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2022-12-13 10:00AM REGULAR SESSION
2Pi t � - 3 F-` z - `• �? ULUi .. BRAZOS COUNTY B RYAN, T EXAS NOTICE OF MEETING AND AGENDA BRAZOS COUNTY COMMISSIONERS COURT THE COMMISSIONERS COURT OF BRAZOS COUNTY WILL MEET IN REGULAR SESSION ON DECEMBER 13, 2022 AT 10:00 AM IN THE COMMISSIONERS 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.COM/B RAZOSCOU NTYTX 1. Invocation and Pledge of Allegiance • U.S. and Texas Flag — Commissioner Ford 2. Call for Citizen input and/or concerns Consider and take action on agenda items: 3 - 24 3. Requesting approval to correct.the term of appointment for Mark Carrabba and Gary Mechler to the Brazos Valley Groundwater Conservation District to be January 1, 2023 - December 31, 2026. Appointments were approved on the December 6, 2022 agenda. 4. Approval of the following appointments to the Brazos County Historical Commission. Term of appointment is January 1, 2023 - December 31, 2024. • a. Henry Mayo, CHC Chair • b. Jane W. Cohen • c. May Ann Cusimano • d. Sherry Frisk • e. Abbie Krolczyk • f. Thena Parrott • g. Bill Page • h. Ashley Schultz • i. Julie Schultz • j. Mary H. Shearer • k. Kenneth Smith Vol E 3 fig• • I. Vicki Smith -Dicky • m. Cody Whitten • n. Michelle Wagner Yeatts • o. Helen Washington 5. Acceptance of donated or unclaimed property items left by inmates leaving the Brazos County Jail for the month of October 2022. 6. Approval of Public Official Bonds. 7. Request approval from Justice of the Peace, Pct. 3 for a $100.00 change fund increase to fill the money drawer for the new J P3 Clerk 1. 8. Approval of the Administrative Services Agreement with Texas Association of Counties for 2023. 9. Requesting permission for two Expo employees to travel to Ocala, Florida for the 2023 Introductory Footing Academy and Symposium at The League of'Agricultural & Equine Centers. 10. Approval to issue a Diners Club credit card to Records Management employee, Desmond Harris, with a limit of $1,500.00 for travel, hotel, and conference reservations. 11. Approval of Amendment #4 to IQ 23-002R Pest Control Services with AIIStar Pest Control to add Termite Inspection/Treatment for Boonville Heritage Park. 12. Permission to Advertise Bid #23-072 Hot Mix Asphalts. 13. Permission to Advertise Bid #23-073 Uniform Rental. 14. Approval of Renewal Contract#23-087 with S H I Government Solutions -Microsoft Enterprise. Three-year agreement ending October 31, 2025. 15. Approval of Contract #23-094 with Center for Success and Independence. 16. Approval of Change Order #1,to Cl P #23-508 Digital Evidence Management & Patrol Video Refresh for additional tasers, bodycams, and software in the amount of $174,891.97. 17. Approval of Service Contract #23-557 for Structural Repair for the Brazos County Heavy Fleet Building with Custom Fabricators & Repairs, Inc. 18. Consider and take action on the Wickson Creek SUD utility permit to construct a bore for a 1 inch service connection crossing under Cole Lane located 630 feet east of Australia Lane. Site is located in Precinct 2. 19. Consider and take action on the Wickson Creek SUD utility permit to construct a bore for a 1 inch service connection crossing under Wheelock Hall Road located 1,815 feet southwest of FM 974. `Site is located in Precinct 2. 20. Consider and take action on the Brazos WI Fi utility permit to conduct a road bore for an I nternet service connection located on Old Reliance Road 1,425 feet southwest of Carrabba Road. Site is located in Precinct 2. 21. Tax Refund Applications for the following: Overpayments • a. Alejandro Vasquez - $17.12 • b. Big Moose LTD - $7.88 • c. Big Moose LTD - $17.72 • d. Big Moose LTD - $11.70 • e. Big Moose LTD - $41.98 Vol. 31`C -- Pfl• ��3 • f. Morgan Ashley Hein - $96.28 • g. Kelly Kersten - $151.06 • h. Refugio Martinez - $43.16 • i. Nguyen Tien Dung - $17.99 • j. Barry & Marcie Welch - $65.98 • k. Melanie Nevlud - $54.10 • I. Christopher Rogers - $253.08 • m. Brian Wayne Kubichek - $19.05 • n. Lorraine Miller - $45.45 • o. Alanis Martinez - $15.61 • p. Patrick Joseph Craig 11 - $25.42 • q. John Jean - $22.26 • r. Refugio Martinez - $22.14 Payment in Error • s. Thomas & Oral Capps - $3,836.70 • t. Tamara Kelly - $5,369.74 22. Budget Amendments. • FY22/23 Budget Amendments 10.01 -10.03 23. Personnel Change of Status. • a. Employment & Separations • b. Personnel Action Forms 24. Payment of Claims. 25. Acknowledgment of FY 2022-2023 Budget to Actuals by Fund as of December 7, 2022. - Acknowledgment of FY 2022-2023 Contingency Budget to Actuals by Fund as of December 7, 2022. 26. Juvenile director's report on detention population. 27. Sheriff's report on inmate population. 28. Announcement of interest items and possible future agenda topics. The regular meeting day for Commissioners Court on Tuesday, December 27, 2022, has been changed to Wednesday, December 28 due to observation of the Christmas holidays. 29. Call for Citizen input and/or concerns 30. Adjourn. PUBLIC COMMENTS Public Comment during the Commission Meeting may be for all matters, both on and off the agenda, and be limited to four minutes per person. Persons are invited to submit comments in writing on the agenda items and/or attend and make comment at the Commission meeting. Members of the public are reminded that the Brazos County Commissioners Court is a Constitutional Court, with both judicial and legislative powers, created under Article V, Section 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 Commissioners Courtroom of the County Administration Building, 200 South Texas Ave., Suite 106, Bryan, TX77803, THE PUBLIC MAY WATCH THE MEETING LNEAT FACEBOOK.COMBRAZOSCOUNTYTX 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. '394 Pg. MINUTES DECEMBER 13, 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, December 13, 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; Irma Cauley, Commissioner of Precinct 4; Karen McQueen, County Clerk. The attached sheets contain the names of the citizens and officials that were in attendance. 1. Invocation and Pledge of Allegiance • U.S. and Texas Flag — Commissioner Ford 2. Call for Citizen input and/or concerns American Legion State Vice Commander Tom Marty thanked the Commissioners Court for starting the process of looking into the establishment of a Veterans Court in Brazos County. Mr. Marty stated that a Veterans Court is important to the community and to the American Legion. Gerry Hince expressed her thanks for Brazos County being a community that supports its Veterans. Ms. Hines stated that she believes the Commissioners Court will continue to do everything in its power to take care of the Veterans because they are worth every penny. She is in favor of establishing a Veterans Court. John Quinn, a criminal defense attorney in Bryan, stated that he has seen a lot of Veterans charged with crimes, many of which are suffering with PTSD. Mr. Quinn is in favor of establishing a Veterans Court and offered his assistance to the Court. He also shared with the Court that after speaking with a Judge in Waco, he was made aware of numerous federal funding opportunities for Veterans Courts. Consider and take action on agenda items: 3 - 24 3. Requesting approval to correct the term of appointment for Mark Carrabba and Gary Mechler to the Brazos Valley Groundwater Conservation District to be January 1, 2023 - December 31, 2026. Appointments were approved on the December 6, 2022 agenda. Motion: Approve, Moved by Commissioner Russ Ford, Seconded by Commissioner Irma Cauley. Passed. 5-0. Ayes: Aldrich, Berry, Cauley, Ford, Peters. 4. Approval of the following. appointments to the Brazos County Historical Commission. Term of appointment is January 1, 2023 - December 31, 2024. • a. Henry Mayo, CHC Chair • b. Jane W. Cohen • c. MayAnn Cusimano • d. Sherry Frisk • e. Abbie Krolczyk • f. Thena Parrott • g. Bill Page • h. Ashley Schultz • i. Julie Schultz • j. Mary H. Shearer • k. Kenneth Smith • I. Vicki Smith -Dicky • m. Cody Whitten • n. Michelle Wagner Yeatts • o. Helen Washington Judge Peters stated that a correction to "c" is needed to reflect the correct name, Mary Ann Cusimano. On motion by Commissioner Berry and seconded by Commissioner Cauley, the Court voted unanimously to approve the appointments with the correction to letter "c" as stated. Motion: Approve w/ Conditions, Moved by Commissioner Nancy Berry, Seconded by Commissioner Irma Cauley. Passed. 5-0. Ayes: Aldrich, Berry, Cauley, Ford, Peters. 5. Acceptance of donated or unclaimed property items left by inmates leaving the Brazos County Jail for the month of October 2022. A copy of the donation forms is attached. 38 Pg. 0`�7 VolE Motion: Approve, Moved by Commissioner Nancy Berry, Seconded by Commissioner Irma Cauley. Passed. 5-0. Ayes: Aldrich, Berry, Cauley, Ford, Peters. 6. Approval of Public Official Bonds. The following official bonds were approved: Amanda Matzke - Judge, County Court at Law No. 1 Roy Brantley - Judge, County Court at Law No. 2 Laura Taylor Davis - County Treasurer Jeff Reeves - Constable, Precinct 1 Motion: Approve, Moved by Commissioner Irma Cauley, Seconded by Commissioner Nancy Berry. Passed. 5-0. Ayes: Aldrich, Berry, Cauley, Ford, Peters. 7. Request approval from Justice of the Peace, Pct. 3 for a $100.00 change fund increase to fill the money drawer for the new J P3 Clerk 1. Motion: Approve, Moved by Commissioner Nancy Berry, Seconded by Commissioner Irma Cauley. Passed. 5-0. Ayes: Aldrich, Berry, Cauley, Ford, Peters. 8. Approval of the Administrative Services Agreement with Texas Association of Counties for 2023. A copy of the agreement is attached. Motion: Approve, Moved by Commissioner Irma Cauley, Seconded by Commissioner Russ Ford. Passed. 5-0. Ayes: Aldrich, Berry, Cauley, Ford, Peters. 9. Requesting permission for two Expo employees to travel to Ocala, Florida for the 2023 Introductory Footing Academy and Symposium at The League of Agricultural & Equine Centers. Motion: Approve, Moved by Commissioner Nancy Berry, Seconded by Commissioner Irma Cauley. Passed. 5-0. Ayes: Aldrich, Berry, Cauley, Ford, Peters. 10. Approval to issue a Diners Club credit card to Records Management employee, Desmond Hams, with a limit of $1,500.00 for travel, hotel, and conference reservations. Motion: Approve, Moved by Commissioner Nancy Berry; Seconded by Commissioner Irma Cauley. Passed. 5-0. Ayes: Aldrich, Berry, Cauley, Ford, Peters. 11. Approval of Amendment #4 to IQ 23-002R Pest Control Services with AIIStar Pest Control to add Termite I nspection/Treatment for Boonville Heritage Park. A copy of the amended contract is attached. vol. v �' Pg. � Motion: Approve, Moved by Commissioner I rma Cauley, Seconded by Commissioner Russ Ford. Passed. 5-0. Ayes: Aldrich, Berry, Cauley, Ford, Peters. 12. Permission to Advertise Bid #23-072 Hot Mix Asphalts. Commissioner Aldrich questioned whether costs pursuant to this Bid are increasing. Purchasing Agent Charles Wendt stated that costs are increasing and that he would get exact numbers to Commissioner Aldrich later today. Motion: Approve, Moved by Commissioner Russ Ford, Seconded by Commissioner Irma Cauley. Passed. 5-0. Ayes: Aldrich, Berry, Cauley, Ford, Peters. 13. Permission to Advertise Bid #23-073 Uniform Rental. Motion: Approve, Moved by Commissioner Nancy Berry, Seconded by Commissioner Steve Aldrich. Passed. 5-0. Ayes: Aldrich, Berry, Cauley, Ford, Peters. 14. Approval of Renewal Contract #23-087 with SHI Government Solutions -Microsoft Enterprise. Three-year agreement ending October 31, 2025. A copy of the renewal of contract is attached. Motion: Approve, Moved by Commissioner Irma Cauley, Seconded by Commissioner Russ Ford. Passed. 5-0. Ayes: Aldrich, Berry, Cauley, Ford, Peters. 15. Approval of Contract #23-094 with Center for Success and Independence. A copy of the service contract is attached. Motion: Approve, Moved by Commissioner I rma Cauley, Seconded by Commissioner Nancy Berry. Passed. 5-0. Ayes: Aldrich, Berry, Cauley, Ford, Peters. 16. Approval of Change Order #1 to Cl P #23-508 Digital Evidence Management & Patrol Video Refresh for additional tasers, bodycams, and software in the amount of $174,891.97. A copy of the change order with Axon Enterprise, Inc. is attached. Motion: Approve, Moved by Commissioner Irma Cauley, Seconded by Commissioner Nancy Berry. Passed. 5-0. Ayes: Aldrich, Berry, Cauley, Ford, Peters. 17. Approval of Service Contract #23-557 for Structural Repair for the Brazos County Heavy Fleet Building with Custom Fabricators & Repairs, Inc. A copy of the service contract is attached. Motion: Approve, Moved by Commissioner Russ Ford, Seconded by Commissioner Vol. 39_Pg. Irma Cauley. Passed. 5-0. Ayes: Aldrich, Berry, Cauley, Ford, Peters. 18. Consider and take action on the Wickson Creek SLID utility permit to construct a bore for a 1 inch service connection crossing under Cole Lane located 630 feet east of Australia Lane. Site is located in Precinct 2. Motion: Approve, Moved by Commissioner Russ Ford, Seconded by Commissioner Irma Cauley. Passed. 5-0. Ayes: Aldrich, Berry, Cauley, Ford, Peters. 19. Consider and take action on the Wickson Creek SUD utility permit to construct a bore for a 1 inch service connection crossing under Wheelock Hall Road located 1,815 feet southwest of FM 974. Site is located in Precinct 2. Motion: Approve, Moved by Commissioner Russ Ford, Seconded by Commissioner Nancy Berry. Passed. 5-0. Ayes: Aldrich, Berry, Cauley, Ford, Peters. 20. Consider and take action on the Brazos WI FI utility permit to conduct a road bore for an Internet service connection located on Old Reliance Road 1,425 feet southwest of Carrabba Road. Site is located in Precinct 2. Motion: Approve, Moved by Commissioner Russ Ford, Seconded by Commissioner Irma Cauley. Passed. 5-0. Ayes: Aldrich, Berry, Cauley, Ford, Peters. 21. Tax Refund Applications for the following: Overpayments • a. Alejandro Vasquez - $17.12 • b. Big Moose LTD - $7.88 • c. Big Moose LTD - $17.72 • d. Big Moose LTD - $11.70 • e. Big Moose LTD - $41.98 • f. Morgan Ashley Hein - $96.28 • g. Kelly Kersten - $151.06 • h. Refugio Martinez - $43.16 • i. Nguyen Tien Dung - $17.99 • j. Barry & Marcie Welch - $65.98 • k. Melanie Nevlud - $54.10 • I. Christopher Rogers - $253.08 • m. Brian Wayne Kubichek - $19.05 • n. Lorraine Miller - $45.45 • o. Alanis Martinez - $15.61 • p. Patrick Joseph Craig 11 - $25.42 • q. John Jean - $22.26 • r. Refugio Martinez - $22.14 Payment in Error • s. Thomas & Oral Capps - $3,836.70 Vol. Pg. o� • t. Tamara Kelly - $5,369.74 Motion: Approve, Moved by Commissioner Irma Cauley, Seconded by Commissioner Nancy Berry. Passed. 5-0. Ayes: Aldrich, Berry, Cauley, Ford, Peters. 22. Budget Amendments. • FY 22/23 Budget Amendments 10.01 -10.03 10.01 Reallocate funds for Fleet Services. 10.02 Transfer Contingency funds to Tax Assessor/Collector. 10.03 Reallocate funds for Sheriff's Office. Motion: Approve, Moved by Commissioner Nancy Berry, Seconded by Commissioner Irma Cauley. Passed. 5-0. Ayes: Aldrich, Berry, Cauley, Ford, Peters. 23. Personnel Change of Status. • a. Employment & Separations • b. Personnel Action Forms Commissioner Aid rich stated that he was glad to see several Sheriff's Office - Jail Administration positions filled. A copy of the Personnel Change of Status is attached. Motion: Approve, Moved by Commissioner Irma Cauley, Seconded by Commissioner Nancy Berry. Passed. 5-0. Ayes: Aldrich, Berry, Cauley, Ford, Peters. 24. Payment of Claims. Claims 8119321 - 8119447 9006405 - 9006449 Motion: Approve, Moved by Commissioner Irma Cauley, Seconded by Commissioner Nancy Berry. Passed. 5-0. Ayes: Aldrich, Berry, Cauley, Ford, Peters. 25. Acknowledgment of FY 2022-2023 Budget to Actuals by Fund as of December 7, 2022. Acknowledgment of FY 2022-2023 Contingency Budget to Actuals by Fund as of December 7, 2022. The Court acknowledged receipt of the 2022-2023 Budget to Actuals by Fund and Contingency Fund Budget to Actuals as of December 7, 2022. 26. Juvenile director's report on detention population. Vol. .394 pg. Juvenile Director Linda Ricketson reported there are 39 juveniles in the detention center, 33 are male and 6 are female, and 23 have electronic monitors. 27. Sheriff's report on inmate population. Chief Deputy Kevin Stuart stated there were 688 inmates in jail, 574 inmates are male and 114 are female, and 59 have electronic monitors. Commissioner Berry commented on the increasing population numbers. Chief Stuart explained that the increase in jail population is a statewide trend contrary to the standard decrease that Texas jails typically see around this time of year. 28. Announcement of interest items and possible future agenda topics. Judge Peters announced the change in regular meeting dates from December 27, 2022 to December 28, 2022 due to the Christmas holiday. Judge Peters also announced the passing of local attorney and lifetime Brazos County resident, Phil Banks. 29. Call for Citizen input and/or concerns There was no Citizen input. 30. Adjourn. Vol. 3� Pg.3�- E Op The: foregoing minutes; of the Commissioners Court Meeting lield December 13; 2022 have been examined and are approved in open Court this 1:0 h day of Januaiy 3 in Bryan, Brazos Pg I of 3 BRAZOS COUNTY COMMISSIONER' S COURT i 3 DAY OF 20�- AM/PMI Name (PLEASE PRINT) All VoAw -91)w , c- L; l /�o Gh vC, ft- P604, 11-4 Organization (PLEASE PRINT) c,� TeKaS s 1eyc�5 VeJ2vA Cow 'SS -cer 3 cso C' / 1'Z E. pg. Pg _c3, of 3 BRAZOS COUNTY COMMISSIONER'S COURT " DAY OF t A ,S Name (PLEASE PRINT) km vw` s WAY, lk� 6m, .m / /4,n c, (c. 4 cv 51- 1 � Y Dove a (1 L a- VIA V -.��. T)tcLmkv- , 20 a.2- v /PM, I Organization (PLEASE PRINT) - +, a gi � �S6 scD �.. Our c'0 - Zyu -9 (0 EF- !Vol. v8 leg, o(3Ssr Pg 3 of 3 BRAZOS COUNTY COMMISSIONER'S COURT 13''"" DAY OF V2c-e w;!�� , 20 as :00 Name (PLEASE PRINT) S ItAMb i Organization (PLEASE PRINT) mks C�Oc�rniSS•t o�,�,r5 BRAZOS COUNTY BRYAN, TEXAS REAPPOINTMENT The Commissioners Court of Brazos County does hereby approve the reappointment of Mark Carrabba to the Brazos Valley Groundwater Conservation District The term of this appointment is January 1, 2023 through December 31, 2026. 1� (a 1(-:3 1 DR 'Duane Peters Date County Judge Vol3� Pg. E �� 7 BRAZOS COUNTY BRYAN, TEXAS REAPPOINTMENT The Commissioners Court of Brazos County does hereby approve the reappointment of Gary Mechler to the Brazos Valley Groundwater Conservation District The term of this appointment is January 1, 2023 through December 31, 2026. U�:3 [t.31QR Duane Peters Date County Judge Val. � � fig, �3� BRAZOS COUNTY BRYAN, TEXAS APPOINTMENT The Commissioners Court of Brazos County does hereby approve the appointment of Henry Mayo to the Brazos County Historical Commission The term of this appointment is January 1, 2023 through December 11, 2024. I�3to Duane Peters Date County Judge_ — - BRAZOS COUNTY BRYAN, TEXAS APPOINTMENT The Commissioners Court of Brazos County does hereby approve the appointment of Jane W. Cohen to the Brazos County Historical Commission The term of this appointment is January 1, 2023 through December 31, 2024. a 1 l 3t -ate Duane Peters Date County Judge Vol. �3 �' leg. Jc/0 BRAZOS COUNTY BRYAN, TEXAS APPOINTMENT The Commissioners Court of Brazos County does hereby approve the appointment of Mary Ann Cusimano to the Brazos County Historical Commission The term of this appointment is January 1, 2023 through December 31, 2024. Ii-3 ow. Duane Peters Date County Judge BRAZOS COUNTY BRYAN, TEXAS APPOINTMENT The Commissioners Court of Brazos County does hereby approve the appointment of ,Sherry .Frisk to the Brazos County Historical Commission The term of this appointment is January 1, 2023 through December 31, 2024. Duane Peters Date County Judge BRAZOS COUNTY BRYAN, TEXAS APPOINTMENT The Commissioners Court of Brazos County does hereby approve the appointment of Abbie Krolczyk to the Brazos County Historical Commission The term of this appointment is January 1, 2023 through December 31, 2024. . t3ra�. Duane Peters Date County Judge BRAZOS COUNTY BRYAN, TEXAS APPOINTMENT The Commissioners Court of Brazos County does hereby approve the appointment of Thena Parrott to the Brazos County Historical Commission The term of this appointment is January 1, 2023 through December 31, 2024. :31 OR Duane Peters Date County Judge BRAZOS COUNTY BRYAN, TEXAS APPOINTMENT The Commissioners Court of Brazos County does hereby approve the appointment of Bill Page to the Brazos County Historical Commission The term of this appointment is January 1, 2023 through December 31, 2024, 1� Iatla);RaL Duane Peters Date County Judge E BR.AZOS COUNTY BRYAN, TEXAS APPOINTMENT The Commissioners Court of Brazos County does hereby approve the appointment of Ashley Schultz to the Brazos County Historical Commission The term of this appointment is January 1, 2023 through December 31, 2024. 1131a� Duane Peters Date County Judge EVOL 1391 pg. )-L4 BRAZOS COUNTY BRYAN, TEXAS APPOINTMENT The Commissioners Court of Brazos County does hereby approve the appointment of Julie Schultz to the Brazos County Historical Commission The term of this appointment is January 1, 2023 through December 31, 2024. 1: :) - r f13/ate Duane Peters Date County Judge �/�I, v Pg.® BRAZOS COUNTY BRYAN, TEXAS APPOINTMENT The Commissioners Court of Brazos County does hereby approve the appointment of Mary H. ,Shearer to the Brazos County Historical Commission The term of this appointment is January 1, 2023 through December 31, 2024. QL�� ig1 as Duane Peters Date County Judge Vol. �� Pg. a�� BRAZOS COUNTY BRYAN, TEXAS APPOINTMENT The Commissioners Court of Brazos County does hereby approve the appointment of Kenneth Smith to the Brazos County Historical Commission The term of this appointment is January 1, 2023 through December 31, 2024. - (C-4c31aa Duane Peters Date County Judge Vol. �� Pg./c� BRAZOS COUNTY BRYAN, TEXAS W M The Commissioners Court of Brazos County does hereby approve the appointment of Vicki smith Dicky to the Brazos County Historical Commission The term of this appointment is January 1, 2023 through December 31, 2024. - Duane Peters Date County Judge Vol E 3� Pg BRAZOS COUNTY BRYAN, TEXAS APPOINTMENT The Commissioners Court of Brazos County does hereby approve the appointment of Cody Whitten to the Brazos County Historical Commission The term of this appointment is January 1, 2023 through December 31, 2024. all31.-?a Duane Peters Date County Judge E 3� BRAZOS COUNTY BRYAN, TEXAS APPOINTMENT The Commissioners Court of Brazos County does hereby approve the appointment of Michelle Wagner Yeatts to the Brazos County Historical Commission The term of this appointment is January 1, 2023 through December 31, 2024. 13/aa QDuane eters Date County Judge Vol. pg.� BR.AZOS COUNTY BRYAN, TEXAS APPOINTMENT The Commissioners Court of Brazos County does hereby approve the appointment of Helen Washington to the Brazos County Historical Commission The term of this appointment is January 1, 2023 through December 31, 2024. Duane Peters Date County Judge BRAZOS COUNTY, TEXAS ACCEPTANCE OF DONATED/AWARDED PROPERTY DONATION OF COUNTY PROPERTY. Date: 12/01/2022• . .. FjAaceptance of Doitated/Awarded Property , Q Donation of County Property . (Awarded property requires sighed 'court documentation) Acceptance of Donated Inmate Property (Requires signed inmate documentation —NO VALUE ASSESSED) Item Description; Please provide all information requested below as applicable to the'property being accepted or donated. Forms containing any blank fields will be returned for completion. Make:: Model: Year: . SNNIN #: Functional Non -Functional. Explain ifNon -Functional Additional Description/lnfonnation: Clothing, Jewelry, Electronics, other misc items left by inmates that have left the Brazos.County Detention Center in the month of October 2022 Estimated Value: Check the appropriate account based on Check the appropriate entity property being estimated value of. property being,accepted: ... donated.to: a 61235000 (Donation - Other)* Government Eritity:' ... ... Tj 60010000 (No Asset Tag - Under $500) Organization Name . Q 67010000 (MinorProperty - $5110 - $4999) Other (Due to Statuatory . 0 80010000. (Capital Property:; 0yer.$5000) .; requirements -prior approval is required. by Purchasing: Organization Name. *nnnaann — nther accoun161235000 is to be used ONLY for cash/checklunds donated to Brazos County. I certify that the above=mentioned iterri has been donated or awarded to Brazos County.' This item has been received in'good faith and upon approval by Commissioner's Court will become a part of the Gcneral Fixed Asset Account of Brazos County. The determination to accept or reject the donation will be made at the: sole discretions of Commissioners Court based..upon such things as usefulness, projected. operating, . maintenance and insurance costs. Requesting Department:.. Brazos County Sheriffs Office " ,; �nw: DepartmentName Authorized Signature Organization Receiving Donated Property: Authorized Signature Approved by Co issioners o on this day of ✓ Elm �a a Pg- pp commissioners Court A royal .`• :• ail �i :ayit e :aneu; s�a�;uisea a 2 i��i 8" n • �U• 't`• -.. ..3.. �a�eA' - ��•� aJ(i#y?l,,.S !A,a�ay •rt :. #au0' it 1 Ssal PP a oad. t1.?WCdolpa�e .dsaQgosaad::�::�•,i:;• . . ....... .. :. ia' sas i e eu •-a ewu �z i zo 'z t -t ................. 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P:.. � .. p 1?I! an aaN►.auo o uo e� dxa a .Ia a ad6id:anoA'dn • •a 3id'se r auo ou: e ' uana a u ' •.ia u "' .... :, .. uol�uNea •llluno3:'saie�s ,aye ii 'pa ela�ae�iil: auil;: mok Suljnp pa;elnwn35 :.a^ey noA ey} .+adoad.:: a .• Ile pue�Rae*, iAi6:W to pue dn�l�ld a ibO anoA 46 auio�Sue aney,o '�s�Iep Sul iaM a r j,slaaei► auo;o pollad ....: a noA3u.�I3 Ij1m;Uui s.:ay o a l Iljuno3 sdzWj;' 'j lei{ 'noA aslripe o} sI'sly1. 0 a: d511:dCINHWd:`S3>i4't„ • - - - _ �- - , ' , ' ZZOZ/.Z� OT.:II�jia�� �a1 a;ei�uut a�ea'.�::��:j. _ - .... •� ... • , . . W!! 4,#YMit o �1H N3/lNl. u.V3d .ad 3 0 3 N� •�N oz BRAZOS COUNTY DETENTION. CENTER - _::. ° - ::::::�.:=°_`_�`:.: -:' `- '.::`::-::.:::� '��:`�IN.MATE .PItOPERTY:INVFNTORY f ORM:: ='-_ .:::::•`.:.::.`� �.: -; ._.: ;- ,-•::-:�::�: - .. :..: -.Date Inta#e Left Facility:l0 4/J2022 Jatt! lD:331677: ........... ;_-:This is to advise yoa, GREEN, CEDRINE: DEWAYNE that the. Brazos C4uiity Office:of:#Iie.Sheriff,Will.grant € " au a eriocJ of ane week five wdikiri da s to have anyone of jjoii� choice pukup and/or receive any property.that-you ,have accumulated during`your .tirrie.`incarceratetl'in: tiie Brazos :County _-.Detention Center.- - in the. event that no one_has p�cked•up your property afterlhe:.expiratioti of one .. week (five workin da s), any and all property wdl be:donated to the,Brazos County Sheriffs Office and • :.-- disposed of.to the=peg 60)-or orgarnza-!on of c.,oice.:b tiie order ofthe-Sheri...of i3razos,:6unty, Texas._ Your -property y+nll;net be released.to.ariyol a other thaci ttie person tfiaf .you'have'designated to pick it'. :6nd*can be pid d up from the Release Lobby of the'Brazos Codrity Detention Center = --..: :. ocated:at-1835. Sandy ;Point Rd. Bryan, TX 7780% ;To""-avoid-166i wait tunes alease schedule the ic40 24 *tS in advance: :... - - ... ..... .. .. :..:' .LIST.OF PROPERTY.: ,�''�::..:_ ,:'.• .•' • ��:: �� ::::�.:: _. , .:, . , ._ . .. -- .: -- -- ------ - 6 ) z 7 ... ....... . :: Inrriate•SJgnature: : ':: : .: _ : s` : _t?ate:ZO/4/2022 ..... ..... ... .:. -. • -.:' :::.:. _Officer.Srgnature: �� - - ::::::: ----' _ -- - -::=_.:::Date:10i4/2022::_ �•.'�•.:.:.:, :. �:=• ' :. :. _... :• ; ;;.Person Designated To Pick:Up Piopertye ._..: ............... ........... ........... :' m • :. . - .: -•: �:-: -Address:'<:::,�-:; .�. �� - - .. - - .......... :: -. 3 ........ .. . . Oui Date: - .:....::...: . P ) .. ...:: ?" Refeasln Officers Si nature: -:.:: ` :::• :: :.. ::= Date:•- -':.:-'...:... vl.• ' '`"Vr . .. . - . .. .. .. . ' _ ..... ... .. -- _......... - .._ . :' .. . ...... .. ... ...,..... _ _ .. . _-- -_ . .... _ . -__ . . --•- ' ' -- - ----- . -- •' :.'..:: . -: : '.r.=.:c.:._ — .-.:- _ :.:::::: ::::::C"---::_ _ ::::':": ... " .::.":c: :' :.:..... - , .. _,:_:::::._ - .: ;.:::,t:::.::::::.•. ._:i :::ii.:: :"ic" : :: :.:: -__ . . ._ . , :::_ _ ::: :: :':.:.: :._:::.= :.r.- ' ; : ; LATER::: = : :_ _ -: ?::__:.::..:`: _ : "= - '- = :::: ":::_ : __ BRAZOS. COUNTY... ENTiON:;CE :::...:.:::::.:..:.:::.:.' .• .': ':..::':.:.:%:::._ . - ::-:.:..:•-: •:: : --.... .. . .... ... .........................r.: .1. = :-: _._ °. _--=:iNMATE:PR�PERTY iNVENTQRY.F.. R i ...::.:!' :_.= _; ::.`::-:-- -:_ ...-"......-.................: ::': ::- ::::::-::r:.::- ::_ - -' ..::.".:..::-•:::..: " *.....:::.:.,_: ' !� .:20 7 2022. =:1.:: :� �_ _ ,:: ::::::'€° := _:_- ....._ .. .__ - --•-'- .. a nm _..... ' _ ... e _ .. ..... . ....... II ID:333237 :,' . :_:::::::.:.:::::: :r:::::.::=:_:::-::::.- :::: I:::::.:::. :: :14504529 :: :::: :::: = _: .::.: .. _ -- ' ........�a - ......... ........ ..., ..-.......... _ .....-.-........_ . _ ........ ,..... : ':':: ' f ..-- ....:..............::.:.::::::- :: -' - - : o the Shen wi ""rant ou a ::: This into a rise. ou;=Patmer Frank Dewayne that the _t3razos County Office:: • ::::.::::.•::•:::: :: B :. _�!::..::.:::: :: <= _ .. . . ;;.:_, __: - . _, 1period of mhe'week.(fwe:working:days) to_ have anyone of your cho.,._:: pickup -an oT.recenre,any, an_.:a : , ;. . _ : property ghat you have accumulated during your time ihcarcerated m the Br�ios County Detent,on_ _.. -- . - .. .-. :::..5:.::: '..:::::::Center...-dn the.event that no one.bias pcked:up"your;property'afteiahe,expiration. of one:week(fnre: -., :: :- =::= €:workin da s an and ali roperty wilt be donated to.the Brazos CvuntyShenfPs :Office and disppsed of...: ° : :.. , :; . .... ... :::: _ :::_.,: ao: the.: erson s or o. -n anon ;of.chgice, by.the:order•ofi th - heriff of _Brazos Cou I ,Texas.., ,Your.,_ • ::,:,:::;..:�-_. ..... - -' ... ::::........... _ .. _ :: ... . . ' wil! not:6e released-wanyane atherahan the:person_that:you'have :. e:-::S�te::_to p':::: up:-.= _ : € :::;r•:.:•.::.:.:_::.:::. t? Kif .::::.:..........:::: ::..:.:.. :•. _ :- , : ;::` ::and. can: be, picked up from the. Release lobb0if the tt3razos County. Detention _Center ldcated at 1835_ ,: _: ` Sa To avoid lose wait times alease schedule"ilie oickua 24 hours in .__ :;:;.:'.1:: .. . ...... n w�°:°:'. dva n i.G.: - - - - — - . .......... . .............. - .:................... ..1......::::::' ..... _ • .:A:: - - - :: ......_.. .. . . .......... :.::....... .. . _.... .... r. .....-..:.._.....%. .. ....... ........ ...... ... .. ..::::..... - _ . ....... ......... ........ . . ................... .......... ..... ....... ... .. .. . .. .......... .. .. ... _ a:_' ...... ........ .....-LIST OF. PROFE _.. . :: ----- .. ...,... _ -.. _._.. .: . ... -- . - .. _. . ...... ...................._ .-...... -- . 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" - ....... . _ . ... . ...... ..... .. .. ... r........ .. .:: .. .. ......... ..... _ - _... ............... . .. .. ... _ .--:: _ - - ... ,._.. ., .. ,... _ - - - - ...- , .. ..... ,_ .. -- - — - N . . , .....-.... .. .. ,. ..1.:. _, : ' ..: :. . ... . . - ,: :. . ' ,. �-:..:... .-. . .:... .1-:. 9. . .=*.,-.:::��..:.:..-.:... :'... -.:"-. . ,. --.*.-:...-.:.*-.�.-in-..-,:-%.:-.--n�-: -:.n":-.�.-.:..,.-.- ...: ...:*- -,...::.;,.-.::.n...�,-.::..: ::I...--:-..-..-:-,.::.�..-i-, -t,.!:_...:-,....::�.!.:--:�—,.'--A-���:I,- ...-. ::.... :: ; -" BRAZaS.. -O.UNTY- , ETENTiON CENTER °:.... :: :::...:..._ - . - -:..: . ... .... . ......... . . :::: -::. ::.::: - :::INMATE :PROPERTY:INVENTORY-FOR M.. ; ::_: - :: :. _. .... , • ' :... " - _' _:::...' Date lnifi a Left Facility::10/19%2022 ,--...':-. •.. . . -. ...-- :.:: .::..:::... - :: ::. -.::. :.:-_ :.:.:..-.: :::::.:.:=:: _4O#:135727. : ..: °:.-:.::- - ' :. ; :,: '...,.:.:.This I to advise you, "Nevvbrey, Lindsey Renee that. the Brazos county Office of the Sheriff -will grant you.•::.::..' .. • :. : .... ::.: :n. -:.:: :-..:::.::::; a-: eriod_of one week.:(five.working days) to have anyone of your choice .. ....:a. d/or receive,any and : • . _ ali_propeityahat you have accumulated ring your time i'carcerated in the Brazos Cb nt itntion :: ° : - ::`°:: '_- .. ... :_- _ " -_` ; ::.;Center.:.. in ;the .event that no, one ba" s picked _ap,your ro e , after the 'expiation of one'yvOld (fine :. .:.: _ --; , ;..•., :.. ,,working day"s), any and aiI property will be`do, Hated to thesrazas County Shenffn Office and disposed of:.: ^ _ ;:- ::.. ;.: ". = to the persan(sj or organization of choice by xhe order of the Sheriff of Braios_County, Texas: _Your :. _ - :. . _.. ::. _:property"will Hat be released to anyone other than the person thaf you have..designated to pickit up : :: `_ . aril can be picked ii from the Release lobo of the Brazos toun.. Detention Center located at:1835 P Y" :. .:: .: :: :........ .... . ' = ::Sacidy Poin#:Rd. Bryan, TX-77807.-: To avoid lona`wait times olea5e_scheduie the oickuo 24 houis in :_ ::..: - :. -:, ..: : : :..." :.' ... - . . . ::. advance.._:;: ; :' : ::: , : ':.,:::.::a: :'.. ..: : :--:.:";-; , : --:,;n.n. ,,,. „:,; .....,.. ,... _ ................. ' :: -.:::: lIS2OF PROPERTY..::.::° .: =: 1 i nR: - :6 ::.... _ .... :.:... . - .,, . )' I-.• • .: S n— .... .. -7 2: Y Qom• :•':--.. '_;:..:: , ) , ...'. - - ..:.::::: - V. ,.: :.. II ". .. 3 Sono-e5 :......... , , :. ,) ...: . . } . ;". ' .. 4 5 . ._ .... , .. .. . .. . ' `5 }: .., , ....... . :...::: .: - - ... . . -.-:'.::: ..:: :' ::,.. , :: - : , .., .:. , Inmate.S!grtature ::.. -- - - r, ..• .:::..".Date.ld/19J2U22,: ::.::: _ :.::: : . :`-::: ' : = : Officer Sigriatur • . ':'= ::' - : Date:10 22.:= :. _ . °.:- '`: , , ' - --- . . ::Person Des'gnated To Pick Up Property::..... ; :_- _ :.:._ = . ':.:.:. : ' : .. : • _ . - •.. L. ....."... :::::- : . ::: :::::... _:r: .... ,..:.:::Name. '. �O� -io4 tir :.... . . .,.._ . .. ' ... , ,. ." ,- .:: -:::.-•-::_..: Address: :— . ... ' ,.. ".. ,,........ .. - ....... ............... ... .. .,,.,......:::F:-..... .. _. .. ........... ... . ... . ....: ..... .., , .,..... ....... ., ...... -,". . ....... :. :.... :.. - ..., ,.... - -: - , - .. , ::.Phone#:.:'.' ,:'. ' •:= ... ... - --- - .... -- ... ... ........... .. ,. .,., . ..........:::..::.- ' .... .. .:::::.., ,,,.. . ,:.: . . „ ....... . ......... -... ,...... , ...,... . ......, . ........:... . . ......... . .., , ..-.. . Date :. , ::'':, :...::Receivers Signature::_ .." . :.. : . - : :.:' . . - :.. - ... :...:... •.:• • ... •. : : - ::::: ' _ _.:,::- tindude-CopyOf 1.) ..' = :--: ::::,_ .::.:. :: ::: _: `::: -. - ,.-, . ,,, . -- ...- -- --- - . - . .. r.:; - ---...-: - ::..::....::.::.. .:. :s:: ':1 ..:::',:::::::.:. ...... .. - . , ::--::: •: - :: :.:.•. - . ; _ .. ::::: `:: Date. :...:_ :: �' ,�:::_ :' _ :...... " .: - -.::Releasing Officers Signature:::.:,: '= = ::--::::' - - - : -:.:. -....: ..:. . : .... - . - :,. -::.::- :. ... .1 - .. - -. . :. -:: . . -- . ---- - -_.. - ,..... ............ .... .............. ..: . ... :i. if ..• � BRAZQS:CCyUI�TY"DETENTION:CENTER':i:� ,F ;RiIVI; '�; NMATE PROP ERTY; INVENTORY O i .. :: 2:....: Left Facilit%fix • .:.; .pate.lnrnate • Jill ,1 .U9412 „ :: ##.122945: ':. is'is to advise. ou .BUSTAMAi�iTE; ARMAND0 th'6Vthe B'i`azos.County:Office:of:the Sh6riff Will, grant. rn.. ,., .. v . „ .,:: . - d'of one week, five*workin' da t) to have,anyone''of,you'r'' ehoice pickup;;arid%or receive'any.:.';• ;. you a. perio. ( g. Y., " and ai roe that ' "ou hay."e, accumulate4 tluring. your`'time' ngarcerate"tl,`in tiie ``Br zas' County' :'`; ; :•' ; n �, p,;,,. P .rty Y.., . : . :.. Detention'.Certer,: ' In''tiie,event #hat. ho'one.has'picked up your`prop'erty afte..tfie expiretion.'of one' :..week five wor&in da' 's ;' an' and'ali•'property,will pe'tlonated 'tp the.Brazos' County SherifYs:OfFice and :disco§e'&J d to' fFie persons) d0 brgantzation 'of -choice by'ithe'order of'the Sheriff. of Braios. County :. .• "r ro`"e wi 1 net -be released to, anydne'otherAhari tf*m perso„n'thaL,you have `designated'. ::... ;TiWs...:You... p . rtY . i. to " ick it u 'and can:�e picked up''frorri'ttie'Release.Lobby'of,thi Brazos County Detention Center, i ::., : . located :at 836.Sand :'Point lid: �ryaii; TX T780T; ::;; To• avoid loin ' wait'tiri�os'blease scfiedu'le the v., "nce. _ •ii'adva c ku' h 'nrs�i I .. :E PR •P ER -Ms" if TO F 0 ' LIS 1• V. ..1� , •ti' J� '9 V '.10• 1 'a. fit ! iki i.: if Al i N te10 21 2022 . •`I 'mat '•atu e� L 'tia n i;. l Q2 t t1Q Off"c �•atu te: �if ae o' e :r Pr •o: ck'�U� �e'` �T Pl ' �e`'i' "at d Person s �i�' ers. p •P p f. is t r r' 1:7i'• i N rn i stir i• '�1 i } 1 rr r (. d es S: •4 •'G '•Ad r ��. •1 t fit .r r` , Y• r ,-,'' r i1. .�r r �,V •`ne Ph0 if if if Dae::,:::; is S at• `r t cei e i u •Re v 'n I O D 'tle Co' f cu `fn I i,• iy . p .`` D L ' ate: ;• •.::;i...: Re)easipg:Qf ricers Sig aufe 1": 2, :10A . .. . ...... .. . .... . .... . 11 jo 03 appl) ............ .77 ... . .. .... .. ... ... ... :!1 0. . . ....... .. . ... ...... . ... ji; :aweN ... .. ... .. . .. ... .. 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Fit" it DEPARTMENT DATE OF COURT MEETING: ITEM: TO: DATE: FISCAL IMPACT. BUDGETED: DOLLAR AMOUNT: BRAZOS COUNTY BRYAN, TEXAS NUMBER: 12/13/2022 Approval of Public Official Bonds. Commissioners Court 11 /29/2022 False False $0.00 ATTACHMENTS: File Name Description Type No Attachments Available RE APPRO (a 1 13 )ate Duane Peters Date County Judge Pg. �--7 0 Bonds to be Approved in Commissioners' Court on December 13, 2022. Amanda Matzke, Judge, County Court at Law #1 Roy Brantley, Judge, County Court at Law #2 Laura Taylor Davis, County Treasurer Jeff Reeves, Constable, Pct. 1 t i. __ 3 Pg. -LA-1 l DEPARTMENT DATE OF COURT MEETING: ITEM: TO: DATE: FISCAL IMPACT. BUDGETED: DOLLAR AMOUNT: ATTACHMENTS. - File Name Request Letter from JP 3.pdf BRAZOS COUNTY BRYAN, TEXAS NUMBER: 12113/2022 Request approval from Justice of the Peace, Pct. 3 for a $100.00 change fund increase to fill the money drawer for the new JP3 Cleric 1. Commissioners Court 12/07/2022 False False $0.00 Description Request Letter from JP 3 Type Backup Material Duane Peters County Judge Vol. v 9Pg. � 7� _L DocuSign Envelope:ID: EEDF5421-AEBD-49FA A3B6-71AB4106.C76B _-THIS ADMINISTRATIVE `SERVICES AGREEMENT. the Agreement) ..is made -and.... . :entered into as .of, the'Effective Date: indicated on the:cover page of this Agreement and is by and between Texas -Association of Counties Health and Employee Benefits Pool (referred to as HEBP) and Brazos: County (referred to as Plan Administrator or :Member). RECITALS.. WHEREAS,. Plan ,'Administrator, 'a governmental entity, hasvvoluntarily established .a self funded: employee health and welfare benefit pian. ("the Plan") for the benefit of certain of its officials; employees, retirees and their dependents and -the Plan Administrator shall - be the final arbitrator'and have the -final authority regarding interpretation: of the Plan; WHEREAS; Plan.Administrator desires to:engage H.EBP, also.'a:governmental entity; to administer, supervise, and generally :manage, certain, health benefit coverages and to provide... those services .described below .and in any attachments hereto to .'.Plan Administrator to assist: the: Plan Administrator h performing: its Plan Administration functions: HEBP-shall not' deemed .to have any discretionary authority ordisc' tion'ary control regarding management of thb Plan or any assets bf the Plan; and WHEREAS, HEBP and iMember understand and, agree that HEBPmay use independent contractors to perform some or all of 'the services to: be:performed by HEBP':pursuant to this agreement; .: THEREFORE, the parties -agree as follows: Section 1'. Definitions ::. ........ 1.01 Administrative :Charge:means the. Monthly consideration that is required'* -HEBP for the administrative services performed under:this Agreement in: support of the Plan. These charges .are indicated in Item Five of the most. current Fee Schedule. 1..02: Agreement means this Administrative Services Agreement and any amendments;: ; addenda, exhibits, appendices, and/or schedules attached hereto. 1.03 : 'Certificate of Creditable Coveragemeans a document that is generated for Participants terminating coverage under Member's Plan. The certificate is, provided to Participants as evidence for credit of health coverage held under . Member's Plan while if is administered by HEBP. 1.04 Claims Administrative Documents may include: any benefit booklets, exhibits Pg ......... ... DocuSign Envelope:ID: EEDF5421-AEBD-49FA-A3B6-71AB4106C76B :. (including Plan Service Area. exhibit , 'and- any other addenda, amendments, or changes hereto. 1.05.: Claims Administrator means the Texas Association of Counties Health:and' Employee Benefits Pool (HEBP).. It is understood by the parties to this. Agreementthat HEBP may, in its -sale discretion; use independent, contractors to ;- perForm some or_a11.of its responsibilities under this Agreement. . 1:06 Effective. Date means the date shown on the cover page of this Agreement. 1.07: .Fee Schedule means the attached::specifications setting: out certain particulars: of this Agreement or any other subsequent set of specifications'supplied. by HE.BP as a replacement Fee Schedule: The specificatlons or items of the Fee Schedule shall be applicable for the Fee Schedule, Period, except.that:any item of the Fee Schedule may be changed in accord:ance:with the provisions detailed in SECTION .III=:DUTiES_AND'RESPONSIBILITIES OF PLAN ADMINISTRATOR, ... Section 3:05b of this. Agreement:......... . 1.08 Fee Schedule Period°means the:period of time beginning and.ending'oh the. dates shown in Item One of.the most current: Fee -Schedule. 1.09 Member means: Somewhere County, a self -insured governmental entity:and: member of HEBP. 1.10. ...... .Month means each succeeding calendar: month period beginning on the. . Effective.Date of this Agreement.. 1 A 1 Network means -identified physicians, other professional health care providers, hospitals, ancilla :providers, and other health care facilities and pharmacies that are available.to Participants in the Plan. 1.12: -Participant means an.iridividual official or:dependent s of an official, emp ogee: . or dependent(s): of an employee, .a retired: official, employee. or dePendent(s) of a retired employee, and certain continued persons and their dependents covered -under a continuation provision, whose coverage has become effective in ..... . accordance with the terms of Member's:Plan. .:1.13 Plan means a.: program of;health and welfare benefits established by Member for _ the b.enefitof certain of its ,officials,: employees, retirees and.their dependents.... 1:.14 Plant Administrator as used: in this Agreement, .is the Member:. 1.15 PIan Service Area means a geographical area in which a Network of preferred providers.is offered and available, and is used to.determine eligibility. for managed health care benefits under Member's-Plan. T 4 Vol. �� ....... ......... ...... DocuSign Envelope:ID: EEDF5421-AEBD-4.9FA-A3B6-71AB4106C76B 1.16 Plan Year.means the twelve-month period -beginning on the. Effective. Date indicated:on the cover page:of this Agreement and'continuing for twelve consecutive calendar. Months thereafter (unless an alternative period of time is specified). 1.17 Records means a Participant's medical, financial,: or, personal data, (including patient -specific diagnoses) or data that.enable one to derive such Participant's medical, financial, of personal. data: 1.18 Run -Off Claim, means a claim incurred preceding termination of this Agreement .: that is considered for payment d u ring: theRun-Off Period:. 1.19 Run -Off Period means the twelve -Month period: immediately following - _ termination of this Agreement. 1:20 . . . .. . Subscriber means an individual official, employee, -retired employee or continued person.whose. coverage has become effective.under this Agreement. 1.21 Subscriber -Unit means the specific coverage issued for an individual Subscriber and his: or her: covered deperident(s), if any, under the Plan whose coverage is identified by a unique Subscriber.identification (lD) number: 1,22 Supplemental Billing meem'an:invoice billing;for,costs due and payable to HEBP that:is separate and apart:from the Administrative Charge detailed in this Agreement. Any cust.omized materials or additional services. or supplies mutually agreed.between the parties and not documented in the most current Fee Schedule_maybe subject.to,Supplemental Billing. 1.23. Termination Administrative Charge: means the consideration that is required by HEBP,for the services:performed during'the'Run-off Period: 1.24. Timely means within :ten (10) calendar.days following the occurrence of an . 'event, the _receipt of a billing.ptatement: or the creation of_ any legal or contractual obligation,, unless an alternative standard is specified and agreed to in writing by the. Plan Administrator and HEBP: A charge, equal to the amount specified. in. _. SECTION Vill, MISCELLANEOUS: PROVISIONS, Daily Charge subsection,: may be assessed for, late remittances. 1'.25 Valid Claim means -a claim incurred for supplies and/or services rendered to a: -:Participant that is detininined by the Claims Administrator: or.the Plan Administrator to be a covered. benefit under the..Plan during the :term: of this Agreement. For additional information Valid Claim, which may.also .include Network access fees and Subscriber liability recalculations, refer to Addendum. B attached to and made a part of this Agreement:' . Vol. pg. 5 DocuSign Envelope: ID: EEDF5421-AEBD-49FAA3B6-71AB4106C76B Section IL. Duties and Responsibilities of HEBP ..2..01 Participant E1191bility. In connection with the processing of claims for ben.. it's', HEBP will .determine if a Participant is enrolled under the Plan based on eligibility and: other information: provided by the Plan: Administrator. HEBP does not have discretionary. authority to determine:eligibility ur3der Membe�'s :Plan.. Plan: Administrator shall make all fnal_determinations regarding eligibility. 2.02- :Claims Services.. a. Claims: Administration. HEBP shall administer:claims as provided'in this :Agreement. HEBP. is empowered 6y the Plan Administrator to do all things it deems necessary to carry out the. terms. and purpose-s:of-Members Plah.only as expressly stated in this Agreement or as mutually agreed to. in writing between the parties hereto. HEBP has discretion, subject to Member:'s fnal . authority, to determine whether claims are payable under the Member's Plan' b. Claims Processing. HEBP will receive claims,: enter claims data into the claims processing: system; determine whether'benefits are:payable in accordance with the Plan Administrator's specifications; provide utilization review,.apply allowable amount determin-AUO.hs, and administer coordination ::. .. of benefits with other plans; when appropriate;' HEBP will use its=best efforts .. .. to -correctly process, claims and -pay benefits in accordance with information:- provided .by the Plan Administrator: - c: Claims Payment If. HEBP determines that aclaim for benefits is a Valid Claim, or if Plan'Administrator directs HEBP, in writing; to honor a claim for benefits,: HEBP will 'arrange for the payment of the claim pursuant.to the terms of his Agreement:and.Addendum A; Transfer Paymentand Other - Financial Responsibilities. d.. Claims Notification.: HEBP will. prepare and mail :explanation of benefit forms for medical _and dental claims. sw e..Claim's Recovery. The Plan Administrator acknowledges that; because of the great volume of claims processed by.HEBP, unintentional administrative: errors may occur. When HEBP becomes aware of a claims overpayment; HEBP will :promptly take the appropriate acti6ri ' in accordance-w th .HEBP's standard procedures, to recover the excess payment at HEBP's sole expense. HEBP; however, will not be required to enter=into litigation to obtain a recovery, nor will HEBP be required to reimburse the Plan, except for gross negligence or intentional acts by HEBP. . 6. 'Vol. 3�_ Pg. a-7 5 DocuSign Envelope:ID: EEDF5421-AEBD-49FA-A3B6-71AB4106C76B HEBP will provide:reasonable assistance. to .Plan Administrator in pursuing rights of recovery arising_fr6rh:Ci lain overpayments or such provisions as coordination of benefits, subrogation, and fraud detection, -Drily subrogation recoveries are subject to those fees: indicated in item Three of the most:: current Fee:Schedule.: f..: Claim Review and:lnterpretafion: of the Plan. HEBP will receive and review Claims. for benefits under the Plan: .The .operation and administration of the . Plan require uniformity regarding the intent and'the interpretationof the Plan's ......... provisions. The .Plan Administrator has full and complete authority -and..... . discretion to make decisions regarding: Plan provisions and to determine questions of eligibility and benefits,. HEBP assumes only the authority and discretion as given by the Plan . :Administrator to interpret benefits based on medical necessity, allowable amount, or experimental/investigational .guidelines: that are. in accordance with the -provisions in Member's Plan. Any decision that is not arbitrary or ...... ........ capricious=shall,be.final and conclusive,. subject to any. right to appeal.a..... . determination to, the Plan Administrator. On,occaslon, HEBP, in its role as Claims. Administrator, may deny all or part of,submitted;claims..:HEBP will.provide_ a full and fair review of any determination of a claim, any determination of a request`for precertification, and any other determination made as the Claims: Ad min istratorin accordance with the benefits and procedures detailed:in'Meinber's Plan:: HEBP.will use its best efforts, consistent with- administrative practices and any procedures:.: established. in writing between. HEBP and. the:Plan acid consistent with industry standards, to accurately process all -claims. g: Referral of Certa1n•Claims/Inquiries.: As provided in -this Agreement; HEBP Will receive: eligibility information, review and process claims, -and respond to customer inquiries; however, HEBP does -not have final authority to: determine Participants' eligibility or to establish or construe the terms and conditions of: Member's Plan.. Therefore, in certain instances; HEBP may refer certain: . claims.to the Plan Administrator for review and fiinal decision, particularly .when those claims for -services do not appear to qualifyfor payment under. . Membees Plan., claims or inquiries where there is a question of eligibility.;: claims where there is a question as to the amount of payment due, and claims invoiving litigation: or the threat of litigation_. Such referral shall be at v. the sole discretion of HEBP. h. Claim Dispute Resolution. a an provides an appeals process, HEBP will cooperate by providing Records and documents. HEBP: does not have ; final authority to make determinations regarding eligibility or benefits. DocuSign Envelope:ID: EEDF5421-AEBD-49FA-A3B6-71AB4106C766 'i. Pharmacy Benefit Management: HEBP. will. provide pharmacy,benefit management services,: including claims admini;;tration, formulary management; pharmacy network management and maiEorder pharmacy: . j. EligibilityManagement: HEBP will provide an 'eligibility management including access to an on-line eligibility database; weeks eligibility program ..g ..... g...ty Y .9...� Y :feeds to contractors; error resolution. and periodic eligibiiity:reports. 2.03. Participant and•Piovider Education.... In:accordance with its standard -procedures,, HEBP Wiil assist.the Plan Administrator, if requested,.in.initial enrollment -activities, including, education of Participants about benefits, the enrollment- process, .selection -of health care providers,. and. how to file 8-claim for benefits. HEBP will also issue claim submission instructions on behalf of: the:: ; Plan Administrator to health care providers who render services to Participants. 2.04. Reports. HEBP: shall provide Monthly billing statements and periodic reports: In the: event that Plan Administrator purchases stop-loss:coverage.from HEBR.ali ... . necessary reporting, tracking, .notification, acid other:similar financial and/of' administrative services for setilements:af.such stop=loss.policywill be included. 2.05. Claim Payment kiformationand Records.. HEBP shall maintaincurrent Records on all:Participants and shall safeguard.the confidentiality: of any medical information' contained in sUdh Records, pursuant to SECTION VII CONFIDENTIALITY:of this Agreement.'HEBP shag maintain adequate Records. of claims "made: and benefits paid .in such form And format as maybe.determined :. by HEBP. Plan Administrator: shall have rights in and access to:such Records,, subject to the terms of SECTION VI ACCESS TO INFORMATION and SECTION VII CONFIDENTIALITY of.this.Agreement-and the Business Associate . Agreementpreviously executed by.HE13P and Member. HEBP will provide copies of individuahblaim information for a:specific Participant: as provided in the Business Associate Agreement:. Upon receipt of a -written request -from the Plan Administrator, HEBP will: provide the specified: information in accordance with the -terms of the Business Associate Agreement. 2.06 Reporting Services. HEBP will .prepare and file annual Internal Revenue Service (IRS) 1099.forms :for the -reporting of paymentsto health care providers who render services to- Participants• and who are reimbursed by the Plan:for. those services. 