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2024/08/13 Regular Session 10:00AM
�� s, b Na'. G J k 'T t Y• BRAZOS COUNTY BRYAN, TEXAS NOTICE OF MEETING AND AGENDA BRAZOS COUNTY COMMISSIONERS COURT THE COMMISSIONERS COURT OF BRAZOS COUNTY WILL MEET IN REGULAR SESSION ON AUGUST 13, 2024 AT 10:00 AM IN THE COMMISSIONERS COURTROOM OF THE BRAZOS COUNTY ADMINISTRATION BUILDING, 200 S. TEXAS AVENUE, SUITE 106, BRYAN, TX 77803, THE PUBLIC MAY WATCH THE MEETING LIVE AT FACEBOOK.COM/BRAZOSCOUNTYTX 1. Invocation and Pledge of Allegiance • U.S. and Texas Flag - Commissioner Berry 2. Call for Citizen input and/or concerns Consider and take action on agenda items: 3 -17 3. Approval of the following appointment and reappointments to the Brazos County Public Defender's Office Oversight Board. Term of appointments are as follows: Appointment: • a. Commissioner Wanda J. Watson-August 16, 2024-August 15, 2027 Reappointments: • b. Judge Duane Peters -August 16, 2024 -August 15, 2027 • c. Judge Travis Bryan, III -August 16,2024-August 15, 2026 • d. Judge Willie Blackmon-August 16, 2024 -August 15, 2026 4. Reappointment of Mark Humphrey to the Twin Cities Endowment, Inc. Board of Directors. Term of appointment through December 31, 2025. 5. Approval of the Order for the November 5, 2024 General and Special Election. 6. Approval of the following Job Description: • a. Fair Administration- B0861 -Sponsorship Coordinator 7. Approval of service fees for the offices of the Sheriff and Constables to be effective January 1, 2025. 8. Approval requested from Risk Management for payment to Lloyd Wasserman in the amount of$1,221.94 for extraction of water from tank on Wassermann property. The water was extracted in order to continue road construction on Blue Ridge Drive. 9. Approval of the following modifications to the allocation of American Rescue Plan Act funds. This will bring the total amount allocated to the Medical Examiner's Office project from the American Rescue Plan Act grant funds to $20,884,931.00. • a. Reallocation of the previously earmarked Broadband funds, in the amount of $1,000,000,from the American Rescue Plan Act to be applied to the Medical Examiner's Office project. • b. Earmarking of the Unallocated grant funds in the amount of$490,827.00 from the American Rescue Plan Act to be applied to the Medical Examiner's Office project. 10. Approval of Amendment#1 and Renewal of Contract#24-116R Third Party Guardianship Services for Brazos County with Mir Senior Care Management, Inc.to increase the contract amount to account for additional care needed. 11. Award of IQ #25-004 Grease Trap Pumping with Liquid Environmental Solutions. 12. Approval of Amendment#1 to Renewal for Bid #25-009R Fire Extinguishers, Sprinkler System Inspections, Maintenance and Testing with Brigade Fire Solutions. Pricing for reporting fee to the City of Bryan increased from $15.00 to $17.00 per report. 13. Consider and take action on the Frontier Communication utility permit to bore and relocate fiber optic cable at the intersection of Harper's Ferry and Nantucket Drive to accommodate the improvements the County will be making to this section of roadway. Site is located in Precinct 1. 14. Tax Refund Applications for the following: Overpayments • a. Charles Hrncir-$710.58 15. Budget Amendments. • FY 23/24 Budget Amendments 43.01 -43.06 16. Personnel Change of Status. • Approval of Personnel Change of Status. 17. Payment of Claims. 18. Acknowledgement of FY 2023-2024 Budget to Actuals by Fund as of August 7, 2024. Acknowledgement of FY 2023-2024 Contingency Budget to Actuals by Fund as of August 7, 2024. 19. Juvenile director's report on detention population. 20. Sheriff's report on inmate population. 21. Announcement of interest items and possible future agenda topics. 22. 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.Ps 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 Brazos County Administration Building,200 S.Texas Avenue,Suite 106, Bryan,TX 77803, THE PUBLIC MAY WATCH THE MEETING LIVE AT FACEBOOK.COM/BRAZOSCOUNTYTXis 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. * r 1* to i oG, yr�;.7• moo Tp OF �4 . The foregoing minutes of the Commissioners Court Meeting held August 13, 2024, have been examined and are approved in open Court this 3rd day of September 2024, in Bryan, Brazos County, Texas. .._./,'' Duane Peters Steve Aldrich County Judge Commissioner, Precinct 1 Ch {onderla Nancy Berry Commissioner, Precinct 2 Commissioner, Precinct 3 g , . d, Wanda J. Watson Commissioner, Precinct 4 Attest: (0.AQiv- _9r1C&OtA, Karen McQueen 4 : �7 County Clerk Ch,,42,-( Del- .*IyyY r j�fr- TyfFp}s- MINUTES AUGUST 13, 2024 BRAZOS COUNTY COMMISSIONERS COURT REGULAR MEETING A regular meeting of the Commissioners' Court of Brazos County, Texas was held in the Brazos County Commissioners Courtroom in the Administration Building, 200 South Texas Avenue, in Bryan, Brazos County, Texas, beginning at 10:00 a.m. on Tuesday, August 13, 2024 with the following members of the Court present: Duane Peters, County Judge, Presiding; Steve Aldrich, Commissioner of Precinct 1; Chuck Konderla, Commissioner of Precinct 2; Nancy Berry, Commissioner of Precinct 3; Wanda J. Watson, Commissioner of Precinct 4; Karen McQueen, County Clerk,Absent. The attached sheets contain the names of the citizens and officials that were in attendance. 1. Invocation and Pledge of Allegiance • U.S. and Texas Flag -Commissioner Berry 2. Call for Citizen input and/or concerns Cathie Viens reiterated concerns from previous weeks regarding updating the voter registration roll. Consider and take action on agenda items: 3 -17 3. Approval of the following,appointment and reappointments to the Brazos County Public Defender's Office Oversight Board. Term of appointments are as follows: Appointment: • a. Commissioner Wanda J. Watson-August 16, 2024 -August 15, 2027 Reappointments: • b. Judge Duane Peters -August 16, 2024 -August 15, 2027 • c. Judge Travis Bryan, III -August 16, 2024 -August 15, 2026 • d. Judge Willie Blackmon-August 16, 2024 -August 15, 2026 Motion:Approve, Moved by Commissioner Nancy Berry, Seconded by Commissioner Chuck Konderla. Passed. 5-0. Ayes:Aldrich, Berry, Konderla, Peters, Watson. 4. Reappointment of Mark Humphrey to the Twin Cities Endowment, Inc. Board of Directors. Term of appointment through December 31, 2025. Motion:Approve, Moved by Commissioner Nancy Berry, Seconded by Commissioner Chuck Konderla. Passed. 5-0. Ayes:Aldrich, Berry, Konderla, Peters, Watson. 5. Approval of the Order for the November 5, 2024 General and Special Election. A copy of the order is attached. Motion:Approve, Moved by Commissioner Nancy Berry, Seconded by Commissioner Wanda J. Watson. Passed. 5-0. Ayes:Aldrich, Berry, Konderla, Peters, Watson. 6. Approval of the following Job Description: • a. Fair Administration- B0861 -Sponsorship Coordinator A copy of the job description is attached. Motion:Approve, Moved by Commissioner Nancy Berry, Seconded by Commissioner Wanda J. Watson. Passed. 5-0. Ayes:Aldrich, Berry, Konderla, Peters, Watson. 7. Approval of service fees for the offices of the Sheriff and Constables to be effective January 1, 2025. A list of the approved fees is attached. Motion:Approve, Moved by Commissioner Nancy Berry, Seconded by Commissioner Chuck Konderla. Passed. 5-0. Ayes:Aldrich, Berry, Konderla, Peters, Watson. 8. Approval requested from Risk Management for payment to Lloyd Wasserman in the amount of$1,221.94 for extraction of water from tank on Wassermann property. The water was extracted in order to continue road construction on Blue Ridge Drive. Motion:Approve, Moved by Commissioner Nancy Berry, Seconded by Commissioner Chuck Konderla. Passed. 5-0. Ayes:Aldrich, Berry, Konderla, Peters,Watson. 9. Approval of the following modifications to the allocation of American Rescue Plan Act funds. This will bring the total amount allocated to the Medical Examiner's Office project from the American Rescue Plan Act grant funds to $20,884,931.00. • a. Reallocation of the previously earmarked Broadband funds, in the amount of $1,000,000, from the American Rescue Plan Act to be applied to the Medical Examiner's Office project. • b. Earmarking of the Unallocated grant funds in the amount of$490,827.00 from the American Rescue Plan Act to be applied to the Medical Examiner's Office project. Cathie Viens questioned why the funds are no longer being allocated for broadband. Judge Peters explained that after further investigation, boradband was not an appropriate use of the American Rescue Plan Act(ARPA)funds. General Counsel Bruce Erratt shared that there is state funding available to local broadband providers. The Court then entered into a brief discussion on the matter and unanimously voted to approve the modifications to the allocation of ARPA funds. Motion:Approve, Moved by Commissioner Nancy Berry, Seconded by Commissioner Chuck Konderla. Passed. 5-0. Ayes:Aldrich, Berry, Konderla, Peters, Watson. 10. Approval of Amendment#1 and Renewal of Contract#24-116R Third Party Guardianship Services for Brazos County with Mir Senior Care Management, Inc.to increase the contract amount to account for additional care needed. A copy of the amended contract and renewal is attached. Motion:Approve, Moved by Commissioner Nancy Berry, Seconded by Commissioner Chuck Konderla. Passed. 5-0. Ayes:Aldrich, Berry, Konderla, Peters, Watson. 11. Award of IQ#25-004 Grease Trap Pumping with Liquid Environmental Solutions. The Court voted unanimously to accept the recommendation of the Purchasing Agent and awarded IQ #25-004 Grease Trap Pumping to Liquid Environmental Solutions. A copy of the contract and bid tabulation is attached. Motion:Approve, Moved by Commissioner Nancy Berry, Seconded by Commissioner Chuck Konderla. Passed. 5-0. Ayes:Aldrich, Berry, Konderla, Peters, Watson. 12. Approval of Amendment#1 to Renewal for Bid #25-009R Fire Extinguishers, Sprinkler System Inspections, Maintenance and Testing with Brigade Fire Solutions. Pricing for reporting fee to the City of Bryan increased from $15.00 to $17.00 per report. A copy of the amended contract and renewal is attached. Motion:Approve, Moved by Commissioner Nancy Berry, Seconded by Commissioner Wanda J. Watson. Passed. 5-0. Ayes:Aldrich, Berry, Konderla, Peters, Watson. 13. Consider and take action on the Frontier Communication utility permit to bore and relocate fiber optic cable at the intersection of Harper's Ferry and Nantucket Drive to accommodate the improvements the County will be making to this section of roadway. Site is located in Precinct 1. Motion:Approve, Moved by Commissioner Steve Aldrich, Seconded by Commissioner Nancy Berry. Passed. 5-0. Ayes:Aldrich, Berry, Konderla, Peters, Watson. 14. Tax Refund Applications for the following: Overpayments • a. Charles Hmcir-$710.58 Motion:Approve, Moved by Commissioner Nancy Berry, Seconded by Commissioner Chuck Konderla. Passed. 5-0. Ayes:Aldrich, Berry, Konderla, Peters, Watson. 15. Budget Amendments. • FY 23/24 Budget Amendments 43.01 -43.06 Cathie Viens questioned budget amendment 43.05 regarding additional funding being transferred from Contingency to Facility Services. Budget Officer Nina Payne explained that the purpose is to cover expenditures for the remainder of Fiscal Year 2024. 43.01 Reallocate funds for Information Technology. 43.02 Reallocate funds for Justice of the Peace Technology. 43.03 Reallocate funds for Facility Services. 43.04 Reallocate funds for Fleet Services. 43.05 Transfer funds from Contingency Fund to Facility Services. 43.06 Reallocate funds for Information Technology. Motion:Approve, Moved by Commissioner Nancy Berry, Seconded by Commissioner Wanda J. Watson. Passed. 5-0. Ayes:Aldrich, Berry, Konderla, Peters, Watson. 16. Personnel Change of Status. • Approval of Personnel Change of Status. A copy of the Personnel Change of Status requests is attached. Motion:Approve, Moved by Commissioner Nancy Berry, Seconded by Commissioner Chuck Konderla. Passed. 5-0. Ayes:Aldrich, Berry, Konderla, Peters, Watson. 17. Payment of Claims. Claims Cathie Viens requested that the Court consider allowing greater public access to the information regarding Claims. General Counsel Bruce Erratt informed the Court that staff is actively working to provide increased transparency with the Claims. 8204366—8204499 9201915—9201992 Motion:Approve, Moved by Commissioner Nancy Berry, Seconded by Commissioner Chuck Konderla. Passed. 5-0. Ayes:Aldrich, Berry, Konderla, Peters,Watson. 18. Acknowledgement of FY 2023-2024 Budget to Actuals by Fund as of August 7, 2024. Acknowledgement of FY 2023-2024 Contingency Budget to Actuals by Fund as of August 7, 2024. The Court acknowledged receipt of the 2023-2024 Budget to Actuals by Fund and Contingency Fund Budget to Actuals as of August 7, 2024. 19. Juvenile director's report on detention population. Juvenile Director Linda Ricketson reported there are 23 juveniles in the detention center, 16 are male and 7 are female, and 25 have electronic monitors. She noted that this is the lowest population at the Juvenile Detention Center in quite some time. 20. Sheriff's report on inmate population. Chief Deputy Kevin Stuart stated there are 823 inmates in jail, 699 are male and 124 are female, and 34 have electronic monitors. 21. Announcement of interest items and possible future agenda topics. Commissioner Konderla announced that it is the 12th anniversary of the death of Brazos County Constable Brian Bachmann. He then congratulated Sheriff Wayne Dicky for his appointment as a Board Member of the Sheriff's Association of Texas. 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( 12- 14 (Au bre. 2rn. 1uc+ CNY 1 CO cCre'ciO 1mmCoucf Electron Notice: ID requirements for voting in person I ID requirements for voting by mail I Election Night Returns i EFFECTIVE SEPTEMBER 1, 2023, OUR LOBBY WALK-IN HOURS WILL BE 9 A.M. -4 P.M. (CENTRAL), MONDAY - FRIDAY. 1 ",, Texas Secretary of State :' " : J n ':'Nelson, F •� ` About ' Elections Business Notary & Rules & International Forms & SOS &Voting Services Apostilles Meetings Relations Other Services Note-Navigational menus along with other non-content related elements have been removed for your convenience.Thank you for visiting us onfine. ia oaf a .. ,.:,,,. r: • .r .. Electioh Advisory No. 202 ®1 To: All Election Officials From:Christina Worrell Adkins, Director of Elections hic4 Date: June 4, 2024 RE: Required List Maintenance Activities Introduction As a reminder, the National Voter Registration Act of 1993 ("NVRA") imposes a list maintenance moratorium for 90 days before a federal election. During the moratorium, voter registrars must pause any programs that systematically remove the names of ineligible voters from the official list of registered voters, with the exception of voters who voluntarily cancel their voter registration, voters who are deceased, and voters who are finally convicted of a felony or adjudicated mentally incapacitated without the right to vote. 52 U.S.C. § 20507(c)(2). The 90-day list maintenance moratorium for the May 28, 2024 primary runoff election has ended. Counties will not be subject to the NVRA moratorium again until August 7, 2024, 90 days before the November 5, 2024 general election. During this critical ten-week period, voter registrars have the opportunity to engage in routine list maintenance activities that were paused due to the moratorium. Voter registrars should diligently review their list maintenance data and make every effort possible to resolve potential issues. Voterregistrars have an obligation to ensure accurate and current voter registration rolls. Accurate and timely list maintenance efforts can prevent subsequent challenges to an election, and can prevent ineligible voters from voting illegally and subjecting themselves to potential criminal penalties. We are issuing this advisory to provide guidance to election officials regarding their list maintenance obligations under state law, challenges to voter registration eligibility, and the Secretary of State's monitoring of counties' list maintenance activities. All statutory references in this advisory are to the Texas Election Code, unless otherwise indicated. List Maintenance Requirements Chapter 16 of the Texas Election Code provides guidance on required list maintenance activities. This chapter defines the data sources that county voter registrars must utilize in performing list maintenance, the procedures for investigating potential ineligibilities, and the process for cancellation, if appropriate. Data Sources for List Maintenance Activities • Deceased Voters o Notification by Local Registrars of Death: The local registrars of death prepare an abstract of each death certificate that has been issued each month for a deceased individual 18 years of age or older who was a resident of the state at the time of death. The abstract is filed with the voter registrar of the deceased individual's county of residence and the Secretary of State no later than the seventh day after the date th'e abstract is prepared. Upon receipt by the Secretary of State, the list is immediately compared to the statewide voter registration database and matches are provided to county voter registrars for investigation. [Sec. 16.001(a)] o Notification by Clerks of Courts: The clerks of all courts that have probate jurisdiction must prepare an abstract of death for each application for probate of a will, administration of a decedent's estate, determination of heirship proceedings, and affidavits under Chapter 205 of the Texas Estates Code. The abstracts are filed with the voter registrar of the deceased individual's county of residence and the Secretary of State no later than the seventh day after the date the abstract is prepared. Upon receipt by the Secretary of State, the list is immediately compared to the statewide voter registration database and matches are provided to county voter registrars for investigation. [Sec. 16.001(b)] o Niotification by Bureau of Vital Statistics: The Department of State Health Services' Bureau of Vital Statistics provides the Secretary of State all information relating to deceased residents of the State of Texas on a weekly basis. Upon receipt by the SOS, the list is compared to the statewide voter registration database and matches are provided to county voter registrars within the week of receipt for investigation. [Sec. 16.001(c)] o Notification from Jury Exemptions and Disqualifications: The Secretary of State compares information received from the clerks of courts related to exemptions and disqualification from jury service. If the Secretary of State determines from this information that a voter on the registration list is deceased, the list is immediately provided to county voter registrars for investigation. [Sec. 18.068(a)] • Felony Conviction o The Department of Public Safety (DPS) prepares an abstract of final judgment for individuals, aged 18 and older, who were convicted of a felony. This information is transmitted to the SOS. Upon receipt by the Secretary of State, the information is compared to the statewide voter registration database and matches are provided to the county voter registrars for investigation. [Sec. 16.003] • o If a person responds to a jury summons indicating that they are not eligible to serve because they have • been finally convicted of a felony, this would also trigger a notice of examination. [Sec. 16.033] e Mental Incapacity o The clerks of all courts that have jurisdiction to adjudicate a person's mental capacity prepare an abstract of final judgment for each individual determined to be totally mentally incapacitated or partially mentally incapacitated without the right to vote. The abstracts are filed with the voter registrar of the individual's county of residence no later than the 10th day of the month after the abstract was prepared. Upon receipt by the Secretary of State, the information is compared to the statewide voter registration database and matches are provided to the county voter registrars for investigation. [Sec. 16.002] o If a person responds to a jury summons indicating that they are not eligible to serve because of a mental impairment, the voter registrar must send the voter a notice of examination. [Sec. 16.033] • Non-U.S. Citizenship o The Department of Public Safety (DPS) prepares and transmits notifications of persons who indicate a lack of citizenship status in connection with a motor vehicle or DPS record. This information is transmitted to the Secretary of State on a weekly basis. [Sec. 16.0332] Upon receipt by the Secretary of State, the notifications are compared to the statewide voter registration database based on specific criteria and matches are provided to county voter registrars for investigation. [Sec. 18.068] For more information regarding this process, see Advisory No. 2021-11 - List Maintenance Activity Involving Potential Non-United States Citizens. o The Secretary of State compares information received from the clerks of courts related to exemptions and disqualification from jury service as it relates to nonresidents of a county, noncitizens, and deceased voters. If the Secretary of State determines from this information that a voter on the registration list has been excused or disqualified from jury service because the voter is deceased or not a citizen or resident of the county in which the voter is registered to vote, the matches are immediately provided to county voter registrars for investigation. [Sec. 18.068(a), (a-1)] o If a person responds to a jury summons indicating that they are not eligible to serve because they are not a U.S. citizen, the voter registrar must send the voter a notice of examination for proof of citizenship. [Sec. 16.033] Notice of Examination Regarding Voter Registration Eligibility Pursuant to Section 16.033(b) of the Election Code, if a voter registrar has reason to believe that a person is no longer eligible for registration, the registrar must notify the voter in writing that their registration status is being reviewed. The notice shall be delivered by forwardable mail to the mailing address on the voter's registration application and to any new address of the voter known to the registrar. The written notice to the voter must include a request for information relevant to determining the voter's eligibility for registration, and a warning that the voter's registration is subject to cancellation if the registrar does not receive an appropriate reply on or before the 30th day after the date the notice is mailed. [Sec. 16.033(c)] if the voter registrar receives a response from the voter, the voter registrar shall retain a copy of the notice mailed to a Voter under this section on file with the voter's registration application. If the voter's reply to the notice is in writing, the voter registrar shall also retain the reply on file with the application. If the reply is oral, the voter registrar shall prepare a memorandum of the reply, indicating the substance and date of the reply, and shall retain the memorandum on file with the application. [Sec. 16.033(f)] The SOS has prescribed the forms for use in this process. The forms are located in the Election Forms Manual. Cancellation following a Notice of Examination After mailing a,Notice of Examination to a voter, the voter registrar shall cancel a voter's registration in the following circumstances: • After considering the voter's reply, the registrar determines that the voter is not eligible for registration. • No reply is received from the voter on or before the 30th day after the date the notice is mailed. • Each notice mailed to the voter is returned as undeliverable with no forwarding information available. [Sec. 16.033(d)] Challenges to Voter Registration Eligibility In certain circumstances, a registered voter may challenge the registration of another voter of the same county at a hearing before the voter registrar. [Sec. 16.091] Subchapter D of Chapter 16 of the Texas Election Code outlines the procedures for these challenges. A voter desiring to challenge a registration on a ground other than residence must file with the registrar a sworn statement of the grounds for the challenge that (1) identifies the voter whose registration is being challenged; and (2) states a specific qualification for registration that the challenged voter has not met based on the personal knowledge of the voter desiring to challenge the registration. [Sec. 16.092] Upon receiving the challenge, the voter registrar shall set a hearing and deliver written notice of the hearing to each party to the controversy. A party may personally appear at the hearing to offer evidence or argument or may offer evidence or argument by submitting an affidavit to the registrar prior to the start of the hearing. After hearing and considering the evidence or argument, the registrar shall promptly determine the challenge and issue a decision in writing. [Secs. 16.093, 16.094, 16.095] The procedures for a challenge to a voter's registration on the basis of residence are outlined in detail later in this advisory. As to the level of personal knowledge required from the voter desiring to challenge the registration as provided under Section 16.092 of the Election Code, please reference Secretary of State Election Law Opinion RP-1 (2018).(PDF), Address confirmation Process for Residency Issues Standard Address Confirmation Process If the voter registrar has reason to believe that a voter's current residence address is different from that indicated on the registration records, the registrar must send the voter a Notice of Address Confirmation per Section 15.051 of the Election Code. If a voter does not respond to the Notice of Address Confirmation, the voter will remain on the suspense list for two federal elections. If the voter does not vote during that time or separately confirm their residence, the registration will be cancelled on November 30 following the second federal election after the voter's name was placed on the suspense list. [Sec. 16.032] Address Confirmations Requiring Documentation There is a separate address confirmation process for voters registered at certain addresses that do not correspond to a residence. If the voter registrar has reason to believe that a voter's residence address is a commercial post office box or similar location that does not correspond to a residence, the voter registrar shall deliver an address confirmation to the voter. The response to the address confirmation for these voters must include a photocopy of certain documentation that corresponds to the voter's residence address. [Secs. 15.051, 15.052, 15.054] For more information about this process and the documentation required for submission, please see Advisory No. 2021-10 - NEW LAW: SB 1111 (2021, Regular Session)Address Confirmation Process and Forms. Challenges to'Residency If the voter registrar receives a challenge based on a sworn statement under Section 16.092 of the Election Code, and the challenge is based on residence, Section 16.0921 of the Election Code requires the voter registrar to send a Notice of Address Confirmation to the challenged voter(s), unless the residential address provided in the challenge for the voter(s) is different from the voter's current residential address indicated on the registration records. A voter registrar may not deliver a confirmation notice resulting from a sworn statement filed after the 75th day before the date of the general election for state and county officers until after the date of that election. [Sec. 16.0921(c)] As to the level of personal knowledge required from the voter desiring to challenge the registration as provided under Section 16.092 of the Election Code, please reference Secretary of State Election Law Opinion RP-1 (2018).(PDF), Monitoring of List Maintenance Activities Section 16.039,of the Texas Election Code authorizes the Secretary of State to withhold funds from a county voter registrar if the registrar fails to timely perform certain voter registration duties. The Secretary of State will continue to monitor each voter registrar's list maintenance activity on an ongoing basis for substantial compliance with their voter registration cancellation duties. This includes individual list maintenance processes conducted through the statewide voter registration system, the generation of notices of examination for investigation of voter eligibility, and the resolution of notices within the 30-day response period specified in the Texas Election Code. The Secretary'of State will monitor such items as the number of outstanding list maintenance tasks on a voter registrar's dashboard, the amount of time that tasks remain on a registrar's dashboard before the registrar takes any action, the timing and scope of a registrar's actions after a notice of examination is sent, and the extent to which a registrar fails to take any substantive action on tasks on their dashboard. For more information regarding the monitoring process, see Advisory No. 2022-24 - NEW LAW: SB 1113 (2021, Regular Session)Withholding of Funds for Voter Registrar's Failure to Timely Perform Voter Registration Duties. Moratorium for November 5, 2024 Presidential Election and General Election for State and;County Officers The 90-day NVRA moratorium will resume on August 7, 2024 for the November 5, 2024 election. As outlined above, during this moratorium, voter registrars will be required to pause any programs that systematically remove the names of ineligible voters from the official list of registered voters, other than voters who voluntarily cancel their voter registration, voters who are;deceased, and voters who are finally convicted of a felony or adjudicated mentally incapacitated without the right to vote. If you have any questions regarding this advisory, please contact the Elections Division toll -free at 1-800-252-VOTE (8683). CA The State of Texas Elections Division ;-) Phone:512-463-5650 P.O.Box 12060 s Fax:5 12-475-281 I Austin,Texas 78711-2060 �� Dial 7-I-I For Relay Services www.so's.state.tx.us (800)252-VOTE(8683) Rolando B. Pablos Secretary of State October 10, 2018 The Honorable Paul Bettencourt Texas Senate Capitol Office Election Law Opinion RP-1 P.O. Bbx 12068 Austin; Texas 78711-2068 Dear Senator Bettencourt: This formal election law advisory opinion is in response to your letter dated August 30, 2018, requesting this Office's opinion on matters relating to voter-initiated voter registration challenges based on residency in Texas. Specifically, you requested the opinion of this Office concerning a voter registration challenge filed by Alan D. Vera, a resident of Harris County, to the Harris County Voter Registrar. As described in your letter, Mr. Vera has challenged over 4,000 voter registrations based on an allegation that the voters' residences given are invalid and do not meet the requirements of a residence as defined by the Texas Election Code (the "Code"). According to your letter, the Harris County Attorney's Office advised the Harris County Voter Registrar to deny the challenge based on their opinion that Mr. Vera does not have personal knowledge that the registration of each voter is inaccurate. As further described in your letter, although the Harris County Voter Registrar had begun to issue notices to those voters challenged, the county would not place those voters who do not respond to the notice onto the suspension list, based on the advice of the Harris County Attorney's Office. You ask that the following questions be addressed: 1. Whether the challenge submitted was a valid challenge under the Texas Election Code. 2. Whether a voter registrar has any leeway in implementing the challenge; and 3. Whether the advice given by the Harris County Attorney's Office was incorrect a,c5,0 on both counts. Honorable Paul Bettencourt October 10,2018 Page 2 Please note that this Office is not in a position to resolve questions of fact. Accordingly, I will interpret your request to seek an opinion on the following legal questions: 1. What does the term "personal knowledge" mean under Sections 16.091 and 16.092 of the Code? 2. Is it discretionary or mandatory for a voter registrar to act on a sworn statement which is facially compliant with Sections 16.091 and 16.092 of the Code? I will provide answers to these legal questions in the context of this formal election law opinion, which is rendered under my authority in Section 31.001(a) of the Texas Election Code to obtain and maintain uniformity in the interpretation of election laws; I. BACKGROUND Sections 16.091, 16.092, 16.0921, and 16.093 of the Texas Election Code provide, in relevant part: §16.091. Right To Challenge Registration Except as otherwise provided by this subchapter; a registered voter may challenge the registration of another voter of the same county at a hearing before the registrar. §16.092. Sworn Statement Required A voter desiring to challenge a registration must file with the registrar a sworn statement of the grounds for the challenge that: (1) identifies the voter whose registration is being challenged; and (2) states a specific qualification for registration that the challenged voter has not met based on the personal knowledge of the voter desiring to challenge the registration. § 16.0921. Confirmation Notice on Challenge Based on Residence (a) Except as provided by Subsection (c), on the filing of a sworn statement under Section 16.092 alleging a ground based on residence, the registrar shall promptly deliver to the voter whose registration is challenged a confirmation notice in accordance with Section 15.051. (b) If the voter fails to submit a response to the registrar in accordance with Section 15.053, the registrar shall enter the voter's name on the suspense list. Honorable Paul Bettencourt October I0,2018 Page 3 (c) The registrar may not deliver a confirmation notice resulting from a sworn statement filed after the 75th day before the date of the general election for state and county officers until after the date of that election. This subsection does not apply to a person who submits a registration application after the 75th day and prior to the 30th day before the general election for state and county,officers. § 16.093. Hearing on Challenge (a) On the filing of a sworn statement under Section 16.092 alleging a ground other than residence, the registrar shall schedule a hearing on the challenge. The hearing procedure does not apply to an allegation of a ground based on residence... TEX.ELEC.CODE §§ 16.091; 16.092; 16.0921; 16.093. "[R]esidence" is defined in Section 1.015 of the Code as follows: ,§1.015. Residence (a) In this code, "residence" means domicile, that is, one's home and fixed place of habitation to which one intends to return after any temporary absence. (b) Residence shall be determined in accordance with the common-law rules, as enunciated by the courts of this state, except as otherwise provided by this code. (c) A person does not lose the person's residence by leaving the person's home to go to another place for temporary purposes only. (d) A person does not acquire a residence in a place to which the person has come for temporary purposes only and without the intention of making that place the person's home. (e) A person who is an inmate in a penal institution or who is an involuntary inmate in a hospital or eleemosynary institution does not, while an inmate, acquire residence at the place where the institution is located. TEX. ELEC. CODE § 1.015. Specifically, a voter wishing to challenge the registration of another voter must deliver a sworn statement of the grounds for the challenge to the voter registrar of the county in which the voter is registered "based on the personal knowledge of the voter desiring to challenge the registration." TEX. ELEC. CODE §§ 16.091 and 16.092; see also Elec. Law Op. Sec'y State DAD-73 (1983) (interpreting historical Texas Election Code procedure(s) to follow when a voter's registration is challenged). This "sworn statement" does not need to be limited to one voter. Instead, multiple voters may be challenged in a single"sworn statement" if the challenging voter's,sworn statement (1) properly identifies each challenged voter; and (2) states a challenge, based on personal knowledge, that each challenged voter has not met a specific qualification for remaining registered. See Elec. Law Op. Sec'y State DAD-73 (1983). Honorable Paul Bettencourt October 10,2018 Page 4 "Personal knowledge" is not defined in Section 16.092 of the Code, nor is it defined elsewhere in the Code. It has been defined by Texas courts and other authorities in various contexts to include information which is based on one's observation and/or experience, and can include "logical conclusions based on underlying facts" and knowledge derived from various sources. See, e.g., In re DuPont de Nemours & Co., 136 S.W. 3d 218, 226 (Tex. 2004) ("[A]n affiant's acknowledgement of the sources from which he gathered his knowledge does not violate the personal knowledge requirement") (internal citation omitted); Willet v. Cole, 249 S.W.3d 585, 592 (Tex. App.—Waco 2008) (In election contest to determine eligibility of voters, witnesses who had "been to both [address where voters were alleged to actually reside and vet clinic where voters ;were listed as residing in voter registration records]" could "testif[y] that the [voters whose'eligibility was being challenged] did not live, reside, sleep, or stay at the vet clinic."); 1001 McKinney Ltd. v. Credit Suisse First Bos. Mortg. Capital, 192 S.W.3d 20, 27 (Tex. App.— Houston [14th Dist.] 2005) (finding personal knowledge of affiant where affidavit "contain[ed] logical conclusions based on underlying facts."); Black's Law Dictionary (10'1' ed. 2014) (defining "personal knowledge" as "[k]knowledge gained through firsthand observation or experience, as distinguished from a belief based on what someone else has said"). For challenges filed under Sections 16.091 and 16.092 of the Code alleging a ground based on residence, the voter is not entitled to a hearing. See TEx. ELEC. CODE § 16.093. Instead, Section 16.0921 of the Code provides that the registrar shall, "promptly", "on the filing of a sworn statement" which is facially compliant with Section 16.092(1) and (2) of the Code and "alleg[es] a ground based on residence", deliver to the challenged voter's "last known address" a confirmation notice in accordance with Sections 15.051 and 15.052 of the Code. TEX. ELEC. CODE §§ 15.051; 15.052; 16.092; 16.0921. The "last known address" includes any current residence and mailing address the voter has on file. TEX.ELEC. CODE § 15.051(c). This confirmation notice includes, among other things, that "the voter is subject to submission of a statement of residence before the voter may be accepted for voting in an election held after that deadline", and also includes an official confirmation notice response form for the voter to mail, which is postage prepaid and preaddressed for delivery to the registrar. TEx. ELEC. CODE § 15.052. The voter registrar may not send out these confirmation notices in response to sworn statements filed after the 75'h day before the date of the general election for state and county officers, except for challenged voters who submit registration applications after the 75°i day and prior to;the 30'1' day before the general election for state and county officers. TEX. ELEC. CODE § 16.0921(c). Voters whose registrations were challenged shall submit a written response to the notice that confirms the voter's current residence and provides all of the information "a person must include in an application to register to vote under Section 13.002." This written response includes, but is not limited to (if the voter does not have possession of it), the postage prepaid, preaddressed official'confirmation notice response form included with the notice. See TEX. ELEC. CODE §§ 15.053; 16.0921(b). Alternatively, the voter may confirm the voter's current residence by providing a statement of residence the next time the voter votes in person, or, if applicable, by mail. TEx. ELEC. CODE §§ 15.053; 16.0921(b). The voter will also be told in the confirmation notice that the voter's registration is subject to cancellation if the voter fails to confirm the voter's current residence either by the written response or through a statement of residence at the polls (or with a mail-in ballot if applicable) before November 30 following the second general election for state and county officers that occurs after the date the confirmation notice is mailed. Honorable Paul Bettencourt October 10,2018 Page 5 See TEx. ELEc. CODE §15.052(a)(2). In other words, the voter is put on the "suspense list" until the earlier of two, bi-annual, general elections or the voter submitting the written statement or the statement of residence at the polls (or with a mail-in ballot if applicable). While the voter is on the suspense list, even if the voter does not provide the written response contemplated by Section 16.0291(b) of the Code, the voter is not precluded from voting a full, regular ballot in the precinct in which the voter is seeking to vote if the voter submits the statement of residence at the polls (or with the voter's mail-in ballot, if applicable), and the voter's residence on the statement of residence is either the voter's residence address listed on the voter rolls or within the county in which the voter is seeking to vote. See TEX. ELEC. CODE §§ 15.112; 63.0011(b). If the voter has moved out of the county, for example, the voter may still be able to vote a limited ballot. See TEx. ELEc. CODE §§ 112.002; 112.004. In either case, if the voter has moved, the statement of residence or the limited ballot application, if applicable, will update the voter's residence address for purposes of voter registration to their current address. TEX. ELEC. CODE §§ 63.0011(b); 112.002(e). The voter registrar cannot question the voter's response to the confirmation notice or statement of residence. Accordingly, if the voter responds in the written statement or the statement of residence that the voter does in fact reside at the address listed in the voter's registration, the voter is not suspended. II. ANALYSIS �1 `1Pei'son"ril kjroivlerlge'" uxuler Sectioi -16:092 of_the Cale could include knowler oe dJi ed from eaperieitce rr�rd observat�on� � �~ It is the opinion of this Office that "personal knowledge" under Section 16.092 of the Code could include a voter (1) knowing from experience and observation the registration addresses of various voters; and (2) knowing from experience and observation that those addresses are commercial properties or other properties that are not generally "residences" as defined by Section 1.015 of the Code. If a voter, from experience and observation, knows that a particular address which a voter lists as a residence address is the address of a penal institution, that is sufficient "personal knowledge" from which to challenge the residency of individuals registered there, as Section 1.015(e) of the Code explicitly prohibits the use of a penal institution as a voter's registration address. This Office notes that questions of residency are to be determined "in accordance with the common-law rules, as enunciated by the courts of this state, except as otherwise provided by this code." TEx. ELEC. CODE § 1.015(b). This Office also recognizes that as to a voter's residence, "the presumption is in favor of the voter's own assessment of the facts and his or her intent." See Elec. Law Op. Sec'y State GSC-1 (2004). Accordingly, this Opinion does not determine whether a voter could or could not reside at a particular location (with the exception of penal institutions, which are explicitly prohibited as serving as residences for voter registration purposes under Section 1.015(b) of the Code), and it is not this Office's position that a voter could never, for example, reside at a church. Honorable Paul Bettencourt October 10,2018 Page 6 It is precisely because of the fact-specific, fluid definition of "residency" in the Code that the Code permits a voter to file such a statement based on personal knowledge gained through "observation" and "experience" that, for example, certain addresses are not generally residential. 