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GRANT COUNTY BOARD OF COUNTY COMMISSIONERS To: Board of County Commissioners Date: October 12, 2020 Re: Dept. of Commerce CRF Contract #20-6541 C-013, Reimbursement Request #20-21 Reimbursement No. 21 on the Department of Commerce Coronavirus Relief Funds (CRF) CARES Act Grant for the Health District for the period September 1, 2020 through September 15, 2020 in the amount of $106,562.84. County Review Conducted By: Ju Strickle4Gjart A ministration Specialist BOARD OF COUNTY COMMISSIONERS Ey Tom Taylor, Vice Chair Richard Stevens, Member ia. (Z. Zd Date: 2-0,2,6 Date: June Strickler From: Darcy Moss <dmoss@granthealth.org> Sent: Monday, October 12, 2020 9:18 AM To: Brittany M. Rang; June Strickler Subject: September 1-15, 2020 Health District Cares Act Billing Attachments: September 1-15, 2020 COVID Billing.pdf; September 1-15, 2020 CAF A-19 Activity Report.xlsx Hi there, Please see attached. Darcy Moss Finance Support Services Facilitator "Always working for a safer and healthier Grant County" Phone: 509-766-7960 ext 23 • dmos agranthealth.or • FAX: 509-766-6519 • gran.thealth.or �4 �W %X xx _ A�biicHeaZth oto.A?N'r COUNTYKALIII DLsSI ICI ........._.......... CONFIDENTIALITY NOTICE: This e-mail message and any attachments are for the sole use of the intended recipient(s) and may contain proprietary, confidential or privileged information. Any unauthorized review, use, disclosure or distribution is prohibited and may be a violation of law. If you are not the intended recipient or a person responsible for delivering this message to an intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. This e-mail may be considered subject to the Public Records Act and as such may be disclosed by Grant County Health District to a third -party requestor. Coronavirus Relief Fund A-19 Activity Report Report Period: I September 1-15, 2020 1 Eligible Expenditures Medical Expenses A. Public hospitals, clinics, and similar facilities Previously Reported Expenditures $ Current Expenditures this $ Invoice Tota Cumulative Expenditures $ I Brief Description of Use of Funds .............................................. ....................................................... ......................... B. Temporary public medical facilities & increased capacity $ $ .......... . " * .... ....................................... .. ... *"*'* ............................... C. COVID-19 testing, including serological testing $ $ ........... I ........................................................................ ....................... .......................... D. Emergency medical response expenses $ $ $ .. ...................................................... E. Telemedicine capabilities $ $ ......................... . . . . ..................... *"** ............ F. Other: 2 --------------------------------------------------------------------------- Sub-Total: Public Health Expenses A. Communication and enforcement of public health measures $ 2,129 $ 2,129 Desk phones and cell phones ........... .. ...................... ................... B. Medical and protective supplies, including sanitation and PPE $ $ - $ - ............. . ..................... ................... * facilities . . ........... *** ..................... * ............... ic ared other lities C. Disinfecting public as an $ $ $ ....... ......................... .. ............. ............................................................................ D. Technical assistance on COVID-19 threat mitigation $ $ *.......... * * . . ................ .............................. E. Public safety measures undertaken $ $ 817 $ 817 Advertising, Mask campaign .............................................................................................................................................. F. Quarantining individuals $ - $ - ............................. *'*'* .......... . G. Other: Office supplies $ $ - Paper, envelopes, pens 3 ................for-i-nvestigations ----------------------------- Sub -Total: Payroll expenses for public employees dedicated to COVID-19 A. Public Safety $ $ - $ 2,946 - $ 2,946 'i .......... .................... *******'***'** ................. ... . ........ * ........................ B. Public Health $ $ 92,052 92,052 Payroll, Benefits, Indirect *** * * ......................................................... ........................... C. Health Care $ $ - $ ..... .. . .................... **'**'* ........... *'**** ............ D. Human Services $ $ $ .................................... ..................................... * ..................... E. Economic Development $ ......................... ' .. . . ....... . . . . ... .... .... . . . . .... . .......... F. Other: Background check, new investigator ----------------------------- !e-tq ........................ $ 22 22 4 Sub -Total: Expenses to facilitate compliance with COVID-19-measures A. Food access and delivery to residents $ 92,074 $ 92,074 * ............................... ' ' . . .. ....... ** . . . .... ... ...... . . .. .... . .... B. Distance learning tied to school closings $ $ - ........ ....... ... ' ***'** ........................................ ... ................................... C. Telework capabilities of public employees $ 7,248 7,248 6 Laptops ................ .. ...... * ............ ........... ** . ............. D. Paid sick and paid family and medical leave to public employees $ - .. ............... . ... .. .. ....... ... ..................... E. COVID-19-related expenses in county jails 'n 'mitigation services for *m"el'e's's'p'o'p*u'l'a*t'i'o"n"s' F. Care adho $$ - $ .......................... ... ... ... ... ............ . .................. .. G. Other:-01taV -------------------------------------------------------- 2 $ 702 $ 702 5 Sub -Total: Economic Supports A. Small Business Grants for business interruptions $ $ $ $ 7,950 - $ 7,950 B. Payroll5*u*p*p*crt P"r'o'grams ............... . .. ... * . ................. $ $ $ ..................... ... .. ................. ... ... ..... ............... C. Other: $ $ 6 Sub -Total: Other COVID-19 Expenses $ . ........ ... A. Other: Postage $ $ B. '6t'h'e"r":" "Fax'Mac*hi'n'e . ................ $ $ 5191 591 Confidential Fax, Testing info and positive results are sent to fax . . ................. *' ' * ' * . .......................- - - - . .. . . ...... C. Other: Attorney Services $ 920 $ ✓ 920 D. Other:.... Accounting Services $ 0 700 $ 700 ......................... ' . . _gs ............................... ............................................ ....................... E. Other: --Temp-ora-ry-Employees____ ____________________ $ 1,381 $ V/ 1,381 Sub -Total: $ 1 3,592 $ 3,592 1 of 2 0% Coronavirus Relief Fund A-19 Activity Report Report Period: I September 1-1S, 2020 l o61 5-C z , $ Lf 2of2 III Company Nal Grant County Health District Report Name General Ledger Report Reporting Bo ACCRUAL Start Date: 9/1/2020 9/15/2020 End Date: 9/15/2020 PPE 9/15/20 Salaries Location: PPE 9/15/20 Salaries 9/15/2020 Program' 9500 --Novel Corona Virus PPE 9/15/20 Salaries Posted Dt. Doc Memo / Description 5004000 - Indirect cost rate (Balance Forward As of 09/01/2020) 9/15/2020 Totals for 5103031 - Office supplies PPE 9/15/20 Indirect Allocation 9/15/2020 Novel Corona Virus PPE 9/15/20 Indirect Allocation 9/15/2020 COVID Emergency Preparedness PPE 9/15/20 Indirect Allocation 9/15/2020 COVID Technology PPE 9/15/20 Indirect Allocation 9/15/2020 COVID Disease Investigation PPE 9/15/20 Indirect Allocation Totals for 5004000 - Indirect cost rate COVID Business 5101010 - Salaries (Balance Forward As of 09/01/2020) 9/15/2020 PPE 9/15/20 Salaries 9/15/2020 PPE 9/15/20 Salaries 9/15/2020 PPE 9/15/20 Salaries 9/15/2020 PPE 9/15/20 Salaries 9/15/2020 PPE 9/15/20 Salaries Totals for 5101010 - Salaries 5101020 - Benefits (Balance Forward As of 09/01/2020) 9/15/2020 PPE 9/15/20 Benefits 9/15/2020 PPE 9/15/20 Benefits 9/15/2020 PPE 9/15/20 Benefits 9/15/2020 PPE 9/15/20 Benefits 9/15/2020 PPE 9/15/20 Benefits Totals for 5101020 - Benefits GI Vendor Name Program Name 3NL Debit Ref. Novel Corona Virus GJ 641.58 COVID Emergency Preparedness GJ 7,224.73 COVID Technology GI 165.92 COVID Disease Investigation GI 20,463.46 COVID Business GI 320.64 Totals for 5103031 - Office supplies 28,816.33 Novel Corona Virus PYRJ 890.23 COVID Emergency Preparedness PYRI 11,473.98 COVID Technology PYRJ 245.83 COVID Disease Investigation PYRJ 32,259.54 COVID Business PYRJ 488.12 Fnrry 45,357.70 Novel Corona Virus PYRJ 516.78 COVID Emergency Preparedness PYRJ 4,381.25 COVID Technology PYRJ 118.16 COVID