The URL can be used to link to this page

Home My WebLink AboutGrant Related - BOCCGRANT COUNTY COMMISSIONERS AGENDA MEETING REQUEST FORM (Must be submitted to the Clerk of the Board by 12:00pm on Thursday) REQUESTING DEPARTMENT. BOCC DATE: REQUEST SUBMITTED BY: Janice Flynn CONTACT PERSON ATTENDING MEETING: Janice Flynn CONFIDENTIAL INFORMATION: ❑YES ®NO 09/22/2023 PHONE; Ext 2937 � � � spa � ► A A � n im no� ❑Agreement / Contract ❑AP Vouchers ❑Appointment / Reappointment ❑ARPA Related ❑Bids / RFPs / Quotes Award ❑Bid Opening Scheduled ❑Boards / Committees ❑Budget ❑ Computer Related ❑ County Code ❑ Emergency Purchase ❑ Employee Rel. ❑ Facilities Related ❑ Financial ❑Funds ❑ Hearing ❑ Invoices / Purchase Orders ® Grants — Fed/State/County ❑ Leases ❑ MOA / MOU ❑ Minutes ❑ Ordinances ❑Out of State Travel ❑ Petty Cash ❑ Policies ❑ Proclamations ❑ Request for Purchase ❑ Resolution El Recommendation ❑Professional Sery/Consultant ❑Support Letter ❑Surplus Req. []Tax Levies ❑Thank You's ❑Tax Title Property ❑WSLCB t1► h+ : '11 ' ' C en '�'1t'f1'-'Tet .0 t-,-� "0 0' RQ;NG.FO Reimbursement Requesfrom ..nt County Hospital amount of $149,867-63, for expenses incurre - d -- regard--ing SIP Project #2021-01, Phase 1 Capital Improvement Plan. I -..J��J �1-� T "��.J�J ,.t�::,v�.'1..% � - ... .c ��.�.,� ..-�t'.:s '�-,1,`�i-.t:1' u:'��:i�t _�J+ .�.'�,�.:,��1"•�+.s'- _�-.i.. ti�a - raa- FIDENIED .XPPROVED DATE OF ACTION: ❑TABLED/DEFERRED/NO ACTION TAKEN: ❑CONTINUED TO DATE: ❑OTHER ►r r_.� � E _�z ;"� � - :-- - t,, . -�- ��,--n-: �,:�.�a, EI Y c 2U,# w• S i-��isea k°f�° �d �t �"tom",. 1SR 't' t." ""rh � 6 � i �.. t �1 �. Y Lt • �� i. 0% %jR, AINT COUNTY BOARD OF COUNTY COMMISSIONERS i ►'I 1�1L.•� To: Board of County Commissioners ' From: Janice, Flynn, Administrative Services Coordinator DaW. September 22, 2023 Re: Authorization for Release of BOCC Approved Funds, Request #14, SIP #2021-01- GC Hospital #4 — McKay Healthcare, Phase I Capital Improvement Plan McKay Healthcare has certified the requirements for release of funds in the above - referenced SIP project, which was approved by the BOCC pursuant to Resolution No. 21 -013 -CC dated February 16, 2021. The proof of requirements is in the form of a signed Project Certification form from the Hospital and supporting invoicing of the project that meets the requested amount. To that end, I am requesting the release of funds on this SIP project as follows: (1) 14th and final installment of the grant award in the amount of One Hundred Forty Nine Thousand, Eight Hundred Sixty Seven and 63/100 Dollars ($149,867.63) to McKay Healthcare. Note: The full grant/loan amount is $350,000. This leaves a balance of $0.00. Thank you. GRANT COUNTY STRATEGIC INFRASTRUCTURE PROGR-,.A-.M PROJECT CERTIFICATION This form must be signed and returned, with an invoice, for the approved funding, before reimbursement can be approved by Grant County. SIP Project Proposal