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Home My WebLink AboutGrant 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: Karrl@ Stockton CONFIDENTIAL INFORMATION: ❑YES ONO DATE:4/1/2024 PHONE:eXt. 2937 ! 'ice i.. /./� �/i //// ./i �i i.--�" iiia i��.�i✓ / -_-:, �ii� i �i/i -a! �i n- Me main NOUN ■ ,._WON - V PhaseProject(SIP) No. 2022-02 . • .Improvement Plane, Emergency Generator, in the amountof $41,068.55. DATE OF ACTION: � I . I APPROVE: DENIED ABSTAIN D1. D2: D3: DEFERRED OR CONTINUED TO: GRANT COUNTY BOARD OF COUNTY COMMISSIONERS To: Board of County Commissioners From: Karrie Stockton, Grants Administrative Specialist Data April 1, 2024 Re: Authorization for Release of BOCC Approved Funds, SIP #2022-02- GC Hospital #4 — McKay Healthcare, Phase I Capital Improvement Plan Emergency Generator Expansion McKay Healthcare has certified the requirements for release of funds in the above - referenced SIP project, which was approved by the BOCC p tursuant to Resolution No. 22 -077 -CC dated August 2, 2022. 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. The total request is $67,509.59, 1 am m requesting that the -remaining balance of $41,068.55 be put, towards the requested amount. To that end, I am requesting the release of funds on this SIP project as follows: (1) 5th installment of the grant award in the amount of $41,068.55 to McKay Healthcare. Note: The full grant amount is $500,000, which leaves a balance of zero. Thank you. 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: IP 022-0 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 perjury, that the materials have been furm*shed, the services rendered, and/or the labor perfortned 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 certify that this claim of $675509 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 th entity, 14S 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. Signature Victor Odiakosa Printed Name Date Signe-d Admini'strator/Superintendent Title Administrator/Swerintendent Printed Title Completed, signed original. certification and invoice are to be mailed to: Administrative Services Coordinator, PO Box 37, Ephrata, WA 98823 Reimbursement 0 06 in the amount of $67,509.0-7CA ATTACHMENT 4. Please remit payment to: Colvico, Inc. PO Box 2682 Spokane, WA 99220 (509) 536-1875 BILL TOf Public 'Hospital Dist. 4 of Grant CO. PO BOX 819 Soap Lake, WA 98851 .AJA, INVOICE #04 167621 INVOIC . E DATE: 111.2/2024 PERIOD TO.: 12131/2023 APPLICATION M. 9 PO#*. DUE DATE: 1/11/2024 4013: MO McKay Health Care Generator Replacement contract 2022-2 TOTAL TED COMPLETE BALANCE RIETAINAGE SCHEDULED PREVIOUS CURRENT STORED COMPLE% VALUE ApPLICATION COMPLETED MATERIALS 'ITEM DESCRIPTION No -111 $21000,00 owl $2,000.00 $0�00 $0.00 $200,00 100%, 0 $01 .0, W00 Submittals 46,30 1 0.00 $6,300.00 $0.00 $0.00 $64300.00 100% $0,00 $.0.00 2 Bonds $5,600.00 $5,600.00 $0. 0 .0- $0.00 $5,600,00 100% 1 $0.00 $0,00 3 Permit$ & Fa_ OS $ - j8,300,00 $18,100.00 $0000 $0.00 $18,300.00 10 0% $0.00 4 Mobilization 5 •Cartaoe, Rentals, Shack $11,200.00 �$111,200.0 . 