Disease Investigation PYRJ 12,646.27 COVID Business PYRJ 215.39 9/1/2020 Bills: 2020/09/01 Batch Summary CliRonLarsonAllen LLP 17,877.85 5103031 - Office supplies (Balance Forward As of 09/01/2020) 9/1/2020 Bills: 2020/09/01 Batch Summary Washington Trust Bank COVID Technology APIA 590.58 Fnrry Totals for 5103031 - Office supplies 590.58 �Y 5103038 - Small tools (Balance Forward As of 09/01/2020) 9/1/2020 Bills: 2020/09/01 Batch Summary Washington Trust Bank COVID Technology APIA 7,248.28 Fnrry /b Totals for 5103038 - Small tools 7,248.28 5104041 - Professional services (Balance Forward As of 09/01/2020) 9/1/2020 Bills: 2020/09/01 Batch Summary CliRonLarsonAllen LLP COVID Business APIA 700.00 C ✓ Fnrry 9/1/2020 Bills: 2020/09/01 Batch Summary Total Employment and Managemen COVID Disease Investigation APIA 1,021.64 / CJI�y_ Fnrry 9/1/2020 Bills: 2020/09/01 Batch Summary Total Employment and Managemen COVID Emergency Preparedness APIA 359.58 Y 2 Fnrry 9/1/2020 Bills: 2020/09/01 Batch Summary Kenison, Katherine COVID Business APIA 920.00 Y Fnrry Totals for 5104041 - Professional services 3,001.22 5104046 - Communication (Balance Forward As of 09/01/2020) 9/7/2020 Bills: 2020/09/07 Batch Summary Fnrry Verizon Wireless COVID Technology APIA 2,128.80 g• Totals for 5104046 - Communication 2,128.80 5104145 - Dues & Registrations (Balance Forward As of 09/01/2020) 9/1/2020 Bills: 2020/09/01 Batch Summary Washington Trust Bank COVID Disease Investigation APIA 22.00 h Fntry Totals for 5104145 - Dues • Registrations 22.00 5104241 - Advertising (Balance Forward As of 09/01/2020) 9/10/2020 Bills: 2020/09/10 Batch Summary Grant Co. loumal Fnfnr Totals for 5104241 - Advertising 5104242 - Postage (Balance Forward As of 09/01/2020) 9/1/2020 Bills: 2020/09/01 Batch Summary Pitney Bowes 9/1/2020 Bills: 2020/09/01 Batch Summary Pitney Bowes F— Totals for 5104242 - Postage Grand Total COVID Business APIA 817.43 / 817.43 •�//' COVID Disease Investigation AP3A 231.85 1• COVID Disease Investigation APIA 469.80 -L/ ^Y� 106,561.84 FAN amazon,com Ref: a. Final Details for Order #113-8082813-3656201 Order Placed: August 5, 2020 Amazon.com order number: 113-8082813-3656201 Order Total: $40.26 Shipped on August 5, 2020 Items Ordered 1 Of: USA Advantage Compatible Toner Cartridge Replacement for Brother TN430/TN460/TN530/TN560/TN570/TN6300/ TN7600 (Black, 2 Pack) Sold by: USA Advantage (,-&Le .p gfile) I Product question? (Ask Seller) Business Price Condition: New Shipping Address: Grant County Health District 1038 W IVY AVE MOSES LAKE, WA 98837-2049 United States Shipping Speed: Standard Shipping Payment information Payment Method: Visa I Last digits: 0962 Billing address Grant County Health District 1038 W IVY AVE MOSES LAKE, WA 98837-2049 United States Item(s) Subtotal Shipping & Handling Total before tax: Sales Tax: Total for This Shipment: To view the status of your order, return to Order Summary . Price $37.14 $37.14 $0.00 $37.14 $3.12 $40.26 Item(s) Subtotal: $37.14 Shipping & Handling: $0.00 Total before tax: $37.14 Estimated Tax: $3.12 Conditions of Use I Privacy Notice © 1996-2020, Amazon.com, Inc. Grand Total: amazon.com Ref: a. Details for Order #113-4880836-7899466 Order Placed: August 14, 2020 PO number: Covid Amazon.com order number: 113-4880836-7899465 Order Total: $249.19 Not Yet Shipped Items Ordered Price 1 Of: Acer KB272HL bix 27' Full HD (1920 x 1080) Acer VisionCare VA Monitor with Flicker -less, BlueLight Filter and AMD $149.99 FREESYNC Technology (HDMI & VGA Port),Black Sold by: Amazon.com Services LLC (sellerrn ofile} Business Price Condition: New 5 of: seenda (Upgrade) Wireless Mouse - 2.4G Cordless Mice with USB Nano Receiver Computer Mouse with Noiseless Click for $12.98 Laptop, PC, Tablet, Computer, and Mac - Black Sold by: Seenda Official (seller profile) Condition: New 1 Of. OPOLAR 4 Inch USB Small Desk Fan, Ultra -Quiet Design, with 380 Rotation, 3.8 It Cable, Portable Cooling for Home & $14.99 Offlce,Brown Sold by: OPOLAR (sellerrp ofile) ( Product question? (Ask Seller 1 Business Price Condition: New Shipping Address: Grant County Health District 1038 W IVY AVE MOSES LAKE, WA 98837-2049 United States Shipping Speed: FREE Shipping Payment information Payment Method: Visa I Last digits: 0962 Billing address Grant County Health District 1038 W IVY AVE MOSES