HomeMy WebLinkAboutASC Board Action Item - BOCCM
C- "t
A E
AGENCY
NUMBER
1030
IDIS PROJECT NUMBER
0021
Commerce Contract Number
18-62210-005
A19 VOUCHER DISTRIBUTION
AGENCY NAME INSTRUCTION
DEPARTMENT OF COMMERCE
ATTN: CDBG
PO BOX 42525
OLYMPIA, WA 98504-2525
that
VENDOR OR CLAIMANT (Warrant is to be payable to:)
GRANT COUNTY
PO BOX 37
E PH RATA, WA 98823-0037
REPORTING PERIOD: February 2019
TO VENDOR OR CLAIMANT:
Submit this form to claim payment for materials, merchandise or services.
Show complete detail for each item.
Vendor's Certificate: 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
all goods fumished and/or services rendered have been provided without discrimination
because of age, sex, marital status, race, creed, color, national origin, handicap, religion or
Vietnam era or disabled veterans status.
By: .1 1
1 (SIGN IN BLUE INK)
Torr. Taylor, BOCC Chair -1124/1-1
(TITLE) (DATE)
Description QUANTITY AMOUNT
PREVIOUSLY AMOUNT REMAINING
BUDGET REQUESTED THIS INVOICE BALANCE
7714
05 Public Services 117,597.00 11,139.69 13,943.89 $92,513.42
$0.00
$0.00
7717
21AGeneral Admin 3,500.00 3,500.00 $0.00-
$0.00
$0.00
$0.00
$0.00
$0.00
TO TA L PA YMEN T RE Q UES T $121,097.0011 $11,139.69 17,443.89 $92,513.42
Everything below this line is for Dept of Commerce_
FED TAX ID #
PROGRAM APPROVAL
DOC DATE
CURRENT DOC. NO.
REFERENCE DOC NO.
VENDOR NUMBER
SV\IV0002426-03
ACCOUNT NO.
ASO NUMBER
34112
VENDOR MESSAGE
CDBG Pymt #
M SUB
TRANS 0 MASTER SUB SUB
CODE D INDEX OBJ OBJ
GL ACCT
SUBSID
INVOICE
AMOUNT NUMBER
62280320 NZ
18-62210-005
SIGNATUREOF ACCOUNTING PREPARER FOR PAYMENT
I
DATE
WARRANT TOTAL
ACCOUNTING APPROVAL FOR PAYMENT
IDATE
STATE OF WASHINGTON
DEPT OF COMMERCE
ATTN: CDBG PROGRAM
PO BOX 42525
OL\'MPIA, WA 98504-2.525
COMMUNITY ACTION AGENCY
CONTRACT NO:
OIC OF WASHINGTON 18-62210-005
815 FRUITVALE BLVD REPORT PERIOD:
YAKIMA WA 98902 Feb -19
REPORT NUMBER:
8
C()"') 1 cb"cs-- -zt 3
TOTAL AMOUNT REQUESTED THIS 513,943.89
2018 COMMUNITY DEVELOPMENT BLOCK GRANT- PUBLIC SERVICES GRANTS
CERTIFICATION: 1 certify that the information on this form is a
true and accurate report of the cash status and that all reported
expenditures are properly chareeable to the referenced ¢rant.
Signature:
Printed Name: RITA DEBORD
Title: CFO
Date: 4/18/2019
1. Name of Service Activity: Asset Development 44
CDBG amount requested for these program activities thisperiod: $1 1,614.5 1
Description of service program how low- and moderate -income (LMI) persons were served this period: Housing counseling, credit coaching.
foreclosure services, business start-up, financial education workshops and high school classes. Free tax -prep.
2. Name of Service Activity: Energy Assistance 329 CDBG amount requested for these program activities this period: $0.00
Description of service program how low- and moderate -income (LMI) persons were served this period: Energy assistance and conservation education.
I Name of Service Activity: Asset Develop/Energy Assist Admin -Indirect Admin
CDBG amount requested for these program activities this period: $2,329.38
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.
