HomeMy WebLinkAboutGrant Related - BOCC (003)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 SUBMITTED BY: Karrie Stockton
CONTACT PERSON ATTENDING ROUNDTABLE: Karrie Stockton
CONFIDENTIAL INFORMATION: ❑YES WNO
DATE:3/4/2024
PHONE:ext. 2937
DATE OF ACTION; 3d?1_C,-7j--f
APPROVE: DENIED ABSTAIN
D1:
D2:
D3:
DEFERRED OR CONTINUED TO:
❑Agreement / Contract
F1 /RFPs /Quotes
❑AP Vouchers
eue
❑A oinfiment /
pp Reappointment
®ABPA Related
❑ Computer Related
g
❑ County Code
❑Boards /Committees
❑ Emergency Purchase❑
❑ Budget
Em to ee
P Y Rel.
❑Facilities Related
❑Financial
El
❑Hearing
❑ Invoices / Purchase Orders
® Grants — Fed/State/County
❑ Leases
❑ MOA / MOU
F1 Minutes
❑Ordinances
❑Out of State Travel
❑Pett y Cash
❑ Policies
❑ Proclamations
❑ Request for Purchase
❑ Reso '
lution
❑Recommendation
❑Professional Sery/Consultant
❑Support Letter
❑Sur lu
p s Req.
❑Tax Levies
❑Thank You's
❑Tax Title Property
❑WSL CB
mil
Reimbursement request from Bi Colle the g
n eo'
American Rescue
.Bend g
Plan Act
Grant
(ARPA)in the amount of $15,514.76 for January expenses on the Expansion Healthcare
Program.
DATE OF ACTION; 3d?1_C,-7j--f
APPROVE: DENIED ABSTAIN
D1:
D2:
D3:
DEFERRED OR CONTINUED TO:
INVOICE
Invoice No: MSC -0000025688
i!MRU�Ti Invoice Date: 2/14124
Page: I of 1
Remit To:
7662 Chanute Street NE
Attn to:
Moses Lake,WA,98837
Bill To:
Grant County
Attn Janice Flynn
PO Box 37
Ephrata WA 98823-0037
United States
Customer Number. -
Payment Terms:
Due Date:
AMOUNT DUE:
001003947
Immediate
2/14/24
151514.76 USD
Immediate
Amount Remitted
For billing questions, please call 509-793-2024
Line Identifier DescriptionOriq I inal
Quantity -UOM Unit Amt Not Amount
G.C. ABPA Funding
146--1.14-26015-4021030-- 1 .00 EA 15,514.76 15,514.76
Subtotal:
15,514.76
Amount Due:
169614.76
Contra ct#2226-476
G,C._&REA Fun inn IANC j�
K23-163-Expans. Med.& Nurs. Prog. Bldg'. 1500
K23-164 -Remodel of Nursing Lab Bldg. l 700
K23-165- - Expans. H. Care Prog. $1,5,514.76 Prog. Work
Big Bend Community College
Voucher Distribution
VENDOR NAME AND ADDRESS
Washington State Patrol
Budget and Fiscal Services
PO Box 42602
Olympia WA 98504-2602
V000002905
USE. SPACE BELOW AS A WORKSHEET TO DEVELOP 0
R EXPLAIN THE: ACCOUNT DISTRIBUTION
Services for-,
FDATE:
WATCH "RVSP background check - December 23 Invoice
225029
CHECK,
ZZOME
`AC0
AMOUNT'
tl v
No n o1ce
---- ----------
22.00
11.00
'PUR 0 P S .
5030
�s
4:4
5. Q3.
270
oQ6
:N 3
11.00
N
50081
Z4S 4130 a.
8,
(f. ��
U
,8
50
.50" Q30,-
1_0
5-QQ3 -4
_Q
NF.
N
i
N.
7.
146
n.
