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Lynn Falcone, CEO
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Board of Directors: Dr. John Frels
Charles W. Papacek Cindy Sheppard Faye Sheppard
Richard Wheeler
Quality Care. Close to Home. ~~3!?~ ~ ~.:(··5 L.:: i £ ~· ?c.~ ~~,E:~ ~ 2'7'"5-3£122 ~· ·.:Jr~rs. c.t.: :.:iro'.ios :.;1tc:'. . c:-g
NOTICE
BOARD OF DIRECTORS
CUERO REGIONAL HOSPITAL
POSTED 3:J.~fM
Date 3·21 :20¢ 0 The Board of Directors of the Cuero Regional Hospita l will hold their regular monthly meeting, revised and via
conference call, Thursday, March 26, 2020, at 5:30 P.M. Board packet will be available online for viewing. The
public toll-free dial-in number and access code will be available on the Cuero Regional Hospital website -
cuerohospital.org:
The subjects to be considered at such meeting are:
I. Call to Order
II. Community Input
Ill. Review of Minutes of the February 27, 2020 Regular Called Meeting
IV. Review of Financial Statement and Stat istical Report
1. Financial and Statistical Report
2. Finance Committee Report
V. Report from Chief of Staff
Appointments: Steven Hole, MD, Tele-Radiology, Rex Holliday, MD, Tele-Radiology, Douglas
Webb, DPM, Podiatry, Joseph Zerr, MD, Onsite Radiology
Reappointments: None
VI. Report from Marketing & Development Director
VII. Report from Clinic Administrator
VIII. Report from Asst. Administrator
IX. Report from Chief Nursing Officer
X. Report from Chief Executive Officer
XI. Report on Quality
XII. Compliance
XIII. Committee Reports
XIV. Old Business
1. FOB Follow Up on February Capital Expenditure Request for Cardiac Rehab Startup - Consider
and Take Appropriate Action
XV. New Business
1. Receive and Accept the Certification of Unopposed Candidates
2. Issue and Adopt Cancellation Order/Ordinance of Election
CUERO HEl-'.LTH
Cuero Regiona! Hospital • Cuero Home Health • Bfit Cuero Wellness CentK
Cuero Medical Clinic • Goliad Family Practice • Kened~' F<.mily Practice • Parkside Family Clinic < Yorktown Medical Clinic
1 3/23/20
Cuero Regiona l Hospital
Notice of Board Meeting
March 26, 2020
3. Capital Expenditure Emergency Request to Replace 7 Yi ton HVAC for Education Classroom - Review
and Take Appropriate Action
4. Capital Expenditure Request for Cooling Tower Replacement Project - Review and Take Appropriate
Action
5. Capital Expenditure Request for 480 Volt Power for Cooling Tower - Review and Take Appropriate
Action
6. Capital Expenditure Request for EMS Lap Computers - Review and Take Appropriate Action
XVI. The Board reserves the right to retire into executive session concerning any of the items listed on this
Agenda, whenever it is considered necessary and legally justified under the Open Meetings Act, for:
o 551.071 Consultation with attorney regarding pending, potential litigation involving the Hospital
and/or Hospital District
c 551.072 Deliberations about Real Property to deliberate the purchase, exchange, lease, or value of
real property if deliberations in an open session would have a detrimental effect on the position of the
District
o 551.073 Deliberation Regarding Prospective Gifts or Donations
o 551.074 Personnel matters relating to the appointment, employment, evaluation, discipline or
dismissal of an officer or employee
o 551.076 Deliberation regarding security devices
o 551.085 Discussion of pricing and/or financial planning information related to negotiation for the
arrangement of provision of services or product lines for DeWitt Medical District and proposed new
physician services for DeWitt Medical District, and any other non-profit health maintenance
organizations under the umbrella of DeWitt Medical District.
XVII. Communications
XVIII. Adjournment
Richard Wheeler, Board Chairman
I certify that, in compliance with the Texas Open Meetings Act, I provided this notice of this meeting to the DeWitt County Clerk and posted this agenda at
the designated location at the DeWitt County Courthouse, Cuero, Texas, and also at the designated location for the City of Cuero and by the switchboard
on th~~st floor: Cuero RITI H~spital, 2550 N. Esplanade, Cuero, Texas 77954 by 5:00 p.m. on the 23rd day of March, 2020.
c:i(cctl\O ALvW ~AllCA. <
Signature of Person Posting Agenda
2 3/23/20
CUERO REGIONAL HOSPITAL BOARD OF DIRECTORS MEETING
February 27, 2020
The Board of Directors of Cuero Regional Hospital held their regular monthly meeting on Thursday, February 27, 2020, in the Education Classroom of the Cuero Regional Hospital, DeWitt County, Texas, at 5:30 P.M.
Board members present were: Mr. Richard Wheeler, Chairman Mrs. Faye Sheppard, Vice Chairman Mr. Charles Papacek, Secretary Dr. John Frels, DDS, Member
Board members absent were: Mrs. Cindy Sheppard, Member
Leadership members present were: Mrs. Lynn Falcone, Chief Executive Officer Mrs. Alma Alexander, Chief Financial Officer Mrs. Denise McMahan, Assistant Administrator Mrs. Judy Krupala, Chief Nursing Officer Dr. Paul Willers, II, Chief of Staff Dr. David Hill, Chief Medical Officer Mrs. Kathy Simon, Administrative Assistant
Guests: Mrs. Jill Saenz, Quality Director, Mrs. Melanie Friedrichs, CRH IT, Mrs. Judy Mazak, ED Director, Mrs. Ismelda Garza, CRH IT, Ms. Allison Flores, Cuero Record, Mr. Tyler Lemke, Imaging Director, Mrs. Jennifer Janssen, Day Surgery/ICU Director, Mrs. Brenda Martin, Cardiopulmonary.
The Board Vice Chairman called the meeting to order at 5:30 p.m.
Community Input:
Dr. Frels moved, Mr. Papacek seconded, to approve the minutes of the regular called meeting on January 23, 2020; the motion carried unanimously.
The Chief Financial Officer's Financial Statement and Statistical Report were provided. The Chief Financial Officer spoke on hospital financials and on the clinic financials in the absence of the Clinic Administrator. The reports were accepted as presented.
Mr. Papacek moved, Dr. Frels seconded, based upon the recommendation of Medical Staff, to approve the one year appointments (limited to the privileges delineated) as presented on the agenda for Kasina Blevins, MD, Tele-Radiology, Marcos Herrera, MD, Tele-Radiology, Gilbert Rodriguez, MD, Emergency Medicine; the motion carried unanimously.
Mr. Papacek moved, Dr. Frels seconded, based upon the recommendation of Medical
CALL TO ORDER
COMMUNITY INPUT
MINUTES
FINANCIAL/ ST A TIS TI CAL
MEDICAL STAFF
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Cuero Regional Hospital Board of Directors Meeting
2
Staff, to approve the two year re-appointments (limited to the privileges delineated) as presented on the agenda for Marshall Bishop, MD, Family Practice/OB, Harish Chandna, MD, Cardiology, Craig Helfrich, MD, Emergency Medicine, Faisal Khan, MD, Nephrology, Daksheshkumar Parikh, MD, Cardiology, Michael Perez, MD, Orthopedics; the motion carried unanimously.
The Marketing and Development Director report was provided.
The Clinic Administrator's report was provided.
The Assistant Administrator's report was provided.
The Chief Nursing Officer's report was provided.
The Chief Executive Officer's report was provided.
The reports on Quality for the hospital and clinics were provided.
Committee Reports: Dr. Frels noted that the Building Committee had met with three different architects.
Old Business: None
New Business:
Mrs. Jill Saenz, Quality Director, presented information on RL Solutions, which is the incident reporting software that Cuero Health uses. This was for board education on how incidents are reported and processed. Board information only. Mrs. Faye Sheppard noted that the board members encourage employee incident reporting to promote quality care.
Mr. Wheeler asked Mrs. Falcone to give a brief update on measures being taken in the organization regarding the coronavirus before proceeding with agenda items. Mrs. Falcone reported that Cuero Regional Hospital is following CDC screening guidelines which include symptoms of fever, cough and shortness of breath and have traveled to China, Iran, Italy, South Korea or Japan; or symptoms and close contact with a person who has traveled to one of those locations. Mrs. Falcone reported that we get daily updates from the CDC and are on daily Methodist Healthcare System calls regarding COVIDlO.
The Mrs. Jennifer Janssen requested the capital expenditure purchase of Cardiac Rehab Startup-Equipment and Software. A quote for the Charting and Telemetry System from Scottcare for $32,782.00 was recommended. A quote for the Nu Step for Cardiac Rehab from Hest for $3,841.79 was recommended. The total for the equipment and software is $36,623.79. Mrs. Faye Sheppard moved, Mr. Papacek seconded, to approve the capital expenditure purchase up to $32,782.00 from Scottcare for the charting and telemetry system with the addition to follow up with the company regarding shipping process and charges and up to $3,841.79 from Hest for the Nu Step for Cardiac Rehab for a total up to $36,623.79; motion carried unanimously.
MARKETING
CLINIC LEADERSHIP
ASST. ADMIN. REPORT
CNOREPORT
CEO REPORT
COMMITTEE REPORT
RL SOLUTIO BOARDED.
CARDIAC REH.I STARTUP EQUIPMENT Al' SOFTWARE
4 3/23/20
Cuero Regional Hospital Board of Directors Meeting
3
The Assistant Administrator reviewed the Annual Quality Assessment Report for 2019 and the 2019 Risk Management Report. Mr. Papacek moved, Dr. Frels seconded, to approve the Annual Quality Assessment Report for 2019 and the 2019 Risk Management Report; the motion carried unanimously.
The Risk Management Annual Approval of Data Collection & Frequency of Data Collection (employee, patient, visitor, security, physician incidents) was presented by the Assistant Administrator. Dr. Frels moved, Mrs. Faye Sheppard seconded, to accept the Annual Risk Management Data Collection and Frequency of Data Collection; the motion carried unanimously. Mrs. Faye Sheppard did ask that non-clinical areas be included to show continuum of care.
The Assistant Administrator requested annual approval of the Number and Priority of PI Projects. Mrs. Faye Sheppard moved, Dr. Frels seconded, to approve the annual Number and Priority of PI Projects; the motion carried unanimously.
The Quality Assessment and Departmental Quality Assessment Annual Approval of Data Collection and Frequency of Data Collection were presented by the Assistant Administrator. The Quality Assessment report involves quality assessments on surgical cases, blood usage, drug usage, medical records, infection control and quality of care review. The Departmental Quality Assessment report involves departmental data to be collected. Dr. Frels moved, Mrs. Faye Sheppard seconded, to approve the Quality Assessment and Departmental Quality Assessment of Data Collection and Frequency of Data Collection; the motion carried unanimously.
Mrs. Cindy Sheppard confirmed via email as part of the District By-Laws Committee review of the By-Laws and did not see any changes that needed to be made especially since they were reviewed and updated previously and noted that the verbiage regarding the walking quorum had been added from the last board meeting. The District By-Laws were approved as recommended by the By-Law Committee, no update.
The Annual Review of the Plan for the Provision of Patient Care Services was presented by the Chief Executive Officer for annual review. Mrs. Faye Sheppard moved, Mr. Papacek seconded, to accept the Annual Review of the Plan for the Provision of Patient Care Services; the motion carried unanimously.
Mrs. Judy Mazak, ED Director, presented a resolution of support for the board to consider and take appropriate action regarding Cuero Regional Hospital providing the financial, human, and physical resources necessary to achieve and sustain designation as a Texas Department of State Health Services Basic (Level IV) Trauma Facility. Mr. Papacek moved, Dr. Frels seconded, to sign in support of the designation as a Texas Department of State Health Services Basic (Level IV) Trauma Facility.
The Chief Nursing Officer requested the capital expenditure purchase of replacement LED OR Lights in OR 1 and OB OR. A quote for the LED OR/OB OR Lights for $44,769.00
QNRM/SAFET\ REPORT
RISK MGMT ANNUAL APPROVAL DATACOLLEC FREQUENCY
NUMBER PRIORITY PI PROJECTS
QA AND DEPT QA OF DATA COLLECTION FREQUENCY OJ DATACOLLEC
DISTRICT BY-LAWS
PLAN FOR THE PROVISION OF PATIENT CARE SERVICES
TRAUMA RESOLUTION
OR/OB OR LED LIGHTS
5 3/23/20
Cuero Regional Hospital Board of Directors Meeting
4
from Skytron was recommended. Mrs. Faye Sheppard moved, Dr. Frels seconded, to approve the capital expenditure purchase up to $44,769.00 from Skytron for the LED OR/OB OR Lights; motion carried unanimously.
Mrs. Ismelda Garza, CRH IT, requested the capital expenditure purchase of Network Optimization IDF Closets. A quote for the Network Optimization IDF Closets for $51,545.68 from CDW was recommended. Mrs. Faye Sheppard moved, Dr. Frels seconded, to approve the capital expenditure purchase up to $51,545.68 from CDW for the Network Optimization IDF Closets; motion carried unanimously.
The Chief Nursing Officer requested the approval of the emergency capital expenditure purchase to replace the boiler on the Steris sterilizer. A quote for boiler for $16,763.87 from Steris was recommended. Mr. Wheeler was notified of the emergency need and approved the purchase over the phone. Mr. Papacek moved, Dr. Frels seconded, to approve the emergency capital expenditure purchase up to $16,763.87 from Steris for the boiler; motion carried unanimously.
The Assistant Administrator requested the capital expenditure purchase to replace existing rear parking fixtures with LED. A quote for the LED rear parking fixtures for $5,990.00 from Goyen was recommended. Mrs. Faye Sheppard moved, Dr. Frels seconded, to approve the capital expenditure purchase up to $5,990.00 from Goyen for the LED rear parking fixtures; motion carried unanimously.
Mr. Tyler Lemke, Imaging Director, requested the capital expenditure purchase of the 3D Mammography Upgrade. A quote for the 3D Mammography Upgrade for $181,074.00 from Hologic was recommended. Mrs. Faye Sheppard moved, Mr. Papacek seconded, to approve the capital expenditure purchase up to $181,074.00 from Hologic for the 3D Mammography Upgrade; motion carried unanimously.
The Assistant Administrator presented for approval the Cuero Health Compliance Plan. Mr. Papacek moved, Mrs. Faye Sheppard seconded, to approve the Compliance Plan as presented.
The Assistant Administrator requested the capital expenditure purchase of Wellness Center Club Enhancement Equipment. A quote for the Wellness Center Club Enhancement Equipment for $12,249.00 from Matrix was recommended. Mrs. Faye Sheppard moved, Dr. Frels seconded, to approve the capital expenditure purchase up to $12,249.00 from Matrix for the Wellness Center Club Enhancement Equipment; motion carried unanimously.
The Chief Financial Officer presented a resolution to be approved by the Board to authorize Lynn Falcone, CEO, Alma Alexander, CFO and Greg Pritchett, Clinic Administrator to sign checks for all accounts with Prosperity Bank. The resolution also removed Judy Krupala, RN, from all accounts. The resolution gives authority for Laura Tiffin and Samantha Sutton to discuss banking accounts with Prosperity Bank. It was further resolved that a check would require two signatures and that these signatures will be valid until such time as the Board would
NETWORK OPTIMIZATION IDFCLOSETS
STERIS BOILER FOR STERILIZER
LED REAR PARKING FIXTURES
3DMAMMO UPGRADE
COMPLIANCE PLAN
WELLNESS CLUB EQUIPMENT
SIGNATURE CARD BANK RESOLUTION
6 3/23/20
Cuero Regional Hospital Board of Directors Meeting
5
pass a new resolution and that such a resolution with the most current date shall have precedence over and other resolutions. Dr. Frels moved, Mr. Papacek seconded, to sign in support of the resolution regarding Prosperity Bank as presented.
Communication: None
There was no further business; Mr. Papacek moved, Mrs. Faye Sheppard seconded, to adjourn; the motion carried unanimously. The meeting adjourned at 7:00 p.m.