Contract 18-62210-005
Submitted to GC by: OIC OF WASHINGTON
Request for Reimbursement No. 08
FEBRUARY 2019
Grant County's Subrecipient Checklist:
State Auditor's Office Audit Procedures for Testing Activities Allowed
And Not Allowed, As Published In 2007
Questions 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 (June 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-122?
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? t
I:ADATANONSHAREDAACCOUNTINGAingrid's stuff\CDBGVCDBG ML 264 2018-19\Subrecipient Checklist 2018-19.docPage bJh.
OIC OF WASHINGTON
For User: INGRID FRANK
RW Expenditure report for: 264 - 264 CDBG
Report year: 7/1/2018 thru 6/30/2019
Account
---------
Admn
Admin - Asset Dev/Energy Asst
Asst
Asset Development
Ener
Energy Assistance
Report Totals
General Ledger System
Period ending: February 2019
---------------Monthly--------------
---------
Budget
Expenditures Pct
Budget
$1,958.00
$2,329.3818.97%
$15,664.00
$6,503.00
$11,614.51`178.60%
$52,024.00
$1,328.00
$0.00 0.00%
$10,624.00
$9,789.00
$13,943.89 JA -f.44%
$78,312.00
--To Da/e---------------
Page 1 of 1
Expenditures
Pct
$4,536.28
28.96%
$20,401.60
39.22%
$145.70
1.37%
$25,083.58 32.03%
Page:
Page 1 of 1
Date:
4/18/2019
Time:
7:11:10 AM
Annualbudget
Unexpended
$23,519.00
$18,982.72
$78,085.00
$57,683.40
$15,993.00
$15,847.30
$117,597.00 $92,513.42
General Ledger System
OIC OF WASHINGTON
For User: INGRID FRANK
Fund Expenditure report for: 264 - CDBG PS 7/1/18-6/30/19 (Fund status: Active)
Report year: 7/1/2018 thru 6/30/2019 Period ending: February 2019
Account
25 PROGRAM SUPPORT
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 ----->
Program: 03 ADMIN POOL -OTHER
5312 SALARY ADM. ALLOCATION
5354 P/R TAX & BEN. ADM ALLOC.
5999 NON PERSONNEL ADM. ALLOC.
Total for sub program ----->
Total for program 03 ----->
Total for department 009 ----->
Department: 010 PROGRAM
Program:
25 PROGRAM SUPPORT
5311
SALARIES,WAGES EXPENSE
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
5399
FRINGE
Page: Page 1 of 2
Date: 4/18/2019
Time: 7:10:18 AM
--------------- MondlI3---------------
-----------------To
Date ---------------
Budget
Expenditures
Pct
Budget
Expenditures
Pct
Annual budget
Unexpended
CL,,,-azt de u/ (ice_(l i y (�-�.� G� c��l,�n - G,
C�GZ CCc��'rJ
�l7
$1,234.00
$1,432.78
116.11%
$9,872.00
$2,770.62
28.07%
$14,817.00
$12,046.38
$509.00
$644.74
126.67%
$4,072.00
$1,245.94
30.60%
$6,115.00
$4,869.06
$215.00
$251.86
117.14%
$1,720.00
$519.72
30.22%
$2,587.00
$2,067.28
$1,958.00
$2,329.38
118.97%
$15,664.00
$4,536.28
28.96%
$23,519.00
$18,982.72
$1,958.00
$2,329.38
118.97%
$15,664.00
$4,536.28
28.96%
$23,519.00
$18,982.72
-01C i n1�-��
n on -
1)% l I E4
$0.00
$805.94
0.00%
$0.00
$1,075.19
0.00%
$0.00
($1,075.19)
$0.00
$362.66
0.00%
$0.00
$483.72
0.00%
$0.00
($483.72)
$0.00
$141.69
0.00%
$0.00
$195.69
0.00%
$0.00
($195.69)
$0.00
$1,310.29
0.00%
$0.00
$1,754.60
0.00%
$0.00
($1,754.60)
$0.00
$1,310.29 ✓0.00%
$0.00
$1,754.60
0.00%
$0.00
($1,754.60)
$1,958.00
$3,639.67
$15,664.00
$6,290.88
40.16%