2.07 Participant -Provider: Relationship/Network Providers/Network Information. . The choice of a health care provider should be made solely by the Participant.: The Claims Administrator does; hot furnish health care services,or sup'plies but only makes payment for eligible health care expenses that are incurred by Participants. HEBP, as, the Claims Administrator, is not liable, for any act or s V531s ... Pg. DocuSign Envelope:ID: EEDF5421-AEBD-49FA A3B6-71AB4106C76B omission by any health care provider.; The Claims Administrator.does not have any responsibility for a health care provider's fallure.or refusal to provide services : or supplies: Care and treatment` received are subject to the rotes and regulations of the health care provider selected ;by `the: Participant and are; available only for:. sickness or injury treatment acceptable to the health, care provider-. :.: When the Plan Administrator has managed health care'coverage, HEBP shall make available via the .internet. to Plari Adrninistratoes: Participants Networks and. Network information. Upon request, HEBP shall periodically furnish Network provider directories. to .Participants enrolled .under managed -health care coverage administered by HEBP:: The directories will list names; locations, and other - 'information specific to those- physicians, hospitals,. and- other health care providers and facilities in the Participant's deslgnatec! Plan Service Area. 2.08:: Certificates of Creditable Coverage. HEBP shall generate Certificates: of . . Creditable Coverage for all Participants terminating.group health coverage provided by:the Plan, including'coverage,held under the,Consolidated Omnibus , Budget Reconciliation Act of 1985 (COBRA), as required: by the Health Insurance Portability.and Accountability Act of" 1996 (HIPAA). The documents will provide .... ..... the period of coverage beginning "on the Participant's date of enrollment in the Plan (if provided: by the Plan Administrator as specified under. SECTION ii DUTIES AND RESP:ONSIBILIT] ES OF PLAN ADMINISTRATOR, 3.02 of:this Agreement) and ending with the. Participant's. date of termination 99'verified by eligibility records provided: by. Plan Administrator.:and. maintained by HEBP. - These Certificates of Creditable Coverage will be mailed to:tle .Participant's last known address as provided to HEBP by the Plan Administrator:: If such address is not made available to HEBP or is, unavailable; the Certificate. of Coverage will besent to the Plan:Administrator for appropriate delive rY- 2.09 Client Services and Materials. -As Claims Administrator, HEBP. will provide those items selected from the listing below: a. Enrollment Materials. Implementation materials; if elected by, the Plan Administrator, will be provided by HEBP during the. enrollment process. Any custom designed materials maybe subject to Supplemental Billing. b. Subscriberldentification Cards. HEBP will provide Subscriber dentlfication:cards for PPO Managed Health Care. benefit. coverage or Subscriber identifcation cards for Traditional (Out -of -Area) Indemnity benefit coverage.. A Subscriber identification card will: be prepared for each officer and: employee and. for each eligible, family member. If the Plan Administrator requires customization of the Subscriber identification cards, a Supplemental Billing.may be prepared by HEBP and submitted to the Plan.Administrator for payment. HEBP will also provide Subscriber -identification cards for prescription drug benefits. 9 Vol. Pg• :: DocuSign Envelope:iD: EEDF5421-AEBD-49FA-A3B6-71AB4106.C76B : .. c: Claims Administrative D.ocuments:and.otherAttachments...Clairiis - Administrative Documentswill! be provided. The Claims Administrative .Documents and all attachrrients,will be identified 'in -the most current Fee .Schedule attached to and made:a:parf:of this Agreement:: Any customization of these docurhents.at:the request of the Plan- Administrator; which re wres' manuscript. modificatians,.may.be subject -to. Supplemental Billing. ...::: d. Managed: Care Networks.:As. applied to.frianaged health care. coverage, preferred provider Networks will be available. and. accessible; All decisions relating to medical. care and treatment remain exclusively with the health -care provider, and the pafrent. e. Provider Directories. Network.provider directories and "periodic updates_ will - be furnished by the Claims Administrator for each Subscriber upon their enrollment:.underthe managed health care coverage benefits administered by HEBP. This service.will'be identified.:in.the most current -Fee Schedule = =attached to and made a part of this,Agreement. f. Customer Service.: A toll -free customer service telephone number, as listed in the benefit booklets and on theidentification cards, wili:be available to. :. . : Participants and their health care providers, during normal customer -service hours. g. Medical Precertification He line. For those services determined by the Plan Administrator -and provided in writing to HEBP that require precertificatioh; HEBP will reviewJn advance, the medical necessity of those services. covered under the:Plan. A toll -free medical precertification helpline will :be made available: for Participants and .their. health care :providers to call . ........ for assistance...:: h.. Case Management. , Case-Managemeni:is a service.provided by the Claims . Administrator whereby alternative. benefits may be offered' which are not 'expenses otherwise eligible but would proveto be more effective for the Pwrticipant and a cost savings to the Plan Administrator. is Utilization Review 'Utilization review management services are provided by HEBP-as the Claims Adrrliristrator. Concurrent reviews, discharge: planning :. . :and retrospective reviews are designed at reduce the occurrence of unnecessary or inappropriate hospitalizations of, patients,: Vol, �Pg, 10 . . DocuSign Envelope][): EEDF5421-AEBD749FA-A3B6-71AB4106C76B Disabled.De0endenf Eli ib!h � Revrew...H.EBP will: provide..medical eevieW' 9� �fY to determine continued: Dependent eligibility based on receipt of a completed Depe'rident'Child's, Statement of Disability'For b provided bythe'Subscriber: :lf:medical records or supporting:documentation are required, such requirements will be communicated b the Subscriber who will be responsible for obtaining that information..(including payment. of any fees that may be :assessed by'a third: party to provide:such records) and submitting the-. ::.information to: HEBP:. 2.10: Additional Services Not Specified.. HEBP may provide additional services .not: speefied ,in this Agreement. Such services will. b.e.mutually agreed. upon between Plan.Administrator:and HEBP and Will.;be identified in the ;Most current Fee Schedule or through Supplemental Billing. Section lll. Dutles:and Responsibilities of Plan Administrator 3.01 Plan: Documents.: -The Plan Administrator shall furnish to: the HEBP all documents under which the Plan is 'established:. The Plan Administrator may request, in :writing, changes to the benefits or administration of the Plan within thirty (30) days in advance of such change. Plan Administrator understands.that.: changes in benefits ate: subject to prioriapproval by HEBP and may result in.:: . adjustments. to the Administrative Charge as explained in Subsection 3.05 Administrative Charges and Charges for Additional Services, below. 3.02 Provision -of Eligibility Information. -Plan Administrator will provide, oh'a Timel basis, from the date of: receipt, eli ibiii reformation mcludin al[ char es y P 9 ty : ( 9 9 In Participant eligibility whether by reason. of termination, change in classification, additions, and any other. reason, by -entering such changes into the eligibility database in :a format acceptable to HEBP. HEBP-shall be entitledto rely on the accuracy of such information.: Any loss related toahe accuracyor availability of _. eligibility information, by either HEBP or the Plan Administrator, shall be subject .... . . Jo the terms of SECTION Y LIMITATION OF LIABILITY AND INDEMNIFICATION of this Agreement. The Plan Admin[strator.shall maintain any enrollment applicatioris and change forms completed by Participants -and.. allow HEBP reasonable access to this,information as needed -for administrative purposes: 3 �4 Fig- 3 11 DocuSign Envelope: ID: EEDF5421-AEBD-49FA-A3B6-71AB4106.C76B Eligibility information includes.but is not limited to; .qq a: Copies of Subscribers' application forms,' if on paper; b: Participants.' home addresses -:(including an de ..endent's address,. if different Y' P from that of the Subscriber); c: Participants' prior health coverage 'information; and d...Subsctibers' .employment dates. and Participants' enrollment dates: 3.03 Distribution of Information -. Plan Administrator shall maintain and distribute to all .eligible Partici ants(and returnto HEBP; if necessary) all appropriate materials PproP :and forms as may be required to comply with applicable: law:: = 3.04 Notification ,of toss of Eligibility. If a Partioipant ceases:: to be.. .eligible for: benefits, Plan Administrator will convey: the termination to-HEBP in a Timely manner,upon knowledge of such information... Upon termination of the Participant, Plan Administrator, and not--HEBP, will be liable for any and all claims occurring between the date eligibility is lost'and .ttfe date HEBP receives. actual notice. of .the termlha'tion of the Participant: ::3:05 Administrative and Othor Charges. _ . a Plan Administrator will pay to HEBP the Administrative Charges specified.:in this. .A&e' ement within .ten : (14) days'.'of. ' the first day. of.' each Month.'' Administrative Charges will be paid. based -upon enrollment inforrnation..HEBP- - receives regarding::current enrollment as of the first day of each Month. Appropriate adjustrhents.-will be made for enrollment variances.. HEBP shall . .- provido. notification regarding any discrepancies: b:: Pharmacy Benefit :. Management .Fees are assessed:' and collected : per prescription filled. :. c: HEBP reserves.the--right to change -the. Administrative Charge if a substantial change occurs in the number or composition: of employees covered, which ..results from:. 1. 'A change in the benefit specifications provided under the contract; or 2: A change: in: the Member's contribution level or.other consideration paid by the. Member if it results in a decrease: in participation; or Vol. 3�.. Pg. � 12 DocuSign Envelope:ID: EEDF5421-AEBD-49FA-A3B6-71AB4106C76B S. A. substantial change, in. the number of Subscribers covered under this contract. A substantial change would be deemed to have. occurred when the number of employees covered changes by: i. 10% or more: over. a 30 day period;:or ii. 25% or more over a 90 day period. In such event, HEBP reserves the right to adjust the rates on any due date occurring between :the -date such :substantial change is :identified and the next Fee Schedule period. d. Additional charges may be imposed if: 1: Either HEBP or Member files for bankruptcy or. reorganization understate or federal law. :2. The Administrative Charge. becomes subject to premium tax... -Any Administrative :Charges shall automatically be increased by the amount of any taxes imposed, increased, or adjudged due by any lawful authority on or after the contract date, which .HEBP is required .to pay or remit, whether relating to: fees, services, benefits, payments, .or any other aspect.of :this contract: 3: Future changes mandated by legislation or other- law result in an increase in cost to HEBP in pertorming under this Agreement. e In.addition to the Administrative Charge, Plan Administrator shall reimburse HEBP for.the direct cost 'of special or customized supplies; reports, forms, or other_services provided by'HEBP for Plan Administrator acid-indicate.d..in the most current Fee Schedule. Reimbursement of charges for additional services will be limited to those mutually agreed upon by Plan Administrator and HEBP before. HEBP incurs the cost of such services. f.: In addition to: the amounts due and ;payable each Month, HEBP may charge Plan Administrator for: 1. Reasonable fees for the reproduction or return of Records requested by Plan Administrator,, a governmental agency, or pursuant to- a court order; and 2. Any other fees: that may_ be assessed by third parties for services rendered to the Plan Administrator and/or any other fees for services mutually agreed Vol, Pg. A,_s 13 DocuSign Envelope.ID: EEDF5421-AEBD-49FA-A3B6-71AB4106C76B :.. upon. by. the pa shown in "Item. Three. of the most current Fee . Schedule. 9 Performance of all duties and obligations of -HEBP under this Agreement are contingent upon the payment of Administr8tiv6 -Charges in: accordance with ection a of this.Agree'ment. &06 Bank Account. Plan Administrator will establish: an account with: a state or nationally chartered bank' (to.: be . agreed -'Up on . by . _HEBP and .the, _,Plan Administrator). Plan Administrator shall maintain such, account in conformance with Addendum A: Transfer Payment and Other.Finaneiai- Responsibilities. 3;07.- COBRA Administration Compliance: The Member is responsible for complying with:COBRA and the Public Health Services Act concerning continuation of health coverage.... 3.08. Final Determination: of- Claims/lnqutries� Member,' s. the: Plan Administrator, retains..the.fnal authority-and-responsibility.to..establish and construe the terms and conditions -of Members. Plan and to determine. Participant eligibility. Certain claims and/or inquiries will be referred to the Plan Administratorfor final review. and determination inahe following instances, a. Pursuant to SECTION: II DUTIES AND RESPONSIBILITIES OF: HEBP, 2.02, :: g,.when claims 'for -.services do :notAppear to : ua..li .. un erfor Paymen . Member's Plan claims or inquiries where there is a uestion of ell ibility claims where .there is a question: as to the amount:,of payment. due' :and claims involving litigation or the threat of litigation; and b: Pursuant to SECTION Ii — DUTIES AND RESPONSIBILITIES OF HEBP, 2.021 h, when a Participant chooses to appeal adverse determinations with the Plan Administrator afterexhaustion of all remedies offered by HEBP: ma 3.09 Compliance with Applicable ;Law. Plan Administrator will comply, with all legal: requirements applicable to the Plan and satisfy any and: all reporting, notice, P9; - Vol.. h 14 I DocuSign Envelope, ID: EEDF5421-AEBD.-49FAA3B6-71AB4106C76B disclosure, .fil[ng; -and modification. requirements: imposed- by -applicable- lawn and .. regulations, (state and/or federal). sa 3.10:: Plane: Administrator: Liaison. Plan' :Administrator: shall.' designate. a. Pool Coordinator,: who will. a. Obtain and follow-up. on additional ;service information;- b. :Verify eligibility'of Participants; c. Assist - in:.: resolving claim : . disputes and recurring problems with the :administration. proceduresspecificto.Member's Plan; d.Report suspected fraud or other.:abuse:of Member':s Plan; e. Evaluate. other specific -situations that warrant attention; and: f. Coordinate. with and assist HEBP on any matters necessary to facilitate the :. :proper administration of this Agreement: 3:11 Acceptance of Networks. and Plan Service Areas. Plan Administrator shall be provided notice . of..the. Plan Service.. Areas 'th' are. available :for the Plan Administrator's managed health care- benefit coverage -and prescription dnrg coverage. The Plan -Administrator agrees to accept Network providers and facilities located in such Plan' Service Areas.as:in-network providers: and facilities beginning on 'the Effective .Date shown on the cover page of 'this Agreement. HEBP reserves the: right to manage the. Networks, as needed, in these Plan ervIce Areas, Section -IV. Term and Termination- 4.01 This Agreement shall continue in .ful[ force and effect from' Plan Yearto.:Plan Year unless:terminated as provided herein. 4.02. This.Agreement;may be.terminated:as follows: a. By either party at -the .end of any Plan Yearfollowing written notice to the... .... .. other party given,at.least thirty (30) days prior to the end of the Plan Year; b. Except as,provided in Section_4.03, below, by HEBP for cause; upon ten (10) days prior written notice (pursuant to the requirements.in:SECTION V111:=_ MISCELLANEOUS PROVISIONS, Notices and Satisfaction subsection);. if. Plan Administrator fails to meet any of its .duties or.ob[igat[ons as: provided in SECTION aii,-, DUTIES AND. RESPONSIBILITIES OF,PLAN ADMINISTRATOR within thirty (30) days after notice. of :such' deficiency is given .to.Plan Administrator by.HEBP in writing; c. By Plan Administrator for cause, upon ten (10) days prior written notice (pursuant to SECTION Vlll MISCELLANEOUS- PROVISIONS, Notices and 3 F1 7 1 V. Pg. ol5 DocuSign Envelope]D: EEDF5421-AEBD-49FA-A3B6-71AB4106C76B Satisfactionsubseotion) to.HEBP; 'ff HEBP-fails.to correct any deficiency.in' the performance of its duties nor obligations as provided in SECTION 11 DUTIES AND RESPONSlBIL1TIES OF HEBP within thirty (30) days `afterpr :notice of such deficiency is given to HEBP by Plan: Administrator in writing;: d. By both parties on any date4hutually agreed to in writing; or:= e. By either party, in the event of fraud or misrepresentation of:a material fact by ... .. MEMBER or HEBP. 4A3 HEBP shall have the right to .terminate tliis Agreement immediately. . a.:U.ponfailure of the. Plan Administratorto. pay Administrative Charges in :accordance with the provisions of SECTION Ili- DUTIES AND RESPONSIBILITIES OF PLAN ADMINISTRATOR, 3.05 a; or b.. ;Upon failure of the Plan Administrator to fund amounts: due for payment of: claims, in accordance with. Addendum k Transfer. Payment and. Othe_ r Financial' Responsibilities; or c:.lf HEBP is no: longer the sole provider of Administrative Services to the Plan: Section V. Limitation of lability and Indemnification 5.01 Regarding. disputes between .Member and HEBP that do not involve :or -implicate : liability of Member to a third party, liabilityfor any errors or omissions by HEBP:. - (or its officers, directors em to ees a ents,. or.inde endent contractors Irl the P Y g p. ) administration: -of this Agreement, .or in the performance of any dub y:or: responsibility contemplated by this Agreement, shall be limited to the maximum benefits which should: have been paid under this Agreement had the erroisor omissions not occurred (including:HEBP's share of. any arbitration expenses incurred) unless any such errors or omissions are: adjudged to be the .result of intentional misconduct; gross negligence;: or intentional breach of a duty under : this Agreement by HEBP. 5:02. Except as provided otherwise under.Section 5.03 below, .if.a claim of a third . party arises from- HEBP's performance: under this Agreement; HEBP agrees to _. indemnify -and hold harmless Plan Administrator, its officers g ,eesa em to eats, P Y. and affiliates against any and all :liability, risks, expenses, costs,: damages, losses or judgments incurred by Plan Administrator, or any of its officers, or employees,. agents and affiliates:to the extent such liability, obligatighs,:rlsks, expenses;.::.: costs, damages, losses or judgments arise out of :or -result from,. o.vare attributed to a breach of this Agreement by HEBP or the negligence, gross negligence- or P. Vol. 03 ........ . DocuSign Envelope]D: EEDF5421-AEBD-49FA-A3B6-71AB4106C76B intentional,.willful; or reekless.acts.or omissions.of HEBP in the performance of services or -duties pursuant to this Agreement. 5.03 : As Plan Administrator has -final authority to determine eligibility and benefits: under its Plan and HEBP defers final'beneftand eligibility -determinations to the Plan Administrator, HEBP shall: have no liabilityfor its determinati. 9 ons of eligibility :. ...... . or benefits except far:a determination eligibility or benefits that is:. : reversed by Plan_Administrator, inwhich case. HEBP's:potential. liability shall, be limited to.da' ages arising in. whole or in part during, the period of time.between HEBP's original denial and the reversal. of that decision. by Plan Administrator. - HEBP will not be: liable in situations where. the Plan Administrator provides coverage that is outside .the scope of its coverage. document. 5.04 The. Plan Administrator agrees to indemnify and hold .harmless HEBP, its officers; directors, employees,: affiliates and:agents against any: an d,al[.liability, obligations, risks, expenses,.costs, damages, losses; or judgments incurred by HEBP or any -of its officers, directors., employees; agents.and affiliates-to.the.. . extent such liability; obligations, risks, expenses, costs, damages, losses or judgments arise out of; result.from, or are attributed to a breach ,by.the Plan Administrator or its agents, directors, employees: or:affiliates of this Agreement, or by iogligonce- gross .negligence or intentionGil, 'willfu1, or.reckless acts or omissions of the Plan: Administrator orits agents, officers or employees, in the performance of their obligations: under this Agreement. Examples of the conduct covered by this section include, but are not limited to::.: a. An interpretation of the Plan by the Plan Administrator or authorized agents as upon-which:HEBP: relies; b. Erroneous :or iricompl'ete-information, including eligibility information, famished to HEBP by the Plan Administrators its.employees: or its agents; c. A -breach of this Agreement by the Plan Administrator. or authorized agent of the Plan :Administrator; and: - d. -Any action or. proceeding resulting from an alleged failure_ to pay benefits, - under the Claims Administrative Document; except to the, extent -of HEBP's negligence. 17 DocuSign Envelope. ID: EEDF5421-AEBD-49FA-A3l36-71AB4106.C76B 5.05 The -provisions of this section. survive the termination of this: Agreement. . 5:06 Plan Administrator and HEBP `agree to immediately notify, each 'other of any cause or action for:which either party co uld. ultimately be required to accept liability:for performance of its duties and responsibilities under this Agreement. Plan Administrator and HEBP also agree not to compromise:or settle any.such cause or action. without1he. express:writteii: consent of the other -party. Each party may; at its discretion., choose to defend: any such cause or action:- Secfion_VL-Access to: Information ..... . U1.. Access to Information.. HEBP-land. Plan Administrator will .allow each other. reasonable access to:administrative information. Plan Administrator will "allow: HEBP prompt access to claims.reporting systems. However,- access to information that is a Record:shall be under the.tolms'of SECTION:Vill: CONFIDENTIALITY-ofthis . greemen : _ ..... _ ... . 6.02 Audits. HEBP will, with thirty. (30) days prior Written notice from ' Plan : Administrator,: allow Plan Administrator or an authorized agent of. the Plan Administrator (mutually. agreed to by both parties to this Agreement) to inspect or ... ..... audit all. information- and fles.maintained by HEBP. concerning this Agreement. - Plan Administrator will be. responsible for all .costs associated with the:inspection or -audit. A Plan- Administrator or its:agent that has'access-to the information�and files maintained by HEBP will agree not to disclose any proprietary or confidential information and to hold harmless.and indemnify-HEBP in writing of any'liabilty from disclosure of such information pursuant to SECTION V11 :.. CONFIDENTIALITY of this Agreement. 6.03 Duration; These rights of access and examination. continue for three (3) years following the termination of this Agreement. HEBP will disclose information in.. accordance with the Business Associate Agreement executed by the parties: .6 04 Disclosure' f Information: During the time Records .are in its; :custody or control, HEBP will take all reasonable, precautions to prevent disclosure or use for a purpose unrelated to claims administration. HEBP-will .disclose information. only as necessary for HEBP or Member to provide: services pertaining.to Membeift Plan, .or as required bylaw. Any disclosures of Protected Health,-.. . Information will be consistent with the Business Associate Agreement. 6.05 Compliance with Laws and- Regulations. HEBP and Plan Administrator will comply with applicable state and federal laws and regulations regarding . �� �i pg; % 18. DocuSign Envelope -ID: EEDF5421-AEBD-49FA-A3B6-71AB4106C76B . confidentiality or -privacy of. Records -and other information; and cooperate to ensure such compliance. 6.0& Speeial Requests: If the Plan Administrator requests a:report in a customized format that requires system enhand6ineritk or re -programming by HEBP, or customized requests for claim: Record information; such requests will be evaluated as to the complexity and the associated costs involved to provide this information. Plan Administrator will be responsible for: any additional costs. that may be incurred and understands that any new program designs will delay the transfer of information.ands Records for. the successor administrator: All such information and Records described herein shall be subject to the terms of SECTION VII — CONFIDENTIALITY. Section V11. Confidentiality 7.01 HFBP and Plan Administrator agree that Records are valuable and confidential information. 7.02 HEBP agrees to protect -as confidential and not disclose Records and the information. they contain to any person or entity other than the Plan Administrator except as permitted by the Business Associate. Agreement, and to use Records to perform services for Plan Administrator pursuant to this Agreement. 7.03 Should. Plan AdMinistiator request Records or the information'contained in Records from HEBP, Plan:Administrator agrees to indemnify and hold harmless HEBP and its directors, -officers, and employees against any and all loss, liability, damage, penalty; and expense resultingfrom or arising out of -any allegation:or claim basedupon the disclosure by HEBP of -any Record, or any information contained within a Record to Plan Administrator.. Nothing contained herein shall .be construed to require HEBP to provide Plan Administrator with copies of individual claim information for a specific Participant . �i !Vol. Pg• lg I DocuSign Envelope:ID: EEDF5421-AEBD-49FA-A3B6-71AB4106C76B .. unless, the Plan.Administrator.secures a valid written.release from the Participant . specifically related to the claim information. 7.04.: HEBP and Plan Administrator agree that: HEBP's obligations in 6.02, above, do not apply to information that: a.. ;Is; or becomes, in the public domain;: : b. Is independentlydevelop,ed by. Plah Administrator; c. Is previously known b Plan: Administrator; p.. y Y: d: Is d htfuli le acquired from a third a 9 Y legally Y a .. g p rty not under an obligation of :confidentiality; e; Is disclosed pursuantto.subpoena or similar process of a court or. - governmental a enc f. ' :Is:disclosed pursuant -to a written release executed:by'a Participant. Section Vlll. Miscellaneous-Provislons 8:09 Arbitratio,n.: In the event the;parties fail to agree'With respect to any: matter covered herein, wherein the amount in contest does not exceedtwo hundred .fifty := thousand dollars ($250,000.00), the question in dispute shall .be submitted for arbitration in Austin, Texas. ..Upon declaration by -one of the parties.hereto that a dead lock: exists, the parties shallaelect an arbitrator: If the parties fail -.to agree on :an arbitrator within thirty-(30) days, -the American Arbitration Association shall - select an arbitrator. The arbitrator Will submit a decision within thirt 30 days after appointment or as .. y_ .Y... PP soon as reasonably feasible and such decision shall be binding on the parties ht3feto._ Arbitration expenses will be shared equally bythe parties.. All other. expenses (legal, incidental, etc..shail be bomeb the losin y g party or, 1f both parties prevail; be apportioned by the. arbitrator to each party. Arbitration proceedings will. be- governed by the Rules of the. American Arbitration Association -then in effect._ This arbitration provision does not preclude arbitration for ;a matter in controversy th:at.exceeds two: hundred fifty thousand: dollars ($250,000.00). If either HEBP or Plan Administrator is named as a: defendant Ifn litigation filed by third -party Vol. A20 ocuSign Envelope -ID: EEDF5421-AEBD-49FAA3B6-71AB4106C766 conceming.this.Agreement, this. section does not.applyto-such litigation,.and'the - parties agree that Section.V1 maybe applicable: to such litigation. Nothing contained herein shall be construed to prohibit the parties from a written mutual: agreement to submit:a'dispute in excess of two hundred fifty thou''' ' id dollars:($250,000.00) to binding arbitration. 8.02 :: Assignment. Except as provided in .Section 1.05, no:part of this Agreement: or, any rights; duties, or obligations described herein,; shall be assigned or:delegated without the:prior.express.written consent of. both parties... Any such attempted . assignment shall:be:null and void. ;HEBP's standing contractual arrangements for,the acquisition and use of facilities, services; -supplies, equipment; and personnel shall not constitute an:assignment:underahis Agreement' :. 8.03: ::... Captions. Captions appearing in this Agreementand. its attachments are P •. p �. pp 9 - provided for convenience only and in_ noway define, fiM construe, or describe. the scope: of sections or paragraphs to whichthey are inserted. 8.04 Dally Charge. Upon :the sole discretion:of HEBP, a daily charge shall be . .. assessed -for the late remittance of an s due=and a able to HEBP b y � -amount�). Py ..... y Plan Administrator. This charge shall be calculated by muitiplyingahe amount due times the lesser of: . a. The_ rate.of, A2I 0% per day: (which equates to an. amount of: 8.0% per annum, or. : . b. The maximum rate:permitted by state law. 8.05 Enforcement: Any delay or inconsistency in the enforcement of any part of this Agreement shall not constltute:a:Waiver of any rights with respect to the enforcement of this Agreement at any future date nor.shallit:iimit any remedies. which maybe soughtin any action to enforce -any provision of thisAgre6meht. 8.06. Entirety. This Agreement and any attachments {including; the Business Associate Agreement), -shall constituteahe entire Agreement: between the parties for the -purposes of this Agreement and shall -supersede any and all prior or contemporaneous Agreements or understandings, either.oral or in writing, between the parties :respecting the: subject matter herein, . 8.07 Forces Majeu:re and Majesture.: Neither party shall be liable fprany failure to Timely perform its obligations under this: Agreement if.'prevented from doing so. by a cause or causes beyond its commercially reasonable control includin but 9;_ . .. ` Q!, 21 DocuSign Envelope:ID: EEDF5421-AEBD-49FA-A3B6-71AB4106C766 -not limited .to, acts of God .ornature;: fires, floods,storms, earthquakes, riots, strikes,. wars, 'or restraints.of:government. 8.08:. Gender and Mode: The use herein of a personal pronoun iri the mascullne or feminine gender or in the singular. or plural mode; shall be deemed -to include the opposite •gender or mode unless, the context clearly. indicates the contrary. ......8.09 Governing. Law and Limited Waiver of Sovereign Immunity... This.Agreern : t _... _.. . shall be governed by, and,shalf be construed in -accordance With, the. laws of the State of Texas. HEBP, as a governmental entity; herebyconsents to be sued for breach of this Agreement, but only in Travis County, Texas: 8.10 Legal Construction. Should;any provisions) contained in this::Agreement be held to be invalid; illegal,: or otherwise'unenforceable, the remaining provisions of :. the Agreement shall:be:construed in the r.entirety as if _separate and apart from. . the invalid, illegal, or unenforceable provision(s).unless such construction were to . materially_change. the terms and -conditions of this Agreement.. -8.11 : -Modifications. Except for the Fee Schedule,. which maybe changed at any time in accordance with the provisions described .in SECTION III -- DUTIES:.AND RESPONSIBILITIES -OF: PLAN' ADMINISTRATOR; 3.05b, of this Agrees ment-by notifying the Plan Administrator in writing of such change,:no:modification, amendment, change, or waiver, of any provision;of this Agreembnt shall be valid unless agreed to in writing: by an:officer of HEBP and an authorized representative of the Plan Administrator.: . 8:12 Notices.: All notices given, under this Agreement must be in writing and shall be deemed tohave been given for all purposes when personally dellvered and received or when deposited in the United ;States mail, _first=class postage: prepaid 2 .. 2 DocuSign Envelope:ID: EEDF5421-AEBD-49FA-A3B6-71AB4106C769 IN WITNESS WHEREOF; the parties have executed this Agreernent:to take effect sari 'the Effective Date: Texas Association. of Codrities Whiber _ Brazos Grr unty Health and Employee Benefits Pool .. Docusigned by[ A 9_ Fl:7f`j7R ARP�dFR Signature'. Susan Redford TAC. Executive Director Printed Name:. Duane Peters.. Title:. Brazos County Judge 01/09/2023 1.3:55 PM CST Date:_d Date: ! ot.... . .. Vol, _. V Pg. 24 DocuSign Envelope.ID: EEDF5421-AEBD-49FA-A3B6-71AB4106.C76B These specifications are to apply for .the. period of time indicated herein and shall. continue in force. and .effect until the. end. of the Fee Schedule. Period, the Agreement is terminated, or. this Fee Schedule is superseded in whole or in part by a later executed Fee Schedule. Item One Fee Schedule:Period These specifications. are for the Fee Schedule Period. commencing on. January :I; 2023 and ending o4.1?ecember:31, 2023. Item Two Reports Monthly billing statement............................................................... No additional charge Stop=loss reporting,: tracking; and notification ................... ........ No additional charge ........ Standard reports* as specified. by the most current. reporting policy,, ............ No additional chage Any additional reports required : by the Plan Administrator must be mutually agreed upon : . .... between the Plan Administrator and BEBP. Such reports may be -subject to additional charges, which will:. be addressed through Supplemental Billing: HEBP provides .administrative claims payment services .only and does: not assume any- financials risk: or obligation with're-SP ect to claims; :. 'Item Three .. . .. :Charges for Additional Services: The following Additional Services shall be:furnished; Subrogation: .....: ......................... ..........15.0%. of any recovered amounts BlueCard® Program/Network access fees ............................ The. lesser of 10:0% of the discount or $2,000 p. er claim BlueCardO Worldwide Program International: Group:..: ...................BCWW Fee Schedule (10 oumore.member Iving.outside of the USA) . Domestic Group.. - ..................... ............ No additional charge ........... ....... ,.. (under 10 members living outside of the USA) Optional Services for International or Domestic Group..........................-...BCWW Fee Schedule .: Wellness Management,:.....:............:::..::..::..................... .. ...$4.11 per. contract per month Expanded UM: Pain Management, Joint, and Spine.........: ,..; , ; . _30.52 per contract per month MD Live;Telehealth (Medical andBehavioral Health):........... ..$0.54:per contract permonth Rx Administration ............. ........ .. ..... :. $1.67 per member per month_ 2 pg. DocuSign Envelope ID: EEDF5421-AEBD-49FA-A3B6-71AB4106C76B Item Four Plan Design Materials Claims Administrative Document Schedule of Specifications Exhibit A - Plan Service Area Benefit Booklets: Accept/Decline 0 ❑ Benefit Booklets..................................................21 No additional charge ❑ $Supplemental Billing* ❑ 0 Customized Benefit Booklets ............................. ❑ No additional charge ❑ $Supplemental Billing* ❑ 21 Customized Covers .......... :.................................. ❑ No additional charge ❑ .$Supplemental Billing* Subscriber Identification- (ID) Cards: Accept/Decline 17 ❑ Subscriber ID Cards.............................................[91 No additional charge ❑ $Supplemental Billing* ❑ El Customized ID Cards ........ ....... ❑ No additional charge '❑ $Supplemental Billing* Nehvork Provider Directories:..........................................................i] No additional charge Per employee enrolled in Managed Care coverage, only ❑ $Supplemental Billing* Subscriber Claim Forms, Application Forms, Enrollment Materials:.................19INo additional charge ❑ $Supplemental Billing* Special Mailings: Cost has been included in Administrative Charge: Yes 19 No ❑ Identification Cards mailed to home addresses Yes IRI No ❑ Provider Directories mailed to home addresses Yes 0 No 0 *Any customized materials or additional services or supplies not documented in °this Fee Schedule may be subject to Supplemental Billing upon mutual agreement of the parties. Vol. 3 � 4 Pg. - 3 DocuSign Envelope ID: EEDF5421-AEBD-49FA-A3B6-71AB4106C76B Item Five Administrative Charges and Credits A., The Administrative Charge, calculated Monthly,.shall be equal to the sum of the atrioUnts obtained by.multiplying the total number_ of covered Subscriber Units by category by the appropriate factors shown below. Fee schedule Medical. Dental $41.:75 ; $3.48 _ For each Composite Subscriber Unit B.-' The Termination Administrative: Charge shall be equal ao the amount obtained by multiplying the ruin of all covered Subscriber Units during the three, months immediately preceding the date of termination by the factors:shown below: Medical Dental $0.00:$0.00 For each Composite Subscriber Unit C. In further consideration of the administrative services rendered pursuant to :this Agreement, HEBP will retain 50% of any manufacturers- rebates earned by HEBP;as a result of sale of prescription drugs to Participants in the PIan, The remaining 50% will: be allocated to the Member. . D. Pharmacy Benefits•Management Fees per, prescription filled are invoiced periodically as follows: $0.00 per electronic claim. MOO:per manual claim $0.00 per mail order claim: Vol. _ __ 3Fs Pg. 3or� 4 DocuSign Envelope:ID: EEDF5421-AEBD-49FA-A3B6-71AB4106.C76B 3 AS9.o�f Er zzTEXAs AS: S:OC'IAT`10N_ Of' COU:N:TIES * ,g* HEALTH AND EMPLOYEE .P.BEN:EFT'TS POOL,.: . ADDENDUM A TRANSFER PAYMENT AND . OTHER. FINANCIAL RESPONSIBILITIES::'. forthe ADMINISTRATIVE SERVICES (the Agreement).. between TEXAS' ASSOCIATIONS OF COUNTIES.... . HEALTH & EMPLOYEE I3,ENEFITS POOL:: (HEBP) HEBt'. provides administrative claims payment services. only -and does not assume . any financial risk or obligaGon.with respect to claims. - and BRAZOS COUNTY. Group Number: 217225 Effective Date: January 1, 2023 ADDENDUM A TRANSFER PAYMENT AND OTHER FINANCIAL RESPONSIBILITIES The Transfer Payment and Other Financial Responsibilities (Transfer Payment -Agreement) described. :herein shall apply :to the Administrative Services Agreement ("the Agreement") between the Texas Association of. Counties Health' and .Employee Benefits Pool (HEBP) and - Brazos Courity to which this Adderidum A will be attached beginning January - I. 2023 and shalt remain. in, full force and effect. according - to -the terms, of the Agreement unless amended or replaced by the parties to this greement in writing. All provisions -of the Agreement, its addenda, schedules: and amendments shall apply to this Addendum. A, including" any_ definitions. This ' Transfer Payment Agreement replaces _and supersedes the Banking Arrangement and other Financial Responsibilities attached to the :Agreement as Addendum A. y9:�s ........ ... _... DocuSign Envelop.e:ID: EEDF5421-AEBD-49FA-A3B6-71AB4106C76B SECTION 1. DEFINITIONS AS USED, IN THIS ADDENDUM k.. 11 HEBP's Bank'means a banking entity_organized and tAt ing under the. laws of the United States, whose: address and account -number are provided on each request for Transfer Payment and each claim settlement. .12 Net Claims. Paid: means the net benefit payment caiculated by HEBP; upon submission of a Valid Claim, yin accordance with the benefits specified in Brazos County's health. benefit Plan; plus. any supplemental charges as authorized.in the. Agreement 1.3 Transfer Payment meansa.payment (in the amount outlined in. Section 2, below), - via electronic 'draft.1niti6ted by'HEBP; from Brazos County to: HEBP's Bank; 4. 1..4 Transfer.'Payment Period :means, a seven day period,, beginning: Saturday. and. ending the: following Friday. SECTION II. NET'CL AIMS TRANSFER PAYMENT 2.1 .In consideration: of the HEBP's responsibilities as set forth in this Agreement and at the end of each Transfer.Payment Period; Brazos County shall transfer,to the . HEBP's:Bank an amount, equal to the Transfer Payment Period's' Net Claims Paid less any refunds:or,reimbursements.due to Brazos County*including but not limited to stoploss claims, subrogation payments or.provider refunds:_ 2.2 The :Transfer Payment:Period shall be weekly: -The HEBP shall advise Brazos ..: County by e-mail %or facsimile; -at an I e-mail' address or facsimile 'rnumber to be furnished by Brazos County prior#o the effective date:of this Transfer Payment Agreement, of the amount of Net Claims Paid'pursuant to this Agreement for which: reimbursement has not been previously made by Brazos County to the HEBP. 2:3 If any day on Which a Transfer Payment is due is a holiday; such payment will be made on'the next business 'day. 2:4 Transfer Payment must be made within 48 hours of notification. Late payments are .subject to the penalties outlined In section 8.04 of the Agreement. If Transfer - Payment is .not made within 48 hours, claims:processing maybe suspended and a minimum 'deposit maybe re wired in order to resume processing of claims.: Vol. Pg. .. SECTION Ill. OUT-OF-STATE CLAIMS _. 2 DocuSign Envelope.[D: EEDF5421-AEBD-49FA-A3B6-71AB4106C76B a r r a REQUIRED NOTICES AND DISCLOSURES Blue Cross and Blue Shield Association. Ndho-Contracting Agent: Notice The Group Health Plan (GHP),,� on- behalf of itself and:its Participants, understands that, this. Agreement constitutes 6 contract . solely between the %GH P. and Texas Assodkion of Counties He'alth.-and EmployeeBenefits Pool (HEBP):'HEBP has subcontracted certain of its re§06hsfl.bllJtIes,tb Blue Cr6ts'Blue Shield of Texas:.: .(BPPSTX'..BCBST,X.is a division of Health Care Service Corporation.Healttf Carer Service: Corporation: is a Mutual Legal Reserve! Company, and an. independent licensee of.the. Blue Cross and. Blue Shield Association (the Assodiation).. T..h.e. license from. the: Association permits BCBSTX to use:tho Blue Cross and Blue:.: Shield Service Marks in the State of Texas. BCBSTX is not contracting as the agent of the Association. Said' GHP also understands,that it has not entered' into this Agreement based, upon representations byany'06rson %other. than BCBSTX No.. person, entity; ororganization'tither.: than BCBSTX shall be. held accountableor, liable to the GHP for any of BCBST)Cs obligations to the GHP created under this. Agreement. This paragraphcreate shall not aby additional obligations whatsoever on the part of BCBSTX other than those obligations created under other provisions of this Agreement. BlueCard Like all Blue Cross and Blue Shield Licensees: the Claim Administrator participates. in korogram called "BlueCard.." Whenever Participants. access- health care services outside the ClaimAdministrator's'service area, the clalms,for those services may be processed through BlueCard and presented to the Claim Administrator for payment in -conformity with network acces s rules of the BlueCard Policies then. iweffect ("Policies"). Ljhder:BlueCard*, when Participants receive covered services within. the served by an on -site Cross and/or Blue Shield -Licensee.:geographic areas . ("HostBlue"), the Claim Administrator will remain responsible. to.them Employer for: ng the Claim Admifiistr'atoes ... fulfilli contract obligations. a However, the Host Blue will only be responsible, in accord6nce with applicable Blu6Card Policies, if any, for providing such services as contracting with its participating Providers afid handling: all interaction with Its. participating Providers. The financial terms of BlueCard are described generally -below. Liability Calculation Method Per ClailM a a The calculation: of a.Participant's liability on claims fbt:c6vered. services incurred �outslde.the Claim Administrator's service area and processed throu-qh: Blue will . Vol. DocuSign Envelope.ID: EEDF5421-AEBD-.49FAA3B6-71AB4106C76B _ . be based on. the, lower of the Provider's billed charges .or the negotiated. price the Claim Administrator pays the Host Blue. The: calculation of the Employer's.liability: on'ciaims for covered services incurred outside the Claim Adminlstratoes service area and: processed through BlueCard:will be.based on`the.negotiated price -the. Claim Administrator;pays the Host Blue. ..... The methods. employed by.a Host.Blue to determine a.negotiated prlce will vary among Host Blues based on the :terms of each Host Blue's Provider contracts: The negotiated price paid. to.a. Host Bluebythe. Claim .Administrator .on a claim for covered services processed' through BlueCard may represent::: (i) The _actual price paid on the claim by the Host Blue to. the health; .care Provider ("Actual Price"), or (ii) An:e'stimated price; determined by the Host :Blue in accordance -with BlueCard Policies, based on the Actual Price'increased,or reduced to .: :, reflect aggregate payments expected to.result from settlements, withholds, "any .other contingent payment arrangements and. non -claims transactions with all of the Host Blue's health care Providers or one or more particular Providers ("Estimated Price"); or (iii) An,average price; determined by the':Host-Blue in accordance with: BlueCard: Policies, based on a. billed charges�discount representing he Host Blue's average.savings expected: after settlements, withholds any other contingent payment arrangements 'and non -claims transactions for all of its. Providers or for a specified group of Providers .("Average Price"). An Average Price_may result in greater. variation to the Participant and the Employer from the Actual Price than would an Estimated :Price. Host Blues using either the Estimated:Price or Average: Price will, in accordance With- BlueCard Policies; pro spectively�increase:or, reduce the Estimated Price or Average Price to correct:for_over- or underestimation of past prides. However, *the.' amount pald bythe Participant and. the Employer is.a'final. price and will.ngt.be affected by such.prospective adjustment. In addition,. the use of a liability calculation method of Estimated. Price or Average Price, may result in some portion of the amount paid. by the Employer being held in a variance, account by the -Host -Blue, pending settlernont with its participating Providers.:Because all amounts paid: are final, the funds held in a variance account; if -any, do not belong -to the Employer and are eventuagy exhausted by Provider settlements and through prospective adjustments to -the negotiated prices. Statutes. in a small number of states may, :requiire a Host Blue either(j) to use a basisfor calculating 'a Participant's (lability for covered services. that does not reflect the entire savings realized, or expected to be realized, on a particular claim or (2) to add a surcharge..Should.any state statutes. mandate liability calculation methods . that differ from the negotiated price methodology or require a:surcharge, the Claim 3 Vol, DocuSign Envelope;ID: EEDF5421-AEBD-49FA-A3B6-71AB4106C76B :. Administrator would then calculate the Participant's liability and the Employer's liability for any covered services consistent with the applicable state statute in effect at the time the Participant -received those -services Return of Overpayments Under BlueCard, recoveries. from a Host Blue or.from participating Providers of a Host Blue -can arlse in several ways,' Including, but not limited to, anti -fraud and.: abuse. audits„ Provider/hospital audits; credit. balance audits; utilization review ... ... - refunds; and unsolicited -refunds. In some cases; the Host Blue will engage third parties to assist. in discovery'or collection of recovery amounts. The fees of such a third party are netted against the recovery. Recovery amounts, net of fees,`. if any, will -be applied in accordance_with applicable BlueCard" Policies, which: generally require correction on' a claim -by -claim or prospective basis. BlueCard Fees and Compensation The Employer understands and.agrees (1) to 'pay certain fees and compensation to the Claim Administrator which the:Claim Administrator is obligated under BlueCard to pay -to -the Host Blue, to.the Blue: Cross Blue. Shield Association, or to the BlueCard vendors and (2) that fees and compensation under BlueCard may be revised from time, to time without the: Employer's prior approval in accordance, with the standard procedures for revisingfees and compensation under BlueCard. Some of these fees and compensation are charged each time a claim is .processed. through.... BlueCard and include,. but are not limited to, access fees, administrative expense allowance fees, ;Central Financial. Agency Fees, and ITS Transaction Fees. Also, some of these Claim -based fees; such as the. access fee and. the. administrative ........ expense "allowance fee,;may be passed on to,the Employer as an;additional Claim: liability. -Other fees include, but are not limited to,'a toll -free phone number fee and a fee for providing certain Provider directories. Vol. pg. g 4 BRAZOS COUNTY BRYAN, TEXAS DEPARTMENT: Expo Complex NUMBER: DATE OF COURT MEETING: 12/13/2022 R ITEM: Requesting permission for two Expo employees to travel to Ocala, Florida for the 2023 Introductory Footing Academy and Symposium at The League of Agricultural & Equine Centers. TO: Commissioners Court FROM: Mandy Rutledge DATE: 12/07/2022 FISCAL IMPACT: False BUDGETED: False DOLLARAMOUNM $0.00 ATTACHMENTS: File Name Description 1pe League of Agricultural and Equine Centers Registration Information Backup Material 2023 Ocala Introductory Footina Academv and S _posium.pdf League of Agriculture Info.odf League of Agriculture Info. Cover Memo A aLL31aa Duane Peters Date County Judge EVol 3gs Pg. • - AOa��y OF O�A�o� - _ BRAZOS COUNTY. • - BRYAN, TEXAS DEPARTMENT Purchasing NUMBER: DATE OF COURT MEETING: 12/13/2022 ITEM: Approval to issue a Diners Club credit-card to Records Management employee, Desmond Harris, wifta limit of $1,600.00 for travel, hotel, and conference reservations. . TO: Commissioners Court FROM: Summer Dubec DATE: • 12/0812022• - -FISCAL IMPACT: False: BUDGETED:' False DOLLARAMOUNT:. $0.00 ATTACHMENTS: File Name Description ape Diners Club Backup-pdf Desmond Hams Backup Material AWROVIM 12/13/22 Duane Peters Date County Judge Vol, Pg. /o AMENDMENT #4 TO 23-0di2R M- T CONTROL SERVICES FOR BRAZOS' COfiN1'Y THIS AMENDMENT TO 23-002R also known as 21-008 Pest Control Services for Brazos County ("Amendment") is entered into and effective this 12th day of April 2023 C Effective Date"} through September 30, 20223 {"Expiration Date") by and between Brazes. County i`Customer'), and Allstap Pest Control (`Provider') each of which may alternatively be referred to herein as a `Warty" 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 # 21 008 ("Agreement") for purposes Of Allstar Pest Control to provide of the service for Pest Control Services for Brazos County; and WHEREAS, the Parties desire to amend the pricing asset forth in original contract # 21-.008. AGREEMENT NOW THEREFORE, in consideration of the above premises,. and other good and valuable consideration, the receipt and sufficiency of winch are hereby acknowledged, the Parties hereto agree to amend the Agreement as follows: 1. Adding Inspection/Treatment of termites for main cabin and three smallcabins located at Booneville Heritage -Park, at theprice of $300. IN WITNESS WZHWYREOF, 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 countetparts, 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. r Sz,gnalure IXA NE N e 0 ct �T�( L-k (7:* E Title I Z) 13 1 a s Date ALLSTAR PEST CONTROL Name � l�Wt ',jf (- Trtle Date E Vol. - 3 9'�— Pg. 23-002R Pest Control Services, also known as 21-008 Amendment 114 Tabulation October 1, 2020 -September 30, 2023 Allstar Pest Control 1 Brazos County Courthouse 2 Tax Office 3 Facility Services 4 Health Department "$3000: 5 Adult Probation / Annex Building a ` _ $35.00 ' _ 6 Brazos Center / Museum `$65.00 7 Arena Hall $3000 8 Agricultural Extension Building 9 New Agricultural Extension Building 30 Road & Bridge Build'm s $30♦00 ' .. 11 Brazos County Detention Fadlity to include Gnat Control $240,D0 ` 12 Juvenile Justice / Detention Center -° 'S90:06 13 Brazos County Administration Building $40.00" 14 Sheriffs Office Administration Building "- '$30 00 15 Maxwell Bulding / IT Building " $35:00 , 16 Exposition Center 17 Brazos County Storage / Anderson Street $2S'00 18 Justice of the Peace Pct. 3 ' 53000 19 Low Risk Facility $35 U0 20 Old MHMR Building :; $35:00 ' 21 Election's Office / Employee Health Clinic $3040 : , 22 Boenviile Heritage Park (Main Cabin,, Courthouse, Lodge, Restrooms, & Smokehouse ; sii5100, - 23 Facility Services (Hwy21 Location) '$36.00 24 Fleet $3000 25 BISD Building $75 o °, Booneville Heritage Park Termite Treatment (Main Cabin and three small 26 cabins) $30000.:. . _ TOTAL* 27 Bed Bug Spray - Per Cell (Detention Centers Only) -As needed basis $10100 per tell '•- tT RECOMMEND AWARD TO: AilStar Pestj Control App ved by Co)mm }ones rt on this ` day of QZ0M'?E%2 b !. olding the position aril. :3� S pg. /� SY PEST CONTROL SERVICES CONTRACT BRAZOS COUNTY PURCHASING DEPT. 200 S. Texas Ave., Ste. 352 Contract No. 21-008 -Bryan, Texas 77803- -Page-1 of-9, Pages Telephone (979) 3614292 GENERAL REQUIREMENT -FOR -CONTRACT I as a duly authorized representative of t! I ', D 0 ntractor" 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 two (2) years, with the option to renew with three (3) -additional-one-(-I)-year-periods. ASSIGNMENT The successful 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 LOWEST 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 document, attachments, questions -and -responses, addenda, and -special notices. The, Certification. of Bid -Form -must bee 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 bidder agrees to comply with HB 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 httpsJ/etlucs.state bLus/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 Vol. 3 Fps pg. /� Contract No. 21-008 BRAZOS•COUNTY, TEXAS Page 2-of 9-Pages CONTRACT OBLIGATION Brazos County Commissioners Court must award the contract and Brazos County Judge, or other person authorized -by Brazos- County-Cominissioners-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. CONTRACT RENEWALS Renewals may be made ONLY by written agreement between Brazos County and the offeror. Any and all price -escalations -shall -not -be accepted and -shall-be-considered a -non -response. 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 -from -work•performed under terms of this contract. Certification of such coverage must be provided to Brazos County upon .request. Contractor assumes all risk for its agents, employees, and guests arising out of, or related to, their exposure to other human beings and/or animals for the spread of illness or disease, including but not limited ,to -germs, -viruses, -bacteria, and -other -infective-or -illness -causing agents, and -shall -indemnify, defend, and hold Contract harmless for any such exposure. '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. •L-ocations-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. EVol, �3s 1—� pg. Contract No. 21-008 BRAZOS COUNTY, TEXAS Page 3-00Pages 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. 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. 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 the contract. 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 payment 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-ldnd, 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 will be furnished upon written -request•to•Brazos-County-Purchasing Agent. Vol. _�� Pg. /�� Contract No. 21-008 BRAZOS-COUNTY, TEXAS Page-4-of9 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.1.76; -This law-requirespersons desiringto•do.business with -the -County to-diselose 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 orthe-County-Official'-s-familymembers-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. DISQUAL- if1�- CATION -OF -OM ROR 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-obviouslyunbalanced-may-.be-rejected. Requests -to -withdraw -a submitted bid or proposal are subject to the approval of the Purchasing Agent. .SEVERABELITY 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 Vol. 59,s Pg. _ %0 _ 'J Contract No. 21-008 BRAZ-OS COUNTY, TEXAS Page °5-of-9 Pages - the highest quality as to materials used and workmanship. Manufacturer furnishing these items shall be -experienced- in- design -and -construction of such- items and- shad- be -an -established- supplier- of the -item= bid: TER?MATION Brazos County reserves the right to terminate the contract for, default if offeror breaches any of the terms therein; -including- warranties of offer -or- 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 deliverthe'priiper goods arid/or services within-tie'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) StatutoryWorkers. 