LAKE, WA 98837-2049 United States To view the status of your order, return to Order Summary . Item(s) Subtotal: $229.88 Shipping & Handling: $14.03 Promotion applied: -$14.03 Conditions of Use I Privacy Notice ©1996-2020, Amazon.com, Inc. Total before tax: $229.88 Estimated Tax: $19.31 Grand Total. $249.19 amazon.com s Details for Order #113-0798258.1934661 Order Placed: August 14, 2020 PO number: Covid Amazon.com order number: 113-0798258-1934661 Order Total: $266.98 Not Yet Shipped Items Ordered Price 1 Of: Asus VA27EHE Eye Care Monitor Full tiD,8lack,27"Frameless $149.99 Sold by: Amazon.com Services LLC Condition. New 5 of: Targus Classic Slim Briefcase with Crossbody Shoulder Bag Design for the Business Professional Travel Commuter and $20.00 Laptop Protection fits up to 16 -Inch Laptops, Black (TCT027US) Sold by: Amazon.com Services LLC Condition: New Shipping Address: Grant County Health District 1038 W IVY AVE MOSES LAKE, WA 98837-2049 United States Shipping Speed: FREE Shipping Payment information Payment Method: Visa I Last digits: 0962 Billing address Grant County Health District 1038 W IVY AVE MOSES LAKE, WA 98837-2049 United States To view the status of your order, return to Order Summary. . Item(s) Subtotal: $249.99 Shipping & Handling: $15.70 Promotion applied: -$19.40 Conditions of Use I Privacy Notice © 1996-2020, Amazon.com, Inc. Total before tax: $246.29 Estimated Tax: $20.69 Grand Total: $266.98 GRANT COUNTY HEALTH DISTRICT GCHD Date Z-3- 6 -Item(s)to be purchased -146)1 Ref a. PURCHASE REQUISITION 1038 West Ivy, Suite 1 Moses Lake, WA 98837 Cost $ )00— ProgramIy�� Requested by Date `2 Supervisor Approval 2---- Date This form is to be used for purchases other than routine office supplies. Please allow ample time for Supervisor approval. f/users/panderson/wpdocs/forms/Purchase Requisition PablicKealth ' P,IarddtFpCVmotn.•Ptotpcfl , , Ref a./b. amazon.com Details for Order #113-4708447-9591436 Order Placed: August 5, 2020 Amazon.com order number: 113-4708447-9591436 Order Total: $591.67 Not Yet Shipped Items Ordered Price 1 of: Pentel R. S. V.P. Ballpoint Stick Pens (BK90ASW2)(Pack Of 24) $10.89 Sold by: Amazon.com Services LLC Condition: New 2 of: Pentel R.S.V P. Ball Point Pen, Medium Line, Blue Ink, 12 Pack (SK91PC12C) $7.98 Sold by: Amazon.com Services LLC Condition: New 4 of: PendaNex Hanging File Folders, Letter Size, Standard Green, 115 -Cut Adjustable Tabs, 25 Per Box (81602) $8.69 Sold by: Amazon.com Services LLC (seller _profile) Business Price Condition: New 1 of: Brother PPF4750E InteliiFax 4750& High -Performance Business -Class Laser Fax $449.99 Sold by: Amazon.com Services LLC jse er profile) Business Price Condition: New Shipping Address: Grant County Health District 1038 W IVY AVE MOSES LAKE, WA 98837-2049 United States Shipping Speed: Two -Day Shipping Payment information Payment Method: Visa I Last digits: 0962 Billing address Grant County Health District 1038 W IVY AVE MOSES LAKE, WA 98837-2049 United States To view the status of your order, return to Order Summary . Item(s) Subtotal: $511.60 Shipping & Handling: $34.21 Total before tax: $545.81 Estimated Tax: $45.86 Conditions of Use I Privacy Notice © 1996-2020, Amazon.com, Inc. Grand Total: G Ask�GCHD 1038 West Ivy, Suite 1 Moses Lake, WA 98837 GRANT COUNTY HEALTH DISTRICT @+:xTt`.:.�'•J-•.•,.W:u'.'M.-:S1.,.STS.xl"d.'�Z`ZV1kT.(Y.'IY!✓1"tlro'3iN1t:i:i`•��SL'.SYN.AL�IJf®9L- X:avaYl52h'?114..:,a::JY:I�.JfSW+#YVa<��itiY.dtr[l�'.�'.'.'tiN�1�1eZet.�iJ��'i.E'.TS:14C_J.:'ID•!CrRiAJD2�..Ti�!s:STflw"i'w`a.:,Str[isSNiti::.4YZ'+.r.�]Y^_h:T.-i�r� PURCHASE REQUISITION Ref: a./b. Date _ Items} to be purchased Cost $_ `��9 f Program 0" V l Requested by Supervisor Ap Date 0 �l proval Date This form is to be used for purchases other than routine office supplies: Please allow ample time for Supervisor approval. f/users/panderson/wpdocs/forms/Purchase Requisition Newegg.com - Newegg shopping upgraded I'M ORDER DETAILS SHIP TO Vicky) Rutherford Grant County Health District 1038 W Ivy Ave Moses Lake,WA 98837-2049 United States 509.766.7960EXT27 )ER SUMMARY Page I of I new®N� BILI TO Grant Co Health District I Grant County Health District 1038 W Ivy Ave Moses Lake,WA 98837-2049 Visa:***** *******0962 Order Date: 8/5/2020 at 11:17AM https:Hsecure.newegg.com/NewMyAccount/Cai-tDetail.aspx?Cai-tlD=gRSvfBkSU5gQFBH... 