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HomeMy WebLinkAbout2022-08-02 10:00AM REGULAR MEETINGFILED FOR RECORD DATE O'CLOCK M REN MCQUEEN BRAZOS COUNTY BRYAN, TEXAS NOTICE OF MEETING AND AGENDA BRAZOS COUNTY COMMISSIONERS COURT THE COMMISSIONERS COURT OF BRAZOS COUNTY WILL MEET IN REGULAR SESSION ON AUGUST 2, 2022 AT 10:00 AM IN THE COMMISSIONER'S COURTROOM OF THE COUNTY ADMINISTRATION BUILDING, 200 SOUTH TEXAS AVE., SUITE 106, BRYAN, TX 77803, THE PUBLIC MAY WATCH THE MEETING LIVE AT FACE BOOK.COWBRAZOS000NTYTX 1. Invocation and Pledge of Allegiance • U.S. and Texas Flag — Commissioner Berry 2. Call for Citizen input and/or concerns 3. Presentations and/or Discussions Presentation of the Texas Historical Commission's 2021 Distinguished Service Award to the Brazos County Historical Commission - Henry Mayo Consider and take action on agenda items: 4 - 32 4. Consider and approval of General Election 2022. 5. Consider and approval of an Order calling a Bond Election and Special Election to authorize an additional Motor Vehicle Registration Fee, making provisions for the Conduct of the Election and other matters related thereto. 6. Approval of the following appointments to the Brazos County Public Defenders Oversight Board with staggered appointment terms as follows: • a. Michele Esparza - 3 year appointment • b. Judge Duane Peters - 2 year appointment • c. Commissioner I rma Cauley - 2 year appointment • d. Judge Travis Bryan (retired) -1 year appointment • e. Judge Willie Blackmon (retired) -1 year appointment Vol. & Pg. �9 7. Approval of Brazos County Emergency Action Plan for Employees. This plan gives guidance to county employees on what to do during emergency situations. 8. Approval of Panic/Duress System Policy. This policy establishes procedures on appropriate use, testing and maintenance of the Countys Panic/Duress System. 9. Approval of Amended Order 22-017 dividing Election Precinct 45 and creating Election Precinct 108 due to Bryan ISD redistricting. 10. Approval of Order dividing Election Precinct 101 and creating Election Precinct 89 due to Bryan ISD redistricting. 11. Approval of Order dividing Election Precinct 101 and creating Election Precinct 109 due to Bryan ISD redistricting. 12. Approval of FY23 Title IV-E Child Welfare Service Legal and Foster Care Contracts • a. Title IV-E Legal Annual FFATA Certification • b. Title IV-E Legal Service Contract • c. Title I V-E Foster Care Annual FFATA Certification • d. Title IV-E Foster Care Service Contract 13. Request approval to wire transfer up to $883,502.33 to HHSC Funds for PGY1 Additional Comprehensive Hospital Reimburse Program (CHIRP) for qualifying hospitals. 14. Approval of Amendment #2 to 22-117R Mowing of County Right of Way for Brazos County to extend the increased pricing for an additional three (3) months due to continued increased fuel cost. 15. Approval of Contract #22-132 Lexis Nexis for Judges. 16. Award of RFP #22-134, Third Party Guardianship Services. Recommended Award: Mir Senior Care Management. 17. Renewal of Contract #22-154 for long-term and short-term residential service of juvenile offenders with Hays County. 18. Permission to advertise Bid Contract #CI P 22-527 Rough Terrain Forklift. 19. Approval of Amendment to Contract #22-575 with,Axon to add the Prosecutor Module. 20. Approval of Contract #23-004 for Copier Maintenance with Texas Document Solutions. 21. Approval of the following committee for the evaluation of proposals for RF P #23-015 Sex Offender Treatment Provider. • a. Daphne Hill • b. Melissa White • c. Judge Brick • d. Legal (non -voting) • e. Purchasing (non -voting) 22. Approval of Contract #23-016 Lexis Nexis for County Attomey- Investigators. 23. Approval of Contract #23-017 Lexis Nexis for County Attomey-Attomeys. 24. Approval of Contract #23-018 with Lexis Nexis for Jail Library. 25. Permission to advertise Bid Contract#23-023 Cutback Asphalt. 26. Approval of the Final Plat of Aggieland Business Park I I Block 1, Lots 1 R-1 & 1 R-2 and 0.144 Acre Right of Way Dedication, 5.500 Acres, being a Replat of Aggieland Business Park I I Block 1, Lot 1 (Volume 9458, Page 267); John H. Jones Survey, A- 26; City of College Station ETJ, Brazos County, Texas. Site is located in Precinct 4. Vol. pg. d�I 27. Tax Refund Applications for the following: Overpayments • a. Larry & Rebecca Mikulec - $1,123.29 • b. Jesus Sanchez - $96.81 • c. Carolyn Schroeder - $2,017.14 • d. Gowan, Inc. - $333.30 •_ e. Nita Holliday - $179.88 • f. Walter & Zelda Riggle - $325.52 28. BudgetAmendments. FY 21 /22 Budget Amendments 41.1 - 41.9 29. Personnel Change of Status. • a. Employment & Separations • b. Personnel Action Forms 30. Payment of Claims. 31. Convene into Executive Session pursuant to Texas Government Code §551.0725 to deliberate business and financial issues related to five (5) different contracts being negotiated. 32. Consider and possible action on Executive Session. 33. Acknowledgement of FY 2021-2022 Budget to Actuals by Funds as of July 27, 2022. 34. Juvenile director's report on detention population. 35. Sheriff's report on inmate population. 36. Announcement of interest items and possible future agenda topics. 37. Call for Citizen input and/or concerns 38. Adjourn. EPg.��—' 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 item 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 1 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 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, 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: 1. cancellation of a speaker's 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 Section 551.042. INVOCATION Any invocation that may be offered before the official start of the Court meeting shall be to and for the benefit of the Court. The views or beliefs expressed by the invocation speaker have not been previously reviewed or approved by the Court and do not necessarily represent the religious beliefs or views of the Court in part or as a whole. No member of the community is required to attend or participate in the invocation and such decision will have no impact on their right to actively participate in the business of the Court. The Commissioner's Courtroom of the County Administration Building, 200 South Texas Ave., Suite 106, Bryan, TX77803, THE PUBLIC MAY WATCH THE MEETING LIVE AT FACEBOOK.COIWBRAZOSCOUNTYTX 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. Vol. PC,. q0 MINUTES AUGUST 2, 2022 BRAZOS COUNTY COMMISSIONERS COURT REGULAR MEETING 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 10:00 a.m. on Tuesday, August 1, 2022 with the following members of the Court present: Duane Peters, County Judge, Presiding; Steve Aldrich, Commissioner of Precinct 1; Russ Ford, Commissioner of Precinct 2; Nancy Berry, Commissioner of Precinct 3; I rma Cauley, Commissioner of Precinct 4; Karen McQueen, County Clerk. The attached sheets contain the names of the citizens and officials that were in attendance. 1. Invocation and Pledge of Allegiance • U.S. and Texas Flag — Commissioner Berry 2. Call for Citizen input and/or concerns Deputy Emergency Management Coordinator Jason Ware updated the Court on the wildfire conditions in the County. Mr. Ware stated that the number and size of wildfires have increased over the last week due to deteriorating weather conditions. He advised the public to refrain from mowing their lawns and if they are going to mow, maintain situational awareness and have a water hose or fire extinguisher nearby. 3. Presentations and/or Discussions Vol. Pg. i Presentation of the Texas Historical Commission's 2021 Distinguished Service Award to the Brazos County Historical Commission - Henry Mayo Judge Peters presented the Historical Commission with the Texas Historical Commission's 2021 Distinguished Service Award. Historical Commission Director Henry Mayo along with other members in attendance received the Service Award. Mr. Mayo stated that the Brazos Valley Historical Commission remains one of the more active chapters across the State and Brazos County is one of only fifty counties to receive the award. Consider and take action on agenda items: 4 - 32 4. Consider and approval of General Election 2022. Commissioner Ford voted against this item due to concerns over the voting locations. A copy is attached. Motion: Approve, Moved by Commissioner Nancy Berry, Seconded by Commissioner Steve Aldrich. Passed. 4-1. Ayes: Aldrich, Berry, Cauley, Peters. Nays: Ford. 5. Consider and approval of an Order calling a Bond Election and Special Election to authorize an additional Motor Vehicle Registration Fee, making provisions for the Conduct of the Election and other matters related thereto. This item has been tabled until the August 16, 2022 agenda. Motion: Approve, Moved by Commissioner Irma Cauley, Seconded by County Judge Duane Peters. Other. 5-0. Ayes: Aldrich, Berry, Cauley, Ford, Peters. 6. Approval of the following appointments to the Brazos County Public Defenders Oversight Board with staggered appointment terms as follows: • a. Michele Esparza - 3 year appointment • b. Judge Duane Peters - 2 year appointment • c. Commissioner I rma Cauley - 2 year appointment • d. Judge Travis Bryan (retired) -1 year appointment • e. Judge Willie Blackmon (retired) -1 year appointment Motion: Approve, Moved by Commissioner Nancy Berry, Seconded by County Judge Duane Peters. Passed. 5-0. Ayes: Aldrich, Berry, Cauley, Ford, Peters. 7. Approval of Brazos County Emergency Action Plan for Employees. This plan gives guidance to county employees on what to do during emergency situations. Motion: Approve, Moved by Commissioner Nancy Bevy, Seconded by Commissioner Steve Aldrich. Passed. 5-0. Ayes: Aldrich, Berry, Cauley, Ford, Peters. 8. Approval of Panic/Duress System Policy. This policy establishes procedures on appropriate use, testing and maintenance of th ",u 4.g P nirmurems S sstem. VolPg. _�_ Motion: Approve, Moved by Commissioner Nancy Berry, Seconded by Commissioner Irma Cauley. Passed. 5-0. Ayes: Aldrich, Berry, Cauley, Ford, Peters. 9. Approval of Amended Order 22-017 dividing Election Precinct 45 and creating Election Precinct 108 due to Bryan ISD redistricting. A copy of the amended Order is attached. Motion: Approve, Moved by Commissioner Irma Cauley, Seconded by Commissioner Russ Ford. Passed. 5-0. Ayes: Aldrich, Berry, Cauley, Ford, Peters. 10. Approval of Order dividing Election Precinct 101 and creating Election Precinct 89 due to Bryan ISD redistricting. A copy of the Order is attached. Motion: Approve, Moved by Commissioner Nancy Berry, Seconded by Commissioner Steve Aldrich. Passed.'5-0. Ayes: Aldrich, Berry, Cauley, Ford, Peters. 11. Approval of Order dividing Election Precinct 101 and creating Election Precinct 109 due to Bryari ISD redistricting. A copy of the Order is attached. Motion: Approve, Moved by Commissioner Nancy Berry, Seconded by Commissioner Irma Cauley. Passed. 5-0. Ayes: Aldrich, Berry; Cauley, Ford, Peters. 12. Approval of FY23 Title I V-E Child Welfare Service Legal and Foster Care Contracts • a. Title IV-E Legal Annual FFATA Certification • b. Title I V-E Legal Service Contract • c. Title I V-E Foster- Care Annual FFATA Certification • d. Title I V-E Foster Care Service Contract A copy of each contract is attached. Motion: Approve, Moved by Commissioner Nancy Berry, Seconded by Commissioner Irma Cauley. Passed. 5-0. Ayes: Aldrich, Berry, Cauley, Ford, Peters. 13. Request approval to wire transfer up to $883,502.33 to HHSC Funds for PGY1 Additional Comprehensive Hospital Reimburse Program (CHIRP) for qualifying hospitals. Motion: Approve, Moved by Commissioner Irma Cauley, Seconded by Commissioner Russ Ford. Passed. 5-0. Ayes: Aldrich, Berry, Cauley, Ford, Peters. 14. Approval of Amendment #2 to 22-117R Mowing of County Right of Way for Brazos County to extend the increased pricing for an additional three (3) months due to continued increased fuel cost. A copy of the amended contract is attached Vol (P Y P9• 93 Motion: Approve, Moved by Commissioner Russ Ford, Seconded by Commissioner Irma Cauley. Passed. 5-0. Ayes: Aldrich, Berry, Cauley, Ford, Peters. 15. Approval of Contract #22-132 Lexis Nexis for Judges. A copy of the service contract is attached. Motion: Approve, Moved by Commissioner Nancy Berry, Seconded by Commissioner Irma Cauley. Passed. 5-0. Ayes: Aldrich, Berry, Cauley, Ford, Peters. 16. Award of RFP #22-134, Third Party Guardianship Services. Recommended Award: Mir Senior Care Management. The Court voted unanimously to accept the recommendation of the Purchasing Agent and awarded RFP #22-134 Third Party Guardianship Services to Mir Senior Care Management. A copy of the tabulation sheet and contract is attached. Motion: Approve, Moved by Commissioner Irma Cauley, Seconded by Commissioner Nancy Berry. Passed. 5-0. Ayes: Aldrich, .Bent', Cauley, Ford, Peters. 17. Renewal of Contract #22-154 for long-term and short-term residential service of juvenile offenders with Hays County. A copy of the renewal of contract is attached. Motion: Approve, Moved by Commissioner Irma Cauley, Seconded by Commissioner Nancy Berry. Passed. 5-0. Ayes: Aldrich, Berry, Cauley, Ford, Peters. . 18. Permission to advertise Bid Contract #CI P 22-527 Rough Terrain Forklift. Motion: Approve, Moved by Commissioner Russ Ford, Seconded by Commissioner Irma Cauley. Passed. 5-0. Ayes: Aldrich, Berry, Cauley, Ford, Peters. 19. Approval of Amendment to Contract #22-575 with Axon to add the Prosecutor Module. A copy of the amended contract is attached. Motion: Approve, Moved by Commissioner Nancy Berry, Seconded by Commissioner Irma Cauley. Passed. 5-0. Ayes: Aldrich, Berry, Cauley, Ford, Peters. 20. Approval of Contract #23-004 for Copier Maintenance with Texas Document Solutions. A copy of the service contract is attached. Vol. A, 9 Pg. �� Motion: Approve, Moved by Commissioner Nancy Berry, Seconded by Commissioner Steve Aldrich. Passed. 5-0. Ayes: Aldrich, Berry, Cauley, Ford, Peters. 21. Approval of the following committee for the evaluation of proposals for RFP #23-015 Sex Offender Treatment Provider. • a. Daphne Hill • b. Melissa White • c. Judge Brick • d. Legal (non -voting) • e. Purchasing (non -voting) Motion: Approve, Moved by Commissioner Nancy Berry, Seconded by Commissioner Steve Aldrich. Passed. 5-0. Ayes: Aldrich, Berry, Cauley, Ford, Peters. 22. Approval of Contract #23-016 Lexis Nexis for County Attomey- Investigators. A copy of the service contract is attached. Motion: Approve, Moved by Commissioner Irma Cauley, Seconded by Commissioner Nancy Berry. Passed. 5-0. Ayes: Aldrich, Berry, Cauley, Ford, Peters. - 23. ' Approval of Contract #23-017 Lexis Nexis for County Attomey-Attomeys. A copy of the service contract is attached. Motion: Approve, Moved by Commissioner Irma Cauley, Seconded by Commissioner Nancy Berry. Passed. 5-0. Ayes: Aldrich, Berry, Cauley, Ford, Peters. 24. Approval of Contract #23-018 with Lexis Nexis for Jail Library. A copy of the service contract is attached. Motion: Approve, Moved by Commissioner Irma Cauley, Seconded by Commissioner Nancy Berry. Passed. 5-0. Ayes: Aldrich, Berry, Cauley, Ford, Peters. 25. Permission to advertise Bid Contract #23-023 Cutback Asphalt. Motion: Approve, Moved by Commissioner Russ Ford, Seconded by Commissioner Nancy Berry. Passed. 5-0. Ayes: Aldrich, Berry, Cauley, Ford, Peters. 26. Approval of the Final Plat of Aggieland Business Park I I Block 1, Lots 1 R-1 & 1 R-2 and 0.144 Acre Right of Way Dedication, 5.500 Acres, being a Replat of Aggieland Business Park I I Block 1, Lot 1 (Volume 9458, Page 267); John H. Jones Survey, A- 26; City of College Station ETJ, Brazos County, Texas. Site is located in Precinct 4. Vol. Pg. F Motion: Approve, Moved by Commissioner Irma Cauley, Seconded by Commissioner Nancy Berry. Passed. 5-0. Ayes: Aldrich, Berry, Cauley, Ford, Peters. 27. Tax Refund Applications for the following: Overpayments • a. Larry & Rebecca Mikulec - $1,123.29 • b. Jesus Sanchez - $96.81 • c. Carolyn Schroeder - $2,017.14 • d. Gowan, Inc. - $333.30 • e. Nita Holliday - $179.88 • f. Walter & Zelda Riggle - $325.52 Motion: Approve, Moved by Commissioner Irma Cauley, Seconded by Commissioner Nancy Berry. Passed. 5-0. Ayes: Aldrich, Berry, Cauley, Ford, Peters. 28. Budget Amendments. FY 21 /22 Budget Amendments 41.1 - 41.9 41.1 Transfer Contingency funds to Constable, Precinct 4. 41.2 Reallocate funds for Constable, Precinct 1. 41.3 Reallocate funds for Court Support. 41.4 Reallocate Capital funds.. 41.5 Transfer funds from Group Insurance to Non -Departmental. 41.6 Transfer Contingency funds to County Welfare. 41.7 Reallocate Sheriff's Office funds. 41.8 Reallocate Jail Medical Services funds. 41.9 Transfer Contingency funds to Sheriff's Office - Jail. Motion: Approve, Moved by Commissioner Nancy Berry, Seconded by Commissioner Irma Cauley. Passed. 5-0. Ayes: Aldrich, Berry, Cauley, Ford, Peters. 29. Personnel Change of Status. • a. Employment & Separations • b. Personnel Action Forms A copy of the Personnel Change of Status requests is attached. Motion: Approve, Moved by Commissioner Nancy Berry, Seconded by Commissioner Irma Cauley. Passed. 5-0. Ayes: Aldrich, Berry, Cauley, Ford, Peters. 30. Payment of Claims. Claims Vol. Pg.� 8116583-8116735 9005429-9005497 Motion: Approve, Moved by Commissioner I rma Cauley, Seconded by Commissioner Steve Aldrich. Passed. 5-0. Ayes: Aldrich, Berry, Cauley, Ford, Peters. 31. Convene into Executive Session pursuant to Texas Government Code §551.0725 to deliberate business and financial issues related to five (5) different contracts being negotiated. At this point, the County Judge announced the Court would consider items 33 through 37 and then return to convene into Executive Session. Having considered the previously noted agenda items, Civil Counsel Ed Bull submitted a written determination that deliberation in an open meeting would have a detrimental effect on the position of the Court in negotiations with a third party. Mr. Bull also stated that only one contract would be discussed in the closed session. A motion was offered by Commissioner Cauley to meet in closed Executive Session as per Mr. Bull's recommendation. The motion was seconded by Commissioner Berry and motion passed unanimously. At 10:21 a.m. the County Judge announced the meeting closed to the public, so the Court could convene into Executive Session_ as stated above. The following individuals were asked to stay for the session: Cheryl Coffman, Executive Assistant Ed Bull, Chief of Staff/Civiltounsel Bruce Erratt, Civil Counsel Katie Conner, Auditor Kimberly Roach, I ntergovernmental Liaison 32. Consider and possible action on Executive Session. At 10:47 a.m. the County Judge announced the meeting open to the public and announced that no action would be taken on the Closed Executive Session. 33. Acknowledgement of FY 2021-2022 Budget to Actuals by Funds as of July 27, 2022. The Court acknowledged receipt of the 2021-2022 Budget to Actuals by Fund as of July 27, 2022. 34. Juvenile director's report on detention population. Juvenile Probation Services Director Artis Whetstone reported there are 34 juveniles in the detention center, 26 are male and 8 are female, and 34 have electronic monitors. 35. Sheriff's report on inmate population. Sheriff Wayne Dicky stated there were 650 inmates in jail, 540 inmates are male and 110 are female, 57 have electronic monitors and 9 are pending for processing. Commissioner Berry commented on the increasing jail population and questioned whether there are any COVI D-19 cases to be reported at this time. Sheriff Dicky informed the Court that presently there are no COVI D-19 cases. Vol. X Pg. 1I Z 36. Announcement of interest items and possible future agenda topics. There were no announcements. 37. Call for Citizen input and/or concerns There was no Citizen input. 38. Adjourn. Fvol. � pg. The foregoing minutes of the Commissioners Court Meeting held August 2, 2022 have been examined and are approved in open Court this 6ch day of September. 2022, in Bryan, Brazos County, Texas. Duane Peters County Judge lqbsen� Russ Ford Commissioner, Precinct 2 Irma Cauley Commissioner, Preci 6t4 Attest: Karen McQueen County Clerk A- Sttl+ Steve Aldrich Commissioner, Precinct 1 Nancy Berry Commissioner, Precinct 3 Vol. i�(�� Pg. Pg I of's BR.AZOS COUNTY COMMISSIONER'S COURT DAY 20� Name (PLEASE PRINT) 1X(r,I-IX A RA (-ke L k-lu<-J- Aev"r\ 'Y" 6 127m2 Z,41vs1j6cl1l%� ��Ls e Organization - t (PLEASE PRINT) K?yArl l Cju i5C C �M-flan M l 0 Vol. Pg. �0U Pga-of Name (PLEASE PRINT) cis BR.AZOS COUNTY COMMISSIONER' S COURT DIA• AM-Md-5 r Organization (PLEASE PRINT) il3 ( s el j4L---k, 3c6s' c-1, c,�`� c, V CZ i�1�tN S Vol. pg. /o( P93 of Name (PLEASE Ppm BRAZOS COUNTY COMMISSIONER'S COURT .DAY OF AM Organization (PLEASE PRINT) c J -Z e�. Co. &r Q-4�� (2-2 - �-u �rnnn�S� ►�pry� F Vol. pg. TEXAS HISTORICAL COMMISSION PRESENTS THIS ...... .. ......... TO BRAZOS COUNTY HISTORICAL COMMISSION IN RECOGNITIONOF ITS ACTIVE AND WELL-BALANCED PRESERVATION PROGRAM EXECUTIVE DIRECTOR July 18, 2022 DATE TEXAS HISTORICAL NCO M M I SS I O N 40 REAL PLACES TELLING REAL STORIES a TEXAS' HISTORICAL P.O. Box ) Austin, Texas 7$717-2276 COMMISSION'* 512-463-6100 REAL PLACES TELLING REAL STORIES thc.texas.gov July 18, 2022 The honorable Duane Peters Brazos County, Judge's Office 200 South Texas Avenue, Suite 332 Bryan, TX 77803 Dear judge Peters, We are pleased to announce that the Brazos County, Historical Commission (CHC) has earned a Distinguished Service Award (DSA) for the 2021 year of service. if I-ide all CHC efforts are valued, DSAs acknowledge above average CHC performance based on a sLate,,vtide analysis of CHC annual report documentation. Our agency - received 193 CHC reports for 2021 and approved 82 awards, quite an accomplishment given that the pandemic lin-uted public programming for all CRCs. To honor appointees' contributions, Ave ask that you acknowledge the award publicly as soon as possible. Typically, we recommend presenting the enclosed DSO certificate to CHC appointees during a formal meeting of the commissioners court. If an in -person ceremony- is not feasible, please consider implementing other ideas listed on the enclosed flyer to recognize your CHC's outstanding service to the county. Enclosed is a press release so that your office can promote the DSA award and the CI-IC's accomplislunents. An electronic copy of this press release is posted here htths:lthc. texas. govlinformation-2021-dsa- winning-chcs. We suggest gathering specifics related to the CHC's efforts and including that information in the press release prior to distributing a copy to media outlets. Promoting the CHC's award locally demonstrates your pride in the appointees' hard work and explains their civic contribution. This publicity will draw attention to the positive aspects of county government. THC Commissioners and staff congratulate you and your CHC on this well -deserved honor. Thank you for supporting appointees and their efforts to preserve county, history! Sincerely, Emiliano Calderon, CHC Outreach Coordinator cc: Brazos CHC Chair GREG ABBOTT, GOVERNOR I JOHN L. NAU, III, CHAIR ( MARK WOLFE, EXECUTIVE DIRECTOR Vol. pg. �D TEXAS f HISTORICAL COMMISSION* 2021 Distinguished Service Awards REAL PLACES TELLING REAL STORIES Recognition of County Historical Commission Performance Each year, the Texas Historical Commission administers the Distinguished Service Award (DSA) process to recognize County Historical Commissions (CHC) that demonstrate exceptional service to preserve Texas' rich and unique heritage. The following CRCs garnered a DSA for the 2021 year of service. Aransas DeWitt Jim Hogg Milam € Taylor Atascosa Dickens ; Johnson ; Mills Tom Green Austin 3 El Paso Kaufman Montague ` Travis Bandera } Ellis - --" Kendall —� Montgomery ' _._ Tyler-W — Bell Fannin ' Kerr Motley Van Zandt Brazos Fayette i Kimble Nacogdoches Victoria i Burleson Fort Bend , Lamar � Navarro Walker i Burnet Franklin Lampasas i Newton i Waller Caldwell Garza Lavaca Nueces Washington Cameron Goliad Liberty Palo Pinto Wheeler Carson ! Harris € Limestone , Parker I Williamson Cass Harrison Live Oak Pecos F Wise Chambers Hays Lubbock Polk Wood j _ Cherokee Henderson Mason Runnels Young Collin Jasper i Matagorda Rusk Comal Jeff Davis s Medina Scurry i Deaf Smith Jefferson , Menard i Tarrant 'CONGRATULATIONS to the appointees and volunteers who contributed time and effort during this -very challenging yearl An award packet will be mailed to the county judge of each of the CHCs listed above. A copy of the contents of this packet —including the DSA certificate and suggestions for promoting this award —are pro-rided here: https://-v%v-v.thc.texas.Wv/-tifonnatioti-2021-dsa--,vinninsx-chcs. We have asked that the DSA award be presented locally to honor the CHC's accomplishments and provide public recognition to all appointees. GREG ABBOTT, GOVERNOR ( JOHN L. NAU, III, CHAIR I MARK WOLFE, EXECUTIVE DIRECTOR Vol. 369 pg. dos TEXAS f HISTORICAL COMMISSIONS 2021 CHC Annual Report Summary REAL PLACES TELLING REAL STORIES County Historical Commission (CHC) Performance Highlights The Texas Historical Commission received reports from 193 County Historical Commissions (CHC) for the 2021 year of service. Below are primary- reporting statistics that demonstrate the breadth and value of CHC: services. • 284,046 CHC volunteer hours represents work of 136 employees and has a monetary value of $8,507,177.* • Return on investment —for every $1 counties invested in CHCs, $8.19 worth of service was returned by CHCs. • CHCs supplemented county money with $353,167 from grants, donations, and fundraisers. Financial data from 2021 CHC annual reports Average allocation Reporting Totals Annual county allocation-117 CHCs received 2021 allocation: $6,436 $753,104 County money allotted for museums-16 CHCs provided amounts:- $8, r r9~-�- S140,463 Any other money issued by the county: -- µ $144159 Total county monies invested: $L037,726 General information about Texas CHCs based on 2021 CHC reports Average size of reporting CHCs is 16 appointees and usually hold five meetings per year. • CHCs pro -,ride an average of 1,472 volunteer hours per year; reports show zero hours up -wards, to 10,000hours. • CHCs participate in a wide range of activities, some of which are noted below. Select preservation activity based on 193 CHC reports for 2021 year of service # of participating CHCs Visit sites to monitor the physical condition of subject markers in your county 111 Visit sites to monitor the physical condition of cemeteries in your county 105 Visit sites to monitor the physical condition of designated properties (RTHL, NR) 55 .Promoted historic and cultural sites to sustain heritage tourism initiatives $2 Made concerted efforts to improve online presence of CHC and/or county 83 Provided educational events/presentations to audiences outside your CHC 99 Provided educational events/presentations to youth/schools -�� �- _ 72 — CHC appointees volunteered at a historic site that is open to the public at large 82 Provided tours of historic buildings and/or sites within the county _ - _ 67 - Cumnt estimated voltnrteer hoanba rate is $29.95 as per indepe,tdent rector: o,g. 112po,Ying data as of 6117122 GREG ABBOTT, GOVERNOR ( JOHN L. NAU, III, CHAIR I MARK WOLFE,. EXECUTIVE DIRECTOR Vol. �� �' Pg. �d TEXAS 1 HISTORICAL COMMISSIO.NAP Promoting Distinguished Service Awards REAL PLACES TELLING REAL STORIES Celebrating County Historical Commission Performance Locally This information is provided to county officials and County 14istorical Commission (CHC) appointees who have garnered a DistinguishedService Award (DSA). Although the Texas Historical Commission (MC) administers these awards, the presentation of the DSA certificate to CHC appointees takes place locally, typically during a county commissioners court meeting. Note About 2021 Accomplishments Several CHCs earn a DSA frequently; however, 2021 conditions made appointees' job considerably more challenging. Please acknowledge the special efforts made by appointees to remain active while managing pandemic conditions. DSA Certificate Ceremony Please present the USA certificate during a commissioners court meeting. If your county's social distancing measures prevent in -person presentation, consider implementing ideas noted below that will bring attention to the extraordinary efforts of your CHC appointees. These ideas can be managed and implemented regardless of your ability to meet in - person. Please work with your appointees to recognize their hard work. DSA Press Release Publicizing your CHC's award is an easy and effective way to promote county government and the services your CHC provides to the public. Enclosed in this mailer is a template for a DSA press release that may be distributed to local media once it is modified with your county/CF-IC information. Feel free to insert a paragraph that highlights your CHC's accomplishments. Once this additional information is added, share the press release with local and regional media oud,ets..An electronic copy of the press release is posted here on the THC website: hLq2s://,%,,x,%lL,.thc.texas.gov/iliform-,ition-202 l-ds•i-winning-clics. Social Media Promotion Most counties have a web presence and many Cf 1Cs host a Facebook page. Additionally, there are community partners who manage social media platforms that would be twilling to share news of the CHC's award. Websites and social media platforms can be used to publicize the DSA award effectively and inexpensively. Partners who can help you publicize the award include area museums, chambers of commerce, Main Street programs, etc. Please work with your CHC and partners to share specific accomplishments with the public. Expressions of Gratitude TI-IC's CHC Outreach staff have worked with appointees since 2008. During that time, we've found that a sincere statement of appreciation is valued greatly by appointees, especially when comments come from county officials. Please consider contacting your appointees to say, thank you —in -person, aria phone, a note on county letterhead, etc. Questions and Answers Contact your CHC chair for details about your CHC's performance and details about specific efforts. Questions about the award process can be directed to TI-IC staff member, Emiliario Calderon — nano.calderon@thc.texas.Wv. GREG ABBOTT, GOVERNOR I JOHN L. NAU, III, CHAIR I MARK WOLFE, EXECUTIVE DIRECTOR Vol. J $ pg. l07 FOR IMMEDIATE RELEASE Local Contact: [CHC CHAIR CONTACT INFO MERE.] Date: July 18, 2022 THC Contact: Emiliano Calderon, 512-463-9052 nano.calderon c@thc.texas.go�r [COUNTY NAME] COUNTY RECEIVES DISTINGUISHED SERVICE AWARD FROM TEXAS HISTORICAL COMMISSION J AUSTIN, Texas —The [COUNTY NI AME] CHC has been awarded a 2021 Distinguished Service Award from the Texas Historical Commission (THC). This annual award affirms [COUNTY NAME] CHC appointees for managing well-rounded history and preservation -related programs that enrich Texas communities. The county commissioners court the CHC's governing body —will work with the CHC to determine the best way to present the DSA certificate and publicly acknowledge Cl-1C appointees for their dedicated service. "Our preservation partners faced great challenges from the pandemic, but they redirected their efforts and ensured that history programming and preservation projects continued in communities across Texas," said THC Executive Director Mark Wolfe. "I'he [COUNTY NAME] CHC has demonstrated remarkable resiliency and innovation, and we are happy to honor its extraordinary volunteers with the 2021 Distinguished Service Award." Texas CHCs provided more than 284,046 volunteer hours in 2021, which is an in -kind donation to the state valued at more than $8.5 million. CHC contributions in 2021 are remarkable given challenges presented by the pandemic. The THC assists more than 200 CHCs through programs and services that preserve Texas' heritage for the education, enjoyment, and economic benefit of present and &hture generations. The THC's advisory role to CHCs is outlined in the Texas Local Government Code, the statute that enables county cominissioners courts to establish CHCs. The volunteer appointees, as directed by county officials, initiate and conduct programs that preserve the historic and cultural resources of Texas. [{Brief statement about CHC's major accomplishments in 2021, if desired.} To learn more about {COUNTY NAME) CfiC, visit {URL if available).] The THC received 193 CHC annual reports for the 2021 year of service and 82 of those CRCs were approved for a Distinguished Service Award. A list of 2021 DSA winners and a digital copy of this press release template are provided here: https://wvvvv.tlic.texas.goy/infomhation-2021-visa-,,vinning-clics. For more information about CHCs in Texas, visit thc.texas.gov/chcoutreach or contact the History Programs Division at 512-463-5853. www.thc.texas.gov -30- Vol. �<o .� Pg. (or ORDER OF GENERAL ELECTION (ORDENDE ELECCION GENERAL) An election is hereby ordered to be held on November 8, 2022, in Brazos County, Texas for the purpose of electing the following county and precinct officers as required by Article XVI, Section 65 of the Texas Constitution. (Por la presente se ordena que se lleve a cabo una election el dia 8"' de Novembre, 2022 en el Condado de Brazos County, Texas, con el proposito de elegir los siguientes oficiales del condado y del precinto como requerido por el Articulo XVI, Seccon 65, de la Constitution de Texas) (List Offices) (Eniintere los puestos oficiales) District Judge, 85" Judicial District (Juez del Distrito, Distrito Judicial Mint. 85) District Judge, 3611 Judicial District (Juez del Distrito, Distrito Judicial Num. 361) County Judge (Juez de Condado) County Court at Law No. 1 (Juez, Corte de Ley Del Condado Num. 1) County Court at Law No. 2 (Juez, Corte de Ley Del Condado Num. 2) District Clerk (Secretario del Distrito) County Clerk (Secretario del Condado) County Treasurer (Tesorero del Condado) „County..Coznmissioner; PrecmcfNo, 2;(Comiszonado del Condado, Pre can o Nian:2) , County Commissioner, Precinct No. 4 (Comisionado del Condado, Precinto Num. 4) Justice of the Peace Precinct 1 (Juez de Paz, Precinto Name. 1) Justice of the Peace Precinct 2 (Juez de Paz, Precinto Num. 2) Justice of the Peace Precinct 3 (Juez de Paz, Precinto Num. 3) Justice of the Peace Precinct 4 (Juez de Paz, Precinto Nitm. 4) Constable Precinct 1 (Condestable, Precinto Num. I) Constable Precinct 2 (Condestable, Precinto Num. 2) Constable Precinct 3 (Condestable, Precinto Num. 3) Constable Precinct 4 (Condestable, Precinto Num. 4) Early voting by personal appearance will be conducted at: (La votacion adelantada en persona se Ilevara a cabo de tunes a viernes en.) Brazos County Elections Administration Office, 300 E WilIiam J Bryan Pkwy, Suite 100, Bryan Galilee Baptist Church, 804 N. Logan Street, Bryan Arena Hall, 2906 Tabor Road, Bryan College Station City Hall, 1101 Texas Avenue, College Station College Station Utilities Meeting & Training Facility, 1603 Graham Rd, College Station Monday -Saturday, October 24-29, 7:00 a.m. — 7:00 p.m.; Sunday, October 30,10:00 a.m. —4:00 p.m.; and Monday -Friday, October 31 November 4, 7 00 a.m 7:00 p.m. :(Mines a sabado `de124 a129 de octubke, de'7 00 a m a 7 00� m ,; domtngo 30 de octadbile,-10._00 a m, a 4 00.P.A.; =Mines a wiernes :del,, 31 de octubre al 4, de �tovlembre,.8 .7 OO, a.;m:. a., m Applications for ballot by mail shall be mailed to: (Las solicitudes para boletas que se votardn adelantada por correo deberfin enviarse a.) Trudy R. Hancock, REO, CERA, Early Voting Clerk 300 E Wm J Bryan Pkwy, Suite 100 Bryan, Texas 77803 Fax to (979) 361-5779 or email to thancock@brazoscountytx.gov IF YOU FAX OR EMAIL THE APPLICATION, THE ORIGINAL MUST BE RECEIVED IN THE OFFICE WITHIN FOUR DAYS (Si envia la solicitud por fax o correo electronico, la ofacina debe recibir el original dentro de los cuatro dias) !Vol. pg. 1©�( Applications for ballots by mail must be received no later than the close of business on: October 28, 2022 (Las solicitttdes para boletas que se votaran adelantada por correo deberdn recibirse no rods tardar de las horas de negocio el. 2e de Octubre, 2022) Federal postcard applications must be received no later than the close of business on: October 28, 2022 (La tarjeta Federal de solicitud deberdn recibirse no mas tardar de las horas de negocio el: 28'h de Octubre, 2022) A Issued this the ao day of August, 2022. (Emitada este dfa g N° de agosto, 2022 w Signature of County Judge (Firma del Juez del Condado) V01. _._ Pg. ��D in BRAZOS COUNTY BRYAN,TEXAS DEPARTMENT: Risk Management NUMBER: DATE OF COURT MEETING: 8/2/2022 ITEM: Approval of Brazos County Emergency Action Plan for Employees. This plan give guidance to county employees on what to do during emergency situations. TO: Commissioners Court FROM: Leslie Contreras DATE: 06/01/2022 FISCAL -IMPACT. False BUDGETED: False DOLLAR AMOUNT: $0.00 File Name Description Typg EAP - Final (court version pdf EAP Plan Backup Material Attachment A.Rdf I AttachmentA Backup Material Attachment B - Attachment B Backup Material Bomb Threat Assessment.pdf Attachment C - CHEM- Attachment C Backup Material BIO THREAT RECORD.pdf Duane�eters Date County Judge Vol.;. ,(Q g pg. AMENDED ORDER I FADING ELECTION PRECINCT 45 AND CREATING ELECTION PRECINCT 108 WHEREAS, the Bryan Independent School District adjusted single member district boundaries due to redistricting that was approved by the Bryan ISD Board of Trustees on May 16, 2022. The change affected property located in Voting Precinct 45; and WHEREAS, the new boundary lines of the Bryan Independent School District do not follow the existing election precinct lines created by Brazos County; and WHEREAS, Section 42.007 states "A commissioners court may not establish a county election precinct containing territory inside a city with a population of 10,000 or more and unincorporated territory outside the city"; and WHEREAS, the Commissioner's Court is desirous of complying with the Bryan Independent School District lines, and the Texas Election Code; and WHEREAS, Section 42.007 of the Texas Election Code provides for combining election precincts and creating election precincts; and WHEREAS, On July 19, 2022 the Brazos County Commissioners Court approved Order 22-017 Dividing Election Precinct 45 and Creating Election Precinct 80; and WHEREAS, Election Precinct 80 is currently being utilized therefore, another Election Precinct number not presently in use must be designated. NOW THEREFOR BE IT RESOLVED BY THE CONOUSSIONERS COURT OF BRAZOS COUNTY, TEXAS, that Order 22-017 be amended to state the following: Pursuant to Section 42.007 of the Texas Election Code that Election Precinct 45 be divided to follow the Bryan Independent School District lines in Brazos County, Texas, to wit: 1. Election Precinct 45 be divided, 2. Election Precinct 108 be created to follow the new Bryan Independent School District lines. o t' ADOPTED by the Commissioners Court this a' AYES and d NAYS. ATTEST: Karen McQueen, County Clerk of August 2022 by a vote of County Judge ORDER DIVIDING ONE ELECTION PRECINCT AND CREATING ANOTHER ELECTION PRECINCT WHEREAS, the Bryan Independent School District adjusted single member district boundaries due to redistricting that was approved by the Bryan ISD Board of Trustees on May 16, 2022. The change affected property located in Voting Precinct 101; and WHEREAS, the new boundary lines of the Bryan Independent School District do not follow the existing election precinct lines created by Brazos County; and WHEREAS, Section 42.007 states "A commissioners court may not establish a county election precinct containing territory inside a city with a population of 10,000 or more and unincorporated territory outside the city"; and WHEREAS, the Commissioner's Court is desirous of complying with the Bryan Independent School District lines, and the Texas Election Code; and WHEREAS, compliance with the Texas Election Code requires the division of one (1) voting precinct and combining the annexed portion into another voting precinct or creating a new election precinct; and WHEREAS, Section 42.007 of the Texas Election Code provides for combining election precincts and creating election precincts; NOW THEREFOR BE IT RESOLVED BY THE COM[NIISSIONERS COURT OF BRAZOS COUNTY, TEXAS, that Pursuant to Section 42.007 of the Texas Election Code that Election Precinct 101 be divided to follow the Bryan Independent School District lines in Brazos County, Texas, to wit: 1. Election Precinct 101 be divided; 2. Election Precinct 89 be created to follow the new Bryan Independent School District lines; hQ ADOPTED by the Commissioners Court this °� day of August, 2022 by a vote of AYES and O NAYS. ATTEST: Duane )eters, County Judge C Karen McQueen, County Clerk Vol. Pg. 1 / Vol. � � 2 pg. /(s ORDER DIVIDING ONE ELECTION PRECINCT AND CREATING ANOTHER ELECTION PRECINCT WHEREAS, the Bryan Independent School District adjusted single member district boundaries due to redistricting that was approved by the Bryan ISD Board of Trustees on May 16, 2022. The change affected property located in Voting Precinct 101; and WHEREAS, the new boundary lines of the Bryan Independent School District do not follow the existing election precinct lines created by Brazos County; and WHEREAS, Section 42.007 states "A commissioners court may not establish a county election precinct containing territory inside a city with a population of 10,000 or more and unincorporated territory outside the city"; and WHEREAS, the Commissioner's Court is desirous of complying with the Bryan Independent School District lines, and the Texas Election Code; and WHEREAS, compliance with the Texas Election Code requires the division of one (1) voting precinct and combining the annexed portion into another voting precinct or creating a new election precinct; and WHEREAS, Section 42.007 of the Texas Election Code provides for combining election precincts and creating election precincts; NOW THEREFOR BE IT RESOLVED BY THE COMAUSSIONERS COURT OF BRAZOS COUNTY, TEXAS, that Pursuant to Section 42.007 of the Texas Election Code that Election Precinct 101 be divided to follow the Bryan Independent School District lines in Brazos County, Texas, to wit: 1. Election Precinct 101 be divided; 2. Election Precinct 109 be created to follow the new Bryan Independent School District lines; o ADOPTED by the Commissioners Court this �' day of August, 2022 by a vote of 5 AYES and 0 NAYS. ATTEST: K en McQueen, County Clerk Duane Peters, County Judge Vol. -56� I pg. !C � Vol. �-% pg. f Texas Dept, of Family Budget for Title IV-E . Form 2030CLIVE and Protective Services Last Updated November 2020 County Legal Services Contract CLIVE Summary Please select your-County.and Budget Effective Date•from drop down boxes below. j County: [BRAZOS COUNTY Contract Number: HHS000285100040 aet Effective Date: 110/1/2022.9/30/2023 Cost Category Estimated Total Expenses Allocable to Title IV-E Total Anticipated Federal R®Imbursemen t• Total Anticipated County Match A. Administration A.I. Direct Personnel Salaries $274,249.00 $16,038.08 $268,210.92 A.2. Direct Personnel Fringe Benefits $117,990.25 $6,900.07 $111,090.18 A.3. Direct Personnel Travel $0.00 $0.00 $0.00 AA Direct Materials and Supplies $0.00 $0.00 $0.00 A.S. Direct Equipment $0.00 $0.00 $0.00 A.6. Direct Other Costs $8,500.00 $497.08 $8,002.92 Total Administration $400,739.26 $23,435.23 $377,304.02 B. Training B.1. Title ME Training (76%) $3,200.00 $280.70 $2,919.30 8.2. Title ME Fostering Connections Training (75%) $0.00 $0.00 $0.00 131.3. Non -Title IV-E Training (50%) $0.00 $0.00 $0.00 Total Training $3,200.00 $280.70 $2,919.30 C. Indirect Costs if applicable) Total Indirect Costsl $0.00 $0.00 $0.00 $0.00 Grand Total $403,939.25 $23,715.94 $380,223.31 "Estimated Federal Reimbursement for expenses based on Eligible Population Rate (EPR) during 2nd quarter of the preceding fiscal year. Actual reimbursement will be based on EPR in effect for the county during the month in which expenses were Incurred. 11.70% Indirect Cost Rate, if applicable (attach a copy of the approved Certificate of Indirect Costs): 23.93% } Cont Iflcatilon � Signature Duane Peters„County Judge Printed Name & Title I Date Refer to Title IV-E Financial Handbook for additional information: btto:/lwww.d s.state.tx.us/hL,IIdbooks/Tltl2 IVE C un /default.asp End of worksheet last upd ad 4/20/22 Vol .% 8 Pg. �� --- Texas Dept. of Family and Protective Services Budget for Title IV-E County Legal Services Contract A.I. Direct Personnel Salaries County: BRAZOS COUNTY Contract Number. HHS000285100040 Budget Effective Date: 1Oil /2022-9/3012023 Form 2030CLIVE Last Updated November 2020 Position or Title Monthly Salary % of Time Spent on IV-E Activities Number of Months of Service Estimated Total Expense (BxCxD) Assistant DA $10,279.25 •100% 1.2 $123,351.00 ASSIStant DA $7,614.08 —1,00% - 12 $91,375.00 Legal Administrative Secretary. $4,960.25 100% 12. $59,523.00 $0.00 $0.00 $0.00 $0.00 .. $0.00 $0.00 $0.00 " $0.00 $0.00 $0.00 $0.00 Texas Dept. of Family Budget for Title IV-E Form 2030CLIVE and Protective Services Last Updated November 2020 County Legal Services Contract $0.00 a e $0.00 $0.00 $0.00 Total Direct Personnel Salaries: $274,249.00 *estimated total cost for Title ME related activities Refer to Title ME Financial Handbook for additional information: http://www.dfps.state.tx.us/handbooks/Title IVE County/default.asp End of worksheet G. 0 cko QO Texas Dept. of Family Budget for Title IV-E Form 2030CLIVE and Protective Services Last Updated November 2020 County Legal Services Contract jX9.-- Dfrect P'eiionnel Fringe Benefits' • ' ' ` ' ' ' ` * - County: BRAZOS COUNTY Contract Number: HHS000285100040 Budget Effective Date: 101112022-9130/2023 Type of Fringe Benefits Estimated Total Expense* FICA 7.65% `- - $20,980.05� Worker Conip $1,645.491 Retirement 16.75% $45,936:711 Medical Insurance ($•16,476/person/annual)' . $49,428.601 Unemployment, . . Total Direct Personnel Fringe Benefits: $117,990.2511 *estimated total cost for Title ME related activities Refer to Title ME Financial Handbook for additional information: http://www.dfps.state.tx.us/handbooks/Titte IVE County/default.asp End of worksheet Vol. 3 � pg. - /2 f - Texas Dept of Family Budget for Title IV-E Form 2030CLIVE and Protective Services Last Updated November 2020 County Legal Services Contract B.I. Title IV-E Training (75%) County: BRAZOS COUNTY Contract Number: HHS000285100040 Budget Effective Date: 101112022-913012023 Training (Description and Title) Registration* (amount allocable to Title IV-E) Lodging* (amount allocable to Title IV-E) Meals" (amount allocable to Title IV-E) Transportation* (amount allocable to Title - IV-E) Subtotal Number of Employees Attending Estimated Total Expense* Crimes Against Children Conference $450.06. $650.00 - $200.00 $300.00 $1,600.00 '2 $3,200.