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Home My WebLink AboutGrant Related - BOCC (002)GRANT COUNTY COMMISSIONERS AGENDA MEETING REQUEST FORM (Must be submitted to the Clerk of the Board by 12:00pm on Thursday) REQUESTING DEPARTMENT: BOCC REQUEST suBMrrrEo BY: Karrie Stockton CONTACT PERSON ATTENDING ROUNDTABLE: Karrie Stockton CONFIDENTIAL INFORMATION: ❑YES FOR NO DATE. 12/15/2023 PHONE:ext. 2937 NWA:j Ile wr mom ❑Agreement / Contract ❑AP Vouchers ❑Appointment / Reappointment ®ABPA 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 0 Grants — Fed/State/County ❑ Leases ❑ MOA / MOU ❑ Minutes ❑ Ordinances ❑Out of State Travel ❑ Petty Cash ❑ Policies ❑ Proclamations ❑ Request for Purchase ❑ Resolution ❑Recommendation El Professional Sery/Consultant ❑Support Letter ❑Surplus Req. ❑Tax Levies ❑Thank You's ❑Tax Title Property ❑WSLCB $ _.. iMOM ,. T. OR .. �� AF FMA PC .�ARPA Reimbursement Request from Fire District 12 in the amount of $12,423.34. Invoices are for Rescue/Hazmat/Salvage Truck, AED, shipping of AED and a Nitro HD Monitor. DATE OF ACTION: APPROVE: DENIED ABSTAIN D1: D2: D3: DEFERRED OR CONTINUED TO: GRANT COUNTY BOARD OF COUNTY COMMISSIONERS To: Grant County BOCC From: Karrie Stockton, Grant Administrative Specialist Dabx December 15, 2023 Re: Fire District #12, Wilson Creek Fire District #12 has requested BOCC reimbursement for the purchase of a used Rescue/Hazmat/Salvage Truck, an AED, and an HD Nitro Monitor as part of their $100,000 allocation from Grant County ABPA funds. The invoices totaling $12,423.34 are attached for your review. Thank you. NOVEMBER 17, 2023 Grant County Commissioners PO Box 37 Ephrata WA 98823 Dear Commissioners, Grant County Fire District 12 is requesting reimbursement from the ABPA funds to pay for the following: 0 1992 FORD RESCUE/HAZMAT/SALVAGE TRUCK 0 LIFEPAK AEDs • SHIPPING OF AED • ELKHART NITRO MONITOR These items will be a significant benefit to the citizens of our corhmunity and surrounding areas that may require our services. Sincerely, Dale A. Bjork A LS &J 0 PV, District Secretary r-tma t 7 2,4 7/2,3 F-AAAA-L4E:�, t �crett>c--C> 'T-6 &0 Wc-, A aq 4-,�PuV3 7 ARPA FUNDS REQUEST 1992 FORD RESCUE/HAZMAT/SALVAGE TRUCK LIFEPAK 1000 SHIPPING ELKHART NITRO MONITOR TOTAL $5,000.00 / $913.36V $94.93/! $6,415.05 $12,423.34 �/ STATE o F WASHINGTON Xx. DEPARTMENT OF ENTERPRISE SERVICES Federal surplus Property Pro ram 7511 New Market Street, Turnwater, WA 98501. PO Box 41030, OlYMPIal WA 98504-1030. EEDSjEs.irRAL s��2I4',Y�sURLUS PRO:+.�+jPERTY lSSUE FORM I 21fU IF -4-1 3 Ilk, .. • • - . � . • . Date: 11/3/2023 'CustQm!er.-Number Surplus to KSF 31302 AGENCY.