INVOICES
—
- - - - -
TODAY$ DATE
1/2/2024
AGENCY
WA180
TOTAL
88.00
"State Purpose
-Not Related to IT: "N" ,:Requiredfield�
*Related to IT:
SpecialFuriding
oAcquisition./New Development.* IXI
oMaintenan'ce & Operations: "Y"
AMOUNT'
tl v
No n o1ce
22.00
11.00
11.00
11.00
11.00
11.00
TOTAL
88.00
"State Purpose
-Not Related to IT: "N" ,:Requiredfield�
*Related to IT:
SpecialFuriding
oAcquisition./New Development.* IXI
oMaintenan'ce & Operations: "Y"
Washington State Patrol
HUMAN RESOURCE; Amber Jacobs
BIG BEND COMMUNITY COLLEGE - Human Resources
7662 CHANUTE ST
MUSES LAKE, INA 98837
Invoice Date: 01-02-2024
Invoice Number: 12403462
AR Number: 0000012415
Federal ID: 91-6001127
TOTAL DUE: $88.00
Please remit payment with a copy of this Invoice to:
WASHINGTON STATE PATROL
BUDGET AND FISCAL SERVICES
P.O. BOX 42642
OLYMPIA, WA 98504-2602
Direct billing questions to Ms. Lynette Brown at (360) 534-2109.
If paying by JV - please code to agency 2250 and use budget code below.
These charges are for background checks submitted by BIG BEND COMMUNITY COLLEGE - Human Resources for
December 2023 for Account Number 7626285. See attached detailed report.
Budget Codes:
225-04-20-FPID $88.00
Generated: 1/212024 9:38:51 AM
Generated: 11212024 9:38:51 AM
OCA
•
WSP Identification Section
BIG
BEND COMMUNITY COLLEGE - Human
Resources
Billing Detail Report
•
Account Number: 7626285
For December 2023
Transaction Nbr
Amt
Name
EnterDate
WA4499300085576255
11.00
CHAVEZ,JULIO C
12/19/2023
WA4499300085863213
11.00
GARCIA,PATRICIA
12/27/2023
WA4499300085922595
11.00
GOODRICH,DEBRA J
12/2812023
WA4499300084887294
11.00
HENLEY,ROSENDA
12/6/2023
WA4499300085292877
11.00
MEJ1A-SANCHEZ,VETZAYRA
1211412023
' WA4499300085863221
11.00
NAVARRO,JESSICA
1212712023
WA4499300085143763
11.00
PEREZ,TAHLIA Y
12/12/2023
WA4499300085785721
11.00
PHILEN,STEPHANIE R
12126/2023
Total: $88.00
Generated: 11212024 9:38:51 AM
OCA
BIG BEND COMMUNITY
COLLEGE
7662 Chanute Street NE
Moses Lake WA 98837
United States
Supplier: V000013969
Gaumard Scientific Co Inc
14700S W 136th Street
Miami FL 33196-5691
United States
Tax Exempt? N
Line- Item/Description
Sch
Purchase Order
Page: 2 of 2
Pending Ap proval/App
roved
Dispatch Via PEW ---
Purchase Order
Date
Revision
1l1/A1 80-0000000684
12-11-2023
Payment Terms
Freight Terms
Ship Via -- ----
-Due Irnmed!
Destination
COMMON
Buyer
Phone/ Email
currency —Currency
1_ Joe Auvil
Qb*gbendd u
-
USD
Ship To.- 6842 30th Ave NE Attention: Not Specified
Bill To: 7662 Chanute Street NE
Moses Lake WA 98837
United States Moses Lake WA 98837
United States
Tax Exempt ID: Replenishment Option: Standard
Mfg ID Quantity UOM PO Price Extended Amt Due Date
AW
0
-W
't; vz=kg�we-�-'
'N M
1404400 USD USD BB140000-------
0
Schedule Total
Item Total 151.91
Total SUT Code 1300 740.00
(8.2%)
Total POAmount 9764,40 jvle�
. ......... - --------
,�� 601
D
Lw rydb �� �� b�.( 39
i
COLLEGE
7662 Chanute Street NE
Moses Lake WA 98837
United States
Suppllier V000013969
Gaumard Scientific Co Inc
14700 SW 136th Street
Miami. FL 33196-5691
United States
Page: 1 of 2
Tax Exempt? N Tax Exempt ID:
Line- Item/Description Mfg ID
Sch
1 R-epair to Supex Tory
- SIN W1808201 per
quote 9104420
DXST: I