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 " $0.00 $0.00 $0.00 $0.00 : $0.00 $0.00 Q $0.00 $0.00 $0.00 $0.00 $0.00..$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 .. $0.00 $0.00 $0.00 $0.00 Texas Dept, of Family Budget for Title IV-E Form 2030CLIVE and Protective Services Last Updated November 2020 County Legal Services Contract *estimated amount allocable to Title ME NOTE: Form 9321 Training Expense Documentation Form must be submitted to DFPS for review/approval by Federal Funds prior to training. Refer to Title ME Financial Handbook for additional information: http://www.dfps.state.tx.us/handbooksfTitle IVE County/defauit.asp End of worksheet Texas Dept. of Family Budget for Title IV-E Form 2030CLIVE and Protective Services Last Updated November 2020 County Legal Services Contract IA:6. Direct Other Costs County: BRAZOS COUNTY Contract Number: HHS000285100040 Budget Effective Date: 101112022-913012023 Other Costs (description) Estimated Total Expense* Court reporter transcripts $2,000.001 Citation of Publications $500.001 Publications (based on exps divided among 21 attys) $1,000.00! Commercial Copying $500.00i Expert Witnesses $500.001 Interpreting $2,000.00 ; Mediation Fees $2,000.001 i I j Total Direct Other Costs: $8,500.00 *estimated total cost for Title IV-E related activities Refer to Title IV-E Financial Handbook for additional information: htto://www.dft)s.state.tx.us/handbooksfTitle IVE County/default.asu End of worksheet Vol. Sly pg. f Z Texas Dept. of Family Budget for Title IV-E Form 2030 CLIVE and Protective Services County Legal Services Contract Last Updated November 2020 Budget Narrative County: BRAZOS COUNTY Contract Number: HHS000285100040 Budget Effective Date: 10/1/2022-9/30/2023 Note: Each cell is limted to 1024 characters in order for word wrap to function properly. If you need to type more than 1024 characters, you will have to either manually insert a return at the end. of each line (Alt -Enter) or go to the next row/cell below to type the remaining text. Clearly describe each expense to be incurred and billed to this contract, including justification for expense. Refer to Title ME Financial Handbook for additional information: hftp://www.dfps.state.b(.us/handboo'ks[Title IVE County/default.asp Administration M. Direct Personnel Salaries Salary expense for all personnel directly working on cases related to Title ME Children allocated by time spent► A.2. Direct Personnel Fringe Benefits ----------------------- — ----- ---------- ------ - ----------- ----------- Salary expense for all personnel directly working on .cases related to Title ME Children allocated by time spent A.3. Direct Personnel Travel A.4. Direct Materials and Supplies A.5. Direct Equipment i A.6. Direct Other Costs Court cost expenses directly -related to Title IV-E children cases Pg ��I. :. . �Z �� Texas Dept of Family Budget for Title iV-E Form 2030 CLIVE and Protective services Last Updated November 2020 County Legal Services Contract . B. Training B.I. Title ME Training (75%) Conferences directly related to parent/child/family law . i 6.2. Title ME Fostering Connections Training (75%) 13.3. Non -Title ME Training (50%) C. Indirect Costs (if applicable) End of worksheet Vol. 3 8 pg; (z(P Texas Dept. of Family Budget for Title IV-E Form 2030 CWNE and Protective Services Last Updated December 2021 County Child Welfare Services Contract CWIVE Summary . Please,select your County -and Budget Effective Date from drop down boxes below. County: JBRAZOS COUNTY ! Contract Number: HHS000285000041 Budget Effective Date: 11011/2022.913012023 1 Estimated Total TOpa Anticipated Total Cost Category Ekpenses Allocable to Federal Anticipated County , Title IV-E Reimbursemen Match t A. Administration A.I. Direct Personnel Salaries $0.00 $0.00 $0.00 A.2. Direct Personnel Fringe Benefits $0.00 $0.00 $0.00 AA Direct Personnel Travel $0.00 $0.00 $0.00 AA Direct Materials and Supplies $0.00 $0.00 $0.00 A.S. Direct Equipment $0.00 $0.00 $0.00 A.6. Direct Other Costs $200.00 $11.70 $188.30 Total Administration: $200.00 $11.70 $188.30 B. Training' B.1. Title IV-E Training (75%) $4,500.00 $394.74 $4,105.26 B.2. Title IV-E Fostering Connections Training 75% $0.00 $0.00 $0.00 13.3. Non -Title ME Training (50%) $0.00 $0.00 $0.00 Total Training: $4,500.00 $394.74 $4,105.26 C. Supplemental Foster Care Maintenance (SFCM) Total SFCM: $23,100.00 $0.00 $23,100.00 D. Indirect Costs if applicable) Total Indirect Costs: 0-00i $0.00 $0.001 $0.00 Grand Total: 1 $27,800.001 $406.441 $27,393.56 *Estimated Federal Reimbursement for expenses based on Eligible Population Rate (EPR) during 2nd quarter of the preceding fiscal year. Actual 11.70% reimbursement will be based on EPR In effect for the county during the month In which expenses were Incurred. Estimated Federal Reimbursement for Supplemental Foster Care Maintenance expenses based on Federal 0.00% Medicaid Assistance Percentage (FMAP) rate In effect during preceding fiscal year. Actual reimbursement will be based on FMAP rate in effect at the time reimbursement Is made to contractor. Indirect Cost Rate, if applicable (attach a copy of the approved Certificate of Indirect Costs): 23.93% ntractoY Certification Signature Date Duane Peters, County Judge Printed Name & Title Vol. 9 pg. (2-2 Texas Dept. of Family Budget for Title IV-E Form 2030 CWIVE and Protective Services Last Updated December 2021 County Child Welfare Services Contract Direct Other Costs County. BRAZOS COUNTY Contract Number. HHS000285000041 Budget Effective Date: 10/112022.913012023 Vol. Pg. lzg Texas Dept. of Family and Protective Services Budget for Title IV-E County Child Welfare Services Contract B.I. Title IV-E County: BRAZOS COUNTY Contract Number: HHS000285000041 Budget Effective Date: 101112022-913012023 Form 2030 CWIVE Last Updated December 2021 Training (Description and Title) Registration* (amount allocable to Title IV-E) Lodging* (amount allocable to Title ME). Meals* (amount allocable to Title IV E)• Transportatio n (amount allocable to Ttle IV-E Subtotal Number of Employees Attending Estimated Total Expense* Crimes Against Children $500.00 $650.00 $250.00 : $350.00 $1,750.00 2• $3,500.00 Every Victim Every Time Conf $40.00 $40.00 25 $1,000.00 $0.00 $0.00 $0.00 $0.00 $0.00'. $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 • $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 L $0.00 Total Training: $4,500.00 Texas Dept. of Family Budget for Title IV-E Form 2030 CWIVE and Protective Services Last Updated December 2021 County Child Welfare Services Contract NOTE: Form 9321 Training Expense Documentation Form must be submitted to DFPS for review/approval by Federal Funds prior to training. Texas Dept. of Family Budget for Title IV-E Form 2030 CWIVE and Protective Services Last Updated December 2021 County Child Welfare Services Contract [Supplemental Foster Care Maintenance (SFCM) County. BRAZOS COUNTY Contract Number. HHS000285000041 Budget Effective Date. 101112022-9130/2023 Supplemental FC Maintenance (description) Estimated Total Expense* Clothing - $20,000.00 Daycare $1,000.001 Gifts. $500.001 Gra6atioh Expenses = $250.001 Personal items -$1,000.001 School Supplies $106.00 Reasonable Child Specific Travel. : $250.001 Total SFCM Costs: $23,100.00 V.®I. Pg. t _ Texas Dept. of Family Budget for Title IV-E Form 2030 CWIVE and Protective Services Last Updated November 2020 County Child Welfare Services Contract IBudget Narrative County: BRAZOS COUNTY Contract Number. HHS000285000041 Budget Effective Date: 1011/2022-9/30/2023 characters, you will have to either manually insert a return at the end of each line (Alt -Enter) or go to the next row/cell below to type the remaining text. Clearly describe each expense to be incurred and billed to this contract. Refer to Title IV-E Finance Handbook for detailed information regarding allowable expenses, documentation requirements, etc. A. Administration A.1. Direct Personnel Salaries A.2. Direct Personnel Fringe Benefits A.3. Direct Personnel Travel A.4. Direct Materials and Supplies 1 W A.S. Direct Equipment Texas Dept. of Family Budget for Title IV-E Form 2030 GWIVE and Protective Services lest Updated November 2020 County Child Welfare Services Contract IA.6. Direct Other Costs B. Training B.I. Title ME Training (75%) Conferences for DFPS staff to attend 13.2. Title ME Fostering Connections Training (75%) 13.3. Non -Title ME Training (50%) C. Supplemental Foster Care Maintenance (SF_C_M) Allowable°expenses directly related to fhe ME eligible children to. include clothing, personal items, school -items, day care, or _ — _ �� ► travel for children C P. Indirect Costs (if applicable) �o w �S TEXAS ANNUAL FFATA CERTIFICATION N502 FORM-4734 4 Department of Family April 2022 and Protective Services The Federal Funding Accountability and Transparency Act (FFATA) annual certification enumerated below represent material facts upon which DFPS relies when reporting information to the federal government required under federal law. If the Department later determines that the subrecipient knowingly rendered an erroneous certification, DFPS may pursue all available remedies in accordance with Texas and U.S. law. Signor further agrees that it will provide immediate written notice to DFPS if at any time Signor learns that any of the certifications provided for below were erroneous when submitted or have since become erroneous by reason of changed circumstances. ff the slanatory cannot certify all of the statements contained In this section signatory must provide written notice to DFPS detailina which of the below statements it cannot certify and why. Enter your organization's Unique Entity Identifier: Enter the DMH3VK7M1A98----T---- parent Unique Entity Identifier, if applicable: Did your organization have gross income, from all sources, of less than $300,000 in your previous tax year? Yes No � N/AF-j (if entity does not generate income) If your answer is Yes, skip Parts A, B, C, and D and complete Part E. If your answer is No or N/A, complete Parts A and B. PART A. Certification Regarding % of Annual Gross from Federal Awards Did your organization receive 80% or more of its annual gross income from federal awards in the previous tax year? Yes No rAR I ts. certITIcatlon .Regarding Amount of Annual Gross from Federal Awards Did your organization receive $25 million or more in annual gross income from federal awards in the previous tax year? Yes No M If your answer is Yes to both A and B, you must complete Part C. If your answer is No to either A or B, skip Parts C and D, and complete Part E. rAR I L. certlincation Regarding Public Access to Information Does the public have access to information about the compensation [17 CFR 229.402(c)(2)] of the senior executives (e.g., officers, managing partners, or any other employees in management positions) in your business or organization (including parent organization, all branches, and all affiliates worldwide) through periodic reports filed under section 13(a) or 15(d) of the Securities Exchange Act of 1934 (15 U.S.C. 78m(a), 78o(d)) or section 6104 of the Internal Revenue Code of 1986? Yes No N/A E (if entity reports through some other means, state how: ) If your answer is Yes, skip Part D and complete Part E. If your answer is No, you must provide compensation information to DFPS for FFATA reporting in Part D. If N/A, you may still be required to supply compensation information pending DFPS or federal awarding agency approval. Skip Part D until requested by DFPS to supply compensation information and proceed to complete Part E. 1 of 3 (� Vol. 349 P9,. SL -- 'yv TEXAS ANNUAL FFATA CERTIFICATION N502 Department of Family FORM-4734 and Protective Services April 2022 PART D. Certification Reeardine Executive Compensation The Names and Total Compensation of the top five (5) executives if: • More than 80% of annual gross revenues from the Federal government, • Those revenues are greater than $25M annually, and . • Compensation information is not already available through reporting to the SEC. Subreciplent Executive Names Total Compensation PART E. General FFATA Certification As the duly authorized representative (Signatory) of the subrecipient named below, 1 hereby certify that the responses that 1 have provided to the questions in this certification form are true, complete and correct to the best of my knowledge. � Duane Peters Printed Name of Authorized Representative 1.'County Judge Title of Authorized Representative Brazos County Legal Name of Subrecipient Bryan; Brazos County Principal Place of Performance (POP) nary, county! POP Congressional District Signature of Authorized Representative Date 24728014 Agency Account ID Number 77803-5361 State 9-Character Zip Code wp,4i 2of3Vol. pg.r j r TEXAS ANNUAL FFATA CERTIFICATION N502 Department of Family ANNUAL and Protective Services Apri12022 THIS SECTION FOR DFPS USE ONLY CIVIVIRACTrVARAGER INFORMATION Name Oralia Balleza Division Purchased Client Services (CPS) i Region Region 7 Phone 512-460.8325 Email I oralia.balleza@dfps.texas.gov -- ---- !� Date form received — CONTRACT •• • Contract Number �HH5000285100040 Fiscal Year LFY23 Federal Funding Agency I US Department of Health and Human Services—1 Award No./FAIN ; 1901TXFOST Contract Start Date 10/1/20.18 -------!Contract End Date 9/30/2025 FY Contract Amount SCOR Subject General Goods or Services SCOR Purpose DFPS Title IV-E (Child Welfare -Financial) Funded Services Vol. �. P9,• --- 3of3 BRAZOS COUNTY BRYAN, TEXAS DEPARTMENT: Budget Office NUMBER: DATE OF COURT MEETING: 8/2/2022 ITEM: Request approval to wire transfer u to $883,602.33 to HHSC Funds for PGY1 Additional Comprehensive Hospital Reimburse Program (CHIRP) for qualifying hospitals. TO: Commissioners Court FROM: Nina Payne DATE: 07/27/2022 FISCAL IMPACT: False BUDGETED: False DOLLAR AMOUNT: $0.00 SOURCE OF FUNDS: Brazos County LPPF (Fund 16000) Funds must be set up using the TexNet system as required by HHSC. Last day to Submit REQUIREMENTS: I GT on TexNet is Monday, August 8, 2022, with settlment date as of Tuesday, August 9, 2022. The Health and Human Services Commission (HHSC) directs a managed care organization (MCA) to provide a uniform reimbursement increase to hospitals in the MCO's network in a designated service delivery area (SDA) for provision of Inpatient services, outpatient services, or both. HHSC uses a methodology to calculate and adminlster such NOTES/EXCEPTIONS: reimbursement increases. CHIRP Is designed to incentivize hospitals to Improve access, quality, and Innovation in the provision of hospital services to Medicaid recipients through the use of metrics that are expected to advance at least one of the goals and objectives of the state's managed care quality strategy. ACTION REQUESTED OR Request approval. ALTERNATIVES: ATTACHMENTS• File -No Description CHIRP_PGY1 Addiflona(_Allocadon_Backup.pdf CHIRP PGY1 Additanal IGT Do Cover Memo Duane Peters Date County Judge Vol. �� fig' 112J From: Kelly 0"Brien To: Edward C. Bull; Katie D. Conner; Laura T. Davis; Nina Payne; Jamie L. Candelaria Cc: Justin Flores; Robin Daniel; Colt Sullivan; Melanie McCammon; Corbin Pefanis Subject: PGY1 CHIRP IGT - Brazos County LPPF Date: Wednesday, July 27, 2022 3:49:12 PM Attachments: CHIRP PGY1 Additional Allocation Summary - Brazos.odf --- •----•-- --- -•- ........ •--•.................-- -_- -- ----- :Brazos County Disclaimer ***** This; i!san email"from an EXTERNAL source:" D0 NOT click links or open"attachments unless you recognize the sender and have verified that the content is safe., Never enter iUSERNAME,"PASSWORD or sensitive information on pages linked from this ema>1 ***** - .--........................................................................... ------- --------------•------------ Good afternoon, Brazos County Team. The hospitals participating within the Brazos LPPF would like to request the following IGT amount be submitted for the upcoming CHIRP PGY1 Additional IGT. HHSC requires IGT amounts be entered into TexNet no later than close of business onday-;:.August 8. 2022 with a settlement date of Tuesday, August 9th, 2022. GY1 CHIRP AdditiRNLI=C onal'- SAe trrs al SQA $883502 33 Please note the following: • The IGT funds will need to be placed in the "CHIRP" Bucket. • HHSC does not require an allocation form for CHIRP. Once TexNet has been submitted, please provide a screen shot or PDF of the confirmation/trace sheet to HHSCPFDCHIRPPaymentsP—hhs.texas.gov (not the old "RAID UHRIP" email address) — please copy AHCV team on the email submission. AHCV also kindly requests to be copied on the email submission to HHSC. Please let us know if you have any questions or concerns. Regards, Kelly Kelly O'Brien Adelanto Health Care Ventures L.L.C. 401 W. 15th Street, Suite 840 1 Austin, TX 78701 Main Office: (512) 322-9413 Direct: (802) 825-2466 http:llwww.ahev.com Vol. deg Pg. CHIRP PGY1 Additional IGT TRACE Number: Agenda Date Tuesday, August 2, 2022 TexNet Date Monday, August 8, 2022 Settlement Date Tuesday, August 9, 2022 The Trace Number is in the receipt you receive from the Comptroller once you have submitted your IGT into TexNet. Funding Entity Brazos County LPPF Recommended•.. Facility Burleson St. Joseph Health Center itio n a5-AenAmL�21— Share 8,255.92 Brazos County LPPF College Station Medical Center 18,091.07 Brazos County LPPF Grimes St. Joseph Health Center 5,875.54 Brazos County LPPF Madison St. Joseph Health Center 14,191.26 Brazos County LPPF IScott & White College Station 342,775.70 Brazos County LPPF ISt. Joseph Regional Health Center 494,312.84 Brazos County1PPF"Total "IGT 883,502.33 Nina Payne npayne@brazoscountytx.gov 979-361-4186 Katie Conner kconner@brazoscountytx.gov 979-361-4359 Vol. a P9. �. l 39 AMENDMENT 42 TO 22-117R — MOWING QF COUNTY RIG:HTS'Or, WAY FOR.BRAZOS COUNTY T.IHS AMENDMENT TO 22-117R, previously- known as 20-109 Mowing of County Rights of Way for Brazos County ("Amendment') is entered into and effective this 15th day of August, 2022 ("Effective Date") through November 15, 2022 ("Expiration Date") by and between Brazos County ("Customer"), and Binford Ag Services ("Provider") each of which may alternatively be referred to herein as a "Party" and collectively as the "Parties". All capitalized terms in this Amendment shall have the same meaning as in the Agreement (as defined below) unless otherwise stated herein. RECITALS WHEREAS, the Parties entered into that certain original. contract. # 20-1.09 ("Agreement") for purposes of Binford Ag Services to provide of the service for Mowing of County Rights of Way for Brazos County; and WHEREAS, the Parties desire to amend the pricing as set forth in original contract It 20-109. AGREEMENT NOW THEREFORE, in consideration of the above premises, and other good acid valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the Parties hereto agree to amend the Agreement as follows: 1. Changina'Fenee to Fence mowing to $121.37 per mile and Fields or by Dam to $80.00 per acre due CI to increased fuel cost. IN WITNESS NV.EIEREOF, the, parties hereto have caused this Amendment to be signed by their authorized representatives as of the Effective Date. This Amendment may be executed in counterparts, all of which. taken together shall constitute one instrument. Electronic or. facsimile signatures are acceptable forms of execution of this Amendment and shall be binding on all Parties hereto. SigIvirrr•e , I..tAA N i P>;TE2S Naly� EQ LkN 0�&0 fo C Title, . a'20r�oZ Sale BINFORD AG SERVICES VILU Sigr airne l Yq Name 7ille at ao aa_. Date iloi. pg. ��° Amendment #2 to 22-117R Mowing of Right of Ways August 15, 2022 -.November 15, 2 ,; FENCE TO FENCE MOWING PRICE PER MILE SAFETY MOWING PRICE PER MILE LINE TRIMMING PRICE PER' MILE FIELDS OR BY DAMS PRICE PER ACRE Recommended Award: Binfod Ag Solutions County )2 n Entefpnses $128.70 $79.00 $ 9.00 a 0-� & t App ved by om 'ssionee o rt on this day of 2022. by :altling the position of CouliT TLLO C7C Vol. 5-6 g PO. REQUEST FOR BID SID NO.20-109 Mowing of County Might of Ways SEALED BIDS TO BE SUBMITTED BEFORE: Wednesday, May 27, 2020, 2:OOpm CST TO THE: BRAZOS COUNTY PURCHASING DEPARTMENT 200 S. Texas Ave. Suite 352 Bryan, TX 77803 Phone: (979) 361-4290 Fax: (979) 361-4293 Respondents, their employees and/or representatives are prohibited from contacting any official or employee of Brazos. County, except the Purchasing Agent, regarding this solicitation from the issuing date of the solicitation until scheduled oral presentations or the date the Brazos County Commissioners Court meets to consider award of the bid. Any such contact will be grounds for rejection of the Respondent's bid. In compliance with this solicitation, the undersigned Respondent(s) having examined the solicitation and specifications and being familiar with the conditions to be met, hereby submits the following bid for famishing the material and/or services listed on the attached Bid Form and agrees to deliver said items at the locations and for the prices set forth on the Bid Form. Company Name: J By (print); W Title: b i_/J VUY Physical Address:-! / ii� 7� �_SDit� [ X 77��� Mailing Address: - l�l ��-��.� IX 7 O( o p� ¢ y - l) it . co►A Telephone: t7�P" O �% o ' 0 �oFax. N/>� E-Mail: b YlpYA-4@) Vol. 3-6 8 pg. / �� Bids will be received at the Brazos County Administration Building, Purchasing Department, 200 South Texas Ave Suite 352, Bryan, Texas prior to 2:00 p.m., May 27, 2020, at which time bids will be publicly opened and read aloud. A. SCOPE OF BID 1. Bids are solicited for furnishing the merchandise, supplies, service, and/or equipment. set forth in this bid request for a two (2)� year period beginning July 1, 2020 through June 30, 2022 in accordance with the following Conditions of Bidding. B. CONDITIONS OF BIDDING The following instructions apply to all bids and become a part of terms and conditions of any bid submitted to the Brazos County Purchasing Office, unless otherwise specified elsewhere in this bid request. All Respondent(s) are required to be informed of these terms and conditions and will be held responsible for having done so: 2. Definitions: In order to simplify the language throughout this bid, the following definitions shall apply: a. BRAZ:OS COUNTY — Same as County. b. CONMSSIONERS' COURT — The elected officials of Brazos County, Texas given the authority to exercise such powers and jurisdiction of all county business as conferred by the State Constitution and Laws. c. CONTRACT — An agreement between the County and a Contractor to furnish supplies and/or services over a designated period of time during which repeated purchases are made of the commodity specified. d. CONTRACTOR-- The successful Respondent(s) of this bid request. e. COUNTY — The government of Brazos County, Texas and its authorized representative. f. SUB -CONTRACTOR — Any contractor hired by the Contractor or Supplier to furnish materials and services specified in the bid request. g. RESPONDENT -- Any Supplier or vendor responding to the bid request. 3. Upon acceptance and approval by the Commissioners' Court, this bid effects a working contract between Brazos County and the Contractor for the period designated. 4. Bids must be received by the Purchasing Office prior to the time and date specified. The mere fact that the bid was dispatched will not be considered; the Respondent(s) must have the bid actually delivered to and received by the Purchasing Department. S. The County reserves the right to accept or reject in part or in whole, any bids submitted, and to waive any technicalities for the best interest of the County. Vol. 016 g P9._I_D__J 6. Brazos County shall not be responsible for any verbal communication between any employee of the County and any Respondent's). Only written specifications and written price quotations will be considered. Respondent(s) with questions regarding the bid should submit them in writing via the Brazos Valley e-Marketplace at https•//brazosbidJonwave.net. 7. Brazos County reserves the right to reject any bid that does not fully respond to each specified item. 8. Respondent(s) must include Tax Identification Number for the bid to be valid. 9. Should there be a change in ownership or management; the Contract shall be canceled unless a mutual agreement is reached with the new owner or manager to continue the Contract with its present provisions and prices. This Contract is nontransferable and may not be reassigned by either party. 10. The County may cancel this Contract at any time for any reason, provided a thirty -day written notice is given. 11. The bid award shall be based on, but not necessarily limited to, the following factors: a. Unit Price b. Extended price c. Special needs and requirements of Brazos County d. Results of testing samples (if required by Brazos County) e. Delivery f. References g. Brazos County's experience with products bid h. Respondent's past performance record with Brazos County 12. Although the cost of products to be provided is an essential part of the bid, Brazos County is not obligated to award a contract on the sole basis of cost but will award to Respondent considered to be the best value to Brazos County. 13. Acceptance of merchandise, work, and/or equipment provided shall be made by the County at the sole discretion of the Commissioners Court when all terms and conditions of the Contract and specifications have been met to its satisfaction, including the submission to the County of any and all documentation as may be required. 14. Title and risk of loss of the goods shall not pass to Brazos County until the County actually accepts and takes possession of the goods at the point or points of delivery. e 15. This Contract shall be governed by the Uniform Commercial.Code as adopted in the State of Texas as effective and in force on the date of this Contract, when applicable. 16. Bids must be submitted on quantities and units of measure specified by the bid documents. in the event of errors in extended prices the unit price shall govern. Any suggested change in quantity on the part of the Respondent(s) to secure, better price or delivery is welcomed. and may be given consideration provided that the bidder also bids on the quantity specified. 17. Bids must specify the number of consecutive calendar days required to deliver the commodities under normal conditions. Failure to specify delivery time will be considered reason enough to cause the bid to be disregarded. Delivery time quoted will be given consideration in awarding a contract. If delivery is not made within a reasonable time of the specified delivery in the bid, the entire order or contract may be canceled, and the Contractor barred from bidding in future solicitations. 18. Bids cannot be altered after receiving time. No bid may be withdrawn after opening time without acceptable reason and with the approval of the Purchasing Agent. 19. Bids must be submitted on this form and returned in a sealed envelope clearly marked with Respondent Name and Bid Number to ensure Proper recognition upon its arrival Bids will not be considered if submitted by telephone, fax or any other means of rapid dispatch, nor will a bid be considered if submitted to any other person or department other than specifically instructed. Bids not received prior to the expressed date and time listed in this bid will be reiected or returned unopened to the Respondent(s) Bids submitted to any other person or department other than the Brazos County Purchasing Department will not be accepted. 20. It is the Respondent's sole responsibility to print and review all pages of the bid document; attachments, questions and responses, addenda, and special notices. The Certification of Bid Form must be completed to include full firm name, mailing address, telephone number, email address, Vendor Tax Identification number and signed by an authorized representative of the firm. Failure to provide signature on the Certification of Bid Form renders bid non -responsive. Failure to complete the submission of all required forms, including but not limited to the Reference Page, House Bill 89 & Debarment Verification form, Questionnaires (when applicable), Addenda (including revised forms), and any other specified forms or documents may be grounds for rejection of entire bid. By submitting a response to this solicitation, the Respondent(s) agrees to comply with. HB 1295, Government Code 2252.908,.if awarded a contract. Respondents) agrees to provide Vol. fl . Pg.. �S Brazos County the "Certificate of interested Parties, "Form 1295 as required, for renewals, amendments or extensions to the Contract. Visit https://ediies.state.tx.us/whatsnew/elf info form1295.htm for more information. 21. In the event of a needed change in the specifications sent to the bidder, it is understood that all the foregoing terms shall apply to the addendum or addenda. Any interpretation, corrections or changes to these specifications will be made by addenda. Sole issuing authority of addenda shall be vested in the Brazos County Purchasing Agent, authorized to do so by the Commissioner's Court. Addenda will be made available using the same distribution method used to post or make available the original solicitation. Bidders shall acknowledge receipt of all addenda. 22. It is our policy not to furnish bid results over the phone. Bid results and tabulation sheets will be posted on the Brazos Valley e-Marketplace {www.brazosbid.ionwave.net) after bid award by Commissioner's Court. 23. Brazos County reserves the right to extend this Contract annually for a maximum of three (3) additional one (1) year periods with no changes in the terms or conditions of this Contract, if agreed upon by both parties. 24. The Contractor agrees to extend prices and terms to all entities that has entered or will enter into joint purchasing inter -local cooperation agreement(s) with Brazos County. 25. Three (3) references are to be provided by Respondent. Failure to submit references may result in disqualification of bid. Brazos County department references will not be accepted. 26. Contractor shall observe and comply with all federal, state and local laws, safety, and health regulations, ordinances, and all regulations which in any manner effect conduct of the work or services being performed. 27. Any subcontracting must be approved prior to commencement of the Contract by Brazos County. 28. Any variation from the specifications in this bid document must be indicated on the bid or on a separate attachment to the bid and labeled as such. 29. Any brand name, or manufacturer's reference used is considered to be descriptive — not restrictive — and is indicative of the type and quality the County desires to purchase. Bids on similar items of like quality will be considered only if it. is noted in the bid documents and accompanied by fully descriptive product literature. All substitutions will contain the Vol. Pg. l��P same active ingredients in the same percentages or quantity of the items listed in the bid. If notation of substitution in not made, it is assumed the Respondent(s) is bidding the item specified. 30. The County does not guarantee to purchase any minimum or maximum quantities. If any quantities are listed in the bid, they are estimated quantities used for calculating purposes only. 31. In the event the Contractor is unable to famish any item within a reasonable time after order is placed due to strikes, war or any reason beyond the Contractor's control, the County reserves the right to purchase these items from any source, without causing this Contract to be canceled. 32. Brazos County will only be required to pay for materials actually received and/or services actually provided Brazos County shall not be required to pay for materials or services described in the contract that are not used or provided by the Contractor in completion of the Contract. This term supersedes any contradicting terms throughout the Contract and/or any attachments. 33. The Contractor should submit itemized invoices with clearly marked remittance copies to the following address; Brazos County ATTN: Auditors P.O. Box 914 Bryan, TX 77806 Statements of accounts will not be sufficient to warrant payment. Unless other arrangements have been made; all invoices to be paid in full within 30 days after satisfactory delivery of commodities and or services and receipt of invoice at the listed address. Checks will be made payable to the Contractor only, and shall not include sub- contractors, assignees, or'any other party. 34. As a governmental subdivision, Brazos County is exempt from most types of taxes, including but not limited to sales tax, excise tax, and import duties. Such costs must not be included in bid prices. Tax Exemption Certificates can be obtained upon request from County. 35. Upon award of Contract for any commodity or materials purchased by Brazos County, the Contractor agrees to protect the County from any claim involving patent right infringement, copyright infringement, sales fianchise disputes. V01. ° pg. 36. Unless otherwise specified, all items ordered from the Contractor must be new, unused, and in first class condition. Products usually packaged for commercial sale shall be furnished in proper container so as to facilitate storage and handling. V. This bid shall. be governed by the laws of the State of Texas and Potential Respondent(s) and the subsequent Contractor(s) are advised they may have disclosure requirement pursuant to Texas Local Government Code, Chapter 176. This law requires persons desiring to do business with the County to disclose any gifts that have an aggregate value in excess of $250.00 given to any employee of the County, County Official to the County Official's family members or employment of any employee of the County, County Official or the County Official's family members during the preceding twelve (12) month period. The disclosure questionnaire must be filed with the Brazos County Clerk. Refer to Texas Local Government Code, Chapter 176' for the details of this law. 38. "Venue for any dispute, shall lie exclusively in Brazos County, Texas, notwithstanding anything to the contrary. 39. Respondent(s) understands that Brazos County is a governmental entity subject to Texas State and Federal public information statutes. The requirements of Subchapter J, Chapter 552, Government Code, may apply to this bid and/or subsequent contract and the contractor or vendor agrees that the contract can be terminated if the contractor or vendor knowingly or intentionally fails to comply with a requirement of that subchapter. This provision is mandatory and may not be altered or deleted, as required by Sec. 552.372(b) of the Texas Government Code. 40. Notwithstanding any provisions contained herein, the obligations of Brazos County are expressly contingent upon the availability of funding for the obligations contained herein for the term of the contract and any extensions and renewals thereto. C. SPECIAL PROVISIONS 1. All deliveries are to be made F.O.B. Brazos County Road. and Bridge Department, during regular working days, and between the hours of 7:30 A.M. and 5:00 P.M. Monday through Thursday, unless otherwise requested by the County and loaded into County trucks by the Contractor; or loaded and hauled and delivered anywhere in the County by the Contractor during the mentioned working days and hours. 2. Contractor will be required to notify the Brazos County Road & Bridge Department in the event of unforeseen delay arising, in the delivery of a specified shipment: In the event a shipment will not arrive at the job site within two (2) hours of .designated time Brazos County shall have the right to refuse acceptance of the order. vol. 3-(, �' Pg. /�g 3. Contractor will be required to deliver to Brazos County Road and Bridge Department or job site in Brazos County when and where requested and remain on the job with truck and operator as long as required to completely place load. 4. Brazos County reserves the right to test any materials delivered at the requested site for compliance with specifications. The Contractor will remove immediately from the job site or right of way any materials that are deemed unsatisfactory. 5. Material Safety Data Sheets and Placards must be furnished at the time of delivery as specified by State and Federal Regulations (IF APPLICABLE). 6. Any Contractor vehicles traveling on County roads will not exceed its legal gross weight. D. INSURANCE REQUIREMENTS 1. The Contractor shall instruct his insurance agent or carrier to furnish to the County a Certificate of Insurance attesting to the issuance of the following parts of this section. Please note that such Certificates of Insurance and any required bonds must be issued and then approved by Brazos County Risk Management. The Certificate of insurance must be approved by Risk Management before any deliveries can be made. 2. The Contractor shall furnish and keep in full force the following insurance during the term of this Contract: 3. Statutory Workmen's Compensation and $1,000,000 Employer's Liability Insurance with waiver of subrogation. 4. General Liability with limits for bodily injury and for property damages of not less than $1,000,000 aggregate, $500,000 each occurrence with Brazos County named as an additional insured and waiver of subrogation. a. Commercial Automotive Liability with $500,000 CSL for Bodily Injury and Property Damage Liability. b. Cargo Insurance to sufficiently cover materials transported. 5. All of the aforementioned policies and Certificates of Insurance should be issued immediately after the Contractor receives notification of award. 6. The Contractor agrees to release and hold harmless Brazos County from any and all claims and liability due to the acts of the Contractor's employees and the operation of his equipment. The Contractor also agrees to hold harmless Brazos County from any and all expenses, including attorney fees, incurred by Brazos County in litigation or otherwise Vol. pg. Ltq resisting such claims or liabilities as a result of the Contractor's employees' activities. Further, the Contractor agrees to protect, indemnify and hold harmless Brazos County from and against all claims, demands and causes of action of every kind and character brought by any employees of the Contractor against Brazos County due to personal injuries and/or death to such employee resulting from any neglect act, by either commission or -omission on the part of the Contractor or Brazos County. E. REFERENCES -Respondent(s) shall provide a list of at least three (3) references, where work comparable in quality and scope to that specified has been performed within the past five (5) years. This list should include the names, phone number and email. of the company/entity for which the prior work was performed to contact these references. A negative reference may be grounds for disqualification of bid. Respondent(s) are not allowed to use Brazos County as a reference. Company/Entity: Contact: Phone: Email: N Company/Entity: Contact: Phone: 1J0 9 5 S Email: I Company/Entity: Contact: N"14 - dtzt U Phone: q -lq - aao - S S110 Email: !J A - Vol. (o pg. F. SPECIFICATIONS FOR MOWING OF COUNTY RIGHT OF WAYS: 1. Estimated Acreage and Miles — Brazos County estimates that approximately 45 acres of sites and 360 miles of County right of ways will require mowing during the periods of this contract. 2. Minimum Equipment Required: Vendors are required to have the following minimum amount of equipment when performing work for Brazos County. Failure to do so is grounds for removing bidder from consideration: a. Tractor with Slope Mowers — one (1) each b. Tractor with 15' Batwing Rotary Mowers — four (4) each c. Tractor 5' or 6' Mowers — one (1) each 3. Contractor shall furnish all labor, equipment, fuel, and supervision to mow or shred plant growth along county right of ways as required by the Brazos County Road & Bridge Department. 4. The Contractor shall not begin mowing until a minimum of four (4) mowers are in Brazos County. All rotary mowers must be 60hp and equipped with four (4) sections of safety chains or the manufacturer's safety device to prevent damage to property caused by flying debris propelled out from under the mower. 5. The Contractor shall provide all mowers with a slow -moving vehicle emblem affixed to rear of mowers. 6: All mowers shall be kept in good operating condition and shall be maintained to provide a clean sharp cut of vegetation at all times. 7. Slope mowers are to be used for mowing of ditches and back slopes that cannot be reached by other equipment. 8. 15' mowers are to be used on wide areas and slight sloped ditches. 9. 5' or 6' mowers are to be used to trim and on other areas as directed by the Brazos County Road & Bridge Department 10. The cutting height shall be five (5) or seven (7) inches, or as directed. 11. County right of ways will be mowed in cycles. One (1) cycle equals mowing of entire county road right of ways. The County anticipates three (3) or more cycles per year depending on weather conditions. E F'g• 1��- 12. All mowing from the beginning of the cycle to the end of the cycle, shall take place within thirty (30) calendar days. If the mowing cycle takes longer than thirty (30) days, the contractor will be responsible for the full compensation to the County for additional County supplied or hired mowers to finish the mowing cycle. This does not include rain days or other conditions that are approved by the Brazos County Road & Bridge Department. Additional costs that are accrued by the County due to not finishing the cycle within the thirty (30) day period will be subtracted from the contractor's invoice or the County will send an invoice to the Contractor. 13. The sequence of work shall be established by the Brazos County Road & Bridge Department. Map and road lists will be provided to establish roads to be mowed. 14. The Contractor shall provide documentation of the mowing date of each road they mowed in the cycle with their invoice. 15. Mowing will be from fence to fence. The Contractor shall mow as close as possible to all fixed objects exercising extreme care not to damage county, public, or private property. Contractor shall be responsible for damages. 16. Safety mowing will consist of mowing the total length of County roads six (6) to eight (8) feet off the roadway in wet soil/weather conditions. Safety mowing will be done only when coordinated with the County. 17, The Brazos County Road & Bridge Department will direct mowing locations, time€rame and acreage. 18. The Contractor shall immediately remove and properly dispose of any debris thrown on the "roadway" by the mowing operation. Contractor is "not" responsible for disposing of debris in the right of way; however, they shall notify the Brazos County Road & Bridge Department of the debris. 19. The Contractor shall observe and comply with all federal, state, and local laws, safety and health regulations, including all warning and traffic control signs, ordinances, and all ordinances and all regulations which in any manner affect the conduct of the work. Contractor shall comply with all County, State, and Federal Codes, Laws, in force at the time of award of contract and applicable to such work. Contractor shall obtain, at their own expense, such permits, certificates, and licenses as may be required in the performance of the work specified. Vol. pg, S a� 20. All equipment. operating on County right of ways shall be licensed in accordance with the laws of the State of Texas. 21. In order to insure the safety of the traveling public, the Contractor shall coordinate all work with the Brazos County Road & Bridge Department. 22. The Contractor shall provide adequate protection to persons., adjacent property, and utilities, and shall avoid interference with such persons, property, and facilities. Contractor shall furnish. all barricades, warning lights, and other safety devices necessary for the safety and protection of the public and, shall. remove them upon completion of this contract. These safety and protection devices must be in accordance with the Texas Manual on Uniform Traffic Control Devices (TMUTCD). 23. Contractor agrees to accept full responsibility for any and all damages, including damage to County right of ways, public oir private property (i.e. signs, fences, phone cables / pedestals, guardrails, etc,), as a result of their operations thereon; the Contractor further agrees to promptly repair such damage in accordance with the Brazos County Road & Bridge Department instructions. Brazos County will replace any and all traffic control devices damaged during mowing (i.e. stop signs, bridge markers). Brazos County shall deduct $318.00 per traffic device from Contractor's invoice. County forces, at the Contractor's expense, will repair all damages not repaired by the Contractor. All expenses charged by the County for repair work shall be deducted from the Contractor's money due, 24. Contractor shall notify the County of any damages immediately. 25. When directed, all railing, posts, fence lines, retaining walls, signs, structures, and other protruding obstacles around which turf grass, rye grass, or weeds can grow must be cleared with a weed eater on the same day of mowing. 26. County will notify Contractor, approximately ten (10) to twelve (12) days prior to the start of a cycle. 27. Contractor shall notify Brazos County .Road & Bridge Department at least twenty-four (24) hours prior to beginning any work cycle. 28. Contractor will confine all operations to daylight. hours. Weekend or Holiday.operations may be allowed, butmust be previously authorized by the Brazos County Road & Bridge Department. Vol. (� Pg. 29. Contractors are strongly urged to perform an actual drive-thru of County roads prior to bidding the job; this will familiarize the Contractor with right of way hazards and conditions (driveways, signs, culverts, bridges, etc.). 30. Contractor shall provide a company representative (foreman) to serve as a. contact person for field operations; representative shall report to the Brazos County Road & Bridge Department. The representative will remain with the mowing crew at all times and shall be able to converse.in English. 31. Prior to beginning operations, a conference between representatives of the County and the Contractor will be. arranged by the County. In this meeting, the Contractor will outline the proposed mowing procedures and give his plans for performing, the specifications, unusual conditions, methods for making non -mowing areas and other pertinent items regarding the work will also be discussed. The County shall determine all non -mowing areas. 