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.-(TLC Sec.-40.1:914) (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 priorapproval-by-the-Commissioners-CourM-'sk-Manag ment (3) Automobile Public Liability Insurance with a $1,000,000 Combined Single Limit, in all self- -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. LE%WATIONS 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 Iimitations of legal -rights, -remedies; requirements- and processes; -limitations -of -periods -to -bring -legal action; -granting control -of -litigation- or -settlement -to- another -party; -liability -for acts -or -omissions -of -third -parties; Vol. 5 9 S—` Pg. _ ! 7 Contract No. 21-008 BRAZOS COUNTY, TEXAS Page•6• of 9-Pages- 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. COVERAGES/WAGES 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; property; 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 IMMUNITY 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 eontract 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 332 Bryan; -Texas 77803- CONTRACTOR: Sales Contact Name: Phone Number: iN ON �U u 4— 4,14 . n-1)A Info: top 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 tern construed- to. be- a- waiver- of any other term or condition. i or condition of this contract shall be deemed or condition- or-• subsequent waiver of the- sa a to : r- Contract No. 21-008 BRAZ-O9 COUNTY, TEXAS Page-T oMftges- 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. AVAIELABILITY AND- RETENTION Og_ 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: 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. %NDEM NM- CATION - 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 meeived- 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 furnished 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. Vol, 595: Pg. /� Contract No. 21-008 MAZOS-COUNTY, TEXAS Page.8 of 9 Pages 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 visa cross-referencing respondents/vendors with the federal General Services Administration's Excluded- Parties List System- (EPL- S-, 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 im Executive Order 1-3224. 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 proposal; under the - provisions of Subtitle F, Title 10, Government Code Chapter 2270: L Does not boycott Israel- currently: and 2. Will no 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- ark 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 Iimited- 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 N Authorized -Company Contract #: 1 b u� Vol. vas Pg. BRAZO&COUNTY, TEXAS Contract No. 21-008 -Page-9-of 9-Pages CERTIFICATION OF BID The undersigned finther affirms the non -debarment statement above, that they are duly authorized execute-thiscontract, 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�ped-Name: , Company Name: Email Address: Mailing Address: rt-z k M-ar -P.-O-.-Box-or Street Title: Owne re Phone Zip -Employer IdentificationNumber: ) D3 4,'D . p oved y Comm neW Court on this 15 day of ' `v , 2020 by oldingthe-position•of. M` P ' 4 E�� S� lag • __ _—�— EXHIBIT "A" IQ 21-009 Pest Control Services Contract Term: October 1, 2020 — September 30, 2022 Fill out "Informal Quotes" form and hand deliver or mail to the Brazos CouMv Purchasing Department. 200 South Texas Ave.. Suite 352: Bryan„ TX 77803 in a sealed envelope clearly marked "IQ 214M, Pest Control Services". Include the signed Contract and a copy of the required insurance with the submission of quotes. The required Insurance is listed in the attached Contract. Quotes must be received Iry the Brazos County Purchasing Department prior to 2.00am.. Taesday. August 18.2020 or they will not be considered. Brazos County will not accept any pricing if delivered via email or fax. Pricing proposals or 1Q2s delivered to any other person or department other than previously specified, will not be considered responsive. Brazos County is soliciting quotes for pest control services for all Brazos County locations. Prices quotes shall be for a two (2) year period with an option for renewal for three (3) additional one (1) year periods. A. SPECIFICATIONS 1. Inspection and treatment services will be provided monthly, to include the perimeters of all buildings listed below. 2. Contractor shall furnish all professional services, labor, materials, and equipment. 3. All materials shall be registered with Environmental Protection Agency and will be used in strict accordance with label directions. 4. Pests to be controlled on a monthly basis are roaches, silverfish, crickets, spiders, mice, rats, and ants (ant bets that are outside should be included in cost provided below). 5. Work must be guaranteed so that if, at any time during the contract, a re -infestation should occur, contractor will re -treat affected areas) at no additional cost. 6. When each building is sprayed, an employee must sign appropriate paper work for that building, extermination. The contractor must then take invoices or extermination receipts to the Facility Services Building; located at 207 North Washington Ave, Bryan, TX 77803; the day the services takes place. 7. All notifications of treatment required by law or product labeling; are the sole responsibility of the contractor. 8. Treatment of bed bugs will be on an as needed basis and quoted differently than the monthly inspection and treatment services. These treatments are needed at both the adult and juvenile detention centers and services will be on an. as needed basis. Please quote, per cell, in: the quote section below. Exhibit A Page 1 of 5 9. Brazos County has the right to add or remove buildings to the contract with an amendment and agreed quote from the best control vendor. B. AREAS TO BE TREATED: 1. Brazos County Courthouse i. Located at 300 East 26th Street; Bryan, TX 77803 2. Tax Office i. Located at 4151 County Court Park; Bryan, TX 77802 3. Facilities Services i. Located at 207 North Washington Ave; Bryan, TX 77803 4. Health Department i. Located at 201 North Texas Ave; Bryan, TX 77803 5. Adult Probation / Annex Building i. Located at 321 East 261h Street; Bryan, TX 77803 6. Brazos Center / Museum i. Located at 3232 Briarcrest Dr.; Bryan, TX 77802 7. Arena Hall i. Located at 2906 Tabor Road; Bryan, TX 77803 8. Agricultural Extension Building i, Located at 2619 West Highway 21; Bryan, TX 77802 9. Road & Bridge Buildings i. Located at 2617 West Highway 21; Bryan, TX 77802 10, Brazos County Detention Facility i. Located at 1835 Sandy Point Road; Bryan, TX 77803 11. Juvenile Justice / Detention Center at Portables i, Located at 1904 West Highway 21; Bryan, TX 77803 12. Brazos County Administration Building i. Located at 200 South Texas Ave.; Bryan, TX 77803 13. Sheriff's Office Administration Building i. Located at 1700 Highway 21 West; Bryan, TX 77803 14. Maxwell Building / IT Building i. Located at 205 East 271h Street, Bryan, TX 77803 15. Exposition Center i. Located at 5827 Leonard Road, Bryan, TX 77807 16, Brazos County Storage / Anderson Street i. Located at 1500 George Bush Drive; College Station, TX 77840 17. Justice of the Peace Pet 3 i. Located at 1500 George Bush Drive; College Station, TX 77840 18. Low Risk Facility i. Located at 1871 Sandy Point Road; Bryan, TX 77803 19.Old MH1VIIt Building i. Located at 302 East 241h Street, Bryan, TX 77803 20. Elections Office i. Located at 300 East William JQel Bryan Parkway; Bryan, TX 77803 21. Boonville Heritage Park (Main Cabin, Courthouse, Lodge, Restrooms & Smokehouse) i. Located at 2421 Boonville Rd; Bryan, TX 77808 22. Facilities Services (Hwy 21 Location) is Located at 4801 Texas Highway 21, Bryan, TX 77803 Exhibit A _ Page 2 of 5 Vol, & pg. 23. Bed Bug Only — Detention Centers i. Brazos County Detention Facility — Address above ii. Juvenile Justice/ Detention Center at Portables — Address above C. INSURANCE REQUIREMENTS 1. Successful bidder must provide evidence of required insurance prior to award. Full description of insurance requirements are listed in the attached contract. D. AWARD 1. The contract award shall be based on, but not necessarily limited to, the following factors: a) Cost b) Special needs and requirements of Brazos County c) Time needed to complete service d) Location of Contractor (distance that vehicles will travel for services) e) Contractor's past performance record with Brazos County 2. Although the cost of products to be provided is an essential part of the award, Brazos County is not obligated to award a contract on the sole basis of cost but will award to Contractor considered to be the best value to Brazos County. E. AHSCELLANEOUS 1. Contractor must sign and agree to all terms and conditions of Brazos County Service Contract attached or quote submission will not be valid. 2. Contractor must submit and post all questions regarding this solicitation on the Brazos Valley e-Marketplace located at www.brazosbid.ionwave.net, Any questions received via email or phone call will not be answered. 3. The requirements of Subchapter J, Chapter 552, Government Code, may apply to this bid 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. F. QUOTES L Fill out section below and hand deliver or mail to the Brazos County Purchasing Department, 200 South Texas Ave., Suite 352; Bryan, TX 77803 in a sealed envelope clearly marked "IQ 21-008, Pest Control Services". Include the signed contract and a copy of the required insurance with the submission of quotes. The required insurance is listed in the attached contract. Quotes must be received by the Brazos County Purchasing Department prior to 2:OOg.m._ Tuesday August 18. 2020 or they will not be considered Brazos County will not accept any pricing if delivered via email or fax. Pricing proposals or IQ's delivered to any other person or department other than previously specified, will not be considered responsive. Exhibit A Page 3 of 5 b01, ��'� pg. _� Building / Location Cost / Month 1 Brazos County Courthouse $ go 2 Tax Office $ 3.5 3 Facift Services $ 55 4 Health Department $ 5 Adult Probation / Annex Building $ 35 6 Brazos Center / Museum $ Lv 5 7 Arena Hall $ 3D 8 Agdcultwral Extension Building $ 30 9 Road & Bridge Buildings $ 10 Brazos County Detention Facility $ 11 Juvenile Justice / Detention Center $ 12 Brazos Coun Administration Buildia $ 13 Sheriffs Office Administration Buildiun $ (� 14 Maxwell Building / IT Building $ 15 Exposition Center $ 16 Brazos CT!Lay Storage / Anderson Street $ 17 Justice of the Peace Pct. 3 $ 5D 18 Low Risk Facili $ -36 19 Old MHIVIR Building $ J 20 1 Election's Office $ 21 Boonville Heritage Park (Main Cabin, Courthouse, Lodge, Restrooms, & Smokehouse)`T��� $ 1 1 s 22 1 Facilities Services qLywy 21 Location $ ` -c) Exhibit A Vol. pg.c2 Page 4 of 5- TOTAL $ q1� 23 Bed Bug Spray — Per Cell {Detention Centers Onl — As needed basis $ 1r CC � I G. CONTRACTOR QUOTE CERTIFICATION The undersigned affirms that they are duly authorized to execute this contract, that this bid has not been prepared in collusion with any other bidder, and that the contents of this bid have not been communicated to any other bidder prior to the official opening of this bid. Furthermore, the bidder affirms that they are willing and capable of performing the services entailed in this bid or providing the goods described in this bid and agrees to do so for the term of this contract. The bidder also agrees to all of the terms and a condition contained in this document and agrees to be held to them for the term of this contract. Name of Company: Tax ID M. 50 - D 3 +�Y d 1) Address: $%q "l Email: Telephone M a -in - �^' �c"- - Printed Name: I* qhj Signature of Authorized Representative: Vol. Pg. Exhibit A Page 5 of 5 Brazos County Purchasing Department 200 S. TX. AVE., STE 352 BRYAN, TX 77903 PHONE (979) 3614292 FAX (979) 3614293 Addendum #1 to 21-008 Pest Control Services Issued: August 6, 2020 Change: Change in Auto Liability Insurance Reason: Changing the Auto Liability Insurance requirement from $1,000,000.00 to $500,000.00. Please cross this out of the contract and add the new pricing and initial. This addendum should be signed by an authorized representative of the respondent and returned with the bid documents as specified in the bid. Acknowledgement of Addendum Signature: _ �" .14 V Printed Name: f t Vol ;3,?S a� ITAMAvn ACt'>MZI" CERTIFICATE OF LIABILITY INSURANCE DATECAMIDOnYi(Y) 8/4/2020 THUS CERTIFICATE IS ISSUIM AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THiS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lief of such endomemen s . PRODUCER Dexter 8, Company of Central Texas, inc. 4030 Highway 6 S. Ste. 310 College station, TX 77846 REEPT PHONE . E:: 979) 76d-8444 arc. No :979) (7f 03 INSURER AFFORDING COVERAGE NAICN INSURER A: Markel Insurance CompanyCompapy 38970 INSURED Billy Hoyt, dba Allstar Pest Control 6899 Green Branch Loop Bryan, TX 77808 INSURER 8, INSURER C : INSURER b : INSURER E• INSURER F : rOUERAIMPS CERTiFIC®TF idUMAr-R: REWSION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I` SR TR TYPE OF INSURANCE �Dp s D POLICY NUMBER rPMUCYEFF PMttCY E7rP LIMITS COMMERCIAL GENERAL LIABILITY CLAiMS.MADE a OCCUR EACH OCCU RENCE QAMA SE SO RENTED 20 MM EXP one permo S PERSONAL 9 ADV INJURY S GEN'L AGGREGATE LIMIT APPLIES PER ]POLICY ❑ Me LOC OT14M. GENERAL AGGREGATE $ PRODUCTS-£OMPtOP AGG S AUTOMOiDLELMIL1TY ANYAUTO WOONLY AUTOSU AUTOSONLY AUTOSY� COMBINED SINGIB LIMIT BODILY INJURY er parson)LED BODILY INJURY Per a S er OPeedentERTYDAMAGE UMBRELLATJAB EXCESS LTAB OCCUR CLAiN"ADE EACH OCCURRENCE AGGREGATE DED RETENTION S A 1NORKERSCOMPENSATiON ANO EItPLOVERS' LIARRAYSTATUTE ANY PROPRpIIEMTaORPAAR�uDE� Curve Y{�j ?llJandatoryIn E) ul [fps desalbe under DESCRIPTION OF OPERATIONS below MIA X MWC0145739-01 41121202d 4/1212021 PER OTH- 1 E.L. EACH ACCIDENT 1,000,000 E.L. DISEASE- EA EMPLOYE 1,000,000 E.L DISEASE - PGUCYUM1T 1,000,000 OEt3CRIPrTON OF OPt]tATiONS 1 tACA1TONS I VEHICLES (ACORD tfN, Additlonal Remarks Sehedulq mayr ba awaked H mom epaeo Ls roquhnd) The t3eneral LiabII11y polloy includes a blanket automatic additional insured endorsement that provides additional insured status to the certificate holder only when there is a written contract between the named insured and the certificate holderthat requires such status. The General Liability policy contains a Broadening Endorsement with "Primary and Non -Contributory" wording. Waiver of Subrogation provided only when there Is a written contract between the named insured and the certificate holder that requires such status. The Worker's Compensation Policy Includes Blanket Waiver of Subrogation. Brazos County 200 S Texas Ave Suite 352 Bryan, TX 77803 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED iN ACCORDANCE WITH THE POLICY PROVISIONS. AUMORIM REPMEWA71VE ALLST01 CERTIFICATE OF LIABILITY INSURANCE I °":A`�°"': THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: 0 the certificate holder is an ADDITIONAL INSURED, the policy(iesj must have ADDITIONAL INSURED provisions or be endorsed. U SUBROGATION IS WANED, subject to the terms and conditions of the policy, cettatrt policies may MgUkS an endorsement: A statement on Time insurance A , hie. - --Q----" •---- 1405 East Riverside Dave ° Nc . 512-447 7773 FkNo 512-440-0989 Austin, TX 78741 Time insurances Agency, Inc. s aB c INSURMA-Gemini Insurance Co 10833 8�e Control t"$mB' Ca Ch Loop ass c- Bryan,� a RERo: 0WRERE: 01S1JR RF- COVERAGES CERTIFICATE NI MRRR- mmn all 1=6 w E S- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ri TwEOFost"CEwaffin FOLICYRUMBER UCYEFF 1010 =19 POUCMnftWVn YEXP ttmrS A X a4lN!<lraz=LGoyamuu Lrn CtAIMs• ME l X OCCUR LGLOODO 1-06 10/01/2020 EACHMF3 s 1,000.000 OAMAO AEDEXPLAUmapersm)5,000 100.000 PERSONALBAD [WURY S 1,000,000 GE LAGGREGATEUMITAPPUESPER X FoucY a LOC OTHER GENERAL 000,000 aDucrs-c ProPaccS 2,000,000 AUTOMOBILELL48M TY AANYAVFpD AUTOSaNLY ANplgf'N�..OpSWyu��gg°pp AUTaSONLY AUTOSONLY CO2INEDSn!� U-MIT BODILY May Er enwo _S_ c delri W= AMAGE UMBRELLAUAB EYCessu" =VR CLAIM34MDE EACH AGGREGATE Da) RETENTIONS gyp AN0 EMPLOC°YENRC%n11STYPER ANYPROPRE0RPDVON It WgMAVI t0( ,d"C'MUna p NIA EL EACH ACCIDEQ ELOISEASE-EAEMMVE S L D! E'- L1Mtr om=PnomoFOPERAT us/LOCATf0XSlVE111CU= (AC0RD161,Add1f rWPomartftheduto,nWboatt cbodHoorn 3p=13,ogw" The Gene181 Uabillty?07C .. inCludes a bWnket automatic additional insured endorsement rov on at provides additional Insured and waiver of subrogation us to the certificate holder only when therr7� is a written contract between the named insured and the certificate holderthat requires Brazos County Purchasing Dept 200S. Texas Ave. #352 Bryan, TX 77803 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPMTION DATE THEREOF. NOTICE WILL BE DELIVERED IN ACCORDANCE WI H THE POLICY PROVISIONS. Vol. =.. P,i- -- 'C✓ CERTIFICATE F A 0 LIABILITY INSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS No RIGHTS UPON THE CERTIFICATE HOLUM THiS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S). AUTHORIZED REPRESENTATIVEOR PRODUCER. AND THE CERTIFICATE HOLDEN. IMPORTANT: N the certificate holder is an ADDITIONAL INSURED, the pOiicY(les) must have ADDITIONAL INSURED provisions or be endorsed. 9 SURROGATiON IS WANED, subjedt.to the fetes Wd cond'dlons of the policy, certain Policies may wire ark • endomerneuL Astatement on INS certificate does not confer gghts to the certificate holder in Iteu of such endorsement PRODUCER COUrACT - - - - - - GEICO MME GEiCO � urg. VA t2 ONE No.4 1-86640044 • FAx No• AAd� RICOMASEND�GEtCO:COlU1 INSURERIS)APFORDINGCOVERAGE NAMS INSURERA:GOVERNMENT EMPLOYEES INSURANCE COMPANY 22063 INSURED BILLY J HOYT DBA ALL-STAR PEST CONTROL 8899 Green Branch Loop BRYAN, TX 77808 INSURER ENSURER0. WSUJiERtx INSURER& iN$<JRE3t"F: COVERAGES CERTIFICATE NUMBER. REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE INDICATED. NOTWITHSTANDING ANY REQUIREMENT, CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LISTED BELOW HAVE BEEN ISSUED TO THE INSURED !NAMED ABOVE FOR THE POLICY PERIOD TOM OR CONDITION OF ANY CONTRACT M OTHER DOCUMENT WITH •RESPECT TO WHiCkr THIS THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, LMTS'SHOWN MAY HAVE BEEN REDUCED BY PAID CLAW. INSR LTR 7YPEOPINSURANCE ADDL iNSO SUBR- WVD POUCYNUMBER POUCYEFF MMID POUCYEXP LIMIIB Co uaesysY CLAMNS•EAADE OCCUR �+crj occuRRErICE DAMAGETORENTi D PREMISES Ea u2 MEO. DIP (Any one pmun) $ PERSONA! B ADV INJi)RY : S OENt AGGREGATEUWTAPPLIESPER: POLiCYH Jjwr PRO-�L!'C GENERALAGGREGATE $ PRODUCTS-COMMOPAGG S aTHER $ AUTOMOBILE LIABILITY COMBINED SINGLE LUNT (FaaWdena .S 500,000 A ANYAUTO 9100016101 09 4/26/2020 4/26/2021 - - - - - BODILY RGIURY(Petpam)OWNED SCHED AUTOS ONLY X AUTOSULED BODILY INIURY(Petaecideng 6 HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPEWDAMAGE aaetldes,l UMOMtALM OCCUR EACHOCCURRENCE s AGGREGATE 9XCESSLL48 CLAiMSMADE ICED1 IRETENTIONS a VYOWW"COMPEJSATION AND EMPLOVERS LIABILITY YIN ANY PROPR4E M PARTNERIEEClM " OFflCBiiMO'IB19i E7(DLUDIDI tMaitdat0ry In HH) NIA IPER I Umr- leg EL EACH AL`CIOtNT _ —•" s_ - •_ ._ - EL DISEASE • EA EMPLOYEEIlMdesCftounder S DESCRIPTION OFOPERATIONS below ELDLSEASE•POICYUMIIT S It'2'019 maybea0achedEPmamspuaLsm"I" 2014 CHEVROLET 1500 VEHICLE IDENTIFICATION NUMBER (VIN): 3GCPCPEHXEG204580; DODGE RAM 1500 VEHICLE IDENTIFICATION NUMBER (VIM): 1C6RREGT4KN650778 CERTIFICATE HOLDER CANCELLATION BRAZOS COUNTY 2.00 S TEXAS AVE STE 352 • BRYAN� TX 77803-3999 $HliP0qr,11TOFTHEA00VAQESQWS@PQIJCIES6ECMICEI.L�BEFgRE nIe BAPIRATEON DATE THOMF, NOTICE iMLL Be vang EED IN ACCORDANGE11IM THE POLICY PROVISIONS aE>s>+�vFD EEc�R�ssrATlvs V01. SC Pg: -- CITY OF BRYAN 14'WO "d 0 8 Ai dd' On" z a Issu eDate.7/3.1111 4" Aons.D6pd -x Oy�-' -8/1 -12,02 line., T) 11 .05.00}`'OM-,rfP • - - p" If 0/ 020'w;00:m' 4 M�. 'j Contact Information Contact: Ms. Kaitlyn Nachlinger Buyer III Address: Purchasing County Administration Building Ste. 352 200 South Texas Ave. Ste. 352 Bryan, TX 77803 Phone: (979) 3614285 Email: knachlinger@brazoscounWgov volt. Pg. Page 1 of3 pages Deadline: 8/10020 02-00 PM (CI) 21-008 Addendum 1 :�,.. '/w .�:,.^�R.�r �`s'lNif.,1 `L tL 4 .t�j�9�.�.nn • , e' .n+i`; Y. y vhJ �-� %. 'tom: V.i:7'i.`��t�.r �i r�•i•��•}tj SC, �>G t31i .\,i�'� ,�'. 1r'y �• "'�j{Y'y,ScJy��bV�'.�i nal' ••J . �••M •Ji. •at ••'a�h. •.l ,Ri.�'p. �> *1*'ysltt'. . '•i ..at.?�,y�'P"mot' y., .,• •. • '$ ,; �,.a�. :��,s�ia,:•.y �`K r "sti,�b..S ..�.• •� ..��jer ., ,�•�S .� y :}R't•,' st, i..,;; a,�.. yt;.� - f- � '• ' • ,,�. � • • +��:r� �a� �i.`F .; : 1.�... ca.', , a N' •"` :r`l Ev`ent.ln#ormacon �'•Zt{M. > .7 • 'r5,` . ,t:` y _ ts. :.. Nurnban'' 21T M dendumf T,-,,rw TIle ;P Pest'Co�itrol Serv�ces� _. ; '� °� t. .. r r,!• y, z�k fa�� t•.d..... �•v-t.��„� r. F'ye 2 } �:,�Y'•' > �T ` x�.:,'. N i;.: BL Os County iMbrinaii;Quotatior-;(Vianual. s7ti� T g rtTS �`Jtar Y3 v ,}�.� r�r,.c : (� Y ,v1,, .+%• ,ht .^a•.•'� ,+.•'�':� '+•r. .rh.5'afF 9i.A>t Is's+c e" Dfite:o,4,7/,311202'0 E Questio6 DeadHnk,- 811`11-2020.•05:00 PM..(, -T) Respon"se-Deadiine:.8/18/2020102:06 PM� (GT) • :.;•� ����� a; �°'� ` 1.�+;:�:i; , ^ s '.+'_� + '2 :� '�-'u�__%31'l•. ri>r•. 1••;:+`..%S�J;.IF' r�� .,.._..-`.... rt ....� f ",-.-..,,,, � vY. n� Shitp:'fo infoir nati0 Contact. .Charles=.li4/endt. 1t'• Address Purchasing a°Cour�IP rninift'ffl on„Buitd€ !'Y rT� Ste. 352,' 200:So6th"Tezas:Ave -. • _ f ° . _�« � Ste 352s f . ' ' � + � ' � °: �.. ' • ` A� , � •� a' h B V. an;;r, M` 77803 ry ur i~: i Phone. (979).66l4290..` Fax; (979) 361=4293 . •: Bid Attachments .•'r�iaV.^..v.. ,. LF4y.S r��aa..µ :, y'1'.F 44 �.� .. ' • � � n e i 7••. 1�1 � It va 7' '�'. � ? s r Bitlititg�� irifattriiaroin �•a; ��� r . '`�,�'' ' ' � '.: �-� Address -Auditor Office �` �,>. _r ..F. R S�jw�L` .a• ^}�JQ �.i� fi s�.l• , ,•'4.j Zi (, _ at. ^r j,�• .,,��Qi`ft�• i i VO��� j* ... F rs :1 • �Pfione; " ' (8,73}>;�61�•4350 �' ;;° �� i :.�:' j mantcei(c�iarazoscounfjrbcgov rF •: �' _.__.._...__.�.�2 hit o., __ +r.-•.i.� Service Contract - Pest Control Services.pdf • Service Contract Exhibit A - Pest Control Services.pdf - a Exhibit A Addendum #1.pdf - • Addendum #1 Vol, 3 pg. 3a- Page 2 of 3 pages Deadline: 8/1812020 02•00 PM (C1) 21-008 Addendwn 1 Supplier Information Company Name: Contact Name: ' Address: e-6c6 �iPjrnby-or,fh LDD�D t�run,n. �x --n%A Phone: Fax: r Email: OM c,(Q�LOY1Yoi IDCS giY1G1 . �m Supplier Notes By submitting your response, you certify that you are authorized to represent and bind your company. bi)jU--AA+ Print Name fA'ZA4' Signatur Vol, OVf— Pq- Page 3 of 3 pages Deadline: 8/10020 02:00 PM (Cl) 21-008 Addendum i y4r4E OF T Brazos County Purchasing Department 200 S. TX AVE., SUITE 352 BRYAN, TX 77803 PHONE (979) 3614290 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: December 13, 2022 BID NUMBER: 23-072 TITLE: Hot Mit Asphalt REQUESTING DEPARTMENT: Road and Bride APPROVAL SIGNATURE: Duane Peters, County Judge DATE APPROVED: 1 )c, C45�YIA e,e-F- 9 -- t a 0 a a, !Vol. �gS'^ pg.`I 3fti8 OP A �* 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 Iike to request Commissioner's Court approval to advertise and go out for Bid on the following: DATE: December 13, 2022 BID NUMBER: 23-073 TITLE: Uniform Rental REQUESTING DEPARTMENT: Purchasing r APPROVAL SIGNATURE: Duane Peters, County Judge DATE APPROVED: Qj5Cj!rfn lab-0— 19, 6W Q49, Vol. 38=Pl� Pricing Proposal Yr<, • .zl: Quotation #: 22515571 Reference P. 5620588 '� • i Created On: 9/15/2022 Valid Until: 12/31/2022 BRAZOS COUNTY inside Account Manager Juan Aleman Jeidys Noboa AUDITOR OFFICE PO BOX914 290 Davidson Ave ATTN: A!P DEPT Somerset, NJ, 08873 BRYAN, TX 77803 United Sfates Phone: I ToD Free: 888-394.5232 ext.: 6524741 Phone: 9793614353 Fax 888-394-5322 Fax: Emd* Jeidys_Noboa@$Hl.com Emat JAleman@brameountytx.gov Ail Prices are in US Dollar (USD) Product My Your Price Total 1 0365 G3 GCC Sub Per User 4 $237.72 $950.88 Microsoft - Part#: AAA 11894 Contract Name: Microsoft Software VAR Contract#: DIR TSO-4092 Coverage Tenn.111112022—1013112023 Note; year 1 of 3 2 CCAL Bridge 0365 Sub Per User 4 $19.68 $78.72 Mcrosoft - Part#1: AAA-12414 Contract Name: Microsoft Software VAR Contract#: DIR TSO.4092 Coverage Tenn:11/112022 --1013 =23 Note: year 1 of 3 TOW $1,029.60 Additional Comments Hardware items on this quote may be updated to reflect changes due to industry wide constraints and -fluctuations. The products offered under this proposal are resold fn accordance with the terms and conditions of the Contract referenced under that applicable tine item. Pricing Proposal Quotation #: 22644916 Reference #: 79028497 - Created On: 9/22/2022 Valid Until: 12131/2022 BRAZOS COUNTY Juan Aleman AUDITOR OFFICE PO BOX 914 ATTN: A/P DEPT BRYAN, TX 77803 United States Phone:9793614353 Fa)c Email: JAleman@brazoscountytx.gov Inside Account Manager Jeidys Noboa 290 Davidson Ave Somerset, NJ, 08873 Phone: I Toll Free: 888-394-5232 ext: 6524741 Fax 888-394-5322 Emait Jaidys_Noboa@SHI.com 4 All Prices are in US Dollar (USD) Product OW Your Price Total -1 •0365 G3 GCC Sub Per User 1059 $237.72 $251,745.48 Microsoft - Part#: AAA-11894 Contract Name: Microsoft Software VAR Contract#. DIR-TSO-4092 Coverage Term: 11 /112022—10/3112023 Note: year 1 of 3 2 0385 G5 GCC Sub Per User 45 $406,68 $18,300.60 Microsoft - Part#: T2N-00001 Contract Name: Microsoft Software VAR Contract#: DIR TSO.4092 Coverage Term: 1111/2022--10/31/2023 Note: year 1 of 3 3 CCAL Bridge 0366 FSA Sub Per User 639 $16,68 $10,658.52 Microsoft - Part#: AAA-12416 Contract Name: Microsoft•Software VAR Contract#: DIR TSO-4092 Coverage Term:11/l/2022--10/31/2023 NoW year 1 of 3 4 CCAL Bridge 0365 Sub Per User Microsoft - Part#: AAA-12414 Contract Name: Microsoft Software VAR Contract#: DIR-TSO.4092 - Coverage Term: 1111/2022--10131/2023 Note: year 1 of 3. 329 $19,68 $6,474.72 5 EMS G3 FSA GCC ALng Sub Per User 136 $B1 A8 $11,081.28 Microsoft - Part#: AAD-32906 Contract Nam@: Microsoft Software VAR Contract #: DIR TSO.4092 Coverage Term:11/1/2022—10/3112023 Note: year 1 of 3 6 ExchgSvrStd ALNO SA MVL Vol �s p g _ 5 7 1 $126.26 $126.26 Microsoft - Part#: 312-02257 Contract Name: Microsoft Software VAR Contract #: DIR TS0 4092 Coverage Term:111112022-1013112023 Note: year 1-of 3 7 Project Plan3 fnnSA GCC Shared All Lng Subs VL MVL Per User 5 $234.72 $1,173.60 Microsoft - Part#: 7E7-00001 Contract Name., Microsoft Software VAR Contract#: DIR-TSO.4092 Coverage Term:11/112022—10/3112023 Note: year 1 of 3 8 SQLSvrStdCore ALNG SA MVL 21.1c CoreUc 16 $576.29 $9.220.64 Microsoft - Part#: 7NO-00292 Contract Name: Microsoft Software VAR Contract P DIR TSO.4092 Coverage Term:11/l/2022—10/31/2023 Note: year 1 of 3 l 9 System Center Standard Core ALng SA 2L 8 $18.00 $144.00 Microsoft - Part#: SEN-00198 Contract Name: Microsoft Software VAR Contract#. DIR TSO-4092 Coverage Term:11/112022—10/31/2023 Note: year 1 of 3 10 System Center DC ALng SASU Sys Ctr Std 2 Processor 8 $1,101.02 $8,808.16 Microsoft - Part#: T6600315 Contract Name: Microsoft Software VAR Contract# DR-TSO-4092 Coverage Term:11/l/2022—10/31/2023 Note: year 1 of 3 11 VSioPlanlGCC ShrdSvrALNG SubsVL MVL PerUsr 1 $46.20 $46.20 Microsoft - Part#: HWr-00001 Contract Name: Microsoft Software VAR Contract #. DIR TSOA092 Coverage Term:111112022-10/3112023 Note: year 1 of 3 12 VisioPlan2GCC ShrdSvr ALNG SubsVL MVL PerUsr 32 $138.48 $4,431.36 Microsoft - part#: P3U-00001 Contract Name: Microsoft Software VAR Contract#: DIR TS04092 Coverage Term: 11/1/2022-10/31/2023 Note: year 1 of 3 13 VisioPro ALNG SA MVL 10 $108.08 $1,080.60 Microsoft -Part#: D87-01159 Contract Name: Microsoft Software VAR Contract#: DIR TSO.4092 Coverage Term: 11/112022 — 10/3112023 Note: year 1 of 3 14 Win Server DC Core ALng SA 2L 8 $124.43 $995.44 Microsoft - Part#: S A-00278 Contract Name: Microsoft Software VAR Contract#: DIWMO-4092 Coverage Term:11/1/2022—10131120 Note: year 1 of 3 a• �S Pg. -- Total $324,285.85 Additional Comments Please note, if Emergency Connectivity Funds (ECF) will be used to pay for all or part of this quote, please let us know as we will need to ensure compliance with the funding program. Hardware items on this quote may be updated to reflect changes due to industry wide constraints and fluctuations. The products offered under this proposal are resold in accordance with the teens and condf ions of the Contract referenced under that applicable line item. E �� Pg. '=L Enterprise Enrollment Enterprise Enrollment number (Microsoft to complete) Previous Enrollment number (Resellerto complete) 72105738 79028497 Volume Licensing Framework ID lWapplicable) State and Local This Microsoft Enterprise Enrollment is entered into between the entities as idefed in the signature form as of the effective date. Enrolled Affiliate represents and warrants it is the salne€Clastomer, or an Affiliate of the Customer, that entered into the Enterprise Agreement identified on the pr6brar-%ghature form. This Enrollment consists of: (1) these terms and conditions, (2) the terms of t e Enterprise Agreement identified on the signature form, (3) the Product Selection Form, (4) the Product Terms, (5) the Online Services Terms, (6) any Supplemental Contact Information Form, Previous Agreement/Enrollment form, and other forms that may be required, and (7) any order suk: itte-d4vder this Enrollment. This Enrollment may only be entered into under a 2011 or later Enterprise A e. eme ; t. By entering into this Enrollment, Enrolled Affiliate agrees to be bound by the terms and conditions=o -t a Enterprise Agreement. All terms used but not defined are located at httD://wm.microsoft.com/licensing/contracts. In the event of any conflict the terms of this Agreement control.. Effective date. If Enrolled Affiliate is renewing Software.Assurance or Subscription Licenses from one or more previous Enrollments or agreements, then the0ective date will be the day after the first prior Enrollment or agreement expires or terminates. If this Enrollment is renewed, the effective date of the renewal term will be the day after the Expiration Date. of the initial term. Otherwise, the effective date will be the date this Enrollment is accepted 6kmicrosoft. Any reference to "anniversary date" refers to the anniversary of the effective date of he appi'iHble initial or renewal term for each year this Enrollment is in effect. Term. The initial term of this Enrollgl t will expire on the last day of the month, 36 full calendar months from the effective datelf the initial term. The renewal term will expire 36 full calendar months after the effective date of the rene term. A Terms and Conditions 1. Feerinitions. er "s9d but not defined in this Enrollment will have the definition in the Enterprise Agreement. The followmOgdefinitions are used in this Enrollment: "Additional Product" means any Product identified as such in the Product Terms and chosen by Enrolled Affiliate under this Enrollment. "Community" means the community consisting of one or more of the foilowing: (1) a Government, (2) an Enrolled Affiliate using eligible Government Community Cloud Services to provide solutions to a Government or a qualified member of the Community, or (3) a Customer with Customer Data that is subject to Government regulations for which Customer determines and Microsoft agrees that the use of Government Community Cloud Services is appropriate to meet Customer's re ulatory requirements. Fol.. £�� Pg. EA20201EnrGov(US)SLG(ENG)(Oct2019) Page 1 of 10 Document X20-10635 Membership'in the Community is ultimately at Microsofts discretion, which may vary by Government Community Cloud Service. "Enterprise Online Service" means any Online Service designated as an Enterprise Online Service in the Product Terms and chosen by Enrolled Affiliate under this Enrollment. Enterprise Online Services are treated as Online Services, except as noted. "Enterprise Product' means any Desktop Platform Product that Microsoft designates as an Enterprise Product in the Product Terms and chosen by Enrolled Affiliate under this Enrollment. Enterprise Products must be licensed for all Qualified Devices and Qualified Users on an Enterprise -wide basis under this program. "Expiration Date" means the date upon which the Enrollment expires. '"Federal Agency" means a bureau, office, agency, department or other entity of Zi ted States Government.-"Govemment" means a Federal Agency, State/Local ocal Entity, or Tribal -Entity acting ivemmental capacity. "Govemment Community Cloud Services° means Microsoft Online Services � ih� te0are provisioned in Micrasofts multi -tenant data centers for excidsive use by -or for the ComaSt and offered in accordance with the National Institute of Standards and Technology (NISI) Spec .. t`ation 800-146. Microsoft Online Services that are Govemment Community Cloud Services es gas such in the Use Rights and Product Terms. "Industry Device° (also (mown as line of business device) means any device that: (1) is not useable in its deployed configuration as a general purpose personal computing device (such as a personal computer), a multi -function server, or a commercially viable substitute for one of these systems; and (2) only employs an industry or task specific software program (e.g. amputer-aided design program used by an architect or a point of sale program) ("Industry Programs). The�nay include features and functions derived from Microsoft software or third -party software. If the deviceprforms desktop functions (such as email, word processing, spreadsheets, database, network or Intemeit browsing, or scheduling, or personal finance), then the desktop functions: (1) may ly be used for the purpose of supporting the Industry Program functionality; and (2) must be techn V integrated with the Industry Program or employ technically enforced policies or architecture to ope `only when used with the Industry Program functionality. "Managed Device" means any deB-onwhAany Affiliate in the_Enterprise directly or indirectly controls one or more operating •system e grits. Examples of Managed•Devlces can be found in the Product Terms. "Qualified Device" mean ny device tha# is used by or for the benefit of Enrolled Affiliate's Enterprise and is: (1) a personal desktop - puter, portable computer, workstation, or similarrdevice capable of running Windows,Pro locail �(in a ph ical or virtual operating system environment),. or (2) a device used to access a virtual desktop rn structure (NDIJ. Qualified Devices do not include any device that is: (1) designated as a server an ed as a personal computer, (2) an Industry Device, or (3) not a Managed Device. At its option, the Enr I' "�Ailiate may designate any device excluded above (e.g., Industry Device) that is used b or for the benefit of the Enrolled Affiliate's Enterprise as a Qualified Device for all or a subset of En Products or Online Services the Enrolled Affiliate has selected. "Qua . User" means a person (e.g., employee, consultant, contingent staff) who: (1) is a user of a Quaf ' , Device, or (2) accesses any server software requiring an Enterprise Product Client Access License or any Enterprise Online Service. It does not include a person who accesses server software or an Online Service solely under a License Identified in the Qualified User exemptions in the Product Terms. "Reseller" means an entity authorized by Microsoft to ,resell Licenses under this program and engaged by an Enrolled Affiliate to provide pre- and post transaction assistance related to this agreement; "Reserved License° means_for an Online Service identified as eligible for true -ups in the Product Terms, the License reserved by Enrolled Affiliate prior to use and for which Microsoft will make the Online -Service available for activation. ` EA20201 EnrGov(USLGMNG)(0cM019) Page 2 of 10 DocumentX20-106W "State/Local Entity" means (1) any agency of a state or local government in the United States, or (2) any United States county, borough, commonwealth, city, municipality, town, township, special purpose district; or other similar type of governmental instrumentality established by the laws of Customer's state and located within Customer's state's judgdicction and geographic boundaries. "Tribal Entity" means a federally recognized tribal entity performing tribal governmental functions and eligible for.funding and services from the U.S. Department of Interior by virtue of its status as an Indian tribe. ` "Use Rights" means, with respect to any licensing program, the use rights or terms of service for each Product and version published for that licensing program at the Volume Licensing Site and updated from time to time. The Use Rights include the Product -Specific License Terms, the License Model terms, the Universal License Terms, the Data Protection Terms, and the Other Legal Terms. The Use Rights supersede the terms of any end user license agreement (on -screen or otherwise) th VTS4. mpanies a Product "Volume Licensing Site" means http://www.microsoft.comfiicensing/contracts or a succe 2. Order requirements. No a. Minimum order requirements. Enrolled Affiliate's Enter a �` ; st have a minimum of 250 Qualified Users or Qualified Devices. The Initial order lu a at least 250 Licenses for Enterprise Products or Enterprise Online Services. (i) Enterprise commitment. Enrolled Affiliate must ord r enough Licenses to cover all Qualified Users or Qualified Devices, depejding on the License Type, with one or more Enterprise Products `or a mix of Enterp 'se P�t�, ducts and the corresponding Enterprise Online Services (as long as all Qualifie vine not covered by a License are only used by users covered with a user License). (11) Enterprise Online Services only. If no Enterprise Product is ordered, then Enrolled Affiliate need only maintain & least 250 Subscription Licenses for Enterprise Online Services. b. Additional Products. Upotis g the minimum order requirements above Enrolled Affiliate may order Addl ionai Praalucts. q c,. Use Rights fors EnteProducts. • For EnterpriseProducts, •if a new. Product version has more restrictive use rig han the version that is current at the start of the applicable initial or renewal term of the Enrollment, those more restrictive use rights will not apply to Enrolled Affiliate's us that Product during that term. d. Count of usag . Enrolled Affiliate must specify the countries where Licenses will be used on. Its i ' 'ai order and on any additional orders. e. ReMilk, Enrolled Affiliate must choose and maintain a Reseller authorized in the United States. fled Affiliate will acquire its Licenses through its chosen Reseller. Orders must be submitted o the Reseller who will transmit the order to Microsoft, The Reseller and Enrolled Affiliate determine pricing'and payment terms as between them, and Microsoft will invoice the Reseller based on those terms, Throughout this Agreement the term "price" refers to reference price. Reseliers and other Jhlyd parties do not have authority to bind or impose any obligation or liability on Microsoft. E Adding Products. (i) Adding new Products not previously ordered. New Enterprise Products or Enterprise Online Services may be added at any time by contacting a Microsoft Account Manager or Reseller. New Additional Products, other than Online Services, may be used If an order is placed in the month the Product Is first used. For Additional Products that are Online Services, an initial order for the Online Service is required prior to use. EA20201EnrGov(US)SLG(ENGXOct2019) Vol. v ��s Pg. Page 3 of 10 DocumentX20 IONS (11) Adding Licenses for previously ordered Products. Additional Licenses for previously ordered Products other than Online Services may be added at any time but must be Included in the next true -up order. Additional Licenses for Online Services must be ordered prior to use, unless the Online Services are (1) identified as eligible for true -up in the Product Terms or (2) included as part of other Licenses. g. True -up requirements. Enrolled Affiliate must submit an annual true -up order that accounts for any changes since the initial order or last order. If there are no changes, then an update. statement must be submitted Instead of a true -up order. (1) Enterprise Products. For Enterprise Products, Enrolled Affiliate must determine the number of Qualified Devices and Qualified Users (it ordering user -based Licenses) at the time the true -up order is placed and must order additional Licenses for all Qualified Devices and Qualified Users that are not already covered by existing License , ..I cluding any Enterprise Online Services. - (ii) -Additional Products. • For Additional Products that have been •prevlous re eyed under this Enrollment, Enrolled Affiliate must determine the maxi number of Additional Products used since the latter of the initial order, the last p,order, or the prior anniversary date and submit a true -up order that accounts or any fn - ease.. (III) Online Services. For Online Services identified ash Ib for true -up in the Product Terms, Enrolled Affiliate may place a reservation oro, t a dditional Licenses prior to use and payment may be deferred until the nexp o der. Microsoft will provide a report of Reserved Licenses ordered but not yet inved to Enrolled Affiliate and its Reseller. Reserved, Licenses will be Invoiced retrospectively to the month in which they were ordered. �>• (iv) Subscription License reductions. of Affillate may reduce the quantity of Subscription Licenses at the Enrollment niversary date on a prospective basis if permitted in the Product Terms, as. follows: 1) For Subscription Licenses at are part of an Enterprise -wide purchase, Licenses may be reduced if the total qua of Licenses and Software Assurance for an applicable group meets o xceeds f quantity of Qualified Devices and Qualified Users (if ordering user-bas ,Licenses) Identified on the Product Selection Form, and includes any additional Quali 1 Devices and Qualified Users added In any prior true -up orders. .Step-up Licenses do not.count;towards this total count. 2) Fonterprise Online Services that are not a part of an Enterprise -wide purchase, Lice u�s�es can be reduced. as, long as the Initial order minimum requirements are mainrtdid. 3) gFor Additional Products available as Subscription Licenses, Enrolled Affiliate may duce the Licenses. If the License count is reduced to zero, then Enrolled Affiliate's e of the applicable Subscription License will be cancelled. invoice will be adjusted to reflect any reductions In Subscription Licenses at the true -up order Enrollment anniversary date and effective as of such date. (v) Update statement. An update statement must be submitted Instead of a true -up order if, since the Initial order or last -true-up order, Enrolled Affiliate's Enterprise: (1) ha's not changed the number of Qualified Devices and Qualified Users licensed with Enterprise Products or Enterprise Online Services; and (2) has not increased its usage of Additional Products. This update statement must be signed by Enrolled Affiliate's authorized representative. • (vi) True -up order period. The true -up order or update statement must be received by Microsoft,between 60 and 30 days prior to each Enrollment anniversary date. The third - year true -up order or update statement Is due within 30 days prior to the Expiration Date, and any license reservations within this 30 day period will not be accepted. Enrolled Affiliate EA20201EnrGov(US)SLG(ENG)(Ocr2019) Vol. 8S— fig• ` Page 4 of 10 DocumentX20.10638 may submit true -up orders more often to account for increases in Product usage, but an .annual true -up order or update statement must still be submitted during the annual order period. (vii)Late true -up order. If the true -up order or update statement is not received when due, Microsoft will invoice Reseller for all Reserved Licenses not previously invoiced and Subscription License reductions cannot be reported until the following Enrollment anniversary date (or at Enrollment renewal, as applicable). h. Step-up Licenses. For Licenses eligible for a step-up under this Enrollment, Enrolled Affiliate may step-up to a higher edition or suite as follows: (i) For step-up Licenses included on an initial order, Enrolled Affiliate may order according to • the true -up process. (11) If step-up Licenses are not included on an initial order, Enrolled Affi inw!3rfoducts step-up initially by following the process described in the Section.titled "Adding not previously ordered," then for additional step-up Licenses, by o.j wing the true -up order process. 1. Clerical errors. Microsoft may correct clerical errors in this nrolimen ,and any documents submitted with or under this* Enrollment, by providing no email and a reasonable opportunity for Enrolled Affiliate to object to the correct, ' Cl "cal errors include minor mistakes, unintentional additions and omissions. This p ovisi does not apply to material terms, such as the identity, quantity or price of a Product o`fered. j. Verifying compliance. Microsoft may, in its discretion and at its expense, verify compliance with this Enrollment as set forth in the Enter pris ' . reement 3. Pricing. 9 a. Price Levels. For both the initial nd any renewal term Enrolled Affiliate's Price Level for all Products ordered under this En o11 nt will be Level "D" throughout the term of the Enrollment. b. Setting Prices. Enrolle � ;Affiliat�es for•each Product or Service will be established by its • Reseller. Except for Onl ��Services esignated in the Product Terms as being exempt from fixed pricing, As long as tr�oiled Affiliate continues to qualify for the same price level, Microsoft's prices for Resellers for each Product or Service ordered will be fixed throughout the applicable initial renewal Enrollment term. Microsoft's prices to Resellers are reestablished at the beginning _tenewal term. 4. Payme s. For the initial rder, Microsoft will Invoice Enrolled Affiliate's Reseller in three equal annual installments. Th�tt s. installment will be invoiced upon Microsoft's acceptance of this Enrollment and remaining installment HI be invoiced on each subsequent Enrollment anniversary date.. Subsequent or=,..invoiced upon acceptance of the order and Enrolled Affiliate may elect to pay annually or upfront foServices and upfront for all other Licenses. 5. End of Enrollment term and termination. a. General. At the Expiration Date, Enrolled Affiliate must immediately order and pay for Licenses for Products it has used but has not previously submitted an order, except as otherwise provided In this Enrollment b. Renewal option. At the Expiration Date of the Initial term, Enrolled Affiliate can renew Products by renewing this'Enroliment for one additional 36-month term or by signing a new Enrollment. Microsoft must receive a Renewal Form, Product Selection Form, and renewal order prior to or at the Expiration Date. Microsoft will not unreasonably reject any renewal. EA20201EnrOov(US)SLG(ENG)(Oct2019) Vol. pg. page 5 of 10 Document X20-10635 Microsoft may make changes to this program that will make it necessary for Customer and its Enrolled Affiliates to enter into new agreements and Enrollments at renewal. c, -if Enrolled Affiliate elects not to renew. (1) Software Assurance. if Enrolled Affiliate elects not to renew Software Assurance for any Product under its Enrollment, then Enrolled Affillate will not be permitted to order Software Assurance later without first acquiring a new License with Software Assurance. (0) Online Services eligible for an Extended Term. For Online Services identified as eligible for an Extended Term In the Product Terms, the following options are availabl tat the end of the Enrollment Initial. or renewal term. 1) Extended Term. Licenses for Online Services will automatically expire I cco nee with the terms of the Enrollment, An extended term feature that allows Onil Ices to continue month -to -month (Extended Temt") is available. During the Extended Term, Online Services will be invoiced monthly at the the n-cu , , published price as of the. Expiration Date plus a 3% administrative fee for qe year. if Enrolled Affiliate wants an Extended Term, Enrolled Affiliate must It a regilest to Microsoft at least 30 days prior to the Expiration Date. 2) Cancellation during Extended Tenn. At any 'fig en�d,u,ring the first year of to Extended Term, Enrolled Affiliate may terminate fExtnAded Term by submitting a notice of cancellation to Microsoft for each Od ; e S ice. Thereafter, either party may terminate the Extended Term by providing th her witha notle0of cancellation for each Online Service. Cancellation will be effective at the end of the month following 30 days after Microsoft has received or sued the notice. (lit) Subscription Licenses and Online Ice of eligible for an Extended Term. If Enrolled Affiliate elects not to renew, t�.�tses wdl be cancelled and will. terminate as of the Expiration Date. Any associated media must be uninstalled and destroyed and Enrolled Affiliate's Enterprise must discontinue use. Microsoft may request written certification to verify complian d. Termination for caus Any r ation for cause of this Enrollment will be subject to the "Termination for cause"; ction of t Agreement In addition, it shall be a breach of this Enrollment If Enrolled A I to or any Affiliate in the Enterprise that uses Government Community Cloud Services. s to meet and maintain the conditions of membership in the definition of Community. e. Early terminatiqp�'. a�n.y early termination of this Enrollment will be subt subject to o "Early Terminatio " SecFelbof the Enterprise Agreement. For Su Licenses, in the event of a breach by Microsoft, or if Microsoft terminates an Online Sery c .. yfor regulatory reasons, Microsoft will issue Reseller a credit for any amount paid in advance for the period after termination. 6. Im.ent Community Cloud. a. Community requirements. If Enrolled Affiliate purchases Government Community Cloud Services, Enrolled Affiliate certifies that It is a member of the Community and agrees to use Government Community Cloud Services solely In Its capacity as a member of the Community and, for eligible Government Community Cloud Services, for the benefit of end users that are members of the Community. Use of Government Community Cloud Services by an entity that is not a member of the Community or to provide services to non -Community members is strictly prohibited and could result in termination of Enrolled Affiliate's Ilcense(s) for Government Community Cloud Services without notice. Enrolled Affiliate acl�nowledges that only Community members may use Government Community Cloud Services. b. All terms and conditions applicable to non -Government Community Cloud Services also apply FA262OIEnrGov(US)SLO(ENGXOci2o19) i/�i. c��� �'g. S� Pagesorlo Document X20.10635 to their corresponding Government Community Cloud Services, except as otherwise noted in the Use Rights, Product Terms, and this Enrollment. c. Enrolled Affiliate may not deploy • or• use Government Community Cloud Services and corresponding non -Government Community Cloud Services in the same domain. d. Use Rights for Government Community Cloud Services. For Government Community Cloud Services, notwithstanding anything to the contrary in the Use Rights: (1) Government Community Cloud Services will be offered only within the United States. (11) Additional European Terms, as set forth 1n the Use Rights, will not apply. (111) References to geographic areas in the Use Rights with respect to the location CZ'tomer Data at rest, as set forth in the Use Rights, refer only to the United States. 9M Vol. � gs� Pg. '(P EA20201 EnrGov(US)S LG(ENG)(Oct2019) Page 7 of 10 Document X20-10635 Enrollment Details 1. Enrolled Affiliate's Enterprise. a. Identify which Agency Affiliates are included in the Enterprise. (Required) Enrolled Affiliate's Enterprise must consist of entire offices, bureaus, agencies, departments or other entities of Enrolled Affiliate, not partial offices, bureaus, agencies, or departments, or other partial entities. Check only one box in this section. If no boxes are checked, Microsoft will deem the Enterprise to include the Enrolled Affiliate only. if more than one box is checked, Microsoft I deem the Enterprise to Include the largest number of Affiliates; 0 Enrolled Affiliate only 01, ❑ Enrolled Affiliate and all Affiliates ❑ Enrolled Affiliate and the following Affiliates) (Only identify specific ' iates to be included If fewer than all Affiliates are to be Included in the Enterprise): ❑ Enrolled Affiliate and all Affiliates, with following Affiliates) exclu' �d: b. Please indicate whether the Fnrolled Affillate's EnterIise will include all new Affiliates acquired after the start of this Enrollment: Exclude future�A Bate . 2. Contact information., Each party will notify the other in writing if any of th din ""r�ation in the following contact information page(s) changes. The asterisks (*) indicate required fields. �j:hroviding contact Information, Enrolled Affillate consents to its use for purposes of administerin his Enrollment by Microsoft, its Affiliates, and other parties that help administer this Enrollment. The . o` I information provided in connection with this Enrollment will be used and protected in acoc ce with the privacy statement available at httos:ffinwmicrosoft.com/lIcensina/ icecente'� ...a. Primary contact.. This.conta Is the primary contact for the Enrollment from within Enrolled Affiliate's Enterpr;se. This contact Is also an Online Administrator for the Volume Licensing Service Center - d may grant online access to others. The primary contact will be the default contact for all pu " .