 CR 7856-999-20610 CIVIL JUSTICE DATA REPOS.- GEN FUND 0.28 CR 7856-999-20740 CIVIL JUSTICE DATA REPOS.- STATE 2.52 DR 7856-999-10010 2.80 CR 7998-999-20740 TRUANCY PREVENT/DIVERSION FUND 58.02 DR 7998-999-10010 58.02 CR 7403-999-22889 ELECTRONIC FILING FEE 20.00 DR 7403-999-10010 20.00 TOTAL (Distrib Req to OperAcct) $11,289.35 DUE TO OTHERS (Distrib Req Attchd) CALHOUN COUNTY ISD 0.00 DA - RESTITUTION 0.00 REFUND OF OVERPAYMI 0.00 OUT -OF -COUNTY SERVI( 0.00 CASH BONDS 0.00 PARKS & WILDLIFE FINE: 70.55 WATER SAFETY FINES 0.00 TOTAL DUE TO OTHERS $70.55 TOTAL COLLECTED -ALL FUNDS $11,359.90 LESS: TOTAL TREASUER'S RECEIPTS $11,359.90 Revised 2/4/15 OVER/(SHORT) $0.00 Page 2 of 2 05-07-15;07:58 ;From:Calhoun County JP4 To;5534444 ;3617852179 # 2/ 4 05-07-15;07;58 ;From:Calhoun County JP4 To:5534444 ;3617852179 # 3/ 4 5/6/2016 COURT NAME: JUSTICE OF PEACE NO. 4 MONTH OF REPORT: April YEAR OF REPORT: 2015 ACCOUNT NUMBER ACCOUNTNAME AMOUNT CR 1000-001-46014 FINES 2,915.25 CR 1000.00144100 SHERIFF'S FEES 318,31 ADMINISTRATIVE FEES: DEFENSIVE DRIVING 0100 CHILD SAFETY 96.89 TRAFFIC 56.04 ADMINISTRATIVE FEES 0.00 EXPUNGEMENT FEES 0.00 MISCELLANEOUS 0.00 CR 1000-001-44364 TOTAL ADMINISTRATIVE FEES 152.93 CR 1000-001-44010 CONSTABLE FEES -SERVICE 156.00 OR 1000-001-44064 JP FILING FEES 0100 OR 1000-001-44090 COPIES I CERTIFIED COPIES 0.00 OR 1000-001-49110 OVERPAYMENTS (LESS THAN $10) 0.00 OR 1000-001.44145 SCHOOL CROSSING/CHILD SAFETY FEE 0.00 OR 1000-990-20741 DUE TO STATE -DRIVING EXAM FEE 0.00 OR 1000-999-20744 DUE TO STATE-SEATBELT FINES 0.00 OR 1000-999-20746 DUE TO STATE -CHILD SEATBELT FEE 0.00 CR 1000-999-20746 DUE TO STATE -OVERWEIGHT FINES 0.00 OR 1000-999-20770 DUE TO JP COLLECTIONS ATTORNEY 0.00 TOTAL FINES, ADMIN. FEES & DUE TO STATE $3,541.49 CR 2670.001.44064 COURTHOUSE SECURITY FUND $9.98 CR 2720.00144064 JUSTICE COURT SECURITY FUND $35.66 OR 2719-001-44064 JUSTICE COURT TECHNOLOGY FUND $142.63 OR 2699.001-44064 JUVENILE CASE MANAGER FUND $0.00 STATE ARREST FEES DPS FEES 1133 P&W FEES 8.66 TABC FEES 0.00 CR 7020-999-20740 TOTAL STATE ARREST FEES 0.08 OR 7070-999-20610 CCC-GENERAL FUND 142.62 CR 7070-999-20740 CCC-STATE 1,283.57 DR 7070-999-10010 1,426.19 OR 7860-999-20610 STF/SUBC-GENERAL FUND 28.02 OR 7860.999-20740 STF/SUBC-STATE 53129 DR 7860-999-10010 560.30 CR 7950-999-20610 TP-GENERAL FUND 38.23 CR 7950-999-20740 TP-STATE 38,22 DR 7060-999-10010 76.45 CR 7480-099-20610 CIVIL INDIGENT LEGAL-GEN. FUND 0,00 OR 7480-999-20740 CIVIL INDIGENT LEGAL -STATE 0.00 DR 7480.999.10010 0.00 Page 1 of 2 05-07-15;07:58 ;From;Calhoun County JP4 To:5534444 ;3617852179 # 4/ 4 5/5/2015 COURT NAME: JUSTICE OF PEACE NO.4 MONTH OF REPORT: April YEAR OF REPORT: 2015 OR 7865-999-20610 CRIM-SUPP OF IND LEG SVCS-GEN FUND 7.13 OR 7865-999-20740 CRIM-SUPP OF IND LEG SVCS-STATE 64.18 DR 7865-999-10010 71,31 CR 7970-999-20610 TUFTA-GENERAL FUND 0.00 OR 7970-999-20740 TL/FTA-STATE 0100 DR 7970-999-10010 0100 OR 7605-999-20610 JPAY - GENERAL FUND 21.39 OR 7605-999-20740 JPAY-STATE 192.53 DR 7605-999-10010 213,92 CR 7857.999-20610 JURY REIMB. FUND- GEN, FUND 14.26 OR 7857-999-20740 JURY REIMS. FUND- STATE 128.37 DR 7857-999-10010 142.63 OR 7856-999-20610 CIVIL JUSTICE DATA REPOS: GEN FUND 0.21 OR 7856-999-20740 CIVIL JUSTICE DATA REPOS,- STATE 1180 DR 7856-999-10010 2.10 OR 7998-999.20740 TRUANCY PREV/DIV FUND - STATE 69,31 DR 7998-999-10010 69.31 OR 7403-999-22889 ELECTRONIC