Richard Wheeler, Chairman Charles Papacek, Secretary
ADJOURN
7 3/23/20
CUERO REGIONAL HOSPITAL FINANCIAL STATEMENT SUMMARY
Financial Summary - FEBRUARY 2020
EBIDA – Hosp. Only $625,484 $611,323 $14,161 $902,718 ($277,234) $7,174,022 $5,780,581 $1,393,441 $5,802,229 $1,371,793
Net Operating Income – Hosp. Only $5,474 ($215,953) $221,427 $40,486 ($35,012) $588,958 ($863,796) $1,452,754 ($235,410) $824,368
Clinic - Net Operating Income ($20,337) ($356) ($19,981) $44,837 ($65,174) ($32,664) $31,036 ($63,700) $147,926 ($180,590)
EBIDA Consolidated $605,147 $610,967 ($5,820) $947,555 ($342,408) $7,141,359 $5,811,617 $1,329,742 $5,950,155 $1,191,204
Net Income - Consolidated $397,702 $403,456 ($5,754) $783,784 ($386,082) $6,146,774 $4,774,068 $1,372,706 $5,091,817 $1,054,957
Net District Tax Revenue $310,776 $352,000 ($41,224) $279,152 $31,624 $4,203,331 $4,268,000 ($64,669) $3,844,136 $359,195
Nursing Home Revenue $101,790 $267,765 ($165,975) $419,309 ($317,519) $1,387,148 $1,338,828 $48,320 $1,335,166 $51,982
Admissions
Admissions 59 76 (17) 79 (20) 408 420 (12) 408 0
Patient Days 201 251 (50) 254 (53) 1,297 1,343 (46) 1,356 (59)
ADC include Obs 8.7 11.8 (3.1) 12.2 (3.5) 10.6 11.3 (0.7) 11.5 (0.9)
Outpatient Visits (ex RHC & ED) 3,428 3,520 (92) 3,502 (74) 18,492 18,084 408 17,994 498
Clinic Visits 5,427 6,209 (782) 6,299 (872) 29,054 30,712 (1,658) 31,761 (2,707)
Births 12 9 3 15 (3) 63 63 0 64 (1)
ED Visits 865 778 87 772 93 4,582 3,991 591 3,981 601
Total Surgeries/less Endo 49 52 (3) 51 (2) 298 308 (10) 297 1
Revenue/Net Revenue
Net Revenue $2,534,004 $2,631,227 ($97,223) $2,541,902 ($7,898) $13,600,329 $13,938,119 ($337,790) $13,454,726 $145,603
Net Revenue PAPD $2,869 $2,377 $493 $2,466 $403 $2,363 $2,360 $3 $2,438 ($75)
Deductions as % of Gross 68% 60% 8% 60% 8% 64% 60% 4% 62% 3%
Expenses
Total Expenses $2,528,530 $2,847,180 $318,650 $2,501,417 ($27,113) $13,011,372 $14,801,915 $1,790,543 $13,690,136 $678,764
Total Expenses PAPD $2,863 $2,572 ($291) $2,427 ($436) $2,261 $2,506 $245 $2,481 $220
Total Staffing PAPD $1,477 $1,296 ($181) $1,222 ($255) $1,185 $1,287 $101 $1,292 $106
Supplies PAPD $251 $315 $64 $232 ($19) $230 $316 $86 $291 $61
Stats & Ratios -
FTE's 229.92 213.34 16.58 238.83 -8.91 228.61 228.45 0.16 226.93 1.68
FTE/EEOB 7.55 5.59 1.96 6.49 1.06 6.04 5.88 0.16 6.21 -0.17
Avg Hourly Rate $26.90 $30.31 ($3.41) $22.98 $3.92 $26.91 $28.70 ($1.79) $25.21 $1.70
Net A/R Days 19.2 20.2 -1.0 20.2 -1.0 18.7 20.0 -1.3 20.6 -1.9
Cash Net Revenue % 76.4% 100% -24% 109.4% -33% 98.1% 100% -2% 100.4% -2%
Days Cash on Hand 290.00 180.00 110.00 243.00 47.00 290.00 180.00 110.00 243.00 47.00
YTD YTD BudgetVAR to
Budget YTDPY YTD VAR to PY YTDSummary Measures
Current
MonthBudget
VAR to
BudgetPrior Year VAR to PY
8 3/23/20
EBIDA for the Hospital for February was positive, at $625K, higher than Budget by $14K. In addition, Net Operation Income was positive, coming in higher
than Budget by $221K . The positive performance was driven by a higher than Budget UC payment and lower expenses compared to Budget. The
breakdown of revenue and expenses performance indicators were as follows:
NET REVENUE:
•Patient Net Revenue was lower than Budget by $361K due to lower volume from Admissions (17) and Patient Days (50). The lower volume drove the
variance lower by $506K. A positive rate variance by $146K was driven by a higher Case Mix compared to prior year (Non-trad Medicare higher by 31%)
and a higher Payor Mix with Managed Care up 6.4%
•Uncompensated Care was higher than Budget due to a payment in February of $248.6K
•Other Revenue was higher than Budget by $23.2K due to higher revenue in Cafe Sales ($5K), Medicare Pass Thru ($5.2K), and Interest Income ($11.3K)
EXPENSES:
•Total Expenses were lower than Budget by $318.7K due lower expenses compared to Budget in several categories. Salaries were lower than Budget by
$46.7K due to lower volume and a higher budgeted rate. Supplies were lower than Budget by $127K due to lower Implant costs and Pharmaceutical
expense. There were no Spine cases this February vs two cases in the PY. Also, Podiatry and Ortho were lower by 7 cases. Purchased Services were lower
than Budget by $42K driven by lower Utilities ($21.5K), Repairs and Maintenance ($20.8K), and Professional Services ($5.4K). Other Operating Expenses
were lower than Budget by $23.9K driven by lower Appraisal Fees, Dues and Subscriptions, Travel & Meeting and Advertising expense
CLINICS:
•Clinic Net Operating Income was a loss of $20.3K mainly due to a loss in the Specialty Clinics. RHC Net Operating Income was positive at $20.7K, higher
than Budget by $5.2K due to lower expenses by $46.8K with volume lower by 782 visits. Revenue was also lower than Budget by $41.5K. Specialty Clinic
loss of $41.1K was higher than the Budgeted loss by $25.6K. General Surgeon loss was higher than Budget by $5.9K due to billing processes. Podiatry loss
was higher than Budget by $17.6K due to lower volume for clinic visits and surgeries
OTHER:
•Wellness Net Operating Income was positive at $19.4K, lower than Budget by $3.5K mainly due higher expenses from higher Repairs and Maintenance
during the month
•340B Net Operating Income was lower than Budget by $22.9K, with Revenue lower than Budget by $31K and drug costs lower by $8K
•Capital Expenditures - update: Electrical upgrades Phase 1 complete, Phase 2 in progress - $680.1K through Feb; Computer Network Optimization - phase
two in progress - $396K spend of $898M Budget; OR Renovations - $1.5M (not started); Central Sterile Renovation - $716K (not started); and 3D Mammo -
$480K (approved at Jan Board meeting)
•HCA Internal Audit review has not been rescheduled
9 3/23/20
10 3/23/20
11 3/23/20
12 3/23/20
13 3/23/20
14 3/23/20
15 3/23/20
16 3/23/20
17 3/23/20
18 3/23/20
CUERO REGIONAL HOSPITAL MEDICAL STAFF PRIVILEGES REVIEW SHEET
INITIAL APPOINTMENT
APPLICANT NAME: :.:.St:::::e~ve~n:...:H~o~le:::s•..:.::MD~------- DATE: 03/01/2020
The following has been verified by Administration:
1. Completed Application 2. Current Texas License 3. Board Certification
If No, explain \0 th.a pr 0 (es S 4. Current DEA Certificate
Specialty: Radiology-Telemedicine W/Rad Partners
&: ~g YES ®
(ii;' NO
G!§J NO
~·~ YES@
YES £ID)
YES@
YES@
YES~
19 3/23/20
CUERO REGIONAL HOSPITAL MEDICAL STAFF PRIVILEGES REVIEW SHEET
INITIAL APPOINTMENT
APPLICANT NAME: :.::R:;::;ex:::..::.::H~o.!!lli~d:.::a.J..:y,L...!.MD=-------- DATE: 03/01/2020
The following has been verified by Administration:
1. Completed Application 2. Current Texas License 3. Board Certification
If No, explain In t!J f)((JCjL){) 4. Current DEA Certifica~
If No, explain---------------5. Evidence of Adequa~e~P.rofe~ional Liability Insurance
Expiration Date: IJ l_QJ. Jrfl(}.:)e) 6. Adverse information ith i>ata Bank Queried 7. Board of Medical Examiners Queried 8. Current CPR/ACLS/A ti r ER rivileges
If No, explain \,,6"A1..1~--1-JC~-'-'""""'--1-o1~~.L.&..~:;__--9, Current ACLS or oard CerCto
If No, explain ~.Ll-l--'~~~.l-Mi~-------10. Evidence of C E requir ments
If No, explain---------------11. In good standing at other hospitals where privileged
If No, explain---------------12. Malpractice claims in the last ten years
Specialty: Radiology-Telemedicine W/Rad Partners
@)No @JNo
~~ '@No YES~ @· NO
@No YES®
20 3/23/20
CUERO REGIONAL HOSPITAL MEDICAL STAFF PRIVILEGES REVIEW SHEET
INITIAL APPOINTMENT
APPLICANT NAME: Douglas Webb, DPM
The following bas been verified by Administration:
1. Completed Application 2. Current Texas License 3. Board Certification
If No, explain--------------4. Current DEA Certificate
If No, explain--------------5. Evidence of Adequate Professional Liability Insurance
Expiration Date:------6. Adverse information with Data Bank Queried 7. Board of Medical Examiners Queried 8. Current CPR/~S/ATL~ for~ privileges
If No, explain ll]S Oot WOrtL C.JL 9. Current ACL or oar Cert. to perform cardiac stress testa
If No, explain f\l) ( . C S f 10. Evidence of CME requirements
If No, explain---------------11. In good standing at other hospitals where privileged
If No, explain---------------12. Malpractice claims in the last ten years
Specialty: Podiatry
Comments: Clear Lake Family Foot Specialists-Webster, TX
DATE: 03/01/2020
~:g @)NO
@§) NO
YES.~ @NO' YES ~~J
YES@
@'No
~NO YES@
21 3/23/20
CUERO REGIONAL HOSPITAL MEDICAL STAFF PRIVILEGES REVIEW SHEET
INITIAL APPOINTMENT
APPLICANT NAME: .::.Jo;::..:s=e&:iph=-=Ze:::r:..:.r~, MD=;.__------- DATE: 03/01/2020
The following bas been verified by Administration:
1. Completed Application 2. Current Texas License 3. Board Certification
If No, explain---------------4. Current DEA Certificate
If No, explain---------------5. Evidence of AdequatelProfessional Uability Insurance
Expiration Date: ID _ Ito I Ji) J.<J 6. Adverse information with 'D'Sta Bank Queried 7. Board of Medical Examiners Queried 8. Current CPR/ CLS/A S ti r ER privileg
If No, explain ..a...·L;;.!.IYu'U,..l.~~:;:.i...i...uot.1-.1µ.,a.~.1.Lll..Z.!---9, Current ACL oi oar
If No, explain ...Ll..U::.....L-LJo..:a.Y...J..L..J.~--------10. Evidence of CME requi ements
If No, explain--------------ll. In good standing at other hospitals where privileged
If No, explain---------------12. Malpractice claims in the last ten years
Specialty: Radiology-Telemedicine W/Rad Partners
NO NO NO
NO
@No
~~ ~NO YES (j§) ~NO @No
YES <i§J
22 3/23/20
Marketing and Development Board Report March 2020
Marketing Campaign Reporting/Analytics: Review reporting for all campaigns and see the creative for February: https://www.dropbox.com/sh/qj9p9kacwtlz05g/AACZHgfdlxODQOmLJ6ARV_rea?dl=0
The :16 Heart Screening video delivered 77,208 impressions, with a 40% view rate in February o The tighter targeting and the longer duration of the video, caused the campaign to not receive
the high amount of views that we had been seeing in recent months. o March - we are currently running the Family & Baby Expo promotion. This will be replaced with
the 50th Anniversary video when it is ready. Website traffic stayed relatively flat. Full reports are saved in the dropbox.
o Emily is continuing to work on SEO to increase search engine referrals to the site. o We are anticipating additional traffic due to COVID-19 local searches
Traditional media – Billboard update o New 50 Years Billboards being installed and all will be up by late March o This includes the new Yoakum billboard promoting OB services with the addition of our 50 Year
logo and Dr. Walthall’s photo Public relations
o Events –Yorktown Chamber Banquet – Dr. Barth recognized as Citizen of the Year, Cuero Heritage Museum board, CISD Education Foundation, Cuero Economic Development meeting, Cuero Rotary meetings, Turkeyfest Board Meeting, Future Sight board meeting and Parkside picnic coordination (In March, Jennifer Janssen presented on upcoming cardiac rehab program and Emily Weatherly shared the latest update on COVID-19 via approved handouts provided by Keisha Whitman).
o Bfit Slimdown has 82 participants with a total weight loss to date of 264 lbs. As of March 12, we are in our 5th week with 3 weeks remaining.
o Patient Safety Week – March 8 – 14, included several activities for the staff with SLT passing out healthy breakfast items on March 9th with Patient Safety signs that staff signed. Due to vendor shortages, we received hand sanitizers late in the week and distributed those to staff starting late Thursday, March 12th and the remaining ones on the 13th.
o In order to keep the public informed on the latest updates with Coronavirus, marketing set up a page on the website with the latest updates – you can easily navigate to it from the homepage. Updates from CDC were shared on all social channels and press releases were submitted to all area media which resulted in good coverage.
Development: o Heart Calcification Screenings ended with a total of 26 screenings. These were held on three
dates in February from 8 a.m. to noon. o Doctor’s Day is March 30. Providers will receive new white lab coats with our 50 Years of Caring
logo. A video will be posted and boosted on social channels for the day and it is saved in the dropbox folder to view.
o Chick-fil-A’s mobile unit returns on site the first Tuesday of the month from 11 – 2 in April 2020. This has been a nice win for staff, as well as the community. Update: This may be cancelled, but has not at this time.
o From Bump to Baby: Family and Baby Expo/ Fair, which was set for Saturday, April 4, has been postponed. Please look in the dropbox for the promotional materials. We have notified our vendors and alerted our physicians, as well as updated the promotion/media. We are looking into dates in August to ensure adequate time to prepare and inform attendees.
o On May 14th, Cuero Regional Hospital will host a Fun After Five Fiesta on the grounds of the Hospital from 5 – 8 p.m. This will be a celebration tied to our 50th anniversary, as well as National Hospital Week. We are looking to do a time capsule at this event. The event flyer is saved in the dropbox.
23 3/23/20
o 50th anniversary videos are in development. Watch the first :30 second video here: o https://vimeo.com/396797822 We also have a :15 and a :10 in development to run on pre-roll
ads on CrossroadsToday.com as well as YouTube. o Sept. 8, 2020 will be our 50th anniversary event at the Venue. More details to come! o Date set for 2020 Runway for a Cure: 10/20/20! o TurkeyTrot 2020 set for 10/10/20
Coverage in late Feb/March:
o To see all press releases submitted to area print, radio, TV, magazines, etc, visit: https://www.cueroregionalhospital.org/news/
o Cuero Record: Feb. 12 – Cuero Health Heart & Sole Walk photo and caption on p. 9A Feb. 26 – CRH board election notice 7A March 4 – From Bump to Baby print ad 3A, Cuero Lions Club (Brenda Martin presented
program on obstructive sleep apnea) 3A, March 11 – Patient Safety Awareness Week front page strip, points to full press release
on page 8A (story took up half a page!), Cuero Regional Hospital board commends partnership with Methodist Healthcare 5A, 50th Anniversary Milestone (photo release from THA conf. featuring several board members) 6A, and Nurse Appreciation baskets delivered to second floor nursing 9A
March 13 – Robert Proctor prepared the following story with excellent quotes from Dr. Gonzales: https://www.cuerorecord.com/news/no-reports-coronavirus-dewitt-county
o Yorktown News-Views: Feb. 5 – Front page – Heart & Sole Walk banner ad March 18 – anticipating a story on Dr. Barth since he was presented with Citizen of the
Year for Yorktown at their 2020 Chamber Banquet! o KAVU/Crossroads Today:
Feb. 1 – Cuero Regional Hospital Offering Reduced Cost on Elective Heart Screening https://www.crossroadstoday.com/cuero-hospital-offering-reduced-costs-on-elective-heart-screening/
Feb. 8–-Cuero Regional Hospital Takes Part in Go Red for Women Day: https://www.crossroadstoday.com/139843-2/
Feb. 8 – From Bump to Baby Expo: https://www.crossroadstoday.com/expecting-cuero-regional-hospital-to-host-from-bump-to-baby-family-baby-expo/
o Victoria Advocate: Feb. 11 – Heart & Sole Thanks – Letter to the Editor -
https://www.victoriaadvocate.com/opinion/letter-cuero-regional-hospital-thanks-everyone-for-support-of-heart/article_e9bff59c-4c54-11ea-a4dd-af2024481ebe.html
Feb. 15 – Chamber Update – Mentions CRH Go Red – https://www.victoriaadvocate.com/news/business/new-cuero-chamber-visitor-s-bureau-website-to-launch-week/article_7551da8a-4d1d-11ea-86ab-c7df391cf60c.html
March 4 – Regional Roundup – Includes info on our Golden Years Group https://www.victoriaadvocate.com/news/community_news/regional-roundup-check-out-the-texas-state-championship-domino-tournament/article_1d113c3c-5e5f-11ea-a12e-37e1242389de.html
March 10 – Juneteenth Event – CRH provides Health Fair – https://www.victoriaadvocate.com/counties/dewitt/cuero-s-annual-juneteenth-celebration-and-community-health-fair-set/article_7250c3cc-62ea-11ea-b4ae-c378518c82ce.html
UPCOMING EVENTS:
POSTPONED - From Bump to Baby Family Expo
Saturday, April 4, 9 a.m. – noon
24
3/23/20
National Nurses Week – May 6 – 12, 2020 National Nurses Week begins each year on May 6th and ends on May 12th, Florence Nightingale's birthday.
Fun After Five Cuero Chamber Event – 50 Years Cuero Health Fiesta
Thursday, May 14, 2020
5:00 p.m. - 8:00 p.m.
On the grounds of Cuero Regional Hospital
Who's invited? Cuero Health staff, Chamber Member and Community Members FEATURING: Mariachi Band - Festive Drinks & Appetizers - Visit with CRH Staff during National Hospital Week!
National Hospital Week – May 10 - 16, 2020
Cuero Regional Hospital’s Theme: “Celebrating Compassionate Care for 50 Years!” National Hospital Week, one of the nation’s largest health care events, is a celebration of the
history, technology and dedicated professionals that make hospitals and health systems beacons of confidence and care in the community. Cuero Regional Hospital encourages the public to thank the hospital staff in person, with a handwritten note, via the Cuero Regional Hospital Facebook page or fill out the contact us form on the website www.cuerohospital.org to share your gratitude for CRH staff.
25 3/23/20
Board of Directors Cuero Regional
Hospital Cuero Family Clinics
February 2020
I am very pleased to provide the Board with this report on the clinic organization. Total RHC operations
had a profit of $20,735. This is $5 ,245 higher than budget and $46,403 lower than last year. Dr. Barth
was off for 2 weeks in Yorktown and this led to a loss of $1 ,351 for Yorktown RHC.
Total visits were 5,427 compared to 6,299 in 2019. AR days over 60 days have stabilized and collections
rates have declined slightly due to insurance payment errors being made by BCBS and United. I have
heard nothing from BCBS about the company's payment errors discussed in last month's report. I have
reached out again and asked them to at least contact me. I stated that this would be my last contact
attempt for a resolution before reaching out to the Texas State Board of Insurance.
The total clinic numbers continue to decline faster than budget and last year. Dr. Heard is slowing his
practice down faster than anticipated. We have had 1,283 less nursing home visits than last year thru the
first 5 months. This equates to over $165,000. I am working with providers to see how many of these lost
visits we can recapture with one or more of them doing more nursing home rounds.