8/5/2020 Order # 472015772 Sold and Shipped by Newegg Product Description Qty Price Shipping from CA, USA HP Prollook 450 G7 75.6" full HD Laptop 17-10S10U 8G8 256G8 SSD W10 Pro 5 $4,449.95 ($88999 ea.) Item 4: 2WG0001-41 IN2 Standard Return Policy Grand Subtotal ! $4,449.95 Total Tax $374.88 Rush Processing $2.99 Total Shipping $9.95 Grand Total $4,837.77 https:Hsecure.newegg.com/NewMyAccount/Cai-tDetail.aspx?Cai-tlD=gRSvfBkSU5gQFBH... 8/5/2020 GCHD 1038 West Ivy, Suite 1 Moses Lake, WA 98837 GRANT COUNTY HEALTH DISTRICT C'v'1f �'�abC4Y!'. :tiS:d^.1`�SG:.�x.�- LZiYuL'�^t�S�i�i:vVrvaGWis�+Y10i3a:A:)urlYJ.^.Y-^.ZSNv- 4YtlF.l�'�ZS[YGr'6.�i"..i49.T'YeK�+�iT�L*_'4'�eiltii!.�..4Y^sJL-n�"G51'?�i:1:YlE1SA%�W«.raCe�'sJ'+'&+•r"�6f:=.'.X�WatFS:�3..:���.filiS�TltiY.tiVSL'�.M¢�:•nc'.II�3�L Date U � -o Item(s) to be purchased Cost Program $ Z 7i PURCHASE REQUISITION Ref: b. Requested by Date 0� Supervisor ApprovalDate This form is to be used for purchases other than routine office supplies. Please allow ample time for Supervisor approval. f/users/panderson/wpdocs/farms/Purchase Requisition Vicky Rutherford From: Lenovo US < lenovo.orders@lenovo.com > Sent: Monday, August 10, 2020 4:23 PM To: Vicky Rutherford Subject: Thanks for your order 4295950632 WEV GOT IT Vicky, your order below is processing and you will be notified via email when it has been shipped. To view the most up-to-date information regarding your order, click the "Order Status" link below. It may take a few hours for this information to become available online. !-h Order number: Date and Time: 4295950632 Mon 10 Aug 2020 19:23 AST Item: ThinkPad T15 (Intel) Status: Qty: Price: Received* 1 $1,709.40 Part No: 20S6000VUS 1 '5 Configuration Details • Processor: 10th Generation Intel® Core TM i7 -10610U Processor with vProT"' (1.80 GHz, up to 4.90 GHz with Turbo Boost, 4 Cores, 8 Threads, 8 MB Cache) • Operating System: Windows 10 Pro 64 • Display Type: 15.6" FHD (1920 x 1080) WVA, anti -glare, touchscreen, 300 nits • Memory: 16 GB DDR4 2667MHz (Soldered) • Hard Drive: 512 GB PCIe SSD • Warranty: 1 Year Depot or Cary -in • Graphics: Integrated Intel@ UHD Graphics • Camera: 720p HD • Fingerprint Reader: Fingerprint Reader • Keyboard: Backlit - US English • Wireless: Intel® Wi-Fi 6T1' AX201 802.11AX (2 x 2) & Bluetooth® 5.0 with vProT"° Sub total: $1,709.40 Tax : $143.59 CouponSaved: $1,139.60 Shipping Fees: FREE Total: $1,852.99 Payment Method: Card Payment Billing Address 1038 W Ivy Ave Moses Lake Washington 98837- 2049 United States (PH:5097667960) Shipping Address: 1038 W Ivy Ave Moses Lake Washington 98837- 2049 United States Please note, this is an authorization hold only, not an actual charge. Your card will be charged at the time your order ships. To submit a cancellation request for one or more items in your order, 2 N G C H D L) 1038 West Ivy, Suite 1 Moses Lake, WA 98837 GRANT COUNTY HEALTH DISTRICT p�•4'f._—�_-^J,kali.':?S':v�".4"t�'Ss�.54?N'tu.J.bir.%.'�:'?>PsnE, rrna:Aiagx.aAY� VCri+S'i.Ts3. ".tYmbtL :Yd3ti C.Y%sfiCt.z.2'�`�. w. ,zni:'r4YwX..r w.. ..0...:�.'.Li� Y.likA4YASdtC BR:IC.'^.i�.'Y$Q�filZa'S4,d.�9#!.ti:.swiul9Yd�:ptGn Yv1 EA:dr.'AAv�'6';�324?«n.JN"d: w:Y.rnN ,. t .,Y'.Y.. Z,SES�T4ti:..:::h3Y�, Date � f _ Item(s) to be purchased Cost Program PURCHASE REQUISITION Requested by Supervisor Ap Date r Date ' j ;,� This form is to be used for purchases other than routine office supplies. Please allow ample time for Supervisor approval. f/users/panderson/wpdocs/forms/Purchase Requisition Ref: c. Direct Billing Inquiries to: CliftonLarsonAllen CliftonLarsonAllen LLP (509) 823-2910 Account Name Grant County Health District Invoice Total $7,129.84 Account Number 087-401628 Invoice Number 2599188 Authorization Number 0001272347 Invoice Date 8/28/2020 To pay your bill electronically please visit claconnect.com/billoav July Accounting Services $2,786.75 June 2020 Financial Statements 750.00 Annual 2019 Financial Statements - Final Bill 1,000.00 Monthly Service Fees 203.25 Additional COVID Expenses 700.00 ConCon billing 193.00 CHI 18.00 Solid Waste billing 158.00 ELK COVID Cares Act 35.00 MAC billings and trainings. 