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HomeMy WebLinkAboutGrant Related - BOCC (002)Z3RANT COUNTY BOARD OF COUNTY COMMISSIONERS Ll'l1=ilJ_.'J To: Board of County Commissioners Ir A From: Janice Flynn, Administrative Services Coordinator Date: December 16, 2021 Re: Authorization for Release of Funds, Dept of Commerce, CDBG CV1 #20- 6221 C-111, Reimbursement #6, Subrecipient 01C Request #6 01C has requested reimbursement regarding the above -referenced grant in the amount of $7,721.07 for September 2021 expenses. Their documentation is attached for review. I am requesting the release of funds for payment to 01C in the amount of $7,721.07 Thank you. Dated this Y-A—day of K. -L 92071 Board of County Commissioners Grant County, Washington Aivrove Disarmrove Abstain Dist #1 Dist # I Dist # I Dist #2, Dist # 2 Dist # 2 Dist #3 Dist # 3 Dist # 3 m CDBG Public Services Expenditure Report sT/kTE OF WASHINGTON COMMUNITY DEVELOPMENT BLOCK GRANT - CV GRANTS DEPTOFCOSI MERCE ENV Al"UN: CDBG PROGRAM PO BOX 42525 CEWFI F1 CATION: I certifythatthe ifliformation on this form is a OLYMPIA, NVA 98504-2525 true and accurate report of the casae status and that all reported expenditures are properly chargeable to the referenced grant. SUBRECIPIENT: OIC OF WASHINGTON 815 FRU 1TVALE B1,VD YAKIMA WA 98902 CDBG CONTRACT NO: __'20-6221 C-1 1-1 REPORT MONTH':— ..... ..... Sep -21 ----------------------------------------- - ---- REPORTNUMBER: ............ TOTAL AMOUNT REQUESTED THIS PERIOD: 7,721.07 Signature: Printed Name: DEREJE.N. EKU Title: CFO Date: 10/21/2021 (10 C� P., 4 -(tesIL romr-, Is t. its eLnod,� I- Nameo CIVICIV HOUSINGIC,r)", 'I _V 1 CI req -d for $128,05 Rr q- � i it 1 0 --- 1-11 Description ol'service program and how low- and moderate -income (LMI) pei'sons were served this period: Assistance ivas advertised by radio, '�jj print and social media to targeted areas and.qtq4jjj'k , qig households 1l11'0L1gl10Ut the smice area. I 11 ms- 0 Pt!) , 16 15, N-ftille of Service'Proj SUBSISTENCE CDBG CV A)11G amount uc�sted for activities t1l 966 Doscriptfo,u of service pi-o'gram I how lowand moderate -income (LMI) persons were served this period: Assistalice was advertised by radio, print and social media to targeted areas and qualifying throughout the service area, ------------- I Meet0 WINISTRATION $656,16 0 C4 V �x.r,ptj,01) orselvice program lim low- and nioderate-income (LMI) persons were served this period: General administration expenses associated with mariaging Housing and Subsistence activities (wvvsi#fi1 and assessments, Indirect admin, CDBG Public Services Expenditure Report OF WASHINGTON COMMUNITY DEVELOPMENT BLOCK GRANT - CV GRANTS �181,'A'I'E DEPT OF COMMERCE �d )KOTER PRIS VI ATTN: CDBG PROGRAM PO BOX 42525 CERTFFICATION-. I certify that the information on this form is a OLVMPIA, WA 98504-2525 true and accurate report of the cash status and that all reported expenditures are properly chargeable to, the referenced grant. t.10 It EC I 1" 11 F', N1 CDBG CON 'RACTN'0:Signaturc-, ---- 01C Ol", WASHINGTON ................ 