32. Mowing will not be permitted when, in the opinion of the Brazos County Road & Bridge Department, soil and weather conditions are such that the right of way would be damaged. 33. Equipment shall not be left within -thirty (30) feet of the travel lane during non -working hours. 34. Payment to the Contractor for services rendered will be made based upon the completion of a cycle (lump sum -per cycle) and the submission of applicable invoices. By Texas statute, Brazos County will pay the vendor for services provided within thirty (30) days from the Auditors' receipt of the invoice. 35. There will be mowing that is required in fields and by dams with the Brazos County. it will be required that the awarded Contractor charge a per acre cost for these projects. The quantity listed is an estimated quantity and is not a, guarantee. For maps of field locations, see Exhibit A. 36. Brazos County reserves the right to add and/,or delete roads and streets. Prior to roads and streets being added, Brazos County will evaluate with the Contactor. 37. Wildflowers: The Contractor shall conduct all mowing operations so as to avoid clearing or removing stands of wildflowers before the seeds have matured, unless otherwise directed by the County. Pg. vol. g 5 38. Brazos County reserves the right to inspect the work under contract at any time for final acceptance. 39. Brazos County does not assume responsibility for any materials, tools, and/or equipment stored on or about,the premises. The Contractor upon completion of the work shall cleat each area of all items. 40. Daily Cleanup: The Contractor shall confine to the site all materials and refuse generated by his operations. Materials and/or equipment, which are stared on -site, shall be stored in an orderly manner. Materials, which become scattered in adjacent areas, shall be collected and returned to the site or otherwise satisfactorily disposed. 41. Responsibility for. Property: Contractor shall assume full responsibility for any loss of or damage to private and public property by employees or agents of the contractor and will reimburse the private or public entity in the, event of any loss of or damage to said.property. Brazos County shall not be responsible for loss or damage to contractor's property from any cause. 42. Assignment: Contractor shall not sell, assign, transfer, or convey these services; in whole or in part, without the prior written consent of Brazos County and as a condition of such consent, contractor shall remain liable -for completion of the services in the event of default by the successor contractor or assignee. G. CONTRACTOR INFORMATION Bidders are required to complete the following information. This information may. be utilized to determine the award for this contract. the type, age, and number of pieces of operable equipment to be used for this contract. �T A/ a ) 7soVn tee. - 100 H p a /V 0 Y 2. Number of years in business: i 3. Will your company subcontract mowing on this contract? Yes: No: i/ If yes, list all potential subcontractors: C 4. Contact information for the Representative or Foreman that will be the primary contact -for Road and Bridge and be on each job for the contract: Name: iAJi I i n PDrd Office Phone #: g3Co - a? 0 S1 Co Cell Phone M q,:� & — 7 0 r $ 'S� 5 (P Email: S. Emergency Contact information in case of emergencies (must be a 24-hour contact): . , . , r--,% . n Name: Cell Phone #: qJ & - 2 7 a - S '�r262 V01. 3-609 PQ. �� H. QUOTATIONS The following is an estimate of our anticipated purchases and will be used ONLY for tabulation purposes. The specified estimates are not guaranteed minimums. Fill in the blanks with the unit. price that is firm for the contract period. Quotations are to be submitted using per mile per application basis. 1. Brazos County fence to fence mowing of total length of County roads: Est. No. of Miles Unit of Measure Unit Cost 360 Mile Q T $ • 0" / Mile 2. Safety mowing of total length of County road six (6) to eight ($) feet off the roadway in wet soil/weather conditions. Est. No. of Miles Unit of Measure Unit Cost 360 Mile tD $ - / Mile 3. Line trimming of total length of County roads adjacent to all railing, posts, fence lines, retaining walls, structures, and other protruding obstacles around which turf grass, rye grass, or weeds can grow. Portions of County roads may be weedeated only when directed by the Brazos County Road & Bridge Department. Est. No. of Miles Unit of Measure Unit Cost 360 Mile 17, 0-0 /Mile 4. Acreage in fields or by dams on an as needed basis. Est..No. of Acres Unit of Measure Unit Cost 45 Acres j(91. 00 /Acre Vol. _._ Pg �s'r I. HOUSE BILL 89 & DEBARMENT VERIFICATION Brazos County is federally mandated to adhere to the directions provided in the President's Executive Order (EO) 13224, Executive Order on Terrorist Financing — Blocking Property and Prohibiting Transactions With Persons Who Commit, Threaten to Commit, or Support Terrorism, effective 9/24/2001 and any subsequent changes made to it via cross-referencing respondents/vendors with the Federal General Services Administration's Excluded Parties List System (EPLS, https://www.sam.gov), which is inclusive of the United States Treasury's office of Foreign Assets Control (OFAC) Specially Designated National (SDN) list. Respondent certifies that the respondin&entity and its principals are eligible to participate in this transaction and have not been subjected to suspension, debarment, or similar ineligibility determined by any federal, state or local governmental entity and that Respondent is in compliance with the State of Texas statutes and rules relating to procurement and that Respondent is not listed on the federal government's terrorism watch list as described in 'Executive Order 13224. Entities ineligible for federal procurement are listed at https://www.sam.gov. The undersigned affirms the non -debarment statement above, that they are duly authorized execute this Contract. The company representative below further affirms, that the company submitting this bid, under the provisions of Subtitle F, Title 10,, Govemment Code Chapter 2270: 1. Does not boycott Israel, currently; and 2. Will not boycottlsrael during the term of the Contract. Pursuant to Section 2270.001, Texas Government Code: 1. `Boycott Israel" means refusing to deal with, terminating business activities with, or otherwise taking any action that is intended to penalize, inflict. economic harm on, or limit commercial relations specifically with Israel, or with a person or entity doing business in Israel or in an Israeli -controlled territory, but does not include an action made or ordinary business purposes; and "Company" means a for -profit sole proprietorship, organization,, association, corporation, partnership, joint venture, limited partnership, limited liability partnership, or any limited liability company, including a wholly owned subsidiary, majority -owned subsidiary, parent company or affiliate of those entities or business associations that exist to make a profit. Company Name: Authorized Company Representative: 1 6 Address: Signature: ts--6-55�' CY= Date: f pg 0 Contract ao Vol. J&8, pg, is� J. CERTIFICATION OF BID The undersigned affnm' s that they are duly authorized execute this Contract,. that this bid has -not been prepared in collusion with any other vendor and that the contents of this bid have not been communicated to any other vendor prior to the official opening of this bid. Signed By: I IWill "-' 1 I}-, / TypedName: W i 1 l-n--J' t,�Drd Title: b t0fLP—X Company Name: LV t�� u l Phone: t2G-92C> Mailing Address: Email Address: "a.50 -tr*- . 1 X_ 7 7 S-GF:� ( `.O/4 Vendor Tax Identification Number: 11P -- 0 13 S_S�:A 7 END OF BID REQUEST NO.20-109 By signing below, Brazos County agrees that this bid, 20-109 - Mowing of County Right of Ways, will be awarded as dictated on the associated bid tabulation sheet, to the Respondent whose name appears a oth parties agree to terms and conditions contained herein. By: N % --'' Brazos County Commissioner's Court: e. W Jud Date: Attest: I: INWAR,A Fv�. z 8 P9. Brazos County Purchasing Department 200 S. TX AVE., STE 352 BRY^.TX 77903 PHONE (979)'3614292 , FAX (979),3614293 Addendum #1 to BID # 20-109 of County Right of W Issued: March 9, 2020 Change: Added the map of the County Roads that need to be mowed per the,contract, please see attachment. Reason: Requested by multiple vendors, This addendum should be. signed by an authorized representative of the respondent and returned with the. bid documents as specified in the bid. Acknowledgement o ddeod Signature: Printed Name: Vol. Pg. . Brazos County. Purchasing Department 200 S. TX. AVE., STE 352 BRYAN, TX 77803 PHONE (979) 3614292 FAX (979) 3614193 Addendum #2 to BID # 20-109 MLW-MiA of County Right: of Ways, Issued: March 18, 2020 Change: Bid -opening date from March 19, 2020 to April 2, 2020 Reason: Due to the .current health concerns, it is in the best interest for the public and Brazos County to postpone this public bid opening for two (2) weeks. Bids will be due April'2, 2020 prior to X:00 .pm. Please continue to: monitor bidding website and emails for updates and/or changes to this bid. This addendum should be signed by an authorized representative of the respondent and returned with the bid documents as specified in. the bid. Acknowledgement o Addendu • , 'n f Signature: •�`V Printed Name: ` !Vol. 3Pg• r AMLNDI'}if'.NT #t TO 20-109-- MOWING OF COIINTV RiGIITS OF NVAV FOR BRAZOS COUNTY THIS AINIENWNIF Ni TO 20-109 riowing of, County Rights of Way for Brazos County (C'Amendment"i is entered into and effective this 17th day of May, 2022 ("Cii'ective Date") hrouuh August 15, 2022) (:Expiration Date") by and between Brazos County'("Customei", and.Binford Ag Seances ("Provider") etch of which may alternatively be refetired to herein as a "Party" and collectively as the "Parti&"; All capitalized tents in this amendment shall have the same meaning as in the Agreement (as defined below) unless otherwise stated herein. RECi,'i'ALS WRE:REAS„the Parties entered into that certain original contract 9 20409 (''Agreemcnf) for purposes of B nford AS Services to provide of the service for Mowing of CountyRid hts of Way for Brazos County; and WBEREAS, the Parties desire to amend the pricing as set forth in original contract l# 20--109. AGREME:NT NOW THEREFORE, in consideration of the above premises, and other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the parties hereto agree to amend the Agreement as follows: i_ Changing Fence to Fence mowing to S121.37 pe'r mile and Fields or by Dam to ,180,00 per acre due to indc&;zd fuel cost., IN WITNESS WUEREOF, the parties hereto have caused this Amendment to be signed by their authorized representatives as of the Effective'Date, This Amendment may be executed in counterparts, all of which taken together shall constitute one instrument; Electronic or facsimile;signatures are acceptable forms of execution of this -Amendment and shall be binding on all Parties hereto. Sf0�rrutare Title Date BINFORD AG SERVI , ES . t r l l EBtiyky-Lr Nallte T1ul j Dare Voi. Pg. LEXISO SUBSCRIPTION AGREEMENT ' LexisNexis' FOR STATEILOCAL GOVERNMENT (NEW SUBSCRIBER AAR) "Subscriber" Name: Brazos County Attorneys Office Account Number.10000ZV3R I %N": LexisNexis, a division of RELX inc. i 1. Subscription Agreement LexisNexis, a division of RELX Inc. ("LN") grants Subscriber a nonexclusive, non -transferable limited license to access and use Lexis® and the materials available therein ("Materials") pursuant to terms set forth in the LexisNexis General Terms and Conditions ("General Terms°) and the pricing set forth in the Price Schedule {Price Schedule") (the General Terms together with the Price Schedule is collectively referred to as the "Subscription Agreement"), both of which are incorporated herein by reference. Subscriber may - view, and print the Subscription Agreement at: https://www.le)dsn iscom/en-us/terms/GovtAcademic/terms.vage. 2. Certification 2.1.Subscriber certifies that the number of government professionals in Subscriber's organization is as set forth below. A "Government Professional User" is defined•as an attorney, judge, librarian, researcher, investigator or analyst who is employed by the Subscriber. Number of Government Professional Users: 16 1 2.2. A "Support Staff User" is defined as a person who supports the Government Professional User, including, but not limited to: paralegals, interns, legal secretaries or other administrative support members. 3 ID's may be issued to support staff for each Government Professional User accounted for above. Number of Support Staff Users: 16 2.3. Each LN ID must be issued for individual use by the Government Professional User or Support Staff User. 2.4. If Subscriber, at the time of signing this Agreement has 11 or more Government Professional Users, then Subscriber is required to notify' LN if the number of- Government Professional Users falls below 11. Subscriber shall, within 30 days of the staffing change, notify LN in writing. ' 2.5. Subscriber acknowledges that the pricing and menus provided to Subscriber in this Agreement depend in part on the number of Government Professional Users in Subscriber's organization. Subscriber certifies that as of the date Subscriber signs this Agreement there are the number of Government Professional Users in Subscriber's organization (the "Reference Number") as Subscriber has specified above. i.• At LN's request from time to time, Subscriber will certify in writing the then -current Reference Number. ii. if there is a change in the Reference Number during the Term, LN may, in its sole discretion on at 'least 30 days prior written notice to Subscriber, increase or decrease the Monthly Commitment by an amount that does not exceed, on a percentage basis, the change in the Reference Number. 3. Lexis Product and Charges 3.1.This Section 3 amends the Subscription Agreement with respect to the Lexis product offering described .. -below. The Term of Subscriber's commitment for the Lexis product ofrering will begin upon the date Subscriber's billing account ("Account Number") is activated ('Activation') and will continue for the last period set forth in Section 3.5 below (the "initial Term"). _ Vol. ace, Pg. u+ws Agm"M (sLe)14820-37994358 202111 V3 Page 1 of 6 LexisNexis LEXISO SUBSCRIPTION AGREEMENT FOR STATEILOCAL GOVERNMENT (NEW SUBSCRIBER-AAR) 32. This Agreement commences on the Effective Date and continues for the Initial Term designated in Section 3.5; provided, that; after the Initial Term; this Agreement shall automatically renew for successive one - renewal temts (each, a "Renewal Term"j, unless either Party provides written notice of non -renewal at least thirty (30) days' prior to the expiration of the then -current Initial Termor Renewal Term, as the' case may be. "Term" means, collectively, the initial Term and all Renewal Terms. 3.3. Commencing at the Renewal Term (defined in Section 32), at each anniversary of the Effective Date, LN shall increase all recurring fees by seven point five per cent (7.5%) per Contract Year. 3 4. Subscriber may not terminate this Agreement for convenience under General Terms during the Term. Notwithstanding the foregoing, Subscriber may terminate this Agreement during the Term for a material breach by LN that remains uncured for more than 30 days after LN receives written notice from Subscriber identifying a specific breach. : If Subscriber terminates this Agreement pursuant to this Section, then Subscriber will pay all charges incurred up to the date of termination. Lexis Content $ Features - -;' Product SKU ,Number Number of Users Core Public Records with Smartlinx Person, Business and Location Reports 1004801 6 TX Primary 1010824 6 3.5. In exchange for -access to the Lexis Content; Feature and/or Service set forth in Section 3.1 above, Subscriber will pay to LN the following amount (the °Monthly Commitment"), during the periods set forth below. iriitiai Tenn - ° - Monthly Commitment . 10/112022 - 9130/2023 $493 1.0/1/2023 - 9/30/2024 $513 10/1/2024 - 9130/2025 $534 3.6. During the Term, LN may make content and features available to Subscriber -that are not included in the Lexis Content described above which will be offered to Subscriber at an -additional charge ("Alternate Materials°). Subscriber will be under no obligation to access and use the Alternate Materials, or to incur additional fees beyond the Monthly Installment. - If Subscriber elects to access the Altemate Materials by initialing below, Subscriber will be notified that additional charges will apply before the Alternate Materials Is displayed. if Subscriber proceeds to access the Alternate Materials, Subscriber will pay the then current, trarisactionai charges) for the Alternate Materials that is displayed at the time of access. Subscriber elects access to the Altemate Materials ter LIM Ageem rd (sLc)1482c-3799-1158 202111 N3 Vol. pg., 2 of 6 • � � g l � L'EXiSO SUBSCRIPTION AGREEMENT L 6xisNexis' FOR STATEILOCAL GOVERNMENT . (NEW SUBSCRIBER-AAR) 3.7.Use of LeAs under'this Agreement is availablelto Subscriber and its Authorized Users (defined in the General Terms). 3.8. LN may temporarily suspend access to LeAs until all unpaid amounts are paid in full. No claims directly ' or indirectly related to this Agreement with respect to amounts billed or payments made under this Agreement may be initiated by Subscriber more than 6 months after such amounts were first billed to Subscriber. 4. • Closed Offer The prices and other -terms are subject to change if Subscriber has not submitted a signed original or copy on or before S. Confidential information Subjectto any state open records orfreedom'of information statutes, this Agreement contains confidential -pricing information of LN. Subscriber understands that disclosure of the pricing information contained herein could cause competitive harm to LN, and will recelve and maintain this Agreement in trust and confidence and take reasonable precautions against such disclosure to any third person. This Section 5' will survive the termination or expiration of this Agreement. 6. Support and Training During the Term,'Subscriber, with the support of LN, agrees to encourage the effective use of Lexis through: (a) Meaningful participation in additional ongoing programs presented by LN to update and train Authorized Users; : (b) Authorize the periodic distribution of memos or other communications by LN and/or Subscriber to Authorized Users; and (c) The periodic review with LN of 'Subscriber's Authorized User's use of materials and training under this Agreement. 7. Miscellaneous 7.1;This Agreement does -not bind either party until it has been accepted by�both parties. Subscriber may accept -this Agreement by signing :below. LN will accept this Agreement by providing Subscriber with access to Lexis or by signing below. 7.2. If Subscriber issues a purchase order in connection with the Agreement, Subscriber acknowledges and agrees that the purchase order shall be for Subscriber's internal purposes only and shall not modify or affect any of the other terms or conditions for. access to the Online Services. LEXISNEX/S WILL NOT ACCEPT ANY CHANGES, CORRECTIONS OR ADDITIONS TO THIS AGREEMENT UNLESS SUCH CHANGES ARE EXPRESSLYACCEPTED BYLN IN WRITING. SUCH CHANGES IwU HAVE NO LEGAL EFFECT. LNUS agreement (SLG) 14620.3799.1188 202111 v3 Vol. !� 8 Pg. �S Page 3 of 6 0 �' LexisNexW AGREED TO AND ACCEPTED BY: LEXISO SUBSCRIPTION AGREEMENT FOR STATEILOCAL GOVERNMENT (NEW SUBSCRIBER-AAR) Subscriber: Brazos County Att Office [MUST Y SUBSCRIB Authorized Subscriber Signature: Printed Name: Job Title: 0,0tL Zruv Co r— Date: Number of Professional Users: 6 LexlsNexis, a division of RELK Inc. Authorized Signature: Digitally signed k Name: Mark Eikenberry Job Title:'.ante: 2022.07.28 Date: Y 08.47:51 -"00' UM ggreemeet (SLO) I4820 M9-1166 202111 v3 Vol. - � �. �' � pq. !fie Page 4 of 6 LexisNexis LEXIS® SUBSCRIPTION AGREEMENT FOR STATEILOCAL GOVERNMENT (NEW SUBSCRIBER-AAR) TYPE OF ORGANIZATION' ❑ Legislative ❑ Judicial ❑ Executive Professional User. Practicing.Area of LaW: Employer Idenfification Support Staff: Number. Bar No: Issuing State: Date.issuedlExpiration Organization Web Date: Address: Tax Exempt: Yes (attach Sales Tax Exemption Cerfxficate) MSA: ❑ Yes ® No [] No State Contract No: Tax ID No: (If applicable) PO No: ,., .. 'CONTACT5 Name Telephone Installation: on file Billing: on file Policy/Legal on file Notification: SchedulinglTralning: on file Name Super Admin: on file Email Email Telephone lP Address ' ` CUSTOMER ID INFORMATION (Please type or print) ' LNUS Agreement (SLG) I4SM799-1168 202111 v3 � Vol. p -- pg. Page 5 of 6 (#( LexisNexis' LEXIS® SUBSCRIPTION AGREEMENT FOR STATE/LOCAL GOVERNMENT (NEW SUBSCRIBER-AAR) 1D Holders' Names ID Holders• ID Holders' Email LocationlAddress (additional sheet attached TitiesiPasitlons I Addresses on file Vol. -f4 9 Pg. /(._. � LNUSAgmment(SLG)14820-3M-1ts8202111 v3 Page 6 of 6 CONTRACT IN THE PUBLIC INTEREST BETWEEN BRAZOS COUNTY, TEXAS, AND MIR SENIOR CARE MANAGEMENT INC. DBA NUR CARE CONSULTANTS THIS CONTRACT is entered into by and between BRAZOS COUNTY, a political subdivision of the State of Texas, hereinafter referred to as ("BRAZOS COUNTY"), and MIR SENIOR CARE MANAGEMENT INC. DBA. MIR CARE CONSULTANTS, hereinafter referred to as ("MIR CARE CONSULTANTS"). WITNESSET11 WHEREAS, BRAZOS COUNTY has an interest in supporting guardianship for individuals who are unable to care for themselves and have no family or fiends to serve as guardian; WHEREAS, MIR CARE CONSULTANTS has an interest in supporting the provision of community and county -wide eldercare support services; WHEREAS, BRAZOS COUNTY believes that it is in the public interest to enter into this CONTRACT with MIR CARE CONSULTANTS; NOW, THEREFORE, THE PARTIES agree as follows: Public Purpose and Public. Benefit. MIR CARE CONSULTANTS will operate as an independent 'contractor in Brazos County., Texas. MIR CARE CONSULTANTS shall use the funding paid hereunder to perform the services and achieve the broad goals outlined in this CONTRACT, which must.be based on referrals from Brazos County. The services include, but are not limited to the following .items in order io complete the project: As described in the Third -Party Guardianship Proposal for RFP 22-134 from Mir Care Consultants,. set forth. in the included Eichiblt "A" and dated June 211, 2022, which is incorporated herein as if copied in ,full. Reoorts/Payment. MIR CARE CONSULTANTS sha11 provide to BRAZOS COUNTY quarterly and annual financial reports in a form agreed upon by BRAZOS COUNTY, and MIR CARE CONSULTANTS shall cooperate with annual inspections and audits that BRAZOS COUNTY or the auditor; on behalf of BRAZOS COUNTY ,may make to ensure service standards and fiscal responsibility. In return, BRAZOS COUNTY agrees to pay from funding provided by BRAZOS COUNTY to MIR CARE CONSULTANTS the full yearly amount of 980,000.00 payable in twelve (12) monthly installments per this agreement for up to twenty five (25) clint county residents who are incapacitated because of.age or disability within e, month. Any over`the twenty five (25) permonth will be an additional $250:00 per client, per month, without incurring -any additional costs above this rate. Pg. Vol. S� �1 Reimbursement of Funds. Despite the agreed upon method "of payment set forth above, Nn CARE CONSULTANTS agrees to return to BRAZOS COUNTY all funds distributed to MIR CARE CONSULTANTS if (a) MIR CARE CONSULTANTS use of the fiends for intended purposes .is insufficient; (b) this CONTRACT is terminated for any reason; (c) MIRE CARE CONSULTANTS fails in any other respect under this CONTRACT; (d) MIR CARE CONSULTANTS changes its operations in sueh.a way that, in BRAZOS COUNTY's opinion, the MIR CARE CONSULTANTS' no longer serves a public purpose; or (e) MIR CARE CONSULTANTS conveys, leases or otherwise transfers its interest in its operations to .another entity without the prior written consent of BRAZOS COUNTY, which such consent. shall not be unreasonably withheld provided the successor entity continues to use a public puipoee consistent with the spirit of this CONTRACT. The reimbursement of:funds shall be prorated based on those portions that were reasonably used for intended purposes. (fl According to the Texas Estate Code MIR CARE CONSULTANTS is aRowed to recoup all benefits; case management, and associated service fees. (g) MIR CARE CONSULTANTS is responsible for paying any attorney's feegand/or legal work that incurs related to the- services provided under this. contreat. Records. MIR CARE CONSULTANTS shall keep sufficient.records of all of its expenditures in connection with services rendered pursuant to this CONTRACT. MIR CARE CONSULTANTS agrees that BRAZOS COUNTY's auditors have the right to audit. such MIR CARE CONSULTANTS records on an annual basis along with their regular review�ofrecords-in a manner and form to be agreed upon by BRAZOS COUNTY and MIR CARE CONSULTANTS. MIR CARE CONSULTANTS Ru�ther agrees that BRAZOS -COUTNY or its duly authorized representatives shall, until the expiration of three (3) years after final payment under this Agreement, have access to and the right to examine and photocopy any and all books, documents, papers, and records of'M1R CARE CONSULTANTS which are directly pertinent to the services to be performed under this Agreement for the purpose of making audits, examinations, excerpts, and transcriptions. MIR CARE CONSULTANTS expressly agree that BRAZOS COUNTY shall have access during normal working hours to all necessary MIR CARE CONSULTANTS facilities and shall be provided adequate and appropriate workspace in order to conduct audits in compliance, with fhe provisions of this section. Additionally, BRAZOS COUNTY shall give MIR CARE CONSULTANTS reasonable advance notice of utended, audits. Independent Contractor/Inderrinity.. It is- understood and agreed that MIR CAM CONSULTANTS is not and; shall not in any sense, be considered an employee, partner, or joint venture with BRAZOS COUNTY, additionally neither shall MIR CARE CONSULTANTS be considered or in any manner hold itself out as, an agent or official representative of BRAZOS COUNTY. MIR CARE CONSULTANTS shall be considered an independent contractor for purposes of this CONTRACT and shall. in no manner incur any expenses or liability on behalf of BRAZOSCOUNTY MIR CARE CONSULTANTS FUTHER AGREES TO HOLD BRAZOS COUNTY HARMLESS FOR ANY AND ALL CLAIMS BY THIRD. PARTIES FOR ANY INJURIES, DAMAGES, OR LIABILITY OF ANY KIND ARISING UNDER THIS CONTRACT OR, OCCASIONED BY MIR CARE CONSULTANTS. Vol. �� g i- -7 ID Compliance With,All Laws. MIR CARE CONSULTANTS,and BRAZOS COUNTY each agree, 'in connection with the services or any related items to the "subject matter of this CONTRACT, to comply -with any and all local, state, or federal requirements. Notice. Any notice required to be given under the terms of this CONTRACT shall ber effective if and when given in writing and mailed by certified mail to the addresses listed below or subsequently provided in writing: BRAZOS COUNTY PURCHASING 2008 . Texas Ave., Ste. 3-52 Bryan, TX 77803 MIR CARE CONSULTANTS- 9442 N Capital of Tx Hwy Plaza 1 Suite 500 Austin, TX 78759 No.Assiggment. This CONTRACT may not be assigned. Termination. Notwithstanding the agreed upon term, this CONTRACT may be terminated upon the occurrence of any of the following: (a) the termination of the. corporate or business existing of MIR CARE CONSULTANTS; (b) the insolvency ofMIR CARE CONSULTANTS, the filing of a petition in bankruptcy either by or against MIR CARE CONSULTANTS, or an ,assignment by MIR CARE CONSULTANTS -for the benefit of creditor's;.. •(c) the breach ,of MIR. CARE CONSULTANT of any of the terms of this CONTRACT :aitclthe continuation of such �reach for a period of ten (16) .days. after written notice: is give by BRAZOS COUNTY to MIR CARE. CONSULTANT of such breach. (d) upon BRAZOS COUNTY's sole discretion with or without cause by providing thirty (30) days written notice. Term. The stated term of this CONTRACT'shall lye from September 1, 2022 until, August 31, 2023, with option. to renew annually; with on -going contractual obligations relating to audits. and' record keeping.by MIR CARE CONSULTANTS extending'beyond the termination date (and the payment offunds by BRAZOSCOUNTY). Employees: The parties covenant and agree that each party will pay its own salaries; and all Social Security taxes, Federal and State Unemployment Insurance, 'Worker's Compensation Insurance, and any, similar taxes or expenses related to -its own employees, including; but. not, limited to, license fees, insurance premiums; and outfitting expenses. The Parties sha11 be responsible -for complying with all. Federal, State and Local laws, ordinances; and regulations regarding its own employees. Venue & Applicable Law. Venue ofthis CONTRACT shallbe BRAZOS COUNTY, Texas, and the'laws of the State of Texas shall govern all terms and conditions. Severabili .1 In case any one or more of the -provisions contained in. this CONTRACT shall for any reason be held to be invalid; illegal, or unenforceable in any respect, such invalidity, illegality,, of unenforceability shall not affeef any other provision in this CONTRACT and this CONTRACT Val, Pg. 1- shall be construed as if such invalid, illegal, or unenforceableprovision had never, been contained in it. EXECUTED to be effective as of the I" day of September, 2022. FOR BRAZOS. COUNTY: '" x Judge Duane Peters Brazos County FOR MIR CARE CONSULTANTS Mir Se oir.Care Management Inc. dba Mir C... Vol. Pg. 1 7 RFP # 22-13.4 Third Party Guardianship Services Max Points Available 1 Total Cost Points for Cost 30 2 References 20 3 Personnel Qualifications 20 4 Experience of firms Personnel 15 5 Organization of Proposals. c Technical Proposal Total Committee Recommended Award: Mir Senior Care Management i? Cof=Iding ��"`�day of �G� ccSi2022 by the position of COLD q"LA-a(oF- 's .Event Information s Number:- _ . _ - 22-134 jTitle: Third Party Guardianship Services " Type: Brazos County- Regbest rot -Proposal- Manual i Issue Date:-5/2712022 Question Deadline: 6/14/2022.65:00 PM -(CT)" 'Response Deadline: 612112022.02-:00 PM -(CT)• - 1 j -Ship To Information" ,' i Contact: -:Charles -Wendt Address: Purchasing. = - %.County.Administration Building i . ~ ✓ Ste: 352 i 200. SOuth -Texas_ Ave.: t Ste. 352. - Bryan; TX 77803 _ Phone:- (979) .361-4290' Fax:: _ (97%36:1.-4293 r . I..13111 Onformation. Address: Auditor's -Office i PO Box 914 = Bryan, TX 77806 , Phone: - (979) 361=4350 ' Errlail mconkel@brazoscountytx.gov_ Bid Attachments RFP - 22-134 - Third Party Guardianship Services.pdf - • RFP Vol. Pg. 1 Page 2 of 3 pages Deadline: 6t21/2022 02-00 PM (CT) 22-134 CITY of BRYAN SJRA- 22-134 ! i Third Party Guardianship.Services. Issue Date: 5/27/2022 { Questions Deadline: 6/14/2022 05:00 PM (CT) ; Response Deadline: 6/21/2022 02:00 PM (CT) Brazos County Contact Information Contact: Ms. Kaitlyn Battles Buyer 111 Address: Purchasing .County Administration Building Ste. 352 200 South Texas Ave. Ste. 352 Bryan, TX 77803 Phone: (979) 361-4285 Email: kbattles@brazoscountybc.gov E 4pg Pg. Page 1 of 3 pages Deadline: 6/2 M22 02.00 PM (Cr) 22-134 / I Supplier Information tV Compar e: N41' (� Coro WSUVMrS Contact Name:- 4 1 A- SUPMa- UAfA- Address: Phone: Fax Email: By submitting- your -response, you certify that you are authorized to represent and bind your company. Ll Print Name Signature E KGB 4 PO. 17 �... P99e-3 of 3 pages Deadline: W12022 02-00 PM (C1) 22-134 REQUEST FOR PROPOSAL RFP NO.22-134 Third Party Guardianship Services SEALED PROPOSALS TO BE SUBMITTED BEFORE: Tuesday, June 21, 2022. 2:00pm CST - TO THE: BRAZOSCOUNTY PURCHASING DEPARTMENT 200 S. Texas Ave. Suite 352 Bryan, TX 77803 Phone: (979) 3614290 Fag: (979) 361-4293 Vendors, their employees and/or representatives are prohibited from contacting any official or employee of Brazos County, except the Purchasing Agent, regarding this proposal from the issuing date of the proposal until scheduled oral presentations or the date the Brazos County Commissioners Court meets to considei award for the RFP. Any such contact will be grounds for rejection of the vendor's proposal. In compliance with this solicitation, the undersigned proposer having examined the solicitation and specifications and being familiar with the conditions to be met, hereby submits the following RFP for famishing the material and/or services listed on the attached proposal form and agrees to deliver said items at the locations and for the prices set forth on the proposal form. Company Name: By (Print): Physical Address Mailing Address: (41 RJ f AQJ C©MSIA L. JA +2 N - CAPITA OF 5n,N TA rlgl!Fl Phone: 2 q 15 2 f.�Email: 'LAIR i GU iM S& r ---� 1 I Page Vol, _- _ pg.. Third Party Guardianship Services Request for Proposals # 22-134 BRAZOS COUNTY PURCHASING OFFICE Brazos County Administration Building 200 South Texas Ave., Ste. 352 RFP No.22-134 Bryan, Texas.77803 Page 2 of 23 pages Telephone (979) 361-4292 Brazos County is seeking Proposals for Third Party Guardian Services that will serve as an independent contractor for Brazos County for wards of the Brazos County Courts at Law and can be anywhere from fifteen (15) to twenty-five (25) cases per the three year contracted term, but not limited to this number. Proposals will be received, publicly opened, and acknowledged at 2:00 P.M., Tuesday, June 21, 2022 in the Brazos County Purchasing Department, Suite 352, Brazos County Administration Building, 200 South Texas Ave., Bryan, Texas. Release of RFP Advertisement Dates Deadline for Questions Proposal Submission Deadline Proposer Interviews (if needed) Anticipated Award A. Procurement'Delivery Friday, May 27, 2022 Friday, May 27, 2022 Friday, June 03, 2022 __ - Tuesday, June 14, 2022 Tuesday, June 21, 2022 2:00 PM July July Brazos County will follow the Texas Local Government Code, Chapter 262.030 for this RFP process. The proposals will be opened on the date and time mentioned above and only the names of the proposers will be read aloud. The proposals will be distributed to the evaluation committee and this committee will evaluate each proposal according to the criteria set forth in this RFP. The committee will determine how many of the top evaluated firms will be negotiated with depending on the scores and other factors at the discretion of Brazos County. All firms will be accorded fair and equal treatment with respect to any opportunity for discussion and revision of proposals and no pricing will be shared with any of the firms at any time until after an award is made and contract is approved by Commissioners' Court. A best and final offer will be requested including any revisions and allowing for a revision of the completion timeframe for inclusion into final contract. B. Conditions of RFP The following instructions apply to all proposals and become a part of terms and conditions of any proposal submitted to the Brazos County Purchasing Department, unless otherwise specified elsewhere in this solicitation. All proposers are required to be informed of these terms and conditions and will be held responsible for having done so: 21 Page Vol, Pg. n8 1. Definitions: In order to simplify the language throughout this proposal, the following definitions shall apply: a. BRAZOS COUNTY - Same as County. b. COAMSSIONERS' COURT - The elected officials of Brazos County, Texas given the authority to exercise such powers and jurisdiction of all county business as conferred by the State Constitution and Laws. c. CONTRACT - An agreement between the County and a Vendor to furnish supplies and/or services over a designated period of time during which repeated purchases are made of the commodity specified. d. CONTRACTOR —The successful Contractor(s) of this proposal request. e. COUNTY - The government of Brazos County, Texas and its authorized representatives. f. SUB -CONTRACTOR - Any Vendor hired by the .prime Vendor to furnish materials and services specified in this solicitation. g. SUPPLIER — Same as Contractor. 2. Upon acceptance and approval by the Commissioners' Court, this proposal will be made part of the contract between Brazos County and the successful vendor for the period designated. 3. Proposals must be received by the Purchasing Department prior to the time and date specified. 4. The County reserves the right to accept or reject in part or in whole, any proposals submitted, and to waive any technicalities for the best interest of the County. 5. Brazos County shall not be responsible for any verbal communication between any employee of the County and any proposer. Only written specifications and written price quotations will be considered. 6. Brazos County reserves the right to reject any proposals that do not fully respond to each specified item. 7. Should there be a change in ownership or management; the contract shall be canceled unless a mutual agreement is reached with the new owner to continue the contract with its present provisions and prices. This contract is nontransferable and non -assignable by either party. 8. The County may cancel this contract at any time for any reason, provided a thirty- day written notice is given.. 9. The proposal award shall be based on, but not necessarily limited to, the following factors: Total Cost 30% References 20% Personnel Qualifications 20% Experience of Firms Personnel 15% Organization of Proposal 156/o 10. Although the cost is an essential part of the proposal, Brazos County is not obligated to award a contract on the sole basis of cost. 11. Acceptance of work provided shall be made by the County at the sole discretion of the Commissioner's Court when all terms and conditions of the contract and specifications have been met to its satisfaction, including the submission to the County of any and all documentation as may be required. 12. Title and risk of loss of the goods shall not pass to Brazos County until the County actually accepts and takes possession'of the goods at the point or points of delivery. 13. This,agreement shall be governed by the Uniform Commercial Code as -adopted in the State of Texas as effective and in force on the date of this agreement. 14. No proposal may be withdrawn after opening time without acceptable reason and with the approval of Purchasing Agent. 15. Proposals will not be considered if submitted by telephone, fax or any other means of rapid dispatch, nor will a proposal be considered if submitted to any other person or department other than specifically instructed. 16. All proposals shall be submitted in accordance with the -instructions contained herein. Brazos County will not be liable for any information received through other websites or sources of. information. It is the sole responsibility of the vendor to verify the accuracy of information received from sources other than Brazos County. It is recommended -that the vendor check the Brazos Valley e-Marketplace at hM://brazosbid.ionwave'.net for addenda prior -to submitting their proposal. 17. There is no expressed or implied obligation for Brazos County to reimburse responding service providers for any expenses incurred in preparing• proposals in response to this request. 18. Proposals must.show full company name,.mailing address and telephone number and be proposer must include Employer Identification Number and signature for the proposal to be valid. 19. Proposals must be submitted on units of quantity specified. In the event.of errors in extended prices the unit price shall govern. In the event of a discrepancy between the numbers given for the,price and the word form of the price, the word form shall govern. Any suggested change in quantity on the part of the proposer to secure better price or delivery is welcomed and may be given consideration provided that the proposer also bids on the quantity specified. 20. It is our policy not to furnish proposal results over the phone. Proposal results -and tabulation sheets will be posted on Brazos County website after it is awarded by Commissioners Court. 41Page Vol. 21. This proposal will be made part of any resulting contract the County may enter into. The terms and.conditions of the County contained in this RFP shall supersede those of the vendor in the event of a conflict. 22. If any provision of this contract shall be held to be invalid or unenforceable for any reason, the remaining provisions shall continue to be valid and enforceable. If a court of competent jurisdiction finds that any provision of this contract is invalid or unenforceable, but that by limiting such provision it may become valid andenforceable, then such provision. shall be deemed to be written, construed, and enforced as so limited. 23. No oral statements of any person shall modify or otherwise change or affect the terms, conditions or specifications. All change orders to this agreement shall be made in writing and shall not be effective unless signed by an authorized representative of Brazos County. C. Special Provisions 1. Proposers with questions regarding the bid should submitthem in writing via the Brazos Valley e-Marketplace https://brazosbid.ionwave.net. 2. Fill out the proposal completely, identify the proposal name and number on the outside and invalid if it is not deposited at the designated location prior to the time and date advertised or prior extension issued by the County. 3. All proposals shall be prepared on the bid forms located on the Brazos Valley e-Marketplace https://brazosbid.ionwave.net. The proposer must put. the proposal number and name on the front of the envelope before mailing it to the Purchasing Department. 4. During the evaluation process, Brazos County reserves the right, in the best interest of the County, to request additional information or clarification from proposers. 5. The contract shall be awarded to the responsible proposer whose proposal is determined to be the best evaluated offer. 6. Your response to this proposal should be clear and concise addressing all requirements listed above and any other factors not specifically mentioned which would be advantageous to Brazos County. 7. All services contracted herein shall be done in a courteous and orderly manner. All vendor personnel shall be appropriately dressed at all times while performing any aspect of this contract. 8. The personnel performing the services contracted herein shall be under the sole responsibility and the employment of the vendor. .51Page V6 P9. /S D. Trade Secrets. Confidential Information and the Texas Public Information Act 1. Brazos County, Texas is subject to the Texas Publication Information Act, Chapter 552, Texas Government Code. Proposals submitted to Brazos County, Texas in response to this RFP are subject to release by the County as public information. If the proposer believes that .the proposal response, or part of it are confidential, as proprietary information, (s)he must specify that either all or part is excepted and provide specific and detailed justification for its claim of confidentiality. Vague and general claims to confidentiality are not acceptable. All proposals or parts of the proposals which are not marked as confidential will be considered public information after a contract has been awarded. The successful proposal may be considered public information even though parts are marked confidential. 2. Brazos County, Texas assumes no responsibility for asserting legal arguments on behalf of proposers. Proposers are advised to consult with their legal counsel concerning disclosure issues resulting from this proposal process and to take precautions to safeguard trade secrets and other proprietary information. 3. Marking your entire Proposal CONFIDENTIAL/PROPRIETARY is not in conformance with the Texas Public Information Act. 4. The requirements of Subchapter J, Chapter 552, Government Code, may apply to this contract and the contractor or vendor agrees that the contract can be terminated if the contractor or vendor knowingly or intentionally fails to comply with a requirement -of that subchapter. This provision is mandatory and may not be altered or deleted, as required by Sec. 552.372(b) of -the Texas Government Code. E. Conflict of Interest 1. The. proposer shall not offer or accept gifts or anything of value nor enter into any business arrangement with any employee, official or agent of Brazos County. 2. By signing and executing this proposal, the proposer certifies and represents to the County the proposer has not offered, conferred or agreed to confer any pecuniary benefit or other thing of value for the receipt of special treatment, advantage, information, recipient's decision, opinion, recommendation, vote or any other exercise of discretion concerning this Proposal. 3. With the exception of interviews and other contacts initiated by Brazos Cou= relevant to the selection process, proposers, their employees or representatives, are prohibited from contacting any official or employee of Brazos County, except the Purchasing Agent, in regard to this RFP from the issuing date of the RFP until the date the Brazos County Commissioner's Court meets to consider award of the proposal. AU such contact will be grounds for rejection of the vendor's proposal. F. Addenda and Modifications 1. Any changes, additions or clarifications to the RFP will be made by numbered addenda and must be acknowledged in the proposal. Vol.Pg. /�� 2. Any firm in doubt as to the meaning of any part of these requirements may request an interpretation thereof from the Purchasing Agent. At the request of the proposer, or in the event the Purchasing Agent deems the interpretation to be substantive, the interpretation will be made by written addendum issued by the Purchasing Department. Such addendum will be posted on the Brazos Valley e-Marketplace http://brazoabid.ionwave.net and will become a part of the proposal package, having the same binding effect as provisions of the original proposal. No verbal explanation or interpretations will be binding. In order to have a request of interpretation considered, the request must be submitted in writing and must be received by the Purchasing Department no later than the question deadline. 3. All addenda, amendments and interpretations of this solicitation shall be in writing. Brazos County shall not be legally bound by any amendment or interpretation that is not in writing. Only information supplied by the County in writing or in this RFP should be used in preparing proposal responses. 