Respectfully submitted,
Greg Pritchett
1
26 3/23/20
RUN DATE: 03/12/20 PAGE 1 RUN TIME : 1439 RUN USER: ADM .GSP
CRH RURAL HEALTH CLINICS FINANCIAL STATEMENT
FEB 20
ACTUAL BUDGET PR ACTUAL YTD ACTUAL YTD BUDGET PY ACTUAL
OPERATING REVENUE : -----------------CLINIC REVENUES 665.918 743.111 763 .166 3.549.442 3' 801. 447 3.797,415
GROSS REVENUE FROM PATIENTS $ 665.918 $ 743 .111 $ 763.166 $ 3.549,442 $ 3' 801.447 $ 3.797,415
REVENUE DEDUCTIONS: CLINIC ALLOWANCES (79 '336) 015.002) (211. 718) (485' 207) (602 .768) (730 ' 015)
TOTAL REVENUE DEDUCTIONS. $ (79.336) $ 015.002) $ (211. 718) $ (485' 207) $ (602.768) $ (730 ,015)
NET PATIENT REVENUE $ 586.582 $ 628. 109 $ 551. 449 $ 3.064.236 $ 3.198.679 $ 3.067 ,400
TOTAL OPERATING REVENUE $ 586.582 $ 628.109 $ 551. 449 $ 3.064.236 $ 3.198.679 $ 3.067.400
· OPERATING EXPENSES: -------- -- --- -- - - -SALARIES AND WAGES (395.607) (420.570) (335.388) (2. 021. 882) ( 2. 089. 291) (1, 902. 018) AGENCY PERSONNEL FRINGE BENEFITS 0 0 0 0 0 0 PAYROLL TAXES (26.433) (23.630) (21. 885) (125.608) 023.854) (118.032) SUPPLIES (27.,614) (27.152) (26.119) (183.398) (145. 275) mo. oo5J PURCHAS ED SERVICES (15. 633) 06.217) (21.733) (93.575) (82.584) (177 .459) PROFESSIONAL CONTRACTS (74.014) (95.916) (54.090) (409.314) (492.183) (300.678) DEPRECIATION EXPENSE INSURANCE EXPENSE (2.706) ( l. 800) (2.134) (13' 003) (14,200) (11,410) INTEREST EXPENSE OTHER OPERATING EXPENSE (23.841) (27 .334) (22.963) (116.398) (136.656) (121, 078)
TOTAL OPERATING EXPENSES (565 ,847) (612.619) (484.311) ( 2 '963' 177) (3,084,043) (2,800 .680)
NET OPERATING INCOME (LOSS) 20.735 15.490 67 ' 138 101. 059 114 .636 266.720
27 3/23/20
KP I
% of A/R >60 days
% of claims sent w/in 48 hours of visit
Days in A/R
Total Spaid/patient visit
First Pass Resolution Rate
Gross Collection Rate
Net Collection Rate
S collected at clinics/patient Visit
Sta tistics
ATB Total Balance A/R Balance >60 days
Average Daily Revenue Total Payments Total Visits
Total Claims Submitted Total Gross Charges
Contractual Allowances
Contract uals as a% of Gross Chgs
Cash collected at clinics Days in month
ti of Denied Claims
Septe mber ~l 34.22%
92%
29
104.72
98%
93% 91%
5,551
s
5,128 623,177 ' , S
(15,587) ·11 s ·2.50% 19,532
30 1 124 ,
Oqober
29.54%
92%
32
93.09
94%
75% 85%
November
29.93%
96%
30
117.47
95%
96% 118%
Cuero Family Clinics Key Performance Indicators for CBO
FY 2020
December
32.55%
103%
29
103.63
96%
85% 91%
~
38.19%
83%
30
February
38.29%
90%
30
94.69 $ 107.79
95%
79% 98%
95%
88%
100%
March
#DIV/ 01
#DIV/01
#DIV/ 01
0
96%
0%
0%
~
#DIV/01
NDIV/01
#DIV/01
0
95%
0% 0%
~
#DIV/ O!
#DIV/01
#DIV/ 01
0
95%
0%
0%
~
#DIV/01
#DIV/01
#DIV/01
0
92%
0%
0%
1.!!!v #DIV/ 01
#DIV/ 01
#DIV/ 01
0
93%
0%
0%
August
#DIV/ 01
#DIV/01
0
NDIV/ 01
94%
0%
0%
September
#DIV/01
NDIV/01
0
#DIV/ 01
98%
0%
0%
3.68 $ _ 2.95 $ 3.12 $ 4.00 $ 3.43 NDIV/01 #DIV/01 #DIV/ 01 ~ #DIV/01 #DIV/01 #DIV/01 #DIV/01 1
740,462 $ 218,714 $
23,481 $ 608,742 $
6,539
6,022 809,178
91,468 11.30% 24,069 $
31
353
687,648 $ 205,834 s
22,920 s 625,047 $
5,321
5,131 653,320 s 124,308 s
19.03% 15,708 s
30 267
680,937 221,634
23,422 571,106
5,511
5,679 668,867
43,390 6.49%
17,220 31
223
700,697 267,624
23,048 592,395
6,256
5,166 752,159 146,705
19.50% 25,003
31 247
693,407 $ 265,472 s
23,188 s 584,950 s
5,427
4,872 665,918
79,336 11.91% 18,607
29
225
s $
23,507 s s
0 5,149
697,553 129,370
18.55% 93,709
31 197
$ s
23,117 . s s
0
6,416 717,035 s
48,400 s 6.75%
93,776 s 30
334
s $
23,935 s s
0
5,616 739,546
84,861 11.47% 83,241
31 302
22,989
0
4,857 612,3B4 102,661
16.76% 67,9B3
30
373
22,570
0
5,363 679,389
42,718 6.29%
73,127 31
383
s s
22,526 s s
0
5,123 735,593 165,799
22.54% 57,274
31
302
-·--..J
22,646
0
5,128 623,177 (15,587)
·2.50% 19,532
30 124
Goals
35%
90%
45
TBD
90%
TBD TBD
YTD/AVG
33.66%
222%
13
102.64
95%
36%
41%
$10.00 $ 20.28
s 3,503,151.00 $ 1,179,278.00
$ 277,348.65 $ 2,982,240
29,054
64,522
8,354,119 $ 7,310,690
1,043,429
12.49% 589,249
31
3,330
28 3/23/20
Quality/Safety
Assistant Administrator Board Report March 2020
1. The 480 transformer has been set and the generator and switch gear are scheduled to be set in the next week. Once those are set and hooked up we will begin the process of switching radiology and CAT scan over to the 480 transformer. Since installing the new 208 transformer we have seen an approximate $20,000 savings a month on our utility bill and this savings should increase after we move radiology and CAT scan to the 480 transformer.
Growth 1. We have been working with Dr Dale Denton on starting an aesthetic program at the
Wellness Center that would include services such as facials, chemical peels, Botox and fillers. We are currently working on the contract details as well as evaluating various products. I hope to have the program started this summer.
Finance 1. The cafeteria sales in February were right at $8,000, this is the best month of sales this
fiscal year. 2. I submitted the Rural Health Facility Capital Improvement Grant for the 3D
mammography upgrade, if awarded we could receive up to $75,000. Community
1. We had 23 people attend the Free Fitness class at the Wellness Center on 2/27 and 4 people joined the Wellness Center after the class. We ended the month of February with 1612 members.
29 3/23/20
BOARD REPORT NURSING ADMINISTRATION 3-13-2020
Safety/Quality
• We had 0 inpatient fall in February. We had 3 outpatient falls. There was one minor injury.
These falls occurred at the clinic entrance, clinic lab restroom and our Wellness Center.
• We were 100% compliant with our Sepsis patients in January. We had 2 patients.
• We have purchased 8 new wheel chairs that were distributed to our departments during
National Patient Safety Week.
People
• We have scheduled staff training for our new defibrillators and dialysis on March 16th and 23rd.
• During the same time, Keisha Whitman, Infection Preventionist, will be teaching/reviewing
donning and doffing of personal protective equipment to the staff.
Growth
• Our Community Paramedic, Phillip Marquette, is eager to begin our services. He is completing
the policies/procedures and operational guidelines. Our goals will be to:
Community
o Reduce readmissions rates.
o Improve risk management and injury prevention.
o Improve the community health.
o Reduce repetitive 911 calls and hospitalizations related to sub-optimal management of chronic health conditions.
o Reduce community health care costs through better coordination of care and prevention/wellness strategies.
• A presentation on Cardiac/Pulmonary Rehab by J. Janssen to the Cuero Lions Club. The Pilot
Club presentation will be April 14th.
Yours in service,
Judy Krupala, CNO
30 3/23/20
March 2020 Board Report
Quality/Safety
• Provider entry increased to 75%. This reduces the opportunity for error in a verbal order to a nurse and in transcription. Better for our patients
• Chart delinquency dropped to 4% - completed charts means greater communication amongst caregivers
• No inpatient falls: 3 visitor falls, 1 with injury. Two of the falls tripped over a rug. Replacing rugs as old rugs often curl at the corner creating a trip hazard
• COVID-19 has been a hot topic and consuming time and resources staying up with all information updates. SLT, Infection Control staying up to date on COVID 19 through CDC, TDSHS, RAC, MHS.
People
o Current recommendations still place travelers from China, Japan, South Korea, Iran or Italy as high risk. As of 3/11/20 - CRH is using this screening criteria
o Plans are in place if a person meeting the symptom and travel criteria or close contact to someone who meets travel criteria arrive at CRH -
• Patient would be masked, isolated from other patients and staff • Infection Control would be notified and would contact State Health Authorities to
determine to test or not test. • The patient's condition would dictate whether or not he/she would be admitted or sent
home to self-quarantine • State guidelines would be followed as to where to send samples. Due to the
overwhelming number of tests being sent to CDC, their turnaround time has increased to 5-7 days so other test sites are becoming available, including MHS
• Dr. Jennifer Gonzales is serving as our medical guide
• CHAMPS planning Easter Basket silent raffle
• Planning SLT to attend TORCH conference in April. Good education for a hardworking team • MHS will provide Strengthsfinder Training to Department Leaders. Was planned for March 17 but
postponed by MHS due to COVID19 • Team STEPPS training continues for all staff
Growth
• Dialysis training and training on the new defibrillators will take place on March 16 and March 23
• Dr. Lemley was in town house hunting. He plans to be back for the Baby Fair on April 4 • Jennifer Janssen and Brenda Martin will attend training in April for the CardioPulmonary Rehab program
Community
• February Volunteer Hours were 145.5
• Slimdown Challenge has gotten a lot of community members engaged in the Wellness Center - there are 85 participants
• Continued focus on the health and wellness of our community: o Wellness Center - Slim down Challenge o Fitness after 5 had a good turnout and generated 3 new memberships
31 3/23/20
CUERO REGIONAL HOSPITAL CUEROHEALTH
Total Rl Solut ions Reported
Near Miss
Precursor
Ser ious Safety
Medication Error
Hand Off Communication
Incidents
2-patient identifier
Medication Override-Overall
Medication Reconciliation
complete < 24 hours
% Provider order entry
% Blood Transfusion Criteria
compliance
% Chart Delinquency
Total Falls
Inpatient Fall Rate
(#falls per 1000 pt days)
Other Fall Rate (#other falls
er consolidated APO
Cl 0 J> ,...
0
0
95%
<10%
95%
65%
95%
<20%
0
<2%
<0.1%
Patient Satisfaction
Quality Improvement Dashboard 1Q2019 2Q2020 3Q2020 4Q2020
OCT NOV DEC JAN FEB MAR APR MAY JUNE JULY AUG SEPT
Metrics 32 26 14 27 23
2 5 0 3 2
21 15 11 21 15
1 0 1 0 1
Press Ganey Texas Rank Percentile
HCAHPS: Overall Rating
HCAHPS:
Would Recommend
OAS-CAH PS: Overall Rating
OAS-CAHPS:
Would Recommend
HH-HCAHPS: Overall Rating
HH-HCAHPS Score:
Would Recommend
Clinics Satisfaction:
Overall Rating
Clinics Satisfaction :
Would Recommend
ER Satisfaction:
Overall Rating
ER Satisfaction:
Would Recommend
Infection Control CAUTI
CLABSI
SSI
Handwashing Compliance
.. :+ii • />'lo; ·,
- :-r,
75th
75th
51st
51st
65th
65th
51st
51st
75th
75th
0
0
0
95% 88% 88% 86% 94% 89%
32 3/23/20
¢ CUERO Clinics Quality Improvement REGIONAL HOSPITAL ~ Dashboard CUEROHEALTH 0
)> r-
1Q2019 2Q2020 3Q2020 4Q2020 FY 2020 OCT NOV DEC JAN FEB MAR APR MAY JUNE JULY AUG SEPT
Patient Satisfaction Press Ganey Texas Rank Percentile Cuero Overall
Slst 10 1 10 52 27 Satisfaction Score:
Cuero would Slst 6 6 8 61 18 recommend practice:
Goliad Overall Slst 1 73 2 5 66 Satisfaction Score:
Goliad would Slst 13 99 1 2 57 recommend practice:
Kenedy Overall Slst 92 33 46 2 99 Satisfaction Score:
Kenedy would Slst 99 99 10 2 99 recommend practice:
Parkside Overall Slst 46 5 3 9 61 Satisfaction Score :
Parkside would Slst 24 4 1 14 25 recommend practice :
Yorktown Overall Slst 7 5 3 9 9 Satisfaction Score:
Yorktown would Slst 7 4 9 15 2
recommend practice:
Combined Clinics
Overall Satisfaction Slst 7 4 9 27 36 Score:
Combined Clinics
would recommend Slst 8 8 4 29 21 practice:
Goal Met
updated 3/5/2020
33 3/23/20
OLD BUSINESS AGENDA ITEM#l FOB Follow Up on February Capital Expenditure Request for Cardiac Rehab Startup - Consider and Take Appropriate Action
2020 03 26
34 3/23/20
AGENDA ITEM #1
Receive and Accept the Certification of Unopposed Candidates
Attached:
Certification of Unopposed Candidates
The Secretary of the Board for De Witt Medical District certifies Mrs. Cynthia Sheppard as an unopposed candidate in the election scheduled to be held on May2, 2020.
Motion to receive and accept the Certification of Unopposed Candidate as presented.
2020 03 26
35 3/23/20
AW12-1 Prescribed by Secretary of State Section 2.051 - 2.053, Texas Election Code 2/14
CERTIFICATION OF UNOPPOSED CANDIDATES FOR OTHER POLITICAL SUBDIVISIONS (NOT COUNTY)
CERTIFICACION DE CANDIDATOS UN/COS PARA OTRAS SUBDIVISIONES POL/TICAS (NO EL CONDADO)
To: Presiding Officer of Governing Body Al: Presidente de la entidad gobernante
As the authority responsible for having the official ballot prepared, I hereby certify that the following candidates are unopposed for election to office for the election scheduled to be held on May 2. 2020
Como autoridad a cargo de la preparacion de la boleta de votacion ojicial, por la presente certijico que los siguientes candidatos son candidatos unicos para eleccion para un cargo en la elecciOn que se llevarti a cabo el 2 de mayo 2020
List offices and names of candidates: Lista de cargos y nombres de los candidatos:
Office(s) Cargo(s)
Director
Signature (Firma)
Charles W. Papacek
Printed name (Nombre en tetra de molde)
Board Secretary
Title (Puesto) March 26, 2020
Date of signing (Fecha de firma)
Candidate(s) Candidato(s)
Cynthia Sheppard
(Seal) (sello)
See reverse side for instructions (lnstrucciones en el reverso)
36 3/23/20
lpstructjops for certificatjop of unopposed capdjdates;
The authority responsible for preparing the ballot must certify the unopposed status to the authority responsible for ordering the election. This document is filed with the presiding officer of the political subdivision. The governing body must meet, accept this certification, and issue an order or ordinance declaring the election cancelled and the unopposed candidates elected. To complete the cancellation process, a copy of the order or ordinance canceling the election must be posted on Election Day at each polling place that would have been used in the election. See sample Order of Cancellation and outlines for additional instructions.
Ag electjog* may be cancelled jf:
1) The election is one in which a declaration of write-in candidacy is required; and 2) No opposed at-large race is on the ballot* within that election;*and 3) Each candidate whose name is to appear on the ballot* is unopposed, with some exceptions;
This means: • In an all at-large election* (with no single-member districts), if there is one or more
opposed at-large races, then all the races go on the ballot within that election.* • In an election* in which any members of the governing body are elected from single
member districts, an election in a particular district may be cancelled if the candidate is unopposed and the election otherwise meets the above requirements (i.e., there is no at-large opposed race on the ballot).
~: A general election (for full terms) or a special election (to fill a vacancy in an unexpired term) is considered a separate election with a separate ballot for purposes of these tests, even if held on the same election date. See our online Cancellation guide for details.
ln.myccianes para lg cert(OcaciOn de una eleccidn con candidatqs ffnicqs,•
La autoridad a cargo de preparar la ho/eta de votacion debe certificar los candidatos unicos sin oposicion a la autoridad encargada de ordenar la e/eccion. Este documento se debe presentar al presidente de la subdivisiOn polltica. La entidad gobernante debe reunirse, aceptar esta certificacion y emitir una orden o una ordenanza en la que declara la cance/aciOn de la e/eccion y la e/eccion de los candidatos unicos sin oposicion. Para completar el proceso de cancelaciOn, se debe exhibir el Dia de la Eleccion una copia de la orden u ordenanza de cancelacion de la eleccion en todos los sitios de votacion que se hubieran uti/izado en la eleccion. Vea el ejemplo Orden de Cancelacion y el resumen para mas instrucciones.
Una eleccion * puede ser cancelada si:
I) la eleccion es una en la que se requiere una declaraciOn de candidatos por escrito en la boleta de votacion; y,
2) no hay oposiciOn para la carrera por acumulaciOn en la boleta* de votaciOn dentro de esa elecciOn* y
3) Todos los candidatos cuyos nombres deben aparecer en la boleta* de votacion no tienen oposicion, con unas excepciones;
Esto significa: • En una e/eccion* por acumulacion (sin ningtln distrito con miembro unico), si se encuentra
una o mas de una carrera por acumulacion con oposicion, entonces todas las carreras estaran en la boleta dentro de esa elecciOn *.
• En una elecciOn * en la que cualquiera de los miembros de la entidad gobernante se eligen de distritos con un solo miembro, se puede cancelar una eleccion en un distrito especifico si hay oposicion para el candidato y la eleccion cumple con los requisitos que anteceden (ej. no hay oposicion para la carrera por acumulacion en la boleta).