956.00 Technology and Client Support Fee $329.84 Invoice Total $7,129.84 Payment is due upon receipt. Please detach and remit payment to the address below. We Appreciate Your Business and Referrals 091244308740162800007129840000025991881 Grant County Health District 1038 W. Ivy, Suite 1 Moses Lake, WA 98837 Remit to: Clifton LarsonAllen LLP PO Box 31001-2443 Pasadena, CA 91110-2443 Amount Remitted $ Account Number 087-401628 Invoice Number 2599188 TIRAM Total Employment And Management 723 W Broadway Ave Moses Lake, WA 98837 (509) 765-3214 FAX (509) 765-3351 Rita Mbrfin . Grant County Health Dist. 1038 W. Ivy Ave. Suite 1 Moses Lake, WA 98837 UO3 11.00 REGULAR 8/22/2020 Rocha, 11 Ref: d./e. TERMS: Net 10 Days rhe monies represented by this billing are subject to a security nterest by the remittance address. Remittances may not be sent to my other address except the one appearing on this invoice. fricom :)O BOX 13188 Alwaukee, WI 53213-0188 \ny credit card fees will be applied to your card. /isa 2.5%, Mastercard 2.75%, Amex 3.15%, Discover 2.5% Customer #: 4933 PAGE: 1 INVOICE NUMBER: 85404 INVOICE DATE: 8/22/2020 Our Job Number: 8869 251.13 Non Taxable Total: $251.13 Sales Tax Total $251.13 Ref d./e. FAXI Total Employment AM And Management 723 W Broadway Ave Moses Lake, WA 98837 (509) 765-3214 FAX (509) 765-3351 Rita Morfin Grant County Health Dist. 1038 W. Ivy Ave. Suite 1 Moses Lake, WA 98837 F90 31.50 REGULAR 8/29/2020 Ramos, Erika 40.00 REGULAR 8/29/2020 Rocha, Jennica 71,5 Ref d./e. INVOICE TERMS: Net 10 Days Fhe monies represented by this billing are subject to a security nterest by the remittance address. Remittances may not be sent to my other address except the one appearing on this invoice. rricom 'O BOX 13188 Oilwaukee, WI 53213-0188 kny credit card fees will be applied to your card. /isa 2.5%, Mastercard 2.75%, Amex 3.15%, Discover 2.5% Customer #: 4933 PAGE: 1 INVOICE NUMBER: 85564 INVOICE DATE: 8/29/2020 Our Job Number: 8869 22.8300 22.83 719.15 22.8300 22.83 913.20 Non Taxable Total: $1,632.35 Sales Tax Total $1,632.35 J, RAM 'Total EmPl_ oymt `nt AN Management . . 723 W. BmadwaY - Moses Lake,WA 99837 : Tel (509) 765-3214 • Fax (5091765-3351 14888c907-TE4M (9326) pbw pose had. ' =CUENT DATA- l� NA ring �� ,� � fh'i� i . (:{'• l i -� ` I kj � ' i , . � S i:� REPORT ADDRESS . .. , .... ' .. EMPLOYEE DATA= ` .' .': .•' .. .. ...... . NAME P SOC. SEC a. t ' CBaT1FY TfhIO1iS SF IOWN ON THIS TARE RECORD AAE CORRECT AND I PERFORMED THE SERVICE. I understand that I am to contact the Total Employment and Manageltleid office after completing this assignment to discuss another assignment, and if I do not do so, . TEAM may assume that I am notillan avalableto work. , EMPLOYEES' .':.[r SIGNATURE i'� G DATE pE{1LAFi OVERTIME bPJLY ') HOURS; HOt7RS� TOTv i�DUp:3`; SUNDAY MONDAYf i a TUESDAY -r ^' WEDNESDAY c. ..THURSDAY." ' is FRIDAYr' SATURDAY - TOTALS ' - FOR OFFICE USE ONLY - i fi .. TO EMPLOYER: ...OVERTIME POLICY FOR NON-AGRICULTURAL EMPLOYEES Empkryees wi be paid . . tliie and onefitalf f6r any t'xrre waked Wer 40 hairs per week. 1 Client agrees that it will riot employ the 6M)oyee named above within slx morith8 Trom date on t(me sheet except through TEAM. If client desires to hire this person on a Perm baeie; k is agreed that TEAM wM tie notified and the person named abode wBl ran, — i on TEAM'a payroll for a period of 12 weeks from the date of h6ti&rsttom - TIRAM .. '.. TolelEmploYment And Menogem�nt.�'•.'`- . 723 w Broadway 4 Moses Lake" WA 9883T.: : Tel (509) 785-3214 • Fax (509) 765-3351 .1 -888-907-TEAM (8326) .. Rectos pt6s herd. . .. CUENT'S .. : .. ..... .. NAME (Print) REPORTTO . ADDRESS ..:....._. 'CITY/STATFJZIP" •'.:..: ;.• , ... , . : . DA-TA ZS 7:'11" t 1c M 1 CERTIFY TME HDURS SHOWN ON THr. TlM RECORD ARE CORRECT AND I PERFORMED THE SERVICE- I understand 65t I am to contact the Total Employment and Management office after completingihs a4pnment to discuss "therassignment, and if t do not do so, ' TEAM may that I not thorn o work: EMPLOYEE'S SIGNkTUIAE HOUM REr,�i.AR �OVE�'I1IvE �iAfLY L1A7S 1 EIOl"1R8 r. w6uhs TOTAL HOURS SUNDAY'::'.".. ' ..... ". MONDAY ?i f.� ' i.'.1s TUESDAY rPD: . r ({y�FFj e • v. WEDNESDAY �'��: w. 1.