HomeMy WebLinkAboutGrant Related - BOCC (003)A
AN
GRANT COUNTY
BOARD OF COUNTY COMMISSIONERS
To: Board of County Commissioners
Janice Flynn, Administrative Services Coordinator
Dabn June 8, 2023
Re: Authorization for Release of BOCC Approved Funds, Dept of Commerce,
CHG Grant #22-46108-10, Hotel Leasing Amendment, Reimbursement #22,,
Renew, Request #8
Renew has requested reimbursement for the above -referenced grant, per the contracted
guidelines in the amount of $1,067.41 for March 2023 expenses. The invoice and
supporting documentation are- attached for review.
I am requesting the release of funds for payment to Renew in the amount of $1,067.41.
Thank you.
APRpOED
JUN 1 1 2023
ffEj��IVE
GRANT COUN-ty COMMISSIOTNERS
Grantee Name: Grant County Lead Grantee List Sub Grantee 'Names Below Tota[
Report Month/Year: 03/23 Grant County
Renew
Admin ;
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Invoice Total
$1,067.41
00*
rNmn
1 NA01 New
Grant Behavioral Health 6 Wellness
Project # RGCHB1277
Hotel Leasing Grant
CONTRACT # 22-46108-10
Date: Account
Staff
Mar -23 108.150.00.0000.564.00.1100
154.88
108.150.00.0000.564.00.2100
16.09
108.150-00-0000.564.00.2200
11.62
108.150.00.0000.564.00.2300
19.64
108.150.00.0000.564.00.2301
0.34
108.150-00-0000.564.00.2400
0.21
108.150.00.0000.564.00.2599
-
Salary & Benefits
202.78
108.150.00.0000.564.00.4502
454.36
108.150.00 .0000.564.00.4502
331.20
Total Operating Exp
785.56
Total SALARY/BENEFITS-0
98834
ADMIN 8%
79.07-o
sent
61812023 0:00
i
Grant Beh°�`-a' Health & wellness
HOTEL LEASING G
Mar-23
RAR Acct.
HMJS.
TOTALEXPENSES
GP LEDGER Departing
108.150.00.0000.564.00.1100
SALARY- Employees did not enter their time o
$
154.88
108.150.00.0000.564.00.2100
Retirement
$
16.09
108.150.00.0000.564.00.2200
SSI
$
11.62
108.150.00.0000.564.00.2300
Medical
$
19.64
108.150.00.0000.564.00.2301
FM LA
$
0.34
108.150.00.0000.564.00.2400
L&I
$
0.21
202.78
$
108.150.00.0000.564.00.4502
12533074 237D732B2
$
454.36
108.150.00.0000.564.00.4502
12533955 15952E45A
$
331.20
785.56
$
ti..
T1'ALt,BILLINGFOR HOTELYLEASING , h 988:34
F
DONE
Admin 8%
$
79.07 a
Total Billed
$
1,067.41
000
*renew
Gmnt; afthcIVIOMI H4*Qjt�hs W4511ness
Mar -2.3
BAR AcctHMIS
TOTAL EXPENSES GP LEDGER
108-150WOO-0000-564.00. 1100
108,150.00-0000.564.00.2100
108.150.00.0000.564.00*2200
108.150-00-0000-564.00.2300
108.150.00.0000.5 64.00.23 01
108-150.00.0000.564.00.2400
108-150,00.0000.564.00.4502
108.150.00.0000.564.00.4502
SALARY- Employees did not enter their time 0 $ 154.88
Retirement $ 16.09
SSI
"arlie-nl e.
-L-'7..Uc+
FML, $ 0.34
L $ 0.21
$ 202.�8
,k gym,
12533074 237D73282 '454.36
12533955 15552E45A $ 331.20
$ 785.56
DONE
Admin
Admin 8% 79.07
T, 6-tal,9111+.-d' $ 1 '0 67 Al
....... . ..
Departing
BEHAVIORAL
JOURNAL
3/3112023
sal es- Benefits GO - Hotel D ain
:DEBIT
CRIEDIT
108,150.00.0000.564.44.1100
$154.88
108.150-00.0000.564.44.1201
$0,00
108.150-00-0000.564.44.1202
$0,00
'W 0 .0 71 05 it .2'.'100: ...
$16.09
10,8''1 50'a a
'00001*564
1/'!Mr M
`
108.150-00-0000.564.44.2400
� w
108.15 .00.0000. 64. .25
*,00
$0,00 .
bo
$154.88
1. 0 • 1 Lf R 0 '#1' r W Ari s R' f" w 1 A.1' /
$0.00
1 08r 1 50.00.0000.504.44. 202
$0.00
$16.09
"
$11.62
"6 0
$19.64
°0'2,�0
\
$0.34
$0.21
$0,00
$202,79,
$'w \�
$0.00
RG 3/31/2023
Posted By Posting r Mont
Entered
Posted
/ 215 330�
Let Inn On 3rd Ave know how your
experience was
is zn ol Sz
4(5
1 Bed Queen Nightly Weekend x 3 $224.97
Purchase Subtotal $224.97
Sales Tax (10.4%) $23.40
Total $248.37
Inn On 3rd Ave
509-765-1170
I].
