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HomeMy WebLinkAbout2009-06-16-6:00PM-REGULAR P ~ P C;', F Fyy, ~ N a i!i 33 kTY OF 8gP a r, - BRAZOS COUNTY C' BRYAN,TEXAS NOTICE OF MEETING AND AGENDA BRAZOS COUNTY COMMISSIONERS COURT THE COMMISSIONERS COURT OF BRAZOS COUNTY WILL MEET IN REGULAR SESSION ON 16 JUNE 2009 AT 6:00 P.M. IN THE COMMISSIONERS COURTROOM OF THE COUNTY ADMINISTRATION BUILDING, 200 SOUTH TEXAS AVENUE, SUITE 106, BRYAN, TEXAS. 1. Invocation and Pledge of Allegiance - Commissioner Cauley. 2. Call for citizen's input and/or concerns. Consider and take action on agenda items 3 - 20: 3. Budget Amendment 08/09 - 36.1 thru 36.2. 4. Personnel Change of Status. 5. Payment of Claims. 6. Acceptance of the resignations of Dr. Charles Schultz and Dr. Armando Alonzo from the Brazos County Historical Commission, effective immediately (previously tabled. 7. Appointment of the following individuals to the Brazos County Historical Commission replacing Drs. Schultz and Alonzo, effective immediately (previously tabled: a. Lauren A. Hovde b. Chad Hovde. 8. Articles of Incorporation for the South Central Higb-Speed Rail and Transportation Authority, Inc (previously tabled. Office of the County Judge • 200 South Texas Ave. • Suite 332 • Bryan, Texas 77803 • Fax: (979) 3614503 VOLIa3, PAGE -7 Commissioners Court Agenda 16 June 2009 Page 2 9. By-laws of the South Central High Speed Rail and Transportation Authority, Inc. 10. Renewal of the contract with the Texas Department of Agriculture for the National School Lunch Program which allows Brazos County to be reimbursed for breakfast and lunch meals served at both the Juvenile Center and the Academy for the 2009-2010 academic year. 11. Proposal from Brazos Technology for the purchase of the e-Citation/Racial Capture for law enforcement. 12. Out of state travel request from the Commissioners Court for Commissioner Mallard to attend the National Multi-Model Transportation Steering Committee meeting in Little Rock, AR on 17-19 June 2009. 13. Request from a County employee for a prescribed therapy not currently covered by the county health insurance. 14. Appointment of Brad Curtis as a Reserve non-paid Deputy Constable in the Precinct 3 Constable's Office. 15. Plan provisions for the Texas County & District Retirement System (TCDRS) for Plan Year 2010. 16. Request from the Magistrate to use funds from the Awards Account to pay for three (3) GED tests at $100.00/each. 17. Capital Requisition #00024587 in the amount of $146,583.00 to Jim Singleton Architects for the Brazos County Exposition Center expansion. 18. Payment Authorization in the amount of $179,157.00 to Jim Singleton Architects for Phase Two of the schematic design for the Brazos County Exposition Center expansion. 19. Permission to award Bid 2009-38, Temporary Employment Services, to Express Employment Professionals, effective 30 June 2009 through 29 June 2010. 20. Request from Wickson Creek Special Utility District to construct a 210 Ft. water line extension from the end of Fawn Lake Drive right of way (Fawn Lake Subdivision) to provide service to Fawn Meadows. Site is located in Precinct 2. 21. Announcement of interest items and possible future agenda topics. 22. Call for citizen input and/or concerns. 23. Agency / Board / Committee reports by Court members. 24. Adjourn VOL iAIPAGES Commissioners Court Agenda 16 June 2009 Page 3 PUBLIC COMMENTS Public Comment during the Commission Meeting may be for all matters, both on and off the agenda, and be limited to four minutes per person. Persons are invited to submit comments in writing on the agenda items and/or attend and make comment at the Commission meeting. Members of the public are reminded that the Brazos County Commissioners Court is a Constitutional Court, with both judicial and legislative powers, created under Article V, Section I and Section 18 of the Texas Constitution. As a Constitutional Court, the Brazos County Commissioners Court also possesses the power to issue a Contempt of Court Citation under Section 81.024 of the Texas Local Government Code. Accordingly, members of the public in attendance at any Regular, Special and/or Emergency meeting of the Court shall conduct themselves with proper respect and decorum in speaking to, and/or addressing the Court; in participating in public discussions before the Court; and in all actions in the presence of the Court. Those members of the public who are inappropriately attired and/or who do not conduct themselves in an orderly and appropriate manner will be ordered to leave the meeting. Refusal to abide by the Court's Order and/or continued disruption of the meeting may result in a Contempt of Court Citation. It is not the intention of the Brazos County Commissioners Court to provide a public foram for the demeaning of any individual or group. Neither is it the intention of the Court to allow a member (or members) of the public to insult the honesty and/or integrity of the Court, as a body, or any member or members of the Court, or County employees, individually or collectively. Accordingly, profane, insulting or threatening language directed toward the Court and/or any person in the Court's presence and/or racial, ethnic or gender slurs or epithets will not be tolerated. Violation of these rules may result in the following sanctions: I. cancellation of a speakers time; 2. removal from the Commissioners Court; 3. a Contempt Citation; and/or 4. such other and/or criminal sanctions as may be authorized under the Constitution, Statutes and Codes of the State of Texas. The County Commissioners Court can deliberate or take action only if a matter has been listed on an agenda properly posted prior to the meeting. During the public comment period, speakers may address matters not listed on the published agenda. The Open Meeting Law does not expressly prohibit responses to public comments by the Commissioners Court. However, responses from the County Judge or Commissioners to unlisted public comment topics could become deliberation on a matter without notice to the public. To ensure the public has notice of all matters the Commissioners Court will consider, the County Judge and/or Commissioners may choose not to respond to public comments, except to correct factual inaccuracies, recite existing policy in response to an inquiry or to ask that a matter be listed on a future agenda. See Texas Open Meetings Act §551.042. The County Administration Building is wheelchair accessible. Handicap parking spaces are available. Any request for sign interpretive services must be made two working days before the meeting. To make arrangements, please call (979) 361-4102. AVOL I a;[-PkGE 9 COMMISSIONERS' COURT REGULAR MEETING JUNE 16, 2009 A regular meeting of the Commissioners' Court of Brazos County, Texas was held in the Commissioners Courtroom in the Brazos County Administration Building, 200 South Texas Avenue, in Bryan, Brazos County, Texas, beginning at 6:00 p.m. on Tuesday, June 16, 2009 with the following members of the Court present: Randy Sims, County Judge, Presiding; Lloyd Wassermann, Commissioner of Precinct 1; Duane Peters, Commissioner of Precinct 2; Kenny Mallard, Commissioner of Precinct 3; Irma Cauley, Commissioner of Precinct 4; Karen McQueen, County Clerk, Absent. The attached sheet contains the names of the citizens and officials that were in attendance. Commissioner Cauley gave the invocation and led the pledge of allegiance. There was no citizen input/and or concerns. The first matter before the Court was Budget Amendment #08/09-36.1 through 36.2, which would reallocate funds for the Health and Life Fund, Commissioners Court. On motion by Commissioner Peters, seconded by Commissioner Wassermann, the Vol I P~ Page UOL :nuL Commissioners Court meeting June 16, 2009 2 Court voted unanimously to approve the budget amendment as submitted, a copy of which is attached. The Court proceeded to consider the change of status of employees as submitted on the attached Personnel Action Requests. On motion by Commissioner Peters, seconded by Commissioner Cauley, the Court voted unanimously to approve the change of status as submitted. The Court next considered the following Claims as submitted by the County Treasurer for payment: 7062959 through 7063200 On motion by Commissioner Peters, seconded by Commissioner Wassermann, the Court voted unanimously to approve the Claims as submitted. The next matter before the Court was the resignations of Dr. Charles Schultz and Dr. Armando Alonzo from the Brazos County Historical Commission. On motion by commissioner Wassermann, seconded by Commissioner Cauley, the Court voted unanimously to accept the resignations of Drs. Charles Schultz and Armando C. Alonzo. The resignations are effective immediately. The Court next considered the appointment of individuals to serve on the Board of Directors of the Brazos County Historical Commission to fill the vacancies left by the Vol a~ Page tl VOLE ~ Commissioners Court meeting June 16, 2009 3 resignation of doctors Schultz and Alonzo. On motion by the County Judge, seconded by Commissioner Peters, the Court voted unanimously to appoint Lauren Amelia Hovde to serve on the Board of Directors of the Historical Commission. The appointment is effective immediately. The County Judge announced a second member will be appointed at the next meeting. The next matter before the Court was consideration of the Articles of Incorporation of South Central High Speed Rail and Transportation Authority. On motion by Commissioner Mallard, seconded by Commissioner Cauley, the Court voted unanimously to table consideration. The Court next considered the Bylaws of South Central High Speed Rail and Transportation Authority. On motion by Commissioner Mallard, seconded by Commissioner Peters, the Court voted unanimously to table consideration. The next matter before the Court was consideration of the renewal of the contract with the Texas Department of Agriculture for the National School Lunch Program. The Juvenile Services Department detention facility participates in the School Breakfast Program and the National School Lunch Program. On motion by Commissioner Cauley, seconded by Commissioner Wassermann, the Court voted unanimously to approve Vol (2-X Page la UL , Commissioners Court meeting June 16, 2009 4 the renewal of the contract and authorized the County Judge to execute the document. A copy is attached. The next matter before the Court was consideration of a proposal from Brazos Technology for the purchase of the e- Citation/Racial Capture electronic hand held ticket writers for law enforcement. Cost to Brazos County will be $20,490.00 for five (5) devices and will be used by the department of Constable, Precinct 1. On motion by Commissioner Peters, seconded by Commissioner Cauley, the Court voted unanimously to accept the proposal and authorized the County Judge to execute the document. A copy is attached. The next matter for consideration by the Court was a request submitted by the Commissioners Office seeking approval for out of state travel for Commissioner, Precinct 3, Kenny Mallard to travel to Little Rock, Arkansas to attend the National Multi Modal Transportation Steering Committee Meeting June 17 through 19, 2009. On motion by Commissioner Cauley, seconded by Commissioner Peters, the Court voted unanimously to grant the request from the Commissioners Office and approved payment of out of state travel expense for Commissioner Kenny Mallard. The Court next considered a request from a Country employee for a prescribed therapy not currently covered by the Vol 1 as Page t 3 Commissioners Court meeting June 16, 2009 5 county health insurance. On motion by the County Judge, seconded by Commissioner Cauley, the Court voted unanimously to approve the request for the prescribed therapy. The Court next considered a request from Constable Precinct 3, Wayne Thompson, to appoint Brad Curtis, as a non- paid Deputy Constable. On motion by Commissioner Mallard, seconded by Commissioner Cauley, the Court voted unanimously to approve the request from Constable Thompson to appoint Brad Curtis as a non-paid Deputy Constable subject to appointment being within the allotted number of deputies. The next matter before the Court was consideration of plan provision for the Texas County & District Retirement System (TCDRS) for Plan Year 2010. On motion by the County Judge, seconded by Commissioner Peters, the Court voted unanimously to not adopt a cost of living adjustment (COLA) for the plan year which automatically sets the required employer contribution rate for the plan year at 11.93%. A copy of the Order is attached. The Court next considered a request from the Magistrate's Office to use money from the awards account to pay for three (3) GED tests at a cost of $100.00 each. On motion by the County Judge, seconded by Commissioner Cauley, the Court voted unanimously to approve the request. Vol t a--a- Page k q VU~ Qlf /`r Commissioners Court meeting June 16, 2009 6 The next matter before the Court was consideration of capital requisition #00024587 in the amount of $146,583.00 to Jim Singleton Architects for the Brazos County Exposition Center expansion. On motion by Commissioner Peters, seconded by Commissioner Wassermann, the Court voted unanimously to approve the requisition. The Court next considered a payment authorization in the amount of $179,157.00 to Jim Singleton Architects for Phase Two of the Schematic Design for the Brazos County Exposition Center. On motion by Commissioner Peters, seconded by the County Judge, the Court voted unanimously to approve the payment authorization. The Court next considered awarding Bid No. 2009-38, Temporary Employment Services. Amanda Rutledge, Buyer, recommended acceptance of the bid submitted by Express Employment Professionals. On motion by Commissioner Peters, seconded by Commissioner Wassermann, the Court voted unanimously to accept the recommendation