`:� � � A'�"• =t,�,: '. THURSDAY FRIDAY W-1 SATURDAY. ,.. TOTALS' it 1aDFt,l#pUSE' ' E` nd'= xis : TO EMPLOYER . OVERTIME POUCY FOR NON AGAICl1lTl1RPL EMPLOYEES Employees w• be paid time and one-half for any fte worked over 40 hoxs per week !' Client agrees that it will not empty the employee named above vuitltIn Sfx months from date on time sheet except tlrough TEAM. i<client desires to hire this person on a permanent basis, a is agreed that TEAM w8 be notified and the person named at»ve will remain on TEAM's payroll fora period of 12 weeks: from the date of notification The wft. cfierit will!have the rrc t to Wire the errpknyee without limitation. We certify that Una hours ale cotraot acrd rife work perfomled was > KENisoNFRANz ATTORNEYS AT LAW KATHERINE L. KENISON, PS ANNA C. FRANZ, PS Ref: f. Grant County Health District 1038 W Ivy Moses Lake, WA 98837 September 1, 2020 DATE DESCRIPTION OF CHARGES 08/12/20 Review agenda, Board Meeting 08/13/20 Email/texts 08/14/20 Review/send email correspondence staff, review video 08/17/20 Review/send email correspondence staff, review video 08/20/20 PC staff x2; draft correspondence, review correspondence; Review proclamations; review/send email correspondence staff 08/21/20 Review/send email correspondence staff x4; review/edit correspondence 08/26/20 Review/send email correspondence staff 08/28/20 PC Attorney; review/send email correspondence staff x2 08/32/20 Review/send email correspondence staff x3; review/edit contracts Review/send email correspondence Board Chair TOTAL Previous Balance Received On Account Current Fees Costs Total HOURS 3.0 1.0 0.3 i 0.5 11 1_5 - 41 jC.: iz+ =1 2,380.00 (2,380.00) 1,980.00 .00 $ 1,980.00 This statement may not include services or expense items for which we have not yet been billed or have not yet been posted to your account. Our statements are immediately due and payable on receipt. Finance charges of 1% per month (annual percentage rate of 12%) will be charged to your account if not paid within thirty days of the billing date unless other arrangements have previously been made. Verizon Bill Vendor #: VERIZW Bill [vele 09/08-09/07/2020 Description Name Amount STI's 11 418 34 39 33 447 440 54 56P Blue Green 56T Aglae 9502 CVT Variance 509-237-0710 Cyndl Cantu $ 52.89 $ 52.89 0.00 509-237-2159 Claire $ 52.89 13.22 $ 39.67 0.00 SD9-237-2165 Mary $ 52.89 13.22 $ 39.67 0.D0 509-237-2436 Maria Mifi $ 40.01 $ 40.01 0.D0 5D9-350-3814 lJulia Austin $ 52.891 1 1$ 52.89 0.D0 5D9-350-3897 Food Program Mifl $ 40.01 $ 40.01 0.00 509398-2083 24hrphone $ 31A4 $ 31.44 0.D0 509398-7628 Amber Cell $ S2.89 5.29 5.29 $ 42.31 0.00 509398-7629 Daniel Cell $ 52.89 52.89 $0.00 509 398-7662 Darcy Cell $ 52.89 26AS $ 26.45 0.00 509398-7712 Vicky Cell $ 52.89 $ 52.89 0.00 509398-7761 Stephanie MIN $ 40.01 $ 40.01 0.00 509431-2092 Food Program Mifi $ 40.01 $ 40.01 0.00 509750.0481 Gabby Cell $ S2.89 $ 52.89 0.00 509-750.0996 lain Mitchell $ 52.89 $ 52.89 0.00 509750.4863 Ben Glosenger $ 52.89 13.22 $ 39.67 0.00 509750-6549 Tom $ 52.89 S2.89 $ 0.00 509-760-5013 Vicky M/Fi $ 40.01 10.00 10.00 $ 20.01 0.00 509760-9580 Maria $ 52.89 $ 52.89 0.00 Grant Co Health 509-7667960 District $ 25.29 25.29 $ D,DD 509793-3360 Kelsey $ 53.561 13.39 $ 40.17 0.00 509 793-3520 Theresa, VBG - 2 $ 52.89 $ 52.89 0.00 509793-4406 Stephanie 5 52.89 $ 52.89 0.00 509793-5537 Rita $ 52.89 $ 52.89 0.00 509855-2782 Theresa (MIFI) $ 40.01 20.01 $ 20.01 0.00 5099060047 Amie $ 52.89 7.93 $ 44.96 0.00 5099060087 Ashly $ 52.89 26.45 $ 26.45 0.00 509-9060091 0 '' $ 52.89 10.58 $ 42.31 0.00 509-9060179 GCHD $ 25.29 1 1$ 25.29 0.00 5099060189 VR New $ 40.03 $ 40.03 0.00 5099060211 GCHD $ 25.29 $ 25.29 0.00 5099060212 GCHD $ 25.29 $ 25.29 0.00 5099060321 GCHD $ $ 0.00 509-9060357 GCHD $ 25.29 $ 25.29 0.00 5099060400 VR New $ 40.01 $ 40.01 0.00 5099060673 Reina $ 52.89 39.67 $ 13.22 0.00 509-9066010 IReece $ 30.48 $ 30.48 0.00 509-9066028 New Desk Phone $ 52.89 $ 52.89 0.00 5099066029 Epik Connection $ 27.32 $ 27.32 0.D0 5099066038 Stephanie $ 58.69 14.67 $ 44.02 0.00 5099066039 New Desk Phone $ 52.89 $ 52.89 0.00 5099066044 Ashly $i 30AS $ 30.48 0.00 5099066056 Daniel $ 30AS 30.48 $ 0.00 5099066072 Gabriela $ 30AS 4.57 $ 25.91 0.00 5099066073 laina Mitchell $ 30A8 $ 30AS 0.00 5099066074 Madeline Sanchez $ 37.33 $ 37.33 0.00 5099066075 New Desk Phone $ 30A8 $ 30.48 0.00 5099066076 Reina $ 30A8 $ 30.48 0.00 509-9066117 New Desk Phone $ 52.89 $ 52.89 0.00 5099066254 New Desk Phone $ 52.89 $ 52.89 0.00 509-9066350 Cynthia Razo $ 37.33 $ 37.33 0.00 5099066038 Amie Pruneda $ 30.48 4.57 4.57 $ 21.34 0.00 509-9066581 Amber McCoy $ 30.48 6.10 $ 24.38 