Visa 4030 (Keyed) Mar 31
VISA 2023
at 5:412
P
#dyWe
Auth
Code:
031605
Return Policy: No refunds
By signing this you acknowledge you are financially
responsible for all damage to your room
W I F I : rod spa rrow447
Policies:
-Check out is at 1 lam
-NO VISITORS after 10 pm. you will be charged for
2
AM% Washirtgton State
,,)eoartment of
Cmiutierce
J u ly 2022
Consolidated Homeless Grant
Third Party Verbal Verification Form
Complete this form to document housing status or income, when applicable.
Homelessness — In the narrative include details of the phone call to the temporary housing provider verifying
applicant's temporary housing or system of care representative verifying applicant is exiting and was previously
homeless..
❑ At Risk of Homelessness — In"the narrative include details of the phone call to the relevantparty, Refer to Verification
of Household Eligibility and Income Recertification Form for specific information to include and who to contact.
Ej Chronic Homelessness — In the narrative include details of where they were living and specific months,
Earned Income — In the narrative include name of employer, pay amount and frequency, average hours worked per
week, amount of any additional compensation.
Other Income — In the narrative include name of income source, income amount, and frequency of 'income.
lent' - aM
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.Case:manager:,,Sig 'tute"i,
I�SSi'src+1ALe ("I'M 1()ousr`^U
provrctlel (As
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1-lAfl III -1A
Traci,, Hunt
From: Agapito P. Gonzales
Sent: Monday, April 3r 2023 4:02 PM
To: Traci Hunt
Subject: FW: Receipt from Inn On 3rd Ave
-n -
can't print these off maybe you'll have better luck
OIL)
.Sent from Mail for Windows
All
From: Inn On 3rd Ave via Square
Sent: Monday, April 3, 2023 120*01 PM
To: Agapito P. Gonzales
Subject: Receipt from Inn On 3rd Ave
Square alltomatically sends receipts to the email
address you used a -t any Square seller. Learn rnore
V
INN',
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g
an.,
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v.
4 VA" - �2
31
Inn On 3rd Ave
lrzoa:
-J
Let Inn On 3rd Ave know how your
experience was
4i205099
I
- - ------ - - - --------
From: Inn On 3rd Ave aria Square <receir)ts@messaging,squareup.com>
,Sent: Wednesday, March 29, 2023 325 IDIS.
To Jared S. DeTrolio
Subject: Receipt from Inn On 3rd Ave
HNI&ff /ro952U'--'1z"5�
**EXTERNAL EMAIL**
MI.
00
receipts will be delivelred automcatieafl I y
Not our receiDt?
7
2
?
---------- --
n n tM-3T&-A v e
Let Inn On 3rd Ave know how your
experience was
Purchase Subtotal
Sales Tax (10.4°l0)
Inn On 3rd Ave
1
$300.00
3-1-20
Q$!3 !31
1
1012;0 Wa$hing
, ton Stale
M CollullereeDepa�mnt �
teof
IF400vb
October 2022
Consolidated Horneless Grant
Seif-Declanation Form
Complete this form to docurnent housing status or income, when applicable,
EHomelessness — in the narrative include information about household'sprimary nighttlime residence (where they sleep the
majority of the time) and if exiting a system of care narrative must also include information on homelessnessprior to
system of care entry.
If fleeing violence, indicate in the narrative "fleeing violence."' No additional information is required.
EJ At Risk of Homelessness — Refer to Ver1ficgtion of Household Eligibility and Income Recertification Form for information
that needs to be included in narrative based on housing situation.
Ch ron1c " 14ornelessn ess --- Client rn ust attest to chronic homelessness. *1h addition, the case mono
ger must provide written
documentatlon of the living situat/on and duration1frequency, and the steps taken to obtain the standard evidence
allowable for chronk homelessness, This additional documen tation must be in the client file.
Income — In the narrative include details on source of Income, income amount, and freque'ncy of incorne, In addition, case
manager must document attempts to obtain written and verbot ver1fication. This additional documentation must be in the
clie n t file.
No Income — Indicate in the narrative "no income."
ent Narty .�.__. -- - --
, �,,G 1/4
-IMIS (Aient Identiflie'r
Date
I Ra 'rat ire e
V100 V A
Y.._C� 6W 0
rc[o VA I
Client Signature*
C1 g zc,l
'intake is conducted remotely and client sl' naturecannotbe ediately obtained,--,--
9 c0se manager should notate client narratIve crbov
o b taln sig n a ture at firs 1, in -p ers o n m e e tin g with c1len t,e and
,Chronic Homelessness* (see additional documentation requiredfrom case manager abov,6)
Client Attestation
have experienced being homeless for the last 12 months in which I lived in
place not meant for human habitation or in an emergency shelter, or on. at least four separate occasions in the last
_..gree years, I was homeless for a total of at least 12 months.
Gent Signature
Case Manager Signature