Nota: Una eleccion general (con terminos completos) o una elecciOn especial (para l/enar una vacante de un termino no vencido) es considerada como una elecciOn distinta con una boleta distinta con los prop(Jsitos de estas pruebas, aunque se I/even a cabo en la misma /echa electoral. Vea nuestra guia de cancelacion en linea para mas detal/es.
37 3/23/20
AGENDA ITEM #2
Issue and Adopt Cancellation Order/ Ordinance of Election
Attached:
1. Order of Cancellation of Election for De Witt Medical District
2. Statement of Elected/ Appointed Officer for Mrs. Cynthia Sheppard
The Secretary of the Board for the De Witt Medical District requests the election scheduled to be held on May 2, 2020, be canceled in accordance with Section 2.053 of the Texas Election Code, and the unopposed candidate, Mrs. Cynthia Sheppard, be certified as elected.
Motion to adopt the Cancellation Order/Ordinance of Election to cancel the election scheduled for May 2, 2020, in accordance with Section 2.053 of the Texas Election Code and to declare Mrs. Cynthia Sheppard elected.
Mrs. Cynthia Sheppard will complete the Statement of Elected Officer.
The Order of Cancellation will be furnished to the Election Administrator and will be posted at the voting location, County Annex, on Election Day as required by law.
2020 03 26
38 3/23/20
AW12-2 Prescribed by Secretary of State Section 2.051 - 2.053, Texas Election Code 2114
SAMPLE ORDER OF CANCELLATION EJEMPLO DE ORDEN DE CANCELACION
The DeWitt Medical District hereby cancels the election scheduled to be held on (official name of governing body)
-~M~a~v~2~, ~20~2~0 ___________ in accordance with Section 2.053(a) of the Texas (date on which election was scheduled to he held)
Election Code. The following candidates have been certified as unopposed and are hereby
elected as follows:
El DeWitt Distrito Medico por la presente cancela la elecciOn que, de lo contrario, (nombre ojicial de la entidad gobernante)
se hubiera celebrado el ___ 2_de_m_ay_o_d_e_2_0_20 ___________ de conformidad, con (fecha en que se hubiera celebrado la eleccwn)
la Seccion 2.053(a) del Codigo de Elecciones de Texas. Los siguientes candidatos han sido
certijicados como candidatos unicos y por la presente quedan elegidos como se haya indicado
a continuacion:
Candidate (Candidato) Cynthia Sheppard
Office Sought (Cargo al que presenta candidatura) Director
A copy of this order will be posted on Election Day at each polling place that would have been used in the election.
El Dia de las Elecciones se exhibira una copia de esta orden en todas las mesas electorales que se hubieran utilizado en la eleccion.
President (Presidente)
Secretary (Secretario)
(seal) (sello)
March 26, 2020
Date of adoption (Fecha de adopcion)
See reverse side for instructions lnstrucciones en el reverso
39 3/23/20
Instructions for sample order of cancellation:
To cancel an election, the governing body must first receive and accept the Certification of Unopposed Candidates form (or the authority may create its own form) from the authority responsible for preparing the ballot. The cancellation order/ordinance must be adopted in an open meeting. The candidates are not required to be present. Certificates of election should be prepared for each unopposed candidate; however, the certificates of election should not be issued until after Election Day, as follows. Section 2.053 provides that the certificate of election shall be issued "in the same manner and at the same time" as for a candidate elected at an election. Therefore, the candidates, who have been declared "elected" at the meeting ordering the cancellation, must wait until after the official election day (even though no election is held) and no earlier than the prescribed canvassing period (even though no canvass is held) to be sworn in and assume their duties. Candidates may complete the Statement of Elected Officer prior to Election Day. The Statement should be kept locally; it does not need to be sent to the Secretary of State's Office. Copies of this order/ordinance must be posted on Election Day at each polling place that would have been used had the election not been cancelled.
Ap ele<;tign* may be cancelled jf:
I) The election is one in which a declaration of write-in candidacy is required; and 2) No opposed at-large race is on the ballot* within that election;*and 3) Each candidate whose name is to appear on the ballot* is unopposed, with some exceptions;
This means: • In an all at-large election* (with no single-member districts), if there is one or more
opposed at-large races, then all the races go on the ballot within that election.* • In an election* in which any members of the governing body are elected from single
member districts, an election in a particular district may be cancelled if the candidate is unopposed and the election otherwise meets the above requirements (i.e., there is no at-large opposed race on the ballot).
~: A general election (for full terms) or a special election (to fill a vacancy in an unexpired term) is considered a separate election with a separate ballot for purposes of these tests, even if held on the same election date. See our online Cancellation guide for details.
Instrucciones oara el eiemplo de orden de cancelacidn:
Para cancelar una e/eccion, la entidad gobernante primero debe recibir y aceptar, de la autoridad responsable para preparar la boleta, el formulario de CertijicaciOn para Candidatos Sin Oposicion (o la autoridad puede crear su propio formulario) de la autoridad responsable para preparar la boleta. La ordenlordenanza de cancelaciOn debe ser adoptada en una reuniOn abierta. No se requiere que los candidatos esten presentes. Se debe preparar un certijicado de elecciOn para cada candidato sin oposiciOn; sin embargo, los certijicados de eleccion nose deben emitir hasta el Dia de las Elecciones, asi como se detalla a continuacion. La secciOn 2.053 indica que el certijicado de e/eccion serd publicado "en la misma manera y al mismo tiempo" para un candidato elegido en una eleccion. Por lo tanto, los candidatos que hayan sido dec/arados "elegido" en la reunion de la cancelaciOn, deben esperar hasta despues del dia ojiciai de elecciones (aunque nose hayan l/evado una elecciOn) y no antes de/ periodo prescrito de la campalla po/ltica (aunque no se I/eve a cabo la campalla politica) a ser jurados y asumir sus deberes. Los candidatos pueden llenar la DeclaraciOn de Funcionario Elegldo antes del Dia de las Elecciones. Este documento se debe mantener en los archivos locales. No es necesario enviarlo a la Ojicina de/ Secretario de Estado. El Dia de las Elecciones se debe exhibir una copia de esta ordenlordenanza en todos los sitios de votacion que se hubieran utilizado en la eleccion si no hubiera sido cance/ada.
Una e/eccion * puede ser cancelada si:
1) la elecciOn es una en la que se requiere una declaracion de candidatos por escrito en la boleta de votacion; y,
2) no hay oposiciOn para la carrerapor acumulaciOn en la boleta* de votacion dentro de esa eleccion* y 3) Todos los candidatos cuyos nombres deben aparecer en la boleta* de votaciOn no tienen oposicion, con
unas excepciones; Esto signijica:
En una eleccion* por acumulacion (sin ningun distrito con miembro unico), si se encuentra una o mds de una carrera por acumulaciOn con oposiciOn, entonces todas las carreras estardn en la boleta dentro de esa elecciOn *.
• En una elecciOn • en la que cualquiera de los miembros de la entidad gobernante se eligen de distritos con un solo miembro, se puede cancelar una e/ecciOn en un distrito especijico si hay oposic/On para el candidato y la e/ecc/On cumple con los requisitos que anteceden (ej. no hay oposicion para la carrera por acumulaciOn en la boleta).
Nota: Una elecc/On general (con terminos completos) o una eleccion especial (para llenar una vacante de un termino no vencido) es considerada como una eleccion distinta con una boleta distinta con los propositos de estas pruebas, aunque se I/even a cabo en la misma fecha electoral. Vea nuestra guia de cancelacion en llnea para mds detal/es.
40 3/23/20
STATEMENT OF ELECTED/APPOINTED OFFICER
I, Cynthia Sheppard, do solemnly swear, that I have not directly or indirectly paid,
offered, promised to pay, contributed, or promised to contribute any money or thing of
value, or promised any public office or employment for the giving or withholding of a
vote at the election at which I was elected or as a reward to secure my appointment or
confirmation, whichever the case may be, so help me God.
Title of Position to Which Elected/Appointed: Director, DeWitt Medical District,
City of Cuero, De Witt County, Texas
UNDER PENALTIES OF PERJURY, I DECLARE THAT I HA VE READ THE FOREGOING STATEMENT AND THAT THE FACTS STATED THEREIN ARE TRUE.
Date: March 26, 2020 Signature: ------------
41 3/23/20
AGENDA ITEM #3
Capital Expenditure Request to Replace 7 Yi Ton HV AC for Ed Classroom - Review and Take Appropriate Action
Attached Proposals:
Jahn $ 11,857.00 RECOMMENDED
TCS $ 13,688.00
Victoria Air $ 15,997.00
Note:
Jahn requoted at $11,857, see notes.
2020 03 26
42 3/23/20
Cuero Regional Hospital CAPITAL EXPENDITURE REQUEST
HOSPITAL/ENTITY Cuero Regional Hospital
DEPARTMENT Maintenance DATE PREPARED 3/ 4/2020 .
Is the requested purchase in compliance with the Healthtrust
GPO?
D PROJECTNAME Replace 7-1/2 ton HVAC for Ed Classroom
E PROJECT DESCRIPTION Disconnect and remove existing package unit from PURPOSE FOR REQUEST
s roof and replace it with a new Trane HVAC unit New Service D c Replacement 0 R Code Compliance D I JUSTIFICATION lndiate present situation, need for the item requested and alternative considerations.
p Existing unit has a bad compressor and is a old R22 freon unit T BUDGET REFERENCE Amount Budgeted
I BUDGET LINE ITEM IF NOT BUDGETED, WHY IS IT NEEDED AT THIS TIME?
0
N
F EQUIPMENT/PROJECT COSTS Attach copies of proposals ASSET DISPOSITION DATA
I Bid #1 Bid #2 Bid #3 Description of Disposed Assets: -N Name of Bidder Jahn TCS Victoria Air
A Land and/or Acquisition
N Construction BOOK VALUE OF DISPOSED ASSET I c Equipment METHOD OF Trade In D I TOTAL COSTS $11,857.00 $13,688.00 $15,997.00 DISPOSITION Sale D A Less Trade In Abandonment D L NET CAPITAL REQUIRED
RECOMMENDATION (Check one) 0 D D A
u DEPAY~ T
H ~----=--~ DATE: 3/4/2020
0 \
R SLT LEADER
I \~ 3 z DATE :
"' rl_~
A v
~~ T CHIEF EXECUTIVE OFFICER or CHIEF FINANCIAL OFFICER
I
~ a()6.1:. ~ J/cJ/~ 0 DATE :
N • = = ::::::==
DATE:
Board Member Signature if greater than $5,000
/Le - ~lz 'tO {IVLV ~ 3/_3 Md JJ_ tL~I $ 1A.Lf1
43 3/23/20
•'
Cuero Regional Hospital CAPITAL EXPENDITURE REQUEST
HosP1TAL/ENT1TY Cuero Regional Hospital
DEPARTMENT Maintenance DATE PREPARED 3/3/2020
Is the requested purchase in compliance with the Healthtrust GPO?
D PROJECT NAME Replace 7-1/2 ton HVAC for Ed Classroom
E PROJECT DESCRIPTION Disconnect and remove existing package unit from PURPOSE FOR REQUEST
s roof and replace it with a new Trane HVAC unit New Service D c Replacement 0 R Code Compliance D I JUSTIFICATION lndiate present situation, need for the item requested and alternative considerations.
p Existing unit has a bad compressor and is a old R22 feon unit
T BUDGET REFERENCE Amount Budgeted
I BUDGET LINE ITEM IF NOT BUDGETED, WHY IS IT NEEDED AT THIS TIME?
0
N
F EQUIPMENT/PROJECT COSTS Attach copies of proposals ASSET DISPOSITION DATA
I Bid #1 Bid #2 Bid #3 Description of Disposed Assets:
N Name of Bidder Jahn TCS Victoria Air
A Land and/or Acquisition
N Construction BOOK VALUE OF DISPOSED ASSET I c Equipment METHOD OF Trade In D I TOTAL COSTS $7,835.00 $13,688.00 $15,997.00 DISPOSITION Sale D A Less Trade In Abandonment D L NET CAPITAL REQUIRED
RECOMMENDATION (Check one) 0 D D A
u
DEPY~ T
H _/,? - ~ -r/'-' DATE: 3/3/2020 ---- ~- ,,
0 ,
R SLTLEADER
I
\~~ 1
z DATE: ~ ~ .:>a
A v \ I v
T CHIEF EXECUTIVE OFFICER or CHIEF FINANCIAL OFFICER
I
~~ 3/1/~ 0 DATE:
N ~
~
~ DATE:
Board Member Signature if greater than $5,000
:!J/\2/!JiO ~ J;o fJM-v-d wtf)tl
44 3/23/20
Air Conditioning
Proposal for:
Cuero Hospital
Cuero, Tx 77995
Submitted by:
Jahn Refrigeration Co., Inc. 902 W Gonzales
Yoakum, Texas 77995 361-293-6345
361-293-6346 Fax
45 3/23/20
We propose to furnish and install an Air Conditioning System For Cuero Hospital in Cuero, Texas accordance with the following conditions and specifications:
Equipment 1Model4TSC102H3EOADD5 Heat 1 Model CURBCO
Location of equipment:
Trane Packaged Trane Unit with Electric
Trane Curb
1. Suitable space and access for this installation is to be provided by you
As agreed.
Duct Work:
None
Responsibility: The following responsibilities will be assumed by you or us as indicated:
Delivery, Uncrating, Erection Us Control Wiring None Foundation None High Voltage Wiring Us Ductwork (as described) None Cutting Holes None Supply Outlets None Patching None Return Grilles None Painting None
46 3/23/20
Plumbing:
Wiring:
We will supply and install high voltage wiring.
Miscellaneous :
Workmanship: 1. Our work will be performed in the highest workmanlike manner and
will comply with existing governing codes and regulations.
Warranty and Service:
General:
1. After installation a qualified representative will start, test and provide instructions on the use of the equipment.
2. All equipment, material and labor furnished by us will bear a one year warranty from the date of installation against defects in workmanship and material. In addition, the compressor is protected in accordance with Manufactures Compressor Protection Plan.
3. Service under this warranty, except for emergency calls, will only be Provided during normal working hours and does not include filter or fuse replacement.
I . During installation we shall take all reasonable precautions to avoid injury to person and damage to property.
2. We shall not be liable for damages resulting from the use and/or installation of the equipment specified herein.
3. Title to the equipment will remain with us until all sums due us have been paid.
4. We shall have the right to transfer any or all notes held hereunder, and title or right of possession will pass to the legal holder.
5. Any equipment or labor in addition to that required by this proposal will be paid for by you as an extra charge at our normal rates.
6. It is understood that this proposal sets forth our entire agreement 7. This proposal will become a contract between us if accepted by you
and thereafter approved in writing by our duly authorized representative.
47 3/23/20
Installation Schedule: l . The equipment will be ready in about 30 days from date or our
approval of this contract.
Price and Terms: Price valid 30 days from date of proposal. REVISED Net Cash Price(Includes Sales Tax,) $11,857.00
(Plus Electrical)
Respectfully submitted, JAHN RE,FRJGERATJON CO.,JNC.
--A__ By: _______ Date: 3/04/2020
Mark Jahn Acceptance:
This proposal is accepted By: ________ Date:
Title: -------
Dealer Approval: This contract is approved
Jahn Refrigeration Co., Inc. By.· Date:
Mark Jahn Title: Vice President License #TACLA001192
"Regulated by the Texas Department of Licensing and Regulation, P 0 Box 12157, Austin, Texas 78711, 1-800-803-9202 or
512-463-6599".
48 3/23/20
02/2112020 13 : 38Jahn Ref r ige r ation
Air Conditioning
Proposal for:
Cuero Hospital
Cuero, Tx 77995
Submitted by:
Jahn Refrigeration Co., Inc. 902 W Gonzales
Yoakum, Texas 77995 361-293-6345
361"293-6346 Fax
(FAX)3612936346 P .001/004
49 3/23/20
02/21/2020 13:38Jahn Re fr ige r ation (FAX)3612936346
We propose to furnish and install an Air Conditioning System For Cuero Hospital in Cuero, Texas accordance with the following conditions and specifications:
'$.qui/jt,rJent 1 Model 4TSC102H3EOADD5 Heat 1 Model CURBCO
t~beiif 611. ol (!q~ipin¢n!::
Trane Packaged Trane Unit with Electric
Trane Curb
1. Suitable space and access for this installation is to be provided by you
As agreed.
None
B.~sP.O.n.#P.~ntY./ The following responsibilities will be assumed by you or us as indicated:
Delivery, Uncrating, Erection Foundation Ductwork (as described) Supply Outlets Return Grilles
Us None None None None
Control Wiring High Voltage Wiring Cutting Holes Patching Painting
None Us None None None
P.002/004
50 3/23/20
02/2 1/2020 13: 39 Jahn Refr ige r ation (FAX)3612936346
P.~umbtng:
We will supply and install high voltage wiring.
f.{~ceiicp:z~o.us .. :
. . .. · ·· - - .. . ,
;W..QrkmprJJ'.hip.'. 1. Our work will be performed in the highest workmanlike manner and
will comply with existing governing codes and regulations.
:w. arrqrziy q~d _S'eryiqe ·'. 1. After installation a qualified representative will start, test and provide
instructions on the use of the equipment. 2. All equipment, material and labor furnished by us will bear a one year
warranty from the date of installation against defects in workmanship and material. In addition, the compressor J.s protected in accordance with Manufactures Compressor Protection Plan.
3. Service under this warranty, except for emergency calls, will only be Provided during nonnal working hours and does not include filter or fuse replacement.
1. During installation we shall take all reasonable precautions to avoid injury to person and damage to property.
2. We shall not be liable for damages resulting from the use and/or installation of the equipment specified herein.
3. Title to the equipment will remain with us until all sums due us have been paid.
4. We shall have the right to transfer any or all notes held hereunder, and title or right of possession will pass to the legal holder.
5. Any equipment or labor in addition to that required by this proposal will be paid for by you as an extra charge at our nonnal rates.
6. It is understood that this proposal sets forth our entire agreement 7. This proposal will become a contract between us if accepted by you
and thereafter approved in writing by our duly authorized representative.
P.003/004
51 3/23/20
02/21/2020 13 : 39 Jahn Refrige r ation (FAX)3612936346
'11statlation $ch-edule: 2. The equipment will be ready in about 30 days from date or our
approval of this contract.
iJri.~~:·and 'r<!riz~.;: Price valid 30 days from date of proposal.