� unless separate contacts are identified for specific purposes Name of e' (must be legal entity name)* BRAZOS COUNTY Contact Q� First Juan Last Aleman Contact email address* joleman a@brazoscountytx.gov t eet address* 205 East 27th Street z. City , ryan gate TX tal code* 77803-3988- (Please provide the zip + 4, e.g. xxxxx-xxxx) Country* United States phone* 178-361-4697 Tax ID * indicates required fields b. Notices contact and Online Administrator. This contact (1) receives the contractual notices, (2) is the Online Administrator for the Volume Licensing Service Center and may grant online access to others, and (3) is authorized to order Reserved Licenses for eligible Online Servies, Including adding or reassigning Licenses and stepping -up prior to a true- u order. E01. i'g. L 7 EA20201EnrOov(US)SLO(ENG)(Oct2019) Page 8 of 10 document X20-10635 ❑ Same as primary contact (default if no information is provided below, even if the box is not checked). Contact name*•First Juan- Last Aleman Contact email address* jaleman@brazoscountytx.gov Street address* 205 East 27th Street City* Bryan State* 7x Postal code* 77803-3988- (Please provide the zip + 4, e.g. )xxxx xxxx) )"telves Country* United States Phone* 979-361-4697 Language preference. Choose the language for notices. English ❑ This contact is a third party (not the Enrolled Affiliate). Warning: This cont personally identifiable information of the Customer and its Affiliates. *indicates required fields c. Online Services Manager. This contact is authorized to mans e Online Services ordered under the Enrollment and (for applicable Online Services) to Tal?tqr reassign Licenses and step-up prior to a true -up order. Same as notices contact and Online Administrator (default if no information is provided below, even if box is not checked) Contact name*: First Juan Last Aleman Contact email address* Jaleman@brazoscountytx. Phone* 979-361-4697 ❑ This contact is from a third party org nation (not the entity). Warning: This contact receives personally .identifiable information of * indicates required fields d. Reseller information. R eller contact for this Enrollment is: Reseller company named� international Corp: Street address (PO boxes willot be accepted)* 290 Davidson Ave City* Somerset State* NJ" Postal code* 08 T3-4145 Country* Unite itate� Contact n@Me* B1aat , on Barkley Phone* t, 8-764-8888 Contact em10i�l ddress* brandon barkley@shi.com * indicates rsq"fted fields VU . d igning below, the Reseller identified above confirms that all information provided in this nr ment is correct. 11�\ , Signature*� Printed name* Printed title* Date* DEC FM 13 t: R 1 ✓-1 * indicates required fields Changing a Reseller. If Microsoft or the Reseller chooses to discontinue doing -business with each other; Enrolled Affiliate must choose a replacement Reseller. If Enrolled Affiliate or the Reseller intends to terminate their relationship, the initiating party must notify Microsoft and the Vol. 3 8z pg. EA20201EnrGov(US)SLG(EN.G)(Oct2019) • Page 9 of 10 Document X20A 0635 other party using a form provided by Microsoft at least 90 days prior to the date on which the change is to take effect. e. If Enrolled Affiliate requires a separate contact for any of the following, attach the Supplemental Contact Information form. Otherwise, the notices contact and Online Administrator remains the default. (1) Additional notices contact (if) Software Assurance manager (lii) Subscriptions manager (iv) Customer Support Manager (CSM) contact 3. Financing elections. Is a purchase,under this Enrollment being financed through MS Financing? El Ye IN No. If a purchase under this Enrollment is financed through MS Financing, and Enrolled a# chooses not to finance any associated taxes, it must pay these taxes directly to Microsoft a S o . 39S-- Pg. EA202DIEnrGov(US)SLG(ENG)(Oct2Ol9) Page 10 of 10 DocumentX20-10635 MIC rasoft'Volume Licensing Discount Trans parency:Disclosure form 10126/2022 Prb'gyim'f Enterprise 6 EnfofHeht Number. Reniawal Qubtehum6er: 12468-.73614 RdsdlljWN&nbf - $ljIjptprnat1onal'Cqrp1,, Reseffiel'Address: ;90 PaiCtd�qnAvO iSomerset,,New-Jersey, US, 08873-414S WR Fdriblibtfr,bf1mant, Partners Net PrTde,T-hL-Pdtthdels:tdqult-ed,. bVNHcrqsoft, to.passqnthg' _.tAstomer by reduictnig the. Microspift Prodixt'resLiale price by. 33narq Dt.equalto:or Listed on this form isthe Maximum prkthe Partnier may charge for.the Microsoft Piddumto'be brderkd urfderffils-enrollmqnt. The Mqxi.riwrn ReAaIe.Vrlce.'(MF(P)js goir-Olalp unt _ 0 by. spbtrectingthe Olsqo -providp6to thOartrIer, from iheAptaj b$lryjafed to -sale puce 'ffir-the Micf6sOAPrbdbct§. The r.equire erittopois�hrpughthei.discou.nt.d.ppsnqtmpat).ihatMicro.soft.1; Kn ppV1ngthe.jQusto jeevactu4j price-. Pariners remain free to setthe price charged for Microsoft Products at -any point.equalto or below MRP. The Customer's -actual price.will b&.e9tbVlishdd by -a tfthrdtii a�reeThdbt betW&dri.,CUstorrvbr and itY Pafffiet. Note that*thb MRP llited bathle fo rrrf dbe]s .ficit include feiks'forqqrl Microsoft ptgducts,:p.*prtrferservtcgs.ipr,rtransact .)ptM?Itra ,qDco • Norrrk;ifr;tiA;kdtrotiiZoqtsincluopia)(esAr gs. other fees -assessed bY .9 jc.cal or-fede gqvkrnmejit. - W, T PO MEMO ffia _A� S bdilar In'this form, -.the fbilowIng, clefiriltionvapply: 'Customer" mean; thqPartner. '4WnttahV'tnehei; af b1ndlqgagreethbbt fibtWeeh die -Partner Hfid Affiliate,uncldr which Cuttorherdrdert Prod . Odts,ftofh PaIrthet. "(Microsoft" means 4) the enfitythat has entered Into an agreement-wlth.Partner underwhith Partner may place orders -for Microsoft Products -for use kyihe�Ugtqmerand'(2)ih.o.affiliatA4.pfsy.ch,entity,psappropriate, "MAXiMUffiRtsile:Ptidd"i-nL-66i.thd'sfitii.bf.the Estimated Resale Price fdr.ihe'MicrarkoftProducts ot.detddufidetlhe'Cu-RddidrC6iitfa(ctmiliut*e discount off of the Partner's Net Price provided by Microsoft listed -In the currency-in.whtch thePartner or Partners resellbritransacis with including pre-release or beta -version. Micrasoft-product availability may-varrby region. POrtnerp SHI International Corp custgriller:BFazo_s CoufitV SignatOr4p of CU9tbmeJe;5 4 Uthorized FopfeddifitaiW: Prlhted name; Duane Peters Minted title: County Judge Date' jai 13 jaci (9 Ra as. 10-45 Vol, 2:f— P g s�az•eaeaIPOA 0aTMO P t'ri/! 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"1ri?:r• .!2'1:+"sn•'..F�^ P4rlNyjntiu.' -.Mh :':`!�.t•:'ptldmdl¢f4rmtUon •,r.;,' !a• ti*'�';�MicfiwUp'Pr1�4(!IfD)''_y"r+:c::, '� r�X.M7+"w^".f�tiii'inl F'iY�"w. �`n '�M1!'.;t er J: TN Y s6. �5 7 • K3 ii� , .:�SI.�4i' W Fti 5." d '�,i.`_` 42�C 1 :•l � :lhfl'i'd - Y 1' „�'�'')"Yv2;°-0' a'� �+� ^. t' ;+• c•:.°ti�ar� •v VWoprAWM IA108MA• D97-0103'I 'T8?ai10 614.6b ;S'12b0 tYchapmServerSloodudAlm ISA. 3r2.Oi277 99GA0 BtLCO '$88.D0 SMS¢twrStondald Core 41¢gtSAX m4-00101 4,mao 3,8FDm 3,MSDD SylemCo¢terlrSS¢raAtris!?A?4 srP;00017 3KOD -316.00 76600 S}steo Ccntc(Standatd COreAIngLSA2L 9FMWQ k 341.00 Mom sw WMSarvsrOetolehtr,g1SAU SEAM039 W4DD 92.00 "Ono •` 4!'r-,MuTtuet2p Prtm (1150) L ,SUPAIp) it:`` r'iiY4" t: ..Sala Wit: t:t'}i �Sg aSN:i'•' •T(7 ♦;Ywi.: t.va. .7a4 Syitem CtlrterDCCbI¢AlAgy}SU2LSri Gtr Std 9tP90109 24]AO 2DG.00 IOBAO •.77"T3.W.";,. + ..W.*Addidonal:OnlindFroduiWb; '-:c`i: " Prod4nQsKdptrwr!..a'etZ't, +<;_ a •r,:„Gki : • r r+:a`.4,.�.5't:.'M1'iF=S•'POri.NUmber : c m .,i•• — .1%�.�"_ 7Pct IMa U .'''. 'M: dad Au 4n . f!.I}aM¢S¢7vTtp:.ti.V�+`�.it`[:.ni."..r'?iri"::4•:a�$!p:„�''i�..�.°.�7.' ::+?'.r'.f/:.e:'�Taii' .,a `{.15}�'Gi�ts'ifi'ir.,�5".n'•.Itli'!&7ti�''�:'s�.sa!'.'fi•�?M9YF.Uth.(uSD)EM¢Mh• VWo P2GCCSub hr,User PSuoDPQI 24.19 Projcct N ¢COVp 'P$f"1 7h1S00002 2210 Tra,Drac�ilhai�IR4t�y4S43ebngdop, tmuoDal Dm Vidop1GCC Subpar user "*"at 4.70 E o�-•�fI ��� Pg- o.�-- PageRoff '011 ED Microsoft Amendment to Contract Documents Enrollment Number Volume Licensing These amendments are entered Into between the parties identified on the attached program signature form. They amend the Enrollment or Agreement Identified above. All terms used but not defined in these amendments will have the same meanings provided In that Enrollment or Agreement. Enterprise Enrollment (Indirect) Invoice for Quoted Price Amendment !D M97 The price quoted to Enrolled Affiliate's Reseller is a fixed price basedion•an estimated order submission date. • Microsoft will Invoice Enrolled Affiliate's Reseller based,on';thi —bfb d: price quote. If this order Is submitted later than the estimated order submission date, rf6lled':AffiIIdte's :Reseller will be charged for net new Monthly Subscriptions (including Online Service' 46i ttie' period during uhjch these services were not provided. Pricing to Enrolled Affiliate Is �a reed liet�an•nroJ'tetl'Affiliae.a�d Enrolled Affiliate's Reseller. ryy g' �� ] '.; ;•:•'R;� , is�j�•>f'a`/ ,y5 �; , 'i•...i„p,ygii ti ;c,a��y •.�f •:•�3'N. .p �.w �, ,�''• •7 , 41 tL��KF..-1i}�;����':7C.:•. •••l •lrtT.i. :? ,. 9 u� J^- •:' s ;''i . KU lu+t) e ; a Y• 4;43xcrri�; rj :bt'• U� .etc 'ption,' `y� a a Existin fs uantity . 9 £ ;.`;ihcreine <; ". •'.r•T...�'•+:r•.i' ��•�. x .�. f i' 'geLi:Ci.�:•i,f ,'r: %X ,. �f'•�4.`irantities''•.-' •+'•L T•�+Wt •„ AAA-1241 �. • . N, �.�%�1�;�,•It yiS• tCCAL' :l3rld`ge 036$�'Siib •; :i •1�+� 01• .�•',. [;Ay �A�c .zt:r: s, � ., �h:;• •; .. 3wil''idt; '(3 Y. ✓}i✓'J. • •:1 yY Y.%y. �f. ,�It `L: . Per User• � �Y �•y.t `tirr ;� �; ;.': �`��;� � • ': ,'vt:,tJ;44 , %*��ts;;�5`'' AAA-11894 0365 G3: GCC Sub Per, ':`•� ... •.' Use 1063 T2N-00001 €t, 0365'•GO GCC. Sub Per 45' ,i '` t. �••-� `" '` User 7 : w. , . ,., •• ,, .aM�;_,:.,: ;.;��„ �-,• ��r Nu. Vim• � 7 >� a A/� �3� 906 .:• "" EMS"G3 FSA'GCC AL ,•.,�•',, ... ..s Sub Per User °P3U-,00001 w �Vfsio' P2 GCC Stlb Per • 32 User 7E7-00001 Project P3 FSA GCC Sub 5 Per User NYH-00001 Teams AC with Dial Out 1059 US/CA GCC Sub Add -on I- WT--00001 1/fsio P1 GCC Sub Per 1 User AAA-12416 CCAL Bridge 0365 FSA 12 627 Sub Per User' AmendmentAppv4,0 i I M97,M130 �-� a Vol. FSS pg. J,:5' Page 1 of 41 I Enterprise Enrollment Multi -Tenant Enrollment Amendment M 130 .. Definitions. a. "Lead Enrollment" means the Enrollment number listed at the top of this Amendment. b. "Tenant" means the environment established by Microsoft on its multi -tenant servers from which Online Services are hosted for Enrolled Affiliate's Enterprise. c. More Information about Tenants may be found in the applicable Services Descriptions posted to the following or a successor site Microsoft identifies: http://technet.mlcrosoft.com/en- usAlbraM i1819284.asox d. 'Tenant Administrator" means any licensed user of a Tenant that has their role set to "Global Administrator" in their profile settings In the Tenant User Administration page of the tenant portal. A Tenant can have multiple users configured as "Global Administrator" and in this case there is no differentiation of technical capabilities between--thgin;,they are each Tenant Administrators for that Tenant and can perform their tect"i 0l.fynclions unilaterally. The login credentials must be unique across the entire global:s$rstis * Io .4acit user; -Including but not limited to, users that are configured as TenantAdmlhistr to s;,EachTenant Will require Tenant Administrato5p). ' {.�. J* 1 ' , t't 'r ,•k.� 11 ; �4�jry 'J,. V t""b' 'a'i : , j;>,l• �• J'1 61 �v r 1, .r 'iuc✓' jaY;v'Q� �Y ly'� i+'S'. , 4• w "GO' Yt.. S 2. Tenant Enomen -r s ".., .. �+Nn �' ; r� i ij d �a r �i ~ % t:'.w. r� rho �a �'66`l: L 'Y1 i 5r1 'z! `r+t'�i'�-td .I�r C. C'i:�.v..,j�::r ;\%.• '''��� l .��5��};f..? '" a. `ja��,. .• '.s `•,'r''; r , s^—i' utk 4s� rn a. Customer Data'in each fenant�is loz &Ily; Isplafe44b ^ s other p'eta each Tenant is managed separately byTajaritAdni(nis,'tCatoi(s) using ej credentials. Two Tenants may'not share Tei Iant-Administ'rator(s) with ti credentials or share data objects such as d dress llsts of;ShirePoint other Tenants, and ;ply different login same login Online sites. b. To enable multiple Tenants for Online Services''P1ans, as identified in the Product Terms Enrolled Affiliate can request,assignmedt of an -enrollmentdumber-(;jegant.Enrollment") {e Affiliate (or a depart cment or,divisfon thereof),`orrsubset.of,Afiill'atess,Inciuded in Its Enterprise, dr a department or ;divisioh.•of Enrolled Affiliate.; "that requirersepaNte'Tenan( s c. To facilitate Tenant Enrollments for Tenant Affiliates, the parties agree that an enrollment number will be assigned for each Tenant Affiliate listed in the Tenant Information Excel Form attached as an Appendix to this Amendment. Enrolled Affiliate hereby accepts the terms and conditions of the Lead Enrollment on behalf of each Tenant Affiliate. Enrolled Affillates represents and warrants that It has the right, power, and authority to accept on behalf of Tenant Affiliate. d. Notwithstanding that the Tenant Affiliates listed in the Tenant information Excel Form attached as an Appendix will appear as Enrolled Affiliates in Microsoft's Volume Licensing Servicing Center CVLSC"), Enrolled Affiliate acknowledges and agrees that it is the sole Enrolled Affiliate, and sole Licensee, with respect to each Tenant Enrollment, and Enrolled Affiliate will be solely responsible for each Tenant Enrollment's compliance with the terms and conditions of the Lead Enrollment and the associated Enterprise Agreement. e. Price level under each Tenant Enrollment will be the same level that Is reflected on the Product Selection Form and is based upon the aggregate of License and Software Assurance AmendmentApp v4.0 Page 2 of4 Vol. 3&� P, �a quantity of the Lead Enrollment and each Tenant Enrollment as described in the Product Selection Form or as described in other agreement documents. •f. The effective date, term, anniversary dates and payment dates for each Tenant Enrollment shall coincide with the Lead Enrollment identified above. g. All Product Licenses that are not covered in the scope of the Online Services must be purchased under the Lead Enrollment, Including Enterprise Products and Additional Products. h. Enrolled Affiliate must submit an annual order (EAS Enrollments) or annual True Up order (EA Enrollments) for each Tenant Enrollment as per the terms of the Lead Enrollment and (if applicable) the submission of an Update Statement under each Tenant Enrollment. The initial order and all subsequent orders will be submitted separately for each respective Tenant Enrollment. For any included Affiliate that remains licensed with on -premise Licenses and does not require a separate Tenant Enrollment, orders must be placed under the Lead Enrollment. I.. Tenant Enrollment !s exempt from the minimum order. requirement In section 2.a of the Lead Enrollment, J. If the Enrolled Affiliate is Transitioning Licenses (as contemplated in the Lead Enrollment), Licenses from which the Enrolled Affiliate is Transitioning will be reduced from the Lead Enrollment identified above and the Licenses to which the Enrolled Affiliate is Transitioning will be ordered under the specific Tenant Enrollment(s), k. Each Tenant Enrollment may be managed separately.in;VL' S (or a• successor site) by the individuals whose names and contact Information are.identif�d in:i ena, t Information Excel Form attached as an Appendix to the Amendment, oe by' "ttjer individuals to whom each Tenant Affiliate may delegate such managemOnt:respoYlsI Ilities;;to.thwgame extent,as if such Tea a e•f'ad enrolled se ar to as an' En led ter' Tenant p y rod f_fii:a>'e,u .jerthe'Efitdrprise Agreement P( ursuaht toFisO Enrollment>> r, r;�„rt a ' t!� ��;r" Xa:'{n Rro �y�••+. t�5. ,,, I 'dyi•"�''^�I. Enrollmenctanc� andor'tler einingers will,ba sdnt1 cQntactts)�itlentifiQd on thet�e d �Ep�oIImennly,'• pan `�; ' ,: ° �'ct".'; :?•;,, ,' a, M,J t'Y �.r N 1 i f!' tC' ' i.a A O' .f.,� s • i• .�+•'. j•:J by i fit i t. "':• , el P J' `•.." . % . �i':t..+: 3. Technical considerations, e.. ' ' ` n ns for mulifi.;Tenai� irplgym, dnt. Each Tenant Afiiliateplll be assigned a separate Tenant, prbvided that,it'complies with the terms,and conditions f this Amerid .. .r n;xr"° •,h,• ment. ,. G�'"ti�'� 3;�"• �-.. •a">h- `ach� 'erlarit Affiliate will mapage•its Tenant separately in ttie' rhihieti;Ror;corisol@:'This will permit µ uIre each Tenant Affiliate to'be.managed and operatedndep`endbntiy ofetfae Oth@rt �cr�' Diae'to'the"independent nature,of each'Affltiate Tenant from the other, they@ will be a number of•'" w rya' technical boundaries associated with managing or using the tenants together, including but not limited to those in the following list: a. No ability to provide consolidated administrative reporting or control across Tenants, no automated ability to move users between Tenants. For example, if a user moves from one Tenant Affillate to another, this will require Tenant Administrators to manually create new User accounts, download mail to PST files and import, and delete old user. b. No consolidated Global Address List for all Tenants. c. No ability for a single individual with the same Tenant Administrator login credentials to manage more than one Tenant. However, it is possible for a single person to have unique login credentials for each tenant as long as they track their own login credentials. d. No ability to share domain names across Tenants, no ability to share SIP domains (each Tenant will have a separate Skype for Business Online SIP domain). e. Separate Licenses required if users in one Tenant need to access SharePoint Online in another Tenant, no- master SharePoint content Index combining all Tenants (each Tenant's index will be restricted to that Tenant). AmendmentApp v4,0 8 Vol. pg. Page 3 of 4 f. Additional on -premise configuration required for directory synchronization; some scenarios may hot be possible. Affiliate is advised to consult with technical specialists prior to signing this Amendment to determine iftheir proposed configuration will work. 4. Contact Information for Tenant Enrollment a. Primary Contact. For purposes of delineating enrollments, Tenant Enrollments will be delineated uniquely in the enrollment details to be displayed on VLSC with the following, format "Tenant -Lead Enrollment number -Tenant Affiliate Name". This name must be provided in the Tenant Information Excel Form attached as an Appendix for this Amendment under Tenant Affiliate Name. The individual contact identified as Primary contact will be the same individual with the same physical address across all Tenant Enrollments as identified on the Lead Enrollment. b. For each Tenant Enrollment, an Online Services Manager must be provided in the Tenant Information Excel Form attached as an Appendix to this Amendment. c. Microsoft may, from time to time, contact the Online Services Manager regarding the Tenant(s),;ti d. Warning: If the Online service Manager Contact is a thi !d`partjrJ_ Enrolled Affiliate) please be aware that this contact receives personally id�e[t►ti le info [ma+�on of the Customer and its Affiliates. This Amendment must;tieattached to a Information — Excel? &M.16 bje alid. Th — Excel Form ifile isc .8 •fiF +7 • . Cf �ijY Except for changetgade by these amendments, the E�collrpE unchanged and "In, ,fiilljoree• and ' effect"' If there is, ai iy c ahj� IS eats and any provision in the Enrollment or agree r Microsoftlnternal Use Only: Identified above remains any provision _In these. 5Ve. these ame ents''a (M97)EnrAmend(ihd)(InvoiceforQuotedPrice)( M97 B ENG Oct2020 IU .docx (M130)EnrAmend(MulliTenantEnroliment)(W M130 PLSS ENG Se 2022 .docx .EVol .- 3 9!�7 pg. AmendmentApp v4.0 M97,M130 B Page 4 of 4 Microsoft Volume Licensing Program Signature Form MBAUSSA number "000009217461 Agreement number 01 E73535 Note: Enter the applicable active numbers associated with the documents below. Microsoft requires the associated active number be indicated here, or listed below as new. Tits signature form and all contract documents identfied in the table below are entered into between the Customer and the Microsoft Afftliath signing, as of the effective date identified below. By signing below, Customer and the Microsoft Affiliate agree that both parties (1) have received, read and understand the above contract documents, including any websites or documents incorporated by reference and any amendments and (2) agree to be bound by the terms of all such documents. Name of Entit#,' (mirs ale 5 COUNTY Signature Printed First and Last Name* Duane Peters Printed Title County Judge Signature Date* �Et�rhS �R i S r oZ Tax ID Microsoft Corporation Signature Printed First and Last Name Printed Tide Signature Date (dateMicrosoftAffillate countersigns) Agreement Effective Date (may be dttferent than Microsaft's signatute date) WZUF-- Pag 7 of Vol. J`' 3 �S Pry L�loeument7t2 192883 Optional 2"° Customer signature orOutsourcer signature Of applicable) Name of Entity (must be legal entity name)'' Signature* Printed First and Last Name* Printed Title Signature Date* Name of Entity (must be legal entity name)* Signature* Printed First and Last Name* Printed Title Signature Date* If Customer requires additional contacts or is reporting multiple previous Enrollments, include the appropriate form(s) with this signature form. After this signature form Is signed by the Customer, send It and the Contract Documents to Customer's channel partner or Microsoft account manager, who must submit them to the following address. When the signature form is fully executed by Microsoft, Customer will receive a confirmation copy. Microsoft Corporation Dept. 551, Volume Licensing 6880 Sierra Center Parkway Reno, Nevada 89511 USA PmgramSlgnForm(MSMgn)(NA,La%m)EaR&MU(ENO)(May2O20) Page 2 of 2 DocumentX20.12883 Enterprise Enrollment Product Selection Form Proposal ID 1246873.014 Language. English (United States) Microsoft I Volume Licensing Enrollment Number Tn1wV3,X?6i4..� Vwgf, j'Ah 61 so ffl % dwzi;7" r w OR ! " ll� , 11, X. all. ii tb 41 ytt ME I • I •gg DavIcab .., AN.&I U 06,21 I's H a On, ',� , vmk ( MOTO$ "'RE" • "N ti v 11.11al . cylk - Enterprise 972 972 1.0 No User Licenses Knowledge Worker 136 136 1.01 No User Licenses Total 1.108 1,108 _ d0 '7C- Ye" gErkrodso-q t, NN A RfuowlddaOV*Effiahiiy :5 ' 1 , 7 %§g "j "%"Efi k 0365 GS GCC 46 03e5 G3 GOO 972 91 -.201 B Care CAL ,Bridge for Office 365 33 Core CAL Bridge for Office 365 From $A 639 Bk o*040-Mgm -i urt NU Enterprise Mobility and Security GOV 136 Rom a. 46F Ada .4 R fi "'S 2 4 E tofpf SOLI,� ducts VIN, AA FRZ IM-Iffl, 0%; g R _0t, 1.8 r ERR- Office Professional Plus-+ M385 Apps for Enterprise + Office 365 (Plans E3 and ES) + Microsoft 365 Enterprise Client Access-1.1conse + Office 385 (Plans El, E3 and ES) + Microsoft 365 Enterprise Client Access License + Windows I tune + EMS USL + W! ow n Microsoft 365 Enterprise WnE3+Wm 85+ Win VDA + Microsoft 365 Enterprise 11108 1108 136, - �n?AA A Enterprise Products and EntorptiroOnllno$orviCesUSLs:Unlesootherwise [ndicaledlnassarlatedcofflmctdocuments, PrIcil level set using the highest quantityfrarn Groups I trough 4. D Additional Product Application Pool: Unless otherwise Indicated In associated contract documents, Price level sot using quari8ty1ro m Group 1, D Additional ProductSorver Pool: Unless offierwiso Indicated In associated contract documents, Price level set using the highest quantitylirom Group 2 cr3, D Additional Product Systems Pool: Unless otherwise Indicated In associated contract docurnonts, Price level set truing quantity from Group 4. D EA-EASProdSelForm(WW)(ENG) Vol Pg. J�t CTM Page I of 2 MS Quote, Enterprise Enrollment Product Selection Form Microsoft I Volume Licensing z t' `Yira i , - a.. S•x'• x•,' +v.+. ,A.. • h . •.�.: ff <, - .t - :.f'.? sit. :`.L,+., iia.'1„:a •',vim n `:: a;:rG'Yyxa?,^�i}r`y�'•yj. 1'.``._ 4y 9 f� '•��. /�.d J.AI. tn�a �y'� . S,r','=1.., '. ] . :� ta'TJVIDteS •t : ' 1 ,.�^.<.. ;'� Y,.-''�,9, t';',r. •; "•';..SC�r,`r3;`c�l's::, '%•`°`d>� �y i• '#s F•�f �' eY.�- :..j; ,)K v _ ,7i. a$$�" an'a, .YJL�..s a.. , ".4•;t...rvr a. ...'y,:h�i"a?.t�'1. , .k. - • ??!.�' !r^j ,•.; T�3SL~4: .t»,y _. I....i:.•:h: Unless otherwise Indicated in the associated contract documents, the price level for each Product offering / pool Is set as described above, based upon the quantity to price level mapping below: ,F C:7P! P iy.1Jrv.,.'Et: J`Y -v:K. ., { s �i+. vL:r—... .�;`;ij�#,•�. a'. ;t- x`r IMPAµw7•'} }• ) x •;� ,�-' k a. quantity oEt tceilses.arid<Softtilrare;AMeeu�ange• ,u $ r: ,r�lc:'��..iiTi.' •,�( 3.r il'?,'�tiVt� c'S�v>�.•�.': �' try; .L•:c�:,, .[+: t y.+.-;i.,v.•. _ - ss „}, •;"' , a f price Leyef. l* w1 ,.,.���� sy '� ',"•a``$:'` �'+�','Z•vrhbg .•• • :yam' M�'t .•s l rx.Y :. i.:r� ac;'+. •. n '� �. "'..' `a i Y "S;, v �d�1��• �K••• f.•? l.c ;,%L'^., iS y 4'�.tYa�.:.o..i. •� . - �...m.T�ir.3Y%`: .. r�F'K.Y•-"v's'&s3.4. t. ..Stn.arA:-... C'�ry'+• G+.Xi�/,r:5�?''Jh!%.�t. • �.�.�w�i' .�i : �3 2,399 and below A 2A00 to 5,999 B 6,000 to 14.999 0 15,000 and above D Note 1: Enterprise Online Services may not be availbble in all locations. Please seethe Product Ust for a fist of locations where these maybe purchased. Note 2: Unless otherwise indicated in associated Agreement documents, the CAL selection must be the same across the Enterprise for each Profile. Note 3: If Enrolled Alfidiste does not order an Enterprise Product or Enterprise Online Service associated with an applicable Product pool, the price level forAddl0onal Products in the some pool will be price level A throughout the term of the Enrollment. Refer to the Qualifying Government Entity Addendum pricing provision for more details on price leveling. Note 4: Bridge CAL, Once 365 Plan E3 Add Ons, EMS Add Ons, Windows Ent SA Per User Add Ons, and Enterprise Cloud Suite Add On quantifies are not Included for Price Levermg, as License quantifies are determined by the cafresponding Enterprise Onrure Servlce(s). EA-EASProdSelForm (W W)(ENG) E l. g'S -- Pg. CTM Page 2 of 2 MS Quote This Tenant information -Excel Form must be used with the Multi Tenant Enrollment Amendment (M130/M423/H21/M4S9/Add Tenant Form) to be valid - If the Online service Manager Contact Is a third party (not Enrolled Affiliate) please be aware that this contact receives personally identifiable information of the Customer and its Affiliates. ID Registration Tenant Affiliate ID (required Name (will be used only in 2S Prior Enrollment (if as Tenant ID Name countries) renewal) in CPS)* . Contact First Name* Contact Last Name* Online Service Manager Email* 5620SSS BCTT Juan Aleman licensing@brazoscountytx gov Vol. �v� � Pg- �� RSuluYenserdSrni= v pe1w.nd Midaua v P.awoeea library tt90 4 Farhom v r �i r Feptq•mlR r:adnn. Co ftdNanbv DiR-TSO-4092 wndarbdamadmr SHI Government VENDOR CONTACR Solution Sr Inc. TXSHITeam & Phone: (800) 87M079 VcndorlD: 12236sa47ase0 Fax (512) 732-0232 HU13Typm AsbnPadficAmcdon Venda Welrsite (r, Female O RFO. Din-TSO TMP404 W*=Stahrs: ANye Contract Overview ContractTermDate: Q=W4 (D Contract Expiration Date: OVW14 18 VIRCONTAM.. Made Gutierrez C,P Phone: (512I 463-8989 SHI GovemmentSolutions as a Value -Added Reselter (VAR) for DIR offers MJcrosoftsottware products and totaled services through this contractfor AUTHORIZED CUSTOMER BASE AS SET FORTH IN THIS CONTRACT SECTION 8. Authorized Customers must enter into an Enterprise Agreement (EA) or have a current ELAvtith Microsoft Authorized customers can purchase directly through this DIR contract This Contract covers the entire Microsoft Catalogue of products and Related Services plus any and all government and education volume licensing MSRP special Discount programs. Resalters are not available for this contract DiR has exercised the automatic renewal option for this Contract This renewal extends the contractthrougli 2121/2024. Contract Details & Ordering Information Produce & Products & Services Services This mritrattoffers the following products and services. Please contact 2MMQ9X&dM theVendorforthelatestinformation. SrandS • Miscellaneous • Software Contract Software as a Service • Teehniot Services Documents How to Order Resellers MOR6INFORMATION Vendor Wehslte [r, VhnWfV".,. tbdtoa dawthoktertpe4ac6 .m4e.er4pddrta hdortnadora Getting Started Through our various program areas. DIR helps State Agencies, tool government and other organimtians ,we money with the purchasing power of Texas. 1 2 Leamaboutthewaysto Seorchour700+ .►yry throuoh.01$, cantmLtsto find one that z9g1lIftandtlashr offer the products or findingwhatvounee& services you need. Can't find what you're looMng for! Explore additional products and services offered through DiR. Alt Praducta anti Servfws > 3 Order from the Vendor. DIR's discounts area starting point —negotiate further to save marel see lime rot pmcarement nrMossion315 voi. '3 Y pg. -� About Fife Format; Sam•dravmmoonddsMom In do FDFronae.Fkam aouto devthet•dooawrt4 DIR Contract No. DIR TS04092 Vendor Contract No. STATE OF TEXAS DEPARTMENT OF INFORMATION RESOURCES CONTRACT FOR PRODUCTS AND RELATED SERVICES SHI Government Solutions, Inc. 1. Introduction A. Parties This Contract for products and related services is entered into between the State of Texas, acting by and through the Department of Information Resources (hereinafter "DIR") with its principal place of business at 300 West 15th Street, Suite 1300, Austin, Texas 78701, and SHI Government Solutions, Inc. (hereinafter "Vendor"), with its principal place of business at 1301 South MoPac ExpresswaySte. 375 Austin,TX 78746. B. Compliance with Procurement Laws This Contract is the result of compliance with applicable procurement laws of the State of Texas. DIR issued a solicitation on the Comptroller of Public Accounts' Electronic State Business Daily, Request for Offer (RFO) DIR TSO-TMP-404, on 6/08/2017, for Value Added Software Resellers. Upon execution of this Contract, a notice of award for RFO DIR-TSO-TMP-404 shall be posted by DIR on the Electronic State Business Daily. C. Order of Precedence For purchase transactions under this Contract, the order of precedence shall be as follows: this Contract; Appendix A, Standard Terms and Conditions For Products and Related Services Contracts; Appendix B, Vendor's Historically Underutilized Businesses Subcontracting Plan; Appendix C, Pricing Index; Exhibit 1, Vendor's Response to RFO DIR TSO-TMP-404, including all addenda; and Exhibit 2, DIR TSO-TMR404, including all addenda; Exhibit 3, Eligible Customer Exceptions; are incorporated by reference and constitute the entire agreement between DIR and Vendor governing purchase transactions. In the event of a conflict between the documents listed in this paragraph related to purchases, the controlling document shall be this Contract, then Appendix A, then Appendix B, then Appendix C, then Exhibit 3, then Exhibit 1, and finally Exhibit 2. In the event and to the extent any provisions contained in multiple documents address the same or substantially the same subject matter but do not actually conflict, the more recent provisions shall be deemed to have superseded earlier provisions. . 2. Term of Contract The term of this Contract shall be two (2) years commencing on the last date of approval by DIR and Vendor. Prior to expiration of the original term, the contract will renew automatically in two year increments for two additional years, for a total of six years (6), under the same terms and conditions unless either party provides notice to the other party 60 days- in advance of the renewal date stating that the party wishes to discuss modification of terms or not renew. Additionally, the parties by mutual agreement may extend the term for up atencim dayls. v 91s p Vol. 9• Deparnnent ofb formation Resources Page 1 of 9 rR rev 1 /16/1 i DIR Contract No. AIR TSO-4092 Vendor Contract No. 3. ' Product and Service Offerings A. Products Products available under this Contract are limited to Microsoft Products as specified in Appendix C, Pricing Index. Vendor may incorporate changes to their product offering; however, any changes must be within the scope of products awarded based on the posting described in Section LB above. Vendor may not add a manufacturer's product line which was not included in the Vendor's response to the solicitation described in Section 1.13 above. B. Services Services available under this Contract.are limited to Software services, plus related technical services as specified in Appendix C, Pricing Index. Vendor may incorporate changes to their service offering; however, any changes must be within the scope of services awarded based on the posting described in Section 13 above. 4. Pricing Pricing to the DIR- Customer shall be as set forth in Appendix A, Section 8, Pricing, Purchase Orders, Invoices and Payment, and as set forth in Appendix C, Pricing Index, and shall include the DIR Administrative Fee. 5. DIR Administrative Fee A) The administrative fee to be paid by the Vendor to DIR based on the dollar value of all sales to Customers pursuant to this Contract is three quarters of one percent (75%). Payment will be calculated for all sales, net of returns and credits. For example, the administrative fee for sales totaling $100,000 shall be $750.00 B) All prices quoted to Customers shall include the administrative fee. DIR reserves the right to change this fee upwards or down -wards during the term of this Contract, upon written notice to Vendor without further requirement for a formal contract amendment. Any change in the administrative fee shall be incorporated in the price to the Customer. 6. Notification All notices under this Contract shall be sent to a party at the respective address indicated below. If sent to the State: Kelly A Parker, CTPM, CTCM Director, Cooperative Contracts Department of Information Resources 300 W. 151' St., Suite 1300 Austin, Texas 78701 Phone: (512) 475-1647 Facsimile: (512) 475-4759 Email: kelly.parker@dir.texas;gov Vol. 31 pg. 4p4 Department of Information Resources . Page 2 of 9 (DIR rev 10/16117) DIR Contract No. DIR TS04092 Vendor Contract No. If sent to the Vendor: Victoria Pubylski SHI Government Solutions, Inc. 1301 South Mo-Pac Expressway, Suite 375 Austin, Texas 78746 Phone: (512) 582-6724 Fax: (512) 732-0232 Email: Victoria PubylskiRshi.com 7. Software License Agreements A. Shrink/Click-wrap License Agreement Regardless of any other provision or other license terms which may be issued by Vendor after the effective date of this Contract, and irrespective of whether any such provisions have been proposed prior to or after the issuance of a Purchase Order for products licensed under this Contract, or the fact that such other agreement may be affixed to or accompany software upon delivery (shrink-wrap), the terms and conditions set forth in this Contract shall supersede and govern the license terms between Customers and Vendor. It is the Customer's responsibility to read the Shrink/Click-wrap License Agreement and determine if the Customer accepts the license terms as amended by this Contract. If the Customer does not agree with the license terms, Customer shall be responsible for negotiating with the reseller to obtain additional changes in the Shrink/Click-wrap License Agreement language from the software publisher. B. Conflicting or Additional Terms In the event that conflicting or additional terms in Vendor Software License Agreements, Vendor Shrink/Click Wrap License Agreements, Vendor Service Agreements or linked or supplemental Vendor documents amend or diminish the rights: of DIR Customers or the State, such conflicting or additional terms shall not take precedence over the terms of this Contract. In the event of a conflict, any linked documents may not take precedence over the printed or referenced documents comprising this contract; provided further that any update to such linked documents shall only apply to purchases or leases of the associated Vendor product or service offering after the effective date of the update; and, provided further, that, if Vendor has responded to a solicitation or request for pricing, no update of such linked documents on or after the initial date of Vendor's initial response shall apply to that purchase unless Vendor directly informs Customer of the update before the purchase is consummated. In the event that different or additional terms or conditions would otherwise result from accessing a linked document, agreement to said linked document shall not be effective until reviewed and approved in writing by Customer's authorized sigriatoKy.� Vol. pg. 7 Department oft»formation Resources Page 3 of 9 (DIR rev 10/16/17) DIR Contract No. DIR TS0-4092 Vendor Contract No. Vendor shall not [without prior written agreement from Customer's authorized signatory,] require any document that: 1) diminishes the rights, benefits, or protections of the Customer, or that alters the definitions, measurements, or method for determining any authorized rights, benefits, or protections of the Customer; or 2) imposes additional costs, burdens, or obligations upon Customer, or that alters the definitions, measurements, or method for determining any authorized costs, burdens, or obligations upon Customer. The foregoing requirements do not apply to contracts between Customer and a software publisher. 8. Eligible Customers • Vendor is authorized to sell awarded products and related services to all eligible DIR customers, excluding Texas state agencies. Exceptions to this provision are noted in Exhibit 3, Eligible Customer Exceptions. Appendix A, Standard Terms and Conditions for Product and Related Services Contracts, Section 3, Definitions Customer is hereby restated in its entirety and replaced as follows: A. Customer - any unit of local government, institution of higher education as defined in Section 2054,003, Texas Government Code, the Electric Reliability Council of Texas, the Lower Colorado River Authority, a private school, as defined by Section 5.001, Education Code, a private or independent institution of higher education, as defined by Section 61.003, Education Code, a volunteer fire department, as defined by Section 1.52.001, Tax Codeand those state agencies purchasing from a DIR contract through an Interagency Agreement, as authorized by Chapter 771, Texas Government Code, any local government as authorized through the Interlocal Cooperation Act, Chapter 791, Texas Goverment Code, and the state agencies and political subdivisions of other states as authorized by Section 2054.0565, Texas Government Code and, except for telecommunications services under Chapter 2170, Texas Government Code,. assistance organizations as defined in Section 2175.001, Texas Government Code to mean: . 1) A non-profit organization that provides educational, health or human services or assistance to homeless individuals; 2) A nonprofit food bank that solicits, warehouses, and redistributes edible but unmarketable food to an agency that feeds needy families and individuals; 3) Texas Partners of the Americas, a registered agency with the Advisory Committee on Voluntary Foreign Aid, with the approval of the Partners of the Alliance Office of the Agency for International Development; 4) A group, including a faith -based group, that enters into a financial or non- financial agreement with a health or human services agency to provide services to that agency's clients; 5) A local workforce development board created under Section 2308.253; 6) A nonprofit organization approved by the Supreme Court of Texas that provides free legal services for low-income households in civil matters; Deparhnent ofhrfornmadon Reso ces Page 4 of 9 (DIR rev 10/16117) DIR Contract No. DUt TSO-4092 Vendor Contract No. 7) The Texas Boll Weevil Eradication Foundation, Inc., or an entity designated by the commissioner of agriculture as the foundation's successor entity under Section 74.1011, Texas Agriculture Code; 8) A nonprofit computer bank that solicits, stores, refurbishes and redistributes used computer equipment to public school students and their families; and 9) A nonprofit organization that provides affordable housing. 9. Change of Channel Partner For all agreements, enrollments and tenant enrollments associated with DIR's Data Center Services (DCS) program, and any other Texas state agency, the authorized Reseller and Channel Partner transition to a new value-added reseller will be effective on the date stated in the Change of Channel Partner and Change of Direct and Large Account Reseller amendments executed by all Parties. Vendor agrees to sign and return the Change of Channel Partner amendments within 5 days of receipt. 10. - Authorized Exceptions 1. Appendix A, Standard Terms and Conditions for Product and Related Services Contracts. B. Contract, Section 3, Definitions, B) Compliance Check is hereby restated in its entirety as follows: B) Compliance Check — an audit of Vendor's, to the extent reasonably necessary, to verify performance hereunder. Vendor's audit may be performed by, but not limited to, a third party auditor, DIR Internal Audit department, DIR contract management staff or their designees. C. Contract, Section 5, Intellectual Property Matters, Section A Definitions, Item 1, Work Product is hereby restated in its entirety as follows: 1)" Work Product" means any and all tangible and intangible output of Vendor's Services produced by Vendor for Customer under a Statement of Work issued pursuant to this Contract, including any and all tangible or intangible items or things that have been or will be prepared, created, developed for Customer, including but not limited to any (i) works of authorship (such as manuals, instructions, printed material, graphics, artwork, images, illustrations, photographs, flow charts, notes, writings, data, information, multimedia files, other written or machine readable expression of such works fixed in any tangible media, .and all other copyrightable works), (ii) any.copies, and similar or derivative works to any of the foregoing, (iii) documentation and materials, and (iv) all Intellectual Property Rights in any of the foregoing, and which are or were created, prepared, developed, invented or conceived for the use or benefit of Customer in connection with this Contract or a Statement of Work, or with funds appropriated by or for Customer or Customer's benefit: (a) by any Vendor personnel or Customer personnel, or (b) any Customer personnel who then became personnel to Vendor or any of its affiliates or subcontractors, ere; a on or re uctlo to practice is Department ofh formation Resources Page 5 (DIR rev 10/16/I7) DIR Contract No. DIR-TS0 4092 Vendor Contract No. completed while the person is affiliated with Vendor or its personnel, any portion of same was created, invented or conceived by such person while affiliated with Customer. D. Contract, Section 5, Intellectual Property Matters, A Definitions, Item 2) "Intellectual Property Rights" is hereby restated in its entirety as follows: 2) "Intellectual Property Rights" means the worldwide legal rights or interests evidenced by or embodied in: (i) any compilations, diagrams, layouts, mask works, idea, design, concept, personality right, method, process, formula, technique, apparatus, invention, discovery, or improvement, including any patents, trade secrets, and know- how, show -how, research and development; (ii) any work of authorship, including any copyrights, moral rights or neighboring rights; (iii) any software (including routines and sub routines, trademark, service mark, logo, Confidential Information, pre-existing and independently developed materials, trade dress, trade name, or other indicia of source or origin; (iv) domain name registrations; and (v) any other propl7etaiy or similar rights. The Intellectual Property Rights of a party include all worldwide legal rights or interests that the party may have acquired by assignment or license with the right to grant sublicenses. E. Contract, Section 5, Intellectual Property Matters, A Definitions, Item 5) "Vendor II"' is hereby restated in its entirety as follows: 5) "Vendor W' shall mean all tangible or intangible items or things, including the Intellectual Property Rights therein, created or developed by Vendor (a) prior to providing any Services or Work Product to Customer and prior to receiving any documents, materials, information or funding from or on behalf of Customer relating to the Services or Work Product, or (b) after the Effective Date of the Contract if such tangible or intangible items or things do not include (i) any Confidential Information of Customer; or (ii) any ideas, concepts, know how, skills, methodologies, or techniques which (A) are developed solely by Customer, or (B) are unique to Customer or its applications and are developed for inclusion in the Work Product. F. Contract, Section 5, Intellectual Property Matters, B Ownership is hereby restated in its entirety as follows: Vendor owns all right, title, and interest the Vendor IP. As between Vendor and Customer, and upon payment by Customer, of any undisputed invoice of vendor directly related to a specific element of work product, that absent of the Work Product and Intellectual Property Rights therein are and shall be owned exclusively by Customer, and not Vendor. Vendor specifically agrees that the Work Product shall be considered "works made for hire" and that the Work Product shall, upon creation, be owned exclusively by Customer. Subject to Vendor's confidentiality obligations to customer; Nothing in this Contract precludes Vendor from providing services similar to those described in this Contract or any Statement of Work to any other customers. To the extent that the Work Product," under applicable law, may not be considered works made for lure, Vendor hereby agrees that the Contract effectively transfers; grants, conveys, assigns, and relinquishes exclusively to Customer all right, title and interest in and to alf ownership rights in the Work Product, -and all Intellectual Property Rights in the Work Product, _without the necessity of any further consideration, and Customer shall be entitled to obtain and hold in its own name all Intellectual Property Rights in and to the Work Product Vendor acknowledges that Vendor and Customer do not intend Vendor to be a Vol. Pg. 7 d Department oflnformation Resotaees Page 6 f 9 1R rev 16/17j DIR Contract No. DIR TSO-0092 Vendor Contract No. joint author of the Work Product within the meaning of .the Copyright Act of 1976. Customer shall have access, during normal business hours (Monday through Friday, SAM to 5PM) and upon reasonable prior notice to Vendor, to all necessary and relevant Vendor materials, premises and computer files containing the Work Product Vendor and Customer, as appropriate, will -cooperate with one another and execute such other documents as may be reasonably appropriate to achieve the objectives herein. No license or other right is granted hereunder to any Third Party IP, except as may be incorporated in the Work Product by Vendor. G. Contract, Section 5, Intellectual Property Matters, G) Return of Materials Pertaining to Work Product is hereby restated in its entirety as follows: Upon the request of Customer, but in any event upon termination or expiration of this Contract or a Statement of Work, Vendor shall surrender to Customer all documents and things necessary to the understanding and operation of the work product and all things pertaining to the Work Product, including but not limited to drafts, memoranda, notes, records, drawings, manuals, reports, data, and all other documents or materials (and copies of same) generated or developed by Vendor or furnished by Customer to Vendor, including all materials embodying the Work -Product, any Customer confidential information, or Intellectual Property Rights in such Mork Product; regardless of whether complete or incomplete. This section is intended to apply to all Work Product as well as to all documents and things famished to Vendor by Customer or by anyone else that pertain to the Work Product. H. Contract, Section 5, Intellectual Property Matters, K) License to Customer is hereby restated in its entirety as follows: If Vendor includes any Vendor IP, then Vendor grants to Customer, a limited, perpetual, irrevocable, royalty free, non-exclusive license, solely for the Customer's internal business purposes, to use, copy, modify, display, perform (by any means), transmit and prepare derivative works of any Vendor .1P, solely to the extent such Vendor IP is necessary to use the Work Product, embodied in or delivered to Customer in conjunction with the Work Product The foregoing license includes the right to sublicense third parties, solely for the purpose of engaging such third parties to assist or carryout Customer's internal business use of the Work Product. Except for the preceding license, all rights in Vendor IP remain in Vendor. I. Contract, Section 5, Intellectual Property Matters, L) Vendor Development Rights is hereby restated in its entirety as follows: To the extent not inconsistent with Customer's rights in the Work Product or as set forth herein, nothing in this Contract shall preclude Vendor from developing for itself, or for others, materials which are competitive with those produced as a result of the Services provided hereunder, provided that no Work Product is utilized, and no Intellectual Property Rights of Customer therein are infringed by such competitive materials. To -the extent that Vendor wishes to use the Work Product, or acquire licensed rights in certain Intellectual Property Rights of Customer therein in order to offer competitive goods or services to third parties, Vendor and Customer agree to negotiate in good faith regarding an appropriate license and royalty agreement to allow for such. Customer shall not and shall not permit any affiliates or third party to translate, reverse engineer, decompile, recompile, update, or modify any Vendor IP. If Customer provides any input, comments or suggestions regarding the Services, Vendor-IP, or Vendor's business or technology rofO91 . pg., % Department oflnformation Resources Page (DIRrev 0116117) DIR Contract No. DIR TS0 4092 Meador Contract No. plans, including comments or suggestions regarding the possible creation, development, modification, correction, improvement or enhancement of the Services or Vendor IP (collectively "Feedback"), then Customer shall grant and hereby grants Vendor a perpetual, nonexclusive, world-wide, royalty free, license to use such Feedback without restriction. J. Contract, Section 10, Vendors Responsibibility, A Indemnification, Item 3 Llfringements is hereby restated in.its entirety as follows: a) Vendor shall indemnify and hold harmless the State .of Texas and Customers, AND/OR THEIR EMPLOYEES, AGENTS, REPRESENTATIVES, CONTRACTORS, ASSIGNEES, AND/OR DESIGNEES from any direct damages arising from all third party claims that the Work Product involve infringement of any United States patents, copyrights, trade and service marks, and any other intellectual or intangible property rights in connection with the PERFORMANCES OR ACTIONS OF VENDOR PURSUANT TO THIS CONTRACT. SHALL BE LIABLE TO PAY ALL COSTS OF DEFENSE INCLUDING ATTORNEYS, FEES. THE DEFENSE SHALL BE COORDINATED BY VENDOR WITH THE OFFICE OF THE ATTORNEY GENERAL WIEN TEXAS STATE AGENCIES ARE NAMED DEFENDANTS IN ANY LAWSUIT AND VENDOR MAY NOT AGREE TO ANY SETTLEMENT WITHOUT FIRST OBTAINING THE CONCURRENCE FROM THE OFFICE OF THE ATTORNEY GENERAL. b) Vendor shall have no liability under this section if the alleged infringement is caused in whole or in part by: 0) use of the product or service for a purpose or in a manner for which the product or service was not designed, (u) any modification made to the product without Vendor's written approval, (iii) any modifications made to the product by the Vendor pursuant to Customer's specific instructions, (iv) any intellectual' property right owned by or licensed to Customer, (v) Customer's combination or use of the Work Product or Service with software, services, or products developed by Customer or third parties or (vi) any use of the product or service by Customer that is not in conformity with the terms of any applicable license agreement. c) If Vendor becomes aware of an actual or potential claim, or Customer provides Vendor with notice of an actual or potential claim, Vendor may (or in the case of an injunction against Customer, shall), at Vendor's sole option and expense: (i) procure for the Customer the right to continue to use the affected portion of the product or service, (ii) modify or replace the affected portion of the product or service with functionally equivalent or superior product or service so that Customer's use is non - infringing, or (iii) replace the Work Product or Services at no cost to Customer with non -infringing substitutes provided that the substitutes do not entail a material diminution ill function in Customer's reasonable estimation. (Remainder of page intentionally left blank) Vol. � � s� P9. Department of nfonnXion Resources Page 8 of 9 (DIR rev 101107) DM ContractNo. DIR TS0 4092 Vendor Contract No. This Contract is executed to be effective as of the date of last signature, SHI Government Solutions, Inc. Authorized By:_ Signature on_U e Name: Natalie Castagno Title: Director. of.Response Team Date: _ 2/20/2018 The State of Texas, acting by and through the Department of Information Resources Authorized By:_ Signature on File Name: Hershel Becker Title: Chief Procurement Officer Date: 2/21/2018 Office of General Counsel: David Brdwn Signature on File 2/21/2018 r �. 6 Department oflnformadlon Resources Page 9 of 9 (DIR rev 10/16/17) Center for Success and independence Residential Services Agreement November 1, 2022 —October 31, 2023 CONTRACT AND AGREEMENT FOR LONG-TERM RESIDENTIAL SERVICES OF T VENILE OFFENDERS SPACE AVAILABLE Center for Success and Independence Residential Services November 1, 2022 - October 31, 2023 This Agreement is entered into by and between Brazos County, acting by and through its duly authorized representative (hereinafter, "Juvenile Probation") and Center for Success and Independence, acting by and through its duly authorized representative (hereinafter, "Service Provider") pursuant to license granted by the appropriate State agency with licensure or regulatory authority over the facility ("Service Provider"). PURPOSE 1.00 The purpose of this Residential Services Agreement is to provide juvenile Probation with Iong term residential care for children adjudicated to have committed delinquent conduct or conduct indicating a need for supervision. 2.00 The term of this Agreement is for 12 months commencing November 1, 2022 - October 31, 2023. It shall be automatically renewed for one year terms thereafter, commencing November Ist and ending October 315, 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. SERVICES 3.01 The level of care services delivery criteria as well as the required description of the characteristics of children will be in accordance with the definitions determined by the Texas Department of Family and Protective Services. Service Provider will provide the following level of care services: 3.011 • Specialized Level of Care consists of a structured, controlled residential treatment setting that is designed to provide appropriate supervision and a moderate level of therapeutic services to maintain or improve the child's functioning. These services reflect a full range of social, psychosocial, and rehabilitative interventions and may include, but are not limited to, substance abuse services, sex offender treatment, special populations, mental health services and services for pregnant females. Specialized programming is developed and implemented by appropriately credentialed professionals. 3.012 Moderate Level of Care consists of a structured supportive setting, preferably in a family, in which most activities are designed to improve the child's functioning. This includes more than routine guidance and supervision to ensure the child's safety and sense of security; affection, reassurance, and involvement in structured activities !Vol. Pg. 7� Center for Success and Independence . Residential Services Agreement November 1, 2022 — October 31, 2023 appropriate to the child's age and development to promote the child's well-being; contact in a manner that is deemed in the best interest of the child, with family members and other persons significant to the child to maintain a sense of identity and culture; and access to therapeutic, habilitative, and medical intervention and guidance from professionals or paraprofessionals to help the child attain or maintain functioning appropriate to the child's age and development. 