of the Buyer and award the contract to Express Employment Professionals. A copy of the bid tabulation is attached. The Court next considered the request from Wickson Creek Special Utility District to construct a 210 foot water line extension from the end of Fawn Lake Drive right-of-way to Vol l as Page l 5 Commissioners Court meeting June 16, 2009 7 provide service to Fawn Meadows. The site is located in Precinct 2. The County Engineer stated that all appeared to be in order and recommended approval. On motion by Commissioner Peters, seconded by Commissioner Cauley, the Court voted unanimously to approve the request from Wickson Creek Special Utility District and authorized the installation. A copy of the request is attached hereto. Under announcement of interest items and possible future agenda topics the following spoke: Gary Arnold, Road & Bridge Department a) Asked the Court about a burn ban. He was told that it will be on the next agenda. There was no citizen input and/or concerns. There were no Agency/Board/Committee reports by Court members. There being no further business to come before the Court, the meeting was adjourned. Vol a Page 1 The foregoing minutes of the Commissioners Court meeting held June 16, 2009 have been examined and are approved in open Court this the14tL day of 2009, in Bryan, Brazos County exas. 444 Randy S' s Lloy Wassermann County Judge Commissioner, Precinct 1 Duane Peters Kenny Mall d Commissioner, Precinct 2 Commission z, Precinc 3 Irma a y Commissione P ecinct 4 Ift Attest: aren McQueen County Clerk Vol 1 as Page l 1f01 r.4rE BRAZOS COUNTY COMMISSIONERS COURT Meeting on 2009 @ -W d~Ylt_ Name Organization / Department c4-, Con oz,2, -5/ r Al e CCZ PAGE of VOL l a-APAUGE g T BRAZOS COUNTY, TEXAS BUDGET AMENDMENT(S) FOR THE 2008-2009 BUDGET YEAR NO. 08/09 - 36.1 thru 36.2 On this the 16`h day of June 2009 at a regular meeting of the Commissioners' Court, the following members were present: Randy Sims, County Judge, Presiding Lloyd Wassermann, Commissioner, Precinct 1 E. Duane Peters, Commissioner, Precinct 2 G. Kenny Mallard, Commissioner, Precinct 3 Irma Cauley, Commissioner, Precinct 4 Karen McQueen, County Clerk The following proceedings were held: THAT WHEREAS, on 16 June 2009 the Court heard and approved a budget amendment for the 2008-2009 budget year for Brazos County, Texas; and WHEREAS, an expenditure is necessary due to the necessity to meet unusual and unforeseen conditions which could not be reasonably included in the original budget adopted 19 September 2008, the following amendment(s) to the original budget are hereby authorized, as described on the attached page(s). ADOPTED AND APPROVED this the 16th day of June 2009. THE COMMISSIONERS COURT OF BRAZOS COUNTY, TEXAS. By: Randy uns, County Judge Original: County Clerk's Office and attached to the original budget Copies: County Auditor County Treasurer County Budget Officer Commissioners' Court Minutes VOLIa-a AGE l1 BRAZOS COUNTY, TEXAS BUDGET AMENDMENTS No. 08109 - 36.1 6/16/2009 FUND DIV ACCT PROJ DR/CR ACCOUNT NAME Increase Decrease 5000 64005000 71110000 CR H & L Admin Fees 12,000.00 5000 64005000 72590000 DR Professional Fees 12,000.00 Health and Life Fund - To move funds to allow for Milli man do u date the anal sis of the retiree health insurance for GASB 45 reporting. "IN T `A ~i+' 7 a ^ y YS »-c `ART^5yvt~{ a~y^ ; f3 DepamentA 'rovalP sux,. Dated P,.reparedjt3y:~{" ,Date ?x~ ~ fta6112(2U09~ ~ C un[y"JudgeAparoval3 ~'."Date;!~~r~'~'`~.`~o'[ VOL I D PAGE a-y BRAZOS COUNTY, TEXAS BUDGET AMENDMENTS No. 08/09 - 36.2 6/16/2009 FUND DIV ACCT PROJ DR/CR ACCOUNT NAME Increase Decrease 0100 11000100 59100000 CR DDEA 800.00 0100 11000100 60360000 DR Office Furniture 420.00 0100 11000100 61801000 DR Travel 380.00 Commissioner's Court To move funds to allow for the urchase of a new compute r table and ergonomic keyboard tray for Commissioner Caule and to help with travel costs. 17 m'" ri°f l (Department w=Pfpy P er ParedaBV a ~-~i kd v s,. ~nv -7 a ,ylk-x,6/,12/20091 : Dafe UQL j a 4AGE DA PERSONNEL CHANGE OF STATUS REQUESTS C Commissioner Court Date: June 16, 2009 Department Submitting Information: Human Resources Purpose of Submissions: Consider and Take Action on Change Requests Department Submitting Employee Request Action Requested Request(s) Applies To County Attorney Alba, Gibert R. Other-hourly rate increase Camarillo, Hector M. Other-hourly rate increase Cantu, Omar Other-hourly rate increase Deans, Michael S. Other-hourly rate increase Field, Randy L. Other-hourly rate increase James, Jason B. Other-hourly rate increase Lunt, Mica A. Other-hourly rate increase Mathews, Mathew L. Other-hourly rate increase McNutt, Courtney M. Other-hourly rate increase Merkley, Joseph C. Other-hourly rate increase Mize, Michael Other-hourly rate increase Stone, Ronald Other-hourly rate increase Sylverster, Allen, Jr. Other-hourly rate increase White, Jon H. Other-hourly rate increase Exposition Complex Cook, Alan J. Resignation Juvenile Services- Detention Smith, Alexander New Hire Webb, David. New Hire Juvenile Services - JJAEP Council, Eddie Mae Resignation Sheriff Office- Administration Melasky, Melissa L. Other-Complete Probation Sheriff Office- Jail Dungey, David Resignation Rivera, Stephen New Hire Approved in Commissioners' Court: June 16,2009: County Judge's or Commissioner's Signature: (This Copy to be attached to minutes) sgo VOL I~ PAGE as P.O. Box 12847 Austin, Texas 78711 . Voice (800) 835-5832 ~ (512) 463-7476 Hearing impaired: (800) 735-2988 e www.texasagriculture.gov ~~T OF qG,f Texas Department of Agriculture h Food & Nutrition Division FND-128 NSLP/SBP/SMP Renewal P~1'EXA5~3 TODD STAPLES, CONMSSIONER SCHOOL FOOD AUTHORITY INFORMATION School Food Authority (SFA) Name Brazos County Texas ID Number 17460004330000 Contract (UCN) Number Program k: (XXX-XRXX) 75- 61001 TX 021-2001 1 ❑ Tax Number ❑Tax-Exempt Number SFA Physical Address City State Zip TX 1904 SR 21West Bryan 77803 SPA Mailing Address (if different from above) City (if different from above) State Zip (if different from above) TX B an d Telephone Number (XXX XXX-XXXX Fax Number (XXX) X3CX-XAXX ~p (979) 823-3544 (979) 823 6711 - Name of Primary Authorized Representative Email address of Primary Authorized Representative U ~ Patrick Munoz munoz@co.brazos.tx.us PROGRAM INFORMATION Programs that you will be operating during school year 2009-2010: Type of SPA National School Lunch Program (NSLP) ❑ Private School ® Residential Child Care Institution ❑ After School Care (Snack) Program (must be participating in the NSLP) (R Cute, is the schooVRCCI nonprofit and tax exempt? E] Seamless Summer Option [jd School Breakfast Program (SBP) ❑ Yes (attach copy of letter from IRS) ❑ No ❑ Special Milk Program For Special Milk Programs only, indicate the type of program operated ❑ Pricing with free option ❑ Pricing without free option ❑ Non-Pricing option Number of months the SFA will be operating a child nutrition program [j Jan. E~ Feb. ® Mar. [jd Apr. ® May ® Jun. ® Jul. Aug. Sept. ® Oct. ® Nov. Dec. Beginning date (mrri/yyyy) 07-01-2009 W Ending date (mmlyyyy) OZ 06-30-2010 Cr Number of feeding sites administering the NSLP/SBP by the SPA Wn 2 VOL la---PAGE D-3 rage L or SCHEDULE A (SITE INFORMATION) (If there is more than one site in the SFA, make copies of this page before completing and submit one for each site in the SFA-) Is the site infonmation the same as the SFA information? If yes, check box ❑ and skip to Name of Site Re resentative. Site Name Telephone Number of Site Brazos County Juvenile Services Site Physical Address City Zip 1904 SH 21 West B an Tx 77803 Name of Site Represcntative Email of Site Representative Telephone Number of Site Representative (Prefix, First, Middle, Last) (KXX) X.XX )O= Patrick Munoz munoz@co-brazos-tB.u 979 823-3544 Programs that this site will operate: Is this site licensed? ® National School Lunch Program (NSLP) ❑ Yes (If yes, attach a copy of the license) W No ❑ After School Cue (Snack) Program ❑ Seamless Summer Option (must be participating in the NSLP to participate in the above programs) ® School Breakfast Program (SBP) ❑ Special Milk Program Total Number of Students Total number of students Total number of students Total number of students (Participants) Enrolled at this (participants) eligible for FREE ;participants) eligible for (participants) e6giblc for Site. meals REDUCED-price meals PAID meals 48 48 0 0 Average Daily Participation of FREE Average Daily REDUCED-price Average PAID Average Daily Students at this Site. Participation Daily Participation Participation Breakfast 48 0 0 Lunch 48 0 0 Area Eligible After School Cue 0 (Snack) 0 0 Non-Area Eligible After School Care (Snack) 0 0 0 Total Number of Lunches FREE REDUCED-price PAID Served at this site between 8,736 0 0 711/07 through 6/30/08 U 0 Type of Meal Service U ® On-Site Kitchen ❑ Central Kitchen ❑ Food Service Management Company ❑ Vended Meals v ❑ Other Food & Nutrition Division Revised 3119109 Renewal 2009-2010 VOL laaPAGE ail Page 2 of 2 SCHEDULE A (SITE INFORMATIONS) (If there is more than one site in the SFA, make copies of this page before completing and submit one for each site in the SFA.) Is the site information the same as the SFA information? If es, check box IN and ski to Name of Site Re resentative. Site Name Telephone Number of Site Brazos County Academy Site Physical Address Ctty ZrP Name of Site Representative Email of Site Representative Telephone Number of Site Representative (Prefix, First, Middle, Last) (XXX) XXX-XXXX Patrick Munoz pmuuoz@co.brazos.tx.us (979) 823-3544 Programs that this site will operate: Is this site licensed? [RNational School Lunch Program (NSLP) ❑ Yes (If yes, attach a copy of the license) ❑ No ❑ After School Care (Snack) Program ❑ Seamless Summer Option (must be participating in the NSLP to participate in the above programs) ® School Breakfast Program (SBP) ❑ Special. Milk Program Total Number of Students Total number of students Total number of students Total number of students (Participants) Enrolled at this (participants) eligible for FREE (participants) eligible for (participants) eligible for Site. meals REDUCED-price meals PAID meals 30 30 0 0 Average Daily Participation of FREE Average Daily REDUCED-price Average PAID Average Daily Students at this Site. Participation Daily Participation Participation Breakfast 30 0 0 Lunch 30 0 0 Area Eligible After School Care (Snack) 0 0 0 Non-Area Eligible After School Care (Snack) 0 0 0 Total Number of Lunches FREE REDUCED-price PAID Served at this site between 3900 0 0 7/1/07 through 6/30/08 U p Type of Meal Service U ® On-Site Kitchen ® Central Kitchen ❑ Food Service Management Company ❑ Vended Meals ❑ Other Food & Nutrition Division Revised 3119109 Renewal 2009-2010 VOL Pa PA,E ~S INSTRUCTIONS FOR FOOD & NUTRITION DIVISION NSLP/SBP/SMP RENEWAL FND-128 SECTION A 1. SCHOOL FOOD AUTHORITY (SFA) INFORMATION • School Food Authority (SFA) Name - Fill in the name of the facility that contracts with the Texas Department of Agriculture to offer the National School Lunch Program, the School Breakfast Program and the Seamless Summer Option (School Nutrition Programs). Texas ID Number - Enter this 14-digit number as assigned by the Comptroller of Public Accounts for the State of Texas. If you do not know your agency's Texas ID number, contact the comptroller at 512- 463-3660. o If your agency is not required to obtain a Texas ID number to participate, Enter your tax number or tax-exempt number in this space, and • Indicate which type of number you are entering for your agency. Contract Number - Enter the 5-digit contractor number assigned by TDA that begins with the preprinted numerals "75". This is not the same as the program/TX number. • Program Number - Enter your seven-digit program/(TX) number (XXX-)=X) SFA Address - Enter the address for the SFA/agency SFA Telephone/Fax number (X300 )XX-XXXX - Enter the telephone number and the fax number, including area code, for the SFA/agency. City/Zip - Enter the city and zip code in which the main SFA is located. Name of Primary Authorized Representative - Enter the name of the person responsible for administering the School Nutrition Programs for this SFA. E-mail Address - Enter the email address for the person responsible for administering the School Nutrition Programs for this SFA. SECTION B 2. PROGRAM INFORMATION • Programs that your SFA is applying for - Check the boxes of all School Nutrition Programs that will be operated by the SFA. Type of SFA - Check the type of facility- Private school or residential child care institution (RCCI). Special Milk Program option - For Special Milk Programs only, indicate the type of program operated. • If Private, is the schooURCCI non-profit and tax exempt? - Check the appropriate box that describes your school/facility type. Number of months operating - List the total number of months that the SFA will operate the School Nutrition Programs. Include a beginning date and an ending date. Number of sites - List the total number of sites that administer the School Nutrition Programs within your SFA. A separate Schedule A (Site Information Form) must be completed for each site operated in the SFA. VOLIaa- PAGE alp SECTION C 1. SCHEDULE A (SITE INFORMATION) COMPLETE A SEPARATE SECTION C FOR EACH SITE IN THE SFA. If there is more than I site in your SFA, please photocopy page 2 and use for each additional site. Site Information - Indicate if the site information is the same as the SFA information by checking the box Then skip to Name of Site Representative. Site Name - Complete the site name if it is different than the SFA name. Site (Physical) Address - Complete the site physical address if it is different than the SFA address. Name of Site Representative (Prefix, First Name, Middle Name, Last Name) - Enter the name of the person that is responsible for administering the School Nutrition Programs at this site. E-mail of Site Representative - Enter the email address of the person that is responsible for administering the School Nutrition Programs at this site. Enter the telephone number of the Telephone Number of Site Representative (xx~ person that is responsible for administering the School Nutrition Programs at this site. • Programs that this site will operate - Check the boxes of all School Nutrition Programs that will be operated at this site. Is this Site Licensed? - Check the appropriate box and if Yes, attach a copy of the license. Number of Enrolled Students (Participants) - Enter the total number of students enrolled at this site as of October 31, 2008. Number of FREE Students (Participants) - Enter the total number of FREE students enrolled at this site as of October 31, 2008. This information will be used by TDA to determine area eligibility by site. Number of REDUCED Students (Participants) - Enter the total number of REDUCED students enrolled at this site as of October 31, 2008. This information will be used by TDA to determine area eligibility by site. Number of PAID Students (Participants) - Enter the total number of PAID students enrolled at this site as of October 31, 2008. The total number of Free, Reduced and Paid students should equal the total number of enrolled students given in the first box of this section of the form. Average Daily Participation of Students (Participants) at this Site - Enter the average daily participation of students for each meal type at this site. Use participation by category information from the month of October 2008, for each of these cells. Total Number of Lunches Served at this Site Between 7/1/07 through 6/30/08 - Enter the total number of meals served, by category, for the 2007-2008 school year. This information will be used by TDA to determine severe need eligibility by site. Type of Meal Service - Enter only 1 box that represents the type of meal preparation method used at this site. If "other," describe in the space provided. VOL i a--L PAGE a-1 Agriewmre Single Audit Identtncatlon uaca For Program Year 200 -2010 (FND Use Only) art Y Contact Person/Title Name of Contracting organization Brazos County Juvenile Services Patrick Munoz Super-intendant 1904 SH 21 West B 77803 Texas ID No. Contract No. Area Code and Telephone No. (979 ) 823 - 3544 1746000433000 75- 61001 Contractor Fiscal Year End (mm/dd/yyyy) Type of Contract 09130/2009 ❑ For Profit ❑ Nonprofit ❑ State Agency [Z Other Part 11 Check the appropriate box(es) to indicate the type(s) of program (s) in which you currently participate or for which you are applying: Program Nos. Cash Reimbursement Programs Program Nos. C[jd Assistance Programs ❑ AD - CACFP Adult Day Care TX- A - National School Lunch/Breakfast p 0 B - Charitable Institutions ❑ BL- National School Lunch/Breakfast TX-021-2001 ❑ CC - CACFP Child Care Centers TX- ❑ C -Area Agency on Aging ❑ DH - CACFP Day Care Homes TX_ El G -Summer Camps ❑ SF - Summer Food Service Program TX- ❑ H - Summer Food Service Program C] J - Jails El SM -Special Milk Program TX - ❑ TE - TEXCAP TX- ❑ I - TEXCAP 0 CS - Commodity Supplemental Food Prog. ❑ CS - Commodity Supplemental Food Prog. TX- Part 111 ❑ Yes ®No A. Does your organization expend federal funds from programs other than those listed above? If yes, complete Part U1, B. B. Give the source and amount of any federal funds that your organization projects to expend during the current fiscal year. Aunt None None Part IV Single Audit Exemption - 1 certify that I am not required to submit an audit under the Single Audit Act for the following reason. Check only one choice. ❑ 1 am a for-profit organization. ❑ I am a military base. [J I am a nonprofit organization and expend less than $500,000 annually in total federal funding. ❑ I am an Indian Reservation. I understand that if I meet the requirements of the Single Audit Act, now or in the future, I must submit an audit as a condition of eligibility to participate in the Food and Nutrition Division, and that failure to do so as required could result in adverse action, including the withholding of my claim for reimbursement payments and termination of my contract. 1 also understand that if I am a private non- profit organization subject to the requirements of the Single Audit Act and have a financial audit performed annually, I must also obtain a single audit on an annual basis. Signature-Authorized Representative Date Name (please type or print) Title Patrick Munoz Superintendent VOL Iaa.PAGE P,3 Form H1569 Instructions Single Audit Identification Data 12-2007 PURPOSE To comply with federal single audit identification requirements, the Texas Department of Agriculture (TDA) collects source of funds information from each applicant and contractor participating in the Food and Nutrition Division, (FND). PROCEDURE When to Prepare TDA mails to contractors/applicants with the application to participate in the FND. Contractors/applicants must complete Form H1569 for each FND program in which they currently participate, or for which they are making application to participate. Number of Copies Complete one original and one copy. Transmittal Send the original to your Food and Nutrition Field Operations Office (F&N FOO) and keep the copy for your files. How to Obtain Copies Make additional copies as needed or download Form H1569 by accessing the Texas Department of Agriculture (TDA) website at www.snptexas.orq, select "Continue to SNPTexas.org". Form Retention Keep Form H1569 for three years from the end of the program year. Exception: If audit findings, claims or litigation have not been resolved by the end of the retention period, all forms and records must be retained until all issues are resolved. VOL j aa-~ sE D-9 DETAILED INSTRUCTIONS Part I Name of Contracting Organization - Enter your organization's name as it appears on the agreement and/or policy statement form for the FND in which you are participating. Contact Person/Title - Enter the name and title of the person in your organization who can answer any and all questions about your revenue sources and the information provided on this form. Address - Enter your organization's address as it appears on the agreement and/or policy statement form for the FND in which you are participating. Area Code and Telephone No. - Enter the area code and telephone number of the contact person identified above. Texas ID No. - Enter the 14-digit number as assigned by the Texas Comptroller of Public Accounts. Contract No. - If you are a current contractor, enter your seven-digit number assigned by TDA that begins with the pre-printed numerals " 75." an applicant, leave this item blank. You do not have an agreement/contract number at this time. Contractor Fiscal Year End (mm/dd/yyyy) - Enter the month, day and year of your organization's current fiscal year ending date for accounting purposes. Example: If your organization's current fiscal year ending date is Dec. 31, 2007, enter 12/31/2007. Type of Contract - Mark the appropriate box to identify which term correctly describes your organization: for profit, nonprofit, state agency or other (local and county government entities, military bases, Indian reservation). Note: Although state agencies are subject to single audits, these are not submitted to FND. Part II Type of Program(s) - Check the appropriate box(es) to indicate the type(s) of program(s) in which you currently participate or for which you are applying. Enter the commodity assistance program number and/or cash reimbursement program number (TX Number) assigned by TDA for each specific program you V00a- ,PAGE 30 have marked. If you are a new applicant, you will not yet have this number, so leave the space blank. Part III A. Receive Other Federal Funds - Check the appropriate box to indicate if your organization receives other federal funds. If yes, complete Part III, B. If no, write NONE in Part III, B. B_ Source and Amount of Federal Funds - Indicate all other sources of federal funding assistance, excluding funds from FND, and the amount your organization projects to expend during the current fiscal year. Part IV Single Audit Exemption - Complete this section only if you are exempt from the single audit requirements. Mark the appropriate box indicating the reason for declaring exempt status from the Single Audit Act requirements. Signature - Authorized Representative and Date - A person authorized on Form H4508, Certificate of Authority, must sign and date this form. Type or print the signer's name and title in the space provided. If you meet the requirement for a single audit, obtain and submit an audit according to the requirements of the Single Audit Act in order to remain eligible to participate in the FND. The scope and frequency of audits are determined by the amount of federal funds expended in any year. If you expended $500,000 or more in federal funding assistance in your fiscal year, then you must have an organization-wide audit conducted for that year (see Note below). If you expended less than $500,000 in federal funding assistance in your fiscal year, then you are exempt from the single audit requirement but must comply with other audit requirements prescribed by state or local laws or regulations. Other audit requirements of state or local authorities may include requirements imposed as a condition of contracts with local authorities and other state agencies, in addition to TDA. Note: If you are a private nonprofit organization subject to the audit requirements of Office of Management and Budget (OMB) Circular A-133, you must obtain an organization-wide audit*; however, you may elect to have a program-specific audit instead of an organization-wide audit if 100% of your federal funding assistance is solely from participation in the following programs that are listed in the same cluster of programs. VOLJ DA PAGE- Child Nutrition Programs • National School Lunch Program (NSLP), • School Breakfast Program (SBP), • Special Milk Program (SMP), • Summer Food Service Program (SFSP), or receipt of commodities donated for use in the programs listed above. United States Department of Agriculture (USDA)-Donated Commodity Programs Food Distribution Program (FDP), Texas Commodity Assistance Program (TEXCAP), or Commodity Supplemental Food Program (CSFP). Child and Adult Care Food Program (CACFP) CACFP for Adult Day Care, • CACFP for Child Care Centers, or • CACFP for Day Care Homes. `If you have a financial audit performed annually, you must also obtain a single audit on an annual basis. Upon approval of your application to participate, your F&N FOO will send you a contract application approval letter. The approval letter will contain the date by which you must submit the appropriate audit(s) for your contract and which contractor fiscal year(s) must be covered in the audit(s). VOL10a PAGE 3a RETURN TO STATE OFFIC Brazos county Juvenile Services 17460004330000 School Food Authority Name Co.-Dist.k/Program (TX) No. ESC Policy Statement for NSLP/SBP/SMP Attachment A: Designation of Hearing, Reviewing and Verifying Officials Instructions: Update this attachment only when necessary. The designates as: (School Food Authority) Hearing Official, Title of Responsible Individual This person shall ensure that all required provisions of the appeal process are followed as outlined on Section G of this policy statement. The hearing official must be someone not involved in making the determination under appeal or any previous conference. It is recommended that the hearing official hold a position at a higher administrative level than the reviewing official(s). The hearing official and reviewing/verifying official(s) cannot be the same individual. 2. Reviewing Official(s), Title of Responsible Individual Title of Responsible Individual This person reviews applications and makes eligibility determunations. This official will use the criteria outlined in this policy to determine which individual children are eligible for free and reduced-price meals. 3_ Verifying Official, Title of Responsible Individual This person verifies the eligibility of applicant households in accordance with program regulations and maintains annual records as follows: (1) a summary of the verification efforts which includes the selection methods used; (2) the total number of applications on file by October 1; and (3) the percentage or number of applications verified. 4. Amendments: A blank copy of this attachment may be used to amend the policy statement if there ever is a need to change one or more of the above designated officials. Complete the following and forward a copy to the Texas Department of Agriculture (TDA) for approval. Print Name of Authorized Representative/Supt. Signature of Authorized Represe,ntatiLvlSupt. Date Approved by: Signature of TDA Official Date Attachment A Page 1 of 1 VOL 12-)- PAGE 33 Brazos County Juvenile Services TX 021-2001 School Food Authority Name Co.-Dist. k/Program (TX) No. ESC Policy Statement for NSLP/SBP Attachment B: Meal Count/Collection Procedure(s) 1. The following meal count/ collection procedure is used for (check one or all as appropriate): ® Breakfast ® Lunch and/or ❑ Snack in the following schools: 2. Brazos County Juvenile Services/Detention Brazos County Academy Nanie of School Name of School Name of School 3. All approved meal count/collection procedures must include a method for prepayment and/or post billing (charging). Charging is seldom recommended. The provision for allowing for prepayment and/or charging should make free and reduced-price meal recipients appear as students who prepay full price (or charge). Check one of the following: ❑ Full and reduced-price meal payments can be made by students or parents in advance in a designated area away from the cafeteria serving line on a daily, weekly or monthly basis. Students receiving free meal benefits appear to be prepaying for meals. (Charging may or may not be allowed.) ❑ Full and reduced-price meals can be charged. Parents are billed and may mail in payments or students and a parent may pay in a designated area away from the cafeteria serving line. Care is taken that neither the billing nor the payment process identifies those who pay nothing. Students receiving free meal benefits appear to be charging meals. ❑ Fuil and reduced-price meal payments can be made electronically. 