Net Cash Price: Includes Sales Tax) $7,835.00 Plus Electrical.
Respectfully submitted, JAHN REFRIGERATION CO.,INC.
By: __ ~ ___ · __ Date: 09-3-19 Mark Jahn
A~·ce~ici~ce'.: This proposal Is accepted
By: ________ Date:
Title.· -------.P~aze~ 4ili/rqV.r4~::
This contract ls opproved Jalin Refrigeration Co., Inc. By: Date:
Mark Jahn Title: President License #TACLAOOJ192
"Regulated by tlie Texas Department of Licensing and Regulation, P 0Box12157, Austin, Texas 78711, 1-800-803-9202 or
512-463-6599".
P.004/004
52 3/23/20
TEXAS CHILLER SYSTEMS
March 3, 2020
Cuero Community Hospital Attn: Rick Caron 2550 N Esplanade St Cuero, TX 77954
Ref: Installation of 8.5 Ton Trane RTU
Texas Chiller Systems is pleased to offer our services to perform the following scope of work:
• Supply and install (1) new Trane 8.5 ton RTU with electric heat, hail guards and economizer to replace the existing Carrier RTU (Ser # 3693G02499)
• Connect new unit to existing electrical service, condensate piping and ductwork - new unit is a Trane direct fit replacement for the existing Carrier and will not require a curb adapter
• Provide crane and trucking for the delivery of new unit and setting on the roof • Perform start up of new unit and verify proper operation
The price for this service is $13,688.00 not including taxes. This work is priced for TCS normal business hours.
Please contact me on my mobile 210-633-6472 if additional information is required or to initiate this service.
TCS appreciates your business. This proposal is valid for the next 30 days.
Sincerely,
Mike Andreason Mechanical Services Texas Chiller Systems [email protected]
1219 Safari San Antonio, TX 78216
210-650-9972 Office 210-650-9973 Fax T ACLA021025CrfECL30517
53 3/23/20
V TCS TEXAS CHILLER SYSTEMS
TERMS AND CONDlTJONS
By accepting this proposal, Purchaser agrees to be bound by the following tern1s and conditions:
SCOPE OF WORK - This proposal is based upon the use of straight time labor only. Plastering, patching and painting are excluded. " In-line" duct and piping devices, including, but not limited to, valves, dampers, humidifiers, wells, taps, flow meters, orifices, etc., if required, hereunder to be furnished by Texas Chiller Systems, shall be distributed and installed by others under Texas Chiller System' s supervision but at no additional cost to Texas Chiller Systems. Purchaser agrees to provide Texas Chiller Systems with required field utilities (electricity, toilets, drinking water, project hoist, elevator service, etc .) without charge. Texas Chiller Systems agrees to keep the site clean of debris arising out of its own operation. Purchaser shall not back charge Texas Chiller Systems for any costs or expenses without Texas Chiller Systems written consent. Unless specifically noted in the statement of the scope of work or service undertaken by Texas Chiller Systems under this agreement, Texas Chiller System's obligations under this agreement expressly exclude any work or service of any nature associated or connected with the identification, abatement, clean-up, control , removal , or disposal of environment hazards or dangerous substances, to include but not limited to asbestos or PCB's, discovered in oron the premises. Any language or provision of the agreement elsewhere contained which may authorize or empower the Purchaser to change, modify, or alter the scope of work or services to be performed by Texas Chiller Systems shall not operate to compel Texas Chiller Systems to perform any work relating to Hazards without Texas Chiller Systems express written consent.
PAYMENT TERMS-Payment of invoices is due in Texas Chiller System's office within thirty (30) days of issuance of such invoice. Invoices not timely paid within these terms stated shall be considered past due, and are then subject to interest accruing at the rate of 1.5% per month.
MATERIALS - If the materials or equipment included in this proposal become temporarily or permanently unavailable for reasons beyond the control and without the fault of Texas Chiller Systems, then in the case of such a temporary unavailability, the time for performance of the work shall be extended to the extent thereof, and in the case of permanent unavailability, Texas Chiller Systems shall (a) be excused from furnishing said materials or equipment and (b) be reimbursed for the difference between the cost of the materials or equipment permanently unavailable and the cost of a reasonably available substitute therefore.
WARRANTY - Texas Chiller Systems warrants that tlic equipment manufactured shall be free from defects in material and workmanship arising from normal usage for a period of one (I) year from delivery of said equipment, or if installed by Texas Chiller Systems, for a period of one (I) year from installation. This warranty does not extend to any equipment which has been repaired by others, abused, altered or misused, or which has not been properly or reasonably maintained. Any repair work will have a tliirty (30) day warranty; materials associated with these repairs will carry tlie manufacturer' s warranty only. THESE WARRANTIES ARE IN LIEU OF ALL OTHER WARRANTIES, EXPRESS OR IMPLIED, INCLUDING BUT NOT LIMITED TO, THOSE OF MERCHANT ABILITY AND FIT ESS FOR A SPECIFIC PURPOSE. If customer fails to pay all invoices in full, it is agreed that there shall be no warranty provided.
LIABILITY - Texas Chiller Systems shall not be liable for any special , indirect or consequential damages arising in any manner from the equipment or material furnished or the work performed pursuant to this agreement.
TAXES - The price of tliis proposal does not include duties, sales, use, excise, or other similar taxes, unless required by federal , state, or local law. Purchaser shall pay, in addition to the stated price; all taxes not legally required to be paid by Texas Chiller Systems or, alternatively, shall provide Texas Chiller Systems witli acceptable taxes exemption certificates. Texas Chiller Systems shall provide Purchaser with any tax payment certificate upon request and after completion and acceptance of the work.
DELAYS - Texas Chiller Systems shall not be liable for any delay in tlie performance of tlie work resulting from or attributed to acts of circumstances beyond Texas Chiller System's control , including, but not limited to, acts of God, fire , riots, labor disputes, conditions of tlie premises, acts or omissions of tlie Purchaser, Owner, or oilier Contractors or delay caused by suppliers or subcontractors of Texas Chiller Systems, etc.
COMPLIANCE WITH LAWS - Texas Chiller Systems shall comply witli all applicable federal , state and local laws and regulations and shall obtain all temporary licenses and permits required for tlie prosecution of the work. Licenses and permits of a permanent nature shall be procured and paid for by the Purchaser.
VENUE - All invoices are due and payable in Texas Chiller System's office located at 9807 McCullough, San Antonio, Texas 78216. In tlie event legal action is commenced to enforce payment of obligations, venue for such legal action shall be in Bexar County, Texas, and the undersigned agrees to pay whatever sum the court determines to be reasonable attorney 's fees , plus all expenses and costs incurred.
INSURANCE - Insurance coverage in excess of Texas Chiller Systems standard limits will be furnished when requested and required. No credit will be given or premium paid by Texas Chiller Systems for insurance afforded by otliers.
(Note: This proposal incorporates by reference the Terms and Conditions.)
1219 Safari San Antonio, TX 78216
210-650-9972 Office 210-650-9973 Fax T ACLA021025CffECL305 l 7
54 3/23/20
VTCS TEXAS CHILLER SYSTEMS
(Payment Net 30 Days.)
All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices. Any alteration or deviation from above specification involving extra costs will be executed only upon written orders, and will become an extra charge over and
above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance. Our workers are fully covered by Workmen 's Compensation Insurance.
Note: This proposal may be withdrawn by us if not accepted within thirty (30) days from the date above.
Acceptance of Proposal - The Above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above.
Date of Acceptance:-------------------
NameofCompany: __________________ _
Purchase Order Number: _______________ _
Signature: _____________________ _
Printed Name:--------------------
Title:----------------------
1219 Safari San Antonio, TX 78216
210-650-9972 Office 210-650-9973 Fax TACLA021025C/TECL30517
55 3/23/20
I
VfCTORfA ~~~-IMRCONDmONIN~CT~I~~~~~~~~~~~~~~~~~~~~~
200 s. Ben Jordan Victoria, Texas 77901 (361) 578-5241 Fax 576-0811
PROPOSAL #20-118 Name Phone 361-275-6191 Date 02/25/20 Cuero Regional Hospital
Address 2550 N Esplanade Job Name Replace Roof top A/C
Cuero, TX Location Conference Room
Attn: Rick Caron We hereby submit estimates for: Remove old unit for disposal. Furnish and install one new Trane TSC102H3EOA rooftop ale unit to include, 27kw heat strip, curb adapter, hail guards, Manual outside air damper. Also includes City of Cuero Mechanical permit, and crane service. Except for disconnect and reconnect electrical is excluded. Warranty will be one year parts and labor with a 4 year extended warranty on compressor.
We Propose hereby to furnish material and labor - complete and in accordance with the above for the sum of.$ 15,997 .00
Payment to be made as follows ... Due on invoice.
We agree to provide the above described materials and services upon your request pursuant to the tenns of this agreement. We will invoice you for the cost of such materials or services, and you agree to pay the full amount of each invoice within thirty (30) days from the date of each invoice. In the event that any invoice is not paid within thirty (30) days, interest on such unpaid balance shall commence accruing at the annual rate of eighteen percent ( 18%). Thereafter, you shall be liable for payment of the invoice amount plus interest accrued to the date of final payment of such invoice. In the event that it becomes necessary for us to bring suit to collect any unpaid amounts pursuant to this agreement, you shall also be liable for payment of a reasonable attorney's fee, which shall in no event be less than fifteen percent (15%) of the unpaid amount of the invoice plus lawful interest.
All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices. Any alteration or deviation from above specifications involving extra costs will be executed only upon written orders, and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance. Our workers are fully covered by Workman's Compensation Insurance.
Ran y B ett, Service Sales/Project Manager :.t~ --This proposa ay be withdrawn if not accepted within _]Q_ days.
Acceptance of Proposal The above prices, specification and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above.
Signature---- --------Printed Name
--~~~~~~~~~~~~
Date of Acceptance _ _ ______ _ Title ____________ _
Regulated by The Department of Licensing and Registration, P.O. Box 12157, Austin, TX, 78711, (800) 803-9202,
(512) 463-6599, www.tdlr.texas.gov TACLA26324C, TMPLM38837 Lloyd Boedeker TMPL M38837 Texas State Board
of Plumbing Examiners P.O. Box 4200 Austin, Texas 78765-4200 {215 936-5200
56 3/23/20
AGENDA ITEM #4
Capital Expenditure Request for Cooling Tower Replacement Project - Review and Take Appropriate Action
Attached Proposals:
TCS $173,862.00 RECOMMENDED
Tower Tech $178,274.00
Cooling Towers $206,058.00
2020 03 26
57 3/23/20
Cuero Regional Hospital CAPITAL EXPENDITURE REQUEST
HOSPITAIJENTITY Cuero Regional Hospital
DEPARTMENT Maintenance DATE PREPARED3/12/2020
Is the requested purchase in compliance with the Healthtrust
GPO?
PROJECT NAME Cooling Tower Replacement Project D
DESIRED DELIVERY/START DATE
E PROJECTDEscRIPTioN Remove existing cooling towers and replace PURPOSE FOR REQUEST
s them with a new Evapco Full Stainless-Steel Tower.
c Replace existing VFD with a 480 volt VFD and reconnect
R existing condenser pump to 480 volts.
New Service
Replacement
Code Compliance
I JUSTIFICATION lndiate present situation, need for the item requested and alternative considerations.
P The cooling tower is 20 years old and most of the structure has deteriorating to the point it cannot be rebuilt
T BUDGET REFERENCE
I BUDGET LINE ITEM IF NOT BUDGETED, WHY IS IT NEEDED AT THIS TIME?
0
N
F EQUIPMENT/PROJECT COSTS Attach copies of proposals
I Bid #1 Bid #2 Bid #3
ASSET DISPOSITION DATA
Amount Budgeted
$250,000.00
Description of Disposed Assets :
N Name of Bidder TCS Tower Tech Cooling Towers
A Land and/or Acquisition
N Construction BOOK VALUE OF DISPOSED ASSET
C Equipment METHOD OF Trade In
I TOT AL COSTS $173,862.00 $178,274.00 $206,058.00 DISPOSITION Sale 1-'-~-'-~~-+-.;._--'~~--1....:....~...;_~~+-~~~~~~--1
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Board Member Signature if greater than $5,000
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Abandonment
DATE: 3/12/2020
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58 3/23/20
Cuero Regional Hospital Cooling Tower Replacement Project
Presented By: Mike Andreason
Texas Chiller Systems, LLC. San Antonio, TX
210-633-6472
1219 Safari San Antonio, TX 78216
210-650-9972 Office 210-650-9973 Fax T ACLA02 l 025C/TECL30517
OuahtyCare Close to Home
59 3/23/20
VTCS T EXA S C HILL E R S YSTEM S
February 20, 2020
Cuero Community Hospital Attn: Rick Caron 2550 N Esplanade St Cuero, TX 77954
Ref: 425 Ton Evapco Cooling Tower Installation
Texas Chiller Systems is pleased to offer our proposal for the replacement of the existing 850-ton dual cell Marley cooling towers that are currently serving your facility. Per your request and due to your ability to only operate one centrifugal chiller at a time due to power limitations we are pricing a 425-ton cooling tower option that will match your maximum chiller capacity. We propose the following:
• Isolate and disconnect 2 existing Marley cooling tower cells • Provide crane, trucking and rigging for removal of the old tower and setting of new - old
towers will be hauled away and properly disposed of • Modify existing I-beam frame as required for the placement of new 425-ton Evapco
tower cells • Provide and install (1) Evapco AT 217-3111 two cell induced draft, cooling tower each complete
with the following features : o CTI CERTIFIED. /BC CERTIFIED CONSTRUCTION.
o G-235 GALVANIZED STEEL construction, including cold water basins and casing sections.
o PVC drift eliminators with a drift loss of .001 % ofrecirculating water rate. o Non-corrosive PVC Spray Distribution System with non-clog EvapJet nozzles. Spray
distribution system eliminates flow imbalance between the two cells and eliminates overflowing from hot water basins.
o PVC air inlet louvers with %" openings to prevent trash and debris from entering the cold water basins
o Two (2) 15 hp TEFC two speed. single winding fan motors, located outside of the cooling tower. Motor and drive assemblies have a FIVE-YEAR WARRANTY. *note - reduces motor horsepower from existing (2) 40 's to (2) 15 's. 63% energy savings*
o Vibration cut out switch per motor o Single BFW/grooved inlet and outlet connection per cell. o Bypass connection. o Electric basin heaters, complete with thermostat, low water cut off switches, and
basin heater control panel. Heater control panels include outdoor rated enclosure, circuit breaker, contactor, transformer, auto-off switch, and pilot light per cell. Panels are shipped loose for field mounting and wiring by others. Flexible with panels - can provide one large panel to service all heaters if it will make wiring simpler.
o Access ladder per cell, complete with grabrail. 4ft ladder extension. Mounted per below.
o TOWERS WILL COOL 1275 GPM OF WATER FROM 95°F TO 85°F AT A 80°F WET BULB,
PROVIDING A TOTAL OF 426.3 TONS OF CAPACITY UTILIZING (2) " HP FAN MOTORS AND 100.3% CAPACITY.
1219 Safari San Antonio, TX 78216
210-650-9972 Office 210-650-9973 Fax TACLA021025CffECL30517
60 3/23/20
VTCS TEXAS CHI LLER SYSTEMS
• Pipe new tower cells into existing condenser water piping system, modifying existing piping and butterfly valves to fit new configuration
• Provide and install new electronic bypass valve and connect to existing BAS signal • Provide new cooling tower starter/control panel with enclosure - new panel will replace
existing and be 480 volt instead of existing 208 volt - existing ALC wiring will be reconnected to new panel for tower control - Note that 480 volt power will be run to new panel by others and is not included in this proposal QTY (1) 2 Speed-1 Winding Motor Control Panel, 460/3/60
• (I) Wall Mount NEMA 3R Outdoor Enclosure • (1) Single-Point Field Power Connection • (1) Main Circuit Breaker Disconnect with External Handle • (1) 460V-120V Fuse-Protected Control Circuit Transformer • (1) Fan Motor Circuit Breaker • (2) 2 Speed/I Winding Fan Motor Starters with Adjustable Overloads • (2) Fan Motor Off-Auto-High-Low Selector Switch • (2) Fan Motor Low Speed Indicator Light • (2) Fan Motor High Speed Indicator Light • (2) Decelerating Relay • (2) Anti-Recycle Timer • (2) Terminals for Vibration Switch • (1) Vibration Switch "Tripped" Pilot Light • (2) Basin Heater Circuit Breakers • (2) Basin Heater Contactors • (2) Basin Heater Off/ Auto Selector Switches • (2) Basin Heater "On" Pilot Lights • (1) Grounding Bar • (1) UL 508A Listed Industrial Controls Label • BMS Controlled, temperature controller is not included • 460/3/60
• Perform startup of new tower and balance water flow across all cells
Pricing - Scope listed above utilizing an Evapco Model AT 217-3111 cooling tower with full galvanized construction. The price to for this option will be $141,407.00 plus any applicable tax.
Option #1 - Stainless-Steel Cold-Water Basin • If you would prefer to add stainless-steel cold-water basins the total cost would be
$149,859.00 plus any applicable tax
Option #2 - Full Stainless-Steel Construction • If you would prefer full stainless-steel construction the total cost would be $163,346.00
plus any applicable tax
1219 Safari San Antonio, TX 78216
210-650-9972 Office 210-650-9973 Fax T ACLA021025CffECL30517
61 3/23/20
VTCS TEXAS C HILL ER SYSTEMS
Option #3 - Condenser Pump VFD Replacement • If you would like to include the replacement of the (2) existing 20HP VFDs currently
serving the condenser water pumps with new ABB 460/3ph units with bypass and to change the existing motor wiring over to 460/3ph the total additional cost would be $10,516.00 plus any applicable tax. Note that this does not include changing the service to the VFDs as this would be performed separately by your electrician.
Please contact me on my mobile at 210-633-6472 to initiate this service. This pricing is based upon work performed during TCS standard business hours. TCS appreciates your business. This proposal is valid for the next 30 days.
Exclusions 1. Passivation of water loop and new tower - Required on galvanized towers 2. Modification of BAS 3. Engineering/Drawings
Please contact me on my mobile 210-633-6472 if additional information is required or to initiate this service.
TCS appreciates your business. This proposal is valid for the next 30 days.