4. In the event of a needed change in the specifications sent to the proposer, it is understood that all the foregoing terms shall apply to the addendum or addenda. Any interpretation, corrections or changes to these specifications will be made by addenda. Sole issuing authority'of addenda shall be vested in the Brazos County Purchasing Agent, authorized to do so by the Commissioner's Court. Addenda will be made available using the same distribution method used to, post or make available the original solicitation. Proposers shall acknowledge receipt of all addenda. 5. The County does not assume responsibility for receipt of any addendum sent to proposers. 6. All addenda must be acknowledged on this form. G. Examination of Documents and Requirements 1. Each proposer shall carefully examine all RFP documents and be thoroughly familiar with all requirements prior to submitting a proposal. 2. Before submitting a proposal, each proposer shall be responsible for making all investigations and examinations that are necessary to ascertain conditions and requirements affecting the requirements of the RFP. Failure to make such investigations and examinations shall not relieve the proposer of the obligation to comply, in every detail, with all provisions and requirements of the RFP. H. Taxes Brazos County is tax exempt. Tax exemption certificates will be executed by the County upon request. I. Insurance The vendor shall procure and maintain at its sole cost and expense for the duration of the contract insurance against claims for injuries to persons or damages to property that may arise from or in connection with the performance of the work hereunder by the vendor, its agents, representatives, volunteers, employees or subcontractors. The vendor's insurance coverage shall be primary insurance with respect to the County, its officials, employees and volunteers. Any insurance or self-insurance maintained by the County, its officials, employees or volunteers shall be considered in excess of the vendor's insurance and shall not contribute to it. Further, the vendor shall include all subcontractors as additional insured under its policies or shall furnish separate certificates and endorsements for each subcontractor. All coverage for subcontractors shall be subject to all of the requirements, stated herein. All Certificates of Insurance and endorsements shall be furnished to the County's Representative and approved by the County before work commences. Standard Insurance Policies Required: 1. Commercial General Liability Policy 2. Automobile Liability Policy 3. Worker's Compensation Policy General Requirements applicable to all policies: a. Only insurance carriers licensed and admitted to do business in the State of Texas will be accepted. b. Deductibles.shall be listed on the Certificate of Insurance and are acceptable only on a per occurrence basis for property damage only. c. "Claims Made" policies will not be accepted. d. Each insurance policy shall be endorsed to state that coverage shall not be suspended, voided, canceled, reduced in coverage or in limits except after. thirty (30) days prior written notice by certified mail, return receipt requested, has been given to Brazos County. e. All insurance policies shall be furnished to Brazos County upon request. 1. Commercial General Liability a. General Liability insurance shall be written by carrier with an ANIII or better rating in accordance with the current Best Key Rating guide. b. Minimum Combined Single Limit of $2,000,000.00 per occurrence for bodily injury and property damage. c. No coverage shall be deleted from the standard policy without -notification of individual exclusions being attached for review and acceptance. d. Excess Liability Umbrella Policy in the amount of not less than $1,000,000.00 will be provided at the vender's expense. e. Abuse and molestation insurance as an endorsement to the commercial general liability policy in a form and with coverage that are satisfactory to cover damages arising out of actual or threatened physical abuse, mental injury, sexual molestation, negligent: hiring, employment, supervision; investigation, reporting to proper authorities, and retention of any person for whom the contractor is responsible including but not limited to contract and contractor's employees and volunteers. Policy endorsement's _-.- 8 1 P a g e definition of an insured shall include the contract, and the contractor's employees and volunteers. Coverage shall be written on an occurrence basis in an amount of not less than $1,000,000 per occurrence. Any annual aggregate limit shall not be less than $2,000,000. These limits shall be exclusive to this required coverage. Incidents related to or arising out of physical abuse, mental injury, or sexual molestation, whether committed by one or more individuals, and irrespective of the number of incidents on injuries or the time period or area over which the incidents or injuries occur, shall be treated as a separate occurrence for each victim. Coverage shall include the cost of defense and the cost of defense shall be provided outside the coverage limit. f. Brazos County shall be named as additional insured on Contracts insurance. g. "Texas Waiver of Our Right to Recover From Others Endorsement" shall be included in this policy. (Waiver of Subrogation) 2. Automobile Liability a. General Liability Insurance shall be written by a carrier with an ANIII or better rating in accordance with the current Best Key Rating Guide. b. Minimum Combined Single Limit of $600,000.00 per occurrence for bodily injury and property damage. 3. Workers Compensation Insurance Pursuant to the requirements set forth in Title 28, Section 110.110 of the Texas compensation insurance policy; either directly through their employer's policy (the vendor's or subcontractor's policy) or through an executed coverage agreement on an approved TWCC form. Accordingly, if a subcontractor does not have his or her own policy and a coverage agreement is used, vendors and subcontractors must use that portion of the form whereby the hiring vendor agrees to provide coverage to. the employees of the subcontractor. The portion of the form that would otherwise allow them not to provide coverage for the employees of an independent vendor may not be used. The worker's compensation insurance shall include the following terms: a. Employer's Liability limits of $500,000 for each accident is required. b. "Texas Waiver of Our Right to Recover From Others Endorsement" shall be included in this policy. (Waiver of Subrogation) Pursuant to the explicit terms of Title 28, Section 110.110 ( c ) (7) of the Texas Administrative Code, the bid specifications, this Agreement, and all subcontracts on this Project must include the following terms and conditions in the following language, without any additional words or changes, except those required. to accommodate the specific document in which they are contained or to impose stricter standards of documentation: A. Definitions: Certificate of coverage ("certificate") - A copy of a certificate of insurance, a certificate of authority to self -insure issued by the Texas Worker's Compensation Commission, or a coverage agreement )TWCC-81), TWCC-83, or TWCC-84), showing statutory V01. 3 � pg. / ffS 91Page worker's compensation insurance . coverage for the person's or entity's employees providing services on a project, for the duration of the project. Duration of the project - includes the time from the beginning of the work on the project until the vendor's/person's work on the project has been completed and accepted by the governmental entity. Persons providing services on the project ("subcontractors" in section 406.096 {of the Texas Labor Code)) - includes all persons or entities performing all or part of 'the services the vendor has undertaken to perform on the project, regardless of whether that person has employees. This includes, without limitation; independent Vendor's, subcontractors, leasing companies, motor carriers, owner-operators,.employees of any such entity or employees of any entity which furnishes persons to provide services on the project. "Services" include, without limitation, providing, hauling, or delivering equipment or materials, or providing labor, transportation, or other service related to a project. "Services" does not include activities unrelated to -the project, such as food/beverage vendors, office supply deliveries, and delivery of portable toilets. B. The vendor shall provide coverage, based on the proper reporting of classification codes and payroll amounts and filing of any coverage agreements, that meets the statutory requirements of Texas Labor Code, Section 401.011 (44) for all employees of the vendor providing services on the project, for the duration of the project. C. The vendor must provide a certificate of coverage to the governmental entity prior to being awarded the contract. D. If the coverage period shown on the vendor's current certificate of coverage ends . during the duration of the project, the vendor must, prior to the end of the coverage period, file a new certificate of coverage with the governmental entity showing that coverage has been extended. E. The vendor shall obtain from each person providing services on a project, and 'provide to the governmental entity: 1. a certificate of coverage, prior to that person beginning work on the project, so the governmental entity will have on file providing services on the project, and certificates of coverage showing coverage for all person; and 2. no later than seven calendar days after receipt by the vendor, a new certificate of coverage showing extension of coverage, if the coverage period shown on the current .certificate of coverage ends during the duration of the project. F. The vendor shall retain all required certificates of coverage for the duration of the project and for one year thereafter. G. The vendor shall notify the governmental entity in writing by certified mail or personal delivery,, within 10 calendar days after the vendor knew or should have known, or any change that materially affects the provision of coverage of any person providing services on the project. H. The vendor shall post on each project site a notice, in the text, form and- manner prescribed by the Texas Workers' Compensation commission, informing all persons providing services on the project that they are required to be covered, and stating how a person may verify coverage and report lack of coverage. — _ 1011'age Vol. _ , 5-6 Pg. !� I. The vendor shall contractually require each person with whom it contracts to provide services on a.project, to: 1. provide coverage, based on proper reporting of classification codes and payroll amounts and filing of any coverage agreement, that meets the statutory requirements of Texas Labor Code, Section 401.011 (44) for all of its employees providing services on the project, for the duration of the project; 2. provide to the vendor, prior to that person beginning work on the project, a certificate of coverage showing that coverage is being provided for all employees of the person providing services on the project, for the duration of the project; 3. provide the vendor, prior to the end of the coverage period, a new certificate of coverage showing extension of coverage, if the coverage period shown on the current certificate of coverage ends during the duration of the project. 4. obtain from each other person with whom it contracts, and provide to the Vendor: a. a certificate of coverage, prior to the other person beginning work on the project; and b. a new certificate of coverage showing extension of coverage, prior to the end of the coverage period, if the coverage period shown on the current certificate of coverage ends during the duration of the project; 5. retain all required certificates of -coverage on file for the duration of the project and for one year thereafter; 6. notify the governmental entity in writing by certified mail or personal delivery, within 10 calendar days after the person know or should have known, of any change that materially affects the provision of coverage of any person providing services on the project; and 7. notify the governmental entity in writing by certified mail or personal delivery, within 10 calendar days after the person know or should have known, of any change that materially affects the provision of coverage of any person providing services on the project; and J. By signing this contract, or providing, or causing to be provided a certificate of coverage, the vendor who will provide services on the project will be covered by workers' compensation coverage for the duration of the project, that the coverage will be based on proper reporting of classification codes and payroll amounts, and that all coverage agreements will be filed with the appropriate insurance carrier, or, in the case of a self -insured, with the commission's Division of Self -Insurance regulation. Providing false or misleading information may subject the vendor to administrative penalties, criminal penalties, civil penalties, or other civil actions. 4. Certificates of Insurance Certificates shall be prepared and executed by the insurance company or its authorized agent, and shall contain the following provisions and warranties: a. The company is licensed and admitted to do business in the State of Texas. b. The insurance policies provided by the insurance company are underwritten on forms that have been provided by the Texas State Board of Insurance or ISO. c. All endorsements and insurance coverage according to requirements and instructions contained herein. 11 1Page Vol. �� Pg.. d. The form of the notice of cancellation, termination, or change in coverage provisions to Brazos County. e. Original endorsements affecting coverage required by the section shall be furnished with the certificates of insurance. J. Indemnity To the fullest extent permitted by law, the proposer agrees to and shall indemnify, hold harmless, and defend the County, its officers, agents, and employees from and against any and all claims, losses, damages, causes of action, suits, and liability of every kind, including all expenses of litigation, court costs, . and attorney's fees for injury to or death of any personjor damage to any property, or for any breach of contract, any Worker's Compensation claim, and any other claim arising out of or in connection with the work done by the vendor under this Contract, provided that any such claim, loss, damage, cause of action, suit or liability is caused in whole or in part by an act or omission of the vendor, any subcontractor, or any person, organization directly or indirectly employed by any of them to perform or furnish work on the -Project. In -addition, the vendor shall indemnify, hold harmless, and defend the County from any liability caused by the vendor's failure to comply with applicable federal, state, or local regulations. These indemnities shall apply regardless of whether such injuries, death, damages, or breach are caused in part by the negligence or omission of the County, any other party indemnified hereunder, the vendor, or a third party. The indemnification shall include but not be limited to the following -specific instances: 1. In the event the County is damaged due to the act, omission, mistake, fault or default of the vendor, then the vendor shall indemnify and hold harmless and defend the County for such damage. 2. The vendor shall indemnify and hold harmless and defend the County from any claims for payment for goods or services brought by any material providers, mechanics, laborers, or other subcontractors. 3. The vendor shall also be responsible for subcontractors hired. 4. The vendor shall indemnify, hold harmless, and defend the County from any liability caused by the vendor's failure to comply with applicable federal, state, or local regulations, that touch upon or concern the maintenance of a safe and protected working environment and the safe use and operation of machinery and equipment. in that working environment, no matter where fault or responsibility lies. K. Release The proposer assumes full responsibility for the work to be performed hereunder, and hereby releases, relinquishes, and discharges the County, its officers, agents, and employees from all claims, demands, and causes of action of every kind and character, including the cost of defense thereof, for any injury to or death of any person (whether employees of either party or other third parties) and any loss of or damage to any property (whether property of either of the parties hereto, their employees, or of third parties) that is caused by or alleged to be caused by, arising out of, or 12IPage Vol. 3bPg. in connection with the vendor's work to be performed hereunder. This release shall apply regardless of whether said claims, demands, and causes of action are covered in whole or in part by insurance, and in the event of injury, death, property damage, or loss suffered by the vendor, any subcontractor, or any person or organization directly or indirectly employed by any of them to perform or furnish work on the project, this release shall apply regardless of whether such injury, death, loss, or damage was caused in whole or in part by the negligence of the County. L. Proposal Submittal 1. The proposer shall submit the proposal on the forms enclosed on the Brazos County web sites. All blank spaces -in forms shall be correctly filled in by typewriter or manually in ink and the proposer shall state the prices. 2. If a proposal is submitted by an individual, their name.must be signed by them or their duly authorized agent. If the proposal is submitted by a firm, association, or partnership, the name and -address of each member must be given, and the proposal must be signed by an official or duly authorized agent. 3. The proposer must submit an original and four (4) copies of the proposal to Brazos County, 4. The complete proposal should include the following: a. Completed and signed RFP b. Vendor's licensed certifications or other form of qualification(s) c. Completed requirement responses d. Certificate of Insurance 5. By signing the certification below, the vendor verifies that all plans, and specifications have been reviewed and are considered in the pricing in the proposal submitted. M. Applicants Must: *All examples or report must have name or,other sensitive/personal information redacted.* 1. Provide documentation stating that the firm and/or guardian is certified under Subchapter C, Chapter 155 of the Texas Government Code to act as a guardian. 2. Proposers must review and follow the local rules stated on the Brazos County website provided by the County Court at Law: https://www.brazoscountytx.gov/index.aspx?nid=332 3. Provide a sufficient bond as ordered by the court. Brazos County requires a blanket bond for all cases. 4. Supply a report of a previous instance which can show an example of the firm's knowledge of the duties and requirements of Title 3 of the Texas Estate Code. ------------- --- ----13 I P a g e Vol. (e pg. `g%� 5. Produce a copy of a report submitted to another entity, that is HIPPA compliant, that will demonstrate to the County that the firm and/or guardian that will be working these cases has excellent oral and written communication skills, has compassion to serve as a guardian for those who have been judicially determined partially or totally incapacitated, and will be able to work closely with the staff of the Brazos County Courts at Law. b. Provide a copy of the latest background check for all representatives that will be performing any aspect of this contract. 7. Must accept orders of appointments as temporary and/or permanent guardian of the person and/or estate of indigent persons if found to be in the best interest of the ward by the Brazos County Courts of Law. 8. Must be able to qualify as guardian by providing an oath and a bond provided by the Texas Estate Code. 9. Provide us with representative sample reports, that are HIPPA compliant, on how you keep records of personally visiting each ward under guardianship at least once a month unless otherwise directed by the court. 10. Proposer must commit to reimburse Brazos County for guardianship services, paid by Brazos County upon receipt of financial resources by the guardian upon approval by the Court. Proposer must offset costs charged to Brazos County for guardianshipservices by billing for services against Medicaid Applied Income. 11. Provide a report that shows the County how the guardian working for Brazos County would maintain a guardian caseload of not more than twenty-five (25) wards for every guardianship caseworker. 12. Provide examples, that are HIPPA compliant, of previous experience in actively searching for and identifying suitable family members or friends who.may be able to assume guardianship of wards of the contractor. 13. Proposer must give examples of how they can and will accept appointment as temporary and/or permanent guardian of the person and/or estate of persons who are not indigent (fees and costs paid by the estate of the ward) if found to be in the best interest of the ward by the Brazos County Courts of Law. 14. Provide how your firm and/or the guardian(s) working with the county will comply with the terms and provisions of Title 3 of the Texas Estate Code. 15. Provide a flat fee, per ward, per month, along with a minimum number of -slots you require to reserve for each month, regardless if the county will fulfill them or not., Identify investigative and/or guardianship related community services proposer could provide if the number of active appointments drops below the contracted number of cases. 141 P a g e Vol E pg. / JO agvd1Si b7 13� ' I�'].IOA F at{; o; pauSisSE JJv;s Aax :djo;unouie.rulloP Iino.L �� : za�vuvy�l;oafoTd�o ssaiPPv ItvuTg v) bl o) •-ZZZ tI Go :.TaquTnN ouotldolas ^ll�t(?'7 ' 1 M15YVb ���µp,[�'Ca 21►0�1 !�''�.1-?S :au�N .�a�vuEy�t ;oafo.�d :uot;v;toilos sill; zapun uuo�Tad �Cllvpua;od pinoo imp loofoid poouaTajaa au; o; paugisssgv;s Aax g o S K/ ,-�j Q 4 :joa fo id jo ;unouts mIloP I%o.L —Uo,) ".iv►m s : "ei-ouus t :.Tagvuvyq;oafo.Td Jo ssa.Tpp� Irgtug :.ioqumN ouogdala L : ouzsN m2-euvy j ;oa fond .amvN;uaiio •uOI;E;TOTIOS sTtp jo uoi;vnlvna guunp osuodsa.T atl; jo woos at{; ;oagv Am ;i `oouomjoj ;vqj 31oago o; olgvun on am pun a;vmoov ;ou si Iivuza uv jj -puma Aq soouaiajai googo .1(4unoo soze,Tg .Z •Ivsodoxd otRjo uoi;voUilvnbsip ao spunoB oq Ama sosuodsaa ant I3Sau ,(ud► •pmmv o; joud saouazaja.T )Ioago of lgBlj atp somosa.T ,�4unoo sozvTg sa.Iuua;uoumonoS Ivool ioj Algvzojazd sXOoA aamp;svl oqj uTT ltA Zoj s;oafotd pa;aldumo svtl tu.TTg moA ;vtl; saoua.Tajaa (5) and.. jo tunt mta v apinoad hugs ;uapuodso-d ' I saauonjog •u •uoTtisvj poziuvgzo uv ui pouTtugns aq;snui d3x sTtl; ui pa;sonbaz si 1egj stua;T paTmbaa IIV -9I Client Name: Project Manager Name: Telephone Number: 12. Email address of Project Manager: y1'1� " vD� G✓ ' Total dollar amount of project: wov k, a5 a ( . W .eau) Key staff assigned to the referenced project that could potentially perform under this solicitation: Client Name: Me OF CWTP-w TKP4 Project Manager Name: ` "DWIA �Gt�tTYj Telephone Number: Inz ;00 gV94 Email address of Project Total dollar amount of project: Key staff assigned to the referenced project that could potentially perform under this solicitation: Vol. Pg. /17- 161Page Client Name: wmi ` A' . W Project Manager Name: Telephone Number: P'jp �p.hr3 " � IP9.- Email address of Project Manager: Total dollar amount of project: Key staff assigned to the referenced project that could potentially perform under this solicitation: O. Deficiencies and Deviations Form Following is a listing of ALL deficiencies and deviations from the requirements and/or provisions as outlined in the proposal. Unless specifically listed here, your response will be considered to be in FULL compliance with the proposal. Respondent assumes the responsibility of identifying all deficiencies and deviations and if not identified, all requirements of the proposal stipulated must be fulfilled at no additional expense to Brazos County. No IS , I)O cb�i 041, *1 lqu* 5ey+z Vol. J& Pg. , O 17JPage P. Contact Form Vendor should include the names) of the person(s) authorized to negotiate with the County. This information should include email, phone number and position in the company. Company Name: Authorized Company Position/Title: Contact Phone number: 6 n. Al 0, M+4 Contact Authorized Company Representative for Negotiations: Position/Title: Contact Phone number: 1,"4 Contact Email: DY'L A �'►Ir t'aY j1W,`% LOK Authorized Company Representative for Negotiations: Position/Title: Contact Phone number: Contact Email: 181Pa.ge Vol. Pg., Q. V.T.C.A. Local Government Code -4262.0276 This Section must be completed. Failure to complete this section will disqualify the bid. a. This refusal to award a contract to or enter into a transaction with .a person, pertains to an apparent low bidder or successful proposer that is indebted to the County; b. "Person" includes an individual, sole proprietorship, corporation, nonprofit corporation, partnership, joint venture, limited liability company, and any other entity that proposes or otherwise seeks to enter into a contract or other transaction with the County requiring approval by the Commissioner's Court; c. "Debt shall include delinquent taxes, fines, fees, or delinquencies arising from written agreements with the County. d. Prior to award -of a contract by the' Commissioners' Court, the Purchasing Department will request a statement of account from the Brazos County Tax Office: e. Any "debt" as defined above, that is reflected on the statement of account, will be documented and placed in the bid file. The bid or proposal from the person with the debt shall be considered "non -responsive" and "not. responsible", eliminating it from any further consideration of award. f. 'These provisions shall apply to any "person" owned, partially owned, managed, operated or represented by a "person" indebted to the County. Please list all the names of the individuals that have ownership, officers, managers, and board of directors that you have associated with your entity below. Name I Title (Owner, Officer, Director, Manager, Etc.) Vol. Fig.. /�l� proposal,Evaluad n -Waiver - _By- s - ubmitft.gproposaj or response, each proposer-jogerorIndicated below agrees to waive any s.County -(the. owner), Aicgtect Engineers, Consultants: claim it has or may have against 'Br= directors, employees,-or.agents arising out of or in connection and their i"PWdVe Commissigners, direendation of my proposal or response (2) any with (1) the'adminisiration, evaluation, or recordm requ&drnent under- *0 Request for Qualification or related documents, (3)'the rejection ofany proposal or response or any pad of any proposal -or response; And?or (4) the award of.a. Contract; if any. The proposer further agrees the Owner reserves the right -to waive any requirements -under the proposal documents or -the Contract DocumenDocuments,with. regards to acceptance or rejection of any y proposals, and recommendation or award of the contracL Note: The. Statement of AMM040n Must be Notarized: Statement of Affirmsition "The tndersign4d affitins that helshe is duly authorized to. execute this waiver by the Person(syor busi=s entity malting the proposal." Pbsifi( .Propo: Date: Subscribed -and sworn to meson this. jSf4 day of in the year g?. my Commission . expires 7-2. Z1— .... 91 ST PHAN19 LYNN JIRA ',WR P. z E DDOCK 5 Notary Pubfie. State of Texas % 4Ifcomrh. Expires 04. L 07-202k N I D 1141163943 20 1 P- a g-e Vol. L L Pg.19 S. Addenda The undersigned acknowledges receipt of the following addenda issued during the time of solicitation and includes the several changes therein in this proposal. No. kvm Date Date T. Certification of Proposal No. Date The undersigned affirms that they are duly authorize_ d to execute this contract, that this bid has not been prepared.in collusion with any other proposer, and that the contents of this bid have not been communicated to any other proposer prior to the official opening. Signed By: Typed Name: �t l f2,S �6Jc0 r - VW' � P4,AP4T t IV I �-y�� Company Name: I C �iW CO-Vlq a_ 1_ � �" � s Title: / e — 01A) W Mailing Address: ' 1 "- j 54M, 0 0 /WS 1� P.O. Box or Street City State Zip 10 Employer Identification Number: CORPORATE SEAL IF SUBMITTED BY A CORPORATION END OF RFP NO. 22-134. �c-T 2 �4 • arw ram.( o F Tx By signing below, Brazos County*agrees=that this RFP 22-134 will be awarded to the vendor whose name appears above and both parties agree to the terms and conditions contained herein. By: Brazos County Commissioner's Court Date: AL.L Gp U S t caI o20c2 0;. Attest: Brazos County Clerk Vol-. -, g. a: 3, � 7 21 IPage U. House Bill 89 & Debarment Verification Brazos County is federally mandated to adhere to the directions provided in the President's Executive Order (EO) 13224, Executive Order on Terrorist Financing — Blocking Property and Prohibiting Transactions With Persons Who Commit, Threaten to Commit, or Support Terrorism, effective 9/24/2001 and any subsequent changes made to it via cross-referencing respondents/vendors with the Federal General Services Administration's Excluded Parties List System (EPLS, https://www.sam.gov), which is inclusive of the United States Treasury's Office of Foreign Assets Control (OFAC) Specially Designated National (SDN) list. Respondent certifies that the responding entity and its principals are eligible to participate in this transaction and have not been -subjected to suspension, debarment, or similar ineligibility determined by any federal, state or local governmental entity and that Respondent is in compliance with the State of Texas statutes and rules relating to procurement and that Respondent is not listed on the federal government's terrorism watch list as described in Executive Order 13224. Entities ineligible for federal procurement are listed at https://www.smn.gov. The undersigned affirms the non -debarment statement above, that they are duly authorized execute this contract. The company representative below further affirms, that the company submitting this proposal, under the provisions of Subtitle F, Title 10, Government Code Chapter 2270: 1. Does not boycott Israel currently; and 2. Will not boycott Israel during the term of the contract. Pursuant to Section 2270.001, Texas Government Code: 1. "Boycott Israel" means refusing to deal with, terminating business activities with, or otherwise taking any action that is intended to penalize, inflict economic harm on, or limit commercial relations specifically with Israel, or with a person or entity doing business in Israel or in an Israeli -controlled territory, but does not include an action made or ordinary business purposes; and 2. "Company" means a for -profit sole proprietorship, organization, association, corporation, partnership, joint venture, limited partnership, limited liability partnership, or any limited. liability company, including a wholly owned subsidiary, majority -owned subsidiary, parent company or affiliate of those entities or business associations that exist to make a profit. Company Name: jy� I .e l►I I d19 MaW l td el db^ Authorized Company Representative: Lit Pr "Pala"An Address: 1442 N. CA IT W Dr- T)C HWq Auk I 21,11V HDO AU S-0 0 72W Signature: f-91-1 C:;W 7 Contract # 22-134 Third ardianship Services Vol. � �' � pig. f �� Date: CQ � I•Y �`!��/ The following items should be completed and included in your bid submission. Failure to include these items will disqualify your bid. ❑ References (Section O) ❑ Deficiencies and Deviations Form (Section. P) ❑ Contact Form (Section Q) ❑ V.T.C.A. Local Government Code §262.0276 for Tax Verification (Section R) ❑ Statement of Affirmation (Section S) ❑ All Addendums (if applicable) ❑ Certification of Proposal (Section U) ❑ House Bill'89 & Debarment Verification (Section V) Vol. s--a r Pg. 231Page -ag t - ,Inc. Senior Cara-Man * emen &-Caed-C-on-su1.t-an1-,s.. 'Plannino. qdw; & r pea ca* of mind la ter. Mir Senior eftiot Care- Managemeni-& q,.-are.CbnsuItantsJrIc. is -a professional :Life .Car-..e:Management and Gua rdi-A niship Program, offering long-teem:Car.O: plihning'A p. dicaro rhanagemontfor the alder adult and'.krthoseindividuals with special -needs, as well -as providing Gu6tft nship of Person for wards assigned -by the .court. Sprvlqes.aretoffered.in'the South Texas, Rio; Grande VaIIey,.*.'Rtazot County, 9exar County; and -th.L-.Centra'i.--T-oxos,-,area. With markletanalysis-and. .research demonstratingan increase in need for elder care and special needs services Mir 5erftr- Care &CareConsultants will provide -individualized and private assistance to clients, families, caregivers, land professionals, M.ir Care Consultants, Inc is a Ce*rdfied Guardianship. Program enrolled with the JBCC. Mir Care Consultant's Inc -Program Certifli cation, n umber IsGI?.-147 - 0.7.. MIR planning Includes- continued staffing ofllcaqsed and pnifessionil Care'Managers, Who. Will participate in a team managed by competent; axr 'rperibniced, and responsive leadefiblip model. All professional, Care Managers. and . Idadership team -follow the Ethics Code and Standards of Care,,pr toWded bythe riptional.Aging of Life CarerAssodafth;.,gs'well astha Texas. Guardianship Code an,d�S.tandards-;,(3Uww:agingli-fecareior-g-.an.d-w.ww;texasgu.ardianshin.otg.) Mir Senior Care Management & Care Consultants Will continue to be owned and operated by a family -based -leadership. Our Leadership team strives.to f61116 w'thd company Missloh of "to s 'th arve , oseindividualsfaced with the challep-gL?s and complexities of aging-andspeclal needs, 'by 0ol.ive.rtngthehighest qualit of life care managemeht and Guardianship services." Principal offices are. in Austin and Corpus Christi, Texas. Both locations have longstanding history of.reputable and -quality services,, provide educational offerings to longterm care communities, and ar'e,activel . y inVOIVdd with community . initiatives tha t'sUppert the . efder care community. Some of those affiliations: include terhentiat FelLaii.dly Iniftative Corpus...Christ!, Board Leadership and engagement AGE of Central Texas, Aging Life Care AssociaVon, and ongoing efforts with- 6ducatiohal speaking engagements-tothe comi.nprifty regarding -elder care - preparation, adVockV, and advanced planning. U.11R., Senior, Care &Care Consultants is a private, incorporated business; founded by Mary Frances Mir MSN, Rf$ CIVIC in 20.05 and incorporated -in 2007.'Ms. Mir has a bachelor's degree in NUrsifig,and a master's degreef in NursingAdrviidistratiort.'Ms. *Mir is also a'Certified Guardian - in the State of Texas.. The President Vice ? ss� dent and partner/owner, Lina SiAppet,Zapata. MB-A,.,CMC wilthze master's. degree in ffusiness. AdMinistration and a Maste?s in Geriatrics tar%. dir6fts company: -Care Mbn;j'g!km ent operations. Una also has -extensive- experience hi,Maiketingand "Hospice C6r-6 and is.al'so a Certified Care. Mzinpger ,pnd'Certifled OuardicGuardianin the.Statd 9 f Texas Both Frances and Lina are certified Life: Care Matwag.6ts through the National Association of C-6rtlfleid Care Managers, NAC-CMare :active both on -the local hand natioftal'IeVel. The Mik ad ministrative -team has worked diligently -over the past years -in creating a profesMo0'6l-Or-,eserice*4rf .'b m Otfi.te —M-Wiltie& This Wbr-VtogetMt--,wifh -awdkterisivemafkof.ing plan'have resulted ih increasing referral base- and- mb trusting relatio.jiships�... 9 Wt-11ifift' tf Continuous and ongoing. review of S&rviba: * r" vm- J.- p 0- idh• is�a-pnorFtyarfd;l.eacts'.t.'-o 0rtiuolfty manag6menCprograrn;.wh ich -Intl udet, but- notlimfied implemt!iitattp.nof.L-vidL-nc-e=basedpractice, pnd'.6tto'blithmebt,.-'f- d areaso improvement.-, The.MirSenior CafL3-Mahigdffitnt:aTid.Care CoWgOluhtg, (rw,T*&fij:- Ther&ato.c �MIV troin,tttff -meMb Mir a 6 ckaj I _Orr M1r--has.,;§1td _mq f, "'.'Ood profassionafig licensed in the area's of -j,51aw 'k enJ.j`e'rrfw,: And-- —Rd' pur-sing;,soc _oir, J; care manag -gua. tans Ip. All maintain -their current.-ILvol. oflicens-u . M: grid'Urtontinues to invest in thL!:ttam.and lb-50eesfif ";,h, uth' �dudatioh to maintain rdi 'dl*, pwit.contin 9 aince i ication -a p� , Icensure; MIRSOnlbr-Cafe &-.Care,ConsMta.nts sefv1ces-areprovJ - ded.-bjidera private pay -based mdd-,OL The comp6hy-'mjssioh- also supports.eff.prt-s. for- COMinn. unity- edUcation:ind _;a-,sm'O1lc.harftablb.,- based `§etvide; those charitable cases •arie.oreseht,6d,.td.:Ieadef§h.. gaff-andatopte6 basdd- on availability of staff and need ofclk 6 t. ri$ffip.;iny feO sche 'd UIO'aTe�set to r-'efl..'66t rharket.anAysis basis: and _Core--]Sdr.vlbe - .. Uf6 Care Mihagementflder' Adulis:and 5 eclil'ffLe& adifts- afi-difilldren: Mir S.en'i.br*Ca'r6.Mbnagement a'Cate,Contultantij Inc pro esa vid '6 holistic, client -centered approach fo.caring fdr.q.[der 6J- adul s .bth(?r-i'-facW-6n' ljjgt r 9: go, health chWl'eiiga-.-.O--u. guidance: ew 'k-ad-famill Ids,' li!gitil Oebie�sionals, 'agiv'dr's-t6Ad -;a�cttk` i d " advocacy and ons'an decisionsth;kt Aiur76 q_ual!'tY'C'at,6'9ftU ah".001ni5l.-Cidditty. of lifO`fh 0,0' 17-0 gh: Asseniment' .ajhd, riwiTitbring- P-181(ihing.arid problem -solving • Education, and adv6daty Family caregiver coaching Fin.aoqlal Assessment and'ie al ..g. ssment and Planning.: ng, Vol. pg. Zv The expertise -of .Sonlor Care Management p .�he--Mir - & Care Consultants, Inc team can be go.rnmarlzeO. trit-o4befd1lowing: Health and Df5abitity. From -physical problems tomental health. -And -.deme.nt-tarrel.4tqq;problems,. AgIngLife-.Cafe M , anagers13-interactwith the health- care system dffqctIvely, -and fteqpently, Aging Life Care Professionals Attend doctor appointments and fpjcilftate.cornmUfIIcatiOb between doctor, client, -and family. They-Assfst W—Of coordination, planning and implementation of health chre-plans.. These profes'si'onal . s help det&'Imlnetypes of services.— such as home health, hospice, and mental NdSfth! resources —that-are right for a clfiMt and assil'stirt-engaging and monitoring thos'ei. services-. FIhaftCi9l,.56rvh:eS may include. reviewing.or overseeing bill paying or tonsultingwith'a clients account -ant or Power of Attorney.. Aging Life Care Professionals provide information on Federal. and state entitlements, connectingfamilles toJgl:ai.programs.Vvhen'aporoon'ate. They also help. clients and. f6milies; With insurance concerns, Bairns; and applications -for state; and fedetaf beh4fitgi:Funding through the court, blendedwith- the.exp&t financial monitoring by the Mir team-, helps -to ensurethe maximum life benefits forthe client/ward. HbushIg--Aging: Uif6 -Care Prdfessiohals-�help families -and 'clients 6valuat-e-a.nd--sel'ect appropriate f level -of !h6usibi'gbr residential -a options, which will maintain -'sa e.environMeht drid ensure the I .ghi�StqWfllty oflifottyleand wellbeing. ,Fpnilies..Aging-LifeCatefessk0oatshelp fa, ..,Ijies adjust,; qqpqand -problLSmLsolV6.ar*6Uhd- longAistaRceand in-home-;ardgIvJng, add r0ssl ng,*carg.cenjcqrR4; inter.,naitconflicts, and dlffdrences;Of opinion about !Qryg-term care.planriing. The team will-p roVjdeeducati6nand' .guidance to families- and caregivers.AsGuardians, all efforts to. research opportunities fordirect family -sup port are'initiated, but- ihlhose cases-where.(n,41vidjuals arefacking family -support; the Mir team will'provide dontifiu6uS'oversite of the war-d'sribeldsand quality of life. Lodal.Resourco-5. AgItig Life Care Professionals know-tbe specifts of the local resources jin--their communities and -know h-owservic,es are accessed. Care. Mahagprneht toFarn members frequently interact and assist ult.11h t6ordination. of resource p0b.*ViSidn., -Adva-rie6d -and -sfro'ng r' �' w V professional contacts 46dorginization -partne 5.hifh Ips: man hav6-'fibloed-to: develop trust in MJT'Sbrvices. ,Advocacy, Aging Life Care Professionafls are, Stroh * g and effective advocates for-plient-s and :their farri'llieS, promoting the client's wishes health care and'ifther providers, ensuring that - client's-'rieeds are being adequately -addressed, Ih,,.ca'ses'where necessary, th-d-tearn Of professionals will also advo.caitd.fo-rthe -ward's .-restoration -ipf thefir rights; The Guardianship., Reform Act -regarding Restoration of a Persons- Rights, feffbctJive September Ilt-,2015).statigs-that-if,aperson subject of.guoroianshipbelieves-they are nolbogetheo-da guardian ofif the'persw's.cirtumstinceg- have'improved, Mir -Care -Consultants; intWill at. t?on behalf of the best interest of the client/ward: Mir Qire, Consultants, .inc will send a letter Vol. pg. Z--o 2 requesting, restoration of Their righ ts1f-WebeIidVb,,that thlls"Wil,Lbo cif behefif,§n"d cildifthk5rd has.. been.assessed and, it has been determined that guardi'ap'ship" OV Leka'i.A9ihg­tff6,.Care Rpfestionals refer to legal exOe&.1.like­44.6elaw att6ehays; estate.' planners-,--iriti PoWers ofAtt0rndy,.*9.o6* Ag!''ng 'Ljf.6-!C6O.Pf6fesilo` rials prdivick.ex 'p ert opinion -f or rcou ft9'ft`,1`d'dte­r`m- `1 h I dg'I'e'V'e I df tpr.4 afn'd'etta bi I di e nt! Vde ds. Crisis Irit'Orypntion. Aging Life Care Profetsionalsof* crisilsAnt':rvei6tion when, it ispeeded helping cllgnt.s p4YIgat:ejhr6Ugh.e'rbergenqy de6artmonts and, hotpitpliz -A a�jon.. rehabilitation stays, and ensuring that -adequate cam is -av6liableAci-the client. For-fOrn-illes tfiatilve at a. distance, this can be a much -needed 24/7 OmLargeh.cy contact. Initial Assessments include r6vie.W.6f.96V-sa,fbty.,,cbncer6s and OrdViihtlon'.' Mir Senior M.ah;agefn6nt,*.&.CpreC-on.su'lta.nts,. Inc cr"pa..,A -core. 0.1an,,tailored-for..6ac 11. 1 . I.? ! ` " h lmdividual!.'s,�drcumttanc in.' d J. consultatibn with cIWnt-arjd--.farniIy,..as, deed'ifitthnces change. .Mir Slenjor.Care Management & CarQiCon th'0[� level ekportlso,in Cgre 'Ma9agem9rt'adVIb 9cy�-,p pd. care :dybrilghtwould be well suited "tP-Kovil egua4anshj' -.of, petsbh forft8e individuals who fiir�e,bedf.i ftein.ed,by th*,�j udidt6f.ty4teM d #0- Of , managing their healthandsafety because of disability of m-en t-Hl In 6ss.* With-ou r holistic. a P.,O e6 -a' c'h A'. tin d 6 esta n d I n ,menta.,qn and abilifl6s,And`rhahAg1hg healthbpre-heeds-f,or-d'611e fit 6V&a:U'Wellb.0ing-Nwe(I - 'Suit6dtobd,� p'pointetl gpardiari'of,pL-rsoh:'*,f6t-th'o''s.0'�•rdquirl' 'As`such. .Mit SeniorCgr6 M'atng!g.dM0nt & Cate: Consuj#on t S .1"c request $ nd.ing-,of $.80)O00.04-thUs. providlngSrazos CoUrAY.with a depqnd able, -successful,: and, professional 'advocacy, group ,oup!.6.f needs Who Can address the. �eds of up!to 25 county re's-1.4"e''nis who are. incapkitated b6cays6-& Wbr-disabllity.' This. his. proposal will be,` f6r .6:uardian. of.1he Pqrsofl-to. county residents, The .Clurt would.aopolptMir Senio►` Care , ., e'.Inc, Mang m.,ent,,andCatgCo.nsu.taq,�,,In as:gpOrO,!9n­a*ft-eir the, immstigation and initial: guardlanAfp, MirSenlot Cate Managempnt-& Care. COn'sUlfahts will provide guafdi'ahs,fillp services inAtOrdance;with aft agre'men't that f0elthOr-oUtIlhe's responsibilities,and tl 64rame fdrp'rovi'd d'ea"re'to Yes e­fe-ri`60 -Ind lVidu d*!s, an d, rd �P ortfihgrepu I ee 6110M.O. We appre'6114te- your co , nstd-eration.4be, the request.. We look f r* ar.4 to aya ttnbrsh ip. with. Brazos C6untV. In addr0$sing,.t6.e needs of I A,qlts with dis" I.. . older .. it . _ .. . ab.lrities. Vol. __ZLS_� Pg. 203 GUARDIANSHIP APPOINTMENT AND INTAKE Private.Professional Guardianship. Programs in the state: of Texas are few'and far between to cover the demand. From the Guardianship Reform Report of 2.019, a- few facts have determined an increased need'for Private. Professional Guardians and or Priyate Professional Guardianship Programs. • Population of Texans 65 years and older is expected to double in in size to six million by 2030. • Eight percent Increase in guardianship during the last 5 years • In 244 counties, the county judge or county court -at law preside over guardianship cases without sufficient resources to monitor cases ' • Without proper monitoring, there is`a high risk -for dxploitation' and 'neglect. Mir Senior Care Management & Care Consultants,' Inc has a long standing; well respected private aging life- care'rnanagement practice with over -1$ years of experience. Mir has collaborated with many families and court appointed guardlans: IT is with this experience and .expertise that Mir embarked on providing Professional Guardianship Care management program: individuals who are appointed to Mir care, will be assigned a care manager but with program .support from other team members when needed, The assiigned' Care Manager will provide a comprehens ve assessment that will take our -holistic approach'in identifying areas of heed, short- and. lgng-term goals, create o person -centered profile, engage' with family and or fadility staff;, and determine a baseline of 4fealth-and'care for th4 indivi4ual. At a minimum, a,ponthTyvisit will be made to see the individual, ensure that•elielit' t'being well cared for., determine any needs, and or advocate for•individual if needed'., Individuais. may require. added visits depending onAbe complex ty and acuity -level -of the client. Care Manager will make the determination along with leadership staff to.ad,dress crisis iriterventions, advocate; owsur-e-thattchent is'safe. and -free from -abuse-and or'•exploitat%n. Our history, delivery of care, adVocacy, and approach to ciient.care management will, be of benefit to the citize'ns-of Brazos:Co'unty shouldMir Senior Care Nlanagement,'Inc, &.Care Consultants, be appointed to serve, as Brd Party Guardianship Program. Corpus Chrf;ti- Texas 5-262 South Staples Suite ,300 Corpus Christi, Texas 78411 .361.814.3300 Austin, 6xbit 9442 N. Capital of.'Tbaias Highway Plaza i Su"lie 500 Austin, Texas .78759' 512.-975:2444 Web,§ite. W.ww:mIrcjreconsultant-q.com SOViteiAieids: Corpus Christi and The Coastal Bend, Central Texas, Rio Grande Valley, San Antonio, Harris. tojinty, . Br yanhCollege Station Affiliations and Board Eagaagm-tht. Aging Life C-argAssodiati.on National Board MemU!t-,,Chqpfer:Boatd Member,. Diversity Inclsuion Committee, Education Alliance Committep, PR Committee Area -AgehcyoAging- Namentia FFJLhdIy Witiat!vtorpus dfiifist!,. Founding -Merhb6 rs., AGE of Central Texas — board Member, Chair Public Phase THRIVE Center Cap'Ittil.Campa''figg, Co - Chair Progra"rh She Thrives Face to Face.0 LLC Advisory Council. !'Al-zhei-rh6r-It>Editt:tition.&, Support Proorpni" Senior -Services Council Atiftlh Thk AdvKoPy Council on Aging- Coastal Bend Council of GoVd-rdrrierits.Corpus Christi Vol. pg. MEL Senior Care Management, Inc. &•.Care Cons-uttants "P% �, rmp•.