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Home My WebLink AboutGrant Related - BOCC (004)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: DYES C] NO DATE:4/1 /224 PHONE:ext. 2937 DATE OF ACTION: APPROVE: DENIED ABSTAIN DI: D2: D3: DEFERRED OR CONTINUED TO: ❑Agreement / Contract ❑AP Vouchers ❑Appointment / Reappointment ❑ARPA Related ❑ Bids / RFPs / Quotes Award ❑ Bid Opening Scheduled ❑ Boards / Committees ❑ Budgetet❑Computer Related []CountyCode ❑ Emergency Purchase ❑ Employee Rel. ❑ Facilities Related ❑ Financial ❑ Funds ❑ Hearin g ❑ Invoices / Purchase Orders ® Grants — Fed/State/Count Y ❑ Leases ❑MOA / MOU ❑Minutes ❑Ordinances El Out of State Travel E] Petty ash Y ❑ Policies ❑ Proclamations ❑ Request for Purchase ❑ Resolution F-1 Recommendation ❑Professional Sery/Consultant ❑Support Letter ❑Sur Ius Req. p q ❑Tax Levies ❑Thank You's ❑Tax Title Property ❑WSLCB Reimbursement �reque�stf�rom MCKa �Hos�j:iftal & RehaYbon the Strategic Infrastructure Project(SIP) No. 202202 Phase 1 Capital Improvement Plane Emergency g y Generator, in the amount of $8,383.66. DATE OF ACTION: APPROVE: DENIED ABSTAIN DI: D2: D3: DEFERRED OR CONTINUED TO: GRANT COUNTY STRATEGIC INFRASTRUCTURE PROGRAM 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: SIF 2022-02 SIP Funding Recipient McKay Hospital & Rehab SIP Project Description Phase I Capital Improvement Plan — Emergency Generator Expansion 1, the undersigned, do hereby certify under penalty of pe1jury, 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 authenticate and certify to this claim. I also ceilify that this claim of $%383.66 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. %-1 5inature Victor Odiakosa Printed Name date - Signed----'"P Admim'strator/Superintendent Title Administrator/Spperintendent Printed Title Completed, signed original certification and invoice are to be mailed to. Administrative Services Coordinator, PO Box 37, Ephrata, WA 98823 R Ar eimbursement #._07 in the amount of $ 83.6v wan"Aw ATTACHMENT 4 Please remit payment, to: Colvico, Inc. PO Box 2682, Spokane, WA 99220 (509) 536-1875 BILL TO; Public Hospital Dist. 4 of Grant Co. PO-BOX819 Soap Lake,,WA 98851 PJA INVOICE M 168026 INVOICE DATE: 1/29/2024 PERIOD TO: 1131/2024 APPLICATION #1 10 P DUE DATE: 2128/2024 JOB: 10206 McKay Health Care Generator Replacement Contract 2022-2 PREVIOUS RETAINAGE CURRENT BILLING $7,734.00 NEW RETAINAGE Vend #M wars Code Name Amount k via. 641 �10 1� ......... ...... Dept. Head Approval: ORIGINAL CONTRACT SUM 767,734.00 SCHEDULED PREVIOUS CURRENT STORED ToTAL% 772,924.85 TOTAL RETAINAGE $0,00 ITEM DESCRIPTION VALUIE APPLICATION COMPLETED MATERIALS COMPLETE . 0 COMPLETE BALANCE RETAINAGP_ I - -------- - Submittals- $2,000.00 $2,000.00 $0.00 $0,00 $2,000.00 1000/0 $0.00 $0,.00 2 Bonds 46,300.00 $6,300.00 $0.00 $0.00 $6,300.00 100% $0.00 $0.00 3 Permits & Fees 15,600.00 $5,600.00 $0.00 $0.00 -$5.600.00 100% $0.00 $0.00 4 Mobitizarion $18,300.00 $18.300.00 $0.00 $0.00 $18,300.00 100% $0.00 $0.90 5 Cartage, Rentals, Shack $1'11.200.00 $11,20U0 $0.00 $0.00 $11.200.00 100% $0.00 $0.00 6 Supervision $ , 70000.06 $7'j000.00 $0.00 $0.00 $7,000.00 100010 $0,00 $0.00 7 Electrical Warm* $7000 . 0.00 $0.00 $0.00 $7,000,00 °100% $0.00 .