Sincerely,
Mike Andreason Mechanical Services Texas Chiller Systems [email protected]
1219 Safari San Antonio, TX 78216
210-650-9972 Office 210-650-9973 Fax TACLA021025CffECL30517
62 3/23/20
YTCS TEXAS CHI LL ER SYSTEMS
TERMS AND CONDITIONS
By accepting this proposal , Purchaser agrees to be bound by the following tern1s and conditions:
SCOPE OF WORK - This proposal is based upon the use of straight time labor only. Plastering, patching and painting are excluded. "In-line" duct and piping devices, including, but not limited to, valves, dampers, humidifiers, wells, taps, flow meters, orifices, etc., if required, hereunder to be furnished by Texas Chiller Systems, shall be distributed and installed by others under Texas Chiller System's supervision but at no additional cost to Texas Chiller Systems. Purchaser agrees to provide Texas Chiller Systems with required field utilities (electricity, toilets, drinking water, project hoist, elevator service, etc.) without charge. Texas Chiller Systems agrees to keep the site clean of debris arising out of its own operation. Purchaser shall not back charge Texas Chiller Systems for any costs or expenses without Texas Chiller Systems written consent. Unless specifically noted in the statement of the scope of work or service undertaken by Texas Chiller Systems under this agreement, Texas Chiller System's obligations under this agreement expressly exclude any work or service of any nature associated or connected with the identification, abatement, clean-up, control , removal, or disposal of environment hazards or dangerous substances, to include but not limited to asbestos or PCB 's, discovered in or on the premises. Any language or provision of the agreement elsewhere contained which may authorize or empower the Purchaser to change, modify, or alter the scope of work or services to be performed by Texas Chiller Systems shall not operate to compel Texas Chiller Systems to perform any work relating to Hazards without Texas Chiller Systems express written consent.
PAYMENT TERMS - Payment of invoices is due in Texas Chiller System's office within thirty (30) days of issuance of such invoice. Invoices not timely paid within these terms stated shall be considered past due, and are then subject to interest accruing at the rate of 1.5% per month.
MA TERJALS - If the materials or equipment included in this proposal become temporarily or permanently unavailable for reasons beyond the control and without the fault of Texas Chiller Systems, then in the case of such a temporary unavailability, the time for performance of the work shall be extended to the extent thereof, and in the case of permanent unavailability, Texas Chiller Systems shall (a) be excused from furnishing said materials or equipment and (b) be reimbursed for the difference between the cost of the materials or equipment permanently unavailable and the cost of a reasonably available substitute therefore.
WARRANTY - Texas Chiller Systems warrants that the equipment manufactured shall be free from defects in material and workmanship arising from normal usage for a period of one (I) year from delivery of said equipment, or if installed by Texas Chiller Systems, for a period of one (I) year from installation. This warranty does not extend to any equipment which has been repaired by others, abused, altered or misused, or which has not been properly or reasonably maintained. Any repair work will have a thirty (30) day warranty; materials associated with these repairs will carry the manufacturer's warranty only. THESE WARRANTIES ARE IN LIEU OF ALL OTHER WARRANTIES, EXPRESS OR IMPLIED, INCLUDING BUT NOT LIMITED TO, THOSE OF MERCHANT ABILITY AND FITNESS FOR A SPECIFIC PURPOSE. If customer fails to pay all invoices in full , it is agreed that there shall be no warranty provided.
LIABILITY - Texas Chiller Systems shall not be liable for any special , indirect or consequential damages arising in any manner from the equipment or material furnished or the work performed pursuant to this agreement.
TAXES - The price of this proposal does not include duties, sales, use, excise, or other similar taxes, unless required by federal, state, or local law. Purchaser shall pay, in addition to the stated price; all taxes not legally required to be paid by Texas Chiller Systems or, alternatively, shall provide Texas Chiller Systems with acceptable taxes exemption certificates. Texas Chiller Systems shall provide Purchaser with any tax payment certificate upon request and after completion and acceptance of the work.
DELAYS - Texas Chiller Systems shall not be liable for any delay in the performance of the work resulting from or attributed to acts of circumstances beyond Texas Chiller System's control, including, but not limited to, acts of God, fire, riots, labor disputes, conditions of the premises, acts or omissions of the Purchaser, Owner, or other Contractors or delay caused by suppliers or subcontractors of Texas Chiller Systems, etc.
COMPLIANCE WITH LAWS - Texas Chiller Systems shall comply with all applicable federal, state and local laws and regulations and shall obtain all temporary licenses and permits required for the prosecution of the work. Licenses and permits of a permanent nature shall be procured and paid for by the Purchaser.
VENUE -All invoices are due and payable in Texas Chiller System's office located at 9807 McCullough, San Antonio, Texas 78216. In the event legal action is commenced to enforce payment of obligations, venue for such legal action shall be in Bexar County, Texas, and the undersigned agrees to pay whatever sum the court determines to be reasonable attorney's fees, plus all expenses and costs incurred.
INSURANCE - Insurance coverage in excess of Texas Chiller Systems standard limits will be furnished when requested and required. No credit will be given or premium paid by Texas Chiller Systems for insurance afforded by others.
(Note: This proposal incorporates by reference the Terms and Conditions.)
1219 Safari San Antonio, TX 78216
210-650-9972 Office 210-650-9973 Fax TACLA021025CffECL30517
63 3/23/20
V TCS TEXAS CHI LL ER SYSTEMS
(Payment Net 30 Days.)
All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices. Any alteration or deviation from above specification involving extra costs will be executed only upon written orders, and will become an extra charge over and
above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance. Our workers are fully covered by Workmen 's Compensation Insurance.
Note: This proposal may be withdrawn by us if not accepted within thirty (30) days from the date above.
Acceptance of Proposal - The Above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above.
Date of Acceptance:--------------------
NameofCompany: _____________ _ ____ _
Purchase Order Number: _______________ _
Signature: _____________________ ~
Printed Name: ____________________ _
Title:--------- -------------
1219 Safari San Antonio, TX 78216
210-650-9972 Office 210-650-9973 Fax T ACLA02 l 025CffECL30517
64 3/23/20
TOWER TECH SERVICES, INC.
12110Valliant San Antonio, Texas 78216 Ph (210) 308-0031 Toll Free (800) 971-0031 Fax (210) 308-6509
February 26, 2020
Mr. Rick Caron Cuero Regional Health Cuero, Texas
T ACLA015933E • T ACLA22136C
Quotation
Re: Cooling Tower Replacement
Dear Mr. Caron,
8500 Directors Row Dallas, Texas 75247
Ph (214) 526-0031 www.towertech.com
We respectfully submit our proposal for the replacement of the referenced cooling tower for your review and evaluation. The proposed scope of work will include the following :
1) Disconnect existing condenser water piping, makeup water, overflow, and drain lines and existing electrical connection. Remove and properly dispose of existing cooling towers.
2) Furnish and install new hot dip galvanized steel I beams, as required.
3) Furnish and install a new two cell Evapco cooling tower. Towers will include the following features:
o CTI Certified Capacity. IBC certified construction. o G-235 galvanized steel construction, including cold water basins and casing sections,
mechanical supports, and fan screens. Option for stainless steel. o Two (2) sloped access ladders with grab bars. Each ladder will extend to grade. o Towers be operated by two (2) two speed, single winding fan motors. o External equalizer connections, one per tower. Allows each cell to be isolated by simply
closing a valve. No flume/weir plates to install underwater. o Belt drive fan assembly with L-10 bearing life of at least 75,000 hours. Extended
lubrication lines to exterior of tower. Motor is either mounted on exterior of tower (smaller tonnage tower) or on a swing out base (larger tower - hinged, swings to exterior of tower if ever replaced) .
4) Reconnect the condenser water piping and bypass. Existing bypass valve will be reused/remain. New condenser and makeup water piping will be schedule 40 steel. Will include a new butterfly isolation valve on each inlet and outlet and the equalizer line.
5) Reconnect makeup water, overflow, and drain lines. New makeup water piping will be copper, insulated with Armaflex insulation after completion to match existing. New overflow and drain lines furnished will be schedule 40 PVC and will run to the existing drain connection.
Page 1 of 5
This quotation is subject to acceptance within 30 days. Quotation does not include any federal , state, or local taxes which may be applicable.
Regulated by the Texas Department of Licensing and Regulation• P.O. Box 12157 •Austin, Texas• (800) 803-9202 65 3/23/20
TOWER TECH SERVICES, INC.
12110 Valliant San Antonio, Texas 78216 Ph (210) 308-0031 Toll Free (800) 971-0031 Fax (210) 308-6509
February 26, 2020
Mr. Rick Caron Cuero Regional Health Cuero, Texas
T ACLA015933E • T ACLA22136C
Quotation
Re: Cooling Tower Replacement
8500 Directors Row Dallas, Texas 75247
Ph (214) 526-0031 www.towertech .com
All new steel exterior condenser water piping will be painted with an epoxy paint after completion of piping . Makeup water line will be insulated after completion with Armaflex insulation.
6) Furnish and install a new starter control panel , rated for 460/3. Will include the following" • NEMA 3r outdoor enclosure • Main power disconnect switch. • Two (2) two speed , single winding starters with hand-off-auto switches and pilot
lights per cell. • Basin heater contractors with pilot light and auto-off switch per cell . • Control transformer • Terminal strip for control stages (stages/control signals to be furnished by
others/owner). Existing wiring will be reconnected , if present.
7) Furnish and install necessary electrical wiring for the new cooling towers. A new disconnect switch panel will be furnished and installed for both fan motors. New conduit and wiring will be furnished as required , EMT galvanized conduit with 24-36" of flex conduit at the terminations (motors, heaters, vibration switches) .
8) Verify proper operation of the cooling tower.
9) Leave job site in a clean condition.
10) All necessary labor, materials, crane, disposal, supervision, and insurance are included.
11) Does not include: o Temporary towers (we do have them available in our rental fleet if needed). o Insulation of condenser water piping (none presently exists) or new heat tracing
(existing to be reinstalled , if present). o Controls or control system modifications.
12) TWO (2) year parts and labor warranty. Tower includes five (5) year motor and drive components warranty (fan motor, bearings, fan , etc).
Page 2 of 5
This quotation is subject to acceptance within 30 days. Quotation does not include any federal, state, or local taxes which may be applicable.
Regulated by the Texas Department of Licensing and Regulation• P.O. Box 12157 •Austin , Texas• (800) 803-9202 66 3/23/20
TOWER TECH SERVICES, INC.
12110 Valliant San Antonio, Texas 78216 Ph (210) 308-0031 Toll Free (800) 971-0031 Fax (210) 308-6509
February 26, 2020
Mr. Rick Caron Cuero Regional Health Cuero, Texas
T ACLA015933E • T ACLA22136C
Quotation
Re: Cooling Tower Replacement
OPTION ONE: Two cell, 870.4 ton cooling tower
Evapco AT 212-4N24 two cell cooling tower
8500 Directors Row Dallas, Texas 75247
Ph (214) 526-0031 www.towertech.com
• Will cool 2,550 gpm @ 95°F to 85°F at an 80°F wet bulb with 102.4% capacity (870.4 tons) • Two (2) 40hp fan motors, located on a swing out base. • Smaller footprint than existing towers. • -7ft from bottom of fill to basin - allows ease of cleaning and access. • Far more serviceable and owner friendly tower.
TOTAL NET PRICE, LESS APPLICABLE TAXES .... $207,227.00
FOR A TVPE 304 STAINLESS STEEL COLD WATER BASINS, PLEASE ADD $12,787 .00 (TOTAL FOR BOTH CELLS). INCLUDES STAINLESS STEEL FROM BASE OF UNIT ALL THE WAY UP TO THE SEAM ABOVE THE AIR INLET LOUVERS (-6'+ FROM BOTTOM OF UNIT). INCLUDES FIVE (5) YEAR UNIT WARRANTY.
FOR ALL Type 304 STAINLESS STEEL TOWER, INCLUDING COLD WATER BASIN, CASING SECTION, AND MECHANICAL SUPPORT, FAN DECK, FAN SCREEN, ETC (ALL STAINLESS STEEL), PLEASE ADD $34, 157.00 (TOTAL FOR BOTH CELLS) TO BASE PRICE (DO NOT INCLUDE ABOVE BASIN ADD, IT IS INCLUDED). INCLUDES FIVE (5) YEAR UNIT WARRANTY.
Page 3 of 5
This quotation is subject to acceptance within 30 days. Quotation does not include any federal , state, or local taxes which may be applicable.
Regulated by the Texas Department of Licensing and Regulation• P.O. Box 12157 •Austin , Texas• (800) 803-9202 67 3/23/20
TOWER TECH SERVICES, INC.
12110Valliant San Antonio, Texas 78216 Ph (210) 308-0031 Toll Free (800) 971-0031 Fax (210) 308-6509
February 26, 2020
Mr. Rick Caron Cuero Regional Health Cuero, Texas
T ACLA015933E • T ACLA22136C
Quotation
Re: Cooling Tower Replacement
OPTION TWO: Two cell, 427 ton cooling tower
Evapco AT 217-3J 11 two cell cooling tower
8500 Directors Row Dallas, Texas 75247
Ph (214) 526-0031 www.towertech.com
• Will cool 1,275 gpm @ 95°F to 85°F at an 80°F wet bulb with 100.3% capacity (426.3 tons) • Two (2) 15 hp fan motors, located on the exterior of the tower. • Smaller footprint than existing towers. • -6ft from bottom of fill to basin - allows ease of cleaning and access. • Far more serviceable and owner friendly tower.
TOTAL NET PRICE, LESS APPLICABLE TAXES .... $157, 177.00
FOR A TYPE 304 STAINLESS STEEL COLD WATER BASINS, PLEASE ADD $7,947 .00 (TOTAL FOR BOTH
CELLS). INCLUDES STAINLESS STEEL FROM BASE OF UNIT ALL THE WAY UP TO THE SEAM ABOVE THE AIR
INLET LOUVERS (-6'+ FROM BOTTOM OF UNIT). INCLUDES FIVE (5) YEAR UNIT WARRANTY.
FOR ALL TYPE 304 STAINLESS STEEL TOWER, INCLUDING COLD WATER BASIN, CASING SECTION, AND MECHANICAL SUPPORT, FAN DECK, FAN SCREEN, ETC (ALL STAINLESS STEEL), PLEASE ADD $21,097.00 (TOTAL FOR BOTH CELLS) TO BASE PRICE (DO NOT INCLUDE ABOVE BASIN ADD, IT IS INCLUDED) .
INCLUDES FIVE (5) YEAR UNIT WARRANTY.
Page 4 of 5
This quotation is subject to acceptance within 30 days. Quotation does not include any federal , state, or local taxes which may be applicable.
Regulated by the Texas Department of Licensing and Regulation • P.O. Box 12157 •Austin, Texas • (800) 803-9202 68 3/23/20
TOWER TECH SERVICES, INC.
12110 Valliant San Antonio, Texas 78216 Ph (210) 308-0031 Toll Free (800) 971-0031 Fax (210) 308-6509
February 26, 2020
Mr. Rick Caron Cuero Regional Health Cuero, Texas
T ACLA015933E • T ACLA22136C
Quotation
Re: Cooling Tower Replacement
8500 Directors Row Dallas, Texas 75247
Ph (214) 526-0031 www.towertech.com
Work can be scheduled and performed at your convenience, including over one (1) weekend.
Work will require a shutdown of 1-2 days day and approximately three (3) days onsite for completion .
Current lead time for the new Evapco cooling towers is approximately four (4) to six (6) weeks.
If you have any questions, please let us know.
~ Ben Gray Tower Tech Services, Inc.
Page 5 of 5
This quotation is subject to acceptance within 30 days. Quotation does not include any federal , state, or local taxes which may be applicable.
Regulated by the Texas Department of Licensing and Regulation• P.O. Box 12157 •Austin, Texas• (800) 803-9202 69 3/23/20
March 11, 2020
Cuero Regional Hospital 2550 N. Esplanado Cuero, TX 77954
Attn: From:
Rickey Caron Kevin Dapper
-.....-.....ing Towers .._,, of Texas
or all of Your Cooling Tower Needs'
Re: 2-Cell Marley NC Cooling Tower Replacement CTP-6213
Mr. Caron:
Cooling Towers of Texas would like to thank you for the opportunity to provide this lump sum proposal to replace the 2-Cell Marley NC Cooling Tower servicing your Cuero, TX facility. The proposed scope of work provides an explanation of the work that will be performed along with the material that will be provided.
Also included with this submission is a summary of Cooling Towers of Texas' Labor Crew Qualifications. The quality of work provided by Cooling Towers of Texas is the highest in the cooling tower industry. Our organization works extremely hard to maintain this standard of excellence for both quality workmanship and safety. Cooling Towers of Texas' full time Safety Director makes routine visits to our jobsites to ensure all employees comply with our organization's rigorous safety standards. Upon request, Cooling Towers of Texas can provide a Job Safety Execution Plan that outlines the potential hazards associated with the quoted scope of work and the steps taken to mitigate this risk.
Please review this submission and feel free to contact me if there are any questions or issues of concern. I will follow up with you in a few days to discuss our submission and make sure you have a complete understanding of how the proposed work will benefit your facility. Thank you.
Sincerely, Kevin Dapper Sales Associate COOLING TOWERS of TEXAS
8010 LEESA LANE* PASADENA, TX 77507 * 281-484-COOL * 281-484-2371 Fax (2665)
70 3/23/20
~ingTowers ~,, of Texas
or all of Your Cooling Tower Needs'
Continued - Proposal No. CTP-6213 Page 2 of6
Base Scope of Work
Below is a detailed description of the repairs Cooling Towers of Texas recommends. These scope items address the most critical issues affecting the cooling tower.
1. REYMSA Cooling Tower Provide one (1) new REYMSA Model No. RT-8222100-B, induced draft counterflow cooling tower certified to cool 1,275 gpm of water from 96°F to 86°F at an entering wet bulb temperature of 80°F. The cooling tower is a seamless, one-piece design, constructed ofFRP that is double gel-coated for superior UV protection and long service life. Below is a summary of the cooling tower components.