20-6221 C%-], I I I ---Al_: 815 FRIJuVALE BLVD REE111001 iN 1. 0 a"l'I Iib Printed Name: MEKURIA YAKIMA WA 98902 REPOR'r NUMBER: Title: CFO ---------------- L 12 nntip. iormm)i T(YI'A L A M 0 L) N r F REQuEs,rFD THIS PERIOD: $0.00 1, Name of Service Pro gram: MICRO -ENTERPRISE IICDBG amount reques(ed for these .protram activities this period: $0.00 Description of service program and how low- and moderate -income (LMI) persons were served this period: Assistace Nvas advertised to Micro -Businesses by radio, print, socail media and face-to- -face and assisted to financially qualifying businesses within the service areas, J 12, Nanie of Service Pro tram: ADMINISTRAnON MICRO -ENTERPRISE 11CDBG amount requested for these prograin activities this period' W001 Description of service prograni how low- and nioderate-incorne (LMI) PCTS011S were served this period: General administration expenses associated with managing Micro -Enterprise activities oversight andiassesnients, Indirect Admin. OIC OF WASHINGTON For User: INGRID FRANK RW Expenditure report for: Report year: 10/1/2020 Account 62SB 62'.. -C 63MC 63, i, raezmerp.ris 64HS 614' 04 n, Admn Administration Report To 500 - 500 CDBG CV 1 thru 12131/2023 76 �k S(A ex" toot J General Ledger System Period ending: September 2021 -monthly-- Budget Expenditures Pct $3,060-00 $6,480.20 211.77% $41781,00 $0.00 0.00% $4,603.00 $14.93 0.32% $2,130.00 $656.16 30.81% Page: Page 1 of 1 Date: 10/21/2021 Time: 10:45:38 AM $14,574.00 $7,151.29 49.07% $174,890.00 r k Cl., r L4 f'o 10 (A $ 104,402.88 59.70% -77 030' AGEJ -E 110-P TRW� 'Z, P '88"', 51 Ay O: - 95: 2 2M.4, -0130, Z8 0 �Pa. T .991• Q. 3`1,AUQ�21 'T8849,5311,0 04y;� 2 0 � �2. 1' 03 5 , C'E A66 DEPOT $5701117.00 Unexpended $98,913.89 $169,858.56 $120,940.33 $76,001.34 $4651714.12 01 *1,, j��, ,gyp � wc+� to � bltd' Budget Expenditures Pct Annual budget $36,720.84 $20,970-95 57.11% $119,884.84 $57,372.02 $172152-46 29.90% $187,011.02 $551236N74 $59,177.41 107.13% $1801117.74 $25,560-40 $7,102.06 27.79% $83,103.40 $14,574.00 $7,151.29 49.07% $174,890.00 r k Cl., r L4 f'o 10 (A $ 104,402.88 59.70% -77 030' AGEJ -E 110-P TRW� 'Z, P '88"', 51 Ay O: - 95: 2 2M.4, -0130, Z8 0 �Pa. T .991• Q. 3`1,AUQ�21 'T8849,5311,0 04y;� 2 0 � �2. 1' 03 5 , C'E A66 DEPOT $5701117.00 Unexpended $98,913.89 $169,858.56 $120,940.33 $76,001.34 $4651714.12 01 *1,, j��, ,gyp � wc+� to � bltd' General Ledger System OIC OF WASHINGTON For User: INGRID FRANK Fund Expenditure report for: 500 - CDBG-C111 10/1120-12/31/23 (Fund status: Active) Report year: 10/1/2020 thru 12131/2023 Period ending: September 2021 Total for program 42 ----> Total for department 009 -----� .•.��s�wr.waw..•1.1..,a.�i-+1_..ir.���vi`.T�`Y^�-�..