Replenishment Option: Standard
Quantity UCSM PO Price Extended Amt Due Date
U=Ose
N
8884.000 USD U - SD
BB140000 N
------------ 0
2 - I Fre4l.qht Charges
DIST: 1
open - ------ 100.0000 1 00 ---- 0'0"
Schedule Total
Item Total
EA 140.40
SUT Code: 1300
(8.2%)
140.400
B884.00 06/30/2024
72'8 - 4 9
140,40 06/30/2024
I I 51
Pending rova I/Ap
roved --- Dispatch
Via Print
Purchase Order
Date
Revision
1 A1 80-0000000684
12-11-2023
Payment Terms
Freight Terms
Ship Via
--- Due Immedi
DestinationCOMMON
Buyer
Phone/ Email
Currency
Joe Auvil --------
_Ioea@bigbend.edu
USD
Ship To: 6842 30th Ave NE Attention: Not
Specified Bill To:
7662 Chanute Street NE
Moses Lake VVA 98837
Moses Lake WA 98837
United States
United States
Tax Exempt? N Tax Exempt ID:
Line- Item/Description Mfg ID
Sch
1 R-epair to Supex Tory
- SIN W1808201 per
quote 9104420
DXST: I
Replenishment Option: Standard
Quantity UCSM PO Price Extended Amt Due Date
U=Ose
N
8884.000 USD U - SD
BB140000 N
------------ 0
2 - I Fre4l.qht Charges
DIST: 1
open - ------ 100.0000 1 00 ---- 0'0"
Schedule Total
Item Total
EA 140.40
SUT Code: 1300
(8.2%)
140.400
B884.00 06/30/2024
72'8 - 4 9
140,40 06/30/2024
I I 51
Gau ard
Simulators for Health Care Education
Gaumard Scientific Co. Inc.
14700 SW 136th Street
Miami, FL 33196
T: 305-971-3790 1 F:305-252-0755
Sold To:
Big Bend Community College
7662 Chanute St. Bldg 1400 Accounts
Payable (Rec)
Moses Lake WA 98837-3299
USA
Ship To:
Big Bend Community College
6842 30Th Ave. N. E. Bldg: 1500
Shipping & Central Receiving
Moses Lake WA 98837-3299
USA
Invoice
Invoice Number: 93881
Invoice Date: 12126/2023
Page 1 of 2
Customer ID
PO NUmber
Description
Sales Representative
C 104373
SC# 69580/PO#WA1 80-0000000684
Rick Lubkeman
Due Date
-UM R
Payment Term
Shipping Method
Net 20
UPS Ground
Qty.
Item
Description
Unit Price
Amount
1
30080150B
External Power Supply
$215.00$215.00
1
30040078E
Battery Assembly
$240.00$240.00
$295.00$295.00
1
2
30020665E
30021867D
Lower Torso Endoskeleton Front
Assembly
Arm Movement Wire
$12.00$24.00
$25.00$50.00
2
30021866D
Leg Movement Wire
2
2
30021197D
30021198D
Left Pulley Assembly
Right Pulley Assembly
$45.00
$90.00
$45.00
$160.00$160.00-
$325.00$325.00
$90.00
1
30050126C
02Sat Right Foot Board Assembly
1
30050123D
Audio Board Assembly
1
30020653H
Breathing Pump Assembly
$29415.00$2
$40.00
1415.00
$625.00
$40.00
1
30030251E
Abdomen Retraction Valve Assembly$625.00
1
1
8.409.2
300701991
Head Position Sensor Forward
Movement
Complete Skin Assembly, Medium
$2,915.00
$140.00
$2,915.00
$1,400.00
10
GU.CAF.1
Labor
1
Printed 12/27/202311:16 am Page 1 of 2
auard 19
Simulators for Health Care Education
Gaumard Scientific Co. Inc.
14700 SW 136th Street
Miami, FINE, 33196
T: 305-971-3790 1 F:305-252-0755
Sold To:
Big Bend Community College
7662 Chanute St. Bldg 1400 Accounts
Payable (Rec)
Moses Lake WA 98837-3299
USA
Ship To:
Big Bend Community College
6842 30Th Ave. N. E. Bldg: 1500
Shipping & Central Receiving
Moses Lake WA 98837-3299
USA
MEMNON
Qty. Item Description
20040029D Simulator Transport Case
S2220.M Super TbryO
Remarks
Based on Delivery Note 73208. Generated by Avatax Document Generation Wizard. SC# 69580 Based On SalesQuotations