• Two (2) 10 HP fan motors, 230/460 volt-3 phase-60 Hz; Premium Efficiency, Inverter Duty, Marine Grade
• Direct drive motors mounted above spray distribution system, fill and drift eliminators. • Fiberglass Reinforced Polyester (FRP), Double Gel-Coated for Superior UV Protection
and long service life; seamless one-piece molded construction. • 6 ft ofCF-1900 Fill • Exceeds Energy Efficiency per ASHRAE Standard 90.1-2016 • 15-Y ear warrant on tower casing and structure; 5-year motor warranty • Accessories Included: End Inlet, End Outlet Connections, Bypass Connection, Vibration
Cut Out Switches, External Ladder with Safety Cage, Catwalk and Perimeter Handrails
2. Cooling Tower Support Structure Provide labor and material to install four ( 4) new W8 x 18# x 19' long hot dipped galvanized steel beams. The new beams will be installed on the existing concrete piers. One (1) new galvanized steel support frame will be provided and installed on the new wide flange beams. New 300 series stainless steel hardware will be provided to secure the new supports.
3. Variable Frequency Drive Provide labor and material to provide and install one (1) new ABB Model ACH580VDR-034-A Variable Frequency Drive. The new VFD has the following characteristics:
• Wall mounted NEMA 1 Enclosures • Rated for 460 volt/60 Hz/3 Phase • PWM Technology with low noise IGBT's • Electronic motor overload with short circuit/ground fault protection • Power factor correlation to 0.96 at all speeds • Keypad HOA and speed adjustment keys • DC link input filters to meet IEEE 519 • 0-10 VDC, 0-20 mA or potentiometer analog inputs for speed controller by others. • Manual bypass with input disconnect, including motor starter with manual bypass overload
relay, bypass and drive contactors, drive-off-bypass switch, indication lights and control terminal strip.
• Factory startup and two (2) year warranty included
8010 LEESA LANE*: PASADENA, TX 77507 *: 281-484-COOL *: 281-484-2371 Fax 2 (2665)
71 3/23/20
4. Subcontracted Work
-__.._.ing Towers ~"' of Texas
or all of Your Cooling Tower Needs'
Continued- Proposal No. CTP-6213 Page 3 of6
Cooling Towers of Texas will subcontract the following work to a local contractor. • Remove and dispose of the existing cooling tower. • Disconnect the existing piping and electrical. • Provide crane services. • Install new piping for the new REYMSA Cooling Tower.
Note: The existing isolation valves will be reused. If they are in poor condition and cannot be reused new isolation valves can be provided and installed for an additional cost.
• Install new pipe stands are required. • Remove and replace two (2) condenser water pumps/motors. • Provide electrical services to connect new REYMSA Cooling Tower. New rigid conduit
with copper wire will be provided and installed from the existing electrical to the new cooling tower.
Price Material - Items 1 to 4 Price Labor & Per Diem - Items 1 to 4 Price Subcontracted Work- Item 4 Price Travel - Items 1 to 4
$73,974 $15,323
$115,000 $1,761
TOT AL Items 1 to 4 -- $206,058
Note: The freight to deliver the new REYMSA Cooling Tower is included in the quoted price. The freight for the new wide flange beams and all necessary hardware is not included. Freight for any other items excluding the REYMSA Cooling Tower will be charged at cost plus 10%.
Note: The price quoted for Travel is to mobilize/demobilize a crew to execute the repair items included herein. If additional work is added to the proposed scope of work additional labor may need to be mobilized and additional travel costs may be incurred.
5. OPTION-Davit System Provide one ( 1) new Davit System for motor removal. Included are two (2) davit supports and one ( 1) davit arm.
Option Price Material - Item 5 $8,855
8010 LEESA LANE* PASADENA, TX 77507 * 281-484-COOL * 281-484-2371 Fax 3 (2665)
72 3/23/20
~ingTowers .._,,. of Texas
or all of Your Cooling Tower Needs'
Continued - Proposal No. CTP-6213 Page 4 of6
Cooling Tower s of Texas Labor Crew Qualifications
Cooling Towers of Texas understands our organization's success is rooted in our labor crews' ability to perform the required work tasks as safely and efficiently as possible. Therefore, Cooling Towers of Texas puts a premium on hiring reliable, diligent employees and providing them with the most extensive training available in the cooling tower industry. Below is a brief description of the qualifications of the labor crew that will be used to perform the quoted work:
• All employees are TWIC certified. • Each superintendent is trained in CPR and First Aid. • Each superintendent has completed the OHSA 30-Hour Safety Course. • Each foreman has completed the OSHA 10-Hour Safety Course. • Puncture-resistant boots are a required part of each Cooling Towers of Texas employees' standard
personal protective equipment. This helps prevent the possibility of loose or exposed nails from penetrating the soles of any employee's footwear.
• All field employees are drug and alcohol tested per Cooling Towers of Texas Drug and Alcohol Abuse Policy, which will meet or exceed the customer's standards/ policies.
Customer Responsibilities
Below is a list of items/services that are to be provided by the customer. The prices quoted within this submission are based upon terms listed below. Cooling Towers of Texas is happy to discuss these terms if modifications are required.
• Isolation of cells, man lifts, extended boom forklifts , electrical power, restroom facilities and scaffolding, if required are by Cuero Regional Hospital.
• All fuel required for any equipment necessary to execute the quoted scope of repairs is by Cuero Regional Hospital.
• 4-Gas monitors and/or any other confined space monitors that are required will be provided by Cuero Regional Hospital for the duration of the project.
J ob Notes The prices quoted for the work described herein is only valid per the following terms:
• The quoted prices are a lump sum for material, labor, per diem and travel only. • Due to the volatility of the fuel market, freight is not included in the quoted prices. Freight will be
charged at cost plus 10%. • Taxes are not included in the quoted prices. • Cooling Towers of Texas reserves the right to take possession and return any and all excess material
to Cooling Towers of Texas' warehouse after the completion of any lump sum bidjob(s). • Labor is based on working (5) 10-hour days per week (one overtime day per week is included)
starting on a Monday. If work must be started on any day other than Monday, additional overtime charges may be incurred. Cooling Towers of Texas can offer an alternative work schedule to complete the quoted repairs in a shorter amount of time for an additional cost.
• Any delays outside of the control of Cooling Towers of Texas such as, but not limited to permitting delays will be charged to Cuero Regional Hospital on a Time & Material basis.
8010 LEESA LANE* PASADENA, TX 77507 * 281-484-COOL * 281-484-2371 Fax 4 (2665)
73 3/23/20
~ingTowers ~,,. of Texas
or all of Your Cooling Tower Needs'
Continued - Proposal No. CTP-6213 Page 5 of6
• The prices quoted herein are only valid if all scope items are performed during the same mobilization. If Cuero Regional Hospital is interested in performing only a portion of the quoted repair items, Cooling Towers of Texas reserves the right to revise this quotation.
• If a purchase order is issued, a signed proposal received or any other authorization to proceed with the proposed work is provided by the customer and the project is cancelled, the customer will be subject to re-stocking fees , freight costs and any pre-project labor costs that has been performed to that point.
• A dedicated Safety Coordinator is not included in the quoted prices. The Field Superintendent is capable of administering all field safety notices and ensuring the labor crew works in a manner in accordance with Cooling Towers of Texas' stringent safety requirements. If a Safety Coordinator is required, Cooling Towers of Texas can provide a dedicated Safety Coordinator for an additional cost.
• Cooling Towers of Texas reserves the right to salvage and take ownership of any components removed from the cooling tower in the course of the execution of the proposed repairs/upgrade.
• Pricing is valid for 60 days from date of proposal. • The following proposal is only valid based upon the attached Payment Terms.
8010 LEESA LANE* PASADENA, TX 77507 * 281-484-COOL * 281-484-2371 Fax 5 (2665)
74 3/23/20
~ingTowers ..._,,. of Texas
Payment Terms
or all of Your Cooling Tower Needs'
Continued - Proposal No. CTP-6213 Page 6 of6
Below is an explanation of Cooling Towers of Texas' Standard Payment Terms. These terms are applicable for all goods and services rendered by Cooling Towers of Texas. Acceptance of these terms is required prior to the provision of any goods or services as described in the attached proposal.
Standard Payment Terms • Net 30 Days after date of submitted invoice.
o Material will be billed upon shipment. o Labor will be billed progressively throughout the duration of the quoted work.
• Late Payment Penalties: o 1 to 30 Days Past Due: 1 % of the purchase order amount o 31 to 60 Days Past Due: 2% of the purchase order amount o 61 to 90 Days Past Due: 3% of the purchase order amount o 91 to 120 Days Past Due: 4% of the purchase order amount o Over 120 Days Past Due: 5% of the purchase order amount
• Early Payment Discount: o I% discount off the total price of the job for receipt of payment within 15 days of the date of
mv01ce. *Date of the submitted invoice establishes the date to calculate the payment terms. *Payment date is based upon the post mark date of the submitted payment.
Cooling Towers of Texas will make every effort possible to work together with the customers ' Accounts Payable Department to ensure all invoicing is in accordance with customers' procedures.
Standard Warranty Cooling Towers of Texas warrants against defects in materials and workmanship for a period of 12 months, provided that the customer shall give Cooling Towers of Texas written notice of any such defects within 10 days after the discovery of the defect. This warranty is based on customer adhering to manufacturer's recommendations for routine maintenance and installation procedures. Warranty does not cover any damage resulting from the reinstallation of existing cooling tower components. Material warranty is only applicable to new cooling tower components provided by Cooling Towers of Texas.
Proposal Acceptance Cooling Towers of Texas agrees to move forward with the execution of the quoted work after receipt of a purchase order or receipt of a signed proposal. Please sign below and return to Cooling Towers of Texas.
Acceptance: ______________ Date: ___________ _
This message is intended only for the use of the individual or the entity to which it is addressed. If you have received this in error, please notify us immediately and discard.
8010 LEESA LANE* PASADENA, TX 77507 * 281-484-COOL * 281-484-2371 Fax 6 (2665)
" 75
3/23/20
( REY I ) REYMSA COOLING TOWERS, INC.®
EWf (F)
LWf (F)
WBT(F)
Performance Data
Total Required Flow Rate (gpm)
Total Nominal Flow Rate (gpm)
Nominal Flow Rate per Unit (gpm)
Total Required Heat Load (Btu/h)
Water Data Per Unit
Evaporated Water Rate (gpm)
Notes: - (4)Ft Fill Type CF-1200 - Standard Fan Selection
96
86
80
1,275.0
1,330.3
1,330.3
6,380,100
9.68
RT Series Engineering Data
Date: March 03rd, 2020
Unit Data Quantity of Motors
Motor HP
Quantity of Fans
Air Flow (cfm)
Basin Capacity (gal)
Shipping Weight (lb)
Operating Weight (lb)
Tower Configuration
Free-field S. P. L. at 5 ft( dBA)
Free-field S.P.L. at 30 ft(dBA) Free-field S.P.L. at 50 ft(dBA)
Length (in)
Width (in)
Height (in)
Dimensions
2
10.0
2
102,600
1,431
9,956
25,639
DOUBLE FAN
86
71
66
274.00
99.50
193.50
Connection Diameters Hot Water Inlet (in) 8
Cold Water Outlet (in) 10
Overflow (in) 2
Water make-up (in) 11/2
Drain (in) 2
Purge (in) 3/4
- Motor 10.0 HP, 230/460 V, 31.0/15.50 Amp, 3ph, 60Hz, 850 RPM - No Noise Neither Space Restrictions - Sound data is calculated under Free field conditions, not taking into account any reflections. This sound data should be used as guide line only - Approximate dimensions and weights. Refer to Factory for more information. - Exceed the Enerqv Efficiencv per ASHRAE Standard 90.1-2016
Location: From:
Attention: Company:
Company: Phone:
Date: March 03rd, 2020 E-mail :
REYMSA Selection Software v.4.0.1
76 3/23/20
Preliminary Drawing
CONNECTION DIAMETER Hot Water Inlet: 1 FLANGE: 8"0
Cold Water Outlet: 1 FLANGE: 10"0 ,g) Overflow: 1 FPT (Female Pipe Thread): 2"0 D Water make-up: 1 FPT (Female Pipe Thread): 11/2"0 E Drain: 1 FPT (Female Pipe Thread): 2"0
F Purge: 1 FPT (Female Pipe Thread): 3/4"0 G Vibration Cut-Off Switch : 1 Per Fan Duct
NOTE: DO NOT USE FOR CONSTRUCTION, MAY VARY
- \ I -I
j I i !I 38112 i
'-;;.:. - i I i ~
[ ~ I I i i
( .. 111) I I <mm> i i 94 i i
~ iro i i I i 1/2 I ~
i I i I I
i i 61
~ i i l - ! i
112
'" \O 0274 0 0\ RIGHT SIDE VIEW
PRODUCT DRAWING RT-822210-B FAN TYPE: STANDARD REYMSA COOLING TOWERS, INC. (2) MOTORS 10 HP, 850 RPM SHIPPING WEIGHT: 9,956 Lb OPERATING WEIGHT : 25.539 Lb BASIN CAPACITY: 1,431 GAL
www.reymsa.com
PROJECT:
~--102--~
381/2
"""I i "' r 61 - i
r -
APPROVAL BY: Date: March 07, 201 B I Rev .C
Revised: OA I MT
Dwg. Scale: None Dimensions: Inches Dwg. No: RT-822210-8
i---99 1/2---i n: ,+ , I1
·-·-~- 274
1931/2
(IEY•IA~~
77 3/23/20
I
I I
I I
I I
I I
!76 266 I HOLE TO HOlE
I
) 111
I I
I I
I I
-
I ESTIMATED WEIGHT: 2,670 Lb I
- -I I I
I I
I I ' I
I I I I
I I I I
I II I I
I I
I I I I
I I I
I I I I
I r-
\.....
- 46i-,_ 931/2
PLAN VIEW
I'./ ..;-9
SUGGESTED SUPPORT FOR REYMSA COOLING TOWER MODEL RT-822210-B
20 17 © REYMSA COOLING TOWERS, INC. All Rights Reserved.
ir"""""""'lll"""'""""""lll"" 111 ,, ,, ,,,,.& / " >----------276 · \ ~~t11/ r
1
,,\
DETAILNo. 1
DETAIL No.~ ,,
(4) HOLES 1' 0
" TYP.
I t1j \ i I I
/ r3 -tf~ 5 \
\ ~~T i \ 9 I '\ , I ' / I ., _ ,, ..... _ __.,,., ...
DETAIL No. 2 DETAIL No. 3
1r-3 r-tn
5
dI& FRONT VIEW SIDE VIEW
RIGHT SIDE VIEW . ~ -i \ \ _J )
\ / '-, /
NOTES:
(4) HOLES 1'0 TYP.
ISOMETRIC VIEW
1.- STEEL SUPPORT AND ANCHOR SOL TS TO BE DESIGNED BY OTHERS.
.... ./ ... ___ _...,,.
DETAIL No. 4
2.- THE FACTORY RECOMMENDED STEEL SUPPORT CONFIGURATION IS SHOWN. BEAMS ARE LOCATED UNDER THE MAIN COOLING TOWER SUPPORTS.
3.- REFER TO FACTORY FOR AL TERNA TE STEEL SUPPORT CONFIGURATION. 4.- STEEL SUPPORT MUST BE DESIGNED IN ACCORDANCE WITH ACCEPTED STRUCTURAL PRACTICE. 5.- MAXIMUM DEFLECTION OF EACH BEAM UNDER THE UNIT TO BE LESS THAN 112' OF COOLING TOWER
LENGTH. 6.- DEFLECTION OF EACH BEAM SHOULD BE CALCULATED BY USING THE OPERATING WEIGHT APPLIED
AS A UNIFORMLY DISTRIBUTED LOAD. 7.- STEEL SUPPORT PROVIDED BY OTHERS. 8.- WEIGHTS ARE IN LB. DIMENSIONS ARE INCHES. 9.- DO NOT USE FOR CONSTRUCTION, MAY VARY.
I (IEYI;). ] REYMSA COOLING TOWERS, INC. www.reymsa.com
SUGGESTED WIDE FLANGE BEAM TITLE: SUGGESTED STEEL SUPPORT
MODEL: RT-822210-B
CHECKED BY: OA/MT DIMENSIONS: INCHES
DATE: March 07, 2018 OWG # : SBS-RT-822210-B
TYPE I INCHES I SHOE I CENTER I Lbs/ft W8-8EAM CONFORMS TD WIDTH ~NJ THICKNESS (IN) 11-ilCKNESS (IN)
ASTM-A6
we x 31 18.oo x 7.995 I 8.oo 1 0.435 31 0.285
78 3/23/20
.. .. • .... , .. " ..
.. .. .. . .,,,
•
~ I
~ ~
79 3/23/20
Energy efficiency
The All-Fiberglass
Cooling Towers
Our units exceed energy efficiency per ASH RAE Standard 90.1 to reduce operating cost.
$x2
Galvanized Steel Tower
$x1
A •
REYMSA Tower (FRP)
Life cycles
30
REYMSA all fiberglass towers have at least 2 times the life span of a galvanized steel tower. This construction also comes with lower annual maintenance cost.
80 3/23/20
White Paper e e ~ \'1amtcnance Cost Comparison of Drive Systems ~
H f-= YMS/\ r1iolrr1·J T<i'1.1, ,
Maintenance Cost Comparison of Drive Systems
There are several different options to consider when purchasing a Cooling Tower. One of which is the type of drive used on the fan. Typically the type of Drive System is not considered as much as the initial cost. But if you factor in the Ute-Cycle-Cost, the advantage of low cost is actually reversed in a very short period. There are typically three different types of drives used with Cooling Towers.
1. Belt Drive
Historically the Belt Drive is the most widely used system mainly due to the lower initial cost. However the maintenance requirements are very demanding.
• Belts wear out and need replacement.
• New belts require tension adjustment.
• Pulley/Sheaves will eventually wear.
• Alignments must be considered.
• Bearings must be maintained.
• The belts have a life span of one year.
10 YEARS MAINTENANCE COST
(Down Time, Material and Labor)
20
18
16
Estimated cost in thousands USO
Belt Drive Gear Drive Direct Drive
2. Gear Drive
The Gear Drive is presented as "More Reliable" which is a very true statement when compared to the Belt Drive. Gear drives are constructed like a piece of machinery with metal gears and oil to give a more durable product to reduce the RPM's. As any piece of machinery, there will still be required maintenance to the connections and the gear box.
• Oil levels must be checked.
• Coupling must be checked.
• Shaft extensions must be checked
• Oil needs to be changed.