2. i It is mandatory, not discretionary,for a voter registrar to act "promptly" on a sworn statement challenging residency which is facially compliant with Sections 16.091 and 16.092 of the Code Once a facially compliant "sworn statement" is filed, Section 16.0921(a) of the Code imposes a mandatory, not discretionary, duty on the registrar, as it uses the word "shall." See TEX. ELEC. CODE ,§ 16.0921(a) ("[O]n the filing of a sworn statement under Section 16.092 alleging a ground based on residence, the registrar shall promptly deliver to the voter whose registration is challenged a confirmation notice in accordance with Section 15.051.") (emphasis added). Accordingly, a plain reading of Section 16.0921 of the Code does not provide the voter registrar discretion regarding whether to deliver a confirmation notice to voters whose registrations are challenged in a sworn statement that is facially compliant with Section 16.092 of the Code. Moreolver, while there is a prohibition from delivering a confirmation notice to a voter in connedtion with a sworn statement "filed after the 75'1' day before the date of the general election for state and county officers until after the date of that election" pursuant to Section 16.0921(c) of the Code, this limit is based on the filing date of the sworn statement and nothing else. Accordingly, so long as the sworn statement is "filed" by the voter prior to the 75'1' day, the notice must be sent out"promptly", even if after the 75'h day before the election. r III. -CONCLUSION? L=:"[P]ersonal knowledge" under Section_16.092 of the Code can include a voter (15 knowing.from { experience;and_observatio 'the registration addresses'of various-voters; ,and_(2) knowing from.-_:1 expertence and-observati'on that those addresses are commercial properties or other properties that are not generally "re'sidences" as defined by Section 1.015. Further, on the filing of a sworn statem5nt alleging a ground based on residence that meets the requirements of Section 16.092 of the Code, filed prior to the 75'1' day before the general election for state and county officers, the voter registrar shall promptly deliver to the challenged voter a confirmation notice in accordance with Sections 16.0921 and 15.051 of the Code, even if such delivery occurs less than 75 days before the general election. Sincerely, carAe Rolando B. Pablos Texas Secretary of State Honorable Paul Bettencourt October 10,2018 Page 7 Prepared by Heidi Martinez Staff Attorney Elections Division APPROVED: OPINION COMMITTEE Lindsey Aston, General Counsel Keith Ingram, Director, Elections Division Christina Adkins, Legal Director, Elections Division Betsy Schonhoff, Voter Registration Manager, Elections Division ELEC:110N CLAM UHAYIL( lb. LANULLLAIIVN or KCV1... ❑ITS://SCS1u1Cs.capuvidcxas.gvviLvcaiia.iiniuiLL.iv.u«fuTIU.v,I OLI _O412. ELECTION CODE TITLE 2 . VOTER QUALIFICATIONS AND REGISTRATION CHAPTER 16. CANCELLATION OF REGISTRATION SUBCHAPTER A. OFFICIAL NOTICE TO REGISTRAR Sec. 16. 001 . DEATH. (a) Each month the local registrar of deaths shall prepare an abstract of each death certificate issued in the month for a decedent 18 years of age or older who was a resident of the state at the time of death. The local registrar of deaths shall file each abstract with the voter registrar of the decedent ' s county of residence and the secretary of state as soon as possible, but not later than the seventh day after the date the abstract is prepared. (b) Each month the clerk of each court having probate jurisdiction shall prepare an abstract of each application for probate of a will, administration of a decedent ' s estate, or determination of heirship, and each affidavit under Chapter 205, Estates Code, that is filed in the month with a court served by the clerk. The clerk shall file each abstract with the voter registrar and the secretary of state as soon as possible, but not later than the seventh day after the date the abstract is prepared. (c) Once each week, on a day specified by the secretary of state, the vital statistics unit shall furnish to the secretary of state available information relating to deceased residents of the state as provided by Section 191 . 011, Health and Safety Code, in the form and manner specified by the secretary. Periodically, the secretary shall furnish to the appropriate voter registrars information obtained from the unit that will assist in identifying the deceased registered voters of each county. (d) The secretary of state shall quarterly obtain from the United States Social Security Administration available information specified by the secretary relating to deceased residents of the state . (e) The information required to be filed with the secretary of state under this section must be filed electronically. The secretary of state may waive this requirement on application for a waiver submitted by the appropriate entity. Acts 1985, 69th Leg. , ch. 211, Sec. 1, eff. Jan. 1, 1986 . 1 of 14 9/lznme '7•1n Ann ELECTION CODE CHAP I Elk 16. CANChLLAI ION UP KHUI... nttps:ilstatutes.capitol.texas.govrliocsrr.Lrmmrnu.io.uuurr Io.v7 i Sec. 16. 064 . HEARING ON CHALLENGE. (a) On the filing of a hearing request, the registrar shall schedule a hearing on the challenge. (b) The registrar shall conduct the hearing not later than the 10th day after the date the request is filed or on a later date at the request of the challenging voter. (c) The voter may appear personally at the hearing to offer evidence or argument . The voter may offer evidence or argument by affidavit without personally appearing if the voter submits the affidavit to the registrar before the hearing begins . Acts 1985, 69th Leg. , ch. 211, Sec. 1, eff. Jan. 1, 1986. Sec. 16. 065 . NOTICE OF HEARING. The registrar shall deliver written notice of the date, hour, and place set for the hearing on the challenge to the challenging voter not later than the second day after the date the hearing request is filed. Acts 1985, 69th Leg. , ch. 211, Sec. 1, eff. Jan. 1, 1986. Sec. 16. 066. DETERMINATION OF CHALLENGE. (a) After hearing and considering the evidence or argument, the registrar shall promptly determine the challenge and issue a decision in writing. (b) If the registrar determines that the registration should not have been canceled, the registration continues in effect . (c) If the registrar determines that the cancellation of the registration was proper, the registrar shall cancel the registration on the 31st day after the date the registrar' s decision is issued. (d) The registrar shall retain a copy of the decision on file with the duplicate registration certificate of the challenging voter and shall deliver a copy to the voter. Acts 1985, 69th Leg. , ch. 211, Sec. 1, eff. Jan. 1, 1986. SUBCHAPTER D. CHALLENGE OF REGISTRATION Sec. 16. 091 . RIGHT TO CHALLENGE REGISTRATION. Except as otherwise provided by this subchapter, a registered voter may challenge the registration of another voter of the same county at a hearing before the registrar. 11 of 14 52/11i')nm 7•)n enn LLCl.11VIN LOUC l.../11kr ILK. 10. l I-UN CLLH1LOIN or rcrA.n... RLLps://slatuLes.eaplLol.LeAas.govlLJO S/DL/llllll/C.L.Iu.11llllttlu.u7I ;'' Acts 1985, 69th Leg. , ch. 211, Sec. 1, eff. Jan. 1, 1986. Amended by Acts 1995, 74th Leg. , ch. 797, Sec. 22, eff. Sept . 1, 1995 . Sec. 16. 092 . SWORN STATEMENT REQUIRED. A voter desiring to challenge a registration must file with the registrar a sworn statement of the grounds for the challenge that : (1) identifies the voter whose registration is being challenged; and (2) states a specific qualification for registration that the challenged voter has not met based on the personal knowledge of the voter desiring to challenge the registration. Acts 1985, 69th Leg. , ch. 211, Sec. 1, eff. Jan. 1, 1986. Amended by Acts 2003, 78th Leg. , ch. 1165, Sec. 1, eff. Sept . 1, 2003 . Sec. 16 . 0921 . CONFIRMATION NOTICE ON CHALLENGE BASED ON RESIDENCE. (a) Except as provided by Subsection (c) , on the filing of a sworn statement under Section 16. 092 alleging a ground based on residence, the registrar shall promptly deliver to the voter whose registration is challenged a confirmation notice in accordance with Section 15 . 051, unless the residential address provided in the challenge for the voter is different from the voter' s current residential address indicated on the registration records . (b) If the voter fails to submit a response to the registrar in accordance with Section 15 . 053, the registrar shall enter the voter' s name on the suspense list . (c) The registrar may not deliver a confirmation notice resulting from a sworn statement filed after the 75th day before the date of the general election for state and county officers until after the date of that election. This subsection does not apply to a person who submits a registration application after the 75th day and prior to the 30th day before the general election for state and county officers . Added by Acts 1995, 74th Leg. , ch. 797, Sec. 23, eff. Sept . 1, 1995 . Amended by Acts 1999, 76th Leg. , ch. 62, Sec. 5 . 07, eff. Sept . 1, 1999; Acts 2003, 78th Leg. , ch. 1166, Sec. 1, eff. Sept. 1, 2003 . Amended by: Acts 2005, 79th Leg. , Ch. 1107 (H. B. 2309) , Sec. 1 . 07, eff. September 1, 2005 . Acts 2021, 87th Leg. , R. S . , Ch. 711 (H. B. 3107) , Sec. 23, eff. 17 of 14 2/12/')IYM NA ELECTION CODE CHAPTER 16.CANCELLA1ION OP KEh1... nttpsaistatutes.capltol.texas.goviuucsicL/uuIu EA.,.IV.IIUlltt l v.V71 ;%EC Its. o41 . ELECTION CODE I iI a ®GI Z TITLE 2 . VOTER QUALIFICATIONS AND REGISTRATION CHAPTER 16. CANCELLATION OF REGISTRATION SUBCHAPTER A. OFFICIAL NOTICE TO REGISTRAR Sec. 16. 001 . DEATH. (a) Each month the local registrar of deaths shall prepare an abstract of each death certificate issued in the month for a decedent 18 years of age or older who was a resident of the state at the time of death. The local registrar of deaths shall file each abstract with the voter registrar of the decedent ' s county of residence and the secretary of state as soon as possible, but not later than the seventh day after the date the abstract is prepared. (b) Each month the clerk of each court having probate jurisdiction shall prepare an abstract of each application for probate of a will, administration of a decedent ' s estate, or determination of heirship, and each affidavit under Chapter 205, Estates Code, that is filed in the month with a court served by the clerk. The clerk shall file each abstract with the voter registrar and the secretary of state as soon as possible, but not later than the seventh day after the date the abstract is prepared. (c) Once each week, on a day specified by the secretary of state, the vital statistics unit shall furnish to the secretary of state available information relating to deceased residents of the state as provided by Section 191 . 011, Health and Safety Code, in the form and manner specified by the secretary. Periodically, the secretary shall furnish to the appropriate voter registrars information obtained from the unit that will assist in identifying the deceased registered voters of each county. (d) The secretary of state shall quarterly obtain from the United States Social Security Administration available information specified by the secretary relating to deceased residents of the state. (e) The information required to be filed with the secretary of state under this section must be filed electronically. The secretary of state may waive this requirement on application for a waiver submitted by the appropriate entity. Acts 1985, 69th Leg. , ch. 211, Sec. 1, eff. Jan. 1, 1986 . 1 of ld 12/12/7(17d 7.111 ANA LLLC;I!UN C Uuh LI-IAY 1 LK lb. LANLLLL 1 1UN Ur KtUl... ntps:!lstatutes.capttol.texas.goviuocsi cL/nun/C.L.I O.11u11tt i o.v71 Sec. 16. 064 . HEARING ON CHALLENGE. (a) On the filing of a hearing request, the registrar shall schedule a hearing on the challenge. (b) The registrar shall conduct the hearing not later than the 10th day after the date the request is filed or on a later date at the request of the challenging voter. (c) The voter may appear personally at the hearing to offer evidence or argument . The voter may offer evidence or argument by affidavit without personally appearing if the voter submits the affidavit to the registrar before the hearing begins . Acts 1985, 69th Leg. , ch. 211, Sec. 1, eff. Jan. 1, 1986 . Sec. 16. 065 . NOTICE OF HEARING. The registrar shall deliver written notice of the date, hour, and place set for the hearing on the challenge to the challenging voter not later than the second day after the date the hearing request is filed. Acts 1985, 69th Leg. , ch. 211, Sec. 1, eff. Jan. 1, 1986. Sec. 16. 066. DETERMINATION OF CHALLENGE. (a) After hearing and considering the evidence or argument, the registrar shall promptly determine the challenge and issue a decision in writing. (b) If the registrar determines that the registration should not have been canceled, the registration continues in effect . (c) If the registrar determines that the cancellation of the registration was proper, the registrar shall cancel the registration on the 31st day after the date the registrar' s decision is issued. (d) The registrar shall retain a copy of the decision on file with the duplicate registration certificate of the challenging voter and shall deliver a copy to the voter. Acts 1985, 69th Leg. , ch. 211, Sec. 1, eff. Jan. 1, 1986. SUBCHAPTER D. CHALLENGE OF REGISTRATION Sec. 16. 091 . RIGHT TO CHALLENGE REGISTRATION. Except as otherwise provided by this subchapter, a registered voter may challenge the registration of another voter of the same county at a hearing before the registrar. 11 -. t4 oitoinrynn '7.'1n A ELECTION CODE CHAFFER 16.CANCELLAIIUN OF REUI... https://statutes.capttol.texas.gov/LOOS/r,L/I1tm/t;L.i b.ntmg I b.uv I Acts 1985, 69th Leg. , ch. 211, Sec. 1, eff. Jan. 1, 1986. Amended by Acts 1995, 74th Leg. , ch. 797, Sec. 22, eff. Sept. 1, 1995 . Sec. 16. 092 . SWORN STATEMENT REQUIRED. A voter desiring to challenge a registration must file with the registrar a sworn statement of the grounds for the challenge that: (1) identifies the voter whose registration is being challenged; and (2) states a specific qualification for registration that the challenged voter has not met based on the personal knowledge of the voter desiring to challenge the registration. Acts 1985, 69th Leg. , ch. 211, Sec. 1, eff. Jan. 1, 1986. Amended by Acts 2003, 78th Leg. , ch. 1165, Sec. 1, eff. Sept. 1, 2003 . Sec. 16. 0921 . CONFIRMATION NOTICE ON CHALLENGE BASED ON RESIDENCE. (a) Except as provided by Subsection (c) , on the filing of a sworn statement under Section 16. 092 alleging a ground based on residence, the registrar shall promptly deliver to the voter whose registration is challenged a confirmation notice in accordance with Section 15 . 051, unless the residential address provided in the challenge for the voter is different from the voter' s current residential address indicated on the registration records . (b) If the voter fails to submit a response to the registrar in accordance with Section 15. 053, the registrar shall enter the voter' s name on the suspense list . (c) The registrar may not deliver a confirmation notice resulting from a sworn statement filed after the 75th day before the date of the general election for state and county officers until after the date of that election. This subsection does not apply to a person who submits a registration application after the 75th day and prior to the 30th day before the general election for state and county officers . Added by Acts 1995, 74th Leg. , ch. 797, Sec. 23, eff. Sept . 1, 1995 . Amended by Acts 1999, 76th Leg. , ch. 62, Sec. 5 . 07, eff. Sept. 1, 1999; Acts 2003, 78th Leg. , ch. 1166, Sec. 1, eff. Sept . 1, 2003 . Amended by: Acts 2005, 79th Leg. , Ch. 1107 (H. B. 2309) , Sec. 1 . 07, eff. September 1, 2005. Acts 2021, 87th Leg. , R. S . , Ch. 711 (H.B. 3107) , Sec. 23, eff. I 4kr 44\ cn :* O YpFB BRAZOS COUNTY - BRYAN, TEXAS APPOINTMENT The Commissioners Court of Brazos County does hereby approve the appointment of Commissioner Wanda J. Watson to the Brazos County Public Defender's Office Oversight Board The term of this appointment is August 16,2024—August 15,2027. otAjaq- Duane Peters Date County Judge /41 Vi/ E OF84 BRAZOS COUNTY BRYAN, TEXAS REAPPOINTMENT The Commissioners Court of Brazos County does hereby approve the reappointment-of Judge Duane Peters to the Brazos County Public Defender's Office Oversight Board The term of this appointment is August 16,2024—August 15,2027. ( t 31a� Duane Peters Date County Judge ..r._______,it. * /, ypg8 BRAZOS COUNTY BRYAN, TEXAS REAPPOINTMENT The Commissioners Court of Brazos County does hereby approve the reappointment of Judge Travis Bryan, .III • to the Brazos County Public Defender's Office Oversight Board The term of this appointment is August 16,2024-August 15,2026. ..% )kj' t51-'f' 3(eq - Duane Peters Date County Judge 14'..r -' t14'1, ..... . `i`TyoFg� A . BRAZOS COUNTY BRYAN, TEXAS REAPPOINTMENT The Commissioners Court of Brazos County does hereby approve the reappointment of Judge Willie Blackmon to the Brazos County Public Defender's Office Oversight Board The term of this appointment is August 16,2024—August 15,2026. c .) •‘, 4214t3lail- Duane eters Date County Judge .;.E'�F /I)* OF13 BRAZOS COUNTY BRYAN, TEXAS REAPPOINTMENT The Commissioners Court of Brazos County does hereby approve the reappointment of Mark Humphrey to the Twin Cities Endowment, Inc. The term of this appointment is through December 31,2025. Dua eters Date County Judge ORDER OF GENERAL & SPECIAL ELECTION (ORDENDE ELECCION GENERAL YESPECIAL) An election is hereby ordered to be held on November 5, 2024, in Brazos County, Texas for the purpose of electing the following county and precinct officers as required by Article XVI, Section 65 of the Texas Constitution. (Por la presente se ordena que se lleve a cabo una eleccion el dia 56 de Novembre, 2024 en el Condado de Brazos County, Texas, con el proposito de elegir los siguientes oficiales del condado y del precinto como requerido por el Articulo XVI, Seccion 65, de la Constitucion de Texas.) (List Offices or Measurers) (Listar Oficinas o Medidores) District Judge, 272nd Judicial District (Juez de Distrito, Distrito Judicial 272) District Judge,472nd Judicial District (Juez de Distrito, Distrito Judicial 472) District Attorney, 85th Judicial District (Fiscal de Distrito, Distrito Judicial 85) County Attorney (County Attorney) Sheriff(Alguacil) County Tax Assessor-Collector(Tasador-recaudador de impuestos del condado) County Treasurer,Unexpired Term (Tesorero del condado, mandato pendiente) County Commissioner, Precinct No. 1 (Comisionado del Condado, Precinto Ntm1) County Commissioner, Precinct No. 3(Comisionado del Condado, Precinto Nicm.3) Adoption of stock law requiring cattle to be fenced in? ((Aprobacion de una ley ganadera que exige cercar el ganado?) Adoption of stock law horses,mules,jacks,jennets, donkeys, hogs, sheep and goats to be fenced in? (Adoption of stock law horses, mules,jacks,jennets, donkeys, hogs, sheep and goats to be fenced in)? Early voting by personal appearance will be conducted at: (La votacion adelantada en persona se llevara a cabo de lunes a viernes en:) Brazos County Elections Administration, 300 E William J Bryan Parkway, #100, Bryan Galilee Baptist Church, 804 N.Logan Street,Bryan Arena Hall,2906 Tabor Road,Bryan College Station City Hall, 1101 Texas Avenue, College Station College Station Utilities Meeting&Training Facility, 1603 Graham Rd, College Station Monday-Friday, October 21-25, 8:00 a.m. — 5:00 p.m.; Saturday, October 26, 7:00 a.m. — 7:00 p.m.; Sunday, October 27, 10:00 a.m.—4:00 p.m.; and Monday-Friday,October 28 -November 1,7:00 a.m.-7:00 p.m. (De lines a viernes, del 21 al 25 de octiibre, de 8::00 a m. a 5:00 p :in. Sabado 26'de octubre, 7:00 am -7:00 pm; Domingo;27 de octubre, 10.00 am=4:00 pm, y de lunes a viernes, del 28 de octubre al 1 de noviembre, de.7:00 a ina7QOp. m ): Applications for ballot by mail shall be mailed to: (Las solicitudes para boletas que se votaran adelantada por correo deberan enviarse a:) Trudy R. Hancock, REO, CERA Early Voting Clerk 300 E Wm J Bryan Pkwy, Suite 100 Bryan, Texas 77803 Fax to(979)361-5779 or email to brazosvotes@brazoscountytx.gov IF YOU FAX OR EMAIL THE APPLICATION, THE ORIGINAL MUST BE RECEIVED IN THE OFFICE WITHIN FOUR DAYS (Si envia la solicitud por fax o correo electronico, la oficina debe recibir el original dentro de los cuatro dias) Applications for ballots by mail must be received no later than the close of business on: October 25, 2024 (Las solicitudes para boletas que se votaran adelantada por correo deberan recibirse no mas tardar de las horas de negocio el: 25th de Octubre, 2025) Federal postcard applications must be received no later than the close of business on: October 25,2024. (La tarjeta Federal de solicitud deberan recibirse no mas tardar de las horas de negocio el: 25th de Octubre, 2024) Issued this the 13th day of August,2024. (Emitada este dia 13`h de Augusto, 2024. Signatur County Judge(Firma del Juez del Condado) ..4.4,Sa*: Brazos County ¶ 1i181 ` 3 J w+ Template Revision 1.2 0811512012 ..„ Job Description Duane Peters Date ! .. Last Updated: August2024 �1 `Y'oF�O�� County Judge Class Number: B0861 Title: Sponsorship Coordinator Pay Group: 22 Department: Fair Administration FLSA Status: Exempt Reports To: Brazos Valley Fair& Rodeo GM and Manager Approved Date: 08/13/2024 EEOC Category: Administration General Summary: The Sponsorship and Marketing Coordinator at the Brazos Valley Fair and Rodeo will work under the , direction of the Manager/Assistant Manager. The primary responsibilities include soliciting and managing sponsorships,providing marketing and advertising support, developing electronic and social media campaigns, creating basic graphic designs for signage and advertising materials, overseeing commercial exhibitors and vendors of the fair and rodeo, and engaging in community outreach through civic and public presentations. The Coordinator will also undertake other duties as assigned by the Manager/Assistant Manager. Salary: Commensurate with Experience Essential Duties: 1. Sponsorship Management: o Identify potential sponsors and develop strategies to solicit sponsorships. o Maintain relationships with existing sponsors and ensure fulfillment of sponsorship benefits. o Negotiate sponsorship agreements and contracts. 2. Marketing and Advertising Support: o Assist in the development and execution of marketing and advertising campaigns. o Monitor campaign performance and provide reports to management. 3. Social Media Development and Website Maintenance: o Develop and implement electronic and social media strategies to promote the Fair&Rodeo and its events. o Manage social media accounts, engage with followers, and increase participation and awareness. 4. Graphic Design: o Create basic graphic designs for signage, advertisements, and promotional materials. o Ensure consistency in branding and messaging across all materials. 5. Commercial Exhibitors and Vendors Oversight: o Coordinate with commercial exhibitors and vendors participating in the Fair&Rodeo. o Facilitate agreements,manage logistics, and ensure adherence to event guidelines. 6. Community Outreach: o Represent the Brazos Valley Fair& Rodeo at civic and community events. o Deliver presentations to civic groups and the public to promote sponsorship opportunities and community involvement. 7. Administrative Duties: o Maintain accurate records of sponsorships, marketing activities, and related expenses. o Assist in budget management and reporting. The above duties apply to the Brazos Valley Fair&Rodeo with occasional overlap with the Brazos County Exposition Complex. Other Duties as assigned. Supervision Received: Expo—General Manager;Fair-Manager/Assistant Manager Given: Full-time hourly staff,temporary employees, and Fair volunteers. Education Required: Bachelor's degree in marketing,Communications,Business Administration,Agriculture, or related field preferred. Preferred: Agriculture-related. Experience Required: Professional experience in selling sponsorships and/or advertisements for Fairs and/or Festivals. Experience with sales/marketing and communications experience is required, preferably in the event facility industry. Experience with social media platforms and digital marketing strategies. Previous experience in sponsorship sales,marketing, or related fields Preferred: A minimum of two years' experience with knowledge of agriculture-related Fairs and/or Festivals preferred. Certificates, Licenses, Registrations Required: Valid Driver's License Preferred: Physical Demands Typical: Ability to sit for long periods of time at a personal computer performing work-related functions, also required to frequently stand and walk for long periods of time, and lift or move objects weighing up to 20 pounds.Flexible with work hours and willing to work beyond regular hours and do what it takes to get the job done. Knowledge, Skills, & Abilities Typical: Must have the ability to multi-task in a stressful environment,have supervisory experience,have strong organizational skills,focus attention to details,communicate effectively orally and in writing,and work effectively in a team environment.Must have a strong work ethic, positive attitude and must be willing to work flexible hours as needed including some nights and weekends,especially prior to,during and immediately after the Brazos Valley Fair&Rodeo. Strong negotiation and communication skills. Background or knowledge in agriculture or related fields is preferred.Knowledge of the local community and its businesses is a plus. Proficiency in Microsoft Office Suite and graphic design software(e.g., Adobe Creative Suite).Ability to work independently and as part of a team,with strong organizational skills and attention to detail. Work Environment t' Typical: This position may require occasional evening and weekend work, particularly during the fair and rodeo events as well as throughout the year with occasional Brazos County Expo events. The Sponsorship Coordinator should be prepared for travel within the Brazos Valley area for meetings, events, and sponsorship outreach. Occasional Conferences and Conventions required. :k? • ..),*u)11 Ty of gg;' BRAZOS COUNTY • BRYAN,TEXAS DEPARTMENT: NUMBER: DATE OF COURT MEETING: 8/13/2024 ITEM: Approval of service fees for the offices of the Sheriff and Constables to be effective January 1,2025. TO: Commissioners Court DATE: 08/07/2024 FISCAL IMPACT: False BUDGETED: False DOLLAR AMOUNT: $0.00 ATTACHMENTS: File Name Description Type Sheriff_Constable_Fees 2025.pdf Sheriff and Constable Fees 2025 Cover Memo APPROs. ID, (6il3tQ+• Duane Peters Date County Judge 471., sty BRAZOS COUNTY BRYAN,TEXAS Whereas,Subchapter F,§118.131 of the Local Government code,authorizes the Commissioners Court of each County to set reasonable fees to be charged for certain services by the office of Sheriff and Constable;and Whereas,the Brazos County Commissioners court has determined the fees listed below are required to recoup the costs to Brazos County for these services; Therefore,the Commissioners Court is of the opinion that the following fees are reasonable and should be established for these services in Brazos County effective January 1,2025,and to remain in effect until further orders of the court. These fees will be for the District Courts,_County Courts.Justice of the Peace Courts and Small Claims Courts. NOTICES: SUBPOENAS $75.00 SUMMONS $75.00 WRIT OF ATTACHMENT $150.00(Plus$50.00/hr per deputy after 2 hrs.) WRIT OF GARNISHMENT $150.00(Plus$50.00/hr per deputy after 2 hrs.) WRIT OF SEQUESTRATION $150.00(Plus$50.00/hr per deputy after 2 hrs.) ORDER OF SALE $125.00 WRIT OF POSSESSION $150.00(Plus$50.00/hr per deputy after 2 hrs.) FORCIBLE DETAINER $125.00 WRIT OF RETRIEVAL $150.00(Plus$50.00/hr per deputy after 2 hrs.) SERVICE FEES: SMALL CLAIMS CITATION $75.00 JUSTICE COURT CITATION $75.00 ALL OTHER COURTS'CITATIONS $75.00 OTHER SERVICE FEES: ALL CITATIONS $75.00 CITATION BY POSTING $30.00 CITATION BY PUBLICATION $75.00 ALL WRITS $150.00(unless fee mandated by State) POSTING OF PUBLIC NOTICE OF SALE $30.00(each location) PRECEPTS $75.00 SHOW CAUSE $75.00 EXECUTING A DEED FOR REAL PROPERTY $75.00 EXECUTING A BILL OF SALE FOR REAL PROPERTY $75.00 RESTRAINING ORDER $125.00 DISTRESS WARRANT $125.00 TURNOVER ORDER WITH EXECUTION $125.00 COMMITMENT(FROM CIVIL SUITS) $125.00 CITATION/TEMPORARY PROTECTIVE ORDER $75.00 NOTICE OF APPLICATION/PROTECTIVE ORDER $75.00 JUDGMENT NISI $20.00 PROTECTIVE ORDER $75.00 TEMPORARY X-PARTE PROTECTIVE ORDER $75.00 ANY PROTECTIVE ORDER W/ORDER TO VACATE $150.00 ESTRAY FEES: LIVESTOCK COLLECTION FEE,per head $25.00 IMPOUNDMENT FEE $300.00(per cowboy) POSTING OF NOTICE OF ESTRAY $30.00 POSTING OF NOTICE OF IMPOUNDMENT $30.00 BOARDING&FEEDING Per day,small animal(sheep,goat,swine) $6.00 Per day,large animal(cattle,horse,mule,donkey) $10.00 SERVICE COMMISSION FOR EXECUTIONS AND ORDER OF SALE: FOR ALL SUMS$0-$200 10% FOR ALL SUMS$200-$1000 6% FOR ALL SUMS$1000-$5000 3% FOR ALL SUMS$5000-UP 2% First$200 a fee of 10%,and additional 6%for the next$800,and additional 3%for the next$4,000 and an additional 2%for any amounts over$5,000. If the above sums are collected without sale,one-half(1/2)of the foregoing rates shall apply. • 8/8/24,9:43 AM Item Coversheet '® KtB'0F._ f t�f 944014y, DIY- o- ''•trY O S&�ti F BRAZOS COUNTY BRYAN,TEXAS . DEPARTMENT: Risk Management NUMBER: DATE OF COURT MEETING: 8/13/2024 ITEM: Approval requested from Risk Management for payment to Lloyd Wasserman in the amount of$1,221.94 for extraction of water from tank on Wassermann property.The water was extracted in order to continue road construction on Blue Ridge Drive. TO: Commissioners Court FROM: Leslie Contreras DATE: 08/08/2024 FISCAL IMPACT: False BUDGETED: False DOLLAR AMOUNT: $0.00 ATTACHMENTS: File Name Description Type Wasserman - Release of Claims0001.pdf Signed Release Backup Material Water value formula - Wassermann.docx Water Formula Backup Material Wassermann Pond.pdf Wassermann Pond Backup Material APPROVD%.. el13Iat+ .:%\:=.) Duane peters Date County )wedge httns://brazos.novusacenda.com/agendaweb/CoverSheet.aspx?ItemID=29317 1/1 -; =zE . BRAZOS COUNTY * 200 S. TEXAS AVENUE BRYAN,TEXAS 77803 RELEASE OF CLAIMS For and in consideration of, 'the payment to me at this time of the sum of $1221.94 (One Thousand, Two Hundred Twenty-One Dollars and Ninety Four cents),the receipt of which is hereby acknowledged, I, Lloyd Wasserman, being of lawful age do hereby release, acquit and forever discharge Brazos County, and all other persons, firms and corporations who might be liable of and from any and all actions, causes of action, claims, demands, damages, costs, loss of services, expenses and compensation, on account of, or in any way and all known and unknown damage rendered prior to or after July 22;2024. 1, Lloyd Wasserman, hereby declare and represent that the water withdrawn from 12318 N. Dowling Road, College Station, Texas 77845 (Legal Description: WOOD MEADOW, BLOCK 1, LOT 5, ACRES 4.22 is replaceable and there is no further damage, as a result of the incident, on July 22,2024, In making this release and agreement, it is understood and agreed that I rely wholly upon my own judgment, belief and knowledge of the replaceable damage and have not been influenced to any extent whatsoever in making this release by any representations or statements regarding said damage, or regarding any other matters, made'by the persons, firms or corporations who are hereby released, or by any person or 'persons representing him, her or them, or by any Brazos County employee or contractor. It is further understood and agreed that this settlement is the compromise of a claim, and that the payment is not to .be construed as an admission of liability on the part of Brazos County or the employees by whom liability is expressly denied. l furtheragreeand do hereby agree to indemnify and hold harmless each and all of the parties hereby released from any and alf claims;demands, actions -andcaUSes of action of whatsoever nature or - - character which may hereafter be asserted by any persons, entities, organizations, firms, corporations, or insurance companies, as a result of the above_described incident, and to indemnify and hold harmless such released parties from any and all demands, actions and causes of action for contribution and or indemnity which may hereafter be asserted,by any person, firm, organization, Brazos County Release of Claims insurance company, or corporation against the parties hereby released, as a result of the above described incident. This release constitutes the entire agreement between the parties hereto, and the terms of this are contractual and not a mere recital. I further state that I have carefully read the foregoing release and know the contents thereof, and l sign the same as my own free act. (Aitid /z-i4 Lloyd Wasserman Date Brazos County Release of Claims Blue Ridge Retaining Wall Wassermann Pond Total surface of pond - 1 .0 acre Portion located on private property - 0.7 Portion located in County ROW per plat - 0.3 Acre feet of water is equal to 325,851 gallons 42 gallons is equal to 1 barrel Current market value per barrel in Brazos County: $0.10 to $0.15 / barrel Estimated total volume of water pumped from pond - 488,776.50 gallons Estimated total amount per each area: 488,776.50 x 0.7 = 342,143.55 gallons 342,143.55 gallons pumped from private Convert to barrels - divide by 42 equals 8,146.275 barrels 8146.275 x 0.15 = $1 ,221 .94 488,776.50 x 0.3 = 146,632.95 gallons 146,632.95 gallons pumped from County ROW Convert to barrels - divide by 42 equals 3,491 .26 barrels 3,491 .26 x 0.15 = $523.69 • .,. , _ „ , =ir.,„40,,-5-.„,,,,,;•1,,,v , .., ewoler , , r' i.. . %IV 4-'1: ''' ',.. ', , ''',,, ' f'*. , ,...., .. .c„,\kirf • 4 ,,-1"-.2-.,*,,• . , • -, .,• ,.-47 * ,\, ,),”=:ifilrxr . ---;,•%.--:,..;tc. / , :t.;ii ,. 41., , • lk lt••'' n 7.0 — .,,"' :!.. •i• •,,. ,,00-. ''-,..• \ \., ''',, onr.-Am.".•" '''''.‘`r"--t7...17r • '. - .WrIc;,1W---t* .., -,:.,-. , ,\1=::-.4 , -.. v. ,-. •.. .0*- , ....., -...,,'..-i, . -:ce;,-...t-4.; .,,, ,,,..,- ..:'2, -.-to- Pi* '''.* - • ..• ' .. ''‘ ' N'' i D. '4_4(ii::':,:, 41 4,144 .‘ D ''•-r:..4. , ':' ',,,- . ,.(„: i'":1" ''' ,4.". ..i. "s• `.0,-W2.,'...-C'j-`4, i' 1."''..:,V-L. — 4„,,7••••.'-'` •• "', #1-...-, ** '‘i,-4- \ ' . Blue Ridge . >,,-, e.i,,-,.., .44. -;"-- ,,,- . • ,t;A ..,-24: •'.. - • ;. ,..t<c=4,-1,1 •-•,,, Is, Wassermann 0.7 acres ' 1.:k .....° "1: e. ,2Is.1:•. , - ', 774,A0 • • ,s.. le •'"-: --..,,, ' •. , ''.: 4 4 .7,„,••'''L 1 11.10. :',:;7,•., .q , : ,1•1":"'. : '' ''-. 1..-.! , County ROW 0.3 acres _•• ,. .,„ PA.,„: -• • „... ,,,,;,-.1.„,....,* '%., * ' - t„,„",,,-.3 -1,•-r_-; k,..;. •.'"''',.. , ..r, . 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''' ..'''') ;.-: .--....,4.--'l•-•.',.. ,..,-..-,--- - . :--... .1..?‘••, -;...-,.= --. 2 ,---, ..k., ..Z. .,.. - •-•. N.V.,,,, ,----„- -,, ‘,.;•;.\,, 4,,,, ,- -,, *. ,- „Tif.,,,-(4,4--,aw -6 00 a • -4 -;-,---1 -., , --,.?...1.-, t,,-,,,A.,: t., -t4,, `'. t';',' - I .- 4. ' '4. •t. ..", IF " rr ' ''.. •, SS,•{ ' ,',..,..if1,4. s ig I, __A ,. . ' ' '.14,1t. I t. ..' lb " " "."-*•*4.1D ". :'4` ,/,',,I 'D'. "' ' ' . * D. *A,a',,,'"4. 1 - , ' D.,' ''`,.• ,, , ."".D,. 1 D .A, wpm . ?It, , ... , 4,_,,04,, P,"". ' •'.1 ii., ' ' 1-4''i ; :.". ' fikhjit'' . °'0 fg I t E C*1.1.I.'&, ,.., r •.. .4/ ,,1,,,.c . ,,_ 4,,,L,._ 46 ,. , , AW_ --.L_t • ``gyp:•. * it I. BRAZOS COUNTY BRYAN,TEXAS DEPARTMENT: NUMBER: DATE OF COURT MEETING: 8/13/2024 • ITEM: Approval of the following modifications to the allocation of American Rescue Plan Act funds. This will bring the total amount allocated to the Medical Examiner's Office project from the American Rescue Plan Act grant funds to$20,884,931.00. • a.Reallocation of the previously earmarked Broadband funds,in the amount of $1,000,000,from the American Rescue Plan Act to be applied to the Medical Examiner's Office project. • b.Earmarking of the Unallocated grant funds in the amount of$490,827.00 from the American Rescue Plan Act to be applied to the Medical Examiner's Office project. TO: Commissioners Court DATE: 08/08/2024 FISCAL IMPACT: False BUDGETED: False DOLLAR AMOUNT: $0.00 ATTACHMENTS: File Name Description Type No Attachments Available • APPRO', I D 41; 0113 kJ+ Duane Peters Date County Judge • AMENDMENT#1 TO 24-116R—THIRD PARTY GUARDIANSHIP SERVICES FOR BRAZOS COUNTY THIS AMENDMENT TO 24-116R ALSO KNOWN AS 23-119R, and 22-134 Third Party Guardianship Services for Brazos County("Amendment") is entered into and effective • this 1st day of September,2024 ("Effective Date")through August 31,2025 ("Expiration Date") by and between Brazos County ("Customer"), and Mir Senior Care Management, Inc ("Provider")each of which may alternatively be referred to herein as a"Party"and collectively as the "Parties". All capitalized terms in this Amendment shall have the same meaning as in the Agreement(as defined below)unless otherwise stated herein. RECITALS WHEREAS,the Parties entered into that certain original contract#22-134("Agreement') for purposes of Mir Senior Care Management, Inc to provide third party guardianship services for Brazos County;and • WHEREAS, the Parties desire to amend the services provided as set forth in original contract 22-134. AGREEMENT ' NOW THEREFORE,in consideration of the above premises,and other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the Parties hereto agree to amend the Agreement as follows: 1. Increasing the monthly cost of services,per Exhibit 1. 