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Home My WebLink About2010-01-12-9:00AM-REGULARa IL - -E- 20M JAN -8 P b: 38 Itld li'U'l ( H BRAZOS COUNT "r! S BRYAN, TEXAS NOTICE OF MEETING AND AGENDA BRAZOS COUNTY COMMISSIONERS COURT THE COMMISSIONERS COURT OF BRAZOS COUNTY WILL MEET IN REGULAR SESSION ON 12 JANUARY 2010 AT 9:00 A.M. IN THE COMMISSIONERS COURTROOM OF THE COUNTY ADMINISTRATION BUILDING, 200 SOUTH TEXAS AVENUE, SUITE 106, BRYAN, TEXAS. Invocation and Pledge of Allegiance — Commissioner Wassermann. 2. Call for citizen's input and/or concerns. 3. Presentation of the Government Finance Officers Association's Certificate of Achievement for Excellence in Financial Reporting to Katie Conner, County Auditor. Consider and take action on agenda items 4 — 21: 4. Budget Amendment 09/10 - 13.1 thm 13.4. 5. Personnel Change of Status. 6. Payment of Claims. 7. Finance Plan for TIRZ 22. 8. Presentation by RMC Texas and request to expand the current TIRZ 22 boundary to include approximately 40 acres of land in the John Austin Survey, generally located between Briarcrest Drive, North Earl Rudder Freeway and Boonville Road, and amend the current project and finance plan to include projects and costs associated with development within the revised TIRZ 22 boundary. Office of the County Judge 200 South Texas Ave. Vol. [ 30 Suite 332 Bryan, Texas 77803 Fax: (979) 361 -4503 Pg.� Commissioners Court Agenda 12 January 2010 Page 2 9. Appointment of David Welch as a non -paid Deputy Constable in the Precinct 1 Constable's Office. 10. Reappointment of the following individuals as Fire Commissioners for Brazos County Emergency Services District #3; term of each appointment is 1 /01 /10 through 12/31/11: a. James Stuckey, Vice President b. Martin Riley, Asst. Treasurer 11. Appointment of the following individuals as Fire Commissioners for Brazos County Emergency Services District #4; term of each appointment is 1 /01 /10 through 12/31/11: a. Keith Cooke, Treasurer (reappointment) b. Greg Leeth, Secretary (reappointment) c. Bill Marsden (new appointment) 12. Renewal of Blue Cross Blue Shield (BCBS) Health Insurance for 2010, and approval of the following documents: a. ASO Benefit Program Application b. Mental Health Parity and Addiction Equity Act Document 13. Commissioners Court minutes for the following 2009 dates: a. 3 November Regular Meeting e. 17 November Regular Meeting b. 10 November Regular Meeting f 17 November Public Hearing c. 10 November Workshop Session g. 24 November Regular Meeting d. 12 November Special Session 14. Tax Refund Applications for the following: a. Johnny M. Rice & Ann Thornton b. Vanderbilt Mortgage (2) c. Calico Homes LTD d. Wayne L. Dietert e. Roy L. & Mary K. Wisnoski f. Nathan H. Jr. & Amanda Money g. First American h. Chicago Title Insurance Co. i. Renee Ayala j. Chicago Title Insurance Co. k. Donald R. & Gayle L. Beville 1. Pitney Bowes Global Finance Services (3) m. Paul A. & Barbara J. Reynolds n. Leslie M. Johnston o. Leia M. Farrouki p. Ellen G. Madron 15. Out of state travel request from the 361` District Court for Judge Smith to attend the Midyear Meeting of the American Bar Association in Orlando, Florida. Dates of travel are 4 -7 February 2010. 16. Additional Asbestos Removal at the Brazos County Courthouse outside of the containment area by Abatement Demolition Company, Inc. 17, Capital Requisition #00027642 in the amount of $29,259.75 to Gov Connection, Inc. for expansion of the County's fiber optic data network into the new Jail Expansion building and expansion of the County's data and Voice Over IP network into the Low Risk facility building. Pg Vol._ ---- l 1 Commissioners Court Agenda 12 January 2010 Page 3 18. Capital Requisition 400027614 in the amount of $2,100.16 to Wilton's Office Works for the purchase of furniture for the Budget Office. 19. Request from Road & Bridge for permission to sell two (2) 1989 John Deere motorgraders from their equipment fleet and retain two (2) Caterpiller motorgraders, with funds from the sell to be deposited back to Road & Bridge contingency. 20. Correction to the cover page submitted with the Replat of The Fields of Runnymede Addition (item #19 on the 12/29/09 Commissioners Court agenda); the cover page that accompanied the original request stated "A -55," but the correct abstract number of development location is "A -58." Site is located in Precinct 3. 21. Payment Authorization in the amount of $600.00 to Bryan Broadcasting Publications for advertisement of the Brazos Center in the Spring 2010 Brazos Valley Bride magazine; a purchase order was not obtained in advance. 22. Announcement of interest items and possible future agenda topics. 23. Call for citizen input and/or concems. 24. Agency / Board / Committee reports by Court members. 25. Adjourn Vol. [ 3o Pg. ( t I Commissioners Court Agenda 12 January 2010 Page 4 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 to 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 forum 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, of 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 mles may result in the following sanctions: 1. 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. p- 0 Vol. 151, Pg. COMMISSIONERS' COURT rTaTeiil7l� ;�51�1��[�J JANUARY 12, 2010 A regular meeting of the Commissioners' Court of Brazos County, Texas was held in the Brazos County Commissioners Courtroom in the Administration Building, 200 South Texas Avenue, in Bryan, Brazos County, Texas, beginning at 9:00 a.m. on Tuesday, January 12, 2010 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. The attached sheets contain the names of the citizens and officials that were in attendance. The Reverend Jones gave the invocation and then Commissioner Wassermann led the pledge of allegiance. There was no citizen input /and or concerns. The next matter was the presentation of the Government Finance Officers Association's Certificate of Achievement for Excellence in Financial Reporting. The County Judge read aloud a letter from the Government Finance Association recognizing Katie Conner, County Auditor for outstanding achievement in Vol 1/66 Page 12-1 Commissioners Court meeting January 12, 2010 financial reporting. 2 The Court next considered Budget Amendment #09/10 -13.1 through 13.4 that would reallocate funds for the General Capital Improvement Fund, Sheriff's Office: Jail Division; and transfer funds from Contingency to Sheriff's Office: Jail Division, and Justice of the Peace, Precinct 4. On motion by Commissioner Cauley, seconded by Commissioner Peters, the Court voted unanimously to approve the budget amendment as submitted. A copy each amendment is attached. The Court proceeded to consider the change of status of employees as submitted on the attached Personnel Action Requests. Commissioner Cauley called attention to the new hire for the Budget Office, saying is was long overdue. On motion by Commissioner Wassermann, seconded by Commissioner Cauley, the Court voted unanimously to approve the changes as submitted. The Court next considered the following Claims as submitted by the County Treasurer for payment: 7069679 through 7070073 On motion by Commissioner Peters, seconded by Commissioner Wassermann, the Court voted unanimously to approve the Claims as submitted. Vol 130 Page a s Commissioners Court meeting January 12, 2010 3 The next matter before the Court was consideration of Tax Increment Reinvestment Zone 422 Project and Financial Plan. Lindsey Gandy was present for questions. On motion by Commissioner Peters, seconded by Commissioner Mallard, the Court voted unanimously to approve the project and financial plan. A copy is attached. The next matter before the Court was a presentation by RMC Texas and a request to expand the current Tax Increment Reinvestment Zone (TIRZ) boundary to include approximately 40 acres of land in the John Austin Survey, generally located between Briarcrest Drive, North Earl Rudder Freeway and Boonville Road, and amend the current project and finance plan to include projects and costs associated with development within the revised TIRZ 22 boundary. Bob Oliva spoke to the Court on Highland Hills Development. Katie Conner, County Auditor asked if this would expand the TIRZ participation. Mr. Oliva said it would not that participation would remain the same. She then asked if the project would expand Briarcrest Drive. Mr. Oliva explained some of the changes that would take place. Ronnie Craig with Harrison JV then gave some highlights of the financial plan to the Court. Commissioner Mallard asked if the project goes well like we all hope, if there are funds left over, and it is finished Vol 130 Page I a.3 Commissioners Court meeting January 12, 2010 4 early would the County have to approve any new project you may want to use those extra funds for? Charles Cryan, with the City of Bryan responded "yes the County would have to approve any new project." On motion by Commissioner Peters, seconded by Commissioner Cauley, the Court voted unanimously to approve the request to expand the current Tax Increment Reinvestment Zone (TIRZ) boundary to include approximately 40 acres of land in the John Austin Survey, generally located between Briarcrest Drive, North Earl Rudder Freeway and Boonville Road, and amend the current project and finance plan to include projects and costs associated with development within the revised TIRZ 22 boundary. The Court next considered a request from Constable Precinct 1, Archie Clark, to appoint David Welch, as a non - paid Deputy Constable. On motion by Commissioner Wassermann, seconded by Commissioner Cauley, the Court voted unanimously to approve the request from Constable Clark to appoint David Welch as a non -paid Deputy Constable subject to appointment being within the allotted number of deputies. The next matter for consideration was the reappointment of individuals to serve as Fire Commissioners for Brazos County Emergency Services District #3. On motion by Commissioner Mallard, seconded by Commissioner Cauley, the Vol 130 Page l a q Commissioners Court meeting January 12, 2010 5 Court voted unanimously to reappoint the following individuals to a term commencing on January 1, 2010 through December 31, 2012: a. James Stuckey, Vice President b. Martin Riley, Assistant Treasurer The Court next considered the appointment and reappointment of individuals as Fire Commissioners for Brazos County Emergency Services District #4. On motion by Commissioner Cauley, seconded by Commissioner Peters, the Court voted unanimously to re appoint Keith Cook, Treasurer and Greg Leeth, Secretary and to appoint Bill Marsden to a term commencing January 1, 2010 through December 31, 2012. The next matter for consideration was the renewal of the Blue Cross Blue Shield (BOBS) ASO Account for 2010, and approval of the following documents: a. ASO Benefit Program Application b. Mental Health Parity and addiction Equity Act Document On motion by Commissioner Mallard, seconded by Commissioner Peters, the Court voted unanimously to renew the Blue Cross Blue Shield (BOBS) ASO Program Account for 2010, the ASO Benefit Program and a Mental Health Parity. All terms have remained the same from last year. Copies of both documents are attached. Vol 13)o Page I a-5 Commissioners Court meeting January 12, 2010 6 The Court next considered approval of the minutes of the Commissioners' Court meetings held in November 2009 on the following dates: Regular Meetings - 3rd 10 th 17 th 24 th Public Hearing - 17 Workshop Session - 10 On motion by Commissioner Peters, seconded by Commissioner Wassermann, the Court voted unanimously to approve the minutes as submitted. The next matter for consideration was approval of tax refund applications from the following individuals and /or companies: a. Johnny M. Rice & Ann Thornton, over payment $10.01 b. Vanderbilt Mortgage (3), over payment $7.59, $12.98, $24.55 c. Calico Homes LTD, over payment $15.40 d. Wayne L. Dietert, over payment $6.85 e. Roy L. & Mary K. Wisnoski, over payment $29.62 f. Nathan H. Jr. & Amanda Money, over payment $255.41 g. First American, over payment $93.70 h. Chicago Title Insurance Co., over payment $357.49 i. Renee Ayala, over payment $11.77 j. Chicago Title Insurance Co. , over payment $378.11 k. Donald R. & Gayle L. Beville, over payment $27.00 1. Pitney Bowes Global Finance Services (3), over payment $6,836.99, $6,322.34, $27.70 m. Paul A. & Barbara J. Reynolds, over payment $10.00 n. Leslie M. Johnston, over payment $50.00 o. Leia M. Farrouki, over payment $8.92 p. Ellen G. Madron, over payment $6.37 On motion by Commissioner Mallard, seconded by Commissioner Peters, the Court voted unanimously to approve the tax refund applications. Vol 130 Page late Commissioners Court meeting January 12, 2010 7 The next matter for consideration by the Court was a request submitted by Steve Smith, 361 District Court Judge seeking approval for out of state travel for himself to travel to Orlando, Florida February 1 through 5, 2010 to attend the ABA Judicial Division Midyear Meeting of the American Bar Association. On motion by Commissioner Cauley, seconded by Commissioner Peters, the Court voted unanimously to grant the request from Judge Smith and approved payment of out of state travel expense for Judge Steve Smith. The Court next considered a request from the Purchasing Agent for approval of additional asbestos removal outside of the containment area by Building Abatement Demolition Company, Inc. This would involve the removal of 265 square feet of plaster ceiling and 111 square feet of floor tiles and mastic that was extra work outside of containment. The cost of the additional work is $2,800. If approved this would increase the contract amount from $69,600.00 to $72,400.00. On motion by Commissioner Cauley, seconded by Commissioner Peters, the Court voted unanimously to approve the expenditure of additional funds for the removal of asbestos outside of the containment area. The next matter for consideration was capital requisition #00027642 in the amount of $29,259.75 to Gov Connection, Inc. Vol i ? - Page la--77 Commissioners Court meeting January 12, 2010 8 for expansion of the County's fiber optic data network into the new Jail Expansion building and expansion of the County's data and Voice Over IP network into the Low Risk facility building. On motion by Commissioner Cauley, seconded by Commissioner Peters, the Court voted unanimously to approve the requisition. The Court next considered capital requisition #00027614 in the amount of $2,100.16 to Wilton's Office Works for the purchase of furniture for the Budget Office. On motion by Commissioner Peters, seconded by Commissioner Wassermann, the Court voted unanimously to approve the requisition. The next matter for consideration was a request from the Road and Bridge Department to sell two (2) 1989 John Deere Motorgraders from the equipment fleet, and retain two (2) Caterpiller Motorgraders that. qualify for the five year buyback. Funds from the sale of the John Deere machines will be deposited back into the Road and Bridge Department Contingency fund to cover expenditures for equipment purchases. On motion by Commissioner Wassermann, seconded by Commissioner Cauley, the Court voted unanimously to approve the request from the Road and Bridge Department to sell two (2) motorgraders. Vol 13 0 Page lab Commissioners Court meeting January 12, 2010 9 The Court next considered a correction to the cover page submitted with the re -plat of The Fields of Runnymede Addition, item number 19 on the December 29, 2009 Commissioners Court Agenda. The cover page that accompanied the original request stated "A -55" when in fact the correct abstract number of the development location is "A -58 ". Brazos County, Texas. The site is located in Precinct 3. On motion by Commissioner Mallard, seconded by Commissioner Cauley, the r Court voted unanimously to approve the correction to the cover page of the re -plat of The Fields of Runnymede Addition. The next matter for consideration was a payment authorization in the amount of $600.00 to Bryan Broadcasting Publications for advertisement in the spring 2010 Brazos Valley Bride Magazine. A purchase order was not obtained in advance. On motion by Commissioner Cauley, seconded by Commissioner Peters, the Court voted unanimously to approve the payment authorization. Under announcement of interest items and possible future agenda topics the following spoke: Eric Caldwell, Director of the Information Technology Department a) Stated that members of the Court had received an email from the District Judges saying that TSG is not responding to issues. The good news is that he was able to get TSG to respond after an hour to an email he Vol 3b Page l a.q Commissioners Court meeting January 12, 2010 sent. He asked the staff to let him know sooner in the future and not let issues age. Commissioner Mallard a)He invited the Commissioners to attend Brazos Ground Water Group meeting. He wants to make sure both cities and the County have representation on this board, even though we are involved on another region's water board. The meeting will be on January 16 at the College Station Conference Center. County Judge a) Said this is surface water, our other board is underground water. Under citizen input and /or concerns, the following spoke: Brian Alg a) Spoke on the Expo expansion. He said it looks like its budgeted to lose about a million dollars this year. He thinks the impact study by the Avalanche Group has unbelievable numbers. He thinks Brazos County should stop construction immediately. Sheriff Chris Kirk a) Announced that former Deputy Sheriff Lorenzo Alonzo past away last night and that arrangements were pending. b) There