104420. Based On Sales Orders 69377..
Invoice
Invoice Number: 93881
Invoice Date: 12/2612023
Page 2 of 2
Unit Price
Amount
$1,195.00
$0.00
$0.00
$0.00
Subtotal
$8,884.00
Total Discount
%0.00
Sales Tax
$740.06
Freight
$140.33
Total Invoice Amount
$9,764.39
Payment/Credit Applied
$-
Total US$
Printed 12/27/202311:16 am Page 2 of 2
WA180
2024
7 7180
5050030
Purchased Services
146
26015
ARPA
- County Funds
114
11.00
WA180
2024
7 7180
5081250
Repairs and Maintenance
146
26015
ARPA
-County Funds
114
917 64.3 9
WA180
2024
7 7180
5010050
Labor &Industries
146
26015
ARPA
-County Funds
114
8.16
WA180
2024
7 7180
5010010
Old Age and Survivors Insur
146
26015
ARPA - County Funds
114
103.85
WA180
2024
7 7180
5010060
Health Life and Disability Ins
146
26015
ARPA
- County Funds
114
1 145.00
WA180
2024
7 7180
5010020
Medicare
146
26015
ARPA
- County Funds
114
24.29
WA180
2024
7 7180
5010160
Paid Medical Leave
146
26015
ARPA
- County Funds
114
4.06
WA180
2024
7 7180
5010040
Medical Aid
146
26015
ARPA -
County Funds
114
7.90
WA180
2024
7 7180
5010030
Retirement and Pensions
146
26015
ARPA -
County Funds
114
183.27
WA180
2024
7 7180
5000100
Community College Classified
146
26015
ARPA -
County Funds
114
1, 923.04
WA180
2024
7 7180
5010050
Labor &Industries
146
26015
ARPA -
Count Funds
Y
114
8
8.16
WA180
2024
77180
5000100
Community College Classified
146
26015
ARPA -
Count Funds
Y
114
1 987. 57
WA180
2024
7 7180
5010030
Retirement and Pensions
146
26015
ARPA -
Count Funds
Y
114
189.42
WA180
2024
7 7180
5010160
Paid Medical Leave
146
26015
ARPA -
Count Funds
Y
114
4.19
WA180
2024
7 7180
5010010
Old Age and Survivors Insur
146
26015
ARPA -
Count Funds
Y
114
115.54
WA180
2024
7 7180
5010040
Medical Aid
146
26015
ARPA -
Count Funds
Y
114
7.90
WA180
2024
7 7180
5010020
Medicare
146
26015
ARPA -
Count Funds
Y
114
27.02
15,514.76
407477
Accounts Payable
N
1/4/2024 AP I
0.00 AP Accruals
AP00407477
Accounts Payable
N
1/4/2024 AP I
0.00 AP Accruals
PAY0412690
HR Payroll Journals
N
1/15/2024 PAY I
0.00 HR Payroll Journal Line
PAY0412690
HR Payroll Journals
N
1/15/2024 PAY 1
0.00 HR Payroll Journal Line
PAY0412690
HR Payroll Journals
N
1/15/2024 PAY 1
0.00 H '
R Payroll Journal Line
PAY0412690
HR Payroll Journals
N
1/15/2024 PAY 1
0.00 HR Payroll Journal Line
PAY0412690
HR Payroll Journals
N
1/15/2024 PAY 1
0.00 HR Payroll Journal Line
PAY0412690
HR Payroll Journals
N
1/15/2024 PAY 1
0.00 HR Payroll Journal Line
PAY0412690
HR Payroll Journals
N
1/15/2024 PAY I
0.00 HR Payroll Journal Line
PAY0412690
HR Payroll Journals
N
1/15/2024 PAY I
SMO 0.42 HR Payroll Journal Line
PAY0418397
HR Payroll Journals
N
1/31/2024 PAY I
0.00 HR Payroll Journal Line
PAY0418397
HR Payroll Journals
N
1/31/2024 PAY I
SMO 0.43 HR Payroll Journal Line
PAY0418397
HR Payroll Journals
N
1/31/2024 PAY I
0.00 HR Payroll Journal Line
PAY0418397
HR Payroll Journals
N
1/31/2024 PAY i
0.00 HR Payroll Journal Line
PAY0418397
HR Payroll Journals
N
1/31/2024 PAY I
0.00 HR Payroll Journal Line
PAY0418397
HR Payroll Journals
N
1/31/2024 PAY I
0.00 HR Payroll Journal Line
PAY0418397
HR Payroll Journals
N
1/31/2024 PAY I
0.00 HR Payroll Journal Line