4. The option of prepayment (and/or charging) of meals should be routinely publicized. This may be done by using methods such as posting signs, making public announcements, including the information in printed material, etc. Some school food authorities (SFAs) offer incentives for prepayment options when cash is also accepted on the serving line. Check one or more of the following: The ability for students and/or parents to prepay (or charge) is routinely advertised: ❑ In the letter to parents (Notice/Letter to Households) sent home with the application at the beginning of each school year. ❑ Inn an announcement made over the school's public address system. ❑ In a newspaper/newsletter article /Web site. ❑ By a posted notice (sign) displayed in the cafeteria area. 5. All approved meal count/ collection procedures must include a medium of exchange that is issued to students for obtaining a meal. Students receiving free meals must be issued the identical medium of exchange as those students prepaying (or charging) full or reduced-price meals. The systems for coding, distributing and collecting the medium of exchange must ensure that students receiving free and reduced-price meal benefits are not overtly identified. A common area and method for distributing and collecting the medium of exchange must be used for all three categories. Check one of the following. If more than one box is checked, grades or campuses must be designated. All students receiving free, reduced-price and paid meals and those prepaying will be issued: ❑ A verbal identifier to be used on the serving line in exchange for the meal. A number or Attachment B for NSLP/SBP Page 1 of 5 VQLID-2 PAGE 34 ❑ A verbal identifier to be used on the serving line in exchange for the meal. A number or the student's name are the most commonly used verbal identifiers. ❑ A coded ticket or token. ❑ A coded I.D. card- E] A coded automated tab. ❑ A coded bar line card for scanning. ❑ A coded number for use on a key pad- F-1 Another individual identifier (thumb print, etc.) 6. The medium of exchange for free and prepaid (or charged) reduced-price and full-price meals must be identical except for the code. Color coding by category or single-symbol coding using obvious identifiers such as F, R and P is prohibited. Check one of the following:. Medium of exchange should be coded in the following manner: ❑ Coding series. Example: Free - 1 through 1,999/Reduced-price - 2,000 through 3,999/ Full price - 4,000 and above. ❑ Coding by number. Example: Number ending in 0, an odd or even number. ❑ Coding by variation. Example: Variations in signature, placement of date or ticket distributor such as Mary Smith, Mary J. Smith and M. Sm th. ❑ Coding by subtle differences. Example: Differences in printing such as capital letter, period, spacing of a line or differences in underlining. ❑ Coding by number digits. Example: 4 digits for free, 5 digits reduced-price and 6 digits for full price. ❑ Coded by bar line for scanning. ❑ Coded number used on a keypad. 7. All approved meal count/ collection procedures must include a point-of-service count of reimbursable meals by category. Teacher roll counts, unverified morning meal counts, the number of tickets sold/ issued, head counts, tray counts and counts obtained by "backing into" the numbers of meals served are not point-of-service counts. Check one of the following: ❑ The cashier is stationed at the end of the serving line, determines the meal selected is reimbursable and counts the meal by category. ❑ The cashier is stationed at the beginning of the serving line and a monitor is stationed at the end of the line to verify that each meal selected is reimbursable. If a non-reimbursable meal is selected by a student; a system is in place for removing that meal from the proper category of the count of meals claimed for reimbursement. ❑ Other. An alternate method must be individually written using the guidelines in step 9e. 8. It is understood that in addition to prepaid (or charged) meals, some cash meals may also be sold and counted. Meals paid for in cash on the line may be counted in a different manner than those prepaid (or charged). These meals may be tallied, counted mechanically, recorded on a cash register, etc. However the medium of exchange for students receiving free, prepaid reduced-price and prepaid full-price meals must be collected and counted in exactly the same manner. Check one of the following: a. When students receiving free, prepaid reduced-price or prepaid full-price meals pass the cashier, they: ❑ Call out their number and the cashier strikes it from a numbered sheet. The count by Page 2 of 5 Attachment B for NSLP/SBP VOL 1 ?AGE 35 category is taken from the numbered sheet. ❑ Call out their name and the cashier checks the name off a coded roster. The count is taken from the roster by category. ❑ Present a coded ticket/token and it is collected. The count is taken from the tickets/ tokens. ❑ Present a ticket and all tickets are marked in some manner and returned to the student. Simultaneously, the count by category is tallied, mechanically counted, recorded on a cash register, etc. ❑ Present an automated tab card. The card is mechanically cut and a count by category is simultaneously taken. ❑ Present a bar line card. The card is scanned and a count is simultaneously taken- El Punch in number on keypad. As number is entered, the count by category is simultaneously taken. ® Other. b. When students pay cash for their reduced-price and/or full-price meals and those meals are counted in a maru-rer different from what is described above, please describe the method used for counting. The residents in our facility and who attend our Academy day school are ordered to be detained in our facility or Ito attend the day school b a Jud e. 9. By using steps 1-8 as outlined on the preceding pages, it is possible to describe most meal count/ collection procedures used throughout the state. If an alternate method is used, it must be individually written. Care should be taken to include all necessary information as outlined below: a. How can meals be prepaid or charged? b. How is the system for prepayment and charging advertised? C. What medium of exchange will be issued to students receiving free or prepaid (or charged) reduced -price or full-price meals? d. How will the medium of exchange be coded? e. Where is the count by category taken? The count by category must be at the point-of-service where it is determined that reimbursable meals were selected by students. When using classroom counts, the school must develop a system for a child coming to school late, leaving early or not selecting a reimbursable meal. The school should retain written documentation as proof that the needed changes are being made. We are a Juvenile Detention Center who participates in the NSLP_ All meals are free to our residents and students. We have a roster detailinK the number of students and residents in our facilit Attachment B for NSLP/SBP Page 3 of 5 VOL ja. NGE 30 Programs that Do Not Charge Separately (These do not include the Special Assistant Provisions) ed the In programs that do not charge separately, all children are serv meal without a charge. The cost of , beyond the reimbursement received by TDA, is considered by the SFA as an expense of the meal operating the NSLP and SBP. I- The SPA is resple for providing program benefits to eligible children and assures fulfilling its identifiable charge is sestablished for meals, will uniformly implement the following policy that responsibilities, the SFA agrees to: a. Keep documentation to support household eligibility for three years (private schools and RCCIs or five years (public schools) after the end of the. school year to which they pertain. If audit findings are not resolved, the records must be kept until all audit issues are resolved. b. For SFAS operating an RCCI, develop and keep a list with the following information about each child: (1) name; (2) date of birth; (3) dates of admission and exit; (4) income; and (5) eligibility determination and data. Note: Children at RCCIs are considered a family of one. Exceptions to this are children of house parents living at the institution. These children must have an application on file. 2. All approved meal count/ collection procedures must include a point-of-service count of reimbursable ineals by category. Describe how daily point-of service counts are taken. Check one of the following: determines the meal selected is ❑ The cashier is stationed at the end of the serving line, reimbursable and counts the meal by category. ❑ The cashier is stationed at the beginning of the serving line and a monitor is stationed at the end of the line to verify that each meal selected is reimbursable. If a non-reimbursable meal is selected by a student, a system is in place for removing that meal from the proper category of the count of meals claimed for reimbursement. ❑ Other. An alternate method must be individually written: 3. All approved meal count/ collection procedures must include a medium of exchange that is issued to students for obtaining a meal. The systems for coding, distributing and collecting the medium of exchange must ensure that students receiving meal benefits are not overtly identified. A common method for distributing and collecting the medium of exchange must be used for all three categories. If more than one box is checked, grades or campuses must be designated to the side of the checked box. All students receiving free, reduced-price and paid meals and those prepaying will be issued: ❑ A verbal identifier to be used on the serving line in exchange for the meal. A number or the student's name are the most commonly used verbal identifiers. ❑ A coded ticket or token. ❑ A coded I.D. card. ❑ A coded automated tab- A coded bar line card for scanning. ❑ A coded number for use on a key pad. ❑ Another. individual identifier (thumb print, etc.) ® Other. An alternate method must be individually written: Resident roster_ ~earzes rest en s Page 4 of 5 Attachment B for NSLP/SBP VOL I PAGE-3-7- RETURN TO STATE OFFICE Brazos County Juvenile Services 021-2001 SFA Name Co.-Dist #/Program (TX) # ESC Amendment to Policy Statement - Attachment B When completing Attachment B, please complete this form in f d1, with authorized representative's signatures end retUrIl to the Texas Department of Agriculture (TDA). SFAS must obtain prior approval from TDA before implementing changes to their policy statements. is renewing its The Brazos Con Juveni Service (SFA Name) current state-approved Free and Reduced-Price Policy Statement Attachment B with the infornmtion indicated on the Attachment B. Patrick Munoz L Print Name of Authorized Representative Signature of Authorized Representative Date 979-823-3544 Telephone Number Date Signature of TDA Official Page 5 of 5 Attachment B for NSLP/SBP VGLIM-PAGE 39 TURN TO STATE OFFICE School Food Authority Name Co.-Dist. #/Program (TX) No. ESC -rep on Policy Statement for Special Milk Programs Attachment B: Milk Count/Collection Procedure(s) ❑ Section A - Pricing Program with FREE Option 1. Please list the name of the site(s) that will be following this policy statement. Name of Site Name of Site Name of Site 2 Parents must complete the application and return it to the determining official named in the contractor's Attachment A. Applications and documentation of action taken must be kept according to record retention requirements. if an application is denied, parents or guardians are told the reason for denial and about the hearing procedure. The designated hearing official is named in the contractor's Attachment A. 3. Establish a procedure to collect money from children who pay for their milk and to account for the number of half-pints served (free and full price). The provision for allowing for prepayment and/oi charging should make free mills recipients appear as children who prepay full price (or charge). Check the collection procedure the contractor uses. ❑ Milk payments for full-priced children can be made by children or parents, in advance, in designated area away from the serving line, on a daily, weekly or monthly basis. Student receiving free meal benefits appear to be prepaying for meals. (Charging may or may not b allowed.) ❑ Milk served to children can be charged. Parents are billed and may mail in payments o: students and a parent may pay in a designated area away from the cafeteria serving line. Can is taken that neither the billing nor the payment process identifies those who pay nothing Students receiving free milk benefits appear to be chargingg their milk. ❑ The homeroom teacher gives each child an envelope for daily, weekly or monthly payments Children return the envelopes with the payments enclosed or empty if eligible for free milk The envelopes are collected in the office and coded tickets are issued to each child- E] Other. Explain in detail (attach a sheet if more space is required). 4. The option of prepayment (and/or charging) of milk should be routinely publicized. This may be don. by using methods such as posting signs, making public announcements, including the information iv printed material, etc. The ability for children and/or parents to prepay (or charge) is routinel, advertised. Check the all that apply. ❑ In the letter to parents (Notice/Letter to Households) sent home with the application at the beginning program year. ❑ In an announcement made over the public address system. ❑ In a newspaper/ newsletter article/Web site. ❑ By a posted notice (sign) displayed in the serving areas. Attachment B for SMP Page 1 of 3 VOLP-XPNGE 3°I -service count of milk served by categorv. 