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Home My WebLink AboutGrant Related - BOCC (003)WASHINGTON STATE DEPARTMENT OF COMMERCE AGENCY NUMBER 1030 IDIS PROJECT NUMBER 0021 CvtnMarco .Contrnct NUM ar 18-62210-006 A19 VOUCHER DISTRIBUTION AGENCY N DEPARTMENT OF COMMERCE ATTN: CDBG PO BOX 42525 OLYMPIA, WA 98504-2525 VENDOR OR CLAIMANT (Warrant is to be to: payable ) GRANT COUNTY PO BOX 37 �� C��TA, WcA�98823-0037 U ULA s� REPORTING PERIOD: APRIL 2019 UWAUCTJON 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 that all goods furnished 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- tll (_i 1N BLUE INK) Torn Taylor, BO Chair (TITLE) (DATE) Description QUANTITY AMOUNT PREVIOUSLY AMOUNT BUDGET REQUESTED THIS INVOICE REMAINING BALANCE 7714 05 Public Services 117,597.00 35,728.93 19,124.05 $62,744.02 $0.00 $0.00 7717 21A General Admin 3,500.00 3,500.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL, PAYMENT REQUEST $121,097.00 $39,228.93 19,124.05 $62,744.02 Everything below this line is for Dept of Commerce FEDTAXiDN PROGRAM APPROVAL DATE DOC DATE CURRENT DO:,NO. REFERENCE DOC N0, VENDOR NUMBER SWV0002426-03 CCOUNTNO. ASD NUMBER 34112 VENDOR MESSAGE CDBG P rnt # M SUB TRANS 0 MASTER SUB SUB CODE D INDEX OBJ OBJ GL ACCT SUBSID AMOUNT INVOICE NUMBER 62280320 NZ 18-62210-005 SIGNATURE OF ACCOUNTING PREPARER FOR PAYMENT DATE WARRANT TOTAL COUNTING APPROVAL FOR PAYMENT STATE OF WASHINGTON DEPT OF COMMERCE ATTN: CDBG PROGRAM PO BOX 42525 OLYMPIA. WA 98504-2525 COMMUNITY ACTION AGENCY OIC OF WASHINGTON 815 FRUITVALE BLVD YAKIMA WA 98902 2018 COMMUNITY DEVELOPMENT BLOCK GRANT - PUBLIC SERVICES GRANTS CERTIFICATION: I certify that the information on this form is a true and accurate report of the cash status and that all reported expenditures are properly char¢eable to the referenced Brant. CONTRACT NO: Signature: 18-62210-005 REPORT PERIOD: Printed Name: RITA DEBORD Apr -19 REPORT NUMBER: 10 C� � - s TOTAL AMOUNT REQUESTED THA 0�.�- $19,124.05 Title: CFO Date: 5/15/2019 1. Name of Service Activitv: Asset Development 52 CDBG amount requested for these program activities this period: $15,017.66 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 132 CDBG amount requested for these program activities this period: $836.62 Description of service program how low- and moderate -income (LMI) persons were served this period: Energy assistance and conservation education. 3.Name of Service Activity. Asset Develop/Energy Assist Admin -Indirect Admin CDBG amount requested for these program activities this period: $3,269.77 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. 4 o Contract 18-62210-005 Submitted to GC by: OIC OF WASHINGTON Request for Reimbursement No. 10 APRIL 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? 1:\DATANONSHARED\ACCOUNTING\ingrid's stuff\CDBG\CDBG ML 264 2018-19\Subrecipient Checklist 2018-19.docPage I OIC OF WASHINGTON For User: INGRID FRANK RW Expenditure report for: 264 - 264 CDBG Report year: 7/1/2018 thru 6/30/2019 Account Period ending: Admn Admin - Asset Dev/Energy Asst Asst Asset Development Ener Energy Assistance Report Totals General Ledger System Period ending: April 2019 --------------- Montltly-------------- --------- Budget Expenditures Pct Budget $1,958.00 $3,269.77 167.00% $19,580.00 $6,503.00 $15,017.66 230.93% $65,030.00 $1,328.00 $836.62 63.00% $13,280.00 $9,789.00 $19,124.05 