2. Renewing the contract for an additional one (1)year term; expiring August 31, 2025. Renewal of contract will be known as 24-116R. IN.WITNESS WHEREOF,the parties hereto have caused this Amendment to be signed by their authorized representatives as of the Effective Date. This Amendment may be executed in . counterparts, all of which taken together shall constitute one instrument. Electronic or facsimile signatures are acceptable forms of execution of this Amendment and shall be binding on all Parties hereto. ' • • OUNTY Mir Senior Care Management,Inc Sitature Srgna re tri z IJtA.AN PEiET—S Name Name 3v_oc,c coo Title Title S 1131 a �S. l. 2024 Date Date • Exhibit A : eriior Cale Mariagement, • Ir & Care Consultants Panningnog [peaceAm'hdlame' 3410 Far West Boulevard Suite 120 Austin,Texas 78731 • July 11,2024 To: Honorable Judge Amanda Matzke Honorable Judge Roy Brantley Mr.Terry Hammond Interested Parties Mir Senior Care&Care Consultants,Inc.would like to thank Brazos County for the opportunity to serve the indigent contract for Bryan/College Station.The purpose of this letter is to provide hard data regarding the clients served under the indigent contract over the past 18 months and provide additional insights and data to inform and support the changes needed to the contract between Brazos County,Texas and Mir Senior Care Management Inc.DBA Mir Care Consultants moving forward. Since the execution of the contract on the first day of September 2022,Mir Care Consultants has proudly served twenty-five indigent cases in Brazos County.Out of fairness to the contract and to - Mir Care,this letter is only going to discuss the clients served during the 2023 calendar year and make projections for the 2024 calendar year.All facts and data were collected and gathered from the software program used by Mir Care Consultants to track billable hours during the 2023 calendar year and up to May 15th''of the 2024 calendar year. For the calendaryear 2023,Mir Care Consultants spent a total of 959 hours working with/on behalf of indigent clients.During the calendar year 2023,Mir Care Consultants admitted four new clients onto the indigent contract.The first 90 days following admission, Mir Care Consultants worked on average 24.5 hours on each individual case. During the calendar year 2023,there were two deaths of wards on the indigent contract.Following the passing of the ward,Mir Care Consultants spent on average 8 hours on each individual case when guardianship of person oversight ended. Mir Care Consultants also served as Guardian ad Litem under the Brazos County Contract on one ward.Mir Care Consultants spent a total of 9 hours working with/on behalf of this ward during the appointment. Due to the increased acuity level of current contracted cases,Mir Care Consultants has already worked 728 hours with/on behalf of the wards for the dates January 1st,2024,through May 15th, 2024.As EMS and APS continue to use Mir Care Consultants and the Brazos County Contract as a resource,we see this number only increasing overtime. This total number of billable hours is not sustainable for our company at the current reimbursement rate set by the contract in 2022.Along with billable hours,Mir Care Consultants is also expected to hold commercial general liability insurance,automobile liability insurance and worker's compensation insurance under the contract.Mir Care Consultants is also expected to pay all bond costs and cover the cost of counsel on all wards appointed under the contract. For these reasons, Mir Care Consultants would like to discuss the renegotiation of the"Contract in The Public Interest Between Brazos County,Texas and Mir Senior Care Management Inc.DBA Mir Care Consultants?' Mir Care Consultants would like to discuss the following areas to be amended to the contract: • Mir Care Consultants requests that the annual payment amount of$150,000.00 payable in twelve monthly installments for up to 25 clients in Brazos County residents who are incapacitated because of age or disability within a given month. Any number over twenty-five per month will be an additional$250 per client,per month. • Mir Care Consultants requests that any indigent case of Brazos County that is not eligible for state or federal funding programs due to lack of citizenship, immigration status or criminal status be denied access to the contract,as Mir Care Consultants cannot assist with finding them adequate housing or meeting other basic needs due to lack of funding,to include Mir Care Consultants not attending court hearings or status update hearings where these cases are discussed and not paying for counsel in these instances. • Mir Care Consultants requests that all Guardian Ad Litem appointments be in addition to the Brazos County Contract,to be paid by the Court at$150/hour. • Mir Care Consultants requests that the contract state specifically that Mir Care Consultants is eligible to receive Medicaid set aside for Guardianship appointments for wards that reside in nursing homes,with no effect to the annual payment of the contract. o §358.439.Guardianship Fee. In determining the co-payment for a person receiving services in an institutional setting,the Texas Health,and Human Services Commission(HHSC)may deduct a guardianship fee,if any,up to an amount set by the court,from the person's total countable income. • Mir Care Consultants requests that any Court appearances required by Mir Care's counsel prior to appointment or following the death of a ward who was previously under the contract be paid by the Court at an agreed upon rate by Counsel and the Court. • Mir Care Consultants will continue to make every effort to locate any funds the ward has upon appointment and requests that the contract define"indigent and finding monies"as stated in the original contract,to include monies Located in ward trust fund accounts at nursing homes. • Mir Care Consultants requests that ward on the indigent contract receive a court appointed attorney to address household property and personal property in the event a ward is unable to maintain placement in a home or apartment.Mir Care Consultants will not assume financial responsibility for moving,disposing,or storing a ward's personal property. If Mir Care Consultants is tasked with this responsibility and the property is deemed to have no value,Mir Care Consultants attorney will bill the court$150 an hour to prepare motions and orders related to abandoning a wards property.Case examples that were paid at Mir's expense. Ex:T.Graham. Mir Care Consultants Core Service Mir Senior Care Management&Care Consultants,Inc provides a holistic,client-centered approach to caring for older adults or others facing ongoing health challenges.Our guidance and advocacy lead families;legal professionals,and caregivers to the actions and decisions that ensure quality care and an optimal quality of life through: • Assessment and monitoring • Planning and problem-solving • Education and advocacy • Family caregiver coaching • Financial and Legal Assessment and Planning Mir Care Consultants, Inc.will continue staffing licensed and professional Life Care Managers,who will participate in a team managed by a competent,experienced,and responsive leadership model. All professional Care Managers and leadership team follow the Ethics Code and Standards of Care provided by the National Aging Life Care Association,as well as the Texas Guardianship Code and Standards.(www.aginglifecare.org and www.texasguardianship.org). Onboarding with Mir Care Consultants besides a rigorous interview process,as a new team member requires mandatory registration to begin the process of becoming a certified private professional guardian under the program.It also includes the requirement to plan for certification designation of Care Manager-Certified(CMC).Care Management Certification is through NACCM (National Academy of Certified Care Managers).Once Mir Care Consultant's team members become eligible for certification by examination, Mir Care encourages and financially supports this certification for all team members practicing Care Management.Care Management Certification helps to protect consumers by ensuringthe competence of our team members in a specialized area of practice. Leadership Team Lina Supnet-Zapata MBA,CMC,TxCG CEO Aging Life Care Manager Advanced Professional Kristin Martinelli, LMSW,CCM,TxCG Senior Director of Care Management Aging Life Care Manager Advanced Professional Melissa Bergeron Director of Operations Professional Aging Life Care Manager,Provisional TxCG Teresa Stilwell,BHS,TxCG Manager-Guardianship Services Frances Mir RN, MSN,CMC,TxCG Founder Advanced Professional Aging Life Care Manager Our Leadership team strives to follow the company Mission of"to serve those individuals faced with the challenges and complexities of aging and special needs by delivering the highest quality of life care management and Guardianship services." Currently Mir Care Consultants employs four team members in Brazos County to serve the demand for guardianship. Please refer to the attachment in the email communication that identifies the data we have collected as Exhibit 1 to support the information listed above. Thank you for your time and consideration regarding the requests stated in this letter. We are grateful to serve the Brazos County residents with guardianship oversight and look forward to continued service and collaboration with those involved in the guardianship process. Board of Directors for Mir Senior Care Management&Care Consultants, In. dba Mir Care Consultants. Established 2007 • Lina Supnet-Zapata MBA,CMC,TxCG CEO/Co-Owner Frances Mir,RN,MSN,CCM,TxCG Founder/Co-Owner . Orlando Zapata,CPA Partner/Co-Owner Indigent Contract Cases Billing Start Date 'Date of Non Billable Admin 2023 Total Expenses Billable Time . - •3 Death `Billable •• Hours - - post death Contracted _ Camacho,Martin 9/2/2022 0 24.25 0 24.25 182.5 - _ - it Candy,Frances 9/2/2022 5.75 41 0.5 47.25 1,369.29 ` 7S Griffin,Holly 9/2/2022 2 34.25 0 36.25 207.94 - - •_ - `_ Hill,Rowan 11/2/2022 10.75 123.5 1.5 .135.75 387.37 �7 Lopez-Zeddilo,Juilette 9/19/2022 10.5 125.5 0.75 136.75 600.67 y .y-i' Lozoya,Jorge 3/2/2022 0.5 41.75 0 42.25 176.25 I,' Mirabal,Carl 9/2/2022 0.75 34.75 0 35.5 183.44 '- ]] w - - i-i i Morella,Geneva 9/7/2022 0.5 66.75 0 • .67.25 1,477.25 - /.l Morella,Louis 9/1/2022 0 48.5 0 43,5 201 Falkenbury,Christine 3/29/2023 0 41.5 0 41.5 172 •y.'4 Ruesch,Ralph 6/2/2023 2.25 34.5 0.25 37 525.71 ' 1 Graham,Terrance 12/14/2023 4.75 18.5 0 23.25 61.47 _- .„j. Wilson,Madrical 7/7/2023 1.25 58.75 0 60 172 .1 Justice,Joshua 1/31/2024 B ._ Stortini,Gladys Mildred 10/24/2022 0 20 0 20 1,258.50 j j Mason,Tyler 1/12/2024 0 , Carrie,Ivan 2/14/2024 - 0 Lacy,Rose 2/22/2024 0 ; y'1. Wilton,Stewart 5/7/2024 Griffin,Jack 6/18/2024 _ . Crouch,Orville 8/1/2024 Carpenter,Penny 8/1/2024 _ . 0 Totals - - 910.75 3.75 959 $10,775.10 ADDITIONAL EXPENSES INCURRED FOR INDIGENT CLIENTS UNDER CONTRACT BY MIR CARE CONSULTANTS,INC.ADDITIONAL FEES ARE PAID FROM PROCEEDS RECEIVED FROM CONTRACT For each indigent client/ward brought on to the Indigent Guardianship Program a mandatory surety bond for 13K. The annual fee for the surety bond is$172 annually. Currently at 25 wards the annual cost for bonds(25@ $172)is$4300 Annually. Attorney Fees. Mir's legal representation is paid hourly for attorney fees. Brett Charles was representing council for Mir Care Consultants. His fees were 2023$10,000.00 2024 YTD$14,000.00 Melissa Benn also represented Mir Care Consultants, Inc due to conflict of regular counsel. Total Cost YTD 2024$1700.00 Mir Care Consultants,Inc. regular rates for 2024 Private Pay Care Management non-guardianship$175.00 per hour Private Pay Care Management Guardianship$150.00 as per approved by Travis County, Nueces County,and Webb Coun i ZI Mir Senior Ca a- Co- ultas:Stie 1/4kbrs Brazos County . :_ CONTRACT IN THE PUBLIC INTEREST BETWEEN BRAZOS COUNTY, TEXAS, AND MIR SENIOR CARE MANAGEMENT INC.DBA MIR CARE CONSULTANTS THIS CONTRACT is entered into by and between BRAZOS COUNTY, a political subdivision of the State of Texas, hereinafter referred to as ("BRAZOS COUNTY"), and MIR SENIOR CARE MANAGEMENT INC.DBA MIR CARE CONSULTANTS,hereinafter referred to as ("MIR CARE CONSULTANTS"). WITNESSETH WHEREAS,BRAZOS COUNTY has an interest in supporting guardianship for individuals who • are unable to care for themselves and have no family or friends to serve as guardian; WHEREAS, MIR CARE CONSULTANTS. has an interest in supporting the provision of community and county-wide eldercare support services; WHEREAS, BRAZOS COUNTY believes that it is in the public interest to enter into this CONTRACT with MIR CARE CONSULTANTS; NOW,THEREFORE,THE PARTIES agree as follows: Public Purpose and Public Benefit. MIR CARE CONSULTANTS will operate as an independent contractor in Brazos County, Texas. MIR CARE CONSULTANTS shall use the funding paid hereunder to perform the services and achieve the broad goals outlined in this CONTRACT, which must.be based on referrals from Brazos County. The services include, but are not limited to the following items in order to complete the project: As described in the Third-Party Guardianship Proposal for RFP 22-134 from Mir Care Consultants, set forth in the included Exhibit "A" and dated June 21, 2022, which is incorporated herein as if copied in full. Reports/Payment. MIR CARE CONSULTANTS shall provide.to BRAZOS COUNTY quarterly and annual financial reports in a form agreed upon by BRAZOS COUNTY, and MIR CARE CONSULTANTS•shall cooperate with annual inspections and audits that BRAZOS COUNTY or the auditor on behalf of BRAZOS COUNTY may make to ensure service standards and fiscal responsibility. In return, BRAZOS COUNTY agrees to pay from funding provided by BRAZOS COUNTY to MIR CARE CONSULTANTS the full yearly amount of $80,000.00 payable in twelve (12). monthly installments per this agreement for up to twenty five(25) clint county residents who are incapacitated because of age or disability within•a month. Any over the twenty five(25)per month will be an additional $250.0.0 per client, per month,without incurring.any additional costs above this rate. Reimbursement or Funds. Despite the.agreed upon method of payment set forth above, MIR CARE CONSULTANTS agrees to return to BRAZOS COUNTY all funds distributed to MIR CARE CONSULTANTS if (a) MIR CARE CONSULTANTS use of the funds for intended purposes is insufficient; (b) this CONTRACT is terminated for any reason; (c) MIRE CARE CONSULTANTS fails in any other respect under this CONTRACT; (d) MIR CARE CONSULTANTS changes its operations in such..a way that,in BRAZOS COUNTY'S opinion,the MIR CARE CONSULTANTS no longer serves a public purpose; or (e) MIR CARE CONSULTANTS conveys, leases or otherwise transfers its interest in its operations to another entity without the prior written consent of BRAZOS COUNTY,which such consent shall not be unreasonably withheld provided the successor entity continues to use a public purpose consistent with the spirit of this CONTRACT. The reimbursement of.funds shall be prorated based on those portions that were reasonably used for intended purposes. (f)According to the Texas Estate Code MIR CARE CONSULTANTS is allowed to recoup all benefits, case management,and associated service fees. (g)MIR CARE CONSULTANTS is responsible for paying any attorney's fees and/or legal work that incurs related to the services provided under this;contrcat. Records. MIR CARE CONSULTANTS shall keep sufficient records of all of its expenditures in connection with services rendered pursuant to this CONTRACT. MIR CARE.CONSULTANTS agrees that BRAZOS COUNTY's auditors have the right to audit. such MIR CARE CONSULTANTS records on an annual basis along with their regular review ofrecords in a manner and form to be agreed upon by BRAZOS COUNTY and MIR CARE CONSULTANTS. MIR CARE CONSULTANTS further agrees that BRAZOS COUTNY or its duly authorized representatives shall, until the expiration of three (3) years after final payment under this Agreement,have access to and the right to examine and photocopy any and all books,documents, papers, and records of MIR CARE CONSULTANTS which are directly pertinent to the services to be performed under this Agreement for the purpose of making audits, examinations, excerpts, and transcriptions. MIR CARE CONSULTANTS expressly agree that BRAZOS COUNTY shall have access during normal working hours to allnecessary MIR CARE CONSULTANTS facilities and shall be provided adequate and appropriate workspace in order to conduct audits in compliance with the provisions of this section. Additionally, BRAZOS COUNTY shall give MIR CARE CONSULTANTS reasonable advance notice ofintended audits. Independent Contractor/Indeninity.. It is understood and agreed that MIR CARE CONSULTANTS is not and shall riot in any sense be considered an employee, partner, or joint venture with BRAZOS COUNTY, additionally neither shall MIR CARE CONSULTANTS be . considered or in any manner hold itself out as.an agent or official representative of BRAZOS COUNTY. MIR CARE CONSULTANTS shall be considered.an independent contractor for purposes of this CONTRACT and shall in no manner incur any expenses or liability on behalf of BRAZOS COUNTY MIR CARE CONSULTANTS FUTHER AGREES TO HOLD BRAZOS COUNTY HARMLESS FOR ANY AND ALL CLAIMS BY THIRD PARTIES FOR ANY INJURIES, DAMAGES,OR LIABILITY OF ANY KIM) ARISING UNDER THIS CONTRACT OR OCCASIONED BY MIR CARE CONSULTANTS. Compliance With All.Laws. MIR CARE CONSULTANTS,arid BRAZOS COUNTY each agree, in connection with the services or any related items to the subject matter of this CONTRACT,to comply with any and all local,state, or federal requirements. Notice. Any notice required to be given under the terms of this CONTRACT shall be effective if and when given in writing and mailed by certified mail to the addresses listed below or subsequently provided in writing: BRAZOS COUNTY PURCHASING 200 S.Texas Ave.,Ste. 352 Bryan,TX 77803 MIR CARE CONSULTANTS 9442 N Capital of Tx Hwy Plaza 1 Suite 500 Austin,TX 78759 No Assignment This CONTRACT may not be assigned. Termination. Notwithstanding the agreed:upon term,this CONTRACT may be terminated upon the occurrence of any of the following: (a)the termination of the corporate or business existing of MIR CARE;CONSULTANTS; (b)the insolvency of MIR CARE CONSULTANTS,the filing of a petition in bankruptcy either by or against MIR CARE CONSULTANTS,or an.assignment by MIR CARE CONSULTANTS for the benefit of creditors;; (e) the breach of MIR CARE CONSULTANT of any of the teens of this CONTRACT and the continuation of such breach for a period of ten (10) days after written notice:is give by BRAZOS COUNTY to MIR CARE CONSULTANT of such breach. (d)upon BRAZOS COUNTY's sole discretion with or without cause by providing thirty(30) days written notice. Term. The stated_term of this CONTRACT shall be from September 1, 2022 until August 31, 2023,with option to renew annually, with on-going contractual obligations relating to audits.and record keeping.by MIR CARE CONSULTANTS extending beyond the termination date(and the payment of funds by BRAZOS COUNTY). Employees. The parties covenant and agree that each party will pay its own salaries;and all Social Security taxes, Federal and State Unemployment Insurance, Worker's Compensation Insurance, and any similar'taxes or expenses related to its own employees, including, but not limited to, license fees, insurance premiums; and outfitting expenses. The Parties shall be responsible for complying with all Federal, State and Local laws, ordinances; and regulations regarding its own employees. Venue.&Applicable Law. Venue of this CONTRACT shall be BRAZOS COUNTY,Texas,and the`laws of the State of Texas shall govern all terms and conditions. Severability. In.case any one or more of the provisions contained in.this CONTRACT shall for any reason be held to be invalid,illegal,or unenforceable in any respect,such invalidity,illegality,. or unenforceability shall not affect any other provision in this CONTRACT and this CONTRACT shall be'construed as if such invalid,illegal,or unenforceable provision had.never been contained in it. EXECUTED to be effective as of the 1" day of September,2022. FOR BRAZOS.COUNTY: Judge Duane Peters Brazos County FOR MR CARE CONSULTANTS X r1OJ1 ava- Mir Sehoir Care Management Inc.dba Mir C... Event Information • Number: • 22-134' - ' Title: Third Party Guardianship Services ; Type: • Brazos County- Request For Proposal- Manual . • Issue Date: 5/27/2022 Question Deadline; . 6/14/2022 05:00-PM (CT)_ ' Response Deadline: 6/21/2022 0200 PM.(CT)- = Ship To Information I Billing Information -• . `Contact:- Charles Wendt ; Address: Auditor's Office ' Address: Purchasing . i - PO Box.914 . County Administration Building -: Bryan, TX 77806 • - Ste. 352:. .; Phone: (979) 361-4350 200.South Texas Ave. _ - Email: mconkel@brazoscountybc.gov ' . Ste. 352 ,- .. . I' -- -- — _ - --- - . �`- — • Bryan, TX 77803 •• Phone: (979) 361-4290 • Fax: (979) 36'1-4293 • • Bid Attachments RFP -22-134-Third Party Guardianship Services.pdf View Online RFP • • • • Page 2 of 3.pages Deadline:6/21/2022 02:00 PM(CT) 22-134 • .:Ill CITY OF BRYAN BTu Wort'Ser:Wu SW • Ar.":1;:{2:17j1!Mr Sti3e,t, • • 22-134 . - Third Party Guardianship. Services. a . ; . • Issue Date: 5/27/2022 Questions Deadline:.6/14/2022 05:00 PM (CT) Response Deadline: 6/21/2022 02:00 PM (CT) - = - Brazos County • Contact Information Contact: Ms. Kaitlyn Battles Buyer Ill • Address: Purchasing County Administration Building Ste. 352 200 South Texas Ave. Ste. 352 • Bryan, TX 77803 Phone:. (979) 361-4285 Email: kbattles@brazoscountytx.gov • Page 1 of 3 pages Deadline:6/21/2022 02:00 PM(CD 22-134 Supplier InformationiAlk smibteew Compareame: M !RL ow tervisakm,s Contact Name:. L.! JA sup ma sW - Address: q44 fiteaPihti ®F8-14/ P(aia 1 2wLnb7lY Phone: 511 ' 01 5 - ?444 Fax: � 2 51 g r i Jt/`f' Email: Y W 11rarc eamokUrkIL cast! Supplier Notes Gear. /. . I) i s Gn C a catit-4-j 1-) Prop-is GM pot h o }icl e prbinck b"ut- cSe C.Q, - VVe Nrovibit i '& qaucf4 & aye 1 it)izi Wire, rn victikeds, ta r .1 t € (! 2 cup L+ nik-eti4 By submitting your response, you certify that you are authorized to represent and bind your company. L ' S.) Print Name Signature • Page 3 of 3 pages Deadline:6/21/2022 02:00 PM(CT) 22-134 • • • REQUEST FOR PROPOSAL RFP NO. 22-134 Third Party Guardianship Services SEALED PROPOSALS TO BE SUBMITTED BEFORE: Tuesday, June 21, 2022. 2:00pm CST. • TO THE: BRAZOS COUNTY PURCHASING DEPARTMENT • • 200 S. Texas Ave. Suite 352 Bryan, TX 77803 . Phone: (979) 361-4290 Fax: (979).361-4293 Vendors, their employees and/or representatives are prohibited from contacting any official or employee of Brazos County,except the Purchasing Agent,regarding this proposal from the issuing date of the proposal until scheduled oral presentations or the date the Brazos County Commissioners Court meets to consider award for the RFP.Any such contact will be grounds for rejection of the vendor's proposal. In compliance with this solicitation, the undersigned proposer having examined the solicitation and specifications and being familiar with the conditions to be met,hereby submits the following RFP for furnishing the material and/or services listed on the attached proposal form and agrees to deliver said items at the locations and for the prices set forth on the.proposal form. Company Name: I' S ^ RE MAWW hl C • 1 A (VI 112i CA t E Cot4514 L By(Print): t..l N A Sup nugi r -z WP Physical Address: 3I*4 2. N + CAPITA-1- OF 1- "'" l P LA 2./a t 9 U 11gtIO Mailing Address: M( TU\! -a iv-151 Phone: . l2. (I ` 4Email: • 1 r(JQnew %i cam 1 jPage Third Party Guardianship Services Request for Proposals#22-134 BRAZOS COUNTY PURCHASING OFFICE Brazos County Administration Building 200 South Texas Ave., Ste. 352 RFP No.22-134 Bryan,Texas 77803 Page 2 of 23 pages Telephone(979) 361-4292 Brazos County is seeking Proposals for Third Party Guardian Services that will serve as an independent contractor for Brazos County for wards of the Brazos County Courts at Law and can be anywhere from fifteen.(15)to twenty-five(25)cases per the three year contracted term,but not limited to this number. Proposals will be received,publicly opened, and acknowledged at 2:00 P.M., Tuesday, June 21, 2022 in the Brazos County Purchasing Department, Suite 352, Brazos County Administration Building,200 South Texas Ave.,Bryan,Texas. Release of RFP Friday,May 27,2022 Advertisement Dates Friday,May 27,2022 Friday,June 03,2022 Deadline for Questions Tuesday,June 14,2022 Proposal Submission Deadline Tuesday,June 21,2022 2:00 PM Proposer Interviews(if needed) July Anticipated Award July A. Procurement Delivery Brazos County will follow the Texas Local Government Code, Chapter 262.030 for this RFP process. The proposals will be opened on the date and time mentioned above and only the names of the proposers will be read aloud..The proposals will be distributed to the evaluation committee and this committee will evaluate each proposal according to the criteria set forth in this•RFP. The committee will determine how many of the top evaluated firms will be negotiated with depending on the scores and other factors at the discretion of Brazos County. All firms will be accorded fair and equal treatment with respect to any opportunity for discussion and revision of proposals and no pricing will be shared with any of the firms at any time until after an award is made and contract • is approved by Commissioners' Court. A best and final offer will be requested including any revisions and allowing for a revision of the completion timeframe for inclusion into final contract. B. Conditions of RFP The following instructions apply to all proposals and become a part of terms and conditions of any proposal submitted to the Brazos County Purchasing Department, unless otherwise specified elsewhere in this solicitation. All proposers are required to be informed of these terms and conditions and will be held responsible for having done so: • 1. Definitions: In order to simplify the language throughout this proposal, the following definitions shall apply: a: BRAZOS COUNTY-Same as County. b. COMMISSIONERS' COURT-The elected officials of Brazos County,Texas given the authority to exercise such powers and jurisdiction of all county business as conferred by • - the State Constitution and Laws. c. CONTRACT-An agreement between the County and a Vendor to furnish supplies and/or • services over a designated period of time during which repeated purchases are made of the commodity specified. d. CONTRACTOR—The successful Contractor(s) of this proposal request. e. COUNTY-The government of Brazos County,Texas and its authorized representatives. f.. SUB-CONTRACTOR-Any Vendor hired by the prime Vendor to furnish materials and services specified in this solicitation. g. SUPPLIER—Same as Contractor. 2. Upon acceptance and approval by the Commissioners' Court,this proposal will be made part of the contract between Brazos County and the successful vendor for the period designated. 3. Proposals must be received by the Purchasing Department prior to the time and date specified. 4. The County reserves the right to accept or reject in part or in whole, any proposals submitted, and to waive any technicalities for the best interest of the County. 5. Brazos County shall not be responsible for any verbal communication between any employee of the County and any proposer. Only written specifications and written-price quotations will • be considered. • 6. Brazos County reserves the right to reject any proposals that do not fully respond to each specified item. 7. Should there be a change in ownership or management;the contract shall be canceled unless a mutual agreement is reached with the new owner to continue the contract with its present provisions and prices. This contract is nontransferable and non-assignable by either party. 8. The County may cancel this contract at any time for any reason,provided a thirty-day written notice is given. • • 9. The proposal award shall be based on,but not necessarily limited to,the following factors: Total Cost 30% - References - 20% Personnel Qualifications 20% Experience of Firms Personnel 15% Organization of Proposal 15% • 3 1 P a g e 10.Although the cost is an essential part of the proposal,Brazos County is not obligated to award a contract on the sole basis of cost. 1.1.Acceptance of work provided shall be made by the County at the sole discretion of the Commissioner's Court when all terms and conditions of the contract and specifications have been met to its satisfaction, including the submission to the County of any and all documentation as may be required. 12.Title and risk of loss of the goods shall not pass to Brazos County until the County actually accepts and takes possession of the goods at the point or points of delivery. 13. This agreement shall be governed by the Uniform Commercial Code as adopted in the State of Texas as effective and in force on the date of this agreement. 14.No proposal may be withdrawn after opening time without acceptable reason and with the approval of Purchasing Agent. 15.Proposals will not be considered if submitted by telephone, fax or any other means of rapid dispatch,nor will a proposal be considered if submitted to any other person or department other than specifically instructed. 16. All proposals shall be submitted in accordance with the instructions contained herein. Brazos County will not be liable for any information received through other websites or sources of information. It is the sole responsibility of the vendor to verify the accuracy of information received from sources other than Brazos County. It is recommended that the vendor check the Brazos Valley e-Marketplace at http://brazosbid.ionwave.net for addenda prior to submitting their proposal. 17. There is no expressed or implied obligation for Brazos County to reimburse responding service providers for any expenses incurred in preparing proposals in response to this request. 18.Proposals must show full company name,mailing address and telephone number and be manually signed by an authorized sales or quotation representative of the proposer. Company name and authorized signature shall appear in each space provided. The proposer must include Employer Identification Number and signature for the proposal to be valid. 19.Proposals must be submitted on units of quantity specified. In the event of errors in extended prices the unit price shall govern. In the event of a discrepancy between the numbers given for the price and the word form of the price,the word form shall govern. Any suggested change in quantity on the part of the proposer to secure better price or delivery is welcomed and may lie given consideration provided that the proposer also bids on the quantity specified. 20.It is our policy not to furnish proposal results over the phone. Proposal results and tabulation sheets will be posted on Brazos County website after it is awarded by Commissioners Court. --------- 4 1 P a g e 21. This proposal will be made part of any resulting contract the County may enter into. The terms and conditions of the County contained in this RFP shall supersede those of the vendor in the event of a conflict. 22.If any provision of this contract shall be held to be invalid or unenforceable for any reason,the remaining provisions shall continue to be valid and enforceable. If a court of competent jurisdiction finds that any provision of this contract is invalid or unenforceable, but that by limiting such provision it may become valid and enforceable, then such provision shall be deemed to be written, construed, and enforced as so limited. 23.No oral statements of any person shall modify or otherwise change or affect the terms, conditions or specifications. All change orders to this agreement shall be made in writing and shall not be effective unless signed by an authorized representative of Brazos County. C. Special Provisions 1. Proposers with questions regarding the bid should submit them in writing via the Brazos Valley e-Marketplace https://brazosbid.ionwave.net. 2. Fill out the proposal completely, identify the proposal name and number on the outside and return it to the Brazos County Purchasing Department, Administration Building, 200 South Texas Ave., Suite 352,Bryan,Texas 77803 prior to the submission deadline. The proposal is invalid if it is not deposited at the designated location prior to the time and date advertised,or prior extension issued by the County. 3. All proposals shall be prepared on the bid forms located on the Brazos Valley e-Marketplace https://brazosbid.ionwave.net. The proposer must put.the proposal number and name on the front of the envelope before mailing it to the Purchasing Department. 4. During the evaluation process, Brazos County reserves the right, in the best interest of the County,to request additional information or clarification from proposers. 5. The contract shall be awarded to the responsible proposer whose proposal is determined to be the best evaluated offer. 6. Your response to this proposal should be clear and concise addressing all requirements listed above and any other factors not specifically mentioned which would be advantageous to Brazos County. 7. All services contracted herein shall be done in a courteous and orderly manner. All vendor personnel shall be appropriately dressed at all times while performing any aspect of this contract. 8. The personnel performing the services contracted herein shall be under the sole responsibility and the employment of the vendor. 5 [Page D. Trade Secrets, Confidential Information and the Texas Public Information Act 1. Brazos County,Texas is subject to the Texas Publication Information Act,Chapter 552,Texas Government Code. Proposals submitted to Brazos County, Texas in response to this RFP are subject to release by the County as public information. If the proposer believes that the proposal response,or part of it are confidential, as proprietary information, (s)he must specify that either all or part is excepted and provide specific and detailed justification for its claim of confidentiality. Vague and general claims to confidentiality are not acceptable. All proposals or parts of the proposals which are not marked as confidential will be considered public information after a contract has been awarded. The successful proposal may be considered public information even though parts are marked confidential. 2. Brazos County, Texas assumes no responsibility for asserting legal arguments on behalf of proposers. Proposers are advised to consult with their legal counsel concerning disclosure issues resulting from this proposal process and to take precautions to safeguard trade secrets and other proprietary information. 3. Marking your entire Proposal CONFIDENTIAL/PROPRIETARY is not in conformance with the Texas Public Information Act. 4. The requirements of Subchapter J, Chapter 552,Government Code,may apply to this contract and the contractor or vendor agrees that the contract can be terminated if the contractor or vendor knowingly or intentionally fails to comply with a requirement of that subchapter. This provision is mandatory and may not be altered or deleted, as required by Sec. 552.372(b) of the Texas Government Code. • E. Conflict of Interest 1. The proposer shall not offer or accept gifts or anything of value nor enter into any business arrangement with any employee, official or agent of Brazos County. 2. By signing and executing this proposal,the proposer certifies and represents to the County the proposer has not offered, conferred or agreed to confer any pecuniary benefit or other thing of value for the receipt of special treatment,advantage,information,recipient's decision,opinion, recommendation,vote or any other exercise of discretion concerning this Proposal. 3. With the exception of interviews and other contacts initiated by Brazos County relevant to the selection process,proposers,their employees or representatives,are prohibited from contacting any official or employee of Brazos County,except the Purchasing Agent,in regard to this RFP from the issuing date of the RFP until the date the Brazos County Commissioner's Court meets to consider award of the proposal. Any such contact will be grounds for rejection of the vendor's proposal. F. Addenda and Modifications 1. Any changes, additions or clarifications to the RFP will be made by numbered addenda and must be acknowledged in the proposal. 6 'Page 2. Any firm in doubt as to the meaning of any part of these requirements may request an interpretation thereof from the Purchasing Agent. At the request of the proposer,or in the event the Purchasing Agent deems the interpretation to be substantive,the interpretation will be made by written addendum issued by the Purchasing Department. Such addendum will be posted on the Brazos Valley e-Marketplace http://brazoabid.ionwave.net and will become a part of the proposal package, having the same binding effect as provisions of the original proposal. No verbal explanation or interpretations will be binding. In order to have a request of interpretation considered, the request must be submitted in writing and must be received by the Purchasing Department no later than the question deadline. 3. All addenda, amendments.and interpretations of this solicitation shall be in writing. Brazos . County shall not be legally bound by any amendment or interpretation that is not in writing. Only, information supplied by the County in writing or in this RFP should be used in preparing proposal responses. 4. In the event of a needed change in the specifications sent to the proposer, it is understood that all the foregoing terms shall apply to the addendum or addenda.Any interpretation,corrections or changes to these specifications will be made by addenda. Sole issuing authority of addenda shall be vested in the Brazos County Purchasing Agent, authorized to do so by the Commissioner's Court. Addenda will be made available using the same distribution method used to post or make available the original,solicitation. Proposers shall acknowledge receipt of all addenda. 5. The County does not assume responsibility for receipt of any addendum sent to proposers. 6. All addenda must be acknowledged on this form. . G. Examination of Documents and Requirements • 1. Each proposer shall carefully examine all RFP documents and be thoroughly familiar with all • requirements prior to submitting a proposal. 2. Before submitting a proposal, each proposer shall be responsible for making all investigations and examinations that are necessary to ascertain conditions and requirements affecting the requirements of the RFP. Failure to make such investigations and examinations shall not relieve the proposer of the obligation to comply, in every detail, with all provisions and requirements of the RFP. H. Taxes Brazos County is tax exempt. Tax exemption certificates will be executed by the County upon request. I. Insurance The vendor shall procure and maintain at its sole cost and expense for the duration of the contract insurance against claims for injuries to persons or damages to property that may arise from or in connection with the performance of the work hereunder by the vendor, its agents,representatives, volunteers, employees or subcontractors. The vendor's insurance coverage shall be primary insurance with respect to the County, its officials, employees and volunteers. Any insurance or self-insurance maintained by the County,its officials,employees or volunteers shall be considered in excess of the vendor's insurance and shall not contribute to it.Further,the vendor shall include all subcontractors as additional insured under its policies or shall furnish separate certificates and endorsements for each subcontractor. All coverage for subcontractors shall be subject to all of the requirements stated herein.All Certificates of Insurance and endorsements shall be furnished to the County's Representative and approved by the County before work commences. Standard Insurance Policies Required: 1. Commercial General Liability Policy 2. Automobile Liability Policy 3. Worker's Compensation Policy General Requirements applicable to all policies: a. Only insurance carriers licensed and admitted to do business in the State of Texas will be accepted. b. Deductibles shall be listed on the Certificate of Insurance and are acceptable only on a per occurrence basis for property damage only. c. "Claims Made"policies will not be accepted. d. Each insurance policy shall be endorsed to state that coverage shall not be suspended, voided, canceled, reduced in coverage or in limits except after thirty (30) days prior written notice by certified mail,return receipt requested,has been given to Brazos County. e. All insurance policies shall be furnished to Brazos County upon request. 