5. Milk count/collection procedures must include a point-of Teacher roll counts, the number of tickets sold/issued, head counts, tray counts and counts obtained by "backing into" the numbers of half-pints of mills served are not point-of-service counts. Check the point of service procedure the contractor uses. The cashier is stationed at the end of the serving line and counts the student taking a half -pint of mills by eligibility category- E] The cashier is stationed at the beginning of the serving line and a monitor is stationed at t h end of the line to verify that each student takes a half-pint of milk. If a student elects to no take a half-pint of milk, a system is in place for removing that milk count from the count o half-pints claimed for reimbursement. E] Other. An alternate method must be individually written. Describe the procedure below: Ej Section B - Pricing Program without FREE Option 1. Please list the name of the site(s) that will be following this policy statement. Name of Site Name of Site Name of Site 2. All students pay the same amount for each half-pint of milk served. There are no eligib' t determinations made for this option. 3. Claim all milk served as paid milk; no milk served is claimed as free milk. 4. Establish a procedure to accurately record the number of half-pints of milk served to children. Descril the procedure below: SectionC - Non-Pricing Program 1. Please list the name of the site(s) that will be following this policy statement. Name of Site Name of Site Name of Site 2. No separate charge has been established for milk. The tuition paid by parents includes the cost of f milk served to all students. 3. All students are claimed in the paid category with this option. 4. There are no eligibility determinations made for this option. 5. Establish a procedure to accurately record the number of half-pints of milk served to children. Descri the procedure below: Page 2 of 3 Attachment B for SMP VOL WAPRGE 4z) RETURN TO STATE OFFICc~ Brazos County Juvenile Services TX 021-2001 SFA Name Co. Dist. 4/Prod am (TX) # ESC Amendment to policy Statement -Attachment B When completing Attachment B, please complete this form in hill, with authorized representative's signatures and return to the Texas Department of Agriculture (TDA). SFAS must obtain prior approval from TDA before implementing changes to their policy statements. The Brazos County Juvenile Services is renewing its (SFA Name) current state-approved Free and Reduced-Price Policy Statement Attachment B with the information indicated on the Attachment B. Patrick Munoz Print Name of Authorized Representative Signature of Authorized Representative Date 979-823-3544 Telephone Number Signature of TDA Official Date Attachment B for SMP Page 3 of 3 VOL ))-XPAGE Y I Policy Statement for Free and Reduced-Price Meals Brazos County Juvenile Services TX 021-2001 - School Food Authority Co.-District No./Program (TX) No. ESC Policy Statement for NSLP/SBP Attachment K Menu Planning System The United States Department of Agriculture (USDA) has provided Menu Planrung Systems to meet nutrient standards as outlined in the School Meals Initiative for Healthy Children (SMI). Each school food authority (SEA) must select one or more Menu Planning System(s) for use in its Child Nutrition Programs (National School Lunch Program (NSLP), School Breakfast Program (SBP), Seamless Summer Option]. Update this attachment only when necessary. Menu Planning System Definitions: Traditional Food Based Menu Planning - This menu planning system requires that the menus served meet the nutrient standards as well as the patterns but does not require that nutrient analyses of the menus be performed at the local level. The traditional offer versus serve procedures are used with this option- * Enhanced Food Based Menu Planning - In this menu planning system the quantities of fruit/vegetable and grain/bread components are increased. The Enhanced Food Based Menu Planning System requires that the menus served meet the nutrient standards as well as the patterns but does not require that the nutrient analyses of the menus be performed at the local level. The traditional offer versus serve procedures are used with this system. Nutrient Standard Menu Planning - In this menu planing system, the SEA is required to conduct a nutrient analyses of the menus using USDA-approved nutrient analysis software. The SEA must offer at least one entree, one side dish and milk. If offer versus serve is implemented, students must select an entree and at least one other item and decline no more than two menu items if the meal is claimed. Assisted Nutrient Standard Menu Planning - This menu planning system is similar to the Nutrient Standard Menu Planning system, except an outside entity conducts the nutrient analysis of menus. The use of this menu plannin system must be pre approved bV the Texas Department of Agriculture (TDA). Prior to choosing this menu planning system, the SEA must contact the Food and Nutrition Division at (888) TEX-KIDS for additional information. 1. The SEA may choose to select one Menu Planning System for all schools in the SEA. 2. The SFA may choose to select different Menu Planning Systems by school level (for example: all elementary, all middle and all high schools). 3. The SEA may choose to use different Menu Planning Systems on selected campuses. Attach an additional page, identifying the Menu Planning Systems by campus (if needed). Check the appropriate space below. Different Menu Planning Systems may be selected for breakfast and lunch. Each SFA must attach a copy of this form to its current Policy Statement for Free and Reduced-Price Meals and return it to TDA prior to implementing the change. Schools may not change Menu Planning Systems within three months of an anticipated Coordinated Review Effort. Menu Planning All All All Elementary All Middle All High Systems Schools Schools Schools Schools Schools Breakfast Lunch Breakfast Lunch Breakfast Lunch Break ast Lunch Traditional Food Based Menu Plannin X X Enhanced Food Based Menu Planning Nutrient Standard Menu Planning. Assisted Nutrient Standard Other (Must be pre- approved b TDA) Signature of Authorized Representative/Supt. Date Signature of TDA Official Date Attachment K Page I of 1 VOL IA-4AGE 4a- Agricutlyre l,erLITlCaie UI N,uululiiy This is to certify that the following person(s): Name of Authorized Representative (Type or print in the following order: prefix, Title first name, middle name or initial, last name and suffix.) Patrick Munoz Su erintendent Area Code and Telephone Number E-mail Address pmunoz@co.brazos.tx us (979) 823- 544 :Ai Signature -Authorized Representative Date of Signature Name of Authorized Representative (Type or print in the following order: prefix, Title first name, middle name or initial, last name and suffix.) . Collin Coker E-mail Address Area Code and Telephone Number ccoker@co.brazos.tx.us (979) 823-3544 Signature- Representative Date of Signature is (are) designated as an Authorized Representative of Name of Contracting Organization Brazos Count Juvenile e Address (Street, City, State, ZIP Code) 1904 SH 21 West B an Te Program (TX) No. Contract No. Commodity Agreement No. TX - 021-2001 75 - 61001 75-0 21187A2008 The representaitive(s) designated above, and myself, acknowledge that each is individually authorized on behalf of the contracting organization to make written agreements with the Texas Department of Agriculture (TDA) to operate a food program, to sign documents or reports about the agreement and to present claims for reimbursement, when appropriate, to the agency. By signing this document, we certify individually and collectively that to the best or our knowledge and belief, all documents submitted physically or electronically on behalf of the above named contracting organization pursuant to our participation in any and all programs administered by Food and Nutrition Division, TDA, are/will be true and correct in all respects, that they are/will be completed according to the terms and conditions of existing agreements, including amendments, that records are/will be available to support any and all claims and that we will not submit claims (excluding amended/adjusted claims) for goods or services for which we have already received payment. We recognize that we are fully responsible for any excess amounts which may result from errors made in relation to the completion and submission of claims. We are also aware that deliberate misrepresentation or withholding of information may result in prosecution under applicable state and federal statutes. Name of Official of Contracting Organization (Type or print in the following order: Title prefix, first name, middle name or initial, last name and suffix.) Randy Sims Count Judge E-mail Address Area Code and Telephone Number rsims@co.brazos.tx.us 79 361-4101 Signature -Official of nt ting Organization Dale of Signature Deleted Authorized Representatives: contracting organization may not have more than three (3) authorized representatives, including the official of the contra ting agency. If you are deleting an authorized representative, list the name(s) of the individual(s) to be removed as authorized representative(s) below: Name of Deleted Representative Name of Deleted Representative Name of Deleted Representative For TDA Use Only Date Received Received By I VOL I a- PAGE 3 Form H4508 Instructions Certificate of Authority 01-2009 Purpose To allow the contracting organization to: • Identify the officials designated to act on the organization's behalf, • Certify to the accuracy of any and all information submitted to the Texas Department of Agriculture (TDA) by the contracting organization, and • Record the representatives' signatures. When to Prepare When applying or reapplying for participation, and when making a change to current authorized representatives in the: • Child and Adult Care Food Program (CACFP), • National School Lunch/School Breakfast Program (NSLP/SBP), • Special Milk Program (SMP), • Summer Food Service Program (SFSP), • Food Distribution Program (FDP), • Texas Commodity Assistance Program (TEXCAP), or • Commodity Supplemental Food Program (CSFP). Number of Copies Complete one original and keep a copy for your files. Transmittal Send the original to your Food and Nutrition Field Operations Office (F&N FOO). Exception: Public and Charter Schools, and Expanded Nutrition Program contractors send the original to the Commodity Distribution Section and keep a copy for your files. How to Obtain Copies Make additional copies as needed or download Form H4508 by accessing the TDA website at www.snptexas.org, and click on FND Forms in the menu on the left hand side of the page. VOL 19'2-?AGE 4-4 Form Retention Keep Form H4508 for three years after the end of the program year. Exception: If audit findings, claims or litigation have not been resolved by the end of the contract period, all forms and records must be retained until all issues are resolved. DETAILED INSTRUCTIONS Name of Authorized Representative/Title - Type or print the name of the officials, in the spaces provided, who will represent the contracting organization by signing correspondence, submitting reports and filing claims for reimbursement with TDA. Use the following format when printing the official's name: prefix (that is, Mr., Ms., Sister, Honorable), first name, middle name or initial, last name and suffix (that is, Jr., M.D., R.N.). Type or print each person's title. E-mail Address/Area Code and Telephone Number- Enter the authorized representative's e-mail address, area code and telephone number. Note: To electronically file claims for reimbursement, you must provide an e-mail address for each authorized representative. Up to three people per program, including the official of the contracting organization, may be authorized to represent the contracting organization. Signature - Authorized Representative/Date of Signature - The person authorized to represent the contracting organization must sign this form exact) as he or she will sign the documents and claims for reimbursement. Enter the date of signature. Name of Contracting Organization - Type or print the name of the contracting organization that has the ultimate legal responsibility for the agreement with TDA. Address- Enter the contracting organization's address (Street, P.O. Box, City, State and ZIP code). Program (TX) No. - Enter the contracting organization's seven-digit program (TX) number. New contracting organizations should leave this space blank. Note: Public and charter schools contracting for commodities can enter their TEA District No. Contract No. - Enter the contracting organization's contract number. New contracting organizations and commodity contractors should leave this space blank. Commodity Agreement No. - Enter the contracting organization's commodity agreement number, if applicable. New contracting organizations should leave this space blank. Name of Official of Contracting Organization/Title - Type or print the name and title of the official of the contracting organization in the spaces above the signature. This official must be a chief officer of the governing body, such as chairman of the board of V OL I ~XPAGE 45 directors, mayor, owner, pastor, etc. Use the following format when printing the official's name: prefix (that is, Mr., Ms., Sister, Honorable), first name, middle name or initial, last name and suffix (that is, Jr., M.D., R.N.). Type or print the official's title. E-mail Address/Area Code and Telephone Number- Enter the official of the contracting organization's e-mail address, area code and telephone number. Note: To electronically file claims for reimbursement, you must provide an e-mail address for the official of the contracting organization. Signature - Official of Contracting Organization/Date of