HomeMy WebLinkAboutGrant 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: ❑YES 0 NO
DATE:4/18/2024
PHONE:
um,
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,/�.--/.-n / - -o�Reimbursement request from New Hope on the Consolidated Homeless Grant
(CHG) #24-46108-10 in the amount of $11,138.35 for March expenses.
If necessary, was this document reviewed by accounting? ❑ YES ❑ NO
If necessary, was this document reviewed by legal? ❑ YES ❑ NO
DATE OF ACTION: -W -Z 4
APPROVE: DENIED ABSTAIN
D1:
f
D2:
D3:
4/8/24
DEFERRED OR CONTINUED TO:
SSTATI� OF VVA%VN11$T-,-JN
DEPARTMENT OF CO&ONIERCE
.-i V:. OrOFO.Y-42575 -, Ohimtp%,� 90594-252,5- -096114 T25400,11
I ft, f -1 Phi: m S
Form 19-1A
VOUCHER DISTRIBUTIONAGENCY
Short Code ,Co,
rrmerce"Con rac :N - b
urn
NUMBER -
-er
CMS Invoice ID:
DEPARMENT OF
1030
24-46108-10
391550
COMMERCE
VENDOR OR CLAIMANT (Warrant payable to:)
INSTRUCTION TO VENDOR OR CLAIMANT:
Grant County Board of Commission
Submit this form to claim payment for materials, merchandise or
PO BOX 37
services. Show complete detail for each item.
EPHRATA, WA98823-0037
Vendor's Certificate: The individual signing this voucher below
warrants they have the authority to do so as authorized and on behalf
Janice Flynn
of the entity identified in the Vendor/Claimant section. The individual
(Vendor Contact Person n)
signing below certifies under penalty of perjury that the items and
totals listed herein are proper charges for materials, merchandise or
(509) 754-2011 ext 2937
(Vendor Contact Phone)
services furnished to the State of Wa*shington, and that all goods
furnished and/or services rendered have beenprovided without
discrimination because of age, sex, marital status, race, creed, color,
iflynn(@.grantcountywa.anv
(Vendor Contact Email)
national origin, handicap, religion or Vietnam era or disabled veterans
status.
07/01/23 - 06730/25
(Contract Period)
Karrie Stockton (Kstockton2) 4/18/2024 2:16:31 PM
03/01/24 - 03/31/24
(REPORT PERIOD)
(SUBMITTED. BY) (SUBMIT DATE)
G REQUESTED DESCRIPTION BUD ET RE' EXPENDED D D` T
�EXPE 0
AMOIJNT' THIS ARD
AMOUNT
1%OICEN
Unassigned - Unassigned $.00 $.00 $.00
$.00 $.00
Admin - Unassigned $282680.00 $.00 $18,375.41
$.00 $10,304.59
Rent - Unassigned $210,275.00 $.00 $101,384.46
$.00 $1082890.54
Facility Support - Unassigned $27,902.27 $.00 $18,600.00
$-00 $93302.27
Operations - Unassigned $189,417.73 $.00 $67,070.27
$.00 $122j347.46
HEN Admin 2024 -
Unassigned $23000.001 $-001 $1,307.43
$-00 $692.57
HEN Rent/Fac Support 2024 -
Unassigned $184,345.00 $.00 $159,332.2.6
$.00 $25,012.74
HEN Operations 2024 -
Unassigned $42,000.00 .$.00 $25,861. 6 03
.$.0.0 $16,138.97
HEN Admin 2025 - $5
Unassigned ,000.00 $.00 $.00
$.00 $5,000.00
HEN Rent/Fac Support 2025 -
Unassigned $173,345.00 $.00 $.00
$.00 $173,345.00
HEN Operations 2,025 - $50,000.00 $0
Unassigned . 0 $.00
$.00 $50,000.00
Eviction Prevention Admin -
Unassigned $10,000.00 $.00 $.00
$.001 $10,000.00
Eviction Prevention Rent -
Unassigned $1,132,655.00 $.00 $274,561.86
$-00 $858,093.14
Eviction Prevention
Operations - Unassigned $350,000.00 $.00 $97,528.10
$.00 $252,471.90
Inflation Increase 2024 -
Unassigned $110,242.00 $.001 $.00
$.001 $110,242.00
Inflation Increase 2025 -
Unassigned $110,242.00 $.001 $.00
$.00 $1103242.00
Local DRF Support 2024 - $71,609.00 $113138.35 $35,395.75 $.00 $36,213.25
Unassigned
Local DRF Support 2025 -
Unassigned $71,609.00 $.00 $.00 $.00 $71,609.00
Non - 'Match Total: $2,769,322.00 $11,136.35 $799,416.57
$.00 $1,969,905.43
PROGRAM APPROVAL
(The individual signing this voucher warrants they have the authority to sign this voucher.)
DOC DATE CURRENT REFERENCE DOC NO.
DOC. NO.
Date
VENDOR NUMBER and SUFFIX
SWV0002426 03
ACCOUNT NO.ASD
NUMBER
45705
VENDOR MESSAGE
TRAN S . R EV MASTER SUB
CGDE .0®DE dNDEX OBJ
SUB , MG GL ACCT
_ MS
SUB
:OBJ
SUS .. AMOU,NT PROGRAM
SID. INDEX
46A70111 NZ
465C1211 NZ
46155
46114
46A70212 NZ
46155
46A20111 NZ
46151
46A20212 NZ
465C2212 NZ
46151
46114
465DO250 NZ
46108
46AK0210 NZ
46108
READY to BATCH PREPARER DATE
WARRANT TOTAL
CREATED BY Karrie Stockton (Kstockton2) DATE
4/18/2024 2:11:50 PM
F;orm`19=1A VOUCHER. D6STRIBU`TION AGENCI( Short Code Commerce' Contract Numb
...: .. NUMBER
CMS Invoice ID: DEPARMENT OF 1030 4 24-46106-10
391550 COMMERCE
I D All Expenses under $1,000 1
Paid b
Paid to
Y: Paid -to - Paid to ; Expense
Paid b UBL Contractor Paid to. UBI
Y Organization Name Ora Amount
Type,
Ype Organization Name Or9 TYpe. Type
Subcontractor Tota
Sub Subcontractor Tota