were 497 inmates in jail, 50 are in out of County jails, 49 have monitors and 33 are pending for monitors. C) The Low Risk facility is within a month of opening. m Vol � �60 Page 13D Commissioners Court meeting January 12, 2010 11 Under Agency /Board /Committee reports by Court members, the following spoke: Commissioner Irma Cauley a) She serves on the Delta Sigma Theta Sorority Action Board and invited the Commissioners to attend the 12 Annual Freedom March on Monday, honoring the Reverend Martin Luther King. b) She also serves on the Brazos Valley Museum Board and on Thursday, they will Roast and Toast KBTX weatherman Bob French. They need your support she said and asked them to attend. c) She attended an education meeting at the BVCOG looking into drop out prevention. There being no further business to come before the Court, the meeting was adjourned. Vol 3o Page 161 The foregoing minutes of the Commissioners Court meeting held January 12, 2010 hav�e / been examined and are approved in open Court this the day of J- - jfh rL4ay-y 2010, in Bryan, Brazos County, Texas. Randy Si is Lloyd Wa ermann County udge Commissioner, Precinct 1 Duane Peters Commissioner, Precinct 2 I� Kenny Mallar Commissioner, recinct 3 Qt I a Caul Commissioner, Pre -indt 4 Attest: Karen McQueen County Clerk Vol 13b Page 13a BRAZOS COUNTY COMMISSIONERS COURT Meeting on 1c2l 2"9 @ to A 1 PAGE - 00 Vol. 1 P I '�3 Name Organization / Department (n ) Azlw o4z ,, vc , ; L�-- �Pm wvt I _ - P5 PAGE - 00 Vol. 1 P I '�3 BRAZOS COUNTY COMMISSION ERS COURT Meeting t , 2tt69r@ ODn ry1 Name Organization / Department /J �1av� T . 6ed PAGF� of� Vol. _1s'Q- -- P& 13 `f BRAZOS COUNTY COMMISSIONERS COURT 10 Meeting on , a - , 200$ @ C7 t Name Organization / Department ' I C 6ALI)vIGLC- V�yAJc ors. ✓r C c- /Z .G f¢ - 7- Z1..i!'—.✓ 1� JL c2 /,,' 4 /SIC 7ex4 s 4E GG L r -c v � PAGE 4 of Vol. I Pg._— S "y . BRAZOS COUNTY, TEXAS BUDGET AMENDMENT(S) FOR THE 2009 -2010 BUDGET YEAR NO. 09/10 —13.1 thru 13.4 On this the 12 day of January 2010 at a regular meeting of the Commissioners' Court, the following members were present: A. 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 12 January 2010 the Court heard and approved a budget amendment for the 2009 -2010 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 21 September 2009, the following amendment(s) to the original budget are hereby authorized, as described on the attached page(s). ADOPTED AND APPROVED this the 12 day of January 2010. THE COMMISSIONERS COURT OF BRAZOS COUNTY, TEXAS. M Original: County Clerk's Office and attached to the original budget Copies: County Auditor County Treasurer County Budget Officer Commissioners' Court Minutes Vol. A� 3 ____ Pg•-- 13(0 BRAZOS COUNTY, TEXAS BUDGET AMENDMENTS No. 09110 - 13.1 1/12/2010 FUND 4308 DIV 63000500 ACCT 67342000 PROJ DRICR DR ACCOUNT NAME Furniture Increase Decrease 702.00 4308 63000500 60360000 CR Furniture 702.00 General Capital Improvement Fund To reallocate funds to the proper account code to purchase furniture for the Budget Analyst position in the Budget Office. The f indin from funding contributed by the County Attorney's office to help fund furniture purchases. These funds have not been designated et. Of the $14,000 contributed by the County Attorney $8,234 was used to fund furniture for the Ama istrate # 2. is The total rrq uest by the Bud Office is $2,100.16 leavin a balance of $3,665.99 undesignated to a specific d artment. ffi Vol. 3 — 0 pg'— BRAZOS COUNTY, TEXAS BUDGET AMENDMENTS No. 09110 - 13.2 uw2nn4n !Pp �ed,B.y z'S Date.:i 6/2070 Vol. I3 pg 1 3 9 BRAZOS COUNTY, TEXAS BUDGET AMENDMENTS No. 09110 -13.3 1112/2010 FUND. DIV ACCT PROJ DRICR ACCOUNT NAME Increase Decrease 0100 28002000 59100000 CR DDEA 3,500.00 0100 28002000 67286000 DR Eq uipment - Other 3,500.00 Sheriff Office: Jail Division To reallocate funds to allow for the p urcbase of 6 six Stn and Detention Center. er S -200AT systems for the Crisis Intervention Team Prep edgy �1 t' Vol. 13D Pg. 139 BRAZOS COUNTY, TEXAS BUDGET AMENDMENTS No. 09110 - 13.4 1112/2010 FUND DIV ACCT PROJ DRICRI ACCOUNT NAME Increase Decrease 0100 11001500 61130000 CR Contin enc - General Fund 1,168.87 0100 2440100 60500000 DR Office Equipment 671.18 0100 2440100 60600000 DR OfficeSupplies 56.14 0100 2440100 60170000 DR Copier /Printer Supplies 34.84 0100 2440100 60360000 DR Furniture 406.71 General Fund Contingency and Justice of the Peace Pct #4 : Batchelor To reallocate funds to allow for payment of FY 2009 invoices that were not processed in a timely fashion to allow for the p ayment during FY 2009. The court a roved payment of the invoices by funding from general fund contingency on December 29, 2009 item number 22. Vol. 11 b Pg. I__ _ Q — PERSONNEL CHANGE OF STATUS REQUESTS Commissioner Court Date: January 12, 2010 Department Submitting Information: Human Resources Purpose of Submissions: Consider and Take Action on Change Requests # 5 Department Submitting Employee Request Action Requested Request(s) Applies To Budget Office Bailey, Will New Hire Building Maintenance Brummer, Kala Budget Change Mayo, Matthew Budget Change Warren, Dennis Budget Change Road & Bridge Hanks, Robey Retirement Kuder, Billy Retirement SO — Jail Bailey, Kurt New Hire Bryant, Alicia Chavez, Stephany Manning, Nuranda Pollone, Dominic Approved in Commissioners' Court: January 12, 2010: County Judge's or Commissioner's Signature: (This Copy to be attached to minutes) New Hire Completed Internship Transfer w /in Dept. New Hire Vol. 130 pp 41 .. ..... CITY OF BRYAN The Good Life, Texas Style' TAX INCREMENT REINVESTMENT ZONE #22 PROJECT AND FINANCIAL PLAN APREL 4 2007 APPROVED: - t�-7 , Sims, County Judge date Vol. 1 3a p I �-a CITY OF BRYAN, TEXAS TAX INCREMENT REINVESTMENT ZONE #22 ANALYSIS ACCOUNTANT'S REPORT AND SUMMARY OF SIGNIFICANT FORECAST ASSUMPTIONS vol. 13 a P y3 Thompson, Derry & Craig, P. C. Waody Thompson, CPMCFP 4500 Carta Creek Parkway, Srtlte 201 Sa Beavers, CPA Rornnk Craig CPA Bryan, lX 77802 56 All ne Briers, CPA Dillard LeveLhn, CPA (979)260-696— FAX (979)260.9683 Ga)' y V y l dc tra W, CPA Small: finn@tdccpa.com Lyn Kuclanba, CPA Andrea Derrfg, CPA Ake Mwroe, CPA ]amle Reeves, CPA Marian Rose CPA CPA ACCOUNTANTS'REPORT April 4, 2007 City of Bryan Bryan, Texas We have compiled the accompanying forecasted schedules of tax revenues, cash flows, bond activity, and additional tax revenue of the Tax Increment Reinvestment Zone #22 Project and Financial Plan for the years 2007 - 2027. The forecasted schedules have been prepared in accordance with attestation standards established by the American Institute of Certified Public Accountants. A compilation is limited to presenting in the format of a forecast information that is the representation of management and does not include evaluation of the support for the assumptions underlying such information. We have not examined the forecasted information and, accordingly, do not express an opinion or any other form of assurance on the accompanying schedules or assumptions. Furthermore, there will usually be differences between the forecasted and actual results because events and circumstances frequently do not occur as expected, and those differences may be material. We have no responsibility to update our report for events and circumstances occurring after the date of this report. Management has elected to omit the summary of significant accounting policies required by the guidelines for presentation of a forecast established by the American Institute of Certified Public Accountants. If the omitted disclosures were included in the forecasted presentation, they might influence the user's conclusions about the Zone's forecasted schedules for the period. Accordingly, these forecasted schedules are not designed for those who are not informed about such matters. The accompanying forecasted schedules and this report were prepared to determine the feasibility of the Zone project and should not be used for any other purpose. THOMPSON,_DERRIG & CBAIG,_P_C_ voi. 3 Pg. ) �- `+ ' CITY OF BRYAN TAX INCREMENT REINVESTMENT ZONE #22 SUMMARY OF SIGNIFICANT FORECAST ASSUMPTIONS The accompanying forecasted schedules present, to the best of management's knowledge and belief, the estimated tax revenues, cash flows, bond activity, and additional tax revenue for the forecast period. Accordingly, the forecast reflects management's judgment as of April 4, 2007, the date of this forecast, of the expected conditions and its expected course of action. The assumptions disclosed herein are those that management believes are significant to the forecast. There will usually be differences between the forecasted and actual results, because events and circumstances frequently do not occur as expected, and those differences may be material. ♦ Project funding will include $6,000,000 in either certificates of obligation or tax