Signature- The official of the contracting organization must sign the form in the space provided, designating himself and up to two other persons as authorized representatives. Enter the date of signature. Deleted Authorized Representatives- The contracting organization may have no more than three authorized representatives, including the official of the contracting organization. Enter the name(s) of authorized representatives that should be deleted. For TDA Use Only- Do not write in this section. VOL I PAGE 4(Q Brazos Technology (979) 690-2811 ll`lll I I b r ca Z. 0% s techiiology e-Citation/Racial Profiling Capture for Law Enforcement Proposal Presented to: County of Brazos Pct. 1 Submitted by: Dale Cuthbertson 979-690-2811x103 Brazos Technology Corporation P.O. Box 10713, College Station, TX 77842 Proposal Date: March 13, 2009 BrazosTech Brazos PcH 4.0 Page 1 of 18 VOL 1 oZ PASE 47 Brazos Technology (979) 690-2811 Ver. 4.0 Overview It is our privilege to present the County of Brazos Pct. 1 with the benefits of implementing the electronic hand-held ticket writers. We welcome this opportunity to engage with the County of Brazos Pct. 1 in a successful endeavor, which will become the icon of the industry. Brazos Technology is committed to leveraging technology to optimize the performance of law enforcement, and our goal is to assure that your wants, needs and must haves are satisfied while performing above and beyond your expectations of a vendor. This proposal outlines the hardware, software and resources needed to implement Brazos Technology's e-citation solution, with its inherent advantages, which will empower the department to be technologically innovative as your needs evolve. It also provides budgetary costs and outlines the next steps and assumptions in moving forward. Thank you for your consideration. We encourage an interactive decision process, which will allow us to answer your questions and provide clarity to ensure that you are confident in making an informed decision. Copyright© 2009 Brazos Technology Corporation, Inc. All rights reserved. All material (in whatever medium or format) and information contained herein (collectively, "Material") is proprietary and confidential information of Brazos Technology Corporation. BrazosTech Brazos Pct1 4.0 Page 2 of 18 VOL iaa PAGE 4L-Co' Brazos Technology (979) 690-2811 Ver. 4.0 Executive Summary Today more and more Law Enforcement Agencies are looking for ways to improve the efficiency of the citation-writing process. Through the use of advanced mobile technologies, the capabilities in extending applications to mobile personnel are becoming more and more robust. As Law Enforcement Agencies are beginning to extend applications to mobile devices, several aspects of this solution are critical: 1) Ability to extend multiple different applications to each singular device a) Allowing data to be "sent" from each application to each designated device b) Allowing data to be "collected" at the point of activity and reach back to those multiple data sources as well. 2) Ability for Law Enforcement Personnel to easily and quickly enter data (much of which can be done through auto-population such as Drivers License swiping and VIN Tag scanning) into the mobile device. 3) Ability for Law Enforcement Personnel to easily read, enter and manipulate data via a compact mobile device. 4) Ability to quickly dispose of (drop or throw) devices in case of emergency - without damaging and routinely replacing each hand-held device. 5) Ability for the data to interface with the Municipal Court system. This document outlines how Law Enforcement Agencies can leverage Brazos Technology's Rapid Extension Framework (REF) and Symbol Hand-held Scanners to achieve these goals. This technology is designed to afford each Law Enforcement Agency the following benefits, including but not limited to: . Reallocation of Human Resources - Citation data is electronically entered at the point of activity, so court personnel must no longer re-enter data from hand-written tickets and are available for other tasks. . Reduced paper flow - Citations are printed singularly rather than in triplicate (or more), thereby reducing paper flow between Law Enforcement and the Administrative Office of the Courts. . Minimal data entry errors - Minimize costly mistakes by enforcing business rules via technology, reduce amount of hand written data, and remove the need to manually transfer information from written citation to electronic database. Copyright© 2009 Brazos Technology Corporation, Inc. All rights reserved. All material (in whatever medium or format) and information contained herein (collectively, "Material") is proprietary and confidential information of Brazos Technology Corporation. BrazosTech Brazos Pct1 4.0 Page 3 of 18 VGLI aIPAGE MFR Brazos Technology (979) 690-2811 Ver. 4.0 Brazos Technology,Corporatton e-Citation Solution,-Diagram Officers can collect data by swiping Drivers License through Mag Stripe Reader, Gain Vehicle Make, Model, and Year through a scan of the Registration Tag, and easily choose offenses from drop down menus on the mobile device. Options are also available to gain key information (such as name) from credit cards, local student 1D cards, etc. should an offender be without a _ _ license at time of traffic stop. Handheld unit can speak directly to the printer via Bluetooth connection, so that the officer can collect 1 ticket (printed while officer is walking from offenders I car) at the officer's vehicle. Citation printout can include all required instructions for the offender, v j offender's signature, and can be designed to match the specific requirements of each PD. I C Officer with Motorola/Symbol MC70 Wireless Unit • ir£ Vehicle with Wreless Zebra Printer i Captured Citations are uploaded into the appropriate PD and Municipal Court Databases (without the need for an i intermediary server), JjW!i,, Officers simply place the handheld devices in their cradles at IENCNAI` the end of the shift, and all citations are downloaded f-~ automatically, while software upgrades and changes download to the devices automatically as well. Municipal Court and Police Department Note: This is only a sample layout of communication between resources. This entire process is customizable depending upon your particular needs. Copyright© 2009 Brazos Technology Corporation, Inc. All rights reserved. All material (in whatever medium or format) and information contained herein (collectively, "Material") is proprietary and confidential information of Brazos Technology Corporation. BrazosTech Brazos Pctl 4.0 VOL ! (/LXPAGE ~ Page 4 of 18 Brazos Technology (979) 690-2811 Ver. 4.0 About Brazos Technology Corporation Brazos Technology provides solutions and services designed to optimize the use of mobile technology within an organization - with a strong focus on extending Law Enforcement applications and databases to devices in the hands of Law Enforcement personnel. Brazos Technology was formed in 2000 and is committed to providing rock-solid solutions that are applicable and relevant to the unique needs of the men and women in law enforcement. We are based in College Station, TX and are an approved CISV vendor with the state of Texas. With more than 60 agencies actively using the Brazos Technology Ticket Writer, Brazos has been able to establish a proven track record of combining a solid solution with superior implementation, training and customer service. Copyright© 2009 Brazos Technology Corporation, Inc. All rights reserved. All material (in whatever medium or format) and information contained herein (collectively, "Material") is proprietary and confidential information of Brazos Technology Corporation. BrazosTech Brazos Pct1 4.0 Page 5 of 18 VOL IPTASE 51 Brazos Technology (979) 690-2811 Ver. 4.0 About Braios Technology Corporation's Partner Sympol Technologies, Inc . Symbol Technologies, Inc., founded in 1975, is a global leader in secure mobile information systems that integrate application-specific handheld computers with wireless networks for data, voice and bar code data capture. Symbol products and services increase productivity and reduce costs for the world's leading retailers, logistics and transportation companies, government agencies, manufacturers and providers of healthcare, hospitality and homeland security. Symbol's proven technology delivers efficiency. A unique combination of industry-leading innovation and award-winning ergonomic design, with miniaturization, superior power management and product ruggedization is the hallmark of Symbol's products. Automated Citation Solutions - Symbol Technologies Throughout the world, most law enforcement citations issued by police officers or officials for traffic or other minor violations are handwritten. After issuance, the citations (also called tickets, violation notices or infringement notices) are then manually entered into multiple databases using a key-based system. These manual systems. are prone to many data entry errors or misinterpretation due to illegible writing. Data entry error from these manual processes has far-reaching cost, efficiency and accuracy implications at each level of government: . Police services, departments and authorities: inaccurate records of s violations . Court and justice services: reduced ability to prosecute, convict or collect revenue efficiently . Motor vehicle departments: inability to ensure that motorists with repeat violations remain off the road : e Transportation departments: inability to plan infrastructure improvements related to traffic signs, signals and congestion areas Because of these inefficiencies and the resulting low productivity, the old manual key-based data entry processes have a negative effect on the organization's ability to serve the public. A proven solution is available to eliminate these inefficiencies: wireless' handheld mobile computing systems. Copyright© 2009 Brazos Technology Corporation, Inc. All rights reserved. All material (in whatever medium or formal) and information contained herein (collectively, 'Material") is proprietary and confidential information of Brazos Technology Corporation. BrazosTech Brazos Pctt 4.0 Page 6 of 18 voQas PAGE 59, Brazos Technology (979) 690-2811 Ver. 4.0 Software Remote Data Capture (RDC) - Designed to run on any Windows CE or Pocket PC mobile device, RDC has been specifically designed for the unique constraints of a mobile device, to include small screen size, lack of true keyboard for entry, and the availability of barcode scanners and camera. RDC is completely flexible, allowing for the enforcement of business rules specific to your needs, to ensure speed and accuracy in performing mobile tasks and data collection. RDC supports any number of tasks, allowing a single device to serve in many capacities simultaneously. Brazos Technology refers to the combination of a mobile device and the RDC application as "an RDC". Brazos Technology's RDC has also been specifically tailored to work in an e-Citation environment to meet the unique demands of each individual law enforcement agency - and with little effort be able to meet the constant demands brought on by: . Changes in local and national laws, . Changes in business processes, . Changes and upgrades of back-end systems connecting to the mobile devices, . And changes and upgrades of the mobile devices themselves. Training - Brazos Technology provides training on two levels - (1) the administration and operation for overall management of the framework and configuration and (2) the mobile device user for the daily tasks, which will be performed using the e-Citation platform. One or more persons should be identified as the designated trainer(s). Brazos Technology will equip the designated internal trainers to perform training as needed. Brazos Technology also offers a more comprehensive training program that entails having a Brazos representative on-site during the rollout of the application. During the rollout phase, the Brazos representative can `ride-along' with the officers to provide on the job training - which has proven to be the most beneficial way to ensure officer is up to speed in the most efficient way possible. Copyright© 2009 Brazos Technology Corporation, Inc. All rights reserved. All material (in whatever medium or format) and information contained herein (collectively, "Material") is proprietary and confidential information of Brazos Technology Corporation. BrazosTech Brazos Pctl 4.0 Page 7 of 18 as ME 53 Brazos Technology (979) 690-2811 Ver. 4.0 Hardware Symbol MC75 with 2D Barcode Scanner i Rated for a 4-5 foot drop to concrete and water resistant means your officers will be using the most rugged, reliable ticket writer available! Using it in the rain is also no problem. It has a 624MHz processor, 256 MB of RAM, Microsoft Mobile 6.0 operating system, 802.11 connectivity, a Bluetooth radio, GPS, and cellular capability. This device has a built-in 2D scanner and a 2 megapixel, autofocus camera which allows the Brazos Solution to capture pictures, associate those pictures with the citation, and scan 2D barcodes. For complete technical specifications, please go to the following URL: http://www motorola.com/business/US- EN/MC75+ do?vgnextoid=237def1 a5113a110VgnVCM1000008406b00aRCRD Symbol MC70 with 2D Barcode Scanner Rated for a 4-5 foot drop to concrete and water resistant means your officers will be using the most rugged, reliable ticket writer available! Using it in the rain is also no problem. It has a 624MHz processor, 128 MB of RAM, Microsoft Mobile 5.0 operating system, 802.11 connectivity, a Bluetooth radio, and optional cellular capability. This device has a built-in 2D scanner which allows the Brazos Solution to capture pictures, associate those pictures with the citation, and scan 2D barcodes. For complete technical specifications, please go to the following URL: http://www.motorola.com/business/v/index.isp?vqnextoid=d3da7bl 03dl 7511 OVqnVCM1 000008 406b00aRCRD Copyright© 2009 Brazos Technology Corporation, Inc. All rights reserved. All material (in whatever medium orformat) and information contained herein (collectively, "Material") is proprietary and confidential information of Brazos Technology Corporation. BrazosTech Brazos Pct1 4.0 Page 8 of 18 ~~o~ 1 a~ F r,~E 5`F Brazos Technology (979) 690-2811 Ver. 4.0 ZEBRA RW420 Printer a~F Y ',yF~,,c d+».. jAll, Designed for the Road Warrior, the Zebra RW 420 is a mobile printer ideal for Law Enforcement applications. Its convenient vehicle mounting and charging options, as well as its user-intuitive interfaces and angled display allow for ease-of-use while on the go! For complete technical specifications, please go to the following URL: http //www zebra com/id/zebra/na/en/index/products/printers/mobile/rw420 html Copyright© 2009 Brazos Technology Corporation, Inc. All rights reserved. All material (in whatever medium or format) and information contained herein (collectively, "Material") is proprietary and confidential information of Brazos Technology corporation. BrazosTech Brazos Pct1 4.0 Page 9 of 18 n~ 1 r) K, 65 Ver. 4.0 Brazos Technology (979) 690-2811 Number of mobile devices: 5 Number of MDC's: 0 ~"•ej``c d i t a`',dfYt 3.rt'}..a f Descrtptton ,t 4n f.