� �,�ar�• 1. Provide documeritation.statingthat the..firm.and/orguardian_iscertified under Subchapter-C, Chapter 155 of the -Texas Government Code to. act as.a guardian_ Mir Care Consultants, Inc is a Certified Guardianship. Program enrolled with the JBCC. Mir Care Consultant's Inc Program Certification numberis GP-147071nserted in report below 2: Proposers must review-and'follow the local rules stated .on the. Brazos County website provided'bythe County`Court-at law: https://www:brazoscoui tyfx.gov/index:aspx?nid=332 Reviewed and Documented 3. Provide. a sufficient bond as ordered by the court. Brazos County requires a blanket bond for all cases. Submitted as Aftachinent Bond Coverage'Documentation:and Email from Company Supervisor :Noted as Attach ment-#1 4. Supply a report -of a previous instance which can show ari example of the firm's knowledge of the duties. and requirements of Title 3 of the Texas Estate Code TITLE 3 COMPLIANCE 5. Produce a copy of a report submitted to another entity;, that is! HIPPA compliant, that will. demonstrate to the. County that the firm and%r guardian that -will bevorkmA.these cases has excellent:oral and written communication skulls, has. compassion to serve as;a guardian for those who. have been judicially determined partially or totally incapacitated, and will be able to work closely -with the staff of the Brazos County Courts at Law. SAMPLE CAREPLAN SUBMITTED Referenced as Attachment#2 Vol. S(�- g Pg: 0106 6. Provide a copy of the latest background -theitk.,for-all=rL-pte.sehtativesvthat will be performing. -any os'Pect*f this*-cmteatt. ALL Cate. Wn.ggers peoAded. finger.0eint and 4ac-k.grourid*'che.t-'k,.'i.hfough ACC and are listed on the ACC Program site. 7. Mu'.. afccepvoed-&�s;,of appointments astq p' rary st rn�o airid* -rermanot: guard !an -'bf-th e person And/or estate of-indigeintp.orsons [HOWTd-fo. be in th-,L- Kett interest,41he word, by tNee Brazos.Colelnty Courts of Law, AffirmatiOnto,atcMpt !Orders..6f:g*gl!.OintmLonts'.atl.t-LAm.porar—y-cin,,d!o.Y.permahL:iht-.gu&rdi'an-of-the person If found to -be in the -best interest ofthe ward by the BrizosCourity-Coiurt of Law '8. Must be. -able to qualify asu guardian by-, p.ro.Viding:aft,qa!thand abohd1,prbVIddd-bV,th.e- -. Texas. estate Code. Affirmation .6f agQncy • qualified as pardlan by. providing An oath and a bond provided by. the Texas Eltate. Code -9. Pro.Vide-:us with tepresentati.Ve:sa . m I p*le':'r'e-'pxWts,:whlch -are- HIPPA-comolldrit. on- hd.w'YC)-U visiting eac -war arlians up at ss keep repot personally v it" h ' d Under:&' HE hJ records of pe� ot,herWI'!wAieec-,ted'by1th,e court. Submitted Sample Reports that are secured an.d HlPPA czmpfiarit att8ched, toEnterhal-base management software, system. Sample M-onthly. Report -shown --as Atf4.0h'meht#3 10. Proposer must commit to retmbprse Brazos. CouhtY*.fof,guardianship servIqes,,*pAId by .Brazos Countyu ort rtc,e0t.of finANcial resources bythe.guardriah upoi approval.' '.:thd CCourt.Pro 6ser must offset costs thaed.to Braz6s,Cbunt �far-�qardjans p serv65 by bill f6e sery'lCOS 4a. - ink Medicaid. ed.kMA Applied Income: e.' Mir Cate-Cw-�ultants,.Irtc will be.permitted tocollect .any addit'io'nzil.taseiman,;Rgemd' fed&that, are allowed under the- Estates CdOe,.,As�these are. not part- 6fthe-c"6ntract. Vol. pg. U.. Provide a report that shows.th°e:'County.howthe guardian working for Brazos County would maintain a guardian caseload -of not more.than twenty-five. (25) wards for every guardianship caseworker: Proposer has hired one full-time card manager and is curreklyexpanding staff*to support guardianI .$upport, Proposer has.six team rhOinbers qualified to%:provide.;guardiansh'ip.ca. e managemert under the Proposers Guardianship: Program. Leadership team continually as"sess.caseload aihd .client acu.itj to determine team; case .managers�ability to support growing- caseload. Strategic,planning includes ongoing search for qualified candidates to become. -a part of the care team to support a growing`caseload. 12. Provideexamples, which are. HIPPA compliant, of previous experience in actively searching -for and identifying suitable family imehibers or friends who may be able to assume guardianship .of wards of -the contractor. Mir S"eiflor Care .Management & Care Consultants; Inc as a company practice, engages and seeks to find and communicate with family and feiends'who could `or wish. to be.part. of -the ward/client's care. Indications of a .desire to: be .a guardian will be taken into consideration. The evaluation and assessment whether the family member or friend is an. appropriate and suitable guardian will be..evaluated based on testimony from care managers,. provider staff, and other:persons-with knowledge of the'family aiid: or friend. 13. Propbser must give examples of how they can and will accept.appoiritMent. as: temporary and/or permanent: guardian of the person an:d/er°estate of persons who are -not indigent (fees and costs paid by estate of the ward) if found to be in the best interest of the ward by the Brazos County - Courts; of'LaW. Mir Senior Care Management & Care Consultants, Inc. may provide guardianship services to non -contracted cases and will, by approval, bill for services and collect appropriate approved fees.'Guedianship Care Management will continue -as -long as:resources.are available.. Mir Senior Care Management Inc., 'as. good stewards of financial resources, will'work with fiduciaries -to be kept abreast of financial resource. status -If individual assets .are being spent down and funds are exhausted, the -individual will be transferred to contract -status. 14. .Provide -how your firm and/orthe guardians) working.with the county -will comply with the terms and provfsi.ons of TRW 8 of the Texas -.Estate Code.. Affirmation of compliance with the terms and provision of Title 3 of the Texas Estate Code Vol. Pg. '15. Pf . oVldeaftt fee; per Ward' per month- along with, �vm- Whim number of slots you J. require td-' dserv-e for each- moriih;-eegardles§-.df-.tf the cou6ty-VA - ff fulfill them or -not. -Identify investigative and/orguprOianship related community serVi ',Oropos r could provide. -if the - number .6 number of,active-appointments-drops below the contracted numOgrOftases. -$25a/Clierrit/Mohth-foe-2OW8rds-byplay !"neroa56-to-18with-o.ut-inturri-ng-any-additi'd'ntficosts. Depending on client needs Mir Senior Care Management &'COrO Consultant8j, Inc Can assist with benefit enrollment -services spch-as Sotiai Security, VA Rengfits, arid or Medicaid. Vol. pg. irSenior Care Management,, Inc. & Care Con,sultant,s 'Ylannlhg how,for poieo of mind Wvr." Suaportina.Attachments Mir Senior Care Management & Care Consultants; Inc, Internal Standard Reporting Attachment 4A Client Wishes, DNR; Comfort Care. and Burial Attachment 4B. Dynamic Home CareAssessment Attachment 4C Emergency Preparedness Attachment.41) Care Manager Monthly Monitoring Report Attachment 4,E Initial Assessment- Updated S-00portine Documentation —Operations. Attachment SA *Certica'te of Liability Attachment 513 Worker's Compensation Coverage, Vol. �"�� ; . Pg• +'C'Mter' �s fj Ufa W! GROUP _ s' AGREEMENT OF INDEIV,IINITY Commercial Bond - Short Form THIS AOREEEMENT of'Indernnity, made and entered into this %Sf day or 5� � /f - , 20 21 by MIR SENIOR CARE MANAGEMENT, INC., 5262 S. STAVtES, 9TE..300, CORi?US• CHRiSTI, TX` 78411 pnsered;U naive 44"Wdr.03 or?i W;MD (hereihaRer called the Principal) and LINA SUPNET ZAPATA; 6900VILLIAIRWALLACE WAY, AUSTIN, TX 78754 ORLANDO ZAPATA, 6960 WILLIAM WALLACE WAY, AUSTIN, TX 78754 NARY PRANCES MIR, 414 MOONViN WAY,. AW l3RAUNFELS, TX 78130 tlrren rap nameandaddresses ottndemntsws, [Faro (hereinafter called the 1innitors, if » deany) and INTERNATIONAL .FIDE LI•TY INSO ANCE'COW.ANY,,ALl1. ORENY CASUALTY C0IVIPANY; and/or HARCO NATIONAi. INSURANCE'CON PA", all'affiliates:oi`IAT Insurapoe Groop,.Ine.,. One Newark Center, 24th,Floor, Newark;'NJ .071'02. (hereinafter called the Sitrety); WITNESSETH: WHEREAS; .in -the transaction. of business one, some or all, of the Principal and Indemnitors are requirea, or may desire to ,give Bonds, undemakingsi guarantees or other instruments .of suretyship (hereinafter referred to as "Bonds"); and- vQW, THEREFORE,, in consideration. of the, Surety executing said Bonds, being. substantially benefited by the execution and.d�livery.of eacb,said Bond, tlie•Principhl andlodcamitors hereby agree: 1. That the 'Priticipg] and each 'Indemnitor will pay to•the Surety in such ;mmmor as may 'bc agreed upon .all premiums and 'charges of -the Stir`etg for the Bonds -,in accordance -with its. rates, Wh6dier filed or ttoc, until the Principal and indemrutors -shall serve eviddoce satisfactdry: to the Surety of'its discharge oe.rdltwa from the Bonds and all,liability by reason .thereof 2. Thwthe Principal and each Indcmnitor shall indemnifyWid'keep -indemnified the Surety atgainst any and.all fiability ,for losses and expenses •of whatsoever kind.or nature; including, but :nor limited to, the fees and disbursements of counsel, ntcres%.costs of itiyestigators, accountants, engineers•or other consultants, whicliihe Surety may sustain or incur (i) by reason.of having executed! or procured the execution of tife Bonds; or, (ii) by reason of the failure of the -undersigned to perform.or comply with the covenants and conditions. of this Agreement; or (ii]) in;ettforbing any:of tite covenants and.conditions of thls Agreefiterit, and will place ilia Surety in:funds.to meovall•its liability as,aforesaid promlitly bn •request.and before the Surety maybe required. to make anypayment hereurider:.'. $e Principal and each Indcmnitor expressly waive any right;to interest or other income which tnay be earned on said the furids.and further agreedhat'ihe aroresaid Rinds may be'lield by ilia Surety in- any investment, depository -or other vehicle `that ibe:Suretyin its sole.discretion deems advisable. Copies`of any voucher, swont itcrilizcd statement or other dvidened of payment of any tlflhc: foregoing by the Sur4;y,ihall be prima fecle e4idcnce'of liability oftbe undersigned tinder- this Agreement; OOCID.t.O Commereiat:Bond -Short Fdn i , go 10/5 1. The Surety- may decline to execute any bond and neither the Principal 'nor any Indemnitor shall mike- any claim to the contrary. 4. That:the Surety rhayi make or consent t.o anchange or,alteration 'sald Bonds and mayexecute renewals thereofr other obligations in --lieu thereof; or way consent -or .assent -to -any change dt'alieratioft in any instrument, contract or agreement concerned herewith,-without'notice to the Ptincipal/Inderruntors (notice being expressly waived)-aild, in such -case, the - l?rihoival And each Indemnitor shall be liable to did $urcty'.as fully" and to the same extent ;that the Surety shall be liable -under such changed of altered Bond or such renewal& thereof of oilier ObIJJga#ons:in lieu thereof. The P'&chW and -each rndeMnitDr waive hotilcie- of the -execution of -Bonds, acce is Agreefffebti.dbfkiilt-oi-other 4cts.givingrise-toa,bond claim or liability of the Surety under bonds. ptan6e of this S., Uavtho. Surety-sball have the exclusive-right,for. itstTand4orthe Principalfth&mnitors to takecharge6fall matters arising under said ' -Bqnds and 466146. whether -or not it is liable thereunder and defetibifte the amount of its liability incase it decides that. it. is- liable. Irmdy settlwor compromise any, suits -and take such other action in.dbrifibcdon with any claim matter -arising under said Bonds.as it may deern.advisablid. Any. such decislons;de ' termination,, settlement, defense, bornproWlib of other action of the Surety in connection with any. claiin matter gdsiog under. said: Bonds shall'be final grid conclusive and ubconditionally.bihd" HIS tippo jbe�Principal and.each.Indemnitor. 6. That 1the-Trinpipal. and :each Indemnitor and the hei s, legal -representatives, successors and assigns: of the Principal/ Indernrifters, and all present and Ititure affiflates and directly or indiiectly owned or controlled subsidiaries of the Principal/ Indemnitors., whethcualone,or.in joint venture -with -others and whetheror notnamed.herein shall be and hereby -are jointly and severally.- bound by the foreg6ing -provisions of this A_gtAMdd4.and that the .liability of each'Indetufaltof hdreimdir and of the -heirs, legal fepresdntatives;J;uccessots and -assigns of stichIdddiii6itor hereunder shall not be dependea.,upon -the- groper G greement -execution fQsA or. any instrument herein referred -to -by any i3ther-IfidetWhor and thatIf the Suretyprocures,any com suretyon-sai&ond, -brig' Agreement sltall be deemed -extended to -and for tho benefit of said b&g1jitty. 4. That in the-event.that the -Principal AW&-dri bidemnifor.Andlor Indemnitors-gridior-their stiiisidiaries OrAMRAtes tequest, that aBond -or. B.onds,beissued -onbehalf dfatWparty asprincipal; ftprovisions of this-AgrderiadatAdIl apply clual.. with e fo&d to, any such tond'or Bonds. 8. That -this Agreement may be -terminated by the Prncipa1;d Indemors upon twenty days' written notice sentby cettifod.qf registOed,'.mail to the:surety it its home office at One-NOWEACefiter, 20111'Floor., Newark, New Jersey 074021 but any such notice cif-Ionnifiation shall not operate to- modify, bar, or discharge ,the --Prindipal and Indemnitors- from theiribbligadons under .this.Agf6emenvagro the Bonds that_may hay.orbeen.theretofore e*'Cecuted!cirgxccuted:p-ursuant-to Consent of Surety issued prior with respect to Bonds executed after the -date -of such -term" Io nofice-of termination ofw termination which the :Surety has become obligated ; -prior j-prior to such date, to.execift. Furthqr,.guch notice of termination. shall operate only, with respect to those paitids upon whose behalf such notice of termination shall have-bemgiven, 9. ThIsAgreement shalconstitute.a Security.Agreezraent to ifie Surety and . -allpo.-a. Financingy%aiement, -both in accordance witli the provisions of the: UniformCommercialCode of every, uiisdictidn whimriiq.such Code is in effect -and may be -so -used by the Surety without in any *4y abrogating, restricting or limiting, he riots of ild-surdty-t.mddt-this -Agteoffe�nt.,or under law, or in equity; A carbon, phoiqgmphic or -other reproduction ofthi-sAgreementmaybo filed.as a FinWc#g:SOteM;nf, The -Surety may make such 4ddiiions. to this Agreement as -.may be necessary i "disirabiv to -permit its fifin9 as a Financing Statement under the or - Code. This. Seturity Agreement and Financing:Statementsifall secure payments made,.and to be made, by.the Surety hereunder andunderthe Bon ds-isstfed by. the -Surety That = not rcimburscd to by the thoBaret: Principal and Indernnitors and shaft cover .y and attach to the fbIIowl*nZ.coH4f&al: all tangible or .intangible personal Principal add property and fixtures owned by'the PA - Indpninifdrsj;'Wherever located or�slamted and whether now owned or hereafter acquired, ands shall cover proceeds -from sgc-df covercd,pmperty to. Thcun&ftignjed agree that.this document and any and all'bom# issued by the Surety will be subject to. the terms of the Uhiform Electroiie Tran*tions.Adt CVETA").,to-the exteit-thatthe:UATA haeen.adopted by the State Wgislatum-mi-1he. relevant jurisdiction, 9#d;*iy,9gd2H substantially-similarfederu"r state legislation designed to -regulate ciectroniccommerce. 11. TheTrid ival and lndemni7tors waiya--any-dAnse.-that this iMtrfimdnrwas:&_xecuted subsequent to the date .,:.of any Bond,, admitting. and covedanting-tbat such Bond was executed pursuant to -the rdqU# otibe Prificioal. and Indenluitm. and -in reliance upon thi PrindipaMIndemnito& promise td exedht6 this 40ciume4t. 12. No subsequent-agmeffiefft of indemnityor other. agreements of driy type whatsoever between the Sureiy, and the Principet. andfor"Indetuditor's, owanyq'fthem, shall be deemedanovation of this Agreement. 13. In the event the Surdly-proppres-the-execution of the: Bonds by other.stffieVM.-or cxqcdtes the -Bonds, with co -sureties, -or reinsures any.portion of said -Bonds with re ng.surptiesi ken all the. terrns.add conditions of this A-grementihall inure to the- benefit.of such other sureties, co-suretles and -reinsuring sumdes,,as theirinterestsimay-appear. W=Ta- Vol. 36 pg. COmmmlifal Bohd - SMIfF= 14. If any prqvisionor provisions of this Agreement be dedlared'void or unenibrcdablc.imd;r any law governing. its construction or enforcement; ibis Agreement shbli xfdfbe• void or viflated thereby, but shall be, construed and enforced with the, same -effect at thddgh such provision or provisions'were ornitted. 15. Iti0m#tuajIyagrced.tbat thisAgreement is,deemed made inthe54to OfNe.w-Jersqy, regardless of theord0in which the signaturds:of the-paid'es ftilhavebeen.affixedand shall be interpreted, and,'00 rights. and liabilitie' a dthwparties, determined in .accordance•wifhthe laws,oftlrc State ofNcw Jersey. Principal -and:cach'tnd6tnnitor agree that -All -Actions -or proceedings.-adsing dioctly,or indirectly from this Agrepme ' nt thill be litigated only in courts having "status within the Staid of New Jersey, and -consent to.thepersonallurisdictib nand ven'tic of any local, -state or Federal Court located there -in," 16. Principal and each undorsignedIndcronitor, its-successorsandassigns, are jointly and.severally bound bythe foregoing conditions of Agreerhd% 17. This Agreement may W executed in an:(number.ofounterpans,.all ofwh1ch taken-tog0her shall constituie,the Agreement. This Agreement shall be 61*e6ve and immed' -eacif.CogCra;tor,afid Indemnitorwhen that Contractor or , lately binding as;to Inderdildr executes this Agreement, rdkard10s.bfwhether any-o4her. Contractor' or Indemnitor lias.ekecutcd the Agreement or 'WIS oi3Oaps to-bcbpundby the Agrc=nVfor any'reason. Deftveryofofacsiritile,,electronle�br-OlgitAl.0opy-o.ftbis .Agrceigdd. 9;igntlure pages, executed by,*any Contractdror IhdPm0Jtq; to tire; Surety or the Siirety's-ageFnt.or,�rdofcstntativb shall comtituiezeMiOivite'xe'CiOgn':and 4elivery.df1his Agreement by'th6t: Corittadigr qrInd=.mtor and shall.constit6te.a valid and original signature-tothii Agreement purposes. Contmetoe'staftdrhdtmditbrs,obligationstosurety-s ot be�affeet by s holl if ed "thiftilurer6f any-Conttactor'br,'Ihdtmditdfto- Sign. any Bond, IN WITNESS WHEREOF,,we'have hereunto set our.,hands and seals. WE HAVE READ THIS INDEMNITY AGREEMENT CAREFULLY. THERE ARE NO SEPARATE. AGRE)E-NOTS OR -UNDERSTAND.INO$ WHICH IN ANY WAY LESSEN'O.UR OBLiGAT16NS AS AWIFE, - SET FORTH.: IMPORTAN - T; To 411 i4derartitors: pleascrovide your Social SecurityNumber (Individual).oryour Federal Tax ID Number umber ,(Corporation), The signature ,ofcadb and every 'Corporatiort must be attested to and,sealed'by the Corporate. Secretary or other .offter-as-permitto'by, khe,g0vvMng documedts andfor state lhw. -The: Aigii,ktor; of eackand every.LLC-, Partnerghipand/0- Trt4t that is party to tfikigreer4ent.-mustbe, witnessed by at least dne.ditiArefdsfed Vefson. The signature of -each Individual party .dQes nof require a witness except for ,4* S�� in opment contain Pfincipalg'an,d/6rIndedAtoW located -in the -state of Louisiaha, which r.001ices the witness dfadisinterested Petsoh. All sigriatures,must'lie notarized. PRINCIPALS ii-(Corporato Signatories) Atteitontandlto Ia s ad under so MIR*.SE4I0k.CAk9 MANAGEMENT, INC_ (Corporate Nane) BY ,AAAdee Vlce�Presiditntin Eau of: (Sil kswai lary) an T LI/ Mary Ffitntes; Mir, .President 18ecr'twy. and Treasurer QMni &�Typ-aNam-qY (WntorTypet4arn0bna Wei Federai,Tax,ip 26-4131696 CORPORATEAqRNOWLEDGK&Y STATE.Of CQUNtY OF 2,;La V-4 .5 OxIbis i S'� dayor the yW 10 21 Wb. me puscoolly come(s) -Muy Fr== Mir" tom aknumwho. being by me dalyswom deposes and says ibt Wsba mides In ft city of Lh:ftbdkboh4a President ortlm MIR SENIQR CARE MANAGE.I*NT, INC. ttie qM#dt[wde=-bcd in and which exemed the fbrogol g jnmincrit, that he/she knows the ftt the WI oinked tothesaidinsmwent bsubbea - qt6sdol, ftilt *w'soofted bey ihoordcrofthelloan! qf`D1rcctdr9ofsA4*qrpom*ni and 1ba1hdshos1Sncdb*crramotbwoby Moord-th V. 7 _Wnt/ Mime mrCb= 'DC' $I PHANiE LYNN B9ADQ0C91 v btarv-Public, State ofTexas' iss xrpi o m. Expires, 04-07-]j20225. otary ID.Q�4kj6984. I f - Itl _1 P Lse DOWU tommordatb"onif -shoh Form Vol. 3(a 9 pg., 3ds I 5 — MIR• Sv.is Cato ta:eaprant. tna &Care consulLLOSI 5262 So. Stapies,. Suite 30.0 Corpus Christi,. Texas 7B411 Assessnwnt:Sum-mary-. and Care flan , • .-:c+S.-':may ' w`�v i� Client Name: Client.Address: Client; Phone: Vol. pg, T.Able of Contents 1. $Unkthary of Fbidmgi -" . k 2;, Essential Data 1, Phygica] Health I Nutrition 4. Social, S. P$Y, choloOlp9limlemory i :6. Ability to Perform %efivit.eis of'Di- My IAAA9 7. Home Safety/fall Ikisik i .8. Lega-11-Vinanc' al 9. Rpe-b-M."moiadati6fig and plan 10. AAdition6I.Information and Resoarces .2 Vol. ,a pg.-0 MIA Essentnal.Data Date of -Birth: Age.: 93 years Social Security No: Address, - Primary Home Phone: Cell Photie: same Ethnicity: Caucasian, Primary. Language: English Marital Status:- Divorced Living Arrangements: Living independently with 24 hour caregiver. assignments. One story rental home. Primary Caregiver: Caregivers provided by Caring Senior -Service, McAllen, Texas Educational Level: Advanced College Emergency Contacts: 1. Patne aXxxxxxxxxx LLC, Court Appointment Guardian of Person -and Estate 2.. Elizabeth Torres, Director, Caring Senior Services _+ 3. D.O..M S. 4--;:IN it Senior Care Management Inc. 5262 S. Staples St.; Ste: 300, C.oipus Christi, Texas 78-411 Phone: 36141.4 3-300 5. xxxxxxxx, Attorney Medical Iffistory Needs Medical history as .reported by history and his primary care physician: Last visit 09-21, 1.8. Medical Diasno§is: 1. Osteoarthritis to bilateral. lower, extienuties f TEE) 2. 'Moderate Dementia 3. Diabetes Mellitus -•- Type 2 4. Hypertension 5. Prostatitis. 6. Hearing Loss — bilateral 7: Visio'n'Loss with. corrective lenses Allergies: no reported food or drug. allergies. Approximate WT =159# last: MD visit Primary Care Physician: xxxxxxx D.O. MS. Dentist: Podiatrist: Pharmacy: CVS Pharmacy — mail order medication- #800-753-0596— refills#.844-650-1637. Walgreens Pharmacy =local pharmacy., Harlingen 'Texas 1. Summary of Findings/Recommeodittiong- for Care Mr: L.M. is a 93-year-old client of Mir Senior Care Management and Care. Consultants hief -since Novernber12,2,016- This client wasreferred to our, programservices by -his Guardian, GfPerson, Patricia XXxxxkxxxx1 and his Attorney.,'xxxxxxxxxx, both offices out of Arizona. On 14 - 12- 2 04 6, an.initial assessment visit was conducted by Life Care Manager, Is ab elEspino s a- M 9W Mr. xxxxxxwas upon initial services staying and living at a. rental -apartment in South.Padre Island, Te)(,js, where'he had evacuated from his home in AZ . Rincethis date, Mr. N, has. -moved to his new.rental hoitedn Harlingen, Texas in early;20-17. Mr, lives -in a rental'two:-bddrboni home; with currently 24-hour private agency Caregiver staffing by Caring Senior Service. Mir Life Car . e - Managprifent -services were -requested toas8ist with assessment, care plan m. om.'oriln'g-, have been resource management, and care coordination of all community services.Services­ provided since ZQ16, -and.'Qate h4i bpen,coordiiiated:wit.h.h .s..Ouardian, Patricia Xx—xxxxX`X—xx-- This-current update caroplaii is.,provided to assist with. transition. of care upon the discharge of this 0-1pnt from Ak Care Management services effective, September 29, 2 0,18. The Guardian has Veen provided notice of discharge, with reason for discharge, with a 30 day not -ice. Mr. 3bodoixt has. one daughter, who Eves -in -Call -.forma. He -is a retired bus�. 8s man, and has. lived in Arizona until his evacuation. to Texas in: November of 2016. During his time in Arizona, he was a widower and subsequently married his,ypunger housekeep AM ' housekeeper;:. , qr,, I Ak!M., Ms. Xxxxxxxxxx reports that over past two it6ah8j. he- is- now legally diVorcod per court order. This client continues to. be. followed by his Pdmary Care Physician, xxxxxxxxx DO. MS, Harlingen,. Texas -fbihis Thedical-oversite. Mr. Xxxxx=.xxrequires 24;ov'ersite-b..y..c.aregi-vetg for both is medical and psyphological needs. He has been diagnosed with.mild to moderate detnenft;.,aod is suppoft and -daily 4n i n. - y. � Ole to. live indppendently inhis hoihe without supervision Over "the .past. year :arid one half; this. Care Management team has observed Mr. Xx-0xmbmX'tQ contfilue't5tave ihtetmittentmedical crisis episodes. -of falls, an d acute teg,Whichlave ar, Diabetes, A 6 mietnory, logs. has increased, and he required intermittent. ER admissions, and occasional hospital' admissions.. His-- continues to require: oversite for his medical,,:fwnotional(Actfvities of Daily` Living), social, and financial needs... The warn has workedcooperatively with the Cm.'49,.-Senior Service team and assist,with guidance and education of caregiver staff. This -Care.M*gement . qup team. has provided to Ms. Xxxxxxxxxx,. Guardian, adjustments to the client's; plm:to -include. recommendations for medical, dental, social troatme&plans, as Wellas Longterm planning. -.for this client. Pleasetafer to said reeon s stated in this, care n. endation s ted plan. This•updated care: plan will- be used to determine this client.' . s,4eeds,- short; and -long term -goals and include all.recommendations -to assist in continued care. 3 Vol. pg. 001 Medication.L� st: (ag of 09-01-26_18), 1. "Mettonnin HCL (ptidiabetic) 500mg —1 tab orally twice daily. '2, Lisinopril ( antihyperten&e) 20mg —1 tab orally daily 3. Doxycycline Hyelate -100mg —1 cap orally twice daily 4. TamusulosinRCL ( prostate) — 0.4mg -1 tab orally daily 5. Duloxetine D (aiitianxiety) - 20mg —1 cap .orally daily 6. Polymyxin B Sulfate/Timetho (eye drops) —1 drop to each eye twice daily 7. Tradjenta — 5mg —1 tab orally, daily. Cardiopulmonary - History of Hypertension — medication program: B/P within normal limits as per last MD visit: Intermittent Shortness of Breath upon exertion or ambulation. Intermittent ankle or lower extremity edema/swelling and reported to physician. Skeletal/Museulo — Complains of pain to both knees..Diagnosis; of osteoarthritis. Poor balance Upon.tiansfers from sitting to standing and occasionally during ambulation.'Requires close monitoring by.caregiver attendants,_in particular, when transferring from chair -to standing or bed to standing. History of falls .in his home, in most instances, secondary to poor balance and difficulty with standing. History of three falls withiti last•six-months. Negro- -no significant history. Client has had fall at home in March 2018,, where he had significant bematoma. to the head (occipital area) with slight abrasion to the skin. Client. transferred 4o' local emergency unit, and heft AMA. Primary Care physician'visit following this visit- exam negative for.any,significant trauma or head injury. Respiratory — Reports Negative history of smoking. ,Occasionally shortness of breath with exertion. Client scheduled for annual flu vaccine next month. Endocrine —Diagnosis, — Diabetes Type IL Medication management. Blood Sugars checked daily'by caregivers: -Client has had periods of refiisal of taking his daily Diabetes medication, but ..�_: r.�yw..uypCi caregivers report fairly consistent rnedicatiod mariageinent over past silknionths. Client is not consistent with maintaining a diabetic diet, as ordered. Gastrointestinal — negative history for any dthifieant'health history. Genitourinary _ History of Prostatitis and on medication management. No Urologist in place. He admits to some intemuttent urinary stress incontinence. No history of pain or discomfort during urination. History ofUrinary Tract Infection earlier this year. InteMent(Skin — Denies any significant history of skin cancer. Hearing and Vision — Reports hearing loss. Has 'hearing aids, but not always committed to using daily. -VisioA:loss — wears corrective lenses. Last eye exam unkgown. Speech - clear -speech during interview. Denies any difficulty, Primary languages of English. Vol. 5-6 9 pg. (� Pain- .History of 'States pain rated at -about 5'io #.6:R-rating SWP 01-10- Home Health Services — no service at this time: Nu-tritiona . I Needs Mr. Xxxxvw = is on: a Diabetic Low Sodium. diet.. He, eats routinely two. to three moderate, size,jnedls daily, which are usually prepared by in-h6me,coft1panion. He also eats out of the 'home about 2-3 times/week accompanied by his caregiver. Herequires mm miumassistandi'fofih- preparation. H� s -()pping,.:meq,, ndfoodp usually eats -with acaregiver -itxdttendaqoe,.ag-reporied',bk.6&egiver,s6r,Vi Page 7' XxxxuLxxkx Care plan Adequate -food with reftigeration.. All .appliances working. Care Management :team storage, e dailymealst - with education -ro:cli�nt and caregiver Il along ivilih " Caregiver team projtar6 as9i * s ,oa da i- plabbing to avoid high sugar andlow sodium -diets. W di the impprtande of daily nutrients 2hd'caWum'itItaI(0 for good bone irowft No alcohol intake observed. Client, requires* Aent& -work as .soon as possible. He lakes moTelhan. ftqe medications -daily. Th&6-itapotenfiWfor food'anddrdg interactions: Financially able to afford meals currently.- Social- &sgessnigntlNeeds 30&xgmaomis a, 93 -:year-'olddtyorced-yn9e living independently in NO, rental. hQtQO'*' Harlingen, Texas. He has one daughter, Wholives 'in -606rnia- Hehas,0 0 appointed'Guadian. of Person -and -Conse )(xx'kvmxx-x .'. in',Tucson, AZ since , - No-vernber.2016. The client is reported to have-A64-ftInll home-TUCponAZand traveled alone to South Padre Island, TexM, Hisdaugbteri- ft,'.9.1b,,rPY0tted his evacuation and requested &,y(sbcondW to diagnosis of dementia) and assistance for court Order for -evaluation o competh appointment of Guardianship. ''Caring Senior Service. vvmof his need caregiver services .�a ices thj0ujh vie. e i The� client has 24 -hour c i . an. d 1.41h of 'need for for services on4:reqi:�rementby,,his-PhY,,-'ci ! The. GOSCOMP also states companiobshiprthat he � is in need of agSistajiCef --Sorvic%��14:t As, reported by his Guardian, M X.)paxxx.= 'hW4 have had - an jhq client daug estranged for some dine. Sh6 hai not visited tife . : client since he arrived in'Texas, but cAregiyers repoft thatdaughter dbei communicate -by. -phone. Vol. Pg, Client does have limited socialization, other than caregiver companionship, and his companionship by his .dog, Lucky. He -lives in his. home alone. ;Ho does have intermittent -visits to local.grocery stores,, and restaurants during the week: He does not share any interests in other home activities such as playing games, ark hobbies. His day :is mostly filled with watching TV. He does enjoy watching sports on TV. Since he is,not-local, he does not have.any other 16cal acquaintances. Care Management team: has encouraged clidat and caregiver team to seek local. community services for social engagement. Due to increasing health care issues and his diabetic management, the client's Social activities have diminished and; consequently client has become somewhat isolated in his. home environment. Psveholoffical Needs Mr. Xxxxxxxxxx.has,-Medical diagnosis by Dr. of Mild to Moderate Dementia. He has also bad a Neurocognitive Assessment by Sloan Mng PhD,, Licensed Psychologist in April 2017. Her Diagnostic Impression.: Unspecified Neurocognitive Disorder —Mild. The client was admitted to the Hospital for short stay in October .2017, at which time a secondary Psychological exam was perfornied and reported to the Guardian. The client has a strong.history -of post — secondary education and a long career as an Engineer. He is articulate in his understanding -of concepts, presented -to him by Care Manager and Caregiver Supervisors di ing-their visits. However, he does have fluctuations during the -weekof confusion and short term memory loss. Re continues to require oversite in his home, and is unable to safely live alone.. In early 2018, the clienVs.need for-eo!#afuonship increased from day caregiver needs to 24 hour caregiver staffing. Sleeping patterns vaiy,. and usually awakens a.minimum of once or twice nightly, Companions are aware of Behavior and check on client frequently during evening times.. Small alarm and video monitoring system available in the home. Assisted Living Activities Assessment of physical and cognitive abilities of our clients, to include Activities of Daily living. Instrumental- Activities of Daily Living and the Mental Status Screen are key.indicators for assistance and independent living or safety. 1� = Independent - 2=Assistance 3= Dependent Activities of Dail Bathing { 2 1 Health problems, balance Dressing 2 Balance .and -poor coordination Toileting, 1 Potential for assistance Transfers 2 Balance a4d. poor coordination. No Assistive Device Walldng 2 Req uire6 device,uns�feddy Eating A A T ;TF.ITIrT MSLIUMURL4L tIILVLIVAUFWD VA J-,"LLJ Use'of telephone .2 Confukon'afnd memory Transp6rtaii0h 3 Mobility arid.Asion Shopping 3 Afribulafi6h, Oohfusioii Meat prepara ti6n 3 *qioritnd.,balanee y. loss Housekeeping 3 Coordination, balance; strength Ko&aIjon 3 'Meinory loss. Money management 3 Memory loss Commenis: L.M.-has decrease in,strOngth andI110011ITY alle-TOWEPTIuc, lwmb. n�YUALIUD JLLLVtA64CW. -assistance, for many physicalactiviftes. Tires easily at to regain -strength. Has.24-jigur companion prograrn services. 9. Safety and Fall Assessment The Care Manager performed 6. home evaluation to assess for safe and adequate- home environment, -arid any potential for risk of falls. Fall risk Assessment: 1. AP— 93 years 2. Ostory-of falls _three falls within the last six months.:: 3. Po ' oT strengthen to'lower extremities and feet. 4. Poor balance .on. ambulation. .. 5. Requires assistance for transfers to bed and chair. 6. Higjaxi9k for falls. Only has cane for asslstivv device. 7. Vision loss Vol. �k g pg. 8. Takes meds which may cause drowsiness. 9. .Animal companionship which,may cause falls. Lives in,one level home setting with carpet and tide flooring. Area rugs removed for safety. Hallways clear .of clutter and free for .ambulation- and use of'walker. Small one step on front and back entrances. Attached garage with appropriate lighting.. Battery operated fire alarms in home, Batteries will require changing. ARLO Security system in place. Not currently working due to no home Internet. Home furnishings throughout.home. Avoid large fiuniture pieces which could prove to be obstacles in bedroom and living room areas. Adequate central air and heat available. Washer and dryer facilities. available in home. Safe locks on, front and back doors. Observed narrowing of door going„into commode area, unable to assistive device through door. Tile shower. area in bathroom will be used by client. safety bats observed in shower area. Adequate fot shower stool. Emergency phone list on refrigerator available to client and,caregivers. No known weapons m home. With dementia issues, client has potential.for wandering and getting separated from companion. Client.is requiring monitoring for psychological assessment and..overall'health status. Overall assessment finds home adequate for safe .living. 10. Legal and Financial, Mr. Xxxxxxxxxx has Guardian, who is responsible for his financial and legal affairs.'He is unable to self manage these affairs.. With'the assistance ofhis daily companions, he is responsible for managing the following. areas, for which he has had history.of'poor management over the past few months: electric/utility, water, food .purchases, TV Cable, Cell phone pay, Copay for medical exams, dog care/food, and weekly out of home food purchases. Primary. Banking Accounts Type, ofA.ccounts: Primary. checking Safety Deposit Box, in.Place:, No Current income(client only): Social Security and monthly $2800 disbursement from Guardian. Other income und'er.direction. of Guardianship. Current accumulated expenses — Guardianship reported. Vol. Pg. Mic"Rt �:3 Orwc& Utsbaw 1H a ee,o eon�u�(op+. it i�,ti58iA� Last. Updated: 5/31/2022.7.55.18 PM Caren .MaY'dago Monthly Mi?i'riltCi*ring Re. -port Report Date of'contact: Date of documentaiibrl: Date of qualification: 05/L4/2022 05/31/2Q22 -Care Manager Documented by:: Location of visit: Client's home-7426 Westshire Dr, SanAntonlo Texas Persons.preseht or. spoken to during,Face to Face'(note if none).(. Care Manager ant# Client 'Oliseivations at Monthly Visit Physical condition observed at visit: 'Ciient.vvas just getting up from bed when CM arrived. Client presented tired but orieritecl to person and place. Client yeas Wearing shorts,'tshirt and 1-iouse'shoes, good h'yglene and appeared in great spirits. Mental condition observed atdisit: C)Nnt presented in great mood, clients thihkirig process is slow, has difficulty remembering prior day events as vreli as presents to have short-ibrm memory issues. Client's perspective on placement and care (their words -or stateimerits at Fi'F on taro): Client states that he has not been too happy and contributed this to Tami.ly thinks, I'm stupid' in regard's to his cousin 'Theo taking money from hi'm with6,ut his knowledge. lteview*ofstatus/Conditions. Services; arid Needs Medical and Mahtai Nealth'(behaviors'ifany): Client continues'to stay up to datE with PCP appointments. with the rerninders from Ci4'i Social: Client is very social, although is forgetful at times, communicates well, and was In a good mood through the meeting, Client enjoys conve'r•satlon and being. assured of all aspects cpncerning his guardianship. Environmental the current environment): Client did a brief walk through of the home, no safety risks, no .trio or 'fall hazards at this home visit, Home is clean. Legal: As af,5/5/22 1�lierit does have an attorney assigned : Byron Barnett Z104846-i821 Financial (describe: sources of income, location of funds -Rep Payee, responsible`parties, etc.): Clients SNAP and Medicaid benefits are currently inactive as client did not renew in o tirn.ely manner -CM did reapply client for benefits and application was submitted -pending review. CPA did got approval from the trust to disburse additional $75 a week on top of the, already S125 a week to client so that tie can purchase groceries while Vol. � 6a 9 �, � O the snap application gets processed and await outcome. Client does also get $275 on the -Catholic Charities Trpelink card on the 1st and 15th of each .month from his ssdi. Guardianship of Person�Status: REMAINS APPROPRIATE If N/A, Steps'toward restoration: Facility Chart.Review: Notes (either'way): See above. -Actions and Follow up Items requiring attention and follow up based on review of above domains: Non-profit agencies have bee researched for GuardlanWp CM checks status of housing waitlists Follow up identified last month, based on review of domains: CPA will continua tc check in with client, address any concerns. Updates Service Plan updates needed: No Notes for updates: Follow up snap arid hkedicaid application Follolar up on Sexar County housing application Annual D.ocurhent Review Month: No Bill of Rights Provided? Yes Annual Report Copy. Provided? No Letters of Guardianship- prior year provided? Photogra^ taken, saved and dated? Yes Additional Information not covered above: If yes, please complete below. Date 09/28/2021 'Date Date Date 05/26/2021 VOL r AnMm cfl+ 4o 6Caro Cdnsultanta Admen; -Mir Last Updated: 5/21/2021 9.57:30 AM ClientWishes: D-N'R, Comfort Care, and Burial General Information Client Care Manager Stied._ Select.. -Wasclient able to participate in the interview? If "No° please explain. Does the'Client currently have an Advance Directive on file? If'yes; what documents have they completed? (Please get a copy for agency record) Living Will (Directive to Physicians) Durable Power of Attorney for health care Out of Hospital DhfR Organ Donor Card Advanced Directive for Mental Health Treatment Can the Client participate In a discussion about a DNR.requeAf!'(1theck One) Ifyou answerer!"No°.or ayes, but Limited' to the above.questions, please state -why,, -Cana family member, friend, or caregiver provide: information as to wishes expressed by the client regarding DNR? (Check one) if you answered °Yes" to the.above question, please list names(s) of'the source(s), relationship to the client, when and how the information was obtained, and (ifapplicable) how long -they have known client? Client Wishes Regaieding Life SustainingProcedures (examples; CPR. ventilation, surgery, etc:): Self=report- Informant report'(Ilst name,.informatibn provided) - Comfort Measures (Hospice Care, comfort medications, non-invasive therapies, etc.): Self-report- 10forrtient report (list name: Information provided) - Other requests. not covered above: Self -report - Informant report (list name; information provided) - 'type of preferred disposition of remains: Selc�cG.: Organ Donor: Vol. pg. ��� Preferelice on Memorial Service (if desired: Navigator signature Date SF1eCt.. Vol. �� •g /. i k&c,hromf 4P M-j cT" A .r*; Adm1h, Mir Last Updated. 8/3/20210 100=1 AM Dynamic Harne- Care Assessment Copy PdridrMed By Msestrneht Done On: BY- selecl— Safety Precautions Worye . I Aspiration 'UhIvArsal Risk:0 Fall History of Falls 24 hour Sup.bivition Clear Pathway. Critical Tests Bleeding On Anticdaqtjlahts ; Oxygen seizure Aspiration Side rails up Elo%fate Head of Bed Lock WIC'with Transfers --s other Alcohol And Tobacro Use Cigarettes Packs p6r Day 0 Alcohol Nutritional Status Diet --Regular NAS Other NoConcentratedS W.-ag P g. 01, C3-(eg E Appetite GT/PETTUBESIZE Inserted on:0. INTERMITTENT RATE CONTINUOUS RATE Rates: are. In CC-/H R* 0 0 Bolus Flushes Siting Patternst Ftequency: P�`}.Nau. Nausea Fretlu0rldy.: Vomiting Dysphaqla Heartburn (Food To lenace) .Weight Change LB.S / Kf, Select, 0 ;.Anorexia Other (Specify:. including history). .Arnolunt. PER select... DIRECTIONS: MAU EACH AREAVITH OYESPTOASS99SMENT, THEN'TOT-ALSCORE TO DETERMINE ADDITIONAL RISK: HAS AN ILLNESS:.Ok.'CONDITION THAT CHANGED THE' KIND AND/OR AMOUNT OF 0 FOOD. EATEN EATS FEW. ER THAN Two MEALS PER DAY EATS FEWER FRUITSjV.E.GEtA9LES OR MILK PRODUCTS 0 HAS THREE'-OR-14ORFVRINKS OF BEER, LIOUOR-ORWtN E,ALmOSTAVER*6AY .0 HAS TOOTH:OIZ MCOTH PROBLEMS, THAT MAKE IT HARD TO EAT -b DOES NOT ALWAYS, HAVE ENOUGH. MONEY TO BUY THE FOOD NEEDED 0 EATS . -ALONE MOST OF THE TIME 0 T.!NKR5 THREE -OR moRrm- DIFFERENT P.M.C.9166'Olk OVER=THE-CIDUNTIER Q DRUG'S: AY. WiTHOU fWM4 ANTI, TO, HAS LOST OR 0ik!NED'16'POUNDS IN'THE! LAST-6 MONTHS - NOT ALWAYS PHYSICALLY ABLE TO STOP; COOKAND/OR*F5ED SELF Total Vol. pg. Ali fididt-fieededto -calculate INTERPRETATION 0­2 Good AS APPROPRIATE REASSESS AND/OR PROVIDE.INFORIVIATION BASED ON SITUATION. 3-5 MODERATE 91SKEDUCATE, REFER; Mb.NITOk-AND REEVALUATE BASED ON PATIENT'SITUATION ANO ORGANIZATION :POLICY. 6 or Oreater- -High R19k COORDINATE WITH PHYSICAL, DIETITIAN, SOCIAL SERVICE PROFESSIONAL OR NURSE ABOUT HOW TO IMPROVE. NUTRITIONAL,HEALTH. REASSESS NUTRITIONAL STATUS AND EDUCATE' BASED:ON PLAN OF CARE. Commentg: RESPIRATION COPE5 URI SOB ACCESSORY MUSCLES USED Rate Select HEYNES STOKES DEATH RATTLE APNEA PERIODS Clear Cradkies./ftales WKEEZESIRHONCHI Diminished Absent Oxygen 026 tin LPM) 02 Saturation Perceht: Pith: 0 0 Source Vent Scittings: Select,. kebmilzer S'Uction Inhalation TracheoAbmy Size. Inserted On, 0 Who Manages: Cough Vol. pg. } UNABLE.TO COUdH UP SECRETIONS DySpnea Reset Other Functfana( Statics M.6b.111ty. Status Ambulatory TexJBoz22 Tta nsfers Sit to Stand Lfff : ° Slide. Board 2 Pivot., 2 Person • Other 'c .•CONTRACTURE$ Joints Location Atrophy ;, Ainputation Numbness Ep ,Weakness CUA Seizures URINARY INCONTINENCE (DETAIL,IF APPLICABLE) .' BOWEL INCONTINENCE (DETAIL IF APPLICABLE) Eyes Contacts t•,''•: Classes Select.. :...GLAUCOMA `_. Jaundice PTOSIS (DROOPING EYELIDS) ` 1390STHESIS LEGALLY BLIND 5elett.- Select. Date -of Last Infection ' 'Exertion ?> Royer ,,'• `a 1 Persson , . Poor Conditioning Paralysis 1. Blurred Vision r�*,* . Infections 'Surgery Site bate of Last Surgery .7 Surgery No Problem Hard of'Hearing Deaf 1-14aring Aid Select.. Select- Select.. i 'Vertigo speech OTHER.FUNCTIONALSTATUS dentures Mental.Status - Other (specify. history) ­:,- No'Prolalem I FORGETFUL 1: LETHARGIC ALERT - Other: WMAKF PAIN FREQUENCY OF CLIENT SHOWING EVIDE14CE OR-COMPLAINt OF PAIN Frequehcy INTENSITY NO Pain MadafAtp D;dn WiiiO Cain PAIN S7ITES 14 Back .'*,.'Incislonal Tissije Hip Stomach Hoodacbe Other Elimination . ,CONSTIPATION /IMPACTION FLATULENCE 'VDIARRHEA, s RECTAL BLEEDING ; HEMARRHOIDS STOOL FREQUENCY BOWEL REGIME/PROGRAM BOWEL ROUTINE AIDS `4, SUPPOSITORY ' ENEMA " .� Lexati4e p: . IJIGITAL ;HIGH FIBER INCONTINENCE (DETAIL IF APPLICABLE) DIAPERS/OTHER ILEOSTOMY/COL.O.S•TOMY/UROSTOMY (DESCRIBE SKIN AROUND THE STOMA) Physical ,integumentaey -Skill WARM ;?, HOT '.'COOL DIAPHORETIC „ DRY CLAMMY -Color NORMAL ,'.Pal© ;.; FIUshed t ?.Cyanottc Cates ; Jaundiced INTEGRITY ,; Iritact .'; Exeorlated '7' Ecchymosis Rash Location and Size Treatment Decubitus Ulcor Tu•rgor Comments Physical Neuroloylcal NEUROLOGICAL Vol. p�, �t5, ORIENTED CONFUSED Forgetful `%INAPPROPOIATIE-WORDS LETHARGIC COMATOSE I..- '. Alihasic �t'jksYrnrnetry- 91ght Left ;;PARALYSIS f PARES18 PUPI LS7 EQUAL / REACTIVE HEADACHES Comments: INSOMNIA Housekeeping Tasks Daily Bed Making ',",Bathroom Kitchen Trash Wftekly/PRIN Change Linen Laundry Dust CLEAN REFRIGERATOR '�'VACULJM/%WPS:V/M6D Other Pdrsohr)l Care -ASSISTANCE LEVEL ORAL CARE (BRUSH; FLOSS, DENTURE CARE, MOUTH SWABS) BATH BIRDBATH SHOWER. 14AIR,(SHAMPOO, GROOMING) SHAVE ,NA14CARE 'DRESSING, PERICARE TOILETIN G (URINAL, BEDPAN; PSC, INCONTINENT BRIEFS) MEAL PREPARATION FEEDING ROMMERCItEAMBULA1710N TRA14SFERS 4 :;�3 Vol. Pg. I/-- TRANSPORTATION SERVICES Tredtment Orders "Vital I Sbns DRESSING /WOUND CARE BACK' RUB / MASSAGE URINARY CATHETER Type; F614Y inserted'on B-bod. Pressure SYSTOLIC 0 Temperature Temp 0 CIRCULATION PULSES. PEDAL PULSES -RADIAL Weight 0 Height 0 Glucose Othian REMIND c0ENT TO TAKE' ME.DICATION.