HomeMy WebLinkAboutGrant Related - BOCC (004)GRANT COUNTY
BOARD OF COUNTY COMMISSIONER$-
FiT�
To: Board of County Commissioners
From: Janice Flynn, Administrative Services Coordinator
Daft May 5, 2022
Re: Authorization for Release of Funds, Dept of Commerce, CDBG #21-62210-
005, Reimbursement #2, Subrecipient O/C Request #2
01C has requested reimbursement regarding the above -referenced grant in the amount
of $15,077.66 for February 2022 expenses. Their documentation is attached for review.
I am requesting the release of funds for payment to 01C, in the amount of $15,077.66
Thank you.
K44 0.5 202? 11
0A " R P R -
-
-
WASHINGTON STATE
...... ..--- _................ .............. . .. - - .....
DEPARTMENT OF COMMERCE
ICI$ 0I 4�-qTNVAB R =Commerce Contracl Number
#_
VOUCHER DISTRIBUTION
1030 U2°I -0019 1- 10
AGENCY NAIVE
INSTRUCTION TO VENDOR OR CLAIMANT:
DEPAR7I`M F,NT OIF COMMERCE
Submit this farm to claim payment for materials, merchandise or services,
ATTN: CDBG
Sh.4!?+! C4m.plOte dB#aa1 fC.r each item.
PO BOX 42525
_
OLVMPIA, WA 98504-2525
Vendor's Certiflcate. I hereby certify under perjury that the Items and totals listed herein are
proper charges for materials, merchandise or services furnished to the State of Washington, and
_...." ._......_..__.-.._ .........."................"........"....._..."_............................._...........................................................
VI��NllO1t on CLAIMANT (Warrant is to be payable to:)
.... _.:..N:.». that have been provided without discrimination
all goods furnished and/or services renderedp d n
because of age, sex, marital status, race, creed, color, national origin, handicap, religion or
Grant County
PO Box 37
Vietnam era or dleable ypterans statue.
E31Y_
Ephrata, WA
. ..:.....:....:
� �=L`13
1li..71
w
(DATE)
REPORTING PERIOD: FEBRUARY 2022
- ....._.. ..w. ................. _
... ................. �.......... :. , _ _ - ........... .
..._..._.
Description
QUANTITY AMOUNT
' --:.-,:-..::.......
iDl5
......._...._
................ ,r m,�,......:.::.-:,.,..,..,..,....,,,.,......__,_....,.....................;;:; , .,,::::::.. _ ..................... _ ... - - _. ----- ....::::::- :.
PREVIOUSLY' AMOUNT REMAINING
Activity ID
BUDGET REQUESTED..... THIS INVO'CE . _.... _ BALANCE
8397
_.
+O 5Z Public Services not in 03 T o5A-05Y
$ 123 10 M781.51 . - 15,077.66 $91,220.83-
.... ........,.....
.
." .Other
;;;,,,,,,,,;,,,..�....�.:_...,....,..,.,.,,,.....,..m,�_..........
$0.00
..
_
21 A - General Program Administration
... 355_0..0....
.fl08398
$ 39500.00 _ ........... �.....
...........
...
..,.
$ V o1J
1J5
.....
..,.....,....... ................
........ .............,............... ..........,,...,,.....,,.,. ,.
$4.002
- - . " .. - ....... .. ".-. ". ...""...
$
..........
.._......._ $0.00
.................
�_.. _
$0.00
r
TO � L P� '1VIENTRE UES T ..,...
.........
`�_. 5,.
.,...,.,, �125�.0. $d,78 51 15 077,�d64,?20.8
„ ...._. ,, . ...
.r
........ ,,................,..,,,. ,,,, , line is far ... ....
y o Commerce
+% below this - „
�... ..... ................:.I:.
FED TAX 10 4
- -
PROGRAM APPROVAL T"r�e 1��tV�tt.t
�
p�� .: i....... .... { ..
sir n. t . this v . �I��`.. � a�� i� � ��� Oita �ulx #O.l � 41r1►
�sj -...; I .J i� t • 0.