�rris .,s Account _ Budget Expenditures Pct Department: 009 INDIRECT ADMIN., 5352 LAND I,OIC SHARE 5353 Program: 02 ADMIN. POOL - BAS" 5355 PAID FAMILY MEDICAL LEAVE 5360 5312 SALARY.. A OC :TI $1,321-00 $397.62 30;10% 5354 P/R TAX & BEN. ADM ALLOC. $554.00 $174.17 31.44% 5999 NON PERSONNEL ADM. ALLOC,. $255.00 $8437 33,09% Total for sub program $2,130.00 $656.16 30.81% Total for program 42 ----> Total for department 009 -----� Department: 030 GO I 1` Program, SUBSISTENCE 5311 SALA , EX'FENSE 5351 FICA,OIC EXP 5352 LAND I,OIC SHARE 5353 STATE UCI(ES),OIC EXP 5355 PAID FAMILY MEDICAL LEAVE 5360 DISABILITY OIC EXPENSE 5361 MEDICAL INSURANCE,OIC EXP 5362 LIFE INSURANCE,OIC EXP 5363 PENSION,OIC EXP 5364 ACCRUED PTO EXP 5402 AUDIT COSTS 5500 TRAVEL 5602 DEPRECIATION EXP EQUIP 5618 CLIENT MORTGAGE PYMENT 5619 HOUSING ASST/RENT 5700 CONSUMABLES 5712 REPRODUCTION SUPPLIES 5800 EQUIPMENT Page: Page 1 of 5 Date: 10/21/2021 Times 10:45:10 AM ----------To Date ------ Budget Expenditures Pct Annual budget Unexpended $151852.40 $47238-88 26.74% $51,524_40 $47,285.52 $67648x00 $2,021x75 30..41% $211607.00 $191585825 $3,060.00 $841,,43 27.50% $9,972.00 $9,130.57 $25,560.40 $7,102.06 27.79% $83,103.40 $76,001.34 $21130.00 $656..16 30.81% $25,560.40 $7102.,06 27.79% $83,103.40 $76,001.34 $23130.00 51 .16 0.81% $25, 56040 $7,102.,06 27.79% $83,103-40 $76,001.34 $814.00 $1,522.36 18702% $9,768.06 $41849.#64 49.65% $311759.06 $26,909.42 $58.00 $116.41 200.71% $696.00 $370.95 53.30% $2,276.00 $1,905.05 $7.00 $8.21 117.29% $84,.00 $26.99 32..13% $302.00 $275.01 $19x,00 $33.19 174.x,68010 $228.00 $105x73 46.37% $778.00 $672.27 $3.00 K 09 203.00% $36..00 $19.40 53.89% $153.00 $133.60 $13.00 $1&99 146.08% $156.00 $18.99 12,17% $512.00 $493.01 $258,00 $1.52 0,59% $3,096.00 $6.07 0.20% $10,069.00 $10,062.93 $5.00 $7.61 152,20% $6000 $7.61 12.68% $204,00 $196.39 $71.00 $136.54 192.31% $852..00 $369.45 4336% $2,769.00 $21399.55 $89.00 $0,00 0x.00010 $1,068.00 $0.00 0,00% $37498.00 $31498,00 $25.00 $0.00 0.00% $300-00 $0.00 0.0010 $1,000.00 $1,000.00 $38.00 $0.00 0.00% $456.00 MOO 0,00% $11500.00 $1,500.00 $0.00 $1.61 0.00% $0.00 $6.04 0.00% $0.00 ($6.04) $641.00 $0.00 0.00% $7,692.00 $2,47550 32.18% $25,000.00 $221524.50 $128.00 $3,441.10 68836% $1,536-00 $6,371.10 414.79% $51000.00 ($1,371.10) $76.00 0.00 0.00% $912.00 $772.97 8436% $3,000.00 $21227.03 $51,,00 $12.05 23.63% $612.00 $12.05 1.97% $2,000.00 $1,98.7--..95- 1,98.7:.95$0.00 $0.00 $0.00 0.00% $0.>00 $333.68 0.00% ..$0.00 ($333,68) OIC OF WASHINGTON For User: INGRID FRANK Fund Expenditure report for: Report year: 10/1/2020 Account Ir 63 MICROENTRPRS 5910 INSURANCE 5912 LIABILITY INSURANCE 5945 ADVERTISING 5949 STAFF TRAINING 5959 SERVICES 5960 COMMUNICATION 5970 POSTAGE Total for sub program ----- General Ledger System Page: Paqe 2 of 5 500 - CDBG-CV1 10/1120-12/31 /23 (Fund status: Active) Date: 10/2112021 thru 1213112023 Period ending: September 2021 Time: 10:45:11 ANI Sub program: 50 SUBSISTENCE MAINTENANCE�� Ir 63 MICROENTRPRS 5311 .r SALALIE,"�� Budget Expenditures Pct Budget Expenditures Pct Annual budget $10.00 $8.29 82.90% $120.00 $33..88 28.23% $400.00 $15.00 $0,00 0.00% $180,.00 $0,00 0,00% $600.00 $64.00 $0.00 0:..00% $76800 $0.00 0 00% $2,500.00 $47:,00 $0.,00 000% $56478 $0.00 0.00% $1,864.78 $512.00 $1,047.71 204.63% $6,144.00 $4,559,80 74.22% $20,000.00 $48.00 $118.52 246.92% $576.00 $631.10 109.57% $1,$00.00 $7.00 $0.00 0.00% $8400 $0..00 0.00% $300.00 $2,999..00 $64800 ,. 