- Grant County Fire District #12 Public Agency -State 42 0 c: NAME: 24e Bjork Public Agency - Local E ADDRESS: P.O, Box 73 U 0 r Tax Exempt 44 0 Wilson Creek WA, 98860 E U 0 -j SEA =3 SB U P - The Federal Surplus makes no• guarantee,,.wa u q ality Franty., or. representation expressed or implied as to the quantity, l(ind charac pter-,.gz weight, or description of any property, or Its fitness for"a"ny use or purpose, and no claim shall be considered for allowance or, stni •!ant or for rescission of the sale based on failure to inspect property. All Items are sold "'AS IS."' Alkin. ct 11 'A5q ii....... t ed 3-0106-1 Fire Truck *"Complitance item EA. $147,187,00 $5J000.00 $5J000.00 Donee hereby agrees to the Terms & Conditions described in their application and have received Tidt >w the property listed above. The Applicant Orgpnization certifies, by signature.of th for that ........ . cL neith!er it nor its princlpzkfs J� prg��ijtly debarred, suspended, proposed *r debarment, oeclar�ed ineliRible-or voluntarily fo tarily excl _participation in this transaction ..0 by any f=ederal agency.• Uj 1-k SIGNATURE 2 DATE: 11/3/2023 U NAME (Print): Dale jor� -%% # f1A 77 $SJ000.00 from Middletown Fire Protection District, IL PO Box 293 400 N Monroe St Middletown, IL 62666-0293 Description: Lifepak 1000 AED VIN/Serial: Year: Make/Brand: Body: Trim: Actual Sold Amount: Other Amount: Buyer's Premium: Sales Tax Amount: BP Tax Amount: Total Amount: Model: Meter: Color: Title Restriction: Not Applicable $750.00 USID $0.00 USD $93.75 USD $61.87 USD $7.74 USD $913-36 USD Paid On: 24 Oct 2023 Credit Card Other Amount Description: ri District 12y he asset is removed from the seller's PO Box 32 remises ere s no re un o monies previously paid. 5063 K.8 NE Buyer/Agent Signature: Moses Lake, WA 98837 Print Name: USA Date: dalebjork@gmall.com 5097501724 Pirate Ship Payment Receipt #221750421 Saturday, 71/4{23 11:19 AM PDT Rita 6jork 5063 Road K.8 NE Moses Lake WA 98837-8569 R"'�'�+`�'n`"�wVYOM'65s-1�%1"Ff+'IJ�G^./X.45.iY/ir>Nb.BCKaM•�' ?Y "�.+P'�.v:h�:y{ .'NRaiM.':T.','.aFF'h1;:pGaym.yy�,y,�y'�W?YWicw:dw':.Liu':+waaM:.at'u.N.`.u�.�'4Y..'•.iSaa=ay.9Sr�ais:6.n��K4x�'.�SS% Credit Card Payment: Visa ending in 5361 $94.93 Date Type Description Total Balance Starting account balance $0.00 1 Saturday, 11/4/23 11:19 AM PDT Label Dale Bjork: 1 Label Batch -$94.93 -$94.93 .�1T#J!J'.^.tMY.�i�?wtxh4x,.T!v,..,fw':JKtY1.adMYN�.[+!FwpYR+Pl4s1[4�atlSVV.+L#4WrKb:lx'vvNMVN,+w,.�8ti!fvY. �'AC'+#..4.15:�<NfiLKA� 1'lne+Y.1Y2+..��.f.�1dNv:Vti'�C:RwnrJ�C+w±a:tiY�EKih'O+fV��-WJ. Saturday, 11/4/23 11:19 AM PDT payment Credit Card Payment: Visa ending in 5361 To see your entire transaction history, visit your reports page. ARRRRrrrrr... we thank Yee f'er y'er business! Pirate Ship LLC - PO Box 9149, Jackson, WY 83002 - pirateship.com $94.93 Ending account balance $o.00 $0.00 If !d ° i j S -n fiGHTING EQUIPMENT P.O. Box 51, Kirkland, WA 98083 425-821-5858 