The Gear Drive System used in REYMSA RTG & RTGM towers includes an extreme duty sealed motor that can endure the harsh Cooling Towers environment. Shaft extensions are not required.
3. Direct Drive
The Direct Drive motors eliminate the frequent service required by belt drives that have higher operational and maintenance cost.
• Minimum service required.
• No belts to adjust, reliable operation.
• Fewer parts between the motor and the fan
REYMSA uses a lower RPM, extreme duty, sealed motor that can endure the harsh Cooling Tower environment, with no maintenance required.
www.reymsa.com 81
3/23/20
White Paper e e ~ :lrla1ntcnance Cost Comparison o f Drive Systems ~
8r Yf\ASA 1 , 1nl 1•q ln•1 ~ r
Ten-year Maintenance Cost Comparison of Drive Systems.
System Frequency Procedure Cost(*)
Material Labor Per Year Monthly Check Condition of Belt - $50.00 $600.00
Adjust Belt Tension - $50.00 $200.00
Quarterly Lubricate Fan Shaft Bearings $2.50 $25.00 $110.00
Lubricate Motor Base Adjusting Screw $2.50 $25.00 $110.00
Replacement Belt {One) $300.00 $100.00 $400.00
Belt Drive Yearly Tension Each New Belt After 24 Hours - $50.00 $50.00
Check and/or Align Sheaves - $50.00 $50.00
Yearly Total $1,520.00
10-Year Total $15,200.00
Additional Considerations: High probability that shaft, bearings and motor replacement will be necessary.
Monthly Check Oil Level $40.00 $480.00
Check for I Repair Oil Leaks - $40.00 $480.00
Every 6 Check Connection and Mounting - $50.00 $100.00 months Hardware
Gear Check Mechanical Equipment Base Bolts - $40.00 $40.00
and Screws Reducer Yearly
Check and/or Alignment of Driveshaft or Coupling
- $50.00 $50.00
Yearly Total $1150.00
5th Year Change of Oil $300.00 $200.00 $500.00
10-Year Cost $12,000.00
Direct - No belts to adjust. No shaft or bearings - - $0.00 to replace.
Drive 1 O - Year Total $0.00
(') Mainlenance time estimates based on manufaclurer's IOM manuals, labor cosls calculated at $40-50 USO per hour. Costs based on year round operation of cooling tower.
2 www.reymsa.com Aug·2015
82 3/23/20
:~:,'.:~~~~· • • ~ RE YMSA Cooling Towe"
Selling Points
The following points show the most representative features of REYMSA Cooling Towers.
RT SERIES Factory assembled Cooling Tower. open circuit, induced draft, counterflow, all corrosion resistant construction materials.
Description • All-FRP Construction. • 2063 CTI certified models. • Direct Drive Fan System for RT /RTM/RTU models. • Single Fan Gear Driven models (RTG & RTGM).
0 Available in 1 O' and 12' wide models. • Standard, Low Sound & Super Low Sound Fan options. • Modular Configuration.
WhyREYMSA? • 30+ years life expectancy. • 15-year Warranty {Casing & Structure) . • Highly durable construction materials. • Minimum to zero maintenance. • Exceed energy efficiency per ASHRAE Standard 90.1-2013. • Superior UV protection for extended life and strength. • Water conservation - Fiberglass materials support water treatment with
higher cycles of concentration and less purge. • Offers excellent performance in a compact footprint. • Stability: FRP expands and contracts similar to stainless steel.
Features Tower Construction
• Highly durable construction materials: ° Corrosion resistant FRP casing and structure. 0 The most reliable non-corroding PVC water distribution system with fixed,
non-clogging, large (2.5") polypropylene spray nozzles. ° Fill Media, Drift Eliminators & Louvers manufactured in corrosion resistant
self-extinguishing PVC. • Seamless basin - no water leaks.
Motor Features • Exceeding the Cooling Tower duty characteristics:
0 Premium Efficient. 0 Severe Duty. 0 Marine Duty. 0 Inverter Rated. 0 lnpro/Seal VBX bearing isolator for added protection. 0 100% cast iron construction. 0 7 -year Warranty.
Fan • Cast aluminum hub with adjustable pitch air foil or sickle blades molded
of fiberglass reinforced polyamide (PAG). • Aluminum blades for RTG & RTGM models.
www.reym sa.com 83
3/23/20
2
:~,;:~ ~;~~: • • ~ • REYMSA Cooling Towers
Selling Points
The following points show the most representative features of REYMSA Cooling Towers.
HFC SERIES Factory assembled Closed Circuit Fluid Cooler. induced draft, counterflow, all corrosion resistant construction materials.
Description • All-FRP Construction. • 68 CTI certified models. • Direct Drive Fan System on all models. • Standard Fan & Low Sound Fan options.
WhyREYMSA? • 30+ years life expectancy. • 15-year Warranty {Casing & Structure). • Highly durable construction materials. • Minimum to zero maintenance. • Exceed energy efficiency per ASHRAE Standard 90. 1-2013. • Superior UV protection for extended life and strength. • Water conservation - Fiberglass materials support water treatment with
higher cycles of concentration and less purge. • Stability: FRP expands and contracts similar to stainless steel.
Features Tower Construction
• Highly durable construction materials: • Corrosion resistant FRP casing and structure. • The most reliable non-corroding PVC water distribution system with fixed,
non-clogging, large (2.5") polypropylene spray nozzles. • Fill Media, Drift Eliminators & Louvers manufactured in corrosion resistant
self-extinguishing PVC. • Type L Copper Coil with stainless steel casing. Copper coil offers a thermal
conductivity at least 8 times greater than that of galvanized steel. • Vertical inline recirculating pump with a close-coupled design resulting in
improved alignment and increased seal life. • Seamless basin - no water leaks.
Motor Features • Exceeding the Cooling Tower duty characteristics:
• Premium Efficient. • Severe Duty. • Marine Duty. • Inverter Rated. • lnpro/Seal VBX bearing isolator for added protection. • 1 00% cast iron construction. • 7 -year Warranty.
Fan • Cast aluminum hub with adjustable pitch air foil or sickle blades molded
of fiberglass reinforced polyamide (PAG).
www.reymsa.com MAA-2016
84 3/23/20
AGENDA ITEM #5
Capital Expenditure Request for 480 Volt Power for Cooling Tower - Review and Take Appropriate Action
Attached Proposals:
Hall Elect $ 10,860.00 RECOMMENDED
Item was included in budget for cooling tower replacement project
2020 03 26
85 3/23/20
Cuero Regional Hospital CAPITAL EXPENDITURE REQUEST
HOSPITAL/ENmvCuero Regional Hospital
DEPARTMENT Maintenance DATE PREPARED 3/12/2020
Is theteQuested ~In compriance with the Healthtrust GPO?. • ..
PROJECT NAME 480 volt power for Cooling Tower DESIRED DELIVERY/START DATE
D
E PROJECT DESCRIPTION Disconnect and remove all 208 electrical service to PURPOSE FOR REQUEST
s the cooling towers and VFD's. Install a new 480 volt power source from New Service D c the new 480 volt switchgear and connect the new tower and VFD Replacement 0 R Code Compliance D I JUSTIFICATION Jndiate present situation, need for the item requested and alternative considerations.
p A 480 volt service is a more realiable and cheaper source of electricity
T BUDGET REFERENCE A::iiount Budgeted
I BUDGET LINE ITEM IF NOT BUDGETED, WHY IS IT NEEDED AT THIS TIME? 0\ I q ild.OOQ ooo .L!!.-
0 W~ \f\~,~~~A ~ h\,\)s-~-t f<I( \CJv\.l\<;-+O~\f f"\f\~q~J pr~\] ~c I-' N
F EQUIPMENT/PROJECT COSTS Attach copies of proposals ASSEl DISPOSITION DATA
I Bid #1 Bid #2 Bid #3 Description of Disposed Assets:
N Name of Bidder Hall Elect
A Land and/or Acquisition
N Construction BOOK VALUE OF DISPOSED ASSET I c Equipment METHOD OF Trade In D I TOTAL COSTS $10,860.00 DISPOSITION Sale D A Less Trade In Abandonment D L NET CAPITAL REQUIRED
RECOMMENDATION (Check one) 0 D D A
u
""]/~~ T
H DATE: 3/12/2020 0 I R SLT LEADER
I orf\~0\~ 3 z DATE: \ ') ;}l:i
A \
T CHIEF EXECUTIVE OFFICER or CHIEF FINANCIAL OFFICER
I
~At)~{; _~LL- ah.~Jc!JJJ 0 DATE:
N ~
= =
DATE:
Board Member Signature if greater than $5,000
86 3/23/20
HALL ELECTRIC 7001 N. NAVARRO VICTORIA, TX. 77904 PH. 361.578.6221 FAX 361.578.6247 TECL #18088
To: RICK CARON From: STEPHEN TUREK
Company: CUERO REGIONAL HOSPITAL Pages: 01 (including cover sheet)
Fax: Date: 2-26-2020
Re: 480 VOLT POWER FOR COOLING TOWERS
D Urgent 0 For Review D Please Comment D Please Reply D Please Recycle
HALL ELECTRIC IS PLEASED TO SUBMIT THE FOLLOWING PROPOSAL FOR THE ELECTRICAL PORTION OF THE ABOVED REFERENCED PROJECT;
WIRING AS FOLLOWS:
QUOTE $10,860.00
FEED NEW COOLING TOWERS WITH 480V FROM NEW SERVICE LABOR & MATERIAL 1 - CONDENSOR PUMP 2-FAN MOTORS 2-8 KW HEATERS RECONFIGURE WIRING AROUND THE VFD'S TRAVEL PERMIT
THE FOLLOWING QUALIFICATIONS APPLY: EXCLUDES: CONTROLS OR SLEEVES EXCLUDES: ANY WORK ON COOLING TOWER
PRICE IS FOR ELECTRICAL LABOR AND MATERIAL ONLY ALL WORK PERFORMED DURING NORMAL BUSINESS HOURS (7:00AM - 5:30PM) QUOTE VALID FOR 30 DAYS
PLEASE CALL ME @ 361.578.6221 WITH ANY QUESTIONS OR CONCERNS
87 3/23/20
AGENDA ITEM #6
Capital Expenditure Request for EMS Lap Computers - Review and Take Appropriate Action
Attached Proposals:
Dell $ 12,406.20 RECOMMENDED
GET AC $ 13,563.80
Toughbook $ 16,013.56
2020 03 26
88 3/23/20
Cuero Regional Hospital CAPITAL EXPENDITURE REQUEST
HOSPITAL/ENTITY
DEPARTMENT EMS DATE PREPARED 03/06/2020
Is the requested purchase in compliance with the Healthtrust
GPO?
PROJECT NAME 3/6/2020
D Lap Computers
E PROJECT DESCRIPTION PURPOSE FOR REQUEST
s Replace old version 2 ipad with new rugged laptops. The devices are New Service D c used for Patient Care Reports, patient consent (signatures), documentation, Replacement 0 R GPS, supplies /equipment list and tracking. Code Compliance D I JUSTIFICATION lndiate present situation, need for the item requested and alternative considerations.
p
T BUDGET REFERENCE Amount Budgeted/~ ~(;,
~ I BUDGET LINE ITEM IF NOT BUDGETED, WHY IS IT NEEDED AT THIS TIME? ~ , . .. ooo ~
0 v N
F EQUIPMENT/PROJECT COSTS Attach copies of proposals ASSET DISPOSITION DATA
I $20,000.00 Bid #1 Bid #2 Bid #3 Description of Disposed Assets:
N Name of Bidder Dell GET AC Tough book
A Land and/or Acquisition
N Construction BOOK VALUE OF DISPOSED ASSET I c Equipment $12,406.20 $13,563.80 $16,013.56 METHOD OF Trade In D I TOTAL COSTS DISPOSITION Sale D A Less Trade In Abandonment 0 L NET CAPITAL REQUIRED
RECOMMENDATION (Check one) [Jl r i r i A
u DEPARTMENT HEAD
T
H Freddie Solis DATE: 3/6/2020
0
R SLT LEADER
I
~_.,J)d v.-.1../ z DATE: 3__ /I 3 / r;)...(,1.2J)
A :~ I I I I
T C F EXECUTIVE OFFICER or CHIEF FINANCIAL OFFICER
I
~aa~-~~ <ft<}~ 0 DATE: -N :::===
= :::===
DATE:
Board Member Signature if greater than $5,000
89 3/23/20
A quote for your consideration.
Based on your business needs, we put the following quote together to help with your purchase decision. Below is a detailed summary of the quote we've created to help you with your
purchase decision.
To proceed with this quote, you may respond to this email, order online through your Premier page, or, if you do not have Premier, use this Quote to Order.
Quote No. Total Customer# Quoted On Expires by
3000056886413.1 $12,406.28 1419574 Mar. 02, 2020 Apr. 01, 2020
Message from your Sales Rep
Sales Rep Phone Email Billing To
Payton Finch (800)456-3355, 80000 [email protected] ARTHUR MUELLER CUERO COMMUNITY HOSPITAL 2550 N ESPLANADE CUERO, TX 77954
Please contact your Dell sales representative if you have any questions or when you're ready to place an order. Thank you for shopping with Dell!
Regards, Payton Finch
Shipping Group
Shipping To
MELANIE FRIEDRICHS CUERO COMMUNITY HOSPITAL 2550 N ESPLANADE ST CUERO, TX 77954-4716 (361) 275-6191
Product
Dell Latitude 7 424
Page 1 Dell Marketin9 LP. U.S. De!I
Shipping Method
Standard Delivery
Unit Price
$3,101.57
Qty
4
Subtotal
$12,406.28
rv1ail Stop 13129, f"{ound H.ock, TX 18682 90 3/23/20
Subtotal: Shipping:
Non-Taxable Amount: Taxable Amount:
Estimated Tax:
Total:
Special lease pricing may be available for qualified customers and offers. Please contact your DFS Sales Representative for details.
$12,406.28 $0.00
$12,406.28 $0.00 $0.00
$12,406.28
Page 2 Dell Marketin9 LP. U.S. only. Dell iv1arkeling LP. is loc:ated at One Doll Way, Mail Stop E\i29, Hound i'.{ock, TX 73682 91 3/23/20
QUOTE CONFIRMATION
DEAR ISMELDA GARZA,
•
. PEOPLE WHO GETIT
Thank you for considering CDW•G for your computing needs. The details of your quote are below. Click ber~ to convert your quote to an order. ·--
QUOTE#
LGWGlOO
ITEM
QUOTE DATE
3/2/2020
QUOTE REFERENCE
LGWGlOO
QTY
Panasonic Touqhbook Cf-33 i5-73QQ!J 512GB SSD 16GB RAM Windows 10 Pro
4
Mfg. Part#: CF-33LE-10VM
UNSPSC: 43211509
Contract: HealthTrust Pricing-Panasonic (HPG-2500)
PURCHASER BILUNG INFO
Billing Address: CUERO COMMUNITY HOSPITAL ATTN: GEORGIA MATEJEK 2550 N ESPLANADE ST CUERO, TX 77954-4716 Phone: (361) 275-6191 Payment Terms: Net 30 Days-Healthcare
DEUVERTO
Shipping Address: CUERO COMMUNITY HOSPITAL ATTN: GEORGIA MATEJEK 2550 N ESPLANADE ST CUERO, TX 77954-4716 Phone: (361) 275-6191 Shipping Method: DROP SHIP-GROUND
CUSTOMER#
1320038
GRAND TOTAL
$16,013.56
CDW# UNIT PRICE EXT.PRICE
4605633 $4,003.39 $16,013.56
SUBTOTAL $16,013.56
SHIPPING $0.00
SALES TAX $0.00
GRAND TOTAL $16,013.56
Please remit payments to:
CDW Government 75 Remittance Drive Suite 1515 Chicago, IL 60675-1515
Need Ass1stance7 CDW•G SALES CONTACT INFORMATION
Shannon Owsiak (877) 459-4920
This quote is subject to CDW's Terms and Conditions of Sales and Service Projects at http://www.cdwg.com/content/terrns-c'Jnd itionsLQm,!;i!J<;t·sJl :;;;;._;_3c;fil For more information, contact a CDW account manager
© 2020 CDW•G LLC, 200 N. Milwaukee Avenue, Vernon Hills, IL 60061 I 800.808.4239
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QUOTE CONFIRMATION
DEAR ISMELDA GARZA,
•
. PEOPLE WHO GETIT
Thank you for considering CDW•G for your computing needs. The details of your quote are below. Click. be~~ to convert your quote to an order.
QUOTE#
LGWG357
ITEM
QUOTE DATE
3/2/2020
QUOTE REFERENCE
LGWG357
QTY
HP Getac ¥110 G4 11.fi" Core i7-Z!iQQU lli..@ RAM 512GB SSQ Windows 10 Pro
Mfg. Part#: A996906
Contract: HealthTrust Pricing-HP Inc. (HPG-2500)
PURCHASER BILUNG INFO
Billing Address: CUERO COMMUNITY HOSPITAL ATTN: GEORGIA MATEJEK 2550 N ESPLANADE ST CUERO, TX 77954-4716 Phone: (361) 275-6191 Payment Terms: Net 30 Days-Healthcare
DEUVERTO
Shipping Address: CUERO COMMUNITY HOSPITAL ATTN: GEORGIA MATEJEK 2550 N ESPLANADE ST CUERO, TX 77954-4716 Phone: (361) 275-6191 Shipping Method: DROP SHIP-GROUND
CUSTOMER#
1320038
CDW#
GRAND TOTAL
$3,390.95
UNIT PRICE EXT.PRICE
5542514 $3,390.95 $3,390.95
SUBTOTAL $3,390.95
SHIPPING $0.00
SALES TAX $0.00
GRAND TOTAL $3,390.95
Please remit payments to:
CDW Government 75 Remittance Drive Suite 1515 Chicago, IL 60675-1515
Need Assistance? CDW•G SALES CONTACT INFORMATION
Shannon Owsiak (877) 459-4920 [email protected]
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This quote is subject to CDW's Terms and Conditions of Sales and Service Projects at http://www.cdwg.com/mntent/terms-conditions/product-sales.9_::i.RZ_ For more information, contact a CDW account manager
© 2020 CDW•G LLC, 200 N. Milwaukee Avenue, Vernon Hills, IL 60061 I 800.808.4239
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