increment revenue bonds issued by or on behalf of the city in the amounts of $4,158,000 in 2007, $542,000 in 2008 and $1,300,000 in 2009. Payment on these bonds will be amortized over a period of 20 years with an interest rate of 5% per annum. ♦ Excess funds will be invested at 4% per smmm. ♦ Additions to the captured assessed valuation will be: 2007 $ 3,945,880 2008 16,422,448 2009 22,086,092 2010 8,302,371 $50.756.791 in addition, beginning in 2011 the captured assessed valuation will increase in value at the rate of 1.5% per year. ♦ Future tax rates dedicated to this project will be: City of Bryan $.6364 Brazos County $ .3930 ♦ Brazos County's participation will terminate in 2022_ ♦ No tax abatement will be given. Vol. ) 3 o p 1+-13 CITY OF BRYAN TAX INCREMENT REINVESTMENT ZONE #22 SUMMARY OF SIGNIFICANT FORECAST ASSUMPTIONS ♦ project costs will be: ROW Acquisition (in lieu of cut and fill for ROW) – this cost is a fixed cost of $350,000 for 6.057 acres. The cost for construction of a 54' wide sheet that extends Wildflower from FM 1179 (Briarcrest) to the southern boundary of the 60 acre site and a 38' wide street from SH 6 Frontage Road to the Brazos Center property intersecting with a round - about. Included with the street is • storm sewer, • 5' sidewalks on both sides of both streets, • waterlines along the right -0f -way for looping, • a small section of sewer line along Wildflower, • underground conduit for electrical distribution • deceleration lanes along FM 1179 and SH6 Frontage Road, • street lighting Total estimated costs are $2,788,886. Assist developer in the reclamation of the borrow area to provide for a pond – this is a not to exceed cost of $42,500. Allowance for amenity in the vicinity of the former borrow area now pond on the Brazos Center site. The amenity allowance is a not to exceed cost of $112,500. Allowance for landscaping along the streets for a not to exceed cost of $265,000 Allowance for facade improvements on Target and A2 for a not to exceed cost of $287,000. Allowance for facade improvements of Buildings Cl, C2 and C3 for a not to exceed cost of $200,000. Total Cost – 2007 4 5 g6 Signal and fiber at FM 1179 (Briarcrest) and Wildflower Facade for Building B and D Total Cost – 2008 L Vol. 136 pg. 14'(0 CITY OF BRYAN TAX INCREMENT REINVESTMENT ZONE #22 SUMMARY OF SIGNIFICANT FORECAST ASSUMPTIONS The cost of design and construction of culverts and extension of Wildflower from its terminus at the southern end of the 60 acre tract across Briar Creek for an estimated cost of $1,200,000. Cost and installation of amenity or monument within the center of the round about for a not to exceed cost of $100,000. Total Cost — 2009 $1 "300"000 Total Project Costs $ 5.867.692 Vol. P 3o P g . I q1 CITY OF BRYAN, TEXAS TAX INCREMENT REINVESTMENT ZONE #22 ANALYSIS FORECASTED TAX REVENUES Vol. 1 � 0 p 1 491 CITY OF BRYAN TAX INCREMENT REINVESTMENT ZONE #22 FORECASTED TAX REVENUES See summary of sigti5cant assumptions and accountants' report. Vol. 130 p I q� Ceptmed City of Brazos Total Fiscal Assmod Bryan County Tax Year Valuation S0.6364 $0.3930 Revenue 2007 3,945,880 25,112 15,507 40,619 2008 20,368328 129,624 80,048 209,672 2009 42,454,420 270,180 166,846 437,026 2010 50,756,791. 323,016 199,474 522,490 2011 51,518,143 327,861 202,466 530,328 2012 52,290,915 332,779 205,503 538,283 2013 53,075,279 337,771 208,586 546,357 2014 53,871,408 342,838 211,715 554,552 2015 54,679,479 347,980 214,890 562,871 2016 55,499,671 353,200 218,114 571,314 2017 56332,166 358,498 221,385 579,883 2018 57,177,149 363,875 224,706 588,582 2019 58,034,806 369,334 228,077 597,410 2020 58,905,328 374,874 231,498 606,371 2021 59,788,908 380,497 234,970 615,467 2022 60,685,742 386,204 238,495 624,699 2023 6096,028 391,997 - 391,997 2024 62,519,968 397,877 - 397,877 2025 63,457,768 403,845 - 403,845 2026 64,409,634 409,903 - 409,903 2027 65,375,779 416,051 - 416,051 See summary of sigti5cant assumptions and accountants' report. Vol. 130 p I q� CITY OF BRYAN TAX INCREMENT REINVESTMENT ZONE #22 ANALYSIS FORECASTED CASH FLOWS Vol. 0 Pg. 1 ',�D n o� IL =.,..1 P m � a & o i & S +1 O i .�ii Y I < Q Q G el a..r .II a O ip Mi P O • o nn GCCC Y < •• d 0 a � m � � 8 o � S m % S � S a 1{ .•�' tS H IN g A Vol. 3 D Pg.._L — .ry p q n p O O H P • ` J �. i S . P vl a Y d� o 0 9_ y � � r m y q O j nz � $22$ 5 0 79 u i CITY OF BRYAN TAX INCREMENT REINVESTMENT ZONE #22 ANALYSIS FORECASTED BOND ACTIVITY Vol. 130 Pg. 155 CITY OF BRYAN TAX INCREMENT REIN VESTMENT ZONE #22 FORECASTED BOND ACI7VITY See summary of sigaiGcant assumptions and eccountaats'report Vol. 130 p 15 y Bonds Bonds Outstanding Outstanding Fiscal Beginning of Principal Pad of Fiscal Year Fiscal Year Bonds Issued Paid Year Intemest Paid 2007 - 4,158,000 4,158,000 - 2008 4,155,000 542,000 125,749 4574,251 207,900 2009 4,574,251 1,300,000 148,427 5,725,824 228,713 2010 5,725,824 - 195,164 5,530,660 286,291 2011 5,530,660 204,922 5325,738 276,533 2012 5375,738 - 215,169 5,110,569 266,286 2013 5,110,569 - 225,926 4,884,643 255,529 2014 4,884,643 - 237,224 4,647,419 244,231 2015 4,647,419 - 249,084 4,398,335 232,371 2016 4,399,335 - 261,538 4,136,797 219,917 2017 4,136,797 - 274,615 3,862,182 206,840 2018 3,862,192 - 258,347 3.573,835 193,109 2019 3,573,835 - 302,764 3,271,071 178,692 2020 3,271,071 - 317,902 2,953,169 163,554 2021 2,953,169 - 333,797 2,619,372 147,659 2022 2,619,372 - 350,487 2,268,885 130,969 2023 2,268,885 - 368,013 1,900,872 113,443 2024 1,900,872 - 386,412 1,514,460 95,044 2025 1,514,460 - 405,733 1,108,727 75,723 2026 1,108,727 - 426,020 682,707 55,436 2027 682,707 - 682,707 - 34,135 See summary of sigaiGcant assumptions and eccountaats'report Vol. 130 p 15 y CITY OF BRYAN TAX INCREMENT REINVESTMENT ZONE #22 ANALYSIS ADDITIONAL INFORMATION Vol. 130 p I CITY OF BRYAN TAX INCREMENT REINVESTMENT ZONE #22 FORECASTED ADDITIONAL TAX REVENUE FOR BRYAN LSD Captured Bryan Fiscal Asscsscd ISD L}to�tTu Total T" 2008 20368,328 1.18 240346 286.907 2009 42,454,420 1.18 500,962 787,869 2010 50,756,791 1.16 598,930 1,386,799 2011 51,518,143 1.18 607914 1,994,713 2012 52,29D,915 1.18 617,033 2,611,746 2013 53,075,279 1.18 626,288 3,238,034 2014 53,871,408 1.18 635,683 3,873,717 2015 54,679,479 1.16 645,218 4,518,935 2016 55,499,671 1.18 654,896 5,173,831 2017 56332,166 1.18 664,720 5,838,551 2018 57,177,149 1.18 674,690 6513 ,241 2019 58,034,806 1.18 684,811 7,198,052 2020 58,905,328 1.18 695,083 7,893,135 2021 59,788,908 1.18 705,509 8,598,644 2022 60,685,742 1.18 716,092 9314,736 2023 61,596,028 1.18 726,833 10,071569 2024 62,519,968 1.18 737,736 10,779,305 2025 63,457,768 1.18 748,802 11,528,107 2026 64,409,634 1.18 760,034 12,288,141 2027 65,375,719 1.18 771,434 13,059,575 Sx summary of siguilicant assumptions and accountants' report. CITY OF BRYAN TAX INCREMENT R$INVESTMENT ZONE #22 FORECASTED ADDITIONAL TAX REVENUE FOR BRAZOS COUNTY Sea summary of significant assumptions and accountants' report. Vol. 1 3 b p g. 157 Capturcd Brazos Fiscal Assessed County Cumat Tax Total Tax year Valuation $0.062 Revenue Revenue 2007 3,945,880 0.0620 2,446 2,446 2008 20 ,368,328 0.0620 12,628 15,074 2009 42,454,420 0.0620 26,322 41,396 2010 50,756,791 0.0620 31,469 72,865 2011 51,518,143 0.0620 31,941 104,806 2012 52,290,915 0.0620 32,420 137,226 2013 53,075,279 0.0620 32,907 170,133 2014 53,871,408 0.0620 33,400 203,533 2015 54,679,479 0.0620 33,901 237,434 2016 55,499,671 0.0620 34,410 271,844 2017 56,332,166 0.0620 34,926 306,770 2018 57,177,149 0.0620 35,450 342,220 2019 58,034,806 0.0620 35,982 378,202 2020 58,905,328 0.0620 36 ,521 414,723 2021 59,788,908 0.0620 37,069 451,792 2022 60,685,742 0.0620 37,625 489,417 2023 61,596,028 0.0455 28,026 517,443 2024 62,519,968 0.0455 28,447 545,890 2025 63,457,768 0.0455 28,873 574,763 2026 64,409,634 0.0455 29,306 604,069 2027 65,375,779 0.0455 29,746 633,815 Sea summary of significant assumptions and accountants' report. Vol. 1 3 b p g. 157 x c m . ST V DRRNNE' --- ------ -- i p BRIARG F: Ce RR§ R p6 1 RFa SKIS 1 -� ��i _ l U{HHgV;HIH +�IM{J � � x : -� axi�o Vol. 13 b Pg. I �5 9 cn rf € mg A� F Vol. 13 b Pg. I �5 9 ASO Benefit Program Application ( "ASO BPA ") Application to Administrative Services Only (ASO) Group Accounts Administered by Blue Cross and Blue Shield of Texas, a division of Health Care Services Corporation, A Mutual Legal Reserve Company, hereinafter referred to as the "Claim Administrator or "HCSC" Group Status: Renewing ASO Account Off Cycle Change: ❑Yes ® No Employer Account Number (6- digits): 080950 Group Number(s): 080950 Section Number(s): all Legal Employer Name: Brazos County (Specify the employer or the employee trust applying for coverage. AN EMPLOYEE BENEFIT PLAN MAY NOT BE NAMED) Employer Identification Number: 746000433 SIC: 9199 Public Entity? ® Yes ❑ No Primary Address: 200 S Texas Avenue Suite 206 City: Bryan State: TX Zip: 77803- Administrative