195.36% $97,890.00 Page: Page 1 of 1 Date: 5/15/2019 Tlme: 1:18:18 PM --70 Date --------------- Expenditures Pct Annual budget Unexpended $7,806.05 39.87% $23,519.00 $15,712.95 $46,064.61 70.84% $78,085.00 $32,020.39 $982.32 7.40% $15,993.00 $15,010.68 $54,852.98 56.04% $117,597.00 $62,744.02 General Ledger System OIC OF WASHINGTON For User: INGRID FRANK Page: Page 1 of 2 Fund Expenditure report for: 264 - CDBG PS 7/1/18-6/30/19 (Fund status: Active) Date: 5/15/2019 Report year: 7/1/2018 thru 6/30/2019 Period ending: April 2019 Time: 1:17:45 PM --------------- '-------------- -----------------To Date--------------- Account Budget Expenditures Pct Budget Expenditures ,Pct Annual budget Unexpended Department: 008 DIRECT ADMIN n ^ dt,(j / LC, Ll ��` Program: 83 COO/ I.T. w 5500 TRAVEL $0.00 $122.41 0.00% $0.00 $122.41 0.00% $0.00 ($122.41) Total for sub program -----> $0.00 $122.41 0.00% $0.00 $122.41 0.00% $0.00 ($122.41) Total for program 83 -----> $0.00 $122.41 0.00% $0.00 $122.41 0.00% $0.00 ($122.41) Total for department 008 -----> $0.00 $122.41 0.00% $0.00 $122.41 0.00% $0.00 ($122.41) Department: 009 INDIRECT ADMINr / I - - � , � L; C Cin -c: 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: April 2019 Sub program:4 ENERGY ASSISTANCE -_ --------------- monthlv-------------- Account 5351 Budget Expenditures Pct 5355 PAID FAMILY MEDICAL LEAVE $0.00 $37.80 0.00% 5360 DISABILITY OIC EXPENSE $74.00 $158.66 214.41% 5361 MEDICAL INSURANCE,OIC EXP $1,022.00 $2,189.38 214.23% 5362 LIFE INSURANCE,OIC EXP $16.00 $46.33 289.56% 5363 PENSION,OIC EXP $221.00 $661.59 299.36% 5399 FRINGE $490.00 $1,498.51 305.82% Total for sub program -----> $6,503.00 $15,017.66 230.930/c Sub program:4 ENERGY ASSISTANCE -_ 5311 SALARI X $939.00 5351 FICA,OIC EXP $70.00 5352 LAND I,OIC SHARE $8.00 5353 STATE UCI(ES),OIC EXP $19.00 5355 PAID FAMILY MEDICAL LEAVE $0.00 5360 DISABILITY OIC EXPENSE $9.00 5361 MEDICAL INSURANCE,OIC EXP $131.00 5362 LIFE INSURANCE,OIC EXP $2.00 5363 PENSION,OIC EXP $54.00 5399 FRINGE $96.00 Total for sub program 54 -----> $1,328.00 Total for program 25 -----> $7,831.00 Total for department 010 -----> $7,831.00 Fund Totals $9,789.00 $562.67 59.92% $41.90 59.86% $5.60 70.00% $11.71 61.63% $2.25 0.00% $9.52 105.78% $85.38 65.18% $2.80 140.00% $39.38 72.93% $75.41 78.55% $836.62 63.00% $15,854.28 202.46% $15,854.28 202.46% $20,443.06 208.84% 1 yvS -----------------To Dn1e--------------- Budget Expenditures Pct $0.00 $118.31 0.00% $740.00 $519.13 70.15% $10,220.00 $7,408.18 72.49% $160.00 $151.48 94.68% $2,210.00 $2,070.46 93.69% $4,900.00 $3,204.17 65.39% $65,030.00 $46,064.61 70.84% $9,390.00 $676.67 7.21% $700.00 $50.62 7.23% $80.00 $6.80 8.50% $190.00 $14.08 7.41% $0.00 $2.25 0.00% $90.00 $11.40 12.67% $1,310.00 $85.52 6.53% $20.00 $3.36 16.80% $540.00 $47.36 8.77% $960.00 $84.26 8.78% $13,280.00 $982.32 7.40% $78,310.00 $47,046.93 60.08% $78,310.00 $47,046.93 60.08% $97,890.00 $57,926.59 59.18% Page: Page 2 of 2 Date: 5/15/2019 Time: 1:17:46 PM Annual budget $0.00 $897.00 $12,269.00 $203.00 $2,656.00 $5,884.00 $78,085.00 $11,270.00 $846.00 $107.00 $233.00 $0.00 $119.00 $1,577.00 $35.00 $652.00 $1,154.00 $15,993.00 $94,078.00 $94,078.00 Unexpended ($118.31) $377.87 $4,860.82 $51.52 $585.54 $2,679.83 $32,020.39 $10,593.33 $795.38 $100.20 $218.92 ($2.25) $107.60 $1,491.48 $31.64 $604.64 $1,069.74 $15,010.68 $47,031.07 $47,031.07 $117,597.00 $59,670.41