0.00 5099066586 Clinic Room $ 30.48 15.24 15.24 $ 0.00 5099066597 Julia Austin $ 30.48 j 7.62 $ 22.86 0.00 5099066598 Tom Wytko $ 30AB 15.24 15.24 $ = 0.00 509-9066620 Rita Morfin $ 30AS $ 30.48 0.00 5099066643 Ben Glosenger $ 30AS 7.62 $ 22.86 0.00 Cassandra 5099066658 Thompson $ 37.33 $ 37.33 0.00 5099066676 Dr. Brzezny $ 37.33 $ 37.33 0.00 5099066677 Theresa Adkinson $ 30AS 15.24 $ 15.24 0.00 5099066678 Darcy Moss $ 30AS 15.24 $ 15.24 0.00 5099066679 Kelsey Jacobs $ 30AS 4.57 1 4.57 $ 21.34 1 0.00 5099066680 Maria Vargas $ 30A8 $ 30.48 0.00 5099066681 Mary Front Desk $ 30AS 30A8 0.00 5099066682 Claire $ 30A8 30A8 0.00 5099066683 Conference Room $ 30AS $ 30AS 0.00 5099895795 Dr. Brzezny Miti $ 40.01 $ 40.01 0.00 1$ 2,716.33IS 229.541$10.001 $ 15.241 $ 15.241 $7.62 1 $ 20.841 $4.571 $ 217.611 544.50$ 17.79$ 4.57$ 2,12111.80 0.00 Communications - 404E Ref: g. 32.02 Ref: h. �' NI, 0 Rita Morfm From: WATCH-boNotReply@wsp.wa.gov Sent: Monday, August 17, 2020 1:42 PM To: Rita Morfin Subject: WATCH Credit Card Transaction Successful You authorized Washington Access To Criminal History (WATCH) to charge your credit card for $11.00. Your transaction was successful. Your order number is 1421407 If you did not authorize WATCH to make a credit card transaction or if you have any questions, please contact us at (360) 534-2000 Option 2 or e-mail watch.help@wsp.wa.eov. Thank you for using Washington Access To Criminal History. '� �Affiy Ref: h.qAl � 17 Rita Morfin From: WATCH-DoNotReply@wsp.wa.gov Sent: Thursday, August 20, 2020 10:11 AM To: Rita Morfin Subject: WATCH Credit Card Transaction Successful You authorized Washington Access To Criminal History (WATCH) to charge your credit card f r $11.00. Your transaction was successful. Your order nu Lis1422432 If you did not authorize WATCH to make a credit ransaction or if you have any questions, please contact us at (360) 534-2000 Option 2 or e-mail watch.help@wsp.wa.gov. wsp.wa.gov. Thank you for using Washington Access To Criminal History. � mcV_VVA. _ � P �1 w`�P M GRANT COUNTY JOURNAL J091020-09 P.O. BOX 998 29 ALDER S.W. INVOICE DATE: (509) 754.4636 — FAX (509) 754.0996 9/10/20 EPHRATA, WA 98823.0998 �..�✓ �� _ � 1 t SOLDTO, EPHRATA CHAMBER OF COMMERCE P.O. BOX 275 - EPHRATA, WA 98823 Ref L EPHCOC129 STAY SAFE Net 30 Rays OR 24 OOJR JOURNAL DISPLAY ADVERTISING 8.65 207.60 a t Subtota 207.60 Sales Ta / eros ra $207.60 ✓ We will add finance charges on invoices more than 30 days overdue. L--- GRANT / GRANT COUNTY JOURNAL P.O. BOX 998 29 ALDER S.W. (509) 754-4636 FAX (509) 754-0996 EPHRATA, WA 98823.0998 SOLD TO: EPHRATA CHAMBER OF COMMERCE P.O. BOX 275 EPHRATA, WA 98823 cM (.. r J090320-12 N V INVOICE DATE: 9/3720 G tAL- Ref. 1. 207.60 Subtota 207:60 Sales Ta 4 9106 $207.60 We will add finance charges on Invoices more than 30 days overdue. ._._. _.. .. _...__ GRANT COUNTY JOURNAL P.O. BOX 996 29 ALDER S.W. (509) 754-4636 — FAX (509) 754-0996 EPHRATA, WA 98823-0996 SOLDTO: EPHRATA CHAMBER OF COMMERCE P.O.BOX 275 EPHRATA, WA 98823 Edi , � C7ftC1=iAS� ORDt F PN R()r..'I 9A JOURNAL DISPLAY ADVERTISING J083120-10 INVOICE DATE: 8131%20 ef: L We will add finance charges on invoices more than 30 days overdue. 207.60 207.60 $207.6C ✓ pitneybowes Ref: Account Summary Report Date Range: Jun 30 2020 to Jul 29 2020 Meter Group: Custom Meter 7H00-1282782 at GRANT COUNTY HEALTH DIST,MOSES LAKE,WA,USA Account Summary Ref: k. Pe)Oj-C-' pitneybowes4} Account Summary Report Date Range: Jul 30 2020 to Aug 29 2020 Meter Group: Custom Meter 7H00-1282782 at GRANT COUNTY HEALTH DIST,MOSES LAKE,WA,USA Account Summary ASCD 1 - 1 $0.500 Sub Total 1 1 $0.500 ADMIN ( 1 $0.500 i Sub Total , 1 ; $0.500 Total', 1 $0.500: Communicable Disease I - 5 $4 400 Sub Total ' 5, .,. $4.400 Total.; 5 . $4.400, Covid Disease Investigation I - j - 8041 $469.800 Sub Total 804 $469.800 Total 804 $469.800,1 Epidemiology - 2 $1.000 1 Sub Total , 21 $1.000 1 Total. 2 $1.0010 Food 91 $4.500 Sub Total 9 $4.500 Total 9 $4.5001 PHEPR - I - 60 i $33.000 Sub Total 60 , $33.000 i -, Tptai ` ,.,40' $33.000` _ Septic- ... ,._. .-.__._.. ,-.:..Sub 69 _ ....,.._.. $43.550 .. Total 6_. 9 $43.550 j ..: Total 69 $43.550 Vital Records - 144 i $75.650 Sub Total 144. $75.650 "ry Total;; .444 $75.650 Water - 6 $3.000 Sub Total 61 $3.00Q ' Total 1, 6 $3.000 ' OMLI Grand Total 1,101 t $635.900