Number, SIP Funding Recipient SIP Project Description SIP2021-01 McKay Hospital & Rehab Phase I Capital Improvement Plan 1, the undersigned, do hereby certify under penalty of perjury, that the materials have, been furnished, the services rendered, and/or the labor performed as described in the project proposal for the above -referenced SIP Project and that I am authorized to .01 ^ authenticate and certify to this claim. I also certify that this claim of $149,86 oi is just and due and is an unpaid obligation against Grant County. Further, according to the SIP Project Funding Policies, I attest that at the next audit of my entity, this project shall be called to the attention of the Washington State Auditor's - Office and an emphasis audit will be requested to assure that these funds were expended toward the project and according to the intent of the proposal. V.- SigWa_ture Victor Odiakosa Printed Name 2, Date Signed Administrator/Spperintendent Title Administrator/Soerintendent Pfinted Title Completed, signed original certification and invoice are to be mailed too, Adwm*istrafive Services Coordinator, PO Box 37, Ephrata, WA 98823 Reimbursement # 14 so in the amount of $1493867,63 ATTACHMENT 4 MC AY HEALTHCARE 563 Colvico Inc 09/15/2023 93218 Invoice Number Invoice Date Description Gross Amount Dismunt Taken Net Amount Paid 164952 07/31/2023 Admin -P -SIP0 1-0112022-0 $166,829.42 $0.00 $166,829.42 165009 08124/2023 Admin - ISS - SIP2022-02 $72,300.88 0.00 $72,300.88 $2391, $ 391 i �0 0y00 $2-39,130.30-1 9 L03 2 IR � o NM r- + wi Mi' :' �+iii ; M 4 , is...... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Please remit payment to: Colvido, Inc. PO Box 2682 Spokane, WA 99220 (509) 636-1875 LILT . Public Hospital Dist, 4 of Grant Co. PO Box M Soap Lake, WA 98851 AJA INVOICE #k 164952 INVOICE DATE*. 7131/2023 PERIOD TO: 7/20/2023 APPLICATION M 3 PO#: DUE DATE: 8/30/2023 JOB: 1-0206 McKay Health Care Generator Replacement Contract 2022-2 Totals $769,348.49 $320,461-86 $153,901.68 PREVIOUS RETAINAGE CURRENT BILLING $153,901.68 JJV*4t4 NEW RETAINAGE $0.00 $474,353.64- ORIGINAL 474,353.64 ORIGINAL CONTRACT SUM $ CHANGE BY CHANGE ORDER $ CONTRACT SUM TO DATE TOTAL COMPLETED AND STORED TOTAL RETAINAGE TOTAL EARNED LESS RETAINAGE $ LESS PRP -V CERTIFICATES FOR PAY $ 8.40% SALES TAX' . $ CURRCENT PAYMENT 01,15 $ $294,994.95 $0.00 767,734.00 1,614,40 769,349,49 474.353.54 $0,00 474,353.54 320,451.86 12,927.74 SCHEDULED PREVIOUS CURRENT STORED TOTAL 016 ITEM DESCRIPTION VALUE APPLICATION COMPLETED MATERIALS COMPLETED COMPLETE BALANCE RETAINAGE I ... . ...... Submittals $20'000.00 $2,000.00 $0.00 $0.00 $2$000.00 100% $0.00 $0,00 2 Bonds $6,300.00 $6,30.0 $0.00 $0.00 $6,300.00 100% $0,00 $0.00 3 Permits & F=ees $51600.DO $5,600.00 $0,00 $0.00 $5,600.00 1000/0 $0.00 $0.00 4 Mobiftation $10,300.00 $181,300,00 $0.00 $0.00 $18'.300.00 100% $0,00 $0.00 .5 Cartage, Rentals, Shack $11,2100,00 $11,200.00 $0.00 $0.00 $110.200,00 100% $0.00 $0.00 6 SuparvIslon $7F000,00 $3,850.00 $1,000.00 $0,00 $4,900.00 7'0% $2,100.00 , 0.00 $0.00 7 Electrical Warranty $7,000-00. $0.00 $0.00 $0.00 $0.00 0% $7,000-00 KOO 8 Demolition $362000.00 $-G'goolao $3,600.00 $0.00 $10,500.00 29% $26,500.00 $0'00 9 Conduit $734300,00 $43j830.00 $22,140-00 $0.00 $65,970.00 9 GO/0 $7,330.00 $0.00 10 Manholes & Ducthanks $25,000.00 $26,00100 $0.00 $0.00 $25,000.00 10 W/o $0.00 $0.00 11 Bldg, Wire & Cable $139,890-00 $6,994.50 $04,401.00 $0.00 $101,395.50 721/16 $38,494.50 $0,00 12 BOX03 $8,450.00 $1,722.60 $M.00 $0.00 $2,667450 3,00/0 $5,882.60 $0.00 13 Wiring Devices $3,40,00 $0.00 $3120040 $0,00 $3.1200-.00 100% $0.00 $0.00 14 Cabinets & Enclosures $13,000-00 $6,500.00 $1"000,00 $0.00 $7,606,00 94% $5010.00 $0.00 15 Groundlrig & Bonding $5,430.00 $2,715,00 $543.00 $0.w $3,258,00 60% $2,172.00 $0.00 16 Supporting Devices $114,180.00 $8,154,00 $4,224.00 $0.00 $12#378.00 87% $1,802.00 $0.00 17 Electrical Identification $6,200.00 $0.00 $0.00 $0.00 $0.00 0% $6,200.00 $0,00 18 SWtchboarda $61,600.00 $0,00 $0,00 $0.00 $0.00 01/0 $61,600.00 $0.00 19 Panetboards $86,700.00 $80,850.00 $2,340.00 $0.00 $83,190,00 98% $3W510.00 $0.00 20 Circuit Breakers $11,700,00 $0,00 $9j760= $0.00 $9,760400 83% $1,$50.00 $0-00 21 Fuses & Fuse Accessories9 $10 00.00 $5770.00 $ .1 ,140.00 $0.00 $6,910,00 63% $3,990.00 $0.00 22 Enclosed Transfer SvAtch $14,,950,00 $117,855.0(7 $2,957.50 $0.00 $13,812-50 92% -$11137.60 $0.00 23 Emergency Power Generation $49,040.00 $47,165.00 $0.00 $040 $4.7,155.00 96% $1,855.00 $0.00 24 Interior Lighting $1,550.430 $1,560.00 $0.00 $0.00 $1,660.00 100% $0.00 $01-00 25 Power Systems Study $5,000.00 $50000.00 $0.00 $0.00 $5,000.00 100% $0.00 $0.00 ALT 1-1 SupervIslon $6,000-00 $1,200.00 $900,00 $0.00 $2,100..00 35% $3,000.00 $0,00 ALT 1-2 Electrioal Warranty $734.00 $0.00 $0.00 $0,00 $0.00 0% .$734.00 $0,00 ALT 1-3 Demolition $21,400.00 $24140,00 -$0100 $0.00 $2p140.00 10% $19j260.00 $0,00 ALT 14 Conduit $249'470100 $15,260.00 $64200.00 7$0.00 $20,4613.00 82% .$4,440.00 $0.00 ALT 1.5 Bldg. W[re & Cable $84,300.00 $0.00 $0,00 $0.00 $0.00 00/0 $84,300,00 $0.00 ALT 1-6 Circuit Breakers $12,000.00 $0.00 $0.00 $0.00 $0,00 0% $12,00.0,00 $0.00 ALT 1-7 Power Systems Study $1,000,00 $1,000.00 $0.00 $0,00 $1,004.00 100010 $0.00 $0.00 Oil IDIsGonnect for Water Heater $1.614A9 $695,86 $611.18 $0.00 $1,207iO4 75% $407.45 $0.00 Totals $769,348.49 $320,461-86 $153,901.68 PREVIOUS RETAINAGE CURRENT BILLING $153,901.68 JJV*4t4 NEW RETAINAGE $0.00 $474,353.64- ORIGINAL 474,353.64 ORIGINAL CONTRACT SUM $ CHANGE BY CHANGE ORDER $ CONTRACT SUM TO DATE TOTAL COMPLETED AND STORED TOTAL RETAINAGE TOTAL EARNED LESS RETAINAGE $ LESS PRP -V CERTIFICATES FOR PAY $ 8.40% SALES TAX' . $ CURRCENT PAYMENT 01,15 $ $294,994.95 $0.00 767,734.00 1,614,40 769,349,49 474.353.54 $0,00 474,353.54 320,451.86 12,927.74