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Home My WebLink AboutGrant Related - BOCC (005)STATE OF WASHINGTON DEPT OF COMMERCE ATTN: CDBG PROGRAM PO BOX 42525 OLYMPIA, WA 98504-2525 COMMUNITY ACTION AGENCY SUBRECIPIENT: OIC OF WASHINGTON 815 FRUITVALE BLVD YAKIMA WA 98902 TOTAL AMOUNT REQUESTED THIS PERIOD: CONTRACT NO: 19-62210-005 REPORT PERIOD: Jun -20 REPORT NUMBER: 12 - FINAL $3,606.75 2019 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 chargeable to the referenced grant. Signature: Printed Name: Dereje Mekuri Title: Chief Financial Officer Date: 6/29/2020 1. Name of Service Program: Asset Development e7o CDBG amount requested for these program activities thisperiod: $3,606.75 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 Program: Energy Assistance / 7 CDBG amount requested for these program activities thisperiod: $0.00 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/EnergyAssist Admin -Indirect Admin CDBG amount re uested for these ro am activities this eriod: 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. RECEIVEL) JUL - 6 2(12.0 GRANT COUNTY COMMISSIONERS Dated this day of fit, , 20,;ID Board of County Commissioners Grant County, Washington Approve Disa ro_e Abstain Dist #1 -) Dist # 1 Dist # 1 Dist #2 b' Dist # 2 __ Dist # 2 Dist #3 Dist # 3 — Dist # 3 4 �0VASHINGTON STATE �. -PA T SEN T OF ,COMMERCE AGENCY NUMBER 1030 IDIS PROJECT NUMBER 30 Commerce Contract Number 19-62210-005 A19 VOUCHER DISTRIBUTION AGENCY NAME DEPARTMENT OF COMMERCE ATTN: CDBG PO BOX 42525 OLYMPIA, WA 98504-2525 INSTRUCTION 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 rend ed have been provided without discrimination becausf o(a)e, sex, larital statu , race, creedolor, national origin, handicap , religion or i am era or fisabled ve Ins VENDOR OR CLAIMANT (Warrant is to be payable to:) GRANT COUNTY PO BOX 37 EPHRATA, WA 98823-0037 REPORTING PERIOD: JUNE 2020 FINAL By: fft4uLl L!b�� (SM IN BLUE INK) 2-7.0 (TITLE) (DATE) Description QUANTITY AMOUNT IDIS Activity ID PREVIOUSLY AMOUNT REMAINING BUDGET REQUESTED THIS INVOICE BALANCE 7945 05 Public Services $117,558.00 113,951.25 3,606.75 $0.00 7946 21 A General Admin 3,500.00 $3,500.00 $0.00 COVID-19 Response 8100 05M Health Services $ 131,770.00 $131,770.00 8101 05Z Outreach & Referral $ 10,000.00 $10,000.00 8102 21 A General Admin $ 3,500.00 $3,500.00 TOTAL PAYMENT REQUEST $266,328.00 $0.00 0.00 $266,328.00 Everything below this line is for Dept of Commerce FED TAX ID x PROGRAM APPROVAL (The individual signing this voucher warrants they have the authority to sign this voucher.) PRINTED NAME: Jeff Hlnckle SIGNATURE: DATE DOC DATE CURRENT DOC. NO. REFERENCE DOC NO. VENDOR NUMBER SWV0002426-03 ACCOUNT NO. ASDNUMBER 36301 VENDOR MESSAGE CDBG # M SUB TRANS 0 MASTER SUB SUB CODE D INDEX OBJ OBJ GL ACCT SUBSID INVOICE AMOUNT NUMBER 629FO320 NZ 19-62210-005 COVID MI Code 6227C220 (2017) NZ SIGNATURE OF ACCOUNTING PREPARER FOR PAYMENT DATE WARRANTTOTAL ACCOUNTING APPROVAL FOR PAYMENT DATE Contract 19.62210.005 Submitted to GC by: OIC OF WASHINGTON Request for Reimbursement No. 12 - FINAL JUNE 2020 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 265 2019-20\Subrecipient Checklist 2019-20.docPage cu 3 3 Fieb• 2t� General Ledger System OIC OF WASHINGTON For User: INGRID FRANK RW Expenditure report for: 265 - 265 CDBG Page: Page 1 of 1Date: 6/26/2020 Report year: 7/1/2019 thru 6/30/2020 Period ending: June 2020 Tame: 10:00:22 AM - -- — ,,tEjAA -----Monthly----/��! 