Contact: Jennifer Salazar ry 3999 Title: Human Resource Director Phone Number: 979- Fax Number: Email Address: 361 -4117 jsalazar @co.brazos.tx.us Physical Address (if different from Primary - required): Same City: State: Zip: Billing Address City: State: Zip: Billing Contact: Title: Phone Number: Fax Number: Email Address: Subsidiary Companies: N/A Subsidiary Address: City: State: Zip: Administrative Contact: Title: Phone Number: Fax Number. Email Address: Blue Access for Employers (BAE) Contact: Jennifer Salazar (The BAE Contact is the Employee of the account authorized by the Employer to access and maintain its account via BAE.) Title: Human Resource Phone Number: 979- Fax Number: Email Address: jsalazar @co.brazos.tx.us Director 361 -4117 Affiliated Companies: N/A Location(s): ERISA Plan: ❑Yes ® No If yes, specify ERISA Plan Year: (mm /dd /yy) ERISA Plan Administrator: Plan Administrator's Address: Effective: If applicable, the below -named agent(s)or agency(ies) is /are recognized as Employer's Agent of Record (AOR) to act as representative in negotiations with and to receive commissions from Blue Cross and Blue Shield of Texas, a division of Health Care Service Corporation (HCSC), a Mutual Legal Reserve Company, and HCSC subsidiaries for Employer's employee benefit programs. This statement rescinds any and all previous AOR appointments for Employer. The AOR is authorized to perform membership transactions on behalf of Employer. This appointment will remain in effect until withdrawn or superseded in writinq by Employer. 1. *Agent(s) or Agency(ies) to whom commissions are to be paid Tax ID Number (TIN) of ❑ Agent or ❑ Agency: _ Producer #: Agency Address: Street: City: Zip: Phone: Fax: Email: Is Agent/Agency appointed with BCBSTX? ❑ Yes ❑ No General Agent? ❑ Yes ❑ No _ hcsc tz gen aso bpa 090909 (on -line version) Vol. 13 Pg. I S 1 Effective Date of Coverage: 01/01/2010 Anniversary Date (AD): 01/01 Nature of Business: Municipality Affiliated with General Agent? ❑ Yes ❑ No 2. 'Agent(s) or Agency(ies)" to whom commissions are to be paid: Tax ID Number (TIN) of ❑ Agent or ❑ Agency: Agency Address: Street: Phone: Fax: Is Agent/Agency appointed with BCBSTX? ❑ Yes ❑ No Producer #: City: Zip: Email: General Agent? ❑ Yes ❑ No Affiliated with General Agent? ❑ Yes ❑ No If commission split, designate percentage for each agent/ Agent/Agency 1: % Agent/Agency 2: % agency. Note: total commissions paid must equal 100% 3. Multiple Location Agency(ies): If servicing agency is not listed above as Item 1 or 2, specify location below: The agent or agency name(s) above to whom commissions are to be paid must exactly match the name(s) on the appointment application(s). .. If commissions are split, please provide the information requested above on both agentstagencies. BOTH must be appointed to do business with BCBSTX. ❑ A part-time employee of the Employer. ❑ A retiree of the Employer. ❑ Other: _ Are any classes of employees to be excluded from coverage? ❑ Yes ❑ No If yes, please identify the classes and describe the exclusion: _ 2. Full -Time Employee means: ❑ A person who is regularly scheduled to work a minimum of hours per week and who is on the permanent payroll of the Employer. ❑ Other: 3. Domestic Partners covered: ❑ Yes ❑ No If yes: A Domestic Partner, as defined in the Plan, shall be considered eligible for coverage. The Employer is responsible for providing notice of possible tax implications to those Covered Employees with Domestic Partners. If yes, are Domestic Partners eligible to continue coverage under COBRA? ❑ Yes ❑ No If yes, are dependents of Domestic Partners eligible for coverage? ❑ Yes [:]No 4. Are unmarried children of any age who are medical) certified as disabled and dependent on the employee for support and maintenance eligible for coverage? [] Yes II No Are unmarried children over the limiting age who are medically certified as disabled and dependent on the employee for support and maintenance eligible for coverage under the plan if they were not covered under the plan prior to reaching the limiting age? ❑ Yes ❑ No 5. Are unmarried step - children under the limiting age eligible for coverage? ❑ Yes ❑ No If yes, is residency with the employee required? ❑ Yes ❑ No 6. Are unmarried grandchildren eligible for coverage? ❑ Yes ❑ No If yes, must the grandchild be dependent on the employee for federal income tax purposes at the time application is made? ❑ Yes ❑ No 7. The effective date for a newly eligible person who becomes effective after the employer's initial enrollment date: ❑ The date of employment. ❑ The day of employment. ❑ The day of the month following month(s) or _ days of employment. ❑ The day of the month following the date of employment. P I / _ Q Vol. 1 n S• c0 hcsc tx gen aso bpa 090909 (on -line version) 2 1. Eligible Person means: ❑ A full -time employee of the Employer. ❑ A full -time employee who is a member of: (name of union) ❑ Other: Is the waiting period requirement to be waived on initial group enrollment? ❑ Yes ❑ No Are there multiple new hire waiting periods? ❑ Yes ❑ No If yes, please attach eligibility and contribution details for each section. 8. The Effective Date of termination for a person who ceases to meet the definition of Eligible Person: ❑ The date such person ceases to meet the definition of Eligible Person. ❑ The last day of the calendar month in which such person ceases to meet the definition of an Eligible Person. ❑ Other: 9. Limiting Age for covered unmarried children: ❑ The limiting age for covered unmarried children is ❑ The limiting age for covered unmarried children is age if a full -time student. ❑ Other: Student certification: []Account or ❑ BCBSTX or ❑ None Frequency of Certification Letters: Annually (AN) ❑ Quarterly (QU) ❑ Semi - Annually (SA) ❑ • Certification Schedule: Month 1: Month 2: Month 3 4: • For Annual Notification, indicate one month (Jan -Dec) for notification, for Semi - annual, select 2 months, for quarterly, select 4 months Automatically cancel dependents who reach the maximum limiting age? ❑ Yes ❑ No 10. Termination of coverage upon reaching the Limiting Age: ❑ Coverage is terminated on the birthday. ❑ Coverage is terminated on the last day of the month in which the limiting age is reached. ❑ Coverage is terminated on the last day of the billing month. ❑ Coverage is terminated on the last day of the year (12/31) in which the limiting age is reached. ❑ Coverage is terminated on the group's Anniversary Date. Will coverage for a child who is medically certified as disabled and dependent on the parent terminate upon reaching the limiting age even if the child continues to be both disabled and dependent on the parent? ❑ Yes ❑ No 11. Enrollment: Special Enrollment An Eligible Person may apply for coverage, Family coverage or add dependents within thirty -one (31) days of a qualifying event if he /she did not apply prior to his /her Eligibility Date or when eligible to do so. Such person's Coverage Date, Family Coverage Date, and /or dependent's Coverage Date will be the effective date of the qualifying event or, in the event of Special Enrollment due to termination of previous coverage, the first day of the Plan Month following receipt of the application. Late Enrollment: An Eligible Person may apply for coverage, Family coverage or add dependents if he /she did not apply prior to his /her Eligibility Date or did not apply when eligible to do so. Such person's Coverage Date, Family Coverage Date, and /or dependent's Coverage Date will be a date mutually agreed to by the Claim Administrator and the Employer. An Eligible Person may apply for coverage, Family coverage or add dependents if he /she did not apply prior to his /her Eligibility Date or did not apply when eligible to do so, during the Employer's Open Enrollment Period. Such person's Coverage Date, Family Coverage Date, and /or dependent's Coverage Date will be a date mutually agreed to by the Claim Administrator and the Employer. Such date shall be subsequent to the Open Enrollment Period. Late applicant enrollment options: ❑ Annual open enrollment – late applicant may apply during open enrollment and be subject to a 12 -month pre- existing waiting period (credit will always be applied). ❑ No Annual Open Enrollment – late applicants are never eligible for coverage (dental only). ❑ Annual open enrollment– no pre- existing waiting period. ❑ Late applicants may apply at any time – coverage is effective first of the month following receipt of the application. An 18 -month pre- existing waiting period applies. Specify Open Enrollment Period: 12. Pre - existing waiting period (applies to the account's initial enrollment): ❑ No pre- existing waiting period. ❑ Pre - existing applies to all participants. hosc tx gen aso bpa 090909 (on-line version) Vol. 3 � Pg. 16 ❑ Pre - existing is waived on the account's initial enrollment. All others must serve pre- existing waiting period. Benefits for treatment incurred during the months prior to the effective date of membership will not be covered for months after the effective date. 13. Extension of benefits due to Temporary Layoff, Disability or Leave of Absence: Temporary Layoff: days Disability: days Leave of Absence: _ days However, benefits shall be extended for the duration of an Eligible Person's leave in accordance with any applicable federal or state law. 14. COBRA Auto Cancel? ❑ Yes ❑ No Member's COBRA/Continuation of Coverage will be automatically cancelled at the end of the member's eligibility period. 