(SY SKIN -CARE GUT SITE CARE FOOT,tARE Date Lasted Changed With. (French) DIASTOLIC Position; 0 Site. Right Left select., sel6m. Right Left Select... seiect R6viewed By: Form :Comments NaVigator signature Date Vol. pgpg. Wwmf 46 M Admin, Mir Last updated, 6/24/2022 5.28.09 PIVI Emergency Preparadriess Client Information First Name Last. Name Middle-, Prefers to be Mir Admin Name called • B.ieth Date Gen -der Marital Medical Record FemalO Status Numbal, Nome Phone Cell Phone W&k Phone 512-975-2444 512=975-2444 512=975-24:44 Fax Email Co ii M-urfication 512-519-2304. lin.a@mircarecbngOltants.com Preference Work Phone Street treet Address Unit 9442Capital* of Texas Suite 506 plaza I ffwliway North City State Zip Cbuntry Austin TX 7875.9 United States Vhyslcian5 Shelter and Hos.43ital Erhorgenty •Contacts Addit-lona) Information Hotne-technolog.VavallbWe? TY06 Pets in residence? Pl6n for emergency Evacuation Remainat home: Eyacuatibn to. Will family transfer pet? City. Name/Address (if known) Vol. Fig, P9, City Shelter Other Site Who will assist in 1ranser of client? phone .Special Needs Do you have caregivers to assist? Comments - If -you are having.any changes to your current Plan, please let our office ,know by calling either •(Austin) 512=975-2444, or (Corpus Christs) 361-8143300, or email chariges to info@)mlrcareconsultah_ts.com if you have further questions or need assistance with planning, our staff is ready to -assist. • '• P• i _ i �//qe senmr Cmq plL.ctogcmn:E Ine 4C Consu�,anu I ' Adjnin; Mir Last Updated:-5/21/20219:56;21 AM Report Date of contact-. Date of documentation: Date of qualification: Care Manager D'ocumented'by: Location of visit. persons present or spoken to -during Face'to Face. (note if none)i( Observations at:Monthiy Visit Physical condition observe.d'atvisit. Mental condition observed at visit: Client's perspective, on placement -and care (their words or statements at. FTF on.care): ReylewofSta'tus/Conditions,. Services, and.Needs Medical and Mental Health (behaviors Ifany): Social-. Environmental (the current environment): Legal: Financial (describe sources:of income. location of funds -Rep payee; responsible parties, etc): Guardianship of Person Status: Facility. Chart Review, If N/A .5teps toward restoration: Notes (either way): See above: Actions and Follow up Items requiring:attention and follow up based on review of above domains: Follow up Identffied last month, based on review of domains: Vol. J6 pg. _t3? t)pdaFes ' Service Plan .updates..heedede Notes for updates: Annual Document, Review Month: .Bill of Rights Provided? Annual Report -Cop y,Provided? Letters of Guardianship- prior year provided? If yes, please complete below. Date Date Date Photograph, tdken,.saved'and dated? Date Additional Information not covered above: Vol. pg. oZ�� Ab&moml4r &.ca.•oceo;uRcn.. Admin, Mir Last Updated: 8/25/2020 8:57:19 AM Initial Assessme-lit UPDATED Client Information - Demographics EF First flame Last Name Middle Prefers to be Mir Admin Narne called - Birth Date Gender Karital Medical Record Status Number -, 12/31/189.9 Female Horne Phone Cell, Phone Wort: Phone 512-975-2444. 512-975-2444 512=975-2444 Fax Email Communication 512-519=2304 lina@'mircareco_ n_sultant_s.com Preference Work'Phone Street Address Unit 9442 Capital of Texas Suite 500f Plaza 1 Highway North City. State- Zip Country Austin TX 7.8759 United States Additional Client Info - Demographics Ethnicity Military Status Height Weight ClIerit Details - Demographics English English Language Spoken Religion 'JVriften Spoken Yes Select... SelecL.. • 'tjr No :p.. No Facility Living Situation Select_ Select. Company Location Profession Select._ Current Location Rockport Nursing and R-. Vol. pg'. �3 I Client Miscellaneous . Demographics , Add to business malting Ilst . Send birthday card miscellaneous information Client insurance Demographics Advanced Directives - Demograpmes Vulnerable -to disaster Security Gate Code Special instructions 9h1gktdgh79h1gh2018 Lock Box Code Call 911 Do CPR DNR Self Preservation Obtained Full Code No Client Summary/Goal of care Care Goals: Functibnal??? Do you have,an actual assessernent or set of questions you ask for this? No Assist Minor Assist Moderate Assist Full Assist Ambulation Bathing Dressing Notes Medical Conditions - Medical Surgical History - Medical SURGERY WIDE Medtcation - P.Sedical DATC No data NOTE Active Medications No Active Medications Allergles - Medical Vol. -3 �' Pg. Providers - Medical Primary Pharmacy - i+Aedical Pharmacy Name a . CVS-Carpus Christi, Texas ,Additional Pharmacy Information , iyedicM In Home healthcare Providers - Medical Hospi.taliza.lons - Medical (I need to get this one for you) Saviel And fMa.ddpr - iffedical UTI Prostate Problem Continent of Both --,7ncon.tinent of Bladder Incontinent of the Bowel Incontinent Care Odor 1.:-• Clear Assistive. Devices Bedside Commode Assist to walk to Bathroom/Toilet Catheter/Colostomy Care ;i Foley/Suprapublo Barrier Cream Cloudy Sediment/Mucous Urinal ti ; Bed Pan Type of Help Vol. 36 f-- - p9• Condom Cath Assistance: Special Instructions: CHart Input/Output •.Colostomy Ileostom Ay urostomy Assistance. Neurological - Medical Do you have an actual assessement or set of questionsyou ask for this? Nutrition - Modical Type of Diet Meal Planning/Prel5deations Notes. Meal Times Breakfast Lunch Dinner Snacks Likes/Dislikes: Notes: Feeding Swallowing Precautions: Fluid/intake Restrictions: Feeding Tube. Supplies Provided BY: Phone: Fax: Supplies Mangaed By: Special Instructions: Grocery Shopping Preferred Stores: voi` �i P '!� :utu WORKERS' COMPENSATION INSURANCE wbrkett'CorfiiJensatlon and `.Employer's Llibility Policy NC�qftaMrlbbde: -29939 Item i Insured ndme,and address Producer 21937 Item 2 ltem,3 Item 4' I of i Information Page Insured Copy MIR,SENJORCARE-MANAOEMENT INC, DBA., DS . XMir-Care Consdltdhts Policy number 942 N HVVY.,9TE 500 -0002048262 PLAZA ONE AUSTIN TX 78759-7228 Federal WOD Entity .264131506 Corporation Other workplaces not shownabove See SchodUld.df-Operations attached. Interim adjustrijerit quarterly M - 3 Reports LEWIS WAT:KlNs FARMER AGENCY INC DjA:'VYATKjNS INSURANCE GROUP PO BOX 93769 Renewal of AUSTO TX 78766=9369 0002048262 The policy period Is frqm: 5127/22 To: 5/27/23 12:01 a-m—standar0time, at the insured's mailing address A. Workbrs' Compensation Insurance: Part One 'of the policy applies to the, Workers! Cpmpensatidn Law of the states listed here: Texas B. Employers Liability Insurance: Part Two. of thd policy applies to, work in each state listed in Item 3A. The Limits of our Liability under Part Two are: , Bodily Injury. by Accident $11000., 000.00 Each Accident Bodily Injury by, Disease. $1,000,000 , '00 Pollcy.1.1mit Bodily Injury by Disease s1,000,000.06 Each Employee C. Other States insurance: Part -Three of the, poritry-appaes to the states, if any, fitted here., None D. This policy includes these endofserhents and schedules'. seqSchedul6 of Endorsements attached. The premium for this policy, will be,dethirml , ndd Ali Information re4d1r6d below is subj4dt.to " y our mdnivals. of Rules, Classifications, Rates and Rating Plans. verification and change 6i '. audit. • Payroll Premium Total payroll and estimated manual premium $374,300..00 $2,415.00 Description Factor Amount Waiver of Subfogaflon 0.00 Increafted Limit& Factor 1,000,00011,000,000/1,00-op0 0.014, 34.00 Increased Limits Balance -to 'Minimum Premiuhi ($150) 116.00 Premium Incentive For Small Employer Modifier :0.850 (392.00) Schedule Modifier 1.070 155.00 Expense; Constant 160.00 TotalI OsOmated'annual premium $2,626.00. Minimum premium $193.00 issue date: 64122 Qouritersighbd by 1rw9udos:voWqht material of the National Cmincil an Compensalibn Irwronqe, Inc; used Xvith:Rs permisskri eCopyiiO . t 2622 11stiorml Couridl of compensation Insuranco, Inc. All 6*ds reserved. Vol. P g. 172 PO Box 120584, Austin, TX 78.711-2058 texasmutuat4orn,j (800) 869-5995 1 Fad (600) 359-0050 WC000001 B WORKERS' COMPENS.1.10 . IN INSURANCE Workers' C. orapenOtIon and Ernpldyeeg! 1_10111ty Policy Bideff8fon.ofinformation- Page, lbeml.: Locarl6nt, Policy number latuo date 'Policy period Insured copy 0002048262 elm 5/27/22 to 5/27123 Lotafflan Address 6000-1. WR SENI[ORCVARE MANAGEMENT INC 5262 S STAPLES ST- STE 300 - CORPUS;JCHkIS_% TX 18411-4137 00002 MIR SENIORCA-R.5MANAGEMENT INC . . M '9442 N CAPITAL OF TEXAS HWY STE 500 AUST(N, TX 78759-722.8 -Effective Expires 6/27/22 5127123 5/27122 6/27/23. tb,whlch it -Is attached effectivevrithe inception date of. -the policy daft pent-gakte IsIndicated below, s . 6 to re e� Af the UG - This endorbemdhtbh.an§0s the policy 'issued ubs qu n P raUqd P-0 Y) ,(The fbjj&Wjn� 'haitedhing etause" nei0ii �d torriplbibd only whj3n:1hls-.endorsement is q.t P This. qndonsement,,6*dtWef.6n 51270 at 12,61 din. sizindard tune, forms a part of Policy.- no. 0002048262- of Texas! M6juaflnturance- Cdrrlpany effec I ttvW- I on S&W& lssue&` o: 'MIR 5*kNibR6ARt_MA EMENVINIC DBA IJBA Mir Care Gonsuftbnts ThIsit not a bill Authorizdd fii0fesentative N.CCICarrier CiDdLit! 29959 po Box 12058, Audgn, TX 7,8711-2058: texasmufu�ll.'60WI-(800)-6���6�g5�iFpx�(gbO)'150'0 0 1 Of I TV01. 3& K Pg. M�Wal W.QRKER ' COMPENSATION° INSURANCE Workers' compensation and Employer's Liability Policy Schedule of Operations Policynuinber Issue date" Policy period Item 4: Premium Calculation 0002048262 6/2122 5/27122'to 5127/23 Insured copy Class codes for.priniary, (named insured Premium basis- Rate per total estimated $1l)0 of Estlrriated State location Code Classification annual remuneration remuneration annual premium 5127122 to 5127l23 42 00001 8742 Traveling Administration Personnel, Marketing. Setting 14000.00 0.450 585.00 Up Wellness Programs 42 00001 8810 Clerical 'Office Employees NOC 26,000:00 0.210 55.00 42 00001 8828. 'Rome Health Care: All Other Employees 1f any 4.170 0:00 42 00001 S833 Home Health -Care: Professional'Employees 120,500.00 1.230 1,482.00. 42 00002 8809 Executive Officers NOC-Performing Clerical or Outside 97-800.00 0.300 203.00 Salespersons.Duties Only 42 00002 8828 Horne• Health Care: All Other Employees 'if any 4.170 0.00 42 00002 8833 Home Health Care: 'Profes"sional Employees If any 1.23.0 0.00 Esiimated manual premium $2,415.00 0930 Blanket Waiber: All Texas operations 05/27/2022 - 0.026 48.00 06/27/2023 a812 Increased Limits Factor 0.014 34.00 1,000;000/1,000,000/1,000,000 9848 Increased Limits Balance to Minimum Premium ($150) 1.000 116.00 9885 Premium Incentive For Small Employer Modifier 0.850 (392.60) 9889 Schedule Modifier 1.070 155.00 0900 .Expense Constant 1.000 150.00 Total payroll and Texas.total premium $374,300.00 $2,5Z6.00 This endorsement changes the policy to which it is attached effective on the inception.date of the•policy unless a different date Is indicated below: (The'foliowing "athaCfiirig clause" need be compiOted'only when this endorsement is issued subsequeritto preparation of the policy.) This endorsement, et%ctive-on 5127122 a112:0'1 a.m. standard time, forms a part of. Policy no. 0002048202 of Texas Mutual Insurance Cdriipany.effective on-5/27/22 Issued to: MIR SENIORCARE MANAGEMENT INC DBA: DBA Mir dare Consultants This is not a bill NCCI Carrier- Code: 299.39 PO Box 1`2068, Austin; TX 78711-2058 1 of 1 texasmdtual.coin l (800) 859-59951 Fax (800) $ /Ux Authorized representative 6022 WC 00.00 01 E Vol.f pg. STATE OF TEXAS § § COUNTY OF HAYS § CONTRACT AND AGREEMENT FOR SECURE LONGTERM AND SHORT-TERM RESIDENTIAL SERVICE OF JUVENILE OFFENDERS This Agreement is entered into by and between the Hays County Juvenile Board, at the request of and on behalf of the Hays County Juvenile Center (collectively referred to as "Service Provider") and the County of BRAZOS, (hereinafter referred to as the `Placing County") acting by.and through its duly authorized representative, as indicated by their signatures below. ARTICLE I PURPOSE 1.01 The purpose of this Residential Services Agreement is to provide Placing County with residential care for children alleged or adjudicated to have committed delinquent conduct or conduct indicating a need for supervision. The placement facility'to be utilized, Hays County Juvenile Center, is owned and operated by Service Provider and is located at 2250 Clovis Barker Road, San Marcos, Texas 78666. The business office address of Service Provider is also 2250 Clovis Barker Road, San Marcos, Texas 78666. ARTICLE II TERM ' 2.01 The term of this Agreement is for twelve (12) months, commencing September 1, 2022, and ending August 31, 2023. It.shall be automatically renewed for one year terms thereafter, commencing September 11 and ending August 311, unless one party notifies the other in writing, at least thirty (30) days prior to the expiration of said term, of its intention to not renew this Agreement. 2.02 The terms of this Agreement shall be extended until such time as all services which have been requested by Placing County, and are pending on the termination date in section 2.01 above, have been performed. ARTICLE III SERVICES 3.01 Service Provider will provide the appropriate levels of care for the behavioral levels of service as described in the Texas Administrative Code (TAC) Chapter 700, Service Level -Descriptions. Levels of Care requires the facility meet all applicable standards under Title 37 Texas Administrative Code, as approved by TJJD, and if secure, be certified by the local juvenile board to qualify. Vol �% g .P9. Levels of Care: Detention — Pre Adjudication j Specialized - Post -Adjudication 3.02 Service Provider will! perform the following services: A. Provide basic residential child care services, including: standard supervision by qualified adults, food and snacks, clothing, recreation, personal hygiene items, haircuts, transportation, school supplies, educational and vocational activities, medically necessary health services, and miscellaneous, as requested by Placing County. B. Special treatment services, including behavior management, diagnostic services, therapeutic counseling and psychiatric.consultation. C. Ensure that the chi'ld`s parent(s) or legal guardian(s), and Placing County's placement officer is notified immediately if a chid in placement makes an unauthorized departure, becomes seriously ill, or is involved in a serious accident. In the event of serious *illness oraccident and for any required follow-up care, Service Provider shall be responsible for having the child transported to the nearest hospital or emergency care facility. D. Work with Placing County's placement officer to create a written Individualized Treatment/Case Plan developed in concert with the client and mutually agreed upon by the appropriate Service Provider staff and the Probation Officer within thirty (30) days of placement: Said Individualized TreatmentlCase Plan shall include measurement of progress toward goals in the following nine (9) domains: medical; safety and security; recreational; educational; mental/behavioral health; relationship; socialization; permanence; parent and child participation. E. Coordinate -and document meetings to review the Individualized Treatment Plan with the child and the assigned probation placement officer at reasonable intervals, not to!exceed ninety (90) days, to assess the child's progress toward meeting goals set forth, making modifications when necessary, and determining the need for continued placement outside of the chh'lfis natural home. The Individualized Treatment Plan shall contain the reasons why the. - placement may benefit the client; shall specify behavioral goals and objectives being sought shall state how the parent(s), guardian(s), and, where possible, grandparents and other extended family members will be involved in the program plan to assist in preventing or controlling the child's objectionable behavior. G. Provide the probation placement" officer with a written report of the child's progress on a monthly basis in a Monthly Progress Report. ARTICLE IV EVAU ATION CRiT WA 4.01 The Individual Treatment Plan for each child must contain specific behavior goals and services that are appropriate to the child and enable the chid to develop to his/her fullest potential.. This vol. Page2of10 development will. be through the provision of a safe, drug -free environment in services are utilized as tools for educational, emotional and behavioral catharsl A. Output measures may.include, but are not limited to: 1. Average length of stay. 2. Average daily population. 3. Average number of counseling hours provided each child daily, 4. Average number of.educational hours provided each child daily, i which counseling S. i weekly or monthly. weekly or monthly. B. Outcome measures may include, but are not limited to: 1. 800/o of children in placement will complete their placement as a successful discharge. 2. 80% of children in placement will report improved family communication/functioning while in placement: 3. 80% of children in placement will demonstrate progress in a majority of goals outlined in the Individual Treatment Plan. 4.02 Service Provider shall report on a monthly basis to Placing County as to each of the foregoing output and outcomemeasures. These reports will be ieviewed by Placing County in order to monitor Service Provider for programmatic compliance with this Agreement. ARTICLE V MWO ATION . 5.01 For and in consideration of the above -mentioned services, Placing County agrees to pay Service Provider not more than the per diem rates based upon the Level of Care provided, in accordance with schedule of rates for 24-Hour Residential Child Care set by the Texas Health and Human Services Commission as currently effective or subsequently amended with the exception of Detention services. The Service Provider will send notice to the Placing County the new Level of Care rates prior to September 1. 5.02 The Placing County agrees to pay Service Provider the sum of 200.00 per day for each space utilized in Detention services. The.Placing County agrees to pay Service Provider the sum of 5250.00 per day for each space utilized in the Specialized Post -Adjudication programs. The daily cost being based on the projected actual cost of care far children in the facility. 5.03 The rate fee will be paid only for those children specifically authorized to be placed by Placing County through its Fiscal Officer or other.designated official. 5.04 Service Provider will submit an invoice for payment of services to the Placing County Fiscal Officer on a monthly basis. Said invoice shall be submitted within ten (10) working days following the end of the invoiced month and shall include information deemed necessary for adequate fiscal control, including but not limited to: hours worked, to be attributed to specific clients if appropriate, date service 'was rendered, hourly rate, total daily cost, and total monthly cost. Each invoice received for payment will be reviewed by Placing County in order to monitor Service Provider for financial compliance with this Agreement. Invoices submitted by Service Provider in proper form shall be paid by Placing County in a timely manner. 5.05 Service Provider must use its'best efforts to seek and obtain all benefits available from other sources for eligible,children. It must initiate and complete any appropriate Medicaid application and complete all necessary documentation to obtain reimbursement for children who may be Page 3 of 10 Vol. Pg AT eligible for Medicaid. Any income received by Service Provider toward the support of a child from sources other than this Agreement, including but not limited to Medicaid, Social Security, medical insurance• coverage, or contributions from parents or others must be documented as to each child for whom a billing is submitted and deducted from the invoice submitted to Placing County. Documentation must include the names) of the parties receiving the services, the dates and times services were provided and such other information deemed necessary for adequate fiscal control. 5.06 Placing County recognizes that part of a clierrfs rehabilitation program may include time away from the residential setting of Service Provider, such as weekends and holidays, and that Service Provider must retain space for the client until his/her return. To this end, Placing County agrees to pay Service Provider the full amount due for such regularly scheduled days away from the residential setting or its program, provided they do not exceed four (4) days per month per client and that prior approval has been obtained by Placing County. Furloughs will not be authorized for the first ninety (90) days of placement, or until the completion of the first Individualized Program Plan Review, whichever comes first except in only highly.unusual situations. Unoccupied bed space constitutes days away from the facility. Individual Treatment Plans may warrant additional days away from the residential setting if approved in writing by Placing County; however, any additional days away from the residential suing will not be charged to Placing County. 5.07 The child's parents) or guardian(s) shall bear the primary responsibility for payment of any medical or dental needs, by personal payment, health insurance, or Medicaid coverage, as well as clothing or other expenses not provided for in Service Provider's program. Medical or dental care not covered by other funding sources must be submitted for written approval by Placing County for payment prior to the expenditures being incurred. 5.08 Services provided that effect payment that are not directly addressed by this Agreement must have prior written approval from Placing County. ARTICLE VI EXAMNATION OF PROGRAM AND RECORDS 6.01 Service Provider agrees that it will permit placing County to examine and evaluate its program of services provided under the terms of this Agreement and/or to review its records periodicetly. This examination and evaluation of the program may include site visitation, observation of programs in operation, interview and the administration of questionnaires to the staff of Service grnvide"md hildre"Fhen-demo a - 6.02 Service Provider shall provide to Placing County such descriptive h6rination on contracted children as requested on forms provided by Placing County. 6.03 For purposes of evaluation, inspection, auditing or reproduction, Service Provider agrees to maintain and make available to an authorized representative of the State of Texas or Placing County any and all books, documents or other evidence pertaining to the costs and expenses of this Agreement 6.04 Service Provider s118111 retain and make available to Placing County all financial records, supporting documents, statistical records, and all other records pertinent to the Agreement for a minimum of seven (7) years, or until any pending litigation, claim, auditor review and all questions arising there from have been resolv4 and shall make available for Placing CounVs Vol.(� pg. do Page 4 of 10 inspection, all contractual agreements with Service Provider's subcontractors for services related to this Agreement. 6.05 Service Provider understands that acceptance of funds under this Agreement acts as acceptance of the authority of the State Auditor's Office, or any successor agency, to conduct an audit or investigation in connection with those fiords. Service Provider further agrees to cooperate fully with the State Auditor's Office or its successor in the conduct of the audit or investigation, including providing all records requested. Service provider will ensure that the foregoing clauses concerning the authority of the State of Texas to audit and the requirement to cooperate is included in any subcontract or arrangement Service Provider enters into in which funds received under this Agreement form all or part of the consideration. ARTICLE VII CONFIDENTIALITY OF RECORDS 7.01 Service Provider shall maintain strict confidentiality of all information and records relating to children involved in Placing County, and shall not re -disclose the information except as required to perform the services to be provided pursuant to this Agreement, or as may be required by law. ARTICLE VIII PRISON RAPE ELIMINATION ACT OF 2003 (PREA) 8.01 The Service Provider has a zero tolerance towards all forms of sexual abuse and sexual harassment in accordance with the provisions of the Prison Rape Elimination Act of 2003 that provides for administrative and/or criminal disciplinary sanctions. The Service Provider shall adopt policies and comply with the Prison Rape Elimination Act of 2003 (28 CFR § 115) standards and shall permit the Placing County to monitor its facility and records as necessary to ensure that the Service Provider is complying with said standards. • 8.02 Service Provider shall adopt and comply with all federal, state, county and city laws, ordinances, regulations and standards applicable to the provision of services described herein and the performance of all obligations undertaken pursuant to this contract, including PREA which establishes a zero -tolerance standard against sexual assault of incarcerated persons, including juveniles, and addresses the detection, elimination, prevention, and reporting of sexual assault in facilities housing adult and juvenile offenders. 8.03 Under PREA, Service Provider shall make available to: the Chief Juvenile Probation Officer of the Placing County all incident -based aggregated data reports for every allegation of sexual abuse at its facility, and all such data may be requested by the Department of Justice from the previous calendar year no later than June 30 (PREA See. 115.3 87(e) and (f)). The Service Provider shall report to the Placing County in writing within 15 days any positive findings by a court or governmental agency that the Service Provider has violated a relevant federal statute or rule. 8.04 Service Agency shall be responsible for the financial cost associated with any PREA audit. ARTICLE IX REPORTING ABUSE REQUIREMENTS 9.01 Service Provider shall ensure that all of its employees, interns, volunteers, subcontractors, agents and/or consultants that have contact with juveniles in a juvenile justice facility or juvenile justice S� page 5 Of Id Vol �� `°9• program will be properly trained to recognize and shall report all suspected or alleged incidents of abuse, neglect, exploitation, death.or serious incidents involving a juvenile under the supervision. of Placing County in accordance with the requirements of Texas Family Code Chapter 2b 1 and any applicable Texas Juvenile Justice Department administrative rules regarding abuse, neglect, exploitation, death or serious incident. 9.02 Service Provider shall notify Placing County immediately of any abuse, neglect, exploitation, death or serious incidents involving a juvenile under the supervision of Placing County. ARTICLE X jamoSURE OF DWORMATION 10.01 ' Service Provider warrants that, prior to entering this contract, it has verified and disclosed the following information to Placing County, and agrees that it shall have an ongoing affirmative duty under this Agreement to promptly ascertain and disclose in sufficient detail this same information to Placing County: A. .'any and all corrective action required by any of Service Provider's licensing authorities, B. any and all litigation filed against Service Provider, or against its employees, interns, volunteers, subcontractors, agents and/or consultants that have direct unsupervised contact with juveniles; and C. any pending or initiated criminal or governmental investigations and results/findings related to Service Provider, or against its employees, interns, volunteers, subcontractors, agents and/or consultants that have direct unsupervised contact with juveniles. . ARTICLE XI EQUAL OPPORT[JNITY 11.01 Service Provider agrees to respect and protect the civil and legal rights of all children and their parents. It will not unlawfully discriminate against any employee, Prospective employee, child, childcare provider, or parent on the basis of age, race, sex, religion, disability or national origin: Service Provider shall abide by all applicable fedeial, state and local laws and regulations. ARTICLE XIi. .ASS 12.01 Service Provider may not.assign or subcontract any of its rights, duties and/or obligations arising out of this Agreement without the prior written consent, of Placing County. ARTICLE XM OFFICIALS N-OJ TO BENEFIT 13.01 No officer, employee or agent of Service Provider and no member of Its governing body and no other public officials of the governing body of the locality or localities in which the project is situated or being carried out who exercise any functions or responsibilities in the project, shall paiticipate in any decision relating to this Agreement which affects or conflicts with his/her personal interest or have any personal or pecuniary interest, direct or indirect, in this Agreement or the proceeds thereof. Vol. .3k Pg.' ZS / Page 6 of 10 ARTICLE MN DEFAULT 14.01 Placing County may, by written notice of default to Service Provider, terminate the whole or any part of this Agreement, as it deems appropriate, in any one of the following circumstances: A. If Service Provider fails to perform the work called for by this Agreement within the time specified herein or any extension thereof; or B. If Service Provider fails to perform any of the other material provisions of this Agreement, including failure to achieve the defined goals, outcomes, and outputs, or so fails to prosecute the work as to endanger the performance of this Agreement in accordance with its terms, and C. In either of these two circumstances after receiving notice of default, Service Provider does not cure such failure within a period of ten (10) days. 14.02 ''Any default by Service Provider, regardless of whether the default results in termination, will jeopardize Service Provider's ability to contract with Placing County in the future, and may result in the refund of compensation received under this Agreemen L ARTICLE XV TERMINATION 15.01 This Agreement may be terminated: A. By either party upon ten (10) days written notice to the other party of the intention to terminate; or B. Upon expenditure of available funds. 15.02 If at any time during the term of this agreement Placing County, in its sole discretion, determines that the safety of children being served under this Agreement may be in jeopardy, Placing County may immediately suspend the effect of this Agreement, including but not limited to the obligation to pay, upon giving notice to the Service Provider. 15.03 Service Provider must not release a client to any person or agency other than Placing County without the express written consent of an authorized agent of Placing County. ARTICLE XVI WAIVER OF SUBROGATION 16.01 Service Provider expressly waives any and all rights it may have of subrogation to any claims or rights of its employees, agents, owners, officers, or subcontractors against Placing County. Service Provider also waives any rights it may have to indemnification from Placing County. ARTICLE XVII INDEMNIFICATION Vol. Pg. 02�� Page 7 of 10 17.01 "The Service Provider shall indemnify, save and hold harmless the Placing County, its officers, agents, and employees from all suits,"actions, losses, damages, claims, or liability of any character, type, or description, including without limiting the generality of the foregoing all expenses of litigation, court costs, and attorney's fees for injury or of the foregoing all expenses of litigation, court costs, and-attorney's fees for injury or death to any person, or injury to property, received or sustained by any person or persons or property; arising out o4 or occasioned by, directly or indirectly, the acts or omissions of the Service Provider, its agents, servants, employees, consultants, or invitees, in the execution or performance of this Contract. 17.02 In the event that any claim, suit, or other action is made or brought by any person, fum, corporation, or other entity against the Service Provider or County, the Service Provider shall give written notice to the Placing County of any such claim, demand, suit or other action within three (3) working days after being notified of such claim, demand, suitor other action or the threat thereof. ARTICLE XVM SOVEREIGN BCVff -TY 18.01 This Agreement is expressly made subject to Rays County's Sovereign Immunity, Title 5 of the Texas Civil Practices and Remedies Code, and all applicable federal and state law. The parties expressly agree that no provision of this Agreement is in any way intended to constitute a waiver or any immunities from suit or from liability that Hays County has by operation of law. Nothing in this Agreement is intended to benefit any third party beneficiary. ARTICLE XIX REPRESENTATIONS &WARRANTIES 19.01 Service Provider hereby represents and warrants the following: A. that it has all necessary right, title, license and authority to enter into this- Agreement; B. that it is qualified to do business in the State of Texas, that.it holds all necessary licenses and staff certifications to provide the type(s) of services being contracted for, that it is in compliance with all statutory and regulatory requirements for the operation of its business; and that there are no taxes due and owing to the.State of Texas, the County of Hays, or any political subdivision thereat- C. that it carries sufficient insurance to provide protection to trays t;ounry ana rracmg %.uumy under the indemnity provisions, as well as for any potential liabilities that arise from or related to this Agreement; D. that it shall provide Placing County with documentation confirming that Service Provider's license is currently in good standing with the licensing entity and shall not provide services under this agreement unless its license is in good standing; and - E. that Service Provider is a vendor in good standing with Texas Comptroller of Public Accounts, if applicable. . ARTICLE XX TEXAS LAW TO APPLY VOI. Page 8 of 10 (2 pg. 20.01 This Agreement shall be construed under and in accordance with the laws of the State of Texas, and all obligations of the parties created hereunder are performable in Hays County, Texas. ARTICLE XXI YUMM 21.01 Exclusive venue for any litigation arising from this Agreement shall be in Hays County, Texas. ARTICLE XXII ADDITIONAL TERMS AND AGREEMENTS 22.01 Service Provider shall comply with all applicable federal and state laws and regulations, Placing County policies, procedures, and -administrative rules, and Texas Juvenile Justice Department standards pertinent to services provided under this Agreement. 22.02 Pursuant to Section 231.006 of the Texas Family Code, the Service Provider certifies that it is not ineligible to receive the state -funded grant, loan, or payment and acknowledges that,thiis Agreement may be terminated and payment may be withheld if the certification is inaccurate. 22.03 Service Provider, is hereby notified that state fiords are used to pay for services rendered to Placing County. For this reason, Service Provider shall account separately for the receipt and expenditure of all funds received from -Placing County, and shall adhere to Generally Accepted Accounting Principles (GAAP) in the accounting, reporting and 'auditing of such funds. 22.04 Service Provider has not, and will not boycott Israel ddring the term ofthis Agreement. "Boycott Israel' means refusing to deal with, terminating business activities with, or otherwise taking any action that is intended to penalize, inflict economic harm on, or limit commercial relations specifically with Israel, or with a person or entity doing business in Israel or in an Israeli - controlled territory, but does not include an action made for ordinary business purposes. ARTICLE XXM i EGAL CONSTRUCTION 23.01 In case any one or more of the provisions contained in this Agreement shall for any reason be held to be invalid, illegal, or unenforceable in any respect, such invalidity, illegality, or unenforceable provision shall not affect any other provision thereof and this Agreement shall be construed as if such invalid, illegal, or unenforceable provision had never been contained therein.' ARTICLE X7GV PRIOR AGRE QUS SUPERSEDED 24.01 This Agreement constitutes the sole'and only Agreement of the parties hereto and supersedes any prior understandings or written or oral Agreement between the parties respecting the within subject matter. !Vol. Page 9of10 Executed this the .day of I .20.ZV jeach copy hereof shall be considered an original copy fo all purposes. Robert Up ove, j .Q Chairman, Ha County Juvenile Board Hays County Justice Center, Room 177 San Marcos, Texas 78666 Pa Brett Littlejohn Administrator, Ha unty Juvenile Center 2250 Clovis Barker Rd. San Marcos, Texas 78666 Official Authorized to Sign L N 0 A 1 CkR.+SOh Printed ame Title: X �-G11 � �'R-bi Y2.C.'f 0 Y COUNTY Official Authorized to Sign Pt ^PIE Printed Name Title: cov-N" '4-oroe D (LA'S,. ¢a5 COUNTY Pirge 10 of 10 Brazos County Purchasing Department 200 S. TX AVE., SUITE 352 BRYAN, TX 77803 PHONE (979) 361-4290 FAX (979) 3614293 BRAZOSCOUNTY BID/RFP/RFQ DOCUMENTATION SHEET The Purchasing Department would like to request Commissioner's Court approval to advertise and go out for Bid on the following: DATE: August 2, 2022 BID NUMBER: CIP 22-527 TITLE: Rough Terrain Forklift REQUESTING DEPARTMENT: APPROVAL SIGNATURE: Peters, County Judge DATE APPROVED: A u-CO LL s-r Q , 0- Oaa• E �L'e g Pg. �� DocuSign Envelope ID: 7F95ADDD-A726-4F94-A16F-DB13AB9BA979 AXON First Amendment to Master Services and Purchasing Agreement This First Amendment ("Amendment") is between Axon Enterprise, Inc., a Delaware corporation ("Axon'), and Brazos County Sheriffs Office ("Agency"). This Amendment is effective as of the last signature date on this Amendment ("Effective Date"), Axon and Agency are each a "Party" and collectively "Parties". Axon and Agency are parties to a Master Services and Purchasing Agreement with an effective date of 21 December 2021 ("Agreement"). The Parties wish to remove item 73683 10 GB Evidence.com License A -la -Carte Storage from the Agreement. The Parties wish to utilize the credit and invoicing plan adjustments under a new contract for Brazos County District Attorneys office. The Parties therefore agree as follows: 1. To issue a credit to Agency totaling to $39,728.59 with the yearly breakdown as follows: a. Year 1: $39,728.59114.20908% 2. To issue an adjustment to the yearly invoicing plan as follows: a. Year 2: $59,967.85 1 21.44773% b. Year 3: $59,967.85 1 21.44773% c. Year 4: $59,967.85 1 21.44773% d. Year 5: $59,967.85 1 21.44773% 3. All other terms and conditions of the Agreement shall remain unchanged and in full force and effect. Each representative identified below declares that the representative is authorized to execute this Amendment:as of the date of signature. Axon Enterprise, Inc. Docu3J8ned by. Signature: SSDAFBB131i14424 „ Name: Title: VP, Assoc. General counsel 8/1/2022 1 8:35 AM MST Date: Agency Signature: Name: l) W A N c exa.LS Title: CO c,L N"i—( Zu.-DGE. Date: a/ 0 6 °a o a °a' Vol. Pg. Axon Enterprise, Inc. 17800 N 85th St. Scottsdale, Arizona 85255 United States VAT: 86-0741227 Domestic: (800) 978-2737 International: +1.800.978.2737 Brazos County District Attorney 300 East 26th Street, Suite 310 Bryan, TX 77803 USA Brazos County (TX) District Attorney 300 East 26th Street, Suite 310 Bryan, TX 77803 USA Email: Q-387189-44727.853NC 0611512022 quote Expiration: 06I30/202�2 HT Contract Start Date: 0710112022 Account Numbe490497 Payment Terms: N30 Delivery Method: Fedex - Ground Nathan Coady Trevor Landsdown Phone: Phone: (979) 361-4541 Email: ncoady@axon.com Email: tiansdown@brazoscountytx.gov Fax: Fax: PLAN NAMfi IRiVOHIG t)ATE AMOUNT t)UE Year 1 Jun, 2022 $39 728.59 Year 2 j Jun 2023 j $59,967.85 .� Year 3 j Jun, 2024 j $88,510.36 m Year 4 Jun, 2025 ( $88,510.33 Year 5 i Jun, 2026 $88,510.33 Year 6 j Jun, 2027 j $88,510.33 Year 7 j Jun, 2028 j $88,510.33 Year 8 j Jun, 2029 J $88,510.33 1 Q-387189-44727.853NC Year 9 I Jun, 2030 I $88,510.33 Year 10 ( Jun, 2031 I $88,510.33 Quote Details Bate .o_, Item 140 MHOM, QTY E.com 73838 PROSECUTOR PROFESSIONAL ACCESS LICENSE 39 Redaction 73478 j REDACTION ASSISTANT USER LICENSE 39 Citizen I 73618 CITIZEN FOR COMMUNITIES USER LICENSE 39 Transcription I 85762 AUTO -TRANSCRIBE JUSTICE ACCESS SERVICE 39 3rd party Video 11642 THIRD -PARTY VIDEO SUPPORT LICENSE 39 Discovery j 85767 DISCOVERY MODULE ACCESS SERVICE 39 Tax is estimated based on rates applicable at date of quote and subject to change at time of invoicing. If a tax exemption certificate should be applied, please submit prior to invoicing. Contract Sourceweli Contract #010720-AXN is incorporated by reference into the terms and conditions of this Agreement. In the event of conflict the terms of Axon's Master Services and Purchasing Agreement shall govern. Q-387189.44727.853NC Standard Terms and Conditions Axon Master Services and Purchasing Agreement: ACEIP: Axon Enterprise Inc. Sales Terms and Conditions This Quote is limited to and conditional upon your acceptance of the provisions set forth herein and Axon's Master Services and Purchasing Agreement (posted at www.axon.comllegal/sales-terms-and-conditions), as well as the attached Statement of Work (SOW) for Axon Fleet and/or Axon Interview Room purchase, if applicable. In the event you and Axon have entered into a prior agreement to govern all future purchases, that agreement shall govern to the extent it includes the products and services being purchased and does not conflict with the Axon Customer Experience Improvement Program Appendix as described below. The Axon Customer Experience Improvement Program Appendix, which includes the sharing of de -identified segments of Agency Content with Axon to develop new products and improve your product experience (posted at www.axon.com/legal/sales-terms-and-conditions), is incorporated herein by reference. By signing below, you agree to the terms of the Axon Customer Experience Improvement Program. Acceptance of Terms: Any purchase order issued in response to this Quote is subject solely to the above referenced terms and conditions. By signing below, you represent that you are lawfully able to enter into contracts. If you are signing on behalf of an entity (including but not limited to the company, municipality, or government agency for whom you work), you represent to Axon that you have legal authority to bind that entity. If you do not have this authority, please do not sign this Quote. 4 Q-387189.44727.853NC Exceptions to Standard Terms and Conditions This above contract will be executed in unison with the amendment of Contract ##00071195 that adjusts the product deliverable of a -la -carte storage for a total credit of $279,599.99, with a year 1 credit of $39,728.59 and an invoice reduction of $59,967.85 in years 2 — S. Q-387189-44727.853NC L. Signature 6/15/2022 9- A Uco u-s-c- a t ao a a Date Signed 0•387189.44727.853NC COPIER MAINTENANCE SERVICE CONTRACT BRAZOS COUNTY PURCHASING DEPT. 200 S. Texas Ave., Ste. 352 Contract No. 23-004 Bryan, Texas 77803 Page 1 of 11 Pages Telephone (979) 361-4292 GENERAL REOUIIiEMENT FOR CONTRACT I, Ll jmr as a duly authorized representative of ram" m mad, "+k' -a "Contractor" willingly attest to perform (or deliver) as per Exhibit A for Brazos County. I further agree to all of the provisions and specifications contained in this contract, TERM The term of this contract will be for one (1) year, beginning October 1, 2022 through September 30, 2022. PREVAILING WAGES RATES The Contractor shall be responsible for following all provisions of Chapter 2258 of the Government Code relating to the payment of prevailing wages. The wage rates to be used are included in Exhibit B attached. A Contractor or subcontractor who violates this section shall pay Brazos County $60 for each worker employed for each calendar day or part of the day the worker is paid less than the wage rates stipulated in Exhibit B. ASSIGNMENT The successfid offeror may not assign, sell or otherwise transfer this contract without written permission of Brazos County Commissioners Court. Should there be a change in ownership or management; the contract shall be terminated unless a mutual agreement is reached with the new owner or manager to continue the contract with its present provisions and prices. AWARD Brazos County reserves the right to award this contract on the basis of LOR7EST AND BEST OFFER in accordance with the laws of the State of Texas, to waive any formality or irregularity, to make awards to more than one offeror, to reject any or all bids. The County reserves the right to accept or reject in part or in whole, any IQs submitted,_ and to waive any technicalities for the best interest of the County. BIDDERS RESPONSIBILITY It is the bidder's sole responsibility to print and review all pages of the bid documdnt, attachments, questions and responses, addenda, and special notices. The Certification of Bid Form must be completed to include full firm. name, mailing address, telephone number, email address, Vendor Tax Identification number and signed by an authorized representative of the firm. Failure to provide signature on the Certification of Bid Form xenders bid non -responsive. Failure to complete the submission of all required forms, including but not limited to the Reference Page, House Bill 89 & Debarment Verification form, Questibnnaires (when applicable), Addenda (including revised forms), and any other specified forms or Vol. Pg.' a(o� r Contract No. 23-004 BRAZOS COUNTY, TEXAS Page 2 of 11 Pages documents may be grounds for rejection of entire bid By submitting a response to:this solicitation, the bidder agrees to comply with BB 1295, Government Code 2252.908..Bidder agrees to provide Brazos County the "Certificate of Interested Parties", Form 1295 as required, pending award, renewal, amended or extended contract. Visit https://ethics.state.tx;us/whatsnew/elf_ info _form1295.htm for more information. In the event of a needed change in the specifications sent to the bidder, it is understood that all the foregoing terms shall apply to the addendum or addenda. CONTRACT OBLIGATION Brazos County Commissioners Court must award the contract and Brazos County Judge, or other person authorized by Brazos County Commissioners Court must sign the contract before it becomes binding on Brazos County or the offerors. Department heads are NOT authorized to sign contracts for Brazos County. Binding contracts shall remain in effect until all products and/or services covered by this purchase have been satisfactorily delivered and accepted. QUANTITIES The quantities specified in this contract are estimates only. Brazos County does not guarantee to purchase any minimum quantities or services other than those listed on a purchase order. HOLD HARMLESS AGREEMENT Contractor, the successful offeror, shall indemnify and hold Brazos County harmless from all claims for personal injury, death and/or property damage resulting directly or indirectly from contractor's performance. Contractor shall procure and maintain, with respect to the subject matter of this bid, appropriate insurance coverage including, as a minimum, public liability and* property damage with adequate limits to cover contractor's liability as may arise directly or indirectly fiom work performed under terms of this contract. Certification of such coverage must be provided to Brazos County upon request. INSPECTIONS & TESTING Acceptance of merchandise, work, and/or equipment provided shall be made by Brazos County at the sole discretion of the, Commissioners Court when all terms and conditions of the contract and specifications have been met to its satisfaction, including the submission to Brazos County of any and all documentation as may be required. Title and Risk of Loss of the goods shall not pass to Brazos County until the County actually accepts and takes possession of the goods at the point or points of delivery. ADDITION/MODIFICATION OF LOCATIONS OR SERVICES Brazos County reserves the right to add locations as these additional locations may be required. Locations to be added may include, but not limited to, expansions or additions to existing facilities and acquisition or construction of new properties. In the event that Brazos County makes significant structural changes to an existing facility that impacts the contractor's cost in providing the services anticipated by this•contract such change may be treated as a new facility and the procedures provided for in this section may be followed in determining an appropriate price. In the event Brazos County wishes to add other locations to a group under the contract, a quotation will be solicited from the incumbent contractor in good standing for the group in Which -the new location is appropriately situated. BRAZOS COUNTY, TEXAS Contract No. 23-004 Page 3 of 11 Pages In the event Brazos County shall sell, vacate, abandon, or otherwise dispose or terminate a location to which the contract applies, all existing contracts for services applicable to such location, the portion of this -contract that applies to such locations is terminated.