FILING FEE 0.00 DR 7403-999-10010 0.00 TOTAL (Distrib Req to Oper Acct) $6,301.95 Revised 12/8/14 DUE TO OTHERS (Distrlb Req Attchd) CALHOUN COUNTY ISD 0.00 DA - RESTITUTION 0.00 REFUND OF OVERPAYMENTS 302.00 OUT -OF -COUNTY SERVICE FEE 0.00 CASH BONDS 0.00 PARKS & WILDLIFE FINES 937.56 WATER SAFETY FINES 0.00 ' TOTAL DUE TO OTHERS $1,239.55 TOTAL COLLECTED -ALL FUNDS $7,541.50 LESS: TOTAL TREASUER'S RECEIPTS $7,541.50 Page 2 of 2 OVER/(SHORT) $0.00 05-94-15;12:47PM;From:Calhoun County JP5 To:5534444 ;3619832461 # 2/ 8 MOnny Diatribution Report RccaiPh Cquoc/DeEoAdant 375477 1412-0482 04-02-2019 aSP 4.00 TFCToenl 3.00 CCC 40.00 CHS 3.00 SAr MCKrE, KEVIN LowzRy TF 4.00 DPSC 30.00 JCSF 1.00 S�oo 2�7.10 aphy 6,00 _FINE 96.90 IDF CSRV 2.00 80.10 t-c .. B21 .•.... .... i'; FISHER, CHAR LAWRENCE JCSF LAP 1.49 TF 1a9 20.00 0.30 JOAY Credit CardTPDF 1.79 IDF O. GO 0.60 s,po ................. . . . . . . . ............................ ............................ . . . . . . . . . . 6P.1 375401 2014-0100-10 04-09-2015 ARAD 10.00 .53!; QS SALD-TVAR, RYAN MICHAEL 10.00 ,,, Company Check Cils . g. ..... Ol • :110 00 D, 00 CCC 40.00 CBS 3.00 LAP 5,00 247.00 IDF 2,00 MVP 0.10 Mpg"' '5. Do-. ........................... . . . .•. . . . . . 375485 :2. 1504-0102 04-14 - 2 0 1 a$F 4.00 TFC 3:00 COO 40.QO OHS LONGWELL, TODD LOREN TV 4.00 JCSF 3.00 1.00 SAP 110.00 JPAY 6.00 Inr 2.00 MVF 0.10 , BRACKNELL, TROY ERVSN TF 4.00 JCSF CHO 3.00 LAP 5. go 11D,00 1.00 JPAY 6.00 IDF 2.00 MVP 0.10 4-00 j'-.LAF 4 -50- 1'07 :00 . . . . . . . . . . . . . . . . . ................... ............... .............. 375489 1504-0191 04-16- 015 OSF•BOWMAN, . JUSTIN DALE 4.00 CCC JCSF 1,00 JPAY 40,00 CHO 3.00 PWAP 5.00 TF 4. 00 1�5.00 Caah 6.06 Inv 2.00 TPDP 2.00 Pwr 93.00 ... 375490. .0 ... A; 375491 Ino ...... . 4-0105 04-20- 0 5 JSP 4.00 TFC 3.00 Cac 40 00 1us :1. BRAIG, 17AM20 rOWARD TF 4.00 JCSF I Do JPAY 5.00 IDF 2 1 00 0 LAC 5.00 150.00 MVP 0 1 I .10 375493 1501.0110 04-20-2015 JSP 2.81 CCC 2U.06 CBS rT$NNR, CHAD LAWRENCE JCSF 0.70 JPAY 1. _,?,a Toy 375495 1504-0189 04-21.2015 L*78y' WHITLEY, PRrqTorj SCOTT TV 2.10 LAP 1.40 TPDP 4.00 TFC 3.00 COO 40.00 Cl 4 .1 S 4,00 UCSP 1.00 JPAY 6,00 IDF 4 OD" FINZ 2S3 3.91 TP 2.8 . 1 1.47, DO 1,40 FINE LOO. 00 3.00 LAP 2,00 mvp 5.00 0-10 KRAL - �t I ' ' . , . TV;; . ..... DO '-"'; ... JPAY, " j . 1-- 00 - 37$497 1403.0 140 04-22-2015 JSP 2.27 TFC TRUMANN, JASON ALLAN WENT 28.$,q TIME 1.72 COO 22.87 CHS lc2q 1.72 LAP 2.06 100,10 XDF 1.14 MVe . TV 2.29 icav 0.06 'qSOC 17.15 TPDP 0.57 SPAY 1.14 3,43 . ..... 1$' OMiTFC'`'. .. �'et,'3- 6 .. ....... . gr myc.; ..... . ..i00... . 0 -0..! 01 .110 00 qnOyYOrder*� �s 37S40P 1503-0168 '04-20-2015 IS p 4.00 CCC' CHO 3. go L"A'F' '330.00 BLANCO, PATRICIA MARIE JCSF 1.00 JPAY 6.00 XBF Do TF 4.60 COmpuny Chack 2.00 TPbP 2.00 FINE 263.00 CALHOUN CO. JAIL Page I 06-04-15;12:47PM;From:Calhoun County JPS To:5534444 ;3619832461 # 3/ 8 MOnay Diatribution R,p,,h 15 RnPORT Reoejot Cauffa/Def..d..c mOunCO 3 ... Total "MCC!, -'s .410 .'00i CUS.".. 