3.013 The provision of individual, group and family therapy and other therapeutic interventions and programs, are managed and administered by appropriately licensed mental health professionals (e.g., psychiatrists, psychologists, therapists, counselors or paraprofessional staff under the direct supervision of professional therapists or counselors). 3.014 Review of a child's continued need for specialized services shall be conducted at least every 90 days by an appropriate mental health professional and/or treatment team. 3.02 Service Provider will perform the following services: A. Provide basic residential services, including: standard supervision by qualified adults, food and snacks, recreation, personal hygiene items, hair cuts, transportation, school supplies, and room, (rent, utilities, maintenance, telephone). B. Provide and document paraprofessional counseling, off -campus visits or contacts. Anv and all costs visits or furloughs will be paid by the parent or guardian. C; Initiate and document meetings and attempted meetings among Service Provider, juvenile Probation staff and contracted children for the purpose of justifying continued placement. justification shall be done at a minimum of every thirty (30) days. A copy of the placement justification shall be submitted to juvenile Probation within ten (10) working days. D. Ensure that the child's parent(s) or legal guardian(s) and juvenile Probation are notified if a child in placement makes an unauthorized departure, becomes seriously ill, or is involved in a serious accident juvenile Probation and parents Will be informed immediately if during working hours. After normal working hours, every effort will be made to notify Juvenile Probation and the parents. In the event of serious illness or accident 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. E. Ensure that the resident is made available to the juvenile probation officer to participate in monthly status and progress reviews, as described in §341.506. A staff member who is knowledgeable about the resident's progress in the faciWs programming participates in monthly status and progress reviews with the juvenile probation officer and provides a monthly written summary of the resident's progress in the facility's programming and documentation is maintained in the resident's file. R Document and maintain records of all goods and services provided to contracted children_ These records shall contain, but are not limited to: hours of services Vol. Fig. 7 S — Center for Success and Independence Residential Services Agreement November 1, 2022 — October 31, 2023 provided, number of children served, average length of stay per client, total hours of counseling or treatment provided. These records shall be made available to Juvenile Probation for periodic inspection. G. Document and maintain records pertaining to the effectiveness of goods and services provided to contracted children. These records shall contain, but are not limited to: percentage of children in program successfully achieving set educational goals, percentage of children achieving set vocational goals, percentage of children achieving set social skills goals, percentage of youth demonstrating overall progress, and number and type of investigations made by the Department of Family and Protective Services or any law enforcement agency due to reports of abuse and/or neglect. These records shall be made available to Juvenile Probation for periodic inspection. H. Any and all medical/psychiatric treatment and medication required to meet the needs of the child, as well as clothing, or other expenses not provided for in the Service Provider's program, shall be the sole responsibility of the said child's parent(s), guardian(s), court ordered appointed conservator or Juvenile Probation, to be paid by either Juvenile Probation, Medicaid or health insurance. However, in no case shall a child be denied any needed medical/psychiatric treatment or clothing due to the inability to pay. EVALUATION CRITERIA 4.01 The performance of Service Provider in achieving the goals of Juvenile Probation will be� �� V evaluated on the basis of the output and outcome measures contained in this section. Juvenile Probation, at its discretion, may use other means or additional measures to evaluate the performance of Service Provider in fulfilling the terms and conditions of the Agreement. A. Juvenile Probation shall evaluate Service Provider's performance under this Agreement according to the following specific performance goals for Service Provider: 1. Ensure children complete residential placement. 2. Prevent re -referrals of children during the six (6) months following release from residential placement. 3. Ensure children move down in their Level of Care (if applicable) as they progress in the treatment program. B. Juvenile Probation shall additionally evaluate Service Provider by the following output measures (in actual numbers of units of service and activities): 1. The total number of children placed in residential placement. 2. The total number of children who were discharged from residential placement successfully. 3. The total number of re -referrals of children discharged from placements within six (6) months after release. 4. The total number of children who move down in their Level of Care (if applicable). 5. The average length of time before a child moves down in the Level of Care (if applicable). Center for Success and Independence Residential Services Agreement November 1, 2022 — October 31, 2023 C. Juvenile Probation shall further evaluate Service Provider by the following outcome measures: 1. Percentage of children in residential placement who will complete their placement as a successful discharge. 2. Percentage of children who have completed their placement and not re - referrals within six (6) months after release. 3. Percentage of children who move down in their Level of Care (if applicable). Notwithstanding the foregoing criteria for evaluation, nothing herein shall be construed as a guaranty of outcome or performance by any child. 4.02 Service Provider shall report on a monthly basis to Juvenile Probation as to each of the foregoing output and outcome measures. These reports will be reviewed by Juvenile Probation in order to monitor Service Provider for programmatic compliance with this Agreement. COMPENSATION 5.01 For and in consideration of the above -mentioned services, Juvenile Probation agrees to pay the Service Provider not more than the per diem rates based upon the Level of Care provided, in accordance with the schedule of rates set by the Texas Department of Family and Protective Services. The daily rate shall be paid to the Service Provider for each day a child is in residential treatment pursuant to billing and paying procedures agreed upon by Juvenile Probation and Service Provider. 5.02 Psychiatric services will be provided to the child on an as needed basis and shall be billed to Juvenile Probation. An initial psychiatric/psychological evaluation that has been conducted within the last 12 months is required prior to acceptance into the program. 5.03 Service Provider will submit an invoice for payment of services to Juvenile Probation on a monthly basis. Said invoice shall be submitted with 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: to be attributed to specific clients if appropriate, date service was rendered, total daffy cost, and total monthly cost. Each invoice received for payment will be reviewed by Juvenile Probation in order to monitor Service Provider for financial compliance with this Agreement. Invoices submitted by Service Provider in proper form shall be paid by Juvenile Probation in a timely manner. 5.04 Juvenile Probation shall be responsible for all of the juvenile's medical expenses, and juvenile Probation agrees to indemnify and hold the Service Provider, its officers, administrator, representatives, agents, shareholders and employees from any and all liability for charges for medical expenses. For all non-emergesuaj treatment, including dental, vision, medical, and mental health services, Me Service Provider mast obtain prior authorization front juvenile Probation. If an emergency examination, EMS treatment, health care treatment, and/or hospitalization outside the Facility (hereinafter, "Outside Treatment") is required for a child placed in the Facility, the Administrator of the Facility (hereinafter, "the Administrator") is authorized to secure the Outside Treatment at the expense of Juvenile Probation. The Administrator shall notify Juvenile Probation of Outside Treatment within twenty-four (24) hours of its occurrence. Center for Success and Independence Residential Services Agreement November 1, 2022—October 31, 2023 Juvenile Probation shall make arrangements directly with vendors for the provision of, and payment for, routine medical expenses, including without limitation, hospitalization, prenatal services, and dental, for Post -Adjudication Program juveniles and other juveniles for whom the Administrator has not elected to secure such services as provided herein above. In all other medical situations, the Service Provider is authorized, but not required, to make arrangements with vendors, at Juvenile Probation's request, for the provision of medical treatment at the expense of Juvenile Probation. If the Service Provider makes such arrangement, the Service Provider is authorized, but not required, to seek coverage or reimbursement of expenses from all sources, including but not limited to, Medicaid, Social Security, medical insurance coverage, or contributions from parents or others and deducted from the invoice submitted to Juvenile Probation. Documentation must include the name(s) and SID numbers of the parties receiving the services, the dates and time services were provided and such other information deemed necessary for adequate fiscal control. In any event, responsibility for payment to vendors or reimbursement to Service Provider is the ultimate responsibility of juvenile Probation. Service Provider will invoice juvenile Probation for any non -reimbursed funds advanced by the Service Provider, and the Juvenile Probation will remit to the Service Provider, within 30 days of invoice, full and final payment. 5.05 Service Provider shall account separately for the receipt and expenditure of any and all state funds received from Juvenile Probation under this Contract. Service Provider shall account separately for state funds received and expended utilizing the following Generally Accepted Accounting Practices (GAAP): 1.� Service Provider has an outside audit completed on a yearly basis which specifies receipt and expenditure of State funds. Service Provider shall forward a copy of the annual outside audit to juvenile Probation following the end of the fiscal year. 2. If Service Provider does not obtain an annual outside audit, then Service Provider shall provide a separate accounting of funds received from Juvenile Probation in whole or in part paid from state funds. The accounting shall clearly list the state funds received from Juvenile Probation and account for expenditures of said funds including documentation of appropriate expenditures as well as the year's tax forms and documentation. The accounting shall be provided to Juvenile Probation thirty (30) days prior to the renewal date of the contract. 5.06 It is understood and agreed by Service Provider that this Agreement is funded in whole or in part with grant or state funds and shall be subject to termination without penalty, either in whole or in part, if funds are not available or are not appropriated by the Texas Legislature. 5.07 In the event that State Reimbursement Rates are increased during the duration of the terms of this Contract, the new rates will become effective reflecting those of the increase. 5.05 Service Provider agrees to make claims for payment or direct any payment disputes to Juvenile Probation's Fiscal Officer. Service Provider will not contact other department employees regarding any claims of payment. 5.09 Service Provider will provide certification of eligibility to receive state funds as required by Texas Family Code Section 231.006. 5.10 Except to the extent that a party to this Agreement seeks emergency judicial relief, the parties agree to negotiate in good faith in an effort to resolve any disputes related to this contract that Vol. pg. Center for Success and independence Residential Services Agreement November 1, 2022 — October 31, 2023 may arise, no matter when the dispute may arise. If a dispute cannot be resolved by negotiation, the dispute shall be submitted to mediation before the parties resort to arbitration or litigation. The parties shall choose a mutually acceptable mediator to mediate the dispute, and the parties shall pay the costs of mediation services equally. ADDITIONAL TERMS & AGREEMENTS 6.01 Prior to transporting a child to the Facility for placement, Juvenile Probation shall call the Facility to ensure that space is available. Placement of children by Juvenile Probation may be denied if space limitations require as determined by the Facility. 6.02 A child will only be accepted in the Facility upon receipt by the Administrator of 'a ' proper order from the Juvenile Court of Brazos County and other documentation required by Service Provider. 6.03 Each child placed in the Facility shall be -required to follow the rules and regulations of conduct as fixed and determined by the Administrator and staff of the Facility. 6.04 If a child is accepted by the Facility from Juvenile Probation and the child thereafter is determined to be, in the sole judgment of the Administrator, mentally or physically unfit, dangerous, or unmanageable, unsuitable for the program or combination of such conditions or characteristics or whose mental or physical conduct would or might endanger the other occupants of the Facility, then the Administrator shall notify Juvenile Probation of Brazos County of this determination. It will be the responsibility of Juvenile Probation to pioviile foT the transportation for the removal of the cliild and sIiall-lie iemoved as soon as practicable, but in no event longer than seven (7) working days after notification. 6.05 Service Provider, agrees that the Facility will accept any child who qualifies, without regard to such child's religion, race, creed, sex or national origin. 6.06 It is understood and agreed by the parties that children placed in the Facility under proper orders of the appropriate juvenile Court shall not be discharged from the Facility until the Administrator of the Facility receives a written authorization from the Juvenile Probation Department that originally authorized the placement of the child. 6.07 It is further understood and agreed by the parties that children placed in the Facility may be released to the Juvenile Probation or other appropriate authority of Brazos County pursuant to: (a) Section 6.04 of this Contract or, (b) an Order of Release signed by the Judge of the Juvenile Court of Brazos County. 6.08 It is further understood and agreed by the parties that nothing in this contract shall be construed to permit Brazos County, its agents, servants, or employees in any way to manage, control, direct or instruct Service Provider, its director, officers, employees, agents, shareholders and designees in any manner respecting its work, duties or functions pertaining to the maintenance and operation of the Facility. However, it is also understood that the Juvenile Court of Brazos County shall control the conditions and terms of detention supervision as to a particular child pursuant to Texas Family Code, Section 51.12. 6.09 Juvenile Probation reserves the right to terminate the child's placement with Service Provider - at its discretion. Service Provider must not release a child to any person or agency other than Juvenile Probation without the written consent of an authorized agent of Juvenile Probation VO1. vas = p9. 71 6 Center for Success and Independence Residential Services Agreement November 1, 2022 — October 31, 2023 EXAMINATION OF PROGRAM &RECORDS 7.01 Service Provider agrees that it will permit juvenile Probation to examine and evaluate its program of services provided under the terms of this agreement and/or to review its record periodically. 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 Provider and the children when deemed necessary. 7.02 Service Provider shall provide to juvenile Probation such descriptive information contracted children as requested on forms provided by Juvenile Probation. 7.03 For purpose of evaluation, inspection, auditing or reproduction, Service Provider agrees to maintain and make available to authorized representatives of the State of Texas or juvenile Probation any and all books, documents or other evidence pertaining to the costs and Expenses of this Agreement. 7.04 Service Provider will keep a record of all services provided to Juvenile Probation under this agreement, and upon reasonable notice will provide information, records, papers, reports, and other documents regarding services furnished as may be requested by juvenile Probation. Service Provider will maintain the records (as referenced above) for seven (7) years after the termination of this Agreement. 7.05 "Contractor (aka "Service Provider") understands that acceptance of funds under this contract acts as acceptance of the authority of the State Auditor's Office, orb successor agency, to conduct an audit or investigation in connection with those funds. Contractor further agrees, to cooperate fully with the State Auditor's Office or its successor in the conduct f the audit or investigation, including providing all records requested. Contractor will ensure that this clause concerning the authority to audit funds received indirectly by subcontractors through the contractor and the requirement to cooperate is included in any subcontract it awards." CONFIDENTIALITY OF RECORDS 8.01 Service Provider shall maintain strict confidentiality of all information and records relating to children involved in juvenile Probation, and shall not re -disclose the information except as required to perform the services to be provided pursuant to this Contract, or as may be required by law. DUTY TO REPORT 9.01 Allegations Occurring Inside the Facility. As required by Texas Family Code Chapter 261 and Title 37 Texas Administrative Code Chapter 358, or successor provisions, Service Provider, and any of its employees, interns, volunteers or contractors, shall report any allegation or incident of abuse, neglect; exploitation, death or other serious incident involving a juvenile in a juvenile justice facility or juvenile justice program in the following manner: A. For all allegations and incidents except sexual abuse and serious physical abuse: within twenty-four (24) hours from the time the allegation is made, to the following. 1. Local law enforcement agency; and Vol. ASS Pg. go Center for Success and Independence Residential Services Agreement November 1, 2022 — October 31, 2023 2. With respect to juveniles placed by Brazos County Juvenile Probation Department, notification shall be made to the Brazos County juvenile Probation Department and an incident report shall be sent to facsimile number (979) 823- 4211. Additionally, the Executive Director shall be contacted via telephone at (979) 361-1871 or (979) 361-1800 within 24 hours. 3. When applicable, Brazos County juvenile Probation shall make the appropriate notifications and reports to Texas Juvenile justice Department by submitting a TJJD Incident Report Form to facsimile number 1-512-424-6717 (or if unable to complete the form within 24 hours, then by calling toll -free 1-877-786-7263, followed by submitting the report within 24 hours of said call). In addition, for serious incidents, a treatment discharge form or other medical documentation that contains evidence of medical treatment pertinent to the reported incident shall be submitted to the Texas Juvenile justice Department within 24 hours of receipt. B. For allegations and incidents of sexual abuse or serious physical abuse: 1. Local law enforcement agency immediately, but no later than one (1) hour from the time a person gains knowledge of or -suspects the alleged serious physical abuse or sexual abuse. The initial report shall be made by phone to law enforcement, 2. With respect to children placed by Brazos_Courq juvenile Probation Department, an Incident Report Form shall be sent to Brazos County juvenile Probation Department within 24 hours at facsimile number (979) 823-4211 and notification shall also be made via a telephone call to the Executive Director at (979) 3611871 or (979) 361-1800. 3. When applicable, Brazos County Juvenile Probation shall contact the Texas Juvenile Justice Department immediately, but no later than four (4) hours from the time a person gains knowledge of or suspects the alleged serious physical abuse or sexual abuse. The .initial report shall be made by phone by calling toll - free 1-877-786-7263. Within 24 hours of the report by phone, the completed TJJD Incident Report Form shall be submitted by facsimile number 1-512-424-6717 or by email. 9.02 Allegations Occurring Outside the Facility. Any person who witnesses, learns of, receives an oral or written statement from an alleged victim or other person with knowledge or who has a reasonable belief as to the occurrence of alleged abuse, neglect, exploitation, death or other serious incident involving a child, but that is not alleged to involve an employee, intern, volunteer, contractor, or service provider of a program or facility, shall be immediately reported to law enforcement or to other appropriate governmental unit as required in Texas Family Code Chapter 261. 9.03 As used within this Agreement: A. An allegation or incident includes the witnessing, learning, or receiving an oral or written statement from an alleged victim or other person with reasonable belief or knowledge as to the occurrence or an alleged abuse, neglect, exploitation, death or other serious incident involving a child in a juvenile justice facility or juvenile justice program. g� v Ot. _ �S �'�• 8 Center for Success and Independence Residential Services Agreement November 1, 2022 —October 31.2023 B. A serious incident is attempted escape, attempted suicide, escape, reportable injury, youth -on -youth physical assault or youth sexual conduct C. Sexual abuse is conduct committed by any person against a child that includes sexual abuse by contact or sexual abuse by non -contact. D. Serious physical abuse is bodily harm or condition that resulted directly or indirectly from the conduct that formed the basis of an allegation of abuse, neglect or exploitation, if the bodily harm or condition requires medical treatment by a physician, physician assistant, licensed nurse practitioner, emergency medical technician, paramedic or dental E. A juvenile justice facility is a facility, including its premises and affiliated sites, whether contiguous or detached, operated wholly or partly by or under the authority of the governing board, juvenile board or by a private vendor under a contract with the governing board, juvenile board or governmental unit that serves children under juvenile court jurisdiction. The term includes: a public or private juvenile post -adjudication secure correctional facility required to be certified in accordance with the Texas Family Code; and a public or private non -secure juvenile post -adjudication residential treatment facility housing children under juvenile court jurisdiction. F. A juvenile justice program is a program or department operated wholly or partly by the governing board, juvenile board or by a private vendor under contract with the governing board or juvenile board that serves children under juvenile court jurisdiction or juvenile oard juris` c�. fiction. Tlie term incln-ies a`juvenile justice alternative education program and _~ a non-residential program that serves juvenile offenders while under the jurisdiction of the juvenile court or juvenile board jurisdiction and a juvenile probation department CRIMINAL HISTORY SEARCHES 10.01 Criminal history searches shall be conducted by Service Provider for any and all of its employees, interns, volunteers or contractors providing services in a juvenile justice facility or juvenile justice program that may have direct unsupervised access to children in the facility or program. 10.02 Criminal history searches shall include the following: A. Texas criminal history fingerprint -based criminal history background search through the Texas Department of Public Safety. B. Local law enforcement sex offender registration records check through the Public Sex Offender Registry on the Texas Department of Public Safety website. C. Federal Bureau of Investigation fingerprint -based criminal history background search at the National Crime Information Center, internet based searches shall not be used to conduct this background search. 10.03 A copy of the initial criminal history report required by this Agreement and any reports reflecting subsequent criminal activity shall be maintained for monitoring purposes for whichever of the following occurs later: duration of the individual's employment or period of service; minimum of three (3) years; or until any pending litigation, claim, audit or review and all questions arising there from have been resolved. Vol, il 59-s Pg. RZ 9 Center for Success and Independence Residential Services Agreement November I, 2022 — October 31, 2023 10.04 As used within this Agreement, a disqualifying criminal history is a history that includes any one of the following. A. A felony conviction against the laws of this state, another state, or the United States within the past ten 10) years; B: A deferred adjudication for a felony against the laws of this state, another state, or the United States within the past ten (10) years; ' C. A current felony deferred adjudication, probation or parole; D. A jailable misdemeanor conviction against the laws of this state, another state, or the United States within the past five (5) years; E. A deferred adjudication for a jailable misdemeanor against the laws of this state, another state, or the United States within the past five (5) years; F. A current jailable misdemeanor deferred adjudication, probation or parole; or G. The requirement to register as a sex offender under Chapter 62 of the Texas Code of Criminal Proceduie. 10.05 In addition to the criteria and time frames set forth in the above definition of disqualifying criinin la -tnstory, an individual must not have direct unsupervised access to children in a facility or program until at least one year has elapsed since the completion of any period of incarceration, community supervision, or parole. 10.06 Any of Service Provider's employees, interns, volunteers or contractors with a disqualifying criminal history shall be prohibited from having direct unsupervised access to children in a juvenile justice facility or a juvenile justice program. 10.07 Juvenile Probation reserves the right; in its sole discretion, to prohibit any individual with a prior criminal history from being placed in a position that involves direct unsupervised contact with children DISCLOSURE OF INFORMATION 11.01 Service Provider warrants that, prior to entering this Contract, it has verified and disclosed the following information to juvenile Probation, 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 Juvenile Probation: A. Any and all corrective action required by any of Service Provider's licensing authorities; B. Any and all litigation filed against the Service Provider; or against its employees, interns, volunteers, subcontractors, agents and/or consultants that have direct contact with children; ` Vol. �5 Fig. g3 10 Center for Success and Independence Residential Services Agreement November 1. 2022— October31, 2023 C. Any arrest of any employee, intern, volunteer, subcontractor, agent and/or consultant of the Service Provider that has direct contact with juveniles; D. Any finding of "Reason to Believe" by a state regulatory agency in a child abuse, neglect and/or exploitation investigation where an employee, intern, volunteer, subcontractor, agent and/or consultant of the Service Provider that has direct contact withjuveniles was the alleged or designated perpetrator; E. The identity of any of the Service Provider's employees, interns, volunteers, subcontractors, agents and/or consultants that have direct contact with juveniles that are registered sex offenders; and F. The identity of any of the Service Provider's employees, interns, volunteers, subcontractors, agents and/or consultants that have direct contact with juveniles that have a criminal history. For the purpose of this Agreement, the term "criminal history" shall include: (1) current felony or misdemeanor probation or parole; (2) a felony conviction or deferred adjudication within the past ten years; or (3) a jailable misdemeanor conviction or deferred adjudication within the past five years. 11.02 Service Provider agrees and understands it has an affirmative and ongoing duty to ascertain and disclose to juvenile Probation any and all of the foregoing information as to any individual, whether a prospective or existing employee, intern, volunteer, subcontractor, agent and/or consultant of the Service Provider, prior to placing that individual in a position that involves. direct unsupervised_contact_ivith juveniles.in.a juvenile justice facility or -juvenile --.-- justice program. EQUAL OPPORTUNITY 12.01 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 federal, state and local laws and regulations. ASSIGNMENT & SUBCONTRACT 13.01 Service Provider may not assignor subcontract any of its rights, duties and/or obligations arising out of this Agreement without the written consent of Juvenile Probation. OFFICIALS NOT TO BENEFIT 14.01 No officer, employee or agent of juvenile Probation 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 who exercise any functions or responsibilities in the project, shall participate 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. DEFAULT 15.01 juvenile Probation may, by written notice of default to Service Provider, terminate the whole 11 Vol, SYS Pg• Center for Success and Independence Residential Services Agreement . November 1, 2022 — October 31, 2023 or any part of this Agreement, as it deems appropriate, in any one of 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. TERMINATION 16.01 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. __.._ 6...02-_._.If..at.any_time_.during..the_terih,.oMs_agreement.juvenile.L'robation,-in.its.sole.discretion, - - - ---- determines that the safety of children being served under this Agreement may be in jeopardy, juvenile Probation may immediately suspend the effect of this Agreement, including but not limited to the obligation to pay, upon giving notice to the Service Provider. WAIVER OF SUBROGATION .17.01 .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 juvenile Probation. Service Provider also waives any rights it may have to indemnification from juvenile Probation. REPRESENTATIONS & WARRANTIES 18.01 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 hold 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 operations of its busyness and that there are no taxes due and owing to the State of Texas, or any political subdivision thereof. C. The Service Agency 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. 12 Center for Success and Independence Residential Services Agreement November 1, 2022 —October 31, 2023 PIease note that such Certificates of Insurance and must be issued and then approved by Brazos County Risk Management. The Certificate of Insurance must be approved by Risk Management before any services can be rendered. D. The Service Agency shall furnish and keep in full force the following insurance during the term of this Contract: 1. General Liability with limits for bodily injury and for property damages of not less than $1,000,000 aggregate, with Brazos County named as an additional insured with waiver of subrogation in favor of Brazos County. 2. Professional Liability (Errors and Omissions) Insurance appropriate to the services being provided, with limit no less than $1,000,000 per occurrence or claim, $2,000,000 aggregate. If the Service Agency maintains broader coverage and/or higher limits than the minimums shown above, Brazos County requires and shall be entitled to the broader coverage and/or the higher limits maintained by the Provider. Any available insurance proceeds in excess of the specified minimum limits of insurance and coverage shall be available to Brazos County. 3. Abuse and molestation insurance as an endorsement to the professional liability policy with coverage for 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 Service Agency is responsible -including but not limited to Service Agency and __ _� Service Agency's employees aind volunteers. Policy endorsemenes definition of an insured shall include the Service Agency, and the Service Agency'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 Iess 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 or 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. 4. Commercial Automotive Liability with $1,000,000 CSL for Bodily Injury and Property Damage Liability with Brazos County named as an additional insured with waiver of subrogation in favor of Brazos County. 5. All of the aforementioned policies and Certificates of Insurance should be issued immediately after the Service Agency receives notification of contract approval. 6. The Service Agency agrees to release and hold harmless Brazos County from any and all claims and liability due to the acts of the Service Agency's employees and the operation of his equipment. The Service Agency also agrees to hold harmless Brazos County from any and all expenses, including attorney fees, incurred by Brazos County in litigation or otherwise resisting such claims or liabilities as a result of the Service Agency's employees' activities. Further, the Service Agency 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 Service Agency against Brazos County due to personal injuries and/or death to such 13 Vol. <38S pg. _ g� Center For Success and Independence Residential Services Agreement November 1, 2022 — October 31, 2023 employee resulting from any neglect act; by either commission or omission on the part of the Service Agency or Brazos County. E. That all of its employees, interns, volunteers, subcontractors, agents and/or consultants will be properly trained to report allegations or incidents of abuse, exploitation, neglect, death or serious incidents involving a child under the supervision of Juvenile Probation in accordance with the requirements of Texas Family Code Chapter 261 and any applicable Texas juvenile justice Department administrative rules regarding abuse, neglect, exploitation, death or serious incidents; and that, if it has employees, interns, volunteers, subcontractors, agents and/or consultants that have contact with children in a juvenile justice facility or juvenile justice program, then it shall prominently post in all public and staff areas of any and all of its offices/facilities, both the English and Spanish language versions of the following official notice forms that are available on the Texas juvenile Justice Department website. Notice to Public Regarding Abuse, Neglect and Exploitation and Notice to Employees Regm3 d ng Abrtse, Neglect and Exploitation. TEXAS LAW TO APPLY 19.01 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 Brazos County, Texas. 19.02 Service Provider verifies that it does not boycott Israel and will not boycott Israel during_ the term of this contract. VENUE 20.01 Exclusive venue for any litigation arising from this Agreement shall be in Brazos County, Texas. LEGAL CONSTRUCTION 21.01 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. PRIOR AGREEMENTS SUPERSEDED 22.01 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. This Contract and Agreement is executed with the declared intention of the parties that this Contract and Agreement is a contract providing for the care of children who have committed an act of delinquency or an act indicating a need for supervision, and payment for such care will be made by Juvenile Probation for the children placed in the Facility by the Judge of Brazos County having juvenile jurisdiction. VOL �8s P9. g 7 14 -- Center for Success and Independence Residential Services Agreement November !, 2022 —October 31, 2023 PRISON RAPE ELIMINATION ACT 23.01 If applicable, 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 the Prison Rape Elimination Act of 2003 (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. [PREA §115.312(a)]. Under PREA, Service Provider shall make available to the CPO all incident -based aggregated data reports for every allegation of sexual abuse at its -facility -or facilities, and all such data may be requested by the Department of Justice from the previous calendar year no later than June 30. [PREA §115.387(e) and (0] Under PREA,. the Service Provider shall be subjected to annual contract monitoring by juvenile Probation to ensure that the Service Provider is complying with the PREA standards [AREA §115.312(b)]. To comply with this'standard the Service Provider will make available to the CPO all incident -based aggregated sexual abuse data within 24-hours of the allegation. Under PREA, juvenile Probation will make the aggregated sexual abuse data for each Service Provider available to the public via the Juvenile Probation website [PREA 9115.389(b)]. Brazos County Juvenile Probation Department ti. e Linda Ricketson Executive Director Brazos County Commissioners Court and Independence Executive Director ON �atfig- l 9 , 20caa , FULLY EXECUTED, EACH OF WHICH SHALL HAVE THE FULL FORCE AND EFFECT OF AN ORIGNAL. 0 Duane Peters, County Judge Chairman, Juvenile Board 200 S. Texas Ave., Ste. 332 Bryan, TX 77803 Phone: 979.361.4102 Fax: 979-3614503 15 Vol, P 38� eg. 8� - Axon Enterprise, Inc. 17800 N 85th St. Scottsdale, Arizona 85255 United States VAT: 86-0741227 Domestic: (800) 978-2737 International, +1.800.978.2737 -SHIPT0. Delivery-1700 W Highway 21 Brazos County Sheriffs Office - TX 1700 W Highway 21 PO Box 914 Bryan, TX 77803-1300 Bryan, TX 7760&0914 USA USA, Email: Quote Summary grpT,-,1 4png 48 Months �.�Bkt "�7 V, TOTAL COST 4174 ESTIMATED TOTAL W/ TAX �;,'$:1.74,891,97 Payment Summary Q-43267244866Z64MA Issued: 11101/2022 oteExplrdfion:,11/jP,,. Q �62-2 Estimated Contract Start Dat. �02101120�2 Account Number 108655 Payment Terms: N30 Delivery Method: SALES REPRESENTATIVE '.PRIMARY.CONTAC-T-" Matt Appelbaum Trevor Lansdown Phone: Phone. (979) 361-4686 Email: mappetbaum@axon.com Email: gansdown@brazoscountytx.gov Fax Fax- (979) 3614847 Discount Summary aAvdrag Savings Per Year F. $9,478.55 TOTAL SAVINGS --$37'914-'. Jan 2023 $54,549A3 $0.00 $54.549.43 Jan 2024 $40,114.18 $0.00 $40,114.118 Jan 2025 $40,114.18 $0.00 $40,114.18 Jan 2026 $40,114.18 $0.00 $40114.18 7�PTA89"RtT0tajI I Vol. Pg. Page 1 - Q-432572-44866.564MA Quote List Price: Quote Subtotal: Pricing All deliverables are detailed in Delivery Schedules section lower in proposal $212,806.18 $174,891.97 '� . a i x'rvi1.m " % R'q,. f Y. .- Rv ,4 s. , 1 f.eE .. ,....'• q,+'+^ 4 a' syy.pk . �.} 2'...vP; �,sW{''Y �71i 'yj. a- �.,., j..7� 'S'4"`�..Sa�+'. Txq S,'Y m,!: ¢.:sv% .g� ;•M'+k .. �!" gRAI:. 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M✓ Y .f. ._..Y.".. .. � 1 n, aF,J,e, fN„,,. bui.54iY?eF��Y,.% ...�.s R,i+Gs.Ste>LW�i. 02 AXON BODY 3 - NA10 - US- BLK - RAPIDLOCK 7 $699.00 $699.00 $4,893.00 $0.00 $4,893.00 11534 USB-C to USB-A CABLE FOR AB3 OR FLEX 2 8 $0.00 $0.00 $0.00 $0.00 $0.00 11508 MOLLE MOUNT DOUBLE AXON RAPIDLOCK -._ 8 $0.00 0.00 $0.00 $0.00 $0.00 .� �M�i��� DI+ ^Ylii��e 4,4��"*l. 4v,�,%t.,.. C �; . 4 :x.� �r 3h-4i ;nS;y. xaSY.5.4^# ,. .,.:Ki,e+. .: �. V-C^k' � Ay 3..f,� {✓, ^4 .. �� +5+w } 74210 AXON BODY 3 -8 BAY DOCK 1 $1,495.00 $1495.00 $1495.00 $0.00 $1495.004 71019 NORTH AMER POWER CORD FOR A83 8-BAY, AB21-BAY,/ &BAY DOCK 1 $0.00 $0.00 $0.00 $0.00 $0.00 cd n 2__O. 2_.1,. _.k4r �".:':X.Y O...F.<,FkI..C..n_•_E. R, .... A. F.. E. _T` v`�' I_. ' P._-nL_ , e .. 1.,f.i7•'. . ry"a.. P„ .:'Y .. .vx -. .-.XtraIIZ." 'r "' "K„t'4g�.}E. x.,,3yyi'<4,.l,.;. 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'{�Lf}US -$84.24 20161 TASER 7 HOLSTER - SAFARILAND LH4CART CARRIER 7 $63.63 YA5.41 $0.00 $445.41 22175 TASER 7 LIVE CARTRIDGE STANDOFF 3.5-DEGREE)NS 21 $38,95 $29.42 $617.82 $0.00 $617.82 22176 TASER 7 LIVE CARTRIDGE, CLOSE QUARTERS (12- DEGREE NS 21 $38,95 $29.42 $617.82 $0.00 $617.82 20008 TASER 7 HANDLE, YLW, HIGH VISIBILITY (GREEN LASER), CLASS 3R 7 $1,810.00 $1,367.24 $9,570.68 $0.00 $9,570,68 20248 TASER EVIDENCE.COM ACCESS LICENSE 48m 7 $240.00 $181.29 $1269.03 $0.00 $1,269.03 80087 TASER 7 TARGET, CONDUCTIVE, PROFESSIONAL RUGGEDIZED 1 $157.95 $119.31 $119.31 $0.00 - $119.31 20248 TASER EVIDENCE.COM ACCESS LICENSE 48m 1 $240.00 $181.29 $181.29 $0,00 $181.29 22179 TASER 71NERT CARTRIDGE STANDOFF 3.5-DEGREE NS 7 $50.23 $37.94 $265.58 $0.00 $265.58 22181 TASER 7 INERT CARTRIDGE, CLOSE QUARTERS (12- DEGREE) NS 7 $50.23 $37.94 $265.58 $0.00 $265.58 80090 TARGET FRAME, PROFESSIONAL, 27.5 IN, X 75 IN., TASER 1 $78,98 $59.66 $59.66 $0.00 $59.66 22175 TASER 7 LIVE CARTRIDGE STANDOFF 3.5-DEGREE NS 14 $38.95 $29.42 $411.88 $0.00 $411.88 22175 TASER 7 LIVE CARTRIDGE, STANDOFF 3,5-DEGREE NS 14 $38.95 $29.42 $411.88 $0.00 $411.88 22176 TASER 7 LIVE CARTRIDGE STANDOFF 3.5-DEGREE NS 14 $38.95 $29.42 $411.88 $0.00 $411.88 22175 TASER 7 LIVE CARTRIDGE STANDOFF 3.5-DEGREE)NS 14 $38.95 $29.42 $411.88 $0.00 11.88 22175 TASER 7 LIVE CARTRIDGE, STANDOFF 3.5-DEGREE)NS 14 $38.95 $29.42 $411.88 $0.00 $411.88 22176 TASER 7 LIVE CARTRIDGE, CLOSE QUARTERS (12- DEGREE) NS 14 $38.95 $29.42 $411.88 $0.00 $411,88 22176 TASER 7 LIVE CARTRIDGE, CLOSE QUARTERS (12- DEGREE) NS 14 $38.95 $29.42 $411.88 $0.00 $411.88 22176 TASER 7 LIVE CARTRIDGE, CLOSE QUARTERS (12- DEGREE) NS 14 $38.95 $29.42 $411.88 $0.00 $411.88 22176 TASER 7 LIVE CARTRIDGE, CLOSE QUARTERS (12- DEGREE) NS 14 $38.95 $29.42 $411.88 $0.00 $411.88 22176 TASER 7 LIVE CARTRIDGE, CLOSE QUARTERS (12- DEGREE) NS 14 $38.95 $29.42 $411.88 $0.00 $411.88 22177 E4�7-HOaK-AND-LWF--TRNIHAt:T)`GARTRIDGE, 14 $38.95 $29A2 $411.88 $0.00 $411.88 Page iV0i, 3Td Pg. �10 I 0-432572-44866.564MA • STANDOFF NS 22177 TASER 7 HOOK -AND -LOOP TRN (HALT) CARTRIDGE, STANDOFF NS 14 $38.95 $29.42 $411.88 $0.00 $411.88 22178 TASER 7 HOOK -AND -LOOP TRN (HALT) CARTRIDGE, CLOSE QUART NS 14 $38.95 $29.42 $411,88 $0.00 $411.88 22178 TASER 7 HOOK -AND -LOOP TRN (HALT) CARTRIDGE, CLOSE QUART NS 14 $38.95 $29.42 $411.88 $0.00 $411.88 20018 TASER 7 BATTERY PACK, TACTICAL 8 $90.56 $68.41 $547.28 $0.00 $547.28 20246 TASER 7 DUTY CARTRIDGE REPLACEMENT LICENSE 48m 7 $120.00 $90.65 $634.55 $0.00 $634.55 74200 TASER 7 6-BAY DOCK AND CORE 1 $1,500.00 $1,133.07 $1,133.07 $0.00 $1.133.07 70033 WALL MOUNT BRACKET, ASSY, EVIDENCE.COM DOCK 1 $43.90 $33.16 $33.16 $0.00 $33.16 71019 NORTH AMER POWER CORD FOR AB3 8-BAY, AB2 I -BAY 1 6-BAY DOCK 1 $10.45 $7.89 $7.89 $0.00 $7.89 80395 EXT WARRANTY, TASER 7 HANDLE 37m 7 $243.46 $183.90 $1,287.30 $0.00 $1,287.30 80374 EXT WARRANTY, TASER 7 BATTERY PACK 37m 8 $16.28 $12.30 $98.40 $0.00 $98.40 80396 EXT WARRANTY, TASER 7 SIX BAY DOCK 37m 1 $243.46 $183.90 $183.90 $0.00 $183.90 73746 PROFESSIONAL EVIDENCE.COM LICENSE 48m 7 $1,872.00 $1,414.07 $9,898.49 $0.00 $9,898.49 73686 EVIDENCE.COM UNLIMITED AXON DEVICE STORAGE 48m 7 $1,152.00 $870.20 $6,091.40 $0.00 6,091.40 73683 10 GB EVIDENCE.COM A -LA -CART STORAGE- 48m 70 $19.20 $14.50 $1,015.00 $0.00 $1,015.00 73680 RESPOND DEVICE PLUS LICENSE 48m 7 $912.00 $688.91 $4,822.37 $0.00 $4,822.37 73618 CITIZEN FOR COMMUNITIES USER LICENSE 48m 7 $432.00 $326.32 $2,284.24 $0.00 $2,284.24 73478 REDACTION ASSISTANT USER LICENSE 48m 7 $432.00 $326.32 $2,284.24 $0.00 $2,284.24 73682 AUTO TAGGING LICENSE 48m 7 $432.00 $326.32 $2,284.24 $0.00 $2,284.24 73739 PERFORMANCE LICENSE 48m 7 $432.00 $326.32 $2,284.24 $0.00 $2,284.24 11642 THIRD -PARTY VIDEO SUPPORT LICENSE 48m 7 $432.00 $326.32 $2,284.24 $0.00 $2,284.24 75015 SIGNAL SIDEARM KIT 7 $249.00 $188.09 $1,316.63 $0.00 $1,316.63 71044 BATTERY, SIGNAL SIDEARM, CR2430 SINGLE PACK 14 $1.00 $0.76 $10.64 $0.00 $10.64 80464 EXT WARRANTY, CAMERA (TAP) 48m 7 $336.00 $253.81 $1,776.67 $0.00 $1,776.67 73309 AXON CAMERA REFRESH ONE 7 $741.00 $559.74 $3,918.18 $0.00 $3,918.18 73310 AXON CAMERA REFRESH TWO 7 $768.00 $580.13 $4,060.91 $0.00- $4,060.91 80465 EXT WARRANTY, MULTI -BAY DOCK (TAP) 37m 1 $462.50 $349.36 $349.36 $0.00 $349.36 73689 MULTI -BAY BWC DOCK 1ST REFRESH 1 $1,585.00 $1,197.28 $1,197.28 $0.00 $1,197.28 73688 MULTI -BAY BWC DOCK 2ND REFRESH 1 $1,643.00 $1,241.09 _$l'z4l.oq 0...0 $1. ,241.09 ...$.0. .Fqj' %� di'iWg-FRQg gVA"V' .&umRWE�mFR�N K 73746 PROFESSIONAL EVIDENCE.COM LICENSE 48m 10 $1,872.00 $1,772.00 $17,720.00 $0.00 $17,720.00 73683 10 G13 EVIDENCE.COM A -LA -CART STORAGE- 48m 30 $0.00 $0.00 $0.00 $0.00 $0.00 - .- - - , �_Ki �� '110 11% M " =&M;b� 4�'; " sm?� 11111111 qu, 73683 10 G13 EVIDENCE.COM A -LA -CART STORAGE- 48m 80 $0.00 $0.00 $0.00 $0.00 $0.00 73840 EVIDENCE.COM BASIC LICENSE 48m 80 $720.00 $720.00 $57,600.00 $0.00 57,600.00 11�1'10 w 7 HE W MEM5,55,50 -kM' M710 0 Nq 71019 NORTH AMER POWER CORD FOR AB3 8-BAY, AB2 1-BAY 1 6-BAY DOCK $0.00 $0.00 $0.00 $0.00 $0.00 74200 _TASER 7 6-BAY DOCK AND CORE 1 $1,500.00 $1,500.00 $11500.00 $0.00 l2,i"llEll'L1IM;"' l- 20248 TASER EVIDENCE.COM ACCESS LICENSE 48m 'rAgM-TTLlVE-CARTRIDGE,STANDQEER.5-DEGREE) Is $240.00 $112.96 $1,694.40 $0.00 $1,694A0 22175 NS 30 $38.95 $18.33 $549.90 $0.00 $rdq Qn Vol. Page 3 1 Q-432572-44866.564MA 22175 TASER 7 LIVE CARTRIDGE, STANDOFF (3.5-DEGREE) NS 30 $38.95 $18.33 $549.90 $0.00 $549.90 22176 TASER 7 LIVE CARTRIDGE, CLOSE QUARTERS (12- DEGREE) NS 30 $38.95 $18.33 $549.90 $0.00 $549.90 22176 TASER 7 LIVE CARTRIDGE, CLOSE QUARTERS (12- DEGREE) NS 30 $38.95 $18.33 $549.90 $0.00 $549.90 22176 TASER 7 LIVE CARTRIDGE, CLOSE QUARTERS (12- DEGREE) NS 30 $38.95 $18.33 $549.90 $0.00 $549.90 22176 TASER 7 LIVE CARTRIDGE, CLOSE QUARTERS (12- DEGREE NS 30 $38.95 $18.33 - $549.90 $0.00 $549.90 22176 TASER 7 LIVE CARTRIDGE, CLOSE QUARTERS (12- DEGREE NS 30 $38.95 $18.33 $549.90 $0.00 $549.90 22177 TASER 7 HOOK -AND -LOOP TRN (HALT) CARTRIDGE, STANDOFF NS 30 $38.95 $18.33 $549,90 $0.00 $549.90 22177 TASER 7 HOOK -AND -LOOP TRN (HALT) CARTRIDGE, STANDOFF NS 30 $38.95 $18.33 $549.90 $0.00 $549.90 22178 TASER 7 HOOK -AND -LOOP TRN (HALT) CARTRIDGE, CLOSE QUART NS 30 $38.95 $18.33 $549.90 $0.00 $549.90 22178 TASER 7 HOOK -AND -LOOP TRN (HALT) CARTRIDGE, CLOSE QUART NS 30 $38.95 $18.33 $549.90 $0.00 $549.90 20246 TASER 7 DUTY CARTRIDGE REPLACEMENT LICENSE 48m 15 $120.00 $56.48 $847.20 $0.00 $847.20 22175 TASER 7 LIVE CARTRIDGE, STANDOFF (3.5-DEGREE) NS 30 $38.95 $18.33 $549.90 $0.00 $549.90 22175 TASER 7 LIVE CARTRIDGE, STANDOFF (3.5-DEGREE) NS 30 $38.95 $18.33 $549.90 $0.00 $549.90 22181 TASER 7 INERT CARTRIDGE, CLOSE QUARTERS (12- DEGREE NS 15 $50.23 $23.64 $354.60 $0.00 $354.60 22179 TASER 7 INERT CARTRIDGE, STANDOFF (3.5-DEGREE) NS 15 $50.23 $23.64 $354.60 $0.00 $354.60 22176 TASER 7 LIVE CARTRIDGE, CLOSE QUARTERS (12- DEGREE) NS 45 $38.95 $18.33 $824.85 $0.00 $824.85 22175 TASER 7 LIVE CARTRIDGE, STANDOFF (3.5-DEGREE) NS 45 $38.95 $18.33 $824.85 $0.00 $824.85 22175 TASER 7 LIVE CARTRIDGE, STANDOFF (3.5-DEGREE) NS 30 $38.95 $18.33 $549.90 $0.00 $549.90 'WN -WOO." -:2 M-0-0 1m 73976 OFFICER SAFETY PLAN 7 PLUS TRUE UP I 12m 7 $315.00 $315.00 $2,205.00 $0.00 $2,205.00 80374 EXT WARRANTY, TASER 7 BATTERY PACK 37m 50 $16.28 $16.28 $814.00 $0.00 $814.00 20018 TASER 7 BATTERY PACK, TACTICAL 50 $90.56 $90.56 $4,528,00 $0.00 $4,528.00 74020 MAGNET MOUNT, FLEXIBLE, AXON RAPIDLOCK 42 $31.30 $31.30 $1314.60 $0.00 $1,314.60 wM44mm'] Vol. Pg. I Page 4 Q-432572-44866.564MA Delivery Schedule Hardware 2021- OFFICER SAFETY PLAN 7 PLUS (Formed ySKU 73811) 260-08 TASER 7 HANDLE, YLW, HIGH VISIBILITY (GREEN LASER), CLASS 3R 7 0110112023 2021- OFFICER SAFETY PLAN 7 PLUS (Formed y SKU 73811) 20018 TASER 7 BATTERY PACK, TACTICAL 8 01101/2023 2021- OFFICER SAFETY PLAN 7 PLUS (Formed y SKU 73811) 20161 TASER 7 HOLSTER - SAFARILAND, LHCART CARRIER 7 0110112023 2021- OFFICER SAFETY PLAN 7 PLUS (Forinedy SKU 73811) 22175 TASER 7 LIVE CARTRIDGE, STANDOFF (3.5-DEGREE) NS 21 0110112023 2021- OFFICER SAFETY PLAN 7 PLUS (Formed y SKU 73811) 22175 TASER 7 LIVE CARTRIDGE, STANDOFF (3.5-DEGREE) NS 14 01/0112023 2021- OFFICER SAFETY PLAN 7 PLUS (Formed y SKU 73811) 22176 TASER 7 LIVE CARTRIDGE, CLOSE QUARTERS (12-DEGREE) NS 21 01/01/2023 2021- OFFICER SAFETY PLAN 7 PLUS (Foffnefly SKU 73811) 22176 TASER 7 LIVE CARTRIDGE, CLOSE QUARTERS (12-DEGREE) NS 14 0110112023 2021- OFFICER SAFETY PLAN 7 PLUS (Formerly SKU 73811) 22177 TASER 7 HOOK -AND -LOOP TRN (HALT) CARTRIDGE, STANDOFF NS 14 01/0112023 2021- OFFICER SAFETY PLAN 7 PLUS (Formed y SKU 73811) 22178 TASER 7 HOOK -AND -LOOP TRN (HAM CARTRIDGE, CLOSE QUART NS 14 01/0112023 2021- OFFICER SAFETY PLAN 7 PLUS (Formerly SKU 73811) 22179 TASER 7 INERT CARTRIDGE, STANDOFF (3.5-DEGREE) NS 7 01101/2023 2021- OFFICER SAFETY PLAN 7 PLUS (Formerly SKU 73811) 22181 TASER 7 INERT CARTPJDGE, CLOSE QUARTERS (12-DEGREE) NS 7 01101023 2021- OFFICER SAFETY PLAN 7 PLUS (Formerly SKU 73811) 70033 WALL MOUNT BRACKET, ASSY, EVIDENCECOM DOCK 1 0110112023 2021- OFFICER SAFETY PLAN 7 PLUS (Formerly SKU 73811) 71019 NORTH AMER POWER CORD FOR AB3 8-BAY, AB2 I -BAY / 6-BAY DOCK 1 0110112023 2021- OFFICER SAFETY PLAN 7 PLUS (Formerly SKU 73811) 71044 BATTERY, SIGNAL SIDEARM, CR2430 SINGLE PACK 14 01/0112023 2021- OFFICER SAFETY PLAN 7 PLUS (Formed y SKU 73811) 74200. TASER 7 6-BAY DOCK AND CORE 1 0110112023 2021- OFFICER SAFETY PLAN 7 PLUS (Fonn* SKU 73811) 75015 SIGNAL SIDEARM KIT 7 0110112023 2021- OFFICER SAFETY PLAN 7 PLUS (Formed y SKU 73811) 80087 TASER 7 TARGET, CONDUCTIVE, PROFESSIONAL (RUGGEDIZED) 1 01/0112023 2021- OFFICER SAFETY PLAN 7 PLUS (Formerly SKU 73811) 80090 TARGET FRAME, PROFESSIONAL, 27.5 IN. X 75 IN., TASER 7 1 01/0112023 2021 T7 Cert Add -On (Shared Handles) 22175 TASER 7 LIVE CARTRIDGE, STANDOFF (3.5-DEGREE) NS 45 0110112023 2021 T7 Cert Add -On (Shared Handles) 22175 TASER 7 LIVE CARTRIDGE, STANDOFF (5.5-DEGREE) NS 30 0110112023 2021 T7 Cert Add -On (Shared Handles ) 22176 TASER 7 LIVE CARTRIDGE, CLOSE QUARTERS (I 2-DEGREE) NS 45 01/0112023 2021 T7 Cert Add -On (Shared Handles) 22176 TASER 7 LIVE CARTPJDGE, CLOSE QUARTERS (I 2-DEGREE) NS 30 01101J2023 2021 T7 Cert Add -On (Shared Handles ) 22177 TASER 7 HOOK -AND -LOOP TRN (HALT) CARTRIDGE, STANDOFF NS 30 01/01/2023 2021 T7 Cert Add -On (Shared Handles) 22178 TASER 7 HOOK -AND -LOOP TRN (HALT) CARTRIDGE, CLOSE QUART NS 30 011D112023 2021 T7 Cert Add -On (Shared Handles) 22179 TASER 7 INERT CARTRIDGE, STANDOFF (3.5-DEGREE) NS 15 01101)2023 2021 T7 Cert Add -On (Shared Handles) 22181 TASER 7 INERT CARTRIDGE, CLOSE QUARTERS (12-DEGREE ) NS 15 01/0112023 2021 T7 Dock 71019 NORTH AMER POWER CORD FOR AB3 8-BAY, AB2 1-BAY / 6-BAY DOCK 1 01101023 2021 T7 Dock 74200 TASER 7 6-BAY DOCK AND CORE 1 0110112023 AB3 Camera Bundle 11508 MOLLE MOUNT, DOUBLE, AXON RAPIDLOCK 8 0110112023 AB3 Camera Bundle 11534 USB-C to USB-A CABLE FOR AB3 OR FLEX 2 8 01101/2023 AB3 Camera Bundle 73202 AXON BODY 3 - MAIO - US - BLK - RAPIDLOCK 7 011OU2023 AM Multi Bay Dock Bundle 71019 NORTH AMER POWER CORD FOR AB3 8-BAY, AB2 1-BAY I 6-BAY DOCK 1 01/0112023 AB3 MA Bay Dock Bundle 74210 AXON BODY 3 - 8 BAY DOCK 1 01/0112023 A [a Carte 20018 TASER 7 BATTERY PACK, TACTICAL 50 01/0112023 A la Cade 74020 MAGNET MOUNT. FLEXIBLE, AXON RAPIDLOCK 42 01/0112023 2021- OFFICER SAFETY PLAN 7 PLUS (Formerly SKU 73811) 22175 TASER 7 LIVE CARTRIDGE, STANDOFF (3.5-DEGREE) NS 14 01101024 2021- OFFICER SAFETY PLAN 7 PLUS (Formedy SKU 73811) 22176 TASER 7 LIVE CARTRIDGE, CLOSE QUARTERS 12-DEGREE)"NS— 14 01/0112024 2021 T7 Cert Add -On (Shared Handles) 22175 TASER 7 LIVE CARTRIDGE, STANDOFF (3.5-DEGREE) NS 30 01101/2024 2021 T7 Cert Add -On (Shared Handles) 22176 TASER 7 LIVE CARTRIDGE, CLOSE QUARTERS (12-DEGREE) NS 30 01101/2024 2021- OFFICER SAFETY PLAN 7 PLUS (Formerly SKU 73811) 22175 TASER 7 LIVE CARTRIDGE, STANDOFF (3.5-DEGREE) NS 14 0110112025 2021- OFFICER SAFETY PLAN 7 PLUS (Formed y SKU 73811) 22176 TASER 7 LIVE CARTRIDGE, CLOSE QUARTERS (12-DEGREE ) NS 14 01101/2025 2021- OFFICER SAFETY PLAN 7 PLUS (Formerly SKU 73811) 22177 TASER 7 HOOK -AND -LOOP TRN (HALT) CARTRIDGE, STANDOFF NS 14 0110112025 .-20Z--DEMER.SAEEIY-PLAN -7-PLU&fefme!NSKU 73811) 22178 TASER 7 HOOK -AND -LOOP TRN (HALT) CARTRIDGE, CLOSE QUART NS 14 0110112025 olPage 5_- 2 ---� 5JS p Q432572-44866.564MA V. Hardware - Rilhm-� 17.1, Ri 2021 T7 Cert Add -On (Shared Handles) 22175 TASER 7 LIVE CARTRIDGE, STANDOFF (3.5-DEGREE) NS 30 01101/2025 2021 T7 Cert Add -On (Shared Handles) 22176 TASER 7 LIVE CARTRIDGE, CLOSE QUARTERS (I 2-DEGREE) NS 30 01/01/2025 2021 T7 Cert Add -On (Shared Handles) 22177 TASER 7 HOOK -AND -LOOP TRN (HALT) CARTRIDGE, STANDOFF NS 30 01/01/2025 2021 T7 Cert Add -On (Shared Handles) 22178 TASER 7 HOOK -AND -LOOP TRN (HALT) CARTRIDGE, CLOSE QUART NS ---�NON -CAMERA 30 01101/2025 2021- OFFICER SAFETY PLAN 7 PLUS (Formerly SKU 73811) 73309 REFRESH ONE 7 0710112025 2021- OFFICER SAFETY PLAN 7 PLUS (Formerly SKU 73811) 73689 MULTI -BAY BWC DOCK 1ST REFRESH 1 07101/2025 2021- OFFICER SAFETY PLAN 7 PLUS (Formedy SKU 73811) 22175 TASER 7 LIVE CARTRIDGE, STANDOFF (3.5-DEGREE) NS 14 01/01/2026 2021- OFFICER SAFETY PLAN 7 PLUS (Formed y SKU 73811) 22176 TASER 7 LIVE CARTRIDGE, CLOSE QUARTERS (12-DEGREE) NS 14 01/01/2026 2021 T7 Cert Add -On (Shared Handles) 22175 TASER 7 LIVE CARTRIDGE, STANDOFF (3.5-DEGREE) NS 30 01/01/2026 2021 T7 Cert Add -On (Shared'Handles) 22176 TASER7 LIVE CARTRIDGE, CLOSE QUARTERS (12-DEGREE)NS 30 01/01/2026 2021- OFFICER SAFETY PLAN 7 PLUS (Formedy SKU 73811) 22175 TASER 7 LIVE CARTRIDGE, STANDOFF (3.5-DEGREE) NS 14 01101/2027 2021- OFFICER SAFETY PLAN 7 PLUS (Former! y SKU 73811) 22176 TASER 7 LIVE CARTRIDGE, CLOSE QUARTERS (12-DEGREE) NS 14 01101/2027 2021 T7 Cert Add -On (Shared Handles) 22175 TASER 7 LIVE CARTRIDGE, STANDOFF (3.5-DEGREE) NS 30 01/01/2027 2021 T7 Cert Add -On (Shared Handles) 22176 TASER 7 LIVE CARTRIDGE, CLOSE QUARTERS (1 2-DEGREE) NS 30 0110112027 2021-OFFICER SAFETY PLAN 7 PLUS (Formedy SKU 73811) 73310 AXON CAMERA REFRESH TWO 7 01101/2028 2021- OFFICER SAFETY PLAN 7 PLUS (Formerly SKU 73811) 73688 MULTI -BAY BWC DOCK 2ND REFRESH 1 01/01/2028 Software 8MW�00&40MWffid°E 2021-OFFICER SAFETY PLAN 7 PLUS (Formerly SKU 73811) 20248 TASER EVIDENCECOM ACCESS LICENSE 7 02101/2023 01/31/2027 2021- OFFICER SAFETY PLAN 7 PLUS (Formedy SKU 73811) 20248 TASER EVIDENCECOM ACCESS LICENSE 1 02/01/2023 01/31./2027 2021- OFFICER SAFETY PLAN 7 PLUS (Formedy SKU 73811) 73478 REDACTION ASSISTANT USER LICENSE 7 0210112023 01/3112027 2021- OFFICER SAFETY PLAN 7 PLUS (Formedy SKU 73811) 73618 CITIZEN FOR COMMUNITIES USER LICENSE 7 02101/2023 0113112027 2021- OFFICER SAFETY PLAN 7 PLUS (Formerly SKU 73811) 73680 RESPOND DEVICE PLUS LICENSE 7 02101/2023 01/3112027 2021- OFFICER SAFETY PLAN 7 PLUS (Formedy SKU 73811) 73682 AUTO TAGGING LICENSE 7 0210112023 01131/2027 2021- OFFICER SAFETY PLAN 7 PLUS (Formedy SKU 73811) 73683 10 GB EVIDENCECOM A -LA -CART STORAGE- .70 0210112023 01/31/2027 2021-OFFICER SAFETY PLAN 7 PLUS (Former( y SKU 73811) 73686 EIVIDENCECOM UNLIMITED AXON DEVICE STORAGE 7 02101/2023 01/31/2027 2021- OFFICER SAFETY PLAN 7 PLUS (Formedy SKU 73811) 73739 PERFORMANCE LICENSE 7 02/01/2023 01012027 2021-OFFICER SAFETY PLAN 7 PLUS (Formerly SKU 73811) 73746 PROFESSIONAL EVIDENCECOM LICENSE 7 02/01/2023 0113112027 2021 T7 Cert Add -On (Shared Handles) 20248 TASER EVIDENCECOM ACCESS LICENSE 15 02101/2023 01/3112027 Basic License Bundle 73683 10 GB EVIDENCECOM A -LA -CART STORAGE- 80 02/01/2023 01/31/2027 B Services Biitlie ,.x 2021 -OFFICE Warranties 2021- OFFICER SAFETY PLAN 7 PLUS (Formerly SKU 73811) 80464 EXT WARRANTY, CAMERA (TAP) 7 02101/2023 01/31/2027 2021- OFFICER SAFETY PLAN 7 PLUS (Formerly SKU 73811) 80374 EXT WARRANTY, TASER 7 BATTERY PACK 8 01/01/2024 01/3112027 2021- OFFICER SAFETY PLAN 7 PLUS (Formedy SKU 73811) 80395 EXT WARRANTY, TASER 7 HANDLE 7 01/01/2024 01/31/2027 Page 6 Q-432572-44866.564MA Warranties afi:: ,''":i' n C •O .i: ay.t ;,;,�",: S" ✓"* E.S ..'Bundle �� :.,. .