HomeMy WebLinkAboutGrant Related - BOCC (005)GRANT COUNTY
BOARD OF COUNTY COMMISSIONERS
-IJ 11.x.,
To: Board of County Commissioners
From: Janice Flynn, Administrative Services Coordinator
Datem. October 6, 2021
Re: Authorization for Release of BOCC Approved Funds #3 SIP #2021 -04 -
GC Port #8 — Port of Warden, Phase 2 Rail & Road Infrastructure
Expansion Project -Road Design & Engineering Portion
Port of Warden has certified the requirements for a release of funds in the above -
referenced SIP project, which was approved by the BOCC pursuant to Resolution
No. 21 -047 -CC dated May 18, 2021. The proof of requirements is in the form of a
signed Project Certification form from the Port and supporting invoicing of the
project that meets the requested amount.
To that end, I am requesting the release of funds on this SIP project as follows:
(1) 3rd installment of the grant award in the amount of Eleven
Thousand Two Hundred and 00/100 Dollars ($11,200) to Port of
Warden.
Note: The full grant amount is $175,000, leaving a balance of $115,650.00.
Thank you.
Dated this day of 20
Board of County Commissioners
Grant County, Washington
--pprove Disapprove Abstain,
Dist #1 Dist # I Dist # I
Dist #YDist # 2 Dist # 2
Dist #3 Dist # 3 Dist # 3
GRANT COUNTY
STRATEGIC INFRASTRUCTURE Id
This form must be signed and returned, with an invoice, for the approved funding,
before reimbursement can be approved by Grant County.
SIP Project Number: 2021-04
S Funding Recipients 1P: Grant County Port District No 8,
Port of Warden
SIP Project Description: Phase 2 Rail & Road Infrastructure Expansion
Project -Road Design & Engineering Portion
I, the undersigned, do hereby certify under penalty of pedury, that the materials have
been furnished, the services rendered, and/or the labor perfortned as described in the
project proposal for the above -referenced SIP Proj ect and that I am authorized to
authenticate and certify to this claim. I also certify that this claim is just and due, and is
: an unpaid obligation against Grant County.
Further, according to the SIP Project Funding Policies, I attest that at the next audit of my
entity, this project shall be called to the attention of the Washington State .Auditor's
Office and an emphasis audit will be requested to assure that these funds were expended
toward the project and according to the intent of the proposal.
Signature
Aw 6 r
Printed Name
.Date Signed
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Title
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Printed Title
Completed, signed original certification and invoice are to be mailed to:
Administrative Services Coordinator, PO Box 37, Ephrata, WA 98823
ATTACHMENT 4
Western Pacific Engineering &Survey, Inc.
1328 Hunter Place
Moses Lake, WA 98837
(509) 765-1023
Invoice
Total $11,200.00
Payments/Credits $0.00
Balance Due $111200.00
Invoice #:
12607
Port of Warden
Invoice Date:
10/8/2021
Pat Millard
Due Date:
10/8/2021
P.O. Box 841
Warden, WA 98857
Project:
20434
P.O. Number:
Description
QTY Rate Serviced
Amount
Total $11,200.00
Payments/Credits $0.00
Balance Due $111200.00