1. Commercial General Liability a. General Liability insurance shall be written by carrier with an A:VIII or better rating in accordance with the current Best Key Rating guide. b. Minimum Combined Single Limit of$2,000,000.00 per occurrence for bodily injury and property damage. c. No coverage shall be deleted from the standard policy without notification of individual exclusions being attached for review and acceptance. d. Excess Liability Umbrella Policy in the amount of not less than$1,000,000.00 will be provided at the vender's expense. e. Abuse and molestation insurance as an endorsement to the commercial general liability policy in a form and with coverage that are satisfactory to cover damages arising out of actual or threatened physical abuse, mental injury, sexual molestation, negligent: hiring, employment, supervision; investigation, reporting to proper authorities, and retention of any person for whom the contractor is responsible including but not limited to contract and contractor's employees and volunteers. Policy endorsement's 8IPage definition of an insured shall include the contract, and the contractor's employees and volunteers. Coverage shall be written on an occurrence basis in an amount of not less than $1,000,000 per occurrence. Any annual aggregate limit shall not be less than $2,000,000. These limits shall be exclusive to this required coverage. Incidents related to or arising out of physical abuse, mental injury, or sexual molestation, whether committed by one or more individuals, and irrespective of the number of incidents on injuries or the time period or area over which the incidents or injuries occur, shall be treated as a separate occurrence for each victim. Coverage shall include the cost of defense and the cost of defense shall be provided outside the coverage limit. £ Brazos County shall be named as additional insured on Contracts insurance. g. "Texas Waiver of Our Right to Recover From Others Endorsement" shall be included in this policy. (Waiver of Subrogation) 2. Automobile Liability a. General Liability Insurance shall be written by a carrier with an A:VIII or better rating • in accordance with the current Best Key Rating Guide. b. Minimum Combined Single Limit of$600,000.00 per occurrence for bodily injury and property damage. 3. Workers Compensation Insurance Pursuant to the requirements set forth in Title 28, Section 110.110 of the Texas . compensation insurance policy; either directly through their employer's policy (the vendor's or subcontractor's policy) or through an executed coverage agreement on an approved TWCC form. Accordingly,if a subcontractor does not have his or her own policy and a coverage agreement is used, vendors and subcontractors must use that portion of the form whereby the hiring vendor agrees,to provide coverage to the employees of the subcontractor.. The portion of the form that would otherwise allow them not to provide coverage for the employees of an independent vendor maynot be used. The worker's compensation insurance shall include the following terms: a. Employer's Liability limits of$500,000 for each accident is required. b. "Texas Waiver of Our Right to Recover From Others Endorsement" shall be included in this policy. (Waiver of Subrogation) Pursuant to the explicit terms of Title 28, Section 110.110 ( c ) (7) of the Texas Administrative Code, the bid specifications, this Agreement, and all subcontracts on this Project must include the following terms and conditions in the following language,without any additional words or changes, except those required to accommodate the specific document in which they are contained or to impose stricter standards of documentation: A. Definitions: Certificate of coverage("certificate")-A copy of a certificate of insurance,a certificate of authority to self-insure issued by the Texas Worker's Compensation Commission, or a coverage agreement )TWCC-81), TWCC-83, or TWCC-84), showing statutory 9 'Page worker's compensation insurance coverage for the person's or entity's employees providing services on a project, for the duration of the project. Duration of the project-includes the time from the beginning of the work on the project until the vendor's/person's work on the project has been completed and accepted by the governmental entity. Persons providing services on the project("subcontractors"in section 406.096 {of the Texas Labor Code}) - includes all persons or entities performing all or part of the services the vendor has undertaken to perform on the project,regardless of whether that person has employees. This includes, without limitation, independent Vendor's, subcontractors, leasing companies,motor carriers, owner-operators, employees of any such entity or employees of any entity which furnishes persons to provide services on the project. "Services" include, without limitation, providing, hauling, or delivering equipment or materials, or providing labor,transportation,or other service related to a • project. "Services" does not include activities unrelated to the project, such as food/beverage vendors, office supply deliveries, and delivery of portable toilets. B. The vendor shall provide coverage, based on the proper reporting of classification codes and payroll amounts and filing of any coverage agreements, that meets the statutory requirements of Texas Labor Code, Section 401.011 (44)for all employees of the vendor providing services on the project, for the duration of the project. C. The vendor must provide a certificate of coverage to the governmental entity prior to being awarded the contract. D. If the coverage period shown on the vendor's current certificate of coverage ends during the duration of the project, the vendor must, prior to the end of the coverage period, file a new certificate of coverage with the governmental entity showing that coverage has been extended. E. The vendor shall obtain from each person providing services on a project, and provide to the governmental entity: 1. a certificate of coverage,prior to that person beginning work on the project, so the governmental entity will have on file providing services on the project, and certificates of coverage showing coverage for all person; and 2. no later than seven calendar days after receipt by the vendor, a new certificate of coverage showing extension of coverage, if the coverage period shown on the current certificate of coverage ends during the duration of the project. F. The vendor shall retain all required certificates of coverage for the duration of the project and for one year thereafter. G. The vendor shall notify the governmental entity in writing by certified mail or personal delivery, within 10 calendar days after the vendor knew or should have known, or any change that materially affects the provision of coverage of any person providing services on the project. H. The vendor shall post on each project site a notice, in the text, form and manner prescribed by the Texas Workers' Compensation commission, informing all persons providing services on the project that they are required to be covered, and stating how a person may verify coverage and report lack of coverage. • I. The vendor shall contractually require each person with whom it contracts to provide services on a.project,to: - 1. provide coverage, based on proper reporting of classification codes and payroll amounts and filing of any coverage agreement, that meets the statutory requirements of Texas Labor Code, Section 401.011 (44) for all of its employees providing services on the project, for the duration of the project; 2. provide to the vendor, prior to that person beginning work on the project, a certificate of coverage showing that coverage is being provided for all employees of the person providing services on the project,for the duration of the project; 3. provide the vendor, prior to the end of the coverage period, a new certificate of coverage showing extension of coverage, if the coverage period shown on the • " current certificate of coverage ends during the duration of the project. 4. obtain from each other person with whom it contracts,and provide to the Vendor: a. a certificate of coverage, prior to the other person beginning work on the project;_and b. a new certificate of coverage showing extension of coverage, prior to the end of the coverage period, if the coverage period shown on the current certificate of coverage ends during the duration of the project; 5. retain all required certificates of coverage on file for the duration of the project and for one year thereafter; 6. notify the governmental entity in writing by certified mail or personal delivery, • within 10 calendar days after the person know or should have known,of any change that materially affects the provision of coverage of any person providing services on the project; and 7. notify the governmental entity in writing by certified mail or personal delivery, within 10 calendar days after the person know or should have known,of any change that materially affects the provision of coverage of any person providing services on the project; and J. By signing this contract, or providing, or causing to be provided a certificate of coverage, the vendor who will provide services on the-project will be covered•by workers' compensation coverage for the duration of the project,that the coverage will be based on proper reporting of classification codes and payroll amounts, and that all coverage agreements will be filed with the appropriate insurance carrier, or,in the case of a self-insured, with the commission's Division of Self-Insurance regulation. Providing false or misleading information may subject the vendor to administrative penalties, criminal penalties,civil penalties, or other civil actions. • 4. Certificates of Insurance Certificates shall be prepared and executed by the insurance company or its authorized agent, and shall contain the following provisions and warranties: a. The company is licensed and admitted to do business in the State of Texas. b. The insurance policies provided by the insurance company are underwritten on forms that have been provided by the Texas State Board of Insurance or ISO. c. All endorsements and insurance coverage according to requirements and instructions. contained herein. d. The form of the notice of cancellation, termination, or change in coverage provisions to Brazos County. e. Original endorsements affecting coverage required by the section shall be furnished with the certificates of insurance. J. Indemnity To the fullest extent permitted by law,the proposer agrees to and shall indemnify,hold harmless, and defend the County, its.officers, agents, and employees from and against any and all claims, . losses, damages, causes of action, suits, and liability of every kind, including all expenses of litigation, court costs, and attorney's fees for injury to or death of any person, for damage to any property, or for any breach of contract, any Worker's Compensation claim, and any other claim arising out of or in connection with the work done by the vendor under this Contract,provided that any such.claim, loss, damage, cause of action, suit or liability is caused in whole or in part by an act or omission of the vendor,any subcontractor, or any person,organization directly or indirectly employed by any of them to perform or furnish work on the Project. In addition,the vendor shall indemnify,hold harmless,and defend the County from any liability caused by the vendor's failure to comply with applicable federal, .state, or local regulations. These indemnities shall apply regardless of whether such injuries,death,damages,or breach are caused in part by the negligence or omission of the County, any other party indemnified hereunder,the vendor, or a third party. The indemnification shall include but not be limited to the following specific instances: 1. In the event the County is damaged due to the act, omission, mistake, fault or default of the vendor, then the vendor shall indemnify and hold harmless and defend the County for such damage. 2. The vendor shall indemnify and hold harmless and defend the County from any claims for payment for goods or services brought by any material providers,mechanics,laborers, or other subcontractors. 3. The vendor shall also be responsible for subcontractors hired. 4. The vendor shall indemnify,hold harmless, and defend the County from any liability caused by the vendor's failure to comply with applicable federal, state, or local regulations, that touch upon or concern the maintenance of a safe and protected working environment and the safe use and operation of machinery and equipment.in that working-environment,no matter where fault or responsibility lies. K. Release The proposer assumes full responsibility for the work to be performed hereunder, and hereby releases, relinquishes, and discharges the.County, its officers, agents, and employees from all claims, demands, and causes of action of every kind and character, including the cost of defense thereof, for any injury to or death of any person(whether employees of either party or other third parties)and any loss of or damage to any property(whether property of either of the parties hereto,, their employees, or of third parties)that is caused by or alleged to be caused by, arising out of, or 12IPage . in connection with the vendor's work to be performed hereunder. This release shall apply regardless of whether said claims, demands, and causes of action are covered in whole or in part by insurance, and in the event of injury, death, property damage, or loss suffered by the vendor, any subcontractor, or any person or organization directly or indirectly employed by any of them to perform or furnish work on the project,this release shall apply regardless of whether such injury, death,loss, or damage was caused in whole or in part by the negligence of the County. L. Proposal Submittal 1. The proposer shall submit the proposal on the forms enclosed on the Brazos County web sites. All blank spaces in forms shall be correctly filled in by typewriter or manually in ink and the proposer shall state the prices. 2. If a proposal-is submitted by an individual, their name must be signed by them or their duly authorized agent. If the proposal is submitted by a firm, association, or partnership,the name and address of each member must be given, and the proposal must be signed by an official or duly authorized agent. 3. The proposer must submit an original and four (4) copies of the proposal to Brazos County. 4. The complete proposal should include the following: a. Completed and signed RFP b. Vendor's licensed certifications or other form of qualification(s) c. Completed requirement responses d. Certificate of Insurance 5. By signing the certification below, the vendor verifies that all plans, and specifications have been reviewed and are considered in the pricing in the proposal submitted. M. Applicants Must: *All examples or report must have name or other sensitive/personal information redacted.* 1. Provide documentation stating that the firm and/or guardian is certified under Subchapter C, Chapter 155 of the Texas Government Code to act as a guardian. 2. Proposers must review and follow the local rules stated on the Brazos County website provided by the County Court at Law: https://www.brazoscountytx.gov/index.aspx?nid=332 3. Provide a sufficient bond as ordered by the court. Brazos County requires a blanket bond for all cases. 4. Supply a report of a previous instance which can show an example of the firm's knowledge of the duties and requirements of Title 3 of the Texas Estate Code. 13 IPage 5. Produce a copy of a report submitted to another entity, that is HIPPA compliant, that will demonstrate to the County that the firm and/or guardian that will be working these cases has excellent oral and written communication skills, has compassion to serve as a guardian for those who have been judicially determined partially or totally incapacitated, and will be able to work closely with the staff of the Brazos County Courts at Law. 6. Provide a copy of the latest background check for all representatives that will be performing any aspect of this contract. 7. Must accept orders of appointments as temporary and/or permanent guardian of the person and/or estate of indigent persons if found to be in the best interest of the ward by the Brazos County Courts of Law. • 8. Must be able to qualify as guardian by providing an oath and a bond provided by the Texas Estate Code. 9. Provide us with representative sample reports, that are HIPPA compliant, on how you keep records of personally visiting each ward under guardianship at least once a month unless otherwise directed by the court. 10.Proposer must commit to reimburse Brazos County for guardianship services,paid by Brazos County upon receipt of financial resources by the guardian upon approval by the Court. Proposer must offset costs charged to Brazos County for guardianship services by billing for services against Medicaid Applied Income. 11. Provide a report that shows the County how the guardian working for Brazos County would maintain a guardian caseload of not more than twenty-five(25) wards for every guardianship caseworker. 12.Provide examples,that are HIP.PA compliant, of previous experience in actively searching for and identifying suitable family members or friends who may be able to assume guardianship of wards of the contractor. 13.Proposer must give examples of how they can and will accept appointment as temporary and/or permanent guardian of the person and/or estate of persons who are not indigent(fees and costs paid by the estate of the ward) if found to be in the best interest of the ward by the Brazos County Courts of Law. 14. Provide how your firm and/or the guardian(s) working with the county will comply with the terms and provisions of Title 3 of the Texas Estate Code. 15. Provide a flat fee,per ward,per month, along with a minimum number of slots you require to reserve for each month,regardless if the county will fulfill them or not. Identify investigative and/or guardianship related community services proposer could provide if the number of active appointments drops below the contracted number of cases. 14 'Page 16.All required items that is requested in this RFP must be submitted in an organized fashion. N. References 1. Respondent shall provide a minimum of five (5) references that your firm has completed projects for within the last three years,preferably for local government entities. Brazos County reserves the right to check references prior to award. Any negative responses may be grounds for disqualification of the proposal. 2. Brazos County checks references by email. If an email is not accurate and we are unable to check that reference, it may affect the score of the response during evaluation of this solicitation. 'Reference One I Client Name: 12 044'V @J PCI O A. ell kr- vior- Project Manager Name: G1orked 1M care mama _ V RS (40 Telephone Number: Email address of Project Manager: .QPPiefttaiD4 smcrabcr+S . pja 16%Mr, (Mit-. I` t , Total dollar amount of project: 1/00 rk 016 Ng Key staff assigned to the referenced project that could potentially perform under this solicitation: 'Reference Two I Client Name: .Z0 N N 1I MVO J iDl t I HtlY1ARifkl Project Manager Name: taTy VOR �liflmVInlel/AGILMSTW •OW. Telephone Number: 5 2. Z 2� 10 Email address of Project Manager: r krAki tOr a kayvtakeht a440114 . (Ahr. „ Total dollar amount of project: V4 0�� VVU C,W& movitt /UlJV1,IC eetkricthi "UU1-I'h C't4ems✓ Key staff assigned to the referenced project that could potentially perform under this solicitation: 151Page 'Reference Three Client Name: NV/ O 1 %�1'k� M4 _,- 0 i,j b -TizuC 1 Project Manager Name: tiSIkt,elk M I 06 Telephone Number: J 12, + 46 • ti/t01 Email address of Project Manager:a VIrdiellep Q ' ' va wk V Total dollar amount of project: Work,as ettreAer eitA et\ - Key staff assigned to the referenced project that could potentially perform under this solicitation: • 'Reference Four 1 Client Name: • A&5 OF Ct112-bel( 1 '* Project Manager Name: Ptel%1 Telephone Number: 51 2. 1-)24g4 Email address of Project Manager`.l3m 3moc--G5vihoul k Vrj Total dollar amount of project: U bX8 WIP/YYI Wt/r. I l/v rf &t Lw tseriltUi " Key staff assigned to the referenced project that could potentially perform under this solicitation: • 16IPage 'Reference Five ii Client Name: AM "eM) V' Project Manager Name: AWU r Telephone Number: ir547 l $ <51 L" - Email address of Project Manager: Fa /&c iri C io 1 . L L Total dollar amount of project: b pnyAs auire-hiNkozpaifav� Key staff assigned to the referenced project that could potentially perform under this solicitation: O. Deficiencies and Deviations Form Following is a listing of ALL deficiencies and deviations from the requirements and/or provisions as outlined in the proposal. Unless specifically-listed here,your response will be considered to be in FULL compliance with the proposal. Respondent assumes the responsibility of identifying all deficiencies and deviations and if not identified, all requirements of the proposal stipulated must be fulfilled at no additional expense to Brazos County. Not - No e6-rc,me)w, , no r s ft-IAN- °Mt* 50"Sd(--a 17IPage • P. Contact Form • Vendor should include the name(s)of the person(s)authorized to negotiate with the County. This information should include email,phone number and position in the company. Company Name: ItR.)g 51410p Ow MApArqvt I .iC- Cibot M l RV ClP- cAsiglit ' Authorized Company Representative for Negotiations: Position/Title: VI tf plaosi DIAIT I OU't 11 Contact Phone number: 6« -6m o, 7,4+4 Contact EmailhANA m t Y. t(, ,, •f.8 Authorized Company Representative for Negotiations: 014169 r 00 Position/Title: blower • Contact Phone number: 511 0M, 4 . Contact Email: 009r'0th VII I rkh e/CFAik 44..)1A' TWA: M Authorized Company Representative for Negotiations: f'�/GU Position/Title: Mika I iContact Phone num ber: 6 o• 1n{ Contact Email: V h L 1 jktb i "" Q. V.T.C.A.Local Government Code 4262.0276 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 4262.0276. 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.) • Law- WA — 'I? Macro Ut9edr tvitAatir AA vi, • 19IPage I 1 R. Pro osal Evaluation Waiver i By submitting a proposal or response,each proposers/offeror.i d ttee ebt low aagrees n eis to waive any claim it has,or may'have against-Brazos County (the Owner), and their respective Commissioners,directors,employees,or agents arising out of or in connection (I)the administration, evaluation, or-recommendation of.any proposal or response (2) any with the rejection of any requirement under the Request for Qualification or related documents; (3) j proposal or response or any part'of any proposal or response;and/or(4)the award of a Contract; if any. • The proposer further agrees the Owner reserves the right to waive any requirements under the proposal documents or the Contract Documents,with regards to acceptance or rejection of any proposals,and reconixnendation or award of the contract. Note:The.Statement of Affirmation:Must be Notarized. Statement of Affirmation "The undersigned affirms that he/she is duly authorized to.execute this waiver by the person(s)or business entity making the proposal" • M'.. orCua' 4-1 nc. Firm's Name: • Sew .wtI r: - V,, � • Address:1+'12i N + 1 piar -T 'Att-te• > • . _ Proposer's Name: Lea lit 1 Position/Title: V r riAANyik . S.- , 4,1 - . .Proposer's Signature: 01.11 1 . it (t j Z Date: "1 "°' 0 ?� 1 t - Subscribed-and sworn to meson this iS114 day of jklye .in the year 4.0,42 1,-;),06.-A.,,,L.,<:),,,_,.._A.a.efd 'Votary- ublic. My Commission expires /- 7.2 D 2- - . . . M , p�`...... STEPHANIE LYNN BRADDOCK o� ' by�' 2j Gam.Notary Public.State of Texas ..... "Comm.Expires 04-07-2025 ifigg: *Notary ID 12 16394 r . -. - 201Page • S. Addenda The undersigned acknowledges receipt of the following addenda issued during the time of solicitation and includes the several changes therein in this proposal. No. No. No. Date Date Date • T. Certification of Proposal The undersigned affirms that they are duly authorized to execute this contract,that this bid has not • been prepared.in collusion with any other proposer,and that the contents of this bid have not been communicated to any other proposer prior to the official opening. Signed By: Title: ��P 0 WAO- Typed Name: L i CA-r-ciutaifeT it) Company Name: l r- �� CC� re ���Z 14 • 0-0-GP r+�,l o F 1 x ��aCTI& Mailing Address: ' '� -J P.O. Box or Street, City State Zip Tk115 Employer Identification Number: lU 14 I ( 6-9 (0 CORPORATE SEAL IF SUBMITTED BY A CORPORATION END OF RFP NO. 22-134. By signing below,Brazos CounWagrees!that this RFP 22-134 will be awarded to the vendor whose name appears above and both parties agree to the terms and conditions contained herein. By:Brazos County Commissioner's Court Date: l.t, (Jt' c a 020c2 a. • Attest: Brazos County Clerk C -Cik • U. House Bill 89&Debarment Verification Brazos County is federally mandated to adhere to the directions provided in the President's Executive Order (EO) 13224, Executive Order on Terrorist Financing — Blocking Property and Prohibiting Transactions With Persons Who Commit,Threaten to Commit,or Support Terrorism, effective 9/24/2001 and any subsequent changes made to it via cross-referencing respondents/vendors with the Federal General Services Administration's Excluded Parties List System (EPLS, https://www.sam.gov), which is inclusive of the United States Treasury's Office of Foreign Assets Control(OFAC)Specially Designated National(SDN)list. Respondent certifies • that the responding entity and its principals are eligible to participate in this transaction and have not been subjected to suspension,-debarment, or similar ineligibility determined by any federal, state or local governmental entity_and that Respondent is in compliance with the State of Texas statutes and rules relating to procurement and that Respondent is not listed on the federal government's terrorism watch list as described in Executive Order 13224. Entities ineligible for federal procurement are listed at https://www.sam.gov. The undersigned affirms the non-debarment statement above,that they are duly authorized execute this contract. The.company representative below further affirms, that the company submitting this proposal, under the provisions of Subtitle F,Title 10, Government Code Chapter 2270: 1. Does not boycott Israel currently; and 2. Will not boycott Israel during the term of the contract. Pursuant to Section 2270.001, Texas Government Code: 1. "Boycott Israel" means refusing to deal with; terminating business activities with, or otherwise taking any action that is intended to penalize, inflict economic harm on, or limit commercial relations specifically with Israel, or with a person or entity doing business. in Israel or in an Israeli-controlled territory, but does not include an action made or ordinary business purposes; and 2. "Company" means a for-profit sole proprietorship, organization, association, corporation, partnership, joint venture, limited partnership, limited liability partnership, or any limited liability company, including a wholly owned subsidiary, majority-owned subsidiary, parent company or affiliate of those entities or business associations that exist to make a profit. Company Name: M Pi S MkorI i d b0.. 1 Ie,ek alkiwndis Authorized Company Representative: Li AI k Unlq2A113/40 Address: '1 4 2. ►J, CAeiri V•0 P TIC kW./ 'LAU- r 5vo /t4 57141 WO Signature: -67 Date: • Contract# 22-134 Third Party Guardianship Services The following items should be completed and included in your bid submission. Failure to include these items will disqualify your bid. ❑ References (Section 0) ❑ Deficiencies and Deviations Form(Section P) ❑ Contact Form(Section Q). . ❑ V.T.C.A.Local Government Code§262.0276 for Tax Verification(Section R) ❑ Statement of Affirmation(Section S) ❑ All Addendums(if applicable) ❑ Certification of Proposal(Section•ii) . ❑ House Bill 89&Debarment Verification(Section V) -- -- --------...- -- —----- -------23 I,Page @ • *: " Senior-Care Management, Inc. r• .. • • Care8e. 'Clan Su itant • 13ipningnpw,for peace of mind iater.' • • • Mir Sehibi Care Management&Care:COnsultantsRic, isa professiOnal Life Care Management and GuardiarishipTrogram,.offering long term are planningand tare Managernent.for the elder adult and forlhose individuals with special-needs,as well as providing Guardianship of Person for wardS assigned by.the court.Services Are offered inthe South Texas, Rio;Grande Valley,Brazos County, Bexar County, and the Central Texas area With market analysis and research demonstrating an increase in need for eldercare and special needs services Mir Senior Care&Care Consultants will provide individualized and private assistance to clients,families, , caregivers,and professionals: Mir Care Consultants, Inc IS a Certified Guardianship.Program enrolled with the.JBCC. Mir Care Consultant's Inc Program Certification numberis GP-14707.. MIR planning includes continued staffing of licensed and professional Care Managers,who will participate in a team managed by a competent,experienced, and responsive leadership model. All professional Care Managers and leadership team folloW-the Ethics Code and Standards of Care by the'national Aging of Life Care.Msociationeas well as the:Texas Guardianship Code and Standards,.(www.aginglifecare:org andwwwAexaseuardianship.ote) Mir Senior Care Management& Care Consultants will continue to be owned and operated by a family-based leadership. Our Leadership team strives:to follow:the company Mission of"to serve those.individuals faced with the challenges and complexities of agingand special.needs by delivering the highest quality of life care management and Guardianship services." • Principal offices are in Austin and Corpus Christi,Texas. Both locations have long standing history of reputable and quality services, provide educational offerings to long term care communities, and are actively involved with community initiatives that support the elder care community.Some of those affiliations include Dementia Friendly Initiative Corpui.Christi, Board Leadership and engagement AGE of Central Texas,Aging Life Care Association, and ongoing efforts With educational speaking engagements-to the community regarding elder care preparation,advocacy,and advanced planning. NPR:Senior Care&Care Consultants is a private, incorporated business,founded by Mary Frances Mir MSN, RN, CMC in 2005 and incorporated in 2007. Ms. Mir has a bachelor's degree in Nursingand a master's degree in Nursing Administration. Ms. Mir is also aCertified Guardian . in the State of TeXas. • . . „ . . . - . .. • . , . • • , - . • The Vice President and partner/Owner, Lina Supnet Zapata.MB:N.0/1C with-a•master's degree in Business Administration and a Master's in Geriatrics Care, directs company Care Management OperationS. Lina also has extensive experience in'marketing and Hospice Care and•is.arso a 1 . Certified Care Manager and Certified Guardian in the State of TeKaS•. Both-Frances and Lina are . 'certified.Life Care Managers through the Noational ASsOciation..of Certified Care Managers, NACCM ate:attiVe both on the local.andnationallevel. • The MIR administrative-team has worked diligently over the past years in creating.a professional.:oresencein both oonuttinitiesi.Thjt..effofttogethetMtith an•extensive.matketing" plan?have resulted in increasing referral base-..and,rriairitaining trusting relationships, .... . • Continuous and ongoing review of all sercti•Cep'rOVISIon.ia.priOrit\i:and leads to a tioalitY. , • . , management'program,which includes,but notlimited to, continuous education, • - ,-•- ' implementation.of evidence-based pratticer andestablishmentofareat,ofirnprovernent, • " • . . . • . , . . . . . . . . . . .,. •. , • . - - - ••• • •••• • - . . .• . - . . • .. . , The•Mir Senior Cate'Martakethentandtare Consultants;,.trii:teanl:• - .. .. . . There.dre:,eilifeentlyteri•Aaff Meenberslhatcomprise,theNlir•teani Mir has4,teatn-Of'cOittified professionals licensed in the areas of nursing,'i social work, care imanagement,.ancigili.rdianihip. All maintain theit current level of licensure and Mir.continu es to invest in•thetearnAnd . leadership with continuing education to Maintain certification•and:licentufa, M lit Seniortare&tate-Consultants•services a re.prOVidedslindera private pay-based model • The co-MOM/Mission also supports efforts:for community educationandfaSmall chatitabie..: • based service,those charitable cases are presented101eaderShjo ttaff,apd.accepted based on .-. availability of staff and need of client Company fee-scherivieS:• te.Set to relied market analysis and are reviewed on '1)aSiS... ' • ...- ..., ,.. . .. _. ... ... . CoteSenrite,y'• . . • • '• - - • • . Life Care M:anagenientElder Adults and'Special'Need&adults and Children: • , . •- . • • ,- • Mir Senior Care Management&Care' •Coristiltantg,,teieptOyides-4:holiStic,client-centered approach to caring for Older adults or others facing tingoing health ehalteng6i.Our guidance and advocacy lead families;legal professionals, and caregivers to the; actions' r and decisions that ensure qualitycar#and an optimal quality of life through . . . . . , . . •. . ... • Asseg rtfient.':andi roon.itOrIng•:. ... , , • . . 4 .. ,....,.:, .• . . .., -•- •, ,., ,•,.:, . 4 'Planning:arid•prOblem-solvin•g - . • . . . • - • • Education.and advocacy . . ... • • . • •'-. : - 4 FainkCaregiver coaching . , • • •. • . . . . ., • . finanejel andtegal Assessment and plOnning,• • • ' . 1 . . .• •• . • .. • ' . . . . . . . :;... . - . . - • i . . • • . . . • . • 1 - . . , • . . . • • ! . The expertise of the Mir Senior Care Ma nagementA.Care Consultants) Inc team can be - summarized:into thefollowing: . . . .. - . Health and Disability..From physical problems tomental health and dementia-related:problems,. . . Aging Life:Care Managers® interact with the health-care system effectively and frequently:, _ .. Aging Life Care Professionals attend doctor appointments and facilitate communication between doctor, client,and family.They-assist With coordination, planning'and implementation • of health'eare.plans,These professionals.help determine types of services:—such as home health,hotpide, and mental health resources—that o•re right.for a clieritand assist iri,engaging and monitciting those . . • . . . , FinantiaL5ervice5 may include reviewing or overseeing bill„paying or consulting witho client's accountant or Power of Attorney, Aging Life Care Professionals provide information on'Federal. . 1 and state entitlements,connecting families to local-programs when'appropriate.They alto help. clientsand:iamilies'with insurance concerns, claims,and applications for state and federal . . benefit t 'Funding through the court, blendedwith the expert,financial monitoring by the Mir team, helpstO ensure the maximum life benefits for the client/ward. Rousing:.Aging Life Care•FirOfessionalshelp farpilles.a•nd clients evaluate-andseleCt appropriate • level of housing or residential options,which will maintain environment and ensure the hlitiettqtrality oflifeityle and wellbeing. ! . . • . . .. . . . •Farnitiesi.Aging Life.Cate Professionals help farnilles adjust,cope,and probler*Solve arOUnd long-distance and in-home-de regiving„addressing care concerns,internal conflicts, and differences of opinion about long-term care planning.The team will provide.education and •• guidance to families and caregivers, As Guardians,all efforts to research opportunities for direct family support are Initiated,but in those cases where individuals are lacking family support,the Mir tea rn will'provide continuous oversite of the ward's needs and quality-of life. . . Local Resoutces,Aging:Life Care Professionals knowthe specifics of thelocal resources in their communities and.knowhowservid,es are accessed,:Care management team members .: frequently interact and assitt'WithtoOrdination of resource provision Advanced and strong partnershipswith•Ma riY professional contacts and organizationS have:helped la develor trust in Mir-Services. ' . . . Advocacy.Aging Life Care Professionals are strong and effective advocates forclients and their - families,promoting the client's wishes with health care and other providers, ensuring that client's needs are being adequately addressed;in cases where necessary,the team of profestionalsmill also advocate for the:ward'slestoration of their•rights. - . -_ The Guardianship:Reform Act'regarding Restoration,of a Person's Rights teffective Serge.' mber lst;20.15)states thatir a person subject of guardianship beljevesthey are no longer need a guardian of'if the.person's circumstances have broproved,,Mir Care Con-sultants-, Int Will,iatt-on • .behAlf ofthe best interest of the client/ward. Mir Care:Consultants,Inc will send a letter : . . . • • • . . . ' •• • • . , . . . tequestingreStOration•of their rights lif We beliekikhat•thismiillbe•of benefit sand.client/Ward has been,asSesSed and it has been determined that-guardianshipeOVerSighfiS po•longerneeded. Legal Aging Life Care-Professionals refer to legal experts, likeeldetlaw attorneys, estate!' planners,and Powers of Attorney Some Aging Lifetate.ProfeisiOnats provide expert 601610 for tourtSin‘detefinining level•of care and ettabghing client needs. • • . . . .• -, • .. . , Crisis InterVention..Aging Life Care Professionals offer crisis interventiont when it needed,', . helping clients navigate through.einergency departments and hospitalizations,rehabilitation. stays, and:ensuring that adequate care•is available to the Client Forfamiliesthtlive at a diStapce,this can be a much-needed.24/7•emetgeticy contact..Initial AsieSSmenft include view Of•anYsafotV.concerns and reedit it endatiOnt•ftirensufingtlient'SSafety-andttiSiS • - prevention:. . • . ., • . . . . .. . . : . . . . . ' • Mir Senior Care Care Consjiltapts Inc will create...a care plan tailored for each . . • , • • individk.iallsCircurnStonCes.The plan maybe•modified, in consultation with client and family,as circumstances change. . . . . • • • - • . .Mir.5enior Care Management&Care Conso.ltants,,Inc.given their lev-el ofexpertise in Care:: . . • • • .., . • -- .,,.., . . , ... . ... ... . . , .... Management, advocacy, and care oversight would be well Sojted:tO,orovide,guardianshko of person for tho8e individuals who have been deemed bythe:ljudiCial•systen to:be incapable of,' managing:their health and-safety,because of disability Or•rpental ifiriess:With our holiStio• aplifoaOhi'Unc)orStandinkibetortiplekitie.sof fantifttlVnaMiCS;:Mentaland"OnoiCarlitnitatfOnSi. • • :and abilities, and Managing healthcare needs for'a'Clierit over all wellbeing,:66ilea m is well - - suited to'be'appOiritedgo a I-0106'04 Orion:Rif:tfiote'requiring...is-Si:Joh. ;• , •,. . ,•.. • • • - - . — - . . . . , - • . Mir SeniorcareManAgenient&Care Consultants, Inc requestSfUndingof.$$0,000.00-thus.: . providing Brazos County with a dependable;-successful, and professional advocacy group of professionals who can address the:needs of up to 25 cOuntyteSidents who are'incapacitated becauseotage dt.disabilit .. . ' • • - - . .- . • , •• :• .: - . .-: . . •• ', •:• .I. ... : This proposal will be for Guardian of the Person to county reSidents-,The Court would appoint•Mir Senior Care Management and Care Consultants, Inc as guardian after the investigation and friiiiaguardianship. Mir:senior Cate Managementgc:Care:ConsUltants will.provide guataiarAip services in accordance with an agreement that further otitlines responsibilities, and time frame .for provide'oare to•tefeht d individitalsand reporting to uirertiOnt-s,. i .. We appreciate your consideration for the request,We look forWard to a partnership with. ., .-• : • . . . ., ... . Brazos tOuntyin addressingthe needs of.older ad.,4.1i.$iii0 dis..atifkies. .. . . . .,. . . . .. . . . . . : ., ... . • ,. . . . ..-- • .. . .. • .. . . '. . -. .'. . • . . • . . .. .., . ,,. . ..., . . .- • • • . • • • • -.: • • • - .• • : • . . . , . , . . . . . , . , - . • . . . .. . • . . ' . . . , . • . GUARDIANSHIP APPOINTMENT AND INTAKE Private Professional Guardianship.Programs in the state;of Texas are few and far between to cover the demand. From the Guardianship Reform Report of 2019, afew facts have deterrnined an increased.need for Private Professional Guardians and or Private Professional Guardianship Programs. • Population of Texans.65 years and older is expected to:double in in size to six million by 2030.. • Eight percent Increase in guardianship during the last 5 years .