} <.:�..�.......:_, .:,r: �.:�..• 'Des ri n;.���z��,.,.Es,�:..��, �:L .��: �� QTY,rr,•, timatedStait;Dafe.:- •. st<mate n Dafe�i 2021- OFFICER SAFETY PLAN 7 PLUS Formers SKU 73811 80396 EXT WARRANTY TASER 7 SIX BAY DOCK 1 0110112024 01/31/2027 2021- OFFICER SAFETY PLAN 7 PLUS (Formedy SKU 73811 80465 EXT WARRANTY, MULTI -BAY DOCK TAP 1 01/0112024 01131/2027 A la Carte 80374 EXT WARRANTY, TASER 7 BATTERY PACK 50 01/01/2024 01131/2027 11 Page 7 Q-432572.44866.564MA 0 vl� Payment Details Jan 2023 Co -Term 11642 THIRD -PARTY VIDEO SUPPORT LICENSE 7 $571.06 $0.00 $571.06 Co -Term 20008 TASER 7 HANDLE, YLW, HIGH VISIBILITY (GREEN LASER), CLASS 3R 7 $2,392.67 $0.00 $2,392.67 Co -Term 20018 TASER 7 BATTERY PACK TACTICAL 8 $136.82 $0.00 $136.82 Co -Term 20161 TASER 7 HOLSTER - SAFARILAND, LH+CART CARRIER 7 $111.36 $0.00 $111.36 Co -Term 20246 TASER 7 DUTY CARTRIDGE REPLACEMENT UCENSE 7 $158.63 $0.00 $158.63 Co -Term 20246 TASER 7 DUTY CARTRIDGE REPLACEMENT UCENSE 15 $211.80 $0.00 $211.80 Co -Term 20248 TASER EVIDENCECOM ACCESS LICENSE 7 $317.25 $0.00 $317*25 CD -Term 20248 TASER EVIDENCECOM ACCESS LICENSE 15 $423.60 $0.00 $423.60 Co -Term 20248 TASER EVIDENCE.COM ACCESS LICENSE 1 $45.33 $0.00 $45.33 Co -Term 22175 TASER 7 LIVE CARTRIDGE, STANDOFF (3.5-DEGREE) NS 21 $154.44 $0.00 $154.44 Co -Term 22175 TASER 7 LIVE CARTRIDGE, STANDOFF (3.5-DEGRNS 30 $137.46 $0.00 $137A6 Co -Term 22175 TASER 7 UVE CARTRIDGE, STANDOFF (3.5-DEGREE) NS 30 $137.46 $0.00 $137.46 Co -Term 22175 TASER 7 UVE CARTRIDGE, STANDOFF (3.5-DEGREE) NS 30 $137.46 $0.00 $137A6 Co -Term 22175 TASER 7 LIVE CARTRIDGE, STANDOFF (3.5-DEGRIEE) NS 30 $137.46 $0.00 $137A6 Co -Term 22175 TASER 7 UVE CARTRIDGE, STANDOFF (3.5-DEGREE) NS 30 $137.46 $0.00 $137.46 Co -Term 22175 TASER 7 LIVE CARTRIDGE, STANDOFF (3.5-DEGREE) NS 45 $206.22 $0.00 $206.22 Co Term 22175 TASER 7 LIVE CARTRIDGE, STANDOFF (3.5-DEGREE) NS 14 $102.97 $0.00 $102.97 Co -Term 22175 TASER 7 LIVE CARTRIDGE, STANDOFF (3.5-DEGREE) NS 14 $102.97 $0.00 $102.97 Co -Term 22175 TASER 7 UVE CARTRIDGE, STANDOFF (3.5-DEGRM NS 14 $102.97 $0.00 $102.97 Co -Term 22175 TASER 7 UVE CARTRIDGE, STANDOFF (3.5-DEGREE) NS 14 $102.97 $0.00 $102.97 Co -Tenn 22175 TASER 7 UVE CARTRIDGE, STANDOFF (3.5-DEGREE NS 14 $102.97 $0.00 $102.97 Co -Term 22176 TASER 7 UVE CARTRIDGE, CLOSE QUARTERS (1 2-DEGREE) NS 21 $154.44 $0.00 $154.44 Co -Term 22176 TASER 7 UVE CARTRIDGE, CLOSE QUARTERS (12-DEGREE) NS 30 $137.46 $0.00 $137.46 Co -Term 22176 TASER 7 LIVE CARTRIDGE, CLOSE QUARTERS (12-DEGREE) NS 30 $137.46 $0.00 $137.46 Co -Term 22176 TASER7 LIVE CARTRIDGE, CLOSE QUARTERS (12-DEGREE) NS 30 $137.46 $0.00 $137.46 Co -Term 22176 TASER 7 LIVE CARTRIDGE, CLOSE QUARTERS (12-DEGREE) NS 30 $137A6 $0.00 $137.46 Co -Term 22176 TASER 7 LIVE CARTRIDGE, CLOSE QUARTERS (I 2-DEGREE) NS 30 $137.46 $0.00 $137.46 Co -Term 22176 TASER 7 LIVE CARTRIDGE, CLOSE QUARTERS (I 2-DEGREE) NS 45 $206.22 $0.00 $205.22 Co -Term 22176 TASER 7 UVE CARTRIDGE, CLOSE QUARTERS (1 2-DEGREE) NS 14 $102.97 $0.00 $102.97 1 Co -Term 22176 TASER 7 LIVE CARTRIDGE, CLOSE QUARTERS (12-DEGREE) NS 14 $102.97 $0.00 $102.97 Co-Temi 22176 TASER 7 LIVE CARTRIDGE, CLOSE QUARTERS Ll 2DEGREE) NS 14 $102.97 $0.00 $102.97 1 Co -Term 22176 TASER 7 LIVE CARTRIDGE, CLOSE QUARTERS (12-DEGREE) NS 14 $102.97 $0.00 $IO2.97 Co -Term 22176 TASER 7 LIVE CARTRIDGE, CLOSE QUARTERS (1 2-DEGREE) NS 14 $102.97 $0.00 $102.97 Co -Term 22177 TASER 7 HOOK -AND -LOOP TRN (HALT) CARTRIDGE, STANDOFF NS 14 $102.97 $0.00 $102.97 Co -Term 22177 TASER 7 HOOK -AND -LOOP TRN (HAILCARTRIDGE, STANDOFF NS 30 $137.46 $0.00 $137.46 Co -Tenn 22177 TASER 7 HOOK -AND -LOOP TRN (HALT) CARTRIDGE, STANDOFF NS 30 $137.46 $0.00 $137.46 Co -Tenn 22177 TASER 7 HOOK -AND -LOOP TRN (HALT) CARTRIDGE, STANDOFF NS 14 $102.97 $0.00 $102A7 Co -Term 22178 TASER 7 HOOK -AND -LOOP TRN (HAQ, CARTRIDGE, CLOSE QUART NS 14 $102.97 $0.00 $102.97 Co -Term 22178 TASER 7 HOOK -AND -LOOP TRN (HALT) CARTRIDGE, CLOSE QUART NS 30 $137A6 $0.00 $137.46 Co -Term 22178 TASER 7 HOOK -AND -LOOP TRN (HALT) CARTRIDGE, CLOSE QUART NS 30 $137A6 $0.00 $137.46 Co -Term 22178 TASER 7 HOOK -AND -LOOP TRN (HALT) CARTRIDGE, CLOSE QUART NS 14 $102.97 $0.00 $102.97 Co -Term 22179 TASER 7 INERT CARTRIDGE, STANDOFF (3.5-DEGREE) NS 7 $66.38 $0.00 $%.38 r Co -Term 22179 TASER 7 INERT CARTRIDGE, STANDOFF (3.5-DEGREE) NS 16 $88.65 $0.00 $88.651 Page 8 Q-432572-44866.564MA Jan 2023 Invoice Plan .,G t`ritem Descri` iori �� , a 'r=`{':' Q Subtofal' 4~ '°, x- Tax .:•.. TOW Co -Term 22181 TASER 7 INERT CARTRIDGE, CLOSE QUARTERS (1 2-DEGREE) NS 7 $66.38 $0.00 $66.38 Co Term 22181 TASER 7 INERT CARTRIDGE, CLOSE QUARTERS (1 2-DEGREE) NS 15 $88.65 $0.00 $88.65 Co -Term 70033 WALL MOUNT BRACKET ASSY EVIDENCE.COM DOCK 1 $B.29 $0.00 $8.29 Co -Term 71019 NORTH AMER POWER CORD FOR AB3 8-BAY, AB21-BAY / 6-BAY DOCK 1 $1.98 $0.00 $1.96 Co -Term 71019 NORTH AMER POWER CORD FOR AB3 B-BAY AB21-BAY 16-B-BAY 16-BAY DOCK 1 $0.00 $0.00 $0,00 Co -Term 71044 BATTERY SIGNAL SIDEARM CR2430 SINGLE PACK 14 $2.66 $0.00 $256 Co -Term 73309 AXON CAMERA REFRESH ONE 7 $979.66 $0.00 979.56 Co Term 73310 AXON CAMERA REFRESH TWO 7 $1,015.22 $0.00 $1,015.22 Co Term 73478 REDACTION ASSISTANT USER LICENSE 7 $571.06 $0.00 $571.06 Co Terre 73618 CITIZEN FOR COMMUNITIES USER LICENSE 7 $571.06 $0.00 $571.06 Co -Term 73680 RESPOND DEVICE PLUS LICENSE 7 $1205.60 $0.00 $1205.60 Co Term 73682 AUTO TAGGING LICENSE 7 $571.06 $0.00 $571.06 Co Term 73683 10 GB EVIDENCE.COM A -LA -CART STORAGE- 70 $253.75 $0.00 $253.75 Co Term 73683 10 GB EVIDENCE.COM A -LA -CART STORAGE- 80 $0.00 $0.00 $0.00 Co Term 73683 10 GB EVIDENCE,COM A -LA -CART STORAGE- 30 $0.00 $0.00 $0.00 Co -Term 73686 EVIDENCE•COM UNLIMITED AXON DEVICE STORAGE 7 $1522.85 $0.00 $1,522.85 Co Term 73688 MULTI -BAY BWC DOCK 2ND REFRESH 1 $310.28 $0.00 $310.28 Co Term 73689 MULTI -BAY BWC DOCK 1ST REFRESH 1 $299.32 $0.00 $299.32 Co -Term 73739 PERFORMANCE LICENSE 7 $571.06 $0.00 $571.06 Co -Term 73746 PROFESSIONAL EVIDENCE.COM LICENSE 7 $2,474.63 $0.00 $2,474.63 Co -Term 73746 PROFESSIONAL EVIDENCE.COM LICENSE 10 $4,430.00 $0.00 $4 430.00 Co -Term 73840 EVIDENCE•COM BASIC LICENSE 80 $14 400.00 $0.00 $14,400.00 Co Term 74200 TASER 7 6-BAY DOCK AND CORE 1 $283.26 $0.00 $283.26 Co -Term 74200 TASER 7 6-BAY DOCK AND CORE 1 $375.00 $0,00 $375.00 Co -Term 76015 SIGNAL SIDEARM KIT. 7 $329.16 $0,00 $329.15 Co -Term 80087 TASER 7 TARGET, CONDUCTIVE, PROFESSIONAL RUGGEDIZED 1 $29.82 $0.00 $29.82 Co Term 80090 TARGET FRAME PROFESSIONAL 27.5 IN. X 75 IN., TASER 7 1 $14.90 $0.00 14.90 Co -Term 80374 EXT WARRANTY TASER 7 BATTERY PACK 8 $24.60 $0.00 $24.60 Co -Term 80374 EXT WARRANTY, TASER 7 BATTERY PACK 50 $203.50 $0.00 $203.50 Co Term 80395 EXT WARRANTY TASER 7 HANDLE 7 $321.84 $0.00 $321.84 Co -Term 80396 EXT WARRANTY TASER 7 SIX BAY DOCK 1 $45.96 $0.00 $45.96 Co Term 80464 EXT WARRANTY CAMERA TAP 7 $444.16 $0.00 $444.16 Co -Term 80465 EXT WARRANTY MULTI -BAY DOCK TAP 1 $87.34 $0.00 $87.34 Co -Term Mert 2021 Taser 7 Certification Bundle 7 $0.00 $0.00 $0.00 Co Term Unlimited7+ 2021 Unlimited 7+ Bundle 7 $0.00 $0.00 $0.00 Upfront Hardware 11508 MOLLE MOUNT, DOUBLE AXON RAPIDLOCK 8 $0.00 $0.00 $0.00 Upfront Hardware 11534 USB-C to USB-A CABLE FOR AB3 OR FLEX 2 8 $0.00 $0.00 $0.00 Upfront Hardware 20018 TASER 7 BATTERY PACK TACTICAL 50 $4 528.00 $0.00 $4 528.00 Upfront Hardware 71019 NORTH AMER POWER CORD FOR AB3 B-BAY AB21-BAY ! 6-BAY DOCK 1 $0.00 $0.00 $0.00 Up front Hardware 73202 AXON BODY 3 - NA10 - US - BLK - RAPIDLOCK 7 $4,,893.00 $0.00 $4,893,00 Upfront Hardware 73976 OFFICER SAFETY PLAN 7 PLUS TRUE UP 1 7 $2 205.00 $0.00 $2 205.00 Upfront Hardware 74020 MAGNET MOUNT FLEXIBLE AXON RAPIDLOCK 42 $1,314.60 $0.00 $1,314,60 Upfront Hardware 74210 AXON BODY 3 - 8 BAY DOCK 1 $1495.00 $0.00 1495.00 .Total , -, �� ,.�: ,....,- .... � ..... , ;� • .,,�. - '�k ;r:>, 4�5 ��.m. �$54,5 3i, Page 9 Q•432572.44866.564MA Jan 2024 use-',.$ '�• +, 3 ., _.� ,;..,,,, m. �; �S^e? '� ? ...."^ " x,�z,+" :r'N"', �.Sss m ,'4�- 1rlrtolce.P_la>a .. .Iefn�s, . <Descn ion *; ., __Sutitbtal.T.axs . �T,oti 4 22 -«.2t m 7 3� ,:.. :.>-:� ' .. .r c ekD i . , 7's, :+ .w 'n Year 2 11642 THIRD -PARTY VIDEO SUPPORT LICENSE 7 $571.06 $0.00 $571.06 Year 2 20008 TASER 7 HANDLE YLW HIGH VISIBILITY GREEN LASER), CLASS 3R 7 $2,392.67 $0.00 $2,392.67 Year2 20018 TASER 7 BATTERY PACK TACTICAL 8 $136.82 $0.00 $136.82 Year2 20161 TASER 7HOLSTER -SAFARILAND,LH+CARTCARRIER 7 $111.35 $0.00 $111.35 Year 2 20246 TASER 7 DUTY CARTRIDGE REPLACEMENT LICENSE 7 $158.64 $0.00 $158.64 Year 2 20246 TASER 7 DUTY CARTRIDGE REPLACEMENT LICENSE 15 $211.80 $0.00 $211.80 Year 2 20248 TASER EVIDENCE.COM ACCESS LICENSE 7 $317.26 $0.00 $317.26 Year 2 20248 TASER EVIDENCE.COM ACCESS LICENSE 15 $423.60 $0.00 $423.60 Year 2 20248 TASER EVIDENCE.COM ACCESS LICENSE 1 $45.32 $0.00 $45.32 Year 2 22175 TASER 7 LIVE CARTRIDGE, STANDOFF 3.5-DEGREE NS 21 $154A6 $0.00 $154A6 Year 2 22175 TASER 7 LIVE CARTRIDGE, STANDOFF 3.5-DEGREE)NS 30 $137.48 $0.00 $137.48 Year 2 22175 TASER 7 LIVE CARTRIDGE, STANDOFF 3.5-DEGREE)NS 30 $137A8 $0.00 $137.48 Year 2 22175 TASER 7 LIVE CARTRIDGE, STANDOFF 3.5-DEGREE NS 30 $137.48 $0.00 $137A8 Year 2 22175 TASER 7 LIVE CARTRIDGE, STANDOFF 3.5-DEGREE NS 30 $137AB $0.00 $137.48 Year 2 22175 TASER 7 LIVE CARTRIDGE, STANDOFF 3.5-DEGREE NS 30 $137.48 $0.00 $137A8 Year 2 22175 TASER 7 LIVE CARTRIDGE STANDOFF 3.5-DEGREE NS 45 $206.21 $0.00 $20621 Year 2 22175 TASER 7 LIVE CARTRIDGE, STANDOFF 3.5-DEGREE NS 14 $102.97 $0.00 $102.97 Year2 22175 TASER 7 LIVE CARTRIDGE, STANDOFF 3.5-DEGREE)NS 14 $102.97 $0.00 $102.97 Year 2 22175 TASER 7 LIVE CARTRIDGE, STANDOFF 3.5-DEGREE)NS 14 $102.97 $0.00 $102.97 Year 2 22175 TASER 7 LIVE CARTRIDGE STANDOFF 3.5-DEGREE NS 14 $102.97 $0.00 $102.97 Year 2 22175 TASER 7 LIVE CARTRIDGE, STANDOFF 3.5-DEGREE NS 14 $102.97 $0.00 $102.97 Year 2 22176 TASER 7 LIVE CARTRIDGE, CLOSE QUARTERS (I 2-DEGREE) NS 21 $154.46 $0.00 $154.46 Year 2 22176 TASER 7 LIVE CARTRIDGE, CLOSE QUARTERS 12-DEGREE NS 30 $137A8 $0.00 $137.48 Year 2 22176 TASER 7 LIVE CARTRIDGE, CLOSE QUARTERS 12-DEGREE NS 30 $137.48 $0.00 $137AB Year 2 22176 TASER 7 LIVE CARTRIDGE, CLOSE QUARTERS 12-DEGREE NS 30 $137AB $0.00 $137AB Year 2 22176 TASER 7 LIVE CARTRIDGE, CLOSE QUARTERS 12-DEGREE HS 30 $137.48 $0.00 $137AB Year 2 22176 TASER 7 LIVE CARTRIDGE, CLOSE QUARTERS (I 2-DEGREE) NS 30 $137.48 $0.00 $137AB Year 2 22176 TASER 7 LIVE CARTRIDGE, CLOSE QUARTERS 12-DEGREE NS 45 $206.21 $0.00 $206.21 Year2 22176 TASER 7 LIVE CARTRIDGE, CLOSE QUARTERS 12-DEGREE NS 14 $102.97 $0.00 $102.97 Year 2 22176 TASER 7 LIVE CARTRIDGE, CLOSE QUARTERS 12-DEGREE NS 14 $102.97 $0.00 $102.97 Year 2 22176 TASER 7 LIVE CARTRIDGE CLOSE QUARTERS (1 2-DEGREE) NS 14 $102.97 $0.00 $102.97 Year 2 22176 TASER 7 LIVE CARTRIDGE, CLOSE QUARTERS 12-DEGREE NS 14 $102.97 $0.00 $102.97 Year 2 22176 TASER 7 LIVE CARTRIDGE, CLOSE QUARTERS 12-DEGRE NS 14 $102.97 $0.00 $102.97 Year 2 22177 TASER 7 HOOK -AND -LOOP TRN HAL CARTRIDGE, STANDOFF NS 14 $102.97 $0.00 $102.97 Year 2 221TI TASER 7 HOOK -AND -LOOP TRN HALT CARTRIDGE, STANDOFF NS 30 $137A8 $0.00 $137.48 Year 2 22M TASER 7 HOOK -AND -LOOP TRN HALT CARTRIDGE STANDOFF NS 30 $137AB $0.00 $137.48 Year 2 22177 TASER 7 HOOK -AND -LOOP TRN HALT CARTRIDGE, STANDOFF NS 14 $102.97 $0.00 $102.97 Year 2 22178 TASER 7 HOOK -AND -LOOP TRN(HALT) CARTRIDGE, CLOSE QUART NS 14 $102.97 $0.00 $102.97 Year 2 22178 TASER 7 HOOK -AND -LOOP TRN(HALT) CARTRIDGE, CLOSE QUART NS 30 $137AB $0.00 $137A8 Year 2 22178 TASER 7 HOOK -AND -LOOP TRN HAL CARTRIDGE, CLOSE QUART NS 30 $137.48 $0.00 $137.48 Year 2 22178 TASER 7 HOOK -AND -LOOP TRN(HALT) CARTRIDGE, CLOSE QUART NS 14 $102.97 $0.00 $102.97 Year 2 22179 TASER 7 INERT CARTRIDGE, STANDOFF 3.5-DEGREE NS 7 $66.40 $0.00 $66.40 Year 2 22179 TASER 71NERT CARTRIDGE, STANDOFF 3.5-DEGREE NS 15 $88.65 $0.00 $88.65 Year 2 22181 TASER 7 INERT CARTRIDGE, CLOSE QUARTERS 12 DEGRE NS 7 $66.40 $0.00 $66.40 Year 2 22181 TASER 7 INERT CARTRIDGE, CLOSE QUARTERS (I 2-DEGREE) NS 15 $88.65 $0.00 $88.65 Year 2 70033 WALL MOUNT BRACKET', ASSY, EVIDENCE.COM DOCK 1 $8.29 $0.00 $8.29 Year 2 71019 NORTH AMER POWER CORD FOR AB3 8-BAY, AB21-BAY / 6-BAY DOCK 1 $1.97 $0.00 $1.97 Page 10 Q-432572-44866.564MA Jan 2024 Invoke Item = _ , Descri tiori :;ram .�. Q Q Subtotal otal : �: 'Tax :T btat:" Year 2 71019 NORTH AMER POWER CORD FOR AB3 8-BAY, AB21-BAY / &BAY DOCK 1 $0.00 $0.00 $0.00 Year 2 71044 BATTERY, SIGNAL SIDEARM, CR2430 SINGLE PACK 14 $2.66 $0.00 $2.66 Year 2 73309 AXON CAMERA REFRESH ONE 7 $979.54 $0.00 $979.54 Year 2 73310 AXON CAMERA REFRESH TWO 7 $1,015.23 $0.00 $1.015.23 Year 2 73478 REDACTION ASSISTANT USER LICENSE 7 $571.06 $0.00 $571.06 Year 2 73618 CITIZEN FOR COMMUNITIES USER LICENSE 7 $571.06 $0.00 $571.06 Year 2 73680 RESPOND DEVICE PLUS UCENSE 7 $1,205.59 $0.00 $1205.59 Year 2 73682 AUTO TAGGING UCENSE 7 $571.06 $0.00 $571.06 Year 2 73683 10 GB EVIDENCECOM A -LA -CART STORAGE 70 $253.75 $0.00 $253.75 Year 2 73683 10 GB EVIDENCECOM A -LA -CART STORAGE- 80 $0.00 $0.00 $0.00 Year 2 73683 10 GB EVIDENCECOM ALA -CART STORAGE 30 $0.00 $0.00 $0.00 Year 2 73686 EVIDENCECOM UNLIMITED AXON DEVICE STORAGE 7 $1,522.85 $0.00 $1522.85 Year 2 73688 MULTI -BAY BWC DOCK 2ND REFRESH 1 $310.27 $0.00 $310.27 Year 2 73689 MULTI -BAY BWC DOCK 1ST REFRESH 1 $299.32 $0.00 $299.32 Year 73739 PERFORMANCE LICENSE 7 $571.06 $0.00 $571.06 Year 2 73746 PROFESSIONAL EVIDENCECOM LICENSE 7 $2 474.62 $0.00 $2 474.62 Year 2 73746 PROFESSIONAL EVIDENCECOM LICENSE 10 $4,430.00 $0.00 $4,430.00 Year 2 73840 EVIDENCECOM BASIC UCENSE 80 $14,400.00 $0.00 $14,400.00 Year 2 74200 TASER 7 6-BAY DOCK AND CORE 1 $283.27 $0.00 $283.27 Year 2 74200 TASER 7 6-BAY DOCK AND CORE 1 $375.00 $0.00 $375.00 Year 2 75015 SIGNAL SIDEARM KIT 7 $329.16 $0.00 $329.16 Year2 80087 TASER 7 TARGET, CONDUCTIVE, PROFESSIONAL RUGGEDIZED 1 $29.83 $0.00 $29.83 Year 2 80090 TARGET FRAME PROFESSIONAL 27.51N. X 75 IN., TASER 7 1 $14.92 $0.00 $14.92 Year 2 80374 EXT WARRANTY, TASER 7 BATTERY PACK 8 $24.60 $0.00 $24.60 Year 2 80374 EXT WARRANTY TASER 7 BATTERY PACK 50 $203.50 $0.00 $203.50 Year 2 80395 EXT WARRANTY, TASER 7 HANDLE 7 $321.82 $0.00 $321.82 Year 2 80396 EXT WARRANTY, TASER 7 SIX BAY DOCK 1 $45.98 $0.00 $45.98 Year 2 80464 EXT WARRANTY, CAMERA CTM 7 $444.17 $0.00 $444.17 Year 2 80465 EXT WARRANTY, MULTI -BAY DOCK TAP 1 $87.34 $0.00 $87.34 Year 2 T7Cert 2021 Taser 7 CertificaUon Bundle 7 $0.00 $0.00 $0.00 Year Unrimited7+ 2021 Uniidded7+Bundle 7 $0.00 $0.00 $0.00 'Total - .; :40,114.18:: ; : ` S0.00 . '=.540,114;18' Jan 2025 Invoice Ptah _;,:. '. ':a ltem:: _": :- 3. _: ;: Description _; - ty . Subfotat Yz. , Tax: .Total'' Year 3 11642 THIRD -PARTY VIDEO -SUPPORT LICENSE 7 _ $571.06 $0.00 $571.06 Year 3 20008 TASER 7 HANDLE, YLW HIGH VISIBILITY GREEN LASER CLASS 3R 7 $2 392.67 $0.00 $2 392.67 Year 3 20018 TASER 7 BATTERY PACK, TACTICAL 8 $136.82 $0.00 $136.82 Year 3 20161 TASER 7 HOLSTER - SAFARItAND, LH+CART CARRIER 7 $111.35 $0.00 $111.35 Year 3 20246 TASER 7 DUTY CARTRIDGE REPLACEMENT LICENSE 7 $158.64 $0.00 $158.64 Year 3 20246 TASER 7 DUTY CARTRIDGE REPLACEMENT LICENSE 15 $211.80 $0.00 $211.80 Year 3 20248 TASER EVIDENCECOM ACCESS LICENSE 7 $317.26 $0.00 $317.26 Year 3 20248 TASER EVIDENCECOM ACCESS UCENSE 15 $423.60 $0.00 $423.60 Year 3 20248 TASER EVIDENCECOM ACCESS UCENSE 1 $45.32 $0.00 $45.32 Year 3 22175 TASER 7 UVE CARTRIDGE, STANDOFF 3.5-DEGREE NS 21 $154.46 $0.00 $154.46 Year 3 22175 TASER 7 LIVE CARTRIDGE STANDOFF 3.5-DEGREE NS 30 $137A8 $0.00 $137-48 Q•432572.44866.564MA I57 •A •din rip W Vcn N co m Q1 O CA Cn A CD cD N CD CD �D W cD CD CD cD N CD (D CD CD ro CD cD (D fD N CD CD CD CD fD CD -c CD -c CD c CD tD (D CD N CD N m W N CD CD CD -c CD .0 c.. 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Op C.T i(,n;Ci OD OD O)CA CANT V NNV V NIVNNNN�V V V V �P NNNNN�,Vp O O��CWO �00J W�(M CD-4 coN C0J1 O CCnO V 11, CO O0D V V 0�00'AD V V'0V 'OV r V � Cb cA ODD O0D �Vi Oo�0V V V Jan 2025 sbfii6fAl&l A-61Tote Year 3 73686 EVIDENCECOM UNLIMITED AXON DEVICE STORAGE 7 $1,522.85 $0.00 $1,622.85 Year 3 73688 MULTI -BAY BWC DOCK 2ND REFRESH 1 $310.27 $0.00 $310.27 Year 3 73689 MULTI -BAY BWC DOCK 1ST REFRESH 1 $299.32 $0.00 $299.32 Year 3 73739 PERFORMANCE LICENSE 7 $571.06 $0.00 $671.06 Year 3 73746 PROFESSIONAL EVIDENCECOM LICENSE 7 $2,474.62 $0.00 $2,474.62 Year 3 73746 PROFESSIONAL EVIDENCECOM LICENSE 10 $4,430.00 $0.00 $4,430.00 Year 3 73840 MADENCECOM BASIC LICENSE 80 $14,400.00 $0.00 $14,400.00 Year 3 74200 TASER 7 6-BAY DOCK AND CORE 1 $283.27 $0.00 $283.27 Year 3 74200 TASER 7 6-BAY DOCK AND CORE 1 $375.00 $0.00 $375.00 Year 75015 SIGNAL SIDEARM KIT 7 $329.16 goo $329.16 Year 3 80087 TASER 7 TARGEr, CONDUCTIVE, PROFESSIONAL (RUGGEDIZED) 1 $29.83 $0.00 $29.83 Year 3 80090 TARGET FRAME, PROFESSIONAL, 27.5 IN. X 75 IN., TASER 7 1 $14.92 $0.00 $14-92 Year 3 80374 EXT WARRANTY, TASER 7 BATTERY PACK 8 $24.60 $0.00 $24.60 Year 3 80374 EXT WARRANTY, TASER 7 BATTERY PACK 50 $203.60 $0.00 $203.50 Year 80395 EXT WARRANTY, TASER 7 HANDLE 7 $321.82 $0.00 $32132 Year 3 80396 EXT WARRANTY, TASER 7 SIX BAY DOCK 1 $45.98 $0.00 $45.98 Year 3 80464 EXT WARRANTY, CAMERA (TAP) 7 $444.17 $0.00 $444.17 Year 3 80465 EXT WARRANTY, MULTI -BAY DOCK (TM 1 $87.34 $0.00 $87.34 Year 3 Mert 2021 Taser 7 Certification Bundle 7 $0.00 $0.00 $0.00 Year 3 Unlimited7+ 2021 Unlimited 7+ Bundle 7 $0.00 $0.00 $0.00 1 Total t,$40,114.14 ...$OA0,, $40.1 1 4;18 Jan 2026 Invoice Plan Item Description Q :*--gubtotal, "':'f Tax Total' Year 4 11642 THIRD -PARTY VIDEUSUPPORT LICENSE 7 $571.06 $0.00 $571.06 Year4 20008 TASER 7 HANDLE, YLW, HIGH VISIBILITY (GREEN LASER), CLASS 3R 7 $2,392.67 $0.00 $2,392.67 Year4 20018 TASER 7 BATTERY PACK, TACTICAL 8 $136.82 $0.00 $136.82 Year 4 20161 TASER 7 HOLSTER - SAFARILAND, LH-+CART CARPER 7 $111.35 $0.00 $111.35 Year4 20246 TASER 7 DUTY CARTRIDGE REPLACEMENT LICENSE 7 $158.64 $0.00 $158.64 Year 4 20246 TASER 7 DUTY CARTRIDGE REPLACEMENT LICENSE 15 $211.80 $0.00 $211.80 Year 4 20248 TASER EVIDENCECOM ACCESS LICENSE 7 $317.26 $0.00 $317.26 Year 4 20248 TASER EVIDENCECOM ACCESS LICENSE 15 $423.60 $0.00 $423.60 Year 4 20248 TASER EVIDENCECOM ACCESS UGENSE 1 $45.32 --$0.00 $45.32 Year4 22175 TASER 7 UVE CARTRIDGE, STANDOFF (15-DEGREE) NS 21 $164A6 $0.00 $154.46 Year 4 22175 TASER 7 UVE CARTRIDGE, STANDOFF (3.5-DEGREE) NS 30 $137.48 $0.00 137A8 Year 4 22175 TASER 7 LIVE CARTRIDGE , STANDOFF (3.5-DEGREE) NS 30 $137.48 $0.00 $137A8 Year 4 22175 TASER 7 LIVE CARTRIDGE, STANDOFF,(3.5-DEGREE) NS 30 $137.48 $0.00 $137.48 Year 4 22175 TASER 7 LIVE CARTRIDGE, STANDOFF (15-DEGREE) NS 30 $137AB $0,00 $137.48 Year 4 22175 TASER 7 LIVE CARTRIDGE, STANDOFF L3.5-DEGREE) NS 30 $137.48 $0.00 $137.48 Year 4 22175 TASER 7 LIVE CARTRIDGE, STANDOFF (3.5-DEGREE) NS 45 $206.21 $0.00 $206.21 Year 4 22175 TASER 7 LIVE CARTRIDGE, STANDOFF.(3."EGREE) NS 14 $102.97 $0.00 $102.97 Year 4 22175 TASER 7 UVE CARTRIDGE, STANDOFF (3.5-DEGREQ NS 14 $102.97 $0.00 $ 02.97 Year 4 22175 TASER 7 LIVE CARTRIDGE, STANDOFF (3.5-DEGREE) NS 14 $102.97 $0.00 $102.97 Year 4 22175 TASER 7 LIVE CARTRIDGE, STANDOFF (3.5-DEGREE) NS 14 $102.97 $0.00 $102.97 Year 4 22175 TASER 7 LIVE CARTRIDGE, STANDOFF (3.5-DEGREE) NS 14 $102.97 $0.00 $102.97 Year 4 22176 TASER 7 UVE CARTRIDGE, CLOSE QUARTERS (I 2-DEGREE) NS 21 $154.46 $0.00 $154.46 Page 13 Q-43257244866.564MA d I� Jan 2026 �•ttcEiF+ri.�.aF . _. ..,. , y. c .. � a,:. 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Year4 22176 TASER 7 LIVE CARTRIDGE CLOSE QUARTERS 12-DEGREE)NS 30 $137.48 $0.00 $137.48 Year4 22176 TASER 7 LIVE CARTRIDGE CLOSE QUARTERS (I 2-DEGREE) NS 30 $137.48 $0.00 $137.48 Year 4 22176 TASER 7 LIVE CARTRIDGE, CLOSE QUARTERS 12-DEGREE)NS 30 $137.48 $0.00 $137.48 Year4 22176 TASER 7 LIVE CARTRIDGE, CLOSE QUARTERS 12-DEGREE)NS 30 $137.48 $0.00 $137.48 Year4 22176 TASER 7 LIVE CARTRIDGE, CLOSE QUARTERS 12-DEGREE)NS 30 $137.48 $0.00 $137.48 Year 4 22176 TASER 7 LIVE CARTRIDGE, CLOSE QUARTERS (12-DEGRED, NS 45 $206.21 $0.00 $206.21 Year4 22176 TASER 7 LIVE CARTRIDGE, CLOSE QUARTERS 12-DEGRE NS 14 $102.97 $0.00 $102.97 Year 4 22176 TASER 7 LIVE CARTRIDGE CLOSE QUARTERS (I 2-DEGREE) NS 14 $102.97 $0.00 $102.97 Year 4 22176 TASER 7 LIVE CARTRIDGE CLOSE QUARTERS (I 2-DEGREE) NS 14 $102.97 $0.00 $102.97 Year 4 22176 TASER 7 LIVE CARTRIDGE, CLOSE QUARTERS (I 2-DEGREE) NS 14 $102.97 $0.00 $102.97 Year 4 22176 TASER 7 LIVE CARTRIDGE, CLOSE QUARTERS 12 DEGREE NS 14 $102.97 $0.00 $102.97 Year 4 22177 TASER 7 HOOK -AND -LOOP TRN(HALT) CARTRIDGE, STANDOFF NS 14 $102.97 $0.00 $102.97 Year 4 22177 TASER 7 HOOK -AND -LOOP TRN HALT CARTRIDGE, STANDOFF NS 30 $137.48 $0.00 $137.48 Year 4 22177 TASER 7 HOOK -AND -LOOP TRN(HALT) CARTRIDGE, STANDOFF NS 30 $137.48 $0.00 $137.48 Year 4 22177 TASER 7 HOOK -AND -LOOP TRN(HALT) CARTRIDGE STANDOFF NS 14 $102.97 $0.00 $102.97 Year 4 22178 TASER 7 HOOK -AND -LOOP TRN(HALT) CARTRIDGE CLOSE QUART NS 14 $102.97 $0.00 $102.97 Year 4 22178 TASER 7 HOOK -AND -LOOP TRN HALT CARTRIDGE, CLOSE QUART NS 30 $137.48 $0.00 $137.48 Year 4 22178 TASER 7 HOOK -AND -LOOP TRN HALT CARTRIDGE, CLOSE QUART NS 30 $137.48 $0.00 $137.48 Year 4 22178 TASER 7 HOOK -AND -LOOP TRN(HALT) CARTRIDGE, CLOSE QUART NS 14 $102.97 $0.00 $102.97 Year4 22179 TASER 7 INERT CARTRIDGE, STANDOFF 3.5-DEGREE NS 7 $66.40 $0.00 $66.40 Year 4 22179 TASER 7 INERT CARTRIDGE, STANDOFF 3.5-DEGREE NS 15 $88.65 $0.00 $88.65 Year4 22181 TASER 7 INERT CARTRIDGE, CLOSE QUARTERS 12-DEGREE NS 7 $66.40 $0.00 $66.40 Year4 22181 TASER 71NERT CARTRIDGE, CLOSE QUARTERS 12-DEGREE NS 15 $88.65 $0.00 $88.65 Year4 70033 WALL MOUNT BRACKET, ASSY, EVIDENCECOM DOCK 1 $8.29 $0.00 $8.29 Year4 71019 NORTH AMER POWER CORD FOR AB3 8-BAY AB21-BAY / 6-BAY DOCK 1 $1.97 $0.00 $1.97 Year 4 71019 NORTH AMER POWER CORD FOR AB3 8-BAY, AB21-BAY 16-BAY DOCK 1 $0.00 $0.00 $0.00 Year4 71044 BATTERY SIGNAL SIDEARM CR2430 SINGLE PACK 14 $2.66 $0.00 $2.66 1 Year4 73309 AXON CAMERA REFRESH ONE 7 $979.54 $0.00 $979.54 Year 4 73310 AXON CAMERA REFRESH TWO 7 $1015.23 $0.00 $1016.23 Year 4 73478 REDACTION ASSISTANT USER LICENSE 7 $571.06 $0.00 $571.06 Year 4 73618 CITIZEN FOR COMMUNITIES USER LICENSE 7 $571.06 $0.00 $571.06 Year 4 73680 RESPOND DEVICE PLUS LICENSE 7 $1,205.59 $0.00 $1,205.59 Year4 73682 AUTO TAGGING LICENSE 7 $571.06 $0.00 $571.06 Year 4 73683 10 GB EVIDENCECOM A -LA -CART STORAGE- 70 $253.75 $0.00 $253.75 Year 4 73683 10 GB EVIDENCECOM A -LA -CART STORAGE- 80 $0.00 $0.00 $0.00 Year 4 73683 10 GB EVIDENCECOM ALA -CART STORAGE- 30 $0.00 $0.00 $0.00 Year4 73686 EVIDENCECOM UNLIMITED AXON DEVICE STORAGE 7 $1,522.85 $0.00 $1522.85 Year 4 73688 MULTI -BAY BWC DOCK 2ND REFRESH 1 $310.27 $0.00 $310.27 Year 4 73689 MULTI -BAY BWC DOCK 1 ST REFRESH 1 $299.32 $0.00 $299.32 Year 4 73739 PERFORMANCE LICENSE 7 $571.06 $0.00 $571.06 Year4 73746 PROFESSIONAL EVIDENCE.COM LICENSE 7 $2,474.62 $0.00 $2474.62 Year 4 73746 PROFESSIONAL EVIDENCECOM LICENSE 10 $4,430.00 $0.00 $4 430.00 Year 4 73840 EVIDENCECOM BASIC LICENSE 80 $14 400.00 $0.00 $14 400.00 Year 4 74200 TASER 7 6-BAY DOCK AND CORE 1 $283.27 $0.00 $283.27 Year 4 74200 TASER 7 6-BAY DOCK AND CORE 1 $375.00 $0.00 $375.00 4 75015 SIGNAL SIDEARM KIT 7 $329.16 $0.00 $329.16 Year 4 80087 TASER 7 TARGET CONDUCTIVE, PROFESSIONAL RUGGEDIZED 1 $29.83 $0.00 $29.83 Page 14 Q432572.44866.564MA Jan 2026 N I? Rk, "of ; wo W- =110 Year 4 80090 TARGET FRAME, PROFESSIONAL, 27.5 IN. X 75 IN, TASER 7 1 $14.92 $0.00 $14.92 Year 4 80374 EXT WARRANTY, TASER 7 BATTERY PACK 8 $24.60 $0.00 $24.60 Year 4 Year 4 80374 80395 EXT WARRANTY, TASER 7 BATTERY PACK EXT WARRANTY, TASER 7 HANDLE 50 7 $ 03.50 $321.82 $0.00 $0.00 $203.50 $321.82 Year 4 80396 EXT WARRANIY, TASER 7 SIX BAY DOCK 1 $45.98 $0,00 5.98 Year 4 80464 EXT WARRANTY, CAMERA (TAP) 7 $444.17 $0.00 $444,17 Year 4 80465 EXT WARRANTY, MULTI -BAY DOCK (TAP) 1 $87.34 $0.00 $87.34 Year 4 Mert 2021 Taser 7 Certification Bundle 7 $0.00 $0.00 $0.00 Year 4 Unllmlted7+ 2021 Unlimited 7+ Bundle 7 $0.00 $0.00 0.00 IWIP Page 15 Q-432572-44866.564MA 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 Sourcewell 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. . Standard Terms and Conditions Axon Master Services and Purchasing Agreement: ACE1P: 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.comAegal/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. V R-1 Page 16 Q•432572.44866.564MA Exceptions to Standard Terms and Conditions Co -termed to contract 00071195. Signature 11/1/2022 sz, T O Date Signed Page 17 Q-432572.44866.564MA STRUCTURAL REPAIR FOR BRAZOS COUNTY HEAVY FLEET BUILDING SERVICE CONTRACT BRAZOS COUNTY PURCHASING DEPT. 200 S. Texas Ave., Ste. 352 Contract No. CIP 23-557 Bryan, Texas 77803 Page 1 of 11 Pages Telephone (979) 3614292 GENERAL REQUIREMENT FOR CONTRACT. •4kMV1.,4k as a duly authorized representative of -toyv► •.V►�'iy'rs «Contractor" willingly attest to perform (or deliver) as per Exhibit A "Plans and Specifications" for Brazos County. I further agree to all of the provisions and specifications contained in this contract. PROJECT TIMELINE Project will start upon receiving purchase order and will be at 100% completion by 45 Wo&li►nr,� days. _ J 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. BONDING REQUIREMENTS The successful bidder must provide to the Purchasing Department, a payment bond, in the amount of 100% of each project sum ten (10) calendar days prior to start of work for each project. Such bonds shall be executed by a corporate surety duly authorized and admitted to do business in the State of Texas and licensed ;in the State of Texas to issue surety, bonds with a Best Rating "A". or better. BRAZOS COUNTY -RESERVES THE RIGHT TO ACCEPT OR REJECT ANY SURETY COMPANY PROPOSED BY THE BIDDER. IN THE EVENT BRAZOS REJECTS THE PROPOSED SURETY COMPANY THE BIDDER WILL BE AFFORDED FIVE (5) ADDITIONAL DAYS TO SUBMIT THE .REQUIRED BONDS ISSUED BY A SURETY COMPANY ACCEPTABLE TO BRAZOS COUNTY. ASSIGNMENT The successful 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 LOWEST AND BEST OFFER in accordance with the laws of the State of Texas, to waive any formality or irregularity, to make awards to Vol. �_c3S a� Pc: _1 Contract No. CIP 23-557 BRAZOS COUNTY, 'TEXAS Page 2 of 11 Pages 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 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 bidder agrees to comply with HB 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_form12951tm 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 from 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. BRAZOS COUNTY, TEXAS Contract No. CIP 23-557 Page 3 of 11 Pages 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 the contract. 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 payment and/or back-up withholding as required by the Internal Revenue Service. Retainage of 5% will be withheld from each invoice for the duration of the contract until the County accepts the work as 100% complete and receives all warranties, manuals, releases of lien and other closeout documents. 'Upon final acceptance by the County, retainage will be released to the Contractor. 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, Exhibit C. 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 will be furnished upon written request to Brazos County Purchasing Agent. Vol Contract No. CIP 23-557 BRAZOS COUNTY, TEXAS Page 4 of 11 Pages GOVERNING FORMS In the event of any conflict between the terms and provisions of these requirements and the specifications, the specifications shall govern. 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 tern. 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. b91, _ SK pg. /Ds Contract No. CIP 23-557 BRAZOS COUNTY, TEXAS 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. TERNUNATION 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. (TLC Sec. 401.011) (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. !l. 3e-Pg. BRAZOS COUNTY, TEXAS Contract No. CIP 23-557 Page 6 of 11 Pages (3) Automobile Public Liabilily Insurance with a $1,000,000 Combined Single Limit, in all self- 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 to 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. COVERAGES/WAGES 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, property, 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 IMMUNITY 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 332 Bryan, Texas 77803 =S7- �--- Contract No. CIP 23-557 BRAZOS COUNTY, TEXAS Page 7 of 11 Pages CONTRACTOR: Sales Contract Name: Phone Number: Billing Info: 3 —1 Gt. N- "t h VW 1 ICI +V%U 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. LVA �I+ -M-11 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. E 3 8s Pg. Contract No. CIP 23-557 BRAZOS COUNTY, TEXAS Page 8 of 11 Pages AIIDIT 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. 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 furnished 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. Vol. Pg. i6 BRAZOS COUNTY, TEXAS ` V.T.C.A. LOCAL GOVERNMENT CODE §262.0276 Contract No. CIP 23-557 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 "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 Title (Owner, Officer, Director, Manager, Etc.) ��-- o� �G Vol. Pg. ILI BRAZOS COUNTY, TEXAS LEGISLATIVE CERTIFICATIONS Contract No. CIP 23-557 Page 10 of 11 Pages 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 W24/2001 and any subsequent changes made to it via cross-referencing respondents/vendors with the Federal General Services Administration's Excluded Parties List System (EPLS, httpsJ/www.sam.gov), which is inclusive ofthe 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://ivwiv.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 2271: 1. Does not boycott Israel currently; and 2. Will not boycott Israel during the term of the 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 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. 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 tenor 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. 4. If Respondent is required to make a verification pursuant to Section 2274.002 of the Texas Government Code, Respondent verifies that it (1) does not have a practice, policy, guidance, or directive that discriminates against a firearm entity or firearm trade association and (2) will not discriminate during the term of the contract against a firearm entity or firearm trade association. If Respondent does not make that verification, Respondent must so indicate in its Response and state why the verification is not required. 5. Company Name: C{k&f1v✓t 'FV(�trrG iiYS �-t✓S, j Authorized Company Representative-7-:P6*-N. i-• Address: 13 -199 N - -"WV-ec V� 6' AS -? Y-"A- ^ Date: t Q. 2-& '2,022— Contract #: C i Q 2-3- 55 Vol. pg //S-- BRAZOS COUNTY, TEXAS Page Contract No. CiP 13-5�7 I I of 11 Pages CERTIFICATION ORBID The: undeqigned.,firther, affirms the -.non,d6armqrit- statement- above, :that, they are. My:66thorized ekecdfe this ,contfadt,.'that this bid -hai"dab&eft Ordp*d in rcoliusion With dhy.-0thdt veAddr, -alfd--fhat-tt e contents dfffiis bid, have. not been communicaA ..to. any other vendor prior: 0--the Qfflcial-(jp6nIhg qfthi n s bid, Signed' Typed N' me,7i Company Name: e u m b e r:'6 Ernait,Addrcss�Rk -(9 Mailing, Address: L3-11 N". j-VPuvv.e;&I -W-Lpir- R.D.; Bbx ot806e, city Employer lddnfificaeidn Niffnbet* 11 Zip Apprex_ed b.y. C mm'sssio, e&,t;oqrr4t-- on this 13 day ,of 96-C,6 rn GC%22 by, -r-y 0. g the position in a Thefibllqvying'items: should be.cornpliZtqd,andJncludbd.in. your bia submissIon.: Pailure-to include.these items iIvill disqualify your bid. -wft.A. Local: Governmenjt Codel262.076. for Tax Vqritication.(OAG.g 9) 0' Leg.igiativizCeftin'cations-(.PA G'E'1Q), 0 Ali Affiliandums (if applicable)- 0 Ceeilflep.tion,of Bid (PAG9JI) Vol. Pg. Brazos County Purchasing Department 200 S. TX. AVE., STE 352 BRYAN, TX 77803 PHONE (979) 361-4292 FAX (979) 3614293 Addendum #1 to IQ# 23-557 Structural Repair for Brazos County Heavy Fleet Building Issued: October 14, 2022 Change: Extended Timeline, Alternates, Paint Specs, and Revised Plans Reason: Pre -Bid Walk Thra Finds Bid closed Thursday, October 20, 2022 at 2:00PM CST. No bids will be accepted after this time. Per Exhibit D, Brazos County will be repairing all red locations. Please add blue locations as Alternate 1 and concrete slope as Alternate 2. For paint specs: - Grind to remove the rust - Power Clean/Pressure Wash - Power, wire wheel brush the areas that were rusted - Spot apply Carbomastic 15 at areas that were rusted - Apply penetrating sealer over all areas that are to be top coated. - Apply Carboline Carboguard 60 Revised plans and specs are attached in Exhibit D. This addendum should be signed by an authorized representative of the respondent and returned with the IQ documents as specified in the IQ. AcknovAedgement of Ad/M" 12 k"�j Signature: Printed Name. rG�I CU„Sirv, �'ltbV GuhNs- l cuvs, t rn c.� ygI. v�g� pg. P PROPOSAL Proposal Submitted To: Work To Be Performed At: Name: Brazos County Purchasing Department Custom Fabricators &Repairs, Inc. 1379 N. Harvey Mitchell Pkwy. Bryan, TX 77803 Ph: (979) 775-4297 Fax: (979) 775-9238 Date: 10/27/2022 Project: Brazos County Heavy Fleet Building Address: City: ST- — zip: Phone: 979-361-4294 Fax: 979-3614293 SDubec@brazoscountytx.gov Person to Contact: Summer Dubec Per Exhibit D, Brazos County will be repairing 8 each red locations: Materials and Labor $31,905.65 Y � . Alternate 1 Additional add 4 each blue locations: Materials and Labor $14,190.90 Alternate 2 : no Bid There will be a 3% fee for any credit card payments for proiects/purchases totaling $500 or more All material is guaranteed to be as specified and the above work to be performed in accordance with the drawings and specifications. to the sum 46.096.55 Submitted for the above work and completed in a su antial Mynain Respectfully submitted by: Material is quoted subj t to availaR ti a of approval. Any alteration: of deviation from the a6ove speafrcations ihmrving extra cost vdd & executed only upon written orders and will become an exra charge over anda6ove this estimate. AQagreements contingent upon strifgs, accidents, ordelays beyond ourcontroC 9fie Owner is to carryhre, tornado, andother necessary insurance pertaining to above wort; Workman's Compensation andLia6i6ty Insurance on the a6ove workto be taken out by: ACCEPTANCE OF PROPOSAL The a vices, speci ications d co lions are satisfactory and are hereby accepted. You are authorized to do the work as ified. 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Pq P K e •N P P ♦ M p 0 P P N r v $MAGI;9gap and2dospy:pN55199OAetdasE,gpjIsrfua JAI fill I �..@„ rr•�rPpn �.. ,�..�q^ "���q��B�E������ �� n ��y����kn"q� ���14aQg 'p� ti€WN '$; vu&"m6t4 p P P P N qn M N r n r �$$Rsdb ON r vill, i 1 1! MHOM I I illu 1! IM 1, .0 P N P P PM M P� F P P P p P P N P q n DpPCPG� � � COUNTY FLEET BUILDING g BRAZOS 1607 LOUIS STREET BRYAN, TEXAS ® PPPM pp w p aM m DD[aFs BRAZOS COUNTY FLEET BUILDING 1807 LOUIS STREET � BRYAN, TEXAS fie' zN 0 �N COUNTY BRAZOS FLEET BUILDING r 1607 LOUIS STREET BRYAN, TEXAS ? as gEli �a •��� GESSNER ENGiNEERINO May 18, 2022 Mr. Fred Paine Brazos County 200 S. Texas Avenue, #264 Bryan. Texas77803 Re: Structural Engineering -Structural Observation Brazos County Fleet Building 1607 Louis Street Bryan, Texas 77803 Gessner Engineering Job Number. 22-0341 Dear Mr. Paine: A visual observation of the pre-engineered metal building columns at the above referenced building was performed by Evan Roe, P.E. of Gessner Engineering as per your request on May 4, 2022. This observation was requested to visually evaluate the conditions of exposed columns and to provide remediation recommendations for the existing columns that had experienced significant section loss. A full engineering analysis, evaluation of the existing framing, or engineering of specific structural elements in addition to those listed above is beyond the scope of this report. The items listed are not meant to represent a total or exhaustive fist of defects which may be present Gessner Engineering neither extends nor implies any warranty as a result of this observation or any repair performed upon this building. The results of this observation are provided in the following report and are provided for the exclusive use of Mr. Fred Paine and Brazos County Fleet Services We trust that this report is responsive to your project needs. Please contact us if you have any questions or if we can be of further assistance. Sincerely, o GESSNER ENGINEERING, LLC F-7451 P P�Fc,QF rF h� 'y�• «..� EVAN•J. ROE•• •�� Evan J. Roe P.E. �/ ,o : 141 174 i 'ftl�'PF �!CENSti�•ja�®r;' `Z7 CC] 9F.YAY. + E2EYHiS,1 • FOri:TYdOR7ri GEOe'.^uE70:111t A:: A.KrO"r0 j CIVIL CGHS7RUCACHMATERIALSTESiIHG GE07ECHN' GAL MUCNJtAL SURVEYING BACKGROUND The existing structure consists of pre-engineered metal building (PEMB) frames with a center ridge line approximately 25 feet high The total building dimensions are approximately 170 feet long and 142 feet wide with the longest dimension running parallel to Louis Street. The building is divided into (7) bays, each approximately 25 feet wide and extend the full Width of the building. Interior wide flange columns are placed at 23 foot intervals along the aforementioned frame tines. The columns of interest are primarily located along the exterior walls of the structure at the ends of main frame tines. The structure is set back from Louis Street on land at a higher elevation than the adjacent road. The site is completely coveredin concrete pavement and generally stopes away from the structure in all directions. Weather conditions on the day of 6bservation were sunny, hot, and humid. Notable precipitation had not occurred recently in the area so no signs standing water were noted at the time of observation. This-•r56r3'68ntains.theiesutts of the,visual observation and general recommendations for repair, as required. A full engineering'analysis oftheslructure is beyond the scope of this report. OBSERVATIONS, As stated above, most main _frame columns -along tfie:exterior walls of the structure adjacent to overhead doors showed significant deterioration at their -base connections The locations of columns showing signs of significant deterioration and requiting=fepair are noted in the.aftkhbd:FgQiei Complete section loss of the 8 inch wide column web was noted fora heigtif up to approicimateiy3 inches maximum above the baseplate (image 1). Signs of rust extended approximately another 8-12inches above. The interior b inch wide column flanges had experienced simiar -: deterioration?with completesection loss noted:atup'to half of the flange width directly above the baseplate at several locations. The thickest remaining section along .ttie base of this flange was approximately 0-1inches, compared to the onyinaCthickness of approximately 02 nchesnoted above this area where no damage was noted (Image 2). :.'In addition td.lhe rust and deterioration noted to the,column itself, the baseplate and anchor assembly were completely enveloped by rust and other debris. Gessner Engineering was notable to verify the remaining baseplate thickness or extent of ntatedat toss at the time of observation clue to debris that was not able to be removed without proper cleaning implements Materral toss is expecied at baseplates.where noted as debris surrounding the baseplates was found to be 0 F# partially composed of rusted metal fragments (tmage`3]. The remainder,of.the exterior columns and all interior columns available for visual inspection did not appear to have experienced complete or appreciable section loss as was noted at the columns identified in the attached, marked up ;plans. Signs of surface level rust were present at various columns, which without remediation may result in similar v : ;deferio�ation'seen at the cotumns of interest (Image 4). Locations of columns with surface level rust are also shown in °.tile att thdd'F guie t ' .e.0 �A'r GessneeEngineering was also informed on site that standing water had been observed directly inside bay doors and -� around column bases following heavy rain events. Despite floor drains in the Immediate vicinity, standing water is stilt t� observed on a regular basis. Gessner Engineering did not note any standing water inside the structure at the time of observation; however, water stains were noted on the finished concrete floor between the overhead doors and trench drains located approximately 4 feet from the exterior edge of the foundation. MYAN • WZOMMM a FORTWORTH a CEOR2+'E'+9.:N c1:ls:.±RCsttO CIVIL COHSTRUCnOMMATERIALSTSTIHG CEOTECMMICAL STRUCTURAL SUAVMXG RECOMMENDATIONS & CONCLUSIONS Due to the significant extent of deterioration and section loss noted at the exterior columns. Gessner Engineering recommends 5 foot tall C7x14.75 channels be installed on both sides of the PEMB column web. Existing steel shall be coated with a rust -inhibiting primer prior to installation of channels. The following steps shall be taken in order to remediate these two columns: 1 Remove accumulated debris from applicable column baseplates. Steel shall not be scraped, orabrasive ..,blasted to remove debris due to the fragile nature of the existing material. 2; Rarriove existing nut and washer from anchor bolts. 1 toat'existing steel with a rust -inhibiting primer. Surfaces shall be prepared in accordance with manufacturer �recornmendations: Due to the fragile nature and amount of deterioration, the existing steel shall not be scraped - - � orsarided � 4 Prepare 5 foot tall C7x14 75 channels for each side of each column. a 6 inch tong, L6x6x3/8 angle'shall be welded to the base of each channel, so that base of angle is flush with top existing baseptate: = . --":I. _ ;Provide 3/4 inch widesiot to accept existing anchor bolt ii. Provide:liKit diameter holes:min.1 34" from the edges of the angle to accept two new 5/3- diamelef.A36.tfireaded rods to be drilled and epoxied to the foundation described below. .Bottom 24 inches ofchanne] anddf&W/8 an shall be hot dip galvanized 5. :Drill.and epoxy(2) 518'tliameter A36threaded rods minimum 8 inches into existing foundation for each channel, Anchors to be placed-3- apart, centered along new angle at each channel. 6:. = Proviae'groutbed around anchors t_o.be ttusb with top of existing baseptate to provide a level bearing surface for new L6x6x3/8 angle. Place C7x14.75 channels at eacfi side.oj ei sting PEMB web - a: top 36 inches of channel-afthe three accessible sides to the web of the PEMB column with3/16 inch filletiv�velds. Vertical welds:may be installed at in 3 inch long lengths at an interval of 6 inches on- -center. 8.:.Provide new washer and nut to existing anchorand both drilled and epoxied anchors (3) total each channel. 4. Prune and paint assembly in acdoidarid6with the recommendations detailed below. The above instructions areprovided sofefy asa guideline for remediation and it is the responsibility of the contractor to O providing any additional woTWas required to properly accomplish the remediation intent. It shall be noted that the contractor is responsible for providing design of temporary shoring and bracing. as required. Gessner Engineering is _ not-respo6sible fbi any mdans and'methods design required for the remediation work. CIORemaining columnsectfons showing signs of rust or oxidation shall be cleaned to meetThe Society of Protective �1 Coatings,{SSP6) standard SP3. Nut and washer shall be removed and subsequently replaced in order to appropriately clean big ate and anchor as required. Remove all loose mill scale, loose rust, loose paint, and other loose detrimental foreign matter by power wire brushing, power sanding, power grinding, power tool shipping. and/or power tool descaling. Primer and paint shall then then be applied to the steel. Primer shall be a lead and chromate free, non - asphaltic and rust -inhibiting primer. Paint shall be a high -zinc dust content paint with dry film containing not less than C� i:WAN - WZEN Wa - FORTCT-Th • GFOaGE.on. • SAKA ircvto CIVIL CMIMUMOMMATEMLSTESWir GMT.-CHNICAL STRUCTURAL suavHY = 93 percent zinc dust by weight, complying with SSPC. Do not begin application of coatings until substrates have been properly prepared Apply all coatings with manufacturer specifications iri mind, using methods recommended by manufacturer. Regardless of the number of coats specified, apply as many coats as necessary for complete and uniform appearance. New steel components shall be coated with the same procedures used for any existing steel. Once ail newly installed steel and existing steel has been cleaned as applicable and painted, Gessner Engineering recommends implementing a periodic monitoring program to catalogue rust accumulation on all columns. Regular repair of column coatings and pain is recommended promptly after signs of rust accumulation are noted to maintain pro per.workirig condition of the columns. efect:to iernove,,an'd're-j ti=enetidreins:Should sr relaforced to mat tithe direction. Additionally. elevation. is Inside the overhead doors, Gessner Engineering first recommends that the I for leaks in exterior wail finishes or seats at door locations. Broken seats are nediated per manufacturer specifications. Should Issues persist, the owner may id.portions of the interior concrete stab to encourage proper drainage to the existing oval and replacement of the foundation be pursued, replaced concrete shall be 6 w•rtfi a minimdin'of a single mat of #4 bars, spaced at 14' on center in each o•giatcKti '6'slab. einforcement, shall be drilled and epoxied a minimum of 6' into the mcrete existing'soits shall be hand compacted and select fill maybe utilized to ssner:Engineeiing also recommends selective removal and replacement of site e airoay.trom.ttie'siructure, Replaced pavement shall match existing thickness. in 646tusion the issues noted in the observations s ction of this report do not present a significant risk to life safety at thsume; however, rusted columns andconnect€onssio present a weak point In the structure that does have the potential to become,a larger issue should ft dolurnn connection be completely severed due to a vehicle impactor contlpued`detenoration froln a lack of intervention For this reason, Gessner Engineering recommends that the Ciscussed'corumn"repairs be completed'assiiorias-teasonabiy possible, It has been a pleasure toprovde you inrilh the iriforiiiation. If you have any questions with this report or any of the MIYAN • IIRCSIMU a FO"WOUft o GnEORGE<O1.1W - .SA14AUTONIO CfM CGNSTRUCUORMATEAIALSMUNG CEOTE LAICAL STRUCTURAL SURVEYING 00 Co APPENDIX' Image 2- Missing/fisted flange of crane supportcolumn ERYA'1 s (;r7MIMA'M • FORTWCTtl • G U E:O:.?Z , S;.V;eiMjo CM C0NSfRUCi1GNMATEMALSILSING GE07EWFdCAL STRUCTURAL SU"EMO � r Y *K i 't� �• zt Image 3,Rustedcolumnlnformerwashboyf r x area F ' ' 1. t. �.iy � , '.. r.;4'�'•.�. Imagek Rusted base platecovered with debris locluding metal frogments CAYtlt . [tFE AWA - SORTVYORTN + GNSRGi?Tp::K • .SA4FR2i O-410 CIM CONSTRUCTIONMA'TMALSTESTING CCOTECHNMI. STRUCTURAL. SURVEYING CL BRAZOS COUNTY BRYAN, TEXAS DEPARTMENT: CC 2022 - Utility Permit - Wickson Road and Bridge NUMBER: Creek SUD - Cole Lane - Crossing 630' East of Australia Lane DATE OF COURT MEETING: 12/13/2022 ITEM: Consider and take action on the Wickson Creek SUD utility permit to construct a bore for a 1 inch service connection crossing under Cale Lane located 630 feet east of Australia Lane. Site Is located In Precinct 2. TO: FROM: Commissioners Court Darrell Kolwes DATE: 12/06/2022 FISCAL IMPACT: False BUDGETED: False DOLLARAMOUNT $0.00 SOURCE OF FUNDS: ATTACHMENTS: File Name Description Type Utili it- Wickson Creek SUD Lane -- Utility Permit - Wickson Creek SUD -Cole Lane -Crossing Cros g 630 East of Australia Lane.�d 630' East of Australia Lane Backup Material (13(a3. Duane Peters Date County Fudge E 5 e6-- pg.133 dA ':k .. � _ A'AA1 �3f'� A rA'`fAl1�S ,L�lli] �tR► A �a+ri ei � r 2ei+v`n "v.n.; :.inr:. w..... ... TO: THE COUNTY ENGINEER OF BRAirOS COUNTY, TEXAS ,. Pursuant to the Texas Utility Code, Section 1.81.024, comes now WICKSON CREEK SUD kornpany na neJ, hereinafter referred to as "Company" a TEXAS jstateJ Corporation; with authbriry to transact business in Teas, acting by and through its duly authorized representative, and hereby petitions the County Engineer for the right to lay, construct, maintain, repair and/or operate a water line under, over, across 'and/or along certain County Roads as shown :. on drawings and`diagrams attached.liereto.and said location described as. Nlows: ; racility to Cross Road -: Road Name & I310ck Number Length or. Crossin -rYPE OF CONSTRUCTION : (CI1rCtC ONIi) ' Bored Jacked Driven Cased COLS LANE 60 X X '; Facility to PArallcl Conntv'iload Within flight-Or.Wav Road Name and Block Numbcr. . From TO Dc th Distance CONSTRUCi'ION TYPE I" Diameter WtaliThickncss I.%a" Encasement -Pipe Material Specincallon PVC ' Maximum Operation Pressure $0 PSI The location and description of the proposed installation and appurtenances must be fully shown on the attached detailed drawing's. The Company shall commence actual construction/work in good faith within 60 days.from the date of said permit and shall ,coniplete.said construction /work within 1 working days: (COMPANY MUSTFILL IN). If such construction is not begun by the 6011 day, Company will be required to apply for a new permit. Company declares that prior to filing this application, it lids ascertained the location of all existing utilities, both aerial -and underground,, and the :filing of this application is prima facie evidence that the proposed insiallsition will trot conflict with any existing utility. •A copy_ of this permit shall be kept at the job sitc any time work -is being performed. . It is expressly stipulated that this Permit is 'a,license .for permissive use only and that the placing of faeiliiies'upon public property:pursuant to:this permit shall not* operate to create or 'vest any:property,right in said holder. ' It is understood -and agreed.that the rights and privileges herein set out Aregranted only to the extent of the County's right, title and"interest in the land to be entered upon and used by the holder and the holdei• will at all times assume risk of and indemnify; -defend and 'save harmless Brazos" County from and :againsi .any and all' loss, -damages, cost or expense arising in any manner on account of -the exercise or attempted exercise by said holder of the aforesaid rights and privileges. .. :!Nola 5:9s : -.A....--. y.. ._ti , .. _ r .s. - ....... s :'ice'. .r. •...fJ. 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'9m £f.a; w'��*�;�x i` �Yt' � ^�x��„' w ., .r•'",5,.-�"C:. °��r��"� x xY '�... 0�" �f� iY.L��'+ AS�, . I �`� .•. Jwa. " 3F4'..i� .: ..�, •YLv.. .. , �:�" x w �M` a�Y "G�•". ?' r� ,5° -sr� F(w�rj Lh 4Ct aM '*T'+-`rNkM"4" S''9-jy p, r� yy mt«' w7i. '�N3 • 4r" 4W •„ x' rv"a. , h. 1.•��NMI t w aYyjU""x5w•-bra 1`Y"" �« µ$ i \� a° � '�' � �i 'NSi" (", k''+ N tr ''� .+wi.+' ' iA f���, �? rv�*'a•",.M. "�".�. + �• _ b� Ai wi (• t ,#� ,��, 4 � �k ."e ����� A". b � ! • ! � � .����� Y. �� r�.". ,+'^i:''C"�:' �"Gc`� ���';.. '3' �:�s� "v1 �"Yti^ • � 'M.it Elk � � • r a r b +,w Al r e o �s � rr rr rr - r rr rr r BRAZOS COUNTY ROADWAY SAFETY AND ROAD PRESERVATION STANDARDS.FOR WORK CONDUCTED IN BRAZOS.COUNTY'RIGHTS OF WAY A. General Requirements :. 1. Adequate drainage shall be maintained in ditches at all times..- 2. Permittee will use best management practices (" BMP") (EPA and TCEQ boih'provide lists of examples of BMps) to minimize'erosion and sedimentation resulting from the proposed installation. 3. The permittee shall take precautions to.avoid damage to property. All County Right of Way and property. shall be restored to its original condition, as far as practical, in the opinion'of the County Engineer or appointed representative. :• -. 4. The construction and maintenance of such utility:shall not interfere with the property or rights of a prior occupant. :. S. Permittee shall not:;interfere with.'other utilities located in the right of way." In the event damages occur, '. . permittee will be liable to the County or other utilities running through the right of way. ;.... 6. County Engineer shall determine wheiher or nottpermittee's plans shall inconvenience the public. If it is: :.. determined that inconvenience to the public exists, then the.County Engineer will decide whether such .... proj&t'will be allowed or ifan alternative exists so -as not to inconvenience the public.. -B. safety Reauiren�ents 1. Proper traffic control ,measures must beput in place prior to beginning work and remain in place during',. . . the duration of the,job. All trafficcontrol measures -must follow the Texas Manua of Uniform Traffic Control Devices (TMUTCD). See Traffic Control Requirements below. 2. During construction'. all safety regulations of the Texas Department of Transportation shall be observed. 3. Permlitee must take•such precautions and measures, including placing and displaying safety devices, as . may be necessary,iri order to safely conduct the public through the project area. 'Company.shall provide flagmen, signs, signals or devices necessary to provide complete safety to the public. °.:..4, Adequate provisiops must be made; to cause minimum inconveniences to traffic and adjacent property . .... .. .owners. ' ....: ;. .. S. No cable, conduit and/or pole line.shali be laid, constructed, maintained and/or repaired so as to constitute I danger or hazard ofany kind to persons or vehicles using such.road. Any poles placed in the Right of Way ffor future installation -shall be placed at the back of the Right of Way., Exceptions may be approved , :. by the County'Erigirieer. C. Trafiie Control Plair " 1. A traffic control.plaii, pursuant to the TM Engineered,Traffic Control Plan must be provided ;.. for the.following:',:,; a. .Any construction (i.e.' pit, excavation, hole) left open overnight, requires specific nighttime traffic '. . control measures pursuant to the TMUTCD; _ . Vol. s :: P b. if construction is.within ten (10) feet of the roadway; or c.. Any work performed in the road right of -way; 2. Plan must be attached to the permit:and kept afthe job site any time.work, is being performed. 3. Plan -must set forth the time of completion for the job. D.• Desi lt� Slnlydards : 1. All'overhead installations shall conform to clearance standards of the Texas Department of Transportation and the.pole be placed in the designated area for power specified as set forth in the Texas Utilities Code, Section 181.045. •2. All pole installation (including lighting) shall be placed at the backside of the Right of Way to ensure safety to the public: '.Any pole placed in violation of this requirement will be required to be moved to the appropriate location*at the company's expense. - Exceptions may be approved_by the County Engineer. .3. .All. underground .installations shall. (these are, minimum depths _utility may place deeper): a. :be placed at a minimum depth of forty-eight (48) inches below the top'ofthe pavement;- b. 'beat least thirty-six (36) inches below ditch' flow line when installation is within the area measured from top of bank to top of bank; c, beat least forty-eight (48) inches below ditch' flow line if law pressure pastor petroleum .lines. For high.pressure gas and petroleum lines, see High Pressure. Pipelines requirements listed, below; d. not be closer than ten (10) feet from the edge of pavement. Exceptions may apply in rights of way of less than 60 feet. .4. Water Lines: All water lines must be a minimum'36-inches below the ditch flow_ line and cased. Waterlines shall be cased if crossing tinder the roadway. 5: Utilities in all new developments that have 60 feet or greater of right of way shall be installed within designated locations based upon the type of utility. The locations shall be as follows: (measured from back of right-of-way). . Power — 0 to 2 feet, nominally'!' : Phone — 2 to 4 feet, nominally 3': Gas — 4 to 6 feet, nominally:5' :Cable -- '6 to 8 feet, nominally ?' 6. Utilities'with less than 60 feet right=of-way'in all:new developments shall install the utility in.a similar manner as referenced in No. 3 above; however, the County Engineer or its designated representative will provide final approval of each utility location. 7. The: length of any ttench to be' opened in advance of the pipe, conduit or ducts may not be longer than 400'. .....: . if left open over nigh or unattended: 8. Crossings under a county road shall: a, be bored or jacked. ABSOLUTELY NO OPEN CUTS WITHIN COUNTY ROAD PAVEMENT; : b. be pressure grouted for the full length of the crossing if the:.annular space between pipe and casing and -soil exceeds one (1) inch. Brazos -County. must' a given 2.4 hours notice of pressure grouting operations and have the opportunity to have an 'inspector on :site to observe pressure grouting operations; ' C. TOOT Standard Specification item 476 shall be followed for.all boring, jacking, tunneling and joints, 9. BorePits: a. no: pits shall remain open longer than 2 days; b. all pits shall have proper traffic' -control measures in place., See Traffic Control Plan listed above. c, pits shall NOT be located within ten (10) feet from the edge of pavement without prior approval from the CountyEA' ineet or his representative; d. when pits are to remain open for more than 8 hours, due diligence will be used in protecting the spoil pile to prevent drainage, problems; e. ' based upon soil conditions,'the.County'Engineeror his representative'may require shoring to protect pavement integrity; f. based upon soil conditions, .the County Engineer or his representative may require pits be, placed further from the edge'of road; 40. Any installation within ten (10) feet of edge of pavement shall, meet the following: a. location must be approved bythe County Engineer or his representative b. ,'bl &filled �Oh'cdment stabilized material. " c. based upon soil conditions, the County Engineer or his representative may require shoring'to protect pavement integrity. . ;d, ,•all'excess water and mud shall be removed from the trench: prior to backiilling. Any back- water placed • •' during a rainy period or.at other times where excess'water cannot be prevented from entering the trench will be considered TEMPORARY and shall be replaced with PERMANENT cement stabilized iriaterial as•soon as weather'permits; " e.. 411 disturbed base and pavement materials shall be removed 'and restored to the satisfaction of the County Engineer or his representatives. f no side or lateral tamping io fill.voids under the base and pavement materials is allowed. 11. Com'pany must be careful to not jeopardize the slope or integrity of the shoulder of the road, in the event' Company damages the slope, shoulder or any other portion of the right-of-way, Company will be responsible for repairing the damage -and replacing the right -of --way to the condition it was prior to commencing construction.,' , 12, Operation ofconstruction. and/or tttaintenante,equipment on tlie. traveled sitrface'of any impf owed County ; road, will not be permitted, elcept'in an instance whereby the' laying, consiructioti, maintenance And/or repair of cables, conduits and/or pole lines cannot be accomplished by any other method and in this event all such equipment shall be of the rubber tire variety. Appropriate traffic control shall be provided meeting TMUTCb requirements,:' ; 13, ]n the,event said construction and/or maintenance and/or repair requires Company to remove, cut or jeopardize any section of the road (Asphalt, cement, road base,, etc:), Company will be required to provide a performance bond or letter of credit securing'necessary repairs:* Said bond amount will be determined by the County Engineer. .. ' J4. The'applieant shall submit a letter.of"No Objection" from the Army Corps of Engineers For all designated. wetlands 'and environmentally sensitive lands. Emert�ertcu'i'vork �. .' • ' � , ' : ,, . . ' 1. In the_event Coinpany.is required to.perform.emergency services, that requires excavation in a County Right;of.Wa'y; and unable to notify the County,Engineer'prior to:conducting emergency repair's, Company _ :.......� i.,.. ,. ...'i'+4,w$;;: Yo •Lair... .'s:.' :'r a.a .. .. �. _. .. �'!. ,-F;., L ��••:.'4p.��_,. ... .�1� ,�.� »..., :. .... ' shall.natify County Engineer within 24 hours ofbeginning construction/repairs. This will allow the' County Engineer's Office an opportunity to inspect the site to ensure the integrity of the County Right of - V1Way..and traffic safety controls used. - F. Rennirs'to exisritte;jttcililies - " • 1. Maintenance and/or repair to existing cables; conduits, and/or pole ;lines which require disturbance of. the soil; shall not be performed until plans describing such maintenance and/or repair have been approved by the County Engineer or its designated representative and a permit has been obtained. G. Reloca6ii o(•utilities 1. When and ifthe County Engineer determines -that it is necessary for the construction, repair, improvement, alteration or relocation of all or any portion of said road, any ofali poles,'wires, pipes, cables or other facilities and appurtenances authorized hereunder, shall be removed from said road, or reset or relocated' thereon, as required by the County Engineer within a reasonable time as determined by the County Engineer and Utility Company, aiid •at the expense of the'Utility.Company..• H. Lkh Pressure Pinelirres 1. All.utility Permiis for high pressure pipelines (generally 60 PSI :or greater), •whether pertaining to controlled access or non -controlled access installations; should contain the following additional . information in the description of the -permit..'- -;diameter =wall thickness ::material specification -minimum yield strength maximum operation -pressure of the pipeline 2. With'the exception of the maxinWiii operation pressure of the pipeline, this information is,to•be, supplied for both the carrier pipe and tiie casing. ` • 3. Assurance nitikalso be given that the installation material and design meet the minimum Federal Safely,' Standards for Liquid and Gas Pipe.Lines. Assurance,must be provided on'company letterhead and signed by authorized representative of the company. 4, Petroleum Pipelines: Depth Tune of Pipeline' .- (below deepest ditch grade) Special itl;eauireanetets Encased Pipe ' Less than I l}'.. Must be covered with concrete pad at least 36" deep Encased Pipe , _ Greater than °1U' No,conecete pad required . Non -Cased Pipe Less than 10'•.' Must becovered with concrete pad af•least 48" deep: Non -Cased Pipe' Greater than 10' No concrete pad required ' Concrete'pad shall be minimum of•3" thick`iind;width"shali be pipe diameter'plus 18" minimum. 5. Under no circumstances will a pipeline be installed parallel to a County Road within the Right -of- . Way,:,;Transm' ission lines have beets determined to. be petroleum: pipelines (which includes natural gas lines) and shall not be:paralleI'to a'County Road. . 6.. Natural Gas Distribution is a line th4kserves the final customer. pg.:. Na, .... .. v..p=:.;r:4u.. :�.r.;.. � ..-:rt-,;•4?-ra>�ryr• •ws`:;'• :•r SeM}`.. ... ,=s::'is.vt,:.._.-:.n m7. 1 1 ROAD : MEAD Qk� [ - .. . e.to-ro AHCADt 1 > ROAO>10RR wMem n ROADUORR S` '•'� ROAD 1 IrIWs- - ` Se• yore t7 a [ G20.2 d a0• . 2+`' IS•• rot. M0 - 1 ` Isee rate 11A ' . LiA}IEAO • WORK Cs20•Ip [ •m'• FF r:1ic0• � 1 _ _ - . � • rc7aca- Sea note 1/- [:. ^a{ as � 1 Pg [ n Prri VIA. Trwcrl.el •.orw rsalete LEGEND fFar'S Oorfaoa:. ■ a Ff.orto 117tnp Dmrieva Nrer7 aua Yahtei. a• traoL Wa+rrG arren.orar aruLt frallaf abanrea Flasntrp LFM BGaa � P@tiDle G'10Y}`®1f Itr\rea. Sign IPTit51 :a -Stet:: ': ffCrfja :tcu•: • O. F1W - {b FloeOsr JI .i fxr i a e• - t"ecefaorT r�i rir► nor. 71 a Cm.r V.o ) Rem btr7 c• _ e .: - r:Y'w c,:.rle,% _ _ .. j "ISleast *.-G a MC M neTal. clarT. ' }�� L.82Rprfr or laperUl\ gnat as trues]. i . mal4m if Qtfsettrj j 5�tbarea.s0realiPtll : e n incrw;mt ere of rarra iron ' [ �•. i. i gga ro am I'm 11 +e. e ( .. ... Icnra of rratttc 07 .. _ •o/a Dreg 7L o.7tnlru\'+,"{ —� f rrtonaatisi .. as ar SO• tree me [ ar otr rise •ar+IeaL 1 �T QyIS-y roor.ar rra.oretl wr. �• o ¢a.? • 6b! a ,F fi e _ .. 9.p ; _ .. . 7'1 �` '�i GENERAL NOTES :8e .�• . el_ ; r:rs nnroL a a Sr .. CyY'ir al . I.:lepr artatvo to SI •mr• IM.. are IMCAQ L .a ill trafrtf contme 0re.aa S irolra oe tQarl+ ..arse Inca. -.:_- . - a ISee mtca a'a Sr . • -- ei - j ' -c. v(oQ;• ormt aq e•-mirrea ~slaw) in un - - - ... ''3 - r ''nrawr a for'rwrnv altntrtv.n asr4 om olprptra aT, ra•-fa0imrl+ J [� —_1 i. 7. SfoWlrre Deter➢ei rnyta W olada o a:n:nm er 70 /err free - "L-� I £ ( a' Hera amrtMsq. M'•,E G= '° - 1 ., oselte tfm w :tin IW oc . A I W. wet rarettn;, ltmtane. S ISH rorea . a 5r _I__ 1 ^_ �`�,• eldero Ift or \r t ItO+t\. a yubt sedate.:rn a wume vale a [ ao .� — • i urea mrrla h em w'rotittama 20 to tm.(wrfn omrnes er ' b r1U ace of ere..0-6 mNmot aMraelr4ltrq:rg7'•tie -� ` - . [ 1rrf.Isawr a aril:is of try rya. If .eravF ve ro lerper a.ieer •. 0 .t [{. at two o- rvw aMSITa.s "are. rnr stet• a aatira7 w lew"I in - _ ( •� I •q • 8•. f ntm. Tel. S Ear:mars o- arPir trartV l:iLp ar.:ttl Q7 ip. ' b.8 .. =ifl,. .SS ernVSraao Venruip Winrusmtlu. . p. ' -' j S sea:riaC1 4ialY Yrnk Win a t rot at nc)itiesl¢�s o!r n4 R'n,.., , V '= rveau. mee m I I mo.n :norms' ro.amrcr o.:m/'.ivL types. • 1 � ` � -± i &te�r� Sr fT a>Lielr saw W at.iQtl aioL+err.•tQ'eitoQrS at7' ' r 7. t1= Ire wk mictes or oew tGXS%%vd IMIla or aerrea nlmr it* { lVlvl 6 - ciTr•ar-t47 lsae ms tar �O'Lea w ttu DaKa 6atiarr. - i �� ROAD bL•2t•S 'Sleattta OOnt• a:an eaoft Inetl ie Dross arms Mt i • 'Mr0 iQle LCae` rirru Ire araplaa ion T emrartUr4f /aaWiCIL SI Wr^ 1 RORK ENd $ [ a ROAD _ [ 8 V ' AHEAD RDRD>lORN WORK F G' p , ' AliEJ10ct .. �tS, --ae^are• 45ef Mt. 27d "' V � 4 '. sr. Harr ii � [, jj •m- a aO• RDAB WIIAR � - � WORR ' :i' l i gat . - - T roe. ti .•� fie• 6 AHEAD qpf�rame [ ( IS.. net. 21A Cr7o.tD .�7ssa. M7pnttatrHal nrnspatatloo I . [ `0 `'6' TRAFFIC CONTROL PLAN 40- 8 ! see rota t1 CONVENTIONAL ROAD SHOULDER WORK TCP {2-1tt) TCP :SZ-lb1 TCP t2-iC) " I.J r`. : TCPt2-11-18 : WORK SPACE*NEAR- SHOULDER WORK SPACE ON SHOULDER WORK VEHICLES Ole SHOULDER' sr. rr�...lr act ntor eras./ Ita1 i Convens i ono t Roads • � °••� I - Conventional Roads Conventional Roads 2.,, ,M'•"•'••. , .. r•ri tat• ... .. aaa. .+a .< i •. nit tar 1 • rvtito ' :a1M n/LS/mt.Sim . teyr a.q.m ■ ■ 7apw\ttO rWiM .Cva titers Oadrt. Yln//tet pfata+m to.a`rwltmr tar Soo.• '0' . te• a• sa-- rwlotrwt=irrw. m an tapir•'( toown 20 25 AD 7 L. � tS0' t65' SM. !O• I 60• 11b• -90' 105' 225' 345' S3' :O• 160•• 1200 S' 245• ]2O' -•a0` -BO• 2l •• 145'.,-� aS :O 55 r0 43 To tra5 eSO' 49Y SiQ' a5' 1 90• �2D" ISS' " SW SSO. 600' SG• ( too, Ib0' 2iO' SSG, 6G3. 6G0• 5S• 110• 500• 205• 600• CC, IYQ' to1 U0• Fes• SSG, 6S0• r15• raw 63• 1 170• 1 700• 410- lea. 170• 640- TQ• 1 f40• 1 SO*- 475' 7! T30• MIS 900• 75. B t50•' 400• . 54n' .. _ TiPiGlt USAGE . 4Oot Duane LaIT 1aW snntaaat 1hiFRCJ1Ltt tCC telar tFml s:utptmr - sutlo\.mr J R BRAZOS COUNTY BRYAN,TEXAS DEPARTMENT: CC 2022 - Utility Permit - Wickson Road and Bridge NUMBER: Creek SUD - Wheelock Hall Road - Crossing 1,815' southwest of FM DATE OF COURT MEETING: 12/13/2022 ITEM: Consider and take action on the Wickson Creek SUD utility permit to construct a bore for a 1 inch service connection crossing under Wheelock Hall Road located 1,815 feet southwest of FM 974. Site is located in Precinct 2. TO: Commissioners Court FROM: Darrell Kolwes DATE: 12/06/2022 FISCAL IMPACT False BUDGETED: False DOLLAR AMOUNT: $0.00 ATTACHMENTS: File Name Description Type Utility Permit - Wickson Creek SUD - Utility Permit- Wickson Creek SUD - Wheelock Hall Road - Wheelock Hall Road - Backup Material Crossing 1 815 southwest of FM 974.pdf Crossing 1,815' southwest of FM 974 APR �f �31055l, Duane Peters Date County Judge Vol 38� P9- To. THE COUNTY.ENGINEER OF BRA•ZOS COUNTY, TEXAS.:" .Pursuant io tlte--Texas Utility •Code; Section 181:02 ,-'comes now • .: WICKSON 'CREEE� SUD: ;.[coMparry..irari�eJ, .hereinafter referred. to as .`.`Company a. TEXAS [slci►eJ Corporation, .with authortty.to transact Business in Texas, acting by and'through its duly..aitthorized' re} resehtative, and hereby petitions the County Engineer for_ the right to; lay,: construct, maintain, repair and/or operate a vrater lute under, fiver across and/or along; cei fain County. Roads as :shown on drawings acid diagrams att5ched hereto arid-satd location described ss follows: Facility tti'Ctoss Road: Pacility to Parallel Caunt'v Road Within Right-Or-Wav Road Name and Block ...:• ..From :::...:. :. •': '.'[ o ::. Dc 0 th : -Distance : ' ... •- • . CQNSTRUCTIQN..TYI'C . • ...: , • •. .::::: :: .. .. . . I" `._Diameter ,. •::::Wall Thickness ; 2" :Encasement Pipe ; Mdtcria! Sp¢ciGcat{oq :- PVC. ::.. :::.. Mmimuin Operaiion'Pressure ' 80 PSI ;:Tire Location:;and.descripl:W.of.the proposed: installation and appurtenances must:.be,.fully shown:;:bn. the attached "Amiled drawings::..:. Tfie Company.shall commence actual construction/work:'in good Faith :within 60 days front _the date° ofsaid'perm t and :fi. shall t:omplete satd construction awork.ivithin . 1 working days.- (COMPANY.M.iUST: FILL: IN. If such.. =_ construction t5 not. begttn by•ihe.601day, Coinpanj.:wil,l -be .required to'apply for a neW:.perm'tt.:. Company declares that:prior:Co filing this: application, it has;ascertained,the location. of;all, existing'utilities, both aerial and undergro(J§.,` and the'flin of this application is prima facie evidence that tlie'proposea:iustallation wili.riot.... ... ... . e conflict with anyexisting .utility..: • : . A _copy of this ;perinf shall be kept at the job Sete any time.:ivork is being performed. It`is expressly;stipulated,tli at'.this'Permit.- s:a license- for:permissive'use'only and that•the placing'gf.fadititie's upon " public property pursuant to this permit sfin y tot'opertite io create or vest any.property.EiS)f;in said'.holder: lfis.urider4o6d, and agreed tha"t the'Hahts and. privileges:aierein set out are. ratifed,oiilyao;the extent°of the Cotinty's :right, title and interest m the land:ta be"entered upon and used.by'the�lholder'and ttie' liofder'will at Mftimes assume risk. of and indemnify; defend aitd save harmless..l3razos County from and against any`and all%loss,° damages;: cost;or expense arising.in any manner on accotin0f:the sxercise:or attefnpted.exereise by:'said..holder•ofthe•'aforesaid.H tits and privileges.; :'::.' _' : - :...: :.. ... :. , Vol.:..:-J gam-- •• l'9 f ...: •ram a>. c.-� - - r. _ _. .. C3.'a t 4 a. .3N,#`.'_f°'• 4i_"v ,. �� 3 .r3 y H v ,.J. t Any deviationom these specifications must be approved by E3razas.-County Engineer's Office or. its designated :.._ ... .representative..' ::Approval oFCounty Engineer's. Office may.tal-e aslongas fwa weeks aher.coTplete application is received. Applicant a egis,to'comply.with all rules of the County Commissioners-and the County. Engineer in.construction "said installation attached. hccetb as BRAZOS COdJN DESIGN STANDARDS AND. SAFETY :t,'.1RECALiTION•• :•: �11I1tEl FOR'VOW CONDUCTED aN.SRAZOS COUNTY RIGHT OF b'VAY:and incorporated -In the event CVO fjiil rjl fails iv: obtaitr a per.Mit prior in tl{e ltis8allatioir or;(lner tivP !»s1n11 attilities,ePi criaptpliattce.ro�itlt ,.. . Installation regrrirentetPts set forth herein r e: depth, locrtdPolt; etc), Coilapauj� nsstiurer nil iraaici l tespversibilit}►for. damages and *i'destrttction of lines, cables; etc. based trnoii iisfgiltire 8m rlltliply FVitfi .razos Coau:iy aegatirentetats Applicon! agrees that if Bvaios �'ottPtty'denretastrates a iufalinPt of the terms of this policy, Applicant stipirintes llw :regtrtsites for ii}itiicrive pedief exist atul ilerat a razes Crtariity is etttitlarl it) relief elddhibig nary crittrhici by applied ;qulteclt.is contraly.to tlaepolcies:. ; 7tfs pernui is as revocable petiPtit. Brazils. 'natarty reserves file right to ;'evoke this permit at any thiie, in the stile : CJisCP@teon Of Brazos Ccindy, jbr iaPterests:pf pllblic health, safeiy oP eve tire, or far fa►lrire to repair any rIAPPJages.:. atpau deniarttl,' rftir airy otiter Peasou de11; al saffaeie»t Iay.Brazos:Cotiiq. :..: `In [ire event 'vii?ptilay falls tti .comply With, ialrir or' it of Plre;requirehidiats: ns set forilt Irereili, tfte oiail8y.rtlay Pake .., sateG faction ns �t deems a ra riate to cotat el eotli lirelice.:,.:7Yle Cvrtet En itteer irPtlrer retains tlte.ri lit,to revalre . PP .p . p.. p ' U b' f g 'this -Permit b verbal PPoti ecation to theA hcdnMCOPPapal'ry.`: .v . J' pp. '.-. . tajlPtre to obtain this permit al1wer notify Office SVitltin 24 I oars a hegiaPjadPag-461tStrlecti07i ". harp catrslltatPerotanelsior fob slarattloavtP • .: :. . Q y signing belo�y, 1 ' rtify•that 1 am authorized to represent the Cotttpany..Qisted below; and that the Coroipany agree$ to the conditio"n-0provisiaas inelutted in,this permit. WICKSON • CREEK SUD , . . ....:..:, :..: �•:. Company Name.. t :.:. .. . Signature Title :. . -. :.:..: :....:..:. -P.D.-Box :. - - :...dress . ....'.: itY Ststc' -Zip. :.... Telephone.Nninber .......`:: :.._ :::•:. ek : aom ...• •...;. - .-:.. , 'arson@reicJcsoncre. . ..:•: Email:. :.:.61 .:s.�_, az, _,, -L:= ,+ -. - .. - � .s�.h-ta .:. d.-rc—.e.c:.,�i4r.:u... r. = _ :'�:TS�, .<K _.. F'..�:. .c-- ._ :.x?i - s:�,._ . t cn:1�..,.t� - ...v..�..w :1.•s$...k'd_:. �_ �t- . . . . . . . . . . .... . . .... ............. . . . . . . . . t. . . . . . ............ . .. ................. ......... . . ........ . . ......... . .. .... . . . . . . . . . . . . . . . . . . . l�l W4 I L I E d " - A V M& I . ral nil — I U I pli m B i �� M kq L q I = � "- mj m I.T. MIS m I n I - ff—IA I jai 0 - I m F1 W F— . 3':JF ........ .... . ... -ABO V. I- PLI A N. ANDj ..... ......... .... ...... .. ... ... .. .. . .... ... .... ... I.:":,::*::.:. NEVA;: . .. ....... . .. . qf - L . Bra' �Qs CAD illlebap- *.55'Cz. ° �; �. '•.. % m 6tt :. ', a,�' �.',:w + ,.fir'; x s F '' � �. t � x'� ¢ y��* 9 .h d" ,s. V' '°"'^ti • "°:r .. �nA c '�" ati� k" `:�a .� �" �A �c b-. x� ��� �� r� rs nfi �Y 9. J ' F e'" 0 S,�w +V,,,_ " ` d. Nf•iyl^ 11 x + qL $ d +1� Q:.'f}ap V��w �' 1 V " d""� '� ''Q'yi''�`.d4�.� 3 Ali" �i � �'�`y k .^�� �aa b �3^4 ,�� �, y^ � .H...�y� "'F, .r��' "•ti�dW".`a` �.. �"a S��j �`. "' " 4. 1= 4_-,4.J �u.+�•+'h..W ,� Lev ° r. }^� S' !k y Mi �,K��N kr�� .,.. �� 7 a N{,,, r �kC ,J'k t ��11Q x "�.� ^ v � r�" +y •', : % c ( b ♦ TM"¢ �,q, rt Dp �c .. . " BRAZOS COUNTY ROADWAY SAFETY AND ROAD• PRESERVATION STANDARDS FOR WORK CONDUCTED IN :BRAZOS COUNWRIGHTS OF WAY A. Gelteral Rennirehrenls 1. Adequate drainage shall be maintained in ditches at all times. ; 2. Permittee. will use best management practices ("BMP") (EPA and TCEQ both provide lists of exampies.of BMPS) io minuimize'erosion and sedimentation resulting from the proposed installation. 3. The permittee shall take precautions to avoid damage to property. All County Right of Way And properly shallbe restored to its original,condition, as far as practical, in,'the opinion. of the"County .Engineer or appointed representative. 4. ' The construction,and maintenance of such utility shall not interfere with the property or rights of a prior. •' occupant. 5. Permitfee shall not interfere with other utilities located in the right of way... In the event damages occur, • ..' perm;ittee will'be liable to.the'County or other utilities running through the right•of Way, 6. County Engineer shall determine whether or not' permittee's plans shall inconvenience the public: If it is ` determined that inconvenience to the public exists, then the County Engineer will decide whether such project will be allowed or if an alternative exists so as not to inconvenience the public. A ,$ ety ienuireniemrs 1. Proper traffic control measures must be put in place prior to bejinning work and remain in place during the duration ofthe job. All traffic control measures must follow the Texas Manual of Uniform Traffic :. Control Devices'(TMUTCD). See -Traffic Control Requirements below. "2. During construction,'all safety regulations of the Texas Department of Transportatidn shall be observed.' 3. Permittee must tal:c'such'precautions.and measures, including placing and displaying,safety devices, as: may be necessary, in order to safely conduct_the public through the project area. Company shall provide flagmen, signs; signals or devices necessary to provide complete safery to the.public, 4. Adequate provisions•must be made'to cause minimum inconveniences to traffic and adjacent property owners. 5. No cable, conduit and/or pole line•shall be laid, constructed, maintained and/or repaired so "'to constitute' a danger or hazard of any kind to persons or vehicles using such 'road. Any poles placed in the Right of .. Way,for future installation shall be placed at'the back of the Right of Way,: Exceptions maybe approved ; 'by the County Engineer. Traffic Coitlral Plan I.- A traffe'contrbl plan, 'pursuant to the TMUTCD or Engineered Traffic Control Plan must be provided ` . for the -following: , a. 'Any construction (i.e. pit, excavation, hole) lefft open overnight,yequires spec'ficic• nighttime traffic • control measures pursuant to the TMUT,CD; ' � ... ., y"n• �1.1 R;*'It �?Yfwi.• .yc., nrN.f1RMQ.' SerlAlin�:.i:.j.:..."i..f•: ..1.9 ..\ryprp:i.�. •• .'1 b;h,_,p.(pty'?. tF+hC..y.d v.duY.L �:...... •--..�r'LSu"• Moir. •:.?.n•„+?-=r b. If construction is within ten (10) feet of the roadway; or c. Anv work performed in the road right -of -.way;. 2: Plan* must be attached to the permit and kept at thejob site any time'work isbeing performed." 3. Plan must set forth the time of completion for the job. . D. Desieu Standards 1. All overhead installations shall conform to clearance standards of the Texas Department'of Transportation and the pole be placed in the designated area for power specified'as set forth in the Texas Utilities Code, Section 181.045. 2. All pole installation (including.lighiing) shall be, placed at the backside of the Right of Way to ensure safety to the public. Any pole placed in violation of this requirement will be required to be'moved to the appropriate location at the company's expense. Exceptions may be approved by the County Engineer. 3. All underground installations shall (these are minimum depths-'7 utility may place deeper): , a. be placed at a minimum depth:of forty-eight (48) inches below the top of the pavement; b. be at least thirty-six (36) inches.below ditch"flow line when installation is within the area measured from top of bank to top of bank; c. beat least forty-eight (48) inches below ditch, flow line if law pressure gas or petroleum lines. For High pressure gas and petroleum lines, see High Pressure Pipelines requirements listed below; d. not be closer than ten (10) feet from the'edge of pavement. Exceptions may apply in rights of way of. - less than 60 feet: 4. Water Lines: All water lines must'be a minimum 364nches below the ditch flow line and cased. Waterlines shall be'cased if crossing under the roadway. 5. - Utilities in all new developments that have 60 feet or greater of right'of way shall be installed within designated locations based upon the type of utility. The -locations shall be as follows: (measured from back'of right-of-way). Power — 0 to 2 feet; nominally i' Phone — 2 to 4 feet, nominally 3' Gas — 4 to 6 feet, nominally 5' Cable 76 to 8 feet, nominally 71. 6. Utilities with lea's than 60 feet riglit-of.way in all new developments shall install the utility in;a similar ' manner as referenced in No. 3 above; however, the County Engineer or its designated representative will provide final approval of each utility location. 7. The length of any trench to be opened in advance of the pipe, conduit or ducts may not be longer than 40W . if left open over night or unattended, 8. Crossings under a county road shall: ° a. be bored or jacked. ABSOLUTELY NO OPEN CUTS WITHIN COUNTY -.ROAD PAVEMENT; b. be:pressure grouted for the full length of the'.crossing if the annular space between pipe and casing and soil exceeds one(l) inch. Brazos County.must be given 24. hours notice of pressure grouting operations and have the opportunity to have an inspector oft site to observe pressure grouting operations; shall notify County Engineer within 24 hours of beginning construction/repairs. This will allow the -. . County Engineer's Office an opportunity to inspect the site to ensure the integrity of the County Right' of Way and traffic safety -controls used. F. Repairs to exisling facilities l . Maintenance and/or repair to ekistin'g cables, conduits, and/or pole lines which require disturbance of the'*' soil, shall not be performed until plans describing such maintenance and/or repair have been approved by the County Engineer or its designated representative and a permit has been obtained. G. -Relocdtivn of utilities l: When and if the County Engineer determines• that it is necessary. for the construction, repair, improvement, -. alteration or relocation of all or anyportion of said road, any or all poles, wires, pipes, cables or other- • • facilities and appurtenances authorized hereunder, shall be removed from said road, or reset or relocated thereon, as required by the County Engineer within a reasonable time as determined by the' County . Engineer and Utility .Company, and at the e.�Oense "of the Utility Company. H. Hiatt Pressrare Pipelines 1. All utility Permits for high pressure'pipe'lines (generally 60 PSI or greater), whether pertaining to controlled access or'non-controlled access installations, should contain the following additional information in the description of the permit.._.. ' -diameter -wall thickness .:.... material specification -minimum yield strength -maximum operation pressure.of the pipeline 2.. With'the exception of the maximum operation pressure of the pipeline, this information is to be supplied for both the carrier pipe and the.casing. I. Assurance must also be -given that the installatio... material and design meet the minimupi Federal Safety Standards for Liquid and Gas Pipe Lines. Assurance must be provided on company letterhead and signed by an authorized representative of the company..;. : 4. Petroleum Pipelines: Depth Tvue of 1Pineline ' (below deepest ditch grade) Special Re uiremeitts Encased Pipe Less than 10' Must be 'covered with concrete pad at least 36" deep Encased Pipe Greater than ;l d' _ No concrete pad required •Non=Cased Pipe Less than W Must be•coi�ered with concrete pad at (east 48" deep Non -Cased Pipe Greater than i 0' No concrete pad required " Concrete pad shall be minimum 'of.3" thick and width shall be'pipe'diameter.plus IS" minimum. 5. Under no circumstances will a pipeline be installed parallel to a County Road within the Right-of- Way,::Transmission lines•have' been determined to be petroleum -pipelines (which includes natural gas lines) and shall not be' parallel to a County Road: , Pg. 6. Natural. Gas Distribution is line that•;serves ttie•final customer'.'.' -Vol. cs _ Mi+s .r.vs_ .._-':.:._...msfl:ll:.•�a.�+..- '+w::.; au:.v.aa :.:..`-+F—r..�.-. .W�{,,15:r..:..a;�:.ic�t5. .+.r`,":a-. ._.:.:i. k' Pi].v.-.r.E ..�4..y;'; .. . --• �.e9!.. .. .. 1 I x wtE i .J1,, i RNLlO t .ROAD ttORK : V .�S.t' aipFip®• iS ,tt, .; E5-ft }{ r• i' . AMA0 { FRO IsroQa•. + V 1� ii0AD4dORlS S:7Q.l� \ ' t t ROAD2tORK 5ff eam •)/ / _ trlo0f•' I . ... It r.. A /Dlo+t ISee role 7t0 �.T •:: ROADMAD !/ i /SOD nee 21LZ . 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I #JI i 1 Z. ,i, `:$ I • ^ia i5» f�na a a 5f- _..}�_ `�•1i•• ' \ F ¢i GEi{ERAL tIOTES I. loops Grow" to 1t:: Mara tnaM,, are tmulato. -..•' t c: om -i • �¢at I% _�. Z.AH tr47tiC COiM01 of•tca'a tirxulMls> we 11 M to fc-ce T,^tte" - ?{� t i�� ts" fate■ a l Si • {..' } � L. Malt i �1 : OtaU� Q for Pt�9 �1 r,'nait�bOlct fVa. +IN twran001 i/a Ilgitarrr 3 ""' L[LYl ` E� 1 ila1pirN pldiol •YRWa to DlaCaa a aU1M or J3 1" (!ou .; wj $ • 1 rsmfat tmtic0 trar. 1{ 26 I r. Ymp• Ante/r ritn iw arsf a:Qt fittneif J co noN:rs• . e• o 114V noes a s Si .�.-L�_ t y i o w� �,,. OI[tltalUo v [91"o I1:041a. ri a 30 -rotor •11n a Iw arafiab I $o i I b/fa fraY.ro :i f4)J» Cwi/lv4a 30 ro9C0 foe to aQrvco Of l h $ _^ c ovto 1Or,nvc a omt/ra' of tra wh., fi ww. ce ro love vt+enr •*A rook— wh mrwtima ectu;rr Am fret/ic =O Ml to fc•oift in i •,,. o •' b . atom., rise S awrima/a or vv.rr a wmairlm m.iflo °r, m `:�'," •; .� • . g R, awil;woaf Sto f . r®lftes uehput Mi m Wftlrtra3 at Im V•Yw t`i.C• mor, 10 In" von kl aralr to tsClfsf O •ifar WR, 9 ; •s. `J• i $ a �. ; G 'Are itPtS•q fpr a)SttON .ort orl 0jdaty nifla^Ta, tfor,Nf", a# jL i Ottra "rw "Nolts d niirr a0dtoenl ~cr Dt DarfCO Ka• fra .:! i • V \ 1' a 0 S ti011rof.roJ IiM aq roc wtaY m tn- Parca Nw74trr vv ROAD \ . i 8 g 'R t Q. p:i•5 •S7t1Jta• R74• -iQni my -to .340 in Qlare er tall+lo I l s '�f •I FlORK j 8 ., r •1ra3 aWa an(/0' apv to•aiwfotr •a,tl an tornmriani raanylr, ' AHEAD FNO WRO T' $ I it ROA080Ra V.r- I s.2o w aQ• r 2a i i 3; �i�, fd' a aD• f3ro rot- 21df EtiD ROAD / {•. V (Q i" A. it � } �+j �9 4O' (11"NORE �' Q Irraoa• I • ( I Lf note r1 ISft rot► 21p i AtICAD ' Aaptror+rt+ro/htsutrartatton ( _ , i 4Q• a 14- catQ•tu = I r e M;C•1, TRAFFIC CONTROL PLAN CONVENTIONAL ROAD s .:,SHOULDER WORK {` ` TCP f2•lo} TCP {2-ibi TCP 12-1c} ' TCP 12-1 1 -18 . • :, WORKSPACE NEAR SHOULDER' WORK SPACE ON SHOULDER WORK VEHICLES ON SHOULDER NLL• •tts•1.11. ,,. °. I.tal lli••t•• t})j t•. ufr .u... $� ConvenLiorlol Roods Conventional Roads -Conventional Roods �•-r_ , 44 • • a,M t•1! , • .IM tw. MrIM ova'" Ja.,a • Itr . vn f Dfs' i. - •rq i° tt.ioaAWvg.h— Saoeltq or t3v rrflalro b.ifal o,It bias a�1� of/ler"I.. Swalarfe' tpO7tpptrva r0I 0•Itr Saafa w rr 1...,Its" Ore Pro 33 40 t.• If10' 30' 60' 1 . 9o. 2a' 24S• SS1 '10% 110- 120- 295' 320'40' 't ex 2a0• 15S- 43 a5 495' '541 45 90• 320'50S ' 21—M. i00'60' /oo- 4Q0• 240't•60S' 06 ' S . 1l0' ' too. 295- 6s0' T20• a0' '120• 600' 350• 11 • to, 6 . T30• 100• 410' no- 040• T0' 140' Down a".. 400' 1s r50' 900• 940 ' TTi+ICAL USAGE •" • • Waftt . S10o1' OWattW L1671 Itt/t 7p4,av3f01a1t StaitOnta• halt tlat)tru•r aA I[ay 51tai,tfturF DEPARTMENT: Road and Bridge DATE OF COURT MEETING: ITEM: TO: FROM: DATE: FISCAL IMPACT: BUDGETED: DOLLAR AMOUNT: SOURCE OF FUNDS: ATTACHMENTS: File Name Utility Permit - Brazos WIFI - Old Reliance Road - 1 crossing for interne#_service.pdf 12/13/2022 BRAZOS COUNTY BRYAN, TEXAS NUMBER: CC 2022 - Utility Permit - Brazos WIFI - Old Reliance Road -1 crossing for internet service Consider and take action on the Brazos WIFI utility permit to conduct a road bore for an Internet service connection located on Old Reliance Road 1,425 feet southwest of Carrabba Road. Site is located in Precinct 2. Commissioners Court Darrell Kolwes 12/07/2022 False False $0.00 Description Utility Permit - Brazos WIFI - Old Reliance Road -1 crossing for Internet service Type Backup Material fn , �-' 3 laa Duane Peters Date County Judge Vol. 312�— Pg. _ /S� NO*AFICATION OF PROPOSED INSTALLATION AND/.OR REPAIRS OF TELEPHONE FACILITIES AND DESIdN'AT1r4G 'PLACEMENT OF UTILITY IN COUNTY RIGHT OF WAY TO: THE COUNTY ENGINEER OF BRAZOS COUNTY; TEX" Comes noW, Brazos WIFI Ippinpalw:nimel. hereinafter, referred to as "Company", a fiexas (state] Corporation, W*ith'a'thority to"tia'nsact business in Texas,'qcting by and through its 4uly authorized representative, and hereby notifies the County Engineer of its intent to lay'' construct, maintain,' repair and/or operate a telephone facility. und6r, -over; across and/or along certain Qounty Roddias 'shown on drawings and •diagraims attached hereto and said location described as follows: Directional bore 95 feet under Old Reliance at the address of 6306 Old Reliance for an internet service cdfinebtion.:Crossing will be a minimum of36 inches under the bottom of the, ditch and,a -minimum of 60'in6es under the'r'o"a'dway. The location and des'cription of the pro0osed installation and apoprterkanc6i must befully shown on detailed dr ings attached to this Notiricatio'n.'';'. The Compiiiysteal l commence actual. construction/work -in good' fifth"within 60 days from ;the 'date of: : said permit and shall 'completesiaid construction %work within 60 working days. (COMPANY MUST f ILL1N). If such construction is not begun by the 60th da 'Cornp6hy:will be required to provide a new. notice.' Company declares thatprior toflihg t4thisapolk&i6nJi has ascertained the location.6f all existing utilities, bA:a'e rial and, underground, and ... dthe fliing, '6f' this a0plic"lation is prinih facie'evidence that the proposed installation will not conflict with any existing utility. A copy of this notice 'shall be kept at the job site any time -work is being performed Ifi the evet1tJQf devi,46in from this notice, the Brazos County Engineer's Office or'its designated representatiVe will be notifled.as soon tis practicable. App�roW of'County Engineer's Office May take:6s long as two Week's afte'ribm lete aimlicition is received. Failuie to notify the County Engineer's'Offce within 24 fiou'rs of beginning construction shall constitute grPunds.farj6b shutdown. Vol. IJI By signing below, I certify that I am authorized to represent the C6riipany listed below, and that the .,....Company agrees to the conditions/provisions included in this notification. R B MI :..Company Name Tim '.1.4ardy Signature PmEct Mdnagei:," Title 1205- S. 113Ny 3Q College Station. TX 77845 -.Address (.979)999-7010 Telephone Number braggswifix6hi nail Vol. Pg. -jq6 a ACCEPTANCE OF NOTIFICATION Brazos County offers no objection to th6popqsed ldc'ati6h'of the utility in the Couinty right of way as '-sbowh by'kcompanyingdrawings po noticed' d 97 except as -noted 'below- -::'---EXCEPTIONS:' Brazos 'County Engineer Vol.* DRAZOS COUNTY ROAiDWAY'SAFETY AND ROAD PRESERVATION STANDARDS FOR WORK CONDUCTED IN BRAZOS COUNTY,.RItGHTS OF WAY ' A.. General Regnirements I. Adequate drainage'shall be maintained in ditches at all times." . •'Z. Permittee will. use best management practices'(`°BMP") (EPA and TCEQ both provide lists' ofexamples of BMPs)'to minimize'erosion and sedimentation resulting from the proposed'installaiion :. 3. The permittee shall take'precautions to avoid damage to property. All County Right -of Way and property shall .be restored io its original condition, as far as practical, in the opinion of the County Engineer or. appointed representative. 4. The construction and maintenance of such utiiity shall not interfere with the property or rights of a prior. . occupant. ; 5. Permittee shall not interfere -with other utilities located in the right of way*., 'In the event damages occur,'. perm will be';liable'to'the:County or othe�'r:atilities running through the right'bf way.. 6. County Engineer shall determine whether or not permitt'ee's plans shall inconvenience the public. if it is , determined that inconvenience to the public ,exists; then the County Engineer.will decide whether such': ' project will be allowed or if an alternative eiistt so as not to inconvenience the public. A. Saft! Reaniren:ents !. Proper traffic conirol measure's must be put in place prior to beginning work and remain in place during the'duration oft.he job. All traffic control measures must follow the Texas Manual of Uniform Traffic , Control•Devices (TMUTCD): See:Tiaffc Control Requirements below. 2. During construction, all safety regulations of the Texas Department of.Trai sportation shall be. observed, ; ' ' •3. Perinittee must take such precautions and measures, including placing and displaying safety devices, as Tay be necessary, in order to safely conduct `the•public through the project area. Company shall provide . flagmen, signs, signals or devices necessary. to provide complete safety to.the public, 4. Adequate provisions must be made to cause minimum inconveniences to traffic and adjacent property ' owners, 5. No cable, conduit and/or pole line shall be laid, constructed, maintained and/or repaired so as so constitute a danger or hazard of any kind to persons or vehicles using such road. Any poles placed in the Right of Way•fbr future installation shall be placed at the .bdek of the Right of Way. Exceptions maybe approved by the'County.Engineer...'. C. Traffic ontrol Plan 1. A traffic control plan, pursuant to'the TMUTCD or.Engineered'Traffic Con"trol•Plan'must be,provided for the following;`; a. Any construction (i.e.-pit, excavation, hole)•left•open overnight; requires' specific'nighttinie traffic control'measures pursuant to the "TMUTCD;' !Vol.. `�. �5 pg. ..-_�.-.-...,eS+.. ..� ..w •..,.r..,,...r:..4sz t-:.. �!rn,••et .-�-..Y .+a� �_.,,r. :ffe.x. prri. :. .ems::.:. . ,•..••r-P+, a^^'�t'. +:. ... w san?.•aµ;i,.-re•u'i1'.i• ...rw'iie1:. `.v.. rr'.i ,•ay5.-,y-..«g7 `. -3. Plan. must set forth -the time of completion for..the job." D. Design Standards 1.- All overhead installations shall conform to clearance standards of the Texas"Department of Transportation and the pole be placed in the designated area for power specified"as set Forth' in the Texas Utilities Code, Seclion 181.045. . :. 2.- All pole installation (including lighting) shall be placed at the. backside of the Right of Way to"ensure safety to the public. Any pole placed in violatiori of this requirement will be required to be moved to the appropriate location at the company's expense. Exceptions may' be approved by the County Engineer, 3. All underground installations shall (these are minimum depths -utility may place deeper): - a. be placed at a minimum de th*of fo a ht 48 inches below the to of the pavement; p ny- g()• e p P � b..-beat least thirty=sir'(36) inches below ditch flow line wheminstallation: is within the area, measured from top of bank to top of bank; " c. beat least forty-eight.(48) inches below ditch flow -line if low pressure gas or petroleum lines. For - high pressure gas and,petroleum lines, see High Pressure Pipelines requirements "listed below; d• 'not be closer than ten (10) feet. from the edge of pavement. Exceptions may apply in rights of way'of less than 60 feet. 4.. Water' Lines: All water lines must be a minimum 36-inches be'low'the ditch flow line and eased. Waterlines shall be cased if crossing under the roadway. 5: Utilities in all new developments that have 60 feet or greater of right of way: shall be installed.within designated locations -based upon the type of utiliy. The locations shall be as'follows: (measured from back of right of -way). Power, 0 to 2 feet, nominally T' Phone 2 to 4 feet, nominally 3' Gas -.. 4 to 6 feet; nominally:5' Cable,6 to 8 feet, nominally ' 6. Utilities with less than 60.feet right-of-way in all'new developments shall "install the utility in a -similar • ; manner as referenced in No. 3 ab6ve; however; the County Eng-ineer or its.designated representative will -provide final approval of each utility location. 7.' .The 'length of any.trench to be opened in advance of the pipe; conduit or ducts may not be Longer than 400' if left. open-oveenight or unattended: Crossings under a. county road shall: • . a. . be' bored or jacked. A99OLUTBLY NO OPEN CUTS WITHIN COUNTY ROAD PAVEMENT; b. be pressure grouted for the full length*of the crossing if the annular space between pipe and casing and soil exceeds one (1) inch. Brazos County must be given 24 hours notice of pres " re.grouting operations and have:the opportunity to have 'an,inspectori op site to observe pressure grouting operations; :.:Vot., 6•Y`4 ....... ... a.:. a. �..v.•u. N ��_. i' �;-.v`..a�. �. ._v::a ..«--...._.�....:....;u.1.r�iY�.1,-+-- -..aS .^.rw3:i:.:�.�_:w� C. -TxDOT Standard Specification Item 476 shall be followed for all boring, jacking, tunneling and joints. ::9. Bore. Pits: a. no pits shall remain open longer than 2 days; b. all pits shall liave proper traffic control measures in place. See Traffic Control Plan listed above.. :. . c.: " pits shall NOT be located within. ten (10)-feet from the edge of pavement without prior approval from the County- Engineer or his representative; d. when pits are to remain open. for more than.8 hours, due diligence will be used in protecting the spoil pile to prevent drainage problems; e., :based upon soil.conditions,' the CountyEngineer or his representative may require shoring to protect pavement integrity; f. bused upon soil conditions, the County Engineer or his representative "ay require pits be placed further from the edge -.'of road: 10. Any installation within ten (10) feet of edge of pavement shall -meet the following: a. location must be approved by the County- Engineer o� his representative b. baekfilled withm ceent stabilized material. c. based upon soil conditions, the County Engineer or his representative may require shoring to protect pavement integrity:.::: d. all excess water arid'mud shall.'be removed from the trench: prior to backfilling: Any backf Il placed" during a rainy period.or at other times where excess water cannot be prevented from entering the -trench will be considered TEMPORARY and shall be replaced with PERMANENT cement stabilized material as soon as weather permits; :. e. all disturbed base,and pavement materials shall be removed and restored to the satisfaction of the County Engineer or his representatives. " f. no side or lateral tamping to -fill voids under the base and pavement materials is allowed." 11. Company must be careful to not jeopardize the slope or integrity of the shoulder of the road. In the event Company damages the slope, shoulder or any other portion of the right-of.way, Company will be responsible for repairing the damage and replacing the right-of-way to the condition it was prior to commencing construction. 12. Operation of construction and/or maintenance equipment on the traveled surface of any impEoved County . road will not be•permitted, except in an instance whereby the laying, construction"m' ainienance and/or repair'of cables, conduits and/or pole lines cannot be accomplished by any other method and in this event. all such equipment shall be of the rubber tire variety. Appropriate traffic control shalt be provided meeting TMUTCD requirements:' '. ' 13. In the event said construction and/or maintenance and/or repair'requires Company to remove, cut or jeopardize any section of the -road (asphalt, cement, road base; etc,), Company will -be Tequired to provide- : ' a performance bond 'or letter of credit securing necessary repairs. Said bond amount will be determined by-, the County Engineer. 14. The.applicant shall submit a letter of `'No Objection" from the Army •Corps'of Engineers for all designated wetlands and'environmentally sensitive lands. E. work l , In the event Company is required to perform emergency services, that requires excavation in a County Right of Way, and unable to notify the County Engineer prior to conducting emergency repairs; Company _ � Vol.9V.. .-.. :.. •. ,�. ;..'.F..x: .-.;.i-� .. a.�l..,.:i?.; - ,�.:.:._._..-...z max.:.'. �.ss•,.._ ..._ : i::•r3:1$a••:- . :_ _.s _. � .,:. .;; 4sn —__ �. �z- tc.,*::c .; ry -,„- .,.:7...,�=e.. �. __... � - _ '. - _. +. :. P ' 1�r^.i'�Sh.•. .. _1:4F , - e- c i.: `is..__ ,1 — .�TF :,.�.• - .y . shall notify County Engineer within 24 hours of beginning construction/repairs. This will allow the County Engineer's Office an opportunity to inspect the site to ensure the integrity of the County Right of Way -and traffic safety controls, used: F. Repairs to existing facilities " 1. Maintenance and/or repair to existing cables,'conduits, and/or pole lines which require disturbance of the soil,. shall not be performed until plans describing such maintenance and/or repair have been approved by the. County Engineer or its designated representative and a permit has been obtained. G. Relocirtlan nrutilities 1. When and if the County Engineer*determines that it is necessary;for the construction, repair; improvement,- alteration or relocaiion of all or any portion'of said road, any or'all poles,'wires,'pipes, cables'or other facilities and appurtenances authorized hereunder, shall be removed from said road, or reset or relocated thereon, as required by the County Engineer within a reasonable time as determined by the County Engineer and Utility Company, and at.the expense of the Utility Company.: H. High Pressure &elines 1. All utility Permits for high pressure pipelines (generally 60 PSI, or greater), whether pertaining to controlled access or non -controlled access installations, should contain the following additional information in the'description ofthe permit:; ' -diameter =wall thickness• , -material specification -minimum yield strength . -maximum operation pressure 4the pipeline 2. With the exception of the inaxitnum' operation pressure of the pipeline, this information is to.be supplied. for both the carrier pipe and the casing. 3. ' Assurance must also. be'given that fiie instal lation'material and design meet the minimum Federal Safety Standards for Liquid and Gas Pipe•Lines. Assurance must be provided on company letterhead and signed by ari;authorized representative of.the company.. 4. Petroleum Pipelines: Degrfh ' Type;of'Piyeline (below deepeg ditch geadcl '' Spec'iai Iteateirements Encased Pipe Less than 10':' - Must be covered with concrete pad at least 36". deep "' .. Encased Pipe Greater than lU' No concrete.pad required..." Non -Cased Pipe Less than 101. " Must be'covered with cona'rete gad at least 48"deep' Non -Cased Pipe Greater thiin.'l U' No concrete pad required Concrete pad shall be minimum of-V thick and'width shall be pipe diameter.plus 18" minimum: 5.. ' Under -no circumstances will a pipeline be installe4'parallel to a County Road within the Right-of- Way::Transmissioh lines have been deteiini6M.to be petroleum pipelines (which ineludes-natural- gas lines) and shall not be parallel to *a County Road. 6: Natural;Gas Distribution:is a line thatserves the final customer.:: '•� _.,5.�„ ._..r ,� _. Ea,,.�i ,-, - : d� •w..+�..,-n -5. ,,::� ±:.::sue..:. ..-S-µ w .� e.,-.x s.;n-.;,.-1. K":=3`�a `7"� .: r_ �.uc.�°,=• fig - 1 ROAD C/20'to AMCAD I t Zp 4t . �{ \ li la➢f •, • See raTC t i .� is .r�ti°• � . g� . jab allvtr1117na'atrint 't sap aFb tar va ea IsGa IM .arn /rw 1 a ninle./a 10' Iran roe •' a ' afir MRetl lrortlp M ( ROAD RORK I. I!'i, AHEAD % or Z.AHEAD Y x ' •� ROAO MORR SGo nort n " cI0.2. _. LEGEND ®7 Toe s Oyricaw t • clx-ml 121n0 0204:0/ flla.1 ran eanlpla At.lf%uIAesl11 el tfr ttlr IIYt1' lfalltr YOtsllta rloanlra 4rrOe 0oQ0 a DOrrmle CID1ptODla Itoaeaoa Slon IDb37 '.9.•; $!OT Ireitrr0 ripe -' 'ta (10 rlcow. i3 (µf ar o Mr-etat axnt .. • Mryeaatar ter rrc.. - -I - isoo tare n • ■ 6on.mrrgat tlaovt P11j • i 'I - ••' nWes, agcraf ltJn• , 1 fit; Tat1K I.Mifta nOra °Gan rawxtl 01 /: •. ' ,,.a �' .: .. ' .. .' .7s ..... .• ro. /e' ansa. .:. ®. � 1 .L�I,anOln af_ tmtT li l! 0pi.aln pl'Oflfet lrrl SiPoil°O:SD/GDIL'DN/: . - �'� •, ':. GIG. pg11 raeoin In ":': l r f 1 �''Tj . r'? we.. tloorarea frr:a i ' • TYPICAL USAGE 13•h ( i� a of trarJ:D ar — [ s.00tt vonr•![w tnr[nrtpu[[ fmm r[at e l s rq melero t. 1 wDls[ ST4ilolfar a or all rlara Ii ISAt1104 sr41I0uDI It1N ST4f1aNAF 7 h L• t , ., ! 1.1 c c'• .4, ; GE14ERAL NOTES 45" note& 4 A SI o tlatf r!a/! Re R101IrtD. . ( - .... .:. 8 1 t[af 'G Wirral aerite0 flltl0 frro R[O1tAtO. ereeol trofe .. .... Is i .. .. .:O ry_ •'aaatfa s{In tM Iri Is 0 ' 1 enas UJ,®{lf4a .Mtll {l01%a in the .. { 1 ptGla.t feet t!rty trrtt R:ROrM a1 t'M Ggfroef•StlIfo attric, m0 6J OO nAst /ra./te4 tar. ISro no/ff 4 i St 3- A Gmte.-%;lnI O'�O n70t Inlan![h-1.0m flalnim 1 ot411t011m R troof Il 11. t 1 { i ..a atJt:rr lr rat w [e9maa to follicle o'oa a�ix or ° to rb a. Meg of ReMYW! .{IJfLI Da/frN1T OfIK/Iny 1ttJ ' kD ' Q i Telr Tell W w or aipilry•e! Ids sort. 1T frall to ro'f 16 RGaGnt O'c roof , safes rlrl0itlaOr rlatilG tM I1a103 .1 t 10 r! Jia rn ..:. _ npffiJ ra' fir! � p nw � 571/9 OJrIpJ ttlJ 0! . sag I j UG*m t . M ailftun 0 flea .. .�- t ... leli ae e n ... L— .. •• : .! IWfroap 1"b f=10t MoltitmQOf/tile'aorfa IrvN orris 7n &tart O RaIGI" 0 ! bee. tares Kate. \ll i : .. . E I '6. �Ser itYL •!i •for Irtvlaer eve M a[.iao ells. G.preN.gi aM ' . .6 a 1 1• f Rl�e sOM wnt°fn a ODrr ladoalr uW/a D. maid trot JM +� h ria11•a1•s01 f tro all. rof tt:It4a al fM f10tt0 0rillaer. ROAD Y I g • a• [D11•5 •YQILOtA qlt• alas nor a afq In 01= at We -to ROftR rS v - ? •°OID sale WAV. sigh fa -tn.,1ce a .aes an eanenrtnnl row.aJa AREAO UiD - - ROAD 7• 0 7 RQAOlORR T[ORR AHEAD / - t ... ti. DSO.10 48• t 24• a• 2 4D• , is" note 2tlrt .. [AD ..i .. .. -• .. lei? ROAD Flogs. Gmm1G 7r - aE Oi +➢- ROAD tfORR ,f1, T10RM . •'lstotlt• G704 I .A[IEA4 4e• . 74- ( ism note 21© OelwOnsa[orTrnalpwto!!pe •� 41T0.1D Ifl't2s. TRAFFIC CONTROL PLAN see note is I '. CONVENTIONAL ROAn P b) . ... TC (2-1 H K . WORK SPACE NEAR SHOULDER WORK SPACE ON SMOULDER WORK VEHICLES ON SHOULDER i.TCP(2-l.),^IR t lcsa•la1.Ca , ' O aawerr.eaf l -- Conventional Roods Conventional ROOds Conventional Roods 41t t•IJ tat•. wa.o. f-1r 7•tl - . F:t. • `Seemrn�e 11 •P I vt / .° = 24• .81. ISIe Mla SIA / isle note J!G 1 s •:.; : •�• � ear": t - ': ':...:q • .: go o� I t •.g I • ev � �j 1 U 1 . .. • 10' o 2 a oyes G!llt41 a/ l I . I--•t .• Win. Inoc1IK! sates renlGtr ' b D ►o•wrly Y MrV. O UN1 roam Ltnolne no to• It• 1t- f/w AIIwI /INI Juprrfrl0 YaIIM stmllq DI • � �Ie..M a s m o ltpr I 1OM1M./ alnl.Irr fipl f0aeilq ➢;tlMat L011,NlO D.I/IH YfoW •• ]0- 35 '40- T r. O 150. 165' 160' ]0• 60' 120' SO' M I6' 22S' 295-.]20: 245' •3S' 40- To' 60' . ISO!, 7a0r• 1211•' '• 155•: 45: 50 55 60 65 TO 75' - L•o5 450' 493'-5407 45' 90- 370' 195' SOO. 550•.600• SD' too' [vo' 240• 550' 605, 660• 55' 110'• SOD' 295' 60D' 660' r20' 60' 120' 600' ]SO• 650• 715' TOO 65' 1]0' 700' 4ID• r00' Tra. 840, TO' Np' 800' 475- rSO' 875. 9O0' TS• 150' 900' S10' 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 12/06/2022 REQUESTOR ALMANDRO VAZQUEZ ADDRESS 2929 STEVENS DR TRL 145 BRYAN TX 77803 OWNER NAME CECILIA GONZALEZ & MARIA ESTRADA PROP ID# 356904 REFUND AMOUNT 1$17.12 REQUESTOR THOMAS AND ORAL CAPPS, ADDRESS 3314 GENERAL PKWY COLLEGE STATION TX 77845 OWNER NAME THOMAS AND ORAL CAPPS PROP ID# 347013 REFUND AMOUNT 1$3836.70 REQUESTOR BIG MOOSE LTD ADDRESS 102 LAKESIDE ST BRYAN TX 77801 OWNER NAME SKYLINE INVESTMENTS PROP ID# 96340 REFUND AMOUNT 7.88 REQUESTOR. BIG MOOSE LTD ADDRESS 102 LAKESIDE ST BRYAN TX 77801 OWNER NAME BIG MOOSE LTD PROP ID# : 103480 REFUND AMOUNT $17.72 REQUESTOR BIG MOOSE LTD ADDRESS 102 LAKESIDE ST BRYAN TX 77801 OWNER NAME BIG MOOSE LTD PROP ID# 101467 REFUND AMOUNT $11.70 REQUESTOR BIG MOOSE LTD ADDRESS 102 LAKESIDE ST, BRYAN; TX 77801 OWNER NAME BIG MOOSE LTD PROP ID# 110798 REFUND AMOUNT 1$41.98 REQUESTOR MORGAN ASHLEY HEIN ADDRESS 7830 FRANCIS RD BRYAN TX 77808 OWNER NAME MORGA11t ASHLEY HEIN PROP ID# 434146 REFUND AMOUNT 1$96.28 REQUESTOR ADDRESS OWNER NAME AMOUNT 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 GONZALEZ CECILIA & MARIA ESTRADA 2929 STEVENS DR TRLR 145 BRYAN TX 77803-0671 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: PRIMROSE LANE, SPACE 145, SER# N62143, HUD# TEX0205397 Address: 2929 STEVENS DR 145, Account# 356904 TAX PAYMENT INFORMATION Name of 7axing Unit Tax Year of Refund ZREFUND 2022 Taxpayer's reason for refund: OP -Overpayment REFUND TO: VAZQUEZALEJANDRO ROSAS a929 STEVENS DR TRLR 145 BRYAN TX 77803-6671 Payment Date Amount Paid Refund Amount Requested 10/31/2022 $100.60 $17.12 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" o Rpm - Phone d Email Address If you make a false statement on this application, you could be found guilty of a Class A misdemeanor or a state ]ail felony under Texas Penal Code Section 37.10. 