� Id g : �� � � �
DATE
PRINTED NAME:
ill_....."..._
SIGNATURE:
Dt DATE.
NUMBER
SW V # _ 0ao2426-0 _... .
--- --- --- -----------------
ACCOUNT N01
B VENDOR MESSAGE
A D NUMBER _ t3E
M
TRANS 0
SUB
MASTER SUB SUB
0L ACCT SUSSID INVOICE
AMOUNT NUMBER
CODE D
INDEX OBJ 091
621FO320 NZ
_ ...........
126,580.00 2162210-005
.... ....
a
_..._ _,. , , ....... . - .......,.
_.
..... ....,,„
0
............... _
...,..,.
_.
SIGNATURE OF ACCOUNTING PREPARER FOR PAYMENT
DATA WA RRANT TOTAL
._ ... - - : _. ,•.--- ..............a.
.......... -- .... I - I.- I � -.1- -1-11.1. -
.-- ..
ACCOUNTING APPROVAL FOR PAYMENT
DATE
...I ! 115111.1.l1e I I . I 1 ......, .... ...:. ...,. - -- - .. ..... -... ... �� .. ..... ...... ...
Contract 21-62210-005
Submitted to GC by: OIC OF WASHINGTON
Request for Reimbursement No. 08
FEBRUARY 2022
Grant County's Subrecipient Checklist:
State Auditor's Office Audit Procedures for Testing Activities Allowed
And Not Allowed, As Published In 2007
Ouestions to ask before submitting a payment request
Was the expenditure or cost:
X Made for an allowable activity under the grant guidelines?
X Authorized (or not prohibited) under state or local laws or regulations?
X Approved by the federal awarding agency, if required?
N/A Allowable per Circular A-87 (,dune 2004 version), Attachment B, items 1-43?
For payroll transactions:
X Does the employee's time and effort documentation meet the requirements of
Circular A-1 22?
X Allocable to the program? (i.e., was the dollar amount charged to the program
relative to the benefits received by the program? Is the federal grantor being
charged its fair share of the cost?)
X Based on actual costs, not budgeted or projected amounts?
X Applied uniformly to federal and non-federal activities (i.e., is the federal
government being charged the same amount as if non-federal funds were being
used to pay the cost)?
X Given consistent accounting treatment within and between accounting periods?
(Consistency in accounting requires that costs incurred for the same purpose, in
like circumstances, be treated as either direct costs only or indirect costs only
with respect to final cost objectives).
X Calculated in conformity with generally accepted accounting principles, or
another comprehensive basis of accounting, when required under the applicable
cost principles?
X Not included as a cost (or used to meet cost sharing requirements) of other
federally -supported activities of the current or a prior period?
X Net of all applicable credits? (e.g., volume or cash discounts, insurance
recoveries, refunds, rebates, trade-ins, adjustments for checks not cashed, and
scrap sales).
N/A Not included as both a direct billing and as a component of indirect costs?
N/A Properly classified (e.g►., some costs may be incorrectly claimed as a direct cost
instead of being incorporated as part of the indirect cost rate),
X Supported by appropriate documentation? (e.g., approved purchase orders,
receiving reports, vendor invoices, canceled checks, and time and attendance
records.) Documentation may be in an electronic form.
X Correctly charged to the proper account code and grant period?
1:\DATANONSHARED\ACCOUNTING\ingi-id's stuff\CDl3G\CD13G ML 267 2021-22\Subrecipient Checklist 2020-2 l.docPage
1
$TATE OF WASHINGTON
DEPT OF COMMERCE
i�;Md, CDBG PROGRAM
�PO BOX 42525
z,0LYMPIA,,WA 98504-2525
'CQ'.N1MVN1"n,r ACTION AGENCY SUBRECIPIENT:
OIC OF WASHINGTON
815 FRUTTVALE BLVD
YAKEMA WA 98902
z
CONTRACT NO:
21-62210-005
REPORT PERIOD:
Feb-22
REPORT NUMBER:
8
T-OTAL AMOUNT REQUESTED THIS PERIOD: $15,077.66
COMMUNITY DEVELOPMENT BLOCK GRANT - PUBLIC SERVICES GRANTS
CERTIFICAT.16_N;. loCer that the information on this form is a
true and accurate report of the cash status and that all reported
expenditures are properly chargeable to the referenced grant.