'tu, Account Budget Expan Pct Budget Expenditures Pct Annual budget Unexpended Admn Admin - Asset Dev/Energy Asst $1,920.00 $2,351.98)- 22.50% $23,511.60 $23,511.60 100.00% $23,511.60 $0.00 Asst Asset Development $6,935.49 $3,606.75 52.00% $77,138.91 $77,138.91 100.00% $77,138.91 $0.00 Ener Energy Assistance $1,546.00 $0.00 0.00% $16,907.49 f $16,907.49 100.00% $16,907.49 $0.00 Report Totals $10,401.49 $1,254.77 12.06% $117,558.00 $117,558.00 100.00% $117,558.00 $0.00 cu 3 3 Fieb• 2t� General Ledger System OIC OF WASHINGTON For User: INGRID FRANK Fund Expenditure report for: 265 - CDBG PS 7/1/19-6/30/20 (Fund status: Active) Page: Page 1 of 3 Report year: 7/1/2019 thru 6/30/2020 Period ending: June 2020 Date: 6/26/2020 Time: 9:59:35 AM ------Monthly------ ------To Date ------ Account Budget Expenditures PctBudget Expenditures Pct Annualbudget Unexpended Department: 008 DIRECTADMIN-- Wi2-Q�G Program: 83 COO/ I.T. W'y`t-Q7LT G7 w { r Y / 5311 SALARIES,WAGES EXPENSE $0.00 $0.00 0.00% $284.09 $284.09 100.00% $284.09 $0.00 5351 FICA,OIC EXP $0.00 $0.00 0.00% $21.39 $21.39 100.00% $21.39 $0.00 5352 LAND I,OIC SHARE $0.00 $0.00 0.00% $1.57 $1.57 100.00% $1.57 $0.00 5353 STATE UCI(ES),OIC EXP $0.00 $0.00 0.00% $6.34 $6.34 100.00% $6.34 $0.00 5355 PAID FAMILY MEDICAL LEAVE $0.00 $0.00 0.00% $1.14 $1.14 100.00% $1.14 $0.00 5360 DISABILITY OIC EXPENSE $0.00 $0.00 0.00% $3.38 $3.38 100.00% $3.38 $0.00 5361 MEDICAL INSURANCE,OIC EXP $0.00 $0.00 0.00% $26.91 $26.91 100.00% $26.91 $0.00 5362 LIFE INSURANCE,OIC EXP $0.00 $0.00 0.00% $1.45 $1.45 100.00% $1.45 $0.00 5363 PENSION,OIC EXP $0.00 $0.00 0.00% $19.89 $19.89 100.00% $19.89 $0.00 5364 ACCRUED PTO EXP $0.00 $0.00 0.00% $21.59 $21.59 100.00% $21.59 $0.00 5500 TRAVEL $0.00 $0.00 0.00% $152.95 $152.95 100.00% $152.95 $0.00 5601 DEPRECIATION EXP BLDG. $0.00 $0.00 0.00% $0.67 $0.67 100.00% $0.67 $0.00 5602 DEPRECIATION EXP EQUIP $0.00 $0.00 0.00% $0.12 $0.12 100.00% $0.12 $0.00 5611 SPACE $0.00 $0.00 0.00% $14.57 $14.57 100.00% $14.57 $0.00 5630 UTILITIES $0.00 $0.00 0.00% $6.06 $6.06 100.00% $6.06 $0.00 5640 BUILD. REPAIR/MAINT. $0.00 $0.00 0.00% $1.54 $1.54 100.00% $1.54 $0.00 5910 INSURANCE $0.00 $0.00 0.00% $0.50 $0.50 100.00% $0.50 $0.00 5912 LIABILITY INSURANCE $0.00 $0.00 0.00% $1.53 $1.53 100.00% $1.53 $0.00 5960 COMMUNICATION $0.00 $0.00 0.00% $3.95 $3.95 100.00% $3.95 $0.00 Total for subprogram -> ----- -_..._ $0.00 __._.........---- $0.00 - ---- 0.00% ---......_._- $569.64 ---- $569.64 100.00% $569.64 $0.00 Total for program 83 --> $0.00 $0.00 0.00% $569.64 $569.64 100.00% $569.64 $0.00 Total for department 008 ---> $0.00 $0.00 0.00% $569.64 $569.64 100.00% $569.64 $0.00 Department: 0091NDIRECTADMIN_ Program: 02 ADMIN. POOL -BASE 5312 SALARY ADM. ALLOCATION $1,273.00 $0.00 0.00% $15,232.02 $15,232.02 100.00% $15,232.02 $0.00 5354 P/R TAX & BEN. ADM ALLOC. $620.00 $0.00 0,00% $7,407.35 $7,407.35 100.00% $7,407.35 $0.00 General Ledger System OIC OF WASHINGTON For User: INGRID FRANK Fund Expenditure report for: 265 - CDBG PS 7/1/19-6/30/20 (Fund status: Active) Page: Page 2 of 3 Report year:Date: 7/1/2019 thru 6/30/2020 Period ending: June 2020 6/26/2020 Time: 9:59:37 AM -----Monthly----- ---To Date ------- Account _ _ _ Budget Expenditures Pct Budget Expenditures Pct Annual budget Unexpended 5999 NON PERSONNEL ADM. ALLOC. $27.00 ($2,351.98) 3711.04% $302.59 $302.59 100.00% $302.59 $0.00 Total for