• In 244 counties,the county judge or county court at law preside over guardianship cases without sufficient resources to monitor cases • Without proper monitoring,there is a high risk for.exploitation and neglect. • Mir Senior Care.Management&Care Consultants,'Inc has a long standing,well respected private aging life care management`practice with Over 18 years of experience. Mir has collaborated with many families:and court appointed guardians:IT is with this experience,and expertise:that Mir embarked on providing Professional Guardianship Care.management p.rogr-am. Individuals who are appointed to Mir care,will be assigned a care manager but with program support from Other team members when needed.The assigned Care Manager Will provide a comprehensive assessment that will take our holistic approach in identifying areas of heed, short--arid:'Iong-term.goals,create a person-centered profile,engage with family and or facility staff, and•determine a baseline of health and'care for the in'dividual... At a nrin:i'mum, a monthly visit will be made to see the individual,ensure that client is being well cared for,determine any needs, and or advocate for individual if needed. individuals may require added visits depending on;the complexity and acuity level.of the client. Care Manager will make the determination along with leadership staffto address crisis interventions, , advocate; ensure that:elient is:safe'andfree from abuse and orexploitatioon, Our history,delivery of care, advocacy, and approach to client care management Will,be of benefit to the citizens of Brazos.County should-Mir Senior Care Management, Inc, &:Care Consultants, be appointed to serve as 3rd Party Guardianship Program. Loeatiani Corpus ChriSti:,Texas • 5262 South StaPles Suite 300 Corpus Christi,Texas 78411 361.814.3300 Austin,Texat 9442 N. Capital•cif texas Highway Plaza 1 SUlte 500 Austin,TexaS'78759 512.975.2.444 . • • Website www.mircareconsultants.com 'SerVite'AreaS • Corpus Christi and The Coastal Bend, Central Texas, Rio Grande Valley,San Antonio, Harris County, Bryari/College.Station • Affiliations and Board:Engagement ; Aging Life Care Association National Board Member, Chapter Board Member, Diversity& Incisuipn committee, Education Alliance Cornmittee, PR Committee Area-Ageti6y,on gins;Dementia Friendly,IriitiatiVe Corpus Christi, Founding Members AGE of Central Texas—Board Member,Chair Public Phase THRIVE,Center Capital Campaign, Co- Chair Program She thrives • Face to Face, LLC Advisory Council. "Alheimer's Education goupport Progrprp" Senior Services Council Austin • The Advisory Council on Aging-Coastal Bend COI:mei! of GoVetrirrients-Corpus Christi • • • • j. ;n • - . Senior'Care Management, Inc. &.C4re Consultants. ..!Piarinkylpol,An'peacio(mOiratee 1. • PrOY e documentation.Stating that that:ion:and/or guatdian.is certified under ' SUbchaptetC, Chapter 155 Of theleicat Government Code tO:act as a guardian, • Mir Care Consultants, Inc is a.Certified Guardianship Program enrolled with the JBCC. Mir Care Consultant's'Inc Program:Certification numberis GP-14707Inserted En report.below 2, Proposers must review-and follow the local rules stated.on the Brazos County web'site ptovided:6y the COUnty CoUrt at Law:https://www:braZoscountytx.goviindekaspXThici=332 Reviewed and Documented. • 3. Provide a sufficient bond as ordered by the Court. BraZos County requires a blanket bond for all cases. Submitted.as Attachment Bond Coverage Documentation and Email from Company Supervisor :Noted as Attachment#1 4. Supply a report of a previous instance Whkh can show an example of the firm's knowledge of the duties,and requirements of Title 3 of theTexasEstatetode. • • TITLE 3 COMPLIANCE • 5. PrOdOce a copy of,a report submitted to another ent4 that i .H1,131c$A..tphipliarit,that will demonstrate to the County that the firm and/or guardian that Will be working these cases has excellent oral and,written communication skills, has,compassion to serve as a guardian for those who have been judicially determined partially or totally incapacitated, and will be able to work closely with the Staff of the BtazoS County COutts at Law. • SAMPLE CARE:PLAN SUBMITTED Referenced as Attachment#2 Provide a copy of the latest background chedk:forall reptesentativesthat will be • perfotming any aspect of this.contract. • • ALL Care Managers provided fingerprint and background check thtbugh ACC and are listed on the JBCC•ptograrn Site. • 7. Must accept otdets of appOintments atemporary andIOrpetrnanentguardieribf the p.ersoli and/or estate.ofindigentpersons Mill-1446;1Se in the best interest ofthe ward by•th'e Brazos County Courts of Law,_ .Affirmation to-attept Ordets-OfaPPointrnents as temporarytndOt permanentguardianof the person if.fund to be in the best interest of the ward by the.13-razOs County Court of Law • . • 8. . be.able to qualify as,gUardian by providing an'oathand a bond:PrOVidedby the• • Texas.Estate Code. • Affirmation of agency-qualified as guardian by,pto,viding an oath and a bond provided by the Texas Estate.Code • - - • . • 9. Proviida u$with tepreserttatiVe sarriplet epotts,,which are 1-11PA Compliant;t?nhowyoU keep records of personally ViSiting.eaCh ward under gpetidiaritFi.ip at leaSt ohtea mOrithiinleSs otherwise directed bythe court. . Stibin•itted Sample Reports that are secured and HIPPA CoMPliatit attaChed to intetnal case management software system. • Sample Monthly:Report-shown-as Attachmentit3 . • •• 10. PrOposer must commit to reimburse Brazos County forguatdianship services,paid i)y Brazos County upon receipt of financial resources by the guardian upon approval by the CdUrt. Proposer must offset costs charged to Brazos County for guardianship services by billing for • services against Medicaid Applied InCome. Mir Care Consultants, Inc will be permitted to collect any additional case management fees that. are allOwed,under the•Estates Code;,asthese are notpart ofth•ecOntract . . • • 11. , Provide a report that thoWS theto_untyrhowthe guardian working-for Brazos-County • would maintain a guardian caseload of not niore than twenty4ive(25)wards for every guardianship CeSeworker; Proposer has hired one full time care Manager end is tUrrentlyeXpending staffta support! guardianship support:Proposer has six team members qualified taprovideguardienship-tere management under the Proposers GuardianShio•Program. Leadership team tontinuelly-astetsCatelOad and client acuity to determine team case managers ability to support growing caseload. Strategic'planning includes ongoing search for qualified candidates to become:a part of the care team to support a growing caseload,. • Provide-examplet,which are HIPPA compliant,of p-revious experience in actively searching for and identifying suitable family Members or friends who may be able to assume • •guardianshipuf wards of contractor. Mir SernOr Care Management&Care Consultants, Inc as a company practice, engages'and seeks to find and communicate with family and friends who could or wish to be part ofthe ward/client's care. Indications of a desire to:be e:gUarcliari will be taken into consideration. • 'The evaluation and assessment whether th-e family member or friend is an appropriate and ,• suitable guardian will be.evaluated based on testimony from care managers, provider staff, and • other perSonswith knowledge of the family atid.or friend. 13. Proposer must give examples of how they can and will accept appoiritMent ternporary and/or permanent guardian of the person and/orestate of persons Who,are riot indigent (fees and costs paid by the estate ofthe ward) if found to be in the best interest of the ward by•the Brazos County Courts of Law. • Mir Senior Care Management&.Care Consultants, Inc. May provide guardianship services to non-contracted cases and-will, by approval, bill for services and collect appropriate approved fees..GUardianship Care Management will corrtinueas long as resources are.alienable. Mir Senior Care Management inc., as good stewardsof financial resources,wilt work with fiduciariesto:be kept abreast of financial resource status. If individual assets are being spent down and funds are exhausted,the indiVidual Will be transferred to contract-status. 14. Provide how your firm and/Or the'guardian(s)working with the coUntywill comply with the terms and provisions of Title 3 of the.Texas.Estate Code.: • • Affirmation of compliance:with the terms and provision of Title 3 of the Texas Estate Code • '15. ProVide a•flat fee,per ward, per month, a''Iongwith a minimum number of slots you require to•reserve for each:morith,tegardles5 of'ifthe county will fulfill them or not. Identify investigative and/or guardianship related community services•proposer could provide if the number of active appointments drops below the contracted number of:cases. $250%Client/Month for 20 wards-by may increase'to 25 without incurring any additional costs. Depending on client needs Mir Senior Care Management& Care Consultants; Inc can assist with benefit enrollment services such•as•Social Security,VA Benefits, and or Medicaid. mirt. Senior Care Management, Inc. & Care Consultants • 'Planning now,'far peke ofmind later!' Supporting Attachments Mir Senior Care Management&Care Consultants, Inc, Internal Standard Reporting Attachment 4A Client Wishes, DNR, Comfort Care and Burial Attachment 4B.Dynamic Home Care Assessment Attachment 4C Emergency Preparedness Attachment.4D Care Manager Monthly Monitoring Report Attachment 4E Initial Assessment- Updated Supporting Documentation—Operations. Attachment 5A Certicate of Liability Attach"m.ent 5B Worker's Compensation Coverage • .# I Reltram Ce r. l .ue4fi 3 �j''INSU RANCE �u•S.„ AGREEMENT OF INDEMNITY Commercial Bond-Short Form THIS AGREEMENT.of Indemnity,made and entered into this Id day of J% huIG2. ,20 21 by MIR SENIOR CARE MANAGEMENT,INC.,5262 S.STAPLES,STE.300,CORPUS CHRiSTI,TX 18411 .(InsertfMfl Maine and address of Ptlndpap (hereinafter called the Principal)and LINA SUPNET ZAPATA,6900 WILLIAM WALLACE WAY,AUSTIN,TX 78754 ORLANDO ZAPATA,6900 WILLIAM WALLACE WAY,AUSTIN,TX 78154 MARY FRANCES MIR,414 MOONVINE WAY,.NEW BRAUNFELS,TX 78130 (Insert full name and addresses of lndemntcors,it any) (hereinafter called the Indetnnitors,if any)and INTERNATIONAL FIDELITY INSURANCE COMPANY,ALLEGHENY CASUALTY COMPANY, and/Or:HARCO NATIONAL INSURANCE.COMPANY,all affiliates of IAT Insurance Group,Inc., One Newark Center,20th Floor,Newark;NI•07102(hereinafter called the Surety), WITNESSETH: WHEREAS,in the transaction of business one,some or all of the Principal and indemnitors are required.or may desire to give Bonds, undertakings, guarantees. or other instruments of suretyship (hereinafter referred to as "Bonds");and NOW, THEREFORE,in consideration of the Surety executing said Bonds, being substantially benefited by the execution and delivery of each said Bond,the'Principal andlndcmnitors hereby agree: 1. That the Principal and each Indemnitor will pay to the Surety in such :manner as may be. agreed upon all premiums and charges of the Surety for the Bonds in accordance with its rates, Whether filed or not, until the Principal and Indemnitors shall serve evidence satisfactory to the Surety of its discharge or release from the Bonds and all liability by reason thereof. 2. That:the Principal and each Indemnitor shall indemnify'and'keep indemnified the Surety against any and all liability .for losses and expenses -of whatsoever kind or nature, including, but not limited to, the fees and disbursements of counsel, interest,costs of investigators, accountants, engineers or other consultants,which the Surety may sustain or incur (i)by reason of having executed or procured the execution of the Bonds;or, (ii)by reason of the failure of the.undersigned to perform or comply with the covenants and conditions of this Agreement;or (iii)in.enforcing any-of the covenants and conditions of this Agreement;and will place the Surety in funds to meet all its liability,as aforesaid promptly on request and before the Surety maybe required to make any payment hereunder.The Principal and each In'dcmnitor expressly Waive any right'to interest or other,income which may be earned on said funds:and further agree that the aforesaid funds may be by the Surety irr any investment:depository or other vehicle that the:Surety in its sole discretion deems advisable.Copies.cif any'voucher;sworn itemized statement or other evidence of payment of any of the foregoing by the Surety shall be prima facie evidence'of liability of the undersigned tinder this Agreement. DOCIDa.o Commercial.Bond-Short Form Page 1 of 5 • 3. The Surety may decline to execute any bond and neither the Principal nor any Indemnitor shall make any claim to the contrary. 4. That the Surety may make or consent to any change or alteration in said Bonds and may execute renewals thereof or other obligations in lieu thereof, or may consent or assent to any change or alteration in any instrument, contract or agreement concerned herewith,without notice to the Principallndemnitors(notice being expressly waived)and,in such case,the Principal and each Indemnitor shall be liable to the Surety as fully and to the same extent that the Surety shall be liable under such changed or altered Bond or such renewals thereof or other obligations in lieu thereof.The Principal and each Indemnitor waive notice of the execution of Bonds,acceptance of this Agreement,default or other acts giving rise to a bond claim or liability of the Surety under bonds. 5. Thatthe Surety shall have the exclusive right for itself and for the Principal/Indemnitors to take charge of all matters arising under said Bonds and decide whether or not it is liable thereunder and determine the amount of its liability in case it decides that it is liable.It may settle or compromise any suits and take such other action in connection with any claim matter arising under said Bonds as it may deem advisable.Any such decisions,determination,settlement,defense,compromise or other action of the Surety in connection with any claim matter arising under said Bonds shall be final and conclusive and unconditionally binding upon the Principal and each Indemnitor. 6. That the Principal,and each Indemnitor and the heirs, legal representatives, successors and assigns of the Principal/ Indemnitors,and all present and future affiliates and directly or indirectly owned or controlled subsidiaries of the Principal/ Indemnitors,whether alone or in joint venture with others and whether or not named herein shall be and hereby are jointly and severally bound by the foregoing provisions of this Agreement,and that the liability of each Indemnitor hereunder and of the heirs, legal representatives, successors and assigns of such Indemnitor•hereunder.shall not be dependent upon the proper execution of this Agreement or any instrument herein referred to by any other Indemnitor and'that if the Surety procures.any co- surety•on said bond,this Agreement shall be deemed extended to and for the benefit of said co-surety. 7. That in the event'that the Principal and/or an Indemnitor and/or Indemnitors•and/or their subsidiaries or affiliates request that a Bond or Bonds be issued on behalf ea third party as principal,the provisions of this Agreement shall apply with equal force to any such Bond or Bonds. 8. Thatthis Agreement may be terminated by the Principal and Indemnitors upon twenty days'written notice sent by certified or registered mail to the Surety at its home office at One Newark Center,20th Floor,Newark,New Jersey 07102,but any such notice of termination shall not operate to modify,bar,or discharge•the Principal and Indemnitors from their obligations under this.Agreement as to the Bonds that may have been theretofore executed or executed pursuant to Consent of Surety issued prior to notice of termination or with respect to Bonds executed after the date of such termination which the Surety has become obligated,prior to such date,to execute.Further,such notice Of termination shall operate only with respect to those parties upon whose behalf such notice of termination shall have been given. 9. This Agreement shall constitute a Security Agreement to the Surety and also a Financing Statement,both in accordance with the provisions of the Uniform Commercial Code of every jurisdiction wherein such Code is in effect and may be so used by the Surety without in any way abrogating,restricting or limiting the rights of the Surety under this Agreement or under law,or in equity.A carbon,photographic or other reproduction of this Agreement may be filed as a Financing Statement.The Surety may make such additions to this Agreement as may be necessary or desirable to permit its filing as a Financing Statement under the Code.This Security Agreement and Financing Statement shall secure payments made,and to be made,by the Surety hereunder and under the Bonds•issued by the Surety that arc not reimbursed to the Surety by the Principal and Indemnitors and shall cover and attach to the following collateral: all tangible or intangible personal property and fixtures owned by the Principal and Indemnitors,wherever located or situated and whether now owned or hereafter acquired,and shall cover proceeds•from sale of covered;property 10. The undersigned agree that this document and any and all bonds issued by the Surety will be subject to.the terms of the Uniform Electronic Transactions Act("UETA"),to the extent that the UETA has been adopted by the State legislature in the relevant jurisdiction,and any and all substantially similar federal or state legislation designed to regulate electronic commerce. l 1. The Principal and Indemnitors waive any defense that this instrument was-executed subsequent to the date of any Bond;, admitting and covenanting that such Bond was executed pursuant to-the request of the Principal and Indemnitors,and in reliance upon the PrincipaUlndemnitors'promise to execute this document. 12. No subsequent agreements of indemnity or other agreements of any type whatsoever between the Surety and the Principal and/or Indemnitors,or any of them,shall be deemed a novation of this Agreement. 13. In the event the Surety procures the execution of the Bonds by other sureties,or executes the Bonds with co-sureties,or reinsures any portion of said Bonds with reinsuring sureties,then all the terms and conditions of this Agreement shall inure to the benefit of such other sureties,co-sureties and reinsuring sureties,as their interests may appear. DOCID 1.0 Commarcial Bond-Short Form Page 2 of 5 14. If any provision or provisions of this Agreement be declared void or unenforceable under any law governing its construction or enforcement,this Agreement shall not be void or vitiated thereby,but shall be construed and enforced with the same effect as though such provision or provisions were omitted 15., It is mutually agreed that this Agreement is deemed made in the State of New Jersey,regardless of the order in which the signatures of the parties shall have been affixed and shall be interpreted,and rite rights and liabilities of theparties determined in accordance with the laws of the State ofNew Jersey.Principal and each Indemnitor agree that all actions or proceedings arising directly or indirectly from this Agreement shall be litigated only in courts having status within the State of New Jersey,and consent to thepersonal jurisdiction and venue of any local,statc or Federal Court located therein. 16. Principal and each undersigned Indemnitor,its successors and assigns,are jointly andseverally bound by the foregoing conditions of this Agreement. 17: This Agreement may be executed in any number of counterparts,all of which taken together shall constitute the Agreement. This Agreement shall be effective and immediately binding as to each Contractor and Indemnitor when that Contractor or Indemnitor executes this Agreement,regardless of whether any other Contractor or Indemnitor has executed the Agreement or fails or ceases to be bound by the Agreement for any reason. Delivery of a.facsirnile,electronic Or digital dopy of this Agreement's signature pages,executed by any Contractor or 1ndemnitor,to the Surety or the Surety's agent.or representative shall constitute effective execution and delivery of this Agreement by that Contractor or Indemnitor and shall constitutes valid and original signature to this Agreement for all purposes. Contractor's and Indeinnitors'obligations to Surety shall not be affected by the failure of any Contractor or Indemnitor to sign any Bond. IN WITNESS WHEREOF,we have hereunto set our hands and seals. WE HAVE READ THIS INDEMNITY AGREEMENT CAREFULLY. THERE ARE NO SEPARATE AGREEMENTS OR UNDERSTANDINGS WHICH IN ANY WAY LESSEN OUR OBLIGATIONS AS ABOVE SET FORTH. IMPORTANT:To all indemnitors:please provide your Social Security Number(Individual).or,your Federal Tax ID Number (Corporation).The signature of each and every Corporation must be attested to and sealed by the Corporate Secretary or other officer-as permitted by the governing documents and/or state law. The signature of each and every LLC,Partnership and/or Trust that Ise party to this agreement,must be witnessed by at least One disinterested person. The signature of each Individual party does not require a witness except for agreements containing Principals and/or Indemnitors located in the state of Louisiana, which requires the witness of a.disinterested person. All signatures must he notarized. PRINCIPALS-(Corporate Signatories} Attest(intended to be sinned under se ): MIR SENIOR CARE MANAGEMENT,INC. ✓ (Corporate Name) (�tJ,lfit_ ,(7�' By 4. D° (Seal) VIce-Preaidentin lieu of: (Seer tart'/AssIsta tSiecretary) (Sign e) Linn supnet-Zapata V Maly Frances Mr, President /Secretary and Treasurer (Print or Type Nerve) r (Print orType Name and Title) Federal Tax ID 26-4131596 CORPOPATE.ACKNOWLEDGMENT STATE OF . . kik,' s.s. COUNTY OF T-R r/!S cams ( day or SefTBa4v5e/L ,in the year 20 21 before me personallycome(s) Mary Frances Mir to me known who,being by me duly sworn,deposes and says that he/she resides in the city of Ale . e js, that lc/she is the PresEdent of the MIR SENIOR CARE MANAGEMENT,INC. the corporation described in and which executed the foregoing instntment;that he/she knows the sealer the said corporation:that the seal affixed to the said instmtacnt is such corporate soul;that it was so affixed by the order of the Board of Dircetors of said corporation,and thin he/she signed his/her name thereto by like order. . .. . . f� JtrGeC dG _14 7. 2 0 •u�u: (si atur and title of 1 g acknowledgment/Notary.) My Commission Ex ires(Date) AIR. STEPHANIE LYNN BRADDOCK � � F 's f°\=��.'s Notary Public.State of Texas vs-,-.-,r Comm.Expires 04-07.2025 'n°;r `' Notary ID 124116394 DOCID t.tl, Commercial Send-Short Form Page 3 of 5 i - TR isenim Cara n7anagoacat.in= 1 &Care.Consultants 5262 So. Staples,.Suite 300 Corpus'Christi,Texas 78411 Assessment Summary and Care Plan • Client Name: Client Address: Client:'Phone: • Table of Contents 1. Summary of Findings. 2. Essential Data 2. Physical Health 3. Nutrition 4. Social. 5. Psychological Memory 6. Ability to Perform "Activities of Daily Living" 7. Home Safety/Fall Risk 8. Legal/Financial 9. Recommendations and plan 10. Additional Information and Resources 2 Essential Data Date of Birth: Age.:93 years Social Security No: Address: Primary Home Phone: Cell Phone: same Ethnicity: Caucasian Primary Language: English Marital Status:Divorced Living Arrangements: Living independently with 24 hour caregiver assignments. One story rental home. Primary Caregiver: Caregivers provided by Caring Senior Service,McAllen,Texas Educational Level: Advanced College Emergency Contacts: 1. Patricia Xxxxxxxxxx LLC, Court Appointment Guardian of Person and Estate 2. Elizabeth Torres,Director, Caring Senior Services •... + 3. D.O.M.S 4:; •Mir Senior Care Management Inc. 5262 S. Staples St., Ste. 300,Corpus Christi,Texas 78411 Phone: 361-814-3300 5. xxxxxxxx,Attorney • Medical Jlistorv/Needs Medical history as reported by history and his primary care physician. Last visit 09-21-18. Medical Diagnosis: 1. Osteoarthritis to bilateral lower extremities(LE) 2. Moderate Dementia 3. Diabetes Mellitus--Type 2 4. Hypertension 5. Prostatitis. 6. Hearing Loss—bilateral 7. Vision Loss with corrective lenses Allergies:no reported food or drug allergies. Approximate WT— 159#last MD visit Primary Care Physician: xxxxxxx D.O,MS Dentist: Podiatrist: Pharmacy: CVS Pharmacy—mail order medication-#800-753-0596—refills#844-650-1637. Walgreens Pharmacy—local pharmacy,Harlingen Texas 1. Summary of Fimdings/Recommendationr for Care Mr:L.M. is a 93-year-old client of Mir Senior Care Management and Care Consultants Inc,since November 12,2016. This client was referred to our program services by his Guardian of Person, Patricia Xxxxxxxxxx, and his Attorney,xxxxxxxxxx,both offices out of Arizona. On 11-12- 2016,an initial assessment visit was conducted by Life Care Manager, Isabel Espinosa.MSW. Mr.xxxxxxwas upon initial services staying and living at a rental apartment in South Padre Island,Texas,where he had evacuated from his home in AZ. Since this date,Mr.N,has moved to his new.rental.home in Harlingen,Texas in early 2017. Mr.lives in a rental two-bedroom home,with currently 24 hour private agency Caregiver staffing by Caring Senior Service. Mir Life Care'Management services were requested to'assist with assessment,care plan monitoring, resource management,and care coordination of all community services. Services have been providedsince 2016, and care has been coordinated'with his Guardian,Patricia Xxxxxxxxxx. This current update care plan is.provided to assist with.transition of care upon the discharge of this client from Mir Care Management services effective, September 29,.2018. The Guardian has been provided notice of discharge,with reason for discharge,'with a 30.day notice. Mr.xxxxxxxx has one daughter,ciftittitioitetitta,who lives in'California.He is a retired business man,and has lived in Arizona until his.evacuation to Texas in November of 2016. During his time in Arizona,he was a widower and subsequently married his younger housekeeper;. AIM. Ms.Xxxxxxxxxx reports that overthe past two months,he is now legally divorced per court order. This client continues to be followed by his Primary Care Physician,x]ocxxxxxx DO.MS, Harlingen,.Texas for his medical'oversite. Mr. Xxxxxxxxxx requires 24 oversite by caregivers for both is medical and psychological needs. He has been diagnosed with mild to moderate dementia,and is unable to live independently in his home without supervision and daily support. Over the past.year:and one half,this Care.Management team has.observed Mr.Xxxxxxxxxx to continue to have intermittent medical crisis episodes.of falls and acute Diabetes,which:have required intermittent.ER admissions and occasional hospital admissions'. His memory loss has increased,and he continues to require oversite'for his medical,functional(Activities of Daily Living),social, and financial needs..The team has worked cooperatively with the Caring Senior Service team and assist with guidance and education of caregiver staff.This Care Management team has provided to Ms.Xxxx , Guardian,adjustments to the client's care plan,to include recommendations for medical,dental, social treatment plans, as well as Long term planning for this client.'Please refer to said recommendations stated in this care plan. This updated care plan will-be used to determine his client's needs, short and long term goals and include all recommendations to assist in continued care. 3 Medication.List: (as of 09-01-20.18). 1. "Mettormin HCL(antidiabetic)500mg—1 tab Orally twice daily .2. Lisinopril(antihypertensive)20mg— 1 tab orally daily 3. Doxycycline Hyclate - 100mg— 1 cap orally twice daily 4. Tamusulosin HCL(prostate)—0.4mg— 1 tab orally daily 5. Duloxetine D (antianxiety)--20mg—1 cap orally daily 6. Polymyxin B'Sulfate/Timetho (eye drops)— 1 drop to each eye twice daily 7. Tradjenta—5mg— 1 tab orally daily. Cardiopulmonary -History of Hypertension—medication program. B/P within normal limits as per last MD visit. Intermittent Shortness of Breath upon exertion or ambulation. Intermittent ankle or lower extremity edema/swelling and reported to physician. Skeletal/Musculo—Complains of pain to both knees.Diagnosis of osteoarthritis.Poor balance Upon transfers from sitting to standing and occasionally during.ambulation. Requires close . monitoring by caregiver attendants,in particular,when transferring from chair to standing or bed to standing.History of falls in his home, in most instances,secondary to poor balance and. difficulty with standing. History of three falls within last six months. Neuro -no significant history. Client,has had fall at home in March 2018,where he had. significant hematoma to the head(occipital area)with slight abrasion to the sldn. Client. transferred to local emergency unit, and left AMA. Primary Care physician visit following this visit_exam negative for any significant trauma or head injury. Respiratory—Reports Negative history Of smoking.Occasionally shortness of breath with exertion. Client scheduled for annual flu vaccine next month. Endocrine—Diagnosis—Diabetes Type II.Medication management. Blood Sugars checked daily by caregivers. Client has had periods of refusal of taking his daily Diabetes medication,but caregivers report fairly consistent medication managei lent over past six months. Client is not consistent with maintaining a diabetic diet,as ordered. Gastrointestinal—negative history for any`significant'health history. Genitourinary—History of Prostatitis•and on medication management. No Urologist in place.He admits to some intermittent urinary stress incontinence. No history of pain or discomfort during urination.History of Urinary Tract Infection earlier this year. Integument/Skin—Denies anysignificant history of'skin cancer. Hearing and Vision—Reports hearing loss. Has hearing aids,but not.always committed to using daily. 'Vision;loss—wears corrective-lenses, Last eye exam unknown. Speech- clear speech during interview. Denies any difficulty, Primary languages of English. - . . Pain- History of bsteoarthritis. States pain rated at'about 5 to,6 on rating scale of 1-10. Home Health Services—no service.at this time. Nutritional Needs Mt.Xxxxxxxxxx is on:a Diabetic Low Sodium diet. He eats,routinely two to three moderate size meals daily,which are usually prepared by in-hOmecoinpanion. He also eats out of the home about 2-3 times/week accompanied by his caregiver. He requires maximum assistance fOt Shopriingonealylannin&and food preparation,He usually eats with a'caregiver in attendance, as reported brcaregiver Services. Page 7 Xxxxm0000c Care plan Adequate food storage,with refrigeration. All appliances working. Care Management team along with Caregiver team program assists with education to client and caregiver on daily meal planning to avoid high sugar and low sodium!diets'.we digeiissed the importance of daily nutrients and calcium intake for good bone growth. No alcohol intake observed. Client requires dental work as soon as possible. He takes more than three medications daily. There a potential for food and drtig interactions. Financially able to afford meals.currently. Social ASSesSniektitiNeeds • Mr.McXxxxxxxx is a 93-year-old divorced male living independently in his rental home in Harlingen, Texas.He has one daughter,10105t36.91g4ArwholiVes in California. He has"a court appointed Guardian of Person and Conservatory,Patricia Xxx)Opoopoc,Tucson,AZ since November 2016. The client is reported to have fled from his home in Tucson,AZ and traveled alone to South Padre Island,Texas. His daughter,*ma,reported his evacuation and requested assistance for court order for evaluation of conipeteney(secondAry to diagnosis of dementia)and appointment of Guardianship. . • The client has 24 hour caregiver services through Caring Senior SerVicc.He is aware of his need for services and requirement by his physician:The client does complain of need for companionship:service,but also states that he is in need of aggistance: As reported by his Guardian,Ma,Xmoclocoopc,theclient and his daughter,have had an estranged-relationship for some tithe. She has not visited the-client since he arrived TeXas,but caregivers report that daughter does communicate by phone. • Client does have limited socialization,other than caregiver companionship,and his companionship by his dog,Lucky. He lives in his.home alone. He does have intermittent visits to local..grocery stores,andrestaurants during the week. He does not share any interests in other home activities such as playing games,art,hobbies. His day is mostly filled with watching TV. He does enjoy watching sports on.TV. Since he is not local,he does not have:any other local acquaintances. Care Management team.has encouraged client and caregiver team to seek local community services for social engagement. Due to increasing health care:issues and his diabetic management,the client's Social activities have diminished and.consequently client has become • somewhat isolated in his home environment. Psychological Needs Mr,Xxxxxxxxxx_has medical diagnosis by Dr.of Mild to Moderate Dementia. He has also had • aNeuro'cognitive Assessment by Sloan King PhD,Licensed Psychologist in April 2017. Her Diagnostic Impression :Unspecified Neurocognitive.Disorder—Mild. The client was admitted to the hospital.for short stay in October 2017,at which time a secondary Psychological exam .was performed and.reported to the Guardians: The client has a strong.history of post—secondary education and a long career as an Engineer. He is articulate in:his understanding of concepts presented to him by Care Manager and. Caregiver Supervisors.during their visits.However,he does have fluctuations during the week of confusion and short term memory loss. He continues to require oversite in his home,and is unable to safely live alone.. In early 2018,. the client's:deed for companionship increased from day caregiver needs to 24 hour caregiver staffing. Sleeping patterns vary,and usually awakens a,minimum of once or twice nightly. Companions are aware of behavior and check on client frequently during evening times.. Small alarm and video monitoring system available in the home. Assisted Living:Activities • Assessment of physical and cognitive abilities of our clients.,to include Activities of Daily living. Instrumental Activities of Daily Living and the Mental Status Screen are key indicators for assistance and independent living.or safety. 1=Independent 2=Assistance 3=Dependent Activities of:Daily_Living • (..Bathing 2 I Health problems,balance .Dressing 2 Balance and poor coordination Toileting 1 Potential for assistance Transfers 2 Balance and.poor coordination.No Assistive Device • Walking 2 Requires device, unsteady Eating 1 Instrumental Activities of Daily Living Use of telephone 2 Confusion and memory Transportation 3 _ Mobility and vision • Shopping 3 Ambulation, confusion Meal preparation 3 Memory loss and balance Housekeeping 3 Coordination,balance, strength Medication 3 Memory loss Money management . 3 . Memory loss Comments: L.M.has decrease in strength and mobility due to'arthritic knees. Requires moderate assistance for many physical activities.Tires easily at this point,but will hope.to regain strength. Has 24-hour companion program services. • 9.. Safety and Fall Assessment The Care Manager performed a home evaluation to assess for safe and adequate.home environment,and any potential for risk of falls. Fall risk Assessment: 1. Age—93 years 2. History of falls—three falls within the last six months: 3. Poor strengthen to lower extremities and feet. 4. Poor balance:on ambulation. 5. Requires assistance for transfers to bed and chair. ' 6. ,High risk for fails.Only has cane for assistive device. 7.. Vision loss 8. Takes meds which may cause drowsiness. 9. Animal companionship which may cause falls. Lives in:one level home setting with,carpet and tile flooring. Area rugs removed for safety. • Hallways clear of clutter and free for ambulation and use of'walker. Small one step on front and back entrances. Attached garage with appropriate lighting. Battery operated fire alarms in.home. Batteries will require changing. ARLO Security system in place.Not currently working due to no home Internet. Home furnishings throughout home. Avoid large furniture pieces which could prove to be obstacles in bedroom and living room areas. Adequate 'central air and heat available. Washer and dryer facilities available in home. • Safe Iocks on front and back doors.. Observed narrowing of door:going into commode area,unable to assistive device through door. Tile shower area in bathroom will be used by client. safety bats observed in shower area. Adequate for shower stool. Emergency phone list on refrigerator available to client and caregivers. No known weapons in home. With dementia issues,client has potential for wandering and getting separated from companion. Client is requiring monitoring for psychological assessment and overall health status. Overall assessment finds home adequate for safe living. 10. Legal and Financial. Mr.Xxxxxxxxxx has Guardian,who is responsible for his financial and legal affairs.He is unable to self-manage these.affairs. With the assistance of his daily companions,he is responsible for managing the following areas,for which he has had history of poor management over the past few months:electric/utility,water, food purchases,TV Cable, Cell phone pay,Copay for medical exams,dog care/food,and weekly out of home food purchases. Primary Banking Accounts Type of Accounts: Primary checking Safety Deposit Box in Place:. No Current income(client only): Social Security and monthly$2800 disbursement from Guardian. Other income under direction of Guardianship. Current accumulated expenses—Guardianship reported. • 41mCkryieinfit3 e4cre,r) 61-Me.80611, r- Ir gor*caroN7anasemaoCthe • 1 � &•Caro C'oncu{tars. , .4016iirtanitIseao Last Updated:5/31/2022 7:55:18 PM Care. .Martager Monthly Moiitorittg Report Re port Date of'contact: Date of documentation: Date of qualification: 05/24/2022 • .05/31/2022 • 'Care Manager _Documented by:: Location'ofvisit: • • Client's horne-;74.26 Westshire Dr, San Antonio Texas • Persbns.present or-spoken to during•Face-to Face{note if none):(; • Care manager and Client , •Obseivations at Monthly Visit Physical condition observed at Visit:. •Client.was just getting Up from.bed when'CM arrived. Client presented tired but oriented to person and place. Client was wearing shorts,-tshirt and house shoes, good hygiene-and appeared in great spirits. Mental.condition observed at visit: Client presente.d in great mood, clients.thinking process Is slow, has difficulty remembering prior day events as w.'ell as presents to have short-term memory issues. Client's perspective on placement and care(their Words-Or statements at FTF on care): • • Client states that he has not been too happy and contributed this to 'family thinks l'en stupid' in regards to his cousin Theo taking,mohey from him without his knowledge. • .Review'of Status/Conditions..Services.and Needs • .Medi:cai and Mentai-Wealth:(behaviorsif arty):. • • Client.co.ntihues:to stay up to date with PCP appointments with the lei-hinders from CM Social: . Client-i.s very social., although Is forgetful et times, cornintni.cat.es well, and Was.in a good mood through the meeting Client enjoys cenverr-sation and being assured of all aspects concerning his guardianship. Environmental(the current environment): .Client did a brie9'vualk through of the home, no safety risks, no tri.p car fall hazards at this home v:isit.,Home is • clean. Legal: As of 5/5/22 Clien'.t does have-.an-attorney assigned :Byroh.d3arriett.2101EM-i821 • Financial'(describe:soiarces•of income,location of funds-Rep Payee,.responsible'parties,etc.): Clients SNAP and Medicaid'benefits are currently inactive as'client did not renew in a timely manner-CM did reapply client for benefits and application was submitted-pending review. CM did get approval from'the trust to disburse additional $l5 a week On top of the.already 5125 a week to client so that he can purchase.groceries while • • the snap application gets processed and await outcome. Client does also get $275 on the.Catholic Charities Truelinic card on the 1st and 15th of each month from his ssdi. • Guardianship of•Person•Status: REMAINS APPROPRIATE If N/A,Steps toward restoration: Facility Chart.Review: Notes(either way):See above. • Actions and Follow up items requiring attention and follow Up based on review of above domains: Non-profit agencies have bee researched for Guardianship CM checks status of housing waitlists Follow up identified last month,based on review of domains: CM will continue to check in with client, address any concerns. Updates Service Plan updates needed: No • Notes for updates: Follow up snap and Medicaid application • Follow up on Bexar County housing application Annual Document Review Month: If yes,please complete below. No Bill of Rights Provided? Date O9/2.8021 Yes Annual Report Copy Provided? Date No Letters of Guardianship-prior year provided? Date • Photograph,taken,saved and dated? Date Yes 05/26/2021 Additional Information not covered above: Alincli nmai+ ,44 MirSeni°r Wm,ManaQemenc,lne oao &Cara C°nsulta nta Admin,Mir Last•Updated:5/21/2021 9:57:30 AM Client Wishes: DNR, Comfort Care, and Burial General Information Client Care Manager Select... Select... • Was client able to participate in the interview? If"No"please explain: • Does the Clientcurrently have an Advance Directive on file? If yes,what documents have they completed?