216.08% ........... $35,988,84 $20,970;95 58.27°l° $117,384.84 $1,632.00 $0:-00 0.00% $5,335.00 Sub program: 50 SUBSISTENCE MAINTENANCE�� Ir 63 MICROENTRPRS 5311 .r SALALIE,"�� 5351 FICA,OIC EXP 5352 L AND I,OIC SHARE 5601 DEPRECIATION EXP BLDG. $11.00 $0::00 0+00% $132,.,00 $0"00 0.00% $461«.00 5611 SPACE $17.00 $0,.00 0,00% $204„00 $0.00 0.00% $667:00 5630 UTILITIES $15.00 $0,00 0.,00% $18000 $0w00 0.00% $586.00 5640 BUILD. REPAIR/MAINT. $15.00 $0 00 0.00% $180,00 $0.00 0.00% $613,00 5910 INSURANCE $0.00 $0..00 0.00% $0"00 $0.00 000% $24.00 5912 LIABILITY INSURANCE $3.00 MOO 0.001° $36.00 $0.00 0,00% $149.00 Total for sub program 50 -----> $61.00 $0;400 0.00% $732.00 $0.00 0.00% $2,500.00 Total for program 62. -----> Program: Ir 63 MICROENTRPRS 5311 .r SALALIE,"�� 5351 FICA,OIC EXP 5352 L AND I,OIC SHARE 5353 STATE UCI{ES},OIC EXP 5355 PAID FAMILY MEDICAL LEAVE 5360 DISABILITY OIC EXPENSE 5361 MEDICAL INSURANCE,OIC ERCP 5362 LIFE INSURANCE,OIC EXP 5363 PENSION,OIC EXP 5364 ACCRUED PTO EXP $3,060.00 $6,480.20 211 „77% $36,720.84 $20,970.95 57.11% $1191884.84 Unexpended $366.12 $600.00 $2,500-00 $1,864.78 $15,440.20 $1,268..90 $300.00 ......................... .. $96,413.8 -a $461.00 $667.00 $586.04 $613.00 $24.00 $149.00 $2,500.00 $981913.89 $1,569.00 $0.00 0.00% $18,82802 $0.00 0.00% $611196.02 $61,196.02 $112.00 $0.00 0.00% $11344...00 $0.00 0.00% $4,386,00 $4,388.00 $14.1:00 $0:.:00 0.00% $168,00 $0-00 0:x00% $581.00 $581.00 $38:,00 $0.00 0...00% $456.00 $0..00 0..00% $11499,,00 $1,49900 $7,00 $0.00 000% $84.00 $0.00 0.00% $295.00 $295.00 $25..00 $0.00 000% $300,00 $0.00 0.00% $986..00 $986.00 $497.00 $0.00 0".00% $5,964*00 $0-00 0.00% $19,401::00 $19,401.00 $10.00 $0400 0.00% $120.00 $0.00 0.00% $392.00 $392.00 $136400 $000 0.00% $1,632.00 $0:-00 0.00% $5,335.00 $5,335.00 $17200 $Oi,00 0.00% $2,064.00 $0.00 0.00% $6,740.00 $6,74000 OIC OF WASHINGTON For User: I NGRID FRANK Fund Expenditure report for: Report year: 10/1/2020 Genera[ Ledger System 500 - CDBG-CV1 10/1120-12/31/23 (Fund status: Active) thru 12/31/2023 Period ending: September 2021 Account 5601 5402 AUDIT COSTS 5500 TRAVEL 5618 CLIENT MORTGAGE PYMENT 5619 HOUSING ASST/RENT 5700 CONSUMABLES 5712 REPRODUCTION SUPPLIES 5800 EQUIPMENT 5910 INSURANCE 5912 LIABILITY INSURANCE 5945 ADVERTISING 5949 STAFF TRAINING 5959 SERVICES 5960 COMMUNICATION 5965 CLIENT TRAINING 5970 POSTAGE Total for sub program > Sub program: 50 MICRO MAINTENANCE 5601 DEPRECIATION EXP BLDG, 5611 SPACE 5630 UTILITIES 5640 BUILD, REPAIR/MAINT. 5910 INSURANCE 5912 LIABILITY INSURANCE Total for sub program 50 -----> Total for p rog ram -�- . Program: `4 HOUSING 5311 S,ALA; EXPENSE 5351 FICA,OIC EXP Page: Page 3 of 5 Date: 10121/2021 Time: 10:45:12 AM ------��� 1i�ionthly----_--------- �_---�_�__---To Date Expenditures Pct Budget Expenditures Pct Annual budget Unexpended $2500 $0.00 01>00% $300.00 $0.00 0.00% $1,00000 $1,000.00 $51.00 $0"M 0.100% $612,00 $171.92 28.09% $21000.00 $1,828,08 $51.00 $0.:+00 0.00% $612.00 $0,00 0,00% $2,000.00 $21000.00 $1,435.00 $0.00 0.00% $17,220..00 $0.00 0.00% $56,000.00 $56,000.00 $10200 $0.00 0,00% $1,224.00 $200,11 16.35% $41000.00 $3,799.89 $64.00 $0M 0.00% $768.00 $0.00 0.00% $2,500x00 $2,500.00 $102.00 $000 0.00% $1,224.00 $2,083.41 170.21% $4,000.00 $13916,59 $10,x00 $0.00 0.00% $120.00 $0.00 0."00% $400.00 $400.00 $1500 $0.00 0.00% $180.00 $0.00 0.,00% $600.00 $600.00 $6400 $0.00 0.00% $76800 $000 0.00% $2,500.00 $2,500...00 $51.00 $0.00 000°�0 $612.00 $0.00 0.00% $2,000.00 $2,000...00 $51,.00 $0.00 0.00% $612.00 $147697.02 2401.47% $2,004),,00 ($12,697.02) $48.00 $0.;00 0.00% $576.00 $0.00 0.00% $1,900.00 $1,900*.00 $51.00 $0,.04) 0.00% $612.00 $0.00 0.00% $2,000.00 $2,00000 $7.00 $0.00 0.00% $84.00 $0.00 0.00% $300.00 $300.00 $4,707.00 $0.001,x00% $56,484.02 $17,152.,46 30.37% $184,4)11:x02 $166,858..56 f $14.00 $0,00 0.00% $168.x.``' $0.00 0.00% $553.00 $553.00 $20.00 $0.00 0.00% $240.00 $0.00 0.00% $800.00 $800.00 $18.00 $0.00 0.00% $216.00 $0.00 0.00% $703.00 $70100 $1800 $0.00 0100% $216.00 $0.00 0.00% $736,00 $7361.00 $0.00 $0.00 0.00% $0.00 $0.00 0.00% $28.00 $28.00 $4.00 $0.,00 0..00% $48.00 $0.00 0.00% $180.00 $180,00 $74.00 $000 0.00% $888.00 $0.00 0.00% $3,000.00 $3,000.00 $4,781.00 $0,00 0,.00% $57,372.02 $177152,,46 29.90% $187,011,,,02 $1691858.56 $1,648.00 $0 00 0.00% $197776.74 $0..00 0.00% $64,294.74 $64,294,74 $118.00 $0.00 01.00% $17416.00 $0,.00 0.00% $4,608.00 $4,608,.00 WASHINGTON U1 L-Vu!jer -.�,ystem For User: INGRID FRANK Fund Expenditure report for= 500 - CDBG-CV1 10/l/20-12/31/23 (Fund status: Active ) Report year: 10/1/2020 thru 12/31/2023 Period ending.- August 2021 Account 5402 AUDIT COSTS 5500 TRAVEL 5618 CLIENT MORTGAGE PYMENT 5619 HOUSING ASST/RENT 5700 CONSUMABLES 5712 REPRODUCTION SUPPLIES 5800 EQUIPMENT .......... CE...... 5912 LIABILITY INSURANCE,, 5945 ADVERTISING 5949 STAFF TRAINING 5959 SERVICES 5960 COMMUNICATION 5965 CLIENT TRAINING 5970 POSTAGE Total for subprogram Sub program: 50 MICRO MAINTENANCE 5601 DEPRECIATION i=)(p BLDG ------------ m0whi Budget Expenditures Pct $25.00 $0.00 0.00% $51.00 S0.00 0.00% $51.00 $0.00 0.00% $1,435,.00 $0.00 0.00% $102.00 $77-13 75.62% $704-00 SO 00 0.00% $102-00 $456.65 196.65% $110-00 $0.00 0.00% $15.00 $0.00 0.00% $64.00 $0.00 0.00% $51.00 MOO 0.00% $51.00 $0-00 0.00% $48.00 $0.00 0-00% $51.00 $0-00 0.00% $T00 $0.00 0.00% $4,707.00 $533.78 11-34% --------To Date BudgetExpenditures $0.00 Pct $275.00 $0.00 0.00% $561.00 $171-92 30-65% $561,00 $0.00 0"00% $151785.00 $0 00 0.00% $1,122.00 $77.13 6.87% $704-00 $0.00 0.00% $1,122.00 $2,206.39 196.65% $110-00 $0.00 0.00% $165.00 $0.00 0.00% $704.00 $0.00 0.00% $561.00 $0.00 0.00% $561.00 $14,69702 2619.79% 0.00% $528-00 $0.00 0.00% $561-00 $0.00 0.00% $77.00 $0.00 0,00% $51 777.02 $17,152-46 3113% Page- Page 3 of 5 Date- 9/20/2021 Time: 10:34:16 AM Annual budget $1,000.00 $2,000.00 $2,000,00 $56,000.00 $4,000.00 $2,500-00 $41000.00 $400.00 $600-00 $2,500.00 $2,000.0o $2,000.00 $1,900,00 $2,000.00 $300.00 $184,011-02 Unexpended $1,000,00 $1,828.08 $21000.00 $56,00o,00 $3,922-87 $2,500.00 $17793.61 $400, 00 $600.00 $2,500.00 $2,000.00 (,$12,697.02) $1,900'.00 2,000.x0 $300,00 $166,858-56 5611SPACE $14.00 $0.00 0.00% $154,00 $0.00 5630 UTILITIES $20,00 $0.00 0,00% $220,00 0.00% $553.00 553.00 5640 BUILD. REPAIR/MAINT. $18,00 $0.00 0�,00% $198.00 $0.00 $0.00 0.00% $800.00 $800,00 5910 INSURANCE $18.00 MOO 0.00% $198.00 0.00% $703.00 $703r00 5912 LIABILITY INSURANCE $0.00 $0.00 0.00% $0.00 $0.00 0,00% $736.00 $736.00 $4,00 $0-00 0.00% $44.00 $0.",00 0.00% $28.00 $28.00 Total for sub program 50 $0.00 0-00% $180.00 $180.00 Total for program 63 $74.00 $0.00 0.00% . . ...... $814.00 $0.00 . . ... ..... 0.00% $3,000.00 $3, 000,00 Program: 64 HOUSING $4,781.00 $533.78 11-16% $52,591-02 :1 2.46 32-61% $187,011-02 $169,858-56 5311 SALARIES,WAGES EXPENSE 5351 FICA,OIC EXP $1,648.00 $0.00 0.00% $18,128.74 $0.00 $118.00 $0.00 0,,00% $1,298.00 0.00% $64F294-74 2 4 $0.00 0.00% $4,608.00 $4,608.00 hLA OIC OF WASHINGTON For User: 1NGRID FRANK Fund Expenditure report for: Report year: 101112020 General Ledger System 500 - CDBG-CV1 1011120-12131!23 (Fund status: Active) thru 12131/2023 Period ending: September 2021 Account 5601 5352 L AND I, OI C SHARE 5353 STATE UCI(ES),OIC EXP 5355 PAID FAMILY MEDICAL LEAVE 5360 DISABILITY CHIC EXPENSE 5361 MEDICAL INSURANCE,OIC EXP 5362 LIFE INSURANCE,OIC EXP 5363 PENSION,OIC EXP 5364 ACCRUED PTO EXP 5402 AUDIT COSTS 5411 CREDIT REPORTS 5500 TRAVEL 5618 CLIENT MORTGAGE PYMENT 5619 HOUSING ASST/RENT 6706 CONSUMABLES 5712 REPRODUCTION SUPPLIES 5800 EQUIPMENT 5910 INSURANCE 5912 LIABILITY INSURANCE 5945 ADVERTISING 5949 STAFF TRAINING 5960 COMMUNICATION 5970 POSTAGE Tota l for s u b p rog ram -----> Sub program: 50 HOUSING MAINT 5601 DEPRECIATION EXP BLDG. 5611 SPACE 5630 UTILITIES 5640 BUILD. REPAIRiMAINT. 5910 INSURANCE Page: Page 4 of 5 Date: 1012112021 Time: 10:45:13 AM Budget Expen✓✓ditures Pct $15.00 $0.00 0.00% $40.00 $0,00 0.00% $7.00 $0..00 0.00% $26,00 $0.00 0.00% $522.00 $0.00 0:00% $10...00 $0.00 0.00% $143.00 $0.00 0.00% $181.00 $0.00 0.00% $7.00 $01.00 0.00% $0,00 $0,00 0,00% $51.00 $0.00 000% $153,.00 $0.00 0.00% $1,128.00 $0.00 0.00% $89.00 $0.00 0.00% $64.00 $13,.21 20.,,64°10 $102..00 $ 0.00 0.00% $10.00 $0.00 0,00% $15.00 $0.00 0.00% $89.00 $0.00 0100% $51.00 $0..00 0.00% $48.00 $000 0.00% $12.00 $1 � 72 14,,33% $4,529.00 $14.93 0.33% $93.42 8.75% $37500.00 $14.00 $0.00 000% $2000 $0.00 0x00% $18.00 $0.00 0_00% $18,00 $0.00 0,.00% $0.00 $0,x00 0.00% Page: Page 4 of 5 Date: 1012112021 Time: 10:45:13 AM Budget Expenditures Pct Annual budget Unexpended $180.00 $0..,00 0.00% $611.00 $611.00 $480:00 $0.00 0.00% $1,575.00 $1,575.00 $84.00 $0..00 0100% $310 00 $310.00 $312.00 $0.00 0.00% $11036.00 $11036.00 $6,26400 $0.00 0.00% $207384.00 $201384,00 5120,,00 $0.00 0.00% $412.00 $412.00 $1,716.00 $0.00 000% $5,605.00 $5,605.00 $2,172x00 $0.00 0.00% $7,082.00 $77082.00 $84.00 $0.00 0.00% $300.00 $300.00 $0.00 $348.,00 0.00% $0 00 ($348.00) $612.00 $202.72 33.12% $2,000.00 $11797.28 $1,836.00 $7,573.46 412.50% $6,000,00 ($1,573.46) $13,536¢00 $42,07445 31083% $441000.00 $1,925.55 $1,068.00 $93.42 8.75% $37500.00 $3,406.58 $768.00 $42.97 5.6010 $21500.00 $21457.03 $1,224.00 $2,568.42 209,84% $4,000,00- $1143t58 $120:00 $0.00 0,00% $40000 $400.00 $180..00 $0.00 000% $600.00 $600.00 $1,068.00 $51680.00 531.84°l0 $3,500.00 ($2,180.00) $612,00 $200,00 32,68% $2,000,00 $17800.00 $576.00 $289x64 50.28% $1,900.00 $11610.36 $144.00 $104.33 72.45% $500.,00 $395.67 $54,34&74 $591177;41 108.88% , 117,94033 t $168,:00 $0.00 0.00% _ $553.00 $240.00 $0.00 0.00% $800.00 $800.00 $216.00 $0.00 0.00% $703.00 $703.00 $216.00 $0.00 000% $736.00 $736.00 $0.00 $0.00 0..00% $28.00 $28.00 General Ledger System OIC OF WASHINGTON For User: INGRID FRANK Fund Expenditure report for: 500 - CDBG-CV1 10/1/20-12/31/23 (Fund status: Active) Report year: 10/1/2020 thru 12/31/2023 Period ending: September 2021 Page: Page 5 of 5 __-______-----Monthly---- 10/2112021 -------To Date— 10:45:14 AM Account Budget Expenditures Pct Budget Expenditures Pct 5912 LIABILITY INSURANCE $4M M,00 0.00% $48.00 $0.00 0-00% Total for sub program 50 $74.00 $0.00 0.00% $888-00 $04,00 0,00% Total for program 64 -----> $41603.00 $14.93 0.32% $55723674 $59,177.41 107.13% Total for department 030 ----> $12,444.00 $6,495.13 52.19% $149,329.60 $97,300-82 65.16% Page: Page 5 of 5 Date: 10/2112021 Time: 10:45:14 AM Annual budget Unexpended $180.00 $180.00 $3,000.00 $31000.00 $1801117.74 $1203940,33 $487,01160 $389,712.78 Fund Totals $14,574.00 5:1-29 9.07% $174,890.00 $104,402.88 59.70% $570,117,00 $465,714.12 COVID-19 Utility/Rent/Mortgage Subsistence Payments Project Detail Report CDBG Contract #XX-XXXXX-XXX 0912012021 On-going COVID Assistance Details Note: No direct' a ments to clients Client Details Assistance Details COVID Eligibility Certification Intake Information Client Total $ Address Duplication of ' Amount of Within Benefits: Were Total Purchase Type of Assistance Target other sources Household CDBG L.MI Order/ Assistance: Given Date of Date Service of assistance Within Target Income: Eligible? Approving Payment to 3rd Client Name or Initials or Client Zip Utility/Rent/ $ Monthly - (6 months Assistance Paid Address to Mail Assistance , Assistance Area? Y were available? ;. : Service <50% or <.80% MHI Intake Intake