$0.00 a Demolition $36,000.00 $36,000.00 $0.00 $0,00 $36,000.00 100% $0.00 $0.00 9 Conduit $73t3003.00 $73t3OO.OD $0.00 $6400 $73,300.04 10070 $0.00 $0.00 10 Manholes & Ductbanks $26,000,00 $25,000.00 $0.00 $0.00 $25,000.06 10011/0 $0.00 $0.00 1 W1 Bldg, Ire & Cable $139,890.00 $139,890.00 $0.00 $0.00 $139,890.00 100% 10.00 $0.00 12 Boxes $8,450.00 $8,460-00 $0.00 $0.00 $8,450.00 100% 13 wiring Dov. foes $3,200.00 $3,200.00 $0.00 $0.00 $3,200-00 100% so - o $9.69 14 Cabinets Enclosures $8,000.00 $84000.00 $0.00 $0.00 $8,000.00 100% $0.00 $0,00 16 GroundirAj & Bonding $ . 5,430.00 $5.430.100 $0.00 $0.00 $5,430..00 100% $0.0.0 $P.00 16 Supporting. Devices $14,1110.00 $14,180.00 $0.00 $0.00 S141180.00 100% $0.00 $0.00 17 Electrical Identifleallon $500.00 $5,200.00 $0.00 $0.00 $5,200.00 100% $0.00 $0.00 JS SWIchboards $61,500.00 $61,500.00 $0.00 $0.00 $61.600.00 100% $0,00 $0.00 19 Panalboards $86,700.00 $86,700.00 $0.00 $0.00 $86,700,00 100% $0.nn $0.00 20 Circuit Breakers $111700,00 $11.700.00 $0.00 $0.100 $110700.00 100% $0.00 $0,00 21 Fuses &'Fuse Accessories $10,900.0 $101900.00 $0.00 $0.00 $10,900.00 100% $0.00 $0.00 1 22 Enclosed Tratzfer Switch $14.950.00 $14,950.00 $0.00 $0.00 $14.950.00 100% $0.00 $0.00 23 Emergency Power Generatlon $49,040.00 $49,040.00 :$0.00 $0.00 $49,040.00 100% $0.00 $0.00 24 Interior Lighting $1,660,00 $1,560.00 $0.00 $0.00 $1.560.00 100% $0.00 $0,00 25 Power Systems Study $50000.00 $5,000.00 $0.00 $01,00 $5,000.00 100% $0.00 ALT 1A Supervision $6,000.00 $6,000.00 50.00 $0.00 $60000.00 1004/a$03.00 $0.00 ALT 1-2 -ElooldcalWatoinly $734,00 $0.00 $MX0 $Oi,00 $734.00 100% $0.00 $0.00 ALT 1-3 Demolition $21.400.00 $21,400.00 $0.00 $0.00 $21.400.00 100% $0.00 $0.00 ALT 1-4 Conduit $240900.00 $24,900.00 $0.00 $0.00 $24,900.00 10011/0 $0,00 $0.00 ALT 1-5 Bldg, I Wire & Cable $84,300.00 $844300.00 $0.00 $0.00 $84.360.00 100010 $0.00 $0.00 ALT 1-6 Circuit Breakers $12.000-00 $12,000.00 $0.00 $0.00 $12,000.00 100% $0.00 %00 ALT 1_T Power Systems Study $1,000.00 $1,000.00 $0.00 $0,00 $1,000.00 100% $0,00 $0.00 Col Disconnect for Water Heater $1,614.49 si,614A9 $0.00 $0,00 $1,614.49 1.00% $0.00 $0.00 CO2 Breakers $1.765,76 $1178516 $O.OD $0.00 $1,785J6 100% $01,00 $0.00 CO3 Do not use $0.00 $0.00 $0.00 $0.00 $0.00 0% $0.00 $0.00 C04 Troubleshoot Gen & ATS $1,790,60 $1,790.60 $0.00 $0.00 $1,790-60 100% $0.00 $0.00 Totals $7720924.65 $765,190.85 $7,734.00 $0.00 $7721924.85 $0.00 10,00 PREVIOUS RETAINAGE CURRENT BILLING $7,734.00 NEW RETAINAGE Vend #M wars Code Name Amount k via. 641 �10 1� ......... ...... Dept. Head Approval: ORIGINAL CONTRACT SUM 767,734.00 CHANGE BY CHANGE ORDER $ 5,100.85 CONTRACT SUM TO DATE $ 772,924.85 TOTAL COMPLETED AND STOREI) $ 772,924.85 TOTAL RETAINAGE $0,00 TOTAL EARNED LESS RETAINAGE $ 772,924.85 LESS PREV CERTIFICATES FOR PAY $ 765,190.85 B.40% SALES TAX: $ 649.66 CURRENT PAYMENT DUE $ 8)383.66 MCKAY HEALTHCARE 563 Colvico Inc 02/22/2024 93691 Invoice Number Invoice �e-'-''- Pescription Gross Amount Discount Taken Net Amount Paid 168025 01/29/2024 Maint - PS - SIP $8,383.66 $0.00': $8,383.06 $86383-661 $0.00T $8383.66] MENEM .96-671 MC KA X. iEALLTI! 415 1232 .:,"127 SFECONDAVE $W "Po BOX 09: --U SOAP LAKE, WA 98851 9.369.1 �46,11 111 WE 93691 02/22/2024 $8,383.66 Eight Thousand Three Hundred Eighty Three Dollars and 66 Cents PAY Colvico Inc TO THE PO Box 2682 019M OF Spokane, WA 99220 L 111 t 109339 111" I'm 123 2067 &Oi&l' I 536073EI95 30,11