~~r h .t x IPnce , ._.TL F9 ,J 4 t Software and Services $5,750 $3,980 Hardware-'Printers: Printer Paper $85 Hardware Devices (based on Symbol MC75)"'';,` ' $10;67,5 TOTAL,PROJECT PRICE $20,490 Copyright© 2009 Brazos Technology Corporation, Inc. All rights reserved. All material (in whatever medium or format) and information contained herein (collectively, 'Material") is proprietary and confidential information of Brazos Technology Corporation. BrazosTech Brazos Pct1 4.0 Page 10 of 18 Brazos Technology (979) 690-2811 Ver. 4.0 Software and Services ~,t } } Untt ! Extended' ~mx ~Descnptlon' t , Qty p f x Price Price <}kt d S9 4 ~A_' S ! s h: L Y G ".lln i.:~ sit i ..f 4q ; ~di, Brazos RDC Software . One (1) year maintenance/support o Citations o Warnings $650 5 $3,250 o Field Interviews o Parking Tickets e Stand-alone Racial Profiling (when not captured via the other methods) Setup and Configuration of Solution *One-time fee independent of number of devices; 7 o Customized Screen and Print Layouts (from an existing layout) Creation of Web report that is -exactly like defendant citation il~ Customization of Offenses (Includes additional information) -t 4 t~ I ~ t l 1 Import of Officer Information $2 500 Import of Locahon.lnformatlon, (If applicable) 500 T w Implementation ofBluetooth communication between moblle,devlce and "printer • Integration wdh court software Installation of all software at customer site o Customization of additional reports **Translation Services ='$200 fee/ languages $200' A' Training o Two (2) days of officer/employee training o One (1) day of administrator training $3,000 0 $0 o Includes classroom and OJT training o All documentation Travel and expenses are not included Additional training provided at $1,500 per day $1,500 0 $0 TLETS Message Switch? o Standard MDC Requests & Returns $5 000 0" $0 ; o Annual License and Support :1 to 50 Users * AdditionaLUsers be and 50 Incrementsof50 $2,500 ' • 0 " $0. Total for Software and Services: $5,750 Copyright© 2009 Brazos Technology Corporation, Inc. All rights reserved. All material (in whatever medium or format) and information contained herein (collectively, 'Material") is proprietary and confidential information of Brazos Technology Corporation, BrazosTech Brazos Pctl 4.0 Page 11 of 18 VOL IMPA"aE 57 Brazos Technology (979) 690-2811 Ver. 4.0 Hardware - Printers Assumes all devices are not mounted in vehicles and that the wall charger is purchased. ~1 1 :Y 5f rrr } t r y, s t ~rt a ,~j t~ :r , x 53 zu st f ; Y'r{ jl a ~:1 Y.'.x xi M1 r di Unlt 4 , Extended<'. F Descrlptlon Qty Smf k xJG} u ( t 1 t`' rF < a l PrICe „p}!`, n Prlf:e 35 Y- rtN ~.i: .W "rG.r r.i _S s• 4 - y",` Zebra RW420 Bluetooth Printer . One (1) year manufacturer's warranty Bluetooth Communications $731 5 $3,655 *To charge this printer you will need either the vehicle or wall mounted chargers below Vehicle Charger for Printer (optional) 12VDC with pigtails to wire directly into a vehicle $95 0 $0 * Installation Not Included:' Wall Charger for Printer (optional) e 110VAC plug to recharge the printer from a standard wall socket $65 5 $325 Vehicle Doc w/Charger for RW420:.(ophonal)! 4 Docking and to secure printer in vehicle installations $250 0 $0 * alla io de ` Additional Batteries for RW420 (optional) $78 0 $0 Zebra' Charger Quail Li-Ion 4 Bay,-BatteryCharger . ' $345 0 Extended Warranty for RW420 (optional) 0 4 years Bronze Support $380 0 $0 0 3 - 5 Day turnaround Total for Printers: $3,980 Supplies ¢ r''.r v e~rk r^ ZN ^f {`~1 AY 4e1 Ya, 5.~ S3~hfi ifi( Sty`Y v i3y{. ' P K M ,1, n`r> n x ",i+~" U -$"-k j,+ ' rr fo u-3: 9 1 s f+F~'~x Gi~"i, ° y ( r b.P`x to u' ;nfti ~ ,9F ~ ors * ~x Unlt a x t Extended< ~ i"? i,~r v iyl ,1 ~ ~ r~'~`~~,~. lit DCSCrlptlorl q~ em1 ~p . i +l " wa`'yt~rd y Qty y7v i~;,r.c . YY tlf.' IP 'k {~U7 I dIiP2• xj 2 RifS lr, J-e j~{I ro. v~~}y}SS S{41~ Y4Pnce o- i( «xt~;~;c....~r'`"` •".*`F:r.ix,... _~:^i~ k's x!~-,.5 . 7';.~, u `ara:d..x. s. ,._.:3.-~ ~ ....,~':...m,,...~:. ~i. One case (36 rolls) of standard thermal paper $85 1 $85 One. case (36 rolls) of Poly thermal paper * r F' $250 0 $0 Total for Printer Paper: $85 Copyright© 2009 Brazos Technology Corporation, Inc. All rights reserved. All material (in whatever medium or format) and information contained herein (collectively, "Material") is proprietary and confidential information of Brazos Technology Corporation. BrazosTech Brazos Pctt 4.0 y u ;1r iR r,--Z Z E Page 12 of 18 v Brazos Technology (979) 690-2811 Ver. 4.0 Hardware - MC701MC75 .\t a~ W ~a r.: r fqi ii tr A{ ~~y i ~f i e" Unft 5 ,3,5 EXtenied.. ' s t Q 7-° t t, u ? 3 Y > kr x DesGnpLon 1 S - t y ~ y _e h n, S'. y, t ! U. S ni Syr h "~r 'M r PrICe al S PrICe RECOMMENDED DEVICE Symbol MC75 (2D Imager) * Described above * Includes AT&T, Verizon, or Sprint Cellular $1,640 5 $8,200 Capability (must specify) * 2 Mega-pixel autofocus camera * Built-in GPS * Extremely Bright 640X400 Full VGA Screen Symbol MC70 (2D Imager) * Described above * Includes AT&T Cellular Capability $1,375 0 $0 * Includes GPS MC70 - No Cellular Capability $1,160 0 $0 MC70 with Cellular AT&T/Cingular Capabilit_y without GPS $1,325 0 $0 MC70 with Cellular Sprint Capability $1,480 0 $0 MC70 with Cellular Verizon Capability $1,535 0 $0 Copyright© 2009 Brazos Technology Corporation, Inc. All rights reserved. All material (in whatever medium or format) and information contained herein (collectively, "Material") is proprietary and confidential information of Brazos Technology Corporation. BrazosTech Brazos Pctl 4.0 Page 13 of 18 :va I as ~~,uc Brazos Technology (979) 690-2811 Ver. 4.0 FSmgleD y~-rp•.g -S, F„_SS1~ , . „ v1'7,V~45c'vn PO F$O T + "e Reade Affacbmen.1g Cradle for MC70/MC75 ludes all cables $125 . Requires Microsoft ActiveSync and computer w/Internet connection USB.Charging Cable. Assembly for MC70/MC75 . Price includes all cables < $75, 0' $0 Requires Microsoft ActiveSync and computer w/Internet connection ' Charging Cable Assembly for MC701MC75 $75 0 $0 • Price includes all cables 4-bay Docking Cradle for MC70/MC75 (Highly Recommended) $4 . Price includes all cables (power supply_and 6 network cable) $425 25 Extended Warranty for MC70/MC75 • 3 years, Bronze Support .3-5 Day turnaround $265 5 $1,325 . Comprehensive Coverage (no fault) • `Can only be purchased with new device Additional Extended Llfe Batteries for MC70: $62 • 2x Battery ` ra - ~ = , Additional Extended Life Batteries for MC75` 1.5x Battery I $49 0: $0 . 4 - Bay Battery Charger for Extended Life Batteries $195 0 $0 Auto Charger Cable ~ $122 0 $0 G'Auto Charger Cable for MC70 w/cigarette Ilghter adapter FL-Port Port USB Hub if required for installation $99 0 $0 Total for MC701MC75: $10,675 Copyright© 2009 Brazos Technology Corporation, Inc. All rights reserved. All material (in whatever medium or format) and information contained herein (collectively, "Material") is proprietary and confidential information of Brazos Technology Corporation. BrazosTech Brazos Pctt 4.0 Page 14 of 18 VV_ 3a PAJE Brazos Technology (979) 690-2811 Ver. 4.0 Oil III Ongoing Software Fees Annual Fees after the first year Brazos Technology $250 /unit e-Citation updates, license renewal Brazos Technology e-mail Support Std maintenance covers config changes (up to 5 new fields and 1 new report per quarter) Interface to Court System $650 Interface to RMS System $650 *Any additional interfaces have an annual support cost of $650 ea. TLETS Message Switch (installed), annual license and support (1-50 Users) $5,000 =additional user annual support = $2,500150 user increment - (Not applicable unless TLETS is activated.) Copyright© 2009 Brazos Technology Corporation, Inc. All rights reserved. All material (in whatever medium or format) and information contained herein (collectively, 'Material") is proprietary and confidential information of Brazos Technology Corporation. BrazosTech Brazos Pct1 4.0 Page 15 of 18 V00a~ PAGE Brazos Technology (979) 690-2811 Ver. 4.0 Point,of Contact , The County of Brazos Pct. 1 and the Brazos Pct. 1 Municipal Court will have one (1) point of contact for implementation of software and subsequent maintenance needs. The point of contact with County of Brazos Pct. 1 will be determined later. Brazos Technology will schedule a Kick-Off Meeting with client to confirm configuration information and schedule Implementation and Training. Payment Terms,, J Brazos Technology Corporation will bill the County of Brazos Pct. 1 for hardware upon delivery. Standard Net 30 terms apply. Brazos Technology Corporation will bill the County of Brazos Pct. 1 for the remaining balance upon completion of installation and delivery of Phase I of this solution. Standard Net 30 terms apply. Mutual Responsibilities The successful implementation of this project is contingent upon two primary factors: 1) Brazos Technology's dedication to support the County of Brazos Pct. 1 throughout the pre- implementation and implementation phases, as well as throughout the lifecycle of the software to timely respond to support needs and 2) For the Municipal Courts and the Police Department to work diligently with Brazos Technology to identify and document its requirements and needs for this project (to be documented during pre-implementation phase) - as well as to show the dedication of its workforce to adopt such technology. Rapid and'Easy Extension of Other'Appi1cations Because of Brazos Technology's unique methodology for extending applications to the mobile paradigm, the following are just a few examples of applications that could easily be extended to the mobile units literally within days of being requested by each agency (please request a quote for this capability - not included in this quote) : • Accident/Crash Reports • Seized Property and Evidence Tagging and Tracking • Replacement gear ordering by officers • Vehicle repair work-order submissions • Community Outreach Programs Applications • Rotation Wrecker Management System Copyright© 2009 Brazos Technology Corporation, Inc. All rights reserved. All material (in whatever medium or format) and information contained herein (collectively, "Material') is proprietary and confidential information of Brazos Technology Corporation. BrazosTech Brazos Pct1 4.0 Page 16 of 18 VOL I a~ PAGE Brazos Technology (979) 690-2811 Ver. 4.0 Assumptions The following are assumptions on which the recommendations in this Proposal are based: 1. All information sources required for the mobile device are accessible through the County of Brazos Pct. 1 network or the Internet. 2. Brazos will utilize the standard [Court System] interface for the Municipal Court System. 3. Real-time TLETs queries are not required at this time. (unless indicated on page 10) 4. An active internet connection is available at the location where the synchronization device will be installed. 5. Brazos Technologies does not provide installation services for hardware to be "mounted" into vehicles. 