15. Eligibility reporting method (applies to initial enrollment): ❑ Account will self - enroll online through BlueAccess for Employers. ❑ Members will self - enroll online through BlueAccess for Members. ❑ BCBSTX will enter enrollment online through BlueAccess for Employers. ❑ BCBSTX will enter enrollment via paper applications. ❑ BCBSTX will enter enrollment from membership spreadsheet. ❑ BCBSTX will process enrollment via Automated Eligibility Process (AEP). 2. Total number of employees serving new hire eligibility period: 3. Total number of employees with other coverage (i.e., other group coverage, TRICARE/Champus): 4. Total number of individuals currently covered under COBRA: Medicare, Medicaid, A nonfederal government employer that provides self - funded group health plan coverage to its employees may elect to exempt its plan from most of the requirements of Title XXVII of the Public Health Service (PHS) Act. Such clients must apply for exemption each year, in writing, with the Centers for Medicaid & Medicare Services (CMS). If exemption is elected, the following must be provided. (Documents attached? ❑ Yes ❑ No) • Copy of client's exemption election letter to CMS • Copy of notice of such exemption to plan participants Indicate opting out of: ❑ Limitations on pre- existing condition exclusion period, excluding maternity NOTE: ISDs may not opt out ❑ Limitations on pre - existing condition exclusion period, including maternity NOTE: ISDs may not opt out ❑ Special enrollment periods for individuals losing other coverage ❑ Prohibits discriminating against individual participants and beneficiaries based on health status ❑ Maternity hospital stay standards relating to mothers and their newborns ❑ Parity in the application of certain limits to mental health benefits (and substance use disorder benefits) ❑ Mandated reconstructive surgery benefits following mastectomies Vol. 1,30 pg. 1(y a, hcsc be gen aso bpa 090909 (on -line version) 4 1. Total number of employees presently eligible for coverage: ❑ Coverage of dependent students on medically necessary leave of absence Note: no creditable coverage applies if opting out. Pre- existing applies, including maternity ❑ Underwrite for an AD effective date ❑ Underwrite for an effective date the next service date following approval ❑ No underwriting; effective on AD ❑ Annual open enrollment; late applicants may apply and be subject to 18 months pre -existing exclusion ® Managed Health Care Coverage: ® PPO ❑ Dual Option High Plan Name: Low Plan Name:_ ❑ Annual Max ❑ EPO ❑ POS ❑ HMO ❑ with Drug coverage ❑ without Drug coverage ❑ Consumer Driven Health Plan (BlueEdge) ❑ Traditional coverage: ❑ Prescription Drug Coverage: ® Comprehensive Dental Coverage ❑ Comprehensive Vision Coverage ❑ In- Hospital Indemnity (IHI) ® PPO Provider Network: ® Healthcare Management Services: ❑ Wellness Incentives COMMENTS: ❑ HCA ❑ HSA ❑ Out -of -Area (Indemnity) [I Benefit Offering ❑ Prescription Drug Program ❑ Stand -Alone Prescription Drug Program ® BlueChoice (PTXOA) ❑ BlueChoice Solutions (PSNOA) ❑ Dual Network Option (both BlueChoice and BlueChoice Solutions) For BCBSTX Members: For Non - BCBSTX Members only: ® Blue Care Connection ❑ Personal Health Manager (Stand - alone) ❑ Special Beginnings only ❑ Health Risk Assessment (Stand - alone) ❑ BlueEdge HCA (Stand - alone) Vol. B0 P ) hcsc tx gen aso bpa 090909 (on -line version) 5 FINANCIAL DOCUMENT ADMINISTRATION FEE SCHEDULE To begin on Effective Date of Coverage and continue f( ® 12 Months ❑ Other: Months 1. Type: ❑ Medical ® Medical / Dental ❑ Other: 2. Administrative Charge Chart: Additional Comments: None Dental: 1 $3.72 1 $ 1 $ 1 $ 3. Termination Administrative: vol. 13 b pg. hcsc Ix gen aso bpa 090909 (on -line version) Composite Product / Service Admin Rate Base Administrative Charge < *> (Medical) $38.82 $ $ $ Prescription Drug Administrative Charge $N /A $ $ $ Prescription Drug Rebate Credit per Covered Employee per month is the guaranteed Prescription Drug Rebate savings reflected as a Prescription Drug Rebate credit. Expected rebate amounts to be received by the Claim Administrator are passed back to the Employer with one hundred percent (100 %) of the expected amount applied as a credit on the monthly billing statement on a per Covered Employee per month basis. Rebate credits are paid $N /A $ $ $ prospectively to the Employer and shall not continue after termination of the Prescription Drug Program. (Further information concerning this credit is included in the governing Administrative Services Agreement to which this ASO BPA is attached under the section titled "CLAIM ADMINISTRATOR'S SEPARATE FINANCIAL ARRANGEMENTS WITH PHARMACY BENEFIT MANAGERS. ") Blue Care Connection ( "BCC ") Program: Enhanced $Included $ $ $ Special Beginnings $ Inlcuded $ $ $ Other: $ $ $ $ Other: $ $ $ $ Other: $ $ $ $ Total $38.82 $ $ $ Additional Comments: None Dental: 1 $3.72 1 $ 1 $ 1 $ 3. Termination Administrative: vol. 13 b pg. hcsc Ix gen aso bpa 090909 (on -line version) The Termination Administrative Charge applicable to the Run -Off Period shall be equal to the sum of the amounts obtained by multiplying the total number of Covered Employees by category (per Covered Employee per individual or family composite)during the three (3) months immediately preceding the date of termination by the appropriate factors shown below. Service ® Standard benefit booklet (no additional charge) ❑ Customized benefit booklets Medical Run -off Administration Charge $16.68 $ $ $ Other: $ $ $ $ Dental Run-off Administration Charge 1 $2.89 1 $ 1 $ $ Additional Comments: None Dental: I $ I $ I $ I $ I $ I $ 4. BlueCard Program /Network access fee: $ (Available upon request) 1. Benefit booklets — Is BCBSTX providing benefit booklets? ® Yes ❑ No ® Standard benefit booklet (no additional charge) ❑ Customized benefit booklets ❑ No additional charge ❑ Supplemental Billing" ❑ Customized booklet covers* ❑ No additional charge ❑ Supplemental Billing" ❑ ERISA plan information ❑ No additional charge ❑ Supplemental Billing" 2. Subscriber ID cards ® Standard subscriber ID cards (no additional charge) ❑ Customized ID card services ❑ No additional charge ❑ Supplemental Billing - 3. Network provider directories ❑ No additional charge ❑ Supplemental Billing ** 4. Subscriber claim forms, enrollment forms, enrollment materials ❑ No additional charge ❑ Supplemental Billing`* 5. Special mailings Provider directories to be mailed to home addresses: ❑ Yes ❑ No ❑ Cost included in admin charge ❑ Supplemental Billing" 6. Other: Additional charge: $ * Custom booklet covers are not available on electronic documents. * *As indicated in fee table on previous page. VOI. _J3� Pg.- )65 -- hose tx gen aso bpa 090909 (on -line version) 5. Reimbursement Provision: ® Yes ❑ No If yes: It is understood and agreed that in the event the Claim Administrator makes a recovery on a third -party liability hcsc be gen aso bpa 090909 (on -line version) Vol, -- A ' 3 � Pg. Run -Off Period: Transfer Payments are to be made for twelve (12) months following the end of the Fee Schedule Period. Final Settlement: Final Settlement to be made within (60) days after end of Run -Off Period. BROKER/CONSULTANT COMPENSATION The Employer acknowledges that if any broker /consultant acts on its behalf for purposes of purchasing services in connection with the Employer's Plan under the Administrative Services Agreement to which this ASO BPA is attached, the Claim Administrator may pay the Employer's broker /consultant a commission and /or other compensation in connection with such services under the Agreement. If the Employer desires additional information regarding commissions and /or other compensation paid the broker /consultant by the Claim Administrator in connection with services under the Agreement, the Employer should contact its broker /consultant. HCSC COBRA ADMINISTRATIVE SERVICES HCSC COBRA Administrative Services Purchased: ® Yes ❑ No If yes, please complete the COBRA sections below. If no, the COBRA sections below do not apply. C OB RA RENEWAL - NO CHANGES SEE ADDITIONAL PROVISIONS COBRA Administrative Billing Services Only: ❑ Yes ❑ No COBRA Administrative Full Services: ❑ Yes ❑ No Notification Services included: (Full Services) ❑ Yes ❑ No Conversion Rights included: (Full Services) ❑ Yes ❑ No Monthly Reports* included: ❑ Yes ❑ No If Yes: Email Address: *Paper reports provided by mailielectronic reports via email Effective date(s) of services if different from ASO Effective Date of Coverage: C OBRA • Billing Services Fee per Participant per month: $10.00 If Notification Services included(Full Services) Notification Fee [per Participant, per notification]: $10.00 Monthly Administrative Fee: $75.00 The Employer will pay HCSC a sum of One Hundred Dollars ($100.00) per hour for any system programming costs associated with non - standard administration services. Vol. _ I mo— Pg' '� hcsc be gen aso bpa 090909 (on -line version) C OBRA.