Signature:
Printed Name: DEREJE MEKURIA
Title: CFO
Date: 5/4/2022
154 C-DBG amountrequested for these activities this -pe.;riodw- 0 '.Tn alit .9
J. Name of Service Pro Asset DvVelopmO t & Other Asset:op e 1
Description of service program how low- and moderate -income (LMI) persons were served this period: Housing counseling, credit coaching,
fioreclosure services, business start-up, financial education workshops and high school classes. Free tax -prep.
d -sted for these progrant activities thisPer-to
Name of Service :roman:. Eorg, �'Assistance 1C.DHG* amountrcqut 164 $0.001
..........
',Description of service program how low- and moderate -income (LMI) persons were served this period: Energy assistance and conservation
,education.
. ............... . . ...... . . ...............
y.
13'..Name i�f Service Akfiv' fty,- Asset Eitbrg-y Assist Adndn-indirect Admin C.018G,'amount,.riqut : sted for these activities this period,:, 5..
$115 , 76.,:
Description of service program how low- and moderate -income (LMI) persons were served this period: General administration expenses associated
;with managing energy assistance and asset development activities oversight and assessments. Indirect admin.
General Ledger System
OIC OF WASHINGTON
For User: INGRID FRANK
Page: Page 1 of 1
RW Expenditure report for: 267 - 267 CDBG
Date: 5/4i2022
Report year: 7/112021 thru 613012022
Period
ending: February 2022
Time: 10:26:1 o AM
.......... ._ .
-
Monthly----
------.-
---- TO,
Account
BudgetE
Expenditures
.............. „.... .
Pct
Budget
Expenditures
Pct
nnual �udget Unexpended
_
Adrnn Admin -Asset DevlEnergyAsst
$0.00
$1,535.76
0.00%
$0.00
$3,759.62
0.00%
$0.00 ($3,759.62)
Asst Asset Development
$0.00
$13,541.90
0.00%
$0.00
$25,037.50
0.00%
$0.00 ($25,037.50)
Ener Energy Assistance
$0.00
$0.00
0.00%
$0.00
$3,062.05
0.00%
$0.00 ($3,062.05)
Report Totals
$0.00
$151077.66
0.00%
$0.00
$311859.17
0.00%
$0.00 ($31,859.17)
I le� 0 �e I S
•.\,a?.� C? -Y 9�
General Ledger System
OIC OF WASHINGTON
For User: INGRID FRANK
Fund Expenditure report for: 267 - CDBG PS 7/1/21-6/30/22 (Fund status: Active)
Report year: 7/112021 thru 6/3012022 Period ending: February 2022
.Account Budget. Expenditures Pct Budget
Department: 009 INDIRECT ADMIN
Program: 02 ADMIN. POOL - BASE
5312 SALARY ADM. ALLOCATION
5354 P/R TAX & BEN. ADM ALLOC.
5999 NON PERSONNEL ADM. ALLOC_
Total for sub program
Total for program 02
Total for department 009
Department: 010 PROGRAM
Program: 25 PROGRAM SUPPORT
5311 SALARIES,WAGES EXPENSE
5351 FICAOIC 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
5910 INSURANCE
Total for sub program
Sub program: 54 ENERGY ASSISTANCE
5311 SALARIES,WAGES EXPENSE
5351 FICA,OIC EXP
5352 LAND I,OIC SHARE
5353 STATE UCI(ES),OIC EXP
Page: Page I of 8
Date: 4/29/2022
Time: 11 -06:59 AM
-To Dire
Expenditures Pct Annualbudget Unexpended
$0.00
$913.07
0.00%
$0.00
$2,073.83
0.00%
$0.00
($2,073-83)
$0.00
$448.99
0.00%
$0.00
$11116-44
0-00%
$0.00
($1,116.44)
$0.00
$173.70
0.00%
$0.00
$569.35
0.00%
$0.00
($569-35)
$0.00
$1)535.76
0.00%
$0.00
$31759.62
0.00%
$0.00
..... . .. . .. ......
($3,759.62)
$0.00
$10535.76
0.00%
$0.00
$3,759.62
0.00%
$0.00
($3,759.62)
$0.00
$1,535.76
0.00%
$0.00
$31759-62
0.00%
$0.00
($3,759.62)
$0.00
$81452.21
0.00%
$0.00
$16,179.15
0-00%
$0.00
($16,179.15)
$0-00
$612.46
0.00%
$0.00
$1,175.79
0.00%
$0.00
($1,175-79)
$0.00
$47-34
0.00%
$0.00
$92.39
0.00%
$0.00
($92.39)
$0.00
$136-09
0.00%
$0.00
$260.49
0.00%
$0.00
($260.49)
$0.00
$55.65
0.00%
$0.00
$102.02
0.00%
$0.00
($102-02)
$0-00
$126.21
0.00%
$0.00
$997.45
0.00%
$0.00
($227.45)
$0.00
$2,061.55
0.00%
$0.00
$3,661-54
0-00%
$0.00
($3,661-54)
$0.00
$50.10
0.00%
$0.00
$90.24
0.00%
$0.00
($90.24)
$0.00
$649.36
0.00%
$0.00
$1,190.25
0.00%
$0.00
($1,190.25)
$0.00
$1,321 N 17
0.00%
$0.00
$2,005.17
0.00%
$0.00
($2,005-17)
$0.00
$29.76
0.00%
$0.00
$53-01
0.00%
$0.00
($53.01)
$0.00
$131541-90
0.00%
$0.00
$251037.50
0.00%
$0.00
($25,037.50)
aAA,
$0.00
$0.00
0.00%
$0-00
$1,967.35
0.00%
$0.00
($1,967.35)
$0.00
$0.00
0.00%
$0.00
$140.65
0.00%
$0.00
($140.65)
$0.00
$0.00
0.00%
$0.00
$12.38
0.00%
$0.00
($12.38)
$0.00
$0.00
0-00%
$0-00
$31.68
0.00%
$0.00
($31.68)
OIC OF WASHINGTON
For User: INGRID FRANK
Fund Expenditure report for: 267 - CDBG PS 7/1/21-6/30/22 (Fund status.- Active)
Page:
Page 2 of 8
Date:
4/29/2022
Report year: 7/112021 thru 6/3012022
Period ending February 2022
Time:
11:07.-01 AM
----Monthly---
To Date
Account
Budget
Expenditures
Pct
Budget
Expenditures
Pet
Annual budget
Unexpended
5355 PAID FAMILY MEDICAL LEAVE
$0.00
$0.00
0.00%
$0.00
$12.23
0.00%
$0-00
($12.23)
5360 DISABILITY OIC EXPENSE
$0.00
$0.00
0.00%
$0.00
$27.10
0.00%
$0.00
($27-10)
5361 MEDICAL INSURANCE,01C EXP
$0.00
$0.00
0.00%
$0.00
$504.84
0.00%
$0.00
($504.84)
5362 LIFE INSURANCE,01C EXP
$0-00
$0.00
0.00%
$0-00
$10-79
0.00%
$0.00
($10.79)
5363 PENSION,OIC EXP
$0.00
$0-00
0.00%
$0.00
$142-59
0.00%
$0.00
($142.59)
5364 ACCRUED PTO EXP
$0.00
$0.00
0.00%
$0.00
$202.71
0-00%
$0.00
($202.71)
5910 INSURANCE
$0.00
$0.00
0.00%
$0.00
$9.73
0.00%
$0.00
($9.73)
Total for sub program 54
$0.00
$0-00
0.00%
$0.00
$3,062.05
0.00%
Total for program 25 -->
$0.00
$137541-90.
0-00%
$0.00
$28,099.55
0.00%
$0.00
($28,099.55)
Total for department 010
$0.00
$13,541.90
0.00%
$0.00
$28,099.55
0.00%
$0.00
($28,099.55)
Fund Totals
$0.00
$15,077.66
0.00%
$0-00
$317859.17
0.00%