$23,519.00
$17,228.12
Q%Zil e/
^185.89%
C(&-L'e�L %)
$4,249.00
$7,600.00
1 87%
$33,992.00
$13,100.00
38.54%
$50,988.00
$37,888.00
$313.00
$552.70
176.58%
$2,504.00
$956.06
38.18%
$3,757.00
$2,800.94
$30.00
$53.47
178.23%
$240.00
$91.53
38.14%
$370.00
$278.47
$88.00
$158.08
179.64%
$704.00
$272.48
38.70%
$1,061.00
$788.52
$0.00
$30.40
0.00%
$0.00
$52.40
0.00%
$0.00
($52.40)
$74.00
$138.33
186.93%
$592.00
$235.03
39.70%
$897.00
$661.97
$1,022.00
$1,955.95
191.38%
$8,176.00
$3,463.92
42.37%
$12,269.00
$8,805.08
$16.00
$40.39
252.44%
$128.00
$68.51
53.52%
$203.00
$134.49
$221.00
$532.00
240.72%
$1,768.00
$917.00
51.87%
$2,656.00
$1,739.00
$490.00
$553.19
112.90%
$3,920.00
$1,244.67
31.75%
$5,884.00
$4,639.33
General Ledger System
OIC OF WASHINGTON
For User: INGRID FRANK
Fund Expenditure report for: 264 - CDBG PS 7/1/18-6/30/19 (Fund status: Active)
Report year: 7/1/2018 thru 6/30/2019 Period ending: February 2019
---------------Month ly--------------
Account Budget Expenditures Pct
Total for sub pCEX
$6,503.00 $11,614.51 178.60%
Sub program: SSISTANCE
5311 SALARIEENSE 9.00 $0.00 0.00%
5351 FICA,OIC $70.00 $0.00 0.00%
5352 LAND I,OIC SHARE $8.00 $0.00 0.00%
5353 STATE UCI(ES),OIC EXP $19.00 $0.00 0.00%
5360 DISABILITY OIC EXPENSE $9.00 $0.00 0.00%
5361 MEDICAL INSURANCE.OIC EXP $131.00 $0.00 0.00%
5362 LIFE INSURANCE,OIC EXP $2.00 $0.00 0.00%
5363 PENSION,OIC EXP $54.00 $0.00 0.00%
5399 FRINGE $96.00 $0.00 0.00%
Total for sub program 54 -----> $1,328.00 $0.00 0.00%
Total for program 25 -----> $7,831.00 $11,614.51 148.31%
Total for department 010 -----> $7,831.00 $11,614.51 148.31%
Fund Totals $9,789.00 $15,254.18 `155.83%
O.� �tblo.4!}
j bggy .e9
Page: Page 2 of 2
Date: 4/18/2019
Time: 7:10:19 AM
-----------------To Date ---------------
Budget
Expenditures
Pct
Annual budget
Unexpended
$52,024.00
$20,401.60
39.22%
$78,085.00
$57,683.40
$7,512.00
$114.00
1.52%
$11,270.00
$11,156.00
$560.00
$8.72
1.56%
$846.00
$837.28
$64.00
$1.20
1.88%
$107.00
$105.80
$152.00
$2.37
1.56%
$233.00
$230.63
$72.00
$1.88
2.61%
$119.00
$117.12
$1,048.00
$0.14
0.01%
$1,577.00
$1,576.86
$16.00
$0.56
3.50%
$35.00
$34.44
$432.00
$7.98
1.85%
$652.00
$644.02
$768.00
$8.85
1.15%
$1,154.00
$1,145.15
$10,624.00
$145.70
1.37%
$15,993.00
$15,847.30
$62,648.00
$20,547.30
32.80%
$94,078.00
$73,530.70
$62,648.00
$20,547.30
32.80%
$94,078.00
$73,530.70
$78,312.00 $26,838.18 34.27%
CL
Lf Cs31JT
$117,597.00 $90,758.82
(33 -t- I,7s9.L�
CDBG Public Services Grant
No. 18-62210-005
Grant County
Employee: Date: April 29, 2019
Jill Hammond Month/Year: July 1, 2018 to June 30, 2019
Page 1 of 2
Composite
Day
Hourly Rate
# Hours
Activity
• rocessing or 4tn QuaTre—r ene Z ary eport;
• Deposit/financials on Payment Request #6;
• Processing of Payment Request #7;
• Deposit/financials on Payment Request #7;
• Drafting, emails, consultation with OIC on new Subrecipient Agreement; processing final
version;
• Misc. emails, etc. with Commerce;
Jul -18
$45.09
9
• Preparation of Contract Closeout Report for Contract #17-62210-005.