- Number of Active Members *: Number of current COBRA participants /members *: Number of current COBRA retiree participants /members *: 'Full Service Unit (FSU) set -up of participants/members in Blue Star required FSU Location: FSU Contact: Email Address: Is all COBRA participant census information attached ?❑ Yes ❑ No Is all COBRA participant coverage(s) and level elected information attached ?❑ Yes ❑ No Is all dependent census information attached ?❑ Yes ❑ No C OBRA .- Are rates (SINGLEIFAMILY or TIERED) for all coverages attached? ❑ Yes ❑ No Is 2% included in attached rates? ❑ Yes ❑ No Does Employer have any non -HCSC coverage? ❑ Yes ❑ No ff Yes, Other Carrier(s): Name: Address: Email Address: City: State: Zip: Administrative Contact: Phone Number. Fax Number: Name: Address: Email Address: City: State: Zip: Administrative Contact: Phone Number: Fax Number: COBRA coverage begins: ❑ On date of Qualifying Event ❑ First of month following date of Qualifying Event Should 150% of the COBRA premium be charged to participants eligible for disability extension for the remaining 11 months of COBRA? ❑ Yes ❑ No (Extension is from 18 months to 29 months when deemed disabled by Social Security) Is contract provided and signed? ❑ Yes ❑ No Prior COBRA administrator info: Name:. Address: Email Address: City: State: Zip: Administrative Contact: Phone Number: Fax Number: Vol. 130 p 1(9 hcsc tx gen aso bpa 090909 (on -line version) 10 1. Certificate of Creditable Coverage: ® Yes ❑ No If yes: The Employer directs the Claim Administrator to issue to individuals, whose coverage under the Plan terminates during the term of the Administrative Services Agreement to which this ASO BPA is attached, a Certificate of Creditable Coverage. The Certificate of Creditable Coverage shall be based upon information required for issuance of a Certificate of Creditable Coverage to be provided to the Claim Administrator by the Employer and coverage under the Plan dudng the term of the Administrative Services Agreement. 2. Stop Loss Coverage purchased: ❑ Yes ® No (If yes, complete separate Stop Loss exhibit) 3. Fort Dearborn Life Insurance purchased: ❑ Yes ® No (If yes, complete separate application) 4. . Health Care Account (HCA) Administrative Services purchased: ❑ Yes ® No 5. Employer contribution. The percentage of premium to be paid by the employer is: or. .$:.. Emp: % $ Dep: %°., $ Emp: %° $ Dep: % 6. This ASO Benefit Program Application (ASO BPA) is incorporated into and made a part of the Administrative Services Agreement with both such documents to be referred to collectively as the "Agreement" unless specified otherwise. ADDITIONAL PROVISIONS: VOL 1___ 3 d -- Pg —_'= hcsc be gen aso bpa 090909 (on -line version) 11 I UNDERSTAND AND AGREE THAT: 1. The proposed fees are effective for 12 months, subject to contract provisions, and are based on the information and conditions stated. Final fees are subject to review based on actual enrollment results. If there is a 10% or greater variance in the enrollment and /or less than the minimum enrollment requirement of 702, BCBSTX reserves the right to review the final fees. The information provided in this application is complete and accurate to the best of my knowledge. If this information is incomplete or inaccurate, BCBSTX may rerate the plan, withdraw the proposal or cancel the contract. 2. No material changes have been made to the claims experience previously provided. ®Yes ❑ No If changes have been made, please complete and attach the account experience addendum. 3. No material changes have been made to the previously provided location(s) of eligible employees? ® Yes ❑No If changes have been made, please attach new census. 4. Receipt by BCBSTX of the advance administrative fee (where applicable), in the amount of $N /A, and completed enrollment forms does not constitute approval and acceptance by the BCBSTX Home Office. 5. If applicable, effective 1/1/2004, the above -named agent(s)or agency(ies) is /are recognized as Employer's Agent of Record (AOR), to act as representative in negotiations with and to receive commissions from Blue Cross and Blue Shield of Texas, a division of Health Care Service Corporation (HCSC), a Mutual Legal Reserve Company, and HCSC subsidiaries for our employee benefit programs. This statement rescinds any and all previous Agent of Record appointments for this company. The above named agent(s) or agency(ies) is authorized to perform membership transactions on behalf of the Employer. This appointment will remain in effect until withdrawn or superseded in writing by our company. 6. Agent/Broker Statement (if applicable): I certify that I have reviewed all enrollment materials. I have also advised the Employer that I have no authority to bind these coverages, to alter the terms of the Contract(s) /Poiicy(ies), this Benefit Program Application or enrollment material in any manner or to adjust any claims for benefits under the Contract(s) /Po I icy(ies). BCBSTX will report the value of all remuneration by BCBSTX to ERISA plans with 100 or more participants for use in preparation of ERISA Form 5500 schedules. Reporting will also be provided upon request to non - ERISA plans or plans with fewer than 100 participants. Reporting will include base commissions, bonuses, incentives, or other forms of remuneration for which your agent/consultant is eligible for the sale or renewal of self- fupded and /or insured products. Benjamin Suarez Authorized BCBSTX Representative Account Executive 11/09 Date 972/855/9006 Fax 214/74112047 BCBSTX Telelphone and Fax numbers Agent Representative (if applicable) Telephone and FAX numbers o hcsc tx gen aso bpa 090909 (on -line version) VOI. - 3 0 Pg.--L — LA�Ql(C2, Date FJ:Z*W The undersigned hereby appoints the Board of Directors of Health Care Service Corporation, a Mutual Legal Reserve Company, or any successor thereof ( "HCSC "), with full power of substitution, and such persons as the Board of Directors may designate by resolution, as the undersigned's proxy to act on behalf of the undersigned at all meetings of members of HCSC (and at all meetings of members of any successor of HCSC) and any adjournments thereof, with full power to vote on behalf of the undersigned on all matters that may come before any such meeting and any adjournment thereof. The annual meeting of members shall be held each year in the corporate headquarters on the last Tuesday of October at 12:30 p.m. Special meetings of members may be called pursuant to notice mailed to the member not less than 30 nor more than 60 days prior to such meetings. This proxy shall remain in effect until revoked in writing by the undersigned at least 20 days prior to any meeting of members or by attending and voting in person at any annual or special meeting of members. Group No By: Group Name: Address: City: Dated this State: day of Month Year Zip Code: hcsc be gen aso bpa 090909 (on -line version) Vob 13 0 Pg. I UlueCross RlueShield l�3 of Texas • MENTAL HEALTH PARITY and ADDICTION EQUITY ACT ELECTIONS NON -HMO Grou Name: Brazos Coun Grou Number: 80950 Renewal Date: 01 01 2010 Completed By: Sarah wold Extension: 49076 New Federal Requirements for Mental Health Care, Serious Mental Illness, and Treatment of Chemical Dependency Coverage - On October 3, 2008, President Bush signed the Emergency Economic Stabilization Act of 2008. This legislation included the Mental Health Parity and Addiction Equity Act ( MHPAEA) which amends the Employee Retirement Income Security Act (ERISA), the Internal Revenue Code (Code) and the Public Health Service Act (PHSA). The MHPAEA generally requires that group health plans and group health insurers apply the same treatment and financial limits to medical and surgical benefits and to mental health and substance use disorder benefits. The MHPAEA does not mandate coverage of mental health, serious mental illness, or chemical dependency (substance abuse). It does, however, require group health plans that cover mental health care, serious mental illness, and /or treatment of chemical dependency not apply more restrictive treatment limitations (number of visits, days of