6. Any interface costs levied by Court or RMS system providers are separate and not reflected in this proposal Copyright© 2009 Brazos Technology Corporation, Inc. All rights reserved. All material (in whatever medium or format) and information contained herein (collectively, 'Material") is proprietary and confidential information of Brazos Technology Corporation. BrazosTech Brazos Pct1 4.0 Page 17 of 18 7 1,11R. la~~,c (-03 Brazos Technology (979) 690-2811 Ver. 4.0 Signature Approvals Approval of this proposal document represents an agreement to accept the charges for the activities as stated previously. Any revisions to this agreement will necessitate inclusion of written amendments and prior written approval of all signing principals. The authorized signatures below represent agreement with the proposal and represent authorization to proceed with the work as defined. Total project price $20,490 Agreed to and Accepted by: County of Braz Pct. 1 Brazos Technology Corporation Signature Signature ~p(U ~(nti5 Michael S. McAleer Printed Na a Printed Name 1 ~l i n(u J(~ ) President Title Title 67 -z~-0 I Date Date Copyright© 2009 Brazos Technology Corporation, Inc. All rights reserved. All material (in whatever medium or format) and information contained herein (collectively, 'Material') is proprietary and confidential information of Brazos Technology Corporation. BrazosTech Brazos Pcl1 4.0 Page 18 of 18 PCk; qp 1 qF/3 BRAZOS COUNTY * ! * HUMAN RESOURCES DEPARTMENT ' 200 S. TEXAS AVE SUITE 206, BRYAN,TX 77803 ~ ~ pco PHONE (979) 3614114 FAX (979) 823-6993 ~r OF BR MEMORANDUM Date: June 17, 2009 To: Blue Cross/Blue Shield of Texas From: Jennifer Salazar HR Director Subject: Eye Therapy Coverage This memo serves as notice that on June 16, 2009, the Commissioner's Court of Brazos County approved coverage of eye therapy for Keelie Wendt, dependent of Charles Wendt (ID # 000834755085). The cost of the treatments is estimated to be $70 per session for 8 remaining sessions, for a total of $560. The eye therapy will be covered at 100% from June 16, 2009 forward. Approve Randy Sim , CountyJudge Date 40 von I) PA b5 A~F Of. 1BRAZOS COUNTY F " ~~fn HUMAN RESOURCES DEPARTMENT 200 S. TEXAS AVE SUITE 206, BRYAN,TX 77803 PHONE (979) 361-4114 FAX (979) 823-6993 Y OF ~ June 17, 2009 Blue Cross and Blue Shield of Texas Ben Suarez 14643 Dallas Parkway, Ste 850 Dallas, TX 75254 RE: Letter of Acknowledgement and Indemnification for Extra-Contractual Payments Group Name: Brazos Coun& Group Number: 080950 To Whom It May Concern: Brazos County hereby requests Health Care Service Corporation, a Mutual Legal Reserve Company doing business as Blue Cross Blue Shield of Texas ("Claims Administrator") accept requests, in the format attached hereto as Exhibit I, to pay charges that are not covered under the above-referenced Employer Group Number under the terms of the Administrative Services Agreement between Claim Administrator and Brazos County ("Non-Covered Charges") from the following individuals who are authorized to make such requests on behalf of Brazos County ("Authorized Individuals"). Authorized Individuals: Print Name: Signature: -Randy Sims In paying these Non-Covered Charges, Brazos County acknowledges the following: 1) The charges for which Authorized Individual(s) request payment are not covered under the above Agreement, and are, therefore, to be paid on an exception basis; and 2) Payment of Non-Covered Charges shall not be applied toward the Stop Loss Limit(s) specified in the Stop Loss Coverage Policy between the Claim Administrator and Brazos County; and 3) Payment of these charges on an exception basis may constitute the provision of benefits which are not in writing and for which the employee has no legally enforceable right and no notification and may therefore cause Brazos County's benefit program to fail the qualification requirements under Internal Revenue Code Section 105 leading to possible tax liabilities for Brazos County and for certain highly compensated employees; and 4) Even if Brazos County's written plan documents cover the payment of these charges, if they are not provided to all employees on a nondiscriminatory basis, they may cause the plan to be considered discriminatory under Internal Revenue Code Section 105(h), leading to tax liabilities for Brazos County and for certain highly compensated employees. VOL WPAGE Acknowledgement and Indemnification Brazos County further understands and acknowledges the foregoing and hereby indemnifies and holds harmless Claim Administrator and its directors, officers and employees against any and all loss, liability, damages, penalties and expenses, including attorneys' fees, or other cost or obligation resulting from or arising out of claims, lawsuits, demands, settlements or judgments brought against Claim Administrator or Brazos County in connection with or arising out of, directly or indirectly, payment by Claim Administrator of any Non-Covered, as defined in the above, for which payment is requested by Brazos County. Brazos C ty By: Officer of the Company Print or Type Name: Randy Sims Title:_County Judge Date: CC: Underwriting: Large-Local Accounts 1201 East Campbell Road National Accounts North Building - B Accounting Services: Homer Smith, 3-G-W VOL ~a~PAGE 107 EXHIBIT I THE LETTER OF ACKNOWLEDGMENT AND INDEMNIFICATION FOR EXTRA-CONTRACTUAL PAYMENTS [MUST BE UPDATED ANNUALLY] EXTRA-CONTRACTUAL PAYMENT REQUEST [f0 BE COMPLETED BY AN AUTHORIZED INDIVIDUAL APPLICABLE ONLY TO ASO GROUPS] The charges for which an Authorized Individual requests payment are not covered under the Administrative Services Agreement between the Claim Administrator and the Employer. The Claim Administrator acknowledges that the Employer retains full and final authority and responsibility for its employee welfare benefit plan and its operation. Stop Loss Coverage YES v/ 0 Group Name: I yazj--5 ~V~ Group Number: 08(Y~J~D e~ Member Name: Member ID Number: 000 '}7y 8✓ Patient Name: Date(s) of Service: rLV~d Type(s) of Service. F.r `ii hena.mt,1 Payment level requested:1Qq'I. ./•±rTj WtUMo:ri.n /ltlalrMnt~K On Billed Charges ✓ u On Allowable Charges Pay the Provider Pay the Member Provider Name: ?ro.Py_j rrn eUP. ha;k ' Member Name: P%dVddress:;q'IS Sfakt A vj to t)Wth Member Address: U'o-gm W GIs Reason(s) for Extra-Contractual Payment Request: n j- 0-01-Aala.Q A , n iin Please explain) 'Authorized Individual: Print Name: Signature: " a S S Date: Marketing Representative: Full Service Unit (FSU): FSU/Pharmacy Contact: FSU/Pharmacy Disposition: E] Approved n Denied (submit this form to Internal Audit, regardless of disposition) Comment(s): Amount Paid: $ Date Paid: Check Number: Document Control Number(s): FSU/Pharmacy: (1) Image copy (2) Send a copy to Underwriting: (Large-Local 1201 East Campbell Road) / (National North Building -B) (3) Send a copy to Accounting Services (Clarence Bowman & Homer Smith/3-G-W) (4) Send a copy to Marketing Representative 'An Authorized Individual is an individual named by an Officer of the Employer in the Employer's Letter of Acknowledgement and Indemnification for Extra-Contractual Payments to the Claim Administrator. Revised 09/27/04 VOL OA PAGE log TI Brazos County, #120 Authorization to maintain TCDRS plan provisions Plan year 2010 With respect to the participation of Brazos County in the Texas County & District Retirement System (TCDRS) for the 2010 plan year, the following order was adopted: 1. Brazos County makes no change in the plan provisions for non-retirees. * 2. With respect to benefit payments being paid to retirees or their beneficiaries, Brazos County (check one box): does not adopt a cost-of-living adjustment (COLA). adopts a % CPI-based COLA. -3. The required employer contribution rate for Plan Year 2010 will be the following: (a) Required rate without COLA: 11.93% (b) COLA rate: + 0 (enter 0 if not adopting a COLA) (c) Total required rate (a + b): * 4. Employers may elect to pay a rate greater than the total required rate listed above. Brazos County adopts for Plan Year 2010 (check one box): the total required rate listed above. add a new elected rate of 5. In the event the 2010 total required rate as set out above exceeds 11%, and if a current waiver of that limit is not on file with TCDRS, the Commissioners Court of Brazos County hereby waives the 11 % limit on the rate of employer contributions and such waiver will remain effective with respect to future plan years until properly revoked by official action. Certification I certify that the foregoing authorization concerning the participation of Brazos County in TCD S or Plan Year 2010 truly and accurately reflects the oEfi ' action tz&ken during a properly posted and noticed meeting on 2009, by the Commissio Court os Co ry as such action is recorded in the official minutes. 57 1'1z 0 County Judge o razos County Dated: G/rl~/UC * Please fill in the required information for items 2, 3 and 4 before signing and sending this document to TCDRS. PLEASE FAX TO: (512) 328-8887 May. 21, 2009 VOLW PAGE 60 S m 0 m 61 m 4 C' Z Z Z Z Z r ° O ~ p rgx~A"y~'' jF., ° z z° z° z I O ~ q Q O! m O ~ w C 0 o S S o 0 o a 6.t f W H H M Z N O ° h O O m 6' O O O s o ° r 6 ¢ r m n a - a. m m o w ° w w 02 W w eJ of n m r M N s 0 0 0 0 ° G ° (W a ° m n °m m m ~ °m w ~ I--' N o n w N W W v hX ss~`x, q m o m E F ~ ~ z c a (p O b 0 N N a ° m °q °q v z m W o } G w w w m ? m LIJ m O~ x ugx*~ * w w z U i o o °o °o °m °n c. J ~ o e d_ z ~ _ a3~ ''Aj~ ~ m m m r ~ O w d, w ° c n 2 0 0 0 0 0 °m °o ° Q m m ~ m `o w g w w m w w m 4 `t~~ fi'. m N umi Y C •Yqa ~~~a Q 0 N { Q b'It ~W of ~ y~,"lip Vi `Y w w w ~ ~ w s ,r. N O ~ C 2 O O o O ° ° d O m O O O ~ m m 4 r m m 0 m v n N O. - y m srµZµ rx~` m n n m m O O O of n a ¢j 4~~p1.~r~w`Y o O o m °n ~ 3 m c 4 SS^ ~k qG y.~i n x d E~ rn~ R o T~ O u = a ~ x ~ q K ° rn ¢ ¢ m O Q u va. . nv~. BRAZOS COUNTY May 5, 2009 Page One ALL BOLDED AREAS MUST BE ADDED; STRIKE-OVERS NIUST BE DELETED ALL OTHER AREAS NEED NO PROVISIONS SO THEY ARE `NOT' RE-TYPED STANDARD PURCHASE TERMS AND CONDITIONS ROAD AND BRIDGE DEPARTMENT BRAZOS COUNTY, TEXAS # 15 of the Road and Bridge Terms and Conditions is hereby stricken and the following is inserted: Client shall ensure that Express' employees'. job duties do not permit access to valuable property and any type or nature, including but not limited to cash, securities,. credit card numbers, charges or account numbers: Client shall ensure that none of Express' employees are permitted to drive any vehicles or motorized equipment including forklifts. The term"vehicle" as used in this Agreement means a motor vehicle, trailer, semi-trailer and any other motorized mobile equipment (for example: forklift) designed for travel (or transportation purposes) on public roads, in warehouses or any other locations, at which such a vehicle would be used. A y Brazos Co Express Employment Professionals V®LIAPACE 71 BRAZOS COUNTY COMMISSIONERS' COURT ACTION FORM C)V DEPARTMENT Road and Bridge NUMBER 56001000 DATE OF COURT MEETING: June 16, 2009 ITEM: Request from Wickson Creek Special Utility District to construct a 210 ft. water line extension from the end of Fawn Lake Drive right of way (Fawn Lake Subdivision) to provide service to Fawn Meadows. Site is located in precinct 2. SOURCE OF FUNDS: N/A REQUIREMENTS: 1. No work will be permitted between front slope and/or back slope. 2. All installation(s) shall be constructed in designated utility easements, if applicable. If no utility easement exists, the installation(s) shall be 1) within 3-5' of and parallel to the right- of-way line and/or 2) in the case of a road bore, perpendicular to the right-of-way line. 3. If clearing of brush, trees and other obstruction is necessary, it shall be the Applicant's responsibility to do so and to remove all cleared brush, trees etc. from county right-of-way. 4. Ditch line shall be compacted to 90% standard density ASTM-Test Method No. D-698; test shall be conducted by an independent geotechnical testing firm; copies of all test results shall be furnished to the office of the Brazos County Engineer. 5. Construction shall be in strict conformance to the latest Texas Manual of Uniform Traffic Control Devices for Streets and Hiehwavs, published by the Texas Department of Transportation, and all other State and Federal laws governing utility construction. NOTES/EXCEPTIONS: ACTION REQUESTED OR ALTERNATIVES: SUBMITTED BY: / APR \DEQY: Richard F. Vance, Y.E. Commissioner E. Duane Peters County Engineer Precinct 2 CC2009-030 This Request is Approved / Denied ❑ by Commissioners' Court Date: Randy Si , County Judge - Z- I b' ~.IA~Eiz_ L.S~Jt1t z>oqJ 3-fkr~ `vu nl r\ 4 A 11 ^I 1 \ /rte/ A n L_Livlr\tV JVRvr-1 n- 1 V - - PPE-WE -------uutx6t----- ----I r'ESrERN (ML mv+sParranoN co. 30' PIPELINE EASEMENT VOL. 430. PG. 580 , (CENicxED ON PIPELINE MARKERS5 , LOT 6A y BLOCK 2 v - - - . 1 I 4an ~ I ~ i I I✓ ~O w0_ I , V. t IYIrlR I11Y vVRY 11 n v"t I ~ Um a rn LOT 68 1 °o n BLOCK 2 ,6 0 REA 2i' o a 8- CREO POST SOTE J FED O CO ORNER o Fj / LOT 7A g BLOCK 2 W~`1 =,i J0 vz 0N o a ROD 00ND { n 9 a EPLAT OF r7 LOT to REPLAT( ~n -P 9{ V n 1 BLOCK 4 FA N LAKE E! o 4 s {q f-9~ I PLA D- VOL. 2 ~ p"1 O i ~nw p "e ~ ij `-'z~ ~Ty Q LOT 8 Y-LLIS{}--~ - - in ~6 BLOCK 2 `0~cPV0.WE mRE y I LOT 1B I LOT 2 F>=NC'E I BLOCK 4 1 BLOCK ROO , 30" POST OAK O EDGE OF ' BPS: 1 /Z- IP_ON ROD PAVOiENT 44.28.60 FOUND ON-ERNE 20' PUBLIC UTLrry I 620M----------- _ (PFJi FAWN IAKE EST 1/Z' IRON 24 . DEAD TREE ROD FOUND I /Z' IRON ROD FOUND p WIRE FENCE ~f`irC}Q@V' n ` 1/Z' RON ROD 7256. \ POUND ON-EWE ; cl z 525: N 44'42'3gC-2524' u 4 m ` n 17 / / \ ` \ - ACC DE P hfv POND i . f 1 FROM AMAL) \ C~\ 5..5731 w~ REQUEST FOR PROPOSED INSTALLATION IN COUNTY RIGHT-OF-WAY TO THE COMMISSIONERS' COURT OF BRAZOS COUNTY, TEXAS BRAZOS COUNTY COURTHOUSE BRYAN, TEXAS 77803 Formal notice is hereby given that (applicant) Wickson Creek Special Utility Dis trice proposes to place a (type) waterline within X_ across_ the right-of-way of (road) WA;gN 7 AKF epr.fg in Brazos County, Texas as follows: The location or description of the proposed installation is more fully shown by. 3 copies of the drawings attached to this notice. I understand and agree that: 1. The County Engineer must be notified 72 hours prior to the begicning of construction in order that he, or his designated inspector, may inspect the actual installation, 2. All damage to the roadways and rights-of-way will be repaired to their original condition to the satisfaction of the County Engineer. 3. Brazos County reserves the right to require Applicant to relocate or lower any such line at no cost to Brazos County, should same become necessary due to widening or lowering, or other alteration of the roadway or right-of-way. 4. Brazos County will in no way be responsible for any damage which might occur to any existing utility lines in the right-of-way. 5. The line will be constructed and maintained on the County right-of-way in accordance with the Utility Accommodation Policy which was adopted by the Texas Department of Transportation on May 29, 1989. 6. The line or lines will be constructed no less than twenty-four inches (24") lower than the lowest part of the drainage or bar ditch and the drainage is to be considered at least two feet (2') below the center of the roadway. 7. All sites will be barricaded during the construction period. Construction of this line will begin on or after the l-70py ofjuUF 20_9 Firm: Wicks n Creek Special Utility District 19 t Title: General Manager r F} ((t ! ` Address: B. 0. Bpx 4756 Bryan, Texas 77805 Phone. 979-589-3030 APPROVED BY COMMISSIONERS' COURT ON: D Date Randy Sim , County Judge von i a ac-74