sub program -----> $1,920.00 ($2,351.98) -122.50% $22,941.96 $22,941.96 100.00% $22,941.96 $0.00 Total for program 02 -----> $1,920.00 ($2,351.98) -122.50% $22,941.96 $22,941.96 100.00% $22,941.96 $0.00 Total for department 009 -----> $1,920.00 ($2,351.98) -122.50% $22,941.96 $22,941.96 100.00% $22,941.96 $0.00 Department: 010 Program: 5 PROGRAM SUPPORT 5311 SALARI 2ENS $4,008.00 $2,422.00 60.43% $48,096.69 $48,096.69 100.00% $48,096.69 $0.00 5351 FICA,OIC EXP $298.00 $176.02 59.07% $3,488.81 $3,488.81 100.00% $3,488.81 $0.00 5352 LAND I,OIC SHARE $41.00 $29.34 71.56% $459.17 $459.17 100.00% $459.17 $0.00 5353 STATE UCI(ES),OIC EXP $93.00 $54.01 58.08% $1,072.55 $1,072.55 100.00% $1,072.55 $0.00 5355 PAID FAMILY MEDICAL LEAVE $19.00 $9.69 51.00% $195.21 $195.21 100.00% $195.21 $0.00 5360 DISABILITY OIC EXPENSE $62.00 $30.03 48.44% $667.69 $667.69 100.00% $667.69 $0.00 5361 MEDICAL INSURANCE,OIC EXP $1,172.00 $491.25 41.92% $13,954.42 $13,954.42 100.00% $13,954.42 $0.00 5362 LIFE INSURANCE,OIC EXP $23.00 $12.02 52.26% $265.36 $265.36 100.00% $265.36 $0.00 5363 PENSION,OIC EXP $296.00 $228.99 77.36% $3,475.52 $3,475.52 100.00% $3,475.52 $0.00 5364 ACCRUED PTO EXP $741.58 $175.77 23.70% $4,431.58 $4,431.58 100.00% $4,431.58 $0.00 5500 TRAVEL $5.00 $0.00 0.00% $20.00 $20.00 100.00% $20.00 $0.00 5507 OUT OF STATE TRAVEL $155.70 $0.00 0.00% $910.70 $910.70 100.00% $910.70 $0.00 5910 INSURANCE $21.21 ($22.37) -105.47% $101.21 $101.21 100.00% $101.21 $0.00 -->D Total for sub prog:ENE�RGYASSISTANC; $6,935.49 $3,606.75 52.00% $77,138.91 $77,138.91 100.00% $77,138.91 $0.00 Sub program: 4 5311 SALARI W $1,001.00 $0.00 0.00% $11,979.63 $11,979.63 100.00% $11,979.63 $0.00 5351 FICA,OIC EXP $75.00 $0.00 0.00% $900.12 $900.12 100.00% $900.12 $0.00 5352 LAND I,OIC SHARE $20.00 $0.00 0.00% $119.11 $119.11 100.001A $119.11 $0.00 5353 STATE UCI(ES),OIC EXP $25.00 $0.00 0.00% $267.15 $267.15 100.00% $267.15 $0.00 5355 PAID FAMILY MEDICAL LEAVE $4.00 $0.00 0.00% $48.20 $48.20 100.00% $48.20 $0.00 5360 DISABILITY OIC EXPENSE $22.00 $0.00 0.00% $143.55 $143.55 100.00% $143.55 $0.00 5361 MEDICAL INSURANCE,OIC EXP $116.00 $0.00 0.00% $1,370.64 $1,370.64 100.00% $1,370.64 $0.00 General Ledger System OIC OF WASHINGTON For User: INGRID FRANK Fund Expenditure report for: 265 - CDBG PS 7/1/19-6/30/20 (Fund status: Active) Report year: 7/1/2019 thru 6/30/2020 Period ending: June 2020 Account 5362 LIFE INSURANCE,OIC EXP 5363 PENSION,OIC EXP 5364 ACCRUED PTO EXP 5728 DRUG/ALCOHOL REHAB SCREE 5910 INSURANCE Total for sub program 54 -----> Total for program 25 -----> Total for department 010 ----> Fund Totals ---------------Monthly-------------- Budget Expenditures Pct $12.00 $0.00 0.00% $73.00 $0.00 0.00% $177.00 $0.00 0.00% $11.00 $0.00 0.00% $10.00 $0.00 0.00% $1,546.00 $0.00 0.00% $8,481.49 $3,606.75 42.52% $8,481.49 $206.7 42.52% $10,401.49 $1,2 . 7 / 12.06% $0.00 $16,907.49 $16,907.49 100.00% $16,907.49 $0.00 Page: Page 3 of 3 Date: 6/26/2020 Time: 9:59:37 AM ----------------To Date --------------- Budget Expenditures Pct Annual budget Unexpended $56.98 $56.98 100.00% $56.98 $0.00 $843.62 $843.62 100.00% $843.62 $0.00 $1,052.07 $1,052.07 100.00% $1,052.07 $0.00 $66.00 $66.00 100.00% $66.00 $0.00 $60.42 $60.42 100.00% $60.42 $0.00 $16,907.49 $16,907.49 100.00% $16,907.49 $0.00 $94,046.40 $94,046.40 100.00% $94,046.40 $0.00 $94,046.40 $94,046.40 100.00% $94,046.40 $0.00 $117,558.00 $117,558.00 100.00%$117,558.0 $0.00