1AX REFUND DETERMINATION fund is 70ve proved Authorized Officer Signatu Date Ia( (slaa. Authorized Officer of taxing unit for refund applications over amount required under Section 31.11 Tax Code Authorized Officer Signature Date Vol. 3LSL pg. TALC RECEIPT 11121/2022 04:18PM KRISTEEN ROE, CTA PH# (979) 776-9930 BRAZOS COUNTY TAX ASSESSOR COLLECTOR Receipt Number 4151 COUNTY PARK CT BRYAN, TX 77802 3167683 Date Posted- IW3112022 PaymentType P Payment Cade OverlRerund Total Pard $100.60 PAID BY: VAZQUEZ ALEJANDRO ROSAS 2929 STEVENS DR TRLR 145 BRYAN, TX 77803-0671 Property ID Geo Legal Acres Owner Name and Address 356904 702022-0000-0297 0.0000 VAZQUEZ ALEJANDRO ROSAS Legal Description 2929 STEVENS DR RLR 145 PRIMROSE LANE, SPACE 146, SER# N82143, HUD# TEX0205397 _ BRYAN, TX 77803-0671 Situs DBA Name 2929 STEVENS DR 146. Entity Year Rate Taxable Value Stmt # Vold Original Tax Discnts P&t Art Fees Overage Amount Pd Z REFUND ENTITY 2022 0.00000 0 145384 N 17.12 0.00 0.00 0.00 0.00 17.12 BRAZOS COUNTY 2022 0.42941 3,806 133612 N 16.35 0.00 0.00 0.00 0.00 16.35 CITY OF BRYAN 2022 0.62400 3,806 133512 N 23.75 0.00 0.00 0.00 0.00 23.76 BRYAN ISD 2022 1.13960 3,806 133812 N 43.38 0.00 0.00 0.00 0.00 43.38 100.60 Balance Due As Of 4013112022: •17AZ Tender Details Description Amount Check REPOST 100.60 100.60 Vol. Pg. Operator Batch Total Paid aNnes 43699 (2022 MA Escrow) 100.60 Page:1 Receipt issued In Accordance with Seclion 31.076 of the Texas Property Tax Code T-A==la�rc APPLICATION FOR TAX REFUND Collecting Office Name Brazos County Tax Office 4151 County Park Court Bryan, Texas 778OZ Ph. 979-776-9930 OWNER'S NAME AND ADDRESS CAPPS ERIC THOMAS AND ORAL CAPPS JR 3314 GENERAL PKWY COLLEGE STATION TX 77845-5799 Legal: THE BARRACKS PH 1, BLOCK 1, LOT 8 Address: 3314 GENERAL PKY , Account# 347013 TAX PAYMENT INFORMATION Name of Taxing Unit Tax Year of Refund ZREFUND 2022 Taxpayer's reason for refund: Payment in error REFUND TO: CAPPS ERIC THOMAS AND ORAL CAPPS JR 3314 GENERAL PKWY COLLEGE STATION TX 77845-5799 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 11/15/2022 $3836.70 $3836.70 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 an this form is true and correct" �5a r t Phone 0 Email Address If you make a false statement on this application, you could be found guilty of a Class A misdemeanor or a state )ail felony under Texas Penal Code Section 37.10. TAX REFUND DETERMINATION The x r d is Appr j ]Disapproved Authorized Officer Signature Date Ia!(31aO-L Authorized Officer of taxing unit for refund applications over amount required under Section 31.11 Tax Code Authorized Officer Signature Date Vol. �s� Pg... TAX RECEIPT 11117/202211:47AM ** DUPLICATE ** KRISTEEN ROE, CTA PH# (979) 775-9930 BRAZOS COUNTY TAX ASSESSOR COLLECTOR 4151 COUNTY PARK CT BRYAN, TX 77802 PAID BY: CAPPS ERIC THOMAS 3314 GENERAL PARKWAY COLLEGE STATION, TX 77845 Receipt Number- 3174367 Date Posted 11/15/20 P payment Type Payment Cade ; Full Total Paid I 53,836.70 ID M_ Legal Acres ^ j [�^ Owner Name and Address T _� _Property ^lGeo 347013 604802-0101-0080 ; 0.0000 CAPPS ERIC THOMAS AND ORAL CAPPS !� ��� _ _ — L9 at Description . _ _� , ' —_-- - y 3314 GENERAL PKWY �,_� COLLEGE STATION, TX 77845-5799 THE BARRACKS PH 1, BLOCK 1 LOT 8 Situo •• - — -- -_— -' - DBA Name_ _ _-_ 3314 AL PKY GENERAL t Bntity__ r,Year Rate ,, ,Taxable Stmt #; Void -Original Tax Discnts, - P&I Att Fees. Overage Amount Pdj Value , BRAZ05 COUNTY 2022 0.42941 193,600 21508 N 831.34 0.00 0.00 0.00 0.00 831.34 CITY OF COLL STAT. 2022 0.52461 183,027 21508 N 980.18 0.00 0.00 0.00 0.00 960.18 COLLEGE STATION ISD 2022 1.17810 173,600 21508 N 2,045.18 0.00 0.00 0.00 0.00 2,046.18 3,836.70 Balance Due As Of 1111512022:.00 Tender Det_a_ Its . , _ Description "r _Amount) Check 01 3836.70 3836.70 _ bperato'r_ Batch - :. _ Total Paid sarmantrout 43337 (11/15/2022 SA) 3.836.70 i Page: i Receipt Issued In Accordance with Section 31.075 of the Texas Property Tax Code Angela N. Hines From: Kristy Roe Sent: Monday, November 21, 2022 12:20 PM To: Angela N. Hines Subject: FW: Property Taxes Paid but under Escrow I am guessing we had him request a payment in error refund? kr From: cappsag@gmail.com <cappsag@gmai{.com> �___� �+.�~ .•-,�. ~.,__�..... - • Ty-~- _ Sent: Friday, November 18, 202211:23 AM To: Kristy Roe <kroe@brazoscountytx.gov>. Subject: Property Taxes Paid but under Escrow Brazos County Disclaimer ***** This is an email from an EXTERNAL source. DO NOT click links or open attachments unless you recognize the sender and have verified that the content is safe. Never enter USERNAME, PASSWORD or sensitive information on pages linked fromthis email.***** Howdyl I sadly have made a huge blunder. I received what I thought was a bill from your office to pay my property taxes on my home. I am new to this and did not realize my escrow actually pays for the property taxes. As a dutiful citizen, I went to your office and paid the full amount via check. It was only after calling my mortgage company two days later that I learned I did not actually have to pay. Yesterday, I went to your office to explain my blunder. They told me that sadly the check had already been sent to the bank and there was nothing they could do. I showed them the receipt and pleaded with them to simply call the bank and nullify the payment. They said this was not something they could do. They had me fill out a form as y'all meet every Tuesday to look at tax discrepancies and resolve those issues on a weekly basis but that could only occur after the check had been deposited by the bank. I asked how long after y'all meet would the resolution be satisfied and the very kind lady said that would take one to two weeks after y'all had met. In the spirit of transparency, I just wanted to relay the story and make sure all of this is accurate and what I did not ask was, how will the check be sent back to me and how would I be contacted to make sure the resolution had been satisfied. I just didn't want to default on any payments to y'all but I have learned my lesson going forward. I just really need this money to pay other bills and the mortgage and it would be great to get it back as soon as it is possible to do so. The receipt number is 3174367. The address is 3314 General Parkway College Station, TX 77845 The total amount paid was 3 83 6.70 Vol. 72--- p 170 APPLICATION FOR TAX REFUND Collecting Office Name Brazos County Tax Office 41S1 County Park Court Bryan, Texas 77802 Ph. 979-775.9930 Collecting Tax for: (taxing entitles) Brazos County, City of Bryan, City of College Station Bryan ISD, College Station ISD, F1, F2, F3, F4, City of Kurten, Navasota ISD OWNER'S NAME AND ADDRESS SKYLINE INVESTMENTS DBA LYNN ACRES MOBiLE HOME PARK 102 LAKESIDE ST BRYAN TX 77801-4103 PROPERTY DESCRIPTION Legal: LYNN ACRES, SPACE 13, SER# AH01951868, HUD# TEX0528722 Address:, 113 LYNN DR 13 , Account # 963.40 TAX PAYMENT INFORMATION Name of Taxing Unit Tax Year of Refund Payment Date Amount Paid ZREFUND 2022 10/31/Z022 $118.96 Taxpayees reason for refund: OP -Overpayment REFUND TO: BIG MOOSE LTD 102 LAKESIDE ST BRYAN Tat 77801-4103 Refund Amount Requested $7.88 Sign below and return form to the Brazos County Tax Office. "I hereby apply for the efund of the above -described taxes and certify that the information on this form is true and correct." Mr -i I ate. I' n Qa q-xi - a3 - g 1 0 (r Phone # Email Address If you make a false statement on this application, yod 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 fund is [ Approved ]Disapproved �ali3laa 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. 171 TAX RECEIPT 10/31/2022 03:18PM KRISTEEN ROE, CTA PH# (979) 775-9930 BRAZOS COUNTY TAX ASSESSOR COLLECTOR 4151 COUNTY PARK CT BRYAN, TX 77802 PAID BY: Bfb MOOSE LTD 102 LAKESIDE.ST BRYAN, TX 77801-4103 _ _,Receipt Number • 3167697 Date Pasted - 1013112022 PaymenfTWe P Payment Code OvedRefund Total Pald S118 36 Property ID Geo- - -' Legal Acres Otnrner [Dame ar4d Address _ k 96340 702021-0000-0350 0.0000 dkYDffff IMJEdTMENTS DHA LYNN ACR 102 LAKESIDE ST BRYAN, TX 77801-4103 LYNNACR_ES, SPA_ CE i3, SER#AH01951668, HUD#TEM528722 S'itus- DBA Name• -_ 1131.YNN DR 13 , Pntity _ - . -Year Rate _ Taxatiie Value- Stmt # Void ._ - - Original Tax_ Discnts _ � P&1 _ At_t Fees - Overage Amount Pd -0.00 Z Rt FUND EfxTn-y 2022 0.00000 0 145369 N 7.88 0.00 0.00 0.00 7.88 BRAZOS COUNTY 2022 0.42941 6,038 119436 N 21.83 0.00 0.00 0.00 0.00 21.63 CITY OF BRYAN 2022 0.62400 5,038 119436 N 31.44 0.00 0.00 0.00 0.00 31.44 BRYAN ISD 2022 1.13960 5.038 119438 N 57AI 0.00 0.00 0.00 0.00 57A1 118.36 Balance Due As Of 1013112022: 7.88 Tender Details Description, Check - REPOST 2022 MH ESCROW Vol. 3 &-5 Pcg. / 7,;'- .Amount 118.38 118.36 Operator Batch _ Total Paid tmocre 43099 0022 MH Escrow) 118.38 Page:1 Receipt issued in Accordance YA Section 31.075 of the Texas Property Tax Code 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 BIG MOOSE LTD 102 LAKESIDE ST BRYAN TX 77801-4103 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 PROPERTY DESCRIPTION Legal: TIMBERLAKE, SPACE 112 T, SER# CHVM039866013577, HUD# RAD1044715 Address: 112TIMBERLAKE (PVT) DR , Account # 103480 TAX PAYMENT INFORMATION Name of Taxing Unit Tax Year of Refund Payment Date Amount Paid Refund Amount Requested ZREFUND 2022 10/28/2022 $125.47 $17.72 Taxpayer's reason for refund: OP -Overpayment REFUND TO: BIG MOOSE LTD 102 LAKESIDE ST BRYAN TX 77801-4103 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." I Y,13.� a� Signs Date Phone # Email Address C -if you make a false statement on this application, you could be found guilty of Aldss A misdemeanor or a'ssate jail felany under Texas Penal Code Section 37.10. TAX REFUND DETERMINATION The tax re fu is Approve �Ej sapproved Authorized Officer Signature Date [all31aa Authorized Officer of taxing unit for refund applications over amount required under Section 31.11 Tax Code TAX RECEIPT 10/31/202212:16PM KRISTEEN ROE, CTA PH# (979) 776-9930 BRAZOS COUNTY TAX ASSESSOR COLLECTOR 4161 COUNTY PARK CT BRYAN, TX 77802 PAID BY: BIG MOOSE LTD 102 LAKESIDE ST BRYAN, TX 77801-4103 I 3167585 ; T�y �'^A3T Nq°R' I _!. .j���y. X•* T!}`R `/.�_}�}�F1r�ro}�;J� /. VL+.�� �'}I��i�SN3�a'�Y�SPYL�22����'�W��H a•{G.•i%. 1 t M�Q��1+nCfi+, � .��t.'T.�? y11.:� 103480 700000-0843.1123 0.0000 BIG MOOSE TO 102 LAKESIDE ST BRYAN, TX 77801.4103 �TIIVIBt:RLAKt:, SPACt3112 7, SER# CHVM039888013577, HUD# RAD1044716 I i1L+ss��• s,�s: ..' ..+� . i��� � ''� r,DBA' IV�A z���y;"7i,�• ` a�>'v ; � 7 '' ,£" i 112TIMBt:RIAKE(P1ti)DR ���"'"'':.`�'""`zlam;:��.�a�;�di,.i3�•�'�:�L_._..,_�..__._�.�,.._._._....._._____�.r�_,_ • , I BRAZOS COUNTY 2022 OA2941 4,913 11630 N 21.10 0.00 0.00 0.00 0.00 21.10 CITY OF BRYAN 2022 0.62400 4,013 11630 N 30.65 0.00 0.00 0.00 0.00 30.60 BRYAN ISD 2022 1.13980 4,913 11630 N 56,99 0.00 0.00 0.00 0.00 66.99 126.47 Balance Duo As Of 1013112022: 47.72 Che kef,�"" oilpaPtl m:-I�,un1 202 Mtn ESCROW 126,47 , re is tmoore Vol. � 8s pg. / 7 ,. 126.47 Page:1 Receipt Issued in Accordance with Section 31.075 of the Texas Property Tax Cade TwnrmWbtiyo 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 BIG MOOSE LTD 102 LAKESIDE ST BRYAN TX 77801-4103 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: TIMBERLAKE, SPACE 117 T, SER# TXFLR12A20438FD, HUD# TEX0503231 Address: 117 TIMBERLAKE (PVT) DR , Account# 101467 TAX PAYMENTINFORMATION Name of Taxing Unit TaxYear of Refund Payment Date Amount Paid Refund Amount Requested ZREFUND 2022 10/28/2022 $64.40 $11.70 Taxpayer's reason for refund: OP -Overpayment REFUND TO: BIG MOOSE LTD 202 LAKESIDE ST BRYAN TX 77801-4103 Sign below and return form to the Brazos County Tax office. =the ve-described taxes and certify that the information on this form is true and correct." "it -7 1 D� Signa a Datd �'-)9 - Va3- ai Phone # Email Address if you make a false statement on this application, you could be found guilty of a Class A misdemeanor or a state jail felony under Texas Penni.Code section 37.10. TAX REFUND DETERMINATION The ax r is j pprov [ j Disapproved �a�►�laa Authorize Officer Signature Date Authorized officer of taxing unit for refund applications over amount required under Section 31.11 Tax Code Authorized Officer Signature Date Vd. pg. / 7s • i evw\ t TAX R5CEIPT 10/31/202212:16PM KRISTEEN ROE, CTA PH# (979) 775-9930 BRAZOS COUNTY TAX ASSESSOR COLLECTOR 4151 COUNTY PARK CT BRYAN, TX 77802 . PAID BY: BIG MOOSE LTD 102 LAKESIDE ST BRYAN, TX 77801-4103 ll 3167584 p�yen Q?0a,�.~Ov_eslRefu dl ,S'sa; do M'•a�^^r .r.�� h ,7v",`:t'^ (�'^�,+� r?Z a�.ry:� +.8�•� µf `:�.p•w t19.•R •�.•r-.R� 5"9'+T""i . �:`.. �. r r•.z•••� tror� 4• yK. '�v'f Pp ertjt'ID � y �i . �� v s }� h,.a.' u ° .y�� p �} L•'egal AC' es �. ,.; �,tt ,kk .r, ,�: •rON �� 0y,► ,dr ii i'�i%`�' �P]�jt rR411' rr : ? ,• -a+•ipa:ra ,tuJ�rf72,vm`' :o`Ct,:..�3 %'ti.L�.:E:rt..rS�^C7.9.Sx::. }..i�...•:filw F,t•�,. •EvSami"4 ! .Y.I• , • �•,r%3idJ'_ai..,�4:®ssa M..RAt..,?.Y+ bBSa�•�.f� _�F;+••';,,•� 101467 �700000-0643-1172r0.0000 r BIG MOOSE LTD t �}�j• rj �r !!his« r 102 � LAKESIDE T z4i`t }{{ 6 :d%'>"+irz2 ji.e����e$w�j.�p��r•iAw�,eZw14 iQ�r ;''T9�1'"w�'u ...�.� `�.�,.r���`'s..��=,L.�2...,,.5,.�.c...� �• �:=:i:_ti- �4..:�a.:.,.,�,.s.�<:.z:,kt f BRYAN, TX. 7 1.4103 71MBER KE, SPACE 117T, SER#TXFLR12A20436FD, HUD#TEX0503231 I 1 t.v ..•; y,`",5 .t' �.-r tir+- I u^• ^r r.4•v n=•--.. r•-+p•e-:. •rc o y;a,"e� ttit.;v .Y•. ' t 4 �tt ,.-. :Sltl! n �11i14 :�f va �BAPi. rnv7v1c.4 r,+ :.�Pj.ai' i I .ir�.. lia.' aaS:c��:E b� r+:..i. w.r. r.._.r....na" »s s•,,.;...,3':::P.:•. t �y 'Fa"3' -917 TIMBF.RLAICIc (P1/T) DR Z REFUND ENTITY 2022 0,00000 0 145238 N 11.70 0100 0.00 0100 0.00 11.70 BRAZOS COUNTY 2022 0.42941 2,403 11627 N 10.32 0100 0.00 0.00 0.00 10.32 CITY OF BRYAN 2022 0.62400 2,403 11627 N 14.99 0.00 0.00 0100 0.00 14.99 BRYAN ISD 2022 1.13960 2.403 11627 N 27.39 0.00 0100 0.00 0.00 27.39 64AO Balance Duo As Of 1013112022: -11.70 +r,LL.. +znCLrt, 'C,,,'���;,,ry}}}'t •-� •t•,:t rcy.�, t•n.• :• .T }Y�� . t� ,�-s••,r. e_.,.^,q--•" I.FS,--'+v. s r ..;^r. �811der; Ji•�i,��"�D'efat�s, ��;.N/.� �r:,;�,:F�'=r� �„ a" �,•�,�,,.,,DQsorigll 41�Y4�^��., t• s$ �'s-f' ?Am. n ��,Gy+�,.•r��V, "'c �: ^rtoM1 �� Gll t .t�'li » CFiecfc+ ftEPOST ,�,kzs.2 •_ti:,\Yi+i.}. s .?� as'•. r,4xish;�; 2022 MH ESCROW 04AO 64AO V6. 39,5— pg. 17b ;'OpE3�alor s Batctir•; +r*rt x +P i'c4k, tmacre 43089 (2022 MH Escrow) `� `�� 'J a•i Paid 64.40 Page:1 Recdipt Issued In Accordance with Section 31.075 of the Texas Property Tax Code APPLICATION FOR TAX REFUND Collecting Office Name Brazos County Tax Office 4151 County Park Court Bryan, Texas 77802 Ph. 979 775-9930 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 OWNER'S NAME AND ADDRESS BIG MOOSE LTD 102 LAKESIDE ST BRYAN TX 77801-4103 PROPERTY DESCRIPTION Legal: TIMBERLAKE, SPACE 152-L, SER# SP02AR0306425, HUD# NTA1138308 Address: 152 LAKESIDE (PVT) ST , Account# 110798 -- - -TAX-PAYMENT-INFORMATION— Name of Taxing Unit Tax Year of Refund Payment Date Amount Paid Refund Amount Requested ZREFUND 2022 10/28/2622 $191.30 $41.98 Taxpayer's reason for refund: OP -Overpayment REFUND TO: BIG MOOSE LTD 102 LAKESIDE ST BRYAN TX 77801-4103 Sign below and return form to the Brazos County Tax Office. "I hereby apply for ther)efund of the above -described taxes and certify that the information on this form is true and correct." Phone # ''/1-7 1 a'a gate 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 DETERMINATION The tax and is [ Appro i ] Disapproved Authorized Officer Signature Date a 113 l a.o -. Authorized Officer of taxing unit for refund applications over amount required under Section 31.11 Tax Code Authorized Officer Signature Date Vol. ��S Pg. / 7 7 TAX RECEIPT 10/31/2022 12:20PM KRISTEEN ROE, CTA PH# (979) 775-9930 BRAZOS COUNTY TAX ASSESSOR COLLECTOR 4151 COUNTY PARK CT BRYAN, TX 77802 PAID BY: BIG MOOSE LTD 102 LAKESIDE ST BRYAN, TX 77801-4103 ..0 pt I M. �5t" .1 . M. 3167587 P� f?Rym do!fp WeiXefund T ._S191,30 n P - q0,qrtyR; 110798 '700000-0640-f522 0.0000 BIG MOOSE LTD 102 LAKESIDE ST 8o -4 BRYAN, -rx 77 1 103 # ------ Z REFUND ENTITY 2022 0.00000 0 145240 N 41.98 0.00 0.00 0.00 0.00 41.98 BRAZOS COUNTY 2022 0.42941 6,809 11663 N 29.24 0.00 0.00 0.00 0.00 29.24 CITY OF BRYAN 2022 0.62400 8,809 11663 N 42A9 0.00 0.00 0.00 0.00 42AO BRYAN ISO 2022 1.13960 6,809 11663 N 77.59 0.00 0.00 0.00 0.00 77.59 191.30 Balance Due As Of 1013112022: -41.9 8 � T au Check REPOST 2022 MH ESCROW 191.30 191.30 Vol. pg. 17F_ tj tmoore 43099 (2022MH Escrow) 191.30 Page: I Receipt Issued In Accordance with Section 31.075 of the Texas Property Tax Code 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 HEIN MORGAN ASHLEY 2015 STONE VIEW CT BRYAN TX 77803-2587 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: STONE HAVEN COMMUNITY, SPACE 2015 STONE VIEW CT, SER# JHW01393TX20, HUD# NTA1923087 _ Address: 2015 STONE VIEW (PVT) CT Account# 434146 TAX PAYMENT INFORMATION Name of Taxing Unit Tax Year of Refund ZREFUND 2022 Taxpayer's reason for refund; OP -Overpayment REFUND TO: HEIN MORGAN ASHLEY 7830 FRANCIS RD BRYAN TK 7,7808 Payment Date Amount Paid Refund Amount Requested 10/31/2022 $1447.47 $96.28 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." 1 r- tgnatarg Fate 'f.fl, Lin P one # EmaliAddress if you make a false statement on this application, you could be found guilty of a Class A misdemeanor or a state )ail felony under Texas Penal Code Section 37.10. TAX REFUND DETERMINATION The = is ( pproved [ j Disapproved 1 1a� Authorized Officer Signature Date Authorized Officer of taxing unit for refund applications over amount required under Section 31.11 Tax Code Authorized Officer Signature Dot - 1, Val, P( - TAX RECEIPT 10/31/202210:04AM KRISTEEN ROE, CTA PH# (979) 775-9930 BRAZOS COUNTY TAX ASSESSOR COLLECTOR _ ' ' �•.Rec�fpfNumbe� - 4151 COUNTY PARK CT '— `-" —`-- 3167514 BRYAN, TX 77802 �atePosfed �-:�-��-- 10l31%202'2 PainARGType P Paymenteode OvedRefund Total:Paid _ _ _ 11.447.47 PAID BY: HEIN MORGAN ASHLEY 2015 STONE VIEW CT BRYAN, TX 77803-2587 Property ID Geo ::: ' Lega[ Acres Owner Name:and A dress 434146 702021-0000-0039 0.0000 KAHLA MARISA K. -- •— _ _ Y__._._ ,_,•..- -_...- _ -_-• __-•- --- _�.:Legal_DescripHori ^• . ^' 2015 STONE VIEW CT _BRYAN, TX 77803-2587_-- STONE HAVEN COMMUNITY, SPACE 2015 STONE VIEW CT SER# JHW01393TX20, HUD # NTA7923087: Sites _ ...._ .. :%; .. ,-- ---QBAName -------- 2016 STONE VIEW (PVT) CT , Entry ' _Year :Rate ,:: _Taxable Value;;; , Simt #. _ :Vo_i_d_ Original T x ti I..: Att F ee s Overage A�nAownt Pd: Z REFUND ENTITY 2022 0.00000 0 145298 N 98.28. 0.00 0.00 0.00 0.00 96.28 BRAZOS COUNTY 2022 0.42941 61,613 68776 N 284.67 0.00 0.00 0.00 0.00 264,67 CITY OF BRYAN 2022 0.62400 61,613 68776 N 384.47 0.00 0.00 0.00 0.00 384.47 BRYAN ISD 2022 1.13960 81,613 66776 N 702.15 0.00 0.00 0.00 0.00 702,15 1,447.47 Balance Due As Of 1013112022: -96.28 gscrlption_ ^'' Y. __Y .__'•'p►noupt Check REPOST MH Escrow 1447.47 1447.47 Operator BatcC�-- shines 43099 (2022_MH Escrow) Vol. 30s Pg.l�° _. .•��. ._ ._.. . _._.•::�..._ _....-. ......� . .. ..��tr,...� � _� ,' Total Paid 1,447A7 Page:1 Receipt issued in Accordance with Section 31.075 of the Texas Property Tax Code 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 12/13/2022 REQUESTOR KERSTEN KELLY K ADDRESS 128 RIDGECREST DR OWNER NAME ES UIVEL SERGIO PROPID# 106249 REFUND AMOUNT 1$1S1.06 REQUESTOR REFUGIO MARTINEZ ADDRESS 3681 MEADOWLARK CIR BRYAN TX 77808 OWNER NAME RANCH PARK MANAGEMENT PROPID# 103440 REFUND AMOUNT 1$22.14 REQUESTOR REFUGIO MARTINEZ ADDRESS 3681 MEADOWLARK CIR BRYAN TX 77808 OWNER NAME JOE MCDOUGAL PROPID# 419061 REFUND AMOUNT $43.16 REQUESTOR NGUYEN TIEN DUNG ADDRESS 201 KRENEK TAP RD TRLR 23 'COLLEGE STATION TX 77840 OWNER NAME HOA DIEU TRAN PROP ID# 96393 REFUND AMOUNT $17.99 REQUESTOR WELCH BARRY & MARCIE ADDRESS 1516 COUNTY ROAD 413 SAN AUGUSTINE TX 75972 OWNER NAME WELCH BARRY & MARCIE PROP ID# 403972 REFUND AMOUNT 65.98 REQUESTOR NEVLUD MELANIE ' ADDRESS PO BOX 1490, SHINER, TX 77984 OWNER NAME DINH BINH & UYEN NGUYEN PROPID# 423899 REFUND AMOUNT 1$54.10 REQUESTOR ROGERS CHRISTOPHER J ADDRESS 10805 LEGENDS LN AUSTIN TX 78747 OWNER NAME ROGERS CHRISTOPHER J PROPID# 30356 REFUND AMOUNT $253.08 REQUESTOR KUBICHEK BRIAN WAYNE ADDRESS 1800 REED LN, BRYAN, TX 77808 OWNER NAME KUBICHEK BRIAN PROPID# 338796 REFUND'AMOUNT 1$19.05---- Kristeen Roe, CTA, PCC Brazos County Tax Assessor/Collector 4151 County Park Ct Bryan TX 77802 979-775-9930 470-77R-99RR Fax RE UESTOR LORRAINE MILLER ADDRESS 102 SUNSET TRL COLLEGE STATION TX 77845 OWNER NAME SANDRA ODELL PROP ID# 536593 REFUND AMOUNT 45.45 RE UESTOR ALANIS MARTINEZ ADDRESS 2800 OLD HEARNE RD TRL 11 BRYAN TX 77803 OWNER NAME GUILLERMO CANO PROP ID# 90732 REFUND AMOUNT 1$15.61 RE UESTOR KELLY TAMARA L ADDRESS 4716 COYATILLO WAY BRYAN TX 77807 OWNER NAME KELLY TAMARA L & DEMI D WILLIAMS PROP ID# 425470 REFUND AMOUNT $S369.74 RE UESTOR CRAIG PATRICK 30SEPH II ADDRESS 201 KRENEK TAP RD TRLR 52 COLLEGE STATION TX 77840 OWNER NAME GONZALEZ MARTIN PROP ID# 410869 REFUND AMOUNT 1$25.42 RE UESTOR _ 30HN JEAN ADDRESS 1408 PECAN GROVE CT COLLEGE STATION TX 77845 OWNER NAME BRUCK STEPHEN G ESTATE PROP ID# 102623 REFUND AMOUNT 22.26 RE UESTOR ADDRESS OWNER NAME PROP ID# REFUND AMOUNT RE UESTOR ADDRESS OWNER NAME PROP ID# REFUND AMOUNT RE UESTOR ADDRESS OWNER NAME PROPID# REFUND AMOUNT Vol. RE UESTOR APPLICATION FOR TAX REFUND Collecting Office Name Brazos County Tax Office 4151 County Park Court Bryan, Texas 77802 Ph. 979.775-9990 OWNER'S NAME AND ADDRESS ESQUIVEL SERGIO 15418 BAKER MEADOW LOOP COLLEGE STATION TX 77845-2387 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: ROLLING RIDGE, SPACE 12811I, SER# 33530195M, HUD# L000057872 Address: 128 RIDGECREST (PVT) DR , _ _ Account # 106249 _ TAX PAYMENT INFORMATION Name of Taxing Unit Tax Year of Refund ZREFUND 2022 Taxpayees reason for refund: OP -Overpayment REFUND TO: KERSTEN KELLY K 128 RIDGECREST DR COLLEGE STATION, TX 77845 Payment Date Amount Paid 10/31/2022 $192.97 Refund Amount Requested $1S1.06 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� Slgnai r�,e 9 6o2_ 6 cI" 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 jail felony under Texas Penal Code Section 37.10. TAX REFUND DETERMINATION The txreu)ls [ proved 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 !Vol. Pg.� TAX RECEIPT 1110112022 09:14AM DUPLICATE KRISTEEN ROE, CTA PH# (979) 775-9930 BRAZOS COUNTY TAX ASSESSOR COLLECTOR 4151 COUNTY PARK CT 3167501 BRYAN, TX 77802 1a- ostea 1013lA2201niT P1 a OvedRefund L PAID BY: KERSTEN KELLY K 128 RIDGECREST DR COLLEGE STATION, TX 77845 necpa LE'—VC7� --Legal --G�qr N46W a!i4O—res-T - —1 106249 702018-0000-0072 i 0.0000 ESQUIVEL SERGIO 15418 BAKER MEADOW LOOP 'Legal bescKlefidn COLLEGE STATION, TX 77845-2387 ,ROLLING RIDGE, SPACE 128R1, SERff 33530195K HUD# LOUOOM72 128 RIDGECREST (PVT) DR EMG SVCS DIST91 2022 0.02258 9,272 41433 N 2.09 0.00 0.00 0.00 O.OD Z09 BRAZOS COUNTY 2022 0.42941 9,272 41433 N 39.82 0.00 O.OD 0.00 0.00 39.82 192.97 Balance Due As Of 1013112022: -151.06 Ly.ridgir Details- -_Wd6rlpflo�%% ', .- .., '.-�kn * q!m Check REPOST 2022 MH ESCROW 192-97 192.97 a Vol. 8S Pg. pir. r*"U� Q IF lememn 43099 (2022MH ESMW4 192.97- Page, I Receipt Issued In Accordance with Section 31.076 of the Texas Property Tax Code Tm 9 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 RANCH PARK MANAGEMENT CORP STEWARD JANIE 3511 HIGHWAY 21 E BRYAN TX 77808-0930 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 ISO PROPERTY DESCRIPTION Legal: LIVE OAK, SPACE 36, SER# 12531925, HUD# PFSOSS7709 Address: 2800 OLD HEARNE RD 36, Account# 103440 TAX PAYMENT INFORMATION Name of Taxing Unit Tax Year of Refund ZREFUND 2022 Taxpayees reason for refund: OP -Overpayment REFUNDTO: MARTINEZ REFUGIO 3681 MEADOWLARK CIR BRYAN TX 77808 Payment Date Amount Paid 10/31/2022 $22.14 Refund Amount Requested $22.14 Sign below and return form to the Brazos County Tax Office. "i hereby #Rplyf or the refund of the above -described taxes and certify that the information on this form is true and correct" 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 jail felony under Texas Penal Code Section 37.10. TAX REFUND DETERMINATION T tax refu is I ppro j j Disapproved �alt3laa.. Authorized Officer Signature Date Authorized Officer of taxing unit for refund applications over amount required under Section 31.117ax Code Authorized Officer Signature Date !Vol. 3 �S� Pg. , TAX RECEIPT 11/02/2022 09:34AM ** DUPLICATE ** KRISTEEN ROE, CTA PH# (979) 775-9930 BRAZOS COUNTY TAX ASSESSOR COLLECTOR 4151 COUNTY PARK CT BRYAN, TX 77802 PAID BY: MARTINEZ REFUGIO 3681 MEADOWLARK CIR BRYAN, TX 77808-8559 j-P%perty_ 1O3440 LIVE OAKSPACE 36, ER# 1 1, Situs _ -'-- 2800 OLD HEARNE RD 36, "'ReceigtNumber;- .� 3167634 oaj�e Pos d � � 1013112022 Payment Type-L = P pay7ment .00 ' * . Over/Refund ro{a1:P,aId. • f S156.82 ( '�r�OtiKnerNameand�Addrdss; MARTINEZ REFUGIO 3681 MEADOWLARK CIRCLE j BRYAN, TX 77808-8559 Discnts 81 R&I .AXt Fees: �Qverage. Amount Pdj ►. E_ntit'y,_ , Year" • Rate. `jTaicable Vatue Stint-#-. Vdid4`_ Orrgin- a�x. T Z REFUND ENTITY 2022 0.00000 0 145314 N 22.14 0.00 0.00 0.00 0.00 22.14 BRAZOS COUNTY 2022 OA2941 6,141 82781 N 26.37 0.00 0.00 0.00 0.00 26.37 CITY OF BRYAN 2022 0.62400 6,141 82761 N 38.32 0.00 0.00 0.00 0.00 38.32 BRYAN ISD 2022 1.13980 6,141 82761 N 69.99 0.00 0.00 0.00 0.00 69.99 156.82 Balance Due As Of 1013112022: •22.14 Tender Details _ •:��. �ti,_ •__ _ • °- De'scriptio�;.,,_ _ -;_��; _ _"Amount Check REPOST MH Escrow J156.82 156.82 Operator ' Batch:) •,:' 'ups: : ►r i =`ri,+� '��:�a •__aF"� = T_otal;Paid ahines 43099 (2022_MH Escrow) 156.82 Page:1 Receipt issued in Accordance with Section 31.075 of the Texas Property Tax Code TmAd=6 &a APPLICATION FOR TAX REFUND Collecting Office Name Brazos County Tax Office 4151 County Park Court Bryan, Texas 77802 Ph. 979 77S-9930 OWNER'S NAME AND ADDRESS MCDOUGALJOE MARTINEZ REFUGIO 3681 MEADOW LARK CIR BRYAN TX 77808-8559 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: SER# GDVKMS409826082A, HUD# PFS0555339, MESQUITE FLATS, LOT 6, ACRES 2.323 Address: 3460 WATER WELL RD , Account# 413061 TAX PAYMENT INFORMATION Name of Taxing Unit Tax Year of Refund Payment Date Amount Paid Refund Amount Requested ZREFUND 2022 10/31/2022 $262.93 $43.16 Taxpayees reason for refund: OP -Overpayment REFUND TO: MARTINEZ REFUGIO 3681 MEADOW LARK CIR BRYAN TX 77808-8559 Sign below and return form to the Brazos County Tax Office. "I herebppqy for the refund of the above -described taxes and certify that the information on this form is true and correct" Signature a ' 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 jail felony under Texas Penal Code Section 37.10. TAX REFUND DETERMINATION T e tax ref d is [ roved I Disapproved -- 1al ► 3�a a. 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 I— TAX RECEIPT 11/02/2022 09:33AM ** DUPLICATE ** KRISTEEN ROE, CTA PH# (979) 775-9930 BRAZOS COUNTY TAX ASSESSOR COLLECTOR 4161 COUNTY PARK CT BRYAN, TX 77802 PAID BY: MARTINEZ REFUGIO 3681 MEADOWLARK CIR BRYAN, TX 77808-8559 ! ectpSNumber ! 3167633 Date Posted- : 1013112022 Payment Type r� P. Payment Cade Over/Refund `otal•Pald $262.93 1 Pr--ert-i ID -_Geo ___ _ _ _ _Legal Acres OwnerName and Address_ 413061 •702018-0000-0600 10.0000 � rMAR11NEZ KIMBERLY CANDELARIA Le al Description 3681 MEADOW LARK CIRCLE _ _•, _ _ �l ' BRYAN, TX 77808-8559 •SER# GDVKMS409626062A-,HUD# PFS0585339, MESQUITE FLATS, LOT 6, ACRES Z323 rSltu's -' DBA tdame _.� ; 3480 WATER WELL RD Entity _ Year_ Rate Taxable Value Stmt # Vol ald 'OriginTax ^Discnts P&i Att Fees 'Overage Aount P mdj Z REFUND ENTITY __ 2022 0.00000 0 145313 N - 43.16 _ 0.00 0.00 0.00 0.00 43.16 EMG SVCS DIST#4 2022 0.05504 13,532 82850 N 7A5 0.00 0.00 0.00 0.00 7.45 BRAZOS COUNTY 2022 0.42941 13,532 82650 N 68.11 0.00 0.00 0.00 0.00 58.11 BRYAN ISD 2022 1.13960 13,632 82550 N 154.21 0.00 0.00 0.00 0.00 164.21 282.93 Balance Due As Of 1013112022: 43:16 Tender _ Details _ _ �! __Description_ �_ Amountj Check REPOST MH Escrow 262.93 262.93 v,,I. 3 8.5-- Pg. ahines 43099 (2022 MH Escrow) ^ 262.93 Page:1 Receipt issued in Accordance with Section 31.075 of the Texas Property Tax Code T'"Aww khr. 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 HOA DIEU TRAN 201 KRENEK TAP RD TRLR 23 COLLEGE STATION TX 77840-5002 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: OAK FOREST, SPACE 23, SER# CRHTX4202, HUD# TEX0557745 Address: 201 KRENEK TAP RD 23, Account# 96393 TAX PAYMENT INFORMATION Name of Taxing Unit Tax Year of Refund Payment Date Amount Paid Refund Amount Requested ZREFUND 2022 10/31/2022 $215.90 $17.99 Taxpayees reason for refund: OP -Overpayment REFUND TO: NGUYEN TIEN DUNG 201 KRENEK TAP RD TRLR 23 COLLEGE STATION TX 77840-5002 sign below and return fdrm 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." Phone # Email A dre If you make a false statement on this application, you could be found guilty of a doss A misdemeanor or a state jail felony under Texas Penal Code Section 37.10. TAX REFUND DETERMINATION The tax r is [ Approved ] isapproved Authoriz Officer Signature Date Authorized Officer of taxing unit for refund applications overamount required underSection 3L22 Tax Code Authorized Officer Signature Date Vg), 3 8 Pg. /K9 TAX RECEIPT 12/06/2022 09:13AM ** DUPLICATE'* KRISTEEN ROE, CTA PH# (979) 775-9930 BRAZOS COUNTY TAX ASSESSOR COLLECTOR 4151 COUNTY PARK CT BRYAN, TX 77802 PAID BY: NGUYEN TIEN DUNG 201 KRENEK TAP RD #23 COLLEGE STATION, TX 77840 Reci p Number 3167678 Da�'--T" 70►31na22 Payment Type L P Payment Code I OveriRerund Totataid - Pro�ieity_ID GOO __.r .. _ Legal Acres_ _ ---- Owner Name and Address 96393 M !702018-0000-04944 10.0000 TRAN MINH 7RANG & TIEN DUNG NGU 201 KRENEK TAP ROAD Legal Description TRLR m23 OAK FOREST, SPACE 23, SM CRHTX4202, HUb_r TEX0557i46 r _ - I COLLEGE STATION, TX 77840.5034 Skis' .' . ----....DBAName_ ._._...:..�:.r_.' 201 KRENEK TAP RD2s." yEnt;ry-_ Year -Rate--. TT-aTaable Vaiue Sfmt#_ - Void ^O_riginajaT pi_s_cnts& {; igi Tt Fees O_verage.Am_oun Pg Z REFUND ENTITY -2022 - 0,00000 0 145383 N~ _ 17.99 ^ 010E 0.00 0.00 0.00 17.99 BRAZES COUNTY 2022 OA2941 4.692 130660 N 19.72 0.00 0.OD 0.00 0.00 19.72 CITY OF COLL. $TAT. 2022 0.52461 4,692 130660 N 24.09 0.00 0.00 0.00 0.00 24.09 COLLEGE STATION ISD .2022 1.17810 4,692 130650 N 64.10 0.00 0.00 0.00 0.00 54.10 116.90 Balance Duo As Of 1013112022: -17.99 ender DetaiisDesc�iptioti�� T ���Amoimtj Check _ REPOST MH Escrow 116.90 115.90 [� I' Pg. miO V01,v9- Pperata_r Batch, y _ -' , _ - . ;-- _ - -,+� _-' To tat Paid ahiries 43099 (2A22 MH Escrow) 115.90 Page;1 Receipt Issued In Accordance with Section 31.075 of the Teams Property Tax Code TMA=f ft%W- APPLICATION FOR TAX REFUND Collecting Office Nome Brazos CountyTax-Office 4151 County Park Court Bryan, Texas 77802 Ph. 979-775-9930 OWNER'S NAME AND ADDRESS WELCH BARRY & MARCIE 1516 COUNTY ROAD 413 SAN AUGUSTINETX 75972-7009 Collecting Tox for. (taxing entities) Brazos County, City of Bryan, City of College Station Bryan ISD, College Station ISD,'Fl, F2, F3, F4, City of Kurten, Navasota ISD PROPERTY DESCRIPTION Legal: SUNSET RIDGE, SPACE 134 SUNSET WAY, SER# FLE240TX1637813A, HUD# PFS1165570 Address: 134 SUNSET WAY (PVT) Account1!-403972 _ ..- _ _� _ - _ - __ - _ -- _-__--- _ --• TAX PAYMENT INFORMATION Name of Taxing Unit Tax Year of Refund ZREFUND 2022 Taxpayer's reason for refund: OP -Overpayment REFUND TO: WELCH BARRY & MARCIE 1516 COUNTY ROAD 413 SAN AUGUSTINE TX 75972-7009 Payment Date Amount Paid Refund Amount Requested 10/32/2022 $797.07 $65.98 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." -(:LWjjPCK fl-ZZ- Eigna@'Q q3LP 51? 26LeP MOrd tawz!Leh thewip Phoned 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 DETERMINATION Th tax r d is (�App ved Ise proved Authorized -officer Signature 1al►s/aa Date Authorized Officer of taxing unit for refund applications aver amount required under Section 31.11 Tax Code Authorized Officer Signature Date Vol. v �S � P9- TAX RECEIPT 11/01/2022 02:28PM "` DUPLICATE ** KRISTEEN ROE, CTA PH# (979) 775-9930 BRAZOS COUNTY TAX ASSESSOR COLLECTOR 4151 COUNTY PARK CT BRYAN, TX 77802 PAID BY: WELCH BARRY & MARCIE 1516 COUNTY ROAD 413 SAN AUGUSTINE, TX 75972-7009 Receipt Number . _ _ '_ 3167686 pate Posted "31 2022 ayment' ype P ayment Code Over/Refund )Total Paid_ _ 5797,07 _i'roperty 1D. _Legal A_c eF s ? 'Owner Name and Address _ :� . i 403972 J02019.00Q0-0245 M 0.0000 MCDONALD ALISA & BRIAN 1489 CHEROKEE DR COLLEGE STATION, TX 77845-8446 SUNSET RIDGE, SPACE 134 SUNSET WAY SER# FLE240TX1637813A, HUD# PFS1185570 - _ 8itus , _ , . _DBA Name _ _ _. __. -j , 134 SUNSET WAY (PVfj , Entity Year Rate Taxable Vatue� Stint # Void Original Tax Dtscnts P8d Att Fees O, Vera Amount I -' Z REFUND ENTITY 2022 0,00000 0 145315 N �� 85.88 0.00 0.00 0.00 0.00 85.88 EMG SVCS DIST #1 2022 0.02266 44,850 84461 N 10.12 0.00 0.00 0.00 0.00 10.12 BRAZOS COUNTY 2022 0.42941 44,860 84451 N 192.59 0.00 0.00 0.00 0.00 192.59 COLLEGE STATION ISO 2022 1.17810 44,860 84451 N 528.38 0.00 0.00 0.00 0.00 628.38 797.07 Balance Due As Of 10131/2022: -66.98 fonder �_ _Details Amount) Check REPOST 2022 MH ESCROW 797.07 797.07 E Vol O-=--9 Operator Batch'+ - -__ _ _...Y__ ��._ .�...__ TotaiPaidj' lemersori 43099 (2022 MH Escrow) 797.07 Page:1 Receipt issued in Accordance with Section 31.076 of the Texas Property Tax Code TMAVAWW V. 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 DINH BINH & UYEN NGUYEN 130 SUNSET WAY COLLEGE STATION TX 77845-3466 Collecting Tax for: (taxing entitles) Brazos County, City of Bryan, City of College Station Bryan ISD, College Station ISD, F2, F2, F3, K, City of Kurten, Navasota ISD PROPERTY DESCRIPTION Legal: SUNSET RIDGE, SPACE 130 SUNSET WAY, SER# CLW046544TX, HUD# NTA1851929 Address: 130 SUNSET WAY (PVT) , Account#-423899 TAX PAYMENT INFORMATION Name of Taxing Unit Tax Year of Refund ZREFUND 2022 Taxpayer's reason for refund: OP -Overpayment REFUND TO: NEVLUD MELANIE PO BOX 1490 SHINER, TX 77984 Payment Date Amount Paid Refund Amount Requested 10/31/2022 $899.78 $54.10 Sign below and return form to the Brazos County Tax Office. "I hereby ply for the refund of the above -de ed taxes and certify that the information on thisformis true and correct." Ir-I y )0 G �---, 6lgnatu'r�eL gig _ RSJ--19g9--01lS bffl &J - com 1� Phone # Email Address 011M 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 DETERMINATION The ax refun s [ fVAppro d [ ] Dis prov )all '3laa' Authorized-01ficer Signature Date Authorized Officer of taxing unit for refund applications over amount required under Section 31.11 Tax Code Authorized Officer Signature Date Vol. J�c�.S� pg. TAX RECEIPT 11/01/2022 03-.37PM ** DUPLICATE ** KRISTEEN ROE, CTA PH# (979) 775-9930 BRAZOS COUNTY TAX ASSESSOR COLLECTOR 4151 COUNTY PARK CT BRYAN, TX 77802 PAID BY: MELANIE NEVLUD PO BOX 1490 SHINER, TX 77984 'Numberr:_ __ 3167664 Date Posted I t0J3112022 payment7ype �a P Payment Cade OverlRetund Fgtai Paid = 5899.78 L Propeit ID_ Geo _ Lega1 Acres _ i Owner Name and Addres_ s_ 423899 1,702020-0000-0028 - 0.0000 NEVLUD DOUGLAS & MELANIE --- - ` . PO BOX LtrOR p •_ _ -_ j SHINER,1 e al Description 77984-1490 _ _------ -- --._ _ ..- gam_.. -...._.__..-....._a.. --- - �Situs_' 136 SUNSET WAY (P1lt) , r Entity- _ Year Rate Taxable Value_ Strut-# Void • Original Tx'a Dlscnts _' P&1�AtYScees ;O�erage Amouni Pd 2 REFUND ENTITY 2022 0.00000 0 145328 N 54.10 0.00 0.00 0.00 0.00 54.10 EMG SVCS DIST R1 2022 0.022W 51,880 92748 N 11.71 0.00 0.00 0.00 0.00 11.71 BRAZOS COUNTY 2022 0.42941 51,880 92748 N 222.78 0.00 0.00 0.00 0.00 222.78 COLLEGE STATION ISD 2022 1.17810 51.860 92748 611.19 0.00 0.00 0.00 0.00 611.19 899.78 Balance Due As Of t013V2022: -54.10 Lender _ Details - �7 D scrIption _ Amountl Check REPOST 2022 MH ESCROW 899.78 899.78 S Vol. �� pg. Operator Batch ; • = = _ . b a r _:r T:btal Patdj lemerson 43099 (2022JAH Escraw) 899.78 Page:1 Receipt issued in Accordance vv+ih Section 31.075 of the Texas Property Tax Code, 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 ROGERS CHRISTOPHER J 10805 LEGENDS LN AUSTI N TX 78747-1218 PROPERTY DESCRIPTION Legal: K F 0 PH 3, BLOCK 3, LOT 4 Address: 306 MANUEL DR A-D , Account # 30356 TAX PAYMENT INFORMATION Name of Taxing Unit Tax Year of Refund ZREFUND 11/17/2022 Taxpayees reason for refund: OP -Overpayment REFUND TO: ROGERS CHRISTOPHER J 10805 LEGENDS LN AUSTIN TX 78747-1218 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 11/17/2022 $6563.55 $253.08 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 11. S0l. 61 Zs Phone # ttIZ3(-L-. Date 16r f i �.� d1�4�C • Co 001K Email"Address if you make a false statement on this application, you could be found guilty of a Class A misdemeanor cr a state jail felony under Texas Penal Code Section 37.10. TAX REFUND DETERMINATION T !Z� �pproved Disapproved 1-a1 i3 1 as 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 11/17/202201:03PM KRISTEEN ROE, CTA PH# (979) 775-9930 BRAZOS COUNTY TAX ASSESSOR COLLECTOR _ __ Receipt Number 4151 COUNTY PARK CT 3176508 BRYAN, TX 77802 Date Posted - 11f17/2D22 PaymentType P Payment Cade - OvedRefund Total Paid $6,663.65 PAID BY: ROGERS CHRISTOPHER J 10805 LEGENDS LN AUSTIN, TX 78747-1218 Property ID Geo Legal Acres Owner Name and Add_ ress 30356 - .365000-0303-0040 _ 0.0000 ROGERS CHRISTOFHER J -- - 108D5 LEGENDS LN Legal Description .. _ AUSTIN, TX 78747-1218 K F O PH 3, BLOCK 3, LOT4 _ Situs DBA Name _ 306 MANUEL DRA-D , "Entity Year Rafe Taxable Value Stmt Void - Originet Tax D'iscnts P8�1 Att'Fees ~0.00 Overage Amount Pd . Z REFUND ENTITY 2022 ' 0.00000 D 145434 N 253.08 0.00 0.00 0.00 253.08 BRAZOSCOUNTY 2022 0.42941 295,971 110605 N 1,270.94 0.00 0.00 0.00 0.00 1.270.94 CITY OF COLL STAT. 2022 0.52461 295.971 1106D5 N 1.552.70 0.00 0.00 0.00 0.00 1.552.70 COLLEGE STAMO, 7 ISD 2022 1.17810 295,971 110605 N 3,486.83 0.00 0.00 0.00 0.00 3.486,83 6,563.55 Balance Due As Of 1111712022: 253.D8 Tender 'Details - Description_.' Amount Check 136 6663.65 6563.56 Vol. pg. Opeiafcr Satch- -- - - - - _ _ _ _ - _ _ Total Paid' tmoore 43389 (1111712022TAA) Page:1 Receipt issued to Amoidance with Section 31.075 of the Texas Property Tax Code TROA.b Yc..b. 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 KUBICHEK BRIAN WAYNE 1806 REED LN BRYAN TX 77808-6296 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 PROPERTY DESCRIPTION Legal: MOBILE HOME SERIAL # CBH015722TX, LABEL # HWC0363872, GREEN COLEMAN-10, TR 31 Address:.1806 REED LN , - - Account # 338796•— - - - - - - -- — - -- - - - - - TAX PAYMENT INFORMATION Name ofTaxing Unit Tax Year of Refund ZREFUND 2022 Taxpayer's reason for refund: OP -Overpayment REFUND TO: KUBICHEK BRIAN WAYNE l NWREED- LN BRYAN TX 77808-6296 Payment Date Amount Paid • Refund Amount Requested 10/31/2022 $99.98 $19.05 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." Phone g Email Address If you make a false statement on this application, you could be found guiity of a Class A misdemeanor or a state jail felony under Texas Penal Code Section 37.10. TAX REFUND DETERMINATION Th ot7refuis roved isapproved 3 ?lr a� Authorized Officer Signature Date Authorized Officer of taxing unit for refund applications over amount required under Section 3L11 Twc Code Authorized Officer Signature Date Vol. 3 L�L pg. /® TAX RECEIPT 11/02/2022 09:13AM ** DUPLICATE ** KRISTEEN ROE, CTA PH# (979) 775-9930 BRAZOS COUNTY TAX ASSESSOR COLLECTOR 4151 COUNTY PARK CT BRYAN, TX 77802 PAID BY: KUBICHEK BRIAN WAYNE 1806 REED LN BRYAN, TX 77808-6296 Receipt Numtter�•- _� 3167620 Date Pasted 10/31/2022 Payment'rype j P Payment Code ,'. ' OvedRefund lff4 t Patd a $99.38 Propeity lID_ Geo ~— Ldnal Acres ; _ OWner'Name and Address 338796 Y 702018-0000-1133� ; 0.0000 I KUBICHEK BRIAN WAYNE 1806 REED LN BRYAN, TX 77808-6296 MOBILE HOME SERIAL# CBH015722TX, LABEL# HWC0383672,GGREEN COLEMAN-10, 7R-31 Sittis - _ ��^---•---DBAName 1806 REED LN , Entity Year_ Rate Taxable Value - stmf# _. Voi_d^ Original Tax�.Dlscots - F'&I _ j tt`Fees —0_ve�age Amount Pd Z REFUND ENTITY 2022 0.00000 0 145397 N 19.05 0.00 0.00 0.00 0.00 19.05 EMG SVCS DIST #2 2022 0.02239 17,779 72719 N 3.88 0.00 0.00 0.00 0.00 3.98 76.35 BRAZOS COUNTY 2022 0.42941 17,779 72719 N 76.35 0.00 0.00 0.00 0.00 99.38 Barance Due As Of 1013112022: -19.05 feeder_ Details _� �� _� Description—-rAmountl Check REPOST MH Escow 99.38 99.38 _Operator�Batcfi ''� ^_! „_"^ _ ____ _•w____ '' j• • _ __.-._ _,• � } ,� Total Paidi shines ��49099 (2022�MH Escrow) 99.38 Page:1 Receipt issued in Accordance with Section 31.075 of the Texas Property Tax Code rmtimm umw. 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 ODELLSANDRA 15102 KNOB HILL RD ROGERSTX 76569-3514 Collecting lox for: (taxing entities) Brazos County, City of Bryan, City of College Station Bryan ISD, College Station ISD, FI, F2, F3, F4, City of Kurten, Navasota ISD PROPERi-Y DESCRIPTION Legal: SUNSET RIDGE, SPACE 102 SUNSET TRL, SER# CLW025981TX, HUD# HWC0383694 Address: 102 SUNSET TRAIL (PVT) , _ - - Account #- 536593' TAX PAYMENT INFORMATION Name of Taxing Unit Tax Year of Refund ZREFUND 2022 Taxpayer's reason for refund: OP -Overpayment REFUND TO: LORRAINE MILLER 102 SUNSET TRAIL COLLEGE STATION, TX 77845 Payment Date Amount Paid Refund Amount Requested 10/82/2022 $S07.72 $45.45 Sign below and retdrd form to the Brazos County Tax Office. "Ihereby apply. he refund of the above -described taxes and certify that the information on this form is true and correct;" Siffe M 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 jail felony under Texas Penal.Code Section 37.10. TAX REFUND DETERMINATION tax nd is Approved ( j Disapproved Authorized Officer Signature Date Authorized Officer of taxing unitfor refund applications over amount required under Section 31.11Tax Code Authorized Officer Signature Date EVol 3 �s Pg. 1�-- TAX RECEIPT 10/3112022 03:02PM KRISTEEN ROE, CTA PH# (979) 776-9930 BRAZOS COUNTY TAX ASSESSOR COLLECTOR ,• decal t.t'um6er 4151 COUNTY PARK CT ' 3 �"" ' � � �' "� BRYAN, TX 77802 3167681 ate Posters 110131/2a22 ayment.lwq- ' P. eymeOtCbde ". '� OyerlRefund, To1aI't * d 8507.12 PAID BY: LORRAINE MILLER 102 SUNSET TRL COLLEGE STATION, TX 77845 Ptope_rEyi iD = Goo j• �" r `LegaP cre._ ' ° ' ` F. 7 ';Owner•Natiie;and Add ss •` 636593 702021-0000-0036 10.0000 ODELL SANDRA La al Descti tiott - 15102 KNOB HILL RD P r._� z _�9 ROGERS,'rX 76569-3514 SUNS�`f��RtOGE_, SPACE'102SUNSETTIC, SERA'CLW025981TX; HUD# HWOM83694 - -- - - — - -- - -- -- - -- �Situs 4 Is DBA Name c: ' 7• ,�_s 102 SUNS6'T TRAIL (PVT) ` t En�_ty`�_� Ysar Rate Taxable Vafue Stmt-# Void • OrI91nal Tax Discnts , ; ,P&1 Att Fees -Overage ArrlountPd Z REFUND ENTITY 2022 0,00000 0 145333 N 45AS 0.00 0.00 0.00 0.00 45AS EMG SVCS DIST 91 2022 0.02266 28,359 94M N 6.40 0.00 0.00 0.00 0.00 6.40 BRAZOS COUNTY 2022 OA2941 28,359 94931 N 121.78 0.00 0.00 0.00 0.00 121.76 COLLEGE STATION ISD j 2022 1.17810 28,369 94931 N 334.09 0.00 0.00 0.00 0.00 334.09 50732 Balance Due As Of 1013112M. 45AS Tender • ' Detaifs' :' -' Aesaription'.Y Check REPOST 2022 MH ESCROW 507.72 507.72 Vol. gS pg. 00 Orator Batch - •, :. Total Pal 1peemerson 43099 (2022 MH Escrow) - - -_ __ _ _ .. - - .. • - - --. _ Page:1 Receipt Issued In Accordance with Section 31.075 of the Texas Property Tax Code APPLICATION FOR TAX REFUND Collecting Office Name Brazos County Tax Office 4151 County Park Court Bryan, Texas 77802 Ph. 979-773-9930 OWNER'S NAME AND ADDRESS CANO GUILLERMO 2800 OLD HEARNE RD TRLR 11 BRYAN TX 77803-0800 Collecting roxfor. (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: LIVE OAK, SPACE 11, SERIAL # TXFLM12A14743FE, LABEL # TEX04SS919 Address: 2800 OLD HEARNE RD 11, Account# 90732 TAX PAYMENT INFORMATION Name of Taxing Unit Tax Year of Refund Payment Date Amount Paid ZREFUND 2022• 10/28/2022 $234.65 Taxpayer's reason for refund: OP -Overpayment REFUND TO: MARTINEZ ALANIS 2800 OLD HEARNE RD TRLR 11 BRYAN TX 77803-0800 Refund Amount Requested $15.61 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 n s1i Slgn'a4ur Phone # 0. ate 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 DETERMINATION e tax fund is [ Appro d [ ]Disapproved J dal c3 1 RO.. 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 10/31/202212:44PM KRISTEEN ROE, CTA PH# (979) 775-9930 BRAZOS COUNTY TAX ASSESSOR COLLECTOR teg`e1rti6erv:,�s:•'�;i 4151 COUNTY PARK CT 3167613 BRYAN, TX 77802 �,R �••TM f^ .ti --- - -1 ol3,11- * 2 DatP, ost_gd��`� __,�� ,_ 1 P, .t?ayinenf�ly2141"A��F,� - P;ayment;Figd% �j�OverlRefund T234.65 PAID BY: MARTINEZ ALANIS YOLANDA 2800 OLD HEARNE RD #11 BRYAN, TX 77803 .:•_-.•<^•r ••'t "^ni4-•sj`-cw•^.t,` ��^7 y +'r f.••'i;.fr ,,;;r :"{'yrx •�4� ..f.:g�.•r:r :. �t,ii.r.•'�f In •t'';i,;r:;�•, C.. ••rarta-r^ .::ru ,- 'i• ` g O n Na and Adtlress '` k ' "' ` Pro e,}�}ID'.'� • Geo ;:. , s ,... ��. ;f , �'Cegal=AOr¢s :� ,: �, t 3p L 4 s•-4 r�� •.� :•.'dXa �•..�•....i•�r CL'r,:."�•'Y��:r�.,.::��'�.;•.L'L_.:L... _:J 7'.a:.... .aw.. ar.- +�:-r.w "S' I:.4:+.�•-, .�..<.•.,, .:..YrJ:O>,.�:.lti!''=; -90732 !70010Q 0001-0114 0.0000 CANO GUILLERMO �- , • r-_-, ,- c 5, �'� s' ,. r. ^� 2800 OLD HEARNE RD i `�,+• . ,• rta:i tiL'+.+'_:` •�: I?..>...•.:r=��a.:.a:.,:.:�'sC'';:m:;:.'a< TRLR11 LIVE OAK, SPACE 11, SERIAL#TXFLM19A14748FE, LABEL#TEX0455919 BRYAN, TX 77803.0800 ( .r' �,'�-�,4.� �;,"f: 4?Y .i tt .iij.i.I' •�:, >�L� h, lr.lK'. �iI J t�,,,e. 't ,�J-Iltl$1 •?]x '(• =r �V +.tiyry �a j. w''•.:,:�'.•il5�::. �pjB•A�t�iri'� 41 :�...,r•�'..:�sL:+'� •:•r �\r,• 7.i .1..L c� r•a :�rd rsh � s�:x.s:,. .�y.:.s... ,ri;.::.. % �' ••'•.'. .`�'_''" r..+••; v� •• n ,'�, .•^•r. ^^r :S� r•.^.- i-^•••:.�! .^.'1�•?•e.^:t:....,.- 7-�.-^-a ;rr,}.-r-^rrnr:.c}--.rnnv:. `;Enti x f?=n + ear• Rate3: rxaza_tile �/aliie'=: Sti Y# ' r Ugfd' �. ••Or�g nCTax,_ D scnts:�`�r.: P81t Att'Fees, ,Ove�age,NnourjkPd 7• C�C..S:as?.u..:_ .ivt.: - :..t+a . .rrw :r..., , y.i,.:: �:: ,_. w.:.:»..se ...+:::..w .. . ZREFUND ENTITY 2022 0.00000 0 145251 N 15.61 0.0D 0.00 0.00 0.00 15.61 BRAZOS COUNTY 2022 0.42941 9,988 21299 N 42.88 0.00 0.00 0.00 0.00 42.88 CITY OF BRYAN 2022 0.62400 9,988 21299 N 62.33 0.00 0.00 0.00 0.00 62.33 BRYAN ISD 2022 1.13960 9.988 21299 N 113.83 0.00 0.00 0.00 0.00 113.83 234.65 Balance Due As Of 1013112022: -15.61 vol. 3 5� pg.1p� .•cs1•• •:.a°• i•'SGL4` `•=`'�� •'° _:i:F' �.�•';�t v :�'.._ _ ._ .. fIC r ,M1r� r. yc^+, •1.....Y;e ;�•^. '.,. j�. _ s-, �; ---.. �L��d -.F, ;:�:�=�::i:.. , }•`�:',•.-;.e�:•:�;� � :'' ,, s,3�: �:;r ,TotflLtr�eld: 'i Operato�`Bai'c�1 nt..i};:. 7•'gJrr ,•^'i�•'.;;•t. i'l'r.; v.ti'�=•, v::-Y''' F}..-t �'i• '` ti: "• .. •'�•• �,}.+,t; .:'�• t � � hYa B.�.i•e:.+Fr.-. s•'•'r .: v..�G:F i•.'.i •��'• ':5+i i. �i^� ��•:$.y.'.:. ..,'+i•.•, •�..r. •,f;;v'iR•.•.ey�t;j'.•�... r1+}%"�r:•._'L•.�. 60ore 43099 (2022 MH Escrow) 234.65 Page:1 Receipt issued in Accordance with Section 31.076 of the Texas Property Tax Code TMAv--*Aro- TAX RECEIPT 12/05/2022 03:29PM ** DUPLICATE ** KRISTEEN ROE, CTA PH#1: (979) 775-9930 BRAZOS COUNTY TAX ASSESSOR COLLECTOR 4151 COUNTY PARK CT BRYAN, TX 77802 PAID BY: TAMARA LATOYA KELLY lyf #Zecei6tVi r er 3179464 Dale,`EoSted- .*,�•'�__ 7112�22. v_ c Payme[rt Ty(�e r w' Full f Total�3i��:.'�` 55,3&9.74_ Proper }!TD' =Geb ` ^ .. :' - . _ Leal Ades ^ ^�; =_ r . ,• ' ' :-;Owner• Name artdAdd�ess:..��yr _ 425470 '106260-0103-0180 _`� i 0.g0000 KELLYTAMARA L & DEMI D WILLIAMS Nt}e'sbrip on f� , 3 �`• - 4716 COYAT(LLO WAY BRYAN, lX 77807 ALAMOSA SPRINGS PH 1, BLOCk 3, LOT 1e —•- _ _.... Situs s _s =* `• ,_ _- 4716 COYOTILLO WAY , 'Entfiy' bear, date jFxiajle-Va[ue__ Stint `, .Void Lax.,Dfscnt s' . `:PSf _A%tFees Ove gta a vo iat?d, BRYAN 1SD ' 2022 1.13960 235,250 69776 N .Origin - 2,680.91 0.00 0.00 0.00 0.00 2,680.91 BRAZOS COUNTY 2022 0.42941 256,260 69775 N 1,096.07 0.00 0.00 0.00 0.00 1,096.07 CITY OF BRYAN 2022 0.82400 255,250 69775 N 1,592.76 0.00 0.00 0.00 0.00 1,69276 5,369.74 Balance Due As Of 1112312022:.00 Fender _ 1e:i-I ,� � ?, �4 M`� i:_ �'- D.esc�) tion r �,�::�:::; = Arriourit' : Electronic Check 00000200000000160049 _-• 6366.74 6369.74 Vol. pg. f_ tal ;Pa atdnes am (RTL Batchad0 11232022) _ - - _ - - _ - 5,369.74 Special Condition Exists forttds Property Page. I Receipt issued In Accordance vrith Section 31.075 of the Texas Property Tax Code APPLICATION FOR TAX REFUND Collecting Office Name Brazos County Tax Office 41S1 County Park Court Bryan, Texas 77802 Ph. 979-775-9930 OWNER'S NAME AND ADDRESS GONZALEZ MARTIN GONZALES MARTIN CASTANEDA 201 KRENEK TAP RD TRLR 29 COLLEGE STATION TX 77840-5002 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: OAK FOREST, SPACE 52, SER# BEL005865TX, HUD# NTA1727146 Address: 201 KRENEK TAP RD 52, Account# 410869 TAX PAYMENT INFORMATION Name of Taxing Unit Tax Year of Refund Payment Date Amount Paid ZREFUND 2022 10/31/2022 $512.84 Taxpayer's reason for refund: OP -Overpayment REFUND TO: CRAIG PATRICK JOSEPH 11 201 KRENEK TAP RD TRLR 52 COLLEGE STATION TX 77840-5002 13 Refund Amount Requested $25.42 Sign below and return form to the Brazos County Tax Office. "I hereby apply four the refund of the above -described taxes and certify that the information on this form Is true and correct." r� SingSi'ng U �� Fate` 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 ]ail felony under Texas Penal Code Section 37.10. TAX REFUND DETMMINATION T �ta is [ prove [ ]Disapproved Authorized Officer Signature l ahs jaa, Date Authorized officer of taxing unit for refund applications over amount required under Section 31.11Tax Code Authorized Officer Signature Dat TAX RECEIPT 11/01/202211:31AM ** DUPLICATE ** KRISTEEN ROE, CTA PH# (979) 775-9930 BRAZOS COUNTY TAX ASSESSOR COLLECTOR 4151 COUNTY PARK CT BRYAN, TX 77802 PAID BY: CRAIG PATRICK JOSEPH II 201 KRENEK TAP RD TRLR 52 COLLEGE STATION, TX 77840 j' �-, _Receipt Number' _ � 3167664 Date kiiiedl 1- 1013112022 payment Type P Payment Code I OverlRefund Total Pald S612.84. Property tD -_ _ Oeo _ _ _ _ -_'r ^� „'Legal Acre_s��� 'Owner Name and Address 410869 7020188-0000.0085 0.0000 1 GONZALEZ MARTIN~ - - % GONZALES MARTIN CASTANEDA -1 201 KRENEK TAP RE) OAK FOitEST, SPACER, SER# BEL005865TX,HHUD# NTA1727148 TRLR 29 Situs -� +' ! __ DBAName_. _ ! COLLEGE STATION, TX 77840-5002 201-KRENEK TAP RD §2 , - - ' Entity -Year Rate rTaxable Vatue - Strnt # . - _ 1%ofd -N O'rtginal Tax _ Discnts �- - - �p8�1 - Att Fees _ ..Amount Pdi _ Z REFUND ENTITY- 2022 r 0.00000 - - 0 146278 25.42 0.00 0100 0.00 0,00 25.42 BRAZOS COUNTY 2022 0.42941 22,861 60884 N 98.17 0.00 0100 0.00 0.00 98A7 CITY OF COLL. STAT. 2022 0,52461 22,861 60884 N 119.93 0.00 0.00 0.00 0.00 119.93 COLLEGE STATION ISD 2022 1.17810 22,861 60884 N 269.32 0.00 0.00 0.00 0.00 269.32 612.84 Balance Due As Of 1013112022: -25.42 ender Details - ---- -7--Description Check REPOST ^- — �+-2022 MFl ESCROW 512-.84 512,84 -- Pg g vEs� :� --Tbtal pald; lemerson 4809t# (W2- MH Escrowj 612.84 Page; i Receipt Issued in Accordance with Section 31.076 of the Texas Property Tax Code TMA*Mv.tilrz. 1 APPLICATION FOR TAX REFUND Collecting Office Name Brazos County Tax Office 41S1 County Park Court Bryan, Texas 77802 Ph. 979-775-9930 OWNER'S NAME AND ADDRESS BRUCK STEPHEN G ESTATE BRUCK BERNADE17E 1105 ANDERSON ST APT 35 COLLEGE STATION TX 77840-4452 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 , PROPERTY DESCRIPTION Legal: RIVER OAKS, SPACE 5-A, SER# AH01987881, HUD# PFS0519721 Address: 4543 CYNTHIA (PVT) DR , Account # -102623 TAX PAYMENT INFORMATION Name of Taxing Unit Tax Year of Refund Payment Date Amount Paid ZREFUND 2022 10/28/2022 $164.55 Taxpayer's reason for refund: OP -Overpayment REFUND TO: JOHN JEAN 1408 PECAN GROVE CT COLLEGE STATION TX 7784S Refund Amount Requested $22.26 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." �4�- Phone 4 I?-- `2 7-A Date 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 DETERMINATION Th tax re Is [ App ved ] Disapproved I o-�113J•a.a 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 101311202212:40PM 1 KRISTEEN ROE, CTA PH# (979) 776-9930 BRAZOS COUNTY TAX ASSESSOR COLLECTOR Receipt Number 4161 COUNTY PARK CT _ 3167609 BRYAN, TX 77802 Dale posted 10/3112022 Payment Type P Payment Code OvegRetund Total Paid $164.55 PAID BY: JEAN JOHN 1408 PECAN GROVE CT COLLEGE STATION, TX 77845-9361 Property ID Geo Legal Acres Owner Name and Address 102623 702020-0000-Q394 0.0000 BRUCK STEPHEN G ESTATE % BRUCK BERNADEfTE egal Desert LDescription p •1105 ANDERSON ST RIVER OAKS, SPACE 5-A, SER#AHQ1987881, HdDrc PFS0519721 APT 35 Situ$ DBA Name COLLEGE STATION, TX 778404452 4543 CYNTHIA (PVT} DR , Entity 'Year Rate Taxable Value Stmt# Vold Original Tax 151scnts P&I Alt Fees Overage Amount Pd ZREFUNDENTITY 2022 .0.00000 0 145248 N 22.26 0.00 0.00 0.00 0.00 22.26 EMG SVCS DIST#1 2022 0.02256 81729 17398 N 1.97 0.00 0.00 0.00 0.00 1.97 BRAZOS COUNT( 2022 OA2941 8,729 17398 N 37.48 0.00 0.00 0.00 0,00 37.48 COLLEGE STATION ISD 2022 1.17610 8,729 17398 N 10284 0.00 0.00 0.00 0.00 102.84 164.65 Balance Due As Of 1013112022: 22.26 Tender Details Description Amount Mdk REPOST 2022 MH ESCROW 164.66 164.66 �85 Pg. Operator Batch Total Paid (mom 43099 022 MH Esciow) 164.56 Page:1 Receipt Issued In Accordance with Section 31.075 of the Texas Property Tax Code a�wv� BRAZOS COUNTY, TEXAS BUDGET AMENDMENTS) FOR THE 2022-2023 BUDGET YEAR NO.22/23 10.01-10.03 On this the 13th day of December 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 13th day of December 2022 the Court heard and approved a budget amendment(s) for the 2022-2023 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 6 September 2022, the following amendment(s) to the original budget are hereby authorized, as described on the attached page(s). ADOPTED AND APPROVED this the 13th day of December 2022. THE COIV1i MSSIONERS COURT OF BRAZOS COUNTY, TEXAS. By: Duane Peters, County Judge Original: County Clerk`s Office and Attached to the original budget — Pg. � vol. BRAZOS COUNTY, TEXAS BUDGET AMENDMENTS No. 22123 -10.01 12113/2022 FUND NAME DEPARTMENT NAME I CLASS DESCRIPTION I ACCOUNT CATEGORY INCREASE DECREASE reallocate funds to purchase a transmission fluid Vol. vas, pg. C•` BRAZOS COUNTY, TEXAS BUDGET AMENDMENTS No. 22123 -10.02 I FUND NAME 1 DEPARTMENT NAME I CLASS DESCRIPTION I ACCOUNT CATEGORY I INCREASE I DECREASE I reallocate funds to cover the indemnification that was aoasoved in the November 15. 2022 Commissioner's Court tt''�^%%$ {,C�fe✓�`�si i �¢z�: �.�r,]-�.�� 'rt "'"'-� yY.;s�,2!..y �-s »1.c[>P� Date` ' • a '�?II�°} 12L812022 C7 BRAZOS COUNTY, TEXAS BUDGET AMENDMENTS No, 22123 -10.03 12/13/2022 FUND NAME DEPARTMENT NAME CLASS DESCRIPTION ACCOUNT CATEGORY INCREASE DECREASE General Fund Sheriffs Office Administration Repairs and Maintenance Expenditure 4,992.01 General Fund Other Financing Uses Expenditure 4,992.01 General Permanent Improvement Fund Other Financing Sources Revenue 4,992.01 General Permanent Improvement Fund Sheriffs Office - Capital Capital Outlay Expenditure 4,992.01 Sheriffs Office - Capital To reallocate funds for Axon in car camera system in patrol car budgeted for FY23. '%*� �� County<Judge�lpproval ,.".;, Date x ; Personnel Change of Status Commissioners' Court Date: Department Submitting Information: Purpose of Submissions: ( Dec 8, 2022 ) 12-13-2022 Human Resources Consider and Take Action on Change Employment Department* Name . t,". Employee Name Sheriff Office - Jail Administratioh Bates, Madalyn Sheriff Office - Jail Administration Brown, Carolina Sheriff Office - Jail Administration Chatham, Takesha Jail Medical Services Luther, Darry-Davis Sheriff Office - Jail Administration Miles, Ferderkia Road & Bridge - Administration Pineda, Antonio Sheriff Office - Jail Administration Walker, Tayler Sheriff Office - Jail Administration Wetz, Morgan Separations Departme,(gt;IVame 4 t A `��?qy +, Employed Name '�`• a i`+/."gig, 'n"+�1°•'ty " I r, Al Approved in Commissioners' Court:12-13-2 22 County Judge's or Commissioner's Signature: (This Copy to be attached to minutes) -�3 EVOL38� P0• - PERSONNEL CHANGE OF STATUS REQUESTS Commissioner Court Date: 12-13-2022 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 Sheriffs Office —Administration Montoya, Patrick Change of Status Approved in Commissioners' Court: 12-13-2022 : County Judge's or Commissioner's Signature: (This Copy to be attached to minutes) Vol. � Pg. _��