$405.81
Aug -18
$45.09
8
Review, distribution of Commerce/GC grant agreement (#18-62210-005).
$360.72
• Misc. emails; updates re new Quarterly Beneficiary Report an A-19 voucher, updated isca
codes;
Sep -18
$45.09
6
• Misc. emails, etc. with Commerce.
$270.54
• Budget transfer, misc. admin.;
• Misc. phone calls, et -mails, filing, etc.;
• Emails, processing of new CDBG Handbook, filing, etc.;
• Work on certificate of insurance, double checking contract status, number.
Oct -18
$45.09
5
$225.45
• Misc. emails, phone calls, correspondence;
• Emails, etc. re 1st Quarter Beneficiary Report, review and submittal of same;
• Addition file set up, emails, etc. re HUD award, emails, etc.;
• Transmittal of grant report forms, fully conformed contract with Commerce, etc.;
• Final file setup, detailed review of CDBG Management Handbook;
• Review, copying, etc. of County and Subrecipient required documentation,
preparations/requests re EEO -4 forms;
• Updates with BOCC re grant requirements, processing of EEO -4 form;
• Initial processing of Reimbursement Request #1.
Nov -18
$45.09
12
$541.08
• Sent documentation information to Commerce;
• County Admin. Tracking;
Dec -18
$45.09
4
• Misc. emails, etc. with Commerce.
$180.36
Page 1 of 2
CDBG Public Services Grant
No. 18-62210-005
Jan -19
$45.09
6
• Review of CDBG Handbook, 2 CFR 200;
• Filing, misc. emails;
• Preparing GC's Site Monitoring and Materials Request letter to OIC of Washington (site
visit scheduled for March 7, 2019);
• 2nd Quarterly Beneficiary Report processing, submittal.
$270.54
• Preparations for CDBG Public Hearing (scheduling, calendaring, updating Public Hearing
Notices, arrangements for translation to Spanish, etc.);
• Misc. emails, etc. with Commerce;
• Receipt, review of 2019 PSG Application, forwarded with request for review, etc. to OIC;
misc. grant application work, advertising administration;
• Emails, discussions with OIC regarding advertising, posting of notices for public hearing;
• County Admin tracking;
Feb -19
$45.09
16
• Work on CDBG PSG online application for next funding cycle.
$721.44
• OIC Site Visit;
• Response to OIC's Site Visit;
• Conducting of public hearing, final application processing, etc.;
• Continue to work on CDBG PSG online application for next funding cycle;
• Admin work for the months of March thru June - has not yet occurred; however, a
variety of grant administration efforts will take place during this timeframe, including
review/preparations of 2018 grant closeout requirements, processing requests for
Mar 2019 -
reimbursement, preparation of subrecipient agreement for 2019 contract, etc.
Pune 2019
$45.09
12
$541.08
BUDGET CATEGORY: 21A, Gen Admin
Tom Taylor, BOCC Chair
Page 2 of 2
$3,517.02