0 $0.00 $0.00 $i 1,200-00. `100% $0.00 $0.00 $0000 6 SuperVision $7,000-00 $6$300-00 $700-00 $0.00 $7,000.04 $0.00 1100% 0%, $7,000.00 $0.0 0 7 Electrical Warranty $7,000.00 $0.00 $0.00 1 $0.00 Kau $36,000-00 1.00%. $0,00 $0.00 8 Demolition,, $17,400-00 $73t300.00 -118160�10.0 $0.00 $0,00 $73,300-00 100% $0.00 $0.00 9 Conduit$73,300-00 $26,000.,00 $25,000.00 $0.00 $0.00 . $25,000.00. $0.00 $0.00 10 Manholes & Ductban.ks- $139,890.00 $130,795-60 $9!,094:50 $0,00 100% $0.00 0.00 il Bldg, Wire & CablO0.00 $8.450.00 $0.00 $ $8,450.00 100% .$0.00 $0.00 12 BoXes $3,200.00 $3,200.00 $0.00 $.0.00 $31200.00 10.0% .$O.OD $0.00 13 Widng Devices $8,000,00 $8,000.00 $0,00 WOO $8,000.00 100010 $0.00 $0.00 U Cabinets & Enclosure$ $5 410.00 $6 . $0.00 $0.00 $5,430.OD 100% $0.00 $0 . 00 15 Grounding Bonding $14,180.00 .430.00 $114080-00 $0.00 - $0.00 $44,160.00 100014 $0.00 �$0.00 Supporting Devices ton Identiricaf $6�200.00 $3,900-00 $1,300.00 $0.00 $5,200.00 100% $0.00 $0.00 Electrical $61,600.0,0 $0.00 $0.00 $61,600.00 100% $0.00 $0.00 it) Switchboards $86,700.00 �$1,170.00 $0.0 0 U $86700 $0. 00 $0.00 1,9 Panalboards $1 11'700.00 .$85,530-00 $11,700.00 $0.00 $0.00 $11,700.00 1001/0 $0.00 : $0-.00 20 CirevIt Breakers 21 Fuses &Tusq Accessories $10,900.616 $10,900.00 $0.00 $0.00 $10,900.00 1.00% $0.00 $0.00 $0.00 22 Enclosed Transfer Switch $14,950-00 $14950.00 $0.00 $0.00 $14,950.00 10010/0 - 100% $0,00 $0.00 $0,00 23 EmergencY Power Generation $49,040.00 $49,040.00 $0.00 $0,00 $49,040.00 100% $0.00 $0.00 24 Interior Lighting $1,660.00 $1,660..00 $0.00 0.00 $uo $11,560.00 $5,000.001 100% $0,00 $0.00 2s Power Systems Study $5,600.00 $5.000-60 $4,200-00 $0.00 $1,800.()0 $0.00 $6,000.00 100% $0.00 $0.00 ALT 11-1 SUPON100A $8 000.04 $734,00 $0.00 $0.00 $0,00 $0.0o $734.00 $0,1,00 ALT 14 Electrical WartAnty $21,400,04 1 . $2,140.00 $1%2600,00 $0.00 $21.,400-00 $0,00 $0.00 ALT 1-3 Dernollrion$0.00 $24,900-00 $24,90D.00 $0.00 $0.00 $24,900-00 100% $0.00 ALT 1-4 Conduit . $74,150,00 $10i150100 $0,00 ::$84;380.110$0.00 �ibdtx $0.00 ALT 1-5 Sldg.:�WIMA C.016 .$84t3OO.00 $12,000,00 $12,000-00 $0.00 $o 1 .00 .$12,000,00 100% $0.00 $0.00 ALT 1-6 Circuit Breakers $1,00uo $1,000�00 $0.00 $0.00 $1,000.00 1006/0 $0,00 $0.00 ALT 1 �7 Power Systems Study I $J,614A9 $1,410.77 $203.72 $0.00 $1,614.49 100% $0.00 $0.00 Col Disconnect for Water Heater $10785.76 $1,785.76 $0,00 $0.00 $1,785.7 6 100% $.O�0.0, $0,00 CO2 Breakers $0.00 $0.00 $0.00 $0.00 $ 1 0.00 0%$0.00 $0.00 CO3 Do not use C04 Troubleshoot Gen & ATS $11,790.60 $1,790-60 $0.00 $0.00 $1,790.60 100610 $0.00 $7,734.00 $0.90 Totals $772,024.85 $702,912.63 $02,270.22 $0,()o $76611190.85 T ORIGINAL CONTRACT SUM $ 767,734-00 PREVIOUS RETAINAGE CHANGE BY CHANGE ORDER $.22 61190.85 CURRENT BILLING $62,278 CONTRACT SUM TO DATE $ 772,92-4.85 NEW RETAINAGE TOTAL COMPLETED AN . DSTORED $ 765,190-85 TOTAL RETAINAGE $0,00 TOTAL EARNED LESS RETAINAGE $ 765,`190.85 LESS PREY CERTIFICATES FOR PAY $ 102,912,63 8,40% SALES TAX- $ 6,231,37 CURRENT PAYMENT DUE $ 67,509.69 MCKAY HEALTHCARE 563 colvico Inc ce Date �qesr-Clpflon invoice Number invoice Date Description ,167621 01/12/2024 Maint - PS - S1 01/18/2024 Gross AmountDiscount Taken Net AM unt Paid $671509-591- $0.001 $67 y509'59 93581 01/18/2024 $67,509.51 Sixty Seven Thousand Five Hundred Nine Dollars and 59 Cents PAY Colvico Inc BY TO THE ORDER OF PO Box 2682 Spokane, WA 99220 B, AUT IED G AZURE 0 10 9 3 Sa 1W, 1: 12 3 2 0 6710 h S 3 60 7 3EI 9530"m