(Please get a copy for agency record) Living Will(Directive to Physicians) Durable Power of Attorney for health care Out of Hospital DNR Organ Donor Card Advanced Directive for Mental Health Treatment Can the Client participate in a discussion about a DNR request?(Check One) Ifyou answered"No°or"Yes,but Limited"to the above questions,please state•why. Can a family member,friend,or caregiver provide information as to wishes expressed by the client regarding DNR?(Check one) If you answered"Yes'to the.abeve question,please list narnes(s).of the source(s),relationship to the client,when and how the information was obtained,and(if•applicable)how long they have known client? Client Wishes Regarding Life Sustaining Procedures(examples:CPR,ventilation,surgery,etc.):Self-report- Informant report(list name„information provided) • - Comfort Measures(Hospice Care,comfort medications,non-invasive.therapies,etc.):Self-report- Informant report(list name,information provided)- Other requests.not covered above:Self-report- Informant report.(list name;information provided), 'Type of preferred disposition of remains: Select_: Organ Donor: Preference on Memorial Service(if desired); Navigator signature Date Splect.. M &hreA1Af2 S Y Lll Senior Care.lAanagemen:,Inc. +�aew.eae Admin,Mir Last Updated:8/3/2020 10:10:21 AM Dynamic Home Care Assessment Copy Performed By Assessment Done On: BY: Select.. Safety Precautions '.None Aspiration Universal Risk'of Fall - History of Falls 24 hour Supervision Clear Pathway Critical Tests Bleeding . On Anticoagulants Oxygen . •Seizure Aspiration Side rails up Elevate Head of Bed -,, Lock W/C with Transfers Other Alcohol And Tobacco Use Cigarettes Packs per Day 0 Alcohol Nutritional Status Diet • Regular : NAS . NPO Other No Concentrated S weets Appetite GT/PET TUBE SIZE Inserted on: 0 Formula: • INTERMITTENT RATE CONTINUOUS RATE Rates are in CC/HR 0 0 ' Bolus '• Flushes Eating Patterns: Frequency: • Nausea • Frequency: Amount: • Vomiting Dysphagia .',Heartburn(Food To • lenace) Weight Change LBS/KG PER Select.. 0 Select.. • Anorexia Other-(Specify;including history): • • DIRECTIONS:MARK.EACH AREA WITH"YES!'TO ASSESSMENT,THEN TOTAL SCORE TO DETERMINE ADDITIONAL RISK. HAS AN ILLNESS:OR CONDITION THAT CHANCED THE KIND AND/OR AMOUNT OF 0 FOOD EATEN EATS FEWER THAN TWO MEALS PER DAY 0 EATS FEWER FRUITSNEGETAgLES OR MILK PRODUCTS 0 HAS THREE OR MORE DRINKS OF BEER,. LitItioR-OR WIN.EALMOST EVERDAY • . HAS TOOTH:OR MOUTH PROBLEMS THAT MAKE IT HARD TO EAT .0 DOES NOT ALWAYS:HAVE ENOUGH.MONEY TO BUY THE FOOD.NEEDED 0 EATS ALONE.MOST OF THE TIME 0 TAKES THREE-OR MORE DIFFERENT PRESCRIBED OR OVER-THE-COUNTER 0 DRUGS A DAY . WITHOUTWANTING TO,HAS LOST OR GAINED ID POUNDS IN THE LAST 6 MONTHS 0 NOT ALWAYS PHYSICALLY ABLE TO STOP, COOK AND/OR.FEED SELF 0 • Total All`fields needed'to calculate INTERPRETATION 0-2 Good AS APPROPRIATE REASSESS AND/OR PROVIDE INFORMATION BASED ON SITUATION. _3-5 MODERATE RISK EDUCATE,REFER;MONITOR AND REEVALUATE BASED ON PATIENT SITUATION AND ORGANIZATION POLICY. 6 or Greater High Risk COORDINATE WITH PHYSICAL,DIETITIAN.SOCIAL SERVICE PROFESSIONAL OR NURSE ABOUT HOW'TO IMPROVE NUTRITIONAL,HEALTH.REASSESS NUTRITIONAL STATUS AND EDUCATE BASED ON PLAN OF CARE. Comments: RESPIRATION COPD URI • SOB ' ACCESSORY MUSCLES USED Rate Emphysema Select CHEYNES STOKES DEATH RATTLE APNEA PERIODS 0 Clear Crackles/Rales • WHEEZES/RHONCHI • Diminished Absent Oxygen 020(in LPM) 02 Saturation Percent: PRN: 0 0 Source Vent Settings: Select.. Nebullzer Suction, Inhalation Tracheostomy Size: Inserted On: 0 Who Manages: Cough UNABLE TO.COUOR UP SECRETLONS Dyspnea Reset Exertion Other Fun ctiOnnl Stattis Mobility Status Afnbulatory Te4Bok22 Transfers sit to Stand Lift 2 Slide Board Hoyer Pivot 2 Pers'on i; 1 Person Other CONTRACTURES Joints Location Atrophy ' Poor Conditioning Amputation Nurnbness. Weakness Paralysis CUA Seizures URINARY INCONTINENCE(DETAIL IF APPLICABLE) BOWEL INCONTINENCE(DETAIL IF APPLICABLE) Eyes Contacts i. Glasses • GLAUCOMA Jaundice Blurred Vision PTOSIS (DithoOPLNG EYELIDS) • PROSTHESIS LEGALLY BLIND. SefeCt... Select.. Date,of Last Infection • Infections Surgery Site Date of Last Surgery : Surgery No Problem Hard of Hearing Deaf Hearing Aid Select_ Select.. Select.. !Vertigo Other(specify hIStory)>>> No Problem Speech PrHER.FUNtIONAL.STATUS dentures • Mental Status Select.. FORGETFUL LETHARGIC ALERT Other: INTAKE PAIN FREQUENCY OF CLIENT SHOWING EVIDENCE OR COMPLAINt OF PAIN Frequency • INTENSITY • No Pain Moderate Pain Woest Pain PAIN SITES Back gone Chest Incisional Joint Soft Tissue Hip • Stomach' •' Headache -:;Other Elimination • CONSTIPATION/IMPACTION FLATULENCE DIARRHEA RECTAL BLEEDING HENiARRHOIDS STOOL FREQUENCY BOWEL REGIME/PROGRAM BOWEL ROUTINE AIDS SUPPOSITORY ENEMA Laxative DIGITAL . HIGH FIBER' INCONTINENCE(DETAIL IF APPLICABLE) DIAPERS/OTHER ILEOSTomY/CoLosToMY/URosToMY(DESCRIBE SKIN AROUND THE STOMA) Physical Integumentary Skin WARM HOT ' COOL COLD * , DIAPHORETIC DRY CLAMMY Color ' NORMAL 5; Pale Flushed Cyanotic Cali Jaundiced INTEGRITY Intact Excoriated Ecchymosis Rash Location and Size Treatment Decubitus Ulcer Turgor Comments Physical Neurological NEUROLOGICAL ORIENTED CONFUSED Forgetful INAPPROPRIATE WORDS • LETHARGIC COMATOSE Aphasic .Asymmetry Right Left PARALYSIS/PARESIS ,PUPILS EQUAL/REACTIVE HEADACHES INSOMNIA Comments: Housekeeping Tasks Daily Bed Making -.Bathroom Kitchen Trash Weekly/PRN Change Linen Laundry Dust CLEAN REFRIGERATOR VACUUM/SWEEP/MOP Other Personal Care ASSISTANCE LEVEL ORAL CARE(BRUSH,FLOSS,DENTURE CARE,MOUTH SWABS) BATH BED BATH SHOWER. HAIR(SHAMPOO,GROOMING) SHAVE NAILCARE DRESSING PERICARE TOILETING(URINAL,BEDPAN,BSC,INCONTINENT BRIEFS) MEAL PREPARATION FEEDING ROM/EXERCISE/AMBULATION TRANSFERS TRANSPORTATION SERVICES Treatment Orders Vital Signs REMIND CLIENT TO TAKE MEDICATION(S) SKIN CARE , .NON=STERILE DRESSING/WOUND CARE GT SITE CARE FOOT CARE 'BACK RUB/MASSAGE URINARY CATHETER. Type: Date Lasted Changed Foley inserted on With(French) 0 Blood• Pressure SYSTOLIC DIASTOLIC Position: 0 0 Temperature Temp Site: 0 CIRCULATION PULSES PEDAL Right Left Select.. Select... PULSES RADIAL Right Left Select.. Select... Weight 0 Height 0 Glucose Other: Reviewed fay: Form:Comment: Navigator signature Date Select.. 446filreAf 46 St11 a ca:b coy,l.ao.c Admin,Mir Last Updated:6/24/2022 5:28:05 PM Ern rgency Preparedness Client Information S2s First Name Last Name Middle Prefer's to be ' Name called Mir Admin Birth Date Gender Marital Medical Record Status Number 12/31/1899 Female Home Phone Cell Phone Work Phone 512-975 2444 512-975-2444 512-975-2444 Fax Email Communication 512-519-2304. Iina©mircareconsultents.com Preference Work Phone Street Address Unit 9442•.Capital of Texas Suite 500 Plaza 1 Highway North City State Zip Country Austin TX 78759 United States Physicians Shelter anci Respite! Emergency Contacts • Additional Information Home technology+available? Type Pets in residence? Will family transfer pet? Plan for Emergency Evacuation Remain at home: City Name/Address(If known) Evacuation to: City Shelter Other Site Who will assist in transer of client? Phone Special Needs Do you have caregivers to assist? Comments If you are having any changes to your current Plan,please let Our office know by calling either(Austin)512-975-2444,or(Corpus Christs)361-814-3300,or email changes to info©mircareconsultants.com If you have further questions or need assistance with planning,our staff is ready to.assist. WAmexii-41) IMir dIr-Senior Care Management Inc. Adman,Mir Last Updated:5/21/2021 9:56:21 AM Care Manager Monthly Monitoring Report Report Date of contact: Date of documentation: Date of qualification: Care Manager Documented by: Location of visit: Persons present or spoken to during Face to Face(note if none):( Observations at Monthly Visit Physical condition observed at visit: Mental condition observed at visit: Client's perspective on placement•and care.(their words or statements at.FTF on care): Review of Status/Conditions,Services,and Needs Medical and Mental Health(behaviors if any): Social: Environmental(the current environment): Legal: Financial(describe.soUrces.ofincome,location of funds-Rep Payee,responsible parties,etc): Guardianship of Person Status: If N/A,Steps toward restoration: Facility Chart Review: Notes(either way):See above', Actions and Follow:up Items requiring:attention and follow up based on review of above domains:. Follow up identified last month,based on review of domains: Updates Service Plan updates needed: Notes for updates: Annual Document Review Month: If yes,please complete below. Bill of Rights Provided? Date Annual Report Copy Provided? Date Letters of Guardianship-prior year provided? Date Photograph,taken,saved and dated? Date Additional Information not covered above: AbekIhnem+ t "^ Senior Care anagement,Ina II I mM a Carn•conauitnnt. Admin,Mir Last Updated:8/25/2020 8:57:19 AM Initial Assessment UPDATED Client Information - Demographics • First Name Last Name Middle Prefers to be '• Mir Admin Name., called • • - • Birth Date GenderMarital Medical Record Status Number 12/31/1899 Female Home Phone Cell Phone Work Phone 512-9.75-2444. 512-975-2444 512-975-2444 Fax. Email Communication 512-519-2304 Tina©mircareconsultants.com Preference Work Phone Street Address Unit 9442 Capital of Texas • Suite 500 Plaza 1 Highway North . City State Zip Country Austin TX 78759 United States • Additional Client Info - Demographics Ethnicity Military Status • Height Weight Client Details - Demographics English English Language Spoken Religion Profession Written Spoken Select... Select... Se_lect... • Yes Yes No t,No Facility Living Situation Current Location Select,. Select. Rockport Nursing and R . Company Location Client Miscellaneous - Demographics Add to business mailing list' Send birthday card Vulnerable to disaster Security Gate Code Lock Box Code Miscellaneous Specinii Instructions Information ghjgkhjghjghjgh2018 Client Insurance - Demographics Advanced Directives - Demographics Call 911 Do CPR DNR Self Preservation Obtained Full Code No Client Summary/Goal of care Care Goals: Functional??? Do you have an actual assessement or set of questions you ask for this? No Assist Minor Assist Moderate Assist Full Assist Ambulation Bathing • Dressing • Notes Medical Conditions - Medical Surgical History- Medical SURGERY TYPE DATE NOTE' No data Medication - Medical Active Medications No Active Medications Allergies - Medical Providers - Medical Primary Pharmacy - tvledicai Pharmacy Name CVS-Corpus Christi,Texas Additional Pharmacy Information - Medical In Home Healthcare Providers •• Medical Hospitalizations - Medical (I need to get this one for you) Bowel And Bladder - Medical UTI Prostate Problem Continent of Both Incontinent of Bladder Incontinent of the Bowel Incontinent Care Barrier Cream Odor '' Clear . Cloudy Sediment/Mucous Assistive.Devices• Bedside Commode "` Urinal Bed Pan lype'of Help Assist to walk to-Bathroom/Toilet Catheter/Colostomy Care Foley/Suprepubic • C.o.ndom Cath Assistance: CHart Input/Output Special Instructions: colostomy Ileostomy Urostomy Assistance: , Neurological - Medical bo you.have an actual assessement or set of questions you ask for this? Nutrition - Medical Type of Diet. Meal Planning/Preparations • Notes: Meal Times Breakfast Lunch Dinner Snacks Likes/Dislikes: Notes: Feeding, Swallowing Precautions: Fluid/Intake.Restrictions: Feeding Tube: Supplies Provided BY: Phone: Fax: Supplies IVlangaed By: • Special Instructions: Grocery Shopping • Preferred Stores: 4-11-40' 60 - 68 1exasMutu WORKERS'COMPENSATION INSURANCE • • Workers'Compensation and'Employer's Liability. Policy Information Page NC,G0ariler;Codei°29939 • Insured copy • Item I MIR SENIQRCARE.MANAGEMENT INC' Policy number Insured DBA:DBA:MirCare Consultants name.and 9442 N'CAPITAL:OF TEXAS HWY STE500 0002048262 address PLAZA ONE AUSTIN TX 78759-7228 • Federal tax ID Entity • 254131`596 'Corporation Otherworkplaces not shown•above Interim adjustirlent See Schedule Of Operations attached. Quarterly 33%-3'Reports Producer LEWIS WATKINS.FARMER AGENCY INC 21s37 DBA,WATKINS INSURANCE GROUP PO BOX 9369- Renewal of AUSTIN TX 78766,9369 0002b48262 Item 2 The policy period is from: 5/27/22 To: 5/27/23 T2:01 a.m.standard time,'atthe insured's mailing address Iterit,3 A. Workers'Compensation Insurance:Part One of the policy applies t'o the:Workers'Compensation Law of the states listed here:Texas B. Employers Liability.Insurance:Part Two.of the policy applies to work In-each state listed in item 3A. The Limits of our Liability under Part Two,are: . Bodily Injury byAccident • $1,000,000.00 Each Accident Bodily Injury by Disease. $1,000,000.00 Policy.Liniit Bodily Injury'by Disease •$1,000,odb.00 Each Employee C. Other States Insurance: Part Three:of the policy applies to the states,if any,listed.here:.None' ' D. This policy includes these endorsements and schedules:see Schedule of Endorsements attached. Item 4 The premium for this policy will be:determined:by our manuals of Rules,Classifications,Rates:and Rating Plans: • All information required below is subject to verification and change by audit. Payroll' Premium Total payroll and estimated manual premium $374,300.00 $2,415.00 Description factor Amount Waiver of Subrogation 48.00• Increased Limits Factor 1,000,000/1,O00OOO/1,000;000 0.014- . 34:00 Increased Limits Balance to Minimum Prernium($150) 11E.0o Premium Incentive For Small Employer Modifier A:85o (392:00) Schedule Modifier 1.070 155.00 Expense Constant 150.00 Total estimated annual premium $2,526.00 • Minimum.premium 5193.00• Issue date:6/2/22. Countersigned by I �t Inciudes'copyright material of the National Coundl on•Compensatian Insurance),Inc.used with its permission ©Copyright2022 National Coundl of Compensation Insurance,Inc.All rights reserved. • • PO Box 12058',Austin,TX 78711.2058' 1 of I texasmutual coin I (800)859-5995}Fax(800)359-0050 WC op oo 01 B p-rl , . • i . lexas al m- litu 0 - • . - 1 ' ' , ! ' [ . WORKERS' COMPENSATION INSURANCE . ., . . . . • Workers'Compensation and Employer's Liability Policy Extension of Information Page Policy number Issue date Policy period • Item 1: Locations 0002048202 6/2/22 5/27/22 to 5/27/23 Insured copy • ! - , Location Address . Effective Expires - , 00Q01 MIR SENIORCARE MANAGEMENT'INC - 5127/22. 5/27/23 . . .5262 S STAPLES ST STE 300 CORPU.S,CHRISTI, . . TX 7841T-4137 . ' , • '00002 MIR SENKACARE MANAGEMENT INC 5/27/22 5/27/23 . 9442 N CAPITAL OF TEXAS HWY STE 500 :AUST1N,TX 78759-7228 . . • • . . • . • . , • . . - . . . • . : - . . . • • , , . . . . • • . - . . , . . . , . . I . • . . . . .. . . This endoreemenithanOes the-pOlicy to whipb it is,attached effective on the Inception date of thepoilcy•unless:a different-date islndicated below. (The following attaching clause"need be completed only when this endorsement is issued subsequent to preparation of the policy) This endorsernenti effective On 5/27/22 at:12':01 a.m.standard tirne,forms a partpf: Policy.-no.00'02046202 of Texas Mutual:Insurance CcimpanY'effectiiremn 5/27/22: . ' 44+,. issUpdtO: MIR SENIORCARE MANAGEMENT INC 1 , • DBA: DBA Mir Care Consultants „ 4 ob This is not a bill Authorized representative NCCI GarrierCode: 29939 ' • 6/2/22' • PO Box 12056;AUStiri,TX 78711-2058: ' I 1 of 1 texasmutUal.oprii I(800)859=5995 l Fex(800)359-0650 WC 00 00 01 B-LOCS . , . lXaSMutua1® WORKERS' COMPENSATION INSURANCE • Workers'Compensation and Employer's Liability Policy Schedule of Operations Policy number Issue date Policy period Item 4: Premium Calculation 0002048262 6/2/22 5/27/22 to 5/27/23 Insured copy Class codes for primary named insured Premium basis Rate per total estimated $100 of Estimated State Location Code Classification annual remuneration remuneration annual premium 5/27/22 to 5/27/23 42 00001 8742 Traveling Administration Personnel, Marketing Setting 130,000.00 0.450 585.00 Up Wellness.Programs 42 00001 8810 Clerical Office Employees NOC 26,000.00 0.210 55.00 42 00001 8828 Home Health Care:All Other Employees If any 4.170 0.00 42 00001 8833 Home Health Care: Professional Employees 120,500.00 1.230 1,482.00 42 00002 8809 Executive Officers NOC-Performing Clerical or Outside 97,800.00 0.300 293.00 Salespersons Duties Only . 42 00002 8828 Home•Health Care:All Other Employees If any 4.170 0.00 42 00002 8833 Home Health Care: Professional Employees If any 1.230 0.00 Estimated manual premium $2,415.00 0930 Blanket Waiver:All Texas operations 05/27/2022- 0.020 48.00 05/27/2023 . 981.2 Increased Limits Factor 0.014 34.00 1,000,000/1,000,000/1,000,000 • 9848 Increased Limits Balance to Minimum Premium ($150) 1.000 116.00 9885 Premium Incentive For Small Employer Modifier 0.850 • (392.00) 9889 Schedule Modifier 1.070 155.00 0900 Expense Constant 1.000 150.00 Total payroll and Texas total premium • $374,300.00 $2,526.00 This endorsement changes the policy to which it is attached effective on the inception date of the policy unless a different date is indicated below. (The following"attaching clause"need be completed only when this endorsement is issued subsequent to preparation ofthe'policy.) This endorsement,effective on 5/27/22 at 12:01 a.m.standard time,forms a part of: Policy no.0002048262 of Texas Mutual Insurance Company effective on 5/27/22 Issued to: MIR SENIORCARE MANAGEMENT INC 44,,,,,e icf.- --Tcsni-7- DBA: DBA Mir Care Consultants This is not a bill Authorized representative NCCI Carrier Code: 29939 • 6/2/22 PO Box 12058,Austin;TX 78711-2058 1 of 1 texasmutual.com I(800)859-5995 I Fax(800)359-0650 WC 00 00 01 B-CALC Exhibit 1 \AL. � ir Senior Care Management, Inc. 1 & Care Consultants "Planning now,for peace of mind later.° 3410 Far West Boulevard Suite 120 Austin,Texas 78731 July 11,2024 To: Honorable Judge Amanda Matzke Honorable Judge Roy Brantley Mr.Terry Hammond Interested Parties Mir Senior Care&Care Consultants, Inc.would like to thank Brazos County for the opportunity to serve the indigent contract for Bryan/College Station.The purpose of this letter is to provide hard data regarding the clients served under the indigent contract over the past 18 months and provide additional insights and data to inform and support the changes needed to the contract between Brazos County,Texas and Mir Senior Care Management Inc. DBA Mir Care Consultants moving forward. Since the execution of the contract on the first day of September 2022, Mir Care Consultants has proudly served twenty-five indigent cases in Brazos County. Out of fairness to the contract and to Mir Care,this letter is only going to discuss the clients served during the 2023 calendar year and make projections for the 2024 calendar year.All facts and data were collected and gathered from the software program used by Mir Care Consultants to track billable hours during the 2023 calendar year and up to May 15thh of the 2024 calendar year. For the calendar year 2023, Mir Care Consultants spent a total of 959 hours working with/on behalf of indigent clients. During the calendar year 2023, Mir Care Consultants admitted four new clients onto the indigent contract.The first 90 days following admission, Mir Care Consultants worked on average 24.5 hours on each individual case. During the calendar year 2023,there were two deaths of wards on the indigent contract. Following the passing of the ward, Mir Care Consultants spent on average 8 hours on each individual case when guardianship of person oversight ended. Mir Care Consultants also served as Guardian ad Litem under the Brazos County Contract on one ward. Mir Care Consultants spent a total of 9 hours working with/on behalf of this ward during the appointment. Due to the increased acuity level of current contracted cases, Mir Care Consultants has already worked 728 hours with/on behalf of the wards for the dates January 1st, 2024,through May 15th, 2024.As EMS and APS continue to use Mir Care Consultants and the Brazos County Contract as a resource,we see this number only increasing over time. This total number of billable hours is not sustainable for our company at the current reimbursement rate set by the contract in 2022.Along with billable hours, Mir Care Consultants is also expected to hold commercial general liability insurance, automobile liability insurance and worker's compensation insurance under the contract. Mir Care Consultants is also expected to pay all bond costs and cover the cost of counsel on all wards appointed under the contract. For these reasons, Mir Care Consultants would like to discuss the renegotiation of the"Contract in The Public Interest Between Brazos County,Texas and Mir Senior Care Management Inc. DBA Mir Care Consultants." Mir Care Consultants would like to discuss the following areas to be amended to the contract: • Mir Care Consultants requests that the annual payment amount of$150,000.00 payable in twelve monthly installments for up to 25 clients in Brazos County residents who are incapacitated because of age or disability within a given month. Any number over twenty-five per month will be an additional$250 per client, per month. • Mir Care Consultants requests that any indigent case of Brazos County that is not eligible for state or federal funding programs due to lack of citizenship, immigration status or criminal status be denied access to the contract, as Mir Care Consultants cannot assist with finding them adequate housing or meeting other basic needs due to lack of funding,to include Mir Care Consultants not attending court hearings or status update hearings where these cases are discussed and not paying for counsel in these instances. • Mir Care Consultants requests that all Guardian Ad Litem appointments be in addition to the Brazos County Contract,to be paid by the Court at$150/hour. • Mir Care Consultants requests that the contract state specifically that Mir Care Consultants is eligible to receive Medicaid set aside for Guardianship appointments for wards that reside in nursing homes,with no effect to the annual payment of the contract. o 0358.439. Guardianship Fee. In determining the co-payment for a person receiving services in an institutional setting,the Texas Health, and Human Services Commission (HHSC) may deduct a guardianship fee, if any, up to an amount set by the court,from the person's total countable income. • Mir Care Consultants requests that any Court appearances required by Mir Care's counsel prior to appointment or following the death of a ward who was previously under the contract be paid by the Court at an agreed upon rate by Counsel and the Court. • Mir Care Consultants will continue to make every effort to locate any funds the ward has upon appointment and requests that the contract define"indigent and finding monies"as stated in the original contract,to include monies located in ward trust fund accounts at nursing homes. • Mir Care Consultants requests that ward on the indigent contract receive a court appointed attorney to address household property and personal property in the event a ward is unable to maintain placement in a home or apartment. Mir Care Consultants will not assume financial responsibility for moving, disposing, or storing a ward's personal property. If Mir Care Consultants is tasked with this responsibility and the property is deemed to have no value, Mir Care Consultants attorney will bill the court$150 an hour to prepare motions and orders related to abandoning a wards property. Case examples that were paid at Mir's expense. Ex:T. Graham. Mir Care Consultants Core Service Mir Senior Care Management&Care Consultants, Inc provides a holistic, client-centered approach to caring for older adults or others facing ongoing health challenges. Our guidance and advocacy lead families, legal professionals, and caregivers to the actions and decisions that ensure quality care and an optimal quality of life through: • Assessment and monitoring • Planning and problem-solving • Education and advocacy • Family caregiver coaching • Financial and Legal Assessment and Planning Mir Care Consultants, Inc.will continue staffing licensed and professional Life Care Managers,who will participate in a team managed by a competent, experienced, and responsive leadership model. All professional Care Managers and leadership team follow the Ethics Code and Standards of Care provided by the National Aging Life Care Association, as well as the Texas Guardianship Code and Standards. (www.aginglifecare.org and www.texasguardianship.org). Onboarding with Mir Care Consultants besides a rigorous interview process, as a new team member requires mandatory registration to begin the process of becoming a certified private professional guardian under the program. It also includes the requirement to plan for certification designation of Care Manager-Certified (CMC). Care Management Certification is through NACCM (National Academy of Certified Care Managers). Once Mir Care Consultant's team members become eligible for certification by examination, Mir Care encourages and financially supports this certification for all team members practicing Care Management. Care Management Certification helps to protect consumers by ensuring the competence of our team members in a specialized area of practice. Leadership Team Lina Supnet-Zapata MBA, CMC,TxCG CEO Aging Life Care Manager Advanced Professional Kristin Martinelli, LMSW, CCM,TxCG Senior Director of Care Management Aging Life Care Manager Advanced Professional Melissa Bergeron Director of Operations Professional Aging Life Care Manager, Provisional TxCG Teresa Stilwell, BHS,TxCG Manager-Guardianship Services Frances Mir RN, MSN, CMC,TxCG Founder Advanced Professional Aging Life Care Manager Our Leadership team strives to follow the company Mission of"to serve those individuals faced with the challenges and complexities of aging and special needs by delivering the highest quality of life care management and Guardianship services." Currently Mir Care Consultants employs four team members in Brazos County to serve the demand for guardianship. Please refer to the attachment in the email communication that identifies the data we have collected as Exhibit 1 to support the information listed above. Thank you foryourtime and consideration regarding the requests stated in this letter. We are grateful to serve the Brazos County residents with guardianship oversight and Look forward to continued service and collaboration with those involved in the guardianship process. Board of Directors for Mir Senior Care Management&Care Consultants, In. dba Mir Care Consultants. Established 2007 Lina Supnet-Zapata MBA, CMC,TxCG CEO/Co-Owner Frances Mir, RN, MSN, CCM,TxCG Founder/Co-Owner Orlando Zapata,CPA Partner/Co-Owner 1."a°- - 1 ; .. OF REQUEST FOR INFORMAL QUOTE IQ NO. 25-004 Grease Trap Pumping INFORMAL QUOTES TO BE SUBMITTED BEFORE: Tuesday, June 25, 2024 2:00 pm CST TO THE: BRAZOS COUNTY PURCHASING DEPARTMENT 200 S. Texas Ave. Suite 352 • Bryan, TX 77803 Phone: (979) 361-4290 Fax: (979) 361-4293 Respondents, their employees and/or representatives are prohibited from contacting any official or employee of Brazos County, except the Purchasing Agent, regarding this informal quote from the issuing date of the solicitation until the date the Brazos County Commissioners Court meets to consider award of the quote. Any such contact will be grounds for rejection of the Respondent's quote. In compliance with this solicitation, the undersigned Respondent(s) having examined the solicitation and specifications and being familiar with the conditions to be met, hereby submits the foIIowing quote for furnishing the material and/or services listed on the attached quote form and agrees to deliver said items at the locations and for the prices set forth onw the quote form. Company Name: LiCiJID E6IVI Ito n1MEN11L 5-0Oil c1NS By(Print): I V i:I L DALAI $f Title: Ky 'l ccud N i 5 ..J T(du+l i hlitG-t,'- Physical Address: 7 C 5( E TCts `3 di 0 1 Sill:- av 0 la%i(N G r TX 7 CO (9 3 . Mailing Address: -765l E5T V ) 0LvQ, Sv% -oo L tiviNc TX So63 Telephone:SIC-Gci4 — 1327 Fax: A/M- E-Mail:NeIL,Mow 6Liea10 eNvrn°,Cot Quote Request No.25-004 Page 2 of 10 Quotes will be received at the Brazos County Administration Building, Purchasing Department, 200 South Texas Ave Suite 352, Bryan, Texas prior to 2:00 p.m., Tuesday, June 25, 2024, at which time quotes will be publicly opened and read aloud. A. SCOPE OF QUOTE • Quotes are solicited for furnishing the merchandise, supplies, service, and/or equipment set forth in this quote request for a two (2) year period beginning October 1, 2024, through September 30, 2026,in accordance with the following Conditions of Bidding. This quote is for the pumping of county grease traps and disposing of all pumped materials in accordance will all federal, state, and local laws and regulations. B. CONDITIONS OF BIDDING 1. The following instructions apply to all quotes and become a part of terms and conditions of any quote submitted to the Brazos County Purchasing Office, unless otherwise specified elsewhere in this quote request. All Respondent(s) are required to be informed of these Terms and Conditions and will be held responsible for having done so: 2. Definitions: In order to simplify the language throughout this quote, the following definitions shall apply: a. BRAZOS COUNTY- Same as County. b. COMMISSIONERS' COURT - The elected officials of Brazos County, Texas given the authority to exercise such powers and jurisdiction of all county business as conferred by the State Constitution and Laws. c. CONTRACT - An agreement between the County and a Supplier to furnish supplies and/or services over a designated period of time during which repeated purchases are made of the commodity specified. d. CONTRACTOR-The successful bidder(s) of this quote request. e. COUNTY - The government of Brazos County, Texas, and its authorized representative. f. SUB-CONTRACTOR- Any contractor hired by the Contractor or Supplier to furnish materials and services specified in this quote request. g. RESPONDENT—Any supplier or vendor responding to the quote request. 3. Upon acceptance and approval by the Commissioners' Court, this quote affects a working contract between Brazos County and the Contractor for the period designated. 4. Quotes must be received by the Purchasing Office prior to the time and date specified. The mere fact that the quote was dispatched will not be considered; the Respondent(s) must have the quote actually delivered to and received by the Purchasing Department. 5. The County reserves the right to accept or reject in part or in whole, any quotes submitted, and to waive any technicalities for the best interest of the County. 6. Brazos County shall not be responsible for any verbal communication between any employee of the County and any Respondent(s). Only written specifications and written price quotations will be considered. Contractors with questions regarding the quote • IQ No. 25-004 Page 3 of 10 should submit them in writing via the Brazos Valley Online Bidding System at https://brazosbid.ionwave.net. 7. Brazos County reserves the right to reject any quote that does not fully respond to each specified item. 8. Respondent(s)must include Tax Identification Number for the quote to be valid. 9. Should there be a change in ownership or management; the contract shall be canceled unless a mutual agreement is reached with the new owner or manager to continue the contract with its present provisions and prices. This contract is nontransferable and may not be reassigned by either party. 10. The County may cancel this contract at any time for any reason, provided a thirty-day written notice is given. 11. The quote award shall be based on, but not necessarily limited to, the following factors: a. Unit price b. Extended price c. Special needs and requirements of Brazos County d. Results of testing samples (if required by Brazos County) e. Delivery f. References g. Brazos County's experience with products quoted h. Vendor's past performance record with Brazos County. 12. Although the cost of products to be provided is an essential part of the quote, Brazos County is not obligated to award a contract on the sole basis of cost but will award to the Respondent considered to be the best value to Brazos County. 13. Acceptance of merchandise, work, and/or equipment provided shall be made by the County at the sole discretion of the Commissioners Court when all terms and conditions of the contract and specifications have been met to its satisfaction, including the submission to the County of any and all documentation as may be required.. 14. Title and risk of loss of the goods shall not pass to Brazos County until the County actually accepts and takes possession of the goods at the point or points of delivery. 15. This agreement shall be governed by the Uniform. Commercial Code as adopted in the State of Texas as effective and in force on the date of this agreement,when applicable. 16. Quotes must be submitted on quantities and units of measure specified by the quote documents. In the event of errors in extended prices the unit price shall govern. Any suggested change in quantity on the part of the bidder to secure better price or delivery is welcomed and may be given consideration provided that the bidder also quotes on the quantity specified. 17. Quotes must specify the'number of consecutive calendar days required to deliver the commodities under normal conditions. Failure to specify delivery time will be IQ No. 25-004 Page 4 of 10 considered reason enough to cause the quote to be disregarded. Delivery time quoted will be given consideration in awarding orders. If delivery is not made within a reasonable time of the specified delivery in the quote, the entire order or contract may be canceled, and the Respondent barred from bidding in future solicitations. 18. Quotes cannot be altered after receiving time. No quote may be withdrawn after opening time without acceptable reason and with the approval of the Purchasing Agent. 19. Quotes must be submitted on this form and returned in a sealed envelope clearly marked with Vendor Name and Quote Number to ensure proper recognition upon its arrival. Quotes will not be considered if submitted by telephone, fax or any other means of rapid dispatch, nor will a quote be considered if submitted to any other person or department other than specifically instructed. Quotes not received prior to the expressed date and time listed in this quote will be rejected or returned unopened to the vendor. Quotes submitted by any other person or department other than the Brazos County Purchasing Department will not be accepted. 20. It is the Respondent's sole responsibility to print and review all pages of the quote document, attachments, questions and responses, addenda, and special notices. The Certification of Quote 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 Quote Form renders quote 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 quote. By submitting a response to this solicitation, the bidder agrees to comply with HB 1295, Government Code 2252.908. Respondent(s) agrees to provide Brazos County the "Certificate of Interested Parties, "Form 1295 as required, pending award, renewal, amended or extended contract. Visit https://ethics.state.tx.us/whatsnew/elf info_form1295.htm for more information. 21. In the event of a needed change in the specifications sent to the bidder, it is understood that all the foregoing terms shall apply to the addendum or addenda. Any interpretation, corrections or changes to these specifications will be made by addenda. Sole issuing authority of addenda shall be vested in the Brazos County Purchasing Agent, authorized to do so by the Commissioner's Court. Addenda will be made available using the same distribution method used to post or make available the original solicitation. Bidders shall acknowledge receipt of all addenda. 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. 22. It is our policy not to furnish quote results over the phone. Informal Quote results and tabulation sheets will be posted on the Brazos Valley Online Bidding System (https://brazosbid.ionwave.net) after quote award by Commissioner's Court. 23. Brazos County reserves the right to extend this contract annually for a maximum of three (3) additional, one (1) year, periods with no changes in the terms or conditions of this contract, if agreed upon by both parties. IQ No.25-004 Page 5 of 10 24. The Contractor agrees to extend prices and terms to all entities that has entered or will enter into joint purchasing inter-local cooperation agreement(s)with Brazos County. 25. Three (3) references are to be provided by the Respondent. Failure to submit references may result in disqualification of quote. Brazos County department references will not be accepted. 26. Contractor shall observe and comply with all federal, state and local laws, safety, and health regulations, ordinances, and all regulations which in any manner effect conduct of the work or services being performed. 27. Any subcontracting must be approved prior to commencement of the contract by Brazos County. 28. Any variation from the specifications in this quote document must be indicated on the quote or on a separate attachment to the quote and labeled as such. 29. Any brand name, or manufacturer's reference used is considered to be descriptive — not restrictive — and is indicative of the type and quality the County desires to purchase. Quotes on similar items of like quality will be considered only if it is noted in the quote documents and accompanied by fully descriptive product literature. All substitutions will contain the same active ingredients in the same percentages or quantity of the items listed in the quote. If notation of substitution in not made, it is assumed the vendor is quoting the item specified. 30. The County does not guarantee to purchase any minimum or maximum quantities. If any quantities are listed in the quote, they are estimated quantities used for calculating purposes only. 31. In the event the Contractor is unable to furnish any item within a reasonable time after order is placed due to strikes, war or any reason beyond the Contractor's control, the County reserves the right to purchase these items from any source, without causing this contract to be canceled. 32. Brazos County will only be required to pay for materials actually received and/or services actually provided. Brazos County shall not be-required to pay for materials or services described in the contract that are not used or provided by the Contractor in completion of the contract. This term supersedes any contradicting terms throughout the contract and/or any attachments. 33. The Contractor should submit itemized invoices with clearly marked remittance copies to the following address: Brazos County ATTN: Auditors 200 South Texas Ave, Suite 218 Bryan, TX 77803 Statements of accounts will not be sufficient to warrant payment. Unless other arrangements have been made; all invoices to be paid in full within 30 days after IQ No. 25-004 Page 6 of 10 satisfactory delivery of commodities and or services and receipt of invoice at the listed address. Checks will be made payable to the Contractor only, and shall not include sub- contractors, assignees, or any other party. 34. As a governmental subdivision, Brazos County is exempt from most types of taxes, including but not limited to sales tax, excise tax, and import duties. Such costs must not be included in quote prices. Tax Exemption Certificates can be obtained upon request from County. 35. Upon award of contract for any commodity or materials purchased by Brazos County, the Contractor agrees to protect the county from any claim involving patent right infringement, copyright infringement, sales franchise disputes. 36. Unless otherwise specified, all items ordered from the Contractor must be new, unused, and in first class condition. Products usually packaged for commercial sale shall be furnished in proper container so as to facilitate storage and handling. 37. This quote shall be governed by the laws of the State of Texas and 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. Venue shall lie exclusively in Brazos County, Texas, notwithstanding anything to the contrary. 38. The Respondent(s) understands that Brazos County is a government subject to Texas State and Federal public information statutes. 