www.seawestem.com Bill To GRANT CO FIRE DIST #12 PO Box 73 Wilson Creek., WA 98860 Invoice Ship To GRANT CO FIRE DIST #12 117 South 3rd St Wilson Creek, WA 98860 Returns are gladly accepted within 30 days of purchase. A restocking fee of up to 25% may be Subtotal 11,702.82 applied on any non -stock merchandise. Customized merchandise is non -returnable. Shipping Cost (Dro shi Rate) 154.94 Tax - 8.2% 972.34 Total $12, 8 3 0.10 'Washington State Department of Enterprise Services Federal Surplus TIN 45-2096870 Bill to: ACCOUNTS PAYABLE GRANT CO FIRE DIST GRANT COUNTY FIRE DISTRICT 12 PO BOX 73 WILSON CREEK WA 98860 Remit Department of Enterprise Services to: PO Box 84857 Seattle WA 98124-6157 Invoice No. 16146751 Invoice Date: 11-09-2023 Due Date: 12 -09 -2023 --'--'---- For Period of: 11-01-2023 TO: 11-30-2023 Customer/Account Number: 31302- 012 Reference Number: PO Number: For Accounts Jeff Wilhelm Receivable inquiries: phone: (360) 628-3418 fax (360) 407-9171 email: ieffrew-wilhAlm nrt des -wa. ov For Customer Service inquiries: Payment Information: Coby Armstrong phone: (360) 407-1922 fax None email: cobv-Rrrnqfmnn@.des-wa.ao- �f! �c- 1790 !Fund SVVV 1 Amounti 142210098117-1 6f 4.001 Please Indicate InvoicelCredit Memo Numbers on Payment Document or Retum Top Portion With Payment Line # Date tltem Description 11tern Code! Reference jUnits of lNumber JMeasur . I Quantity' Unit Cosh Line Total Pail, Utility FEE --S & H 11-0147-10#'` SEA 4.001 1-0036-1-1EA 1.001 0022 $1.751, $5.0 of Cost 1 $7.00 1 $5.0011 12 lAir Impact Hammer IFEE S&H 13 Hammer, Claw11-0036-1- IFEE S&H 1 I 1EA 6.00' 0144 1 $2.001 $12.001 4 Chain Fall Jack, Hydraulic FEE S& 12-0181-1 1EA 2.00 $10-00 $20. 001 5 6 l;Wheel, Grinding EE S&H 2-0229-8 1EA 2.00 1-0093-2-�1 $30.00 $60. IFEE r --)&H 1EA 0011, 1 0005 1 $2.00' 1 $2.00' 7 'Wheel, Cuttoff11 IFEE S&H 10003 0093-2- EA 10.001 $0-101 $1.00 " $26.DOE 8 !Electric Drill TF—EE S&H 1-0093-- I EA 2.001 $13.00 9 Ratchet, Hand IFEE S&H 10232 f 1-0036-1- EA 2.001 $ 6.001 11 $12.001 110 i 11 _Saw, Reciprocating I --;FEE S&H 3-0127-7 1EA 2.00 Screwdriver, Flat Tip FEE 1;&HL3-0035-2 IEA 2.00 $30.0011 $60.001 f 12 Medical Scissors FEE S&H IEA 5.00 'Pliers $1.00, $1 1 $2.00 $5.00 13 IFEE S&H 6-0179-19 .001 $1.00 $3.00� EA 3.00 !Hand Tools, Power Driven I'FEE S&H '12-0128-25 EA =15 1 1.0011 Knife, Rescue IFEE S&H 8-0218-2 1EA 2.00 $10.00 $10-00, $1 0.00i I $20.001 16 Bar, Pinch FEE S&H 8-0256-10 – 5.00 $2.001 $10.00' 17 Machine, Laminator FEE S&H 3-0127-11 EA `I.M 18 Hazmat Truck !FEE S&H 3-0106-1 $9.00$9.0011 - JEA 1.001 $5000.00 $5,000.001 5,254,00T6T INVOICE TOTAL: $5,264.00 Comments: Items were picked up by Dale Bjork .Thank you for your business with us. Statements are on-line at hftps://apps.des.wa.aov/ar/ . Hard Copy statements are available upon request