5 00 DF. 2 00: Z V 4.00 TFC 3.00 mc 40.00 cf1s 3.00 SAP 5.00 120.00 ELLIS, JEFFREY ALLEN TF 4.00 JCSF 1.00 JDAV 05-04-2015 Vag. 2 05-04-15;12:47PM;From:Ca1houn County JP5 To:5534444 ;3619832461 # 4/ 8 Money Distribution Re➢ort JUDGE NANCY POMY=Z JP5 APRiL 2016 REPORT Type Code DoscrLgt n Count R t i d Di burned M aey T t 1 The following toralo ropresent - Oash and Chacke Collooted COST CCC CONSOLXDATED COURT COSTS 16 62.29 560.50 COST CHS COURTHOUSE SECURITY 16 46.72 0.00 622.07 COST DPSC DPS FAILURE TO APPEAR /OMNI FEES 0 0.00 46.72 COST IDF INDIGENT DEFENSE FUND 16 3.11 O.OD 2010 0.00 COST JCSF JUSTICE COURT SECURITY FUND 16 15.57 0.00 31.14 COST JPAY JUOGE PAY RAI6E PEE 16 9.24 04.09 1$.57 COST JSF JUROR SERVICE FUND IG 6.23 54.04 93.43 COST LAP SHERIFF'S FEE 0 37.86 0100 62.27 37.06 COST MVP MOVING VIOLATION FEE 13 0.13 1.13 COST PWAP TEXAS PARKS a WILDLIFE 1 4.00 1.00 1,26 5.00 COST SAP DPS 7 20.00 7.00 35.00 COST SURC SU0 TITLD C 13 377.15 O.OD 377.15 COST TV TECHNOLOGY FUND 16 62.29 0.00 COST TFC TFC 13 37.72 62.29 COST TIME TIME PAYMENT FEE 0.00 37.72 2 19.64 19.95 39.29 COST TPDF TRUANCY PREVENTION & DIVERSION FUND 16 O.OD 31.14 COST WRNT WARRANT FEE 1 31.14 28,59 0.00 26.59 FEES ARAD ADM. FEE AUTOPSY REPORT FEE 1 10.00 0.00 PEES CSRV COLLECTION SERVICES FEE 10.00 0 0.00 0.00 0.00 FEES DDC DRIVER SAFETY COURSE - 2013 8 77.20 0100 FEES DFP DEFERRED FEE 4 310.60 77.20 FEES EPP ELECTRONIC FILING FEE 0.00 310.60 1 0.00 10.00 10.00 FEES FILI FILXNG FEE 1 25.00 FEES IEEE INDIGENT FEE 0.00 25.00 FEES SFEE SERVICE FEB l 0.30 5.70 9.00 FINE FINN FINE 1 150.00 0.00 150.00 FINE PWF PARKS & WILDLIFE PINE 2 516.00 0100 516.00 1 14.70 03.50 90.00 Money Totals 16 1,042.44 807.66 2,730.10 The following totals raprenont - Tranefaro Collnctad COST CCC CONSOLIDATED COURT COSTS 0 COST CHS COURTHOUSE SECURITY 0 0.00 0100 0,00 COST DPSC DP5 FAILURE TO APPEAR /OMNI FEES 0 O.DO 0,00 0.00 COST IDF INDIGENT DEFENSE FUND 0.00 0.00 0.00 COST JCSF JUSTICE COURT SECURITY FUND 0 0 0.00 0.00 D.OD COST JPAY JUDGE PAY RAISE FEE 0 0.00 0.00 0.00 COST JSF JUROR SERVICE FUND 0 0.00 0.00 0.00 COST LAP 6HERTPF,S FEE 0.00 0,00 0.00 COST MVF MOVING VIOLATION FEE 0 0 6.00 0.00 0.00 COST PWAF TEXAS PARKS & WILDLIFE 0 0.00 0.00 0100 COST SAP DPS 0.00 0.00 0.00 COST SUBC SUE TITLE C 0 0.00 D,00 0.00 COST TV TECHNOLOGY FUND 0 0.00 0,00 0.00 COST TFC TFC 0 0.00 0.00 0.00 COST TIME TIME PAYMENT FEE 0 0.00 0100 0.00 COST TPDF TRUANCY PREVENTION & DXVERSION FUND 0 0 0.00 0.00 0.00 COST WANT WARRANT PEE 0.00 0.00 . 000 FEES ARM ADM. FEE AUTOPSY REPORT FEE o 0.00 0,00 0.00 FEES CSRV COLLECTION SERVICES FEE 0 0.00 0.00 0.00 FEES DDC DRIVER SAFETY COURSE - 2013 0 0 0.00 0.00 0.00 FEES OFF DEFERRED FEE 0.00 0.00 0.000 FEES EFF ELECTRONIC PILING FEE 0.00 0.00 0.00 FEES FILI FILING FEU 0 0.00 0.00 0.00 FEES IFEE INDIGENT FEE 0 0.00 0.00 0.00 FEES SFEE SERVICE FEE 0 0.00 0.00 0.00 FINE FINE FINE 0 0.00 0.00 0.00 FINE POP PARKS & WILDLIFE FINE 0 0. 00 0.00 0.00 0 0.00 0.00 0.00 Transfer Totals 0 0100 0.00 0.00 The following totals represent - Jail Credit and CommUnity Service COST CCC CONSOLIDATED COURT COSTS 0 COST CHS COURTHOUSE SECURITY 0.00 040 0.00 COST DPSC DPS FAILURE TO APPEAR /OMNX FEES 0 0 0.00 0.00 0.00 COST IDF INDIGENT DEFENSE FUND 0,00 0.00 0.00 0 0.00 0.00 0.00 05-04-2015 Page 3 05-04-15;12:47PM;From:Calhoun County JP5 To:5534444 ;3619832461 # 5/ 8 Money Dintribotion Report Typo Coda Dooeription JUDGk NANCY POMP JP5 APRTL 2016 REPORT COST JCSF JUSTICE COURT SECURITY FUND Count Re Retained Disbursed Mono -Totala COST JPAY JUDGE PAY RAISE FEE 0 0.00 0.00 0.00 COST JSF JUROR SERVICE FUND 0 0.00 0.00 0.00 COST LAP SHERIFF'S FEE 0 0.00 0.00 0.00 COST MVP MOVING VIOLATION FEE 0 0.0a 0.00 0.00 COST PWAF TEXAS PARKS & WILDLIFE 0 0.00 0.00 0,00 COST SAP DPS 0 0,00 0.00 0.00 COST SUOC SUB TITLE C 0 0.00 0.00 0.00 COST IF TECHNOLOGY FUND 0 0.00 0,00 0,00 COST TPC TFC 0 0100 0100 0.00 COST TIME TIME PAYMENT PEE 0 0.00 0.00 0.00 COST TPDF TRUANCY PREVENTION & DIVERSION FUND 0 0.00 0.00 0.00 COST WRNT WARRANT PEE 0 0.00 0.00 0.00 FEES AM ADM. FEE AUTOPSY REPORT FEE 0 0.00 0.00 0,00 FEES CSRV COLLECTION SERVICES FEE 0 0,00 0.00 0.00 FEES UDC DRIVER SAFETY COURSE . 2013 0 0'00 0.00 0.00 FEES DPF DEFERRED FEE 0 0.00 0.00 0.00 FEES EFF ELECTRONIC PILING FEE 0 0.00 0.00 0.00 PRE$ FILI FILING FEE 0 0100 0.00 0.00 FEES IEEE INDIGENT FEE 0 0.00 0.00 0.00 FEES SFEE SERVICE FEE 0 0100 0100 0.00 FINE FINE FINE 0 0.00 0.00 D.00 FINE PWF PARKS & WILDLIFE FINE 0 0.00 0.00 0.00 0 0.00 0'00 0.00 Cradit Totals o a.00 o.Do 0.00 The following totals r.prosemt - Credit CArd Paymento COST CCC CONSOLIDATED COURT COSTS COST CHS COURTHOUSE SECURITY 7 24.00 216.00 240.00 COST DPSC DPS FAILURR TO APPEAR IOMNI FEES 7 18.00 0.00 18.00 COST IDF INDIGENT DEFENSE FUND 2 19.80 40,20 60.00 COST JCSF JUSTICE COURT SECURITY FUND 7 1.20 10.00 12,00 COST JPAY JUDGE PAY RAISE FEE 7 6'00 0.00 6.00 COST JSF JUROR SERVICE FUND 7 3.60 32.40 36.00 COST LAP SMERIFF'S FEE 7 2.40 21,60 24.00 COST MVP MOVING VIOLATION FEE 4 15.00 0.00 15,00 COST PWAF TEXAS PARKS & WILDLIFE 4 0.04 0.3E 0.40 COST $AV DPS 0 0.00 0.00 COST SUOC SUD TITLE C 3 12.00 3.00 0.00 15100 COST TF TECHNOLOGY FUND 4 120.00 0.00 120.00 COST TFC TFC 7 24,00 0.00 24.00 COST TIME TIME PAYMENT FEE 4 12.00 0,00 12,00 COST TPDF TRUANCY PREVENTION & DIVERSION FUND 1 12.50 12.50 25.00 COST WRNT WARRANT FEE 7 0.00 12,00 12.00 FEES ARAD ADM. FEE AUTOPSY REPORT PER 1 50.00 0.00 50.00 FEES CSRV COLLECTION SERVICES FEE 0 0.00 0.00 0.00 FEES ODC DRIVER SAFETY COURSE - 2013 3 211.20 0.00 211.20 FEES OFF DEFERRED FEE 1 7,90 0.00 7.90 FEES EFF ELECTRONIC FILING PEE 0 0.00 0.00 0.00 FEES FILI FILING FEE 0 0.00 0.00 0,00 FEES IFEE INDIGENT FEE 0 0.00 0.00 0.00 FEES SPEE SERVICE FEE 0 0.00 0.D0 0.00 FINE PINE FINE 0 0,00 0,00 0.00 FINE PWF PARKS & WILDLIFE PINE 6 563.70 0.00 563.70 0 0.00 0.00 0.00 Credit Totala S 11103134 345.66 1,452.20 The following tetala reprooant . Conbinad Money and Credits COST CCC CONSOLIDATED COURT COSTS COST CHS COURTHOUSE SECURITY 23 66,29 776.56 862.87 COST OPEC DPS FAILURE TO APPEAR IOMNI FEES 23 64 .72 0100 64.72 COST IDP INDIGENT DEFENSE FUND 2 19.EO 40.20 60.00 COST JCSF JUSTICE COURT SECURITY FUND 23 4,31 38.03 43.14 COST JPAY JUDGE PAY RAISE FEE 23 21.57 0.00 21.57 COST d$F JUROR SERVICE FUND 23 12.94 116.49 129,43 COST LAP SHERIFF'S FEE 23 0.63 77.64 OG.27 COST MVF MOVING VIOLATION FEE 12 52.66 0.00 52.06 COST PWAF TEXAS PARKS & WILDLIFE 17 0.17 1.49 1.66 COST SAP DPS 1 4.00 1.00 5,00 10 40.00 10.00 50.00 Page 05-04-15;12:47PM;From:Calhoun County JP5 To:5534444 ;3619832461 # 6/ 8 Money Dietripution Report =BE NANCT POMYRAI. JPS APRIL 2015 REPORT Type Code DeaOription Count hetainea Diaburood Money TOtalo COST COST COST COST COST COST FEES FEES FEES FEES FEES FEES FEES FEES FINE FINE BUBO $U0 TITLE C TF TECHNOLOGY FUND TFC TFC TIME TIME PAYMENT FEE TPDF TRUANCY PREVENTION & DIVERSION FUND WRNT WARRANT FEE ARAD ADM. FEE AUTOPSY REPORT FEY•, CSRV COLLECTION SERVICES FEE DDC DRIVER SAFETY COURSE - 20I3 OFF DEFERRED FEE EFF ELECTRONIC FILING FEE FILL FILING FEE IEEE INDIGENT FEE SPED SERVICE FEE FINE FINE PWF PARRS & WILDLIFE FINE 17 23 17 3 23 2 1 3 9 4 1 1 1 1 0 1 497.15 86,29 49.72 32.14 0.00 78.59 10.00 211.20 05.10 310.60 0,00 25.00 0.30 150.00 1,079.70 14.70 0.00 0.00 6,00 32.15 43.14 0.00 0.00 0.00 0.00 0.00 10.00 0.00 5.70 0.00 0.00 83.30 497.15 86.29 49.72 64.29 45,14 78.59 10.00 211.20 05.10 310.90 10.00 25,00 6.00 150.00 1,079,70 96.00 Report Totala 26 2,945.79 1,23E,52 4,102,30 05-04-2015 PbgO 05-04-15;12:47PM;From:Calhoun County JP5 To:5534444 ;3619832461 # 7/ 8 Money Distribution Report Dace pn enh T pe 00-00-0000 Cash & Chocks Collected Jail Credits & Comm Service Credit Cards & Transfers TOtal Of all Collections 09-01.1991 Cash & Checks Collected Jail Credits & Comm ServicO Credit Cards & Transfers Total Of all collections 09-01-1993 Cash & Chocks Collected Jail Credits & Comm 8ervit, Cradit Cards & Transfer@ Total of all Co11 OCtione 09-01-1995 Cash & Chocks Collected Jail Credits & Comm Sorvice Credit CnrdO & Transfers Total of all Collections 09-01-1997 Cash & Checks Collected Jail Credits & Comm service Credit Cerdtl a Tranafore Total Of all Collections 09-01-1999 Cash & Checks Collected Jail Credits & Comm Service Credit Cards & Transfers Total OE All Collections 09-01-2001 Cash & Chocks Collected Jail Credits & Comm Service Credit Cards & TranefOre Total of all Collections 09.01.2003 Cash & Checks Collected Call Credits & Comm Service Credit Cards & Transfers Total 04 all Collections 01-01-2004 Cash & Checks Collected Jail Credits & Comm Sorvice Credit Cards & Tranafore Total pf all Collections TOTALS Cash & Chocks Collected Jail Credits & Comm Saxvice Credit Cards & Transfers Total of all Collections Plnee 0 00 0.00 0,00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 O.DO 0.00 0.00 0100 0100 0.00 0.00 0.00 0.00 0.00 0.00 000 0..00 0,00 0.00 0 00 0.00 0.00 0.00 0.00 0.00 0.00 614.00 0.00 563 .70 1,177.70 614.00 0.00 563.70 1,177.7p Court Conte 0.00 0.00 0.00 0.00 0.00 0,00 0 ,06 0100 0.00 0.00 0.00 0.0o 0.00 000 0..00 0.00 0,00 O.pO 0.00 0,00 0100 0,00 0,00 0100 0.00 0.00 0.00 0.00 0,00 0.00 000 , 0.00 1,527.30 9.00 669.4p 21196.70 1,527.30 0.00 669.40 2,196.70 J°DDE NANCY Deea 10.00 0.00 0.00 10.00 0.00 O,pO 0.00 0.00 0.00 °'00 0.00 0.00 0.00 0.00 0.00 0.0o 0.00 0.00 0.00 0.00 0.00 000 0.00 0100 0,00 0.00 0.00 0.00 0,00 0.00 0.00 0.00 570.00 9,10 219.10 797.90 590.00 0.00 219,10 B07.90 POMYKAL JPS D onfle 0.00 0.00 0.00 0.00 0.00 p 00 0.00 0.00 0.00 0'00 0.00 0.00 0.00 0,00 0,00 0.00 0,00 0.00 0.00 0.00 0,00 0.00 0.00 0,00 0.00 0.00 0,00 0.00 p.QQ 0,00 0.00 0.00 0.00 0,00 D .00 0.00 0,00 0,00 p, 00 APRIL 2015 RBPDRT Raotltotion 0,00 0.00 0.00 0.00 0,00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.0o 0.00 0.00 000 0.00 0.00 0.00 0.00 0.90 0.00 0•00 0.00 0.00 0.00 0,00 0.00 0.00 0.00 0100 0,00 0,00 0.00 Other 0.00 0.00 0,00 0,00 0.00 0.00 0,00 0.00 0.00 0.00 0.00 0.00 0 .00 00° 0.00 o.op 0. 00 Q,pp 0.OD 0.00 0.00 000 0..00 0.00 0100 0.00 0.00 0.00 0,00 0.00 0.00 o.po 0.00 0.00 0,00 0.00 0.00 0.00 0,00 0.00 Total 10.00 Q.00 0 .00 10.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0. 00 0.00 Q,pp 0.00 0.00 0.00 0.00 0.00 0,00 O.pO 0.06 0.00 also 0.00 0.00 0.00 2,720,10 2.20 4,172.30 4, 172.30 2,730.10 0.00 1,402.20 411B2130 -2015 Page 6 05-04-15;12:47PM;From:Ca1houn County JP5 To:5534444 ;3619832461 # 8/ 8 Macey Distribution Report DeeariHtien JonDE NAMCY POtgyl(AL J85 APRTL 2015 REPORT Count State or Texas Quarterly Reporting Totals State Comptroller Coat and Feet; Report Suction I, Report for Offenses Committed 01-01-04 ForwArd 09-01-01 - 12-al-03 00-31-99 - 08.31.01 09-01-97 - 00-30-99 09-01.91 - 00-31-97 Dail Bond Fee DNA Testing Fee - Convictions DNA Tooting Fee - Comm SUpvn DNA Tenting Fee - Juvenile EMS Trauma Fund (EMS) Juvenile Probation Diversion Fees Jury Reimbursement Fee Indigent Defense Fund Moving Violation Fees SCAtn Traffic Fine soction 11, As Applicable Peace Of",0, Pee. Failure to Appear/Pay Feat Judicial Fund - Count County Court Judicial Fund - Statutory County Court Motor Carrier weight Violations Time Payment Paco Driving Record Fee Judicial Support Fee Truancy Prevention And Diversion Fund Report Sub Total State Comptroller Civil Fees Report CF: Birth Certificate Pees CV; MArriago License Fees CF: Declaration of Informal Marriage OF: Nondlacloauro Fees OF: Juror Donation. CF: Justice Court Sndig Filing Fee, CF: Stet Prob Court Indig Filing Fees CPi Stat Prob Court Judic Filing Fees CF: Stet Cnty COUrt Indig Filing Feeo CF: Stat Cnty Court Judie Filing Fo.. CF: Cnat enty Court Xndig Filing Fees CP: Cnat Cnty Court Judie Filing Fees CF: Dist Court Divorce & Family Law CF: Dist Court Other Divorce/Family Law CF: Diet Court Indig Legal Services Or, Judicial support Fee Report sub Total Total Due For This Period 40 0 0 0 0 0 0 0 0 0 0 23 23 17 11 z 0 0 0 3 0 23 0 142 1,360.02 0,0o 0.00 0.00 0.00 0,00 0.00 0.00 0.00 0.00 0,00 09.27 43.14 1.66 0.00 55.00 90.00 0,00 0.00 0.00 94. 29 0.00 129.43 0.00 1, 799.aI 1,360.02 0.00 0.00 0,00 0. DO 0.00 0.00 0.00 0.00 0.00 0.00 8.63 4.31 0.17 D.00 44.00 19, s0 0.00 0.00 0.00 32.14 0.00 12.94 0.00 1, 452.01 0.00 D.00 0,00 0.00 0.00 0.00 0.00 O,DO 0,00 0.00 0.00 77,64 00,03 1.49 0.00 11.00 40,20 0.00 0.00 0.00 52.10 0.00 116.49 0.00 317.80 0 0.00 0,00 0.00 0 0.00 0.00 0100 0 0.00 O.DO 6.00 ° 0.00 0.00 0,00 1 0.00 0.00 0.00 ° 6.00 0.30 5.70 0 0.00 0.00 O 0.00 0.00 0,00 0 0.00 .00 0.00 0.00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 0,00 0.00 0.00 D 0 0,00 0.00 0.00 1 0.00 0.00 0.00 6.00 0.30 $. 70 143 1, 005, 81 1, 462.31 323,50 THE STATE OF TEXAS Before me, the undersigned authority, this day County of Calhoun County personally appOnred Nancy Pomykel, Justice of the Ponce, Precinct No S, Calhoun County, Taxao, who being duly sworn, deposes and esya that the Above d foregoing report is true and correct, Witness my hand this ,.r7 je 4 � /'' af A.D, rJ///,J. Jua ice Pe ee, P o1n�ct No 5 ��1Y�`�"��` Calhoun y, Texas APPROVAL OF PAYROLL: Commissioner Fritsch made a motion to approve the following March 2015 payrolls: • March 13, 2015 $ 247,863.60 • March 27, 2015 242,522.15 TOTAL $490,385.75 Commissioner Lyssy seconded the motion. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Commissioner Fritsch made a motion to approve the following April 2015 payrolls: • April 10, 2015 $ 248,295.21 • April 24, 2015 241,295.21 TOTAL $ 490,118.71 Commissioner Lyssy seconded the motion. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. MONTH/MARCH Payroll through 03-13-2015 $ 247,863.60 Payroll through 03-27-2015 $ 242,522.15 APPROVED TOTAL PAYROLL $ 490,385.75 The items listed above have been pre -approved by all Department Heads and I certify that funds were available to pay the obligations. I certify that the above is true and correct to the best of my knowledge May 14, 2015. �� 4PMDA S. KOKENA, W iV 14 2015 CALHOUN COUNTY TREASURER CALHOUN COUNTY COMMISSIONERS COURT ACCEPTED AND APPROVED