39. Notwithstanding any provisions contained herein, the obligations of Brazos County are expressly contingent upon the availability of funding for the obligations contained herein for the term of the contract and any extensions and renewals thereto. C.INSURANCE REQUIREMENTS 1. The Contractor shall instruct his insurance agent or carrier to furnish to the County a Certificate of Insurance attesting to the issuance of the following parts of this section. Please note that such Certificates of Insurance and any required bonds must be issued and then approved by Brazos County Risk Management. The Certificate of Insurance must be approved by Risk Management before any deliveries can be made. 2. The Contractor shall furnish and keep in full force the following insurance during the term of this Contract: a. Statutory Workmen's Compensation or $1,000,000 EmpIoyer's Liability Insurance with waiver of subrogation. b. General Liability with limits for bodily injury and for property damages of not less than $1,000,000 aggregate, $500,000 each occurrence with Brazos County named as an additional insured and waiver of subrogation. IQ No. 25-004 Page 7 of 10 c. Commercial' Automotive Liability with $1,000,000 CSL for Bodily Injury and Property Damage Liability. d. Cargo Insurance to sufficiently cover materials transported. 3. All the aforementioned policies and Certificates of Insurance should be issued immediately after the Contractor receives notification of award. 4. The Contractor agrees to release and hold harmless Brazos County from any and all claims and liability due to the acts of the vendor's employees and the operation of his equipment. The Contractor also agrees to hold harmless Brazos County from any and all expenses, including attorney fees, incurred by Brazos County in litigation or otherwise resisting such claims or liabilities as a result of the vendor's employees' activities. Further, the Contractor agrees to protect, indemnify and hold harmless Brazos County from and against all claims, demands and causes of action of every kind and character brought by any employees of the Contractor against Brazos County due to personal injuries and/or death to such employee resulting from any neglect act, by either commission or omission on the part of the Contractor or Brazos County. D.SPECIFICATIONS 1. Location of Grease Traps: • a. Brazos County Detention Facility 4,000 Gallon b. Juvenile Justice Center 3,000 Gallon c. Brazos Center 150 Gallon d. Exposition Center 750 Gallon(X 3) e. Exposition Center 20 Gallon (X 6) 2. Departments will schedule pumps on an as-needed basis only with the successful Contractor. 3. After notification by the department, the Contractor will pump the tank(s) specified. 4. All Grease Traps must be serviced Monday—Friday, between the hours of 8 am—5 pm. 5. All Manifest forms must be signed by a county employee at the time of service. 6. Once tank(s) have been pumped it is the Contractor's responsibility to dispose of all material pumped in accordance with all state and local laws and regulations. 7. The contractor is required to maintain current and valid licenses, permits, and certifications in order to be in compliance with all federal, state, and local rules and regulations. 8. The contractor will invoice the requesting department and provide a weight ticket at the time of invoicing to ensure proper payment can be made by Brazos County. All invoices should be sent to the County Auditor, PO Box 914, Bryan TX 77806. Invoices can also be emailed to bmurph@brazoscountytx.gov. 9. The contractor shall quote a price per gallon pumped in the section provided below. IQ No.25-004 Page 8 of 10 10. The contractor will specify how many days from receipt of the request for time service can be completed. E. QUOTATIONS The following is an estimate of our anticipated purchases and will be used ONLY for tabulation purposes. The specified estimates are not guaranteed minimums. Fill in the blanks with the unit price that is firm for the contract period. Cost for delivery must include total cost of shipping the products to the specified location to include but not limited to fuel,man hours,freight, etc. Average Loads Cost/Gallon Location Gallon/Tank per Year Pumped 1 Brazos County Detention Center 4,000 6 0 • a q 2 Juvenile Justice Center 3,000 6 ' 353 3 Brazos Center 150 6 03 4 Exposition Center 750 6 v • 3 61 5 Exposition Center 20 6 a 6 How many days from request of service will service be completed? _ 3 DA rf F. REFERENCES Respondent(s) shall provide a list of at least three (3) references, where work comparable in quality and scope to that specified has been performed within the past five (5) years. This list should include the names, phone number and email of the company/entity for which the prior • work was performed to contact these references. A negative reference may be grounds for disqualification of quote. Respondent(s) are not allowed to use Brazos County as a reference. Company/Entity: CAitRotc.rc, -- Rfull Gt5 ((tirj ck Contact: Batria o/J C -G0Vt- Phone: 9eia-- yr- 631 -] Email: cul e-on G . C f U i s 0, Du dqa a� a g • a • a. Company/Entity: 07,AAK5 eckiNt cmi_ CuMnluFv att-6-6 Contact: t ..ysi ‘77 N tr ILY Phone: 4 7- S( a- l0-1 2-5 Email: itm c ti K O TL• toy IQ No.25-004 Page 9 of 10 .i. _.tC.,.�.s. J'l.t�.T.. . ...+wT,7 .. . •� -..! . •�nSsywn Company/Entity: Li TT-Le- EL M I S.D Contact: Pf DeLA-04e..y Phone: -l 7 a'" 111 7 q 3 Email: POE!_4uAl EY e L true-am Iso, G.CERTIFICATION OF QUOTE By signing the certification below, the Respondent verifies that all plans and specifications have been reviewed and are considered in the pricing attached. Prior to award, the Respondent also completes the Verification of No Delinquent Taxes or Fees form (V.T.C.A. LOCAL GOVERNMENT CODE §262.0276), Legislative Certification Form, and the Disclosure of Interested Parties (1295). These are available on the Brazos County Purchasing website. The undersigned affirms that they are duly authorized to execute this contract, that this quote has not been prepared in collusion with any other vendor, and that the contents of this quote have not been communicated to any other vendor prior to the official opening of this quote. Signed By: N1) � ,,��rr Typed Name: N L Dicitok 44-1 TitIe: y.er 4-ccuar ' Sowna / i2YL Company Name: LIDula LNvi vrJN( i 11- CO Luna NS Phone: (o6- V1t-73c- Mailing Address: 7(o5( es-rciti GLvo Su I iY duo rX 75 ,3 Email Address: NCI . OALAIAiS I✓ LICtuinGvv12o, coM Vendor Tax Identification Number: I Co - t 63 1 6 35 • END OF INFORMAL QUOTE REQUEST NO.25-004 ****************************************** :***************************************** By signing below, Brazos County agrees that this quote, 25-004, will be awarded as dictated on the associated quote tabulation sheet, to the vendor whose name appears above and both parties agree to the ter s and con ' sons contained herein. By: Brazos County Commissioner's Court: \J u p,iv e per es) C o 1''i NTy I'L e IQ No. 25-004 Page 10 of 10 Date: ACST l31 cacp`Z4- Attest: Cei j j W • Brazos County Clerk: Kcte.EAm C a GLe FP S: Uk-0.41-0/A6C/Ziouvi"—, afc4Are The following items should be completed and included in your bid submission. Failure to include these items will disqualify your bid. ❑ Quatations (Section E) ❑ References (Section F) ❑ All Addendums (if applicable) ❑ Certification of Bid (Section G) IQ 25-004 Grease Trap Pumping October 1, 2024-September 30, 2025 Liquid Enviromental Solutions Madole Equipment Rental&Sales Inc Tank Size by 'Cost per gallon Cost per gallon Gallons pumped Cost per Tank pumped Cost per Tank Brazos County Detention Facility 4000 $0.299 $1,196.00 $0.400 $1,600.00 Juvenile Justice Center 3000 $0.353 $1,059.00 $0.400 $1,200.00 Brazos Center 150 $2.030 $304.50 $0.400 $60.00 Expo Center 750 $0.364 $273.00 $0.400 $300.00 Expo Center 20 $5.290 $105.80 $0.400 $8.00 Total: $2,938.30 $3,168.00 How Many days will Service be done after 1-3 Days 4-7 Days request for service?: Ap, ove' •y 114 is Court on this 13 day of Au '(A 9T 2024 by 7:1' — witting the position of 1.d U-Pri jet. • AMENDMENT#1 TO 24-010R FIRE EXTINGUISHERS,SPRINKLER SYSTEM INSPECTION. MAINTENANCE AND TESTING THIS AMENDMENT TO 24-010R also known as 22-007 Fire Extinguishers, Sprinkler System Inspections, Maintenance, and Testing for Brazos County ("Amendment") is entered into and effective this 9th day of July, 2024 ("Effective Date") through September 30, 2025 ("Expiration Date") by and between Brazos County("Customer"), and Brigade Fire Solutions,LLC ("Provider") each of which may.alternatively be referred to herein as a "Party" and collectively as the "Parties". All capitalized terms in this Amendment. shall have the same meaning as in the Agreement(as defined below)unless otherwise stated herein. • RECITALS WHEREAS, the Parties entered into that certain original contract# 22-007 ("Agreement") for purposes of Brigade Fire Solutions to provide of the service for fire extinguishers, sprinkler systems inspections, maintenance, and testing for Brazos County;and WHEREAS,the Parties desire to amend the pricing as set forth in original contract#22-007. AGREEMENT NOW THEREFORE, in consideration of the above premises, and other good and valuable consideration,the receipt and sufficiency of which are hereby acknowledged, the Parties hereto agree to amend the Agreement as follows: 1. Amend pricing for reporting fee to the City of Bryan from $15.00 per report to$17.00 per report. 2. Renewal of contract#24-01OR Fire Extinguishers. Sprinkler systems, Inspections, Maintenance, and Testing for another one (1) term starting on October 1, 2024, through September 30, 2025. New contract number will 25-009R. 3. Bid tabulation attached will reflect the changes requested herein. IN WITNESS WHEREOF, the parties hereto have caused this Amendment to be signed by their authorized representatives as of the Effective Date. This Amendment may be executed in counterparts, all of which taken together shall constitute one instrument. Electronic or facsimile signatures are acceptable forms of execution of this Amendment and shall be binding on all Parties hereto. B'.r i O14.1 BRIGA .1,FIRE SOLUTIONS,LLC SiCALIAt-ke- ature Signature P E k-vLs Paul McKenna Name Name 0'.X 4.3'CV President Title L13 i Title07/23/24 �� Y Date Date • ii • . V THE COMPWWG ENOPIE BRYAN (TX PRICING MODEL ' `' Billing • System Type Price '• Frequency 5-Year Sprinkler $17.00 Per Submittal Emergency Power Generator $17.00 Per Submittal Fire Alarm $17.00- Per Submittal • Fire Escape $17.00 Per Submittal Fire Pump. _ ._ $17101 Per Submittal • Hood Suppression System $17.00 Per Submittal Paint/Spray Booth Suppression == $17.00% Per Submittal Private Fire Hydrant $17.00 Per Submittal Smoke Control System • . . • $17.00 Per Submittal Special Suppression $17.00 Per Submittal Sprinkler System • $17.00 • Per Submittal Standpipe $17.00 Per Submittal Revised January 1,2023 ***REPORTS SUBMITTED AFTER 31-60 DAYS FROM THE INSPECTION DATE WILL INCUR A$7.00 LATE FEE*** ***REPORTS SUBMITTED AFTER 61-90 DAYS FROM THE INSPECTION.DATE WILL INCUR A$10.00 LATE FEE*** ***REPORTS SUBMITTED AFTER 91 DAYS FROM THE INSPECTION DATE WILL INCUR A$17.00 LATE FEE*** Bryan Fire Department Fire Marshal's Officeact 414 Lawrence St Bryan,TX 77801 er. Dear Service Provider, The Bryan Fire Marshal's Office has instituted a new process for service providers who inspect and test fire protection systems. Effective 3/25/2019 all compliant&non-compliant fire protection systems test reports are required to be sent to the Bryan Fire Marshal's Office electronically by your respective organization via The Compliance Engine's online system at www.thecomplianceengine.com. The Bryan Fire Marshal's Office is dedicated to delivering 100%compliance with our adopted Fire Code. This web-based service will aggregate,track and streamline the collection of compliance data of our jurisdiction's systems.Property owners will receive timely proactive notifications of their testing requirements,and the Bryan Fire Marshal's Office will gain the ability to better mitigate the risk in our community by improving public safety to our citizens. All service providers who inspect or test fire protection systems within the Bryan Fire Marshal's Office's jurisdiction are required to register and submit all test,inspection and service reports via The Compliance Engine. All reports must be submitted in accordance with the testing schedule and requirements outlined in our adopted fire code. Benefits to you: • Increases market opportunity and demand for your fire protection services • Ensures all reports arrive, affording you the ability to track our department's follow up • Enhances maintenance revenue and timeliness of deficiency corrections • Improves customer retention with renewal notifications identifying you as company of record • Minimizes non licensed contractors from working in your market This proven process requires the service provider pay a nominal filing fee at the time of submittal.There is no fee to register your company with The Compliance Engine. Once registered,pricing is viewable under Bryan Fire Marshal's Office icon in The Compliance Engine.If you are a licensed fire protection system contractor and are not currently registered with Brycer,please do so at www.thecomplianceengine.com. We look forward to partnering with you to better protect and serve our community. We are confident this will benefit us ALL. Sincerely, 77,-A4t,77,7 Marc McFeron Fire Marshal Bryan Fire Department P.(979)209-5960 E.mmcferson@bryan.tx.gov Keys to Getting Started: Systems Tracked: • Register at www.thecomplianceeeneine.com • Automatic Fire Sprinkler System • Sign up for training • Fire Alarm System• Commercial Kitchen Hood • Complete account set up by entering all inspectors, inspector licenses,and company licenses Suppression System(Testing • Add Users and company logo for brand awareness and Cleaning) • Standpipe Key Processes to Know: • Active Smoke Control System • Private Hydrant System • Select correct template for each report submitted:Fire • Fire Pump • Spray Booth Alarm,Sprinkler,Kitchen Hood,etc. • Emergency Generator • Enter all test reports and type out deficiencies • Attach pdf version of inspection report when using short • Special Suppression System form(fire protection systems only) • Fire Escape • Ensure all reports entered are submitted for payment • Update deficiency tracking to inform AHJ that violations have been corrected • Check notifications icon to track sent out by AHJ • Open inspection reports are saved reports not yet submitted to AHJ,if not submitting these to AHJ delete • Submit a new premise when necessary(if you cannot locate the premises in the existing database) • • View your transaction list to confirm correct payment • Create new users when necessary • Update credit card information BID TABULATION#25-009R Previously know as#24.010R,22-007 Fire Extinguishers,Sprinkler Systems,Inspections,Maintenance and Testing DATE:October 1,2024-September 30,2025 Cost/Unit • Frequency of Type of Inspection Inspection Brigade Fire Solutions,Inc Impact Fire Services Summit Fire&Security Firetron,Inc Fire Extinguishers Annually $4.50 each $11 total $6.00 per Extinguisher $4.50 ea $3.50 each%340 5#ABC-$30.00;10#ABC- $455 total $50.00;20#ABC-$60.00; Maintenance of Fire Extingushers Every 6 Years $25.00 each $35 each%13 2.5 GAL H20-$40.00;6LK $26.00 $350.00;SO HALOTRON- 5350 00 We suggest to replace the extingushers as it would be cheaper on cost. Hydro Testing of Fire Extinguishers Every 12 Years Replacement Only $s ea total 5#ABC-$55.00;10#ABC- ' $20.00 $45 each X 12 $100.00;20#ABC- $165.00;2.5 GAL H2O- $40.00;6LK-$350.00;S# HALOTRON-$350.00 Frequenry of Recharge/Refill of Fire Extinguishers Inspection -- kp � `� ABC/Halotron-5# As needed $15.00 ABC only $150.00 5#ABC-$35.00;5# ABC$15.00 HALOTRON-$225.00 Halotron$245.00 ABC/Halotron-10# As needed $18.00 ABC only $165.00 10#ABC-$50.00;30# ABC$27.00 HALOTRON-$325.00 ABC/Halotron-20# As needed $22.00 ABC only $180.00 20#ABC-$60.00;20# ABC$59.00 HALOTRON-$425.00 K/6L As needed $95.00 $125.00 $225.00 $70.00 H20/2.5 gal As needed S15.00 $40.00 $25.00 $15.00 Sprinkler/Riser System Annually 5175.00 $125 each $150.00 per system $150.00 Sprinkler Pumps Annually $475.00 $350 each 5500.00 each $550.00 Sprinkler Backflows Annually $75.00 each $50 each $45.00 each $75.00 Fire Hose&re-rack Annually $35.00 each $25 each $40.00 each $15.00 Hydro Testing of Fire Hose&re-rack Every 3 years $50.00 each $65 each $125.00 each $50.00 Internal Wetpipe Riser Inspection Every 5 years $475.00 $175 each $600.00 each $500.00 Suppression System Semi-Annual $200.00 • $95 each $135.00 each $125.00 Inspection of Fusible Links Semi-Annual Included with semi-annual included in inspection 512.00 each N/C suppression price Replacement of Fusible Links Semi-Annual $10.00 each $10 each $12.00 each $8.50 Annul ex 3 gallon$333 Ansel 101-30 cartridge Recharge of chemical and/or propellant As needed Quoted $173 $25.00/LBS plus labor Please see Attached for suppression system Ansel double tank cartridge$471 Purchase of fire extinguishers Site * XI ,- ' ABC 5# $45.00 $55 each $55.00 each $58.00 ABC 10# $75.00 $75 each $100.00 each $95.00 ABC 2013 5130.00 $135 each $165.00 each $170.00 Class K 6L $175.00 $195 each $350.00 each $225.00 H2O 2.5 gal $160.00 $120 each $40.00 each $140.00 Halotron 54 $210.00 5375 each $350.00 each $255.00 $450.00 each(a 10# Halotron is no longer Halotron 10# $445.00 $475 each $495.00 available but a 11#is and that is what I quoted) $550.00 each(a 20# Halotron 20# $675.00 $640 each Halotron is no longer $710.00 available but a 15.5#is and that is what I quoted) Reporting Fees(City fee) $17.00 per report on $25 per system Prices included in all of Bryan,TX=$12.00/Rept. compliance engine the line items CS,T%=$30.00/Kept Service Calls $75.00 per man hour and $85.00/Hour Hourly to include trip charge/travel $35.00 trip charge $190 2 man crew $95.00 per hour 2 Hour Minimum In regards to the recharge of chemical and or propellant for suppression system. We are assuming this is for a kitchen hood system but because we do not know what is there,we offer the following options. $1,250.00 fora single bottle system(labor,materials, Notes and Exceptions delivery included) •Recharging bottles completely $1,800.00 fora double bottle system(labor,materials, delivery included) •Recharging bottles completely We would apprciate the opportunity to provide tether • pricing should this not be your intent. Recommend Award:Brigade Fire Solutions,Inc. Renewal:2nd of ii Ittito Appro d by Com -d,urt on this A J day of AI 4_0•51-..2024� �`` •':ing the position of -,1 Lt. u Q2s • FIRE EXTINGUISHERS, SPRINKLER SYSTEMS, INSPECTIONS, MAINTENANCE AND TESTING CONTRACT BRAZOS COUNTY PURCHASING DEPT. 200 S.Texas Ave.,Ste.352 Contract No.22-007 Bryan,Texas 77803 Page 1 of 11 Pages Telephone(979)361-4292 GENERAL REQUIREMENT FOR CONTRACT I, Paul McKenna as a duly authorized representative of Brigade Fire Solutions , LLC "Contractor"willingly attest to perform (or deliver) as per Exhibit A for Brazos County. I further agree to all of the provisions and specifications contained in this contract. TERM The term of this contract will be for two (2) years, with the option to renew with three(3)additional one (1) year periods. Initial term will be from October 1,2021 through September 30,2023. 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 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 form1295.htm for more Contract No.22-007 BRAZOS COUNTY,TEXAS Page 2 of 11 Pages 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. 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. 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 Iocations as these additional locations may be required. Locations to be added may include, but not limited to, expansions or additions to existing facilities and acquisition or construction of new properties. In the event that Brazos County makes significant structural changes to an existing facility that impacts the contractor's cost in providing the services anticipated by this contract such change may be treated as a new facility and the procedures provided for in this section may be followed in determining an appropriate price. In the event Brazos County wishes to add other locations to a group under the contract, a quotation will be solicited from the incumbent contractor in good standing for the group in which the new location is appropriately situated. Contract No.22-007 BRAZOS COUNTY,TEXAS Page 3 of 11 Pages In the event Brazos County shall sell, vacate, abandon, or otherwise dispose or terminate a location to which the contract applies, all existing contracts for services applicable to such location, the portion of this contract that applies to such locations is terminated. All remaining portions of the contract will remain intact. Brazos County will endeavor to give the contractor written notice of such termination of locations a minimum of thirty(30) days in advance. SUBCONTRACTING Any subcontracting must be approved prior to commencement of the Contract by Brazos County. INVOICES&PAYMENTS Payments to contractors will not be made if the contractor cannot produce a Brazos County Purchase Order. Contractor shall submit an original invoice on each purchase order or purchase release after each delivery, indicating the purchase order number. Invoices must be itemized. Any invoice, which cannot be verified by the contract price and/or is otherwise incorrect, shall be corrected by the contractor. Brazos County will only be required to pay for materials actually received and/or services actually provided. Brazos County shall not be required to pay for materials or services described in the contract that are not used or provided by the contractor in completion of 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 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. Contract No.22-007 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 Ofcial or the County Official's family members during the preceding twelve(12)month period. The disclosure questionnaire.must be filed with the Brazos County Clerk. Refer to Texas Local Government Code, Chapter 176 for the details of this law. Bidder understands that Brazos County is a government subject to Texas State and Federal public information statutes. Venue shall lie exclusively in Brazos County, Texas,notwithstanding anything to the contrary. COMPLIANCE WITH LAW The Contractor's work and materials shall comply with all state and federal laws,municipal ordinances, regulations,and directions of inspectors appointed by proper authorities having jurisdiction. The Contractor shall perform and require all subcontractors to perform the work in accordance with applicable laws, codes, ordinances, and regulations of the State of Texas and the United States and in compliance with OSHA and other laws as they apply to its employees. In the event any of the conditions of the specifications violate the code for any industry,then such code conditions shall prevail. The Contractor shall follow all applicable state and federal laws, municipal ordinances, and guidelines concerning soil erosion and sediment control throughout the Project and warranty term. DISQUALIFICATION OF OFFEROR Upon signing this contract, an offeror offering to sell supplies, materials, services, or equipment to Brazos County certifies that the offeror has not violated the antitrust laws of this state codified in Texas Business and Commerce Code §15.01, et seq., as amended, or the federal antitrust laws, and has not communicated directly or indirectly the bid made to any competitor or any other person engaged in such line of business. Any or all bids may be rejected if Brazos County believes that collusion exists among the offerors. Bids in which the prices are obviously unbalanced may be rejected.Requests to withdraw a submitted bid or proposal are subject to the approval of the Purchasing Agent. Contract No.22-007 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. TERNIINATION 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 r 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. (3) Automobile Public Liability Insurance with a $1,000,000 Combined Single Limit, in all self- • Contract No.22-007 BRAZOS COUNTY,TEXAS Page 6 of 11 Pages propelled vehicles used in connection with the contract,whether owned,non-owned or hired. The Certificate of Insurance furnished to Brazos County shall contain a provision that coverage under such policies shall not be canceled or materially changed until at least 30 days prior written notice has been given to Brazos County. • LIMITATIONS The parties are aware that there are constitutional and statutory limitations on the authority of Brazos County to enter into certain terms and conditions of the contract, including, but not limited to, authorizations of the placement of liens on Brazos County property; disclaimers and limitations of warranties; disclaimers and limitations of liability for damages; waivers, disclaimers and limitations of legal rights, remedies, requirements and processes; limitations of periods to bring legal action; granting control of litigation or settlement 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: BRAZOS COUNTY: Brazos County,Texas Duane Peters,Brazos County Judge 200 South Texas Avenue,Suite 332 Bryan,Texas 77803 Contract No.22-007 BRAZOS COUNTY,TEXAS Page 7 of 11 Pages CONTRACTOR:Brigade Fire Solutions , LLC Sales Contract Name: Phone Number: Billing Info: Paul Keller 281-741-1006 Ashton Harris FISCAL FUNDING CLAUSE Notwithstanding any provisions contained herein, the obligations of Brazos County are expressly contingent upon the availability of funding for the obligations contained herein for the term of the contract and any extensions and renewals thereto. WAIVERS 'No waiver by either party hereto of any term or condition of this contract shall be deemed or construed to be a waiver of any other term or condition or subsequent waiver of the same term or condition. ENTIRE CONTRACT This contract represents the entire and integrated agreement between Brazos County and the contractor and supersedes all prior negotiations, representations, or contracts, either written or oral. This contract may only be amended by written instrument approved and executed by the parties. AVAILABILITY AND RETENTION OF RECORDS All records relating to the service provided under this contract and supporting documentation for invoices submitted to Brazos County by the contractor shall be retained and made available by the contractor for audit by Brazos County, it duly authorized representatives, the State of Texas (including, but not limited to the Auditor of the State of Texas, Inspector General or duly appointed law enforcement officials) and agencies of the United States Government. Such records shall be returned by contractor and made available for any time period required by state or federal law. If changes occur in the governing state or federal law, regarding retention records, contractor shall comply with such changes. If an audit is initiated before the expiration of such time periods required by state or federal law regarding retention of records, the contractor shall retain such records until the audit is concluded and all issues resolved. Contractor shall provide Brazos County with copies of such audits that be conducted with respect to the contract. The requirements of Subchapter J, Chapter 552, Government Code, may apply to this contract and the contractor or vendor agrees that the contract can be terminated if the contractor or vendor knowingly or intentionally fails to comply with a requirement of that subchapter. This provision is mandatory and may not be altered or deleted, as required by Sec. 552:372(b) of the.Texas Government Code. AUDIT RESPONSIBILTY The contractor shall be responsible for receiving,replying to and/or complying with any audit exception by appropriate federal,state or local audit directly related to the provision of this contract. • Contract No.22-007 BRAZOS COUNTY,TEXAS Page 8 of 11 Pages • The contractor shall repay to Brazos County the full amount received for duplicate billings, erroneous billings, false or deceptive claims. The contractor recognizes and agrees that Brazos County may withhold any money due and recover through any appropriate method any money erroneously paid under this contract if evidence exists of less than full compliance with this contract. INDEMNIFICATION The contractor shall defend, indemnify and save harmless Brazos County and all its officers,agents, and employees from all suits, actions, or claims of any character, name and description including attorney's fees expenses brought for or on account of any injuries or damages received or sustained by any person or persons or property, by or from the said contractor or his employees or by or in consequence of any negligence in safeguarding the work, or through the use of unacceptable materials in construction of the work, or by or on account of any act of omission, the Worker Compensation Law or any other law, ordinance, order or decree, and so much of the money due the said contractor under and by virtue of his contract as shall be considered necessary by Brazos County may be retained for the use of Brazos County, or in case no money is due, his sureties shall be held until suit or suits, action or actions, claim or claims for injury or damages as aforesaid shall have been settled and satisfactory evidence to that effect 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. Contract No.22-007 BRAZOS COUNTY,TEXAS Page 9 of 11 Pages V.T.C.A LOCAL GOVERNMENT CODE§262.0276 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.) Paul McKenna President Michael Wilkerson Vice President Contract No.22-007 BRAZOS COUNTY,TEXAS Page 10 of 11 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 via cross-referencing respondents/vendors with the Federal General Services Administration's Excluded Parties List System (EPLS, https://www.sam.gov), which is inclusive of the United States Treasury's Office of Foreign Assets Control (OFAC) Specially Designated National (SDN) list. Respondent certifies that the responding entity and its principals are eligible to participate in this transaction and have not been subjected to suspension, debarment, or similar ineligibility determined by any federal, state or local governmental entity and that Respondent is in compliance with the State of Texas statutes and rules relating to procurement and that Respondent is not listed on the federal government's terrorism watch list as described in Executive Order 13224. Entities ineligible for federal procurement are listed at https://www.sam.gov. The undersigned affirms the non-debarment statement above, that they are duly authorized execute this contract. The company representative below further affirms,that the company submitting this proposal, under the provisions of Subtitle F,Title 10,Government Code Chapter 2270: 1. Does not boycott Israel currently: and 2. Will 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 an Israeli-controlled territory,but does not include an action made or ordinary business purposes;and 2. "Company" means a for-profit sole proprietorship, organization, association, corporation, partnership, joint venture, limited partnership, limited liability partnership, or any limited liability company, including a wholly owned subsidiary, majority-owned subsidiary, parent company or affiliate of those entities or business associations that exist to make a profit. Company Name: Brigade Fire Solutions , LLC Authorized Company Representative: Paul McKenna / President Address: 17419 Villa Green Dr, Houston, Texas 77040 Signature: Date: 08/17/2021 Contract#: 22-007 Contract No.22-007 BRAZOS COUNTY,TEXAS Page 11 of 11 Pages CERTIFICATION OF BID The undersigned further affirms the non-debarment statement above, that they are duly authorized execute this contract,that this bid has not been prepared in collusion with any other vendor,and that the contents of this bid have not been communicated to any other vendor prior to the official opening of this bid. '4A Signed By: Title: President Typed Name: Paul McKenna Company Name: Brigade Fire Solutions , LLC Phone Number:281-741-1006 Email Address: pmckenna@brigade-fire.corn Mailing Address: 17419 Village Green Dr, Houston,Texas won TX 77040 P.O. Box or Street City State Zip Employer Identification Number:47-1548324 A i I rove• s y Corn 'ssio s' Court on this 14 day of SCpkifilbeci021 by lOuJr)h;/-lding the position of �U� EXHIBIT A- IQ #22-007 FIRE EXTINGUISHER, SPRINKLER SYSTEMS, INSPECTIONS; MAINTENANCE AND TESTING • CONTRACT October.1, 2021- September 30, 2023 . Fill out"Informal Quotes" form 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 #22-007, Fire Extinguisher, Sprinkler Systems, Inspections, Maintenance and Testing". Include the signed Contract and a copy of th. 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 2:00p.m., Tuesday, August 17, 2021 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. Brazos County is soliciting quotations for an annual contract for inspections, maintenance and testing of Fire Extinguishers and Sprinkler Systems at various Brazos County locations. All other tools implements, personnel, supervision, labor, supplies, equipment, vehicles,- and all effort necessary to carry out the services as required for this operation will be provided by the successful bidder. A. TERM: Prices quoted shall be good for a two (2) year period, with an option to renew for three (3) additional one(1) year periods. B. SPECIFICATIONS: (see chart for equipment estimates and buildings) 1. Fire Extinguishers and Sprinkler Systems: a) Annually • Inspect Fire Extinguishers • Inspect sprinkler systems • Inspect sprinkler pumps • Inspect Risers • Inspection of backflows b) Semi-Annually • Inspect fire suppression systems Semi-Annually: recharge of appropriate chemical and or propellant. • Inspect and replace fusible links.• c) Recharging of Fire Extinguishers • Contractor shall recharge any rechargeable-type fire extinguishers after use or as indicated •by an inspection or when performing maintenance. When performing the recharging, the recommendation of the manufacturer shall be followed. Exhibit A Page 1 of 7 d) 6 -Year Maintenance of Fire Extinguishers e) 12-year Hydro Testing of Fire Extinguishers • Hydro Testing - shall always include both an internal and external visual examination of the cylinder and include recharge of appropriate chemical or propellant when needed. 2. Fire Hoses-Cost for re-racking of fire hoses shall be included in the cost for the inspection and testing. a) Annually • Inspection and re-rack b) Every 3 years • Hydro testing and re-rack 3. Record Keeping and Reporting • All equipment shall have a tag or label securely attached that indicates the month and year the inspection and/or maintenance that was performed and identifies the person performing the service. • Report of findings for inspections and/or testing will be delivered to the Facility Services Director'upon completion. 4. Service Calls • Awarded vendor shall respond to a request for a service/repair within 48 hours of a call for service. • Awarded vendor will provide a detailed estimate reflecting all parts and labor prior to making any repairs. This estimate shall include any trip charges or travel costs. • A purchase order must be received prior to delivery of any goods or services. 5. MisceIlaneous • Any equipment removed from premises for testing or maintenance, must be returned the same day or a loaner must be provided. • All invoices must match bid pricing in order to be processed for payment. Also, invoices must have dates of service with an itemized detail of the service that was performed. • . The awarded vendor must maintain all licenses, registrations,.certifications and/or permits required under applicable laws and regulations by the proper regulatory agencies. Proof of compliance may be required at any time during this service contract. Failure to provide requested documents may be construed as a default and the purchase orders affected may be canceled. All services being performed must be performed by certified technicians in accordance with Federal, State and local fire safety codes. • Exhibit A is incorporated into and becomes a part of any purchase order issued subsequent to this solicitation. • Brazos County reserves the right to increase/decrease the estimated listed quantities during the term of the agreement to accommodate the changing needs of the facilities and best serve the interests of Brazos County. Exhibit A Page 2 of 7 • Prices quoted shall be firm for each service during the term of the contract and all renewal periods. • Facility Services working hours are Monday—Friday from 8:00 am till 5:00 pm, however, there will be times when inspections and testing will need to be completed outside of these working hours and this will need to be arranged through Facilities Services. • Vendor pricing submitted for this contract shall include all of the terms and conditions this Exhibit "A" and Contract. Any variation or exceptions from the specifications in these quote documents must be indicated on the quote or on a separate attachment to the quote and labeled as such. Estimation of fire extinguishers in buildings: BUILDING 2 1/2 GAL 6L 5# • Total 5# 10# 20# H2O K HALATRON ADMIN 23 3 19 1 AG EXT 4 2 2 AP 5 . 2 3 ARENA 1 1 BCDC 67 29 37 1 BRAZOS CENTER 11 6 5 COURTHOUSE 66 12 49 5 CLINIC 3 3 CONSTABLE PCT. 1 4 3 1 EXPO 37 1 34 2 • FLEET 3 3 FACILITIES SERVICES SHOP 32 13 13 3 1 2 FUEL PUMP ISLAND 1 1 HEALTH DEPT 9 6 3 IT 6 3 1 2 JP1 1 1 JP3 4 2 2 JUV 8 5 2 1 LANDSCAPE 3 2 1 MUSEUM 4 2 2 NEW FS SHOP 5 1 4 NEWJUV 6 5' 1 R&B 11 2 6 3 _ • RECORDS 2 2 SIGN SHOP 2 1 1 SO 14 2 12 TAX OFFICE 4 4 VOTER 4 4 • Exhibit A Page 3 of 7 Totals: I 340 I 113 I 204 I 13 I 2 I 6 I 2 Total extinguishers for INSP next year 44 Total extinguishers for 6YR next year 13 Total extinguishers for Hydro next year 12 C. 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. • D. MISCELLANEOUS 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 Online Bidding System located at www.brazosbid.ionwave.net.. Any questions received via email or phone call will not be answered. E. 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. F. QUOTES 1. 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 #22-007, Fire Extinguisher, Sprinkler Systems, Inspections, Maintenance and Testing". Include the signed Contract and a copy of the required insurance with the submission of quotes. Quotes must be received by the Brazos County Purchasing Department prior to 2:00p.m., Tuesday, August 17, 2021 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 4 of 7 • • Frequency of: t T Pe C Fire Extinguishers Annually $4.50 each Maintenance of Fire Every 6 years Extinguishers $25.00 each Hydro Testing of Fire .. .. . Every 12 Extinguishers years Replacement only 5# 10# 20# K/6L H2O/ Recharge/refill of fire ABC/Halotron ABC/Halotron ABC/Halotron 2.5 gal As needed extinguishers $15.00 ABC only $18.00 ABC only $22.00 ABC only $95.00 $15.00 Sprinlder/Riser Annually. Systems _ $175.00 Sprinkler Pumps Annually $475.00 Sprinkler Backflows Annually $75.00 each Fire Hose &re-rack wally $35.00 each Hydro Testing of Fire Every 3 years Hose&re-rack $50.00 each Internal Wetpipe Every 5 years Riser Inspection $475.00 Suppression System Semi-Annual $200.00 Inspection of Fusible Semi-Annual Links Included with semi-annual suppression Replacement of Fusible Semi-Annual Links $10.00 each Recharge of chemical and/or propellant for As needed suppression system Quoted z ;� ' � ., , SIze ,. Yp. G sk xz?s .� x''"'` .�l:os�/unXt `�z> �i z k's ,.v ,�F._- k ks r7s s x.ctrk: ' :M .a' �* ,� �„ f � z. t r4 n ` x,�y a .kxa zfi ` c•exhngu><shets x zs > • •�..t t`.,''., ....2 x; .,;-5:t•3 ..r.�.', ,..s, rF�.cs $ a s.,. ,..,.r.MU... .r >';w. 3`i.r ;ir&z,,..