Staff Supervisor Party # Identification # Client Address Code Mortgage Payment maximum) to: Assistance Payment Application Paid or N Y or N Area? Y or N <80% MHI I Y or N' Narrative - Economic impact due to COVID Date/time Name (if applicable) Works in a restaurant and his hours were reduced due to 5/29/20 Mary Smith Ann Smith orA.S or Client 123 Rock Lane, 20-)0000( 98502 1111 Main St Olympia, Rent $ 1,000.00 $ 3,000.00 ABC Apartments 61212020 - 613012020 o Y N Y <50% Y COVID, they still did to -go orders, so it didn't stop entirely, 1Q:30am Anne Shirley Mary 0 #1 Olympia 98502 but was reduced by half. . With a new Baby with medical issues, it has been hard for 514 S Hawthorne Dr 4317 Joann Dr Moses both parents to care for her during the pandemic to keep Diana Schaible Moses Lake 98837 Rent $1,323.00 $ 2,646.00 Diana Schaible Lake WA 98837 919121 Y N Y <50% Y from getting sick and findina work. 8/24/2021 Antonia Candi Jaeger 1315 Shaw Moses Housing Authority 1139 Larson Blvd Moses income and wages lost due to pandemic and had to care for son Shannell Clark Lake, WA 98837 Rent $ 775.00 $ 795.10 Grant Co. Lake, WA 9/8/21 Y N Y <80% Y and mother due to COVID-19. 1/20/2020 Jeremv Candi Jaeqer n, $2,098.00 10 ST"�" WASHINGTON STATE o� AGENCY NUMBER IDIS PROJECT NUMBER COMMERCE CONTRACT NUMBER b: DEPARTMENT OF COMMERCE tiP 'r Y`7 �lasP A19 VOUCHER DISTRIBUTION 1030 107 20-6221 C-111 "AGENCYNA E M INSTRUCTION TO VENDOR OR CLAIMANT: DEPARTMENT OF COMMERCE Submit this form to claim payment for materials, merchandise or services. ATTN: CDBG-CV PO BOX 42525 Vendor's Certificate: I hereby certify under perjury that the items and totals listed herein are OLYMPIA, WA 98504-2525 proper charges for materials, merchandise or services furnished to the State of Washington, and that all goods furnished and/or services rendered have been provided without VENDOR OR CLAIMANT (Warrant isto be payable to:) discrimination because of age, sex, marital status, race, creed, color, national origin, handicap, religion or Vietnam era or disabled veterans status. GRANT COUNTY PO BOX 37 BY: �6��L EPHRATA, WA 98823-0037 IGN IN BLUE INK) REPORTING, PERIOD TirL Se -21 (E) (DATE) P IDIS ORIGINAL PRIOR AMOUNT AMOUNT THIS REMAINING :. . DESCRIPTIO Activit ID : :y BUD = 'RE GET QUESTED. INVOICE BALANCE:` "Add or delete de : l bud et hne Items as needed: Jncludes CVf and CV2 as applicable licable. I21 A General Admin 1 $ 5,400.00 1 1 $ 1 $ 5,400.00 � 105Q PS -Subsistence Payments/05X Housing Assistance $ 3571083.00 78,292.79 I $ 7,721,07 $ 271,069.14 1 118C Microenterprise Assistance 1 $ 2139035.00 I $ 189389.02 I $ 1 $ 1949645.98 .Total Pa Ment Re ,q $ 575,518.00 $ 96,681.81 $ 7,721.07 $ 471;115. uest 12 y M SUB =TRANS .:.O SUB CODE ID MASTER INDEX SUB OBJ OBJ GL ACCT. SUBSID AMOUNT INVOICE NUMBER CI I 622CO320 NZ IN I SIGNATURE OF ACCOUNTING PREPARER FOR PAYMENT DATE WARRANT TOTAL , CMS Invoice ID: ACCOUNTING APPROVAL FOR PAYMENT _ DATE