- All remaining portions of the contract will remain intact. Brazos County. will endeavor to .give the contractor written notice of such termination of locations a minimum of thirty (30) days in advance. SUBCONTRACTING Any subcontracting must be approved prior to commencement of the Contract by Brazos County. INVOICES & PAYMENTS Payments to contractors -will not be made if the contractor cannot produce a Brazos County Purchase Order. Contractor shall submit an original invoice on each purchase order or purchase release after each delivery, indicating the purchase order number. Invoices must be itemized. Any invoice, which cannot be verified by the contract price and/or is otherwise incorrect, shall be corrected by the contractor. Brazos County will only be required to pay for materials actually received and/or services actually provided. Brazos County shall not be required to pay for materials or services described in the contract that are not used or provided by the contractor in completion of thecontract. This term supersedes any contradicting terms throughout the contract and/or any attachments. When multiple deliveries and/or services are required, the contractor may invoice following each delivery or performance of service and Brazos County will pay on invoice with in thirty (30) days upon receipt of invoice. Contracts providing for a monthly charge will be. billed and paid .on -a monthly basis only. The contractor will provide an invoice for each month in which Brazos County is responsible for payment, during the duration of the contract. Prior to any and all payments made for goods and/or services provided under this contract, the contractor should provide their Taxpayer Identification Number or Social Security number as applicable. This information must be on file with Brazos County Auditor's office. Failure to provide this information may result in a delay in payrnent and/or back-up withholding as required by the Internal Revenue Service. PRICING Prices for all goods and/or services shall.be firm for the duration of this contract and shall be stated on the Pricing/Delivery Information form. Prices shall be all inclusive: No price changes, additions, or subsequent qualifications will be honored during the course of the contract. All prices must be written in ink or typewritten. Pricing on all transportation, freight, drayage and other charges are to be prepaid by the contractor and included in the bid prices. If there are any additional charges of any kind, other than those mentioned above, specified or unspecified, offeror MUST indicate the items required and attendant costs or forfeit the right to payment for such items. Where unit pricing and extended pricing differ, unit pricing prevails. TAXES Brazos -County is exempt from all federal excise, state and local taxes unless otherwise stated in this contract. Brazos County claims exemption from all sales and/or use- taxes under Texas Tax Code §151.309, as amended. Texas Limited Sales Tax Exemption Certificates ivill be furbished upon written request to Brazos County Purchasing Agent. Vol. pg. O'rG�S Contract No. 23-004 BRAZOS COUNTY, TEXAS Page 4 of 11 Pages GOVERNING FORMS In the event of any conflict of interpretation of any part of this overall contract, Brazos County's interpretation shall govern. In the event of a conflict between the terms, conditions, provisions, and specifications of this contract and any other terms, conditions; provisions, and specifications provided by the contractor; the terms of this contract shall supersede. GOVERNING LAW AND VENUE This bid solicitation is governed by the laws of the State of Texas, specifically, the competitive bidding requirements of the County Purchasing Act, Texas Local Government Code, §262.021 et seq., as amended. Offerors shall comply with all applicable federal, state and local laws and regulations. Offeror is further advised that these requirements shall be fully governed by the laws of the State of Texas and that Brazos County may request and rely on advice, decisions and opinions of the Attorney General of Texas and Brazos County Attorney concerning and portion of these requirements. Potential vendors are advised they may have disclosure requirement pursuant to Texas Local Government Code; Chapter 176. This law requires persons desiring to do business with the County to disclose any gifts that have an aggregate value in excess of $250.00 given to any employee of the County, County Official to the County Official's family members or employment of any employee of the County, County Official or the County Official's family members during the preceding twelve (12) month period. The disclosure questionnaire must be filed with the Brazos County Clerk. Refer, to Texas Local .Government Code, Chapter 176 for the details of this law. Bidder understands that Brazos County is a government subject to Texas State and Federal public information statutes. Venue shall lie exclusively in Brazos County, Texas, notwithstanding anything to the contrary. COMPLIANCE WITH LAW The Contractor's work and materials shall comply with all state and federal laws; municipal ordinances, regulations, and directions of inspectors appointed by proper authorities having jurisdiction. The Contractor shall perform and require all subcontractors to perform the work in. accordance with applicable laws, codes; ordinances, and regulations of the State of Texas and the United States and in compliance with OSHA, and other laws as they apply to its employees.. In the event any of the conditions of the specifications violate the code for any industry, then such code conditions shall prevail. The Contractor shall follow all applicable state and federal laws, municipal ordinances, and guidelines concerning soil erosion and sediment control throughout the Project and warranty term. DISQUALIFICATION OF OFFEROR Upon signing this contract, an offeror offering to sell supplies, materials, services, or equipment to Brazos County certifies that the offeror has not violated the antitrust laws of this state codified in Texas Business and Commerce Code §15.01, et seq., as amended, or the federal antitrust laws, and has not communicated directly or indirectly the bid made to any competitor or any other person engaged in such line of business. Any or all bids may be rejected if Brazos County believes that collusion exists among the offerors. Bids in which the prices are obviously unbalanced may be rejected. Requests to withdraw a submitted bid or proposal are subject to the approval of the Purchasing Agent. Vol. P'g. BRAZOS COUNTY, TEXAS Contract No. 23-004 Page 5 of 11 Pages SEVERABILITY If any section, subsection, paragraph, " sentence, clause, phrase or word of these requirements or the specifications shall be held invalid, such holding shall not affect the remaining portions of these requirements and the specifications and it is hereby declared that such remaining portions would have been included in these requirements and the specifications as though the invalid portion had been omitted. SILENCE OF SPECIFICATIONS The apparent silence of specifications as to any detail, or the apparent omission from it of a detailed description concerning any point, shall be regarded as meaning that only the best commercial practice is to prevail and that only material and workmanship of the finest quality are. to be used. All interpretations of specifications shall be made on the basis of this statement. The items furnished under this contract shall be new, unused of the latest product in production to commercial trade- and shall be of the highest quality as to materials used and workmanship. Manufacturer furnishing these items shall be experienced in design and construction of such items and shall be an established supplier of the item bid. TERMINATION Brazos County reserves the right to terminate the contract for default if offeror breaches any of the terms therein, including warranties of offeror or if the offeror becomes insolvent or commits acts of bankruptcy. Such right of termination is in addition to and not in lieu of any other remedies which Brazos County may have in law or equity. Default may be construed as, but not limited to, failure to deliver the proper goods and/or services within the proper amount of time, and/or to properly perform any and all services required to Brazos County's satisfaction and/or to meet all other obligations and requirements. Brazos County may terminate the contract without cause upon thirty (30) days written notice POLICY REQUIREMENTS FOR CERTIFICATE OF INSURANCE CONTRACTOR'S INSURANCE The contractor(s) before starting work for Brazos County, must furnish -Brazos County.a Certificate of Insurance or other acceptable evidence from a reputable insurance company or companies with an A.M. Best Rating of AA (such companies to be acceptable to Brazos County) licensed to write insurance in the state of Texas, showing that the contractor is covered by the insurance as follows: (1) Statutory Workers Compensation Insurance with Employers Liability Insurance in the amount of $1,000,000. In the event any work is sublet, the contractor shall require the subcontractor similarly to provide the same coverage and shall himself acquire evidence of such coverage on behalf of the subcontractor. Waiver of subrogation is required. (MC Sec. 40,1-.011) (2) Commercial General Liability Insurance with a $ 1,000,000 Combined Single Limit- The policy shall be on the Comprehensive General Liability 1986/90 occurrence form, and shall include coverage for acts of independent contractors, and shall name Brazos County as an additional insured. Waiver of subrogation is required. No claims made policies will be .acceptable without prior approval by the Commissioners Court/Risk Management. (3) Automobile Public Liability Insurance with a $1,000,000 Combined Single Limit, in all self - Vol. J Pg. BRAZOSCOUNTY,TEXAS' Contract No. 23-004 Page b of 11 Pages propelled -vehicles. used in connection with the contract, whether owned, non -owned or hired. The Certificate of Insurance furnished to Brazos County shall contain a provision.that coverage under such policies shall not be canceled or materially changed until at least 30 days•prior written notice has been given to Brazos County. LIMITATIONS The parties .are aware that there are constitutional and statutory limitations on the authority of Brazos County to enter into certain terms and conditions of the contract, including, but not limited to, authorizations of the placement of liens on Brazos County property; disclaimers and limitations of warranties; disclaimers and limitations of liability for damages; waivers, disclaimers and limitations of legal rights, remedies, requirements and processes; limitations of periods to bring legal action; granting control of litigation or settlement fo another party; liability for acts or omissions of third parties; payment of attorneys' fees; dispute resolution; indemnities; and confidentiality (collectively, the "Limitations"). Any contract terms and conditions related to the Limitations will not be binding on Brazos County except to the extent authorized by the laws and Constitution of the State of Texas. COVERAGESIWAGES Nothing in this contract shall be construed as making Brazos County responsible -for the payment of compensation and/or any benefits for contractor including health, properly, motor vehicle, workers' compensation, disability, death, and dismemberment insurance for the contractor's employees and/or equipment. Nothing in the contract shall be construed as making Brazos County responsible for wages, materials, logistical support, equipment, and related travel expenses incurred by the contractor. SOVEREIGN EMAIUNITY• The parties understand that Brazos County does not waive or relinquish any immunity or defense on behalf of itself, officers, employees, agents, and volunteers as a result of its execution of this contract and the performance of the covenants contained herein. Further, Brazos County is not responsible for any civil liability that arises from any act or omission made within the course and scope of this contract. The parties understand and agree that Brazos County does not assume civil liability under any theory of law for the actions of the contractor in providing services hereunder. NOTICES Notices shall be mailed to the addresses designated herein or as. may be designated in writing by the parties from time to time and shall be deemed received when sent postage prepaid U.S. Mail to the following addresses: BRAZOSCOUNTY: Brazos County, Texas 'Duane Peters, Brazos County Judge 200 South Texas Avenue, Suite 352 Bryan, Texas 77803 BRAZOS COUNTY, TEXAS CONTRACTOR: Sales Contract Name: Phone Number: Contract No. 23-004 Page 1 of 11 Pages Billing Info: FISCAL FUNDING CLAUSE Notwithstanding any provisions contained herein, the obligations of Brazos County are expressly contingent upon the availability of funding for the obligations contained herein for the term of the contract and any extensions and renewals thereto. WAIVERS No waiver by either party hereto of any term or condition of this contract shall be deemed or construed to be a waiver of any other term or condition or subsequent waiver of the same term or condition. ENTIRE CONTRACT This contract represents the entire and integrated agreement between Brazos County and the contractor and supersedes all prior negotiations, representations, or contracts, either written or oral. This contract may only be amended by written instrument approved and executed by the parties. AVAILABILITY AND RETENTION OF RECORDS All records relating to the service provided under this contract and supporting documentation for invoices submitted to Brazos County by the contractor shall be retained and made available by the contractor for audit by Brazos County, it duly authorized representatives, the State of Texas (including, but not limited to the Auditor of the State of Texas, Inspector General or duly appointed law enforcement officials) and agencies of the United States Government. Such records shall be returned by contractor and made available for any time period required by state or federal law. If changes occur in the governing state or federal law, regarding retention records, contractor shall comply with such changes: If an audit is initiated before the expiration of such time periods required by state or federal law regarding retention of records, the contractor shall retain such records until the audit is concluded and all issues resolved. Contractor shall provide, Brazos County with copies of such audits that be conducted with respect to the contract. The requirements of Subchapter J, Chapter 552, Government Code, may apply to this contract and the contractor or vendor agrees that the contract can be terminated if the contractor or vendor knowingly or intentionally fails to comply with a requirement of that subchapter." This provision is mandatory and may not be altered or deleted, as required by Sec. 552.372(b) of the Texas Government Code. AUDIT RESPONSIBILTY The contractor shall be responsible for receiving, replying to and/or complying with any audit exception by appropriate federal, state or local audit directly related to the provision of this contract. Contract No. 23.004 BRAZOS COUNTY, TEXAS Page 8 of 11 Pages The contractor shall repay to Brazos County the full amount received for duplicate. billings, erroneous billings, false. or deceptive claims. ' The contractor recognizes and agrees that Brazos County may withhold any money due and recover through any appropriate method any money erroneously paid under this contract if evidence exists of less than full compliance with this contract.. INDEMNIFICATION The contractor shall defend, indemnify and save harmless Brazos County and all its officers, agents, and employees from all suits, actions, or claims of any character, name and description including attorney's fees'expenses brought for or on account of any injuries or damages received or sustained by any person or persons or property, by or from the said contractor or his employees or by or in consequence of any negligence in safeguarding the work, or through the use of unacceptable materials in construction of the work, or by or on account of any act of omission, the Worker Compensation Law or any other law, ordinance, order or decree, and so much of the money due the said contractor under and by virtue of his contract as .shall be considered necessary by Brazos County may be retained for the use of Brazos County, or in case no money is due, his sureties shall be held until suit or suits, action or actions, claim or claims for injury or damages as aforesaid shall have been settled and satisfactory evidence to that effect finnished Brazos County. Contractor shall defend, indemnify and save harmless Brazos County, its officers; agents and employees in accordance with this indemnification clause regardless of whether the injury or damage is caused in part by Brazos County, its officers, agents or employees. vo4. , A09 P9 BRAZOS COUNTY, TEXAS V.T.C.A. LOCAL GOVERNN[ENT CODE §262.0276 Contract No. 23404 Page 9 of 11 Pages THIS SECTION MUST BE COMPLETED. FAILURE TO COMPLETE THIS SECTION WILL DISQUALIFY THE BID. Brazos County shall refuse to enter into a contract or other transaction with a person who owes a debt to the County per V.T.C.A Local Government Code §262.0276. a. This refusal to award a contract to or enter into a transaction with a person, pertains to an apparent . low bidder or successful proposer that is indebted to the County; b. "Person" includes an individual, sole proprietorship, corporation, nonprofit corporation, partnership, joint venture, limited liability company, and any other entity that proposes or otherwise seeks to enter into a contract or other transaction with the County requiring approval by the Commissioner's Court; c. "Debt shall include delinquent taxes, fines, fees, or delinquencies arising from written agreements with the County. d. Prior to award of a contract by the Commissioners' Court, the Purchasing Department will request a statement of account from the Brazos County Tax Office. e. Any "doW as defined above, that is reflected on the statement of account, will be documented and placed in the bid file. The bid or proposal from the person with the debt shall be considered "non- responsive" and "not responsible", eliminating it from any further consideration of award. f. These provisions shall apply to any "person" owned, partially owned, managed, operated or represented by a "person" indebted to the County. Please list all the names of the individuals that have ownership, officers, managers, and board of directors that you have associated with your entity below. Name Title (Owner, Officer, Director, Manager, Etc.) Vol. Pg. BRAZOS COUNTY, TEXAS Contract No. 23-004 Page 10 of 11 Pages Legislative Certifications Brazos County is federally mandated to adhere to the directions provided in the President's Executive Order (EO) 13224, 'Executive Order on Terrorist Financing — Blocking Property and Prohibiting Transactions With Persons Who Commit, Threaten to Commit, or Support Terrorism, effective 9/24/2001 and any subsequent changes made to it 'via cross-referencing respondents/vendors with the Federal General Services Administration's Excluded Parties List System (EPLS, https://www.sam.gov), which is inclusive of the United States Treasury's Office of Foreign Assets Control (OFAC) Specially Designated National (SDN) list. Respondent certifies that the responding entity and its principals are eligible to participate in this transaction and have not been subjected to suspension, debarment, or similar ineligibility determined by any federal, state or local governmental entity and that Respondent is in compliance with the State of Texas statutes and rules relating to procurement and that Respondent is not listed on the federal government's terrorism watch list as described in Executive Order 13224. Entities ineligible for federal procurement are listed at httpsJ/www.sam.gov. The undersigned affirms the non -debarment statement above, that they are duly authorized execute this contract. The company representative below further affirms, that the company submitting this proposal, under the provisions of Subtitle F, Title 10, Government Code Chapter 2270: 1. Does not boycott Israel currently; and 2. Will not boycott Israel during the term ofthe contract. Pursuant to Section 2270.001, and 2274.002 Texas Government Code: I. "Boycott Israel" means refusing to deal with, terminating business activities with, or otherwise taking any action that is intended to penalize, inflict economic harm on, or Iimit commercial relations specifically with Israel, or with a person or entity doing business in Israel or in an Israeli -controlled territory, but does not include an action made or ordinary business purposes; and 2. "Company" means a for -profit sole proprietorship, organization, association, corporation, partnerslup, joint venture, limited partnership, limited liability partnership, or any limited liability company, including a wholly owned subsidiary, majority -owned subsidiary, parent company or affiliate of those entities or business associations that exist to make a profit. 3. If Respondent is required to make a verification pursuant to Section 2274.002 of the Texas Government Code, Respondent verifies that Respondent does -not boycott energy companies and will not boycott energy companies during the term of the Contract. If Respondent does not make that verification, Respondent must so indicate in its Response and state why the certification is not required. Company Name e- Authorized Company Representative: K4 4 -pF, `5$d ep�h Address:'?.A45 Rt) 1 Date: Contract #:_ T-604 VOL A 9 pg. BRAZOS COUNTY TEXAS Contract No. 23-004 Page 11 of 11 Pages The following items should be completed and included in your bid submission. Failure •-to include these items will disqualify your•bid. ❑ V.T.C.A. Local Government Code §262.0276 for Tax Verification (PAGE.9) 0 Legislative Certifications (PAGE 10) ❑ Certification of Bid (PAGE 11) CERTIFICATION OF BID The undersigned further affums the non -debarment statement above, that they are duly authorized execute this contract, that this bid has not been prepared in collusion with any other vendor, and that the contents of this bid have not been communicated to any other vendor prior to the official opening of this bid. Signed By: K.7v?� Title: Moln!' 4rr Typed Name: Company Name:r ,5LS 'oa.n "04-- SA &Cb CAS Phone Number: 91'1 71.S '91500 Email Address: V�6 r rA a +eztp6esa , 2A w%_ Mailing Address.: P.O. Box or Street City State Zip Employer Identification Number: — 2 6!3 4-5 Ap ro by ommiss e ' Court �on this day of / r V° (-LS 2022 by olding•the position of C Vol. �� � Pg. %� AusM, TX 78758 92800 Longhorn Blvd0i01 s 612-886�4100 (Fax) 512.88& 4101 {{� ��aC �4� p �A �i �p TEXAS DOCUMENT SOLUTIONS �n�,Tx75901T1(?7846 i2003AftssonDrive Akwy#100 cc PW08938.83 Tyler, TX W03 6-M2800'75-6500 s 4619 TrauP Highway. • 903.809-WOO 499 jFFa49W-5D9 9905 You're In charge! StJ M co, Tx 76712 s 6807 WoothW7 Drive s 254.861.7600 (Fax) 254-764-0555 CUSTOMER NO. ORDER DATE INSTALL DATE TECH REP. . SALES REP. 10/1/2022 Kinze Storm — BILL TO: - TO (if -other than Bill To): NAME NAME Brazos County Purchasing Department ADDRESS ADD SS 200 South Texas Ave #352 CW Bryan STATE ZIP C1TY STATE ZIP Tx 77803 CONTACT Summer CONTACT PHONE 979-361-4291 FAX PHONE FAX 979-361-4293 AWMONAL COMMENTS sdubec@brazoscountvtx.eov ❑ New Customer Exsisdn Cu omer CITY. PROD."NO. 1 CUSTOMER STATUS: TYPE ACTION REQUEST: SHIP VIA: ❑ CGEM/N3PA Account ❑ Rental ❑ Trial Dates: El state contract Sale/Lease ❑ Other: P.O. NO. DESCRIPTIONNO.TOTAL Monthly. Maintenance $926.00 Effective October 1, 2022 - September 30, 2023 Includes 100,000 Black & White copies per month. Black & White overages billed at,G066 each monthly, Includes toners, drums, fusers, developers, staples, parts, labor and traveitime. "Excludes Paper' All Copies -to be divided between the following equipment: MX-M464N CSCD #1 ID #31724 MX-M364N CSCD #2 ID #31719 MX-M623N "County Clerk ID #31965 MX M314N Constable Precinct #3 ID #31726 MX M623N District Clerk 01 ID #31966 MX-M464N District Clerk #2 ID # 31722 MX M464W Juvenile ID #31720 MX M314N 272nd District Court ID #32028 N135401dn Associate Judge #1 ID #32000 M3540idn County Clerk ID #31714 MX M314N- Jury Services ID #31822 MX M363N County Judges Office ID # 31874 MX M314N Purchasing Department ID #31866 Page .1 (Continuation on Page 2) I Voi. 369 Pg. TEXAS DOCUMENT SOLUTIONS College Slatlon,TXT7845 •2161HarveyMitdtellP'kwy#t00 oM-77775-6500 (Fax)979--7Tp-5900 L u0in, rX 76801 •2003 Atkinson Drive • 93"99-2800 (Fax) 938.89SAM Tyler, U You're in charge! sip Waco, TX767112 •8807WoorhvaySDrive way a W-ae75� (Fax) 254-764 0555 (Fax)254-754•oS55 SERVICE / SUPPLY PLATINUM USER AGREEMENT Terms and Conditions 1. This Agreement shall remain in full force and effect,unless cancelled by either party in writing. This Agreement may be terminated or changed at any time, by either party on thirty (30) days written notice. Customer's obligation to pay all charges, which have accrued, shall survive any termination of this Agreement, the prorated portion of any amount prepaid will be refunded. 2. Monthly and Quarterly Base costs are payable in advance based on the Copy Volume Level and specification provided on the reverse side of this agreement, whereas the excess cost per copy changes are payable in the arrears. 3. Texas Document Solutions, inc. shalt provide Inspections during the contract period at appropriate intervals. Inspections may be made in conjunction with regular or emergency service calls. Inspections, as well as all service calls, shall be made during normal business hours. 4. Texas Document Solutions, Inc. will provide parts, which have been broken or worn through normal use and are necessary for servicing and maintenance adjustments. Parts damaged by misuse or carelessness will be charged to the customer in accordance with the Texas Document Solutions, Inc. parts list price. Photoreceptive Drums are included, except for facsimile systems and cartridge type copiers and printers. 5. All service calls under this Agreement will be made during normal business hours at the customer's address as shown on the reverse side hereof. Should the equipment be moved to a location in a more distant zone, there may be an increase in the annual maintenance charge. Should the equipment be moved out of the Company's authorized serving area, this contract shall be terminated. Relocation of equipment is not covered by this agreement and will be billed at the agreed upon rate.. 6. This Agreement shall not apply to repairs made necessary by accident, misuse, abuse, neglect, theft, riot, vandalism, electrical power failure, or surges, acts of God, fire, water, unauthorized supplies; or other repairs made necessary by service personnel other than those of Texas Document Solutions, Inc. Charges for repairs or replacement due to the foregoing shall be home by the Customer. 7. This Agreement does not include applicable taxes. All taxes levied or imposed, now or hereafter, by any governmental authority shall be paid by the Customer, in accordance with the law. 8. This Agreement covers only the equipment described and does not include any accessories not listed thereon, nor does it include third parry" add -on devices, such as accounting software and hardware, coin -op box, etc. 9. This Agreement does not cover the Customers network or problems related to or from the connected network. There are no warranties or guarantees regarding problems associated with the operation of the Customer's software or operating systems. Texas Document Solutions, Inc. will not be held responsible for any down time at the client's location. 10. This Agreement is not transferable by the Customer, except with the written consent of Texas Document Solutions, Inc. 11. This Agreement includes all toner'and developer used under normal use, unless otherwise noted. Howeder, it does not include excess usage attributable to theft, misuse or sky copies. 12, e a n wt o fumtshirrc l•)�ir-ir-ti7 ��•t•i.���tji��r�'1•1 •ni.��n�.r�� .f�.7a•ytY•.- 13. Optimum performance of the equipment covered by this Agreement can be expected only if supplies proinded by, of meeting the specftications of Texas Document Solutions, Inc. are used. 14.#te�irtitrat-terrrof�t#is=A�greeer�e o�equipr�erfitaifa#tat�-Tsis�Agreernec±Esifialt�be-autornaticiiy 16. Texas Document Solutions, Inc. would setup and configure a total of 5 stations•atV a time of the initlairsiflation. Additional charges will be billed at the standard hourly rate for a minimum of one hour for each additional work station or computer upgrade (hardware, hard drive, CPU, operating system software change, etc.). 16. Vol. 'Pg. S� AU00, 7X 78750 92000 Longhorn Blvd 0101 e 512460�4100 (Pax) 512-886.4101 TEXAS DOCUMENT SOLUTIONS collomstworim'T7845 92151MarwayMitoollPW0100 4On- 4500 (ftx)979TTs.59o0 Catkin, 7X 75901 .2003 Atkinson Drive 030.699-2800 (Fax) 936-6994299 Tylor, TX 757M 0 4019 TrouP Highway $ 903-5094900 (Fax) 903.509•9905 YOtl.'F& in charge! W Waco, TX 76712 06807 Woodmy Drive , a 2WO817500 (Fax) 2w?"Osss CUSTOMER NO. ORDER DATE INSTALL DATE 10/1 /2022 BILL TO:- NAME Brazos County Purchasing Department TECH REP. TO NAME SALES REP. Kinze Storm ADDRESS 200 South Texas Ave #352 ADDRESS CriY Bryan STATE ZIP Tx 77803 CITY STATE ZIP CONTACT Summer CONTACT PHONE FAX PHONE FAX ADDITIONAL COMMENTS El New Customer ❑ ExsistI Customer QTY. •-•r NO. MX-M564N CUSTOMER STATUS: ❑ CGEM/WPA Account ❑ Rental State Contract Sale/I.ease DESCRIPTION 'District Attomey E ACTION REQUEST: LJ Val Dates: ❑ Other; SE- • ID #317' 17 SHIP VIA: P.O. NO. PRICE TOTAL MX-M314N Associate Court # 2 ID #31723 MX M314N Facilities Services ID #32110 MX-M314N - Constable Preoinct•4 0,01721 MX-M564N 85th District Court Extra Area, 'ID #317.25 M3540idn Law Library ID #32109 MX-314N , JP Precinct 4 ID #31718 MX-MG051' Rental Assistance ID #32929 Page 2 SALES MANAGER DATE Subtotal SERVICE MANAGER DATE Sales Tax N/A cus oME� ccEPr e. - DATE ___[_.TOTAL' $925.00 V61.. !a Pg. L--r" � IrD THE TEXAS A&M UNMRSITY SYSTEM 301 Tarrow Street, 2°d Floor .College Station, Texas 77840 Minimum Prevailing Wage Rate County:'Brazos CLASSIFICATION RATE NOTES Acoustic Ceiling Installer 15.73 Asbestos Abatement Worker 13.06 Carpenter 15.95 Concrete - Pour and Finish 15.39 Crane Operator '26.40 Driver 14.47 Drywall Installer 16.20 Electrician - Journeyman 25.70 Electrician - Apprentice 20.35 Elevator Mechanic - Journeyman 55.83 Elevator Mechanic - Apprentice 48.10 Fire Protection - Controls 17.72 Fire Protection - Pipefitter 20.61 Formwork Builder 14.58 Glazier 17.69 HVAC - Journeyman 25.09 HVAC - Apprentice 15.81 HVAC - Controls 21.80 Insulator 16.01 Ironworker 17.42 Laborer/Helper 12.73 Mason 19.13 Equipment Operator - Light 14.97 Equipment Operator - Heavy 16.76 Painter 13.18 Pipefitter - Journeyman 32.50 Pipefitter - Apprentice 19.35 Plasterer 15.51 Plumber - Journeyman 30.74 Plumber - Apprentice 20.32 Reinforcing Steel Worker 15.78 Roofer 19.94 Stone Mason 18.12 Terrazzo Installer 13.08 Tile Setter 15.73 Waterproofer 14.91 Note: Listed minimum prevailing wage rate is the base hourly wage rate including fringes. Vol. pg. 027 7 LEXISO SUBSCRIPTION AGREEMENT Q LexisNexW FOR STATEILOCAL GOVERNMENT (NEW SUBSCRIBER-AAR) I "Subscriber" Name: Brazos County Attorneys Office I Account Number: 1000=311 %N": LexIsNexis, a division of RELX inc. 1. Subscription Agreement LexisNexis, a division of RELX Inc. ("LN") grants Subscriber a non-exclusive, non transferable limited license to access and use Lexis® and the materials available therein ("Materials") pursuant to terms set forth in the LexisNexis General Terms and Conditions ("General Terms") and the pricing set forth in the Price Schedule ("Price Schedule") (the General Terms together with the Price Schedule is collectively referred to as the "Subscription Agreement"), both of which ate incorporated herein by reference. Subscriber 'may - view and print. the Subscription Agreement ' at: httos:llwww.lexisnexis.com/en-us/terms/GovtAcademic/terms.page. 2. Certification 2.1. Subscriber certifies that the number of government professionals in Subscriber's organization is as set forth below. A "Government Professional User" is defined as an attorney, judge, librarian, researcher, investigator or analyst who is employed by the Subscriber. I Number of Government Professional Users: 16 _ J 2.2. A "Support Staff User" is defined as a person who supports the Government Professional User, including, but not limited to: paralegals; intems, legal secretaries or other administrative support members. 3 ID's may be issued to support staff for each Government Professional User accounted for above. Number of Support Staff Users: 6 2.3. Each LN iD must be issued for individual use by the Government Professional User or Support Staff User. 2A. If Subscriber, at the time of signing this Agreement has 11 or more Government Professional Users, then Subscriber is required to notify LN if the number of•Gover'nment Professional Users falls below 11. Subscriber shall, within 30 days of the staffing change, notify LN in writing. 2.5. Subscriber acknowledges that the pricing and menus provided to Subscriber in this Agreement depend in part on the number of Government Professional Users in Subscriber's organization. Subscriber certifies that as of the date Subscriber signs this Agreement there are the number of Government Professional Users in Subscriber's organization (the "Reference Number") as Subscriber has specified above. 1. At LN's request from time to time, Subscriber will certify in writing the then -current Reference Number. ii. If there is a change in the Reference Number during the Term. LN may, in its sole discretion on at least 30 days prior written notice to Subscriber, increase or decrease the Monthly Commitment by an amount that does not exceed, on a percentage basis, the change in the Reference Number. 3. Lexis Product and Charges 3.1. This Section 3 amends the Subscription Agreement with respect to the Lexis product offering described below. The Tenn of Subscriber's commitment for the Lexis *product offering will begin upon the date Subscriber's billing account ("Account Number") is activated ("Activation") and will continue for the last period set forth in Section 3.5 below (the "initial Term"). LNUSAgreement (SLG)14820-3799.1158202111 N3 Vol.. Pg. �� Page 1 of 6 (# LexisNexis LEXISO SUBSCRIPTION AGREEMENT FOR STATEtLOCAL GOVERNMENT (NEW SUBSCRIBER-AAR) 3.2. This Agreement commences on the Effective Date and continues for the Initial Term designated in Section 3.6; provided, that, after the initial Term, this Agreement shall automatically renew for successive one- year renewal terms (each, a "Renewal Term"), unless either Party provides written notice of non -renewal at least thirty (30) days' prior to the expiration of the then -current Initial Term or Renewal Term, as the case may be. "Term" means, collectively, the initial Term and all Renewal Terms. 3.3. Commencing at the Renewal Term (defined in Section 12), at each anniversary of the Effective Date, LN shall increase all recurring fees by'seven point five per cent (7.5016) per Contract Year. 3A. Subscriber may not terminate this Agreement for convenience under General Terms during the Term. Notwithstanding the foregoing, Subscriber may terminate this Agreement during the Term for a material breach by LN that remains uncured for more than 30 days after LN receives written notice from Subscriber identifying a specific breach. If Subscriber terminates this Agreement pursuant to this Section, then Subscriber Will pay all charges Incurred up to the date of termination. :f N°; • Lexis Content & Features { . Product SKU Number Number of Users Core Public Records with Smartiinx Person, Business and Location Reports 1004801 6 TX Primary 1010824 6 3.5.In exchange for access to the Lexis Content, Feature and/or Service set forth in Section 3.1 above; Subscriber will pay to LN the following amount (the "Monthly Commitment"). during the periods set forth below. "initial Term' R Monthly Commitment ' 10/1/2022 - 9/30/2023 $493 10/1/2023 - 9/30/2024 $513 10/1/2024 - 9/3012025 $534 3.6. During the Tern, LN may make content and features available to Subscriber that are not included in the Lexis Content described above which will be offered to Subscriber at an additional charge rAitemate Materials"). Subscriber will be under no obligation to access and use the Alternate Materials, or to incur additional fees beyond the Monthly installment. If Subscriber elects to access the Alternate Materials by Initialing below, Subscriber will be notified that additional charges will apply before the Alternate Materials Is displayed. If Subscriber proceeds to access the Alternate Materials, Subscriber will pay the then current, transactional charge(s) for the Alternate Materials that is displayed at the time of access. Subscriber elects access to the Alternate Materials awn LNUS t�reement (SLG)14820 37994158 202111 V3 !Vol. Pg.7� Page 2 of 6 LEXIS® SUBSCRIPTION AGREEMENT - LexisNexW. FOR STATEILOCAL GOVERNMENT (NEW SUBSCRIBER AAR) 3.7. Use of Lexis under this -Agreement is available to Subscriber and its Authorized Users (defined in the General Terms). 3.8. LN may temporarily suspend access to Lexis until all unpaid amounts are paid in full. No claims directly or indirectly related to this Agreement with aspect to amounts billed or payments made under this - Agreement may be initiated by Subscriber more than 6 months after such amounts were first billed to Subscriber. 4. Closed Offer The -prices and other terms are subject to change if Subscriber has not submitted a signed original or copy on or before 5. Confidential Information Subject to any state open records or freedom of information statutes, this Agreement contains confidential pricing information of LN. Subscriber understands that disclosure of the pricing information contained herein could cause competitive harm to LN, and will receive and maintain this Agreement in trust and confidence and take reasonable precautions against such disclosure to any third person. This Section 6 will survive the termination or expiration of this Agreement 6. Support and Training During the Term, Subscriber, with the support of LN. agrees to encourage the effective use of Lexis through: (a) Meaningful participation in additional ongoing programs presented by LN to update and train Authorized Users; (b) Authorize the periodic distribution of memos or other communications by. LN and/or, Subscriber to Authorized Users; and (c) The periodic review with LN of Subscriber's Authorized User's use of materials and training under this Agreement. 7. Miscellaneous 7.1; This Agreement does -not bind either party until it has beers -accepted by both parties. Subscriber may accept this Agreement by signing below. LN will accept this Agreement by providing Subscriber with access to Lexis or by signing below.. 7.2. If Subscriber issues a purchase order in connection with the Agreement, Subscriber acknowledges and agrees that the- purchase order shall be for Subscribers internal purposes only and shall not modify or affect any of the other terms or conditions for access to the Online Services. LEXISNEXIS WILL NOT ACCEPT ANY CHANGES, CORRECTIONS -OR ADDITIONS TO THiS AGREEMENT UNLESS SUCH CHANGES ARE EXPRESSLY ACCEPTED BY LN IN WRITING. SUCH CHANGES iW LL HAVE NO LEGAL EFFECT. Vc�l. f� Pa. d2 � LNUS Agreement (sW)1.482"759-1IN 202111 V3 rage 3 of 6 LexisNexis AGREED TO AND ACCEPTED BY: LEXISS SUBSCRIPTION AGREEMENT FOR STATEILOCAL GOVERNMENT (NEW SUBSCRIBER-AAR) Subscriber: Brazos County Attorneys Office (MUST BE CO BY S �IBERJ Authorized Subscriber Signature: p Printed Name: Job Title: GD o-o Tv �J L>!,O& c Date:`�-- Number of Professional Users: 6 LexisNexis, a division of RELX Inc. [COMPLETED BY LEXISNE, I Authorized Signature:-i.Digitally signed E Name: IVICII KF.Mark Eikenberry Job Title: ago 1,eto n k �rr� bate: 2022.07.28 Date: Y 08:47:51-04100' vd. .�Pg* �� WUS /tgneemeM(Stc3) i 4920-3799.1158 202111 v3 Page 4 of 6 LexisNexis LEXIS® SUBSCRIPTION AGREEMENT FOR STATE/LOCAL GOVERNMENT (NEW SUBSCRIBER--AAR) a : • CUSTOMER INFORMATION (Piease type or print): - t Organization Name: Full Le al Name Brazos County Attorneys Office . Billing Frequency: ® Monthly ❑Annually Physical Address Invoice Address street Address: on file on file City: State: Zip: County: Telephone: Fax: Parent Company: rP a licable TYPE OF ORGANIZATION •J .. tic ❑ Legislative ❑ Judicial ❑ Executive . Professional User. Practicing Area of Law: Employer Identification Support Staff: Number. Bar No: Issuing State: Date Issued/Expiration Organization Web Date: Address: Tax Exempt ® Yes (attach Sales Tax Exemption Certificate) • MSA: ❑ Yes ® No ❑ No State Contract No: Tax ID No: (If applicable) PO No: , •CONTACTS Name Telephone Email Installation: on file Billing: on file PolicylLegal on file Notification: Schedi inglTraining: on file Name Telephone Super Admin: on file Email IP Address '• ` CUSTOMER ID INFORMATION (Please type or print) Page 5 or lt�us agreement tsLol I aezo-s7ssa 15s 2021r3 (4( LexisNexis LEXISO SUBSCRIPTION AGREEMENT FOR STATEILOCAL GOVERNMENT (NEW SUBSCRIBER*M) ID Holders' Names -ID Holders' ID Holders' Email (additional sheet attached TltleslPositlons Addresses LocatlonlAddress on file Vol. (o Pg.-� LNUS Agreement PLO)14820-3T99-1158 202111 v3 Page 6 of 6 LEXIS+Tee SUBSCRIPTION AGREEMENT ( f LexisNeAV FOR'STATEILOCAL GOVERNMENT (NEW SUBSCRIBER VERSION-AAR) I "Subscriber Name: Brazos County I I Account Number: 100015P92 I I "LN": LexisNexis, a division of RELX Inc. j 1. Subscription Agreement Lex€sNex€s, a division of RELX Inc. ("LNJ grants Subscriber a non-exclusive, non -transferable limited - license to access and use Lexis+1m and the materials available therein ("Materials") pursuant to terms set forth in the Lex€sNexis General Terns and Conditions ("General Terms") and the pricing set forth in the Price Schedule ("Price Schedule') (the General Terms together with the Price Schedule is collectively referred to as the -'"Subs_ cription Agreement"), both of which are incorporated herein by reference. - Subscriber may view ' and print the ... Subscription Agreement at: httos://www.lexisnexis.com/en-us/terms/GovtAcademic/terms.uage. 2. - Certification 2.1. Subscriber certifies that the number of government professionals in Subscriber's organization is as set forth below. A "Government Professional User" is defined as an attorney, judge, librarian, researcher, investigator or analyst who is employed by the Subscriber. 1 Number of Government Professional Users: 15 2.2. A "Support•Staff User" is defined as a person who supports the Government Professional User, Including, but not limited to:. paralegals, interns, legal secretaries or other administrative support members. 3 ID's may be issued to support staff for each Government Professional User accounted for above. Number of Support Staff Users: 115 2.3. Each LN ID must be issued for individual use by the Government Professional User or Support Staff User. 2A. if Subscriber. at the time of signing this Agreement has 1.1 or more Government Professional Users. then Subscriber is required to -notify LN €f the number of Government Professional Users falls below 11. Subscriber shall, within 30 days of the -staffing change, notify LN hi writing. 2.5. Subscriber acknowledges that the pricing and menus provided to Subscriber in this Agreement depend in part on the number of Government Professional Users in Subscriber's organization. Subscriber certifies that as of the date Subscriber signs this Agreement there are the number of Government Professionai Users in Subscriber's organization (the "Reference Number") as Subscriber has specified above.. €. W LN's request from time to time. Subscriber will certify in writing the then -current Reference Number. ii. If there is a change in the Reference Number during the Term, LN may, in its sole discretion on. at least 30 days prior written notice to Subscriber, increase or decrease the Monthly Commitment by an amount that does not exceed, on a percentage basis, the change in the Reference Number. 3. Lexls+ Product and Charges 3.1. This Section 3 amends the Subscription Agreement with respect to the Lexis+ product offering described betoW. The Term of Subscriber's commitment for the Lexis+ product offering will begin upon the date Subscriber's billing account ("Account Number") Is activated ("Actiivation") and Hall continue for the last period set forth in Section 3.5 below (the "Initial Term"). LNUS Agrwnwd (SLO)12021114M-5512-1= Y3 Vol �' (e � Pg. 14-N Page l of 6 LEXIS+TM SUBSCRIPTION AGREEMENT c LexisNexis7 FOR STATE/LOCAL GOVERNMENT (NEW SUBSCRIBER VERSION-AAR) 32. This Agreement commences on the Effective Date and continues for the Initial Term designated in Section 3:5; provided, that, after the initiai.Term. this Agreement shall automatically renew for successive one- year renewal terms (each, a "Renewal Term"), unless either Party provides written notice of non -renewal at least thirty (36) days' prior to the expiration of the then -current Initial Term or Renewal Term, as the case may be. `Term" means, collectively, the initial Term and all Renewal Terms. ' 3.3. Commencing at the Renewal -Term (defined in Section 3.2); at each anniversary of the Effective Date, LN shall increase all recurring fees by seven point five per cent•(7.5%) per Contract Year. 3.4. Subscriber may not terminate this Agreement for convenience under General Terms during the Term. Notwithstanding the foregoing, Subscriber may terminate this Agreement during the Term fora material breach by LN that remains uncured for more than 30 days after LN receives written notice from Subscriber identifying a speck breach. 