>......, �•:�wt�sc .., _. �S ..s .c ., ABC 5# $45.00 ABC 10# $75.00 Exhibit A - Pages of ABC 20# $130.00 Class K 6L $175.00 H20 2.5 gal $160.00 Halotron 5# $210.00 Halotron I O# $445.00 Halotron 20# $675.00 Reporting Fee (City fee) $15.00 per report on compliance engine • • 4.; Cost Service Calls • • • hourly to include trip charge/travel $75.00 per man hour and $35.00 trip charge • • Exhibit A Page 6 of 7 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: Brigade Fire Solutions Tax ID#: 47-1548324 Address.: 17419 Village Green Dr Jersey Village, TX 77040 • Email: paul.keller@brigade-fire.com Telephone#: 281-741-1006 Printed Name: Paul Keller Signature of Authorized Representative: 3. • Exhibit A. Page 7 of 7 l ® DATE(MM/DD/YYYY) -AC RI CERTIFICATE OF LIABILITY INSURANCE `------- 8/31/2020 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: ,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 lieu of such endorsement(s). PRODUCER CONTACT NAME: Hotchkiss Insurance Agency, LLC PHONE FAX 13430 Northwest Freeway (A/C.1t.Ext):800-899-9810 (A/c,No):713-956-0331 Suite 600 ADDRESS: certs@hiallc.com Houston TX 77040 INSURER(S)AFFORDING COVERAGE NAICft INSURER A:Amguard Insurance Company 42390 INSURED BRIGFIR-01 INSURER B:Texas Mutual Insurance Company 22945 Brigade Fire Solutions, LLC 17419 Village Green Drive INSURER C:Certain Underwriters at Lloyds Jersey Village TX 77040 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:1106906826'� REVISION 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 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. INSRUBR POLICY EFF POLICY EXP LT TYPE OF INSURANCE NSD SWVD POLICY NUMBER (MM DDIIYYYY) (MM/DD//YYYY) ADDL LIMITS C X COMMERCIAL GENERAL LIABILITY SP2200195 7/24/2020 7/24/2021 EACH OCCURRENCE $1,000,000 DAMAGE CLAIMS-MADE X OCCUR PREMISESO(Ea oNTED urrence) $300,000 MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY X jE 0. LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: $ A AUTOMOBILE LIABILITY BRAU099536 6/24/2020 6/24/2021 RI acc ideNEDnt)SI NGLE LIMIT $1,000,000 (Ea ANY AUTO BODILY INJURY(Per person) $ - OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS Xy HIRED x NON-OWNED PROPERTY DAMAGE $ _ AUTOS ONLY AUTOS ONLY (Per accident) $ C UMBRELLA LIAB X OCCUR SP2X200195 7/24/2020 7/24/2021 EACH OCCURRENCE $5,000,000 X- EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000 DED X RETENTION S 1 rt,nnn $ B WORKERS COMPENSATION 0002033673 6/24/2020 6/24/2021 X SEATUTE ERH AND EMPLOYERS'LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE YNN N/A E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below - E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required) The general liability policy includes blanket additional insured endorsements,(CG2010 04/13&CG2037 04/13)that provide additional insured status for ongoing&completed operations to the certificate holder only when there is a written contract between the named insured and the certificate holder that requires such status. The general liability policy includes a blanket waiver of subrogation endorsement when required by written contract-per(CG2404 05/09). The general liability policy includes a special endorsement with Primary and Noncontributory wording as required by written contract,(CG2001 04/13). See Attached... CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ' THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Sample AUTHORIZED REPRESENTATIVE • I ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD _ AGENCY CUSTOMER ID: BRIGFIR-01 LOC#: Ac® ADDITIONAL REMARKS SCHEDULE Page 1 of AGENCY NAMED INSURED Hotchkiss Insurance Agency,LLC Brigade Fire Solutions,LLC 17419 Village Green Drive POLICY NUMBER Jersey Village TX 77040 CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE The general liability policy includes a special endorsement extension for Errors and Omissions-Sprinkler and Fire Suppression Contractors(FSPL.0099 09/13). Damages under this Endorsement will be considered Damages under Coverage A.of the General Liability Limits;however,the Products/Completed Operations Aggregate does not apply to damages granted under this endorsement. The auto liability policy includes a blanket additional insured endorsement,(BA9904 0416)that provide additional insured status to the certificate holder only when there is a written contract between the named insured and the certificate holder that requires such status. The Auto liability policy includes a blanket waiver of subrogation endorsement when required by written contract-per(BA9902 0908). The workers compensation policy includes a blanket waiver of subrogation endorsement when required by written contract-per(WC420304B). The general liability policy includes an endorsement for errors and omissions coverage. This coverage is included in the$1,000,000 per occurrence GL limit and is included with the GL as an underlying coverage on the umbrella/excess policy. The umbrella/excess will follow the underlying liability coverage forms,subject to the policy terms and conditions. • • ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD COMMERCIAL GENERAL LIABILITY CG 20 01 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY -- r OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance (2) You have agreed in writing in a contract or - Condition and supersedes any provision to the agreement that this insurance would be contrary: - primary and would not seek contribution Primary And Noncontributory Insurance from any other insurance available to the additional insured. This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and • • • • • CG 20 01 0413 © Insurance Services Office, Inc., 2012 Page 1 of 1 POLICY NUMBER: • COMMERCIAL GENERAL LIABILITY CG 20 10 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location(s)Of Covered Operations Blanket as required by written contract. 1, Information required to complete this Schedule, if not shown above,will be shown in the Declarations. A. Section II — Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following additional organization(s) shown in the Schedule, but only exclusions apply: with respect to liability for "bodily injury", "property This insurance does not apply to "bodily injury" or damage" or "personal and advertising injury" "property damage"occurring after: caused, in whole or in part, by: 1. Your acts or omissions; or 1. All work, including materials, parts or equipment furnished in connection with such 2. The acts or omissions of those acting on your work, on the project (other than service, behalf; maintenance or repairs) to be performed by or in the performance of your ongoing operations for on behalf of the additional insured(s) at the the additional insured(s) at the location(s) location of the covered operations has been designated above. completed;or However: 2. That portion of "your work' out of which the injury or damage arises has been put to its 1. The insurance afforded to such additional intended use by any person or organization insured only applies to the extent permitted by other than another contractor or subcontractor law; and engaged in performing operations for a 2. If coverage provided to the additional insured is principal as a part of the same project. required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. CG 2010 0413 ©Insurance Services Office, Inc., 2012 Page 1 of 2 • C. With respect to the insurance afforded to these 2. Available under the applicable Limits of additional insureds, the following is added to Insurance shown in the Declarations; Section III—Limits Of Insurance: whichever is less. If coverage provided to the additional insured is This endorsement shall not increase the required by a contract or agreement, the most we applicable Limits of Insurance shown in the will pay on behalf of the additional insured is the Declarations. amount of insurance: 1. Required by the contract or agreement; or • • • Page 2 of 2 ©Insurance Services Office, Inc., 2012 CG 20 10 0413 • POLICY NUMBER: COMMERCIAL GENERAL LIABILITY CG 20 37 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS., LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: •COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations As required by written, and properly executed, contract As per written,and properly executed,contract prior to prior to loss, if required by your written contract or loss, if required by your agreement with such Additional written agreement with such Additional Insured, If Insured, anyone, other than the Additional Insured, provides similar insurance for the Additional Insured,then this insurance will apply as outlined in SECTION IV - COMMERICAL LIABILITY CONDITIONS, paragraph 4.Other Insurance,subparagraph c.Method of Sharing. • The inclusion of one or more Insured(s) under the terms of this endorsement does not increase our limits of liability. Additional Insureds shown in a written contract, or written agreement that includes primary and non- Contributory wording where required. All other terms and conditions remain unchanged. Information required to complete this Schedule if not shown above, will be shown in the Declarations. A. Section 11—Who.Is An Insured is amended to . 2. If coverage provided to the additional insured is as an additional insured the person(s) or required by a contract or agreement, the organization(s) shown in the Schedule, but only insurance afforded to such additional insured will with respect to liability for"bodily injury'or not be broader than that which you are required "property damage"caused in whole or in part, by by the contract or agreement to provide for such "your work"at the location designated and additional insured. described in the Schedule of this endorsement • performed for that additional insured and B. With respect to the insurance afforded to these included in the"products-completed operations additional insureds,the following is added to hazard". Section III—Limits of Insurance: However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and CG 20 37 0413 ©Insurance Services Office, Inc., 2012 Page 1 of 2 • If coverage provided to the additional insured is • required by a contract or agreement,the most we will pay on behalf of the additional insured is-the amount of insurance: 1. Required by the contract or agreement;or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. • • CG 20 37 0413 ©Insurance Services Office, Inc., 2012 Page 2 of 2 POLICY NUMBER: COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE. Name of Person or Organization: As required in a written contract, or written agreement. the inclusion of one or more insured under the terms of this agreement does not increase our limits of liability. All other terms and conditions remain unchanged. Information required to complete this Schedule, in not shown above,will be shown in the Declarations. A. The following is added to Paragraph 8.Transfer Of Rights Of Recovery Against Others To Us of Section IV—Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work"done under the contract with that person or organization and included in the"products- completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. • • CG 24 04 05 09 ©Insurance Services Office, Inc., 2008 Page t of 1 ❑ POLICY NUMBER: SP2200195 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. • DESIGNATED LOCATION(S) GENERAL AGGREGATE LIMIT WITH AGGREGATE CAP This endorsement modifies insurance provided under the'following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Designated Location(s): Information required to complete this Schedule, if not shown above,-will be shown in the Declarations. Designated Location(s): Aggregate Cap For All Locations Combined: $5,000,000 Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. For all sums which the insured becomes legally a. Insureds; obligated to pay as damages caused by"occur- b. Claims made or"suits"brought; or rences"under Section I-Coverage A, and for all c. Persons or organizations making claims or medical expenses caused by accidents under bringing."suits". Section I-Coverage C,which can be attributed • only to operations at a single designated"Ioca- 3. Any payments made under Coverage A for tion"shown in the Schedule above: damages or under Coverage C for medical expenses shall reduce the Designated Loca- l. . A separate Designated Location General tion General Aggregate Limit for that desig- Aggregate Limit applies to each designated nated"location"and the Designated Location "location", and that limit is equal to the General Aggregate Cap For All Locations. amount of the General Aggregate Limit Such payments shall not reduce the General shown in the Declarations. However,the sep- Aggregate Limit shown in the Declarations arate Designated Location General Aggre- nor shall they reduce any other Designated gate limits are subject to a Designated Loca- Location General Aggregate Limit for any tion General Aggregate Cap For All Locations other designated"location"shown in the Combined in the amount shown in the sched- Schedule above. However, such payments for ule of this endorsement.The Designated Lo- damages and medical expenses included in cation General Aggregate Cap For All Loca- the Designated Location General Aggregate tions Combined Is the maximum amount we Limit for all designated locations combined will pay under the General Aggregate Limit for will reduce the Designated Location General all claims arising from all Designated Loca- Aggregate Cap For All Locations. tions combined. 4. The limits shown in the Declarations for Each 2. The Designated Location General Aggregate Occurrence, Damage To Premises Rented To Limit is the most we will pay for the sum of all You and Medical Expense continue to apply. damages under Coverage A, except damag- However,instead of being subject to the es because of"bodily injury"or"property General Aggregate Limit shown in the Decla- damage"included in the"products-completed rations, such limits will be subject to the appli- operations hazard", and for medical expenses cable Designated Location General Aggre- under Coverage C regardless of the number of: gate Limit. GL-0010 11 15 Includes copyrighted material of ISO Properties,Inc., Page 1 of 2 with its permission • • B. For all sums which the insured becomes legally C. When coverage for liability arising out of the obligated to pay as damages caused by"occur- "products-completed operations hazard"is pro- rences"under Section I—Coverage A,and for all vided, any payments for damages because of medical expenses caused by accidents under "bodily injury"or"property damage"included in Section I-Coverage C, which cannot be at- the"products-completed operations hazard"will tributed only to operations at a single designated reduce the Products-completed Operations Ag- "location"shown in the Schedule above: gregate Limit nor the Designated Location Gen- eral Aggregate Limit. 1. Any payments made under Coverage A for damages or under Coverage C for medical D. For the purposes of this endorsement,the Defi- expenses shall reduce the amount available nitions Section is amended by the addition of under the General Aggregate Limit or the the following definition: Products-completed Operations Aggregate Limit,whichever is applicable; and "Location"means premises involving the same or connecting lots, or premises whose connection is 2. Such payments shall not reduce any Desig- interrupted only by a street, roadway, waterway nated Location General Aggregate Limit or right-of-way of a railroad. E. The provisions of Section III—Limits Of Insur- ance not otherwise modified by this endorsement shall continue to apply as stipulated. • • GL-0010 11 15 Includes copyrighted material of ISO Properties, Inc., Page 2 of 2 with its permission • POLICY NUMBER: SP2200195 COMMERCIAL GENERAL LIABILITY CG 02 05 12 04 THIS ENDORSEMENT MODIFIES YOUR POLICY. PLEASE READ IT CAREFULLY. TEXAS CHANGES - AMENDMENT OF CANCELLATION PROVISIONS OR COVERAGE CHANGE This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE PART PRODUCT WITHDRAWAL COVERAGE PART POLLUTION.LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART .In the event of cancellation or material change that reduces or restricts the insurance afforded by this Coverage Part,we agree to mail prior written notice of cancellation or material change to: SCHEDULE 1. Name: 2. Address: 3. Number of days advance notice: Information required to complete this Schedule, if not shown above, will be shown in the Declarations. • • CG 02 05 12 04 © ISO Properties, Inc_, 2003 Page 1 of 1 BID TABULATION#22-007 Fire Extinguishers,Sprinkler Systems,Inspections,Maintenance and Testing DATE: October 1,2021-September 30,2023 Cost/Unit - Frequency of .' S Type of Inspection Brigade Fire olutions,Inc. Impact Fire Services Summit Fire&Security Firetron,Inc. Inspection , ..• _.... _._ $1190 total Fire Extinguishers Annually $450:ieach: $6.00 per Extinguisher $4.50 $3.50 each X 340 5#ABC-$30.00;10#ABC- $455 total $50.00;20#ABC-$60.00; Maintenance of Fire Extingushers Every 6 Years $25 00 each 2.5 GAL H2O-$40.00;6LK• $26.00 $35 each X 13 $350.00;5#HALOTRON- $350.00 We suggest to replace the extingushers as it would be cheaper on cost. Every 12 $540 total 5#ABC-$55.00;10#ABC- Hydro Testing of Fire Extinguishers .Replacement Onl y; $20.00 Years $45 each X 12 $100.00;20#ABC- $165.00;2.5 GAL H2O- $40.00;6LK-$350.00;5# HALOTRON-$350.00 Frequency of Recharge/Refill of Fire Extinguishers - Inspection _ - ABC/Halotron-5# As needed 1$ 5.00 ABC only $150.00 5#ABC $35.00;5# ABC$15.00 _- _ ._____._--.:_,.:.:; HALOTRON-$225.00 Halotron$245.00 ... 10#ABC-$50.00;10# ABC/Halotron-10# As needed $118.00 ABC only $165.00 ABC$27.00 ; HALOTRO N-$325.00 20#ABC-$60.00;20# ABC/Halotron-20# As needed $2200 ABC only $180.00 ABC$59.00 HALOTRON-$425.00 K/6L As needed _; $95.OQ• $125.00 $225.00 $70.00 H20/2.5 gal As needed LL r.�'^siS g0 $40.00 $25.00 $15.00 Sprinkler/Riser System Annually :1$175+00�':__, $125 each $150.00 per system $150.00 Sprinkler Pumps Annually _-is$475 00: . __ $350 each $500.00 each $550.00 Sprinkler Backflows Annually . $75.00 each .:' $50 each $45.00 each • $75.00 Fire Hose&re-rack Annually ak(i_keacttr,_:,- _ $25 each $40.00 each $15.00 Hydro Testing of Fire Hose&re-rack Every 3 years .$50 00 each: $65 each $125.00 each $50.00 Internal Wetpipe Riser Inspection Every 5 years ' :`i-sios 00_-.i_ .,; . $175 each $600.00 each $500.00 Suppression System Semi-Annual.,>,:. .; $201100_;_ _: $95 each $135.00 each $125.00 Included`with semi-annual ` included in inspection Inspection of Fusible Links Semi-Annual $12.00 each N/C ,._';isuppresion ... price Replacement of Fusible Links Semi-Annual $10 00 each $10 each $12.00 each $8.50 Ansul ex 3 gallon$333 Recharge of chemical and/or • Ansul 101-30 cartridge . propellant for suppression system As needed ,Quoted $173 $25.00/LBS plus labor Please see Attached -;•;,; Ansul double tank .. -. , 1n .%:. -..•_.._•..._ cartridge S471 •Purchase of fire extinguishers Size : ` . ABC 5# 1$45:00 _._ $55 each $55.00 each $58.00 ABC 10# .:;_,_.... :� $75.00:': $75 each $100.00 each $95.00 ABC 20# : ,$130AQ_ ;2:_.....:' $135 each $165.00 each $170.00 Class K 6L _ $175 04.:_,;:_ $195 each $350.00 each $225.00 H2O 2.5 gal _:.. $160.00;__:__,;.:.,:_ $120 each $40.00 each $140.00 Halotron 5# ... _. =$210A0`:_-- $375 each $350.00 each $255.00 $450.00 each(a 10# Halotron SO# $445.00 Halotron is no longer$475 each $495.00 available but a 11#is and • that is what I quoted) $550.00 each(a 20# • Halotron is no longer Halotron 20# :'5'675S60. $640 each $710.00 available but a 15.5#is and that is what I quoted) $15 00 per.report on Prices inviuded in all of Bryan,TX=$12.00/Rept. Reporting Fees(City fee) .:l $25 per system comp(ianaeengine the line items CS,TX=$30.00/Rept. Service Calls $75.00 per man hour and $85.00/Hour $190 2 man crew $95.00 per hour Hourly to include trip charge/travel $35.00 trip charge 2 Hour Minimum In regards to the recharge of chemical and or propellant for suppression system. • • We are assuming this is for a kitchen hood system but because we do not know what is there,we offer the following options. $1,250.00 for a single bottle system(labor,materials, Notes and Exceptions •, • delivery included) *Recharging bottles completely $1,800.00 for a double bottle system(labor,materials, delivery included) *Recharging bottles completely We would apprciate the opportunity to provide futher pricing should this not be your intent. RecommendAward:B iga. --ire Solutions,Inc. Approved b Com issio is )14 day of C )2e ,202}11 ( 2� by *m olding the position of Gain \J 0 e'i rtoo. Y�OF9 A?L. BRAZOS COUNTY BRYAN,TEXAS DEPARTMENT: Road and Bridge NUMBER: CC-2024-Frontier-Harpers Ferry DATE OF COURT MEETING: 8/13/2024 ITEM: Consider and take action on the Frontier Communication utility permit to bore and relocate fiber optic cable at the intersection of Harpers Ferry and Nantucket Drive to accommodate the improvements the County will be making to this section of roadway. Site is located in Precinct 1. TO: Commissioners Court FROM: Joe Salvato DATE: 08/08/2024 FISCAL IMPACT: False BUDGETED: False DOLLAR AMOUNT: $0.00 ATTACHMENTS: File Name Description Ina Permit-Frontier-Harpers Ferry.pdf Utility Permit-Frontier Communications-Harpers Ferry Backup Material APPRO ,,A, k.,,''' ''E5( 0 I aq- Duane Peters Date County Judge. NOTIFICATION OF PROPOSED INSTALLATION AND/OR REPAIRS OF TELEPHONE FACILITIES AND DESIGNATING PLACEMENT OF UTILITY IN COUNTY RIGHT OF WAY TO: THE COUNTY ENGINEER OF BRAZOS COUNTY, TEXAS Comes now Frontier Communications [company name], hereinafter referred to as "Company" a Texas [state] Corporation, with authority to transact business in Texas, acting by and through its duly authorized representative, and hereby notifies the County Engineer of its intent to lay, construct, maintain, repair and/or operate a telephone facility under, over, across and/or along . certain County Roads as shown on drawings and diagrams attached hereto and said location described as follows: Frontier Communications proposes to place buried fiber optic cable within the ROW of Harpers Ferry Rd in Brazos County. Starting at GPS 30.539359, -96.247110 placing 448' of buried fiber in a 1.25" duct and ending at GPS 30.539941,-96.246412. The location and description of the proposed installation and appurtenances must be fully shown on detailed drawings attached to this Notification. The Company shall commence actual construction/work in good faith within 60 days from the date of said permit and shall complete said construction /work within 90 working days. (COMPANY MUST FILL IN). If such construction is not begun by the 60th day, Company will be required to provide a new notice. Company declares that prior to filing this application, it has ascertained the location of all existing utilities, both aerial and underground, and the filing of this application is prima 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. In the event of deviation from this notice, the Brazos County Engineer's Office or its designated representative will be notified as soon as practicable. Approval of County Engineer's Office may take as long as two weeks after complete application is received. Failure to notify the County Engineer's Office within 24 hours of beginning construction shall constitute grounds for job shutdown. By signing below, I certify that I am authorized to represent the Company listed below, and that the Company agrees to the conditions/provisions included in this notification. SQUAN on behalf of Frontier Communications Company Name Amanda McNeely By: Aw14 4 Mc•Ne tAd Signature Permit Specialist Title 465 Princeton Dr Conway, AR 72034 Address Phone Number 501-932-0800 ext 5812 Email: amcneely@squan.com ACCEPTANCE OF NOTIFICATION Brazos County offers no objection to the proposed location of the utility in the County right of way as shown by accompanying drawings and notice dated 4v4V$r 1 7-04 except as noted below: (Month/Day/Year) EXCEPTIONS: No1\1E i Ife Brazo ounty ngineer i] • A'f7tiall'pl- .,1**;''''"Ne.,,,, • 1 GP SEND: 30.539941°,-96 246412o , 3p. . N. M1 L sf ,I , x ti s 4.` i • :,..• .0 N, )1 ci„. lk . . y ,. ' 44 6 r I III):t, . # r 1.',. :-..... # 4, ., Of '-4 , :. - , yam ir n i GPS START: 4 p� • s.,: 30.539359°,-96.247110° t A_ � FRONTIER "° 5355484 M t IP x�. _* , �:.- =Y v.. �^ .. BRAZOSCOUNTY 4^ e r ®ERT 5355484 c.o.AREA aesr i»H I " .': EHON SAWN C+Pn' mums ,,, PHONE Sa1.0T!-0OOa LEGEND SHEET s EX-MAN HOLE PROPOSED BURIED FIBER/DUCT EXISTING BURIED COPPER Q EX-HANDHOLE PROPOSED AERIAL FIBER SLASHED EXISTING BURIED FIBER EX PED CCZC [ i c — EXISTING AERIAL COPPER 11"X11"X16"FLOWER POT PROPOSED AERIAL FIBER -�- - - - - EXISTING AERIAL FIBER m 1 TX30"X24"-HANDHOLE RIGHT-OF-WAY LINE A Aw EXISTING FRONTIER UTILITIES Q 3'X3'X3`-HANDHOLE EDGE OF PAVEMENT Q EXISTING UNDERGROUND ELECTRIC 2'X3'X2'-HANDHOLE BACK OF CURB a ,— EXISTING OVERHEAD ELECTRIC Q 30"X48"X36"-HANDHOLE EDGE OF GRAVEL . a PUBLIC UTILITY EASEMENT ®2'X3'X2'-HANDHOLE COMBO ROAD.CENTERLINE —we wa-w¢ Ka- CS OTHER EASEMENTS BORE PIT SIDEWALKS El PROPOSED PED WATER [;FRONTIER POLE SEWER CULVERT X POLE STORM DRAIN 0 REMOVE 8 REPLACE FRONTIER POLE GAS BOX CULVERT >K PROPOSED POLE FENCE AERIAL SPAN it WATER HYDRANT RAIL ROAD L_) IIfIIIIIIiHIIIIHHIIIIIIIIH H II 1 COILS IS STORM PIPE FEATURE 1 FRONTIER 0 0 `/ RI SANITARY MANHOLE 5355484 BRAZOS COUNTY PROJECT 5355484 C.O.AREA�'^'FOP STATION ©GAS MARKER NUYBEa EXCH.coot. DRAWN DATE ENGR SOUAN CNTY SRAZOS 1112W/M24 PHONE.5UI-0320300 SCALE TAX DISTRICT: FEET: i DT 7 TWNSHP RNO' SF•^, • .„ \ \ \, s. 6 _` �� NOTE. l// '°Oi 1, CONTRACTOR TO LOCATE ALL BURIED 'I / PACIUTtES PRIOR TO DIGGING. 4� P / �j 2. ALL PIACENENT TYPES MUST BE 5 //ll//f' AT SO'MIN DEPTH UNLESS STATED OTHERWISE, �1 g ''1~�`\\NN. 4. CAUT ON OV RHEA BP AT ER'NIN DEPTH. Ty - , I:'�pe\���eee3. ROADBOOVERHEADPOWER UNES. ,�20'- -r-20•----w-20,,�,I % • 1� :'� d1 g 5 8a �j� fir,• �/�• NR,\- 7.0.1——— ,ID r) AF 7.-6 e : PROPosmoucr .c,Q % , NANTVCAET DE O \ y 4. I�r scr r \ q4 \STA 2r72 EX P}=�¢j j //���'� ,m^V �' ,r+� 20' 20' 20' '�--_\�'* / f / N° j . w `, f. / f i° i � +t `'�GPS ENO: / \' /'1 30.539941',46.246412' 1� 15W BORE FIBER IN 1.25'DUCT - NIM 120"MIN DOC \ r,\.,,. PROPOSED DUCT '% ,/y !1,.y,_ MAPPERS FERRY RO ,/ /JJ//. ,` /`�y\ ^•• 111'BORE FIBER IN 1.25`DUCT STA 1a2210r00 PL Btu`��/ '—�`_- w /1'`':, 1. //ter i �c \ 55'BORE FIBER IN 1.25'DUCT ID --AIL_ / \ 60'MIN DOC/ ' /< 7/ ti 122'BORE FIBER IN 1.25"DUCT--._�t i ". r v I. De' \ 2. / �i m \ ra STA 0.0O EX PEb „..72,), /� :� 9 I. r- \ A�� GPS START: -�-` J— d / o \\ f 'Po OIRRIM I Dx. 30.539358':96.247910° ///� y`\ p j \W�. 4 q 1$Yi idA9f,0 0 / \ N'QO 4RNN9� 0 ��°� \N.� \ FR®N'TIER= (,1 9' \� as �� 2P / o \\ 5355484 /1 BRAZ05 COUNTY \\\� � 2 PROJECT 53554J s C.O.AREA COMM STATION /77 ` \\ � DRAWN DATE: ENGR' SOUAN CNTY: BRA2o5 \\ PHONE:S01-032.0300 SCALE' 5:80 TAX DISTRICT: SHEET; 2 OF 2 TWNSHP, RNG. SEC: • 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 both 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. • 5. 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 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. B. Safely Requirements 1. Proper traffic control measures must be put in place prior to beginning work and remain in place during the duration of the 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 Transportation shall be observed. 3. Permittee must take 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 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 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 may be • approved by the County Engineer. C. Traffic Control Plan 1. A traffic control plan,pursuant to the TMUTCD or Engineered Traffic Control Plan must be provided for the following: • a. Any construction(i.e.pit,excavation, hole)left open over night, requires specific nighttime traffic control measures pursuant to the TMUTCD; 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 at the job site any time work is being performed. 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, 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 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. be at 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 tights of way of less than 60'. 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 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—0-2 feet, nominally 1' Phone—2-4 feet,nominally 3' Gas—4-6 feet,nominally 5' Cable—6-8 feet, nominally 7' 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 trench to be opened in advance of the pipe,conduit or ducts may not be longer than 400' 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 tithe annular space between pipe and casing and soil exceeds one(1) inch. Brazos County must be given 24 hours notice of pressure grouting operations and have the opportunity to have an inspector on site to observe pressure grouting operations; 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 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 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 County F,ngineer or 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. 10. Any installation within ten(10)feet of edge of pavement shall meet the following: a. location must be approved by the County Engineer or his representative b. backfilled with cement 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 backfilling. Any backfill 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. II.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 improved County road will not be permitted,except in an instance whereby the laying,construction,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 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 required 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. Emergency work 1. 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 shall notify County Engineer within 24 hours of beginning construction/repairs.This will allow the County Engineer and Road & Bridge 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 designated representative and a permit has been obtained. G. Relocation of utilities: 1. When and if the County Engineer determines that it is necessary for the construction, repair, improvement,alteration or relocation 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 Pipelines 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 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. 3. Assurance must also be given that the installation 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 an authorized representative of the company. 4. Petroleum Pipelines: Depth Type of Pipeline (below deepest ditch grade) Special Requirements Encased Pipe Less than 10' Must be covered with concrete pad at least 36"deep Encased Pipe Greater than 10' No concrete pad required Non-Cased Pipe Less than 10' Must be covered with concrete pad at least 48"deep Non-Cased Pipe Greater than 10' No concrete pad required The Concrete pad shall be minimum of 3"thick and width shall be pipe diameter plus 18" mini mtun. 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. 6. Natural Gas Distribution is a line that serves the final customer. I � geLE&Elfri ' 1?• 1 . , • e�ten!ar*r«r •• rtesa•Irarrq te.rtr•e i11e 0 . `fi,I I p...l VOA t el.r. .tei 1 !Q " I `� aa`IOit f�laeiVgq an•' STW. 'l , D V0 fit, . maws 4g"g Elb s =IT y{� y� J. S1g, terra i... 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For I 2 • I , i . we It sattr.IMIr wN led •Teem re11 �r /� oil" eta SI ma I I U rap r.kN most 1 na'raw.�2�. V i 40, red e.,.II trrlaga,Mena arm nasr►10 rs.r=t.a r 4 .�.��«gam- III) i Thawskikti I trz.Is tbelr �I� I tr. ear•na (;) b Hof rildr ono.. TRAFFIC CONTROL FLAN Sr re'" CONVENTIONAL ROAD SHOULDER WORK TCP (2-la) TCP (2-Ib) TCP (2-Ic) TGP(2-1)-12 WORK SPACE NEAR SHOULDER WORK SPACE ON SHOULDER WORK VEHICLES ON SHOULDER 7_1314111U—►an T. +•w I••••• E^ Conventional Roods Co ventional Roads Canal ionol Roods t91 lir NW3: HI I� wr •.w I.+nc 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 08/06/2024 REQUESTOR HRNCIR CHARLES R ADDRESS 806 PLUM HOLLOW DR,COLLEGE STATION,TX 77845 OWNER NAME HRNCIR CHARLES R&KAREN M PROP ID# 109303 REFUND AMOUNT $710.58 REQUESTOR ADDRESS OWNER NAME PROP ID# REFUND AMOUNT REQUESTOR ADDRESS OWNER NAME PROP ID# REFUND AMOUNT REQUESTOR ADDRESS _OWNER NAME PROP ID# REFUND AMOUNT REQUESTOR ADDRESS OWNER NAME PROP ID# REFUND AMOUNT REQUESTOR ADDRESS OWNER NAME PROP ID# REFUND AMOUNT REQUESTOR ADDRESS OWNER NAME PROP ID# • REFUND AMOUNT REQUESTOR ADDRESS OWNER NAME PROP ID# REFUND AMOUNT • APPLICATION FOR TAX REFUND _ __ ____ Collecting Office Name Collecting Tax for:(taxing entities) Brazos County Tax Office Brazos County,City of Bryan,City of College Station 4151 County Park Court Bryan ISD,College Station ISD,F1,F2,F3,F4, Bryan,Texas 77802 Ph.979-775-9930 City of Kurten,Navasota ISD OWNER'S NAME AND ADDRESS HRNCIR CHARLES R&KAREN M 806 PLUM HOLLOW DR COLLEGE STATION TX 77845-1900 PROPERTY DESCRIPTION Legal: PEBBLE CREEK PH 8C,BLOCK 34, LOT4 Address: 806 PLUM HOLLOW DR , • Account# 109303 TAX PAYMENT INFORMATION Name of Taxing Unit Tax Year of Refund Payment Date Amount Paid Refund Amount Requested ZREFUND 2023 06/27/2024 $5159.98 $710.58 _ _ Taxpayer's reason for refund: OP-Overpayment REFUND TO: HRNCIR CHARLES R 806 PLUM HOLLOW DR COLLEGE STATION TX 77845-1900 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." 2.4 §ignat"re 1 D eatem Cr'G— 171 -(A7-0 \ONTIACA rC()UT\6-ok,c.om. 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 DETER ATION Th tax refun [ A roved I ]Disapproved i r3/aq, Authorize fficer 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 06/27/2024 10:14AM KRISTEEN ROE,CTA PH#(979)775-9930 BRAZOS COUNTY TAX ASSESSOR COLLECTOR - - . •• ReceipP 79 Dal t Numbers-- 4151 COUNTY PARK CT 3.. JR__ BRYAN,TX 77802 e Posted ..- T 06127/2024 Payment Type •, I P Pawned Code , Over/Befund - Total•Pald- 55,159,98_ • PAID BY: . HRNCIR CHARLES R 806 PLUM HOLLOW DRIVE COLLEGE STATION,TX 77845 Property_ID Geo ` •• Legal Acres i_ __1 1.--' .Owner Name•and Address •.?-,'3 , 109303 497900-0034-0040 i 0.0000 HRNCIR CHARLES RLL&KAREN M -1 806 PLUM HOLLOW DR tL.� �� ,___Lega1 Description _� �,• COLLEGE STATION,DC 77845-1900 • PEBBLE CREEK PH 8C,BLOCK 34,LOT 4 ' Situp 806 _— - - _DBA Name_ PLUM HOLLODRW , _— Ent _ . Year. Taxable Rate Table Value Stmt•# Void, Original Tax Discnts • P8,1 'Mt Fees Overage Ambtint Pdj ENTITY. Z REFUND EN 2023 0.00000 0 149226 N 710.58 0.00 0.00 0.00 0.00 710.58 BRAZOS COUNTY 2023 0.40970 489,431 63305 N 1,002.60 0.00 0.00 0.00 0.00 1,002.60 CITY OF COLL STAT. 2023 0.51309 500,729 63305 N 1,284.58 0.00 0.00 0.00 0.00 1,284.58 COLLEGE STATION ISO 2023 0.96220 449,431 63305 N 2,162.22 0.00 0.00 0.00 0.00 2,162.22 5,159.98 Balance Due As Of 06127/2024: -710.58 Tender Details '--_ ',• _ _Description ' __ Amount} Check 337388 5159.98 • 5159.98 • I Operator Batch. •-_____,.Teta!Pa ill tmoofe 52017(0612712024 CM) - - _ Special Condition Exists for this Property Pam 1 Receipt Issued In Accordance with Section 31.075 of the Texas Property Tax Code meaeursmabc BRAZOS COUNTY,TEXAS BUDGET AMENDMENT(S)FOR THE 2023-2024 BUDGET YEAR NO. 23/24 43.01—43.06 On this the 13th day of August 2024 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.Chuck Konderla,Commissioner,Precinct 2 D.Nancy Berry,Commissioner,Precinct 3 E.Wanda Watson, Commissioner,Precinct 4 F.Karen McQueen,County Clerk The following proceedings were held: THAT WHEREAS, on 13th day of August 2024 the Court heard and approved a budget amendment(s)for the 2023-2024 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 19 September 2023, 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 August 2024. THE COMMISSIONERS COURT OF BRAZOS COUNTY,TEXAS. By: Dua e Pete-is,County Judge Original: County Clerk's Office and Attached to the original budget BRAZOS COUNTY,TEXAS BUDGET AMENDMENTS No.23/24-43.01 8/13/2024 FUND NAME DEPARTMENT NAME CLASS DESCRIPTION ACCOUNT CATEGORY INCREASE DECREASE Information Technology-Non General Fund Capital Contractual Services Expenditure 13,462.00. General Fund Expenditure 13,462.00 Capital Improvement Fund Revenue 13,462.00 Information Technology- Capital Improvement Fund Capital Capital Outlay Expenditure 13,462.00 General Fund and Capital Improvement Fund Reallocation of funds to computer contracts to Capial to purchase the Palo Alto Panorama projec - _ • _ ;*'4Nlif&hiTT4:“Ag'1474 ,77717MWR77:-.~ §M4 ;-:-.. ,:,,:st:,:s: .',.7.- -,x.:.2-_.4Er , , tEktiOgki %4.0 '''':Ciaaatt%8A4ozi tfZiWA:AitIOJddiggO*NaW/511:00e0 • kTtOMVtiiirrgdiifia(ANi'M ' 1:_ WillIS i-ZYWO.Ordelh'.fig9.1:4--Wes.tn',...4`tear.;:'.1tZWAWMPN tilaM7-;:45.1?:-N . . FUND DIV ACCT Change in Budget ACCOUNT NAME 01000- 14000006 71020000 (13,462.00) 01000 00000000 91110000 13,462.00 45000 00000000 49028000 13,462.00 45000 63140001 80211000 13,462.00 BRAZOS COUNTY,TEXAS BUDGET AMENDMENTS No.23/24-43.02 8/13/2024 FUND NAME DEPARTMENT NAME CLASS DESCRIPTION ACCOUNT CATEGORY INCREASE DECREASE Justice of the Peace Technology Fund JP Technology-JP#2 Contingency Expenditure 1,230.99 Justice of the Peace Technology Fund JP Technology-JP#2 Supplies and Other Charges Expenditure 1,230.99 Justice of the Peace Technology Fund Reallocation of funds to correct account to cover the FY 2024 computers that needed to be replaceldu.to_a e. , sAm • 8/6/2024 . ,:2CountyJudgliiproval..' -- ' Date' koMitietnikyOnlyiN FUND DIV ACCT Change in Budget ACCOUNT NAME 24000 24005200 61130000 (1,230.99) 24000 24005200 60500000 1,230.99 • • BRAZOS COUNTY,TEXAS BUDGET AMENDMENTS No.23/24-43.03 8/13/2024 FUND NAME DEPARTMENT NAME CLASS DESCRIPTION ACCOUNT CATEGORY INCREASE DECREASE Facility Services-Non General Fund Capital Contractual Services Expenditure 25,000.00 Facility Services- General Fund Administration Repairs and Maintenance Expenditure 25,000.00 General Fund Reallocation of funds to correct account to replace 2 air conditioning units at the County Health Di ' Units will be' ater this ear. Date ' . .r;'%,. -. -8/6/2024. 1:. County Judge Approval Date • Foc Oracle"Euiry<Only'_;i • • '_ , x" _ . , • . FUND DIV ACCT Change in Budget ACCOUNT NAME 01000 17000006 71206000 (25,000.00) 01000 17000100 65051000 25,000.00 • BRAZOS COUNTY,TEXAS BUDGET AMENDMENTS No.23124-43.04 8/13/2024 FUND NAME DEPARTMENT NAME CLASS DESCRIPTION ACCOUNT CATEGORY INCREASE DECREASE Fleet Shop-Heavy General Fund Equipment Supplies and Other Charges Expenditure 106.30 Fleet Shop-Heavy General Fund Equipment Supplies and Other Charges Expenditure 85.72 Fleet Shop-Heavy General Fund Equipment Supplies and Other Charges Expenditure 705.00 Fleet Shop-Heavy General Fund Equipment Contractual Services Expenditure 999.50 Fleet Shop-Heavy General Fund Equipment Contractual Services • Expenditure 919.88 Fleet Shop-Heavy General Fund Equipment Supplies and Other Charges Expenditure 2,816.40 General Fund Reallocation of funds to correct accounts to move funds for engine repair on a dump truck. •-.77-7:34.7 - - =77-4Y .77,••"7-- ---W 75: Trt:;:vi, • • , •:,,A 6AM I-3 I IDate‘qi: , ;,.; • _-• :•,,;013::8/6/2024 I .:,-.?:,CountyJudgeAfiproval DateILL: FoeletfiticOiR '-'3.t• FUND DIV ACCT Change In Budget ACCOUNT NAME 01000 56002000 60170000 (106.30) 01000 56002000 60600000 (85.72) 01000 56002000 61680000 (705.00) 01000 56002000 71020000 (999.50) 01000 56002000 71512000 (919.88) 01000 56002000 65320000 2,816.40 • BRAZOS COUNTY,TEXAS BUDGET AMENDMENTS No.23/24-43.05 8/13/2024 FUND NAME DEPARTMENT NAME CLASS DESCRIPTION ACCOUNT CATEGORY INCREASE DECREASE General Fund Contingency Contingency Expenditure 50,000.00 Facilities Services- General Fund Administration Professional Services Expenditure 50,000.00 General Fund Reallocation of funds to correct accounts to cover expenditures for the remainder of FY 2024. AM Date ��__� •• _ 8/6/2024 _. __._ ountyJudgeApproval Date For Oracle Entry Only. V'x ' " :,, • FUND DIV ACCT Change In Budget ACCOUNT NAME 01000 11001500 61130000 (50,000.00) 01000 17000100 71206700 50,000.00 BRAZOS COUNTY,TEXAS BUDGET AMENDMENTS No.23/24-43.06 8/13/2024 FUND NAME DEPARTMENT NAME CLASS DESCRIPTION ACCOUNT CATEGORY INCREASE DECREASE Information Technology-Non General Fund Capital Contractual Services Expenditure 6,090.00 Information Technology-Non General Fund Capital Repairs and Maintenance Expenditure 6,090.00 General Fund Reallocation of funds to correct accounts for the purchase of the Mototrbo System Upgrade CIP to upgrade the County's 4 Mototrbo radio sites and join them together via the county network,streamlining the ability to maintain,and program radios and repeaters. SAM - -- `3 lid+ pate: • " . 8/6/2024. � County Judge Approval Date 1 FUND DIV ACCT Change In Budget ACCOUNT NAME 01000 14000006 71020000 (6,090.00) 01000 14000006 65550000 6,090.00 • Personnel Change of Status (Aug 8,2024) Commissioners' Court Date: 08-13-2024 • Department Submitting Information: Human Resources Purpose of Submissions: Consider and Take Action on Change • • Employment Department Name Employee Name Emergency Management-Administration Covey,Shannon. • Juvenile Services-Detention Anderson,Robbie Juvenile Services-Detention Ford,Ashley Juvenile Services-Detention Jackson-Cryer,Danielle Juvenile Services-Detention - Mcclendon,Bob Juvenile.Services-Detention Thomas,Markel) Separations • Department Name Employee Name Commissioners Court-Administration _ Jimenez Baeza,Katia District Clerk-Administration Hoefling,Diane : • Juvenile Services-Detention Randle,Derrion . .. Sheriff Office-Jail Administration Martinez,Gabriel Tax Assessor-Collector-Administration Roe,Dorye • Personnel Action Forms Department Name Employee Name County Treasurer-Adminsitration Junek,Mindy • . • • :County Treasurer-Adminsitration _ •Nolazco,Maria Exposition Center-Administration • . Mehlhoff,Gavin _ • • Justice of the Peace Precinct 1-Administration • Kiel,Janet • Juvenile Services-Detention . • Medina,Jose Tax Assessor-Collector-Administration Leonard,Melissa • Approved in*Commissioners' Court:08-13-2024 • • County Judge's or Commissioner's Signature: