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HomeMy WebLinkAboutGrant Related - BOCC (003)GRANT COUNTY BOARD OF COUNTY COMMISSIONERS MAY 2022 Mem To: Board of County Commissioners From: Janice Flynn, Administrative Services Coordinator Data May 24, 2022 Re: Authorization for Release of BOCC Approved Funds, Request #9, SIP #2021-01- GC Hospital #4 — McKay Healthcare, Phase I Capital Improvement Plan McKay Healthcare has certified the requirements for release of funds in the above - referenced SIP project, which was approved by the BOCC pursuant to Resolution No. 21 -013 -CC dated February 16, 2021. The proof of requirements is in the form of a signed Project Certification form from the Hospital 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) 9th installment of the grant award in the amount of Six Hundred Eleven and 54/100 Dollars ($611.54) to McKay Healthcare. Note: The full grant amount is $350,000. This leaves a balance of $315,545.21. Thank you. I GRANT COUNTY R0_ GRAM STRATEGIC INFRASTRUCTURE--- P PROJECT CERTIFICATION This form must be signed and retur'ne _d1with .gn invoice, for the approved funding, Pproved b Grant County. re reimbursement cin be _.y it SIP Pr ect PrOP osal. Number: Pi .SIP.Tundin. 9Re'cip*ent, SIP P'J eD es . C-ri"P tion, 0j.d SIP 21-01 McKay HospiW Ri, eht'ib, Phase .1 04P 41 Ir - provement Plan 'I thb -uo r, d d -h- obv cei liy undju-ie awri s q signp, 0 er er ioenalty of pbr'that th a! haw boon furnisbed, the services rendered -dtid/or th lab, o, r p er fo- r'- w e d - d :'b d e as, F, e,slcri e. th e roject proposal for the 4b- o-ve-rofer ed, $1 PtJect d tat I am authorizedP .0 an. - I alin -that this cla I just and authenticate a4d certify to this'o 1 d1s fy o certi _ffn of'$61 L54 is t agatGrint duo anai oiga,ion d, is an unp _wnst County, .Further. accord'ing to the SIP entity., this proj . ect shall be Office and. awom. asis pub PrOjecding Pbli att t Fun cies e.st that at the naudit of iny o iled to --the attention of the -Washington -State -Auditor's lbi� re I to assure -ihat these -funds were ed q ueste.( intomt of the Proposal, Erica Gaertner rinted- Name 5�i3 zozz Date Signed Adminl*strator Title r ----------- -- -------- Printed Title CO- mpleted, signed origi'nal certificationend invoice are. to be Mailed to.: Administrative Services Coordinator, PO Box 37, Ephrata, WA 98823 Reimbursement 9 in the amount of $611.54 ATTACHMENT Pennell Comsulting Inc* Electrical and Electronics System Design 400 South Jefferson, Suite 301 Spokane, WAS 99204 Invoice 4. 4/26/2022 3075 RECEIVED qpR a 0 pp72 Electrical and E lectrer�tfes ! 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Design Trip #1 (4120!21) $ 653.82 100% 653.02 100% -- 100% $653.62 $ - : Design Trip #2 (0114/21) $ 853.02 100°l° 653.82 100% $ 100% $053.62 $ Design Tdp ##3 (10112121) $ 653.62 100% 053.02 100% $ - 100% $553.02 $ - Design Trip ##4 (1119122) $ 853.82 100% 653.62 1001° $ - 1000/0 $053.02 $ - Pre -Bid 'Talk Through #1 $ 893.62 100% 893.02 100% $ - 100% $893.02 $ - CA Trip #1 893.62 0.00 $ - 01 $0.00 $ $92 Utility Coordination $ 1,101.12 0.00 $ - 0°l° $0.00 $ 1,101.12 L&1 Permit Fees $ 920,00 920,00 100% 100°l0 $920.0£ $ - ::-:' .: Totei[: i abu abses .... :::::.' :: :'.' :6,422.84 :...... := $ 4,428. 4= : :': : - ... �17428.1(x• .............. . .... . ... . F!;n!p�;r 3 / !:........ ....... .. _. j, _ ... .... .. .. ... .. ... ... .. . .. . . ... .._: ....... _. .::•i ... :. iiiS:'0{E:;:: i;:. :: i!i?{t>Fiiiiii=F::;;r. :) ..3 : ., ♦..:: .. .. .... t . , ... ... 7 .. .. .. ... .x ....... ., ...,,... , a.. ... r ... is ,. ... _ .. , i. .t {. .... .. 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RE. 127 SECOND AVE Ptd BOX 819 ,.. 1 3� 5 SOAP LAKE,Ai 98851 ° (609) 246-111, � 6041091830 I s r - - - - -------------- - 01 330 051! 312022 $611.54 ' i e Six Hundred and Eleven bollars and 54 Certs • � i PAY PCITO THE ORDER OF 400 S Jefferson, Ste 301 BY el too, ,. pokane f 1t A 00204 1 i BY � . ' AUTHORIZED SIGNATURE i NP' i ���IM 4 LQ9 La 30it! 1:1.23 206101: hS360?3131153011'