HomeMy WebLinkAboutASC Board Action Item - BOCCWalk on to Consent Agenda for 07/20/20
Washington State COVID-19 Outbreak Emergency Housing Grant City of Moses Lake reimbursement
request for the period of March -June 2020 in the amount of $2,233.66.
Washington State COVID-19 Outbreak
Emergency Housing Grant
City of Moses Lake Reimbursement Request
Reviewd By:
Brittany Rang Date
Adminitrative Services Coordinator
Approved By:
Cindy Carter Date
Chair
Zc�
Tom Taylor Date
Vice -Chair
6,2,4�_
Richard Stevens Date
Member
Mar -Jun 2020 Jul -20 Aug -30
Sep -20 Total
Budget
Remaining
Admin
$
2,233.66 $ -
$ -
$ $ 2,233.66
$
25,545.00
$ 23,311.34
Operations
$
- $
$
$ $ -
$
46,303.80
$ 46,303.80
Leasing
$
$ -
$ -
$ $
$
46,303.80
$ 46,303.80
Capital
$
$ -
$
$ $
$
77,692.40
$ 77,692.40
$
2,233.66 $
$
$ $ 2,233.66
$ 195,845.00
Reviewd By:
Brittany Rang Date
Adminitrative Services Coordinator
Approved By:
Cindy Carter Date
Chair
Zc�
Tom Taylor Date
Vice -Chair
6,2,4�_
Richard Stevens Date
Member
C111 OF
■
e
MOSES LAKE
•
HC�RPoRATEO ,99
DATE July 19, 2020
City of Moses Lake DEPT: ADMINISTRATION
PO Box 1579 INVOICE #1 - 7-19-2020
Moses Lake, WA 98837
FOR
TO COVID - 19 EMERGENCY HOUSING GRANT
Grant Count
Attn: Brittany Rang
Via EMAIL
Description
Subcontract work for Grant County Dept of Commerce Contract
316-46108-10
Homeless outreach and chronic homeless shelter program
Administrative costs for Program set up:
Program development (8 hrs @$101.53/hr)
Request for proposal (4 hrs@$101.53/hr)
Interview/Selection (4 hrs@$101.53/hr)
Contracting (4 hrs @$101.53/hr)
Homeless Task Force / plan update (2 hrs @$101.53/hr)
REFERENCE INVOICE NUMBER ON PAYMENT TO ENSURE A PROMPT RESPONSE
Payment is due within 30 days of invoice date.
$2,030.60
$203.06
Balance Due 2233.66
Amount
Make all checks payable to City of Moses Lake or call 509-764-3715 or 3719 to pay with a credit card.
If you have any questions concerning this invoice, contact Finance Department at 509.764.3732 or
3735.
Page 2 of 2
DEPARTMENT OF COMMERCE
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Form 19-1A
VOUCHER DISTRIBUTION
AGENCY
NUMBER
Short Code
Commerce Contract Number
CMS Invoice ID:
314630
DEPARMENT OF
COMMERCE
1030
316-46148-10
VENDOR OR CLAIMANT (Warrant payable to:)
Grant County Board of Commission
PO BOX 37
EPHRATA, WA 98823-0037
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: The individual signing this voucher below
warrants they have the authority to do so as authorized and on behalf
of the entity identified in the Vendor/Claimant section. The individual
signing below certifies under penalty of 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 andlor 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.
Brittany Ran bran) 7/20/2020 1:10:35 PM
Brittany Rang
(Vendor Contact Person)
(509) 754-2011 ext 2937
(Vendor Contact Phone)
brang&grantcountywa.gov
(Vendor Contact Email)
03/15120 - 09/30120
(Contract Period)
03115120 - 06130/20
(REPORT PERIOD)
(SUBMITTED BY) (SUBMIT DATE)
DESCRIPTION
BUDGET
REQUESTED
AMOUNT
EXPENDED TO
DATE
AMOUNT THIS
INVOICE
AWARD
REMAINING
Contract Total
8.00
$.00
S.00
$.00
$.00
Admin - Unassigned
858,269.30
$2,233.66
$.00
$.00
$58.269.30
Operations - Unassigned
558,269.30
$.00
$.00
$.00
$58,269.30
Capital - Unassigned
577,692.40
$.00
$.00
$.00
$77,692.40
Leasing - Unassigned
$194,231.00
$.00
S.00
$.00
$194,231.00
Non - Match Total:
$388,462.00
$2,233.66
$.00
$.00
$388,462.00
PROGRAM APPROVAL (The individual signing this voucher warrants they have the authority to sign this voucher.)
Date
DOC DATE
CURRENT DOC. NO.
REFERENCE DOC NO.
VENDOR NUMBER and SUFFIX
SWV0002426 03
ACCOUNT NO.
ASD NUMBER
37371
VENDOR MESSAGE
TRANS REV
CODE CODE
MASTER
INDEX
SUB
OBJ
SUB
SUB
OBJ
MG
MS
GL ACCT
SUB
SID
AMOUNT INVOICE
464DO250
NZ
465TO250
NZ
SIGNATURE OF ACCOUNTING PREPARER FOR PAYMENT
DATE
WARRANT TOTAL
CREATED BY
Brittany Rang (brang)
DATE
7/20/2020 1:07:24 PM
Form 19-1A
VOUCHER DISTRIBUTION
AGENCY
Short Code
Commerce Contract Number
NUMBER
CMS Invoice ID:
DEPARMENT OF
1030
316-46108-10
314630
COMMERCE
I] All Expenses under $1,000
Paid by UBi
Paid by
Organization Name
Paid to
Contractor
Paid to UB3
Paid to
Organization Name
Paid to
Org Type
Expense
Type
Amount
Type
Subcontractor Total
Sub Subcontractor Total