coverage or other similar limits on the scope or duration of treatment) or financiai requirements (deductibles, copayments, coinsurance, and out -of- pocket expenses) than those applied to substantially all medical and surgical benefits. As applies to PPO plans, parity requirements also apply to the out -of- network coverage for medical and surgical benefits and mental health and chemical dependency benefits. For renewing groups, the provisions of the law will go into effect on your renewal date beginning on and after October 3, 2009. It is important that you review your plan design in light of this new law and provide notice of your elections to Blue Cross and Blue Shield of Texas ( BCBSTX) as your claims administrator. Renafrte fnr Carinuc M ental Tllnaee (rhp k the hnx that annlips — must splprt nnp) Ranafitc fnr Treatment of Chemica Denendenev (check the box that aoolies - must select one) ✓ We are a public entity, therefore, benefits for serious mental illness are paid same as any other physical illness. No changes are necessary. ❑ We are not a public entity and have elected to provide benefits for serious mental illness same as any other physical illness with no Inpatient day or outpatient visit limitations. All benefits paid are to be applied to the maximum lifetime benefits amount of the plan. ❑ We are not a public entity and have elected to no longer provide benefits for serious mental illness. ❑ Benefits for serious mental illness are carved out of the group health plan administered by BCBSTX and are administered by another vendor. Itis our desire that medical and serious mental illness calms paid be accumulated to apply to any deductibles, co -share amounts, and maximum lifetime benefits of the plan.* ❑ Benefits for serious mental illness are carved out of the group health plan administered by BCBSTX and are administered by another vendor. Itisnotourdes/re medical and serious mental illness claims paid be accumulated to apply to any deductibles, co -share amounts, and maximum lifetime benefits of the plan. NOTE: this option is not available for PPO plans that accompany an HSA. Ranafitc fnr Treatment of Chemica Denendenev (check the box that aoolies - must select one) ✓ We have elected to provide benefits for treatment of chemical dependency same as any other illness with no limitations on series of treatments. All benefits paid are to be applied to the maximum lifetime benefits of the plan. ❑ We have elected to no longer provide benefits for treatment of chemical dependency. We understand, however, that benefits for medical management of acute life- threatening intoxication (toxicity) in a Hospital will be available on the same basis as for sickness generally as described under Benefits for Inpatient Hospital Expenses. ❑ Benefits for treatment of chemical dependency are carved out of the group health plan administered by BCBSTX and are administered by another vendor. Itis our desire that medical and treatment of chemical dependency claims paid be accumulated to apply to any deductibles, co -share amounts, and maximum lifetime benefits of the plan.* ❑ Benefits for treatment of chemical dependency are carved out of the group health plan administered by BCBSTX and are administered by another vendor. It is not our desire that medical and treatment of chemical dependency claims paid be accumulated to apply to any deductibles, co-share amounts, and maximum lifetime benefits of the plan. NOTE: this option is not available for PPO plans that accompany an HSA. ❑ We are a self- funded, nonfederal governmental entity that provides group health plan coverage to our employees. We will be submitting our election for exemption to the parity in application of certain limits to mental health and substance abuse benefits to the Centers for Medicare and Medicaid Services (CMS). Required documentation for BCBSTX will be included in accordance with instructions in the Legislative Elections section of the ASO Benefits Program Application. A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association Non -HMO Renewal- MHPAE4(Rev.9.16.09) Vol. 130 pg. 0A Page 1 of 2 Ranafite fnr Man Maalth rarw (rherk the hnX that annlies - must select one) *If benefits for Mental Health Care, Serious Mental Illness, and / or treatment of Chemical Dependency are to be carved out to another vendor and the Plan Sponsor desires accumulated amounts to be applied to any deductibles and calendar year maximums of the plan, please provide the following: Vendor city State Phone number: Contact, if available: Special effective date rule for group health plans maintained pursuant to one or more collective bargaining agreements (CBA): MHPAEA provisions will not apply to plan years beginning before the later of (A) the date on which the last of the collective bargaining agreements relating to the plan terminates, or (B) January 1, 2010. The CBA for Group # /Benefit Agreement # will expire on rmonth/day /vearl , at which time we will notify BCBSTX of our BCBSTX, as your claims administrator, is ready to assist you with any questions you may have regarding the elections above. Contact your Marketing Account Representative. The information and elections provided in this addendum should not be construed as legal advice for implementation of the Mental Health Parity and Addiction Equity Act of 2008. The Department of Labor is responsible for enforcing the provisions of the Mental Health Parity and Addiction Equity Act with respect to ERISA group health plans. Penalties may be assessed for non - compliance. The Plan Sponsor retains the final a ty and sponsibility to establish the terms and conditions of the group health plan and is encouraged to seek)41 coun n ue s concerning compliance with this federal law. Date: p g . Non -HMO Renewal- MHPAEA(Rev.9.16.09) Page 2 of 2 We have elected to provide benefits for mental health pre same as any other illness with no limitations inpatient days or outpatient visits. All benefits paid are to be applied to the maximum lifetime benefits amount of the plan. O We have elected to no longer provide benefits for mental health pre. O Benefits for mental health pre are carved out of the group health plan administered by BCBSTX and are administered by another vendor. It is our desire that medical and mental health claims paid be accumulated to apply to any deductibles, m -share amounts, and maximum lifetime benefits of the plan.* 0 Benefits for mental health care are carved out of the group health plan administered by BCBSTX and are administered by another vendor. Itisnotourdesire medical and mental health claims paid be accumulated to apply to any deductibles, co -share amounts, and maximum lifetime benefits of the plan. NOTE: this option is not available for PPO plans that accompany an HSA. 0 We are a self - funded, nonfederal governmental entity that provides group health plan coverage to our employees. We will be submitting our election for exemption to the parity in application of certain limits to mental health and substance abuse benefits to the Centers for Medicare and Medicaid Services (CMS). Required documentation for BCBSTX will be included in accordance with Instructions in the Legislative Elections section of the ASO Benefits Program Application. *If benefits for Mental Health Care, Serious Mental Illness, and / or treatment of Chemical Dependency are to be carved out to another vendor and the Plan Sponsor desires accumulated amounts to be applied to any deductibles and calendar year maximums of the plan, please provide the following: Vendor city State Phone number: Contact, if available: Special effective date rule for group health plans maintained pursuant to one or more collective bargaining agreements (CBA): MHPAEA provisions will not apply to plan years beginning before the later of (A) the date on which the last of the collective bargaining agreements relating to the plan terminates, or (B) January 1, 2010. The CBA for Group # /Benefit Agreement # will expire on rmonth/day /vearl , at which time we will notify BCBSTX of our BCBSTX, as your claims administrator, is ready to assist you with any questions you may have regarding the elections above. Contact your Marketing Account Representative. The information and elections provided in this addendum should not be construed as legal advice for implementation of the Mental Health Parity and Addiction Equity Act of 2008. The Department of Labor is responsible for enforcing the provisions of the Mental Health Parity and Addiction Equity Act with respect to ERISA group health plans. Penalties may be assessed for non - compliance. The Plan Sponsor retains the final a ty and sponsibility to establish the terms and conditions of the group health plan and is encouraged to seek)41 coun n ue s concerning compliance with this federal law. Date: p g . Non -HMO Renewal- MHPAEA(Rev.9.16.09) Page 2 of 2