THIS THE � DAY OF 2015 IN THE CALHOUN COUNTY COM SSIONEW COURT, PORT LAVACA, TEXAS 77979. II . MONTH / APRIL Payroll through 04-10-2015 $ 248,295.21 Payroll through 04-24-2015 $ 241,295.21 APPROVED TOTAL PAYROLL $ 490,118.71 The items listed above have been pre -approved by all Department Heads and I certify that funds were available to pay the obligations. I certify that the above is true and correct to the best of my k y 1 ED RH NDA S. KOKENA, i4i'W 14 2015 CALHOUN COUNTY TREASURER CALHOUN COUNTY COMMISSIONERS COURT ACCEPTED AND APPROVED THIS THE 14 DAY OF 2015 IN THE CALHOUN COUNTY CO M S ONERS' COURT, PORT LAVACA, TEXAS 77979. APPROVAL OF BILLS: Commissioner Fritsch made a motion to approve bills in the amount of $1,599,965.98, EFT Transfer in the amount of $439,000.00, for a total amount of $2,038,965.98. Commissioner Lyssy seconded the motion. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. April23, 2015 2015 APPROVAL LIST - 2015 BUDGET 50 141111lii41IY.9r1M01 BALANCE BROUGIPL FORWARD FROM APPROVAL LIST REPORT PAGE 49 $ 836,323.94 ELECTION PAYROLL FOR DECEMBER 6, 2014 ELECTION P/R $ 823.50 FICA P/R $ 82,043.96 MEDICARE P/R $ 19,187.76 FWH P/R $ 64,953.14 AFLAC P/R $ 5,483.05 NATIONWIDE RETIREMENT SOLUTIONS P/R $ 2,890.48 OFFICE OF THE ATTORNEY GENERAL - CHILD SUPPORT P/R $ 1,005.69 PRINCIPAL FINANCIAL GROUP P/R $ 3,802.99 TEXAS COUNTY & DISTRICT RETIREMENT SYSTEM P/R $ 128,578.05 WILLIAM E. HEITKAMP, TRUSTEE P/R $ 993.83 AT&T MOBILITY A/P $ 277.53 BEN E KEITH FOODS A/P $ 7,699.49 CABLE ONE A/P $ 9,900.08 CARDMEMBER SERVICE - SHERIFF OFFICE/JAIL A/P $ 445.25 CENTERPOINT ENERGY A/P $ 66.76 CITY OF POINT COMFORT A/P $ 122.40 CITY OF PORT LAVACA A/P $ 3,696.69 CITY OF SEADRIFT A/P $ 243.43 CONSTELLATION NEW ENERGY A/P $ 20,355.34 CPL RETAIL ENERGY A/P $ 87.64 ERIC TAYLOR A/P $ 271.23 GBRA A/P $ 226.59 GREATAMERICA FINANCIAL SERVICES A/P $ 179.00 JACKSON ELECTRIC COOP, INC. A/P $ 335.29 LA WARD TELEPHONE EXC. INC. A/P $ 302.90 MCI MEGA PREFERRED A/P $ 346.26 POC MUD DISTRICT A/P $ 519.18 PORT LAVACA WAVE A/P $ 466.20 QUILL A/P $ 382.36 REPUBLIC SERVICES #847 A/P $ 3,110.80 SPRINT A/P $ 178.09 STATE COMPTROLLER A/P $ 70,943.72 TEXAS ASSOC. OF COUNTIES RISK MGMT. POOL A/P $ 317,993.00 VERIZON SOUTHWEST A/P $ 2,842.85 VICTORIA ELECTRIC CO-OP A/P $ 2,491.80 VOYAGER A/P $ 8,581.48 WAL-MART AP $ 367.87 WALLIS THOMAS D A/P $ 150.00 WASTE MANAGEMENT A/P $ 1,296.36 TOTAL VENDOR DISBURSEMENTS: $ 1,599,965.98 EFT - TRANSFER FROM MONEY MARKET ACCT TO OPERATING ACCT (NOW) A/P $ 439,000.00 TOTAL TRANSFERS BETWEEN FUNDS: $ 439,000.00 TOTAL AMOUNT FOR APPROVAL: $ 2,038,965.98 DONATION OF BENCH FOR COUNTY COURTHOUSE FROM ROTARY CLUB: Commissioner Fritsch made a motion to accept donation of bench for the County Courthouse from the Rotary Club. Commissioner Lyssy seconded the motion. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. ACCEPT DONATIONS TO CALHOUN COUNTY: N/A DECLARE AN ABANDONED 1996 GMAC VIN #1GD]C3437TE510686/ASSET #525-0001 AS SURPLUS/SALVAGE AND AUTHORIZE THE SALE AT AUCTION LATER THIS YEAR: Commissioner Fritsch made a motion to declare an abandoned 1996 GMAC VIN #1GDJC34J7TE510686/ASSET #525-0001 as surplus/salvage and authorize the sale at auction later this year. Commissioner Lyssy seconded the motion. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Il Ilk I MAM Calhoun County Commissioner Precinct #1 op r 211 S. Ann d, Port Lavaca, TX 77979 (361) 552-9242 April 21, 2015 Honorable Michael Pfeifer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Pfeifer: Please place the following item on the next Commissioner's Court Agenda. Sincerely, Fax (361) 553-8734 Pager (361) 579-7915 Mobile (361) 935-3552 • Consider and take necessary action on an abandoned ambulance 1996 GMC VIN# 1GDJC3417TE510686 / Asset # 525-0001 to put to surplus/salvage to be auctioned later this year. County CCo ner /� Roger. n 4 RCG/apt La Salle Monument Indianola, Texas DECLARE THE FOLLOWING ITEMS OF COUNTY PROPERTY IN THE SHERIFF'S DEPARTMENT AS SURPLUS/SALVAGE: (1) MXL03413TK HP COMPUTER (2) 000383 PORT CITY COMPUTER Commissioner Fritsch made a motion to declare the following items of County property in the Sheriff's Department as Surplus/Salvage: (1) MXL03413TK HP Computer and (2) 000383 Port City Computer. Commissioner Lyssy seconded the motion. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. ._ .. . — C:.A,LHOUN COUNTY, TEXAS COUNTY SHERIFF'S OFFICE' 211 SOUTH Alva STREET PORT LA,VACA, TEXAS 77979 PHONE NUMBER (361) 553-4646 FAX NUMBER (361) 553-4668 MEMO TO: MIKE PFEIFER, COUNTY JUDGE SUBJECT: SURPLUS COMPUTERS DATE: MAY 14, 2015 Please placee the following item(s) on the Commissioner's Court agenda for the date(s) indicated: AGENDA FOR MAX 14, 2015 • Consider and take necessary action on 2 computers from dispatch to put to salvage/surplus • MXL03417T1{ HP Computer • 000393 Port City Computer Sincerely, George Aleman Calhoun County Sheriff 6 'd iSD 'IN AdK::i sW .[ 'APA DECLARE CERTAIN ITEMS OF COUNTY PROPERTY AS SURPLUS/SALVAGE: N/A TRANSFER A 2001 TOWN & COUNTRY CHRYSLER VAN, VIN32C4GP44371R423767 FROM MAINTENANCE DEPARTMENT TO THE SHERIFF'S DEPARTMENT: Commissioner Fritsch made a motion to transfer a 2001 Town & Country Chrysler Van, VIN32C4GP44371R423767 from Maintenance Department to the Sheriffs Department. Commissioner Lyssy seconded the motion. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Calhoun County, Texas DEPARTMENTAL INVENTORY TRANSFER REQUEST FORM Requested By: Maintenance Inventory Number Descri tion Serial No. Transfer From/To Department 2001 Town & County VIN Chrysler Van 2C4GP44371R423 67 FROM MAINTENANCE TO SHERIFF'S DEPARTMENT a MATTER OF TRANSFERRING CERTAIN ITEMS OF COUNTY PROPERTY FROM ONE COUNTY DEPARTMENT TO ANOTHER COUNTY DEPARTMENT: N/A BUDGET ADJUSTMENTS: N/A SINGLE SOURCE, EMERGENCY AND PUBLIC WELFARE PURCHASES AND BILLS: N/A PUBLIC DISCUSSION OF COUNTY MATTERS: Shannon Salyer, Assistant District Attorney, stated he reviewed the Appraisal Report presented to the Court by TAC. He stated the bird walks are not listed on the appraisal and he does not think they are insured. He stated due to liability reasons, as well as replacement costs, they should be insured. Rhonda Kokena, County Treasurer, introduced Nancy Hare, new Accounts Payable Clerk in her office. Susan Riley stated there will be an afternoon session of the Court on June 11th. Commissioner Fritsch gave an update regarding the JP3 office. He stated he visited with the Point Comfort City Council on May 4th and indicated we are looking for a place for the office. He said the Council stated there is no problem with moving the JP office out of the City Hall and into a portable building adjacent to the auditorium. The attorney for the City Council will draw up an Interlocal Agreement. MEETING ADJOURNED AT 10:43 A.M.