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Customer Name: Authorized Signature: Print Name: Title: Date: DUAPE Pig t__?_S CO u tor— ( Z_u0Gt5- t4v'C.V (.'_ S-r Q, o?Oaa, Page i of 1 4812-8961-6530 v3 201906 Vol. �� Pg. � D Brazos County Purchasing Department 200 S. TX AVE., SUITE 352 BRYAN, TX 77803 PHONE (979) 361-4290 FAX (979) 361-4293 BRAZOS COUNTY BID/RFP/RFQ DOCUMENTATION SHEET The Purchasing Department would like to request Commissioner's Court approval to advertise and go out for Bid on the following: DATE: August 2, 2022 BID NUMBER: 23-023 TITLE: Cutback Asuhalt REQUESTING DEPARTMENT: Road & Bridge APPROVAL SIGNATURE: Duane Peters, County Judge DATE APPROVED: A Li-cou.sT Q-, ao aa, Vol. ;u Pg. O��l� Ldl BRAZOS COUNTY BRYAN, TEXAS DEPARTMENT: CC2022 Final PlatAggieland Road and Bridge NUMBER: Business Park II Blk 1 Lots 1 R and 2 DATE OF COURT MEETING: 8/2/2022 ITEM: Approval of the Final Plat of Aggieland Business Park II Block 1, Lots 1 R-1 & 1 R-2 and 0.144 Acre Right of Way Dedication, 5.500 Acres, being a Replat of Aggieland Business Park II Block 1, Lot 1 (Volume 9458, Page 267); John H. Jones Survey, A-26; City of College Station ETJ, Brazos County, Texas. Site is located in Precinct 4. TO: Commissioners Court FROM: Karen Tyler DATE: 06/30/2022 FISCAL IMPACT: False BUDGETED: False DOLLAR AMOUNT: $0.00 ATTACHMENTS: File Name Description Type 2022- 5- Application for Development Backup Material 16 COUNTY FP APP ABP II Bik 1 Lots 1R and 2 FIRST.pdf 2022-07-21 FP ABP 11_Repalt RTC 3.pdf Plat Backup Material II Duafie Peters County Judge Val. p9, o2G/� �­a/ a� Date Brazos County Road & Bridge Office 2617 SH 21 West Bryan, TX 77803 Telephone: (979) 822-2127 Fax: (979 775-0456 Email: nlats0brazoscountybc.gov PLAT APPLICATION ;NUMBER OF. LOTS; 2.: :- '- :.. ; ::. .:: ' :..::.. _TOTAL ACREAGE 5.50 ' ' :.:::::::; . _'... ::_ •: JURISDICTION: ❑ CITY LIMITS ❑ ETJ ❑ OUTSIDE ALL CITY LIMITS AND ETJs • Notification of Application completeness will be given within 10 days of Application date. All Incomplete Applications will be rejected. This Application shall expire five (5) years from the Application date of the project. IS ANY OF THE PROPERTY LOCATED IN A FLOODPLAIN OR FLOOD HAZARD AREA?. U YES _ - Admowiedgmerit: The flood hazard boundary maps and other flood data used by Brazos County in evaluating flood hazards to proposed Developments are considered reasonable and accurate for regulatory purposes and are based on the best available scientific and engineering data On rare occasions greater floods can and will occur and flood heights may be increased by man-made or natural causes. Issuance of a Floodplain Permit in accordance with the Brazos County Flood Damage Prevention Ordinance does not imply that Development outside the areas of special flood hazard oil be free from flooding or flood damage. Issuance of a permit shall not create liability on the part of Brazos County or any officer or employee of Brazos County in the event flooding or flood damage does occur. WILL ANY CONSTRUCTION OCCUR IN TXDOT RIGHT-OF-WAYS? 13 YES 13 NO .Y..mi - . qi g r IN 2 NE INFORAAA'1f0���� � � ����"� ;.� � � � � .1`t�. ��e� a"r;�'.'.:C: �,�'f's%�r� ___.,�. ,�. _ .,1+. Ar,o�vs-i;W-���.•��. =t,. tlxta3ar., dv, i� FIRM NAME: Wjoines Associates, LTD. CONTACT. Jim Jeff ADDRESS:61661mperial Loop; .Suite 10 CITY: College Station •STATE:TX •... .. ;';' ZIP:77845 PHONE: 979-269-4341 / (979) 764-6000 : ` .... FAX: EMAIL:bett66@gmail.com 3'�s��a�� 'S)31i11E1f013'f�FORIV9f1Tt0(�in i'i7t:'.L*: -?•.ice ;xis"4,^=x<.s`t;'>a'�.2{.a' e . ,3,i`iJ3;w, ... , 1. rs- f 'eft f%�._.u' FIRM NAME: Kerr Surveying, LLC CONTACT: Michael Konetski ADDRESS:409 N. Texas Ave. Crrr. Bryan STATE: JX ZIP: 77803 PHONE: (979)-268-3195 FAX EMAIL: surveys@kerrsurveying.net �.�,n*r,L' t�-t.-prK�f^' 3,± ..w5az ,n'-wa ck a � {�. Y, e?uf iaW�•F' r� �.'"4, P - 7"' ,.� i �' i : 7 r, Y^Y FIRM NAME: CONTACT: ADDRESS: CITY. STATE: ZIP: PHONE: FAX EMAIL: Vol. } �0� Pg. 9 • • • OF hAASTERPLAN:'' ':::. -.I4o.charge.:':<::;;... ...... :::•::SIMP.LIFIEDPLAM : `: "$100 • :::•:':':: ':: •': •PRELIMINARY.PLAN: ;'; .;$154+:$10perlot :.:...... •.... . FINAL'PLAT _ $900+$20 OF MENDING PLAT: $100 REPLAT:;:.:,.' : ' .. • :::: • :.$200 . Application Check List: Copies of finished plat with corrections (ff any): 0 Three (3) hard copies to Brazos County 17 One (1) .pdf copy to Brazos County 0 One (1) .dwg copy to Brazos County • One (1) hard copy to Brazos County Health District EI One (1) hard copy to Brazos County 911 One (1) hard copy to local Water District or Company Letters of approval (to be sent by the approving institution directly to Brazos County Engineering): E3 Letter from Brazos County Health District - For On -site sewage evaluation. t7 Letter from Brazos County 911 - For Road names. O° Letter from Water District or Company. - Stating water availability, etc. If property is within an Extraterritorial Jurisdiction (ETJ) of a.City: O Approval notification from appropriate City. Applicant attests that they have signed this Application: in the capacity designated; • if any, and further attests that they have read document. and the statement contained herein and any attached are true and factual. All Applicants are encodraged .to review the County Regulations prior to any plat submittal. it is understood that this Application is .not- finished or dated until all documents listed above are filed at the Brazos County Engineering' Office and all applicable blanks are filled In the Application above. Every Simplified Plat shall include all of the following' EI Title Block with the following information: EI Name, address, telephone and email address of Subdivider, recorded Owner, Engineer and surveyor. O Proposed name of Subdivision. (Subdivision name & Street names will be approved through the Brazos County 911.) (Replats need to retain original Subdivision name.) 0 Date of preparation. (Include the date of any revisions on the plat.) 8 Engineer's scale in feet. El Total area intended to be developed. 0 Proposed number of Lots to be developed. O Re -plat or Amending Plat, existing Lot and Block description or Abstract name and number. 0 North arrow. 0 Drawn on 24" x 36" sheet to scale of 100-feet per inch or larger. El Subdivision boundary^Indicated by heavy lines. Boundary must'include all of Parent Tract. 0 All horizontal control and vertical elevations depicted on the plat shall be tied to NAD83 and NAVD 1988 Datum. 0 A vicinity map, drawn at a scale appropriate to show all nearby major Roadways and sufficient in detail to identify the location of the proposed plat. 0 All adjacent property Owner's names, deed record, or Subdivision name, Block and Lot number, and existing use. EI All parcels within the boundary of the Subdivision shall have a Block and Lot number shown on the face of the plat drawing. ;CQ County boundaries, City limits, Extraterritorial Jurisdiction (ETJ) boundaries, school district boundaries and Subdivision section and/or phase boundaries. 0 Road names and Right -of -Way width for all Roads. (Existing and proposed) 0 All existing and proposed plat boundary lines; phase/section lines, and Lot lines with bearings and dimensions. 0 Utility Services. (Water, wastewater, electrical, natural gas, cable, phone, etc.) 0 Pipelines: label company with volume and page. 0 All certification language as found in Appendix C. 0 Easements and rights -of -way shall be dedicated to the public. The dedication of all Easements and rights -of -way shall be accomplished free of liens. The dedication shall be accompanied by the Certificate of Ownership and Dedication language found in Appendix C. The Owner's and any lien holder's dedication, and restrictions if any duly acknowledged in the manner required for acknowledgement of deeds, shall also be provided. El All proposed Easements and existing Easements of record that have a designated route shall be shown on the plat with bearings and dimensions. The Owner shall be responsible for coordinating with all Utility Providers the location of all utility Easements that are shown on the Final Plat. 0 Building Setback Lines for each proposed Lot as defined herein. For Subdivisions located within an. Extraterritorial Jurisdiction (ETJ), this may be shown on the drawing or included as a plat note. E3 Metes and bounds description of the property to be subdivided shall be certified by a Registered Professional Land Surveyor (RPLS), describing a beginning point and reciting bear! s and Pg. y01. (o g �� distances to a corner of the original land grant survey of which the Subdivision is a part, according to the best available data. (Shown on drawing; not separate description) 13 All Subdivision external corners, angle points, points of curvature and points of tangency shall be set by a Registered Professional Land Surveyor (RPLS) before the plat is recorded and shall be a TxDOT °Light Duty Setting" monument with an aluminum or bronze disk as specified in Appendix C of the TxDOT Survey Manual of April 2011. Alternately, Bernsten® Standard Aluminum Base monument (or equivalent as approved by the County Engineer) embedded and backfilled with compacted sand may be used. All Daughter Lots, Blocks and rights -of -way within the Subdivision shall be fully monumented in compliance with the Texas Board of Professional Land Surveying Act and the Board Rules set by a Registered Professional Land Surveyor (RPLS) before the plat is recorded. D Primary control points or descriptions and ties to such control points, to which, later, all dimensions, angles, bearings, Block numbers, and similar data shall be referred. The plat shall be located with respect to a corner of the surveyor tract, or an original corner of the original survey of which. it is a part. All boundaries shall be tied to a County control monument. 0 The plat note regarding Owner's responsibilities as found in Appendix G.4, if not contained in the Owner's dedication. ❑ The On -site Sewage Facility (OSSF) setback as required by the Brazos County Health District. D The location, zone classification and panel Effective Date of the 100-Year Floodplain as identified on the most current Brazos County Flood Insurance Rate Map (FIRM), published by the Federal Emergency Management Agency (FEMA). p If there are any areas within the plat that Include a FEMA-mapped Floodplain with a Zone A classification, or if there exists within or adjacent to the plat any water courses whose upstream drainage basin is larger than 64 acres, the plat shall also show the extent of the 100-Year Floodplain as determined by an engineering study under the seal of a Registered Professional Engineer. This study shalt be sufficient in scope to determine and establish a BFE for all points within the plat. 0 BFE's shall be shown for all points within the plat, as determined by the results of an engineering study. For plats where a FEMA-mapped Floodplain with a Zone AE classification exists within the plat, the BFE established by the accompanying FEMA- published flood study may be substituted for the engineering study. p A minimum lowest finished floor elevation (FFE) for Buildings shall be established for each Lot within the plat. This minimum FFE shall be twelve (12) inches higher than the highest spot elevation that is located within five (5) feet outside the perimeter of the 'Building, or two -feet above the BFE, whichever is higher. ❑ If any areas within the plat include a 100-Year Floodplain (as determined by the results of an engineering study, or as established by FEMA), a benchmark shall be established by the Owner within or immediately adjacent to the boundary of the plat. The location, description and elevation of the benchmark are required to be identified on the face of the plat. The elevation of this benchmark shall utilize the same vertical datum as that used in the engineering study to determine the FFE. ` El A separate drawing containing both existing and proposed topographic information at 2-FT contour Intervals along with the plat boundaries, Easement locations (existing S proposed), and culverts (existing & proposed). 0 The certification language as found in Appendix C for both the Commissioner's Court approval and the County Clerk's filing certificate shall be located on the face of the plat. These signatures shall be obtained after approval by the Brazos County Commissioner's Court. ❑ If any Lot within the plat will be served by a well or an On -site Sewage Facility (OSSF), a letter must be provided by the Brazos County Health District stating they have examined the plat and that it is in compliance with the Brazos County On -site Sewage Facility (OSSF) Regulations, Construction Standards for On -site Sewage Facility (OSSF) Regulations as published by the Texas Commission on Environmental Quality (TCEQ). This letter must be signed by a representative of the District prior to Final Plat approval. p If the plat contains a water well site, there shall be a depiction of the TCEQ separation requirements per Title 30, Part 1, Chapter 290, Subchapter D Rule §290.41. I] If rural route mailboxes are proposed, the plat note as found in Appendix G.2 for placement of such mailboxes shalt be shown on the face of the plat. l] If any areas of the plat are located outside of all incorporated areas, the plat note as found in Appendix G.1 regarding the requirement to obtain a unique Development Permit from the Brazos County Floodplain Administrator prior to locating or altering a structure or land shall be placed on the plat. p It is the responsibility of the Owner to assure that the proposed name of the Subdivision is not duplicated. Subdivisions with different sections are considered unique. The Owner shall check with the County Clerk's records for verification. p Driveway culverts for all Lots shall be designed by a Licensed .Professional Engineer. O If entrances or driveways are proposed fronting Texas Department of Transportation (TxDOT-) controlled highways, farm -to -market Roads, or others, copies of correspondence with TxDOT are required to be submitted With the Preliminary Plan stating that the general entrance or driveway configuration is within TxDOT's guidelines. Formal approval of the layout from TxDOT is required prior to approval of Final Plat. El The diameter and length for each driveway culvert shall be shown on a table on the plat. This information shall also be placed in the deed restrictions for the Lots in the Subdivision. 0 The Owner shall provide a letter of serviceability from an entity or entities providing water service or a letter stating that no service is available within 300 feet of the Subdivision and certifying that the Lots are suitable for private'Wells. (7 Any Improvements proposed within the Right -of -Way including, but not limited to, irrigation, landscaping, sidewalks, Subdivision identification signs, etc. shall be maintained in accordance with an executed license agreement between the County and the Owner. p This check list along with the required copies of the plat shall be submitted to the County Engineer for approval. El Location and size of all existing and proposed subsurface and surface water drainage facilities, including water bodies on or immediately adjacent to the subject property and detention basins, If needed. 17 All existing and proposed water courses or manmade drainage channels shall be located within a Common Area to be maintained by Owner. Every Final Plat.ihust include all of the'Rems provided on the. Simalifled Plat checklist as well as the ollwn: M For Road 'widening and drainage purposes the Owner shall dedicate the Right -of - Way. In the case of drainage that Is provided for the Lots, It shall be located outside of the Rlght-ofM.ay in a private drainage Easement. In the case of drainage that is provided for the Roadway, it shall be located within the Right -of -Way. El If public Roadways are. to be built as part of the plat, the plat note regarding the .responsibility for co'n'struction of :Roadways as found in Appendix G.3 shall be placed on the face of the plat. 0' The plat note regarding Owner's responsibilities as found in Appendix G.4, if not contained in the Otter's dedication. ❑ 'Indicate the centerline length of each Road in the proposed Subdivision and its design speed. ❑ If more than four mailboxes are', to be provided within the Subdivision, cluster mailboxes shall be provided and the location of such shall be indicated on the plat. ❑ If the Roads within the Subdivision will be privately maintained, include the appropriate note(s) per the requirements of Article 8 of these Regulations. ❑ Locations of existing and proposed private alleys. ❑ Locations of existing and proposed public areas. O Locations of other Public Improvements, including but not limited to parks, schools and other public facilities. ❑ All Off -site Easements for Infrastructure construction must be shown on the Final Plat with a volume and page listed to indicate where the separate instrument Easements Were filed. Separate Instrument Easements must be filed prior or concurrently with. Final Plat. ❑ Proposed phasing. All phasing shall be in accordance with the approved Master Plan and/or Preliminary Plan and each phase must be able to stand alone to meet requirements of these Regulations. Infrastructure costs should be separate for each phase of the Subdivision. ❑ Location and ;size of all existing and proposed subsurface and surface water drainage facilities, including water ,trodies on or immediately adjacent to the subject. property. ❑ If .the proposed Final Plat is to be a Private Subdivision (containing privately maintained Roads), the title of the plat shall contain the phrase, °A Private Subdivision". Refer ito Article 8 for additional requirements. 10 In the case of an 'inn -site Sewage Facility (OSSF), the Developer shall be responsible for providing ',a. Development Plan, as performed by a Professional Sanitarian, a Licensed Professional Engineer, or person certified as required by TCEQ Title 30 TAC Chapter 285. The sewage disposal plan shall be performed according rules and regulations established by the Brazos County On -site Sewage Facility (OSSF) Order, and TCEQ TWO 30 TAC Chapter 285, Vol.. 341 Pg... 02%% am' --- _ a r wi x' I nammr o I I I I.VOWL I ImaPW I va7 I i Ap I + tww fr amcn I i I I aR ma y l l I I rwrwwa I rm t�nEi� s,m/ur am.w `y wrzm= ----------� I I I l I I I I i R-0t' a➢1' _ Iinti .wo , a wi',aWS aar �— nme/Rr aax.:R "r 8833 JONES RD �O lal, Aa9E - l IL I 1, _ ruvayLai- �� l �rK ���, �•fy�lwlmvwsw"q I I �9 R aaY� I I t°t IRS reu tmfArva � ' � . I j , l F; 1 , 5744 RAYMOND &TOTZER PW' l lv I �mv/irorz,o mM mm�fi � / % f' cR aamrt IE Yr I,wpw aim,! y1- - emmav,-assr (ao a,Ru - - _ = - - t:.• :« nR 7 - - - -eau as 6zw-ssvz - - frfat Its-r�Y w ,a "O°in.mv (ORIWRLCAW I I hv'rl' -j� maivwrt xmumv xa,o nFl fm,m fail RAYfIDIiD SmvIIPAPAW,vIAY tAVNa.maryl �MPYO'AY a9 x�i s ma•crz v,acvmo pie aaami "mxx¢r� °mxm . ti.F . w •,r..f Bw,«. Pw. Pi.. a wa rw. m m.a wi. ivft r.r�eb. COnvxr v a m.Yam 4�iaTly ffi°G.im I Ia.Is1 a�Jl Met PN..LeY IN Mn W,. F W Fdi -0 mt�W A.�M`Y w ameV W m w m.,ea wM o^iavis x.�M — — — — � ��w xxE w cm _ ORIGINAL PLAT s oRAmn mo °ar aR a.n REPEAT �- moor OODuan le.lroas oa. o<vmaasz r srfmr mma Pmmai e � a tc,vn sart n.Re F.fwa wn mmuD az •ealem w ,or iaax \ml.Pmilti. )veal �Gm�'+,. ta6 ¢W .mmx Ai 6i.a8® Fad, GPa ArtfasGiM i9A, rma v w wa¢ r.avr. 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W .ml iam�iin1O" M n w,T ww) WF ui°vn ,aw a¢ ,VKlr 90r Ma,w Lwr ° M . x qu�nr�m aq xVGt a II NaW p ON'Nf=GVFLOPPR: ®nt\R ¢ VMma .�.OQMi .xmY1 � iRl M6v W Rer+w v M pomp v .�� K al. rlaa mwi¢. llrrt ,z.,t, �wtacmtme ea�waR,rma lap. rR afioOl ea.,.a ni.:w..am w.ese•. r •n� arwwmr .rA��-0 -0 eea e,.uA m°6.sxev�com0°dromQ1womQ1w e� "•a maxa.ID`ry w mafa wo.mR mat of w rnF » rta nrov M ma or �iw wniw.l rw ap pp na µ �, vs,o. Flwmxt w— mat msA�Qiifa°b6, eP"Otann�vXv°mlm w nc aawws! AYr w�tRimRn mm wr f�uri,m°�4 , www mf ID9 �SS�"xp. ilk P RC� f w"�xP ®Ira ®� Cwpr# a.. [an4 alY°ROmA, v wluam\•w,vt w•.mr1l ENOINPM e��?S wio.� ier�in i Kristeen Roe, CTA, PCC Brazos County Tax Assessor/Collector 4151 County Park Ct Bryan TX 77802 979-775-9930 979-775-9938 Fax REFUNDS PENDING 07/26/2022 REQUESTOR LARRY & REBECCA MIKULEC ADDRESS 11542 LONG TRUSSEL RD BRYAN TX 77808 OWNER NAME LARRY & REBECCA MIKULEC PROP ID# 110589 REFUND AMOUNT $ 1123.29 REQUESTOR JESUS SANCHEZ . ADDRESS 113 SUNSET TRL COLLEGE STATION TX 77845 OWNER NAME 3ESUS SANCHEZ PROPID 356631 REFUND AMOUNT 1$96.81 REQUESTOR CAROLYN SCHROEDER ADDRESS 9311 STONEBRIDGE DR COLLEGE STATION TX 77845 OWNER NAME • CAROLYN SCHROEDER PROPID# 49409 REFUND AMOUNT $2017.14 REQUESTOR GOWAN INC ADDRESS 5550 AIRLINE DR HOUSTON TX 77076 OWNER NAME GARRETT MECHANICAL PROP ID# 85849 REFUND AMOUNT $ 333.30 REQUESTOR NITA HOLLIDAY ADDRESS ' 7003 ROCK PRAIRIE RD COLLEGE STATION TX 77845 OWNER NAME NITA •HOLLIDAY PROPID# 10685 REFUND AMOUNT 179.88 REQUESTOR WALTER & ZELDA RIGGLE ADDRESS 1913 DEBBUIE DR BRYAN TX 77802 OWNER NAME WALTER & ZELDA RIGGLE PROP ID# ' 305375 REFUND AMOUNT $ 325.52 RE UESTOR . ADDRESS OWNER NAME PROP ID# . REFUND AMOUNT REQUESTOR ADDRESS OWNER NAME PROP ID# . REFUND AMOUNT Vol. Obi P9• %, APPLICAT16N FOR TAX REFUND Collecting Office Name Brazos County Tax Offlce 41S1 County Park Court Bryan, Texas 77802 Ph. 979-775.9930 OWNER'S NAME AND ADDRESS MIKULEC LARRY & REBECCA M42 LONG TRUSSEL RD BRYAN TX 77808-8473 Collecting Tax for. (taxing entities) Brazos County, City of Bryan, City of College Station Bryan ISD, College Station iSD, F1, F2, F3, F4, City of Kurten, Navasota ISD PROPERTY DESCRIPTION Legal: LONG TRUSSEL ESTATES PHI, BLOCK 1; LOT 2, ACRES 1.978 Address: 11542 LONG TRUSSEL RD , Account# 110S89 TAX PAYMENT INFORMATION Name of Taxing Unit Tax Year of Refund ZREFUND 20Z1 Taxpayees reason for refund: OP -Overpayment REFUNDTO: MIKULEC LARRY & REBECCA 11542 LONG TRUSSEL RD BRYAN TX 77808-8473 Payment Date Amount Paid Refund Amount Requested 06/30/2022 $3751.77 $1123.29 Sign below and return form to the Brazos County Tax Office. 101 her y ppiy fo a refund of the above -described taxes and certify that the information on this form is true and correct." i natu V3 R- 324- k352L V-e eaa.yWWece,-� eagIWAW&J Phone# Email Address if you make a false statement on this application, you could be found guilty of a Class A misdemeanor or a state lull felony under Texas Penal Code Section 37.10, TAX REFUND DETER INA tax refun Ede App d [ D pproved Authorized Officer signature Date (b Ia.daa Authorized Officer of taxing unit far refund applications over amount required under Section M31Tax Code Coles f TAX RECEIPT 07/13/2022 09:05AM KRISTEEN ROE, CTA PH# (979) 775-9930 BRAZOS COUNTY TAX ASSESSOR COLLECTOR 4151 COUNTY PARK CT,u BRYAN, TX 77802 I 3161879 Date 6sted.:',�,T' 06/3012022 Pay�netitrype a� P j??ayn�e Cadti��,'� • _ over/Refund: T,otalf ald r = $3751.77' PAID BY: MIKULEC LARRY & REBECCA 11642 LONG TRUSSEL RD BRYAN, TX 77808-8473 rope iID? Tfi" ',Geo,r..`'��•-• ,tc .:,, _;,. •�"`-' :�� �,,, a .�=•w•- .F . P. ,, ��,'r��..� •.?;".+•.':��:'e-�i'Sys.'.a�•:;z:r.�..:r�y,•v.,.,'._z.2�L�.gal: cres �' .� _' _��: .-� •� "T::;` ;�?�.Ow.�'e.ri.N�" �an A�dt�ss 110589 1391800-0001-0020 j 1.9780 j i MIKULEC LARRY & REBECCA F <,,�f� r7_. 1 'gaI>Descriptl'on�' :� ;: `• ''r+ ''{ °.�. 'r• : j 11542 LONG TRUSSEL RD e : f :i..:. • • .:�-.� BRYAN, TX 77808-8473 LONG TRUSSEL ESTATES PH 1, BLOCK 1, LOT 2, ACRES 1.978 i �—Y.:. .SjtUSr,?;�.+ _ _ �c4;a�:ka ..�:.•�.''m. °•:D,B�a,•�ia• e ':• ae,r":,. r�� +11542 LONG TRUSSEL RD , EMG SVCS DIS' T #3 2021 0.02849 318.144 86577 N 46.32 0.00 0.00 0.00 0.00 45.32 BRYAN ISD 2021 1.22680 293,144 86577 N 1,798.14 MOD 0.00 0.00 0.00 1,798.14 BRAZOS COUNTY 2021 OA9350 318,144 86677 N 785.02 0.00 0.00 0.00 0.00 785.02 3,761.77 Balance Due As Of 0613012022: 4123.29 saw . �nde ��"' L,;Detal' -::'' :�'• ,�" ; s "..; • '�;.'_'.,;.�• r :* tr .•r �:f�=�:��,��De '� '�• � , c (�. o�' �< '�.'� . ��F-�ra'�.�°�ti Check 4596 3751.77 3751.77 �Qera ��.=Bafcii" x;,t,,:;y.: 'a,.�r,- �v� Y� a�.� � �F+„ j ;t•�'';•�•' _ •� � f: "- -•�s ms tT{ay"`.F-�, i:.°:�y. �C' �4„' �.Ae. F ��_ ' � - .,:-� _ ,r:�.. _ Y . ti , ._,.o',•?�'; �'wts�::.ti.a. ,,�r,=�::�;;:�:�:i•..>rs �:x::.•r.;� �sc.z'-"i•�,.._ .�::1,;, �'?�.. .rTotarPlidj �lemerson 42022 (07132022--LE) 3,751.77. Special Condition Exists for this Property Page:1 Receipt issued In Accordance vdlh Section 31.076 of the Texas Property Tax Code ,� Val. J& G/ Pg. 3 APPMefif biV��'0 TAX�RE LINP - Collecting Office Name Brazos County Tax Office 4151 County Park Court Bryan, Texas 77802 Ph. 979-775-9930 OWNER'S NAME AND ADDRESS SANCHEZ JESUS 113 SUNSET TRL COLLEGE STATION TX 77845-3457 PROPERTY DESCRIPTION Collecting Tax for: (taxing entities) Brazos County, City of Bryan, City of College Station Bryan ISD, College Station ISD, F1, F2, F3, F4, City of Kurten, Navasota ISD Legal: SUNSET RIDGE, SPACE 113 SUNSETTRL, SER# CSS010739TXA, HUD# HWC0405168 Address: 113 SUNSETTRAIL (PVT) , Account # 356631 TAX PAYMENT INFORMATION Name of Taxing Unit Tax Year of Refund ZREFUND 2021 Taxpayer's reason for refund: OP -Overpayment REFUND TO: SANCHEZ JESUS 113 SUNSET TRL COLLEGE STATION TX 77845-3457 Payment Date Amount Paid Refund Amount Requested 05/31/2022 $1300.00 •$9.6:81 — - Sign below and return form to the Brazos County Tax Office. "I hereby —apply for the refund of the above -described taxes and certify that the information on this form is true and correct." Signature Date Phone # Email Address If you mace a false statement on this application, you could be found guilty of a Class A misdemeanor or a state jail felony under Texas Penal Code Section 37.10. TAX REFUND DETERMINATION e Etaxefu is j Approve j Disapproved Authorized Officer Signature Date Authorized Officer of taxing unit for refund applications over amount required under Section 31.11 Tax Code Authorized Officer Signature Date vat. —3 l �9• —•� TAX RECEIPT 06/02/2022 09:10AM KRISTEEN ROE, CTA PH# (979) 775-9930 BRAZOS COUNTY TAX ASSESSOR COLLECTOR 4151 COUNTY PARK CT BRYAN, TX 77802 PAID BY: SANCHEZJESUS 113 SUNSET TRL COLLEGE STATION, TX 77845-3457 Receipt Number 3153157 Date Posted 05/31/2022 Payment Type P Payment Code _ Over/Refund TotarPald $1,300.00 Property ID Geo Legal Acres Owner Name and Address 356631 702020-0000-0444 0.0000 SANCHEZ Jt$US 113 SUNSET TRL Legal Description COLLEGE STATION, TX 77845-3457 SUNSET RIDGE, SPACE 113 SUNS_ETTRL, SER# CSS010739TXA, HUD# HWC0405168 Situs DBA Name 113 SUNSET TRAIL (PVT) , Entity - Year Rate Taxable Value Stm{# Vold Original Tax DI' P&i Att Fees Overage Amount Pd Z REFUND ENTITY 2021 6.00000 0 145479 N 96.81 _ 0.00 0.00 0.00 0.00 96.81 EMG SVCS DIST#1 2021, 0,02567 61,393 112513 N 16.76 0.00 2.05 0.00 0.00 17.81 COLLEGE STATION ISD 2021 1,21520 61,393 112813 N 746.04 0.00 96.98 0.00 0.00 843.02 BRAZOS COUNTY 2021 ' 0.49350 61.393 112813 N 302.97 0.00 39.39 0.00 0.00 342.36 1,300.00 Balance Due As Of 0513112022: -96.81 Tender Details Description - Amount Credit Card CC XX-2017 Conv.Charge 0.00 1300.00 1300.00 Operator Batch Vol. �`� -.Pg. 1z;1 Total Paid tmoore 41493(06/02t2022-Jetpay-TM 1,300.00 Page:1 Receipt issued in Accordance with Section 31.075 of the Texas Property Tax Code T-Alt mnm,a. APPLICATION FOR TAX REFUND Collecting Office Name Brazos County Tax Office 4151 County Park Court Bryan, Texas 77802 Ph. 979-775-9930 OWNER'S NAME AND ADDRESS SCHROEDER CAROLYN 9311 STONEBRIDGE DR COLLEGE STATION TX 77845-9333 PROPERTY DESCRIPTION Legal: WOODCREEK PH 1, BLOCK N, LOT 20 Address: 9311 STONEBRIDGE (PVT) DR , Account # 49409 TAX PAYMENT INFORMATION Name of Taxing Unit Tax Year of Refund ZREFUND . . 2021 Taxpayees reason for refund: OP -Overpayment REFUND TO: SCHROEDER .CAROLYN 9311 STONEBRIDGE DR COLLEGE STATION TX 77845-9333 Collecting Tax for: (taxing entities) Brazos County, City of Bryan, City of College Station Bryan ISD, College Station ISD, F1, F2, F3, F4, City of Kurten, Navasota ISD Payment Date _ _ Amount Paid Refund Amount Requested 06/28/2022 $2424.23 $2017.14 Sign below and return f to the Brazos County Tax Office. " hereby applyfor there nd of the abo . described taxes and certify that the information on this form is true and correct." SIgr,Latgre P.�? Phone i# Email Address If you make a false statement on this application,.you could be found guilty of a Class A misdemeanor or a state jail felony under Texas Penal Code Section 37.10. TAX REFUND DEURMINATION Th \ nd is ( Approved ]Disapproved Authorized Officer Signature Date Authorized Officer of taxing unit for refund applications over amount required under Section 31.11 Tax Code Authorized Officer Signature Date TAX RECEIPT 06128/202203:14PM KRISTEEN ROE, CTA PH# (979) 775-9930 BRAZOS COUNTY TAX ASSESSOR COLLECTOR 4151 COUNTY PARK CT BRYAN, TX 77802 PAID BY: _ SCHROEDER CAROLYN 9311 STONEBRIDGE DR COLLEGE STATION, TX 77845-9333 Receipt Number 31.58295 Date Posted __i_ _ 06/28f20_22 Qayment7ype G_ P• Payment Code _ _ OyerlRefund Total Pald -• - 52,424_23 Proper% ID - deo - - - Leal Acres _ Owner Name and Address - 49409 .668700-0114-0200 _ 0.0000 SCNROEDEt2 CAROLYN -- - - - - - 9311 STONEBRIDGE DR Le al Desc�i-tiori 9 P COLLEGE STATION, TX 77845-9333 WOODCREEK PH 1, BLOCK N; LOT20 DBA Name 9311 STONE9F2IDGE (PVT) DR , Entity ' :Rate' T_a'xable Vatue Stmt ##_ Votd_'- Tax -Disc_ nts f'&1 A_tt Feed ..Overage Am_o_ unt7k ' _Year Z REFUND ENTITY 2021 0.00000 - 0 '145534 N. .Orig[nal 2,017.14 _ 6 0 O.l)0- 0.00 ' 0.00 2,017.14 BRAZOS COUNTY 2021 0.49350 140,844 114798 • N $2.88 0.00 7.93 0.00 0.00 60.81 CRY OF COLL. STAT. 2021 0.53462 176.052 114798 N 78.93 0.00 11.85 0.00 0.00 90.78 • COLLEGE STATION ISD 2021 1.21620 176,844 114798 N 222.18 0.00 33.32 0.00 0.00 255.50 2,424.23 Balance Due As Of 0612812022: -2017.14 Tender .Detaili • - - De_scription _ _ Amouni Check 7508 - 2424.23 2424.23 Operator • Batch _ _ _ _ - To_ tal Pai tmoore 41836 (06/28/2022i14 - 2,424.23. Page;1 Receipt issued In Accordance with Section 31.075 of the Te Property Tax Cade n.alr«m bv. APPLICATION FOR TAX REFUND. Collecting Office Name Brazos County Tax Office 4151 County Park Court Bryan, Texas 77802 Ph. 979-775-9930 OWNER'S NAME AND ADDRESS GARRE17 MECHANICAL GARRETT DOUGLASS H 424 MARINO RD BRYAN TX 77808-6204 PROPERTY DESCRIPTION Legal: BUSINESS PERSONAL PROPERTY. Address: 424 MARINO RD . Account # 85849 TAX PAYMENT INFORMATION Name of Taxing unit Tax Year of Refund ZREFUND I. 2021 Taxpayees reason for refund: OP -Overpayment REFUND TO: GOWAN INC- 5550 AIRLINE DR HOUSTON TX 77076 Collecting Taxfor: (taxing entities) Brazos County, City of Bryan, City of College Station Bryan ISD, College Station ISD, F1, F2, F3, F4, City of Kurten, Navasota ISD Payment Date Amount Paid Refund Amount Requested 07/15/2022 $13112.46 $333.30 Sign below and return form to the Brazos County Tax Office. "I hereby apply for the refund of the above -described taxes and certify that the information on this form is true and correct." signatur ' 6atg � 1109tG li'1 C�1►)dS?q@QI1W0Ir11Vic( o"M Phone # Email Address J' 'J if you make a.false statement on this application, you could be found guilty of a Class A misdemeanor or a state jail felony under Texas Penal Code Section 37.10. TAX REFUN16 -DETERMINATION Th tax r d is I proved I Disapproved . eIala�. Authorized Officer Signature Date Authorized Officer of taxing unit for refund applications over amount required under Section 31.11 Tax Code Authorized Officer Signature Date 'Vol. Pg. _ b TAX RECEIPT 07/16/202212:27PM KRISTEEN ROE, CTA PH# (979) 775-9930 BRAZOS COUNTY TAX ASSESSOR COLLECTOR _Receipt Number 4151 COUNTY PARK CT 3161982 BRYAN TX 77802 - � Date Posted � - , 07/15/2022 Payment Type P Payment Code Over/Refund Total Paid $13,112.46 PAID BY: GOWAN INC 5550 AIRLINE DRIVE HOUSTON, TX 77076 Property ID Geo Legal Acres 85849 89000MODO-0885 0.0000 Legal Description W 8USiNES$ PERSONAL PROPERTY Situs DBA Name 424 MARINO RD , GARRETT MECHANICAL Owner Name and Address GAFtRETT N tNAN CAL % GARRETf DOUGLASS H 424 MARINO RD BRYAN, TX 77808-6204 Entity. Year .Rate ' Tax_ able Value Stmt # Void Original Tax D'iscnts - 'P&i Ad -Fees . ,O_Wrage Amount Pd: "'0.00 '0.00 Z REFUND ENTITY 2021 0.00000 0 145814 N 333.30 6.00 0.00 333.30 EMG SVCS DIST#2 2021 0.02756 638,784 47825 N 148A9 0.00 26.73 26:28 0.00 201,50 BRYAN ISD 2021 1.22680 538,784 47825 N 6,609.81 0.00 1,i89.77 1,169.94 0.00 8.969.52 BRAZOS COUNTY 2021 0.49350 638,784 47825 N 2,658.90 0.00 478.61 470.63 0.00 3,608.14 13,112.46 Balance Due As Of 0711612022:-333.30 Tender Detalis Description Amount Check 322449 _ 13112.48 13112.46 Va.�. Operator Batch tmcore 42064 (07/15/2022TM) Special Condition E:dsts for this Property Page:1 Receipt issued in Accordance with Section 31,075 of the Texas Property Tax Code Total Paid 13,112.46 T-AW W--.. Qm. APPLICATION FOR TAX REFUND - Collecting Office Name Brazos County Tax Office 4151 County Park Court Bryan, Texas 77802 Ph. 979 775-9930 OWNER'S NAME AND ADDRESS HOLLIDAY NITA MARLENE 7003 ROCK PRAIRIE RD COLLEGE STATION TX 77845-5967 PROPERTY DESCRIPTION 11 Collecting Tax for: (taxing entities) Brazos County, City of Bryan, City of College Station Bryan ISD, College Station ISD, F1, F2, F3, F4, City of Kurten, Navasota ISD Legal: ' A000901, THOMAS CARRUTHERS (ICL), TRACT 46, 2.37 ACRES Address: 7003 ROCK PRAIRIE RD , Account# 10685 TAX PAYMENT.INFORMATION Name of Taxing Unit Tax Year of Refund ZREFUND 2021 Taxpayees reason for refund: OP -Overpayment REFUND TO: HOLLIDAY NITA MARLENE 7003 ROCK PRAIRIE RD COLLEGE STATION TX 77845-5967 Payment Date Amount Paid 06/29/2022 $1552.57 Refund Amount Requested $179.88 Sign below and return form to the Brazos County Tax Office. "I hereby apply for the refund of the above -described taxes and certify that the information on this form is true and correct." (a-a-7oJ Phone # bate Email Address If you matte a false statement on this application, you could be found guilty of a Class A misdemeanor or a state Jall felony under Texas Penal Code section 37.10. TAX REFUND DE - NATION The x refun s [. A roved [ I Disapproved Authorized Officer signature Date Authorized Officer of taxing unit for refund applications over amount required under Section 31.11 Tax Code _ Authorized Officer Signature _ _ _ Date Vol Pg._�'�_ TAX RECEIPT, 07/01/2022 08:66AM KRISTEEN ROE, CTA PH# (979) 776-9930 BRAZOS COUNTY TAX ASSESSOR COLLECTOR 4161 COUNTY PARK CT ' BRYAN, TX 77802 PAID BY: HOLLIDAY NITA MARLENE 7003 ROCK PRAIRIE RD COLLEGE STATION, TX 77845-5957 Receipt Number 3160535 Date Posted 06/29/2022 Payment Type P Payment Code Ov6dRefund Total Paid 31,552.57 Property ID Geo Legal Acres Owner Name and Address 106B5 O60901-0046-0000 2.37d0 HOLLIDAY NITA MARLENE 7003 ROCK PRAIRIE RD Legal bescri tion g P COLLEGE STATION, TX 77845-5967 A000901, THOMAS CARRUTHERS (1CL), TRACT 46, 2.37 ACRES Situs DBA Name 7003 ROCK PRAIRIE RD , Entity Year Rate Taxable Value Stint #, Vold Original Tax 61scnts P&1 Att #ees . 0verage'Amount, Pd• Z REFUND ENTITY 2021 0.00000 0 145548 N 179.88 _ 0.00 0.00 0.00 0.00 179.88 BRAZOS COUNTY 2021 0.49350 129,260 60622 N 233.35 0.00 0.00 0.00 0.00 233.35 CITY OF COLL. STAT. 2021 0.53482 162,294 60622 N 341.36 0.00 0.00 0.00 0.00 341.36 COLLEGE STATION ISD 2021 ' 1.21520 164,260 60622 N 797.98 0.00 0.00 0.00 0.00 797.98 1,552.57 Balance Due As Of 0612912022: 479.88 Tender Details Description Amount Check eck 1562.57 1652.67 operator Batch- Vol..Pg• `� _ Total Paid tmcore 418* (07/01/2022 - Jetpay TM) 1,552.67 Page:1 Receipt Issued In Accordance with Section 31.075 of the Texas Property Tax Code irve�m�urcn Collecting ice Name Brazos County Tax Office 4151 County Park Court Bryan, Texas 77802 Ph. 979-775-9930 OWNER'S NAME AND ADDRESS RIGGLE WALTER & ZELDA 1913 DEBBIE•DR BRYAN TX 77802-2006 PROPERTY• DESCRIPTION Legal: BRIAR MEADOWS CREEK PHI, LOT 4 Address: 1913 DEBBIE DR , Account# 305375 Collecting Tax for: (taxing entities) Brazos County, City of Bryan, City of College Station Bryan ISD, College Station ISD, F1, F2, F3, F4, City of Kurten, Navasota ISD TAX PAYMENT INFORMATION _Name of Taxing Unit Tax Year of Refund _ Payn e0t Date . _ Amount Paid _ Refund Amount Requested.. ZBEFUND 2021 06/30/2022 $160&56 $325.52 Taxpayer's reason for refund: OP -Overpayment REFUND TO: RIGGLE WALTER-& ZELDA 1913 DEBBIE DR - BRYAN TX 77802-2006 Sign below arid return form to the Brazos County Tax Office. "1•hereby apply for the refund of the above -described taxes and certify that the Information on this form is true and correct." Signature Date, 9 79 57,5 onaahzaael l, com Phone # Email Mdess If you make a false statement on this application, you could be found guilty of a Class A misdemeanor or a state jail felony under Texas Penal Code Section 37.20. TAX REFUND DET MINATION T �rnd is [ Approve [ [Disapproved g � a 1 •aa Authorized Officer Signature Date Authorized Officer of taxing unit for refund applications over amount required under Section 31.11 Tax Code Authorized Officer Signature Date Vol. /. Pg- TAX RECEIPT 06/30/202211:36AM KRISTEEN ROE, CTA PH# (979) 775-9930 BRAZOS COUNTY TAX ASSESSOR COLLECTOR 4151 COUNTY PARK CT BRYAN, TX 77802 PAID BY: RIGGLE WALTER & ZELDA 1913 DEBBIE DR BRYAN, TX 77802-2006 Property ID Goo Legal Acres 305375 147720-0.100-0040 0.0000 Legal Description BNIAR MEADOWS CREEK PH 1, LOT 4 Situs DBA Name 1913 DEBBIE DR , Receipt Number 3159998 Date Posted 06/30/2022 Payment Type P Payment Code Over/Rotund Total Paid $1,608.56 Owner Name and Address RIGGLE WALTER & ZELDA 1913 DEBBIE DR BRYAN, TX 77802-2006 Entity - Year • Rate Taxable Value Stmt 6 Void Original Tax Discnis P&1 Att Fees Overage Amount Pd Z REFUND ENTITY 2021 0.00000 0 145530 N 325.52 0.00 0.00 0.00 0.00 326,52 BRAZOS COUNTY 2021 •0.49350 149,264 107378 N 205.10 0.00 0.00 0.00 0.00 205,10 CITY OF BRYAN 2021 0.62900 209,204 107378 N 635.82 0.00 0.00 0.00 0.00 535.82 BRYAN ISD 2021 1.22680 189,264 107378 • N 542.12 0.00 0.00 0.00 0.00 542,12 1,608.66 Balance Duo As Of 0613012022:-325.52 Tender Details Description Amount Check 1886 1608.66 1608.66 r (� Operator Batch Pg. ' �,�, tmoore 41881 (0613012022TM) Page:1 Receipt Issued In Accordance with Section 31.075 of the Texas Property Tax Code Total Paid 1,608.58 'rWAWMNbn,Nt BRAZOS COUNTY, TEXAS BUDGET AMENDMENTS) FOR THE 2021-2022 BUDGET YEAR NO.21/22 41.1— 41.9 On this the 2nd day of August 2022 at a regular meeting of the Commissioners' Court, the following members were present: A. Duane Peters, County Judge, Presiding B. Steve Aldrich, Commissioner, Precinct 1 C. Russ Ford, Commissioner, Precinct 2 D. Nancy Berry, Commissioner, Precinct 3 E. Irma Cauley, Commissioner, Precinct 4 F. Karen McQueen, County Clerk The following proceedings were held: THAT WHEREAS, on 2nd day of August 2022 the Court heard and approved a budget amendment(s) for the 2021-2022 budget year for Brazos County, Texas; and WHEREAS, expenditure is necessary due to the necessity to meet unusual and unforeseen conditions which could not be reasonably included in the original budget adopted 7 September 2021, the following amendment(s) to the original budget are hereby authorized, as described on the attached page(s). ADOPTED AND APPROVED this the 2nd day of August 2022. THE COMMISSIONERS COURT OF BRAZOS COUNTY, TEXAS. By: Qv., C.4-- - - Duane Peters, County Judge Original: County Clerk's Office and Attached to the original budget BRAZOS COUNTY, TEXAS BUDGET AMENDMENTS No. 21/22 - 41.1 812/2022 FUND NAME DEPARTMENT NAME CLASS DESCRIPTION ACCOUNT CATEGORY INCREASE DECREASE General Fund Contingency Departmental Support Expenditure 10,200.00 General Fund Constable Precinct 4 - Administration Repairs and Maintenance Expenditure 10,200.00 Constable Precinct 4 To reallocate fiinds to pay for increased firel costs for the remainder of FY2022 i'128I2022 n ounty Judges Approvah Daet Fig. fS Vol. BRAZOS COUNTY, TEXAS BUDGET AMENDMENTS No. 21122 - 41.2 8/2/2022 FUND NAME DEPARTMENT NAME CLASS DESCRIPTION ACCOUNT CATEGORY INCREASE DECREASE General Fund Constable Precinct I - Administration Departmental Support Expenditure 700.00 General Fund Constable Precinct 1- Administration Re airs and Maintenance Expenditure 700.00 Constable Precinct I To reallocate funds for repair of handheld radios. ` C°ai0Zj d— Rerovat VOL pg.-�-.. BRAZOS COUNTY, TEXAS BUDGET AMENDMENTS No. 21122 - 41.3 8/2/2022 FUND NAME DEPARTMENT NAME CLASS DESCRIPTION ACCOUNT CATEGORY INCREASE DECREASE General Fund Court Support - Child Protective Svc -272nd Professional Services Expenditure 10,000.00 General Fund Court Support - Child Protective Svc -361st Professional Services Expenditure 10,000.00 General Fund Court Support - Child Protective Svc - 85th Professional Services Expenditure 10,000.00 General Fund Court Support - Guardianship Professional Services Expenditure 30,000.00 Court Support - Guardianship To reallocate funds for court appointed attorneys for guardianship E. c Pg. l_. ? - BRAZOS COUNTY, TEXAS BUDGET AMENDMENTS No. 21/22 - 41.4 8/2/2022 FUND NAME DEPARTMENT NAME CLASS DESCRIPTION ACCOUNT CATEGORY INCREASE DECREASE Capital Improvement Fund Commissioners' Court - Capital Departmental Support Expenditure 4,635.00 Capital Improvement Fund Facility Services - Capital Capital Outlay Expenditure 4,635.00 Facility Services - Capital To reallocate funds to cover the increased cost to purchase a truck for Facility Services CIP #22-509. Emua *.County`" Jadlproval;�, aEe Vol. ��_ p9- � BRAZOS COUNTY, TEXAS BUDGET AMENDMENTS No. 21/22 - 41.5 8/2/2022 FUND NAME DEPARTMENT NAME CLASS DESCRIPTION ACCOUNT CATEGORY INCREASE DECREASE Health and Life Insurance Fund Group Insurance - Administration Contractual Services Expenditure 1,000,000.00 Health and Life Insurance Fund Other Financing Sources Revenue 1,000,000.00 General Fund Other Financing Uses Expenditure 1,000,000.00 General Fund Non -Departmental Benefits Expenditure 1,000,000.00 Non -Departmental To reallocate funds for approved agenda item from 7/26/2022.The fiords will be transferred to the OPEB trust managed by Public Financial Management and be invested; principal and earnings to benefit Brazos County retiree health insurance. "� `+ � 4C,ount / utlge fA_ ppro5al, p' BRAZOS COUNTY, TEXAS BUDGET AMENDMENTS No. 21/22 - 41.6 8/2/2022 FUND NAME DEPARTMENT NAME CLASS DESCRIPTION ACCOUNT CATEGORY INCREASE DECREASE General Fund Contingency Departmental Support Expenditure 1,600.00 General Fund County Welfare Departmental Support Expenditure 1,600.00 County Welfare To reallocate funds to cover the increased cost of indigent cremations for FY 2022 BRAZOS COUNTY, TEXAS BUDGET AMENDMENTS No. 21/22 - 41.7 8/2/2022 FUND NAME DEPARTMENT NAME CLASS DESCRIPTION ACCOUNT CATEGORY INCREASE DECREASE General Fund Sheriff Office - Jail Administration Professional Services Expenditure 11,000.00 General Fund Sheriff Office - Jail Administration Contractual Services Expenditure 10,000.00 General Fund Sheriff Office - Jail Administration Professional Services Expenditure 1,000.00 Sheriffs Office - Jail Administration To reallocate funds for anticipated costs for new employee background services contract and additional counseling services. 7 r i 3 ff5 f 1 Vol. (p P9 Z____l-- BRAZOS COUNTY, TEXAS BUDGET AMENDMENTS No. 21122 - 41.8 8/212022 FUND NAME DEPARTMENT NAME CLASS DESCRIPTION ACCOUNT CATEGORY INCREASE DECREASE General Fund Jail Medical Services Contractual Services Expenditure 1,280.00 General Fund Jail Medical Services Departmental Support Ex enditure 81000.00 General Fund Jail Medical Services Contractual Services Expenditure 1,280.00 General Fund Jail Medical Services Professional Services Expenditure 8,000.00 Jail Medical Services To reallcoate funds for anticipated medical services needs through the end of FY 2022 �..� �� u`��,:pit 1 :rc� �.� xi:;a *.�.L-.,. �• a ,�.:. 'rt.�a'.a� :w-n4.,:: Vol. P'. 22-- BRAZOS COUNTY, TEXAS BUDGET AMENDMENTS No. 21122 - 41.9 8/2/2022 FUND NAME DEPARTMENT NAME CLASS DESCRIPTION ACCOUNT CATEGORY INCREASE DECREASE General Fund Contingency Departmental Support Expenditure I8I,571.00 General Fund Sheriff Office -Jail Administration Departmental Support Expenditure 180,371.00 General Fund Sheriff Office -Jail Administration Contractual Services Expenditure 1,200.00 Sheriffs Office -Jail Administration To reallocate fiends for anticipated costs for jail operations through the end of FY2022 z Coynt+�Jud�eAp� a. 7 t_. Z"I E�� 99.Z3 Personnel Change of Status (Jul 28,2022) Commissioners' Court Date: 08-02-2022 Department Submitting Information: Human Resources Purpose of Submissions: Consider and Take Action on Change Employment , ,X I X4, ak ft- e n t Na T' 'Y , .!P I y. Juvenile Services - Detention Bell, Tiffany Juvenile Services - Detention CarbW, Leticia County Attorney - Admlnlst tion Gribble II, Jerry Juvenile Services - T33D - Commitment Diversion Gutierrez, Larry Sheriff Office - Jail Administration Harris, Ashley Juvenile Services - Detention Jenkins, Jennifer Juvenile -cervices - Detention Mattison -Graham, Tevin Juvenile Services - Detention Olvera, Phillip Juvenile Services - Court Ortega, Daisy Juvenile Services - Detention Wells, Alicia I -of Separations [Exposition Center- Bwfbrd, NeTashla Administration Juvenile Services - Detention Dickey, Timothy Road & Bridge - Administration Flores, Guyger Sheriff Office - Jail Administration Garcia, Christopher Juvenile Services - Detention Hendrix, Cory Facilities Services -Administration Holmes Jr, Freddie Sheriff Office - Jail Administration Johnson, Jaquayla Tax Assessor - Collector- Marcantel, Mindy Administration Facilities Services - Administration Ortiz, Nancy Facilities Services - Administration Thompson, Demere U, 4T�'?, - jp:., Ail- R. i* hi Approved in Commissioners' Court: 08-02-2022 County Judge's or Commissioner's Signature: (This Copy to be attached to minutes) 2, E�/pg. PERSONNEL CHANGE OF STATUS REQUESTS Commissioner Court Date: 08-02-2022 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 Juvenile Services — Community Based Grimaldo, Raymond Scroggins, Joseph Sheriffs Office — Jail Admin Hales, Brian Approved in Commissioners' Court: 08-02-2022 : County Judge's or Commissioner's Signature: (This Copy to be attached to minutes) Change of Status Change of Status Change of Status r E . _._._� Pg- ZS